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flashl Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Jan-27-08 06:05 PM
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Birthing advocacy group launches national campaign
Birthing advocacy group launches national campaign in Chicago to allow licensing of midwives

Coalition opens U.S. campaign in Chicago

Illinois and other states should legalize and license lay midwives to ensure women have safe and affordable choices for maternity care, according to a coalition of advocacy groups that launched a national campaign Thursday in Chicago.

Certified professional midwives, who are lay practitioners specializing in home births, are banned in 26 states, including Illinois. They fall under a different legal classification than certified nurse-midwives, advanced practice nurses who are licensed in all 50 states and work mainly in hospitals.

The National Birth Policy Coalition, a group of midwives and their advocates, say they are willing to undergo a minimum of three to five years of training and pass a national board exam to become certified.

"Licensure creates legal standards that all midwives have to follow, and that's what we want to see across the United States," said Katie Prown, manager of the coalition's national campaign. "As it stands now, families have to navigate an underground network of unlicensed midwives and take it on faith that their midwives are qualified and skilled at attending out-of-hospital births."

The coalition kicked off its campaign at a hotel near the headquarters of the American Medical Association, a physicians' organization that opposes the licensing of lay midwives because they are not nurses or doctors.

Chicago Tribune


This should reduce costs.
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juno jones Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Jan-27-08 06:36 PM
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1. When my children were born in IL there were no legal midwives
and I was pretty much forced to have standard hospital births. Glad they are allowing nurse-midwives now, but really hope they legalize the others. Home birth in an uncomplicated case (most) would be preferable to many compared to the hospital experience.
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flashl Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Jan-27-08 07:08 PM
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2. Efforts to license midwives has been a struggle
that I have observed for years. I do not understand why there is resistance when there is an unmet need in many communities.
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Warpy Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jan-28-08 01:28 PM
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3. A friend a long time ago was a lay midwife
who had brought dozens of babies safely into the world at their parents' homes. I always thought those folks were taking a big chance until I went through nursing school and saw what constituted a "normal" hospital birth. Ye gawds.

The question to ask any lay midwife is whether or not she's got medical backup. There are courageous doctors out there who will stick their necks out and provide hospital care or even in home care with no questions asked should something go awry and a laboring mother be brought in by ambulance, accompanied by the lay midwife.

The truth is that most serious complications can be picked up before the process goes too far, often long before labor starts. Studies have determined that labor nurses with stethescopes pick up fetal distress much earlier than fetal monitors do. A trained midwife is perfectly safe for a normal birth with no complications and being unable to get a mother with complications to a hospital in time is generally more a question of geography than competence on the part of the midwife.

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