Independence Day Midwives Pushdrive

July 6, 2008

From the Big Push for Midwives:

Big Push Campaign Launches the 2008 “Independence Day Midwives PushDrive”

Since the American Medical Association (AMA) voted in June to outlaw home birth, we are doubling our efforts to advocate for freedom of birth options for our nation’s mothers and families.

While the AMA and the American College of Obstetricians (ACOG) are likely to back a forceful lobbying operation in Statehouses from coast-to-coast in the months to come, we are P-U-S-H-I-N-G back … building state-of-the-art advocacy campaigns toward successful regulation and licensure of Certified Professional Midwives (CPMs) … helping our state member groups to stand up together, united for safe and legal birth choices.

Why so urgent?

Beyond this David-and-Goliath struggle, we face a critical problem in our society. Nearly 1 in 3 American women are going through major surgery to give birth, but only a fraction of those women would be considered “high risk.” Yet, in spite of the lack of medical necessity for many such cases, the most frequently performed surgery in the U.S. is the cesarean section at 1.3 million surgeries per year. Given present trends, our nation is headed for a staggering 40-50% cesarean surgery rate.

For many reasons, this newly emerging health policy issue is urgent, and some go so far as to say that the civil rights of pregnant women are being disregarded … that mothers and their families are not being fully informed nor adequately supported in their quest for maximal results with minimal interventions.

What is the Big Push for Midwives Campaign?

The Big Push for Midwives Campaign is the first initiative of the National Birth Policy Coalition (NBPC). We play a critical role in building a new model for the delivery of U.S. maternity care at the local and regional levels. At the heart of this plan is the Midwives Model of Care, based on the fact that pregnancy and birth are normal life processes.

Through local and national media attention, public education and coalition building, we are creating meaningful consumer protections and a system into which midwives are fully integrated, with increased transparency and accountability for the health and well-being of mothers and babies.

You can help the Big Push for Midwives Campaign stay in top pushing-for-birth-independence form!

Just as the research shows that food and water should not be withheld from laboring women during their marathon-like efforts in birth, our Caring Campaign Midwives remind us that we need nourishment for this journey to ensure we can perform our most critical functions this month.

We must raise $25,000 in the month of July to pay for the tools, staff and resources necessary to deliver consistent and well-executed communications and collaborate among our geographically dispersed teams.

Please show your leadership on national health issues and your willingness to support our innovative approach to rehabilitating our U.S. maternity care system. Please consider contributing immediately to our campaign in any amount that is feasible. $10, $20, $50, $100, $500, or even more.

We so appreciate any amount! Donate here


American Medical Association passes resolution to outlaw homebirth

June 17, 2008

Unfortunately, this is not surprising.

Maternity care is a multi-billion dollar industry in the United States,” said Steff Hedenkamp, Communications Coordinator for The Big Push for Midwives. “So it’s no surprise to see the AMA join the American College of Obstetricians and Gynecologists in its ongoing fight to corner the market and ensure that the only midwives able to practice legally are hospital-based midwives forced to practice under physician control. I will say, though, that I’m shocked to learn that the AMA is taking this turf battle to the next level by setting the stage for outlawing home birth itself—a direct attack on those families who choose home birth, who could be subject to criminal prosecution if the AMA has its way.

The Big Push for Midwives has released this story (the above text is from their press release). What people tend to forget is that the American Medical Association is a professional association, not a scientific or medical (and therefore unbiased) organization.

It’s hard to see this as anything other a business ploy to further dominate (and secure) their place in the market. With how expensive childbirth is, it’s a lucrative market.  This mode of business-oriented thinking has dominated the attempt to push out midwives since the beginning of obstetrics. What’s missing here? Perhaps what is best for the mother? Just a thought.


Fire displaces hundreds in Mt. Pleasant

March 14, 2008

While this is not particularly birth related, it definitely falls into the social justice arena when so many people are affected. Read more about the fire on my post at Feministing and donate some money if you are able.


Work for an awesome org–National Advocates for Pregnant Women

February 28, 2008

I’ve talked about the National Advocates for Pregnant Women quite a bit, as their conference was a big part of the synergy that led me to create this blog. Well they are hiring folks! So if you want the opportunity to work for a great organization that does legal advocacy on behalf of pregnant women–check out the listings.


Good news for Missouri Midwives!

February 21, 2008

News from Missouri Midwives Supporters
CONTACT:  Mary Ueland (417) 543-4258, better_birth@yahoo.com
FOR IMMEDIATE RELEASE:  Wednesday, February 20, 2008
 
Midwives Licensure Bill Passes Missouri Senate Committee
Comprehensive bill will decriminalize practice of midwifery, and license and regulate midwives
 
(Jefferson City, Mo.) – Midwives advocates across Missouri and the nation today celebrated the passage of Senator John Loudon’s (R, Chesterfield) midwifery licensure bill, SB 1021, from the Missouri Senate Committee on Pensions, General Laws and Veteran’s Affairs.  The long-anticipated legislation would decriminalize the practice of midwifery in Missouri and establish a board to license and regulate Certified Professional Midwives (CPMs).

The committee voted 5-1 before a hearing room packed with citizens from across the state, many of whom represented families who wish to choose a legal midwife to assist them during childbirth.  Committee members combined the bill with SB870, a repeal of the midwifery provision in current statute.  The resulting committee substitute is a comprehensive piece of midwifery legislation.  

“Missouri needs legal midwives,” said Debbie Smithey, President of Missouri Midwives Association.  “This bill will license and regulate the midwives whose legal status is currently in question before the Supreme Court.”
Currently, Certified Nurse-Midwives, who work predominantly in hospital settings, are licensed and regulated in all 50 states, while Certified Professional Midwives, who work in out-of-hospital settings, are licensed and regulated in 24 states, with legislation pending in an additional 20 states, Missouri among them. 

CPMs’ training as specialists in out-of-hospital maternity care qualifies them as essential providers during disasters in which hospitals become inaccessible or unsafe for laboring mothers and newborn babies. In addition, this bill will ensure that all babies born outside of the hospital undergo state-mandated newborn screenings and are provided with legal and secure birth certificates.

“We applaud the committee for their clear show of support for health care freedom in childbirth,” said Laurel Smith, President of Friends of Missouri Midwives, a statewide network of thousands of Missouri homebirth families,  “The parents of our state have been deprived of the freedom to choose a legal midwife specifically trained in out-of-hospital maternity care for too long.  We look forward to seeing this issue debated in the full Senate and anticipate the day when professional midwives are legally recognized and able to serve women freely.”

Missouri is part of The Big Push for Midwives Campaign
Media inquiries should be directed to Mary Ueland at (417) 543-4258, better_birth@yahoo.com.
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For more info:
Friends of Missouri Midwives
Missouri Midwives Association
Show-Me Freedom in Healthcare
Free the Midwives
The Big Push for Midwives Campaign

Thanks to Steff for the info.


Thank you Ricki Lake

January 11, 2008

Thank you Ricki Lake for bringing so much attention and media to the homebirth issue. I haven’t yet seen The Business of Being Born (I’m seeing it tomorrow so I will report back) but it certainly has gotten some significant attention in the press.

On Good Morning America they had a segment yesterday on Do-It-Yourself (DIY) births, or unattended homebirths. You can watch here. It’s a really good segment, until the a-hole doctor goes off an a fetal personhood tirade.

“What women need to appreciate is that the few hours of labor are the most dangerous time during the entire lifetime of the soon-to-be-born child,” said Dr. Frank Chervenak, Chairman of Obstetrics and Gynecology at New York Presbyterian/Weill Cornell. “Because of this, I would argue … all soon-to-be born children have a right to access immediate Caesarean delivery, and women who are denying this right are irresponsible.”

This kind of thing is EXACTLY why birthing rights activists NEED to work with reproductive rights and abortion rights people. These kinds of arguments, which basically imply that the unborn fetus has rights that trump the needs, desires and even health of the mother. Also framing childbirth as the most dangerous hours of an unborn childs life is problematic to say the least. And this guy isn’t even a pediatrician! He’s an OB-GYN. Oh sorry, I thought their concern was supposed to be the MOTHER. Nevermind how much people think medical interventions are hurting fetuses and mothers.

There was also a review in the NYTimes of the movie, which is super positive and supportive of home birth! That’s exciting. Also here you can see the trailer of another forthcoming film about homebirth in NYC.


News Round Up

November 20, 2007

It’s been awhile since I’ve done one of these, but I’m taking advantage of a day off to catch up on the news. Enjoy!

Lower back tattoos interfere with epidurals? Doctors say no.

Story of a water birth in West Texas, and another article about water birth.

Midwife assisted births on the rise.

The Today Show online investigates alternative pain mediation techniques.

80% of people in the UK oppose a bill which would remove the legal requirement that a doctor consider the child’s need for a father when performing IVF procedures.

More love for midwives in Wisconsin.

Opinion piece about the financial waste caused by intervention and over-hospitalization of birthing women.

43% of women in California breastfeed exclusively.

One hospital in Houston considers outlawing VBACs (vaginal births after cesarean sections) completely.

Study says that curvy women live longer and have smarter children.

NYTimes article discusses the declining enrollments in childbirth classes.


From NYTimes: Artificially breaking water does not speed up labor

November 2, 2007

The practice of artificially rupturing a woman’s membrane, or bag of waters, during labor has become quite common. I have seen it myself a few times, and have heard about it A LOT. Well, now there is research proving that it has no affect on shortening the length of labor or improving the health of the baby.

From the report:

Evidence does not support the routine breaking the waters for women in spontaneous labour
The aim of breaking the waters (also known as artificial rupture of the membranes, ARM, or amniotomy), is to speed up and strengthen contractions, and thus shorten the length of labour. The membranes are punctured with a crochet-like long-handled hook during a vaginal examination, and the amniotic fluid floods out. Rupturing the membranes is thought to release chemicals and hormones that stimulate contractions. Amniotomy has been standard practice in recent years in many countries around the world. In some centres it is advocated and performed routinely in all women, and in many centres it is used for women whose labours have become prolonged. However, there is little evidence that a shorter labour has benefits for the mother or the baby. There are a number of potential important but rare risks associated with amniotomy, including problems with the umbilical cord or the baby’s heart rate.

The question is whether or not the research recommendations will get implemented in practice. The trickle-down effect is slow–research comes out, and has to slowly trickle down the medical system to providers. Medical students are probably the most likely to hear these things first, as they are studying the practices, although medical textbooks don’t always have the most up-to-date research. This just reinforces the idea that doctors are routinely performing procedures that have no benefit to the laboring woman.

Thanks to Doulicia for the link.


“In simpler times, we were all gay.”

October 8, 2007

At least according to Salon.com’s John Aravosis. His article, entitled How did the T get in LGBT, tackles the question of the Employment Non-Discrimination Act (ENDA) and the current political battle going on in Congress about including transgender people in the protections afforded by the bill.

This discussion, about whether it’s right to leave transgendered people out of the bill if it helps to pass the legislation (which protects LGB people from workplace discrimination based on sexual preference) isn’t a new debate for the progressive community. In an attempt to advance what Aravosis calls “practical politics,” minority groups have been sold down the river. Examples? Women under 18 and the Emergency Contraception over the counter debate (they still need a prescription). State Children’s Health Insurance Program (SCHIP) and immigrants.

I understand the idea that some victories need to happen piecemeal–but these kind of compromises always leave me with a bad taste in my mouth. “Practical politics” work well for the people who don’t get cut out of the deal, but they don’t really help us move forward a broader vision for social justice.

Aravosis brings up the example of civil rights in his article as well, and the history there connects to another interesting example of compromise. When the civil rights movement was first developing, a political decision was made by the leaders to use the civil rights framework rather than the human rights framework (of which civil rights in one of eight rights afforded to human beings within this framework).

This broader vision of human rights has allowed other countries (who in many ways seem less ”developed” than ours) make headway into some of the areas where we have not, because the human rights framework lays it all out in clear and indisputable ways. Mexico City for example, just legalized first trimester abortion, an argument that made headway in a heavily Catholic country because of this framework. Spain and South Africa have both legalized gay marriage.

Where would we be if we had pushed for a broader vision of human rights back in the day? Aravosis would argue that African-American’s would be without any rights at all. I have trouble believing that.

So I just read Cara’s reponse to Aravosis’ piece. She says it all, in an angry and justified tone. Check it out. My favorite part might be the title: You don’t have to be straight to be an ass.


In case you needed another reason not to want a c-section

October 4, 2007

This one is scary, and unfortunately not from an episode of ER or Grey’s Anatomy.

A Florida woman is being awarded over 2 million dollars in damages after a doctor left a one foot by one foot surgical sponge in her uterus after a c-section. According to the woman, it was severe pain in the days following her c-section that brought her back to the hospital.

“I couldn’t walk,” she said. “I had to double over because the pain was horrendous.” When antibiotics did nothing to alleviate what doctors said was an infection, Dr. Joseph Becerra took an X-ray. The radiologist noticed a foreign object lodged in the 37-year-old’s abdomen, but it took days before Becerra removed the 1-foot by 1-foot surgical sponge that eventually damaged her uterus.

Here’s the even scarier part:

According to Florida’s Agency for Healthcare Administration, there were 88 surgeries in 2005 in hospitals statewide to remove objects left in patients from a previous operation.

And that’s just in Florida.