One of the (many) things I was discussing a few weeks ago as I researched the differences between care in the US and the UK is the lack of a NATIONAL standard of care for maternal health care in the United States.
Let me refer back to what I said earlier and to be specific --- the United States obstetrical health care does not have consistent, evidence-based care and protocols, policies, and procedures from state-to-state, hospital-to-hospital, doctor-to-doctor, and nurse-to-nurse. As advocates of women-centered care all know, a woman can get totally different information, care, and treatment in the same hospital with the same doctor and which varies greatly from individual nurses caregivers. The very same situation of one woman's labor and her baby's birth will vary vastly from hospital to hospital and from doctor to doctor within the same hospital. One labor over three to four shifts will have to adjust to the personal beliefs and preferences of every one of the nurses within that hospital setting.
While the US has NOT, every other industrialized nation -- with LOWER mortality and morbidity rates -- has developed a national standard of care since the 1930's that includes woman-centered midwifery care. During this time, American birth has cranked along on the conveyor belt of the medical machine based on physician's, drug company's and litigation needs in couched in terms such "maternal choice" and "maternal pain relief" and "scientific."
Below are some legislative actions happening in different states. Hopefully, these efforts by individual states will lead someday soon to an effort to create a national effort to create a health-based, woman-baby centered structure of maternal child birth care. Several Democrats are pre-election talking about a universal health care system. Time to get involved.
Citizens in Missouri will once again support legislation to allow DE and CPM to practice in Missouri.
Missouri is the ONLY state where the definition of the practice of medicine includes midwifery. You can see this yourself: click here or ask your librarian to show you Missouri Statute 334.010.
Show-Me Freedom in Healthcare Political Action Committee! Check out this great site at
We are a non-partisan group of Missourians who care about the effects that certain policies and laws have on our families' health and well-being. Our goal is to increase individual responsibility and freedom to informed healthcare consumers in Missouri. We believe that individuals make responsible decisions about healthcare when they are given good information. We believe that parents are the best decision-makers for their children because of their personal interest and concern for their children's well-being and happiness. Thus we advocate for the people of Missouri to be given good information and the freedom to make informed healthcare decisions for themselves and their families.
Families do not want to see their future and their healthcare options negotiated away by healthcare systems, special interest lobbyists, medical associations, and insurance companies. We, the Missouri people, want our voice to be heard! We want to know that the people's welfare is of the utmost importance to our government, and to the men and women who make up our healthcare system.
The Missouri motto says it well: "Salus populi suprema lex esto", which is translated, "Let the welfare of the people be the supreme law."
2007 Legislative UPDATE South Dakota Chapter of the American College of Nurse Midwives File Revisions to 2007 Legislation to Remove Restrictions for Certified Midwives in South Dakota. This info can be found at the bottom of the page at http://www.womankindmidwifery.com/
and read the article:
A Home Birth Option for South Dakota
Certified Nurse Midwife has passion for South Dakota's Homebirth Community
by Portal Staff
While many people in South Dakota concern themselves with the “birthrights” of those who seek abortions, South Dakota Certified Nurse Midwife, Jeanne Prentice is working behind the scenes for those who want to give birth but don’t have choices. “South Dakota women are legally restricted from having a safe home birth with a qualified birth attendant” says Prentice. The current law requires that Certified Nurse Midwives (CNMs) have a signed contract with a physician in order to practice. Prentice says that getting a physician to sign a contract with a homebirth midwife is impossible. “Why would any physician sign an agreement with their competition? This is not a safety issue, this is purely restraint of trade” says Prentice.
Read the story on the website.
Star Newland, founder of Domestic Harmony (as opposed to focusing on violence prevention) and co-promoter of the Safe Baby Resolution was at the opening legislative day for Hawaii. See picture in the Hawaii Tribune Hearald below.
Read about the resolution at www.SafeBabyResolution.blogspot.com.
While the resolution does not focus on legislative efforts to change the status of midwifery per se in Hawaii it is about creating social structures that support AWARE CONCEPTION, SAFE GESTATION, and GENTLE BIRTHING in order to create family and social harmony.