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Thursday, August 07, 2008
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| Florida Friends of Midwives Responds to the AMA/ACOG Statement - Tuesday, July 29, 2008
The American Medical Association (AMA) has recently adopted Resolutions 204 and 205 submitted by the American College of Obstetrics and Gynecology (ACOG) at the AMA’s Annual Meeting in June 2008. While both organizations claim to support measures to improve the health care of women and the public as part of their mission, Florida Friends of Midwives finds these Resolutions in stark contrast to those missions.
Neither Resolution 204 nor Resolution 205 contains evidence-based recommendations.
These resolutions are an attempt to make homebirths and care by direct-entry midwives a non-viable choice for childbearing women and their families.
Resolution 204
In Resolution 204, the AMA and ACOG oppose state legislation that allows for the licensing of Certified Professional Midwives (CPMs), claiming they are “non-formally trained” and referring to them as “lay midwives.”
This resolution undermines the comprehensive training these midwives undergo to provide high-quality prenatal, labor, delivery and postpartum care. The CPM is a nationally recognized credential for direct-entry midwifery. “Direct-entry” refers to people entering directly into a midwifery educational program without the requirement of a degree in any other medical field as a prerequisite.
CPMs must complete didactic education and at least one year of clinical experience, equivalent to 1,350 clinical contact hours, including prenatal, intrapartal, postpartal and newborn care under the supervision of one or more preceptors. Currently, the CPM is the only international credential that requires knowledge about and experience in out-of-hospital maternity care settings.
CPMs are certified by the North American Registry of Midwives (NARM). The credential has been accredited by the National Commission for Certifying Agencies (NCCA), the accrediting body of the National Organization for Competency Assurance (NOCA).
Education and licensing requirements for midwives are determined by each state. Florida requires that graduates of a 3 year direct-entry midwifery educational program pass the NARM examination and earn CPM certification to become Florida Licensed Midwives. Twenty-one states accept the CPM for direct-entry midwifery licensure.
Resolution 205
Resolution 205 claims that the safest setting for labor is in hospitals and birthing centers located within hospitals, and calls for legislation to make home births illegal. This resolution lacks any evidence to support its claim, and ignores significant scientific evidence that shows otherwise.
It is well-documented that routine interventions commonly used in hospitals, including continuous electronic fetal monitoring, labor induction and cesarean surgery, fail to improve health outcomes for mothers and their babies and may cause harm. In 2005, the British Medical Journal published a thorough analysis on home births carried out by CPMs in North America and concluded that planned home births for low risk women resulted in similar intrapartum and neonatal mortality to that of low risk hospital births in the United States but in lower rates of medical intervention.
ACOG supports “Cesarean Delivery on Maternal Request,” claiming that it is a woman’s reproductive right to request a surgical birth with no medical justification. It is just as much a woman’s reproductive right to choose to deliver in her home or in a free-standing birth center.
Simply put, this is an affront to patient autonomy and a woman’s right to make educated decisions about the best birthing option that meets her needs and preferences. It is not only unprofessional, but unfair to the public that they claim to serve, for organizations such as the American College of Obstetrics and Gynecology and the American Medical Association to make statements that are not evidence-based.
The Midwives Model of Care
Florida Friends of Midwives supports the Midwives Model of Care, which includes:
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Monitoring the physical, psychological, and social well-being of the mother throughout the childbearing cycle
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Providing the mother with individualized education, counseling, and prenatal care, continuous hands-on assistance during labor and delivery, and postpartum support
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Minimizing technological interventions
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Identifying and referring women who require obstetrical attention
The application of this woman-centered model of care has been proven to reduce the incidence of birth injury, trauma, and cesarean section.
Florida Midwives
Midwives have a long and valued history in Florida. The State of Florida has recognized the need to utilize maternity care funds more efficiently and to increase the availability of maternity care providers. In Florida the licensing, regulation, and practice of midwifery helps to reduce this shortage, thus increasing the quality of perinatal services available to pregnant women statewide.
In Florida, two types of midwives are allowed to practice: Certified Nurse-Midwives and Licensed Midwives (a Florida state licensure). Clients of Florida Licensed Midwives must undergo a through risk screening for entry into care and must remain low risk throughout their pregnancies. Conditions for consultation, referral and transfer of client care to physicians are clearly delineated in practice protocols which are codified in state rule. About 11.2 percent of births in Florida are estimated to be managed by midwives, rather than obstetricians/gynecologists.
Florida Friends of Midwives believes that women and their families have the right to determine the standard of care they desire during pregnancy and childbirth. Pregnancy and birth are normal life processes that should not be immediately viewed as an ailment or disorder that needs to be treated by the medical community. It is incumbent upon each state to make safe practitioners, trained and experienced in out-of-hospital maternity care, available to childbearing families, as we have in Florida. Midwives should be available to all women, whether they choose to birth in a hospital, birthing center, or at home.
About Florida Friends of Midwives
Florida Friends of Midwives is a non-profit grassroots organization dedicated to promoting the Midwives Model of Care and supporting the practice of midwifery in Florida. Florida Friends of Midwives was formed to support midwives who offer safe, cost-effective, evidence based care to Florida's families. For more information, please visit www.flmidwifery.org.
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| FFOM West Central Group Meeting in Sarasota 7/17 @ 6pm - Tuesday, July 08, 2008WHAT: Florida Friends of Midwives
West Central Regional Group Meeting
WHERE: Fruitville Pubic Library
100 Coburn Road
Sarasota, Florida 34240
WHEN: Thursday, July 17th, 6:00 p.m.
Please join this new consumer advocacy group as we propose initiatives to SMH, draft documents to help pregnant families deal with insurance companies, fight to save waterbirth at a local hospital, and raise money to preserve the licensure of midwives in Florida! |
| West Central Regional Meeting 6/19 @ 6:00 - Thursday, June 12, 2008Hello friends! It's time to get together to begin our Regional Group of Florida Friends of Midwives!
Our group will be made of consumers, mothers, fathers, midwives and friends from Sarasota, Manatee and Charlotte Counties. Please come and join us on the ground level as we discuss some exciting new initiatives and projects, goals for the year ahead, membership, fundraising and marketing.
WHAT: FFOM West Central Regional Meeting
WHEN: Thursday, June 19th at 6:00 p.m.
WHERE: Birthways Family Birth Center
4222 McIntosh Lane
Sarasota, FL 34232
(about 2.5 miles west of I-75)
We will be holding subsequent meetings once a month. They will likely be at the Fruitville Public Library. If you cannot attend next Thursday's meeting but would like to be included in future emails about the group's progress, please let me know.
This is a brand new group and we are open to any and all suggestions to make this a successful voice in our community. If you would like to know more about the statewide organization, please visit www.flmidwifery.org.
We hope to see you all at Birthways Family Birth Center on June 19th! Thank you for your support!
~Laura Gilkey
FFOM West Central Regional Group Leader
Please tune into WSLR 96.5 on Tuesday, June 17th, at 5:00 for Jane Blanchard's show 'Women Matters,' featuring a one-hour discussion about birth practices in our community!
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| First Meeting @ Heart to Heart in Sanford on June 20th at 11am - Wednesday, June 04, 2008We are planning our first FFOM meeting at the Educated Mama at the Heart to Heart birth center in Sanford on June 20th at 11am.
1307 South Park Ave.
Sanford, FL 32771
For more information contact:
Heidi Crawford
(352)735-3808
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| Insurance Companies Rejecting Women with History of Cesarean - Monday, June 02, 2008Contact: Gretchen Humphries (734) 323-8220
For Immediate Release
Insurance Companies Rejecting Women with History of Cesarean
Some Companies Require Surgical Sterilization for Coverage;
Trend Gives New Imperative to Learn Ways to Avoid Unnecessary Cesarean
Redondo Beach, CA, June 1, 2008 – As reported in today’s New York Times, ICAN has begun tracking an alarming new trend of insurance companies refusing to provide health insurance for women with a history of cesarean surgery. In some cases, women are being rejected for coverage outright and in other case they are being charged significantly higher rates to obtain the same coverage as women without a history of cesarean. With over a million women each year undergoing this surgery, this practice has the potential to render large numbers of women uninsurable.
read more ... |
| Standing Women will stand - Thursday, May 08, 2008Standing Women will stand again on May 11, 2008, 1 pm local time.
Last May hundreds of thousands of women and girls, along with the men and boys they love, in 75 countries and on all continents of the world stood together in parks, on beaches, in churches, at graduation ceremonies, in their backyards and at school yards or anyplace they could find to stand in a global wave of humanity in support of a better world for our children.
We invite women and their families everywhere to take this "stand" with us again, on May 11 at 1 p.m. local time for just 5 minutes, to rekindle the world with our common vision.
We stand for the world's children and grandchildren, and for the seven generations beyond them. We dream of a world where all of our children have safe drinking water, clean air to breathe, and enough food to eat. A world where they have access to a basic education to develop their minds and healthcare to nurture their growing bodies. A world where they have a warm, safe and loving place to call home. A world where they don't live in fear of violence-in their home, in their neighborhood, in their school or in their world. This is the world of which we dream. This is the cause for which we stand.
To learn more and register your standing, go to the Standing Women website at www.standingwomen.org
And please pass on the invitation and our YouTube video at www.youtube.com/watch?v=_eNJ4oVQKxU to your friends.
The vision we hold together can become a reality when enough of us come forward and take a stand...
With hope and thanks from the women of Ohio |
| Sarasota - Business of Being Born Screening - Saturday, May 03, 2008In celebration of International Midwives Day, the Sarasota Film Society will present a special benefit screening of 'The Business of Being Born,' a documentary film from executive producer Ricki Lake and director Abby Epstein. The benefit will be held at Lakewood Ranch Cinemas on Saturday, May 3rd at 5:00 pm. The screening will be followed by an exclusive panel discussion and Q & A with local birthing professionals. Tickets are $15 and include the screening and panel as well as a private reception with food, cash bar, silent auction and live acoustic music from Radio-Free Carmela and Tanya Radtke. Proceeds will benefit Florida Friends of Midwives.
Advance Tickets ($15) and FREE tickets for Expecting Mothers will be available at Rosemary Birthing Home beginning Monday, April 14th. If there is a birth in progress, you may leave your name and number on the sheet at the door. Your tickets will be reserved and someone will contact you at their earliest convenience. |
| Letters to the Editor: Another birthing option - Thursday, April 17, 2008
Another birthing option
I found The Sun's April 8 online article titled "Birthing options" disappointing. The option to have a vaginal birth after Caesarean (or VBAC) was downplayed, and the old saying "once a Caesarean, always a Caesarean" was promoted based on the fact that it is difficult to find a physician to attend a VBAC.
Only a few local home birth midwives attend VBACs and few care providers promote them openly to clients, because of the fear of lawsuits, malpractice insurance regulations and inconvenience. However, VBAC should be promoted as the healthiest option, given that a second (or third or fourth) Caesarean is much riskier for babies and women than a normal birth.
If women refuse elective repeat Caesarean surgery and demand care providers to attend VBACs, more and more providers will begin to attend them.
For mothers like Liz Schenck, who found her Caesarean "really disappointing," you are not alone. Florida has a 36.6 percent Caesarean rate, meaning that more than one out of three births is a surgical extraction. This trend is disturbing for the health of mothers and children.
April, Caesarean Awareness Month, acknowledges the impact of Caesareans of mothers, babies and families worldwide. The International Cesarean Awareness Network (ICAN), a nonprofit organization, has a local chapter in Gainesville. It meets once a month and provides support to women in Caesarean recovery and information on Caesarean prevention and VBAC. Please visit www.gainesville.ican-online.org for information.
Irene Halmari-Meneses,
Gainesville read more ... |
| FL Governor Crist observes Cesarean Awareness Month (CAM) 2008! - Thursday, April 17, 2008
April 17, 2008, Florida
FOR IMMEDIATE RELEASE
Governor Crist Observes April as Cesarean Awareness Month
April is Cesarean Awareness Month as proclaimed by the International Cesarean Awareness Network and as acknowledged by Florida Governor Charlie Crist. This month is a time to reflect on the frequency of surgical births and how they impact maternal-child health.
Here are a few facts:
36.64 percent of Florida’s babies were delivered by cesarean in 2006 (most recent figures available), which is 21-26 points higher than the 10-15 percent that the World Health Organization considers safe.
Women are four times more likely to die as a result of a cesarean birth, according to the American College of Obstetricians and Gynecologists (ACOG) in its July 31, 2003, press release called “Weighing the Pros and Cons of Cesarean Delivery.”
Most women who choose VBAC can succeed, as evidenced by the 87 percent of women in a birth center study reported in an Obstetrics and Gynecology, 2004 issue.
ICAN is a mother-to-mother support group for cesarean prevention, recovery and VBAC. There are local chapters throughout Florida. For information please visit www.ican-online.org.

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| Business of Being Born - Sarasota - Monday, April 14, 2008In celebration of International Midwives Day, the Sarasota Film Society will present a special benefit screening of 'The Business of Being Born,' a documentary film from executive producer Ricki Lake and director Abby Epstein. The benefit will be held at Lakewood Ranch Cinemas on Saturday, May 3rd at 5:00 pm. The screening will be followed by an exclusive panel discussion and Q & A with local birthing professionals. Tickets are $15 and include the screening and panel as well as a private reception with food, cash bar, silent auction and live acoustic music from Radio-Free Carmela and Tanya Radtke. Proceeds will benefit Florida Friends of Midwives.
Advance Tickets ($15) and FREE tickets for Expecting Mothers will be available at Rosemary Birthing Home beginning Monday, April 14th. If there is a birth in progress, you may leave your name and number on the sheet at the door. Your tickets will be reserved and someone will contact you at their earliest convenience. |
| More S. Florida obstetricians stop delivering babies, cut services - Sunday, April 13, 2008By Patty Pensa - South Florida Sun-Sentinel
Pregnant women in South Florida face fewer choices for medical care as more doctors stop delivering babies and avoid taking on high-risk patients. read more ... |
| Birthing Options - Tuesday, April 08, 2008By KELSEY McNIEL
Special to The Sun
Lynn Salzburg, another midwife at the cooperative who has helped deliver more than 400 babies in 20 years of practice, said 'the home field advantage' is one reason women may be more comfortable at home.
"They're in their own environment, they're where they feel comfortable," said Salzburg, who had four children at home. "Labor proceeds faster and more smoothly. You have a little more control, a little more autonomy."
Those who fear a painful natural birth should know that while home births may not offer the quick relief of a spinal-tapping epidural, pain is reduced in ways that the hospital cannot offer. "You also have the option to use a lot more comfort measures at home that you don't have the option to at the hospital," Salzburg said. read more ... |
| Birth plan doesn't guarantee a mother's wishes will be met - Tuesday, March 25, 2008Regina McEnery
Plain Dealer Reporter
"If you feel strongly about the type of experience that you want, if you want a lot of input, if it's important for you to have things kind of low-tech and as spontaneous as possible, it makes sense to not choose a practice with a 40 percent C-section rate," said Greenfield, whose new book, "The Working Woman's Pregnancy Book" (Yale University Press), comes out in May. "I hate to say this, as a physician, I think most people who have strong feelings about their birth experience are better off getting their care with midwives." read more ... |
| American Motherhood and the Question of Home Birth - Thursday, February 14, 2008 - Thursday, February 14, 2008"The Business of Being Born" is a passionate ground-level examination of home childbirth, anchored in a scene in which its executive producer, Ricki Lake, the actress and former talk-show host, gives birth to her second child in a bathtub. read more ... |
| Vaginal birth after C-sec predicts future success - Thursday, February 14, 2008 - Thursday, February 14, 2008NEW YORK (Reuters Health) - A woman who has had one successful vaginal birth after cesarean delivery is even more likely to succeed during subsequent trials of vaginal birth, new research suggests. read more ... |
| The White House vs. mother’s milk - Thursday, February 14, 2008 - Thursday, February 14, 2008The Bush administration squelched ads promoting the benefits of breast-feeding. read more ... |
| Childbirth puts $7,564 dent in family finances - Thursday, February 14, 2008 - Thursday, February 14, 2008Normal childbirth — the uncomplicated, mom-and-baby-doing-well variety — is a pricey prospect for parents these days. Between pre-natal care and a visit to the delivery room, it now costs $7,564 to have a baby, according to new figures released by the Agency for Healthcare Research and Quality (AHRQ). read more ... |
| The C-section epidemic - Thursday, February 14, 2008 - Thursday, February 14, 2008More women are dying in childbirth thanks to the high numbers of doctors and mothers who opt out of normal delivery. read more ... |
| Fewer Lamaze classes - Thursday, February 14, 2008 - Thursday, February 14, 2008When Mercedes Irving, pregnant with her first child, enrolled in a childbirth education class, other women tried to talk her out of it. read more ... |
| Caesarean babies risk more breathing problems - Thursday, February 14, 2008 - Thursday, February 14, 2008Babies delivered by non-emergency caesarean are up to four times more likely to have breathing problems than those delivered vaginally, Danish researchers said on Wednesday. read more ... |
| Answers prove elusive as C-section rate rises - Thursday, February 14, 2008 - Thursday, February 14, 2008No question, says maternal/fetal medicine specialist Catherine Spong, the safest way for most first-time mothers to give birth is via an uncomplicated vaginal delivery. read more ... |
| Late preemies at risk - Thursday, February 14, 2008 - Thursday, February 14, 2008Babies born just a few weeks premature are six times as likely to die in the first week of life as newborns carried to term, according to a new study. read more ... |
| Birthing advocacy group launches national campaign in Chicago to allow licensing of midwives - Thursday, February 14, 2008 - Thursday, February 14, 2008Illinois 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. read more ... |
| Deaths of mothers in childbirth inching up - Thursday, February 14, 2008 - Thursday, February 14, 2008Ten fingers. Ten toes. Perfect in every way. RachelElizabeth Hiller's arrival brought equal parts reliefand jubilation.
Rachel's mom, 26-year-old Jennifer Hiller, spent a fewhours after the delivery cuddling her firstborn andmaking pictures with family excited to meet theirnewest member. read more ... |
| Oh, baby: C-section on demand - Thursday, February 14, 2008 - Thursday, February 14, 2008More U.S. women are delivering via surgical births.
As an expectant mother of twins, Christy Rivers knew she probably would need a Caesarean section, especially if one of the twins faced the wrong direction during gestation. read more ... |
| ACOG Statement on Home Births - Thursday, February 14, 2008Washington, DC -- The American College of Obstetricians and Gynecologists (ACOG) reiterates its long-standing opposition to home births. While childbirth is a normal physiologic process that most women experience without problems, monitoring of both the woman and the fetus during labor and delivery in a hospital or accredited birthing center is essential because complications can arise with little or no warning even among women with low-risk pregnancies. read more ... |
| Celebrity home births - Thursday, February 14, 2008 - Thursday, February 14, 2008As homebirths become more popular, more and more celebrity mums are opting to have their babies at home. Interestingly enough, all the Kings and Queens of England were born at home, including the current Queen. In fact Princess Diana was the first member of the Royal family to have her babies in hospital. read more ... |
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