Showing posts with label Missouri. Show all posts
Showing posts with label Missouri. Show all posts

Monday, November 19, 2007

It's not surprising, but it is frustrating

I have been trying to find out who is responsible for the no VBAC policy in Warrensburg. In particular, I have been trying to get something in writing. Imagine my complete lack of surprise that I can't find someone willing to take a stand FOR this policy. I am getting quite a bit of run around. I have been told that women who have had previous c-sections are not "allowed" to refuse a repeat c-section because it is a life or death decision and the hospital does not need consent in those situations. I have been told that if a woman were to choose to try and make it to the city and end up having a baby on the way, she would have made a choice to put her and the baby at risk when she could have just had the c-section in town. Let's see, cut her open just because, or let nature take its course and only intervene in a true life or death emergency. I don't know about you, but I would choose the latter.

The best so far is that I heard from one doctor's office that this is a LIABILITY decision and not a patient safety decision! This sounds very close to the whole midwifery argument. Too much can go wrong too quickly, so only doctors should be at the birth, in a hospital, with an operating room and a scalpel at arms reach. GIVE ME A BREAK.

If this is true, and both VBACs and midwifes are too dangerous because anything can happen at a moment's notice, then why don't we legislate that all women have to have c-sections? After all, the doctors in general are saying that birth can cause problems quickly. If they can't care for women in low risk situations after VBACs, and if they can't support and offer care to a women should she be transfered from a homebirth with a competent midwife, how can they be trusted to deliver any babies, especially those of a first time mother?

As I keep digging on this issue, I'll keep posting about it.

Thursday, November 15, 2007

Warrensburg, MO and VBAC

I am overwhelming frustrated with the state of birth in Missouri, specifically Warrensburg. I found out today that it is certain that Western Missouri Medical Center will no longer "allow" women to have a vaginal birth after a Cesarean. If I were to become pregnant again, this would mean that even though babies 3,4,5, and 6 were unmedicated, vaginal births, just because babies 1 and 2 were surgical deliveries, I would be forced to have a major operation to welcome another child whether or not that particular pregnancy had any complications or not.

I have several questions about this policy, a few of which I have shared below.
1. What if I refuse to consent to surgery? Will you get a court order and tie me down before you slice me open?
2. Are you really going to practice the idea of informed consent? Are you going to tell me all the risks associated with a c-section vs the lesser risks of a VBAC?
3. Are you willing to back up this policy with current, reliable, non-biased research? The last discussion I had with certain physicians at Western Missouri Medical Center showed me that this current department did not follow current research when it came to breastfed babies and surgery.
4. Who is making this decision, and why am I having such a hard time getting a copy of a written policy.

There are soooooo many thoughts running through my head on this topic. First I need to arm myself with written policies, evidence, and the like. Next, I'm on a quest to right a wrong.

Friday, November 02, 2007

FOLLOW YOUR PASSION

The weekend is here and we are busy as ever. Odin and Byron are camping with Cub Scouts tomorrow through Sunday, and I leave tomorrow for the LLL of Mo Conference. I am presenting a session on Following your Passion while Raising Your Family. Here's what I am am hoping the attendees will understand when they leave:

I want to be my children's Mom, but I don't want to JUST be their Mom. I want to be ME! That includes being the best Mom I can be, while modeling that I am important too! My passions are a worthwhile endeavor that make me a better person. In turn, following my passions makes me a better Mom!

I will do my best to prioritize my life to include taking time for my passions. I won't need to neglect my children as I will find a way to make sure their needs are met. I will utilize the support of others to meet this goal and I will do my best to support them in turn.


Wednesday, October 31, 2007

Free the Midwives

I am so far behind in everything related to midwifery and politics as of late. I have been following the progress of the midwifery legislation in the court system. Following is an excerpt from an email from my friend Mary Ueland about where things stand and how we can all pitch in and help! It is amazing how so many have stepped up and helped with funding. We were able to pay down the legal bill she is referring to, but the bills won't stop until the case is over and done with. We still have a long way to go.

You only protect your liberties in this world by protecting the other man's freedom. You can only be free if I am free.
Clarence Darrow

Dear Friends, Supporters, & Miscellaneous "Bad Guys" that end up on the Lists,

We are still waiting to hear exactly when the Missouri Supreme Court will take up the midwifery law case, but it looks like it will definitely be after the first of the year. Our side has until Thanksgiving to get all of their legal briefs filed with the Supreme Court, then the other side has 30 days to file respondents briefs... and then, and then... as you know, court cases move very slowly.

I know that some of you pregnant women are anxiously waiting to know if your midwives will be legal by your due date. And I know others of you find the court case to be taking an excruciatingly long time....

During this waiting time, there is much to be done and much has been occurring around the state and across the nation. In our state, many positive things have been occurring. We continue to receive positive coverage of the midwifery issue - most recently the front page of the Kansas City Star -
http://www.kansascity.com/105/v-print/story/307680.html


Thanks to the time and effort that many, many people have put in, fund raisers and public awareness events have been occurring around the state.

~Several weeks ago, the Stockton area homebirth families sold baked goods at the local "Walnut Days" festival and raised over $500!
~Two weeks ago, the Springfield area homebirth families held a fund raising garage/bake sale, raising over $500 and, at the same time, educating everyone who stopped by about midwives.
~This weekend (Saturday, Oct. 27, 9 am), the Kansas City area homebirth families are hosting a fund raiser in Kansas City. They will be showing the Business of Being Born (Rikki Lake's new documentary on birth and midwives) and holding a silent auction, bake sale and round table discussion. If you would like to attend (Tickets in advance - $20), or have friends or family who might, please contact Cheryl - cheryl@kchomebirth.com or call 913-722-1721.
The St. Louis area homebirth families are planning a "Trivia Night" and silent auction Saturday, December 8, at the Ethical Society in St Louis and have hopes of raising several thousand dollars. If you would like to attend or donate to the silent auction, contact Samanda Rossi at: fommsrossi@sbcglobal.net.

Across the nation, though, there has been an unfortunate increase in midwifery arrests, prosecutions, and investigations. We are all wondering if the American Medical Association's SOPP (Scope of Practice Partnership, recently created to specifically target practitioners like midwives who they feel are making headway into their turf) is at least partially responsible for this sudden increase in midwifery prosecutions.

As a result, a group of birth and midwifery activists from around the country will be meeting in mid-November to talk about what we can do to stem the tide and increasingly hostile climate for midwives in certain states. Missouri will be well represented at the meetings and we'll keep you posted as we make plans to combat this and work together on the national front. We believe this truth:
"We must all hang together, or assuredly we shall all hang separately."
Benjamin Franklin

Meanwhile, in spite of all the other stuff going on, our attorneys must keep plugging along at our case. They very generously agreed be flexible and waive the interest on our bills for now. However, we need to pay down our current bill before they are willing to proceed with the case.
We issued a challenge several weeks ago, needing $17,000. To date, we have paid that bill down to $11,000. But this bill MUST BE PAID by the first of next week in order to stay in the case heading to the Missouri Supreme Court!

A very generous family has stepped forward and agreed to match your donations THIS WEEK ONLY for up to $5,500! If we can raise $5,500 this week, they will match it, and we will have our bill paid up to date.

If you have not donated recently, please consider donating at this crucial time. If you don't have $500 to give, perhaps you can donate what is in your change jar. Perhaps you are willing to forgo buying another pair of shoes, and instead send in the money you would have spent on them. Or perhaps your mother-in-law could donate some money or sell her famous pumpkin pies...

Everyone can donate something.
Think about it - what can you give this week?

Donate online at: www.freethemidwives.org
OR by check or money order:
Free the Midwives
PO Box 2319
Rolla, MO 65402


Thank you all so much!

Sincerely and Gratefully,
Mary Ueland


History has demonstrated that the most notable winners usually encountered heartbreaking obstacles before they triumphed. They won because they refused to become discouraged by their defeats. - Bertie C. Forbes

Tuesday, May 15, 2007

Upset??? READ BEFORE YOU VOTE!

I am very glad that I was out of town this past week when a number of things happened with midwifery legislation in the state of Missouri. Apparently, a bill that would allow CPMs a way to provide services in Missouri is on the governor's desk. What I want to know is how this happened, especially since Senator Graham had been vowing to filibuster at any chance he got.

My understanding is that an amendment was placed on another bill (HB 818) that referenced a federal statute. They did not use any of the following hot button words: midwife, midwifery, pregnancy, childbirth, postpartum, etc. They merely referenced the statute. So, in essence, if a midwife is licensed in another state, she (or he) can provide services in MO.

Some say the way it was done was unethical, underhanded and even dishonest. How is it dishonest? Each and every senator and representative had the chance to read the amendment and ask questions. Someone could have asked about the federal statute that was referenced. Out of all the legislators, couldn't someone have researched it, or had someone they trusted research it?

In my personal opinion, I don't know if I would have done it this way. However, I am outraged that Senator Loudon is being called a liar. There is much work for our legislators and many paths which they can take to get the work done. Senator Loudon played within those rules just as Senator Graham played within the rules when he took such a vehement stance against midwifery. I didn't like what Senator Graham was doing, but I respected that it was what he needed to do since he felt so strongly about his position to keep women and babies out of the hands of the best prenatal, labor, delivery, and postpartum care in low risk situations.

By the way, Senator Graham was one of those who didn't do his research. In the end, he voted for midwifery. Maybe I should call him and say thanks for supporting midwifery. Wouldn't that just make his day.

-deanna

Saturday, April 28, 2007

Official Missouri State Invertebrate

This is so good! It needs to be framed and hung on the wall!

From page 1066 of the Missouri State Senate Daily Journals:

HB 351, introduced by Representative Wood, et al, entitled:
An Act to amend chapter 10, RSMo, by adding thereto one new section relating to the designation of the official state invertebrate. Was taken up by Senator Goodman.

Senator Loudon offered SA 1, which was read:
SENATE AMENDMENT NO. 1
Amend House Bill No. 351, Page 1, Section 10.125, by deleting all of said section and replacing it with the following:
“10.125. The Missouri Medical Society shall be known as the official invertebrate of the state of Missouri due to their unwillingness to compete with a bunch of midwives.”

Senator Loudon moved that the above amendment be adopted.

At the request of Senator Loudon, SA 1 was withdrawn.

Friday, April 27, 2007

Now he's invading my dreams!

Lately I have had a recurring dream. It's not necessarily a great dream, but it is no where near what you might call a nightmare. I have been dreaming about myself and Senator Chuck Graham. Intrigued? Read on...

The dream starts with me being anxious and nervous. I'm at the capital building and my kids are no where to be seen. For some strange reason, even the baby is missing from this dream. I decide to stop by Sen. Graham's office just on the off chance that something I say or do might influence his behavior and he will just let SB303 come to a vote. I'm not hopeful, but I enjoy talking with Beverly, and I get a chuckle out of Ted sticking his head around the corner to see who is in the outer office.

I start talking to Beverly, who notices right away that my arms are empty and there are no children hanging on my skirt. We chit chat a little, and right on cue, Ted sticks his head around the corner and pops back into the inner office. I smile to myself and am about to leave when the unthinkable happens. Ted invites me into the inner office to have a sit down with Senator Graham himself!

I'm about ready to pee my pants! I think, "Does he know who I am? Does he want to talk about midwifery or something else?" I steel my nerves and walk in. We sit down and he comments that many midwifery supporters have stopped by this session, and he thought it was only fair to hear one of them out. WHAT!?

I start out by asking him if he has read the bill in it's entirety. He replies, "No, but if it is anything like last years, I will continue to oppose it." (Side note: I really don't know if he has read the bill or not.)

"Why haven't you read the bill, Senator?" I ask.

"What's the point? Babies need to be born with a trained medical professional present, and a midwife trained by some internet course just isn't good enough," he says as he smiles stubbornly.

I shock him by saying, "Your right about one thing, a midwife trained by some internet course just isn't good enough." Senator Graham sits up a little straighter, almost like he thinks he has won. I continue, "Please read the bill and show me where the training required is just some internet course," I say as I hand him a copy of the bill. Hold onto your seats, ladies and gentlemen. HE READS THE BILL RIGHT THERE IN FRONT OF ME!

I can tell he is getting irritated that he can't find anything to back up his internet course argument. I am getting a little excited and I am the one to sit up a little taller this time. "Senator Graham," I say ever so sweetly, "It seems to me as if the actual bill may be something other than what you thought it was. I have heard you debate the midwifery legislation on the floor, and if even one third of your points were true, I would work twice as hard against this bill instead of supporting it. I would be more than happy to run down your list of concerns and address them with facts and evidence. I'll even keep the touchy, feelly, emotional stuff to a minimum."

"You know, Mrs. Jurkowski, I'd like that," he replies. We sit there and discuss things like education, training, insurance, safety, and even cleanliness of a home vs hospitals. All in all, it was a very good discussion.

To keep this post from getting that much longer, I'll cut to the end. As I get up to leave, still feeling that he is totally against this bill, he asks to to stay just one more minute. "Mrs. Jurkowski, you have made your case well, but not well enough. I still think that babies should be born with physician in attendance."

I am feeling very dejected at this point, but at least I tried. "Well, thank you for your time, Senator Graham," I say as I start to walk out the door.

"Wait a minute, I'm not finished," he says. I turn around and he has this weird smile on his face. "You have made you case well, and while I cannot see myself supporting this bill, I do think that it is time I stopped holding it hostage and filibustering at every chance. If all it takes is for me to keep quiet for it to get to a vote in the Senate, than that's what I'll do."

My knees are weak and it is a really good thing there was a chair right behind me! "Are you serious, Senator? I mean, you aren't just saying this so you can get out there and talk about the germs toddlers carry and anyone taking an internet course again, are you?"

He smiles nicely and says, "You deserve a chance. I am still voting against this bill, but your persistence and knowledge of the issue, as well as the evidence you present has impressed me enough to make me discontinue my intense opposition to stop this bill at all opportunities."

I finally compose myself, thank him again, and walk out the door saying a quick goodbye to Beverly. I continue to walk down the hall, turn a corner and then allow myself to jump up and down for joy. Two seconds later, I am on my cell phone calling those who need to know that Senator Graham has said he will not oppose the bill coming to a vote because as you all know, good news travels fast!

The dream doesn't continue to the outcome of a vote in the Senate, but I wake up with a smile anyway!

Wouldn't it be nice if this dream would come true?

-deanna

Wednesday, April 25, 2007

Article inThe Daily Star-Journal, Warrensburg, MO

Following is an article written after I did an interview with the local paper. It even made the front page!
-deanna


Permission granted from Skye Cobb of The Daily Star-Journal to post in its entirety.
Local Woman Lobbies For Midwife Bill In Senate And House

By SKYE COBB
Star-Journal Staff Writer
A local woman is working hard to get a midwifery bill passed in the
Missouri State Senate and House.
Missouri Senate Bill 303 and House Bill 503 would create a Board of
Direct-Entry Midwives within the Division of Professional Registration.
This board would consist of three Certified Professional Midwives, one
physician, and one public member. Senate Bill 303 would allow the state to
regulate who is practicing with the power to issue licenses and to suspend,
revoke or deny the license of a direct-entry midwife.
Currently in Missouri it is a felony for a midwife to deliver a baby at
home and there are organizations, such as Friends of Missouri Midwives,
Missouri Midwives Association and the Show Me Freedom in Health Care
Political Action Committee who are attempting to give the choice of where a
baby is born back to the mother.
Deanna Jurkowski is lobbying at the capitol for the passage of this
bill, which would allow mothers in Missouri the choice of where their baby
is born.
Jurkowski said that midwifery is legal, or not illegal, in 40 states and
that by making it illegal and unavailable, it is increasing the number of
unattended home births that occur, often with no one there who knows how to
stop a hemorrhage or resuscitate a baby.
She said she has been working for three years to get this bill passed.
According to Jurkowski, the Missouri Medical Association is coming out
strongly against this bill.
"It's all volunteers," said Jurkowski. "We do not have a paid lobbyist.
We're a grassroots movement. We've been working diligently for the last
three years."
The bill has passed the House twice before and was blocked in the Senate
both times. This time Jurkowski said she believes it's getting farther in
the Senate because legislators know more about the midwife profession.
"We've gotten farther than we've ever gotten before," said Jurkowski.
"We've perfected the bill; now we're waiting on the roll call vote. Sens.
(Chuck) Graham and (Yvonne) Wilson have said they're going to filibuster so
we're just not sure what's going to happen from this point on."
She said that she has talked with Sen. Chris Koster and that in the past
he's been supportive, but this year he's been much more supportive.
"We're not sure but with enough work, we're pretty sure we could pass
the House again," said Jurkowski.
She is somewhat worried about a lot of new people in the House. She said
that getting this bill passed is not only about getting information out
there, but combating the misconceptions of what a midwife does.
"There are people who think that midwives will perform abortions and
that's not true," said Jurkowski. "All a midwife is there for is to provide
care during a normal pregnancy. They do prenatal care and the child birth,
check on the mother afterwards, but if anything comes up that is outside of
normal, they will transfer that patient to the hospital."
Jurkowski said that she has had an illegal home birth, but in Illinois,
not in Missouri.
"That child died," said Jurkowski. "But that child died because she had
a heart defect, she had surgery and something happened during the surgery."
In the subsequent investigation the doctor reported to the coroner's
report that the child had had a home birth and that it was a lack of
prenatal care.
"Well we could produce prenatal records, but we had to cross off all
identifying information about our midwife because they actually hunt down
and prosecute midwives in Illinois," said Jurkowski.
She said that right now if a mom chooses to have a home birth and
something goes wrong she has to call 911 and the midwife has to leave
because she'll be arrested and prosecuted.
"Women are choosing to take that risk anyway," said Jurkowski. "If this
bill passes it's going to license and regulate these midwives. We're going
to have a standard of care. They're going to be licensed. If something comes
up where there is a transport needed the midwife can go to the hospital with
the mother and she can relay all the information...It'll be safer for
mothers and babies."
She said that research shows that in a low-risk, healthy, normal
pregnancy a home birth is just as safe if not safer than a hospital birth.
Jurkowski stated that a midwife would be required to make a decision
whether a mother is healthy enough for a home birth; and that if they are
not, the midwife would not provide them with health care but send them to a
medical professional.
She said the other part of this bill regards collaborative practice
agreements, and that is where a midwife would have to have a doctor sign off
that he's going to be responsible for her actions and that is not going to
work.
This bill really focuses on Certified Professional Midwives, a
nationally recognized title and profession.
Midwives Continued from Page 1
"Certified Nurse Midwives are legal in the State of Missouri," said
Jurkowski. "They can do home births if they have a collaborative practice
agreement. There's only one doctor in the state willing to sign
collaborative practice agreements and he's not going to do it anymore. So
that means there's only one midwife doing home births in the State of
Missouri, legally."
She said that it sounds good in theory but that the doctor is putting
his license on the line for the actions of someone else.
"This bill says everybody's actions should stand alone," said Jurkowski.
"The midwives should stand alone, the doctors should stand alone, they're
only responsible for something they do."
If the bill passes, Certified Professional Midwives will be required to
go through the same training as in other states, with differences according
to the state.
The CPM credential is the only one that requires the midwife to have
training in out-of-hospital births.
Certified Professional Midwives are required to have 1,350 clinical
hours of one-on-one training with their preceptor plus their academic work,
which takes years of full-time study to complete, said Jurkowski.
They are also required to take the North American Registry of Midwives
(NARM) exam -- an eight hour written exam and demonstrate proficiency at 750
hands-on skills, before receiving their certification.
The CPM credential process is overseen by the National Organization for
Competency Assurance - the very same one that oversees nurses, nurse
practitioners and nurse midwives credential process.
She said that another issue that comes up with this bill is insurance
and the fact that midwives are not required to carry malpractice coverage.
"No insurance group is going to cover them because it would be
astronomical," said Jurkowski. "Currently in the State of Missouri a
physician is not required to carry malpractice insurance. Hospitals may
require them to, but Missouri State Law does not require them to carry
malpractice insurance."
She said that physicians are not required to disclose to their patients
whether or not they carry malpractice insurance. They don't have to inform
the patient of their history, background, education or insurance.
"A midwife, according to this bill, has to disclose all of these things:
the risks, the benefits, her training, how many births she's attended and
whether or not she carries insurance, which is a good thing. That means the
mom is getting all the information and is able to make a well reasoned
decision."
She said that sometimes it feels like they're (legislators) saying that
women in Missouri aren't smart enough to make a good choice.
"If you're going to complain about something you've got to be willing to
make a stand to fix it," said Jurkowski. "That's why I do what I do. ...
We're not going away. We'll keep pounding the pavement until we get there.
... We need the support. I know there are a lot of medical professionals who
disagree, but my opinion is that by not having midwives legal in the state
and regulated by the state that it's harming mothers and babies. I think it
would be much safer for both mothers and babies and families in general, to
have this option in the State of Missouri."
On April 15 Jurkowski received an e-mail which included a link to a
petition asking Missouri Legislators to allow Certified Professional
Midwives to practice in Missouri.
After posting the link on her blog, and as of April 24, there were 787
signatures on it.
For more information or to help the cause please call Deanna at (660)
530-4310 or visit her Web site at www.deannajurkowski.blogspot.com.
The petition is located at
http://www.petitiononline.com/MOMW/petition.html.

Radio program

Back in January, the Vincent David Jericho show hosted a call in program about midwifery. Several of my friends participated in this program on KSGF Radio in Springfield, MO.

Check out the transcript.

Enemies

What a title to start the morning! I came to a realization this morning at my weekly women's Bible study. We are currently reading If Experience is Such a Good Teacher, Why Do I Keep Repeating the Course? by J. Ellsworth Kalas.

Today's lesson was all about enemies. It is so easy for us to get caught up in the emotion and turmoil of a good cause and look at the opposition as our enemy. I am not talking about their position being the enemy, but the individual or group that is standing in our way. I myself get trapped in this frequently. There has been more than one occasion where I get irritated with an individual and focus on the person instead of the situation at hand.

In the case of SB 303, are the legislators who oppose this bill my enemies? While some may think so (if we use a mild definition of the word enemy), I think differently. My enemy is misinformation, fear, and lack of knowledge about the issue. My enemy is also whatever reason certain individuals refuse to have a reasoned conversation about midwifery.

If I were to stay so narrow minded that I considered those who opposed this bill as my enemy, I wouldn't get very far in life. This morning I decided to focus on the enemies that I have a chance at defeating (or at least wounding). The enemies I choose to take on in the case of midwifery legislation are fear, ignorance, mistrust, as well as others. I choose to work hard in an ethical manner so I am proud of my efforts no matter what the outcome. I chose to be diligent and stay strong so those who hold opinions on the other side know that I will be back. I will continue to initiate these conversations and to present information that backs up my position.

I am only one person, but I can change the world!

-deanna

Thursday, April 19, 2007

Anticipation...Exhaustion...

Anticipation can conjure a myriad of emotions all at the same time. Excitement, hope, fear, frustration, and of course, exasperation and exhaustion are a few that I am dealing with today.

The political process can be very overwhelming. Our children are taught how a bill becomes a law in a simplified manner. We love School House Rock - I'm just a bill. The problem is that there is so much more to how a bill becomes a law. First read, second read, third read, perfection, hearings, voice votes, roll call votes... my head is spinning!

I remember thinking in 7th grade civics, "when will I ever use this stuff?" I now know. I use this stuff every day of the year, whether I am actively working on a bill or not. The days of thinking that I know it all are long gone, and to be honest, those days didn't last long at all. I learn more each and every year I stay involved in the legislative process.

The thought of giving up and giving in crosses my mind more often than I would like to admit, but then who's going to suffer from me sitting by and letting what I think is wrong stay the status quo? If I am wrong about licensing and regulating Certified Professional Midwifes in the state of MO, would someone please take the time to go over the evidence supporting the premise that babies should be born in hospitals with doctors in attendance? If I am wrong, will someone take the time to set me right with current research so I can truly act in the best interest of mothers and babies in MO? If I am wrong, show me why so I can step back, take a deep breath and relax for just a moment and revel in the moment that this is a battle I don't have to fight.

The problem is that current research and evidence clearly show that midwifery is as safe, if not safer than physician attended hospital births for low risk pregnancies and births. Even the federal government knows this. Healthy People 2010 (pg 6) says that the United States should increase the use of midwives.

Since I don't know everything, I look to the evidence to make up my mind. I forward information on the the legislators and anticipate their answers. I go through several emotions and settle on the one to fit each response. I hope those undecided will be won over by the facts. I get frustrated and exasperated with those who dig in their heels and decide they know best while spouting misinformation in their arguments. I get excited when a legislator shows their intelligence by contemplating the issue and the supporting documentation on both sides and making a choice base on the evidence.

I just realized the time, and the baby is yet again waking up. This post has gone off in all directions, and for that I am sorry. I hope those of you reading can see a glimmer of a point in the ramblings of a very tired mother of two sick babies and three grade school children who are off to school early in the morning.

Goodnight!
-deanna

Tuesday, April 17, 2007

Do you trust your Doctor?

Does your Doctor trust you?


I read a birth story the other day. The woman mentioned that she was not only seeing a CPM, but she was seeing an OB as well. I believe the CPM knew she was seeing the OB, but the OB fully believed that this woman would be delivering her child at the hospital with the OB in attendance. The woman felt she needed to do this based on a previous medical history and wanting to have certain lab tests and screenings performed. (in another entry I'll get into why CPMs can't order tests – they aren't doctors and aren't practicing medicine!)


With patients not telling their physicians the whole story, is it any wonder that they don't trust their patients until they have really gotten to know us? I am thankful that I have a family physician that knows my family. I worry every time I go to the ER, or see a new physician that someone will think I am beating my children. My family physician has seen them in action and knows what little monkeys I give birth to! Our physician knows that when my 8 y/o comes in and says he fell off the ladder to his loft, he really did. I often wonder how believable the truth really sounds.


I remember having to “prove” myself to an OB. We moved to a new town when I was 5 or 6 months pregnant with my second child. I wanted a VBAC and the OB said all the right things, but in the end I had a 2nd cesarean. They said the baby's heart rate was too low. I had the same OB with my third child and again wanted a VBAC. This time I hired a doula. The baby's heart rate dropped a little during pushes (normal) and the OB said that since she knew from the past that I would let her do a cesarean if necessary that we could go a little longer than we did last time. WHAT!? Why make the situation sound worse to get your way? BTW, baby 4 was born at home, and because we moved to MO, and because we need to screen for a specific and rare defect, babies 5 and 6 were born in town at the hospital.


Why can't we trust one another to tell the truth and to tell the WHOLE truth? One reason is that as citizens of MO we have to go underground to find the best care.


If we lived in a state where midwives were able to attend homebirths, just think of the differences. A woman could decide she wanted a homebirth with a midwife, but she still wants certain prenatal screenings, etc. A midwife, who doesn't practice medicine, could send a woman to a physician along with records of prenatal care and the woman could get medical care from the physician AND the physician would have all the information. A woman, like me, could get a fetal echo cardiogram to rule out congenital heart defects. My baby and I could make an appointments for another echo once the baby arrived and I would have records of prenatal care. We wouldn't have the hospital threatening us if we didn't give up the name of our midwife, because it would all be above board and legal.


So many people are being hurt by the lack of above board homebirths attended by CPMs in the state of midwifery. It's not just the midwives who can't earn a living out in the open. It's the mothers, babies, fathers, siblings, and yes, even the doctors who suffer when we all can't be open, honest and trusting with one another about the best care choices and the best medical choices for those involved.


-deanna


Sunday, April 15, 2007

HOMEBIRTH PETITION - PLEASE SIGN!

Click Here for the Petition:
http://www.petitiononline.com/MOMW/petition.html

I received the following and wanted to pass it on. The link to the petition is at the end as well.

-deanna


A woman's right to give birth how and with whom she chooses is on the line. There is a bill pending right now in the Missouri House and Senate that will allow for Certified Professional Midwives to legally practice in the state, similar to the laws of 40 other states. (Senate Bill 303 and House Bill 503) Midwifery is truly the OLDEST profession for women.
Currently it is not legal to practice midwifery in Missouri due to others wanting to control how women give birth. In fact it is a felony for a midwife to deliver a baby at home even with the consent of the mother!

All of the well designed medical studies show homebirth with a professional midwife to be equally safe to hospital birth for healthy women. The World Health Organization (WHO) and the American Public Health Association (APHA) recommend increasing the role of midwives, as does the "Healthy People 2010" project in conjunction with the Centers for Disease Control (CDC)

Whether you chose to give birth at home or in the hospital does not matter. It only matters that you support the option to be available for women. Please sign the petition on the link below and let your legislators know that you want them to vote yes for legal professional midwifery in Missouri. It is urgent that you do this immediately as time is running out!
Click Here for the Petition:
http://www.petitiononline.com/MOMW/petition.html

Here is a link to find out who your MO legislators are. Put their names down on the petition if you can.
You will need your full zip code to find them. Here is the link to find out your full zip.
Please forward to anyone you know living in Missouri.
Thank you!
For more information, check out:

www.friendsofmomidwives.org
www.missourimidwivesassociation.org
www.showmefreedompac.org