Not exact matches
I didn't even know how to go about finding a
midwife who would attend a home birth (Direct Entry
Midwives, those who usually attend home births, can not legally
practice in my state, making finding care a bit more challenging).
I recently foudn out I am expecting again and hated to repeat the fellings I felt with my old OB - that they didn't even know my name when I was giving birth - she had to check my chart.My name is Kitty it isn't hard to forget.I chose a
practice and it is wonderful and I was given the choice between an OB or
midwife - it is so nice to have the choice to choose a
midwife.
I only know one
midwife with a
practice specifically geared this way — but the OB has to
do it «under the table» and she is the most expensive
midwife in the area.
However the college
does not make blanket recommendations across the profession, for all
midwives, in all settings, assuming that each and every
midwife should
practice identically.
Standards outlined by the AAP for care of the neonate are possible in an out - of - hospital settings, including homebirth, although because homebirth
practices do not have an accreditation body similar to the American Association of Birth Centers there is no way to assure that any particular homebirth
midwife or
practice provides any certain standard of care.
Each provider surveyed offers coverage through the Health Insurance Marketplace, yet twenty percent
do not contract with certified nurse -
midwives (CNMs), even though nurse -
midwives are licensed to
practice in all 50 states and the District of Columbia.
However, seventeen percent of healthcare plans
do not cover primary care services offered by nurse -
midwives, even though ACNM standards defining the scope of
practice for these providers include primary care services.
But if homebirth midwifery is all about banishing messages of danger, uncertainty or fear (even when they are justified), why
do homebirth
midwives ape the
practices of real medical professionals?
It also doesn't allow you to
practice any skills or have conversations about what you've learned with your doctor or
midwife.
Like any good medical professional she hopes for change and accountability in all countries, not just the U.S. and U.K.
Midwives who don't follow protocol, dismiss their patients concerns and
practice such recklessness with other people's lives need to be held accountable for their actions or better yet, their inaction.
I wonder if you're
practicing as
midwife underground in a state where you're not licensed, if you sort of by default don't report your income, since what you're
doing isn't a legal profession?
I told my
Midwife and she didn't believe me she sent me to a lactating consultant and when I tried to show her pictures that I had taken she refused to see them instead she made me
practice latching him on in front of her.
I am not
practicing as a nurse, nurse -
midwife, or physician nor
do I have hospital privileges, an affiliation with a hospital, nor a collaboration agreement with a physician.
We would go to the communities, my lead
midwife and I and sometimes one of the hospitalists would go to the
practice sites of particular community
midwives and we would say «What
did we
do well?
Did you know that cesarean section rate for medical
practices (OB and
Midwife) that advocate natural childbirth is only 3 - 5 %?!
(I am an Australian
midwife and also had homebirths prior to becoming a
midwife) Your system in America is quite radically different to ours here in Australia and so we don't have the same problem with poorly trained and undereducated
midwives and although we still have ideologically driven midwifery, where process is promoted over outcome, we have strict protocols, guidelines and governance at all levels to ensure dangerous
midwives are prevented from continuing to
practice and women and their families are protected and have recourse for compensation.
Why
do you assume that all
midwives practice this way just because you
did?
Even in a system with highly - trained
midwives who are integrated into the establishment, unless everyone is legally required to maintain registers,
do frequent refresher courses, and KNOW that they will be subject to supervision and if found to be non-compliant with regulations will be deprived of the opportunity to
practice, even some of the most «highly trained» will try to get around the letter of any laws on the books.
With out - of - hospital birth, we assess the baby's vital signs and
do a full physical exam after the birth, however,
midwives and even OBs who
practice outside of the hospital are not specialists in pediatric care.
The only thing is that a
midwife who is no longer licensed to
practice midwifery can still
do it if she is also an ND.
Only when
midwives and obstetricians start working in partnership, and valuing each other's roles in supporting women,
do we see women offered genuine choices, and offered the best care for themselves and their unborn baby (One example of research supporting this: Colter 2014, «
Midwife - Physician collaboration — a conceptual framework for inter-professional collaborative
practice»).
We have a pool on loan from our
midwives and we're
doing a
practice run as I write this, to see how long it takes to fill up.
I don't think
midwives should be
practicing without a clear hierarchy, with OB / GYN at the helm, and I
do not think the current system serves women well, especially not first time mums like myself who had NO IDEA that I would receive subpar care.
Certified Nurse
Midwives who attend home births
do have six years of training (not sure about how many births they attend in those years) but the average non nurse
midwife will have minimal if any formal training and will not have seen 500 births even with years of
practice.
I don't think all under trained
midwives practice home birth midwifery primarily for the money.
If medical malpractice were required for
midwives, it would pretty much be the end of homebirths, because homebirths are more or less way outside the scope of standard medical
practice, so every time it goes bad, all the plaintiff has to
do is to put any doctor on the stand and say, «Doctor, can you indicate whether the homebirth was warranted?»
To ensure surgery doesn't stand in the way of you bonding right away with your little one, talk to your doctor or
midwife about their
practices, Make sure he or she knows how important those first minutes are to you — and ensure you'll have the chance to take in that warm and wiggly bundle of joy.
I agree that people need to know the difference in
midwives, but looking for a CPM that doesn't
practice in a way that raises red flags is pointless.
You would hope so, and yet Terri Coates, a
practicing midwife, lecturer in Midwifery, and clinical editor to Call the Midwife, doesn't seem to be in favour of it in this interview from Tuesday'
midwife, lecturer in Midwifery, and clinical editor to Call the
Midwife, doesn't seem to be in favour of it in this interview from Tuesday'
Midwife, doesn't seem to be in favour of it in this interview from Tuesday's Mail:
Although this DIY idea doesn't work for everyone, I know moms who swear by it and was also given this tip by a
midwife at one of my OB - GYNs
practices.
It didn't take much convincing to know I should switch to a
practice with
Midwives.
Lay
midwives doing home - birth procedures
practice completely outside the boundaries of our medical system's checks and balances, where there are few safeguards for addressing immediate complications and little recourse other than calling 911 for emergency backup.
How
does the doctor or
midwife (and the places where they
practice) implement best
practices for transitional newborn care?
I had
midwives, they
do practice in hospitals too.
Unlike more than 30 other states, Illinois
does not permit
midwives without nursing degrees to
practice their trade in the state.
I live in a state where I don't even have the option (Iegal) for a
midwife to
practice her business in home birth.
Homebirth is just as safe» because homebirth in the UK is nothing like homebirth in the US, and most homebirth
midwives in the US are actively fighting against having a system like the UK, because they don't want the medical education, they don't want to follow standards of
practice, they don't want to be held responsible for their actions and outcomes.
Lack of national certification or licensure
does not necessarily mean that the
midwife lacks the knowledge or skill to
practice the
Midwives Model of Care.
Risk assessment is an important part of every
midwife's
practice, just like a family
practice doc who
does OB is always assessing if someone needs to go to OB or maternal - fetal medicine, every health provider continually assesses and refers their patients to the appropriate level of care.
The care I received at the birth center from the three
midwives who
practiced there, reinforced what I had known all my life, that I would be ok, that I could
do this, that it was not scary.
The primary care role of the nurse -
midwife is typically only six weeks and this family
did transition care to a pediatrician after our six week visit, but management of the breastfeeding and galactosemia was largely continued by our
practice in a very collaborative manner.
When discussing back - up plans, for example, many consumers assume this means Nurse
Midwives require supervision because they lack sufficient skills to provide full - scope care, but just as a family
practice physician collaborates with the obstetrician for surgical services, so
does the Nurse
Midwife.
``... [T] heir train wreck or their disaster shows up at my doorstep and I become responsible for their irresponsibility,» said an Indiana - based obstetrician, who believes homebirth
midwives do not
practice an appropriate standard of care.
They don't go to nursing school, and they don't
practice under the supervision of physicians like nurse -
midwives do here.
Besides, the
midwives who
do home births in the US (which Dr. T is usually talking about) would not be considered educated enough to
practice in any of the Scandinavian countries.
At 20 weeks, the
midwives wanted to
do another ultrasound to check for abnormalities, which was common procedure in their
practice.
One of the
midwives on staff at the birth center where my first son was born had started her own
practice doing homebirths!
What many people don't realize is how well - equipped and well - trained
midwives are in Canada, where the
practice of midwifery is provincially regulated.