Support Midwifery in Massachusetts!

Massachusetts Senate Bill 847 will be heard at the State House on July 28. This bill, as it similarly does in 26 other states, protects midwives and their practice, as well as the women who choose to give birth with them and receive other well-woman care from them.

Right now, Nurse-Midwives are under the supervision of MD's, and this bill would give nurse-midwives the ability to practice collaboratively with MD's. Nurse-midwives are the only midwives who can legally attend births in Massachusetts.

Additionally, this bill will allow Massachusetts to license Professional Midwives, who are stringently licensed in 26 other states. Professional Midwives go through rigorous training and education in order to care for healthy, uncomplicated pregnant and laboring women in out-of-hospital settings, such as birth centers and private homes.

This bill will regulate the practices of both types of midwives so that they practice a standard of care that is SAFE.

Please get involved! Perhaps you received care from a midwife - at home, in a hospital, or at a birth center -- and can attest to the quality of the midwifery model of care. Maybe you, personally, would not choose care from a midwife or to have your baby in any place but a hospital, but you DO believe that the only way to ensure quality health care for women is through a variety of evidence-based care, dispensed by a variety of highly-skilled professionals. All women can support this bill, because it is NOT about natural birth vs. epidural, homebirth vs. hospital birth, or one woman being stronger/better/smarter/more concerned about her baby than another woman.

This bill is about mothers and babies being born safely.

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Massachusetts Friends of Midwives asks: "If you can join us at the State House for the hearing, please do! Babies andsmall children are welcome participants on visits to MA Senators and Repsand are welcome in the Gallery during the hearing. Please use your judgment,however, as the day can be long (we will not know when during the day wewill be testifying). While we would love to have as many families as possible, we also realizethat sitting still for a couple of hours may not be in everyone's skill sets--adults included! For more information and updates, please check out the MFOM blog(www.mfom.org) . Thanks so much for everyone's ongoing support!"

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Your birth story is an important part of healthcare Reform

If you sought care from a Certified Professional Midwife during your pregnancy, or if you gave birth in an out-of-hospital setting, your story is symbolic of why maternity care reform is a critical part of health care reform.

Certified Professional Midwives decrease the c-section rate and provide women with individualized, nurturing care in their pregnancies, labor, and deliveries. Certified Professional Midwives are the ONLY birth professionals trained specifically in out-of-hospital birth.

The c-section rate is soaring, and women are losing choices in how they give birth. Please tell your birth story.

What's a "midwife?" Please let the ACNM know.

This week, the birth blogosphere was abuzz with news that the American College of Nurse-Midwives has changed its position statement on midwife certification and its definition of what a midwife is.

Essentially, what it boils down to is that the ACNM will not recognize a midwife unless she has received her academic and clinical training in a formal education program. The North American Registry of Midwives is the national agency which certifies professional midwives. After a midwife has met conceptual learning objectives and gained significant clinical experience with out-of-hospital births and prenatal care, she can become a Certified Professional Midwife. There are a number of formal education programs in which an aspiring midwife can enroll; however, an aspiring midwife can obtain her theoretical and conceptual learning through apprenticeship, under the guidance of wise, experienced and mentoring midwives. It's probably the oldest, most traditional form of learning there is.

There are many paths to learning, and it makes sense that the art of traditional midwifery honors learning through apprenticeship. NARM certification is rigorous; it recognizes different paths to learning, and ensures quality practice and standards of care through its certification process. Additionally, its standards for certification are used by the 26 states that regulate midwifery, states in which CNM's, OB's and CPM's practice collaboratively in a variety of birth locations.

It is curious that in its definition of a midwife, the ACNM wishes to split the midwives certified by NARM into separate camps, legitimizing one and squeezing out the other. It is particularly disheartening in the 24 unregulated states like Massachusetts, where the only opportunity to learn midwifery is through apprenticeship. What gain does the ACNM have in only recognizing some CPM's?

NARM has created a petition asking the ACNM to reconsider its statement and respect the knowledge and diverse training that those who hold the CPM carry. At this writing, the petition has over 1160 signatures. Please take a few moments to sign the petition, taking action to protect birthing choices, which includes access to qualified, trained, experienced Certifed Professional Midwives.

(this has been cross-posted on the Massachusetts Friends of Midwives blog)