Danger Will Robinson

I read this over at Birth Matters:

the American Medical Association formed a group called the Scope of Practice Partnership (SOPP), whose mission is to launch investigations of unlicensed “midlevel providers” and to support initiatives to fight legislation expanding the current scope of practice for licensed “midlevel providers”.

Doesn’t the AMA have anything better to do?  Like schedule unnecessary procedures and fight law suits?

 Watch out for AWHONN.  Here’s another group of medical folks looks like mostly duped L&D nurses) that just must not be busy enough.  This group is trying to stir up trouble for direct entry midwives, stating that they aren’t educated enough to perform their services.  Here’s an excerpt from their Fall newsletter:

AWHONN strongly supports the practice of midwifery by a Certified
Nurse Midwife (CNM), who is a registered nurse with an advanced
degree and broad range of training in areas including pharmacology,
and formal collaborates with other health care professionals as an
expectation of their licensure to provide safe, holistic care.

Certified Professional (Lay) Midwives (CPMs), in contrast, have a
far more limited apprenticeship and are not required to have
relevant college degree, pharmacology training, or collaborative
practice agreement with an obstetrician or hospital in case of

Far more limited apprenticeship?  Could you be more specific please?  What I know about midwifery apprenticeship is that they have to observe and then participate in (as an apprentice) a large number of births before they are allowed to practice alone.  This is regulated state by state.

Relevant college degree?  And what is that?  In this day and age a bachelor’s degree is only a vehicle to get you somewhere else.  A bachelor degree is not something to measure proficiency in ANYTHING by.  I have a BS in Psychology and certainly wasn’t qualified to practice or conduct scholarly research at the end of my program.  And I don’t have a bachelor’s degree in music though that is my field of specialization.  I happen to be a damned good singer and teacher in spite of my lack of a degree that is not considered terminal in my field.

Collaborative practice agreements?  What a joke.  I had a PA tell me recently that her OBs were no longer able to provide back-up service for homebirth.  I’m sure it boils down to liability/malpractice.  So, this group is fudging that part of the argument.

I am surprised that AWHONN is turning its back on homebirth.  They were evidently founders in the Coalition for Improving Maternity Services (CIMS).  According to the CIMS website:

In its first five years, the work of the coalition has focused on the creation and implementation of the evidence-based Mother-Friendly Childbirth Initiative (MFCI), which provides guidelines for identifying and designating “mother-friendly” birth sites including hospitals, birth centers and home-birth services.

So what’s different now in 2007?  Anyone else smell something stinky?



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