Missouri Legislature Targets Midwives

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The Missouri Medical Association is trying to stop midwives -- again.
Four years ago, the Missouri Legislature decriminalized midwifery -- making it legal for a woman who's certified by one of two national midwives' organizations to deliver babies here.

But the state's physicians don't like the competition. They sued, unsuccessfully, to stop the legalization in 2007. And now they're pushing a bill to require midwives to be licensed by the state, on top of national certification, and meet a host requirements so onerous that midwives say they could be forced right out of business.

The Columbia Missourian reported last week that a lobbyist for the the Missouri Medical Association -- the powerful physicians' lobbying group in Jefferson City -- actually helped write House Bill 301.

In addition to requiring state certification, the bill would force midwives to carry at least $500,000 in malpractice insurance, pay a licensing fee and perform at least 30 hours of continuing education every two years. It would also require them to notify the state in writing every time they get a new client -- and only allow them to work "in collaborative agreement with a licensed physician" who has privileges at a nearby hospital.

Not surprisingly in light of its origin, the bill carves out special exemptions for physicians, even while cracking down on midwives. According to the bill's official summary, it "exempts certain emergency medical providers from civil liability when treating a woman or infant during childbirth as a consequence of care received from a licensed midwife."

According to the Missourian, a lobbyist for the physicians' group testified that the current system was like "invit(ing) your neighbor over to help you deliver your baby" -- an analogy that might make a bit more sense if midwives weren't required to do extensive training first.

But if money talks at the Capitol, the midwives might be in trouble.

A Daily RFT analysis of reports filed with the Missouri Ethics Commission shows that the physicians' political action committee, MO Medical PAC, donated $199,349 to various legislators in the 2010 cycle. That includes $500 to Representative Mike Talboy, the Democrat who serves as the bill's primary sponsor, and another $500 to Talboy's co-sponsor, Republican Ryan Silvey.

MO Medical PAC also donated $1,000 to the new Speaker of the House, Republican Steve Tilley, according to ethics commission records.

The House Professional Registration and Licensing Committee could vote on the bill as early as this week.

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Jenni
Jenni

Thank you, RFT, for a well-researched article on this subject. Midwifery care is a wonderful option for healthy, normal pregnancies. It's appalling that here in Missouri big politics routinely gets in the way of skilled midwives caring for women.

Tammie
Tammie

As a mother who did a ton of research prior to choosing a home birth for my 2nd child, I think there is some middle ground. I went to the hearing with my infant daughter and was very interested in what the last witness against the bill, a midwife, had to say about her previous work helping a state legislate midwives in a way that enabled them to continue practicing. However, I truly believe the bill as it currently stands will put midwives out of work and remove the chance for families to have more decisions about their pregnancies and births.

Dljkt7
Dljkt7

The best literature on the topic clearly demonstrates a 3 to 4 fold increase in neonatal mortality with planned home births vs planned hospital births. The studies in other countries that show comparable outcomes between the two are in countries where the midwives have a collaborative practice with physicians such as the one this bill establishes and therefor cannot be applied to MO at this time. Patients should be able to choose where they give birth, but a midwife should be required to inform the patient of the risks of home birth so that the decision is an informed one

Tammie
Tammie

Actually, the research my husband and I read shows an equal outcome for infants and better outcome for mothers. I'm assuming the report you're referring to is the Wax report. Unfortunately,that report is not the most accurate of reports. It's comparing apples to oranges. Here's a good discussion of the report: http://www.midwiferytoday.com/... (yes, it is from a midwifery group, but the arguments in it are sound).

Dr. Jeff
Dr. Jeff

I am a physican who delivers babies in a hospital in Missouri. I have never donated to a PAC or a representative or senator. But I have assisted with an emergency cesarean delivery of a newborn that died as a result of a prolapsed umbilical cord during a home birth attended by a midwife. I am also a family physician who has cared for numerous children with cerebral palsy and epilepsy as a result of brith trauma and asphyxia from complications of home births. As a physician our state has been so onerous as to require me to carry $3 million aggregate and $1 million occurrence liability coverage, attend 50 hours of CME every 2 years despite graduating from a medical school, residency traning program, and being board certified in my specialty. They also require me to be licensed by the state Board of Healing Arts and pay a fee for that registration. Where is the editorial condemning that harassment? Finally, should I be held liable when a home birth complication or misadventure results in me being required as a physician to provide emergency care to the mother and baby should there be a bad outcome?

Manifest Son
Manifest Son

Dr. Jeff, I agree that the licensure and insurance requirements are indeed onerus. I absolutely condemn them. However the issue here is the right for people to choose homebirth with a midwife. Doctors should not be held liable for problems caused by others, but the way the bill is written a doctor could sipmly blame the midwife for any problems they encounter. Physicians should still be responsible for their own actions in any given situation. Also I have heard many stories of women who start in a homebirth and having complications recieve poor or abusive treatment at the hospital because they start with a medical birt. I am not accusing you of this, just noting that this as a reason to oppose total liability immunity for doctors dealing with homebirth complications.Again, the issue here is liberty and freedom of choice, not what doctors do or don't do.

Angela
Angela

I COMPLETELY agree that women should have the right to choose to birth at home with a midwife or with whomever they choose for that matter. But the comments to this article demonizing ALL doctors is insane. I hope those of you demonizing all physicians as money hungry demons never need surgery.Does anyone posting comments about all the money doctors make really know how many years doctors go to school before making a penny? At least 12. Does anyone know how many loans it takes to finish school without any help from wealthy parents? 20 years ago at least $120,000 today upwards of 400,000. Does anyone know how much medical malpractice costs for and obstetrician? In Florida the cost of malpractice was more than the Obstetricians were making putting them out of business. They all work as salaried employees of hospitals now. Many Obstetricians are retiring early as they can no longer make ends meet. This will certainly cause a crisis of care for those births that do REALLY require a c-section or other high risk or emergency care that a midwife cannot provide.

Wouldn't it be better to work together to offer the most choices. Midwives delivering babies at home but who have the back up of a physician they know and respect to be available if the need arises. I have a friend who attempted 3 deliveries at home with midwives and ended up with emergency c-sections for all 3 deliveries. That's crazy and much more risky. Emergently going into a hospital with doctors who know nothing about you or your baby or pregnancy does not make for optimal care. And why would protecting those staff members who are now put into a dangerous and risky situation be a poor choice. They didn't cause the emergency and are trying to save two lives. But if there is a poor outcome guess who will be sued? That's right. Not the midwife. The hospital and the physicians trying to help them. Why should they carry all the risk?

There is absolutely no reason why in a common sense society midwives and physcians could not work in conjunction with one another to provide the most choices and the best possible care for all women. If this happened most babies could be born at home or in a birth center with emergency help nearby if needed.

Manifest Son
Manifest Son

Probably everybody posting here (with the exception of anonymous) truly wants a system where doctors and midwives work together. However this bill is an obvious attempt to shut down or completely subsume midwifery into the medical system. Angela is correct that not every doctor is purely motivated by money and that the insurance companies and statutes are a huge part of the problem. I try not to make judgments without expericence. However a lot of people are very angry about the state of medical care and the lack of freedom of choice in the U.S. And few people are so fair as to not make generalizations and stereotypical judgements. Fair or not, doctors are going to bear the brunt of that anger. They would be wise to understand this and try to change the way they do things.

Angela
Angela

It seems to be the week to go after midwives. North Carolina has yet to legalize midwife care even by certified midwives. So this week they made an example of one of the practicing midwives who has delivered many friends babies by arresting her. All the midwives are in hiding and their clinic shut down. Now all their patients are without care.I will be marching with many others next Wed in protest of this uncalled for arrest and for a change to the system. We need to work together not against each other. The current system does not work. And wasting tax payer money arresting good people is insane! I think we have more pressing issues to worry about. But maybe that's just me.

Tamara
Tamara

Sorry Angela, but no one is crying for the doctors.  They are ALL disgusting money-driven leeches.  Sure, they go into a little med school debt, but that debt is NOTHING compared to their ridiculous over-inflated salaries that they collect for their entire lives.  OB/Gyns aren't being pushed out of business.  They just don't want to "settle" for 150k/yr when they can go somewhere else and pull 300k.

Doctors will perform unnecessary procedures & surgeries on patients all the time to jack up their bill, even though those procedures put the patient at risk.  Of course, they use lobbying to make sure that Medicare pays them ridiculous amounts of money for simple procedures.  The same Medicare that is BANKRUPTING the country.

"Do no harm" is the biggest fucking crock, unless they are referring to their bank accounts. Why should they care about improving people's health?  The sicker people are, the more money they make!!

Our entire health care system (doctors, hospitals, pharm companies) is engineered to suck money out of people, NOT to make them healthier. It is absolutely fucking vile and corrupt.  I urge everyone to be extra defensive whenever they visit a doctor.  Remember, you are nothing but a dollar sign in their eyes. Make sure you ask prices for everything UP FRONT, and that you are aware for everything they will bill you.  Doctors love it when no one asks questions and then SURPRISE present you (or the insurance company) with a giant bill with tons of hidden costs.  Remember, just because the insurance company pays for it, that doesn't mean that it's not costing you!  Our premiums keep going up up up because doctors have ZERO incentive to control their own costs. 

I think it's time for a Cairo-style revolt against the greedy pigs of the medical-industrial complex.

Angela
Angela

Sorry to burst your doctor bubble Tamara. Anesthesiologists DO NOT get thousands of dollars for an epidural at 3am. I know this first hand as my husband is an anesthesiologist. And NO we do not drive a LEXUS! I have a 12 year old minivan. My husband drives a 8 year old truck to commute to work. You are very wrong to keep stereotyping ALL doctors.

Yes your surgery could have been cheaper or free in Canada or Europe. BUT you WOULD certainly be paying for it through much higher taxes than we pay here in the US. I completely agree that our healthcare system is broken and physicians want it to change, but the big money lobbyists in Washington prevent that from happening.

People are willing to pay more to color their hair, get a massage or a facial, go to the chiropractor than they are willing to pay their physician. People are also willing to pay their dentists 1000 for a 45 minute root canal. BUT god forbid if a doctor should charge you 1000. for 45 minutes of their time.

Maybe you should try going under anesthesia with just a machine and let's see if you wake up okay. My husband has saved 100s of lives. And I've spent every other night of our married life at home alone taking care of our children by myself.

I hear first hand how disillusioned physicians are becoming. Do people seriously think the best and brightest will go into a field where they are going to spend so many years getting an outrageously expensive education to get out of school to be stereotyped as hungry money grubbing whores by people like you? And to continually hear you say they make too much money and spend all their time on the golf course? And that their job can be done by a machine?

My husband has a dusty set of golf clubs that were a gift from a friend dying of cancer. They never get touched. Why? Because my husband spends most of his time at the hospital and whatever time he has off with his family.

But sadly Tamara you have taken us off point. Midwives and women's choices need to be protected. We just had a midwife arrested here in North Carolina. All the midwives are in hiding and this is now putting the lives of the women and babies they are caring for at risk. I will be marching in protest with many others on Wednesday in support of legalizing women's choice to be cared for by a midwife.

You have a choice too. Don't utilize the healthcare system you so despise. Fly to Canada or Europe and get your care. And see how long you have to wait for that needed surgery. Most often it is months. In the U.S. it would be less than a week.

You cannot compare apples to oranges.

Doctors are far from overpaid. They write off most bills that go unpaid. My husband works for free at least 50% of his time. You tell me who else does that? Would you still go to your job 80 hours a week and be happy going home only paid for 40 hours?

Please get your facts straight.

Angela
Angela

Wow Tamara, you clearly need some therapy and education.

Are you now blaming all physicians for everything wrong in America? Physicians are to blame for the current state of our economy? "the rest of America is suffering" because of physicians making too much money. Well then let's just fire all the doctors in America and close all the medical schools and medical centers see what happens?

I really think you should go to medical school and pay for it. And put in the insanely long hours. And care for people at their sickest and comfort them when they are scared. And then get sued for them when something goes wrong even though you were trying to help them. And then experience the disrespect from someone like you. Physicians are not all knowing. They are "practicing" medicine in the best way they know how. Most physicians go into medicine to take care of people and save lives.

Or maybe you are just here to try to incite arguments since nothing you say is true or based on facts.You are taking the real issue of protecting women's choices and leaving it behind.

NOTHING you have stated is factual. It is all lies. Doctors are not taking home 500K a year. And Doctors DO NOT have unions.

If you are so disillusioned with our country then please leave and move to where you can have your life saving surgery for so much cheaper. We really don't need uneducated, ignorant people like you continuing to disseminate information without any real facts or research.

Stereotyping any people does not do anything but cause harm? Is that your purpose here? That is what is happening to midwives and many other minorities in our country. Is that what you stand for?

Again, I urge you to not utilize any physicians since you feel so strongly that they are useless and only there to metaphorically rape you. Just drink a bottle of whiskey before you are cut open by a surgeon like they did in the old days. Oh wait! You can't have surgery since that is performed by physicians too.

You are pitiful. I hope your parents are proud.

Tamara
Tamara

Aww boo-hoo Angela, lets all cry for your husband who brings home 500k/year while the rest of America is suffering.

You husband doesn't save any lives. He is an overpaid maintenance man with a really good union behind him. That's it. He financially rapes the sick and injured for easy money. He doesn't innovate, he doesn't bring anything new to the table. But what do you care? I'm sure that bought you a nice pretty house and put your kids in nice private schools, right? Oh I'm sure you really miss him when he's gone. LOL. Nice work marrying money, I'm sure your mother is proud.

Disillusioned physicians have no where else to go. Nothing pays as well and gives as much security as medicine. And dentists are just as filthy and corrupt as doctors.

The disgusting greed of people like your husband is what will kill midwifery in this state.

Angela
Angela

Tamara,There is no need to revolt. Just stop using hosptials, ERs and physicians. If they don't have business they will close up shop. Doctors have no control over their own costs. The 3rd party payors aka insurance companies and pharmaceutical companies have all the control.Your premiums are going up because the insurance companies are scared and trying to get all the money they can right now. The doctors DO NOT get this money. I don't know why people don't understand this.

But hey if you don't need theses greedy medical people who are not making you healthier then why are you paying the premiums? Stop utilizing their services if you don't need them.

AND most certainly healthcare consumers SHOULD ask for all costs up front. If more people would do this, they system would change.

Angela
Angela

Tamara,You are completely out of line and wrong. I sincerely hope you never require a life saving procedure by a competent physician who works selfless hours through the night to save people. You cannot put ALL doctors in the same category. No obstetricians are making 300,000 a year. I don't know where you are getting your numbers.And anesthesiologists would much prefer to sleep so that they are fresh for scheduled surgeries at 7am the next morning than to be called several times a night for an epidural. If more women could comfortably and safely have their babies at home they could work with more than 2 hours of sleep.Pharmaceutical companies and the management of HMOs are making too much money, but this money is NOT going to the hospitals and doctors. Their pay is cut every year and the majority of hospitals are on the verge of bankruptcy. There will be a crisis of lack of good competent care in the very near future.

I hope you and others who think ALL doctors are leeches and just want the money never need the services of someone who puts in endless hours in school and then endless hours taking care of patients who do not respect them or care that they have been up for 48 hours taking care of sick patients at the expense of not seeing their families.

I agree this current bill is not what is needed to change the system, but until everyone works together for the best care of all people instead of pointing fingers and making incorrect blanket statements about entire professions we won't get anywhere.

Tamara
Tamara

Angela,

Actually, I've had life-saving surgery before. It was doctors doing their jobs. I could have had the same life-saving surgery in Europe but it would have been a hell of a lot cheaper, or it would have been free.

Are you under the mistaken assumption that the US has the best health care system in the world? Because it doesn't. We pay our doctors the most (because of the corrupt system) but countries in Europre have better quality healthcare. In the US themoney is the main focus.

Doctors don't work "selfless" hours, don't be a fool. Each time the anesthesiologist gets called in at 3am he is paid thousands of dollars. And the majority of his work is done by machines while he sits there and reads a book.

Sure high-level HMO execs are overpaid, but there are a LOT more overpaid doctors than there are HMO execs. Hosptial execs are also taking home HUGE salaries.

Did you know that over 60% of bankruptcies are due to medical costs? http://www.huffingtonpost.com/...Doctors are financially raping the middle class and ruining their lives with ridiculous bills, all because they want a new Lexus SUV. Do no harm? Think again. I'm sure many of those people would rather be dead than broke.

Summer
Summer

Angela, Yes! Cooperation between midwives and doctors, on an even keel, is EXACTLY what we need. However, this is NOT the bill to do it. HB301 does not create a working relationship between doctors and midwives, it makes midwives employees of doctors. More importantly though, it bars most midwives from practicing. As for malpractice insurance, in the state of Missouri, no other practitioner is REQUIRED BY STATUTE to carry it. No one is arguing that each provider should be responsible for his/her own actions, only that the law should reflect equal provisions for all. In addition, according to the MO Supreme Court ruling in 2008, no physicians can be held accountable for a midwife's actions...so, they are already protected. Emergencies can happen anywhere. I might have an OB and still have an emergency that requires me to be in a different hospital. In both that situation and an ER transfer from a legal home birth, my records would be provided. Were this bill to pass, any midwife attending me would be illegal (CPAs are not accessible to midwives in my town) and therefore unable to go with me in an emergent situation or to even give me a chart with her name on it. How does that make for optimal care? Again, I absolutely agree that what is best for mothers and babies is an integrated system where midwives and doctors work together equitably, but HB301 does NOT make that happen.

Amanda
Amanda

The birth of my first son was in a hospital. I had all the "normal" prenatal care. I had a "normal" hospital birth. "Normal" meaning, I didn't have my OB, I wasn't listened to, I got pressured into an epidural, I was given an episiotomy with no consent from me( I wasn't even told it was happening), I wasn't given adequate breastfeeding support and was even told I wasn't going to be able to do it by a smug faced nurse.My second birth(this past New Year's Eve) was at home with a fantastic midwife. Every prenatal appt was an hour and a half long. I was listened to. I was treated as an intelligent human being who could make decisions about a completely normal and natural process. I had "my" midwife present for the birth. It was a wonderful experience. I got the support I wanted and needed. I didn't just have a midwife, I had a friend, someone I had built a relationship with and trusted. It was a much better experience than my first birth. Any future pregnancies will be seen to by a midwife.I don't understand why this has to be a pissing contest. It shouldn't be about who is better. Midwives and OB's should be able to work together, lean on one another. MIdwives go to school just for delivering babies and offering support to pregnant women. A good midwife is always educating him/herself. It is our responsibility, as women, to educate ourselves and find a suitable provider. Whether that provider is an OB or a midwife.

Shawna
Shawna

Such an AWESOME piece!!Thanks so much. We love what our midwives are doing and deserve the right to birth as we wish.

Gourmetgoodness
Gourmetgoodness

Thank you! Thank you! Finally someone is truly telling the truth! The bottom line is that Doctors dont want to compete w/ midwives. Unfortunately, as the article expresses they hold the money card! And why do we keep allowing our government to chip away at our rights? Truly, pregnancy and birth are not a sickness or disease! Home Birth may not be for everyone but Everyone should have the choice!

Mary
Mary

I appreciate an article that covers this issue with a bit more depth and clarity. You're right on with your assessment of the situation!

Hopefully the Missouri legislators will see this issue for what it really is: Physicians trying to reclaim turf.

Birth is never risk-free, but this bill is not about making things safer or better for mothers and babies. It is about making sure that mothers who want a homebirth will have to go it alone without a trained care provider or go to the hospital.

MHenderson, RN
MHenderson, RN

Excellent coverage of what's going on in Jeff City, RFT! Midwives attending homebirths have been shown time and again to be safe, effective, and a lot more economical than doctors and hospital birth. The physicians are not familiar with techniques for monitoring and delivering babies at home, so they don't think it can be done. The CPM credential, which current law requires for midwives in Missouri, involves years of training and study. CPMs are EXPERTS in pregnancy and homebirth. When you add to that the improved nutrition and lifestyle monitoring that midwives do, and subtract the risk of hospital-acquired infection and/or unnecessary cesarean (that's major abdominal surgery, folks!), it's hard to see why so many people feel "safer" in a hospital.

Swhipple
Swhipple

It is horrifying the stranglehold that the drug and insurance companies have on the populace. Doctors like the system because it works for them. This is definitely a money issue. That is the reason midwifery was outlawed in the first place. They took money out of the pockets of the doctors. This is just a matter of stifling competition. The unfortunate outcome is it takes away women's choices. There are women who would never deliver in a hospital. They are making it dangerous for them.

Bethany
Bethany

I appreciate the disclosure of the sponsors' financial ties--it seems that that's often a big pull that's not discussed. Makes you wonder if their real concern is actually *safety* or their pocketbooks.

Guest
Guest

Yay! A news story that gets the facts straight! Kudos to the Riverfront Times!!

J_Fed_STL
J_Fed_STL

This doesn't create jobs... this kills jobs.

Screw you Mike Talboy and Ryan Silvey, create a job.

Its_my_right
Its_my_right

It is definitely NOT ok that doctors are trying to buy the right to my body and my choices by having laws passed to regulate their competition so fiercely.

Regardless if you are familiar with Midwives or not, a few things about this HB 301 should scare you; 1. If you get care from a Midwife and have to transfer to an OB's care at a hospital, they can essentially do whatever they want and not be held responsible. Don't think for one second that a doctor would be above "punishing" a woman because of her prior choices. It has been that way before, and this bill would make it so you could not prosecute for medical malpractice on the doc, even if your baby dies as a result. NO!

2. I saw first hand the doctors spewing false truths to the hearing committee to sway their vote. I personally did so much research on the home birth subject during my pregnancy, that it infuriates me that the doctors are not only paying the lawmakers, but lying as well about the research. It's completely insulting to me that they're implying I don't know what's good for my own body, and I'm taking unnecessary risks with my baby's and my health. NO!

Some women choose a hospital birth because they want all the drugs and interventions, and they have good insurance to pay for it all. Other women choose a Midwives care because they DON'T want the drugs, interventions, restraints, restrictions, and expense that come along with a hospital birth. LET THEM BE!

Natalie
Natalie

Excellent summary, thank you. Certified Professional Midwives and Certified Nurse Midwives offer unique and valuable services to many Missouri women, including me. I am looking forward to my third homebirth with a CPM, and I love that my husband and I have that option. We were so happy when the law changed to legalize CPMs, and I truly hope that Missouri will not take a step backwards and harm women and babies by limiting their birth choices.

Anna
Anna

"According to the bill's official summary, it "exempts certain emergency medical providers from civil liability when treating a woman or infant during childbirth as a consequence of care received from a licensed midwife." "

In otherwords, they can do whatever the hell they want to you with no consequences to them if you do end up needing their care. I have heard stories and seen personally (as a doula) how horribly doctors can treat women who had to transfer from midwifery care, solely because they had the nerve to not go to the doctor in the first place and how DARE they try to get midwifery care!!!

Theresia
Theresia

Finally someone is paying attention! No fewer than 80% of my hospital births were full retard, but most of my home births were much less so, and for that I will always be grateful.

Natalie
Natalie

Doctors are such greedy fucking pieces of shit. As if they don't already make enough money, now they're trying to buy some corrupt ass politicians to so they can make even more.

FUCK THAT. Even if this piece of shit bill passes, I'm sure that midwives will continue to operate, they'll just be pushed a little more underground. Hell, with Facebook and other technologies, it will still be easy to connect midwives with pregnant women who desire their services.

Remember people, doctors are not your friends and they don't give a fuck about you. All they want is your money.

anonymous
anonymous

exactly right natalie.

doctors are largely sociopaths who got into medicine for status and material wealth.

Danieljoieoconnor
Danieljoieoconnor

just one more of an infinite number of examples of our elected officials selling their souls and our lives for the almighty $$$$$$$$$.

Guggiedaly
Guggiedaly

If I wanted an institutionalized, certified, mumbo-jumboalized "health care provider" for my pregnancies and births, I'd step into the hospital. Birth is normal. As long as we allow the medical industry to objectify our bodies as vessels and to treat our children as "products" that are "delivered" from our bodies, we will never see a return to humane, dignified birthing practices. I had my children at home b/c they are not products to be exploited for profit. Good luck, Missouri.

Suea22
Suea22

Thank you for this article. As a mother of two children born outside a hospital, both with the assistance of midwives, please listen to the people. Those that intentionally chose to give birth outside the hospital setting do so after research and with the understanding of what the outcome could be. One question a mother asks her midwife is "How many birth have you attended from start to finish?" The total number of children my midwives attended totaled over 2,000 from start to finish. How much OBs would be able to answer this question honestly? Or what is your C-section rate? My midwives--zero.Let those that make an informed choice choose!

Elizabeth Allemann
Elizabeth Allemann

I've been advocating for midwifery and being interviewed for and reading articles on this issue for 20 years--this is the best ever. You broke the rote model: interview a midwife, then interview a representative of organized medicine quote both and think you've covered the story. You took it a step further and actually tried to follow the money trail. Congratulations!

Michelle
Michelle

I had two babies in the hospital and recently gave birth to my third at home with a midwife. The home birth was so much better and faster, and my child so much more healthy! I was not happy with things the hospital did with my first two and that is why I looked for an alternative for my third child. I felt so much safer being in an environment that I could control with an experienced midwife I trusted. My care was much better and the approach was far less likely to introduce infection. Infection was the reason my membranes broke at 36 weeks with my first baby, and it was probably introduced by a vaginal exam by the OB.

Summer
Summer

Thanks for a great article! One can only hope that the legislature will do what it is paid to do, and represent the consumers. During the committee hearing, not one voice of support (for the bill) came from a consumer. In fact, ALL of the six people there to speak in favor of the bill were physicians and representatives or lobbyists of medical groups....anesthesiologists and osteopaths. The rest of the room was a mixture of physicians, midwives and CONSUMERS. The people this bill affects most, the families, are the ones pushing against it. They have spoken, loud and clear, that they want the law to stay as is.

Teamolson
Teamolson

As a former OB & NICU nurse I knew the LAST place I wanted to have a baby was in a hospital. Physicians have no business caring for a healthy woman having a normal pregnancy & birth. Midwives offer a great alternative for women & their families who are not looking to turn over their bodies to someone else for their pregnancy & birth. This legislation is so obviously about money and not about what is best for mom & babies. It makes me sick. I'm so thankful for my midwives & wish every woman could have that experience & that midwives would stop being targeted like this.

Elleduree
Elleduree

Agree... thank you for your comment!!! I have had two hospital births followed by two home births and having experienced BOTH I know first hand the remarkable care my midwives provided me!!!

Mrs_S
Mrs_S

Well said. Pregnancy is not an illness, and birth should not be a business.

Destinypotts
Destinypotts

I have to say, something that bothers me is that a women has the "right" to chose an abortion just because she doesn't want a baby, but let a woman make an informed decision to have a home birth and she's crazy. I feel that there needs to well trained midwives available to those of us who feel strongly that a home birth is the better alternative! I understand there are occasions that an ob/gyn is needed, or that some women are scared and want one, what what about women having "the freedom to choose."

AN
AN

...except that this legislative session they're targeting BOTH, genius. Women aren't allowed to choose what they want to do with their bodies in Missouri either way.

Pam
Pam

This proposed legislation is an egregious attack on women's reproductive freedom. The right to give birth at home with the care provider of her choice is a fundamental right. It is very discouraging that physicians put profit over women and children's freedom and well-being. I hope that consumers will urge their legislators to defeat this repressive bill.

Molly
Molly

Thank you very much for covering this issue. This legislation will eliminate midwifery in Missouri and that is terrible!

somedude
somedude

first they came for the smokers, and nobody cared, smoking is "bad". then they came for the small residential day cares, nobody cared because it is to protect the children. Then they came for homeschoolers, nobody cared, homeschoolers are crazy. Now they are after your right to determine how to birth your child....everyone is too tired of fighting the nanny staters to care.

anonymous
anonymous

yeah those pinko commies in the missouri legislature and physician's lobbying group

Kristi Richman LPN (Mo.)
Kristi Richman LPN (Mo.)

Some of the best mothering advice during and after my three pregnancies were from midwive's clients and I am a practical nurse. People in the medical field need to embrace all alternative and preventative medical practices including midwifery and quit shunning those who do have good experience and helpful information to share about labor, delivery, post partum concerns and beyond. Physician's aren't the only ones out there with brains.

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