Thursday, February 19, 2009

More support for Midwives and out-of-hospital birth

PushNews from The Big Push for Midwives Campaign
CONTACT: Steff Hedenkamp, (816) 506-4630,
steff@thebigpushformidwives.org
FOR IMMEDIATE RELEASE: Tuesday, February 17, 2009

Physician Groups Out-of-Step as the Number of Health Care Organizations In Support of Certified Professional Midwives (CPMs) and Out-of-Hospital Birth Rapidly Increases

Nurses, Perinatal Health Care Specialists Echo Consumer Reports Magazine in Calling for Integrating Midwives into U.S. Maternity-Care System

WASHINGTON, D.C. (February 17, 2009)Two major health care organizations have joined the growing number of groups calling on policy makers to increase access to Certified Professional Midwives (CPMs) and out-of-hospital maternity care. Acknowledging the large body of evidence supporting the safety of home delivery with CPMs, who are specifically trained to care for mothers and babies in out-of-hospital settings, nursing and perinatal health care organizations criticized the American Medical Association (AMA) and the American College of Obstetricians and Gynecologists (ACOG) resolutions calling for bans on CPMs and home birth. The groups also joined Consumer Reports magazine in highlighting the need for a major overhaul of the U.S. maternity care system.
“I am very proud to be an American, but I am embarrassed that our country, founded on the ideals of individual liberty and freedom, can also support ‘authoritative’ initiatives such as these by the ACOG and AMA, initiatives that are founded on neither science nor an understanding of the physiologic and psychosocial needs of mothers and babies,” said Nancy K. Lowe in an
editorial published in the Journal of Obstetric, Gynecologic, & Neonatal Nursing, the official journal of the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN). “What is most risky about home birth in the United States is that for most women who desire it there is a scarcity of qualified providers of home birth services.” [Read the complete editorial at: http://www3. interscience. wiley.com/ cgi-bin/fulltext /121645508/ PDFSTART? CRETRY=1&SRETRY=0]

Consumer Reports magazine cited the desire for economic gain as one of the driving forces limiting access to CPMs and Certified Nurse-Midwives (CNMs), who are licensed in all 50 states and practice primarily in hospital settings, but who remain subject to anti-competitive regulations promoted by the AMA and ACOG.. CPMs are legally authorized to provide out-of-hospital care in just half the states, while advocates working to reform the law in the remaining states face stiff resistance from physician groups seeking to establish a monopoly on the maternity care market in the U.S.

“Midwives provide a safe and cost-effective alternative to the current model, where the market is dominated by high-cost, high-tech specialists producing less-than-optimal outcomes,” said Katie Prown of The Big Push for Midwives Campaign. “Babies delivered by midwives are far less likely to be pre-term or low birth-weight, which are two of the leading causes of neonatal mortality and of the enormous costs associated with long-term care. Midwives and out-of-hospital birth are an integral component of responsible health care reform, and the AMA and ACOG know this. That’s why they’re fighting so desperately to protect their turf, even if it means denying women maternity-care options in the process.”

The National Perinatal Association (NPA) added to the growing list of organizations calling on the AMA and ACOG to end their vendetta against midwives and home birth and instead follow the World Health Organization’ s (WHO) call to “‘work in a spirit of recognition and respect for each other’s authority, responsibility, ability and unique contribution.’” [See their statements on place of birth and on midwifery at: http://www.national perinatal.org/.]

The Big Push for Midwives is a nationally coordinated campaign to advocate for regulation and licensure of Certified Professional Midwives (CPMs) in all 50 states, the District of Columbia and Puerto Rico, and to push back against the attempts of the American Medical Association Scope of Practice Partnership to deny American families access to legal midwifery care. Through its work with state-level advocates, the Big Push is helping to build a new model of U.S. maternity care built on expanding access to out-of-hospital maternity care and CPMs, who provide affordable, quality, community-based care that is proven to reduce costly and preventable interventions as well as the rate of low birth-weight and premature births.

Media inquiries: Steff Hedenkamp (816) 506-4630,
steff@thebigpushfor midwives. org.

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The Big Push for Midwives Campaign is fiscally sponsored by Sustainable Markets Foundation, a not-for-profit organization
recognized as tax-exempt under Internal Revenue Code section 501(c)(3).
Sustainable Markets Foundation | 80 Broad Street, Suite 1600 | New York, NY 10004-2248
The Big Push for Midwives Campaign | 2300 M Street, N.W., Suite 800 | Washington, D.C. 20037-1434
TheBigPushforMidwiv es.org

Cookie Day!

The Friends of Missouri Midwives annual Cookie Day at the Capitol was great! We had many wonderful speakers, including Jennifer Block, the author of Pushed. There were tons of families and bags galore of beautifully packaged homemade cookies. How exciting it was for those of us who were visiting the Capitol for the first time since Midwifery became legal! For the official story and some pictures, go to the FoMM blog.
On a personal note, it was fun for me to go back again. I actually missed walking the endless halls and talking to the various legislators, even though some of them were devils in disguise. It was a bit more tedious with a five week old in tow, but he slept contentedly for most of the day.

Tuesday, January 6, 2009

Baby's Finally Here!!!




Welcome to the world little one, we are so excited you're here! This baby is so special to me, for so many reasons. It's the first time I've experienced a pregnancy with a partner who truly wants to be a parent and is involved (and what a difference that makes), and for several years I thought I thought my baby-having days were over.
A new family was created this morning at 11:49am . Our little boy (whose name is yet to be determined) was born into his father's hands with the assistance of a very special midwife that also helped not only my brothers come into this world, but started a passion in me for all things birth. Thank you, ________ , for that and for being the one who helped welcome our new family.

Friday, December 12, 2008

Plea for Help!

Last winter as we took our midwifery battle to the Missouri Supreme Court, and the legal bills piled up in the tens of thousands of dollars, we found ourselves facing bills far larger than we had ever imagined incurring. And, really, we had no idea just how we would pay them.

But quitting and going home, leaving the midwives as felons for another year or decade wasn't an option. So we moved ahead, and scrimped and saved wherever we could. And many, many people donated so generously. We managed to pay off a good portion of the bill. And then we pleaded with our attorneys to waive the interest and give us time - a lot of time - to find money to pay the rest of the bill off. They graciously agreed to. And they have given us a lot of time - about 9 months.

Everyone celebrated the midwives' win in court, and some donations came in back in June when the decision was first announced. But by now, paying off our huge legal bill seems like old news to everyone. Donations to Free the Midwives (www.freethemidwives .org) have trickled to almost nothing as few people seem to think that we are counting on *them* to dig deep and help us finish paying off the bill. (Thank you to the few individuals who have faithfully gone above and beyond in donating in recent months, and the St. Louis FoMM group that has tirelessly continued to fundraisers for Free the Midwives!)

Our attorney has informed us that we need to get our outstanding legal bill of $26,258 paid off by the end of the year.

I know that you are probably tired of being asked for money. And it's Christmas, and you have gifts to buy. And the economy is a mess. Now isn't a good time. It would be nice if somebody else with a lot of money would just pay it....

But people make time and find money to pay for what they really value and want.
Do you have a midwife who risked 7 years of prison to attend your birth? She went out of her way to give you the birth you wanted. Perhaps you could prioritize this need and give generously, even in spite of it not being a "convenient" time for you?

Almost anybody could raise $500 or $1,000 if they really set their mind to it. There are a multitude of ways, even if you can't personally give that much yourself. Will you commit to giving/raising $1,000, $500, or even $100 or $50 before the end of the year?

Perhaps you can talk your mother-in-law into donating $200. Or your co-worker into giving you $20 to finish paying this bill off before the end of the year. Perhaps you can offer to match 50% of whatever your midwifery/doula/ childbirth education clients are willing to give by deducting that much from your usual fee? Perhaps you have an uncle and a neighbor who would each donate $100 if you simply called and asked. Or you can collect $1 from everyone at some of the clubs/get-togethers /meetings you attend. Or maybe you can ask your family to donate to Free the Midwives on your behalf for Christmas instead of buying you another sweater that you really don't need?

I just heard a story from a CPM the other day. She was talking about having to transport a baby by ambulance to the hospital a few weeks ago. It was amazing to hear her say, "I stood there with the paramedic and the cop and it was such a good, strange feeling to be at perfect peace and know that I had done the right thing AND wouldn't be going to jail.... to know that everything I did was just AND lawful!"

Was it worth all the money we spent?

Absolutely! It was totally worth everything that each one of us have given - our time, our money, our blood, sweat and tears so that women everywhere in Missouri can find a legal midwife!

So far, I have commitments from 2 people who have set a goal of giving $1,000 each from them and their friends by they end of the year. Can you commit to a similar goal? Please email me at: better_birth {at} yahoo.com and let me know what we can count on from you!

Thank you!

Mary Ueland
Cell: 417-543-4258

Please donate online at:
www.freethemidwives .org

OR by check or money order:


Free the Midwives
PO Box 2319
Rolla, MO 65402

Thursday, June 26, 2008

Physician groups play dirty

News from Missouri Midwife Supporters

CONTACT: Mary Ueland (417) 543-4258, grassroots@...

FOR IMMEDIATE RELEASE: Thursday, June 26, 2008

Opponents of Midwives Launch Smear Campaign

In a Desperate Attempt, Play the ‘Abortion Card’

JEFFERSON CITY, MO (June 26, 2008)—Just hours after the Missouri Supreme Court ruling that declares Missouri families now have legal access to professional midwives to help deliver babies in the state, the coalition of physician groups that tried to fight the law in question have launched a misinformation campaign seemingly designed to cast doubt among citizens, and based on false claims that the new law will permit Certified Professional Midwives (CPMs) to perform abortions.

“To suggest that CPMs are trained to do abortions—or that they would even want to—is beyond the pale. CPMs are all about delivering babies—abortion is not within their scope of practice. Abortions are performed by obstetricians, not by midwives,” said Mary Ueland, Grassroots Coordinator for Friends of Missouri Midwives (FOMM). “But considering that the Missouri physicians association told their own members last year that this legislation would allow bricklayers and crane operators to deliver babies, I’m not surprised at this new attempt to distort the truth.”

Certified Nurse-Midwives (CNMs), who are licensed and regulated in all 50 states, are trained to deliver babies in the hospital and to provide family planning and well-woman care. Certified Professional Midwives (CPMs), by contrast, limit their scope of practice to the management and care of healthy women experiencing normal pregnancies. They also undergo specialized training to qualify as experts in the provision of out-of-hospital maternity care.

“This interpretation is incorrect and obviously so,” stated Susan Jenkins, Legal Counsel for the National Birth Policy Coalition and a member of the legal team for the Friends of Missouri Midwives. “The new law clearly references the federal Medicaid statutes to define the scope of practice for which CPMs are certified and, as everyone knows, the federal Medicaid program does not cover abortion, except under rare circumstances as defined by the Hyde Amendment. More importantly, CPMs are not certified to provide abortions by their certifying body, the North American Registry of Midwives, and this statute is directly linked to CPMs certified scope of practice. The basic certification of CNMs does not include abortion either.”

In a 5 to 2 ruling Tuesday, the Missouri Supreme Court upheld a law that legalizes Certified Professional Midwives (CPMs) who practice in the state. The Court determined that the physician groups that brought the suit to overturn the law lacked standing because their only interest in the case was economic. The decision makes legal Certified Professional Midwives (CPMs) and removes the threat of prosecution to professional midwives who assist families who choose out-of-hospital birth. State and national birth and midwives advocates hailed the ruling as a triumphant and historic moment in Missouri’s history and evidence of a tipping point at hand on the national scale.

The Court’s summary is posted online. With this ruling, Missouri joins the majority of other states where Certified Professional Midwives are legal. There are only nine remaining states where they are prohibited. Twenty-four states license CPMs.

Missouri is a priority of The Big Push for Midwives Campaign <http://www.TheBigPushforMidwives.org>, a nationally coordinated campaign to advocate for regulation and licensure of Certified Professional Midwives (CPMs) in all 50 states, the District of Columbia and Puerto Rico, and to push back against the attempts of the American Medical Association Scope of Practice Partnership to deny American families access to legal midwifery care. The Big Push for Midwives Campaign is the first initiative of the National Birth Policy Coalition (NBPC). Through our work, we are building a new model of U.S. maternity care delivery at the local and regional levels. At the heart of this new model is the Midwives Model of Care, which is based on the fact that pregnancy and birth are normal life processes.

Media inquiries about the Missouri Supreme Court case should be directed to Mary Ueland at (417) 543-4258, grassroots@.... Media inquiries about The Big Push for Midwives Campaign should be directed to Steff Hedenkamp at (816) 506-4630, RedQuill@....

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Friends of Missouri Midwives www.friendsofMOmidwives.org

Missouri Midwives Association www.missourimidwivesassociation.org

Show-Me Freedom in Healthcare www.showmefreedompac.org

Free the Midwives www.freethemidwives.org

The Big Push for Midwives www.TheBigPushforMidwives.org

Friday, February 22, 2008

Good News for Missouri Midwives

News from Missouri Midwives Supporters
CONTACT: Mary Ueland (417) 543-4258, better_birth@yahoo.com
FOR IMMEDIATE RELEASE: Wednesday, February 20, 2008 Midwives Licensure Bill Passes Missouri Senate CommitteeComprehensive bill will decriminalize practice of midwifery, and license and regulate midwives (Jefferson City, Mo.) – Midwives advocates across Missouri and the nation today celebrated the passage of Senator John Loudon’s (R, Chesterfield) midwifery licensure bill, SB 1021, from the Missouri Senate Committee on Pensions, General Laws and Veteran’s Affairs. The long-anticipated legislation would decriminalize the practice of midwifery in Missouri and establish a board to license and regulate Certified Professional Midwives (CPMs).
The committee voted 5-1 before a hearing room packed with citizens from across the state, many of whom represented families who wish to choose a legal midwife to assist them during childbirth. Committee members combined the bill with SB870, a repeal of the midwifery provision in current statute. The resulting committee substitute is a comprehensive piece of midwifery legislation.
“Missouri needs legal midwives,” said Debbie Smithey, President of Missouri Midwives Association. “This bill will license and regulate the midwives whose legal status is currently in question before the Supreme Court.”Currently, Certified Nurse-Midwives, who work predominantly in hospital settings, are licensed and regulated in all 50 states, while Certified Professional Midwives, who work in out-of-hospital settings, are licensed and regulated in 24 states, with legislation pending in an additional 20 states, Missouri among them.
CPMs’ training as specialists in out-of-hospital maternity care qualifies them as essential providers during disasters in which hospitals become inaccessible or unsafe for laboring mothers and newborn babies. In addition, this bill will ensure that all babies born outside of the hospital undergo state-mandated newborn screenings and are provided with legal and secure birth certificates.
“We applaud the committee for their clear show of support for health care freedom in childbirth,” said Laurel Smith, President of Friends of Missouri Midwives, a statewide network of thousands of Missouri homebirth families, “The parents of our state have been deprived of the freedom to choose a legal midwife specifically trained in out-of-hospital maternity care for too long. We look forward to seeing this issue debated in the full Senate and anticipate the day when professional midwives are legally recognized and able to serve women freely.”
Missouri is part of The Big Push for Midwives Campaign
Media inquiries should be directed to Mary Ueland at (417) 543-4258, better_birth@yahoo.com.

Sunday, February 17, 2008

Why keep fighting? Part 1

I was asked at the Capitol Wednesday why this fight (and yes, it is a fight) is important to me as an individual. What I said was, "I hope to be a Midwife someday and I don't want to risk imprisonment to do it. I also don't think anyone should be able to tell me who can see, touch, and have general access to my vagina."
But the issue goes much deeper than that. My answer was what you would call the "Cliff Notes" version: short, sweet, and to the point. To understand WHY I'm here, I first have to understand HOW I got here. So, without further ado, here is my story.
I was thirteen when my mom got pregnant with my brother, Tumeric*, and like any other self-absorbed only child, I was less than thrilled. I had been the center of attention for thirteen years and I was not yet ready to give that honor up. I watched her belly grow with mixed feelings gravitating between awe and angst. She had a Blessingway towards the end of her pregnancy, and while I pretended to be bored to tears, I was secretly enthralled. With a crown of flowers atop her silky pregnancy hair, she looked like a queen. Her friends surrounded her with love, poems, songs, and well wishes for a healthy birth.
I don't remember the details leading up to Tumeric's birth as well as she does, but I do remember a lot of walking, squatting and moaning. The moaning stuck with me the most. I had never experienced something so primal as this low, guttural noise coming from my usually composed and somewhat dainty mother. Three generations of women gathered around her and followed her from room to room as she labored her child into this world. We all spoke in hushed tones so as not to disturb Mom or the aura she wished to have around her during labor. My role was quiet observer and bringer of the warm washcloths, not too warm and not too cool. As she prepared to push Tumeric out of her body, I remember feeling horrified at all the fluid coming from her. Then I saw it, this massive pile of dark, wet hair. My brother was about to be born! I couldn't believe the wave of emotions that hit me during those precious few moments it took him to glide out of her. It was all at once the most beautiful, wonderful, miraculous thing I had ever seen. Like the great Mother Goddess long ago, my Mom opened herself up and birthed a being unlike any other in this world. She was a Goddess in her own right. In that moment I felt connected to her, and the rest of the women in this world, in a way I hadn't known before. Those minutes changed me. I saw that birth was not scary, but instead a transformation of body, mind, and spirit. I saw that the body truly knew what to do, even when Mom wasn't sure. I saw her guided through this experience by not only the support of her favorite women, but also the innate knowledge inside her. I saw the potential in all women to labor unencumbered by anyone or anything and find not only that they could do it, and do it well, but that they could become warriors for themselves.
Three years later, she did it again. This time, though, she knew by experience that she was a warrior. She knew she could birth a child into this world on her own and had none of the fears she had before. My youngest brother was in a hurry from the get go. While Tumeric took his time entering this world, Mack* came barging in. He came so fast that the Midwife just barely arrived in time. I had only been awake for an hour when he made his entrance. Still groggy from being awoken at 3am, my memories of his birth are a little foggier. My most prominent memory from him is that he was born in the caul (amniotic sac still intact). It looked like Mom was blowing a bubble and I thought that was fascinating. I held a mirror to show her and she was not quite as fascinated. He was completely born a few seconds after that. My other memory of that birth was that I was supposed to catch him. Mom had said it was okay when the Midwife asked if I wanted to. Looking back, I'm glad I didn't. That right belongs, at least in my mind, to the mother or father or both. Mack's father caught him and seemed extremely surprised at how slippery he was. I was disappointed at the time, but that disappointment has long since passed. While Mom, Mack*, and everyone else were having some well deserved "down time", the Midwife and I chatted. She complimented my mature handling of the botched catching, and asked me if I had ever thought of being a Midwife. That's where it began. I'd heard the calling while watching Tumeric being born, but I hadn't realized exactly what to call it until then. She gave voice to that longing inside me.
*Names have been changed to protect the innocent.