Question for Idaho midwives

[jljeppson]

I'm currently working on a ND bill that is up for consideration and, like with everything in life, we have those that aren't happy.  One particular woman has listed several things that she says come from Idaho law that would risk many women out.  Previous multiple birth, 42 weeks, gestation, vbac, etc.  We didn't present the bill, but our group did the rewrites for the amendments and one of the states we used as a guideline was Idaho.  I don't recall seeing a huge list of things a midwife has to risk out for, but maybe I've overlooked something that has happened since then?  Can you tell me where I can find what she's looking for or at least let me know that I can tell her she's mistaken?  Politely, of course.

[mwherbs]

Here is the current statute page

Look at the rule making page listed...
She is correct, it sets up basic protocols valid until 2014,by then the council may have some other input...

http://www.legislature.idaho.gov/idstat/Title54/T54CH55.htm



Have you checked out New Mexico's info it is pretty good and they can do vbacs

[riomidwife]

You might want to contact the Idaho Midwifery Council

[jljeppson]

Thanks.

[Turquesa]

I'm not a MW, but I'm in ID.  I just deleted my original post (based on hearsay) and found what you're looking for:

e)  Establish scope and practice standards for antepartum, intrapartum, postpartum and newborn care that shall, at a minimum:

(i)   Prohibit a licensed midwife from providing care for a client with a history of disorders, diagnoses, conditions or symptoms that include:

1.  Placental abnormality;

2.  Multiple gestation;

3.  Noncephalic presentation at the onset of labor or rupture of membranes, whichever occurs first;

4.  Birth under thirty-seven (37) weeks and after forty-two (42) completed weeks' gestational age;

5.  A history of more than one (1) prior cesarean section, a cesarean section within eighteen (18) months of the current delivery or any cesarean section that was surgically closed with a classical or vertical uterine incision;

6.  Rh or other blood group or platelet sensitization, hematological or coagulation disorders;

7.  A body mass index of forty (40.0) or higher at the time of conception;

8.  Prior chemotherapy and/or radiation treatment for a malignancy;

9.  Previous pre-eclampsia resulting in premature delivery;

10. Cervical insufficiency; or

11. HIV positive status.

Honestly, I would fight a lot of this.  Denying midwifery care to the obese?  Really???