VBAC Crisis in NH – please help! - Mothering Forums

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#1 of 1 Old 02-13-2008, 10:40 PM - Thread Starter
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x-posted in NH/VT forum, MA/CT/RI forum & VBAC forum
Copy&Pasted here with permission.
VBAC Crisis in NH – please email them at boardquestions@nursing.state.nh.us and let them know we want to have options to VBAC outside of hospitals!


As you may have already read here, CNMs may soon be prevented from attending birth center and home VBAC in NH if the Board of Nursing's current ruling stands.

If there's any way you could write a letter to help in the effort to get the NH Board of Nursing to reverse their decision, it would be GREATLY appreciated. The deadline is this Friday, February 15.

More info below.

Thanks so much!

++++++++++++++++++++++++++++++++++++++++++++++++++ ++++

The New Hampshire Board of Nursing is about to change the VBAC climate in NH unless we act now!!! The Board is currently seeking to prevent CNMs from attending VBAC in birth centers as well as VBACs at home (also referred to as HBAC – home birth after cesarean).

Many NH hospitals already “ban” VBAC, and even in hospitals where they are permitted the VBAC success rate is much lower than it is in a birth center or home setting, so this decision will undoubtedly lead to more cesareans.

There is a 30 day comment period before the NH Nursing Board finalizes their Clinical Advisory White Paper. Please review the following Board Response and email your comments to boardquestions@nursing.state.nh.us NO LATER THAN Friday, February 15, 2008 (this Friday)

Question: Is it within the scope of practice for the CNM to provide vaginal birthing after history of cesarean section to a patient receiving care at a licensed birthing clinic in NH?

Board Response: The board supports the ARNP Certified Nurse Midwife (CNM) role in providing VBAC deliveries and applauds the efforts for birthing choices in New Hampshire. However, the board opines the VBAC deliveries arranged by the CNM should be planned for, and provided in acute care settings that have full access to immediate services for resolution of complications to the mother and child.


The New Hampshire Board of Nursing has already made a decision about this issue! If enough letters are not received to convince them to REVERSE the decision by FEBRUARY 15, 2008, the Board’s decision will prevent NH CNM’s from attending VBACs in a free standing birth center or in a woman’s home.

PLEASE take the time to write to the NH Board of Nursing and encourage others to do the same. My understanding is that this decision will affect at least 3 NH birth centers as well (The Birth Cottage, Coastal Family Birth Retreat and The Concord Birth Center), because these birth centers use a CNM as their medical director. Also, one of the midwives from the Birth Cottage is a CNM herself (Tracey) and will no longer be able to attend VBAC/HBAC.
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