Sad Day For Midwives And Homebirthers in North Carolina - Mothering Forums

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#1 of 35 Old 06-01-2012, 07:05 AM - Thread Starter
 
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The state of North Carolina no longer legally allows midwives to attend home births. Please sign this petition to have this reversed. Share it after you've signed it too, so it goes further, please and thank you.

 

http://www.change.org/petitions/north-carolina-medical-board-allow-physicians-to-continue-supervising-homebirth-cnms-in-nc#

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#2 of 35 Old 06-01-2012, 07:37 AM
 
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Does anyone yet know if this is effective state wide? I'm in WNC and have yet to hear anything from our HB CNMs. 


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#3 of 35 Old 06-01-2012, 07:38 AM
 
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I don't think it's that there was a law passed making it illegal, it's just that the board of medicine seems to be applying pressure and even sanctioning doctors to keep them from providing backup to home birth midwives. Without backup they can't practice.
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#4 of 35 Old 06-01-2012, 07:55 AM
 
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As I understand only one MD is being sanctioned for backing up many CNMs, but I admit to seeing a very fuzzy picture here. I have a MW appointment early next week and will bring this up. 


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#5 of 35 Old 06-01-2012, 08:01 AM - Thread Starter
 
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Kawa, this has shut down 4 practices overnight and prohibited 9 midwives from operating legally.


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#6 of 35 Old 06-01-2012, 08:17 AM
 
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Originally Posted by Becky Wheeler View Post

Kawa, this has shut down 4 practices overnight and prohibited 9 midwives from operating legally.

 

Oh, I understand that. I was commenting that it was, I believe, only the one MD. 


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#7 of 35 Old 06-01-2012, 01:27 PM
 
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If nothing else it highlights the need to update the law so that midwives can function as the independent practitioners they are. Nc is one of only five states that require this kind of supervision.
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#8 of 35 Old 06-01-2012, 01:47 PM
 
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ABC 11 in Raleigh had a short report on it on 4:30 news and will have another report on 5:30 news.

 

This is really just unacceptable, we need better legislation! I'm really upset about this, my emotions were already near the surface when I recently researched homebirth providers and realized how limited my options were (b/c of geography and cost). I feel bad for the moms who are affected by this, and the midwives of course!
 


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#9 of 35 Old 06-02-2012, 05:06 AM
 
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As far as what I'm reading not even the midwives involved truly understand what is going on here, there are some contradictory statements, and it looks to be directed at only one physician. Unfortunately it greatly impacts the lives of many women, families.   


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#10 of 35 Old 06-02-2012, 08:55 AM
 
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In 2011 there were 4 confirmed homebirth deaths in North Carolina (and that's only the known ones).  That is TEN times the rate for comparable risk hospital birth.  What's more sad--regulations or dead babies?

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#11 of 35 Old 06-02-2012, 12:52 PM
 
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This decision attacks CNMs, who are the SAFEST home birth attendants.


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#12 of 35 Old 06-02-2012, 06:19 PM
 
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Originally Posted by rnra View Post

In 2011 there were 4 confirmed homebirth deaths in North Carolina (and that's only the known ones).  That is TEN times the rate for comparable risk hospital birth.  What's more sad--regulations or dead babies?


The law already required back up supervision for CNMs. The law requiring supervision didn't prevent any of those deaths. Therefore, your comment is essentially irrelevant. If you're opposed to home birth in general, you're posting in the wrong MDC forum. If you're not, then why are you posting this? What the heck do those deaths have to do with sanctioning doctors for providing supervision to CNMs? Nothing.

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#13 of 35 Old 06-02-2012, 10:14 PM
 
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When I learned about this new law, I became sick to my stomach & actually cried. I live in NC & am currently TTC #2. We were hoping & planning for a home birth. I am fed up with the government insisting on getting involved with business that pertains to my uterus. Sheesh. 

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#14 of 35 Old 06-03-2012, 04:24 AM
 
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There is no new law.
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#15 of 35 Old 06-03-2012, 05:10 AM
 
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Originally Posted by quinndellin View Post

When I learned about this new law, I became sick to my stomach & actually cried. I live in NC & am currently TTC #2. We were hoping & planning for a home birth. I am fed up with the government insisting on getting involved with business that pertains to my uterus. Sheesh. 

 

I'm presently pregnant in NC and, while it's terrible to think legal, MW attended HB can be taken away from me without notice, this is by no means state wide. The truth is, no one who is speaking publicly has the whole story yet. 


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#16 of 35 Old 06-03-2012, 07:48 AM
 
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#17 of 35 Old 06-06-2012, 05:46 AM
 
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Just saw this posted on the NC Medical Board's website: http://www.ncmedboard.org/articles/detail/ncmb_and_p/
 

"NCMB and physician supervision of certified nurse midwives: the facts

 

A great deal of misinformation is circulating regarding the NC Medical Board's interest in home birth and, more specifically, its role in physician supervision of certified nurse midwives (CNMs).

Here are the facts:

  • The Medical Board does not have a position on home birth. It is neither for it nor against it.

  • The Board does not license CNMs and has no direct authority to affect the ability of these practitioners to provide care to patients.

  • To practice lawfully, CNMs must be supervised by a licensed physician in accordance with criteria set out in Article 10A of the NC General Statutes. Proper supervision includes having detailed written guidelines that describe the clinical roles of the CNM and the supervising physician, written guidelines that describe how and under what circumstances the CNM and the supervising physician will communicate, and a formal process for periodically reviewing care, among other things.

  • The Board has no policy that would prohibit physicians from supervising CNMs and has no plans to adopt such a policy. Any physician who meets the requirements of state law and related administrative rules may supervise CNMs."

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#18 of 35 Old 06-06-2012, 05:49 AM
 
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There is some serious hinkyness going on here.  Either Dorn just didnt' want to supervise CNM's anymore so he quit and lied about it, or he didn't want to anymore so he quit and CMW is lying about it, or some iteration of that.

 

Either way, CNM's shouldn't have to be supervised by a doctor to practice.

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#19 of 35 Old 06-08-2012, 06:31 AM
 
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I am 32 weeks pregnant and my midwife was one to get 'shut down'. I can't tell you how devastating this is. Homebirth is not safest for everyone or every birth, but it IS safest for many, many women and we should all have the option of choosing the safest and healthiest birth.

 

Midwives should not have to have their license dependent on a physician. NC is only one of five states in the country that require this. This state is so backwards and dangerous.

 

Please, even if you don't want a homebirth for yourself...please consider supporting those who do. Share the story on Facebook or Twitter or whatever. Women and babies need help here to have safe options and shutting down midwives here make birth less safe here for so many families.

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#20 of 35 Old 06-08-2012, 01:24 PM
 
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An update from NC: http://www.newsobserver.com/2012/06/...#storylink=cpy

"The Midwifery Joint Committee of North Carolina approved a new policy Thursday giving certified nurse midwives a potential 75-day grace period to practice after learning of sudden unavailability of their supervising physician. The policy is merely a recommendation that must be approved by the state’s Rules Review Commission before it is effective. It could possibly be approved as soon as Friday, according to N.C. Medical Board spokeswoman Jean Fisher Brinkley."

I also saw this linked: http://wheresmymidwife.org/2012/06/06/a-sad-day-in-nc/

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#21 of 35 Old 06-09-2012, 10:13 AM
 
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Another update for anyone following this thread: http://www.newsobserver.com/2012/06/08/2124575/midwives-win-grace-period.html
 

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#22 of 35 Old 06-18-2012, 07:28 AM
 
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More info on this:

 

Support Independent Practice for North Carolina Nurse Midwives

http://signon.org/sign/support-independent-practice?source=s.em.cp&r_by=4671149
 

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#23 of 35 Old 07-06-2012, 06:13 PM
 
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The issue is "supervision". It is not clearly defined in the law. A CNM must be able to consult with the "supervising doctor" and potentially transfer care in a timely manner. If the supervision isn't "geographically" close, questions can be raised as to how "safe" the care is. I understand this. Hopefully at a meeting later this month the definition will be clarified.

I understand it, but I have issues with the whole supervision thing to start with. 

Meanwhile, the CPM's are on a roll to get their status legalized in NC. Here's hoping....

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#24 of 35 Old 07-07-2012, 03:34 AM
 
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I think that bill is already dead.
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#25 of 35 Old 07-10-2012, 01:47 PM
 
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Is there any update?  I just moved from Fayetteville to Tampa and our midwife ( I believe) was affected by this.  Is it just midwives that used Dr. Dorn as a backup? I had heard that it was all the doctors, so I'm confused.  I'm also several states away and can't chat with my homebirthing friends as easily anymore.  Just curious.  We're moving back in 2 years and would hate to use that as a decision on whether or not to have any more children!


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#26 of 35 Old 07-10-2012, 03:41 PM
 
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Just Dr. Dorn. I see a group of NC midwives who are still practicing legally. 


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#27 of 35 Old 07-13-2012, 12:14 PM
 
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Any news? *bump* :)

 

Also, really, the whole supervisory thing is bureaucratic excess.  Your home, your body, and you decided to have a care provider come to you.  Sex in your home is allowed if its two consenting adults, why can't two consenting people put together a plan for a birth?  Nobody would put together a home birth plan without a hospital transfer idea in there somewhere, so what if you want Plan A to include just a MW?  Does NC have nothing else going on right now, no drugs, crime, unemployment or failed schools?  Is it like some paradise utopia so politicians are bored?  For all of how annoying it can be to live in fringe central, the birth laws here are a blessing.

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#28 of 35 Old 07-13-2012, 12:39 PM
 
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It's not just home birth midwives, it's all midwives, so it impacts birth centers, too.
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#29 of 35 Old 07-15-2012, 07:53 AM
 
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Originally Posted by Rrrrrachel View Post

It's not just home birth midwives, it's all midwives, so it impacts birth centers, too.

 

No, as I understand it, this particular incident only affects the homebirth CNM midwives who lost their supervising physician.   The 2 NC birth centers were not affected by this and are still seeing clients and have been taking in the CNM's patients.  The latest I've heard is that the Midwifery Joint Committee has given these midwives a final deadline of August 31st to find a new supervising physician... only one of the affected midwives has been able to do so so far and it's not looking good for the others.  So right now, the only homebirth CNMs in NC that I know of are two in Asheville (who only do homebirths if you are in a 20 minute radius of Asheville) and one in Wilmington,  and the only birth centers are in Statesville and Chapel Hill (plus the one in nearby Rock Hill, SC)... there may be a few other homebirth CNMs who still have a physician, but I don't know for sure.  Anybody else know?  If you're not in one of these lucky regions of the state, you're out of luck, as this leaves the majority of the state with no option except a hospital birth, unassisted homebirth, or homebirth with an illegal midwife.  

 

The NC legislative session is now over for the year, and I don't believe the CPM bill ever made it to the floor, so it doesn't look like there will be any policy relief possible till next year's session which begins in the spring.  Anybody know more?

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#30 of 35 Old 07-15-2012, 10:20 AM
 
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Right, this incident only impacts midwives that this doctor was supervising, but the law requiring supervision impact all midwives.
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