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Discussion Starter · #1 ·
Did any of you mom's see it <a href="http://www.bismarcktribune.com/articles/2007/01/15/news/topnews/127120.txt" target="_blank">here</a>? Its such a touching story! I'm amazed no one else posted it yet. Anyway, I posted and congratulated them after I saw a "nay-saying do good" Nurse Midwife wrote it to say how great she is and how horrible there midwife must have been to offer them a home birth if you want to you can see that article <a href="http://www.bismarcktribune.com/articles/2007/02/02/news/opinion/letters/doc45c2a08734b6f317001116.txt" target="_blank">here.</a> To me the second article is just a reminder to me why I feel MOST nurse midwives are just junior doctors. None the less I am very happy for the family and that they have them all at home with them now and are happy and healthy. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/winky.gif" style="border:0px solid;" title="Wink">
 

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Yes, and now there are a commitee of people trying to get a law passed making lay midwifes illegal. Even friends who come to help you with your labor would be breaking the law. Only family would be able to help. Here is the link...<br><br><a href="http://www.legis.nd.gov" target="_blank">www.legis.nd.gov</a> bill #2377<br><br>
This commitee is made up of 6 people. None of which are familiar with home birth. One of them is the ped who was pissed because all the babies weren't brought in. If any of you could do anything to help I would appriciate it. This midwife that delivered these beautiful babies was my midwife. She is like part of my family. It is very hard to see her go through this.<br><br>
Also if this should be x posted elsewhere to get more info out there I would appriciate knowing where. Thanks.
 

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I should have posted here! Silly me. A group of us have been busy little bees since Wednesday trying to get this idiotic bill thrown out. There was another hearing on it this morning, which I was unable to attend. I will post when I have an update on the bill. I was really upset because according to the way the bill is worded, it affects doulas too. However, the only senator who has responded so far, told me I am not included. Well, then reword the bill, idiots! Better yet, get rid of it - it's not up to the gov't to tell us how, when, where, and with whom we can birth our babies.<br><br>
The nurse-midwife who wrote the holier-than-thou letter to the Tribune is a male (yes, male) CNM who works at Innovis in Fargo.<br><br>
So at any rate - if you can come up with studies, articles, or just your own wonderful stories with which to bombard the senators, have at it! Their email addresses are easily found online, and I can post a few too.
 

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I'm glad I checked here. I've been working on the same thing as well. I live in Moorhead, MN, but am a student midwife and we have clients in ND. My midwife is getting licensed this year, but would ND accept her licensing? No telling, so we're working to help get rid of the bill. The rep that introduced it is even from West Fargo, just a few miles away from me so I'm writing the paper here and hopefully she will read it along with the letter I send her. I've heard of Terry as well and haven't been thrilled at all with him and the care he's given some of my friends. He's the kind that hates women going over their dd by even a day, etc.
 

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Discussion Starter · #6 ·
I am so glad I posted this, I had no idea about this bill! Why don't we all get together and write a letter ourselves to the editor concerning this bill? Maybe it will be published in the Tribune and people will see that this whole things is getting blown out of proportion. Statistics and stories as stated above would be a great place to start as far as including in the letter. Are any of you ladies up to it? I would also use statistics from states that have passed bills making lay midwifery illegal (such as Illinois) compared to states where they are "welcomed" so to speak to show the positive effects if these can be found. I'm going to college full time right now so I won't be able to handle this momentous task alone but, will be more then willing to help any way I can and even add my name to anything trying to oppose this ridiculous violation of mother's rights. I would suggest contacting Midwifery Organizations (Midwifery Today, MANA, Citizens for Midwives, ETC.) I am willing to help with this and if necessary I am sure they would be more then willing to help. I would really like us to all pull through on this one together to get this pathetic egocentric bill chucked before we lose all rights, I know there are over 6 of us here in Bismarck or our state in general who oppose this and we owe it to our fellow mothers to stand up and say "My body, my birth!" Ladies lets make plans <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/grouphug.gif" style="border:0px solid;" title="grouphug"><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/run.gif" style="border:0px solid;" title="run"><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/soapbox.gif" style="border:0px solid;" title="soapbox">
 

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not in ND now, but born and raised and just wanted to thank you ladies for advocating the cause there!<br><br><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/Rainbow.gif" style="border:0px solid;" title="rainbow peace">
 

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There is a yahoo group recently formed, feel free to join:<br><br><a href="http://groups.yahoo.com/group/NDBirthAction" target="_blank">http://groups.yahoo.com/group/NDBirthAction</a><br><br>
The bill will be making it to the Senate floor, so now is the time to email your senators.
 

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This is the letter that went to the Fargo Forum and is being sent to the Bismarck Tribune and directly to several state reps, etc.<br>
In November 2006 a Tuttle, ND family welcomed triplets into their home. Unusual as a spontaneous case of triplets is, what makes this case unique is the fact that the multiple birth was unexpected and the mother delivered at home. The midwife assisted in the delivery of the 1st child, and when it became apparent that more than one baby was to be delivered, the father and then grandmother were asked to assist in the care of the 2nd and 3rd babies. Both girls, while small, were healthy. The boy required oxygen, and when the supply the midwife had on hand did not prove sufficient, 911 was called and the baby was transferred to the hospital where he spent 17 days. During that time the baby was stabilized and eventually released. Unfortunately, in this particular instance, the birth of these triplets has started a raging debate between several within the medical community of the Bismarck-Mandan area, including some in Fargo-Moorhead, and home birth supporters in ND.<br>
While some say that this was a wonderful outcome and a tribute to the midwives skills, others have vilified her and the parents saying that they placed the children in danger. It escalated to the point where the Dr. caring for the infant boy called child protective services who then threatened legal action if the girls were not immediately taken to a physician for an evaluation. Neither party determined the parents intent before taking action.<br>
Several ND politicians, citing this birth as an impetus, have decided to try and push Senate Bill 2377 through which would make the attendance of a home birth by an unlicensed individual a Class B Misdemeanor. Since ND does not have a licensing process for Certified Practicing Midwives (CPM's) or lay midwives and Nurse-Midwives (CNM's) and Dr.'s refuse to attend a home birth, this would effectively outlaw home births in the state of ND.<br>
There has been very little written about this bill, which was heard on Feb 7th by the Senate Human Services Committee, or the repercussions it might have. If the purpose of this bill is to maximize health for newborns, as Dr. Bruce Levi executive director of the North Dakota Medical Association and proponent of the bill has stated, or to hold those who attend deliveries to high standards as Bismarck pediatrician Rafeal Ocejo commented then why has no alternative to unlicensed midwives been offered?<br>
Wanda Rose, vice president of the North Dakota Nurses Association stated that there were currently 5 practicing nurse-midwives in the state of ND, but none of the CNM's attend home births. The reason offered by Connie Kalanek, executive president of the North Dakota Nurses Association, was that a CNM's certification in ND only allows them to practice in clinical settings and that there would be liability issues if they visited a client in their home. Due to these restrictions, at this point in time, the only people available to attend a home birth are lay-midwives.<br>
Sen. Judy Lee, Rep-West Fargo, who introduced the bill, said it was "put together because of concerns about untrained people acting as midwives". While that is a perfectly reasonable concern, this bill does not address it. It issues a blanket statement threatening all unlicensed attendants assisting at a home birth with prosecution, with the exception of family members and Good Samaritans.<br>
While introduced with the best of intentions, by restricting all available trained individuals from assisting at a home birth, Bill 2377 would actually make birth in ND more dangerous rather than having the opposite effect. Families will continue to have their children at home in increasing numbers and, if this bill passes, without the safety of a trained professional.<br>
Sen. John Warner, D-Ryder, has asked the question, "What can be done to provide for stand-alone midwifery practices in the state that could assist in at-home births?" and Sen. Joan Heckaman, D-New Rockford, who was concerned that winter weather and other conditions might interfere with travel plans to get to the nearest hospital, pondered that “Maybe it would be better to have some of these midwives in some of our rural areas.”<br>
Kalaneks's answer to Sen. Warner's question was that in North Dakota , all midwife birthing centers are connected to hospitals, but there are some states that regulate lay midwifery. While her statement was true, it didn't answer the question at hand.<br>
Look to your sister state, MN, for the place to start and take it one step further. Instead of outlawing midwifery, legalize it and regulate it. Hold midwives to the midwifery model of care accepted by the two main regulating agencies in the US , the North American Registry of Midwives (NARM) and the Midwives Alliance of North America (MANA). Require them to get experience by attending one of the federally accredited midwifery colleges in the US whether on site or by apprenticing with a qualifying midwife, or by following a formal apprenticeship program as set up by the above agencies. Require new and existing midwives to take the NARM exam and, upon passing it, allow them the privilege of applying for a license to practice in your state.<br>
Accept them as valid medical professionals the same as you would a CNM or Dr., and most importantly, acknowledge that they deserve to get paid for their services by requiring medical assistance and insurance agencies in ND to pay for the prenatal, labor/delivery, and postpartum costs of a home birth. ND has arrived at a critical stage in the development of it's health care policies; a wrong step either way could negatively affect it's citizens for generations to come. Before deciding the fate of a growing number of residents, contact the midwives in ND and the ones from MN that assist at births across the river. Allow them the oppurtunity to provide access to the information needed to make an informed decision.<br><br>
Sincerely,<br>
Jennifer Jeppson<br>
Student-midwife<br>
Mother Of 5, home birth mother of 4<br>
2923 Heatherwood Circle S<br>
Moorhead , MN 56560<br>
218-287-2269
 

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Discussion Starter · #10 ·
Great job you did an awesome job writing this. I'll plan to write to our local senators this weekend as I have a long weekend from school, this week is full of test otherwise I would do it sooner. I'll try to also state some statistics for them about the (lack of) dangers involved in homebirth in low risk situations and also the statistics of bad events being handled appropriately IF I can find them I hope I can because I know they exist somewhere. Anyway, GREAT JOB Jennifer! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up">
 

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<div>Originally Posted by <strong>JenDoula</strong> <a href="/community/forum/post/7280314"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">The nurse-midwife who wrote the holier-than-thou letter to the Tribune is a male (yes, male) CNM who works at Innovis in Fargo.</div>
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I interviewed this midwife just a few months ago. I was put off by the way he described himself as scientifically and statistically minded. It was also a red flag when I asked about having a waterbirth in his "birthing center" and was told the exact number of waterbirths that the hospital would have to accomodate in order for it to be profitable to offer waterbirths after the cost of liability insurance. I went into the interview hoping to meet a male midwife who had chosen his peculiar career in response to a need for better, less medicalized care. What I found was a midwife who had seemingly chosen to become a midwife rather then an OB/GYN because it would be more financially profitable for him to do so.<br><br>
I'm glad I've since found a CNM who responded positively when I informed her that I will decide whether or not to come to the hospital while I am in labor. If labor goes smoothly, I will give birth at home, if not, I will see her at the hospital.
 

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I sent the letter to the Tribune this morning and within an hr or two got a reply. They were very interested in printing it but needed me to condense it. I'll end up having to cut about half of it. The Senators/Rep's/Gov will get the full letter tonight, but the paper will be getting a more abbreviated version. No word back from the Fargo Forum, but they've never responded in the past beyond printing the letters they have received. Hopefully I won't get blown off, a possibility since I'm not a constituent, but the bigger the pile of letters and emails that they get the better.
 

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Munchkimo, do you mind me asking where you live? You can email me privately if you want. I, and others that I know in the F-M area, would be happy to assist unpaid at a home birth since there is no way your CNM will attend there (there's only 1 in the state of MN that I know of who will and none in ND that I know of that will). Or at least I'm assuming he/she won't. You may be one of the lucky ones that live near the CNM that attends home births. If you're interested in an extra pair of hands or two and/or the equipment I can provide let me know. I'd be happy to help out, or if not me, find someone for you that you would be comfortable with. I have friends who have used Terry in the past. At least one loved him but she had a very difficult time getting pregnant (8yrs between baby 1 and 2 and #2 was the last for her) and wanted everything as medical as possible, induction, epidural, you name it she wanted it. Nothing else that I have heard about him was favorable.
 

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I'm in Perham, MN--about 20 minutes east of Detroit Lakes. The CNM I am seeing is in Detroit Lakes at the Dakota Women's clinic. She cannot attend if I choose to homebirth. She is more or less my back-up plan. I made the mistake of not having a backup plan when my son was born and ended up transferring to a hospital where I was poorly received. I did not know that there were certified or student homebirth midwives nearby. Although, I did contact a birth center in Long Prairie, MN where a CNM named Ruth Wingeier practices. From what I understand, she does homebirths for women who are 60 miles or less from Long Prairie which rules me out. I would be interested in meeting you. Would you be willing to attend a homebirth in Perham?
 

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<div>Originally Posted by <strong>jljeppson</strong> <a href="/community/forum/post/7300837"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">I, and others that I know in the F-M area, would be happy to assist unpaid at a home birth ...</div>
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And people wonder why we love midwives. I felt the same way about our midwife! So warm, caring, and willing to do whatever necessary for the cause.
 

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Ruth is awesome. She's the one I got my Neonatal Resuscitation training from. Only CNM in the state that will practice at home. Truly a unique situation, I can't think of any other woman who has the kind of backing from doc's that she has. Perham is only about 1 1/2 hrs from me, so that's not too bad a drive. I don't know if the midwife that I work with is willing to come out there, but so far that I've seen she seems to travel all over the place. It's her primary business, so she of course would charge. As for myself, it depends on when your due date is. I haven't been to a birth in a while (maternity leave) and would like to get back in the swing of things again, so if you have a few months left I'm good to go. I'll tell you straight out, I've assisted at several births and will have assisted at more by the time you deliver (unless it's right around the corner) but haven't done a solitary birth before other than one of my own. I don't want you to think I was claiming more experience than I have. If you still want to talk, give me a call 218-287-2269, and I'd be happy to pass on Beth's (midwife) info as well.
 

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One more post from me. Here's the abbreviated version the Tribune and Forum got.<br>
November 2006 a Tuttle, ND family welcomed triplets. What makes this truly unique is that the mother delivered at home.<br>
Citing this case, several ND politicians are trying to push Senate Bill 2377 through making attendance of a home birth by an unlicensed individual a Class B Misdemeanor. With no licensing process for Certified Practicing Midwives (CPM's) or lay midwives and Nurse-Midwives (CNM's) and Dr.'s refusal to attend home births, this would effectively outlaw them in the state of ND.<br>
If the purpose is to "maximize health for newborns", as Dr. Bruce Levi executive director of the North Dakota Medical Association has stated, or to "hold those who attend deliveries to high standards" as Bismarck pediatrician Rafeal Ocejo commented, then why has no alternative been offered?<br>
Wanda Rose, vice president of the North Dakota Nurses Association stated<br>
that there are 5 practicing nurse-midwives in the state of ND, but none attend home births. The reason offered by Connie Kalanek, executive president of the NDNA, was that a CNM's certification in ND only allows them to practice in clinical settings and that there would be liability issues if they visited a client in their home.<br>
Sen. Judy Lee, Rep-West Fargo, who introduced the bill, said it was "put together because of concerns about untrained people acting as midwives". While a reasonable concern, this bill does not address it. It threatens all unlicensed attendants, except family, with prosecution without offering an alternative.<br>
By restricting all available trained individuals from assisting, Bill 2377 would make birth in ND more dangerous. Families will continue to have their children at home and, if this bill passes, will do so without the presence of a trained professional.<br>
Sen. John Warner, D-Ryder, has asked the question, "What can be done to<br>
provide for stand-alone midwifery practices in the state that could<br>
assist in at-home births?" and Sen. Joan Heckaman, D-New Rockford, concerned that winter weather might interfere with travel plans to get to the nearest hospital, pondered that "Maybe it would be better to have some of these midwives in some of our rural areas."<br>
Instead of outlawing midwifery, regulate it. Hold midwives to the model of care accepted by the main agencies in the US, the North American Registry of Midwives (NARM) and the Midwives Alliance of North America (MANA).<br>
Require midwives to attend one of the midwifery colleges, or follow a formal apprenticeship program as set up by the above agencies. Require them to take the NARM exam and allow them to apply for a license.<br>
Accept them as medical professionals and require medical assistance and insurance agencies to pay for the prenatal, labor/delivery, and postpartum costs of a home birth.<br>
Contact midwives in ND and the ones from MN that assist at births across the river.<br>
Allow them to provide access to the information needed to make an informed decision.
 

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Since Bill 2377 is now a study, will no longer be sending full letter to Sen's and Rep's. Abbreviated version sent to papers, but will be sending stats (CPM 2000 study) etc to lawmakers. Having it become a study is the first step on the road to favorable laws being passed, so a big WOOHOOO to celebrate and then back to work.<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumbsup.gif" style="border:0px solid;" title="thumbsup">
 

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My name is Karla. I started the NDBirthAction list mentioned earlier in this thread. I have seven children, five born at home. I have a wonderful midwife here in ND who has attended four of my births. Safe birth truly is my passion. Getting full legal status for midwives in ND is very personally important to me.<br><br>
I hope those interested will join to receive legislative updates, calls to action, and notices of regional meetings. Please note that I am requesting a few bits of information prior to approving membership: full name, location (non-ND residents welcome), and interest in our cause (midwife, homebirth mom, doula, or why otherwise friendly to midwives ... please be specific!). This information will remain private, used only by NDBirthAction to create a picture of where we have contacts in ND/MN/etc to be sure we are covering the geographical area as best we can. We hope to have members in every district of our state! Also, we are trying to "map" our supporters so we know that we are reaching x number of homebirthing families, x midwives/student midwives/, x medical professional, etc.<br><br>
This is a tiny first step. I am sure there are many of us working individually around the state on this issue, and it is my hope we can find each other and become even more effective!<br><br>
~Karla
 

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I couldn't believe my eyes when I saw your letter in the Tribune, Jennifer!! I hadn't been on my computer for the past week and had no idea there was such a bill in the works. My DH and I were very much upset. You would honestly think that people would realize that midwives would be an excellent idea for a rural state such as ND. After all, in many rural towns, there isn't any form of medical care available within an hour's drive...even the ambulance services are volunteer and have only EMT-Basics, no paramedics. But no, just like it was when OB's first decided it was "better" for babies to be delivered in a hospital by an OB, they have to try their damndest to make it sound like they are the only ones who are capable of saving women and babies from the immense danger that is childbirth!!! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/irked.gif" style="border:0px solid;" title="irked">:<br><br>
Glad to see we aren't taking this lightly!!!
 
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