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Discussion Starter · #1 ·
I don't see an update here, so thought I would let everyone know that the Bd. of Nursing has finalized their decision (for what its worth). It is different than what was originally stated but is not at all "success" as some were hoping.<br><br>
Here is a copy of what the original question, answer, and revised answer are (yes, its complicated...its not just YOU!! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"> ).<br><br>
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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?<br><br>
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.<br>
February 21, 2008 The VBAC question was revisited and all materials sent to the board on this issue were reviewed and discussed at the board meeting. The board offers the following as a result of its research and discussion:<br><br>
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. Further, the board is in complete support with the American College of Nurse-Midwives and the Association of Women’s Health, Obstetrics and Neonatal Nurses position statements on VBAC. In the absence of a clear definition for the timeframe of a “trial of labor”, the NH Board of Nursing continues to base its opinion in the definition on safe practice as quoted by Simpson & Creehan (2008), “The decision to offer a trial of labor for women attempting VBAC should be based on commitment of resources and agreement of providers to be in-house [immediately available] during the course of labor. If this commitment cannot be made for whatever reason, the hospital [facility] should not offer VBAC care. Alternatives are repeat cesarean birth or patient referral to another hospital with resources consistent with the ACOG (2004b) recommendations” (p. 374-375).<br><br>
Simpson, K. & Creehan, P. (2008) AWHONN Perinatal Nursing. Association of Women’s Health, Obstetric and Neonatal Nurses 3rd Edition, Lippincott, Williams & Wilkins, 374-375.
 

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Discussion Starter · #3 ·
it means essentially the same thing as they wanted to say; yet they have found this 2004 ACOG statement to support their position. Its ridiculous b/c they have been presented with facts to the contrary. They KNOW its not necesary. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad">
 
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