Commercial Break 1.0

My response to article in the Oregon Onion on whether midwifery licensure should be REQUIRED:

http://www.oregonlive.com/opinion/index.ssf/2011/09/its_time_to_license_all_midwiv.html

 

As a LICENSED midwife in California, I can say WHOLEHEARTEDLY that I DISAGREE with mandatory licensure.

It’s as simple as:

1. Licensure does not ensure better skilled attendants. I have seen better outcomes and better care provided by “lay” midwives than by LMs, CNMs or OBGyns. The skill is not synonymous with how many years of school one attends or how many hours one has logged at a bedside. Skill is gathered by SERVING and LEARNING by DOING. If you really want to see a good list of skilled midwives, set up some kind of midwife report card system for the state of Oregon and let the MOTHERS tell you who is good and who to run from. Here’s an example: http://thebirthsurvey.org/ DON’T leave it up to a bunch of bureaucrats to tell you who is a good caretaker for your pregnancy and birth (read: don’t let the almighty dollar tell you). Mothers are GOOD at letting people know what they think if given a good forum to do so.

2. Licensure does not ensure better outcomes for babies and mommies. While infant loss and maternal loss is devastating, remember that hospitals lose patients too. All their systems and licenses and degrees have not erased birth loss and neither will something as pithy as the licensure of midwives.

3. Licensure does not make things easier on midwives or make them less targeted for prosecution or liability. As a LICENSED midwife who has never lost a mother or baby AND who was recently convicted of a FELONY for saving a baby’s life in the absence of my supervising midwife back when I was a student, I can only plead with you from the bottom of my heart to think carefully before you put sister midwives in the line of fire. Regulation INCREASES investigation, prosecution and fear… the three worst things midwives need when we are faced with so many maternal needs and a growing client base.

WHAT WE NEED IS UNITY… Lay Midwife, CPM, CNM and MD. We need to respect one another and stop fighting amongst ourselves so we can turn full faced towards the families we serve to give them the BEST care we can by SHARING the load appropriately. Every woman deserves a midwife to give her care, and and OBGyn to give her the assurance she is safe if she needs medical experts. A mother has the right to choose how and where she is to birth and unless we hold THAT right as the primary focus, all of our work will crumble.

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About supportmidwifekatiemccall

Katie McCall was born at Pomona Valley Hospital in Southern California by scheduled c-section as a frank breech due to the current medical system insistence that breeches should always be delivered that way. Katie's father's family was filled with teachers, her mother's family was filled with healers. It is no surprise then, that she went on to have her own two children and spend her adult life involved in a combination of teaching and healing through midwifery, childbirth education, doula work and serving families in Southern California. Katie attended USC for her general education and then went on to study with the American Academy of Husband Coached Childbirth to become a certified childbirth educator. Shortly thereafter, she certified as a birth doula (labor assistant) with the Association of Labor Assistants and Childbirth Educators. Katie was also mentored through a pregnancy and birth support business called The Birth Connection in Glendale, CA, which Katie later purchased and expanded to include a 1500 square foot education facility, retail store and birthing center. She enrolled in midwifery school and apprenticed with the midwives who ran the birth center as well as with midwives who attended homebirths. She sold her business to pursue her midwifery education full time in 2006 and passed her midwifery (NARM) exam to become a Certified Professional Midwife in 2008. She went on to gain her Midwifery License from the State of CA Medical Board in 2010. Katie has received supplementary education in lactation to become a lactation educator, vaginal birth after cesarean support, support of sexual abuse survivors, aromatherapy and is neonatal and CPR certified. She assisted over 500 couples through childbirth education and attended over 550 births as of 2011. As a Southern California native, she has a wide range of experience, serving mothers from diverse backgrounds. She believes her job is one of empowering women to develop their own trust and connection with their bodies and their babies during their own unique journey into motherhood. If she has learned anything through her experience with birth, it is that every birth is as different as the women who are laboring. On August 17th, 2011 Katharine “Katie” McCall, a licensed midwife, was convicted of practicing medicine with out a license for a 2007 birth she assisted as a student. The charge arose from a home birth where Katie's supervising midwife could not arrive because she was at another birth. Instead of leaving the family to birth unassisted, Katie stayed. She recommended that the family transfer to the hospital and the family refused. They were aware that she was only a student midwife and that she was unable to secure an overseeing mid View all posts by supportmidwifekatiemccall

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