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Re: 2/06 ACOG Statement on "Lay" MidwiferyFrom: fran wilson (530rose@msn.com)Wed Feb 22 19:08:34 2006
In Washington LM's are Licensed Midwives, not lay midwives. Their training is pretty brutal (2 yrs if they have a bachelors degree, 3 if they don't I think), they pay more for licenses than RN's or CNM's. Lay midwifery is technically illegal in WA, although I only know of one prosecution. LM's can get insurance reimbursement, and have some level of prescriptive authority. They are required to have malpractice insurance as part of their licensure. Lay midwives, OTOH, really have NO regulation since they are not legally recognized. Most are pretty good, some are exceptional, and some are a little scary. There is no legal recognition, so there are no minimum standards (like HS graduation, CPR or NALS, or apprenticeship). But in order to advertise as a midwife and theoretically to accept payment, the have to get the license. The lay midwives I know do the birth for free, but charge tons for rental of the equipment, childbirth classes, doula services, and other unregulated but legal services. Fran Wilson, CNM
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