Re: FRI 2/06 ACOG Statement on 'Lay' Midwifery
From: doctorjoe@aol.com
Thu Feb 23 09:11:12 2006
I can see the story developing:
ACOG OKs CNMs but says N-O to LMs.
LMs doing HB in WA are POd.
OBs working with LMs but not CNMs watch their 6 for fear of the 5th degree by ACOG.
Joe P.
-----Original Message-----
From: Jamie <ajfields@pine-net.com>
To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
Sent: Thu, 23 Feb 2006 08:44:08 -0600
Subject: Re: 2/06 ACOG Statement on 'Lay' Midwifery
LMs do homebirths in WA, right?
At Wed, 22 Feb 2006, fran wilson wrote:
>
>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, CNMKennewick, WA
>
>From: "R. Daniel Braun" <rd.braun@gmail.com>Reply-To: ob-gyn-l@obgyn.netTo:
Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>Subject: Re: 2/06
ACOG Statement on "Lay" MidwiferyDate: Wed, 22 Feb 2006 18:02:33 -0600No
Kidding?
>On 2/22/06, Jane Wines <jane.wines@telus.net> wrote:
>
>You can work as a midwife after one year post high school? Really? Are they
then able to conduct complete care?I thought that even if someone was a 'LM'
they would still have had a good experienced background - even if the training
was in a different mode. This seems an awfully short time to me.
>Jane
>
>-----Original Message-----From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]
On Behalf Of R. Daniel BraunSent: Wednesday, February 22, 2006 11:13 AM To:
Multiple recipients of list OB-GYN-LSubject: Re: 2/06 ACOG Statement on "Lay"
MidwiferyYeah BUT none of those are what are known as Lay Midwives in most
places in the US. Most placces they have to graduate from High School then enter
and complete a 1 year program and work with a Mentor for a short period of
time. Then they are an "LM"
>
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JFields, RN, BSN