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Re: ACOG statementFrom: Shell (birthfirst@msn.com)Sat Nov 18 13:44:52 2006
Physicians are faced with vaginal delivery practicly being illeagle, and ACOG is worried about home birth! How does ACOG justify spending even a minute of their time working against a few thousand non-members when issues such as liability, med insurance dictated care, hostile working environments, crooked peer review, and corporate group practice threaten their own 50,000 members? My real question is; whether the ACOG statement will influence the supportive physicians willingness to provide collaborative support and is there anything that can be done to foster positive relations regardless of ACOG? Kris, Colorado seems to set a strong stage for education standards (NARM/MEAC), regulation (State governed) and protection for facilities and physicians who may consult or receive transport of a midwife patient. I am especially intrigued by Article 37 which basically states that unless a facility or physician commits a "willful or wonton act or omission constituting gross negligence" that they cannot be held liable for any treatment of a person in the care of a registered midwife. Have the above helped to improve midwife/medical community relations? Do you propose greater regulation and educational requirements than what Colorado has in place? Physicians sympathetic to home birth, If a midwife were 'regulated' and had in place a document signed and notarized by the patient and midwife that some how stated: "liability for services provided to a patient in the care of a midwife or who a patient who is intending a home birth shall be limited to willful or wonton acts or omissions that constitute gross and massive negligence...etc... etc..." Would you be more inclined to consult with the midwife and/or more readily accept transfer of the patient? ACOG physicians opposed to midwives and home birth, How does opposing midwives who are licensed or registered and who have met national NARM standards of education fit in with the ACOG: Strategic Plan: Out reach to other providers of women's health care. Advocate for women's reproductive rights Partnership and alliance with women, women's groups and other interested in women's health Promote diverse practice models Code Of Professional Ethics: The respect for the right of individual patients to make their own choices about their health care(autonomy) is fundamental. Respect and cooperate with other health care professionals Relationships with other health care professionals should reflect fairness, honesty and integrity, sharing a mutual respect and concern for the patient. Those interested in a common ground for ALL persons, professions and organizations dedicated to making pregnancy and childbirth safe for ALL women, ..could consider joining the White Ribbon Alliance as an individual member. http://www.whiteribbonalliance.org/index.cfm ACOG, ACNM, NACPM and MANA all participate in their National Working Group. While the scope of collaboration may be limited, it is at least a start. The White Ribbon Alliance has, by the way, challenged the ACOG statement concerning home birth. While we all magange (or not) our personal and professional struggles- the babies keep coming dont they? Regards, Shell Walker AZ LM
>----- Original Message -----
> Gordon Goldman wrote:
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