Re: FRI Preeclampsia Solved
From: Jamie (ajfields@pine-net.com)
Sat Feb 4 13:52:57 2006
This would solve the regulation problem, as well.
At Sat, 4 Feb 2006, Anna Meenan, MD wrote:
>
>Joanne, there are a lot of midwives who feel they should not have to
>spend 3 or 4 years becoming a nurse before spending another 3 years
>becoming a midwife, and rightly so, I think. A great deal of nurses
>training in this country (the vast majority, in fact) has no bearing
>whatsoever on what goes on in midwifery. In fact, a great deal of
>nurses training seems to have no bearing on what nurses do either, but
>that's another story altogether. I think we would see fewer
>self-trained or apprenticeship-trained direct-entry midwives if there
>was a legitimate path to midwifery that did not involve going through
>nursing school first, as there is in the UK. Nearly all midwives are
>women, and the vast majority have families, and the extra 3 or 4 years
>of training is a real and unnecessary hardship. Formal schools of
>midwifery offering a certification that is recognized in all 50 states
>is what we need in this country. I know the CNM's (and OB's) may not
>agree, but that's my 2 cents. Fire away.
>
>--
>Anna Meenan, MD
>
>At Fri, 3 Feb 2006, Joanne Bulley, MD wrote:
>>
>>Gail
>>
>>Your definition of Medicine is one possible way to define it.
>>
>>It is also the study and evaluation of NORMAL antaomy and physiology AND
>>the ability to identify when things are not normal.
>>
>>Pregnancy is indeed a "normal" phsyiologic process. However, just like
>>the common cold and cataracts (which are also normal physiologic
>>processes) things can go wrong (that cold we expect the body to take
>>care of on its own can, in the right setting, allow bad bacteria etc to
>>get in and cause a life threatening condition) and the pracitice of
>>medicine is better defined as knowing what is normal - identifying when
>>things are not normal and being able to triage and treat those things
>>that need treatment.
>>
>>Therefore - monitoring and caring for a woman in labor (be it lay
>>midwife / BSci midwife / Certified RN midwife or an MD trained in
>>Obstetrics) requires that one be adequately trained to identify when the
>>physiology is NOT normal and when intervention is needed.
>>
>>In this country, the majority of the lay midwives (not the Bachelor of
>>Science midwife that you have in the UK) have really sketchy training
>>and qualifications. Much of what they do is praciticing medicine (or
>>caring for laboring women) without a license and without adequate
>>training.
>>
>>You probably don't want to hear about the horrendiomas I have seen that
>>lay "midwives" have brought in to the hospitals. Whatever you want to
>>call it - they misled the pregnant woman about their qualifications.
>>Well they didn't know they weren't really qualified ...
>>
>>This not is not about midwives vs MDs - because the CNM here in the US
>>and the Registered Midwife of the UK (Hope I have that right) ARE well
>>trained and get their patients /clients (whatever yuo want to call them)
>>get excellent care from them - and you/they KNOW when to call for help.
>>That is indeed practicing good medicine.
>>
>>Joanne
>>
>>At Fri, 3 Feb 2006, GA12L@aol.com wrote:
>>>
>>>In a message dated 03/02/2006 18:23:40 GMT Standard Time,
>>>ainsron@sbcglobal.net writes:
>>>
>>>It's kind of a fine line. They cannot legally prescribe drugs. They can
>>>"provide drugs" under written protocol with their physician consultant.
>>>
>>>It's the same for us here. UK midwives cannot prescribe drugs but provide
>>>under standing orders.
>>>
>>>Medicine by it's very definition is the science or practice of the
>>>diagnosis, treatment, and prevention of disease to exclude surgery. Pregnancy is not a
>>>disease so how can a midwife be guilty of practising medicine without a
>>>license when we don't? But then I'm here and you're there...
>>>
>>>Gail
>>
>>--
>>Joanne Bulley, MD
>>Keene, NH, USA
>>
--
JFields, RN, BSN
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