tag:blogger.com,1999:blog-346749784229772317.post4603269256264974127..comments2022-03-09T03:58:19.101-05:00Comments on Safer Midwifery for Michigan: Where is the Leadership: Part 2MWShttp://www.blogger.com/profile/04125751490256911705noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-346749784229772317.post-22381747437724629712013-02-06T08:45:47.921-05:002013-02-06T08:45:47.921-05:00I'm embarrassed to admit that I once believed ...I'm embarrassed to admit that I once believed in the idea that all birth options had to be preserved and allowed for certified professional midwives to attend. Because of the few women who would opt to birth alone rather than go to the hospital. <br /><br />I thought that CPMs would use these liberal rules cautiously, and only take the extreme cases, and risk out most women who wanted extremely risky homebirths. That this allowance would be reserved for only the rarest cases.<br /><br />But in my training I found that the door is wide open - that CPMs accept these women who are high risk readily and often. That there is rarely a risk factor too high to exclude from OOH care. <br /><br />I thought that CPMs were "professionals" and therefore capable of of professional judgment. I really believed that CPMs - by their own oft-touted philosophy, only attended the births of women who were low-risk.<br /><br />The reality was slowly and gradually revealed to me throughout my training. And the more I studied, and experienced the more I realized how many risks were being taken. <br /><br />There is still a part of me that is saddened that midwives would be regulated by state laws over their own professional guidelines, standards, and evidence-based practices. Because conceptually, a profession of midwifery that is governed by itself is a very appealing and exciting concept. <br /><br />But as you aptly pointed out:<br /><br />" there really aren't any standards for practice..."<br /><br />And therefore, certified professional midwives only have themselves to blame. Anonymousnoreply@blogger.com