malpractice insurance and home births

  1. 0 We are a group of 4 nursing students interested in the politics of home births. We are especially interested in learning about malpractice insurance and how it relates to home births. Please reply with any information or suggestions of where to look. Thank you so much!
  2. Visit  SSUleader profile page

    About SSUleader

    From 'Santa Rosa, CA, USA'; Joined Feb '00; Posts: 20; Likes: 2.

    17 Comments so far...

  3. Visit  monica f profile page
    0
    I have a mother in-law who highly recommends at home births. This is a group of families that home school and home birth all of their children. What I have learned is that the people in this group are "highly religious" or make it appear that way and have multiple children. When I say multiple children I mean on the upwards of 5. One reason of having children in the home is cost. I do not believe in having children at home. I have seen a lot of older women having children at home. This is a little high risk, espically since they are over 40.
    You will find a lot of the time that there are groups of family who do this and they all go to the same church, school, and all of their friends are in this group.

    I hope this helps some.

    Good luck
  4. Visit  Naomi, RN profile page
    0
    Hi ....
    I loved bumping into a fellow student online. This technology interaction btw. nurses may be much more than we think....
    I was looking for web resources on midwifery for another class the other day and found some sites that you might find helpful.

    Try: www.midwife.org/WEB/index.htm
    www.efn.org/~djz/birth/midwifefaq/intro.html
    www.midwiferytoday.com
    www.shef.ac.uk/-nhcon/mid.htm

    The last one I found through a web site found in a regular column in MCN Journal on networking for nurses. It is a fabulous site and I even joined their listserv for perinatal nurses. It is put together by a Nursing Professor at U. Of Buffalo, NY. There are many resourses for midwifery there and lots of international ones too!

    Have fun, I will try to check back on your forum, the topic is interesting and controversial (sp?).

    Naomi, R.N.
  5. Visit  Naomi, RN profile page
    0
    Hi there again, I wish I knew who you were, and I can't believe I found yourforum again. I received this question on my perinatal listserv from a cnm. Seems to directly relate to politics of home birth.
    Seems I can't paste it here. The question is about a rumor that NRP instructors are being told not to certify those who are not delivering babies in hospitals. She is looking for truth or lie in this rumor.
    Send me a private e-mail and I will forward what comes of the list for you! Naomi, RN
  6. Visit  SSUleader profile page
    0
    Originally posted by Naomi, RN:
    Hi there again, I wish I knew who you were, and I can't believe I found yourforum again. I received this question on my perinatal listserv from a cnm. Seems to directly relate to politics of home birth.
    Seems I can't paste it here. The question is about a rumor that NRP instructors are being told not to certify those who are not delivering babies in hospitals. She is looking for truth or lie in this rumor.
    Send me a private e-mail and I will forward what comes of the list for you! Naomi, RN
    Hi Naomi,
    Thanks for posting all of those resources. That really is an interesting rumor. We would love to hear more about it. We have a group e-mail: ssuleader@hotmail.com. Have you found any information regarding malpractice insurance and home births?
    Thanks again.
  7. Visit  Penguinelane profile page
    0
    Quote from SSUleader
    We are a group of 4 nursing students interested in the politics of home births. We are especially interested in learning about malpractice insurance and how it relates to home births. Please reply with any information or suggestions of where to look. Thank you so much!
    mana.org
    cfmidwifery.org
    midwiferytoday.com

    The out of hospital practice with which i have worked did have MedMal, and it was only about $7000/year. The out of hospital midwife is an excellent risk. Dean Insurance may still be offering MedMal.

    I, personally have two children, both born at home, and the families I have attended have not been specifically more or less religious than those I see in the rest of the population. I have attended first up to 6th births, but most are having between their first and third child.

    Neonatal Recus. is offered by many people, and often those in a homebirth situation take the course together as do those working within a particular facility. Do searches for Karen Strange and Nell Tharpe.

    There is not a midwife I know who would agree to attend a client knowing the client was making the decision to birth out of hospital to save money. In fact, most people are insured or can be insured. Homebirth costs around $3000. I payed out of pocket twice. Many of the families I have attended have paid out of pocket in addition to paying for private insurance.

    There, of course, are screening criteria that need to be met as a client. The British Medical Journal just published a large study on the safety of homebirth in America. I was a part of the data collection for this study. It mirrors the other data we have on the safety of homebirth, and that is that when comparing low-risk women in the hospital to low-risk women at home, homebirth is at least as safe as, if not safer than hospital birth. The real differences, however, are seen in morbidity. There were many more episiotomies, 3rd and 4th degree tears, and other factors contributing to morbidity. Many more in the hospital group had cesareans. The US is at over 29%, while the World Health Organization has targeted 10-15% overall as the limit.

    As far as the politics of homebirth, I have been involved in legislation in several states.
    Last edit by Penguinelane on Oct 29, '06
  8. Visit  TinyNurse profile page
    0
    I had my son at home, and I don't think my lay midwife ( in ohio) had malpractice insurance. My family paid out of pocket for me to have a homebirth. I was on medicaid at the time so a hospital birth would have been paid for by taxpayers.

    Also, the rumor about NRP instructors not certifying those don't deliver babies in hospitals is false. I'm an ER nurse, and have never delivered a baby, and I have my NRP cert.
  9. Visit  SmilingBluEyes profile page
    0
    PLEASE NOTE:

    This thread is nearly 6 years old and the Original Posters likely long-gone.
  10. Visit  mednurse profile page
    0
    Are there any home birth nurses out there that carry malpractice insurance, and if so why?
  11. Visit  nursejohio profile page
    0
    I would imagine any person having any part of a birth, be it at home or not, would have to have malpractice insurance and a significant amount of it. Regardless of prenatal screening and the most competent of attendants, sometimes things will still go wrong. One day of watching TV and seeing all the commercials for "birth injury lawyers" will prove that point. It also proves that people simply can't accept that sometimes $hit happens, no matter how qualified and careful the MD/CNM is. We live in lawsuit-happy times.
  12. Visit  bw358 profile page
    0
    I had both of my children at home attended by lay midwives. They were former RN's that had given up their licenses to practice homebirth. I also had an apprentice at each birth. I also had private insurance which would have cost me about $50 for each birth. Instead my last homebirth was $1000 out of pocket (this was 13 years ago). My midwifes spent a considerable more amount of time with me than my physicians did with either of my pregnancies. I saw the physicians for maybe 5 minutes each visit, where the midwives, it was at least an hour. I also had great post partum care with the midwife coming to my house on day 1, 3, 5, 7 and me seeing her at her place at week 2 and week 6. I couldnt have asked for more attentive or professional care for myself or my children.
  13. Visit  Penguinelane profile page
    0
    Many attending births at home do not carry malpractice insurance.

    When the client (patient) makes her own decisions re. care and is responsible for her own health, there is not historically as much of a need. Out of hospital midwives are rarely sued.

    Most of them, however, are not nurses, and follow a direct-entry route other than that followed by the CM.

    The malpractice insurance available costs a miniscule amount in relation to that charged to the OB.

    There has not, in the last 30 years since records have been kept, been a fetal demise as the result of an out of hospital birth. In the event of a hospital transport, the homebirth midwife still carries the statistic.

    Most out of hospital midwives do not take nurses with them to births. Instead, other midwives or apprentice midwives are taken.
  14. Visit  Jolie profile page
    0
    Quote from Penguinelane

    There has not, in the last 30 years since records have been kept, been a fetal demise as the result of an out of hospital birth. In the event of a hospital transport, the homebirth midwife still carries the statistic.
    .
    Please cite the source of this statistic.

    I personally know of a case of a non-nurse midwife in IL who attended the delivery of a stillborn infant who was "stuck" with shoulder dystocia for a prolonged period of time. Help was not summoned until the infant delivered, and could not be resuscitated.

    I am not trying to argue that similar tragedies don't occur in hospitals. They do.

    I am a proponent of informed parental choice in deliveries (home vs hospital vs birthing center).

    But, in order for parents to make an informed choice, they must have access to accurate information. I don't believe this is accurate information.


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