Judge reluctantly acquits midwife.

  1. 4 Judge reluctantly acquits midwife
    Calls her behavior 'abhorrent' in Bloomfield baby's death

    http://www.post-gazette.com/pg/09114/965188-455.stm


    ...Mrs. Wilson was a "certified professional midwife," a category that is sanctioned in 26 states, but not Pennsylvania. To legally practice as a midwife in Pennsylvania, one must be a "certified nurse midwife," which requires extensive medical training. CPMs are specifically trained in out-of-hospital births.

    Because they eschew hospital births, Amish and Mennonite communities rely almost exclusively on CPMs or midwives with no certification at all. Several Amish attended past hearings and two midwives were present for yesterday's verdict.

    Katherine Prown, of the Big Push for Midwives Campaign, which is advocating for CPMs to be sanctioned in every state, said that the parties in the case would have been spared a seven-year saga if CPMs had been approved here.

    "When a state like PA has no mechanism for licensing midwives who specialize in out-of-hospital birth and requiring them to undergo the educational and training process required to earn the CPM credential, it's left up to the criminal courts to investigate and discipline midwives, which takes many years and costs hundreds of thousands of taxpayer dollars that could be much better spent administrating a licensure program," Dr. Prown wrote in an e-mail....
    Last edit by NRSKarenRN on Apr 24, '09
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  3. Visit  oramar profile page

    About oramar

    From 'pineapple under the sea'; Joined Nov '98; Posts: 7,097; Likes: 5,229.

    43 Comments so far...

  4. Visit  oramar profile page
    3
    One thing I could never understand about this case was the fact that the parents were never charged. It does not say so here but in other articles it mentioned that the midwife wanted the mother to be moved to hospital when she saw the baby was breach. The parents refused and it more or less left her in over her head with a breach birth. I think she just did her best and it resulted in sever injuries to the infant. I do however think she is guilty of practicing without a license and indeed she was found guilty of that.
  5. Visit  visiting profile page
    3
    the law in pennsylvania requires a registered nurse to be certified in order to practice midwifery.

    in 2008, lay midwife diane goslin was acquitted of practicing midwifery without a license:

    "the pennsylvania commonwealth court ruled 5-2 on friday that a lancaster county, pa.-based midwife was not practicing medicine without a license by assisting at home births, the philadelphia inquirer reports. the ruling lifts a cease-and-desist order from the state board of medicine against midwife diane goslin. state officials initially charged goslin because she is a lay midwife and not a nurse midwife (couloumbis, philadelphia inquirer, 5/24).

    "only people who have nursing degrees can be licensed to practice midwifery in the state, but pennsylvania law does not prohibit the practice of lay midwifery -- usually defined as midwives trained through apprenticeship (daily women's health policy report, 2/7/07). the court did not address whether it is necessary to be certified as a nurse-midwife to practice midwifery in the state, the inquirer reports (philadelphia inquirer, 5/24)."

    http://www.medicalnewstoday.com/articles/109062.php

    http://www.courts.state.pa.us/oppost...07_5-23-08.pdf
  6. Visit  oramar profile page
    0
    Quote from visiting
    the law in pennsylvania requires a registered nurse to be certified in order to practice midwifery.

    in 2008, lay midwife diane goslin was acquitted of practicing midwifery without a license:

    "the pennsylvania commonwealth court ruled 5-2 on friday that a lancaster county, pa.-based midwife was not practicing medicine without a license by assisting at home births, the philadelphia inquirer reports. the ruling lifts a cease-and-desist order from the state board of medicine against midwife diane goslin. state officials initially charged goslin because she is a lay midwife and not a nurse midwife (couloumbis, philadelphia inquirer, 5/24).

    "only people who have nursing degrees can be licensed to practice midwifery in the state, but pennsylvania law does not prohibit the practice of lay midwifery -- usually defined as midwives trained through apprenticeship (daily women's health policy report, 2/7/07). the court did not address whether it is necessary to be certified as a nurse-midwife to practice midwifery in the state, the inquirer reports (philadelphia inquirer, 5/24)."

    http://www.medicalnewstoday.com/articles/109062.php

    http://www.courts.state.pa.us/oppost...07_5-23-08.pdf
    excuse me for being confused. so a nurse midwife is a very strictly regulated profession but then any old person can come along and call themselves a "lay midwife" and not be regulated?
  7. Visit  NRSKarenRN profile page
    0
    Quote from oramar
    Excuse me for being confused. So a nurse midwife is a very strictly regulated profession but then any old person can come along and call themselves a "lay midwife" and not be regulated?
    Yep!....
  8. Visit  tntrn profile page
    0
    Quote from oramar
    Excuse me for being confused. So a nurse midwife is a very strictly regulated profession but then any old person can come along and call themselves a "lay midwife" and not be regulated?
    That's how I read that also. How wrong is that and on how many levels?
  9. Visit  lindarn profile page
    11
    Quote from oramar
    One thing I could never understand about this case was the fact that the parents were never charged. It does not say so here but in other articles it mentioned that the midwife wanted the mother to be moved to hospital when she saw the baby was breach. The parents refused and it more or less left her in over her head with a breach birth. I think she just did her best and it resulted in sever injuries to the infant. I do however think she is guilty of practicing without a license and indeed she was found guilty of that.
    If the mid wife thought that the baby was in danger, and the parents refused to go to a hospital, the midwife could have and should have, called 911 and had the paramedics take her to the hospital. Parents are not the experts here, the midwife was. The baby's safety trumps the parents desire to continue an unsafe home birth. JMHO and my NY $0.02.

    Lindarn, RN, BSN, CCRN
    Spokane, Washington
  10. Visit  Spidey's mom profile page
    0
    Quote from lindarn
    If the mid wife thought that the baby was in danger, and the parents refused to go to a hospital, the midwife could have and should have, called 911 and had the paramedics take her to the hospital. Parents are not the experts here, the midwife was. The baby's safety trumps the parents desire to continue an unsafe home birth. JMHO and my NY $0.02.

    Lindarn, RN, BSN, CCRN
    Spokane, Washington

    That was my thought too - I'd have called 911.


    steph
  11. Visit  libnat profile page
    4
    even if she did, the paramedics also couldn't force her to go to the hospitial and i doubt they could have been anymore successful performing a breach delivery.

    still should have to covered her own behind but that doesn't mean anything would have happened differerently.
  12. Visit  morte profile page
    3
    Quote from libnat
    even if she did, the paramedics also couldn't force her to go to the hospitial and i doubt they could have been anymore successful performing a breach delivery.

    still should have to covered her own behind but that doesn't mean anything would have happened differerently.
    bingo!
    cardiacRN2006, jpRN84, and Spidey's mom like this.
  13. Visit  fromtheseaRN profile page
    2
    i can't believe the parents refused to go to the hospital, it's completely beyond me. secondly, i have been to many of my friends home births, and they have all been wonderful experiences that were overseen by LICENSED midwives. i don't understand why one would pay for a midwife's services when they don't hold a license.
    (ETA i mean a midwife license- in AZ you can be licensed a as midwife without being an RN)
    lindarn and Not_A_Hat_Person like this.
  14. Visit  morte profile page
    1
    Quote from amandamaren
    i can't believe the parents refused to go to the hospital, it's completely beyond me. secondly, i have been to many of my friends home births, and they have all been wonderful experiences that were overseen by LICENSED midwives. i don't understand why one would pay for a midwife's services when they don't hold a license.
    in this jurisdiction, there is no option for a license.....unless you are a nurse, which she is not.
    fromtheseaRN likes this.
  15. Visit  country mom profile page
    2
    I still don't get why people think home births are so great. Reading a story like this would be enough to send me straight to the OB unit.
    lindarn and Not_A_Hat_Person like this.


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