"The State Board of Medicine today ordered Diane Goslin, a Pennsylvania midwife who attends the homebirths of the Amish and Plain communities, to "cease and desist from the practice of medicine and midwifery." Additionally, she was fined $11,000." Unless she defies the order, she has been told to stop delivering. Interesting to note, accarding to tv station channel 27 in Harrisburg, she recieved her certification from the North American Registry of Midwives in 1998. So what was she doing all of those other 15 or so years she claims she was practicing? She claims to have 25 years experience. Many CNM's are great. I have worked with a few. Right or wrong, PA does not license these lay midwives, therefore, we can't establish the quality standards for the care they give. I don't see them getting recognized anytime soon in our state. Even though Amish and Mennonite patients are not into litigation, the state does have an interest in protecting them from incompetent practitioners. We regulate hair stylists. This is a much bigger deal.