Campaign for Passage of AB1612: Midwives Partnering for Access, Safety, & Savings

California is one of only six states to continue to require physician supervision of nurse midwifery practice (the others are Nebraska, Virginia, Florida, North Carolina and South Carolina). But a movement is underway to get California to join the rest of the country.

The bill AB1612 would remove language in the current law requiring physician supervision for Nurse-Midwives to give care.

"97% of Certified Nurse Midwife (CNM) care in California is provided in hospital settings in close collaboration with physicians. In these settings, nurse-midwives often face arbitrary requirements to demonstrate a supervisory relationship with a physician. This results in limiting the ability of CNMs to provide care in a variety of geographic areas and healthcare facilities, as well as limiting their ability to provide full scope of services in under-served communities {when physicians do not wish to supervise Nurse-Midwives}. Providing supervision to fully qualified CNMs places an outdated and unnecessary burden on physicians. Most facilities require physician co-signatures for admission and discharge, even though the physician may not have been present during care and may not have had a personal encounter with the patient. This results in physicians providing record-keeping documentation when they could be providing direct care to patients" (from https://standbyyourmidwife.wordpress.com/nextsteps/).

What will AB1612 accomplish?

Nurse-midwives will continue to practice in collaboration with physicians, but without the barriers imposed by supervisory language. The BRN will receive support on regulatory issues impacting CNMs via a nurse-midwifery advisory council. Home birth and birth center CNMs will have access to medications and resources necessary for safe care. Clarify the inclusion of the home as a location for CNM services. All newly licensed CNMs will have national AMCB certification, in line with national standards. (from http://www.midwivespass1612.com/ab-1306)

For more info, http://www.midwivespass1612.com

Panorama City Kaiser midwives raise money for fistula foundation

Ayana had been in labor for three days and still the baby refused to come. In her struggle to give him life, she developed a fistula, or hole, between her birth passage and her internal organs. She fortunately survived but her body was broken by childbirth.

Obstetric fistula is a serious problem in the world’s poorest countries, where most mothers give birth without any medical help. In Ethiopia, where Ayana lives, there are at least 100,000 women every year who suffer a similar fate, yet fistulas can be repaired—and lives restored—for relatively little money.

Knowing the profound difference these surgeries can make, three compassionate Nurse-Midwives from the Panorama City Kaiser Permanente—Sandra Wilkinson, Rosemary Occhiygrosso and Virginia Gladwin—decided to raise $5000 for the Fistula Foundation. They tackled their goal with so much heart and gusto that they ended up raising $15000 (that’s 37 surgeries!) helped, in part, by auctioning off a beautiful quilt made by nurse practitioner Ann Allison. They’re now on their way to raising another $30000—that’s 75 more lives changed forever.

Their donations will also be used to train Nurse-Midwives who can help safely deliver babies and prevent future injuries.

“We want women everywhere to live happy, normal lives,” says Sandra. “We’re thrilled to be able to help.”

 

From left: Ginny Gladwin, CNM; Rosemary Occhiogrosso, CNM; Ann Allison, CRNP; Sandra Wilkinson, CNM/RNP

Campaign for the passage of AB1306: Every family deserves a midwife

California is one of only six states to continue to require physician supervision of nurse midwifery practice (the others are Nebraska, Virginia, Florida, North Carolina and South Carolina). But a movement is underway to get California to join the rest of the country.

The bill AB1306 would remove language in the current law requiring physician supervision for Nurse-Midwives to give care.

"97% of Certified Nurse Midwife (CNM) care in California is provided in hospital settings in close collaboration with physicians. In these settings, nurse-midwives often face arbitrary requirements to demonstrate a supervisory relationship with a physician. This results in limiting the ability of CNMs to provide care in a variety of geographic areas and healthcare facilities, as well as limiting their ability to provide full scope of services in under-served communities {when physicians do not wish to supervise Nurse-Midwives}. Providing supervision to fully qualified CNMs places an outdated and unnecessary burden on physicians. Most facilities require physician co-signatures for admission and discharge, even though the physician may not have been present during care and may not have had a personal encounter with the patient. This results in physicians providing record-keeping documentation when they could be providing direct care to patients" (from https://standbyyourmidwife.wordpress.com/nextsteps/).

What will AB1306 accomplish?

Nurse-Midwives will continue to practice in collaboration with physicians, but without the barriers imposed by supervisory language. The Board of Registered Nursing will receive support on regulatory issues impacting CNMs via a nurse-midwifery advisory council. Home birth and birth center CNMs will have access to medications and resources necessary for safe care. The home will be specifically included as a location for the provision of CNM services. All newly licensed CNMs will have national AMCB certification, in line with national standards.

For more info, midwivespass1306.com