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Lori the Midwife's Space, Ancient Paths MidwiferySharing Studies, News, Links, Updates, Birth Stories, Photos and Information. Visit my websites at www.AncientPathsMidwifery.com and www.OaksHouse.com June 30 Making of a Midwife - Mitchell's birth storyToday is my son's 20th birthday and this morning I felt inspired to write something. That something turned into his birth story which I've posted raw and unedited into my blog at http://lorithemidwife.wordpress.com/2009/06/30/mitchells-birth-the-making-of-a-midwife/ I felt the words come and didn't go back and reread it, so it is what it is. Happy Birthday Mitchell and thank you for being a wonderful son!June 28 New Blogsite and Final Entry This will be my final entry on Window's Live. My site was tagged as containing pornographic pictures - that would be pictures of newborn babies, nude from the waste up. Another photo of a baby nursing at the breast was tagged awhile back. Apparently there are sickos at Window's Live who find those pictures offensive. So instead of abiding by their rules, I'm trying out two new blogsites and will be posting there from now on. As the website is being updated this summer, my 'guy' will change the link. In the meantime, please check out the two sites I'm working on. First is http://www.thoughts.com/apmmidwife/blog and http://lorithemidwife.wordpress.com/. Let me know which you like better - and as I work with them I'll figure out which is best suited for my needs. Remember to find your way back to www.oakshouse.com or www.ancientpathsmidwifery.com Lori Welcome baby Sophie Congratulations to first time parents Darshann and Gabe on the birth of their baby girl, Sophie Madeleine. Sophie was born at the Oaks House at 6:26 pm and weighed 7'11". Welcome to the world Sophie! June 24 Welcome Baby Dominick Congratulations to first-time parents of beautiful baby Dominick, born this afternoon in water. He weighed 7'2 ounces and is a real doll. Childbirth Classes starting soon The next Bradley Childbirth class series begins on Sunday, July 19th at 1:00 PM. This class series is an excellent choice for anyone interested in learning about their birthing options and wanting to make informed choices. You'll learn many techniques to work WITH your body to reduce pain and make for an easier birth. For more information, contact Nicole Green at (714) 609-8106 or by e-mail at NRgreen@gmail.com doctor/midwife homebirth conflictOSU Study Reveals Conflict between Doctors, Midwives over Homebirth Webster Certified ChiropractorsConsider Chiropractic Care for Safer, Easier Births. These doctors offer special care for pregnant June 18 Statistics: as of today, June 18th, 2009 Recently I was interviewed for a magazine article in En Part. In doing some follow-up I had to spend some time this morning adding up births for statistics for the article. What I found surprised me so I thought I'd share: Birth Statistics: I have attended ~ 691 births I've ever attended (includes childbirth class students, doula clients, apprenticeship & externship births, working with other midwives and my own practice) ~ 390 water births (391 if I can count my own!) ~ 70 babies born since I opened the Oaks House I am blessed beyond belief!! June 16 Welcome ElianaCongratulations to first-time parents Alice and Erwin on the birth of their beautiful daughter Eliana. Elly was born in the wee hours of the morning at the birth center and weighed 6'15".   June 14 Welcome Norah Ray Congratulations to first time parents Amanda and Paul on the birth of their beautiful baby girl; Norah Ray. Norah was born in water at the birth center and was welcomed by her auntie and grandma as well as her mommy and daddy. She weighed 8'5" and is gorgeous!!       June 13 AMA doesn't like it when you question your healthcare!Apparently, the link to the AMA website to see this resolution has been disabled (does that surprise anybody???) I did a bit of surfing and was able to find the actual resolution posted on another website. So here it is..... AMERICAN MEDICAL ASSOCIATION HOUSE OF DELEGATES Resolution: 710 (A-09) Introduced by: Michigan Delegation Subject: Identifying Abusive, Hostile or Non-Compliant Patients Referred to: Reference Committee G (J. Leonard Lichtenfeld, MD, Chair) Whereas, Many patients are becoming more abusive and hostile toward physicians for many reasons not limited to the economy, increasing co-pays and deductibles, unreasonable expectations and demands, a lack of instantaneous cure, arrogance and/or the belief that they "own" their physicians; and Whereas, There are decreasing numbers of physicians both in primary care and specialties especially in terms of access; and Whereas, Increasing noncompliance with treatment can reflect negatively on physicians during black box audits by insurance companies and oversight governmental agencies; and Whereas, Abusive, hostile, and noncompliant patients result in increasing office resources adding to office overhead and added stress on all of the office personnel, which can lead to potential ill health; and Whereas, The stress of dealing with ungrateful patients is adding to the stress of physicians leading to decreased physician satisfaction; and Whereas, Any complaint to any oversight investigative regulatory body leads to uncompensated expenditure of time, resources, and monies to defend physicians or the "guilty until proven innocent" principal; and Whereas, Physicians need to own the data to simplify patient collection and identification to defend themselves as well as alert outside investigating agencies to the potential nature of the patient's records; therefore be it RESOLVED: That our American Medical Association ask its CPT Editorial Panel to investigate for data collection and report back at Annual 2010 meeting: 1) developing a modifier for the E&M codes to identify non-compliant patients and/or 2) develop an add-on code to E&M codes to identify non-compliant patients. (Directive to Take Action) Fiscal Note: Staff cost estimated at less than $500 to implement. Received: 05/06/09 Are you compliant?AMA Resolution Would Seek to Label “Ungrateful” Patients
Redondo Beach, CA, June 11, 2009 - At the American Medical Association’s (AMA) Annual Meeting next week, delegates will vote on a resolution which proposes to develop CPT (billing) codes to identify and label “non-compliant” patients (1) The resolution complains: “The stress of dealing with ungrateful patients is adding to the stress of physicians leading to decreased physician satisfaction.” “This resolution is alarming in its arrogance and its failure to recognize, or even pay lip service to, patient autonomy,” said Desirre Andrews, the newly elected president of the International Cesarean Awareness Network (ICAN). If approved, the resolution could hold implications for women receiving maternity care. For pregnant women seeking quality care and good outcomes, “non-compliance” is often their only alternative to accepting sub-standard care. Physicians routinely order interventions like induction, episiotomy, or cesarean section unnecessarily. Liz Dutzy, a mother from Olathe, Kansas, delivered her first two babies by cesarean and was told by her obstetrician that she needed another surgical delivery. “My doctor told me that I needed to have a cesarean delivery at 39 weeks, or my uterus would rupture and my baby would die.” She sought out another care provider and had a healthy and safe intervention- free {home} birth at 41 weeks and 3 days gestation. A recent report by Childbirth Connection and The Milbank Memorial Fund, called “Evidence-Based Maternity Care: What It Is and What It Can Achieve ,” (2) shows that the state of maternity care in the U.S. is worrisome, driven largely by a failure of care providers to heed evidence-based care practices. For most women in the U.S., care practices that have been proven to make childbirth easier and safer are underused, and interventions that may increase risks to mothers and babies are routinely overused. The authors of the report point to the “perinatal paradox” of doing more, but accomplishing less. The resolution proposed by the Michigan delegation of the AMA could threaten patient care and patient autonomy for several reasons: • Billing codes that would categorize any disagreement and exercise of autonomy on the part of the patient as “non-compliance” “abuse” or “hostility” could create a pathway for insurance companies to deny coverage to patients • Use of these labels fails to recognize patients as competent partners with physicians in their own care • Tagging patients as “non-compliant” fails to recognize that there is not a “one size fits all” approach to care, that different opinions among physicians abound, and that patients are entitled to these very same differences of opinion • Labeling patients as “non-compliant” may, in fact, be punitive, jeopardizing a patient’s ability to seek out other care providers The resolution also fails to address how it would implicate patients navigating controversial issues in medical care, like vaginal birth after cesarean (VBAC). While a substantive body of medical research demonstrates that VBAC is reasonably safe, if not safer, than repeat cesareans, most physicians and hospitals refuse to support VBAC. (3) The language in the resolution suggests that patients who assert their right to opt for VBAC could be tagged as non-compliant, even though their choice would be consistent with the medical research. “The reality is that the balance of power in the physician-patient relationship is decidedly tipped towards physicians. The least patients should have is the right to disagree with their doctors and not be labeled a ‘naughty’ patient,” said Andrews. June 11 Introduction to Midwifery & ApprenticeshipInterested in pursuing midwifery as a career? Contemplating an apprenticeship? Want to find out what the life of a midwife entails or how to become a midwife? An Introduction to Midwifery & Apprenticeship class is scheduled for July 18 from 8:00 am to 3pm Introduction to Midwifery 8 am to 11:45 am During the morning we'll discuss the different types of midwifery, what the life of being a midwife is really like, what is expected of an assistant or apprentice as well as the midwifery model of care. We'll discuss schooling, training and the apprentice application process as well as State licensure. Topics include: · What is a Midwife? · Types of Midwives · Roles of the Midwife · Midwives Model of Care · Midwives Scope of Practice · Are You Called to be a midwife? · Would a career in Midwifery suit you? · How Do I Become A Midwife? Schooling, Training, Apprenticeship · Recommended Resources for Midwifery Students APM Apprenticeship 11:45 to 12:30 After lunch Lori will cover the Ancient Paths Midwifery Student Midwifery Program and Intro to Midwifery Class. We’ll go over the APM Apprentice Guideline book and Application process. If you’re not ready to pursue this yet you can leave at lunch time. **Both portions are required for anyone wanting to join an Intro to Midwifery class or APM apprenticeship! Cost of this class is $20.00 which covers materials and morning snacks. Everyone is asked to bring something to share for the potluck lunch. You MUST preregister for this class by contacting Lori at (909) 464-0974 or e-mail at ancientpathsmidwifery@msn.com and sending your deposit to 13770 Oaks Ave, Chino, CA 91710 or calling and paying with debit or credit card to (909) 464-0974. NOTE: If you are pursuing apprenticeship I strongly recommend that you consider attending the Neonatal Resuscitation class on June 30th with Karen Strange. www.newbornbreath.com. It is a requirement for anyone attending births with me! "The ENCOURAGING Red Tent" Event A beautiful red tent on lush green grass, a warm summer night under a full August moon, lovely women -
what could be a better setting for this night of encouragement and
birth story telling? One thing I hear from clients is that they are bombarded with birth horror stories yet others don't want to hear about their choices for natural, normal births or their good birth stories. Not tonight!! Pregnant women, new mamas and nursing babes in arms are ALL invited to come share a night of story sharing, encouragement, tears and laughter as we share our birth dreams and positive birth stories. Bring some comfy pillows to lounge on and a healthy snack to share. We'll have lovely herbal teas and dessert. 7 pm to whenever.......... You are welcome to bring a pregnant friend or mama wanting to share her encouraging birth story. Please let us know if you plan to attend. We are limiting this event to 15 women so pleases register soon. If response is great we will schedule additional Red Tents!  ~ an example pictureThe Midwives and Mothers in Action (M.A.M.A.) Campaign is launched!The Midwives and Mothers in Action (M.A.M.A.) Campaign is launched! The goal of the M.A.M.A. Campaign is to increase women's access to midwives and to quality, affordable maternity care by securing federal recognition of Certified Professional Midwives (CPM). We have hired a federal lobbyist, a campaign manager will be hired by next week, and the M.A.M.A. Campaign website is almost complete.  This campaign is a partnership of the National Association of Certified Professional Midwives (NACPM), Midwives Alliance of North America (MANA), North American Registry of Midwives (NARM), Midwifery Education Accreditation Council (MEAC), Citizens for Midwifery (CfM), and International Center for Traditional Childbearing (ICTC). This historic partnership is now at work to get federal recognition of Certified Professional Midwives so that women and families will have increased access to quality, affordable maternity care in the settings of their choice. We look forward to working with everyone who supports this work and in concert with other national initiatives to achieve our common goals. Our federal lobbyist, a specialist in health policy, will move our agenda in Washington, D.C. Billy Wynne is a former Senate staffer, an expert in Medicaid and health care reform, with a diverse portfolio of connections. He is excited to be promoting the values and important services provided by Certified Professional Midwives and is implementing a strategy with the M.A.M.A. Campaign Steering Committee, based on our priorities, for achieving success in this Congress. A campaign manager will be hired by next week to work with the network of volunteers already lining up to support the M.A.M.A. Campaign. A campaign website is nearing completion; watch for the website launch announcement at the end of this week! Your support will be essential to the success of the campaign. Watch for weekly updates and action alerts about how you can become involved! We look forward to working with you in this effort! The M.A.M.A. Campaign Steering Committee Thanks for visiting!
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