Via @pushformidwives on Twitter, we have this rather interesting news story from Illinois PBS station WTTW.
While The Unnecesarean is not technically a homebirth/midwifery advocacy blog, this clip is notable both for the reporters’ somewhat alarmed tone while discussing CPMs and homebirth, and for an appearance by Dr. Jacques Abramowicz, (also quoted in this related article) the Illinois chair for our old friends ACOG.
ACOG is where the push for access to midwives, right to homebirth, for lowered c-section rates, and for less intervention-heavy births intersect, in that they are the organization most opposed to all of these reforms. This has had the, for them, unfortunate side-effect of broadening their opposition. Women who would never consider homebirth or a midwife find themselves making common cause with women who do advocate for those things, merely so they don’t have to undergo abusive treatment in the hospital or unnecessary surgery. The woman at the beginning of this video, in fact, is having a homebirth as a direct result of a previous hospital experience (though we don’t know if it was a c-section).
Having said all that, I would LOVE a CPM to deconstruct Abramowicz’s assertions that CPMs reach certification without ever having seen a breech birth, among other things. Also that it takes an OB 15 years of training before they’re allowed to deliver a baby—can anyone offer an idea as to where he got that number?
Oh, and in the WTTW comment thread mentioned at the end of the piece you can find, among overwhelming support for CPM licensure, this snarky gem by midwife Linda Simon-Price:
I am one of the nurse midwives filmed in your piece - I am wondering why physicians are always interviewed to discuss the ‘safety’ of midwifery care. Instead, you should have contacted someone from the American College of Nurse Midwives, our governing body, to discuss CPM’s and their role in birth and especially home birth. This never makes sense to me. It’s kind of like asking a plumber to comment on electricians. Both tradesmen, but completely different jobs. You allowed him to talk about the ‘dangers’ but didn’t back that up with statistics, that shows that home birth is a very safe alternative for low risk women. No one ever talks about the bad outcomes that occur in a hospital setting. If women were not so afraid of the experiences they have come to expect in hospitals or faced with a more than 30% c/s rate in this country, or had the opportunity to use a free standing birth center in Illinois, then there would be more options available to women. Just sayin.