American College
of  Community Midwives 

A professional organization for Community Midwives

 Information on
 Midwifery Services

Faith Gibson, LM, CPM   
Palo Alto, California

 Sub-directory to
Important or Popular Files:


California College of Midwives 
 Midwifery Standard of Care

  Newly Posted   
Newly Uncovered Historical Documents for Birth Activists
for working on policy and legislation & midwifery students

Neonatal Resuscitation: Life that Failed ~ by George Malcolm Morley, MB ChB FACOG
scientific paper provides vital information on the value of physiological cord clamping under many diverse circumstances – especially premature babies, distressed neonates and following any Cesarean deliver, but particularly an emergent one performed for fetal distress. This a game-changer in the practical, political, legal and economic arena.

"EFM as a Public Health Screening Program: The Arithmetic of Failure" ~ by Dr David Grimes
Electronic fetal monitoring has failed as a public health screening program. Nevertheless, most of the
four million low-risk women giving birth in the United States each year continue to undergo this screening

MaterntyCare2.0  by Faith Gibson, LM - overview of issues  and recommendations for evidence-based, physiological management of normal childbirth in healthy women

2009 ~ Dutch Study Home birth safety,
outcomes comparable to hospital births for most pregnancies

2009 ~ Upright position during first stage of labor shortens labor time

Report on BMJ study on PHB published in ObGynNews 2005 

Synopsis ~ California LM 2007 Statistics for PHB

Four Contrasting Studies on Safety: (1) unattended, (2) lay midwife-attended,
(3) professional midwife-attended
and (4) obstetrician-attended
-- providing cost-effective maternity care to an essentially healthy population via
maximal results with minimal interventions
  a beneficial ratio of interventions to outcomes for each childbearing woman

Best Evidence  
of PHB Safety, Increased Risks associated with
routine use of Interventionist Obstetrics for healthy women

Best Evidence MUST READ ~ Extensive archive of links to primary sources, citation lists and excerpts documenting the scientific basis for physiological childbirth  as the universal standard of care for healthy women with normal pregnancies and each of the areas of political controversy with interventive and operative obstetrics, including induction, elective C-sections and ACOG's effort to eliminate planned home birth.

Other topics included on the "Best Evidence"  subdirectory are (1) community-based midwifery, and (2) political and historical forces that have inappropriately medicalized normal childbirth in the US and which underlie the push by organized medicine to declare elective Cesarean surgery the new, 21st century standard of care for in a healthy population. This archival subdirectory contains all the important article sprinkled through out the College of Midwives web site, including several on that can be accessed directly via links above and below on this home page

Evidence-Based Maternity care: What Is It and What Can It Do?
The just released PDF publication co-written by Carol Sakala and Maureen Corry from Childbirth Connection, in conjunction with the
Milbank Memorial Fund
and Reforming States Group Oct 2008

Making Normal Birth a Reality -
a Consensus Statement from the Maternity Care Working Party

and endorsed by the UK’s Royal College of Obstetricians and Gynaecologists (RCOG),
the Royal College of Midwives, the National Childbirth Trust, and other organizations.

EXCERPT: Ob-gyn and midwife organizations in the UK are endorsing a new consensus report calling for action to increase rates of ‘normal birth’ where appropriate in order to minimize morbidity and complication rates. "Choice of place of birth including home birth, a midwife-led birth centre and a maternity unit with midwifery and medical facilities.

The definition of normal birth is: “without induction, without the use of instruments, not by caesarean section and without general, spinal or epidural anaesthetic before or during delivery” (see p3 of document for details .)"Procedures used during labour which are known to increase the likelihood of medical interventions should be avoided where possible. For example, continuous electronic fetal monitoring during labour in low-risk women is associated with an increase in emergency caesarean section but no long-term health gain, (5) and use of epidural anaesthetic in labour increases the need for forceps or ventouse. (6) ...... it is important that women’s needs and wishes are respected and they should be able to make informed decisions about their care."

Marginalizing of Nurse Midwifery 
In a hurry? Want to cut to the chase or copy text for a quote?
Click on the
Annotated Excerpts of the Marginalization of Nurse Midwifery

Additional articles relevant to marginalizing or eliminating nurse midwifery care:
 Choice in Planning and Experiencing Childbirth
AMA Journal of Ethics ~ Virtual Mentor.
September 2004, Volume 6, Number 9. Policy Forum 

Birth Environments 1992  
Economics of  hospital obstetrical departments & Med-Mal Insurance as a money maker

Recent Newspaper Stories about Childbirth 

"Must Read"  Excerpts from >> The Myth of the Ideal Cesarean Section Rate 
~ American Journal of Obstetrics & Gynecology 2005, Dr. Ronal M. Cyr, MD 
Excellent midwifery-friendly quotes

Relative Risks in Childbearing ~ maternal-perinatal mortality relative to spontaneous vaginal birth, Cesarean, and VBAC -- stats from UK and Australia

  2007 Maternal Mortality Rises Previous 3 years  -- maternal deaths more frequent after C-section than normal birth ~ Compilation of reports and MM Stats from California, New York and the UK

 Historical List of 74 Studies on Midwifery & Planned home Birth - 1977 to 1995

ACOG Document --> Lay’ Midwives & Home Birth:

Troubling Trends in State Legislation:
■ Home birth bills on the rise.
■ Least qualified direct-entry midwives gaining licensure.
■ The midwives’ advantage.
■ ACOG on the defensive

Nancy Chavez ~ former legislative aide Senator Lucy Killea (author of the LMPA) 
gave excellent and still helpful advice in 1993  on how to lobby successfully legislators
on behalf of mother and midwives

ACEO Policy Statement on OOH Birth

Note: Many California midwives were participants in the Outcome of Planned Home Births study and contributed statistics from our home birth practices.

Outcomes of planned home births with certified professional midwives: 
Large prospective study in North America
~ British Medical Journal   (18 June 2005) 

Essays, Commentaries, Position Statements & Unpublished Manuscripts
by Faith Gibson, LM, CPM

Return to College of Midwives Home Page

Or click here for: 

(1) American College of Community Midwives 

(2) California College of Midwives


Related Web Sites & Subdirectories

Web Site  Table of Contents


Letter to Fistula Foundation - PDF for Walk To Beautiful 
Synopsis of Childbirth Physiology  May 2008

  For Susan   The Goodly Art of Orifice Maintenance ~ 1994

  Power Point Presentation   

    Century Theatre Ad ~ Final Draft 2006