Licensed Practitioner Issues, 
practical, political & clinical

Practice Information
Professional Midwives 
& Other  Providers of Domiciliary
Birth Service


Generally Accepted Practices 
for Community-Based Midwifery 

  Characteristics Clinical of  Competency. Standards of Care, Guidelines and Technical Bulletins for Professional Practice 


Technical Bulletins

 California CALM Org 

Informed Consent Documents

Politics of Midwifery 
Organized Medicine

Link to Legislative Issues

For California Midwives 
MBC  Regulatory Hearing
SB 1950

Latest Medical Board Issues

Everything I needed to know I learned from my midwife

  British Medical Journal 2002;324:892-895 ( 13 April )
 Has the medicalisation of childbirth gone too far?

 UK -- National Institute for Clinical Excellence
Inherited Clinical Guideline C  May 2001
The Use Of Electronic Fetal Monitoring
The use and interpretation of cardiotocography in intrapartum fetal surveillance
 For a woman who is healthy and has had an otherwise uncomplicated pregnancy, intermittent auscultation should be offered and recommended in labour to monitor fetal wellbeing. Current evidence does not support the use of the admission cardiotocography in low-risk pregnancy and it is therefore not recommended. 
Guide to Continuing Education for Professional Midwives
C.A.M, M.A.N.A, ACNM, Professional Educations Center in Chico, Ca

Organization of Teratology Information Services
Teratology is the study of the effects that drugs, medications, chemicals 
and other exposures may have on the fetus
PDF info sheets to print out for clients.

UCSF "Consent for Patients Planning Home Birth"
Sample of Home-birth Friendly Hospital Backup arrangement 

  Ob.Gyn.News carries articles praising  midwives --
MDs find Midwives Offer High Standard of Care
Midwife present Solutions to Arrested Second Stage Labor 
Midwife's Level of Experience Key plus Rules for Successful Collaboration

Alison Osborn Standards
duties and guidelines of Practice for community-based midwifery
 -- acknowledged by Administrative Law Judge 
in precedent-setting California case

    Aetna US Healthcare Denies Coverage for Home-based Birth Services, 
terminates CNM for providing domiciliary midwifery care
--  ACDM letter to Aetna in response

Definition of and Rational for Collecting Statistics
on the “Maternal Fetal Ejection Reflex”  
information for NARM statistical project to include collection of stats on mothers 
with physiologically fast active stage labor other unpublished, draft-edition material 
on Maternal-Fetal Ejection Reflex
~  Maternal-Fetal Ejection Reflex ~
Designer Genes program a natural  “labor saving devise”, 
the fruit of a physicially and psycologically undisturbed labor in a healthy mother

B. The Science & Safety of Community-based Midwifery
Physiological Foundation of Midwifery Management

Archived Articles / Draft Versions / not updated

Proposed Study for Determening Long-Term FHT Variability   
("reassuring patterns") by Auscultation

Special Circumstances Informed Consent / Informed Declination 
-- VBAC, Macrosomia, Twins

The Goodly Art of Orifice Maintenance 
-- published in MANA Newsletter Dec 1994


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