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UMO Statement on Proposed Utah Legislation HB202
17 February 2015
Informed decision making and self-determination are hallmarks of evidence-based healthcare. Maternity provider organizations, including the Midwives Alliance of North America (MANA), the National Association of Certified Professional Midwives (NACPM), the American College of Nurse Midwives (ACNM), the International Confederation of Midwives (ICM) and the American College of Obstetrics and Gynecology (ACOG), recognize “the basic human right of women and families to make informed decisions regarding maternity and newborn care and to accept personal responsibility for these decisions.” (see references)
In Utah, families are fortunate to have a wide variety of providers from which to choose their maternity care. However, this benefit for Utah families can also lead to some confusion about the types of midwives available, their qualifications, training and scope of practice. While HB202 - Midwife Practice Amendments seeks to reduce ambiguity and more clearly define existing sections of the Direct-Entry Midwifery Act, it also introduces additional informed disclosure requirements for direct-entry midwives serving in home and birth center settings. The disclosures required by the bill are essential to decision making by Utah families. The Utah Midwives Organization welcomes this legislation that more fully ensures families have the necessary details to make informed choices during their childbearing year.
B. Maria Cranford, LDEM CPM
Launa Janssen-Campbell, DEM
Danielle Chancellor-Checketts, LDEM CPM
Jessica Stahle, DEM
UMO Executive Board
Midwives Alliance of North America. "MANA Homebirth Position Paper." http://mana.org/sites/default/files/MANAHomebirthPositionPaper.pdf.
Midwives Alliance of North America. "MANA Statement of Values and Ethics." http://mana.org/pdfs/MANAStatementValuesEthicsColor.pdf.
National Association of Certified Professional Midwives. "Essential Documents of the National Association of Certified Professional Midwives." http://nacpm.org/Resources/nacpm-standards.pdf.
American College of Nurse-Midwives. "Code of Ethics." http://www.midwife.org/ACNM/files/ACNMLibraryData/UPLOADFILENAME/000000000048/Code-of-Ethics.pdf.
International Confederation of Midwives. "International Code of Ethics for Midwives." http://www.internationalmidwives.org/assets/uploads/documents/CoreDocuments/CD2008_001%20V2014%20ENG%20International%20Code%20of%20Ethics%20for%20Midwives.pdf.
ACOG Committee on Ethics. "ACOG Committee Opinion No. 439: Informed Consent." Obstetrics & Gynecology 114, no. 2 Pt 1 (Aug 2009): 401-08.
Released January 30, 2014 by the peer-reviewed Journal of Midwifery & Women's Health, a critical study of almost 17,000 cases of midwifery-led pregnancy care confirms that "among low-risk women, planned home births result in low rates of interventions without an increase in adverse outcomes for mothers and babies" (MANA.org, 2014).
For the full press release from MANA, see: New Studies Confirm Safety of Home Birth With Midwives in the U.S.
For a fact sheet summary of the findings see: Citizens for Midwifery
For the landmark study and its companion article, see: Journal of Midwifery & Women's Health
"The United States’ three midwifery organizations—American College of Nurse-Midwives (ACNM), Midwives Alliance of North America (MANA), and National Association of Certified Professional Midwives (NACPM)—have released a historic consensus statement. Supporting Healthy and Normal Physiologic Childbirth: A Consensus Statement by ACNM, MANA, and NACPM gives maternity care providers, policymakers, and women a succinct summary of the evidence for the benefits of normal physiologic childbirth." -- NACPM.org, 2012
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