TELL THE AMA THEIR RESOLUTION IS UNACCEPTABLE

Blogged under Take Action! by admin on Saturday 21 June 2008 at 9:36 am

The Citizens for Midwifery blog links to a petition opposing the American Medical Association’s resolution. Here is the text of the petition:(click here to sign)

Whereas, women maintain the basic human rights of privacy, bodily integrity, and the rights to choose their care provider and place of birth;

Whereas, the practice of giving birth in hospitals attended by doctors has coincided with rapidly rising rates of cesarean section, induction, epidural, and surgically assisted vaginal birth;

Whereas, many of the physicians attending births in the hospital setting have contributed to the rise of the use of the aforementioned interventions, and have been unable or unwilling to change their training and practices to reverse these trends;

Whereas, the American Medical Association and the American College of Obstetricians and Gynecologists’ positions against home birth are not based on scientific evidence, but on the financial and professional concerns of the physicians that participate in their organizations;

Whereas, for the past century certain physicians have carried out campaigns to eradicate the practice of home birth to support their own professional gain;

Whereas, home birth with either a Certified Nurse Midwife or a Certified Professional Midwife in attendance is scientifically proven to have outcomes equal to or better than hospital birth with fewer interventions and higher levels of satisfaction;

Resolved, that the undersigned concerned citizens object to any legislation, either at the state or national level, which restricts a woman’s right to choose her place to give birth, including her right to choose to birth at home.

And here is the text of AMA’s “resolution 205″, supporting this statement from ACOG. The AMA has apparently now voted to remove the reference to Ricki Lake which was pounced on with delight by the media.

AMERICAN MEDICAL ASSOCIATION HOUSE OF DELEGATES

Resolution: 205
(A-08)

Introduced by: American College of Obstetricians and Gynecologists

Subject: Home Deliveries

Referred to: Reference Committee B
(Craig W. Anderson, MD, Chair)

Whereas, Twenty-one states currently license midwives to attend home births, all using the certified professional midwife (CPM) credential (CPM or “lay” midwives), not the certified midwives (CM) credential which both the American College of Obstetricians and Gynecologists (ACOG) and American College of Nurse Midwives (ACNM) recognize ; and

Whereas, There has been much attention in the media by celebrities having home deliveries, with recent Today Show headings such as “Ricki Lake takes on baby birthing industry: Actress and former talk show host shares her at-home delivery in new film” ; and

Whereas, An apparently uncomplicated pregnancy or delivery can quickly become very complicated in the setting of maternal hemorrhage, shoulder dystocia, eclampsia or other obstetric emergencies, necessitating the need for rigorous standards, appropriate oversight of obstetric providers, and the availability of emergency care, for the health of both the mother and the baby during a delivery; therefore be it

RESOLVED, That our American Medical Association support the recent American College of Obstetricians and Gynecologists (ACOG) statement that “the safest setting for labor, delivery, and the immediate post-partum period is in the hospital, or a birthing center within a hospital complex, that meets standards jointly outlined by the American Academy of Pediatrics (AAP) and ACOG, or in a freestanding birthing center that meets the standards of the Accreditation Association for Ambulatory Health Care, The Joint Commission, or the American Association of Birth Centers” (New HOD Policy); and be it further

RESOLVED, That our AMA develop model legislation in support of the concept that the safest setting for labor, delivery, and the immediate post-partum period is in the hospital, or a birthing center within a hospital complex, that meets standards jointly outlined by the AAP and ACOG, or in a freestanding birthing center that meets the standards of the Accreditation Association for Ambulatory Health Care, The Joint Commission, or the American Association of Birth Centers.” (Directive to Take Action)

Fiscal Note: Implement accordingly at estimated staff cost of $1,929.

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