Pushing for Midwives on Labor Day

Greetings to all dear friends, colleagues, and fellow Pushers!

The Big Push for Midwives Campaign has had an incredibly busy year! Pushing with you for Certified Professional Midwives, the Big Push is bearing down in the statehouses, on the Hill, and in the media. The Big Push campaign hosted its third PushSummit in August, gathering Pushers from all corners of the PushMap in a lovely little spot in Cary, NC to learn from each others’ successes and to develop strategies for the future.

To keep the momentum going nationwide, The Big Push for Midwives needs your help, now more than ever.

It is with great excitement on this Labor Day 2011 that the Big Push campaign announces a new partnership that will benefit birthing families, midwives, and the Big Push campaign itself – a strategic alliance with MyBirthTeam.com, a new website developed to expand women’s birth care options and choices by matching consumers with maternity care providers who meet their needs. The goal of this partnership is to bring choices to families who don’t know that they have options … and put midwives back on the map, and back into the minds of mothers!

Similar to a dating site, MyBirthTeam connects like-minded families with care providers, helping them find the right match. This is a perfect opportunity to not only educate mainstream women about midwifery options, but also to promote your own practice while supporting The Big Push campaign’s ongoing efforts to provide media, messaging, and strategic planning services to advocates working for licensure in every state.


How does MyBirthTeam work?

Midwives, obstetricians, hospitals, birth centers, as well as other specialized providers such as doulas and lactation consultants and childbirth educators, answer a list of questions about the services they provide. Consumers answer the same list of questions about their birth care preferences. Because midwives and OBs are presented on this site in the same category and are answering the same list of questions, women will often find that a midwife may be the best option for them. By presenting medical and alternative models as equal options, MyBirthTeam has developed a new avenue of reaching and education mainstream women.

Providers pay a $4 monthly fee to be listed on the site. MyBirthTeam will donate $1 of each monthly listing fee to the Big Push for Midwives Campaign and $1 to the March of Dimes Prematurity Awareness Campaign.

The new website launches on Labor Day, highlighting the MyBirthTeam featured organization, which as it turns out is The Big Push for Midwives Campaign! The September goal is to get 250 CPMs to sign up with MyBirthTeam in this win-win opportunity, where CPMs can promote their services while so many other Pushers all work to inform the public of the benefits of midwifery care.

**SPECIAL OFFER**SPECIAL OFFER**  Sign Up Today, Get One FREE Month: Join MyBirthTeam during September and get one free month. The Labor Day deal means the $4 monthly billing won’t start until October 1. Join MyBirthTeam today. Keep Pushing.

Sincerely and in gratitude,
The Steering Committee

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Study: Two-Thirds of OB-GYN Clinical Guidelines Have No Basis in Science

PushNews from The Big Push for Midwives Campaign
CONTACT: Katherine Prown, (414) 550-8025, [email protected]

Study: Two-Thirds of OB-GYN Clinical Guidelines Have No Basis in Science

Majority of ACOG Recommendations for Patient Care Found to Be Based on Opinion and Inconsistent Evidence

WASHINGTON, D.C. (August 15, 2011)—A study published this month in Obstetrics & Gynecology, the journal of the American College of Obstetricians and Gynecologists, found that barely one-third of the organization’s clinical guidelines for OB/GYN practice meet the Level A standard of "good and consistent scientific evidence." The authors of the study found instead that the majority of ACOG recommendations for patient care rank at Levels B and C, based on research that relies on "limited or inconsistent evidence" and on "expert opinion," both of which are known to be inadequate predictors of safety or efficacy.

"The fact that so few of the guidelines that govern routine OB/GYN care in this country are supported by solid scientific evidence—and worse, are far more likely to be based on anecdote and opinion—is a sobering reminder that our maternity care system is in urgent need of reform," said Katherine Prown, PhD, Campaign Manager of The Big Push for Midwives. "As the authors of the study remind us, guidelines are only as good as the evidence that supports them."

ACOG Practice Bulletin No. 22 on the management of fetal macrosomia—infants weighing roughly 8 ½ lbs or more at birth—illustrates the possible risks to mothers and babies of relying on unscientific clinical guidelines. The only Level A evidence-based recommendation on the delivery of large-sized babies the Bulletin makes is to caution providers that the methods for detection are imprecise and unreliable. Yet at the same time, the Bulletin makes a Level C opinion-based recommendation that, despite the lack of a reliable diagnosis, women with "suspected" large babies should be offered potentially unnecessary cesarean sections as a precaution, putting mothers at risk of surgical complications and babies at risk of being born too early.

"It’s no wonder that the cesarean rate is going through the roof and women are seeking alternatives to hospital-based OB/GYN care in unprecedented numbers," said Susan M. Jenkins, Legal Counsel of The Big Push for Midwives. "ACOG’s very own recommendations give its members permission to follow opinion-based practice guidelines that have far more to do with avoiding litigation than with adhering to scientific, evidence-based principles about what’s best for mothers and babies."

The Big Push for Midwives Campaign represents tens of thousands of grassroots advocates in the United States who support expanding access to Certified Professional Midwives and out-of-hospital maternity care. The mission of The Big Push for Midwives is to educate state and national policymakers and the general public about the reduced costs and improved outcomes associated with out-of-hospital maternity care and to advocate for expanding access to the services of Certified Professional Midwives, who are specially trained to provide it.

Media inquiries: Katherine Prown (414) 550-8025, [email protected]


(FULL STUDY is available in PDF format on this page)

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