AMA feels homebirth should be illegal

topic posted Thu, June 19, 2008 - 9:35 PM by  Fire Dakini
The AMA this week put out a resolution toward creating legislation that would make homebirth illegal and any woman who has a homebirth punishable by arrest. They are equating it to child abuse. They have taken particular offense to Ricki Lakes Business of Being Born movie

cfmidwifery.blogspot.com/2008/...o.html

Ricki, Abby's and Jennifer Blocks response
www.huffingtonpost.com/ricki-...45.html

Another article
www.freerepublic.com/focus/f...35/posts
posted by:
Fire Dakini
Portland
  • Re: AMA feels homebirth should be illegal

    Sun, June 22, 2008 - 7:52 PM
    unenforceable, thus stupid idea. though picking on midwives who attend how births, sadly, isn't unenforcabl at all 9though eqally stupid.)

    how are they going to criminalize the women who PLANNED to go to a birthing center or hospital and kind of had their babies on the kitchen floor or in the tub instead? (it happens.) and how are they going to prove intent if i;sonly a crime if you MEANT to have that baby at home, as opposed to just not getting out in time.

    and are the babies born in cars en route also going to be criminalized? used to be police HELPED people who pulled over because they were about to deliver..now are they going to pull out the handcuffs? or arrest the woman who gives birth on the public transit,along with the bus driver who aids and abets by pulling over and giving her a ride?

    *sigh* less than one percent of births these days in the US are at home, how much money does the AMA think its members are actually losing? or maybe they should train and support doctors to do to home birth housecalls like they used to do? well into the 1970, there were MDs who would attend home births...read the original Immacualte Deception by Suzanne Arms for some profiles.

    when home birth is outlawed, onlyoutlaws will birth athome..ah but we will!
    • Re: AMA feels homebirth should be illegal

      Sun, June 22, 2008 - 7:58 PM
      I just followed the links to the press release from the ACOG (not AMA.) they are militating against home birth as usual but nothing about it becoming "illegal" which as I say is unenforceable.


      my daughter is almost 14, very proud of being born at home, very ehalthy and birght, and would laugh rudely if anyone suggested that I am a "child abuser" because of it.
    • Re: AMA feels homebirth should be illegal

      Sun, June 22, 2008 - 7:59 PM
      **when home birth is outlawed, only out laws will birth at home..ah but we will! **

      Amen to that!!!
      I was born at my grandmother's house, and plan on having my second and upcoming baby at home...
      and I'd like to see a policeman who has the guts to arrest a laboring mama...
      that's like pissing off a mama bear... you had better run and run fast!
  • Re: AMA feels homebirth should be illegal

    Sun, June 22, 2008 - 11:18 PM
    In the movie, "The Business of Being Born", I found the woman who was in labor with a premature birth to be quite irresponsible. She even quotes in the movie saying, "I don't even have diapers!" I believe her baby was breach? Did she know her baby was breach? Why was she laboring at home? Foolish and selfish in my opinion.

    I had a home birth that went quite well, except for my daughter's short cord which we discovered later after the placenta was delivered, was causing he to have decels down to the scary 70's when it came time to push. I was a scary time for me and this was something that my OB could detect during y pregnancy. When my midwives monitored my daughters heart beat, they knew it was time to get her out ASAP. I stood up and my fiancee held me in the air, which I pushed with everything I had. My midwives then, had to cut me when my daughter wasn't coming. After my midwives performed an episiotomy, my daughter slid out with my grunt, forceful pushes. Although, my home birth went perfect up to that point, it was a scary time for me right before my daughter was born. My midwives were amazing and acted fast and we got my daughter out in less than 18 minutes. She was beautiful and an apgar score of 7 at 1 minute, 9 at 5 minutes. She eas perfectly fine and amazing. I can't image having the same problem with a midwive who wasn't qualified or what if I chose a non-assitted hgome birth and something went wrong?

    Women need to be smart about their births and not foolish and give into the romantic idea of a perfect home birth. I hope the movie gave women educated, wise choices. There is nothing wrong with a home birth. If there are complication during pregnancy, women should consider a hospital birth. I had a perfect, healthy pregnancy with no complications, but I did not know about the small unexpected event when it was time to deliver my beautiful baby.

    • Re: AMA feels homebirth should be illegal

      Sun, June 22, 2008 - 11:57 PM
      The woman in "Business of Being Born" who was in labor prematurely did not expect to necessarily be delivering at home, she was only about 34 weeks if i remember correctly. She had her midwife come to her home to check her when she began having contractions. I see nothing irresponsible about that. The woman, Abby stayed in bed and once she knew she was dilating she followed the Midwives advice that they should go in to the hospital to Dr. Maurice. As early as she was it is not uncommon for a baby to still be in the breech position. To be honest birthing a premature baby breech is not necessarily the problem as head entrapment once fully dilated of a preemie is unlikely to occur, it is the need for care of the preemie that is more the issue. Full term breech babies can be born naturally, it is just our medical community that has not only forgotten how to do this but prefers not to out of fear.

      I agree that if there are complications in a pregnancy that seeking a physicians care and following a safe course of birth is important. I also know that most midwives are trained to know when such complications arise and will refer clients to seek out further medical care. One of the safest thing for women would be if Dr's would agree to work in concerted effort with Midwives. Serve as back up when needed or as a referring Dr. when needed. This practice works both in the UK and the Netherlands

      I feel most woman who plan homebirths are being very wise and proactive in their birth choices. They are not just trusting someone to save them or "deliver them" they are not usually centered in fear based thinking. As a matter of fact many of them accept that life cannot always be predicted. I know it is not something anyone wants to think about, but babies sometimes die. They die at hospitals just as they die at homes. Is a babies death truly any worse than a 5year old, or an 11 year old, or a 50 year old. Hospitals and Dr''s are not perfect and while many consider them the safest place, many also who develop serious infections from exposures in hospitals see them as the most dangerous place for a healthy mom and newborn baby.

      The BOBB movie was never made to say only homebirth, it was made to show people what birthing options are available. It is honest about what a hospital births options can and most likely will entail.

      Thank you Ann for asking these questions, I think many people wonder and feel the same way, as no one wants to see people doing unsafe things with birthing, the biggest problem is many people do not know or look into the real facts.

      Tia
      Birth Doula and AAMI Student Midwife
      www.inner-serenity.org
      • Re: AMA feels homebirth should be illegal

        Mon, June 23, 2008 - 12:54 PM
        Thank you for clarifying that.

        I have to mention that my midwives had GPS systems and not Thomas Guides, as pictured in the movie!
        • Re: AMA feels homebirth should be illegal

          Mon, June 23, 2008 - 12:59 PM
          I would have had my birth in a hospital type birthing center which incorporated my doctor and my midwives, working together in harmony, but this was not going to happen. When I came down with a kidney infection at about 30 weeks, I was admitted to L&D for 2 nights and I saw and heard everything I needed to. I rejected the idea that these people actually cared for the natural process of birth. i would only use the hospital as a backup.
    • Re: AMA feels homebirth should be illegal

      Wed, June 25, 2008 - 12:59 AM
      'n the movie, "The Business of Being Born", I found the woman who was in labor with a premature birth to be quite irresponsible. She even quotes in the movie saying, "I don't even have diapers!" I believe her baby was breach? Did she know her baby was breach? Why was she laboring at home? Foolish and selfish in my opinion. ''

      i understand your feelings and empathize with your experiences with needing interventions at home, and share g disorders from immature lungs then. well, hel;s here at age 51 to tell the tale.
      them privately to some extent, but I have also learned that people will make choices that I find tooriskyinmnay aspects oflife, and it;snot really my place to label them for doing so.
      "roblems,some would hold ou longer than I I know a woman who is Mormon,has some serious health problems, two previous cesareans, and who chose to have two babies unassisted at home with her husband. it was empowering and life-affirming for her, and both her children were fine..would I have made that choice? probably not. a few years later, her health had deteriorated further, not due to anything having to do with the birthings, and she had one more baby in a hospital, pretty much without regrets.

      I know people who say,"I was treated so badly at the hospital that even if I was going to die,I 'd rather stay home and die than be treted like that." strong words,but they are spoken from the heart and thus deserve respect.

      in my grandma's day (probably great-grandmas for most of you;I'm a little older) many premature babies born at home survived if they were kept warm...sometimes a shoebox placed in the warming compartment of a wood cookstove made a good incubator. I have a friend who was born prematurely just after WWII...and not expected to survive,since a lot of babies were losroblems from immaturt to breathing pe lungs up until the last 20years or so.
      as for not having diapers..preemies are so little. most diapers won't fit! you can use a hankerchief or even wipe them with cotton balls for a while if you are doing kangaroo care to keep them warm, and caring for them at home.

      also,if I knew my baby was breech, I;d probably look for a homebirth midwife skilled in vaginal delivery of breeches, most OBs are no longer taught how to manage a breech birth except by cesarean, which says more about liability and obstetric trends than it does about breech delivery. I do know of women who have had unassisted breeches without problems at home. and it's probably less risky to attempt to deliver a small breech baby a little befor eterm than a large one..less chances of getting stuck. though cord prolapse isalways something to guard against 9and probably a good reason to transport to hospital.)

      I just know I don;t want to ehar about how I am
      irresponsible"for choosing a home birth,declining routine tests such as amniocentesis,eating a well researched vegetarian diet thrughout pregnancy and the rest of my life for the past 35 years, sharing the bed with my baby,extended breastfeeding,avoiding antibiotics exceptin true and rare emergencies, , ,etc...so I will do my best to not label others for choosing either MORE or LESS intervention than I would choose.

      some women feel that without interference and intervention,they have known just how to move to resolve mild to moderate problems.some have had regrets. I would be remiss not to mention that I know of women who have lost babies in unassisted or poorly assisted homebirths.I also know mothers or babies who died or were seriouslyinjured after hospital interventions. some ways...we gets or tickets and takes our chances.

      just my own hard-won opinion once again. most mothers love their babies and are not being :selfish"even when they make choices that we would not make. Christian Scientists often feel they need to point out that they love their children just like any parents and believe that their prayers protect them and their families just as medical methods protect others...and I feel strongly they have a right to make those choices based on religion or individual conscience. as do we.
      • Re: AMA feels homebirth should be illegal

        Thu, July 3, 2008 - 3:37 AM
        The sad part of this whole issue is that it pushes midwifery further 'underground' when it is not honoured.

        We've heard about how it used to be in many places, and still is for many women all over the world, when abortions were not legal. Making something illegal does not mean it will not happen. It means it will happen unsafely. Many women have died from poorly managed, botched abortions, simply because it is too shameful to come forth and admit that you did something as shameful as making love.

        So too the homebirth movement might become, if we do not keep fighting for what is our BIRTHRIGHT. They are trying to control our fertility, once again, by controlling our births and perhaps our future fertility through complications that may arise, limiting or preventing further pregnancies. Complications at home births that can be easily managed with a little help from the medical establishment will be left unassisted and therefore place MORE women and babies at risk if we do not learn to collaborate and cooperate as grown-ups and professionals who are ultimately seeking the same goal - to deliver the best possible care to women and babies. Clearly, this is not the main objective of the AMA. They want control. And they want money. At any price.

        Women choose to have unlicensed birth attendants because they feel these are the only people who will give them the type of care they truly want - they are not bound by protocols, rules, professional standards, and laws. They are acting out of their hearts and it is too difficult for the mainstream mentality to understand that despite some of the 'risks', the importance of a low-intervention home birth is considered paramount to the health of a baby. Parents who choose this kind of care have a tendency to accept their choices, own them, take full responsibility and therefore not pretend that someone else is making those choices for them. I've seen many couples walk into a hospital and surrender all of their autonomy to the doctors and nurses, assuming that they know 'best' and they will only act in the best interest of the baby. When you surrender your autonomy like that, and something happens to you or your baby, aren't you more inclined to take legal action against the person you gave all the power to? Because when you think back on it, you would have acted differently. You were just too drugged at the time to know ... or manipulated with fear... or in the throes of active labour with no doula support... or something.

        There is a famous birth attendant in Canada who won a case in the Supreme Court, under the principal that women ultimately have choices - to abort or carry a child, to birth it at home or in a hospital, and with whoever they choose as their attendants. We are obviously still living in the 'witch hunt' against midwives, but... they are trying to stop us because they are scared. They are scared because they know we are right.

        Never give up the power that we have. Help each other learn, nurture it, spread the knowledge, own the knowledge. We have no other choice.
        • Re: AMA feels homebirth should be illegal

          Thu, July 3, 2008 - 11:38 AM
          my biggest question is, when homebirthing becomes illegal, when midwives are jailed for attending at home, when birthing mothers are party to a felony, how will we obtain birth certificates for our children? this is a practical question because, should any of this come to pass, i will not be birthing in a hospital or birth center attached to a hospital, i will be doing so at home, with an illegal midwife or nobody, if that's what it comes to. i've been reading different books for my studies & i keep seeing professionals predicting that in 20 years, "all" women will be delivered by cesarean. well, i know for a fact not ALL women will subject themselves to unnecessarean. there will still be a small percentage of us devoted to preserving our ancient birthing traditions & not bending to the whims of big corporations.
          • Re: AMA feels homebirth should be illegal

            Thu, July 3, 2008 - 12:24 PM
            it is true that if this were to go so far to the extremes of illegality then it would not be so easy to fit into the system afterwards

            I know many people right now who choose to not file a birth certificate on their children, feeling it is not the governments business. We would definitely see many people living more outside the "norm"s than we do to this day.

            I truly hope people will stand for their rights to choose their own births, but when I still see that breastfeeding in public is not only discouraged but not allowed in some areas. I truly wonder if the majority of people will even care about birth rites.

            Tia
          • Re: AMA feels homebirth should be illegal

            Thu, July 3, 2008 - 6:00 PM
            i think there will be many "oops i didn't make it to the hospital...the baby came too fast" cases.... they really can't fault you for that! what do they do for birth certs in the states that home birth is illegal in now?

            en.wikipedia.org/wiki/Home_birth
            "No state prosecutes mothers for giving birth outside of a hospital. However, midwives who assist at such births may be prosecuted in some areas."

            i feel so grateful that i had my little man at home...in the water.
            • Re: AMA feels homebirth should be illegal

              Sat, July 5, 2008 - 7:36 AM
              Ilooked throughthe links Icould find and wondered if anyone can show me just where theAMA says "homebirth should be illegal." !please?and if it does so so,what kind of changes, and against whom?

              my guess is it;s still midwives and health workers who are the focus...there just isn't money and the infrastructure to prosecute mothers who choose to birth at home on criminal charges. let's get real here.

              I really don't think they are going to make it so that families birthing at home are tried for felonies...please don't be panicky and paranoid. it doesn't help defend against real threats toour freedom- there have been medical quality assurance busts against midwives,and sometimes parents who birth at home,are hassled legally, if they are brought into contact with the emergency medical system. Child Protective Services are jive-ass hasslers, and individual workers have way too much autonomous discretion (or lack of discretion.) there are undoubtedly some jerk CPS workers who agree with the MDs who say that "home birth is child abuse" but they still aren't going to show up at your door unless some other jerk complains.(like I say,watch out for calling 911. I've had EMT training and experience and there are some great people working as EMTs and paramedics; there are also some reactionary creeps. and hospital social workers can also be grteat or really horrible,especially if they have a profile of a "drug abuser" and they decide you fit it! be advised also that testing positive for marijuana sets off bells, and not the harmonious kind, in many hospitals, and THC metabolites are persistent.)


              incidentally, it;s probably another thread, but howmanypeople here know at least three women who WERE surprised by where they had their babies (e.g.kitchen floor,car en route tohospital,etc?) it's totally common.

              if i thought there really was going to be a law against women birthing at home,I;d look into religious exemption...the First Amendment still says that no law can restrict the free practice of religion, and I can make a strong case for the influence that Spiritual Midwifery and other spiritually-oriented texts and teachers have had on me in terms of the practice of returning the sacrament of birth to the home and family.

              it;d make a great trial,anyway (think of the witnesses we could call!) - but ihonestly thinkit;s not going to happen legally.

              PS Wikipedia is not a great source for anything like legal information...it's unedited.



              a time of budget cuts to government left and right, no one is going to be reviewing birth certificates at the county courthouse so that they can bring criminal charges against parents who had their babies at home. ;

              not getting a birth certificate for your child is a really, really bad idea. you and your child might want or need a passport some day,or to establish that he or she is in fact your child if you are ever separated for any reason, or you might need the school system, or medical help,or a drivers' license,or to get a job or to go to college. no ID makes these things AY difficult.

              it took me a couplemonths to get a birth cert formy baby, who was born at home (I needed legal and practical advice about the paternity aspects of the info provided, to make the story short) so it;snotlike it has to be done right away... it;s all well and good to plan to live "outside the system"(I'm an old hippie myself whotends to involve the law inmy life as littleas ossible)


              for the record in California, practicing medicine without a license is a felony;practicing midwifery withouta license is a midsemeanor
              • Re: AMA feels homebirth should be illegal

                Sat, July 5, 2008 - 1:18 PM
                this is a link to an entry in one of my favorite blogs to read. she highlights the portion of the AMA statement where they use the words "legislation in support of hospital or birth center births" which MEANS "we intend to make it law that you must give birth in either a hospital or hospital-adjacent birth center" which MEANS "we intend to pass legislation making all other birthing places ILLEGAL".

                nowombpods.blogspot.com/2008/0...ma.html

                they may not be able to catch & prosecute everyone, but they're damn sure gonna make a pretty severe example out of a few people.

                and no, i don't know anyone who was surprised by their birthing place, unless you count the "i totally did not expect to end up on the operating table".
                • Re: AMA feels homebirth should be illegal

                  Mon, July 7, 2008 - 7:16 AM
                  two quickies:
                  "my biggest question is, when homebirthing becomes illegal, when midwives are jailed for attending at home, when birthing mothers are party to a felony, how will we obtain birth certificates for our children?"

                  my sister did just that in Ohio, where homebirth midwives were illegal (15 yrs ago). You simply tell them "the baby came too fast".

                  number two: The AMA sucks at getting legislation passed. I know, i know- counterintuitive, but they do. As a student, i'm constantly getting badgered, begged and cajoled to contact my legislator about medicare pay cuts by them. Unlike the PHARMA industry, they don't have cadre of professional lobbyists and billions of dollars pumping into the system every year.
                  • This is the maximum depth. Additional responses will not be threaded.

                    Re: AMA feels homebirth should be illegal

                    Wed, July 9, 2008 - 3:08 PM
                    just what i was trying to say...mothers who birth at hme are unlikely to be "party to a felony." we worry too much...do what's right and quit being paranoid is my advice...
                    • Re: AMA feels homebirth should be illegal

                      Fri, July 11, 2008 - 2:45 PM
                      I don't think we do worry to much to be honest with you. I think most people say thats not right and then shuffle it away not to worry at all. I do think we should be aware and fight for our reproductive rights. True, they may not legislatively make it so mothers are arrested, but what if they make legislation making Lay midiwifery illegal, or Homebirths where the midwife is arrested. Even if it does not take effect just having the AMA and COG join forces on this stand is not a good thing. Insurance companies which are just barely beginning to budge on covering Midwives and home care will usually follow with the AMA as that is the main place they get revenue and support.

                      This recent article does make me feel scared.. As the article points out, why not just put out Public safety announcements, why push for legislature?

                      abcnews.go.com/Health/story

                      Tia
                      • Re: AMA feels homebirth should be illegal

                        Sat, July 12, 2008 - 11:22 AM
                        to quote Josh Billings "I'm an old man, and I;ve seen many troubles, most of which never happened."

                        I;ve been an activist, and a home birth booster, most of my life, and I;m in my fifties now, and yes I;'ve seen goodhmebirth midwives quit because the legal heat was too high for their comfort level. (I've lieved in California almost my whole life; my high school chemn teacher had an unassissted home birth when I was 15.) so it;s not like I don;t think it;s possible.

                        I;ve just learned that worry doesn't accomplish much but awareness with right action does.

                        so from my poerspective, organize but don;t worry; almost any "worry" is too much worry. boy do I know this by experience...

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