The Orthodoxy of Birth

by PushGirl Friday on June 16, 2013

Have you ever stopped to think about how one group’s version of what is true and what isn’t becomes the dominant voice? All through history, one group or another has decided that it had the insider information not only about God but about life, the world, how things were supposed to work. If you weren’t part of the in-group, if you doubted their worldview, their claims to orthodoxy, you were a heretic and life could get pretty unpleasant if the orthodox view had the support of the government. So, pagans against early Christians, Christians against pagans, Christianity against Islam, Islam against Christianity, Catholics against Protestants — and that’s just Europe and colonial America. Almost every religion was oppressed somewhere at some time and, if it became dominant, has done some oppressing itself.

A state-forced orthodox worldview can lead a lot of people to embrace a belief which, empirically, turns out to be false. But those “heretics” who saw the flaws in the worldview, those who are the ones who said “you know, by my scientific calculations, the earth is probably round,”  and, in addition, “it revolves around the sun.” They got into a lot of trouble when the state- or religion-enforced world view saw a flat earth that was the center of the universe.

When finding ways to make sure that Consumers can access the provider of their choice so that they can have a safe birth in the location of their choice, you inevitably run into the dominant worldview of the American Medical Association (AMA). To wit, in 1914, a man named Abraham Flexner told the AMA to get in one room, agree on what teaching was right, and then lobby the State and Federal governments to enforce this with their power. He didn’t use the word “orthodoxy,” but it just means “right teaching.” All of the AMA’s justification for dominance comes from the idea that they are “orthodox,” and the best plan is to have the state force their ideas on us “heretics.”

We now mock some of the pre-enlightenment ideas of the Church, such as the “flat earth” theory, but we aren’t really any better. We still let orthodoxy dictate healthcare decisions instead of the evidence. For example, physicians knew for 20 years that they should not x-ray pregnant women, but it was “standard of care” i.e. “orthodoxy.” So they kept on doing it until forced to stop.

Our challenge is very simple but very difficult: No matter what we say or can prove, “they” are going to state an unwavering belief in a flat earth. “There be monsters over there!” “You are going to sail off the end of the world!” Our task is to get us the freedom to risk sailing that way anyway on the chance that we might discover a new world instead.

Fortunately, we’ve already done the math. The world is, indeed, round.

Special thanks to Keith Williston of Missouri for inspiring this PushBlog post. At the heart of Keith’s work in the PushStates, in Missouri and beyond, is his family-owned freestanding birth center, A Mother’s Love Birth Center. Keith and his wife Rachel Williston, CNM, CPM, encourage more people to become involved in the work of the PushStates.

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50+ Shades of Green

by PushGirl Friday on May 21, 2013

2013 Big Push for Midwives_PushMap

Now that we have gone EMERALD and our PushStates are immersed in 50+ Shades of Green, the Big Push for Midwives  is pleased to officially recognize INDIANA, our 28th State, making it five states in the five years since our original launch on PushDay on January 24, 2008—Maine, Missouri, Idaho, Wyoming, and Indiana.

If we look back to 2005, and add in three more states (from which activists were among the Big Push founders)—Utah, Virginia, and Wisconsin—we can look back with pride on eight states in eight years. The newly updated PushChart shows us these newly licensed states represent nearly 30 percent of the total 28 states where Certified Professional Midwives are legally authorized to practice (yes, even we can do math), in a process that began back in the 1970s.

The lessons we draw from this really hard work are that results demonstrate compromise—sometimes deeper compromise than we want—but states working together in the Big Push for Midwives are making slow and steady progress that averages out to about one state per year … slower progress maybe than Dr. Friedman might demand for labor, but steady progress nevertheless.

Green is the color of growth, hope, and new beginnings.

Our new 50+ Shades of Green PushMap makes us hopeful, not only because of all the states that are now EMERALD, but also because of all the states still represented in other shades of green. All in all, we see Pushers nationwide who are pushing for bills, developing bills, developing supporters, and watching for their time.

There is hope in the air too because we recognize that, while not all state laws are perfect, the Big Push for Midwives Campaign has become a proven resource for older EMERALD states when it comes time to defend or improve their existing laws or rules. Recent examples include Colorado, which won the right for midwives to carry and administer life-saving medications during its Sunset process in 2012, or South Carolina and Texas, both of which confronted and handily defeated hostile bills that would have crippled CPM practice in their states. Several states, including Arizona, California, and Oregon, have now joined with the Big Push while they work  on necessary revisions to their laws or practice regulations.

What’s more, we recognize that a few other EMERALD states also need to go back to their respective legislature or regulatory agency to fix problems that limit access to CPM care or limit CPM autonomy.  In all these efforts, the Big Push, a sisterhood of state activists, is there to provide support, advice, strategic planning, and love.

So, Indiana, today is your day, and this is your season! Congratulations and welcome to your new status as the 28th EMERALD PushState. We are so very proud of your hard work and successes. After a bit of PushBubbly, we are back in the saddle, picking up the reins on the campaign trail to provide strategic planning and message development for state consumer and midwife groups that are actively working on legislation to license Certified Professional Midwives. The Big Push is here for all states with laws that need making and mending! Together, we are envisioning the day when CPMs are licensed in all 50 states, the District of Columbia, Puerto Rico, the Virgin Islands, and Guam. Standing shoulder to shoulder, we are pushing hard for legal Certified Professional Midwives NOW!

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Birth Center Study Shows Excellent Outcomes for CPMs and CNMs, Points to Need for More Access for Low-Income Women

February 2, 2013

Members of the Big Push for Midwives Campaign applaud the publication of the American Association of Birth Centers’ landmark National Birth Center Study II in the Journal of Midwifery & Women’s Health. The national prospective study pointed to excellent outcomes in midwife-led birth centers run by both Certified Professional Midwives and Certified Nurse-Midwives. Seventy-nine birth [...]

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Happy New Year!

January 2, 2013

PushGirl Friday gets down to where rubber meets road, sharing her hard-won expertise from the campaign trail to increase pro-midwife and pro-birth options in the U.S. The work continues, and together, we are pushing forward for birth options! Sign-up for PushAlerts! “Good news out of Maryland—and what an excellent action alert! (Please see Maryland’s Alert below.) Jeremy and [...]

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Pushing Back to Protect Our Birth Rights

December 29, 2012

Dear Childbirth Professionals, Moms, Dads, and Birth Options Activists: On behalf of The Big Push for Midwives, a most sincere THANK YOU for all you do to increase pro-midwife and pro-birth options in the U.S. You inspire us. Before 2012 gets away, please take a breath to think of all you’ve done this year to [...]

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HOURS LEFT — PushAlert: Mass Needs YOU

July 30, 2012

TODAY is the day, Massachusetts!!! The midwifery bill URGENTLY needs you! Please call your own legislator NOW, letting him/her know that having good birth options is important to you. Please ask them to call Chairman Dempsey and ask him to release our bill—HB 4253—An Act Relative to Certified Professional Midwives—today. We only have HOURS left [...]

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PushAlert: Massachusetts Needs YOU

July 25, 2012

Attention Massachusetts!!! If you care about mothers and babies, the Commonwealth needs your help TODAY to PASS HB 4253—An Act Relative to Certified Professional Midwives.  We have just a few days left to pass this important legislation that will regulate Certified Professional Midwives. Currently, there is no state oversight, which means: ANYONE—even an 18 year [...]

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New York Times: “The (Home) Birther Movement”

May 26, 2012

“[Ina May] Gaskin says that because midwife-assisted home birth is illegal in many states, many women are de facto coerced into surgery or other interventions they don’t need. For Gaskin, choice in birth remains a realm of reproductive freedom that mainstream feminism, until recently, has foolishly ignored; women should seek not just the freedom to [...]

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Cigars All Around — The PushChart is Born!

April 29, 2012

Yes indeedy, today is an exciting day!! It is the day when the separated-at-birth companion to the PushMap — the brand new PushChart — is born. PushChart you say? Never heard of it? …   … Well, to provide a bit of background, we were sitting around at The Big Push for Midwives Campaign war room, reviewing [...]

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[PushNews] CDC Finds Continued Increase in Home Births

January 26, 2012

PushNews from The Big Push for Midwives Campaign CONTACT: Katherine Prown, (414) 550-8025, katie@pushformidwives.org FOR IMMEDIATE RELEASE: January 26, 2012  CDC Finds Continued Increase in Home Births Report Highlights Disparities in Access for Women of Color WASHINGTON, D.C. (January 26, 2012)—A report released by the CDC today found a 29 percent increase in home births [...]

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