
When any of us embark on a career in the health professions, we do not expect to spend time in a courtroom, facing claims of negligence and forced to defend the care we have provided. . . .
In every maternity care practice, best care should be a primary focus. Stemming from this, the other essential goal is to avoid the unthinkable; that your clinical decisions are implicated in permanent harm to a mother or her infant.
Basic medical-legal knowledge is essential for safe practice. Recognizing legal risks in vulnerable care settings, and in routine practice situations, can assure the most responsible care choices for your patients.
Recent Articles
The type of legal case that may be filed against you as a midwife is civil litigation. This encompasses medical malpractice and personal injury. A personal injury lawsuit begins when a plaintiff (injured party) files a complaint against a defendant (the party deemed responsible for the injury).
Midwives, on-call time is not your time. Your time belongs to the patients that may need you and the institution/entity that is paying you to be available for patients who require your presence. While on-call, your time should not be dedicated to your family, young baby, toddler, partner, or your much-needed rest. I do not deny that this is hard.
Hospital corporate business is BIG business. Making money is the mission.
Myth of Ordinary Midwife Part 2
After decades of effort by the American College of Nurse-Midwives (ACNM), CNMs/CMs continue to be adversely affected by historical myth and modern legend, which affect the public profiles of modern midwives.
Abuse of power within hierarchical structures is nothing new. We are see it in our news feeds everyday. Hospital corporate entities are structuredaround a traditional hierarchy, particularly relating to the hiring, supervision, advancement, and responsibilities of professional healcare providers.
“ Why would
anyone
want to go to a midwife?” These were the first words from a physician in-law on the day we met. I was accustomed to a different question: “Why did you
want
to be a midwife?”
With the possible exception of airline pilots, air-traffic controllers, parents of newborns and owls, registered nurses working night shifts and advanced practice providers with demanding on-call responsibilities, tend to experience unprecedented levels of sleep deprivation from their career choices.
Situation
Unfortunately, the long history of friction between CNMs and RNs on labor and delivery will probably not resolve any time, soon. Accept that this dysfunctional dynamic may remain inherent in the culture of care on many L&D Units. Unhealthy cultures of care transcend State lines and territorial boundaries, capable of reaching every hospital labor and delivery unit in the United States.