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If you see something that needs clarity or think a topic deserves deeper treatment, Martha would appreciate hearing from you: [email protected]
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Legal insight, real-world lessons, and grounded guidance for everyone involved in CNM/CM practice.

According to the Cleveland Clinic, there is a wide range of natural techniques to relieve various symptoms of pregnancy. Some of these treatments, such as massage, patterned breathing, and oral supplements and herbs, are safe and can help, while others have the potential for harm to the developing fetus. Alternative therapies should always be discussed with your healthcare provider.

Oxytocin (Pitocin) is among the most commonly used medications for labor and delivery. At least 33.2% of women will receive oxytocin while they are in labor. Before 2008, there was no standard protocol for oxytocin administration in labor. In fact, “pit to distress” was not an uncommon management strategy.

The Trump administration’s cuts to research on Alzheimer’s, menopause, uterine fibroids, and pregnancy risk will all have significant impacts on the reproductive health of women.

The Trump Administration’s gutting of the CDC includes slashing public health programs and eliminating 2,400 jobs, of which 460 were reinstated. The majority of CDC employees in the Division of Reproductive Health have been terminated, including cuts to the branch devoted to women’s health and fertility.

In a medical malpractice case against a certified nurse-midwife, the injured patient/plaintiff must be able to prove that the midwife owed them a legal duty. By law, all providers of healthcare owe their patients a legal duty.

I’ve written on this subject before, but the more I hear from CNMs being overseen and controlled by corporate nurse managers, the more it seems that the already inherent problems with this heinous hierarchical structure are getting worse.

b. The patient presented to the hospital during her prenatal period a total of four times. Her complaints consisted of cramping, abdominal pain, and headache. She was evaluated each time and discharged home.

Plaintiffs Joseph Cohen and Galit Dadoun-Cohen, individually and in their own right as co-administrators of the estate of Ethan Amos Dadoun-Cohen, deceased, appeal from the Court’s Order, dated April 24, 2007, wherein the Court granted preliminary objections of Defendants Eric Carlson, D.O., and Main Line Perinatal Associates, transferring the matter to the Court of Common Pleas of Montgomery County, Pennsylvania.

According to National Vital Statistics, birth injury is defined as “impairment of an infant’s body function or structure as the result of an adverse event during childbirth. Injuries mostly occur during the process of labor and delivery.

In Utero causation is a manufactured theory based on speculation that contradicts known anatomic and physiologic principles. For those who were attempting to remove excessive traction as the primary causative entity for birth injuries, articles focused on any other cause than the obvious one: provider panic and force.

Cohen B, et.al. Sonographic Prediction of Shoulder Dystocia in Infants of Diabetic Mothers. Obstet Gynecol 1996: 88:10-13. [AD-BPD cut-off 2.6 cm; infants of diabetic mothers 10x as likely to weigh more than 4500 gms; incidence of SD in diabetics 3-9%; current practice favors advising abdominal delivery for fetuses believed to exceed 4000 gms.

Dr. X failed to document fetal weight and maternal pelvic size on the mother’s admission in labor. The pregnant patient in this case was a known gestational diabetic.
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