Regulating Midwives: The Debate Over Making Home Birth Safer
For any expecting mother, the decision over where, and how, to give birth is one of the most important decisions that can be made. Do you deliver in a hospital, with the aid of doctors and nurses, or do you go for a more natural delivery at home, with the help of a midwife?
Here in Massachusetts, the number of women who opt for home births is still very small, but growing. Most of the time those births go off without a hitch. Every once in a while, though, complications come up, with sometimes deadly consequences.
Take the case of Jen Holloman. Two years ago she tried to deliver her second child at home with the help of a midwife. She was in labor for nearly 24 hours when she decided it was time to go to the hospital. Shortly after arriving, the doctor on duty told her that her child was gone – dead from complications from an infection her midwife failed to detect. As Holloman told the Boston Globe afterwards, the year after her son’s death was the “longest and saddest” of her life.
Since her son’s death two years ago, Holloman has become an advocate for new legislation that was the focus of a hearing Tuesday on Beacon Hill.
The plan would establish practice guidelines for midwifery, and for the first time ever establish a state body that would regulate midwives.
Supporters say the plan will help make home births safer, while opponents say it can never provide the same level of care that women can get in a hospital delivery room.
We’ll be talking about midwives, and the debate over making home birth safer.
Guests:
Erin Tracy, obstetrician gynecologist, Massachusetts General Hospital; vice-chair, Massachusetts chapter of the American Congress of Obstetricians and Gynecologists Rebecca Herman , certified professional midwife and a member of the board of directors for the Massachusetts Midwives Alliance Gene Declercq , professor and assistant dean, School of Public Health, Boston University.
The US in general has a horrible record for maternal and fetal mortality. People are really not getting the information about that in this coverage. Perhaps hospitals don’t want the competition. I recommend the film The Business of Being Born. I feel that people are scared by Dr’s (who are scared by the insurance companies). I am frustrated to hear the fear people have regarding home birth. The interventions hospitals push on EVERY PATIENT cause way more problems.
Group C Strep - News
You have laws telling drivers how much alcohol they can have before getting behind the wheel but now laws telling a midwife she has to offer beta strep with informed consent. This is just ridiculous in my opinion. Jen's baby should still be here and he
Laboratory investigation of the two fatal cases showed that two different strains of Group A Streptococcus were involved (emm type 1 and emm type 12). CHP, the Hospital Authority and the University of Hong Kong (HKU) have been working in collaboration
The official cause of death was chorioamnionitis, a condition caused by a Group B strep infection. A mother infected with Group B strep can pass the infection to her unborn baby once her water breaks; sometimes, this is deadly.
Importantly, this week we will submit to the FDA our second molecular test, illumigene GBS (Group B Streptococcus). We expect to begin sales outside of the US in the fourth quarter. Also in other product news, a 510k application was filed for
The company also will be submitting an application to the US Food and Drug Administration this week for its illumigene GBS test for Group B streptococcus, Meridian's second molecular test. Sales of the test outside the US are scheduled to begin in the
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Group C Strep - Bookshelf
Streptococcal infections, clinical aspects, microbiology, and molecular pathogenesis
An outbreak of group C Streptococcus infection in a maternity unit. ... M proteins of group C streptococci isolated from patients with acute pharyngitis. ...Textbook of pediatric infectious diseases
133 Most group C streptococci are beta-hemolytic on blood agar plates, but all types of ... EPIDEMIOLOGY Group C streptococci are an uncommon cause of human ...Streptococci and the host
THE OCCURRENCE OF NEPHRITIS PLASMIN BINDING PROTEIN (SPEB) IN THE EXTRACELLULAR PRODUCTS OF GROUP C NEPHRITOGENIC Streptococcus zooepidemicus M. Barnham,1 ...Gram-positive pathogens
Pathogenicity Factors in Group C and G Streptococci GURSHARAN S. CHHATWAL, ... Group G streptococci and group C streptococci are currently divided ...Community-acquired pneumonia
Group C streptococcus is an uncommon cause of pneumonia but may be associated with ... Group C streptococcus causes similar manifestations to group A ...Check Information Directory
Streptococcus - Wikipedia, the free encyclopedia
Group A Streptococcus infection is generally diagnosed with a Rapid Strep Test ... [edit] Group C. Includes S. equi, which causes strangles in horses,[10] and S. ...
Streptococcal Infections: Information from Answers.com
GROUP A. Group A strep (GAS) is the form of streptococcal bacteria most apt to be ... GROUP C. Group C strep (GCS) is a common source of infection in ...
Group C Strep Treatment | eHow.com
Group C Strep Treatment. The symptoms of strep throat are easy to remember and important to know--a very sore throat, a fever over 100, no cough, swollen tonsils, pus ...
CDC - GBS in Adults - Transmission, Prevention, Diagnosis ...
Group B Strep - in Adults ... Since group B strep is a common organism in the gastrointestinal tract of men and women, this may be a source of some infection. ...
CDC - GBS Guidelines, Photos, Surveillance Information for ...
Group B Strep - Guidelines, Photos, Surveillance Information for Laboratorians