There seems to be a movement underfoot... by mostly young midwives, apprentices and students, but with some older midwives as well... that are about darned tired of the shenanigans some midwives are doing during OOH births. The Cytotec without consent, the Cytotec with consent, the inductions and augmentations with pitocin, attending breeches and twins... and some even feel VBACs are part of the dangerous activities of these midwives. It's just time everyone stop, take a breath, get a flippin' grip of themselves and reboot.
You midwives who operate out of the scope of practice know who you are, even as you think you are above the rules. STOP IT ALREADY. Quit lying on charts. Quit lying about ROM times, the length of second stage... quit telling women how to avoid a positive result on GBS (which is dangerous!), quit having women use Hibiclens in labor, quit lying to women about the risks of antibiotics and vaccinations during pregnancy (use that "evidence-based science" you espouse). Quit saying that homeopathics stops a hemorrhage and pitocin is a bad thing to use. Quit saying there is no such thing as GDM or GBS. Quit trying to "help" a woman "pass" her GDM screen and test... let her test and get a TRUE result! Her baby's life might depend on it! Quit minimizing LGA/macrosomic babies by telling stories of giant babies born over intact perineums... IF that story is even true, there are FAR more shoulder dystocia stories with huge babies. Enough. Quit having women push more than three hours before transferring into the hospital. Five, six, seven, eight hours? Sheer insanity.
And let's talk about the MANA Stats. Quit lying on those, too.
No one seems to want to approach the renegade midwives. If they try to at Peer Review, the midwife will just stop coming. She feels above reproach because she's done her time and, generally, had good outcomes. But even midwives who have lost two, three, four babies aren't catching on that they are dangers to moms and babies. There is no mechanism for reporting a rogue midwife. NARM says it isn't their area and MANA doesn't hear complaints either. Unless the mom is in a legal state that has OBs and CNMs on their board, it is unlikely that anyone will care about the midwife's behavior.
I say we shame them. We name them and shame them. Even if anonymously. I will put up dangerous midwives' names here if you want. I'm hearing the same names over and over so it isn't a place to put up a competitor you want out of business, but a truly dangerous midwife. Tell me what they have done that is out of the scope of practice of CPMs/LMs and let's just shame them into compliance.
I am sick of their behaviors. Since I have written about the "Non-Con Cytotec,' I have had at least a dozen midwives, students and apprentices come to me to tell me of the horrors their fellow midwives/preceptors are doing. ENOUGH. Enough.
If we don't control our own behaviors, someone is going to come in and command it for us. We need to do it outselves.