Log onto Squarespace
Archives
« Shifting from Pro-UC to Anti-UC | Main | Succinct Reasons CPMs/DEMs Need to Get Their Act Together »
Sunday
Jul222012

CPMs, Don't Read This!

You don’t have to read this because you’re not going to respond anyway, right? You’re not going to give me the time of day, not going to acknowledge that you even read my blog anymore, right? Well, now that I have your attention.

Your silent treatment tactics are not going to work. I will not be quiet about what I know about our “profession.” I will keep enlightening people as to the inner goings on and the mindset of the majority of CPMs/DEMs. And your thinking you can freeze me out with dis-information is incorrect; there are puhLENTY of apprentices and a few CPMs who quietly validate and verify where you’re coming from and going to. I speak the truth and that scares the shit out of you.

So, you can stay silent, but I will not. I have begun a letter-writing campaign to the legislators who have signed on to support the bills that would legalize CPMs in each of the states. I am letting them know there is another side to the story they’re being sold. I am not alone in my campaign.

Until you are able to have a healthy discourse about your behaviors and beliefs, the profession of CPMs will stay stuck in this un-professional, coffee-klatch, secret society style of presenting itself. Buck up and take some responsibility for your beliefs and actions. Only then will we really them be professional.

References (62)

References allow you to track sources for this article, as well as articles that were written in response to this article.
  • Response
    - Navelgazing Midwife Blog - CPMs, Don't Read This!
  • Response
    Response: enfants uggs vente
    - Navelgazing Midwife Blog - CPMs, Don't Read This!
  • Response
    Response: indexing programs
    Terrific Web site, Continue the beneficial work. thnx.
  • Response
    Response: useful reference
    Amazing Web site, Stick to the useful job. Thank you.
  • Response
    Will Blogging content of Various Sites findings lead to copyright infringement, Will mentioning Source help?
  • Response
    Response: silver in ira
    I have a degree in creative writing from a top university, but still have no significant credits yet. How should I go about getting published in a reputable magazine or web site for the first time? Is self-publishing the way to go? I have short stories that are done, but I ...
  • Response
    Response: roofing product
    I want to start a blog and I am trying to find a blog site?
  • Response
    How do I start a website for free or cheap?
  • Response
    Response: spdr gold trust
    What's the best way to save documents to a blogspot blog?
  • Response
    The first piece is geotagging each blog post on some sort of map.. . The second piece is meshing those points on a map with other people. Essentially we'd like several members of our team to provide updates regularly and post their locations to the same map..
  • Response
    Response: SEO Company
    I've been looking high and low, and it seems that most liberal arts schools are populated by heavy drinkers and partiers, which I am not interested in. If I can, I'd like to double major in creative writing and journalism.. Thank you!.
  • Response
    Response: tax planning
    Im based in London have worked as a secretary for more than 10 years and have an HND in Business Studies but am tired of admin work and office politics and would like to do something more creative- change careers.. . I write in my spare time and have attended an ...
  • Response
    Response: at bing
    I sign into my Tumblr account, and switch the dashboard from my main blog to the secondary blog, then I go to Account > Preferences > Customize your blog, but then it just takes me to the customization page for my main blog. Any way to customize my secondary blog, or ...
  • Response
    Is there automatic and legitimate copyright for the content on a site?
  • Response
    My school has both and they are the same thing. Everytime I go to a site it says either: You must have firefox, or You must have internet explorer. Also why is firefox downloadable? Wouldn't you already have a browser?. What are the add ons like? Internet explorer has tabbed browsing.. ...
  • Response
    I haven't a clue how to use Wordpress and Comicpress to create sites and publish comic strips! Please help. Do you know of a good walkthrough? Thanks much!.
  • Response
    Response: cruises alaska
    Hi,. I am new to joomla and my boss is asking me to add some of the joomla functionality to the current website so that the owner of the website can itself modify the contents. I am having no idea about how to do that. My boss says that there is ...
  • Response
    Response: march madness 2014
    I am planning to move to Australia permanently. Hopefully, my immigration process will be completed this year and I will move in the beginning of 2011. Can someone suggest some excellent resources and blogs about making the plans for settling in Australia?.
  • Response
    Response: next page
    I have a new filming and editing businesses in which I run.. Its not a big popular job so I want to advertise it by creating a web site. How do I start a website thats not too expensive and its easy to use?.
  • Response
    Response: these details
    Actually my blog name is not relevant to my blog niche..in this time i want to convert my blog to a website through blogger. but i dont know if i will do it ,then how much will affect my blog traffic?.
  • Response
    Response: Emergency Roofer
    I love to write creative things such as poetry and short stories, but I don't know what I would be able to do with the creative writing degree. . . Besides an author or poet, what can I do with a creative writing degree?.
  • Response
    Response: Plumbers Lucan
    I have a site, and my content is protected with a Creative Commons license, but I want to copyright it so places like eBaums World doesn't steal my content. How can I get my entire site copyrighted?.
  • Response
    What is the difference between Computer Engineering and Computer Science?
  • Response
    How do I start a website? I know that I have to buy a domain or something like that?
  • Response
    I think I set the settings wrongly. Now that I changed the settings, there's only 1 out of 8 posts visible to the public. Previously set to mature content, despite the lack of nudity. Should I double-post? It's the blog part that confused me..
  • Response
    How can my blog be popular and read by many people?
  • Response
    Does everyone like blogspot or is there a better way to go?
  • Response
    Is Joomla software harder than Dreamweaver to learn. I have been told that Joomla is easier than Dreamweaver. Do Joomla make its own codes like Dreamweaver. I want to learn it and I want to buy the software. Please give me your opinion. Do I need to buy the Joomla program ...
  • Response
    Response: check out your url
    I'm looking for a free or cheap webhost to move my Joomla website to from my localhost. I want a webhost that doesn't use Fantastico as its only method of installation? Any suggestions?.
  • Response
    Would it be smart to minor in creative writing and major in biochemistry?
  • Response
    How does blogging/setting up a blog help a small to meduim size business grow?
  • Response
    Response: on bing
    i am setting up A web portal for my business. and i want to know the copyright guidelines, specifically the legality of copying other articles from other websites. in other words, is it ok to copy an article from another site and paste it in my site ( of course, i ...
  • Response
    Response: here
    I have a Blogger blog that is hooked up to my personal website. The actual blog is linked off of the homepage. I would like to know if there's a widget or something that I can put on my website's homepage that will show my latest blog posts. Not the whole ...
  • Response
    I am a young software professional and indie game developer. I have developed some contents but hasitate to send for publication . I think I should not proceed without obtaining licensed softwares and copyright of the content. An experienced guidance will oblige me..
  • Response
    Response: article source
    How do I become a blogger in the food and drink category?
  • Response
    Response: what is it worth
    In other words, how do i search for blogs that fit what I want to read about? Does anyone know how to BROWSE through blogs by subject or whatever on blogger?.
  • Response
    Assume that you are working as a computer technician for a company with a large network. You are assigned to determine what is wrong with an employee?s computer and repair it. You suspect that the computer is not properly connected to the network. Describe the troubleshooting steps you would take to ...
  • Response
    Response: health insurance
    I'm lookin to make a lil extra money and would like to start a blog for profit..
  • Response
    LOL, Are you critical?
  • Response
    For a Joomla website how do you get the drop down menus to display correctly in Internet Explorer 6?
  • Response
    How do I get traffic to a blog on blogger?
  • Response
    Response: credit card
    I work for an organization that provides information to members on various topics. If we send a link to copyrighted web content (such as a page on the IBM web site) are we infringing on that content's copyright? I'm pretty certain we aren't -- if you can point me towards relevant ...
  • Response
    Response: click this site
    How is it possible posting a blog in a classified sites ?
  • Response
    Response: reference
    I'm trying to find blogs that have really great advice on what's in fashion and what the best makeup is..
  • Response
    I would like the steps, ideas, or websites that can help me start a website that I can make money off of companies advertising on it? Any help websites or ideas on how to start one and what I need to start one.. . Much appreciated..
  • Response
    Response: from this source
    How do Microsoft and the owners of Firefox make money? Google is planning to create a browser also to compete with them called "chrome". I was wondering where does the source of revenue come in? There are no ads, etc. These programs are free..
  • Response
    When is it time to purchase a new computer?. . Some people I have talked to told me its good to purchase a new computer every 2 years however that could be expensive for most people. I always thought every 4-5 years.. . What is your opinion on this?. . The ...
  • Response
    Response: alumni
    get best code optimization work anywhere
  • Response
    Response: see this website
    What is the best way to copyright the content of an online blog?
  • Response
    What is a blog subject that you would find interesting to read about?
  • Response
    see here for top quality pain around
  • Response
    Response: click here to read
    I'd like to start blogging but I have no idea which website to use? Which ones are the best?.
  • Response
    Does WordPress save all blog posts to only one file? If so, what file is it?
  • Response
    Response: look at this
    How to install a custom blog design while using ftp publishing?
  • Response
    Response: home insurance
    I really love to write and I'm pretty good at it. But whenever I try to write a story or something I start off good but always end up throwing it away--I can never seem to finish it. . . Sometimes I have a good idea that I really like but ...
  • Response
    Response: seovolución
    what is some fun online sites to blog on and make fun posts besides facebook and tumblr?
  • Response
    I want to start a blog that everyone will read. After all, my opinions are extremely important. How do I get started?.
  • Response
    Would it be smart to minor in creative writing and major in biochemistry?
  • Response
    Response: pizza hut coupons
    Does everyone like blogspot or is there a better way to go?
  • Response
    This would have to be a new blog. Something that you want to read about, but havent found online. This can be religious, fashion-based, etc. Im just getting some ideas for the blog i want to start- Thanks!.
  • Response
    Response: india property
    I want to transfer to a college that focuses on English and have a good Creative Writing program. I want to major in creative writing but don't know what college to transfer to..
  • Response
    Fact: 99% of all articles and website content online is regurgitated and rewritten material from some original piece of literary or artistic work.. . So, isn't it true about web content copyright that as long as you reword or rewrite a piece of content from a site's copy online, then it's ...

Reader Comments (17)

The silence may be reckoning, Barb.

How many hours or days or years of silence and introspection did it take for you to come around?

We can hope that this is what it is. Reckoning.

Maybe this dialog has been written off as hateful internet blather - but I don't think so. And these issues will keep resurfacing as long as midwives refuse to come to their own reckoning about the current state of "professional" OOH midwifery.

Maybe I'm naively optimistic - but I'm choosing to see the silence as reckoning. The time has come.

July 22, 2012 | Unregistered CommenterEx-apprentice

Oooo, I hope so!

July 22, 2012 | Registered CommenterNavelgazing Midwife

I've been looking for YEARS for a midwife that feels the same as I do about the politics of CPMs. I catch babies for families that cannot afford their outrageous fees and when they ask why mine are reasonable and real I explain that I am not running a yellow page ad and not am I driving a NEW Lexus or Prius.

If you stand up to them--they will slam down your practice with gossip and lies. So, be very careful if you need to make an income.

July 22, 2012 | Unregistered CommenterBarehanded Midwife

I left homebirth midwifery about 2 years ago.

http://navelgazingmidwife.squarespace.com/navelgazing-midwife-blog/2011/8/1/why-i-left-homebirth-midwifery.html

They can't do anything to my business. It's the ONLY way I can speak out.

July 22, 2012 | Registered CommenterNavelgazing Midwife

What states are you writing to? I'm not in the medical field but would write as a citizen if South Carolina is one of them.

July 22, 2012 | Unregistered CommenterKaren in SC

The states that have legislation pending.

July 22, 2012 | Registered CommenterNavelgazing Midwife

I doubt there are many legislators in any state who have an informed and intelligent idea of what midwifery really is all about. And, unfortunately, since most are men, I doubt that many really care. It is very sad, really.

July 22, 2012 | Unregistered CommenterAntigonos CNM

I read a post on a popular natural parenting website yesterday, it was a woman identifying as a CPM, practising in my area, who was looking for a birth assistant. Her post said, "I cannot sign off on hours because I haven't gotten my 50 births yet." My blood ran absolutely cold...I thought to myself, "Really? Can you run a "midwifery" practice without having been to 50 births? Is this really happening in our world? How can that be good for women?

Can the non-listening CPMs who won't speak to Barb (ha) tell me what the hell that is all about?

July 22, 2012 | Unregistered CommenterCorita

@Corita, in Florida, a CPM/DEM can only be a preceptor once they have been to a certain amount of births AFTER being licensed, which would be "signing off", but they are required to do more births than that to get the license in the first place.

July 22, 2012 | Unregistered CommenterMomTFH

I do hope Maryland is on your list. The CPM bill didn't make it far last session, but they are preparing now to re-introduce.

July 23, 2012 | Unregistered CommenterLisa W.

Lisa: Get me the contact information and exactly what the Bill is going to be asking for and I'll consider whether it is something I can support or not. Thanks for bringing it to my attention.

July 23, 2012 | Registered CommenterNavelgazing Midwife

Barb, I guess this is a good time to say thank you for telling your truth for so many reasons...as a person, as a professional and as a member of a community of parents having babies. As someone who has experienced first-hand how cruel nature can be and how much a part of nature death is, I am particularly drawn to your writing about risk-taking and lack of professional care.

But even if that were not the case I recognize that you are willing to share your actual struggles in public even when it risks your livelihood and when it separates you from what was your community of peers. There is no real way to thank someone for that, and in my experience the impulse comes from a place that isn't about thanks and praise anyway. But I definitely am one of your internet witnesses.

I am deeply saddened if the NBC indeed is engaging in any kind of boycott. People who have been internal to our communities and then engage critically can be the most important heralds of whether philosophy and inquiry is turning into dogma and disdain.

I was writing elsewhere about a birth-related topic today and it occurred to me that one of the stories midwives like to relate is the one around Semmelweis and doctors not washing their hands, going from cadaver to labouring woman. I'm not sure I agree with the 'pop culture' version of this story, which I first read in a feminist text a long time ago, but if we take it as a cautionary tale in not listening to the outsider physician questioning current practices...I think CPMs have some thinking to do.

It seems to me that they may be the modern equivalent of those doctors, maintaining that the status quo in the current educational requirements and the culture of uncritical support of all midwives, even those who practice out of scope, in the name of midwifery is unrelated to what in some areas, like Colorado, appear to be rising rates of perinatal loss.

July 23, 2012 | Unregistered CommenterJennG

Why (or) are you opposed to all the legislation? Isn't certification and requiring midwives to be registered a step in the right direction? Is it a blanket opposition or are you looking at the states, state by state? I'm only familiar with the states around me, to be honest.

I know there are other issues, but there are midwives against regulation that want to practice w/o certification, and there are midwives who would rather not need certification legislation but recognize that certification and regulation are a step they should take for their clients sake. And there are others (maybe I'm lucky to know this type) that are working with consumers to get legislation that will legitimize midwifery and hold midwives accountable, and allow consumers to have a 'standard' of care and professional requirements that they should know and expect. I see that as a win-win and in our state and know the midwives have had to concede to a lot of stuff they probably didn't really want to have.

I agree with you, I DON'T understand the midwives fighting against efforts to legitimize midwifery because it will 'limit them'. I do think that homebirth midwives need to have a certain standard of experience etc.. I'm talking about states where midwifery is legal, but CPM's and DEM's exist-- and consumers often think all midwives are the same. The legislation will prevent anyone from calling themselves a midwife. There will be oversight, certification and standards.

I could also see that you may be against all legislation because you want the standards to be much higher- more like a certified nurse midwife? I guess I can see that too, but in the state where home birth midwifery is legal, what I see you are suggesting is that what you want would possibly make homebirth illegal instead of having legislation? To me that seems like the worst option of all.

Are there any efforts out there by the CPM's that you support, are they all so similar that you disagree with all of them? I'm curious, I thought some of the efforts pushing for legislature were doing a decent job of doing the right thing, putting safety measures in place (safety for consumers), review boards, consumer protection etc.. And would lead to good things... possible insurance reimbursement, better collaboration with drs/hospitals, and more transparency for consumers.

In any case, I'd almost rather not name names because I'd really like to see this legislation passed. I know there are a few midwifes that are silently hoping it is not passed again- because things will be easier for them and they won't be regulated at all- but I see regulation as a protection for consumers. (I hate the term consumer, client--- the mothers, children, families)

Just trying to get a handle on the strongly worded post...

Jess

July 23, 2012 | Unregistered CommenterJessica

You are a very brave, honorable person.

July 23, 2012 | Unregistered Commenteranonymous

Jessica, you bring up great points. The legislators I initially wrote to were with regards to HR 1054, Access to Certified Professional Midwives Act of 2011, a piece of legislation that asks that Medicaid be required to pay all CPMs around the country. I have big issues with that because 1) Many/Most CPMs have no malpractice insurance 2) Many/Most CPMs have no OB supervision or collaboration 3) Many/Most CPMs have serious issues with hospital transfers around the country and that needs to be addressed before insurance reimbursement 4) Many Medicaid clients are higher risk and until CPMs clarify and stick to the definition of low-risk, I am unsure about the trust level that they will a) risk out higher-risk women b) be able to recognize problems/situations that require risking out to an OB.

I do not have an issue with legislation, per se... for goodness sake, I'm legal because of legislation in my state! (CA) Therefore, as women around the country are asking me to write to legislators about the various bills, I'm reading about them and making a case-by-case basis as to whether I back it or not.

What one challenge is is that it seems the legislators don't do a lot of discussing outside their Districts, so I'm sending letters. Not sure if that's going to make a blip of a difference, but at least I will have said something instead of nothing.

Thanks for asking me to clarify. It was important to.

July 23, 2012 | Registered CommenterNavelgazing Midwife

I am curious as to what your side of the CPM story is. Are you going to share the letter you are writing?

July 24, 2012 | Unregistered Commenterguest

guest: Not sure what you mean about my side of the CPM story. I've written extensively why I've left homebirth midwifery (the title of the post, as a matter of fact) and what issues I have with the CPM credential.

I'm glad to share the letter I wrote:

Dear <Congressperson>,

I see that you recently added your name to the H.R. 1054, the Access to Certified Professional Midwives Act of 2011. I am a Certified Professional and Licensed Midwife in California, a state where non-nurse midwifery is legal and I want to speak to you as a member of my profession.

I recently left home birth midwifery after realizing just how un-professional CPMs/LMs are when it comes to healthcare. While there are a few who hold the standards required to keep women and babies safe, sadly, I feel the majority do not. Many CPMs/LMs do not adhere to the requirements of home birth midwives to keep their clients in the low-risk status, instead accepting and continuing care with high-risk women, including those pregnant with breeches and twins. If one were to believe the research, it specifically states that women be low-risk in order to have a safe birth.

Here in California, our law requires us to have obstetric supervision, yet no doctor in the state will put their name behind a CPM/LM because of the lack of education and skills training non-nurse midwives have. CPMs’ methods of learning have been called into question across the United States since there is little standardization and even less oversight for the midwives. Also, very few CPMs/LMs carry malpractice insurance, something that should be a requirement.

I encourage you, <Congressperson>, to reconsider adding your name to the H.R. 1054 because there are too many holes in the professionalism of CPMs, it being quite unfair to ask that the people pay for Medicaid to pay CPMs when they do not even have malpractice insurance or physician supervision/collaboration.

If you have further questions, do not hesitate to contact me.

Barbara E. Herrera
San Diego, CA

July 25, 2012 | Registered CommenterNavelgazing Midwife

PostPost a New Comment

Enter your information below to add a new comment.

My response is on my own website »
Author Email (optional):
Author URL (optional):
Post:
 
Some HTML allowed: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <code> <em> <i> <strike> <strong>