JISCMail - MIDWIFERY-RESEARCH Archives

We, in NY, have realized that the use of 'low-risk' has many drawbacks since it is defined by different folk in different ways. We have chosen to use the language of our Midwifery Practice Act (MPA) which states 'essentially normal.' The docs don't really know what to do with that, and we surely do. The bottom line is that midwives take care of all women either independently (essentially normal), in consultation, i.e, co-management or referral maybe with some continuing midwife presence in the process. Depends on the practice parameters. Best regards, Pat

On Mon, Jul 2, 2018 at 11:01 AM, James Harris <[log in to unmask]> wrote:

What an interesting exercise!

Along with the other suggestions made, I feel some consideration of the pregnancy/antenatal period is required too. Perhaps defined as 'low-risk' at the start of labour, although I accept that that in itself is fraught with definition problems and controversy. My thoughts are issues such as serious antepartum haemorrhage, increased blood pressure, certain infections etc may impact on the physiology of birth...

Warm regards
James

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Patricia Burkhardt, LM, CM (r), DrPH, FACNM
Treasurer, New York State Association of Licensed Midwives (NYSALM)

New York University
Adjunct Clinical Associate Professor
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