Legislation

Contact Your State Legislators!!!

Click this link to identify your local Senator and Assemblyperson by zip code.  Then use the site to find their website and contact information.

Contact Your Congressperson in the US House of Representatives!!!

Click this link to identify your representative by zip code and find their contact information.

Licensed Midwifery Practice Act

Click this link to view the Licensed Midwifery Practice Act of 1993, our licensing law.


Midwifery Advisory Council Members: 

Faith Gibson, LM, Chair      goodnews@best.com

Karen Ehrlich, LM      khemidwife@earthlink.net

Carrie Sparrevohn, LM     carrielm@sbcglobal.net

Barbara Yaroslavsky

 

The next meeting date, along with the agenda and materials to be used at the meeting as well as minutes of past meetings, can be found this link on the Medical Board website. You can also check the calendar to the left for the next meeting.

 

Midwifery Advisory Council Role, Responsibility, Mission and Vision Statement

Role

The Midwifery Advisory Council shall meet in public not less than four times a year to discuss topics of importance related to the practice of midwifery in order to make recommendations to and advise the Division of Licensing.

Responsibility

The Midwifery Advisory Council shall provide ongoing sound and reliable expert advice to the Division of Licensing to facilitate the safe and sound practice of midwifery including the development and ongoing maintenance of a coding system for gathering annual practice data of licensed midwives in California.

Mission

To protect the healthcare consumer by assisting the Division of Licensing in developing appropriate standards for licensing, standards of care, and regulation of the practice of midwifery.

Vision

In promoting the Medical Board of California's consumer protection interests, the Midwifery Advisory Council will provide ongoing sound and reliable expert advice in serving as a vehicle for further positive discussion on the practice of midwifery and homebirths in the state of California.

 New Regulation

Article 3.5 Midwifery Practice, 1379.19 Standards of Care for Midwives

(a) For purposes of Section 2507(f) of the code, the appropriate standard of care for licensed midwives it that contained in the “Standard of Care for California Licensed Midwives” (September 15, 2005 edition) (“SCCLM”), which is hereby incorporated by reference.

(b) With respect to the care of a client who has previously had a caesarean section (“C-section”) but who meets the criteria set forth in the SCCLM, the licensed midwife shall provide the client with written informed consent (and document that written consent in the client’s midwifery record) that includes but is not limited to the following:

(1) The current statement by the American College of Obstetrics and Gynecologists regarding it’s recommendations for vaginal birth after caesarean section (“VBAC”) [Click this link to read the pdf of this statement.]

 (2) A description of the licensed midwife’s level of clinical experience and history with VBACs and any advanced training or education in the clinical management of VBACs.

 (3) A list of all educational materials provided to the client.

(4) The client’s agreement to: provide a copy of the dictated operative report regarding the prior C-section; permit increased monitoring; and, upon request of the midwife, transfer the a hospital at any time or if labor does not unfold in a normal manner.

section NOTE: Authority cited: Sections 2018 and 2507, Business and Professions Code. Reference: Section 2507, Business and Professions Code

 “Standard of Care for California Licensed Midwives” (September 15, 2005 edition) 

SB 1479

This law expands the disclosures that midwives are required to give their clients. It also gives us specific responsibilities regarding the filing of birth certificates. Click this link for the text of the bill.

 SB 1479 states in part:

 SEC. 4. The Legislature finds and declares that:

(a) Childbirth is a normal process of the human body and not a disease.

(b) Every woman has a right to choose her birth setting from the full range of safe options available in her community.

 (c) The midwifery model of care emphasizes a commitment to informed choice, continuity of individualized care, and sensitivity to the emotional and spiritual aspects of childbearing, and includes monitoring the physical, psychological, and social well-being of the mother throughout the childbearing cycle; providing the mother with individualized education, counseling, prenatal care, continuous hands-on assistance during labor and delivery, and postpartum support; minimizing technological interventions; and identifying and referring women who require obstetrical attention.

 (d) Numerous studies have associated professional midwifery care with safety, good outcomes, and cost-effectiveness in the United States and in other countries. California studies suggest that low-risk women who choose a natural childbirth approach in an out-of-hospital setting will experience as low a perinatal mortality as low-risk women who choose a hospital birth under management of an obstetrician, including unfavorable results for transfer from the home to the hospital.

(e) The midwifery model of care is an important option within comprehensive health care for women and their families and should be a choice made available to all women who are appropriate for and interested in home birth.

 
 
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