Comments On: Midwives seek autonomy in N.C. by Suzanne Nelson

Re: Midwives seek autonomy in N.C.

greenmidwife — Thu, 07 Aug 2008 15:17:44 -0400

I just bumped into this article and read most of your posts. Dr. Tuteur, I am a colleague of the president of MANA and have forwarded her the link to this discussion.
Posted by greenmidwife

Re: Midwives seek autonomy in N.C.

astoria — Thu, 03 Jul 2008 09:59:51 -0400

While I have read and think that Dr. Tuteur's comments are well documented, her tone is what bothers me the most. But, in all fairness, let me defend her for a moment.
Posted by astoria

Re: Midwives seek autonomy in N.C.

Russ Fawcett — Sat, 28 Jun 2008 22:45:17 -0400

I think it is time to sum up and come to closure on safety, training and certification, and regulatory considerations.

Posted by Russ Fawcett

Re: Midwives seek autonomy in N.C.

new member — Tue, 17 Jun 2008 17:24:33 -0400

Amy Tuteur has never responded publicly regarding her credentials which IMO makes them dubious at best. It seems likely however that she has a medical degree and trained in obstetrics but the rest is a mystery.
Posted by new member

Re: Midwives seek autonomy in N.C.

CarpenterBabe — Fri, 13 Jun 2008 17:37:58 -0400

I've had quite an enjoyable time reading everyone's comments. However, after all the mud has been slung, the facts skewed, and statistics presented and twisted, the bottom line is still about CHOICE.
Posted by CarpenterBabe

Re: Midwives seek autonomy in N.C.

AmyTuteurMD — Mon, 09 Jun 2008 07:05:57 -0400

"here is a link that addresses dr. amy's misstatements about maternal mortality"

Just keep in mind that when I pointed out all the factual errors and deceptions in Ms. Gaskins post, in a post that followed it, amygeekgirl removed it because it showed that Gaskin was flat out wrong and deliberately deceptive to boot.

Posted by AmyTuteurMD

Re: Midwives seek autonomy in N.C.

carey — Sun, 08 Jun 2008 22:39:30 -0400

here is a link that addresses dr. amy's misstatements about maternal mortality... addressed by ina may gaskin. http://www.blogher.com/u-s-mothers-are-dying-why-dont-we-know#comment-43136
Posted by carey

Re: Midwives seek autonomy in N.C.

AmyTuteurMD — Sat, 07 Jun 2008 20:52:43 -0400

"Pregnancy outcomes of 1707 women, who enrolled for care between 1971 and 1989 with a home birth service run by lay midwives in rural Tennessee, were compared with outcomes from 14,033 physician- attended hospital deliveries derived from the 1980 US National Natality/National Fetal Mortality Survey."

And what is the 1980 US National Natality/National Fetal Mortality Survey?
Posted by AmyTuteurMD

Re: Midwives seek autonomy in N.C.

CharlieL — Sat, 07 Jun 2008 19:23:50 -0400

This will be my last posted comment.

"No, there is no scientific evidence in neuroscience or neonatology that shows that babies remember or are affected by mode of delivery."
Posted by CharlieL

Re: Midwives seek autonomy in N.C.

AmyTuteurMD — Sat, 07 Jun 2008 16:03:15 -0400

"Notice that Ina May Gaskin, the founder of the clinic, has no nursing degree. Nonetheless, the outcomes at the Farm should be model for birth in the United States."

Posted by AmyTuteurMD

Re: Midwives seek autonomy in N.C.

CharlieL — Sat, 07 Jun 2008 14:35:26 -0400

"What are you trying to say? It's okay for some babies to die so that a few women can have the birth "experience" that they want?"
Posted by CharlieL

Re: Midwives seek autonomy in N.C.

AmyTuteurMD — Fri, 06 Jun 2008 20:41:06 -0400

"And YES, please, let's have (independent) midwives have hospital privileges in the United States so they can follow their patients and provide continuity of care. We finally agree on something."

Posted by AmyTuteurMD

Re: Midwives seek autonomy in N.C.

CharlieL — Fri, 06 Jun 2008 19:12:54 -0400

"Second, direct entry midwives in Holland are midwives who have been through a 3-4 year university based program that includes hospital based experience and training. Dutch midwives have extensive training and experience in the management of complications.
Posted by CharlieL

Re: Midwives seek autonomy in N.C.

AmyTuteurMD — Fri, 06 Jun 2008 13:28:39 -0400

"Because homebirth is so rare in the U.S., I think it's wise to look to other countries where it is more common, and thus have greater sample sizes, for guidance. So I am going to just type word-for-word the abstract of a study of homebirths attended by direct-entry midwives in Holland, as it appeared in Obstetrical Myths Versus Research Realities"

Posted by AmyTuteurMD

Re: Midwives seek autonomy in N.C.

CharlieL — Fri, 06 Jun 2008 11:34:32 -0400

Because homebirth is so rare in the U.S., I think it's wise to look to other countries where it is more common, and thus have greater sample sizes, for guidance. So I am going to just type word-for-word the abstract of a study of homebirths attended by direct-entry midwives in Holland, as it appeared in Obstetrical Myths Versus Research Realities :

{My note.
Posted by CharlieL

Re: Midwives seek autonomy in N.C.

JohnD — Thu, 05 Jun 2008 11:16:18 -0400

Newmember writes: "...her identity is very mysterious."

Ok, kids, this is what we call "irony".

Posted by JohnD

Re: Midwives seek autonomy in N.C.

new member — Thu, 05 Jun 2008 09:53:42 -0400

Would "Amy Tuteur, MD" be so kind as to post her credentials, current occupation and medical license/active board certification so that we may all know who she is and what qualifications she has. Her identity is very mysterious and a websearch does not show her to be a licensed physician, although it seems she may have been in the past.
Posted by new member

Re: Midwives seek autonomy in N.C.

JohnD — Thu, 05 Jun 2008 01:07:00 -0400

Ok, that makes sense. I was using >28 weeks as the stricture on the gestational age, but that doesn't really make sense.
Posted by JohnD

Re: Midwives seek autonomy in N.C.

AmyTuteurMD — Wed, 04 Jun 2008 22:59:56 -0400

John D:

"Amy, that CDC Wonder website is pretty cool.
Posted by AmyTuteurMD

Re: Midwives seek autonomy in N.C.

AmyTuteurMD — Wed, 04 Jun 2008 22:46:38 -0400

"For those who want to read the scientific research for themselves, presented in an easy-to-read format and heavily referenced, check out Obstetrical Myths Verses Research Realities." No, that book is filled with the mistruths, half truths and outright deceptions of homebirth advocacy topped off with "bibliography salad," a mishmash of scientific citations that don't actually support Henci Goer's points.
Posted by AmyTuteurMD

Re: Midwives seek autonomy in N.C.

JohnD — Wed, 04 Jun 2008 22:13:53 -0400

Btw, also looking at that CDC Wonder website, I wouldn't panic too much about women dying during pregnancy. According to that the only things less likely to kill a woman in America are Diseases of the ear and Diseases of the eye.
Posted by JohnD

Re: Midwives seek autonomy in N.C.

JohnD — Wed, 04 Jun 2008 21:58:11 -0400

Amy, that CDC Wonder website is pretty cool. But I wasn't able to "torture" the data to get the results you got.
Posted by JohnD

Re: Midwives seek autonomy in N.C.

CharlieL — Wed, 04 Jun 2008 21:09:20 -0400

For those who want to read the scientific research for themselves, presented in an easy-to-read format and heavily referenced, check out Obstetrical Myths Verses Research Realities . The hundreds upon hundreds of studies abstracted in that book demonstrate clearly how little of OB care in the US is actually "evidence-based medicine."
Posted by CharlieL

Re: Midwives seek autonomy in N.C.

AmyTuteurMD — Wed, 04 Jun 2008 20:06:21 -0400

"I think the evidence points clearly towards the fact that overuse of medical interventions is killing and maiming women" That's just another mistruth of homebirth advocacy.
Posted by AmyTuteurMD

Re: Midwives seek autonomy in N.C.

CharlieL — Wed, 04 Jun 2008 15:36:47 -0400

Much of this discussion has focused on neonatal and fetal mortality. But there is another category of mortality that we are not considering, and there I think the evidence points clearly towards the fact that overuse of medical interventions is killing and maiming women, and making their lives much more difficult.
Posted by CharlieL