Obstacles to the practice of licensed lay midwifery

Deborah A. Sullivan, Rose Weitz

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Intensive interviews with licensed lay midwives in one of ten states that have recently reactivated and revised legislation legalizing such alternative practitioners for low risk clientele revealed a number of obstacles to their practice. The obstacles stem from the same rules and regulations developed by medical practitioners that made their homebirth service legal. Even after surmounting the difficulties of obtaining a license, the midwives find widespread unwillingness among private physicians to provide the required prenatal screening examination and medical back-up. The opposition of physicians to the licensed midwifery program is voiced in terms of concern about the safety of homebirths, particularly those attended by nonphysicians. Yet, the outcomes from the first 4 years of the program give no support for such concerns. Physician reluctance to cooperate with the legal program, combined with restrictions prohibiting the licensed midwives from sulturing minor tears and administering a single dose of an antihemorrhagic drug in an emergency transfer, do compromise the overall quality of midwifery care. While accepting their subordinate position to medical practitioners, the midwives are struggling to establish the continuum of care for homebirth women implied in their licensure law.

Original languageEnglish (US)
Pages (from-to)1189-1196
Number of pages8
JournalSocial Science and Medicine
Volume19
Issue number11
DOIs
StatePublished - 1984

Fingerprint

midwife
Midwifery
physician
Licensure
Physicians
legislation
drug
license
safety
compromise
opposition
Continuity of Patient Care
Quality of Health Care
Hemostatics
Prenatal Diagnosis
Tears
Legislation
regulation
examination
Law

ASJC Scopus subject areas

  • Economics and Econometrics
  • Public Health, Environmental and Occupational Health
  • Social Psychology
  • Development
  • Health(social science)

Cite this

Obstacles to the practice of licensed lay midwifery. / Sullivan, Deborah A.; Weitz, Rose.

In: Social Science and Medicine, Vol. 19, No. 11, 1984, p. 1189-1196.

Research output: Contribution to journalArticle

Sullivan, Deborah A. ; Weitz, Rose. / Obstacles to the practice of licensed lay midwifery. In: Social Science and Medicine. 1984 ; Vol. 19, No. 11. pp. 1189-1196.
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