Tuesday, June 29, 2010

MMA Passed the NYS Assembly -On to the Senate!

IMG_7464Thanks to your amazing efforts, we are half-way there!

In case you missed the amazing flood of energy on facebook today – we have incredibly exciting news!  The bill passed the Assembly today, with a stunning vote of support – 95 for, 17 against.   Your calls, faxes, e-mails and letters are what turned the tide.
As one constituent told us today:  “I was amazed that [my Assemblyperson] told me that after reading my email he spoke with the sponsor of the bill and discussed his concerns, and decided to vote for it because he realized that the original law does not provide the safety that he had thought it does.”
We cannot let up the pressure now – this is our moment to finish the job.
No one ever thought this bill could come so far so quickly – all we need to do now is get the bill through the Senate and then signed by the Governor.
The bill is poised for a Senate vote, but has not yet been placed on the schedule.  We need to encourage Senate leadership to schedule the bill for a vote – and ask our own Senators to vote yes when the time comes.
Time is short – legislators will soon leave Albany – so we need to make sure this happens right away.
Here’s how you can help.

1. Contact the Leadership of the Senate Just One More Time

Urge them to call the bill to a vote! These leaders hold the power to bring the bill to the floor or leave it behind.

Senate Leadership

Sen. Majority Leader Malcolm Smith (518) 455-2701

Sen. Majority Conference Leader John Sampson (518) 455-2788

Script: Hello, my name is ______ and I am calling to voice my strong support for the Midwifery Modernization Act (S5007-B), and I encourage Senator Smith/Sampson to move the bill to the floor for a full vote. Please do not leave New York women and families behind. Thank you.

2. Contact Your Senator This One Last Time

Take heart from the story above of one constituent who educated her legislator.  He ended up voting in support today!   If your Senator has told you he or she is voting against it, now is the time to politely educate him or her about what this bill is *really* about.
Remember that the American Congress of Obstetricians and Gynecologists (ACOG) is putting out urgent alerts for their members to call legislators now – we need legislators to know the truth about the Midwifery Modernization Act!

Find your Senator here and call them:

Script: Hello, my name is ______ and I am a constituent.  I am calling/writing to urge the Senator to please vote for the Midwifery Modernization Act (A8117-B/S5007-B) when it comes to the floor.   It passed the assembly with overwhelming, bipartisan support yesterday.  Can you tell me the Senator’s position on this bill? The women and families of New York need this bill passed this session. Thank you so much!
Tell us, (via Facebook), what you find out.

3. Keep spreading the word – it is working!

We are reaching every corner of New York – now is the time to tell every friend and family member in New York to contact their legislator RIGHT AWAY.
All it takes is for you to share this with your friends and family via e-mail lists, Facebook, and other social media outlets. Send it to people outside of New York and ask them to send it to their New York contacts!
There is one-click Facebook sharing at the bottom of this post.

4. Join the party – watch us on Facebook and we’ll keep you up-to-date

Did you get a chance to watch our Facebook page today?  We were able to update you all on who to call, when the vote was happening, and the exciting Assembly vote.  Your reports on your legislators’ status helped us develop our on-the-ground strategy – invaluable!   Keep watching and taking action throughout the day.   Be a part of the action here.

5. Help Support Free Our Midwives

Please consider taking a moment and donating to Free Our Midwives/BirthNet of the Finger Lakes.  We are a small group of dedicated consumer volunteers.  All donations are used towards upkeep of this website, educational materials and outreach.  Thanks!

Friday, June 25, 2010

Single-Layer C-Section Closure Ups Risk of Uterine Rupture

The article below is from MedScape. The information is not new but the study confirming what we already knew is new.


May all babies be born into loving hands...

K. Michelle Doyle, CNM, NYS LM
www.localcaremidwifery.com
www.localcaremidwifery.blogspot.com


From Reuters Health Information

Single-Layer C-Section Closure Ups Risk of Uterine Rupture

NEW YORK (Reuters Health) Jun 21 - Compared with double-layer uterine closure, single-layer closure following caesarean section doubles the risk of uterine rupture during a subsequent trial of labor, Canadian investigators report in the July issue of Obstetrics and Gynecology.
The researchers therefore recommend that "single-layer closure be reserved for women undergoing tubal ligation or those who require very expedient closure of the uterus."
There is no consensus on the best way to close the uterus after c-section, the authors note. Single-layer closure has gained popularity because it shortens operative time and needs fewer hemostatic sutures.
Dr. Emmanuel Bujold, from Universite Laval, Quebec, and colleagues conducted a case-control study among women who underwent a trial of labor following a prior single, low-transverse cesarean delivery. Patients were selected from deliveries at nine centers in the Montreal area between 1992 and 2002.
The analysis included 96 cases of uterine rupture matched to 288 controls by time period and hospital. Rates of single-layer closure were 36% and 20% in the two groups, respectively
"In multivariable analysis, single-layer closure (odds ratio 2.69) and birth weight greater than 3,500 g (OR 2.03) were linked with increased rates of uterine rupture, whereas prior vaginal birth was a protective factor (OR 0.47)," the team reports. All ORs were statistically significant.
On the other hand, suture material had nothing to do with outcomes.
Dr. Bujold and associates say it's possible that a single, continuous suture technique does not approximate the tissues precisely together, and they suggest that single-layer closure leaves a thinner or weaker scar more prone to rupture.
Obstet Gynecol 2010;116:43-50.
Reuters Health Information © 2010
 

Audrey Grace

Here is a picture of a very cozy Audrey Grace, born June 24, 2010 with help from our friends at Seton. Welcome Audrey!


May all babies be born into loving hands...

K. Michelle Doyle, CNM, NYS LM
www.localcaremidwifery.com
www.localcaremidwifery.blogspot.com

MMA on NYS Legslator Agendas:Let’s Take it All Way!

OK, the amended Midwifery Modernization Act is finally on the NY State's Legislatures' Agendas for Monday, June 28th (it has been on my agenda for years...). Your support by phone call is still appreciated to make sure that your legislator know that you want this brought up for a vote and then voted for. Below is the latest posting from Free Our Midwives.org, a wonderful and dedicated group in the Ithaca, NY area. Let's get this done!

May all babies be born into loving hands...

K. Michelle Doyle, CNM, NYS LM
www.localcaremidwifery.com
www.localcaremidwifery.blogspot.com




Free Our Midwives.org


Let’s Take it All Way!
by admin on June 25, 2010
This is the big time folks! The Midwifery Modernization Act has been amended to satisfy legislators, midwives, doctors, and consumers — no easy task. It is now on the agenda meaning that it is eligible to be put to a full vote in the Assembly and the Senate on Monday! We need to keep the pressure on to assure it gets voted on and passed before the legislative session ends in the next few days.
For Friday:

1.  Call your Assemblyperson and Senator.

Find your Assemblyperson here and your Senator here and call them:

Script: Hello, my name is ______ and I am a constituent.  I am calling/writing to urge the Assemblyperson/Senator to please vote for the Midwifery Modernization Act (A8117-A/S5007-A) when it comes to the floor. The women and families of New York need this bill passed this session. Thank you so much!
**********************
We will be on facebook all day today asking people to call and thank Assembly Speaker Sheldon Silver for his work on the bill and to urge him to bring it to the floor. We will continue to contact him by phone (518-455-3791) or email him until we have his full assurance of a full vote. Please watch for that information via facebook and keep us updated on your progress.
This has been a long haul for everyone, but standing here in the final moments with the bill poised to pass we want you to feel proud of how far we’ve come and empowered as we take these final steps.
We have come this far, let’s take it all the way! Please act now!
********************
Please consider taking a moment and donating to Free Our Midwives/BirthNet of the Finger Lakes.  All donations are used towards upkeep of this website, educational materials and outreach.

Monday, June 21, 2010

Dear NY Midwifery Supporter, letter from NYSALM

Here is a letter from Laura Sheperis, CM, President Extraordinaire of NYSALM.


May all babies be born into loving hands... 

K. Michelle Doyle, CNM, NYS LM
www.localcaremidwifery.com
www.localcaremidwifery.blogspot.com



Dear NY Midwifery Supporter,


As you most likely know, we have been working closely with midwives and midwifery supporters across the state to urge legislators to move the Midwifery Modernization Act (New York State bill S5007/A8117-a) to a full floor vote. We are entering the last week of this legislative session, and therefore a very crucial moment.


Some highlights so far:

·         We had a wonderful Lobby Day in April with a record number of participants, legislative visits, and overwhelming consumer support

·         Consumers created an amazing website, www.FreeOurMidwives.org

·         An online petition for the MMA has received over 4,600 signatures

·         The bill was voted out of the Higher Education Committee in both the Senate and Assembly and is now eligible for a full floor vote

·         We have an incredible number of co- and multi- sponsors in both houses

·         Despite a statewide focus on budget issues, our bill has continued to get attention from the media and legislators

·         The American College of Nurse Midwives (ACNM) issued a press release urging passage of this legislation

·         Our sponsors, Assemblyman Richard Gottfried and Senator Thomas Duane, have committed to making this a priority issue


A big thank you to everyone who has worked hard to move this legislation forward! If you have not already done so, please contact your legislators and urge them to bring this bill to a full vote immediately! This is our last week and our last chance for this legislative session.


There is a wealth of information about the MMA on our website. Visit www.NYSALM.org/mma.htm. Please consider joining NYSALM as an associate member or donating to the cause if you can. Visit www.nysalm.org/donate.htm.

Reply to this letter or give us a call at 518.852.7965 for more information.

In the midwifery spirit,

Laura Sheperis, CM, MS
Midwife
NYSALM President

We Love New York

Another posting from Free Our Midwives.org on the Midwifery Modernization Act. We are so close!


May all babies be born into loving hands...

K. Michelle Doyle, CNM, NYS LM
www.localcaremidwifery.com
www.localcaremidwifery.blogspot.com



FreeOurMidwives.org

We Love New York

by admin on June 21, 2010
img_0757_0Welcome to Monday and New York State politics!!! As of this writing, it looks like a budget deal will be voted on soon, meaning that we are nearing the end of the legislative session. The original Midwifery Practice Act of 1992 passed during the last 15 minutes of the legislative session! We believe that the MMA will be no different.
We are in great shape and we have lots of support. It is nothing short of astonishing that we are where we are. All of us — midwives, consumers, advocates, supportive doctors — have brought us to this moment. We have asked you to engage in this process, and you have all done so energetically, joyfully, and effectively.
We will likely only ask you to act one more time and when that time comes, it will probably require a super-quick-drop-everything-for-5-minutes-and-call kind of response. No one knows exactly when that moment will be.
Let’s all stand at the ready so we can mobilize quickly when the call comes out.