Legislature

Guest Post: Cindy Lybolt CPM

Guest Post: Cindy Lybolt CPM

Cindy Lybolt is a midwife practicing in the northwestern portion of Indiana, the area many local homebirth advocates growl about when speaking of homebirth because to say the hospitals, physicians, and unfortunately even the hospital-based nurse-midwives are unfriendly to homebirth, is quite the understatement. She has persevered and I’ve appreciated that about her. Quite honestly […]

My sweet husband and our son, Lyric Bram.

Negative Commentary

Being a business owner in the social media age, especially in a field with such emotional investment, is an exceptionally vulnerable endeavor. I certainly couldn’t handle the personal attack our legislative leaders undergo, or the witch hunt our celebrities endure. What our young high schoolers go through today on Facebook, I simply can’t imagine. I […]

Self-Identifying as a Nurse-Midwife

Self-Identifying as a Nurse-Midwife

How we identify ourselves as nurse-midwives “has a direct effect on our licensure, accreditation, certification, practice, education, legislation, reimbursement; indeed, our very being” (Burst, 2010, p 406).  Helen Varney Burst makes argument in her 2010 article, Nurse-Midwifery Self-Identification and Autonomy, that identifying ourselves as a subset of nursing might be detrimental to obtaining autonomy as nurse-midwives. […]

Indiana’s Infant Mortality Rate

Indiana’s Infant Mortality Rate

The top priority of the Indiana State Health Department is addressing our high infant mortality rates. For more than 100 years, Indiana has had one of the highest infant mortality rates (IMR) in the nation. The Indiana State Health Commissioner, William C VanNess II, M.D., argues this poor outcome reflects on the fact that Indiana […]

Current Status of Indiana Statutes specific to CNMs

Current Status of Indiana Statutes specific to CNMs

We are frequently asked if we are going to open a birth center, especially after opening our beautiful new midwifery clinic in Indianapolis. I will admit that while touring the center, we certainly were tempted and recognize that there is a need for a birth center in the Indianapolis area, but the current statute makes that […]

Prescriptive Authority for Indiana Nurse-Midwives

Prescriptive Authority for Indiana Nurse-Midwives

One of the greatest barriers to the practice of nurse-midwifery in the state of Indiana is the requirement of a written collaborative agreement to prescribe legend drugs. This collaboration is not specific to the practice of midwifery. In fact, a physician of any speciality can sign such requirement so this isn’t about true collaboration, but […]

Public Policy: Understanding the Ropes

Public Policy: Understanding the Ropes

The term “policy” is an overarching term used to define both an entity and a process. It is used to refer to goals, programs and proposals. Organizations use this term to outline their “standing decisions.” Just as those policies reflect on the values of the organization, governmental policies reflect on the beliefs of our administration […]

Food For Thought

Food for Thought

"It is much more important to know what sort of patient has a disease than what sort of disease a patient has."

Sir William Osler

 

Food for Thought

"Happiness is underrated and critically important to health. Seriously! Unfortunately, many people just have no idea how to be happy."

Aviva Romm

Food for Thought

"Physicians simply do not have time to be what patients want them to be: open-minded, knowledgeable teachers and caregivers who can hear and understand their needs."

Snyderman and Weil

Food for Thought #1

"They say that time changes things. But you actually have to change them yourselves."

Andy Warhol

Food for Thought

"To think is easy. To act is hard. But the hardest thing in the world is to act in accordance with your thinking."

Johann Wolfgang von Goether

Food for Thought

"Birth isn’t about avoiding one set of realities in favor of another. It’s about embracing all facets of birth--contradictory, messy, or unpleasant as some might be--as vital to the whole."

Rixa Freeze PhD

Food for Thought

"Why I appreciate being a certified nurse-midwife, as opposed to choosing another route for midwifery: I feel learning the science is vital so the art of midwifery is safe and effective."

Dr. Penny Lane, nurse-midwife

Food for Thought

"When the debate is lost, slander becomes the tool of the loser."

Socrates

Food for Thought

"To accomplish great things, we must not only act but also dream; not only plan, but also believe."

Anatole France

Food for Thought

"Science and uncertainty are inseparable companions. Beware of those who are very certain about things. There are no absolute truths in biological sciences - only hypotheses... 'We need to train medical students and residents more in the art of uncertainty and less in the spirit that everything can be known or that it even needs to be known.'"

Grimes (1986)

Food for Thought

"American physicians are rewarded for doing things to patients, not for keeping them well."

Grimes, 1986

Food for Thought

"The false idol of technology. 'Having a widget screwed into one's scalp has become an American birthright.'"

Grimes, 1986

Food for Thought

"Between 1985 and 1987, a hospital instituted a successful program to reduce its cesarean rate. The rate fell from 18% to 12%, losing the hospital $1 million in revenues - no small sum in those days."

Goer & Romano, 2012, p 37

Food for Thought

"Obstetricians are much more likely to perform a cesarean when they wrongly believe the baby weighs 4000 g or more based on sonographic estimates than when the baby actually weighs this much but the obstetrician did not suspect it."

Goer & Romaro, 2012, p 35

Food for Thought

"If you play God, you will be blamed for natural disasters."

Marsden Wagner (2006)

Food for Thought

"An education isn't how much you have committed to memory, or even how much you know. It's being able to differentiate between what you know and what you don't."

Anatole France

Food for Thought #3

"Birth is not only about making babies. Birth also is about making mothers - strong, competent, capable mothers, who trust themselves and know their inner strength."

Barbara Katz Rothman PhD (1996)

Food for Thought #4

"Believe there is always, always, always a way. When you have exhausted all possibilities, remember this: you haven't."

Thomas Edison

Food for Thought #5

"All truth passes through three stages. First, it is ridiculed. Second, it is violently opposed. Third, it is accepted as being self-evident."

Arthur Schopenhauer

Food for Thought #2

"Yet you brought me safely from my mother’s womb and led me to trust you at my mother’s breast."

Psalm 22:9