Latest Articles

  • Malpractice Insurance

    High-Cost Malpractice Insurance Causes Serious Access-to-Care Issues for Women

    "Physicians are quitting the baby-delivery business or leaving states where juries award lawsuit 'lottery prizes' to parents with impaired newborns, says Thomas Purdon, president of the American College of Obstetricians and Gynecologists (ACOG). 'Liability insurance has become unaffordable or even unavailable,' he says." (USA TODAY, May 6, 2002)

    "Over the last four years, malpractice insurance rates for ob/gyns have jumped as much as 150 percent, prompting record numbers of obstetricians - about 1 in 11 nationwide - to scale back their services to gynecology only." (Self, Magazine, April 2002)

    Licensing professional midwives to practice in the home will:
    • Restore access to some of the maternity care that has been dwindling because of malpractice concerns; and
    • Improve outcomes for families having homebirths, decreasing the cost to the state for educating children with special needs caused by birth injuries.

    But this solution will not be effective if malpractice insurance is required. Women are paying the consequences of rising malpractice insurance premiums through rising health care costs and less access to quality care.
    South Dakota law does not require doctors, nurses, or nurse midwives to carry malpractice insurance and it shouldn’t require it for homebirth midwives.

    Provide SD Moms with Access to Quality Care License Certified Professional Midwives
    SDSafeBirth.org

  • Licensing Trends

    2006 NARM Year End Report
    Twenty states, including South Dakota, are
    currently working towards CPM licensure legislation.
    Over 1400 CPMs in 2008

    No state has ever attempted to reverse its decision to license Certified Professional Midwives

    No state has reported an excess of damaged babies costing the state funds for lifelong care

    All states reporting results have described favorable outcomes for mother

    AND baby, and reduction in expense to the state for initial and follow-up care.

    SD Families want access to these skilled midwives!

  • Consumer Handout

    Birthing Families Need Your Help!

    Please consider these facts:

    According to the CDC over 99,000 people die each year in the United States after picking up bacterial infections in the hospital and newborns are especially susceptible to these infections.

    Newborns are generally protected from germs in their own homes by the antibodies they receive through the placenta before birth and through their mother’s breast milk.

    The Cesarean section rate has risen to over 31% in the United States. According to a 2006 CNN report, the United States has the second worst newborn death rate in the modern world despite having the most neonatalogists and neonatal intensive care beds per person. The countries with better outcomes utilize many more midwives and integrate them into the healthcare
    system. Using less technology and following the midwives model of care as standard procedure has helped these countries to save lives and money.

    There are two types of midwives that are nationally accredited by the NCCA, Certified Professional Midwives (CPMs) and Certified Nurse Midwives (CNMs).

    South Dakota only licenses nurse midwives and limits their practices.

    Twenty-four states already license home birth midwives and twenty other states including South Dakota are working on licensure legislation.

    The CPM 2000 study published in the British Medical Journal in 2005 (which included over 5000 home births mostly in the United States) showed that home births attended by professional midwives had an equal mortality rate with far fewer interventions when compared to low risk hospital births.

    South Dakota families can legally have home births but most cannot find a qualified attendant to assist them. (This is because professional midwives are currently not recognized in SD law and nurse midwives rarely attend home births – less than 1% nationwide.)

  • Clinical Experience Requirements

    This handout compares clinical experience requirements for Certified Professional Midwives (CPMs), Certified Nurse Midwives (CNMs) and family practice physicians.

  • Are We Ready?

    Are we ready for the next disaster?

    Disaster preparedness has become a top priority in South Dakota, and Governor Rounds has encouraged all citizens to be prepared for any emergency, proclaiming August 31, 2007 as “bReady Day”.

    1 What preparations are being made for pregnant women and newborns? Where will pregnant women birth their babies if hospitals become overwhelmed with disease and infection or power outages make technological birth services unavailable?

    Certified Professional Midwives (CPMs) are the only childbirth attendants with required training in out-of-hospital birth and could be an invaluable asset to South Dakota’s disaster preparedness plan. These midwives are astute in out-of-hospital births with limited technology and they are highly educated in the natural process of birth including the physiological needs for mother and newborn.

    CPMs are a key component to ensure pregnant and birthing women and their newborns are safely cared for during emergencies.

    1. See the website: www.bReadySD.com.
    Revised 10/24/08
    South Dakota Safe Childbirth Options urges South Dakota legislators to provide a means for CPMs to practice in our state, so that we can all be ready when disaster strikes.

  • Academic Credits

    This handout shows credit given to a Certified Professional Midwife (CPM) by the National College of Midwifery in New Mexico. The only requirements a CPM needs to complete her bachelor's degree are classes required by the New Mexico Department of Education that are unrelated to midwifery. All midwifery related classes and clinical requirements are satisfied by the CPM certification.

  • Birth Services in SD

    Licensing Nationally Certified Professional Midwives Would Help Fill in the Gaps in South Dakota’s Birth Services SD Needs More Midwives!
  • Corrections Requested

    Do us a favor. If we don’t have your name or address correct, please let us know. Call 605-563-2363 or email
    chair@sdssafebirth.org. We also would appreciate your current email address. Thank you.

  • Dues and Donations

    SDSCO depends entirely on membership dues, fundraisers, and our dedicated corps of volunteers for our year-long educational and legislative work. Please help us continue this important work for South Dakota families.

    ? $15 individual membership ? $20 family membership

    I can see that your work is making a difference! I want to do all I can to protect safe childbirth with an additional donation of time or money.

    Visionary ? $500 and above ? I can send my dues and volunteer
    Champion ? $100 to $499 name__________________________________________
    Advocate ? $50 to $99 address________________________________________
    Friend ? $21 to $49 phone/e-mail____________________________________

    Donations and membership dues can be sent to:
    SDSCO, % Julie Pease, Treasurer, 1200 N Advantage Ave, Sioux Falls, SD 57103