Unassisted: Home Birth in Nebraska, Part Two
December 30th, 2011
Omaha, NE – A single line keeps Certified Nurse Midwives from attending home births in Nebraska. Some families want to see it removed; however, some medical professionals say that is a bad idea.
Nebraska Sen. Tony Fulton of Lincoln wants to repeal a single line in Nebraskaâ€™s medical laws: the one prohibiting Certified Nurse Midwives from attending home births. â€œHereâ€™s a conservative Republican saying we ought to be progressive when it comes to home births,” he said. “A bit of irony there, but this is not a conservative/progressive thing. This is rational, common sense.This is what we should do.â€
Fulton was approached by Nebraska mothers asking for his help years ago. The advocacy group Nebraska Friends of Midwives would visit the capitol handing out M&M cookies to legislators to remind them of â€œmothers and midwives.â€
â€œFor them to be stigmatized as strange or awkward, itâ€™s the ultimate of ironies because these are moms,” Fulton said. “And often times the stigmas are being foisted upon them by those who are not moms.”
Jessica Freeman is a mother of three and a board member of Nebraska Friends of Midwives. During her first pregnancy, she said like most newly expectant mothers, she had read many books on child birth. But when it came time to deliver, she said she experienced interventions by hospital staff she felt might not be safe.
Her doctor broke her water, and told her to push, an urge, Freeman said, she never had.
â€œI came out feeling… just not sure what I was doing,” Freeman said. “I didnâ€™t ever have the urge to push, you know, I didnâ€™t have that confidence, that sense of ‘I can do this.’ And that translates into your mothering.â€
That experience led Freeman to seek out a home birth for her next two children. Her first home birth was performed in New York, and despite the ban, her second was in Nebraska.
â€œWeâ€™re not looking for 50 percent of births to be in the home,” she said. “Weâ€™re just saying we want the ones who know about home birth, want to be able to have a safe home birth, we want to be able to have an attendant there, to make sure nothing goes terribly wrong, and to help us if something does go wrong.â€
But the Nebraska Medical Association says Nebraskaâ€™s laws should stay as they are.
â€œThe reason that the physicians and the medical community is concerned about this issue have to do with the health and the safety of the mother and the child,â€ said David Buntain, a lobbyist for the Nebraska Medical Association. Any attempts to repeal the home birth provision, Buntain said, will never be supported by the NMA.
â€œYouâ€™re making a decision, not just for the mother, but also for that child whoâ€™s being born,” he said. “And the child doesnâ€™t really have a say in it. And I would think the child would want to be born in an environment where he or she has the best chance to have a normal birth.â€
Sarah Jacobitz-Kizzier is in her final year as a University of Nebraska Medical Center student. Sheâ€™s planning to become a family physician. I asked her why she believes the medical community is resistant to allow home births. She said it’s a “fear of lawsuits, losing their own medical license, of losing prestige in their community…all these things are scary to new professionals, to new medical students.â€
Jacobitz-Kizzier said in medical school, the practice of home birth is never brought up. And often, she said, the topic was â€œtabooâ€ with fellow med students. She said she feels women should have as many options as they want. And she said there are widespread misconceptions about women who want home births.
â€œThe one that is most polarizing and the most untrue, is the (one) that women who choose to do home births are labeled as having a stronger emphasis on the process of the birth rather than the outcome, which is totally untrue,â€ she said.
But the Nebraska Medical Association isnâ€™t the only medical group against home births. The American College of Obstetricians and Gynecologists said â€œalthough the absolute risk of planned home births is low, published medical evidence shows it does carry a two-to three-fold increase.” Jacobitz-Kizzier disputes that idea. She cited a 2009 study which found there was no difference in risk for home or hospital births. That study was published in British Journal of Obstetrics and Gynaecology.
When it comes to the state’s interest, Buntain said, â€œThe issue really is whatâ€™s best for the people of Nebraska, and the Medical Association believes that it is not in the best interest of women of Nebraska for the state to allow home birth.â€
Earlier this year, Sen. Ken Haar of Malcolm, introduced a bill that would repeal the current statute. But Haar withdrew the bill to allow another by Sen. Fulton to pass without issue. Fultonâ€™s bill made it more likely hospitals would consider hiring a Certified Nurse Midwife. Sen. Haar plans to reintroduce the bill, but is unsure if it will make it out of committee. Health and Human Services Committee Chairperson Senator Kathy Campbell said she cannot comment on potential bills, only she will have to â€œwait and see.â€
Sen. Fulton said it is something that needs to change.
â€œVirtually every other state allows this except Nebraska,” he said. “Either Nebraska is going to be the safest place on the planet to have babies, or itâ€™s going to stick out like a sore thumb.”