This Weeks' Topic
Midwives

Is it legal for a midwife to assist in births in Missouri

While virtually all births in the U.S. take place in hospitals under the supervision of a doctor, many births are assisted by midwives, women trained to help the mother and her family through the pregnancy and birthing process. Many women prefer the care of a midwife, pointing to studies showing lesser reliance on pain drugs and surgical procedures when a midwife is present for the birth. However, midwife supporters feel Missouri laws are too restrictive.

How has the law changed and why all the controversy ?

  • By way of background, a midwife is an individual who helps expecting mothers give birth at home. 
  • In the past, you had to be trained as a doctor or a nurse to serve in the role of a midwife.
  • In fact it was a felony to practicing midwifery without the proper certification.
  • Governor Blunt recently signed a bill that lowers the standard to allow anyone who has had a training course to be a midwife.

So the law was signed. Why is there a controversy?

  • Several doctors and medical organizations sued in Cole County circuit court to stop the new law from going into affect.
  • The basis of the lawsuit is that it puts pregnant women at risk because lack of proper oversight.
  • Also there were concerns that if there were complications, doctors would not want to corporate or their mal practice carrier would not allow them to cooperate mid wives in the event of complications.

 
Are there also Constitutional problems regarding how the bill was passed ?

  • The Missouri Constitution requires that each law must have one subject, and it must be clear from the law’s title what that subject is. Also, a law can not be amended latter to change that subject.
  • The midwife clause would seem to violate both requirements, since the law’s title was about health insurance and never mentioned midwives.

In my opinion, the recent changes to our law lowering the standards for midwives will by overturned by the court.

 

Disclaimer
This information is general and may or may not apply to your situation. The information contained on this web site is not to be considered as legal advice. Since no two cases are identical, we recommend that you contact an attorney in your jurisdiction to discuss the specific facts of your case. Furthermore, since statutes and case law change so frequently and due to information provided by other sources, we make no warranty or guarantee concerning the accuracy of the content of this or any other web sites to which we link.


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