Other midwives recommend kegels in a certain position or useless homeopathic remedies. Neither of these things have any evidence backing them as a treatment for a prolapsed cervix.
If I had access to the midwife I would say “Yeah, how about you google “cervical prolapse pregnancy” and look at the first result?”
Uterine cervical prolapse concurrent with pregnancy is rare. This article reports three cases of second-degree cervical prolapse during pregnancy. Two women developed prolapse in the late second trimester while one women had preexisting prolapse. Both women with prolapse developing during mid-pregnancy were treated unsuccessfully with a vaginal pessary to maintain cervical placement. Premature labor occurred in both of these women, resulting in one preterm birth. Although cervical prolapse is rarely encountered in pregnancy, the threat of preterm labor and delivery warrants close observation.
Oh wow, sounds like something a lay midwife should never, ever try to manage on her own. Too bad none of the other clueless lay midwives recommended a consultation with a physician as a result. I’m sure they just say its a ‘variation of normal’. When I read this post I immediately thought of ‘incompetent cervix’, a problem where the cervix is unable to hold the weight of a baby and generally ends in either suturing the cervix to retain the pregnancy or a miscarriage or premature birth. The direct entry midwifery law in Utah spells out certain conditions that licensed midwives should never manage, but it is not a complete list. Unlicensed midwives are free to try to manage any condition if they feel up to it. The gap in legislation is evidenced well by these screenshots.
Next up is Utah midwives organization trying to manage a liver problem in a mom:
Cholestasis is a condition where flow of bile from the gallbladder to the liver is restricted. It causes symptoms similar to liver failure or cirrhosis(jaundice, fatigue, loss of appetite, dark urine, light stools, etc). A midwife cannot differentiate between cholestasis and other types of liver disease. They can’t even order the correct lab tests to tell the difference, much less interpret them.
One midwife suggests an essential oil blend called zendocrine. One says “exercize (sic) and a veggie diet”. The rest recommend a ‘liver cleanse’, which generally means a fast with specific allowed beverages or foods.
There is absolutely no scientific evidence that ‘cleanse’ diets do anything beneficial to non-pregnant men and women, much less women who are pregnant and have a history of a liver problem during pregnancy. These midwives don’t know what they are talking about. They spread around rumors and alt-med nonsense as genuine advice for managing conditions that midwives should never try to take on. Here is what the american pregnancy association says about cholestasis:
How will the baby be affected if the mother is diagnosed with Cholestasis?
Cholestasis may increase the risks for fetal distress, preterm birth, or stillbirth. A developing baby relies on the mother’s liver to remove bile acids from the blood; therefore, the elevated levels of maternal bile cause stress on the baby’s liver. Women with cholestasis should be monitored closely and serious consideration should be given to inducing labor once the baby’s lungs have reached maturity.
When lay midwives were discussing their profession with Utah legislators they claimed that it was not the practice of medicine, but from what I can tell they absolutely intend to practice medicine. What is there to know about medicine that other midwives can’t fill you in on via facebook? Nothing, except for the 4 years of intensive study and practical experience that physicians go through before becoming physicians, of course! They have “other ways of knowing“, which basically means ‘trust your gut’ instead of established research. These women like to play doctor, but they are far from qualified. It was only in 2012 that they were burdened with having to obtain a high school diploma before attaining the title ‘midwife’. Even the midwives college of utah was unable to tell that the (long awaited) release of MANA death statistics actually revealed a 5.5X increased rate of death instead of “evidence that home birth is safe”. How could they make such a massive mistake? Its because they aren’t actually trained in interpreting medical studies, so they are happy to accept the conclusions presented by other midwives instead of understanding the numbers involved. This pathetic excuse for a study is the best case scenario in home birth, and despite the fact that it shows an unacceptably high level of perinatal mortality, it is still better than what the actual numbers are likely to demonstrate. The study has a 30% participation rate, with no explanation of the percentage of participants lost during the course of the study. Midwives with poor outcomes were likely to simply drop out, as to avoid tarnishing lay midwifery in general. The navelgazing midwife pointed out that the description of statistics in the study (that midwives and their patients were enrolled at the beginning of prenatal care) is completely false.
The bottom line is this- roughly 1% of births are purposely performed out of hospital, but these births represent 100% of the profit for home birth midwives (overwhelmingly lay midwives). Would you trust the tobacco industry to tell you the truth about smoking? If not, why would you expect the midwifery lobby to tell you the truth about the danger of out of hospital birth? When midwives in Utah get together to try to influence policy they have to rely on deception to get their way. If the legislature knew about the way that midwives conduct themselves, and had real data about the outcomes of out of hospital birth attended by a non-nurse midwife, I am sure they would want drastic changes in legislation.