Vickie Sorensen’s victims should not be buried twice

Dr Amy Tutuer of the Skeptical OB has a very apt saying about home birth deaths- the babies get buried twice. First in the ground by their parents, and then by the home birth midwives who wish to bury the memory of what happened. It does not have to be that way- take action, call your legislators and let them know that you don’t find it acceptable that its harder to legally drive a car than it is to legally deliver a baby in our state.

It may seem like common sense that the law changes after this, that legislators will wake up to the problems with voluntary licensing and voluntary insurance for midwives, but that did not happen last time a horrific home birth death happened in Utah (at the hands of serially negligent midwife Valerie El Halta). The reason nothing changed is that Utah midwives stand up for each other regardless of how heinous their actions might have been. Right now, instead of asking themselves how this could have been allowed to happen or how to prevent it the next time, they are raising funds for Vickie Sorensen’s defense. They are denying reality by trying to say that this is persecution or that there is no merit to any of the charges (we will have to wait and see, but I have yet to see a midwife charged in a case like this that is let free- there are simply too many witnesses in home birth deaths).

They also have a leg up because legislators like Holly Richardson support home birth, even after the bill she passed cost a life (now we know its cost many more than that). I brought this to her attention and she ignored me and my concerns. She is running for house district 57 in pleasant grove, and will no doubt push the home birth agenda if she is elected. She is a major reason this state of affairs exists in the first place, but she has washed her hands of all responsibility. You will see that she more or less blames parents for not being diligent enough in checking references, but in both Utah home birth deaths the midwives in question have glowing reviews from a large number of people and professional achievement (El Halta wrote for Midwifery Today, Vickie Sorensen was integral to the original Utah Midwives Association). The Utah Midwives Association (now the Utah Midwives Organization) had a meeting about how to best cover this up and prevent any laws from being passed. The El Halta death happened very shortly before the legislative session opened so no one else was organized enough to change the law.  It seems that the lack of action from that death has unfortunately allowed other deadly midwives to operate legally.

These babies need you and me to contact everyone we can to try and prevent the next death. Midwives refuse to police themselves and prefer to have a total lack of supervision or guidelines for their practices. There is actually an official guide for home birth midwives to avoid accountability for deaths they attend, it is called From Calling to Courtroom. You can read it here. You will notice that a lot of what Vickie Sorensen is accused of doing- lying on medical records, interfering with EMTs, etc is encouraged in this book. This is standard operating procedure for home birth midwives.  You and I are the only thing standing between negligent midwives and the next preventable death- please help, it will only take a few minutes of your time.

You can sign a petition demanding licenses and insurance for midwives here. 

A preventable home birth death- Possibly in Utah

 

UPDATE : Jan Tritten had this to say after deleting the thread on facebook:

“The
questions on this page are messaged privately to me and put up
anonymously. They are not my cases. This is to help mothers, midwives,
doulas and physicians in their work. it is to get opinions from many
different practitioners and parents.”

I found a link today to the facebook page for an editor of Midwifery Today (Jan Tritten), a trade magazine for direct entry midwives. She makes a habit of posting questions on behalf of other midwives. I assume she does this because midwives may not want their names known when asking about dangerous practices OR because Jan has more friends and will therefore get more responses to questions. It seems that she was posting about her own client this time.

I found a ton of these types of posts on her timeline. In this specific instance, a woman who was over 42 weeks pregnant and had no amniotic fluid visible in her ultrasound, and the patient’s midwife decided to crowdsource advice via facebook instead of immediately transferring care. Here are the screencaps

midwifery today editor crowdsource midwifery today editor crowdsource 2

Note the part on the first post that says “We’re in a state with full autonomy for midwives and no transfer of care regulations past 42 weeks”.  What does ‘full autonomy’ mean? Its midwife speak for “no rules to protect patients from negligence”. Utah is a state that lacks these protections for mothers and babies. This could be a death here or in Oregon- it is not possible to know, however Oregon does have more restrictions on unlicensed midwives than Utah does. 

In Utah, a midwife can do whatever she wants to unless she voluntarily decides to get licensed. The law is very misleading to the public- if you look up the law about midwifery in utah it looks as though there are strict practice guidelines, but they only apply to women who volunteer to abide by them. If those women lose that license they can still practice afterwards, with fewer restrictions.  They cannot call themselves licensed midwives, and they are not supposed to carry drugs, but when I tried to report an unlicensed midwife claiming to be licensed there were not any consequences. Utah midwives (licensed or not) don’t carry insurance so if they injure or kill someone the grieving families are unlikely to be able to sue, and if they can sue they are unlikely to collect any money.  What reason is there for the midwife to act differently? There is no negative consequence for depraved indifference and a lot of praise for delivering high risk clients to ‘prove’ that birth is inherently safe.  You can see from the comments that virtually every other midwife seems to act like this was an unforeseen tragedy that could not have been helped. There were multiple, glaring indications for transfer and the midwife did nothing. Other midwives in the comments talk about the importance of midwives setting their own standards of practice, when in fact that is exactly what caused the death. Jan Tritten is the editor of the trade magazine for midwives, and she engages in behavior which enables dangerous practices like this to happen. Why is she not ashamed?

Something similar happened in Utah awhile back. It was another case of depraved indifference to the wellbeing of a mom and baby, and it ended in a death. What consequences were there for that midwife?

The harshest consequence I’ve seen for a midwife in Utah was to be charged with negligent homicide, and then be sentenced to probation and banned from attending births. That’s it. Probation. She wasn’t even shunned by the community in the aftermath, they embraced her and probably still do (while the public isn’t watching).

One of the main reasons Utah’s state laws are set up this way is because of legislator Holly RIchardson (republican, of Holly on the Hill fame). She was instrumental in getting the original direct midwifery act passed as legislation, and has yet to take any responsibility for the outcome of such an outrageously negligent policy.  Even if this death was not in Utah, there is absolutely nothing that would have prevented this level of negligence from happening here. There is absolutely nothing in place to punish or discourage this level of negligence by unlicensed midwives, and that’s the way Holly Richardson and her friends at the Utah Midwives Organization prefer things to be. Without new legislation we are literally waiting around for this to happen again. How many dead newborns will it take for people to demand change?

Holly is running for House District 57 in Utah this election. Let Holly know how disgusted you are at her for enabling dangerous quacks to operate without any accountability. Her contact form is here.

Edited to add- there are actually multiple states with lax licensing on midwives. Read the comments for additional information. In the end it turned out that this tragedy happened in Nevada.