Utah health department: Home birth kills babies that would otherwise have lived

The Utah Health Department released a study on home birth, and it mirrors the findings of the data released in Oregon several years ago by Judith Rooks (CNM).

According to page 10 of the document, neonatal deaths in home birth happened at a rate 2.3 x the rate of hospital births. The statistics go on to note that the home birth deaths were reviewed by a committee which states that at least half of the home birth deaths were “strongly” considered to be preventable (meaning those babies would have survived had they been born in hospital). The remainder still had evidence of being preventable, just not as strong of evidence as the other half. None of the cases were considered to be completely unpreventable. The home birth fatalities were attended by midwives, midwives who likely told their clients that home birth is as safe as hospital birth.

What is shocking is that these findings actually skew the data in favor of home birth midwives- the real numbers are likely much worse. For instance, women that transfer to the hospital too late will have their babies death counted as a hospital death instead of a home birth death. You can read more in the “limitations” section of the document.

Here is all the proof anyone should ever need, in black and white- home birth in Utah kills infants that would otherwise have lived. Please refer to my Action Guide at the top of the page if you want to change things for the better.

UPDATE: this large peer reviewed study found nearly the same results. The authors have admitted to soft balling the risk in order to spare themselves the ire of the home birth community.

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Another baby dies in a Utah home birth, and the mother is a home birth midwife

Camille Sorensen Wilcox, a Utah home birth midwife, is burying one of her sons. She was pregnant with twin boys and one of them did not make it because of complications from the birth. Camille is the daughter of Vickie Sorensen, who is currently facing manslaughter charges for presiding over a DIFFERENT twin birth that also resulted in a death.

Camille was actively involved in the death at her mother’s birth center according to media reports, she made phone calls on behalf of the birth center and seems to have been there when the fatality happened, as well as this near miss with a twin that would not breathe after birth.

Why on earth would Wilcox risk her son’s life at a home birth after seeing twins die, or nearly die, at deliveries outside of the hospital? Babies that needed life saving equipment that is only available at a hospital?

Camille Wilcox, as a home birth midwife, is brainwashed into thinking that birth is “as safe as life gets”, that twin births are “a variation of normal” instead of a risk factor. A midwife has a responsibility to her patients to communicate the risk of a choice accurately, but in the case of home birth midwives they don’t even believe the risk is there, so they cannot reliably tell you about it. This is why home birth needs to be regulated. Usually when a baby dies at a home birth I see people blaming the mother, saying she was uneducated or picked the wrong midwife, but this mother is a midwife whose lineage is midwifery, whose mother delivers babies with her. This proves that no amount of “education” in home birth midwifery, or “natural child birth”, will protect children whose mothers choose to have a baby at home. Home birth midwives are a risk to the public health of newborns in Utah.

Camille was warned directly of the risks inherent in a twin pregnancy. You can see her mocking an OBGYN’s warning on facebook here:

camille wilcox obgyn

(the image reads “Ok, so I had an OB pull the “mortality rate goes up at 38 weeks” card on me this week, and I was wondering- What EXACTLY is the mortality rate for di/di twins before 38 weeks, and after? Gail Hart?) 

Gail Hart is another midwife. I am sure that the Midwifery Community assured her that she was fine to have a baby at home, because that’s what midwives do even in the face of unquestionable danger, like these midwives (including a Utah midwife) did in another case that ALSO lead to a fatality.

Now the family is asking for funds to bury their child. Like most home birth disasters an emergency transport was required but did not stave off the inevitable.

camille wilcox transportation cost

On a related note, Vickie Sorensen is still committed to delivering babies. Her trial was postponed until January, and she made this announcement (AFTER the death of her grandson in a home birth in June, mind you):

vickie sorensen still working

I have reached out to the Utah Midwive’s Organization for a statement about the appropriateness of twin births being attended at home but I’m not optimistic about getting a response. From all outward appearances this looks very bad for midwifery because babies are dying left and right in home births and no one wants to be responsible for it. This underscores just how little deaths affect practice standards. If a baby dies from a practice in a hospital and the hospital is alerted, the hospital changes the policy. Midwives just ignore when the data shows they are causing death or injury and double down on their beliefs. Statistics show that home birth will be a victim of its own popularity- the more babies born at home, the more babies will die in completely preventable ways, spurring change. If people band together and become politically active perhaps that can be avoided and home birth fatalities can be prevented by legislation. Each death is a life shattered, a baby dying in agony, siblings who will never meet their brother or sister, empty arms of parents and broken heart. Preventing even one death is a worthy cause. If you feel moved to do something about the state of home birth in Utah please use the action guide at the top of the page.

freedom of choice for birthing mothers

I support the choice of mothers to give birth where and how ever they want.

However, that doesn’t mean I think every birth choice should be endorsed by the state, either. There is a victim in poorly made birth choices, and that victim is almost always a baby. Babies deserve legislative protection to make the birth providers that facilitate dangerous practices accountable for their actions. Reckless home birth midwives are the ones who profit from spreading the fiction that home birth, water birth, etc is as safe (or safer) than hospital birth. They are the ones with everything to gain and nothing to lose, and that is why legislation should be aimed at controlling their actions rather than the parents who were duped into hiring an incompetent provider. Indeed parents should be able to choose what happens to their bodies and when, but that does not mean it is moral to legally allow a profession to flourish to facilitate poorly made decisions.

Right now any charlatan can call themselves a midwife and boast any safety record they want- there is no way for you to know if they are lying. Even if your midwife is licensed, you would have to trust that any negligence on their part was actually reported to DOPL. There are protocols in place that demand reporting adverse events in hospital births, and there are no such safeguards in home birth or out of hospital births. Home birth midwives who lose babies that could have otherwise been saved are very good at convincing clients (and seemingly, themselves) that the death was not preventable. They don’t have the clinical training to actually know if that is true or not most of the time. It is worth noting that I have never, not once, seen a home birth midwife admit that a baby that died in their care could have lived had they been born in a hospital. This is true even when the baby dies because the time between home and hospital was too long for the baby to endure. They won’t admit wrong and I’ve certainly never seen a home birth midwife that stopped practicing after a preventable death, unless the court ordered them to stop (like with Valerie El Halta and Gloria LeMay).

If your midwife loses her license because she hurt people through negligence, guess what? She can just keep on practicing as an unlicensed midwife. She can change her name if needed, and keep doing what she wants to, with full support from the midwifery community. You would never know.

Utah Midwives are afraid of this website

I am currently being threatened with legal action unless I hand over my blogs to a midwife’s attorney, they are demanding that I agree to never speak of them negatively again. They have never actually told me what was wrong on my website (as I am eager to correct any errors), or why they would need access to ex home birthers. They are threatened by someone pointing out the truth about direct entry midwifery in the state of Utah.

I will not be bullied into silence. I have the first amendment right to talk about my political beliefs and to lobby for changes to the law in my state. I’m willing to fight this as long as necessary to let parents in Utah know that there are more legal requirements for driving a car than calling yourself a midwife and delivering babies. 

If anything goes down I will be contacting Ken White of Popehat, who has been extremely effective at finding pro-bono help for bloggers who have been sued to try and curtail freedom of speech. I’m prepared for whatever happens. 

Alabama: please learn from Utah’s mistakes

I read a great article written by Dr. Michael Flanagan, addressing Alabama’s proposed legalizing of direct entry midwifery. He makes several concise arguments about why lay midwives are not adequate birth attendants in emergency situations.

Complications of labor can include, but are not limited to, a baby getting stuck in the birth canal, tangling of the umbilical cord around the baby’s neck, bleeding, infection, or even unexpected immaturity of the newborn’s lungs. These dangers are possible even in the most state-of-the-art facility, but at least the infant and mother have the best possible chance of survival. I have personally participated in urgent and emergent care that required quick decisions by the physicians and nurses to save the life of the unborn child and mother. The same cannot be said for a birth that is planned for the home and attended by a lay midwife. Instead, you will have a well-meaning, but woefully undertrained and underprepared individual and a false sense of security for the parents. When a planned home birth takes a turn for the worse, the time spent in an ambulance ride to the ER can mean the difference between life and death.

 

Dr Flanagan is talking about births that just unexpectedly go wrong, and the problems associated with that. He cannot even begin to understand the negligence associated with unlicensed home birth practitioners, they take high risk pregnancies if there is no oversight preventing it. Home birth midwives in Utah, for instance, regularly attend breech births, vbacs, and twin births (or shockingly, a combination of the above risk factors). There have been fatal results.  Dr Flanagan continues:

 

There will always be babies born spontaneously in elevators, taxi cabs and parking lots. Most of these deliveries will likely be fine, given the law of averages.

This is true, and this is exactly why midwives can claim their practices are safe. Midwives also deliver far fewer babies per year than a obstetrician or a nurse midwife working in a maternity unit, and so they can claim to have worked for many years without a death, or they can choose to see the deaths they have attended as unavoidable because of their ignorance of obstetric interventions. They scoff at the idea that they have attended so many non-lethal births out of sheer luck, but its the absolute truth. Midwives take credit for good outcomes and deny responsibility for bad outcomes- its an abhorrent model of patient care. Dr Flanagan continues:

 

However, if the State of Alabama passes a law legalizing lay midwifery, it sends a message to the public that this practice is safe. This idea could not be farther from the truth.

I cannot speak for other states that have unfortunately legalized this dangerous practice. Perhaps no one spoke up against it.

 

Plenty of people speak up against it. Several physicians have spoken to me about the danger of home birth midwifery, the disasters they encounter at their work because of incompetence. A legislator in Utah told me in confidence that they believe most of the legislators in our state would rather not have home birth midwifery allowed legally, but the midwives are very organized and have friends in high places. They are willing to pour as much money as needed into their cause to make it happen- after all, if the practice is outlawed, they are out of a job (or risk prison). They have much more to lose than the average citizen (who will not choose home birth), so they understandably put more effort towards keeping their job legal. Midwives have a weird habit of teaching classes on activism as part of required courses in their midwifery school. They know they desperately need unity to keep the sham going because home birth midwifery cannot stand on its own merits. 

 

If anyone from Alabama is reading this- please, please contact your representative and tell them that you don’t want the state to endorse this practice. If citizens of Alabama fail to stop this action you will be in the same position as Utah’s citizens- watching helplessly as tragedy after tragedy unfolds before our eyes, fighting against a status quo of legal unlicensed midwives practicing without any oversight or required training. Every community values its children, and this is a very serious threat to their well being. 

 

Not even sorry

I’ve covered the VIckie Sorensen manslaughter charges extensively before, but I thought readers might be interested in the absolute lack of remorse on vickie’s part for her role in the death of a newborn.

vickie sorensen cheers to my haters

vickie sorensen witch cartoon

 

vickie sorensen haters

vickie sorensen status stringing up midwives

She also made a point of accusing valley view medical center of having a conspiracy against home birth mothers.

valley view medical center accusations

 

unlicensed midwives and their dangerous practices

Here is a look at how one unlicensed midwife chose to operate (likely due to the lack of accountability for her actions). This part is telling:

She practices near one of the largest Amish communities in the US in a state where lay midwives operate in a “gray area” legally. She likes it that way because the Amish women don’t question her, trust her implicitly, and will not pursue litigation or repercussions of any kind. They call her for any kind of medical questions they have, even outside of women’s health, and she freely dispenses medical advice over the phone without seeing the patient in question. Sometimes her advice even contradicts a doctor’s advice. . .guess whose opinion carries the most weight?

If you think that Utah midwives are operating any differently…you are in for a surprise.

practicing medicine I have already covered some midwives practicing medicine in my posts titled “seriously?” and “seriously? part 2“, but above is a post from the vickie sorensen support page talking about the same behavior from a midwife who was recently charged with manslaughter in connection with a baby’s death. They are using the words of people who openly discuss vickie sorensen acting outside her scope of practice, and they think that proves that she is a wonderful person instead of an irresponsible person. This seems to absolutely be the norm for midwives, although when they lobby for legislation to keep unlicensed midwifery legal, they claim that midwifery is different from medicine. They have to claim that. If they told the truth then it would logically follow that they need to obtain a license and insurance to practice.