More dr amy tuteur hypocrisy

Her most recent piece is called “A healthy baby is not all that matters. Who ever said it was?”

 

Uh, YOU did. repeatedly.

 

“I had a c-section and all I got is a healthy baby (complete with a toddler crying as the main graphic)”

 

I can’t count the number of articles by Dr Amy Tutuer that say something similar to the above- your baby lived, why do you care about anything else? She expresses the idea that moms who were traumatized by c/s or hospital birth or an OBGYN should just shut up because at least their babies didn’t die, as if life long psychological damge is somehow considered the price of having a healthy baby, when in reality neither thing is in conflict with the other. She spews this hate towards traumatized hospital birthing mothers while also trying to promote the idea that she cares deeply about patient autonomy and consent. I can’t figure out if she is disingenuous or just clueless and hypocritical.

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What makes a profession?

I’ve read before that calling non nurse midwives ‘lay’ midwives is offensive somehow, because of their ‘extensive’ training and standards. They would prefer to be called a Certified Professional Midwive, or CPM. The middle initial prompted me to ask- What exactly makes something a profession? I’ve identified a few characteristics which can be said to apply to virtually any recognized profession.

 

The first is a standard of practice- this applies to everyone from a HVAC repairmen to an automechanic to a registered nurse. Real professions require a clear and defined set of practices or protocols to deal with specific problems. Do CPMs follow this standard?

 

No, they don’t. NARM (which certifies midwives, which in itself is entirely optional depending on the state in which a midwife practices has this to say):

NARM recognizes that each midwife is an individual with specific practice protocols that reflect her own style and philosophy, level of experience, and legal status, and that practice guidelines may vary with each midwife. NARM does not set protocols for all CPMs to follow, but requires that they develop their own practice guidelines in written form.

 

Can you imagine if people who worked at pharmaceutical companies, or toy companies, or car manufacturers, or a blood bank could just *decide* what made for a safe product? Whenever this has been allowed to happen the results were deadly. In the past hemophiliacs who needed blood products to live normally did become victims of a lack of legislation and oversight in the blood products industry.  They were infected with hepatitis and HIV and given little compensation for it. There is a heartbreaking documentary on netflix about it called Bad Blood. The results of decisions made during childbirth are no less consequential than decisions made about consumer products and drugs.  One could argue that the variability in street drug content and potency is another good example of what happens when an industry effectively has no real standard of practice.

 

You may be wondering, how do midwives recommend that parents find a competent practitioner in light of the lack of regulation? They typically believe it is up to parents to ‘research’ their midwives credentials, all while they refuse to have any kind of central governing body to make it possible for parents to adequately check the credentials of any midwife. Which brings me to my next standard….

 

Central, authoritative leadership is the second quality I’ve identified in a professional line of work. Real professions have leadership in the state (and possibly national) level, leadership which can revoke them from working in their chosen profession. Any deviance from a standard of professional practice is seen to diminish the profession as a whole.  Real professionals don’t want people working under their official title without having obeyed the strict standards of practice and ethics.

Local midwives organizations are not able to revoke practice in most cases, and when a local occupational or medical board CAN prevent a midwife from practicing its only at the state level. She can simply move to a state with fewer regulations.

National groups include NARM, whose accountability department is a real joke. They dodge the complaints of mothers who lost their children in home birth deaths. Here is a story of the run around given to mothers who had to bury their own children because their midwife screwed up. If you don’t believe me, email them yourself with a subject line about a negligent or dangerous midwife, and watch them avoid giving a meaningful response. I waited months for mine, and it had a disclaimer about how every midwife decides her own practice standards.

MANA is another national midwives group, but they mostly lobby for the profession. They refuse to set practice guidelines like defining what constitutes a “low risk” patient, despite referencing the phrase repeatedly to prove the safety of home birth. There is no way to discipline a midwife via MANA.

Out of the main two qualities that make an actual profession, CPMs or lay midwifes do not seem to obey either of them. Why is anyone obligated to call them a professional?

how midwives manage a retained placenta

When a woman retains the placenta long after the birth of a baby, the risk of serious bleeding increases. Blood products obviously are not on hand at a home birth, so it can be a very dangerous situation. Hospitals and nurse midwives usually manage this problem with drugs, and in some cases manual removal of the placenta.  Jan Tritten crowd sourced a solution for this issue, even after her last crowd sourcing adventure killed someone.

What would a direct entry midwife do in such a situation?

She could pour pepper on you.

retained placenta

If that doesn’t work, she could feed you some chocolate.

retained placenta two

If that doesn’t work, she might talk to the placenta and acknowledge its “intelligence”

retained placental intelligence

If that doesn’t work, she might advise you to gag on your own hair or to compliment you until your placenta comes out

retained placenta braids and compliments

The vast majority said “just wait it out”, and literally only one person talked about this matter with any medical terminology or advice at all. Only one.

These women are quacks and have no idea what the hell they are doing. I can’t illustrate it better than by posting their own words.