Virginia Regulatory Town Hall
Agency
Department of Health Professions
 
Board
Board of Medicine
 
chapter
Regulations Governing the Practice of Licensed Midwives [18 VAC 85 ‑ 130]
Previous Comment     Next Comment     Back to List of Comments
7/18/22  9:44 pm
Commenter: Sara Dunn

License CPMs to carry and administer certain medications
 

I am a student midwife who seeks to serve on the Northern Neck, an area that currently has no hospital that will deliver babies and very limited access to prenatal or postpartum care. Families on the Neck deserve safe birth options. Continuing to restrict CPMs from practicing the full scope of our training forces these families to birth in a low resource setting. Situations that may arise and be easily managed with certain medications become inconvenient or even dangerous because of these restrictions. Families must endanger newly delivered mothers and their brand new babies by venturing out to a clinic or hospital for medications, such as Rhogam or vitamin K, when they should be at home recovering from pregnancy and birth. Ambulances must be called in to transport birthing parents to a hospital just to administer antihemorrhagics. Travel time is blood lost in these situations and that increases the risk of morbidity and mortality when pitocin or misoprostol could have remedied the situation. Giving CPMs the ability to carry medications will ensure safer births for many families who choose home births for religious reasons, inability to travel long distances while in labor, or personal choice. 

CommentID: 122752