St. Johns Pleasant Valley Hospital in Camarillo, CA– along with some of the most prestigious hospitals in the country– has long allowed nurse midwives to deliver babies in their facility. Recently, though, nurse midwives were given notice. Here, we interview midwife Joyce Weckl about the turn of events and what it can mean to women’s health. Over her career, Weckl has delivered hundreds of babies in several birthing centers and hospitals and has served as an assistant clinical professor at the University of California at Irvine. Full disclosure: in 2004 I coauthored the book Fearless Pregnancy with Weckl and OB/GYN Stuart Fischbein.
5 Questions for Joyce Weckl, CNM
EXURB: How long have you been delivering at St. Johns Pleasant Valley in Camarillo and what’s the current situation with midwives there?
WECKL: I’ve been delivering there for 14 years. The first certified nurse midwife delivery at St. John’s was done by a CNM named Patricia Halpern 30 years ago. So nurse-midwives have been on staff for 30 years.
Recently, St. John’s Pleasant Valley informed us we can no longer deliver there.
EXURB: What were the reasons given by the hospital and what do you think is behind this action really?
WECKL: The reason cited was safety, but there was no evidence to suggest problems with midwives at the hospital. Pleasant Valley is a small community hospital with no NICU (neo-natal intensive care unit). We are still able to deliver at sister hospital St. John’s Oxnard, which has a NICU, but our office is in Camarillo and going to Oxnard is prohibitive for many women.
There has never been any sort of peer review over the quality of CNM care nor were we invited or aware of any of these proceedings. In fact, the letter they sent me (3 days before this became effective) stated that this was no reflection whatsoever on my care. It also stated that I was not entitled to a hearing or review. Our belief is that this policy is the result of several political agendas of certain members of the medical staff and has no basis in evidence or statistics. I also feel that this is not just about midwifery but also about women’s health care options being determined by back room dealings and not evidence based medical care.
EXURB: What could the political reasons be?
WECKL: I’m not sure myself. Some people have said it’s an attempt to get rid of Stuart [Fischbein], or at least make his life miserable, because of his “renegade” care of backing up home birth midwives. Others have suggested that it’s an attempt to make life more difficult for the few medical offices — Stuart’s and mine– that employ midwives and rely on them in their practice. My new practice, for example, is an all female OB-GYN staff and we are smokin’! We’re probably taking all of the other doctors’ patients away.
EXURB: Certainly, getting rid of midwives changes the climate. I know one labor-delivery nurse at Los Robles Hospital in Thousand Oaks, where they don’t allow midwives, and she’s said almost nobody even tries to have an unmedicated birth there. It’s almost unheard of. Do you think midwives have an influence on the hospital and community in general?
WECKL: Absolutely. When nurses witness a more natural approach to birth they are amazed. There is something innate in all of us that connects with that more primal natural birth experience. The word spreads to other patients, nurses and physicians. It promotes a more compassionate, mother-baby friendly environment.
I think whether you like or want midwives or not isn’t the real issue here. The bigger issue is that women should be outraged that this is how their healthcare is being decided.
EXURB: What can people do to support you?
WECKL: The local group that is spearheading the campaign is called Birth Action Coalition (BAC). Their website is the place for current information. We’ve been on the news, had lots of coverage in the local paper, and are trying to organize letter writing and protests. Please see the website for more information. All of the media links are on there.
http://birthactioncoalition.org/
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