MHA, Hospitals Join Healthcare Community to Share Concerns on Midwifery Draft Rules

Posted on November 02, 2018

Matthew Allswede, MD, FACOG, OB residency faculty member, Sparrow Hospital, Lansing, discuss suggested changes to the midwifery draft rules before they move forward in the administrative rules process.Draft rules addressing the licensing of midwives in Michigan received a public hearing on Oct. 30. The rules stem from a law passed by the Michigan Legislature in late 2016 requiring the licensing of midwives, also known as certified professional midwives, which is distinct from specialized advanced practice certified nurse midwives. The statute laid out basic parameters for the profession and required the Michigan Department of Licensing and Regulatory Affairs to promulgate rules.

During the hearing, the MHA joined eight other healthcare organizations in submitting a letter outlining major concerns with the proposed rules, particularly when it comes to adequately protecting the health and safety of mothers and babies.

Suggested changes to the rules included hospitals’ greatest challenges when it comes to mitigating emergency situations in cases where labor and delivery is overseen by a certified professional midwife in care settings outside of a hospital, such as during a home birth or in an independent birthing center. In those cases, the MHA and other healthcare organizations recommend that certified professional midwives be required to remain with the patient to ensure a smooth care transition and continue providing patient care until an appropriate healthcare provider has taken over. Renay Gagleard, DNP, MSN, RNBC, director of women and children's services, St. Joseph Mercy Oakland, Pontiac, shares her thoughts on suggested changes to the midwifery draft rules.Additionally, consistent with standards of practice, the certified professional midwife must be required to communicate with appropriate health professionals on the mother’s and infant’s condition and, when possible, present medical records.

The next meeting of the Michigan Board of Licensed Midwifery is scheduled at 9:30 a.m. Nov. 30. The MHA will keep members apprised of any updates on the rules process. Members with questions should contact Paige Fults at the MHA. 


  • MHA, Hospitals Join Healthcare Community to Share Concerns on Midwifery Draft Rules

Tags: proposed rule, professional licensing, midwives, Public Act 417 of 2016

Posted in: Issues in Healthcare

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