米国の助産師制度に関する非常に深刻な問題

米国の助産師規制をめぐる議論で、有害な医療ミスで有罪判決を受けた後に別の州で業務を続けた助産師カレン・カーの事例を取り上げています。各州で異なる法律が、安全でない助産師を業務から排除することを難しくしていると主張しています。さらに、ニュージーランドでの経験を踏まえ、低リスク妊娠に対する規制された助産師主導のケアへの支持も示されています。乳児の死亡に関する話題を含むため、冒頭にトリガー警告があります。

• 助産師の種類と、低リスク妊娠における助産師主導のケア
• 助産師カレン・カーのキャリアと法的な問題
• 州ごとの法律が米国の助産師の監督に与える影響

Trigger warning: discussion of infant loss. Let me be very clear: I am in favor of midwifery-led care for all low-risk pregnancies with proper regulations and standards. That’s how most of the rest of the world outside of the United States does it, including where I currently work in New Zealand. The midwives here are highly skilled, highly trained, able to attend home births and hospital births, have better outcomes overall than in the US, and more - the benefits of midwifery-led care cannot be overstated. But the way the laws work in the United States right now - which is to say, hardly working at all - is so incredibly dangerous. A patchwork of laws that change from state to state allow dangerous midwives like Karen Carr - the subject of today’s video - to continue to practice even after being convicted of serious, deadly errors. They just have to move one state over. There are so many reasons for why the system in the US is the way it is, and the medical system carries a lot of the blame. But we have to talk about this problem so that families who may want to seek midwifery care for one reason or another can at least know everything about the midwives they hire. Watch next: We need to talk about midwives: https://youtu.be/ASKngvPH9Ew?si=WEcjYBaBca6Q6FYj Why you can’t eat in labor will SHOCK you: https://youtu.be/coVCp2xqspQ?si=wnliChUm5KtsgwRA Homebirth vs. Hospital birth: https://youtu.be/5XF0XkISTwg?si=UDBHWYUrYFb-dLRm 00:00 Intro 1:00 Types of Midwives 3:23 Karen Carr's Career, Legal Troubles 6:27 Homebirth in the US 8:09 More Legal Troubles 14:38 Loss of Baby Sophie DiVincenzo 20:54 Trial 26:02 Dangerous Laws References: Washington Post article from 2023: https://www.washingtonpost.com/investigations/interactive/2023/home-birth-midwife-karen-carr/ Washington Post article from 2011: https://www.washingtonpost.com/local/midwife-karen-carr-convicted-in-alexandria-babys-death-is-under-investigation-in-md/2011/05/11/AFlrp22G_story.html ABC News article from 2011: https://abcnews.go.com/Health/midwife-karen-carr-pleads-guilty-felonies-babys-death/story?id=13583237 Center for Disease Control 2021 home birth statistics: https://www.cdc.gov/nchs/data/nvsr/nvsr71/nvsr71-08.pdf Congressional report on midwifery care in the US: https://www.gao.gov/assets/gao-23-105861.pdf Research on homebirth transfers to hospitals: https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/1471-2393-14-179 American College of Nurse-Midwives comparison of midwife types: https://www.midwife.org/acnm/files/cclibraryfiles/filename/000000008490/20220418_CNM-CM-CPM%20Comparison%20Chart_FINAL.pdf Become a channel Membryo to connect & access perks! https://www.youtube.com/channel/UCrPhcbDwqWRc-3tteE2BS6g/join MDJ Secret Second Channel: https://www.youtube.com/channel/UCAkrMPc856DvoxX99IyGYmw I stream on Twitch weekly (usually Sundays): https://www.twitch.tv/mamadoctorjones - Playlist of full-length Twitch streams for channel membryos: https://www.youtub