1<html> 2<head> 3<title>Latest News at Highland Midwife Birth Services in Goldendale Washington</title> 4<meta name="keywords" content="midwife, home birth, coronavirus, covid-19, childbirth, birth, birth services, homebirth, maternity care, birth at home, midwives, out-of-hospital, midwifery, prenatal, labor, nutrition, women's health care, OB/GYN, pregnancy, midwives, child birth, lactation, natural childbirth, natural birth, herbal medicine, doula, birthing, naturopathic, homeopathic, out of hospital, obstetrics, Goldendale, Prosser, Yakima, Columbia River, Washington, Oregon"> 5<meta name="description" content="News & Events | Licensed Midwife in Goldendale Washington, Columbia River Gorge, and Yakima Valley"> 6<meta http-equiv="Content-Type" content="text/html; charset=UTF-8"> 7<meta http-equiv='content-language' content='en-us'> 8<meta name="distribution" content="Global"> 9<meta name="robots" content="disallow:/private/"> 10<meta name="viewport" content="width=device-width, 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270<div style="padding-top:4px" align="center"><a href="http://www.moonconnection.com/moon_phases.phtml" target="mc_moon_ph" style="font-size:10px;font-family:arial,verdana,sans-serif;color:#C5C5C5;text-decoration:underline;background:#42428C;border:none;"><span style="color:#C5C5C5">moon phases</span></a></div></div></div></div> 271<!-- // end moon phase HTML // --> 272<div style="top:290;left:0;position:relative;z-index:1;visibility:show;width:120px;height:280px;border-color:#FFCC66;border-style:double;border-top-width:5px;border-bottom-width:5px;border-left-width:5px;border-right-width:5px;"> 273<span style="font-family:Maiandra GD,Arial,sans-serif;font-color:#FFFFFF;font-weight:bold;font-size:16px;"> 274<center> 275<p2><font face="Maiandra GD" color="#ffffff" size="3" valign="top"><b> 276F I N A N C E   277<br> 278Your Birth: 279</b></font></p2> 280<a href='https://www.unitedmedicalcredit.com/start-an-application/?pid=0010L00001oCq53' target="_blank"> 281 <img src='https://www.unitedmedicalcredit.com/banners/verticalMED-120x240-BLUE.png'/> 282</a> 283</center> 284</span> 285</div> 286<div style="top:330;left:0;position:relative;z-index:1;visibility:show;width:160px;height:600px;border-color:#FFCC66;border-style:double;border-top-width:5px;border-bottom-width:5px;border-left-width:5px;border-right-width:5px;padding:5,0,5,0"> 287<span style="font-family:Maiandra GD,Arial,sans-serif;font-color:#FFFFFF;font-weight:bold;font-size:16px;"> 288<center> 289<font size="1"><br> </font> 290<p2><font face="Maiandra GD" color="#ffffff" size="2" valign="top"> 291Pro Member & 292<br> 293retired President of 294<br> 295<a href="https://warmmidwives.com/" target="_blank"><img src="http://www.highlandmidwife.com/images/WARM_logo_small.gif" width="160" style="margin: 3px 0px 3px 0px;"/></a> 296<br> 297Washington Alliance for 298<br> 299Responsible Midwifery 300<br><br><br> 301Professional Member of 302<br> 303<a href="http://oregonmidwiferycouncil.org" target="_blank"><img src="http://www.highlandmidwife.com/images/OMC_logo.jpg" width="160" height="70"/></a> 304<br> 305Oregon Midwifery Council 306<br><br><br> 307Professional Member of 308<br> 309<a href="http://www.texasmidwives.com/" target="_blank"><img src="http://www.highlandmidwife.com/images/ATM_logo.png" width="160" height="66"/></a> 310<br> 311Association of Texas Midwives 312<br><br><br> 313Professional Member of 314<br> 315<a href="https://www.utahmidwivesorganization.org/" target="_blank"><img src="http://www.highlandmidwife.com/images/logo_UMO.png" width="160" height="74"/></a> 316<br> 317Utah Midwives Organization 318</font></p2> 319</center> 320</span> 321</div> 322<div id="google_translate_element" style="top:400;left:0;position:relative;z-index:1;visibility:show;width:160px;height:70px;border-color:#FFCC66;border-style:double;border-top-width:5px;border-bottom-width:5px;border-left-width:5px;border-right-width:5px;"> 323<span style="font-family:Maiandra GD,Arial,sans-serif;font-color:#FFFFFF;font-weight:bold;font-size:16px;"> 324<p2><font face="Maiandra GD" color="#ffffff" size="3" valign="top"><b> 325Translate this Page 326</b></font></p2>
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333 334</span> 335</div> 336</td> 337</tr> 338<tr width="800" height="139" border="0"> 339<td width="232" height="139" border="0" valign="center"> 340<div style="padding-right:0px;padding-left:0px;padding-top:0px;padding-bottom:0px"> 341<center> 342<img src="http://www.highlandmidwife.com/images/trans.gif" width="239" height="223" border="0" alt="My logo photo" style="align:center;"> 343</center> 344</div> 345</td> 346<td width="568" height="139" border="0" valign="middle"> 347<div style="padding-right:0px;padding-left:0px;padding-top:0px;padding-bottom:10px"> 348<img src="http://www.highlandmidwife.com/images/tree.gif" width="125" height="120" border="0" alt="My logo photo" style="align:center;margin:0px 10px 0px 0px;float:right;"> 349<center> 350<P9 style="align:center;valign:middle"><font face="Maiandra GD" color="#000000" size="6"><b> 351Highland Midwife 352</b></font></P9> 353<br> 354<P7 style="align:center;valign:middle"><font face="Maiandra GD" color="#000000" size="5"><b> 355Birth Services, LLC 356</b></font></P5> 357<br> 358<P2 style="align:center;valign:middle"><font face="Maiandra GD" color="#000000" size="4"><i> 359South Central Washington <br>& the Columbia River Gorge 360</i></font></P2> 361<br> 362</center> 363</div> 364<hr size="2" color="#6666CC"> 365<hr size="5" color="#6666CC"> 366<hr size="2" color="#6666CC"> 367<br><br> 368</td> 369</tr> 370<tr> 371<td width="800" colspan="2" height="100%" valign="top" style="text-align:top;padding-right:30px;padding-left:10px;padding-top:0;"> 372<center> 373<h1> 374<p9 style=""><font color="#000000" face="Maiandra GD" size="6"><b> 375News & Events 376</b></font></p9> 377</h1> 378</center> 379<br><br> 380<p7><font color="#000000" face="Maiandra GD" size="6"><b> 381<i>Current Events:</i> 382</b></font></p7> 383<br><br><br><br> 384<p3><font color="#000000" face="Maiandra GD" size="4"><b> 385Semi-Retirement 386<b></font></p3> 387<br><br><br> 388<p> 389Lorri will finally be cutting back! Office appointments will still be available for clients and community alike, but there will be some changes in the birth schedule. Generally, only established repeat clients will be booked for home births, no more than 2 per month. Fees must be paid in cash by 35 weeks. For clients with private insurance, after the birth they will be given an itemized receipt to bill their own policies, or before the birth they can choose to use our private biller.</p> 390<br><br><br> 391<center> 392<hr width="300" color="#6666cc" size="2"> 393</center> 394<br><br><br> 395<p3><font color="#000000" face="Maiandra GD" size="4"><b> 396Notice 397<b></font></p3> 398<br><br><br> 399<p> 400As of March 1, 2025, Laurel Tiphareth is no longer associated with Highland Midwife Birth Services. Pregnant clients with Medicaid-based policies who have been primarily seen by Laurel for care will continue in her care under her practice, Gentle Birth, and should contact her directly. Thank you.</p> 401<br><br><br> 402<center> 403<hr width="300" color="#6666cc" size="2"> 404</center> 405<br><br><br> 406<p3><font color="#000000" face="Maiandra GD" size="4"><b> 407Maternal Mortality Rate Doubles in 6 Years 408<b></font></p3> 409<br><br><br> 410<p> 411In 2018 it was alarming to see maternal mortality rates hit a shocking 17.4 deaths per 100,000 live births, the worse rate of any developed country. But they did not stop there. By 2021 the rate was a horrifying 32.9 / 100,000. We can only have nightmares about how much higher it has gone by 2023, and I believe this more than justifies advising that everyone should consider prenatal care with a nutrition-based midwife, even if they are planning a hospital birth. Read the report <a href="https://jamanetwork.com/journals/jama/fullarticle/2803272?guestAccessKey=00e6eaa8-b1f0-442e-aa65-1a244314ab81" target="_blank">HERE.</a> 412</p> 413<br><br><br> 414<center> 415<hr width="300" color="#6666cc" size="2"> 416</center> 417<br><br><br> 418<p3><font color="#000000" face="Maiandra GD" size="4"><b> 419Pregnancy is not the time to be a test subject... 420<b></font></p3> 421<br><br><br> 422<p> 423Please read the article and follow the links for yourself, because this is information from the CDC, indicating clearly just how dangerous it is to take experimental injections while pregnant. Be wise... <a href="https://www.naturalhealth365.com/vaers-reveals-massive-increase-in-fetal-deaths-following-maternal-covid-injection.html" target="_blank">16,633% Increase in Fetal Deaths</a> 424</p> 425<br><br><br> 426<center> 427<hr width="300" color="#6666cc" size="2"> 428</center> 429<br><br><br> 430<p3><font color="#000000" face="Maiandra GD" size="4"><b> 431Tylenol Warning! 432<b></font></p3> 433<br><br><br> 434<p> 435For many years, the standard advice has been that Tylenol is safe to use during pregnancy, and Ibuprofen is safer while breastfeeding. A few studies have questioned this advice, but now a <a href="https://www.nature.com/articles/%20s41574-021-00553-7" target="_blank">consensus of over 100 scientists and clinicians</a> is advising <b>against Tylenol use</b> in pregnancy. 436<br><br> 437Wisely, more and more parents are moving away from synthesized remedies and using safer herbal alternatives. In my own practice, I see herbs working so much more gently, but also more effectively, that I now only rarely resort to recommending pharmaceuticals. Herbal remedies, especially used early, can often resolve an issue before it becomes a serious problem which requires stronger (harsher) treatment. 438</p> 439<br><br><br> 440<center> 441<hr width="300" color="#6666cc" size="2"> 442</center> 443<br><br><br> 444<img src="images/SilverSage_logo_medium_500x498.png" alt="Silver Sage Herbs Professional Products" style="margin: 10px 10px 10px 10px; float: right;" width="400" height="399"> 445<br><br> 446<p3><font color="#000000" face="Maiandra GD" size="4"><b> 447Professional Accounts 448<b></font></p3> 449<br><br><br> 450<p><a href="https://silversageherbs.com" target="_blank">Silver Sage Herbs</a> is now setting up professional practitioner accounts for high-strength organic herbal tinctures, organic essential oils, and colloidal silver products. 451<br><br> 452Just send an email to <a HREF="mailto:[email protected]">[email protected]</a>
452 with your practice information, and you will receive a unique wholesale discount code. 453<br><br> 454You can also request a bound copy of the professional product catalog which includes recommended uses and dosages. 455</p> 456<br><br><br><br><br> 457<center> 458<hr width="300" color="#6666cc" size="2"> 459</center> 460<br> 461<img src="images/classes-cbe_cat.png" alt="Childbirth Education Classes Online" style="margin: 10px 30px 10px 30px; float: left;" width="350" height="276"> 462<br><br><br> 463<p3><font color="#000000" face="Maiandra GD" size="4"><b> 464Birth Classes! 465<b></font></p3> 466<br><br><br> 467<p> 468During times when in-person birth classes are not being planned at my office, there are 2 great options for online classes; one for parents planning home births, and one for parents planning hospital births. 469<br><br> 470Click on the links for more information: 471<br><br><br><br> 472<img src="images/classes-cbe-home.PNG" alt="Homebirth Childbirth Education Classes Online" style="margin: 20px 30px 20px 30px; float: right;" width="225" height="197"> 473<br><br><br> 474<a href="https://happy-homebirth.mykajabi.com/a/27299/GgMB7tyv" target="_blank">Home Birth <br>Childbirth Ed</a> 475<br><br> 476Online classes with Happy Homebirth Academy. 477<br><br> 478Designed to give you all the tools you need to be prepared for your home birth. 479<br><br><br><br><br> 480<img src="images/classes-cbe-hospital.png" alt="Hospital Birth Preparation Childbirth Education Classes Online" style="margin: 20px 30px 20px 30px; float: right;" width="295" height="197"> 481<br><br><br> 482<a href="https://silversageherbs.com/index.php?main_page=product_info&cPath=79_80&products_id=410" target="_blank">Hospital Birth <br>Childbirth Ed</a> 483<br><br> 484Online live personalized classes with Doula Lauren. 485<br><br> 486Direct facetime classes with just you and your partner, to prepare you for optimizing your hospital birth. 487</p> 488<br><br><br><br><br> 489<center> 490<hr width="300" color="#6666cc" size="2"> 491</center> 492<br><br> 493<center> 494<img src="images/TX_License.png" alt="Lorri Carr Texas Midwife License" style="margin: 10px 30px 10px 30px;" width="600" height="424"> 495<p> </p> 496</center> 497<br> 498<center> 499<img src="images/UT2020.PNG" alt="Lorri Carr Utah Midwife License" style="margin: 10px 30px 10px 30px;" width="631" height="396"> 500<p> </p> 501</center> 502<br> 503<center> 504<hr width="300" color="#6666cc" size="2"> 505</center> 506<br><br><br> 507<p3><font color="#000000" face="Maiandra GD" size="4"><b> 508Corona Virus Update - We've Got You Covered 509<b></font></p3> 510<br><br> 511<p> 512So many of my clients are seriously concerned about exposure to COVID-19 for themselves, their elderly family members, etc., and are asking questions about how to avoid it, that I am taking some measures to give everyone peace of mind that they will not be exposed during their appointments, or unknowingly expose anyone else. 513</p> 514<img src="images/uv.jpg" alt="ultrasound" style="margin: 0px 15px 10px 20px; float: right;" width="300" height="193"> 515<p> 516Starting immediately, I will be using a powerful UV sterilizing unit at my office before and between appointments, the kind that hospitals should have been using for many years to stop the spread of MSRA in facilities (and some have). I will also have a hand-held wand unit that is safe for killing microbes on your clothing, etc., when you arrive. I will bring it to births with me as well, and use it on the entire contents of my birth equipment bags. Essential oil and aloe vera hand sanitizers will be in every room for you to use. I will also stock extra bottles for sale, along with the usual herbal tinctures that I keep on hand. 517</p> 518<img src="images/echinacea.png" alt="echinacea immune booster" style="margin: 0px 20px 10px 0px; float: left;" width="210" height="173"> 519<p> 520Between appointments I will be wiping office surfaces/equipment and spraying the air with some of the most powerful cleaners known, including the essential oils which do not pose any toxicity problem for my pregnant moms. Because this does take time, our usual hour-long appointments will need to be just a little shorter. 521</p> 522<p> 523I will also prepare a handout outlining many of the simple and inexpensive things you can do to safely boost immunity and resistance to viruses for yourself and your family. 524</p> 525<br> 526<img src="images/kits.jpg" alt="prenatal care kits covid-19" style="margin: 0px 15px 10px 20px; float: right;" width="320" height="240"> 527<p><b> 528Not Traveling? 529</b></p> 530<p> 531For those who are observing quarantine for any reason, I will be loaning out dopplers (or fetoscopes), blood pressure sets, and tape measures, and providing urine dipsticks and doppler gel. ALL of the items in these kits have been thoroughly UV-C sterilized, most are new. Please PLEASE keep these tools of my trade safe and out of reach of children, so they come back to me in good condition. Have your own thermometers and weight scales handy, and we can do almost-complete prenatal appointments by phone or skype. 532</p> 533<br> 534<img src="images/ultrasound.jpg" alt="ultraviolet sterilizer" style="margin: 0px 20px 10px 0px; float: left;" width="317" height="204"> 535<p><b> 536And At Long Last... 537</b></p> 538<p> 539There is now an ultrasound available at my practice. I do not recommend routine ultrasound exposure, but for urgent issues which come up, it can save you a trip to a hospital or doctor's office during these times of viral epidemic control and possible travel restrictions. 540</p> 541<br><br><br> 542<center> 543<hr width="300" color="#6666cc" size="2"> 544</center> 545<br><br><br> 546<img src="images/Janelle_YakimaHerald.jpg" alt="ultraviolet sterilizer" style="margin: 0px 20px 10px 0px; float: left;" width="512" height="341"> 547<p3><font color="#000000" face="Maiandra GD" size="4"><b> 548Midwives in the News Again 549<b></font></p3> 550<br><br> 551<p> 552My lovely former student, Janelle, was featured in a Yakima Herald front-page <a href="https://www.yakimaherald.com/special_projects/coronavirus/home-birth-interest-grows-in-yakima-amid-pandemic-hospitals-and-mi
552dwives-taking-new-measures/article_8475b5b7-bd82-559c-8f88-ee6e01312f3a.amp.html?fbclid=IwAR0ehvTA4qkSjXUljdif3_ZYd47VT-xy9lchWnK97UaaMTtccM53ohD0CYw" target="_blank">story</a> about how midwives are stepping up to take care of mothers and babies during the covid-19 situation. 553<br><br> 554Please note that here in Goldendale we are still offering water births to our clients as always, based on the best research that shows that waterbirth actually reduces infection risks. 555</p> 556<br><br><br> 557<center> 558<hr width="300" color="#6666cc" size="2"> 559</center> 560<br><br><br> 561<p3><font color="#000000" face="Maiandra GD" size="4"><b> 562Azure Standard now carries Silver Sage products. 563<b></font></p3> 564<br><br><br> 565<p> 566If you are looking for some of your favorite <a href="https://silversageherbs.com/" target="_blank">Silver Sage</a> herbal tinctures and special essential oil blends, they could be on sale right now at <a href="https://www.azurestandard.com/shop/search/silver%20sage" target="_blank">Azure Standard!</a> 567</p> 568<br><br><br> 569<center> 570<hr width="300" color="#6666cc" size="2"> 571</center> 572<br><br><br> 573<img src="images/JanellesNewOffice1sm.png" alt="Little Blessings Birth Services office waiting room" style="margin: 0px 15px 10px 20px; float: right;" width="400" height="300"> 574<br> 575<p3><font color="#000000" face="Maiandra GD" size="4"><b> 576Janelle Weishaar's 577<br> 578New Office! 579<b></font></p3> 580<br><br><br> 581<p> 582Not entirely finished yet, but <a href="https://blessingsbirthservices.weebly.com/" target="_blank">Little Blessings Birth Services'</a> new location is already beautiful and comfortable. 583<br><br><br> 584With her practice already booming, Janelle has expanded her space to: 585<br><br> 5863405 W Nob Hill Blvd Ste A 587<br> 588Yakima WA 98902 589<br> 590<img src="images/JanellesNewOffice2sm.jpg" alt="Little Blessings Birth Services office exam room" style="margin: 10px 15px 5px 20px; float: right;" width="400" height="300"> 591<br><br> 592She has been gracious enough to invite me to continue to see my clients at her office on Wednesday afternoons (by appt), and April Haugen from Sky Valley Midwifery in Ellensburg will sometimes use the office, too. Janelle also has Silver Sage tinctures for pregnancy, and nutrition starter gift baskets for new moms. 593<br><br><br> 594I think it looks lovely, and so far clients are loving it too, with all of the extra space and privacy! 595<br><br><br> 596Good job again, Janelle. 597</p> 598<br><br><br> 599<center> 600<hr width="300" color="#6666cc" size="2"> 601</center> 602<br><br><br> 603<p3><font color="#000000" face="Maiandra GD" size="4"><b> 604New Way to Pay for Your Birth! 605<b></font></p3> 606<br><br> 607<p> 608I am delighted to announce that I now have a provider account with United Medical Credit, where you can log in to get quick financing for your care! 609<br> 610<a href='https://www.unitedmedicalcredit.com/start-an-application/?pid=0010L00001oCq53' target="_blank"> 611 <img src='https://www.unitedmedicalcredit.com/banners/horizontal-728x90-BLUE.png'/> 612</a> 613</center> 614<br> 615This will make it possible for many more families to save money by qualifying for my prompt-pay discount. For details, see the Fees page. 616</p> 617<br><br><br> 618<center> 619<hr width="300" color="#6666cc" size="2"> 620</center> 621<br><br><br> 622<img src="images/Office_CoffeeOn.jpg" alt="new office Highland Midwife coffee is on" style="margin: 3px 10px 30px 15px; float: right;" width="350" height="467"> 623<br><br> 624<p3><font color="#000000" face="Maiandra GD" size="4"><b> 625Saying Goodbye to My Old Office 626<b></font></p3> 627<br><br><br> 628<p> 629Due to the building being for sale, and the new lease being something I am unwilling to sign, the rent at my last office was raised entirely out of the price range for a Goldendale office. 630<br><br> 631So once again I have been on the hunt for a new location. 632<br><br> 633And...I found one! And I love it! 634<br><br> 635The new location is very private, peaceful, beautiful, and just a few miles outside of town. 636<br><br> 637Watch for photos soon to be posted, as the new office gets arranged! 638</p> 639<br><br><br><br><br> 640<center> 641<hr width="300" color="#6666cc" size="2"> 642</center> 643<br><br><br><br> 644<img src="images/WARM_charts.jpeg" alt="Maternity Care Charting Forms" style="margin: 3px 10px 10px 15px; float: right;" width="350" height="350"> 645<p3><font color="#000000" face="Maiandra GD" size="4"><b> 646New Charts 647<b></font></p3> 648<br><br> 649<p> 650After years of revisions by Highland Midwife, and literally hundreds of hours of analyzing charts to find better ways to format and organize data, our copyrighted midwifery charting forms are now approved for WARM and ready for publishing! 651<br><br> 652Midwives give far better and more detailed care than what most people realize, and these forms are designed to capture advanced maternity care details. 653<br><br> 654Laser-printed on heavy, quality paper. 655<br><br> 656<a href="https://silversageherbs.com/index.php?main_page=index&cPath=75" target="_blank"> 657View and purchase the documents here.</a> 658</p> 659<br><br><br> 660<center> 661<hr width="300" color="#6666cc" size="2"> 662</center> 663<br><br><br> 664<p5><font color="#000000" face="Maiandra GD" size="5"><b> 665An Important Article to Consider 666</b></font></p5> 667<br><br><br> 668<p3><font color="#000000" face="Maiandra GD" size="4"><b> 669Are we creating an epidemic of mental disorders? 670</b></font></p3> 671<br><br> 672<p> 673And if we are, can we start working to prevent and reverse this trend? Read <a href="http://www.highlandmidwife.com/docs/Antisocial_Behaviours_from_a_Primal_Health_Research_Perspective_by_Michel_Odent.pdf" target="_blank">"Antisocial Behaviours from a Primal Health Research Perspective"</a> by Michel Odent. 674</p> 675<br><br><br> 676<center> 677<hr width="300" color="#6666cc" size="2"> 678</center> 679<br><br><br> 680<img src="images/2014Sept15boy_5750g_12pounds11ounces_BornAtHome.jpg" alt="Home birth almost 13 pounds" style="margin: 3px 10px 10px 15px; float: right;" width="300" height="364"> 681<p5><font color="#000000" face="Maiandra GD" size="5"><b> 682Record-Setting Baby? 683</b></font></p5> 684<br><br><br> 685<p3><font color="#000000" face="Maiandra GD" size="4"><b> 686Almost 13 Pounds, Born at Home 687</b></font></p3> 688<br><br> 689<p> 690One of my clients in Goldendale just had her baby. Everything went very well, only 6 minutes of pushing, not even the need for stitches; a typical beautiful home birth. Mom was back on her feet in just hours; baby had Apgars of 10/10 and is thriving. 691<br><br> 692So what makes this one different? Baby nearly maxed out all of our scales, both spring and digital, at a whopping 12 pounds, 11 ounces! That just might be a record weight for a home-birthed baby in Washington, and I would bet money it would set a record for a perfect uncomplicated birth. 693<br><br> 694Congratulations to the happy family! 695</p> 696<br><br><br> 697<center> 698<hr width="300" color="#6666cc" size="2"> 699</center> 700<br><br><br> 701<p5><font color="#000000" face="Maiandra GD" size="5"><b> 702Meanwhile in Olympia... 703</b></font></p5> 704<br><br><br> 705<p3><font color="#000000" face="Maiandra GD" size="4"><b> 706Lies, Deception...and more Lies 707</b></font></p3> 708<br><br> 709<p> 710While members of the Washington Alliance for Responsible Midwifery and other licensed midwives across the state have watched the ListServ for any indication of legislative activity that affects our practices, a new bill was written that sets out new mandates for how newborn screening is collected, entirely without our knowledge or input. Another midwifery organization claims online that they are arguing and opposing the wording of the bill. Below is my letter to the Sec. of Health and the legislators who sponsored the bill, and the response I received from the author of the bill. I just want everyone to know who is who, what is what, and who is telling the truth. You know, transparency and all that jazz... 711<br><br> 712To: State of Washington 713<br> 714 Secretary of Health 715<br> 716 John Weisman 717<br><br> 718Aug. 13, 2014 719<br><br> 720Dear Sec. Weisman, 721<br><br> 722I am writing to bring a serious problem to your attention and request your assistance in finding a remedy. 723<br><br> 724The Newborn Screening bill revisions (SHB 2544) and accompanying rules are fatally flawed. They will not work in the field. Here are some of the reasons why: 725<br><br> 7261. Collection 727<br><br> 728The law states that the out-of-hospital birth attendant MUST collect the first sample within 48 hours of the birth. It provides no authority whatsoever for the birth attendant to delegate the collection to any other person if the birth attendant is not going to be the person who provides follow-up care for that mother and baby (for example, if the birth attendant drove 200 miles one way to provide backup for another midwife). Also, because delegation is not permitted under the new rules, if the birth attendant is hundreds of miles away at another birth during that 48-hour mandatory window, they cannot have the first test collected by anyone else, even the baby's pediatric care provider. This will result in birth attendants being forced (in self-defense) to collect a sample prior to leaving the scene of the birth (impossible if the mother and baby are urgently transported for any reason), which will result in the parents paying $77.40 for a completely worthless test which serves only to create a false sense of security because the test will not be valid if collected that soon after birth. That is unacceptable, and serves n
728o one. 729<br><br> 7302. Notification 731<br><br> 732Further, the birth attendant is made responsible for any abnormal result reporting, even if the birth attendant is not the baby's care provider. Home birth midwives in rural areas may be gone from home for a week or more at a time, nowhere near their desk, mailbox, fax machine, etc., and not necessarily even within cell phone service. That is the nature of our work. If we are legislated to be the only ones responsible for responding to abnormal notifications, and cannot delegate that responsibility to the baby's pediatric provider (remember, the state recently reduced our scope of newborn care to only 2 weeks, so we should not even be the ones who are notified), then those babies will be without treatment during the time that elapses before we receive any notification ourselves. That is also unacceptable, and also serves no one. 733<br><br> 7343. Billing 735<br><br> 736The billing issue around the newborn screening is another problem, as the current proposal for billing the midwives for the test places midwives in the position of being forced to participate in insurance fraud. We cannot bill for a lab, as we are not billing agents and we are not licensed laboratory facilities. The lab needs to bill insurance directly, or bill the patient, as does every other lab. This is especially true of policies under the new federal ACA Medicaid umbrella, as they will not necessarily reimburse us for the test as the state has done in the past, and we cannot by law collect the money from the patient. This leaves us caught between at least three different conflicting sets of laws and rules, under which compliance is not possible without being in violation of at least one if not two sets of laws/rules. This too is unacceptable, and serves no one. 737<br><br> 738It appears that those who drafted this bill failed to consult with those tasked with complying with the new rules, to have any idea whether what they were writing was even possible in real life, let alone preferable. That means that a legislative correction will be necessary. I would recommend that any action taken be done in practical consultation with rural midwives such as members of WARM, in order to prevent any future problems. Meanwhile, newborns will have far less protection than they had before the bill was written, so the sooner that c
738orrection is accomplished, the better. 739<br><br> 740I look forward to hearing from you about a realistic and prompt solution to this problem. 741<br><br> 742Thank you very sincerely, 743<br> 744Lorri Carr, LM CPM LDM 745<br> 746WARM Board Member 747<br><br><br> 748Hello Lorri, 749<br><br> 750From the start, the newborn screenings bill was targeted at in hospital births in response to serious delay times being reported on newborn screening results in hospitals in Washington State and notably Spokane County where I am from. A provision regarding midwives was not included until a heavy lobbying effort by another midwives association was undertaken. After meetings and discussions and hearing directly from a number of midwives I agreed as the prime sponsor to the bill being amended in committee. Going forward there was only testimony in support and all concerns brought up were addressed. To my knowledge nobody heard anything from your organization at any point of the legislative process. 751<br><br> 752With that said, I appreciate you bringing up your concerns with how this bill and the rules will be implemented to ensure more newborns are screened and that it is done in a timely manner. I am in contact with DOH and understand they have decided to delay billing midwives until 1/1/15 and in the interim will work with midwives and other parties such as the Health Care Authority to determine an appropriate resolution. 753<br><br> 754I ask you to take a bit of pause when talking about "real life." Of course we want to see this legislation implemented in a practical manner - if not grounded in reality it is not good public policy. I was a parent of a newborn who did not receive notification of abnormal test results until 30 days later, and there is another legislator on this list who had the same issue. Thankfully for both of us everything turned out fine for our children. I guarantee you that this legislation came out of a very real concern that needed to be addressed in Washington and across our country and was directed initially at a very specific issue. The "realistic" aim of the initial legislation was to address the concerns with hospitals, but an active midwife association pushed to amend the bill as I mentioned above and it seemed like a good addition to ensure more newborns were screened. We can't go backwards only forward, and to that point I can say I look forward to working with your organization to find a resolution. I will mention that as legislators we do not know all the stakeholder groups that exist and quite frankly most of them reach out and let us know who they are and who they represent especially when legislation could impact them. As the current Vice Chair of the Health Care Committee I look forward to learning more about WARM and extend an invitation to meet with you and your members. Please keep me informed with other thoughts and concerns as we move forward with trying to address some of the issues brought to light. 755<br><br> 756Best regards, 757<br><br> 758Rep. Marcus Riccelli 759<br> 7603rd Legislative District - Spokane 761</p> 762<br><br><br> 763<center> 764<hr width="300" color="#6666cc" size="2"> 765</center> 766<br><br><br> 767<p5><font color="#000000" face="Maiandra GD" size="5"><b> 768New MANA Homebirth Stats Are Out! 769</b></font></p5> 770<br><br> 771<p> 772The long-awaited statistics from midwife home births that we have been gathering and sending to MANA from 2004-2009 have been compiled and analyzed. Of course, it is no surprise that planned home births with trained midwives are safe, and result in fewer C-sections and fewer dangerous interventions. 773<br><br> 774Read the report in the <a href="http://onlinelibrary.wiley.com/doi/10.1111/jmwh.12172/pdf" target="_blank">Journal of Midwifery and Women’s Health.</a> 775</p> 776<br><br> 777<center> 778<hr width="300" color="#6666cc" size="2"> 779</center> 780<br><br><br> 781<img src="images/Lorri_Oregon_license_2013.jpg" alt="Oregon license" style="margin: 3px 10px 10px 15px; float: right;" width="500" height="312"> 782<br><br> 783<p5><font color="#000000" face="Maiandra GD" size="5"><b> 784Oregon License 785</b></font></p5> 786<br><br><br> 787<p> 788Yeah, I finally sent in all the paperwork for this one, too. 789<br><br> 790Now those Oregon insurance plans are running out of reasons to cheat their customers and blame it on me. 791</p> 792<br><br><br><br><br> 793<center> 794<hr width="300" color="#6666cc" size="2"> 795</center> 796<br><br><br> 797<p5><font color="#000000" face="Maiandra GD" size="5"><b> 798My <a href="http://www.highlandmidwife.com/Schedule.html">Schedule</a> Fills Fast: 799</b></font></p5> 800<br><br> 801<p> 802Expectant parents, if you are wanting to get on my schedule for a home 803birth, please check <a href="http://www.highlandmidwife.com/Schedule.html">HERE</a> for availability. 804<br><br> 805If there are no openings when your baby is due, contact me anyway if you live within 50 miles of Goldendale (in case an opening comes up), otherwise please check with the <a href="http://www.highlandmidwife.com/AboutUs.html">other midwives</a> to see if they are available! 806<br><br> 807A side-note to the schedule being so full: I recently stopped to count the numbers, and apparently a tipping point has been reached. Now more than half of my home birth clients are in the medical profession. Hmm... 808</p> 809<br><br><br> 810<center> 811<hr width="300" color="#6666cc" size="2"> 812<hr width="300" color="#6666cc" size="5"> 813<hr width="300" color="#6666cc" size="2"> 814</center> 815<br><br><br><br> 816<p7><font color="#000000" face="Maiandra GD" size="6"><b> 817<i>Other News:</i> 818</b></font></p7> 819<br><br><br><br> 820<p3><font color="#000000" face="Maiandra GD" size="4"><b> 821Archived articles, more information and links, and older news has been moved to <a href="http://news.highlandmidwife.com" target="_blank">HERE.</a> 822</b></font></p3> 823<br><br><br> 824<br><br><br> 825</td> 826</tr> 827</table> 828</td> 829</tr> 830</table> 831</center> 832<br> 833<center> 834<P10 style="align:center;"><font face="Maiandra GD" color="#FFFFFF" size="2">Webdesign and content copyright 2009-2025 by Lorri Carr, LM CPM LDM; site maintained by Highland Midwife <sup>TM</sup>. 835<br> 836Original guardian angel/valkyrie logo designed by <a href="http://art.highlanderridge.com/" target="_blank">Justin Farnsworth;</a> copyright 2012-2017, all rights reserved for Highland Midwife<sup>TM</sup> and the artist. 837<br> 838Tree of Life original logo copyright 2017 Highland Midwife <sup>TM</sup>, all rights reserved.</font></P10> 839<br><br> 840<!-- BEGIN Attracta | Site 46502 | Badge 1 -->
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