Collaboration, Competition, Money and Monopoly:
The legal status of doctors, midwives, and hospitals in pregnancy and obstetric care
- Barbara Hewson: human rights attorney, UK
- Marlies Eggermont: healthcare lawyer and midwife, Belgium
- Becky Reed: midwife, UK
- Amali Lokugamage: obstetrician-gynecologist, UK
- Elke Heckel: independent midwife, UK
- Debra Pascali-Bonaro: doula and filmmaker, USA
- Jill Arnold: blogger, USA
- Ina May Gaskin (moderator): midwife, USA
She also mentioned Mary Cronk, an experienced (and now retired) British midwife known for her pithy advice. Cronk was fond of saying that doctors and midwives are the servants of the women they look after, not the masters. Hewson also referred to Cronk's strategies for when you're told "you're not allowed to do that."
Article 8 of the European Convention on Human Rights. She concluded that these five countries have legislation in place consistent with Article 8, but that real choices are often absent. Insurance is often an issue, either availability or cost. She also noted flaws with physicians' risk communication and detection.
The Heart in the Womb. She also mentioned that the grading of evidence in RCOG and ACOG documents gives patient more power in negotiating their care.
In the ensuing discussion--which, like all of the post-panel discussions, was quite lively--I remember that Betty-Anne Daviss made a comment about both horizontal (provider to provider) and vertical violence (provider to woman) in maternity care. We also heard about the importance of pursuing mediation before pressing charges or going to hearings.