Maryland 2023 Regular Session

Maryland Senate Bill SB376

Introduced
2/1/23  

Caption

Health Occupations - Licensed Direct-Entry Midwives - Previous Cesarean Section

Impact

If enacted, SB376 will amend existing laws under the Health Occupations regulations to permit licensed direct-entry midwives to take on clients with a history of cesarean sections, given specific conditions are met. This adjustment is aimed at expanding midwifery practices and ensuring that women with past cesarean histories can receive appropriate care during home births, as long as they are adequately informed and consent to the process. It reflects a shift towards accommodating diverse birth choices while maintaining safety protocols.

Summary

Senate Bill 376 addresses the practices surrounding licensed direct-entry midwives, specifically regarding the care of clients who have had a previous cesarean section. The bill seeks to allow licensed midwives to assume responsibility for such clients under certain regulated circumstances, thereby potentially increasing access to midwifery care for women who have undergone cesarean deliveries. It introduces provisions for obtaining informed consent and requires midwives to establish a protocol for transferring care to practitioners when necessary.

Contention

Notable points of contention around SB376 include concerns from various stakeholders regarding the potential risks associated with allowing midwives to care for clients with previous cesarean sections. Critics may argue that the adequacy of the safeguards—such as informed consent and transport protocols—may not fully mitigate health risks. Supporters, on the other hand, emphasize the empowerment of women to make informed choices about their birthing options, advocating for increased support of midwifery and home births.

Provisions

Key provisions outlined in the bill include the requirement for midwives to develop a transport protocol in consultation with stakeholders and the necessity of obtaining comprehensive informed consent agreements that detail the risks and benefits associated with home births after a cesarean section. These measures aim to improve the accountability and transparency of midwifery practices while ensuring that women understand the implications of their birth choices.

Companion Bills

MD HB351

Crossfiled Health Occupations - Licensed Direct-Entry Midwives - Previous Cesarean Section

Similar Bills

No similar bills found.