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Asheville mamas fired up over midwife program change

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Here's an excerpt from the Asheville Citizen-Times article:

When it comes to how her babies come into this world, Erin Salkin says the “crazy lady mama bear” label is fine with her — if that’s what it takes to make her point.

... She’s one of nearly 150 fervent Facebookers who have rallied under the “Mamas for MAHEC Midwives” moniker in opposition to a new policy that would limit the Mountain Area Health Education Center patients’ access to midwives during labor. ...

The MAHEC OB/GYN Specialists, one of the organization’s clinical service providers, recently released a statement that it would be implementing a “new model” for the popular certified nurse-midwives service, which includes four CNMs.

The plans include more in-office access and a phase-out of the midwives’ current 24/7 call schedule, meaning that women in labor may not have access to a midwife during certain hours of the day or week.

“We have nothing but the utmost respect for our nurse-midwives and we consider them an invaluable part of our team,” said Dr. Kellett Letson, director of MAHEC OB/GYN Specialists.

“What it comes down to is that this just isn’t a sustainable model, and the midwifery service just doesn’t pay the expenses it requires to operate,” Letson said. “We wish it were profitable in a way that we wouldn’t have to change anything, but that just isn’t the case.”Read the full article

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