As of last Wednesday (June 30), the New York State assembly passed a law that midwives no longer need to have practice agreements with doctors in order to deliver babies. This was vehemently apposed by ACOG (surprise, surprise), but was the right thing to do. Where I live there aren't any formal relationships between the licensed midwives that I work with and any obs. And I don't think that there needs to be. If there is an emergency, a laboring woman will go to a hospital, having a formal agreement with an ob doesn't change this at all. Anyway, I'm thrilled for all of the woman who will now have better access to midwifery care in the state.
Here is an article that has a snippet about it: http://www.nytimes.com/2010/07/02/nyregion/02albany.html?scp=1&sq=midwives%20in%20new%20york&st=cse
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