House approves $100K for Neighborhood Birth Center

On Tuesday, the Massachusetts House voted in favor of a consolidated budget amendment for public health that included $100K for Neighborhood Birth Center, a non-profit led by Black women to open Boston’s first freestanding birth center. Expanding access to midwifery and community birth settings outside of the hospital has been shown to have beneficial impacts on maternal and infant health as well as reduce health care costs. Currently, there are no fully operations birth centers in Eastern Massachusetts, and only one statewide, (Seven Sisters in Northampton). There are 400 birth centers across the U.S.; New Hampshire has four birth centers and Maine has three, both states with 80% fewer births each year than Massachusetts. We applaud the House’s decision to invest in community birth centers, and hope to see the Senate do the same.

Learn more about Neighborhood Birth Center: Watch their new 4 minute video!

Art by Molly Crabapple

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Emily Anestanews
Boston City Council endorses Out-of-Hospital Birth Access and Safety for Black Maternal Health Week

On April 13th, The Boston City Council unanimously passed a Resolution filed by City Councilor Julia Meija: a RESOLUTION IN SUPPORT OF THE OUT-OF-HOSPITAL BIRTH ACCESS AND SAFETY ACT (H.2341/S.1519) AND RECOGNIZING BLACK MATERNAL HEALTH WEEK IN THE CITY OF BOSTON.

The City Council prioritized this passage in recognition of Black Maternal Health Week in the city of Boston and the need to prioritize public policies that will improve the dismal outcomes for birthing people of color and their babies in the United States. The Resolution underscored that home birth rates have risen dramatically during the ongoing COVID-19 public health crisis. Certified Professional Midwives (CPMs), who perform most home births, are already licensed in 37 states across the country.

“Births at home or in birth centers are a safe, beneficial, and valid reproductive choice that is currently denied to most birthing people here in Massachusetts,” Mejia stated during the Council meeting. City Councilor Kendra Lara added, “We are acknowledging the importance of safer, more equitable access to midwifery care options.”

Even prior to the COVID-19 pandemic, the United States had the highest maternal mortality rate among developed countries, affecting Black women at a much higher rate than their white counterparts.

READ THE RESOLUTION

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Emily Anestanews
Outpouring of support for midwife legislation at June hearing

At a June 7, 2021 hearing of the Massachusetts legislature’s Joint Committee on Public Health, legislators heard an outpouring of support for the Out-of-Hospital Birth Access and Safety Act from mothers, midwives, a nurse, a professor of public health, legislators, and organizations including the Bay State Birth Coalition, Resilient Sisterhood Project, Planned Parenthood, ACNM Massachusetts, National Partnership for Women and Families, and Massachusetts League of Women Voters.

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Emily Anestanews
Out-of-Hospital Birth Access & Safety Act filed in 2021

Massachusetts State Representative Kay Khan and Senator Becca Rausch refiled the Out-of-Hospital Birth Access and Safety Act on February 19, 2021. The bill would create a pathway to licensure for Certified Professional Midwives practicing in Massachusetts. Most home births are attended by CPMs, who are eligible for licensure in 36 other states including New Hampshire, Vermont, Maine, and Rhode Island.

The bill also ensures that families who use MassHealth/Medicaid can have their CPM care covered. Licensure also expands opportunities for private insurers to reimburse for CPM care.

In the pandemic, there has been a surge in demand for out-of-hospital birthing options that could be provided by Certified Professional Midwives.

As of March 9, 41 legislators have signed on as cosponsors of the legislation.

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Emily Anestanews
Massachusetts does not pass the Out-of-Hospital Birth Access & Safety Act in 2019-2020 session

Although the Out-of-Hospital Birth Access and Safety Act was passed unanimously by the Massachusetts Senate on July 30, 2020, the Massachusetts House did not take up the bill in the extended legislative session that ended early in the morning on January 6, 2021. The bill’s sponsors, Senator Becca Rausch and Representative Kay Khan will refile the legislation in 2021.

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Emily Anestanews
Massachusetts Senate UNANIMOUSLY passes Out-of-Hospital Birth Access and Safety Act

From MassLive: “Massachusetts Senate clears bill to license midwives who provide out-of-hospital care”
By Steph Solis

The Massachusetts Senate unanimously passed a bill Thursday that would license midwives in Massachusetts, which Sen. Becca Rausch said would reduce costs and improve health outcomes in births.

Rausch, a Needham Democrat who filed the original Senate bill earlier this session, said the bill was not only a cost reduction tool but a maternal justice issue. She said the issue becomes even more crucial during the coronavirus pandemic.

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Emily Anestanews
Massachusetts mothers need more childbirth options

With the COVID-19 crisis, we urge that all credentialed Massachusetts home birth midwives be included in the emergency planning for maternity care and that the state move quickly to ensure that certified professional midwives be licensed to care for women who seek their services. These midwives, who meet international standards for training, could be swiftly trained in Centers for Disease Control and Prevention and Massachusetts Department of Public Health coronavirus screening algorithms and prevention strategies (if they aren’t already) and thus be of assistance to hospital-based providers who are likely to be overwhelmed in the very near future with symptomatic patients. https://www.bostonglobe.com/2020/04/18/opinion/massachusetts-mothers-need-more-childbirth-options/

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Emily Anestanews