Midwives at BCH

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Description: David Boeri reports that midwives at Boston City Hospital have been locked out by the hospital administration in a dispute over hospital policy. Boeri notes that the lockout is probably a reaction to the mass resignation by the midwives two weeks ago. Dr. Kenneth Edelin (Chief of Obstetrics, Boston City Hospital) has restricted midwives to the delivery of uncomplicated pregnancies. The midwives accuse Edelin of restricting midwifery practice at the hospital and abandoning their commitment to poor women. A protest gathering of nurse midwives and expectant mothers outside of the hospital. Anna Fernandez (mother), Lisa Nesbitt (expectant mother), Virginia Taylor (BCH nurse midwife), Joanna Rorie (nurse midwife), and Dr. Louis Laz (former Director of Obstetrics, BCH) address the gathering. Interview with Rorie who defends the safety record of nurse midwives and Laz who criticizes the hospital policy. Interview with Edelin, who responds to the accusations of the midwives and to charges that many obstetricians have resigned in response to his leadership style. Boeri notes that midwives are an integral part of the city's plan to provide quality care to poor women. This edition of the Ten O'Clock News also included the following item: Christy George reports on a discrimination suit filed against the Boston Housing Authority
1:00:05: Visual: Shots of women and their babies gathered outside of Boston City Hospital. David Boeri reports that 20% of the women who deliver their babies at Boston City Hospital (BCH) are attended by midwives; that midwives are an integral part of the city's plan to provide quality care to poor women. Boeri reports that women gathered at BCH today to support midwives. V: Footage of Anna Fernandez (mother) addressing the crowd of women and children. Fernandez says that midwives deserve support. Shots of women and babies at the gathering. Boeri reports that midwives were locked out of the hospital on Monday; that expectant mothers will not be attended by their midwives during the lockout. V: Footage of Lisa Nesbitt (expectant mother) addressing the gathering. Nesbitt is crying as she says that she was promised a midwife for her delivery. Boeri reports that midwives say that the lockout is a vindictive reaction to their mass resignation of two weeks ago. Boeri notes that the midwives were protesting hospital policies; that the midwives accuse Kenneth Edelin (Chief of Obstetrics, BCH) of abandoning poor women. V: Shots of midwives gathered outside of the hospital entrance; of midwives studying a document as they stand outside of the hospital; of a woman hugging Nesbitt as she finishes speaking. Footage of Virginia Taylor (BCH nurse midwife) saying that BCH physicians have tried to restrict midwifery practice at the hospital; that hospital policy limits womens' choice of midwives. Footage of Edelin saying that neither he nor any of the physicians on staff are against midwives. Edelin says that the midwives must practice within the scope of hospital protocol and the laws of Massachusetts. Boeri reports that Edelin says that nurse midwives are limited to the delivery of uncomplicated pregnancies; that nurse midwives are practicing outside of the law. V: Shots of a nurse midwife walking into an examination room; of a nurse midwife talking to an African American patient. Boeri reports that midwives say that they are operating within the law and with a great safety record. V: Footage of Joanna Rorie (nurse midwife, Dimock Community Health Center) addressing the gathering. Rorie says that doctors consider labor as a potential disaster instead of as a natural process. Shot of Dr. Louis Laz (former Director of Obstetrics, BCH) addressing the gathering. Boeri notes that half of the obstetricians at BCH have resigned in protest of Edelin's leadership. V: Footage of Laz saying that the obstetricians who have resigned are united in their support of the midwives. Laz says that the BCH is no longer pursuing its goal of providing model care to inner city women. Footage of Edelin saying that the obstetricians resigned because he refused to turn his conference room into offices for the obstetricians. Edelin says that he does not want to respond to the obstetricians and midwives who say that they resigned over his leadership. Shot of a sign for BCH. Boeri reports that Edelin is confident that he will be able to replace the obstetricians and midwives who have resigned; that the crisis at BCH will pass. Boeri notes that Edelin says that he is committed to providing quality care. V: Shot of an ambulance with its sirens blaring; of the midwives and mothers gathered outside of BCH.