Midwife charged in DC? Karen Carr, CPM...

Anonymous
Anonymous wrote:Sorry, I mean CPM assistant NOT CNM assistant -- I would take a CNM assistant for a PPH any day.

I don't know why Boucher offered her a plea deal. Perhaps the family wasn't up for testifying. Perhaps what they were going for was to have her promise to never deliver in VA again. Perhaps they just wanted her to plead guilty to felonies. Cases are plead down all the time. I think it was to Karen Carr's advantage that they even offered a plea deal. I am pretty sure KC and her lawyer were begging for one. Get her off the streets of VA and then let the other jurisdictions go after her too. Like the woman in the WashPost article, I bet they are being approached by more women who now feel more comfortable coming forward to tell their tales.


Women coming forward to tell their tales? Yes indeed: www.inservicetowomen.org.

Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:The WP article is crap. The stats given by the OB from the ACOG is based on a study that was debunked as soon as it came out. Anybody who draws conclusions based on a news article alone is a fool.

With the number of births KC has attended, there are going to be sad outcomes. It's almost a statistical certainty.


Yes most things written by the WP are crap, but again no one has stood up to say that they were there or actually knows what happened- so everyone can speculate all they want, but Ms Carr knows the truth along with others who were there. Has anyone given any thought to why she decided to plea out instead of go to court? Possibly its all those little truths that we dont have access to that brought her to her senses and she opted for her time served instead of going to trial. And for all you that think she is so wonderful, why would you think these convictions would stop her from being a midwife now - she didnt mind breaking the law before by practicing without certifications- whats to stop her now?
No...it's because it meant no jail time. If you knew anything about the judicial system, you would realize how common that is as well as how little truth actually matters.


SOOOOO based on your statement, you think that someone who was completly innocent decided to plea to several felony charges because she didnt want to go to jail? Just want to make sure I understand what you have said. Maybe you can tell me if she was innocent and didnt do anything wrong- that all of the charges were a modern day witch hunt- why in the world would you plead guilty? Why wouldnt you fight? Why wouldnt you stand up for the rights of women to give birth at home and fight for all the legal and legit nurse midwives that do the right thing, obtain the proper certifications and education? Why would you scurry away like a rat and then at the first chance air your buisness in the press? You do that because you know you are guilty. And as for my knowledge of the legal system, most people plea down to lesser charges, ones that dont include several felonies- a felony is a felony- that number will stay on your record forever. As for the truth, it does matter, you just dont want to hear it


I completely disagree with your statement. You plea guilty if you know for certain you are going to avoid jail time. She was potentially facing 30+ years in prison. Public sentiment does not typically support alternative views in our society, so it is reasonable to think that a jury would have found her guilty. I believe her that she pled guilty to ensure her freedom.


Thank you. Can I get an Amen for some logical thinking here? Now can you tell me why Boucher would back off and not throw her in jail?


Its heart warming to know that there is a population of people who support those that break the law, dispense drugs that were most likely obtained by illegal means, administer them with no formal training- because why would you want to learn how to administer a medication properly and educate yourself on the numerous indications and contraindication of those medications. I am also feeling secure in the knowledge that those same people will happily take a plea forever marking themselves and their records with a felony or two instead of defending yourself and your reputation. In regards to public sentiment- have any of you ever visited the City of Alexandria? Public view points and opinions carry heavy weight in that city. Its apparent there are many people content with Ms Carr operating illegally, administering medications illegally and contributing to an unknown amount of injuries and death so you can continue to have your alternative views, no matter what the cost. What is frightning is to think of where do you draw the line? Is something only wrong when it interfers with your alternative lifestyle? She broke the law and she was punished for it- she should have been left to rot in jail not only for her crimes in Va, but DC and MD as well. Regardless of whether or not one agrees with giving birth at home, in the forest or squating in a field-she practiced medicine without a license, she administered medications without a license, she posessed medications that she was not certified to have, but oh what the hell as long as no one get in the way of my progessive alternative lifestyle its all ok!!!! What kind of message does that send? You can do what you want because you think its ok, regardless of the laws? Amen? Logical thinking?
I support those nurse midwives that dont take short cuts and get the education that they are required to have. I support all women who choose to take control of their bodies and make choices that they think are right for them and their unborn child/children.
Anonymous
Anonymous wrote:
Anonymous wrote:Sorry, I mean CPM assistant NOT CNM assistant -- I would take a CNM assistant for a PPH any day.

I don't know why Boucher offered her a plea deal. Perhaps the family wasn't up for testifying. Perhaps what they were going for was to have her promise to never deliver in VA again. Perhaps they just wanted her to plead guilty to felonies. Cases are plead down all the time. I think it was to Karen Carr's advantage that they even offered a plea deal. I am pretty sure KC and her lawyer were begging for one. Get her off the streets of VA and then let the other jurisdictions go after her too. Like the woman in the WashPost article, I bet they are being approached by more women who now feel more comfortable coming forward to tell their tales.


Women coming forward to tell their tales? Yes indeed: www.inservicetowomen.org.



Two sides to every story: hurtbyhomebirth.blogspot.com
Anonymous
Anonymous wrote:
Anonymous wrote:Sorry, I mean CPM assistant NOT CNM assistant -- I would take a CNM assistant for a PPH any day.

I don't know why Boucher offered her a plea deal. Perhaps the family wasn't up for testifying. Perhaps what they were going for was to have her promise to never deliver in VA again. Perhaps they just wanted her to plead guilty to felonies. Cases are plead down all the time. I think it was to Karen Carr's advantage that they even offered a plea deal. I am pretty sure KC and her lawyer were begging for one. Get her off the streets of VA and then let the other jurisdictions go after her too. Like the woman in the WashPost article, I bet they are being approached by more women who now feel more comfortable coming forward to tell their tales.


Women coming forward to tell their tales? Yes indeed: www.inservicetowomen.org.


As has been mentioned many, many times here, birth is normal and low risk until it's not. If she's delivered 1200 babies, and 100 have had problems, there are still 1100 deliveries that were perfect, and 1100 families who think she can do no wrong, when they were in fact just lucky. Does that negate the higher-than-justified numbers of damaged babies and problems she's run into because of her "trust birth" philosophy? I'm not overly concerned about the births she's attended that have gone well. I'm much more concerned about those that haven't, such as those that are referred to in the Washington Post article.
Anonymous
Anonymous wrote:
Anonymous wrote:Ensure her freedom=going on to kill babies! Applause all around!

I am pretty sure that most people experiencing PPH would rather be left with a nurse then a CNM assistant (are there even standards for that?). Hell, I would take a med student or nursing student even over my midwife injecting me with something then heading out. Nice.


If she were that dangerous why did Boucher offer plea? She isn't protecting us from the killer. Somebody please offer an answer or even a speculation as to why Boucher didn't put this "killer of babies" in jail? Oh, I got one, her case fell apart and was a bunch of garbage and she had to offer.


Ignorance is bliss- and you are certainly full of bliss at this moment arent you? Funny that you place all this responsibility of Ms Boucher to take care of Ms Carr, but you dont seem to place any responsibility on Ms Carr for what she has done- why is that?
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:I'm sorry -- the idea that she left a mother suffering from PPH with an assistant, while going on to attend another birth is insane!!

Anyone who would defend her after hearing that is not rationale on the subject of Karen Carr or midwifery generally.


That is hysterical. What the hell do you think happens in a hospital? Where do you think your OB is during your labor?


OB Doc here and for the record, post partum hemorrhages are emergent situations that require interventions that sometimes require life saving surgeries.

I don't know of any OBs who manage these types of situations over the phone. It is fine to support home births in select patients, but can we stop the sweeping statements made about hospitals in general and the care OBs provide specifically? It only serves to dilute the meaningful dialogue that needs to happen so that tragic situations like this do not continue to happen.

Patients need to be properly informed about risks and "boogey-man" tales about OB care does not help to promote wellness and good decision making for anyone.


"Clients" need to have "informed-choice" about risks and boogey-man tales about midwifery care does not help to promote wellness and good decision making for anyone.

I changed your words around and used midwifery model of care language. I totally agree. I would also like to add that clients cannot receive safe and adequate care unless providers along the skill-set spectrum collaborate and consult in a professional manner. I see this as the biggest barrier to safe care for women. Women want the whole spectrum of care to be available to them. They want the high-touch all of the time (as evidenced by listening to mothers survey) and they want safe transfer of care to a skilled provider when their health status changes. What we are offered is either high-tech or high-touch and we rarely ever get both.


My OB practice collaborates with midwives, home based as well as hospital based and we have an excellent relationship. It is unfortunate that the PP who stated the "nurse took care of her problem and her doctor was nowhere to be found" has sentenced OB physicians to a one size fits all category. There are many OB providers that give their patients choices and work within a paradigm that respects a mother's choices. Neither side should be demonized for experiences that are not the necessarily the norm, and that that goes for midwives as well as obstetricians.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Ensure her freedom=going on to kill babies! Applause all around!

I am pretty sure that most people experiencing PPH would rather be left with a nurse then a CNM assistant (are there even standards for that?). Hell, I would take a med student or nursing student even over my midwife injecting me with something then heading out. Nice.


If she were that dangerous why did Boucher offer plea? She isn't protecting us from the killer. Somebody please offer an answer or even a speculation as to why Boucher didn't put this "killer of babies" in jail? Oh, I got one, her case fell apart and was a bunch of garbage and she had to offer.


Ignorance is bliss- and you are certainly full of bliss at this moment arent you? Funny that you place all this responsibility of Ms Boucher to take care of Ms Carr, but you dont seem to place any responsibility on Ms Carr for what she has done- why is that?


I am not the PP you are responding to, but I will answer anyway: I don't think Carr did anything wrong, and I believe she is an excellent midwife.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Ensure her freedom=going on to kill babies! Applause all around!

I am pretty sure that most people experiencing PPH would rather be left with a nurse then a CNM assistant (are there even standards for that?). Hell, I would take a med student or nursing student even over my midwife injecting me with something then heading out. Nice.


If she were that dangerous why did Boucher offer plea? She isn't protecting us from the killer. Somebody please offer an answer or even a speculation as to why Boucher didn't put this "killer of babies" in jail? Oh, I got one, her case fell apart and was a bunch of garbage and she had to offer.


Ignorance is bliss- and you are certainly full of bliss at this moment arent you? Funny that you place all this responsibility of Ms Boucher to take care of Ms Carr, but you dont seem to place any responsibility on Ms Carr for what she has done- why is that?


I am not the PP you are responding to, but I will answer anyway: I don't think Carr did anything wrong, and I believe she is an excellent midwife.

How many deaths can she have to her name and still be an excellent midwife in your opinion? National average for all risk groups together is ~6.8/1000, which includes late term stillbirths and deaths of neonates up to 7 days. If she has had 10 deaths is she still an excellent midwife? 15? 20?
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Sorry, I mean CPM assistant NOT CNM assistant -- I would take a CNM assistant for a PPH any day.

I don't know why Boucher offered her a plea deal. Perhaps the family wasn't up for testifying. Perhaps what they were going for was to have her promise to never deliver in VA again. Perhaps they just wanted her to plead guilty to felonies. Cases are plead down all the time. I think it was to Karen Carr's advantage that they even offered a plea deal. I am pretty sure KC and her lawyer were begging for one. Get her off the streets of VA and then let the other jurisdictions go after her too. Like the woman in the WashPost article, I bet they are being approached by more women who now feel more comfortable coming forward to tell their tales.


Women coming forward to tell their tales? Yes indeed: www.inservicetowomen.org.


As has been mentioned many, many times here, birth is normal and low risk until it's not. If she's delivered 1200 babies, and 100 have had problems, there are still 1100 deliveries that were perfect, and 1100 families who think she can do no wrong, when they were in fact just lucky. Does that negate the higher-than-justified numbers of damaged babies and problems she's run into because of her "trust birth" philosophy? I'm not overly concerned about the births she's attended that have gone well. I'm much more concerned about those that haven't, such as those that are referred to in the Washington Post article.


Where on earth are you getting your information? You are spreading filthy lies that have no basis in reality. Every single provider - doctors and midwives alike - have encountered difficult birth situations. In all settings, sometimes babies and even mothers can die. There is absolutely no evidence whatsoever that Karen Carr has higher numbers than any other provider. This is one highly publicized case. The other cases mentioned in the WaPo article do not provide any meaningly information by which we can make any judgements at all about the midwife.

Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Sorry, I mean CPM assistant NOT CNM assistant -- I would take a CNM assistant for a PPH any day.

I don't know why Boucher offered her a plea deal. Perhaps the family wasn't up for testifying. Perhaps what they were going for was to have her promise to never deliver in VA again. Perhaps they just wanted her to plead guilty to felonies. Cases are plead down all the time. I think it was to Karen Carr's advantage that they even offered a plea deal. I am pretty sure KC and her lawyer were begging for one. Get her off the streets of VA and then let the other jurisdictions go after her too. Like the woman in the WashPost article, I bet they are being approached by more women who now feel more comfortable coming forward to tell their tales.


Women coming forward to tell their tales? Yes indeed: www.inservicetowomen.org.


As has been mentioned many, many times here, birth is normal and low risk until it's not. If she's delivered 1200 babies, and 100 have had problems, there are still 1100 deliveries that were perfect, and 1100 families who think she can do no wrong, when they were in fact just lucky. Does that negate the higher-than-justified numbers of damaged babies and problems she's run into because of her "trust birth" philosophy? I'm not overly concerned about the births she's attended that have gone well. I'm much more concerned about those that haven't, such as those that are referred to in the Washington Post article.


Where on earth are you getting your information? You are spreading filthy lies that have no basis in reality. Every single provider - doctors and midwives alike - have encountered difficult birth situations. In all settings, sometimes babies and even mothers can die. There is absolutely no evidence whatsoever that Karen Carr has higher numbers than any other provider. This is one highly publicized case. The other cases mentioned in the WaPo article do not provide any meaningly information by which we can make any judgements at all about the midwife.

Whoa there on the "filthy lies" bit. That In Service to Women site was mentioned as proof of what a great midwife and all around person Karen is. Is it really that hard to understand that any midwife is going to have lots of success stories? I could call myself a midwife starting today and have many more great, successful births than disasters. It's really not hard to see where she would have plenty of people who think she's the greatest, when her numbers could still be atrocious. Use your head.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Ensure her freedom=going on to kill babies! Applause all around!

I am pretty sure that most people experiencing PPH would rather be left with a nurse then a CNM assistant (are there even standards for that?). Hell, I would take a med student or nursing student even over my midwife injecting me with something then heading out. Nice.


If she were that dangerous why did Boucher offer plea? She isn't protecting us from the killer. Somebody please offer an answer or even a speculation as to why Boucher didn't put this "killer of babies" in jail? Oh, I got one, her case fell apart and was a bunch of garbage and she had to offer.


Ignorance is bliss- and you are certainly full of bliss at this moment arent you? Funny that you place all this responsibility of Ms Boucher to take care of Ms Carr, but you dont seem to place any responsibility on Ms Carr for what she has done- why is that?


I am not the PP you are responding to, but I will answer anyway: I don't think Carr did anything wrong, and I believe she is an excellent midwife.

How many deaths can she have to her name and still be an excellent midwife in your opinion? National average for all risk groups together is ~6.8/1000, which includes late term stillbirths and deaths of neonates up to 7 days. If she has had 10 deaths is she still an excellent midwife? 15? 20?


Don't you understand how vile you are being to speculate like this? You have absolutely no idea how many bad outcomes she has had.

I challenge anyone who is truly interested in Carr's statistics to call her directly. Unlike your OB or your hospital, Karen Carr would happily sit down with you and have an open and honest discussion about her experience as a midwife. Though I'm sure the gossip mill would rather sit here spewing their bullshit and judgement without knowing any of the facts.
Anonymous
Anonymous wrote:Sorry, I mean CPM assistant NOT CNM assistant -- I would take a CNM assistant for a PPH any day.

I don't know why Boucher offered her a plea deal. Perhaps the family wasn't up for testifying. Perhaps what they were going for was to have her promise to never deliver in VA again. Perhaps they just wanted her to plead guilty to felonies. Cases are plead down all the time. I think it was to Karen Carr's advantage that they even offered a plea deal. I am pretty sure KC and her lawyer were begging for one. Get her off the streets of VA and then let the other jurisdictions go after her too. Like the woman in the WashPost article, I bet they are being approached by more women who now feel more comfortable coming forward to tell their tales.


KC didn't beg for it, they offered. They kept coming back with better and better deals because KC would not agree to jail time. Boucher kept coming back and KC kept saying no deal unless no jail time. I asked KC myself. Just give her a ring and find out for yourself. And if they wanted her off the streets, a simple cease and desist like DC did would have been a low-cost option.

I want to know why Boucher spent all this money just to whittle it down to nothing. Was it really just a charade, a political event, like somebody else suggested? What a sham.

And, if the family wasn't up to testifying, then well, they should have figured that one out way in advance.
Anonymous
I have to imagine that any OB who was convicted of similar felonies would have all their licenses to practice medicine removed.

Yet Karen Carr evidently has no difficulty maintaining her CPM "credential". Has NARM said a word to indicate that she is under investigation due to admitting that she was guilty of child endangerment?

Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Sorry, I mean CPM assistant NOT CNM assistant -- I would take a CNM assistant for a PPH any day.

I don't know why Boucher offered her a plea deal. Perhaps the family wasn't up for testifying. Perhaps what they were going for was to have her promise to never deliver in VA again. Perhaps they just wanted her to plead guilty to felonies. Cases are plead down all the time. I think it was to Karen Carr's advantage that they even offered a plea deal. I am pretty sure KC and her lawyer were begging for one. Get her off the streets of VA and then let the other jurisdictions go after her too. Like the woman in the WashPost article, I bet they are being approached by more women who now feel more comfortable coming forward to tell their tales.


Women coming forward to tell their tales? Yes indeed: www.inservicetowomen.org.


As has been mentioned many, many times here, birth is normal and low risk until it's not. If she's delivered 1200 babies, and 100 have had problems, there are still 1100 deliveries that were perfect, and 1100 families who think she can do no wrong, when they were in fact just lucky. Does that negate the higher-than-justified numbers of damaged babies and problems she's run into because of her "trust birth" philosophy? I'm not overly concerned about the births she's attended that have gone well. I'm much more concerned about those that haven't, such as those that are referred to in the Washington Post article.


Where on earth are you getting your information? You are spreading filthy lies that have no basis in reality. Every single provider - doctors and midwives alike - have encountered difficult birth situations. In all settings, sometimes babies and even mothers can die. There is absolutely no evidence whatsoever that Karen Carr has higher numbers than any other provider. This is one highly publicized case. The other cases mentioned in the WaPo article do not provide any meaningly information by which we can make any judgements at all about the midwife.

Whoa there on the "filthy lies" bit. That In Service to Women site was mentioned as proof of what a great midwife and all around person Karen is. Is it really that hard to understand that any midwife is going to have lots of success stories? I could call myself a midwife starting today and have many more great, successful births than disasters. It's really not hard to see where she would have plenty of people who think she's the greatest, when her numbers could still be atrocious. Use your head.


No, I'm not going to hold up on the "filthy lies" bit. You claim that she has a higher-than-justified number of damaged babies. That is completely, 100%, unsubstantiated. You use YOUR head.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Sorry, I mean CPM assistant NOT CNM assistant -- I would take a CNM assistant for a PPH any day.

I don't know why Boucher offered her a plea deal. Perhaps the family wasn't up for testifying. Perhaps what they were going for was to have her promise to never deliver in VA again. Perhaps they just wanted her to plead guilty to felonies. Cases are plead down all the time. I think it was to Karen Carr's advantage that they even offered a plea deal. I am pretty sure KC and her lawyer were begging for one. Get her off the streets of VA and then let the other jurisdictions go after her too. Like the woman in the WashPost article, I bet they are being approached by more women who now feel more comfortable coming forward to tell their tales.


Women coming forward to tell their tales? Yes indeed: www.inservicetowomen.org.


As has been mentioned many, many times here, birth is normal and low risk until it's not. If she's delivered 1200 babies, and 100 have had problems, there are still 1100 deliveries that were perfect, and 1100 families who think she can do no wrong, when they were in fact just lucky. Does that negate the higher-than-justified numbers of damaged babies and problems she's run into because of her "trust birth" philosophy? I'm not overly concerned about the births she's attended that have gone well. I'm much more concerned about those that haven't, such as those that are referred to in the Washington Post article.


Where on earth are you getting your information? You are spreading filthy lies that have no basis in reality. Every single provider - doctors and midwives alike - have encountered difficult birth situations. In all settings, sometimes babies and even mothers can die. There is absolutely no evidence whatsoever that Karen Carr has higher numbers than any other provider. This is one highly publicized case. The other cases mentioned in the WaPo article do not provide any meaningly information by which we can make any judgements at all about the midwife.

Whoa there on the "filthy lies" bit. That In Service to Women site was mentioned as proof of what a great midwife and all around person Karen is. Is it really that hard to understand that any midwife is going to have lots of success stories? I could call myself a midwife starting today and have many more great, successful births than disasters. It's really not hard to see where she would have plenty of people who think she's the greatest, when her numbers could still be atrocious. Use your head.


No, I'm not going to hold up on the "filthy lies" bit. You claim that she has a higher-than-justified number of damaged babies. That is completely, 100%, unsubstantiated. You use YOUR head.

No, I did NOT claim damaged babies. I claimed that using that In Service to Women site (which, by the way, is not allowing all comments to stand- what on earth are they hiding??) as proof that Karen is a great, safe midwife is inane, and gave the example as to why. Awfully defensive, aren't we?
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