Sweet Pea Births

Chandler, Arizona

Sweet Pea Births

...celebrating every swee​t pea their birth

Blog

Q&A with SPB: Midwifery Care

Posted on May 5, 2015 at 7:49 PM
Happy International Day of the Midwife to the midwives of the world.

Facebook image - source: KNOW YOUR MIDWIFE

We are so blessed with so many amazing midwives in our birth community.  Here is a little more about why Sweet Pea Births advocates for midwifery care to be an available option to all birthing families:










~~~
Here is a little more about the different ways a health practioner can certify to become a midwife - excerpt from THIS article:

There are two types of midwife in the United States:
**Nurse-midwives are educated and licensed as nurses first, and then complete additional education in midwifery. They are known as Certified Nurse-Midwives (CNMs). CNMs are licensed to practice in all 50 states. They are usually licensed in individual states as Nurse Practitioners (NPs).
**Direct-entry midwives are educated or trained as midwives without having to become nurses first. They may be Certified Professional Midwives (CPMs) or Certified Midwives (CMs). The legal status and requirements for direct-entry (non-nurse) midwives vary from state. They are usually licensed in individual states as Licensed Midwives (LMs) or Registered Midwives (RMs). The Midwives Alliance of North America tracks the laws and regulations in each state for direct-entry midwives.

For a good explanation of the way a midwife is different from a doula read this excerpt from the bump:
"A midwife is…a health care provider and a doula is more of a childbirth coach. You might choose to have a midwife instead of an OB for prenatal care and to deliver your baby — midwives can deliver babies in hospitals, birthing centers or even in your home. A doula, on the other hand, doesn’t replace your healthcare practitioner but rather can add extra services, such as helping you with techniques to manage pain during labor and even providing support and help during baby’s early days." 

A midwife's main scope of practice is the health and well-being of the Mother and the Baby.  She is doing "watchful waiting" through the pregnancy and birth, ensuring that everything is proceeding and staying healthy and low-risk.  If things start to vary or complications develop, depending on the midwife and whether they are home- or hospital-based, they may encourage the family to seek co-care or transfer care to an obstetrician who is trained to manage pregnancy that is moving away from low-risk.  

In the Phoenix, Arizona area, home birth families have the choice of doing co-care with Certified Nurse Midwives in the hospital setting, and still maintaining the midwifery model of care.  This allows for families to continue with "watchful waiting" and preserve their autonomy as consumers of healthcare.

Why hire a midwife?
The first study to compare birth outcomes between midwifery and obstetrical care was published in 1998.  Here are the conclusions:

"After controlling for a wide variety of social and medical risk factors, the risk of experiencing an infant death was 19 percent lower for births attended by certified nurse midwives than for births attended by physicians. The risk of neonatal mortality (an infant death occurring in the first 28 days of life) was 33 percent lower, and the risk of delivering a low birthweight infant was 31 percent lower. Mean birthweight was 37 grams heavier for the certified nurse midwife attended than for the physician attended births. Low birthweight is a major predictor of infant mortality, subsequent disease, or developmental disabilities.

Certified nurse midwives attended a greater proportion of women who are at higher risk for poor birth outcome: African Americans, American Indians, teenagers, unmarried women, and those with less than a high school education. Physicians attended a slightly higher proportion of births with medical complications. However, birth outcomes for certified nurse midwives were better even after sociodemographic and medical risk factors were controlled for in statistical analyses."

Excerpt from http://www.cdc.gov/nchs/pressroom/98news/midwife.htm

For the study abstract, click HERE
To read the study, click HERE

Is homebirth safe?
There are several studies that have been conducted around the world that show midwifery is safe - find a reference list HERE.  The big question remained: would outcomes be comparable in the US, where we do not practice socialized medicine?

The MANA study found that:
"Among 16,924 women who planned home births at the onset of labor, 89.1% gave birth at home. The majority of intrapartum transfers were for failure to progress, and only 4.5% of the total sample required oxytocin augmentation and/or epidural analgesia. The rates of spontaneous vaginal birth, assisted vaginal birth, and cesarean were 93.6%, 1.2%, and 5.2%, respectively. Of the 1054 women who attempted a vaginal birth after cesarean, 87% were successful. Low Apgar scores (< 7) occurred in 1.5% of newborns. Postpartum maternal (1.5%) and neonatal (0.9%) transfers were infrequent. The majority (86%) of newborns were exclusively breastfeeding at 6 weeks of age. Excluding lethal anomalies, the intrapartum, early neonatal, and late neonatal mortality rates were 1.30, 0.41, and 0.35 per 1000, respectively."
~Excerpt from THIS article




Are you curious about midwifery care??
Here are some posts where we share our birth journey with midwives:

Midwives Make a House Call - Third Trimester

Preparing for our Homebirth - Third Trimester







Link List
1998 Midwifery Study
http://www.cdc.gov/nchs/pressroom/98news/midwife.htm
http://jech.bmj.com/content/52/5/310.abstract?sid=52c15f2a-a71c-45d5-a827-c403cb953fa1
http://jech.bmj.com/content/52/5/310.full.pdf+html?sid=52c15f2a-a71c-45d5-a827-c403cb953fa1

MANA Homebirth Study
http://mana.org/blog/home-birth-safety-outcomes

Homebirth Studies Reference Page
http://mana.org/research/section-a-best-available-studies-grouped-by-design-level-of-evidence

Bradley Method® natural childbirth classes offered in Arizona: convenient to Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, PaysonDisclaimer: 
The material included in this blog and video is for informational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The viewer should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation.  Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided.  This blog and video contain information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained in this video and on our blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®.
 


Categories: Birth, Birth center, Homebirth, Hospital Birth, Midwife, Midwifery Care, Midwifery Scope of Practice Committee

Post a Comment

Oops!

Oops, you forgot something.

Oops!

The words you entered did not match the given text. Please try again.

229 Comments

Reply kyrie 7
2:39 AM on January 23, 2022 
I really wanted to jot down a quick remark to be able to express gratitude to you for all the nice tricks you are giving out at this website. My considerable internet lookup has finally been compensated with incredibly good strategies to talk about with my family and friends. I would express that many of us readers actually are truly endowed to live in a fine site with very many outstanding people with interesting concepts. I feel rather lucky to have encountered your entire web site and look forward to so many more fabulous times reading here. Thank you again for everything.
kyrie 7 http://www.kyrie7.us
Reply yeezy 500
2:59 PM on January 27, 2022 
I as well as my buddies happened to be studying the nice procedures located on your web page while before long I had an awful suspicion I never thanked you for those secrets. Those guys are actually certainly joyful to read all of them and now have absolutely been enjoying them. Appreciation for genuinely simply kind and also for making a choice on certain quality useful guides millions of individuals are really wanting to discover. My personal sincere regret for not expressing gratitude to earlier.
yeezy 500 http://www.yeezy-500.us.com
Reply jordan shoes
3:00 PM on January 27, 2022 
I have to voice my appreciation for your kindness in support of people who absolutely need help on that concept. Your personal dedication to passing the solution all around ended up being unbelievably effective and has in every case enabled guys much like me to attain their goals. Your personal interesting hints and tips entails a whole lot a person like me and still more to my mates. Regards; from each one of us.
jordan shoes http://www.jordanstoreonline.com
Reply jordan retro
3:01 PM on January 27, 2022 
I'm writing to let you know of the awesome experience my wife's girl encountered browsing your site. She came to find too many issues, which included what it is like to have an awesome helping character to let other individuals very easily have an understanding of some multifaceted subject matter. You really did more than people's expectations. Thanks for displaying such good, dependable, edifying and also easy thoughts on the topic to Jane.
jordan retro http://www.jordan-retro.us.com
Reply kd shoes
7:15 PM on January 31, 2022 
My spouse and i have been fulfilled Edward managed to complete his web research by way of the ideas he had from your own web page. It's not at all simplistic just to be freely giving guidelines that many some other people may have been making money from. So we already know we need you to appreciate for this. Those explanations you have made, the simple website menu, the relationships your site give support to engender - it's mostly extraordinary, and it's facilitating our son in addition to the family feel that the subject is interesting, which is certainly extraordinarily mandatory. Thank you for all the pieces!
kd shoes http://www.kd13shoes.us
Reply moncler coat
9:24 AM on February 2, 2022 
I precisely desired to appreciate you once more. I'm not certain what I might have handled without those suggestions shown by you concerning such a question. It was actually an absolute daunting concern in my position, nevertheless discovering a new specialised tactic you solved the issue took me to jump over gladness. I am just grateful for your work and in addition sincerely hope you know what a powerful job you are accomplishing educating other individuals all through a blog. I am certain you haven't met any of us.
moncler coat http://www.monclercoat.us.com
Reply curry 7 shoes
9:14 AM on February 4, 2022 
I together with my buddies were found to be reading through the excellent advice located on your web page and then I got a horrible suspicion I had not thanked the web site owner for those secrets. My young boys were totally stimulated to learn all of them and now have surely been taking pleasure in these things. I appreciate you for getting really accommodating and for picking varieties of awesome subject areas most people are really wanting to discover. My sincere apologies for not expressing appreciation to you earlier.
curry 7 shoes http://www.curry7.us
Reply supreme clothing
9:14 AM on February 4, 2022 
I wish to express some thanks to the writer just for rescuing me from this issue. As a result of researching through the world wide web and coming across principles which are not powerful, I assumed my entire life was over. Existing without the strategies to the issues you've fixed as a result of your main posting is a critical case, and the kind that might have in a negative way damaged my career if I hadn't encountered your blog. Your good capability and kindness in touching everything was helpful. I'm not sure what I would've done if I had not encountered such a step like this. I am able to at this time look ahead to my future. Thanks for your time very much for this specialized and results-oriented guide. I will not be reluctant to suggest your web sites to any person who wants and needs direction on this matter.
supreme clothing http://www.supremes.us.org
Reply golden goose
9:14 AM on February 4, 2022 
I and also my friends were actually checking the nice helpful hints on your web page and so before long came up with a horrible suspicion I had not expressed respect to the blog owner for them. Most of the guys became consequently very interested to see all of them and have in effect actually been making the most of these things. We appreciate you being so considerate and for getting this form of amazing subjects most people are really desperate to be aware of. My personal sincere apologies for not expressing gratitude to sooner.
golden goose http://www.goldengoosessale.com
Reply supreme
9:15 AM on February 4, 2022 
Thank you so much for giving everyone such a wonderful opportunity to read from this website. It can be very kind and as well , packed with a great time for me personally and my office colleagues to search your website not less than three times a week to find out the newest items you have got. And lastly, we are actually fascinated with all the perfect suggestions served by you. Selected two ideas on this page are ultimately the most beneficial I have had.
supreme http://www.supreme.us.org
Reply kyrie irving shoes
9:15 AM on February 4, 2022 
A lot of thanks for all your valuable work on this web site. Kate loves managing investigation and it's obvious why. We notice all relating to the compelling form you make worthwhile guidance through this blog and as well as welcome contribution from visitors on this subject matter and my daughter is actually understanding so much. Take pleasure in the remaining portion of the year. You are always doing a wonderful job.
kyrie irving shoes http://www.kyrieirvingshoes.us.com