Sweet Pea Births

Chandler, Arizona

Sweet Pea Births

...celebrating every swee​t pea their birth


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

MANA Homebirth Study

Homebirth Studies Reference Page

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, you forgot something.


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


Reply jordan 11
11:07 AM on February 6, 2022 
I want to show some appreciation to the writer just for rescuing me from this particular situation. As a result of researching throughout the online world and seeing tips which are not productive, I figured my life was over. Living without the strategies to the issues you've solved all through your main article is a critical case, and the ones that might have badly damaged my entire career if I hadn't noticed your web site. That talents and kindness in touching a lot of stuff was precious. I'm not sure what I would have done if I hadn't discovered such a step like this. It's possible to at this moment relish my future. Thanks very much for this specialized and amazing guide. I won't think twice to suggest your site to anyone who needs recommendations on this area.
jordan 11 http://www.jordan11retro.us.com
Reply golden goose
2:47 PM on February 8, 2022 
I needed to put you this little bit of note so as to say thank you the moment again with your exceptional techniques you've shared in this article. This has been incredibly open-handed of people like you to offer freely what a lot of people would've marketed for an ebook to help make some cash for themselves, mostly seeing that you could have done it in the event you wanted. The principles also served to be the great way to realize that other people have similar desire just as my personal own to grasp significantly more with reference to this problem. I'm certain there are many more pleasurable occasions in the future for people who look into your blog.
golden goose http://www.goldengooseofficial.com
Reply golden goose shoes
7:10 PM on February 10, 2022 
I wanted to type a brief message to express gratitude to you for the stunning pointers you are posting here. My time intensive internet search has finally been paid with pleasant content to go over with my relatives. I would express that many of us readers actually are quite endowed to exist in a notable place with many brilliant professionals with interesting methods. I feel pretty grateful to have seen your website and look forward to so many more thrilling times reading here. Thanks once more for all the details.
golden goose shoes http://www.goldengooseoutlets.us
Reply hermes birkin
2:16 AM on February 13, 2022 
Thanks for all your valuable effort on this blog. Debby takes pleasure in making time for investigations and it is simple to grasp why. Almost all hear all concerning the compelling mode you produce helpful steps on this website and foster contribution from other people about this subject plus my child is truly starting to learn a whole lot. Take advantage of the remaining portion of the year. You are always carrying out a useful job.
hermes birkin http://www.birkinbag.us.com
Reply golden goose outlet
6:46 AM on February 15, 2022 
Thanks for your entire labor on this website. My niece delights in getting into investigation and it is obvious why. Many of us learn all concerning the dynamic manner you render priceless thoughts on the web site and as well encourage participation from the others about this subject matter then our favorite princess is in fact becoming educated so much. Enjoy the rest of the year. You're performing a fantastic job.
golden goose outlet http://www.goldengooseoutletstore.com
Reply steph curry shoes
2:38 PM on February 17, 2022 
I in addition to my friends have already been looking through the nice things located on the website while quickly I had a horrible suspicion I had not expressed respect to you for those techniques. Most of the ladies were for that reason happy to read through them and already have definitely been making the most of those things. Appreciation for truly being considerably kind as well as for having certain beneficial things most people are really needing to discover. Our own sincere regret for not expressing appreciation to sooner.
steph curry shoes http://www.stephcurry.us
Reply golden goose sneakers
2:52 PM on February 18, 2022 
I needed to write you this little bit of note in order to give many thanks over again with the fantastic techniques you've shown on this website. It was simply open-handed with you to offer without restraint exactly what many individuals might have made available as an electronic book to help make some cash on their own, even more so considering that you might have tried it in case you wanted. The solutions likewise served to provide a fantastic way to realize that someone else have the identical keenness really like my very own to figure out significantly more related to this issue. Certainly there are millions of more pleasant times ahead for folks who scan through your website.
golden goose sneakers http://www.goldengoosesonline.com