A Brief Note On The American College Of Nurse Midwives

Childbirth is one of the greatest privileges on the earth anyone could have and we, as women, should feel proud to be major contributors for it. Thus, a mother has to play a key role in aiding the healthcare workers to mitigate the health crisis associated with childbirth by performing her duties faithfully. One such associated health crisis is “Premature (preterm) birth” which occurs when the baby is born too early, before 37 weeks of gestational period (CDC, 2015). The rate of preterm birth ranges from 5% to 18% of babies born across 184 countries (WHO, 2015).

For hundred of years, women have wrestled with their womanhood, bodies, and what it means to be a woman in our society. Being a woman comes with a wonderful and empowering responsibility--giving birth. What sets us aside from other countries is that the process and expectations of giving birth has changed in our society; coming from midwifery, as it has always been since the early times, to hospitals where it is now expected to give birth at. Midwifery was a common practice in delivering babies in

The American Association of Birth Centers (AABC) conducted a study in January 2013, this study confirmed the long standing belief that midwife-led birth centers provide a safe and effective health care option for women during pregnancy, labor, and birth. Greenville Health Systems (GHS) listened and embraced the tenet of becoming the “health care value leader in the region” by proposing the construction of a three room freestanding birthing center operated by Greenville Midwifery Care. After almost one year of service to the community, the plan is to open a second birth center near the Patewood Memorial Hospital.

Although nurse midwives do complete the task of aiding in the delivery of newborns, “they also provide health care and wellness care to women, which may include family planning, gynecological checkups, and prenatal care” (nurse.org). Nurse midwives also assist along with physicians during c-sectional births. Certified Nurse Midwives or CNMs are advanced nurse practitioners; however, nurse midwives must earn an advanced degree, a special certification, and training in order to practice midwife duties. CNMs offer similar care to that of an OB/GYN doctor; therefore they make different financial earnings. “Nursing Economics, found that when midwives work in collaboration with physicians, the birth is less likely to end in a C-section” (nurse.org). If less c- sections are performed in hospitals, it could help lower the medical costs due to paying for medication during the labor and delivery, of a natural vaginal birth. To illustrate, nurse midwives should be more prevalent in hospitals, in order to lower the financial status of medical

On April 13, 2013, nursing became one of the, if not the most, important professions around the world. On that date, Disease-666, which caused the zombie apocalypse, broke out. It infected nearly three-fourths of the population, and nearly all doctors and scientists fell ill of the disease as they worked tirelessly trying to find a cure, leaving only nurses left. Besides hearing the stories of how important nursing has been the last couple years here at the Michigan State Safe Haven and outside of it, I conducted my own research on the field, more specifically, the field of midwife nursing. I found through many literacies that nurses are the primary caretakers of humans; providing care for the sick and unable, while also being the supporter during the emotional stress of recovery. Nursing earns the status of the most important profession during the apocalypse as they are the backbone of emotional support, they are the curators of repopulation, and they are the most certified people left to help turn the apocalypse around.

According to “Human Sexuality: Diversity in Contemporary America,” women and couples planning the birth of a child have decisions to make in variety of areas: place of birth, birth attendant(s), medication, preparedness classes, circumcision, breast feeding, etc. The “childbirth market” has responded to consumer concerns, so its’ important for prospective consumers to fully understand their options. With that being said, a woman has the choice to birth her child either at a hospital or at home. There are several differences when it comes to hospital births and non-hospital births.

Are you a mother-to-be? Are you having trouble trying to figure out whether to have a homebirth or a hospital birth? I sure hope that this paper will

In the United States giving birth has become medicalized and it is because the medical community has convinced women that having a baby in a medical facility is mandatory and better for the baby. Medial birth is not natural birth. The American populace is uneducated about the natural process of labor. The overwhelming amount of women having babies in hospitals is unique to the United States. Most other nations including first world nations, women give birth in the presence of midwives rather than a doctor. According to experts documented in the film, “The United States has the second worst newborn death rate in the developed world.” Also “The US has one of the highest maternal mortality rates among all industrializes countries.” The makers of this film link those fact with the common practice of hospital birthing. According to the film makers, Doctors should only be used in high risk pregnancy and births.

Dr. Neel Shah, to start, is a certified medical doctor (MD) and also has earned a masters in public policy (MPP), all of which were obtained through Harvard Medical School. In addition, he is an accredited as a professional assistant professor of obstetrics, gynecology, and reproductive biology, through Harvard Medical School as well. Furthermore, Dr. Shah believes that home births and births that don’t occur in a hospital are for the best compared to if they were taken care of in a hospital.

The United States still has one of the highest infant mortality rates as reported by CIA World Fact Book “United States 6.06 per 1,000” (Field Listing, 2008 p.1), as compared to other high income countries who employ midwives as mainstream for low-risk pregnant women. Research shows that midwife-attended births have fewer interventions, lower c-section rates, and offer more personal care for pregnant women. The problem with the current form of obstetrical care in the United States is the uncritical acceptance of an unscientific method: the routine use of interventionist obstetrics for healthy women with normal pregnancies in contrast to a midwifery model of care for pregnant women. Should the medical

Australia may be one of the safest countries in the world to give birth in, but it is far from reaching the needs of consumers (Dahlen, et al., 2011, p. 21). In Australia, three main settings are available for birthing mothers: hospital, home and birthing centres. The choice of a preferred birth setting is influenced strongly by (a) “belief Systems”, (b) “convenience” (c) finances and (d) “reputation” (Dahlen, et al., 2008, p. 24). There has been considerable discussion and criticism focused on personalised non-fragmented care outside bureaucratic

The film “The Business of Being Born” gave the audience a behind the scenes perspective of giving birth. The film combines interviews with obstetricians, professional midwives, and medical experts while documenting the pregnancies of women who have chosen to natural at home births. The history presented by the film is gruesome and eye-opening. I myself had never really thought of what giving birth entailed. Society and the media taught me that going to the hospital and receiving an epidural was standard procedure; epidurals lessened pain. That was not the case in the film. While one might not describe a natural home birth as a walk in the park, it seemed far less painful and frightening than a hospital birth.

Home births in comparison to hospital births are “associated with reduced rates of cesarean birth and medical interventions, and similar rates of maternal and perinatal morbidity and mortality” (Declercq, & Stotland, 2016). Home births in the Netherlands account for 20% of all births and studies conducted there showed no increased risk for neonatal adverse outcome (Zielinski, Ackerson, & Low, 2015). Studies have also shown that “satisfaction with the birth experience is also high in the home birth setting” (Zielinski, Ackerson, & Low, 2015).

I used to think giving birth in a hospital was the safest and only option. However, hospital birth has not been the only locations to deliver a baby. And the procedure, doctors preform during labor can affect the baby. Another Sucre location to give birth is at home. During home birth mothers are assisted by a midwife who are skilled, and fully trained in the area of pregnancy and birth. They’re just like doctors, for instance, they check your blood pressure, weight, and listens to the heartbeat of your baby. various soon to be mothers chooses midwife because they are more like a partner in their care and are there to help patients every step of the way during pregnancy.

A majority of these women in the study were younger than 35 years of age of Dutch origin, had previous pregnancies, and had a lower socioeconomic status (Jonge et al., 2015). The purpose of the study was to determine the rates severe acute maternal morbidity (SAMM) which included uterine rupture, eclampsia, hemorrhage, maternal death and other severe outcomes (Jonge et al., 2015). Researchers concluded that patients that started with midwife care at the onset of labor will have decreased severe maternal outcomes than starting with obstetrical-led care (Jonge et al., 2015). Other resources confirm that women who received midwife-led care had less epidurals, episiotomy’s, and lacerations (Sandal et al., 2013). A majority of these women went without induction which resulted in fewer preterm labors (Sandal et al., 2013). Although a contrasting recent study in New Zealand demonstrated a greater decrease in severe fetal outcomes including stillbirth, birth related asphyxia, neonatal encephalopathy, and low APGAR scores during obstetrician-led care rather than midwifery-led care (Wernaham et al., 2016). Research done at a Freestanding Birth Center using the midwife-led care model depicted that fewer preterm births took place but no significant difference when compared to APGAR scoring and low birthweights (Benatar, Garrett,