Midwifery is the health science and health profession that deals with pregnancy, childbirth, and the postpartum period, in addition to the sexual and reproductive health of women throughout their lives. In many countries, midwifery is a medical profession. A professional in midwifery is known as a midwife.
George Cashel Stoney was an American documentary filmmaker, educator, and the "father of public-access television." Among his films were Palmour Street, A Study of Family Life (1949), All My Babies (1953), How the Myth Was Made (1979) and The Uprising of '34 (1995). All My Babies was entered into the National Film Registry in 2002. Stoney's life and work were the subject of a Festschrift volume of the journal Wide Angle in 1999.
Ina May Gaskin is an American midwife who has been described as "the mother of authentic midwifery." She helped found the self-sustaining community, The Farm, with her husband Stephen Gaskin in 1971 where she markedly launched her career in midwifery. She is known for the Gaskin Maneuver, has written several books on midwifery and childbirth, and continues to educate society through lectures and conferences and spread her message of natural, old-age inspired, fearless childbirth.
In the United States, a Certified Nurse-Midwife (CNM) is a nurse midwife who exceeds the International Confederation of Midwives essential competencies for a midwife and is also an advanced practice registered nurse, having completed registered nursing and midwifery education leading to practice as a nurse midwife and credentialing as a Certified Nurse-Midwife. CNMs provide care of women across their lifespan, including pregnancy and the postpartum period, and well woman care and birth control. Certified Nurse-Midwives are exceptionally recognized by the International Confederation of Midwives as a type of midwife in the U.S.
The Midwives Alliance of North America (MANA) was founded in April 1982 to build cooperation among midwives and to promote midwifery as a means of improving health care for North American women and their families. Its stated goal is to unify and strengthen the profession of midwifery, thereby improving the quality of health care for women, babies, and communities.
The Frontier Nursing Service (FNS) provides healthcare services to rural, underserved populations since 1925, and educates nurse-midwives since 1939.
Mary Carson Breckinridge was an American nurse midwife and the founder of the Frontier Nursing Service (FNS), which provided comprehensive family medical care to the mountain people of rural Kentucky. FNS served remote and impoverished areas off the road and rail system but accessible by horseback. She modeled her services on European practices and sought to professionalize American nurse-midwives to practice autonomously in homes and decentralized clinics. Although Breckinridge's work demonstrated efficacy by dramatically reducing infant and maternal mortality in Appalachia, at a comparatively low cost, her model of nurse-midwifery never took root in the United States.
Childbirth in rural Appalachia has long been a subject of concern amongst the population because infant mortality rates are higher in Appalachia than in other parts of the United States. Additionally, poor health in utero, at birth, and in childhood can contribute to poor health throughout life. The region's low income, geographic isolation, and low levels of educational attainment reduce both access to and utilization of modern medical care. Traditional medical practices, including lay midwifery, persisted longer in Appalachia than in other U.S. regions.
Eliza Grant was an African American midwife from Raleigh, North Carolina. Her only records are a result of President Franklin D. Roosevelt’s Federal Writers’ Project, which she was interviewed for in 1938. The actual document with her interview in it can be found at UNC-Chapel Hill’s Wilson Library Archives.
Midwifery in the Middle Ages impacted women's work and health prior to the professionalization of medicine. During the Middle Ages in Western Europe, people relied on the medical knowledge of Roman and Greek philosophers, specifically Galen, Hippocrates, and Aristotle. These medical philosophers focused primarily on the health of men, and women's health issues were understudied. Thus, these philosophers did not focus on the baby and they encouraged women to handle women's issues. In fact, William L. Minkowski asserted that a male's reputation was negatively affected if he associated with or treated pregnant patients. Resultantly, male physicians did not engage with pregnant patients, and women had a place in medicine as midwives. Myriam Greilsammer notes that an additional opposition to men's involvement in childbearing was that men should not associate with female genitalia throughout the secret practices of childbearing. The prevalence of this mindset allowed women to continue the practice of midwifery throughout most of the Medieval era with little or no male influence on their affairs. Minkowski writes that in Guy de Chauliac's fourteenth-century work Chirurgia magna, "he wrote that he was unwilling to discourse on midwifery because the field was dominated by women." However, changing views of medicine caused the women's role as midwife to be pushed aside as the professionalization of medical practitioners began to go up.
Midwives in the United States assist childbearing women during pregnancy, labor and birth, and the postpartum period. Some midwives also provide primary care for women including well-woman exams, health promotion, and disease prevention, family planning options, and care for common gynecological concerns. Before the turn of the 20th century, traditional midwives were informally trained and helped deliver almost all births. Today, midwives are professionals who must undergo formal training. Midwives in the United States formed the Midwifery Education, Regulation, and Association task force to establish a framework for midwifery.
Mary Francis Hill Coley was an American lay midwife who ran a successful business providing a range of birth services and who starred in a critically acclaimed documentary film used to train midwives and doctors. Her competence projected an image of black midwives as the face of an internationally esteemed medical profession, while working within the context of deep social and economic inequality in health care provided to African Americans. Her life story and work exist in the context of Southern granny midwives who served birthing women outside of hospitals.
A direct-entry midwife is a midwife who has become credentialed without first becoming a nurse. There are direct-entry midwifery programs that prepare students to become Certified Nurse Midwives (CNMs) or Certified Professional Midwives (CPMs). Certified Professional Midwives are known for being "more natural and less intervention oriented." In other words, these midwives typically work outside of the hospital setting in homes and birth centers and do not employ methods for childbirth that physicians in hospitals commonly use such as caesarean section, forceps and other types of equipment and drugs.
A midwife is a health professional who cares for mothers and newborns around childbirth, a specialization known as midwifery.
A nurse midwife is both a nurse and a midwife, having completed nursing and midwifery education leading to practice as a nurse midwife and sometimes credentialed in the specialty. Nurse midwives provide care of women across the lifespan, including during pregnancy and the postpartum period, and well woman care and birth control.
Margaret Charles Smith was an African-American midwife, who became known for her extraordinary skill over a long career, spanning over thirty years. Despite working primarily in rural areas with women who were often in poor health, she lost very few of the more than 3000 babies she delivered, and none of the mothers in childbirth. In 1949, she became one of the first official midwives in Green County, Alabama, and she was still practicing in 1976, when the state passed a law outlawing traditional midwifery. In the 1990s, she cowrote a book about her career, Listen to Me Good: The Life Story of an Alabama Midwife, and in 2010 she was inducted into the Alabama Women's Hall of Fame.
Mamie Odessa Hale was a leader in public health and a midwife consultant who worked in Arkansas for the Department of Health from 1945 to 1950. During this time, Hale's objective was to educate and train 'granny midwives.' Her efforts were in place to address the public health disparity between black and white women that was currently evident.
Robbie Davis-Floyd is an American cultural, medical, and reproductive anthropologist, researcher, author, and international speaker primarily known for her research on childbirth, midwifery, and obstetrics. She chose to study women's birth experiences due to her own birth experiences and espouses the viewpoint that midwives play an important role in safeguarding positive outcomes for women giving birth. Beginning in 1983, she has given over 1000 presentations at universities and childbirth, midwifery, and obstetric conferences around the world.
Elizabeth Davis is an author, women's health care specialist, educator, consultant, and Certified Professional Midwife (CPM). She is a resident of Sebastopol, California and a mother of three children. Since 1977, Davis has pioneered a professional path for midwives in the United States while educating women around the world. Davis is globally active as an expert on midwifery and reproductive health issues. She has been involved with midwifery education, legalization, and the battle for professional autonomy. She lectures on reproductive rights, sexuality, and healing birth trauma.
Onnie Lee Logan was an Alabama midwife, who relied on traditional knowledge and who trained lay midwives and served the needs of birthing women in an era when black women were not served equally in the era when hospitals emerged.
