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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.
A birthing center is a healthcare facility, staffed by nurse midwives, midwives and/or obstetricians, for mothers in labor, who may be assisted by doulas and coaches. The midwives monitor the labor, and well-being of the mother and the baby during birth. Doulas can assist the midwives and make the birth easier. Should additional medical assistance be required, the mother can be transferred to a hospital. This transfer is more likely if an epidural is needed, there is meconium staining, it is a prolonged labor, or the newborn needs intensive care. Some hospitals have birth centers as an alternative to the usual high tech maternity wards.
A home birth is a birth that takes place in a residence rather than in a hospital or a birthing center. They may be attended by a midwife, or lay attendant with experience in managing home births. Home birth was, until the advent of modern medicine, the de facto method of delivery. The term was coined in the middle of the 19th century as births began to take place in hospitals.
The National Maternity Action Plan (NMAP) is an Australian document prepared by maternity consumer groups to alter the way Governments fund and resource maternity services.
Maternity Choices Australia, formerly the Maternity Coalition is an Australian advocacy group which aims to improve the provision of maternity services to parents. It consists of individuals as well as other non-government organisations.
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.
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.
Queen Charlotte's and Chelsea Hospital is one of the oldest maternity hospitals in Europe, founded in 1739 in London. Until October 2000, it occupied sites in Marylebone Road and at 339–351 Goldhawk Road, Hammersmith, but is now located between East Acton and White City, adjacent to the Hammersmith Hospital. It is managed by the Imperial College Healthcare NHS Trust.
Sally Tracy is an Australian midwife, midwifery researcher, author and activist. She has authored numerous research articles. In 2023, she was appointed as a Member of the Order of Australia.
Jenny Gamble is an Australian midwife who is Professor Emeritus of Midwifery at Griffith University and Director of Transforming Maternity Care Collaborative.
Ruth Watson Lubic, CNM, EdD, FAAN, FACNM, is an American nurse-midwife and applied anthropologist who pioneered the role of nurse-midwives as primary care providers for women, particularly in maternity care. Lubic is considered to be one of the leaders of the nurse-midwifery movement in the United States.
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 midwife is a health professional who cares for mothers and newborns around childbirth, a specialisation known as midwifery.
Ronnie Sue Lichtman is an American midwife, educator, writer and advocate for women's health. She has published widely for both lay and professional audiences. The Chair of the Midwifery Education Program at The State University of New York (SUNY) Downstate Medical Center in New York City, she earned a Ph.D. in sociomedical sciences from Columbia University Graduate School of Arts and Sciences, and her MS in Maternity Nursing with a specialization in midwifery from Columbia University School of Nursing. She previously directed the midwifery programs at Columbia University and Stony Brook University.
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.
Midwives in South Africa are nurses who focus on the care of pregnant women and the delivery of babies. Midwives have the ability to work independently in cases of healthy pregnancies and problem-free deliveries; however, they can refer patients to gynaecologists or obstetricians when complications are diagnosed. The majority of pregnant women in South Africa use the public healthcare system, and most of this care is provided by midwives.
Gwendolyn Spencer, OD was a nurse and midwife, who co-founded the Jamaican Midwives' Association. An advocate for professionalism, she was instrumental in developing training programs for midwives and establishing a professional pay grade from the government for their services. She received the Order of Distinction for her contributions to healthcare in the country.
Caroline Susan E. Homer is an Australian midwifery researcher and international advocate for women's health rights. She is Co-Program Director, Maternal and Child Health at the Burnet Institute in Melbourne and Visiting Distinguished Professor of Midwifery at the University of Technology Sydney.
References
- Australian Midwifery News, Vol 3, No 2, 2003 p2, ISSN 1446-5612
- Birth Matters, Vol 5:3, 2002, p3, ISSN 1443-7570
- Interview with Mark Colvin PM. ABC Radio
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