Birth attendant

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A birth attendant, also known as skilled birth attendant, is a health professional who provides basic and emergency care to women and their newborns during pregnancy, childbirth and the postpartum period. A birth attendant, who may be a midwife, physician, obstetrician, or nurse, is trained to be present at ("attend") childbirth, whether the delivery takes place in a health care institution or at home, to recognize and respond appropriately to medical complications, and to implement interventions to help prevent them in the first place, including through prenatal care. [1] Different birth attendants are able to provide different levels of care.

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Types of midwives

There are five different types of midwives. There is a certified nurse-midwife who must obtain a high level of education, either bachelors or masters in midwifery, after becoming a nurse. Nurse-midwives can serve in most birthing centers, hospitals, and can have a private home birth practice.

Then there is a Certified Professional Midwife. This midwife can obtain a license by following an apprenticeship/internship style of learning, along with other certifications. She must pass a board exam through states/countries that allow for this license and can only be available in a home birth setting.

There are Direct Entry Midwives. These midwives are trained through an apprenticeship/internship process and are only allowed in home birth settings as well. They do not hold a professional license but rather serve as lay midwives wherever they are needed. [2]

The next type is a traditional midwife. [3] This midwife often has cultural and community based trainings that are passed down through generations. Depending on the location, they can either be formally certified and licensed or not.

The final type of midwife is a lay midwife. A lay midwife are individuals that have learned midwifery through an apprenticeship or a self-directed study rather than a formal training. They are able to provide care and deliver babies outside of a medical setting.

Birth attendant versus birth assistant

A distinction must be made between "birth attendant" and others who may provide support and care during pregnancy and childbirth, based on professional training and skills, practice regulations, as well as nature of care delivered. Birth attendants are typically trained to perform clinical functions for basic and emergency obstetric and neonatal care, including administration of parenteral antibiotics, oxytocics and anticonvulsants; manual removal of placenta; removal of retained products of placenta; assisted vaginal delivery; and newborn resuscitation. [4] Depending on the legal scope of practice, this may also include performing cesarean sections.

A birth assistant, also known as a doula, "birth worker", "labor support person", "labour coach", or "childbirth educator", is someone other than the above who provides emotional support and general care and advice to women and families during pregnancy and childbirth. [5] A doula usually offers support services to the family in the weeks following the birth ("postpartum doula", see Postpartum confinement) and may also assist during labor and childbirth ("birth doula").

In many developing countries, a traditional birth attendant, also known as a traditional midwife, is a person who provide basic pregnancy and birthing care and advice based primarily on experience and knowledge acquired informally through the traditions and practices of the communities where they originated. [5] They usually have no modern health care training and are not typically subject to professional regulation.

See also

Related Research Articles

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Obstetrics is the field of study concentrated on pregnancy, childbirth and the postpartum period. As a medical specialty, obstetrics is combined with gynecology under the discipline known as obstetrics and gynecology (OB/GYN), which is a surgical field.

<span class="mw-page-title-main">Childbirth</span> Expulsion of a fetus from the pregnant mothers uterus

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<span class="mw-page-title-main">Doula</span> Non-medical companion who supports a person through significant health-related experiences

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<span class="mw-page-title-main">Certified nurse-midwife</span> Advanced practice nurse who provides mid-level nursing and midwifery care

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 recognized by the International Confederation of Midwives as a type of midwife in the U.S.

<span class="mw-page-title-main">Traditional birth attendant</span> Person who provides maternity care informally

A traditional birth attendant (TBA), also known as a traditional midwife, community midwife or lay midwife, is a pregnancy and childbirth care provider. Traditional birth attendants provide the majority of primary maternity care in many developing countries, and may function within specific communities in developed countries.

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.

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Ágnes Geréb is a Hungarian gynaecologist/midwife and psychologist. She is the pioneer of including paternal participation in deliveries of children at hospitals and in homebirths in Hungary. She founded the Napvilág birthing centre. Geréb has helped deliver 3,500 babies at home.

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.

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<span class="mw-page-title-main">Direct-entry midwife</span>

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.

<span class="mw-page-title-main">Midwife</span> Medical professional who practices obstetrics as a health science

A midwife is a health professional who cares for mothers and newborns around childbirth, a specialization known as midwifery.

<span class="mw-page-title-main">Nurse midwife</span>

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.

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In its early history, Mexico was occupied by a large number of indigenous tribes such as the Mayans and Aztecs. In the 16th century, Spain colonized New Spain and took over the land from the indigenous peoples. Though it is now an independent nation, Mexico retains much of the cultural influence of Spain, including its official religion of Catholicism, the Spanish language, and the importance of machismo - the belief that men are superior to women. Mexico also retains much of the traditional beliefs of the indigenous peoples who first occupied the country. Besides Spanish, there are over one hundred different languages spoken in the country today. As a result, the current medical system involves a mix of traditional and Western medicinal techniques.

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.

<span class="mw-page-title-main">American College of Nurse-Midwives</span>

The American College of Nurse-Midwives (ACNM) is a professional association in the United States, formed in 1955, that represents certified nurse-midwives (CNMs) and certified midwives (CMs). Dating back to 1929, ACNM strives to be a leading example for excellence in midwifery education and practice in the United States and has a special interest in promoting global health in developing countries. "Members are primary care providers for women throughout the lifespan, with a special emphasis on pregnancy, childbirth, and gynecologic and reproductive health. ACNM reviews research, administers and promotes continuing education programs, and works with organizations, state and federal agencies, and members of Congress to advance the well-being of women and infants through the practice of midwifery."

References

  1. World Health Organization. 2002. Global action for skilled attendants for pregnant women.
  2. "WHO | Skilled birth attendants". www.who.int. Archived from the original on 21 November 2013. Retrieved 15 January 2022.
  3. Sibley, Lynn (2006). "Transition to Skilled Birth Attendence". Journal of Health, Population, and Nutrition. 24 (4): 472–478. PMC   3001151 . PMID   17591344.
  4. Gupta N et al. Human resources for maternal, newborn and child health: from measurement and planning to performance for improved health outcomes. Human Resources for Health 2011, 9:16 doi : 10.1186/1478-4491-9-16
  5. 1 2 World Health Organization. 2010. Classifying health workers. http://www.who.int/hrh/statistics/Health_workers_classification.pdf