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.

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Related Research Articles

<span class="mw-page-title-main">Midwifery</span> Pregnancy and childbirth-related profession

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.

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

Childbirth, also known as labour, parturition and delivery, is the completion of pregnancy where one or more babies exits the internal environment of the mother via vaginal delivery or caesarean section. In 2019, there were about 140.11 million human births globally. In the developed countries, most deliveries occur in hospitals, while in the developing countries most are home births.

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

A doula is a trained professional who provides expert guidance for the service of others and who supports another person through a significant health-related experience, such as childbirth, miscarriage, induced abortion or stillbirth, as well as non-reproductive experiences such as dying. A doula might also provide support to the client's partner, family, and friends.

<span class="mw-page-title-main">Postpartum period</span> Time period beginning after the birth of a child and extending for about one month

The postpartum period begins after childbirth and is typically considered to last for six weeks. However, there are three distinct but continuous phases of the postnatal period; the acute phase, lasting for six to twelve hours after birth; the subacute phase, lasting six weeks; and the delayed phase, lasting up to six months. During the delayed phase, some changes to the genitourinary system take much longer to resolve and may result in conditions such as urinary incontinence. The World Health Organization (WHO) describes the postnatal period as the most critical and yet the most neglected phase in the lives of mothers and babies; most maternal and newborn deaths occur during this period.

<span class="mw-page-title-main">Unassisted childbirth</span>

Unassisted childbirth (UC) refers to the process of intentionally giving birth without the assistance of a medical birth attendant. It may also be known as freebirth, DIY (do-it-yourself) birth, unhindered birth, and unassisted home birth. Unassisted childbirth is by definition a planned process, and is thus distinct from unassisted birth due to reasons of emergency, lack of access to a skilled birth attendant, or other. It is also different from homebirth, although most UCs also happen within the home.

<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.

<span class="mw-page-title-main">Monthly nurse</span> Occupation

A monthly nurse is a woman who looks after a mother and her baby during the postpartum or postnatal period. The phrase is now largely obsolete, but the role is still performed under other names and conditions worldwide.

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.

In the United States, certified nurse midwives (CNMs) are advanced practice registered nurses in nurse midwifery, the nursing care of women during pregnancy and the postpartum period. CNMs are considered as midwives.

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.

<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.

This article provides a background on Nepal as a whole, with a focus on the nation's childbearing and birthing practices. While modern Western medicine has disseminated across the country to varying degrees, different regions in Nepal continue to practice obstetric and newborn care according to traditional beliefs, attitudes, and customs.

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.

Postpartum care or postnatal care is a service provided to individuals in the postpartum period, to help with postpartum recuperation and restoration.

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. "Transition to Skilled Birth Attendence". National Library of Medicine. Retrieved 15 December 2023.
  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