Childbirth Connection, formerly known as the Maternity Center Association, is an American national nonprofit organization that works to improve the quality of maternity care through research, education, advocacy, and policy. Childbirth Connection promotes safe, effective evidence-based maternity care and is a voice for the interests of childbearing women and families.
The Maternity Center Association (MCA) was founded in 1918 in New York City. [1] That year, Frances Perkins became the group's executive secretary. [2] The organization grew out of an effort by the Women's City Club of New York City, an organization of 2000 influential women, to reduce the extreme maternal and infant mortality rates in New York City and the United States at that time. [3] A New York City commission recommended the establishment of maternity centers, and the Women's City Club of New York responded by creating the Maternity Center Association, which ran a center for medical and nursing care.
By the 1920s, the organization was running thirty neighborhood centers throughout New York City. It soon concluded that midwives were not sufficiently well prepared. The group refocused its efforts on a single demonstration center, and worked to establish a training program or school for nurse-midwifery. [1]
These efforts ran into opposition from some physicians, several of whom resigned from the group's board. But in 1931, in an effort spearheaded by Mary Breckinridge, the group created the first school of nurse-midwifery in the United States. The curriculum was based on the British nurse-midwifery curriculum. [1] The school achieved significant improvements in midwifery care. From 1932 to 1958, the school's years of operation, its graduates attended 7099 births, most of them in the mother's home; the maternal death rate was 0.9 per 1000 live births, more than 10 times better than the national average during this period of 10.4 per 1000 live births. [1] The MCA promoted its care and education ideas through a handbook, conferences, and institutes.
In 1975, concerned about "do-it-yourself" home births, the Association created the first urban birth center, in a modified townhouse in downtown Manhattan, for women to give birth outside hospitals. Nurse-midwives provided most of the care at the center. The center was integrated into the existing health care system, although costs were far lower than at a hospital. [4] The MCA helped develop a quality assurance system for out-of-hospital birth centers, and offered its center as a prototype. The group's efforts led to an association now known as the American Association of Birth Centers. [2]
The group received funding through New York charity events; Brooke Astor was a board member.
The Association sponsored popular educational exhibitions at the 1933 World's Fair in Chicago, and the 1939-1940 New York World's Fair. [5] : 9–18 The latter exhibit included the Dickinson-Belskie Birth Series of life-size cross-section medical models showing the progression of pregnancy and birth. [5] : 11–12 The models were originally sculpted by Abram Belskie under the supervision of doctor Robert Latou Dickinson. The originals and authorized copies were soon exhibited at many locations throughout the US and the world. [5] : 12–13
The Association also published an affordable Birth Atlas series of books based on the exhibit, which sold widely across the US and internationally. [5] : 13–14 In the 1940s, the Association was working on a Spanish-language version of its book. [5] : 14 It also sold copies to UNICEF. [5] : 14
Starting in the 1990s, the group moved away from providing direct services and instead expanded its policy research agenda and its public education and outreach programs. [2] The group transferred ownership of its main childbirth center to St. Vincent's Hospital in New York City in 1996. In 2005, the group changed its name to Childbirth Connection, and adopted the tagline "helping women and health professionals make informed maternity care decisions." [6] In 2006, its education website, www.childbirthconnection.org, won a World Wide Web Health Award in the "Patient Education Information" category. [7] The group continues to sponsor conferences and research programs to improve maternity care in the United States. [8]
The group has never taken any position on abortion, because it "deals exclusively with women who want to carry their pregnancies to term." [9]
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 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 may also provide support to the client's partner, family, and friends.
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.
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 Frontier Nursing Service (FNS) provides healthcare services to rural, underserved populations since 1925, and educates nurse-midwives since 1939.
The Association of Radical Midwives (ARM) is a UK organisation for midwives, doulas, mothers, and anyone concerned with the health of maternity services.
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. Different birth attendants are able to provide different levels of care.
The Promotion of the Welfare and Hygiene of Maternity and Infancy Act, more commonly known as the Sheppard–Towner Act, was a 1921 U.S. Act of Congress that provided federal funding for maternity and childcare. It was sponsored by Senator Morris Sheppard (D) of Texas and Representative Horace Mann Towner (R) of Iowa and signed by President Warren G. Harding on November 23, 1921. It went out of effect in 1929.
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 job continues under other names and conditions worldwide.
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.
This article deals with childbirth in Japan, and the specific details of childbirth exclusive to Japan in relation to beliefs, attitudes and healthcare.
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.
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.
Ronnie Sue Lichtman, is a 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.
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.
Angela Murdaugh is an American Catholic religious sister in the Franciscan Sisters of Mary, a Certified Nurse‐Midwife. She was a pioneer in promoting nurse midwives and birth centers. Out of this passion, she founded the Holy Family Birth Center in Weslaco, TX in 1983.
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.
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