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.
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.
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 births globally. In the developed countries, most deliveries occur in hospitals, while in the developing countries most are home births.
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.
The postpartum period begins after childbirth and is typically considered to end within 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.
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.
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.
Sheila Helena Elizabeth Kitzinger MBE was a British natural childbirth activist and author on childbirth and pregnancy. She wrote more than 20 books and had a worldwide reputation as a passionate and committed advocate for change.
Sally Tracy is an Australian midwife, midwifery researcher, author and activist.
Bonnie Urquhart Gruenberg is an photographer, author, artist, and certified nurse-midwife. She was raised in Connecticut and earned degrees in nursing at Southern Vermont College and University of Pennsylvania. She worked as an urban emergency medical technician/paramedic in Connecticut from 1988 to 2000. Her published works cluster within two primary topics: wild horses and midwifery/childbearing. She is the author of Birth Emergency Skills Training TM and the creator of its associated workshops. She is also the creator of the Atlantic Wild Horse Trail, a virtual route that links the feral horse herds of the Atlantic coast into a chain of vacation spots and day-trip destinations.
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.
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.
Eunice Katherine Macdonald "Kitty" Ernst was an American nurse midwife and leader in the nurse-midwife movement in the United States.
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.
Carol Couchie, RM, is Nishnawbe Kwe and a registered midwife from Nipissing First Nation. She is a member of the first graduating class of Ryerson University's midwifery program in 1998. She is the first Indigenous woman to become a registered midwife in Ontario. She has previously served as chair of the Society of Obstetricians and Gynecologists of Canada's Aboriginal Health Issues Committee. She helped found the Association of Aboriginal Midwives and she helped establish the Aboriginal Midwifery Education Program at the University College of the North. She serves as co-lead of the National Aboriginal Council of Midwives (NACM). She currently practices as a member of K'Tigaaning Midwives, located at Nipissing First Nation.
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.
Jean Robinson is a British activist for patient rights. She was the author of the 1988 pamphlet A Patient Voice at the GMC: A Lay Member's View of the General Medical Council, published by Health Rights. She was the chair of the Patients Association from 1973 to 1975. She served as a lay member of the General Medical Council (GMC) in the 1980s. Robinson was appointed a Visiting Professor at the School of Health Sciences of the University of Ulster in 1997.
Beverley Ann Lawrence Beech was a Welsh author, chair of the Association for Improvements in the Maternity Services (AIMS) from 1977 to 2017 and an active campaigner against the medicalisation of pregnancy and birth. She raised awareness of the harm that can be done to women in obstetrics during labour and the importance of women being aware of their rights so they can make their own decisions about the place and manner of the birth of their children. She also counselled for a more positive attitude towards home births.
