Midwives Alliance of North America

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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. [1] Its stated goal is to unify and strengthen the profession of midwifery, thereby improving the quality of health care for women, babies, and communities. [2]

Contents

History

When MANA was founded there were many organizations that midwives had been instrumental in organizing and that provided a means of communication and support. However none had a membership base broad enough, an internal support system, or the political credibility to promote midwifery as an accepted part of the maternal-child health care system in North America. In October 1981, Sister Angela Murdaugh, of the American College of Nurse-Midwives, invited four non-nurse midwives and four nurse-midwives from around the country to Washington D.C. to discuss issues confronting all midwives, with special emphasis on the communication concerns between American midwives trained as nurses and those who were not formally trained. [3] A decision was made to form a "Guild" that would include all midwives with four purposes in mind: to expand communication among midwives; to set educational and training guidelines; to set guidelines for basic competency and safety for practicing midwives; and to form an identifiable professional organization for all midwives in the U.S. Throughout its history MANA has advocated for the belief that birthing mothers should be able to choose their places and caregivers at birth and that midwifery should be decriminalized. [1]

In April 1982, nearly 100 women from around the country met in Lexington, Kentucky. At this meeting the name Midwives Alliance of North America was chosen, and it was decided that Canadian midwives would be included in the organization. Officers were chosen and a newsletter Practicing Midwife (changed to MANA News in 1983) was established. [1] In October 1983, the first MANA convention was held, and the members elected Teddy Charvet as President, Ina May Gaskin as Vice President, and Rena Porteus as second Vice President. [4]

Much of MANA's organizational energy has been directed toward making national midwifery certification acceptable and workable within the medical community and thereby accessible to women. By 1986, it had become clear that midwives needed to create an internationally accepted direct-entry midwifery credential if they were to preserve the unique forms of practice which midwives had developed over the last thirty years and at the same time work within the larger healthcare community. To this end, MANA launched the North American Registry of Midwives (NARM). NARM became a separately incorporated entity in 1992 and since has developed a competency-based certification process. [1]

Out of the formal support network generated by MANA, the Midwifery Education Accreditation Council (MEAC) was established in 1991. In conjunction with NARM, it accredits a wide variety of direct-entry midwifery educational programs, including apprenticeships, thus formally validating and preserving ancient as well as modern routes to practice. [1]

Goals

According to the MANA website, the organization's goals are: [5]

Membership

MANA membership includes midwives and student midwives, other healthcare providers, and families. Over one-third of MANA's member midwives are certified professional midwives (CPMs), [6] the remainder are certified nurse midwives, certified midwives, state-licensed midwives, traditional midwives, and student/apprentice midwives.

Research

MANA's Division of Research maintains a registry of midwife-assisted births in the US and Canada, that can be made available for use in research upon request. [7] Published research has provided descriptive evidence on practice and safety of recorded home births, [8] [9] [10] but contribution to the data set is voluntary and direct comparisons to hospital births remain difficult. [11]

See also

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">Home birth</span> An attended or an unattended childbirth in a non-clinical setting

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.

<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">Frontier Nursing Service</span> American rural healthcare service

The Frontier Nursing Service (FNS) provides healthcare services to rural, underserved populations since 1925, and educates nurse-midwives since 1939.

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.

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.

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.

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.

<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">Ronnie Lichtman</span> American midwife, educator and womens health advocate

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.

<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.

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.

<span class="mw-page-title-main">Robbie Davis-Floyd</span> American anthropologist

Robbie Davis-Floyd is an American cultural, medical, and reproductive anthropologist, researcher, author, and international speaker primarily known for her research on childbirth, midwifery, and obstetrics. She chose to study women's birth experiences due to her own birth experiences and espouses the viewpoint that midwives play an important role in safeguarding positive outcomes for women giving birth. Beginning in 1983, she has given over 1000 presentations at universities and childbirth, midwifery, and obstetric conferences around the world.

<span class="mw-page-title-main">Gladys Nichols Milton</span> American midwife

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<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 is the 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. "Our 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. 1 2 3 4 5 "Collection: Midwives' Alliance of North America records | Smith College Finding Aids". findingaids.smith.edu. Retrieved 2020-06-12. CC BY icon-80x15.png  This article incorporates text available under the CC BY 3.0 license.
  2. "Home page". Midwives Alliance of North America. Retrieved 10 May 2012.
  3. Varney, Helen; Thompson, Joyce Beebe (2020-06-13). A History of Midwifery in the United States. Springer Publishing Company. p. 211. ISBN   978-0-8261-2537-8.
  4. Varney, Helen; Thompson, Joyce Beebe (2020-06-13). A History of Midwifery in the United States. Springer Publishing Company. p. 215. ISBN   978-0-8261-2537-8.
  5. "Who is MANA?". Midwives Alliance of North America. 2009-12-28. Retrieved 2020-06-18.
  6. "Issue brief: Certified Professional Midwives in the United States" (PDF). North American Registry of Midwives, Midwifery Education Accreditation Council, National Association of Certified Professional Midwives, Midwives Alliance of North America. June 2008. Retrieved 10 May 2012.
  7. Midwives Alliance of North America (16 May 2013). "MANA Stats" . Retrieved 19 January 2019.
  8. Nethery, Elizabeth; Gordon, Wendy; Bovbjerg, Marit L.; Cheyney, Melissa (June 2018). "Rural community birth: Maternal and neonatal outcomes for planned community births among rural women in the United States, 2004-2009". Birth. 45 (2): 120–129. doi: 10.1111/birt.12322 . PMID   29131385. S2CID   24005006.
  9. Cheyney, Melissa; Bovbjerg, Marit; Everson, Courtney; Gordon, Wendy; Hannibal, Darcy; Vedam, Saraswathi (January 2014). "Outcomes of Care for 16,924 Planned Home Births in the United States: The Midwives Alliance of North America Statistics Project, 2004 to 2009". Journal of Midwifery & Women's Health. 59 (1): 17–27. doi: 10.1111/jmwh.12172 . PMID   24479690.
  10. Bovbjerg, Marit L.; Cheyney, Melissa; Brown, Jennifer; Cox, Kim J.; Leeman, Lawrence (September 2017). "Perspectives on risk: Assessment of risk profiles and outcomes among women planning community birth in the United States". Birth. 44 (3): 209–221. doi:10.1111/birt.12288. PMID   28332220. S2CID   39526695.
  11. Cheyney, Melissa; Bovbjerg, Marit; Everson, Courtney; Gordon, Wendy; Hannibal, Darcy; Vedam, Saraswathi (January 2014). "Development and Validation of a National Data Registry for Midwife-Led Births: The Midwives Alliance of North America Statistics Project 2.0 Dataset". Journal of Midwifery & Women's Health. 59 (1): 8–16. doi:10.1111/jmwh.12165. PMID   24479670.