Question 1

What is a midwife?

Accepted Answer

Midwife definitions is “with-women”, midwives are care providers for healthy pregnant women who seek holistic care along with counseling and education. Midwives and their clients will create individualize care for the pregnant woman and her family. According to the World Health Organization (WHO): “midwife is a person who, having been regularly admitted to a midwifery educational program, duly recognized in their country in which it is located, has successfully completed the prescribed course of studies in midwifery and has acquired the requisite qualifications to be registered and/or legally licensed to practice midwifery. The midwife is recognized as a responsible and accountable professional who works in partnership with woman to give the necessary support, care and advice during pregnancy, labor and the postpartum period, to conduct births on the midwife’s own responsibility and to provide care for the newborn and the infant. This care includes preventative measures, the promotion of normal birth, the detection of complications in mother and child, the accessing of medical care or other appropriate assistance, and the carrying out of emergency measures. The midwife has an important task in health counseling and education, not only for the woman, but also within the family and the community. This work should involve prenatal education and preparation for parenthood.

Question 2

What are the benefits of using a midwife?

Accepted Answer

One of the main reasons why families choose midwifery care is to experience natural birth and avoid unnecessary hospital interventions. Benefits of receiving midwifery care include: Decrease risk of needing cesarean. Reduce rate of labor induction and augmentation Reduce use of regional anesthesia Decrease infant mortality rate Decreased risk of preterm labor Decrease 3 rd and 4 th degree perineal tears. Lower cost Increase choice in care Increase satisfaction with quality of care.

Question 3

How is a community birth- out of hospital birth, different from birth in a hospital?

Accepted Answer

In a community birth you will be able to follow your own “policies”, moving, eating and drinking is an essential part of the birth dance you and your baby will create. As a midwife I can assure you that I have caught babies in ANY position the mother chose to be in. You will give birth to your baby in the environment of your choice (dim light, essential oils, music, candlelight, birth tub etc.) the environment that will make you feel most comfortable, safe and relaxed. At 36 weeks we will have a home visit where we will rehearse the big day, we will plan the setting, listen to your vision and set expectation with your birth team. Hospitals have policies that sometimes interfere with the “birth dance” which can cause unnecessary intervention that can lead to unexpected outcomes (which means longer recovery) or interfere with the crucial bonding time (“golden hour”) with your baby.

Question 4

Is an out of hospital birth safe?

Accepted Answer

When we compare two low risk women with healthy pregnancies side by side, the location of birth makes the difference in the number of interventions and risks they have. When a woman has a midwife and plans to birth in the community setting (home or birth center) she is much less likely to: Be induced. Induction is the most common factor in primary cesareans. Have continuous monitoring which has been shown to increase cesarean without improving the condition of the baby. Have an IV which affects the mother’s mobility and results in more use of pain medications. Have unnecessary vaginal exams which increase infection and also increase likelihood that their labor will be augmented with synthetic hormones which have consequences. Even the emotional shift that happens when a healthy woman walks into a hospital and has to wear a gown (and sometimes mask) can alter her hormones making it more likely to get synthetic hormones.

Question 5

What if the birth doesn’t go as planned?

Accepted Answer

Our top priority is safety. We are trained to detect any challenges that can arise in labor and birth. We carry medications and medical equipment such as IV fluid, oxygen and hemorrhage medications in addition to traditional midwifery tools (herbs, homeopathy, essential oils etc.), in a case of a challenge that would need a higher level of treatment we will arrange a transfer to the closest hospital or hospital of our choice, depends on the situation. We will work together on an emergency plan prenatally so all challenges can be met, and all questions will be answered.

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