Thursday, August 22nd, 2013
A new research review finds that women who receive consistent care from midwives during pregnancy have better outcomes than those who see family doctors or obstetricians. This review, conducted by the Cochrane Library, found that moms who saw midwives were less likely to need medical interventions or to give birth prematurely.
More from The Huffington Post:
The reviewers looked at 13 trials of more than 16,000 women who saw a small team of midwives throughout their pregnancy, or one primary midwife. Eight of the trials included women who were at low-risk for complications during pregnancy and birth, while five included higher-risk women. All of the midwives were licensed in their respective countries, and none of the trials looked at home births.
On the whole, women who saw midwives throughout their pregnancy were less likely to have an epidural painkiller, an episiotomy (an incision made from the vagina to anus during delivery), or a delivery using instruments, such as a vacuum or forceps. There were no differences in Cesarean birth rates.
Women who received continuous care from midwives also were less likely to have a baby before 37 weeks of gestation, or to lose their babies before 24 weeks.
Notably, higher-risk women who saw a midwife as their point-person did not have worse outcomes than low-risk women — a discovery the researchers interpreted with cautious optimism.
“This is an important finding, because it means that midwives have something to offer women who are not low-risk, when they are coordinating care with a primary care physician or an OBGYN,” argued review author Jane Sandall, with the division of women’s health at Kings College, London.
For now, the researchers can only guess why continuous midwife care seems to confer important benefits.
“Having someone who is there for you, who you know is going to be there at your birth is important to women,” said Sandall. “Because women know their midwives, and they’re often easier to get in touch with them, the midwives are picking up any problems sooner and helping women get the right specialist input as early as possible.”
Image: Newborn baby and mom, via Shutterstock
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Monday, June 25th, 2012
A new study from the Centers for Disease Control and Prevention is reporting that nurse midwives are more popular among pregnant women than ever before, with 8.1 percent of all the births in 2009 being attended by a midwife. Thirty-nine states have seen an increase in the number of midwife-attended births, according to the study, which was published in the journal Journal of Midwifery & Women’s Health (JMWH).
“The growing number of midwife-attended vaginal births in the United States may be a reflection of the increasing recognition of midwives’ expertise in the management of labor in vaginal births. As many mothers express their concern with the high cesarean rate in the United States, it is likely the demand for midwives will continue to rise,” said the JMWH report’s author, Eugene Declercq, PhD, Assistant Dean for DrPH Education at the Boston University School of Public Health. “While still far below the rates of midwife-attended births in other industrialized countries, this is nonetheless good news for those mothers who want the choice of a midwife as their prenatal care provider and birth attendant.”
Image: Midwife with pregnant woman, via Shutterstock.
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Monday, June 18th, 2012
A feature in The New York Times tells the story of midwifery in New York City, once relatively uncommon but now bone fide “status symbols” on par with trendy preschools and high fashion. From the Times:
Are midwives becoming trendy, like juice cleanses and Tom’s shoes? It seems that way, at least among certain well-dressed pockets of New York society, where midwifery is no longer seen as a weird, fringe practice favored by crunchy types, but as an enlightened, more natural choice for the famous and fashionable. “The perception of midwives has completely shifted,” said Dr. Jacques Moritz, director of the gynecology division at St. Luke’s-Roosevelt and a consulting obstetrician for three midwife practices. “It used to be just the hippies who wanted to go to midwives. Now it’s the women in the red-bottom shoes.”
And like any status symbol, a pecking order has emerged. Just as getting your toddler into the right preschool requires social maneuvering, getting into a boutique midwifery clinic has become competitive.
“We constantly have to turn women away,” said Sylvie Blaustein, the founder of Midwifery of Manhattan, a practice on West 58th Street that has its share of well-heeled clients. Opened in 2003, the practice now has six midwives on staff. “Because of the quality of care, we can only deliver about 20 babies a month.”
“It sounds bizarre,” Ms. Blaustein added, “but midwifery has become quote-unquote trendy.”
Image: Pregnant woman, via Shutterstock.
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