However, I absolutely doubt that a poorly
trained home birth midwife would have in any of the above situations, made any sort of positive contribution.
Not exact matches
Home Birth Home Birth is rapidly gaining popularity as parents learn that it is a safe and reasonable option for low risk pregnancies with
trained midwives.
While some folks who
birth at
home do so assisted by professionals, they usually call their
births «unassisted» or «independent,» so when I talk about
home births in this piece, I'm talking about the kinds attended by
trained midwives.
This poses the question then if the Wax (2010) study is not specific to whether
home birth is safe in comparison to hospital
birth, but if outcomes correlate with the type of
midwife (level of
training) and acceptance of out - of - hospital
birth in the larger healthcare system?
We're planning the
birth of our second at
home because modern well
trained midwives and nurse -
midwives carry all of the emergency equipment that
birth centers have.
The key point for us is that first, it's the US homebirth we generally discuss here and second, it's impossible for a
midwife to ensure a safe
birth when after the mother's DEATH, a
trained midwife feels that she, the
midwife, is the victim, because the bereaved husband somehow forgot that his wife had a «really lovely spontaneous
birth at
home» and listened to her, the
midwife, when she told him over the phone that transfer wasn't necessary because her, the
midwife's husband, would not have listened to the
midwife but to his wife when she told him, «I want to go to the hospital.»
Quote from the
midwife site:» There was no evidence that planned
home birth among low risk women leads to an increased risk of severe adverse maternal outcomes in a maternity care system with well
trained midwives and a good referral and transportation system.»
I am a
home birth midwife who practices according to the
Midwives Model of Care and is
trained to assist healthy pregnant women who choose to give
birth outside the hospital.
With
home or birthing center
birth,
midwives are extensively
trained in normal
birth.
Registered
midwives in Canada have a lot going for them that most American
home birth midwives do not have: they have a university degree, hospital
training, legitimate integration into the health care system, and strict rules that they have to follow concerning risk - out criteria and transfer / transport.
Licensing isn't near as important as experience and
training when you are looking for a
home birth midwife.
Then the issue should be making
home birth safer, getting the
midwives more
training and experience and having a system in place that has consequences for those involved that make the mistakes.
The latest example is an analysis prepared by faculty at the College of Public Health of the University of Arizona, Tucson and the Arizona Public Health
Training Center for the Arizona Department of Health Services entitled Outcomes of
Home vs. Hospital
Births Attended by
Midwives: A Systematic Review and Meta - analysis.
There was no evidence that planned
home birth among low risk women leads to an increased risk of severe adverse maternal outcomes in a maternity care system with well
trained midwives and a good referral and transportation system.
I would love to see a system here similar to Canada, where the midwifery
training includes cross-
training in
home,
birth center, and hospital settings, allowing
midwives to care for women in all locales.
ROTHMANOr they can have their baby with a certified nurse -
midwife in a birthing center, such as the Family Health and
Birth Center in D.C. Or they can have their baby at
home with a certified nurse -
midwife who is a
midwife who's had
training as a nurse and then has gone to a graduate program in midwifery and sat for boards with the American College — the American Midwifery Certification Board.
High - quality data covering tens of thousands of
births in a country where
home birth and
midwife - led
births are mainstream, and
midwives are far better
trained and integrated into the system than Gaskin.
Certified Nurse
Midwives who attend
home births do have six years of
training (not sure about how many
births they attend in those years) but the average non nurse
midwife will have minimal if any formal
training and will not have seen 500
births even with years of practice.
I don't think all under
trained midwives practice
home birth midwifery primarily for the money.
These
midwives are fully
trained, highly skilled experts in their field and are more than qualified to make clinical decisions around the suitability of women for a
home birth.
Many women find that they feel most comfortable at
home, with the ongoing attention and nurturing care of a
midwife,
trained in gentle, natural, safe childbirth - someone who is an expert in normal
birth and provides the
Midwives Model of Care.
The death rates are appalling and the fact that so many «high risk»
births were allowed to go forward as
home births is also appalling, I would suggest that a lack of
training among non-CNM
midwives would be obvious to MANA based on the fact that they can't even follow up with their clients for the most basic of information.
I have been on both sides, as a doula and student
midwife and now as the nurse who sees the
train wreck
home birth transfers wheeled into the ER.
While physician - attended
home births were the norm in Canada up until the early - to mid-20th century,
midwives are now the only health - care professionals
trained to attend
home births.
Because midwifery is not formally recognized in the law, there are no standards, but the Association of Practicing
Midwives insists on all its members having a minimum of three years of training, and that at least two qualified midwives assist in home
Midwives insists on all its members having a minimum of three years of
training, and that at least two qualified
midwives assist in home
midwives assist in
home births.
Isabelle Brabant, a self -
trained midwife who has delivered more than 400 babies, arrived at a hospital less than 10 minutes after the baby stopped breathing during a
home birth and her resuscitation efforts failed.
My husband and I have a compromise list — he has a horrible feeling about
home birth but can accept a
midwife is a
trained professional and natural
birth plan has benefits so the hospital just in case of emergency is our compromise.
Our
midwife, a traditionally
trained homebirth
midwife, requires an ultrasound at 20 weeks to rule out abnormalities that would prevent a
home birth (or, in her case, more than twins as she will not deliver 3 + babies at
home or won't deliver twins if baby A is not head down).
The sad reality is that even under the best conditions (previous VB, two properly
trained and educated
midwives, strict risking out and transfer criteria) that
home birth is more risky because of the lack of resources to deal with emergencies.
The researchers emphasise that their findings may only apply to regions where
midwives are well
trained to assist women at
home births and where facilities for transfer of care and transportation in case of emergencies are adequate.
They know that birthing at
home or in a
birth center with a
trained midwife is a very safe option with lower rates of interventions and high patient satisfaction but now you no longer have to search and search for studies regarding homebirth which are often buried by cultural anecdotes and message boards.
For example people who have
home births are always attended by a
trained midwife (three years at university, Bachelors degree minimum, registration with the NMC,) which I gather is quite different from the USA.
It is up to the consumer to research her
Midwife and make sure that she has all the
training to be qualified to attend a
home birth.
Midwives and
home births you're giving your life and the life of a child into the hands of some quack, usually someone who barely scraped through 4 years of
training vs. 7 + years, and whom has no where near the equipment or items to deal with serious issues.
Home birth in the UK and the Netherlands is practiced by university
trained midwives who are required to be educated a certain way (no PEP process or distance learning) and licensed.
Finally remember at
home you are cared for by a
midwife who is
trained to view
birth as normal.
One study in the Netherlands looked at almost 530,000 low - risk planned
births and found that with the proper services in place (such as a well -
trained midwife and good transportation),
home births are just as safe as hospital
births.
Study upon study have shown that planning a
home birth with a
trained midwife is a great choice if you want to avoid unnecessary medical intervention.
Nancy is a Certified Nurse -
Midwife and has worked and
trained in
homes,
birth centers, and hospitals.
Planned
home births, water
births, or hypnobirths with a
trained midwife have good outcomes and can be the best, most natural way to have a baby.
«A Dutch study of more than 500,000 women reported that planning a
home birth does not increase the risks of perinatal mortality and severe perinatal morbidity among low risk women provided they were supported by well
trained midwives and a good transportation and referral system» (quote article 24).
I have given
birth at
home, with properly
trained and qualified
midwives, but I would not allow a CPM within a mile of me or any baby of mine.
The study's author noted (and anti-
home-birth advocates are quick to point out) that the outcomes were a result of «a good risk - selection system, good transport in place, and well -
trained midwives,» factors that are no doubt influenced by the collaboration of Dutch doctors and
midwives and a national health system that support
home births as a viable choice for women.
For individual simple, low - risk
births, having a
home birth overseen by a highly
trained midwife isn't necessarily a clearly terrible decision.
Intervention 1 (n = 301): 4 structured
home visits from
trained midwives at 1, 3 and 7 days and 4 weeks after the
birth.
Deep into her piece, Goldberg repeats the Tuteur talking point that some
midwives — nurse
midwives — are fine and safe because they «have the same sort of
training as
midwives in countries like the Netherlands,» but not «the other kind,» i.e., the certified professional
midwives, who attend
home births in the United States but are not nurse practitioners.
I read about everything from the highly medicated «twilight
births» that were popular at the beginning of the century to «unassisted
births» which were gaining popularity in the last few years (unassisted
birth is basically the mother / father and her chosen team delivering at
home without the assistance of a
trained professional like a doctor or
midwife).
Usually their fears are motivated by 1) love and concern for you and the baby, and 2) not realizing
home birth midwives are highly skilled
birth professionals who are
trained specifically for attending
birth in the
home setting.
Educators, nurses, social workers, child and family therapists,
birth and postpartum doulas,
midwives, childbirth educators, professors, parent coaches and clergy — all have taken the Bringing Baby
Home Training and become Gottman Educators.
A variety of professionals — including educators, nurses, social workers, child and family therapists,
birth and postpartum doulas,
midwives, childbirth educators, professors, parent coaches and clergy — have taken the Bringing Baby
Home Training and become Gottman Educators.