As a Norwegian nurse it baffles me that "Midwife" is not a protected title. It should be a single certified profession as it is in Europe. In Norway if you are a Midwife that means you are a certified nurse who has a masters degree in midwifery. No one else is a midwife. Almonst everyone who gives birth in Norway does so with the help of midwifes. You can be sure that they have both the experience and knowledge needed. The US is backwards with so many things when it comes to healthcare.
@seanbean002 Жыл бұрын
Same in Germany. The labor and delivery ward in hospitals are majority staffed by midwives. Then when assistance is needed, the OB, surgical nurses etc. come in - as was my case. But the midwives are so well educated and trained. The US is backwards in this regard.
@TheDecoCottage Жыл бұрын
Agreed! As an American I currently see a CNM for all my women’s related healthcare.
@katrakossacino2620 Жыл бұрын
@@TheDecoCottageAs in annual screenings? What about BV, yeast infections? Can they write scripts? Order a mammogram or any tests during pregnancy or regular care? Interested in USA and abroad.
@nep_viu8291 Жыл бұрын
I agree, I'm a midwife student in Denmark and here nurses have *nothing* to do with birth or delivery. Our education is a "professionsbachelor", which means when you're done you have a bachelors degree fit for that specific profession, in this case midwifery. We have doulas (only private), midwives, SOSU'er (social and health assistant) and doctors who are the only ones really trained to assist with delivery. The US system seems to be very backwards as you so well put it
@TheDecoCottage Жыл бұрын
@@katrakossacino2620In the US a CNM has kind of along the lines as a Nurse Practitioner. It’s a registered nurse with additional additional training. In the US CNMs can order tests, prescribe medication, diagnose and treat common ailments, oversee a pregnancy and deliver babies. Mine is in the same hospital practice with OB/Gyn.
@zainab58 Жыл бұрын
It's hard to discuss midwifery in America without spending some time on the historical fact that, in the course of the 19th century, midwifery as a profession was simply obliterated in the US, even while the rest of the world developed top-quality specialized training. So the US had to rebuild everything from scratch.
@KxNOxUTA Жыл бұрын
And they did a very poor job of that rebuilding!
@SpySappingMyKeyboard Жыл бұрын
What caused that obliteration? I have never heard of that
@TehMomo_ Жыл бұрын
@@SpySappingMyKeyboardprobably men...
@bluedreams517 Жыл бұрын
@@SpySappingMyKeyboard Definitely men with a sprinkling of racism. Basically they were wanting to make the study of obstetrics legitimate as a medical/scientific practice that was systematic. So instead of using the existing network of midwifes (who were almost entirely women) to inform practice and start to unify care, they decided to villainize midwives as dangerous...often painting them as backwards and from questionable heritages. It wasn't initially effective....can't fully remember what finally led to the shift. But I think it was something about the hospital route becoming popular among upper class women which then led to midwifery further being seen as an uncouth/lower class practice.
@dietotaku Жыл бұрын
@@SpySappingMyKeyboard a for-profit education system and for-profit healthcare system, combined with a puritanical and therefore hugely misogynistic society, basically saying "no no we can't have WOMEN who haven't even had proper SCHOOLING (i.e. an expensive medical degree) go around delivering babies --forwaylessthanwecharge-- that's ludicrous!"
@Becks-and-books Жыл бұрын
My original life plan was to be a midwife. In Sweden it is 3 years for a nursing degree, 2 years work experience, and then a 2 year advanced midwifery degree. So 7 years in total to become a midwife. To me midwife should be a protected title that only people with a specific qualification should be able to call themselves. Others can be doulas, midwife assistant, birthing assistant… extra eyes and ears and hands
@abigaileg734511 ай бұрын
Sweden has such outstanding healthcare!!! ❤ Saknar Sverige😢
@SB-ht8uo11 ай бұрын
The path to nurse midwife in the US is similar. 4 years for BSN, a few years of experience in the specialty and then a 3 year DNP midwifery program. I had NO idea there were midwifes without nursing degrees in the US. I think we need to advocate more for this specialty and for the protection of our patients.
@Kiki-sf1em Жыл бұрын
My daughter was born with a certified nurse midwife and she was amazing. I originally thought she would just be assisting an OB but she handled the entire delivery. At some point my daughter’s heart rate dipped a bit and an OB was paged and came in but by that point her heart rate was back up and the OB just said “looks like I’m not needed!” and left. My midwife was so calm, cool, and collected and was the perfect mix of encouraging without being infantilizing. With her support, I pushed my daughter out in less than an hour.
@dietotaku Жыл бұрын
sometimes i think if i'd had access to a midwife, maybe my first child wouldn't have been asynclitic, maybe my labors wouldn't have stalled and i wouldn't have had to go through 2 c-sections...
@vickimcburney8977 Жыл бұрын
I'm glad that you had a good experience. My grandson was delivered by a stressed out, angry midwife, who missed all the signs of a serious complication. We nearly lost them both. She was too proud to ask a doctor for help. .
@eri02011 ай бұрын
@@vickimcburney8977i’m so sorry to hear that 😞 i hope your family and your grandkids are okay today
@mellocheers90629 ай бұрын
What country was this?
@Kiki-sf1em9 ай бұрын
@@mellocheers9062 The US!
@33snowgal Жыл бұрын
I had a certified nurse midwife in canda. Absolutely positive experience. 4 hospital births with them but they do homebirth as well and transfer if needed. And screened, hired and paid for by public health care I felt more in charge, they also did home visits the first few weeks which was a-mazing
@marialeija6635 Жыл бұрын
I wish it was the case in the U.S unfortunately it doesn’t seem like we’re getting closer to that
@maryblakley3590 Жыл бұрын
Same here! Gave birth twice in Ontario, both times with midwives. They are university trained and an integrated part of our health care system. It was an amazing experience both times (one hospital birth, one birth centre birth). The longer visits and six weeks of post-partum care was amazing.
@joanna0988 Жыл бұрын
Same here in BC. My recovery was sooo much better than with doctors.
@kvv90 Жыл бұрын
Had an amazing homebirth in Ontario with midwives. Had to briefly go to the hospital for stitching my fourth degree tear, but it doesn't change how positive my birth experience was. I'm so grateful our healthcare system includes highly trained midwives!
@GoBlueGirl78 Жыл бұрын
Midwives here in Canada are regulated health professionals with midwifery degrees or nursing degrees plus graduate midwifery training. They can admit patients & deliver in hospitals, birthing clinics or at home, prescribe medications & order tests (their scope is being expanded, too). They provide wonderful prenatal & postpartum care for mom & baby for 8 weeks.They’re pretty incredible. I’ve never had a baby but I would absolutely have a midwife. ❤
@gwendofrendo Жыл бұрын
LONG comment but I want to express how much your channel has changed my life. When I first started watching your channel in 2019, I was passionate about birth work and was planning on becoming a certified midwife who did exclusively home births because that's all I had experienced and been taught that was the only right way. My mom had 8 births (7 live births) and I (her eldest child) was the only one who was planned to be born in the hospital. The majority of her births ended up having to be transferred before or immediately after delivery. I think only one or two of my siblings were actually born at home with no complications, as well as one still birth. I was probably six or seven at the time and too young at the time of the stillbirth to know the details and if that baby could have been saved if she had been born in a hospital. That being my background, I wanted to be the type of midwife my mom used. I attended one of her births when I was 15 and she delivered my 12 pound 11 oz brother at home and immediately began hemorrhaging after he was delivered and she was rushed to the hospital. Most terrifyingly, the midwife did very little medical intervention (aside from telling my stepdad to call an ambulance) and just prayed for my mom and told her to will her body to stop bleeding. Luckily, both my mom and my little brother were/are okay. And yet this was so normalized to me that I held onto my dream of being a midwife for 5 more years after that experience. When I started watching your channel, I felt defensive about your attitude towards midwives (in the way that I knew them) but the way you demonstrated care and compassion towards all people and how passionate you were for your work kept me engaged. Your channel is a big part of the reason I ended up moving away from that career. While there were other reasons (i.e breaking away from evangelicalism, the pandemic giving me space to reevaluate, and doing my own research into science, gaining more trust in medicine in general, etc) I don't know that I would have had the capacity to open my mind to other options without the information and education your provided. I am very appreciative of your work and I wanted you to know that you made a difference in my life. While I never did go down the obgyn/nurse midwife field (I just completed an education in occupational therapy and am happier than ever), Obstetrics and gynecology have still continued to be special interests for me and I am still very excited when I see a new upload from you! Thanks MDJ!
@MamaDoctorJones Жыл бұрын
Thank you for sharing this!
@tammystockley-loughlin7680 Жыл бұрын
Thank you for sharing your journey. I'm glad you found your calling...we definitely need more helpers in this world. Positive vibes from New Hampshire, remember to be kind to each other and yourself during these trying times.
@anainesgonzalez8868 Жыл бұрын
Thank you for sharing! Just wanted to say I work as an occupational therapist and it was the best decision of my life I love my job.
@elizabethlebaron954511 ай бұрын
That’s crazy, my certified midwife keeps cytotec on hand to stop bleeding.
@preciousmourning831011 ай бұрын
I'm sorry you had to deal with that, consider being a nurse midwife instead of the lesser levels which aren't as safe.
@jumpstart1o Жыл бұрын
I LOVE how it actually comes down to the American health insurance system...again.
@mxclaireharris Жыл бұрын
I'm in the UK. I have antiphospholipid syndrome, I always delivered my babies earlier, I had a multidisciplinary team during pregnancy (specialist obstetrics, immunology, haematology and rheumatology) but all the time I was midwife lead through pregnancy and birth. My doctors only saw me when it was necessary. Our midwives are highly trained and it's a protected title.
@rosesandtoeses Жыл бұрын
Unrelated, but a friend of mine had APLS and didn't know about it until it was too late. Does it run in your family? How did you know to be tested for it?
@mxclaireharris Жыл бұрын
@@rosesandtoeses I knew because my first baby was too early. I had a live birth at 19+6 so they wanted to know why. Most families find out because of obstetric tragedies. Not only does it run in the family but you have to assume all family members have it from your level down (offspring, siblings and nibblings). That means no one should be on the pill (POP or depo only), pregnancies should be treated with aspirin throughout. It's a very serious condition and most doctors don't understand it. It acts by masking itself as any other autoimmune disease, so it's worse than any of those, plus all the thrombophilia issues.
@rosesandtoeses Жыл бұрын
@@mxclaireharris I am so sorry for your loss 💜 my friend didn't have any children before she passed so I had no idea it had such severe obstetric implications. However, she hadn't had a period for 5 years before she passed away, and she wasn't on any kind of birth control to cause that. Doctors didn't really do anything about it, you know how health care in the US can be.
@mxclaireharris Жыл бұрын
@@rosesandtoeses thank you and I'm sorry about your friend. AFABs do risky things involving hormones that are linked to clotting (periods, pregnancy, menopause and that's without the pill and hrt) so we are more at risk. If people haven't been officially diagnosed it's good to do things like taking aspirin (75 a day) and avoiding hormones at the very least which are things that can be done without too much input from doctors.
@preciousmourning831011 ай бұрын
@@mxclaireharris Did you take only aspirin for your pregnancies or daily heparin?
@leesiemoo Жыл бұрын
Kiwi here - I had about 6 midwives through pregnancy, birth, and aftercare due to being considered "complex" . They were all fabulous and I felt so very cared for. Bonus being free on our public health system.
@kaylaboland637 Жыл бұрын
As a New Zealander it's wild to me that it's not the norm to have a midwife (fully trained and qualified) for a pregnancy!
@heidir90 Жыл бұрын
I know right?! They’re amazing people who deserve so much more respect and recognition! I had the same midwife for both my babies. With my second she was the only one in the room and it was wonderful.
@taylorbarnett1199 Жыл бұрын
I work in the medical field and I had midwifery care and I couldn’t agree with you more! The lack of oversight, requirements and such is concerning and not safe for patients .. it’s also a shame that CNMs don’t attend births at home because of the hospitals rules. Insane
@ameliasandoval8663 Жыл бұрын
I don't think many of them would want to anyway. If something went wrong, no only could they lose their midwife cert but their nursing license.
@mallorylischer Жыл бұрын
In Illinois CNM can do home births. I only know two. It’s different from state to state.
@taylorbarnett1199 Жыл бұрын
@@mallorylischer they can, but if they do they lose privileges in certain hospitals. That’s what I’m saying
@TB-rx1ue10 ай бұрын
In Georgia, my midwife is a MSN RN CNM
@melissaf2763 Жыл бұрын
I'm in Ontario and had a midwife for my 1st birth in March. It's very comforting knowing exactly what training they have. Even if you give birth in a hospital (which I did) they come out to your home multiple times to check on you and baby! Don't know what I would have done without them during that time.
@RachelBernholtz11 ай бұрын
Congrats on your new baby. Its' so much easier here in Ontario with Midwives
@eliseb9180 Жыл бұрын
I'm in the UK and all woman receive prenatal care from midwives. I was technically high risk and consultant (OB/GYN) led, however my checkups were all done by midwives, a midwife was my first point of contact for any issues during my pregnancy and a midwife delivered my babies (in hospitals where there was an OB/GYN in the building, but i never saw them!) Edit - just got to the part where you mentioned the system in NZ, its very similar to how we work in the UK by the sounds of it
@eliskakomarkova Жыл бұрын
Same for me, but we live in Ireland. I was also a higher risk, I’m a wheelchair user, had to be on atb throughout pregnancy and some nerve damage in my pelvis. I’ve mentioned that my preference is a midwife led case at my innitial visit, I was seen by two OBGYNs to clear me and I had a consultation with an anaestesiologist regarding optimising pain management for me beforehand. Apart from that all my care was with midwives incl. my labour. I have delivered my baby vaginally, although I didn’t even believe I could! I’m still proud of myself.
@cheekyb71 Жыл бұрын
I trained as a midwife in New Zealand, most of the tutors at college are UK midwives, it is an incredibly similar system. The main difference is that midwives prescribe here and are autonomous practitioners 😊
@Raztiana Жыл бұрын
It's the same in Denmark, and it works great.
@mumofmany1498 Жыл бұрын
It's the same in Australia. I expect it's the same in all the developed world apart from the US
@textilaerika Жыл бұрын
It's the same in Sweden.
@mainstreammutant Жыл бұрын
I have never been (and hopefully will never be) pregnant so I had absolutely no experience with midwives before. I was at my obgyn getting my annual exam and my doctor got called away to deliver a baby. The office staff asked me if I would mind having my pap with the nurse midwife on staff and I said sure. Seriously, what a great experience! I've been getting annual paps for about 16 years and it has always been handled rough and it hurt a little (that was just the way i thought it had it be, i have seen many different obgyns and it was always the same) but this nurse midwife was so kind and gentle that there was no pain at all. Midwives are under rated. I had no idea you could even have a pain free pap
@sarahharris1512 Жыл бұрын
If we in the US had the same infrastructure/system around midwifery and hospital care as other countries do, I'd probably consider a home birth! But in the current US system it's just not a safe option in my mind and that's really a shame.
@MariahRAchel1 Жыл бұрын
A lot depends on the midwife/team. I’ve definitely heard some scary stories about midwife’s who were underprepared to help their patients. I had a home birth last year and I had a hospital birth a few years ago. For my home birth I saw a midwife who had 2 partners. All CNM’s and they all attended births together so lots of hands just in case although my birth was very relaxed. I also saw 2 OB’s as needed for scans and things. My midwife really could do most common things like stitches and whatnot but they had us fill out a transfer form for the hospital before birth just in case we needed to go so it would be a smooth transition. Everything went great but I appreciated all their prep.
@emilyhuffman781511 ай бұрын
It really depends on the midwives available to you. I loved my experience with homebirth midwives. My first birth ended up being a transfer due to exhaustion/dehydration (Our cpms were capable/trained to do IV fluids but our state doesn't allow it) and one of them came with me to hospital in a supportive role. My second was a perfect homebirth and I can't recommend it highly enough. . Homebirth midwives should have good working relationships with the local hospitals and make a point of not waiting to recommend transfer. My transfer was calm and literally all I needed was the fluids to get some energy & she was born within 20 minutes of arrival. But you must trust your team and any good midwife should be very transparent about their training & continuing education.
@estherruth469211 ай бұрын
I found good homebirth midwives. So grateful I did. It’s worth it and totally possible to find good midwives who deliver at home in many places in the US. I absolutely hated my first birth in the hospital with a CNM who was part of a large midwifery group. I had only met her once before I gave birth. It was traumatizing and violent. Thankfully I was able to do everything naturally, but it left such a horrific taste in my mouth. You really need to trust and know your provider before you give birth. My next two births, one in the hospital, one at home, were far better.
@ashleymills423311 ай бұрын
Home births are no riskier than hospital births if you have the right provider.
@cierralynseventeen229811 ай бұрын
I'm a doula and I just attended a home birth last week. It was amazing. She had her midwife there but it was hands off. It is a possibility in the US. That was in Idaho
@katiacleroux7376 Жыл бұрын
Thank you for voicing your concerns about over medicalisation of births. This was my eye opening moment on my first rotation on the ob floor. I immediately knew i would utilize the midwifery system here in Ontario.
@jennaS2020 Жыл бұрын
I’m a Scottish midwife and during my degree completed an assignment on midwifery in the US- I absolutely could not believe the difference in regulations!😱 we are required to independently facilitate 40 SVDs over 3 years of training to qualify- I was involved in well over 100/120 deliveries during that time too including instrumental and operative births 😊
@sarahp6554 Жыл бұрын
Thank you for talking about this. I loved my certified nurse midwives. For me going to the birth center and having a home-like birthing experience was amazing and comforting. I wish more people had the chance to have a birth like mine if that’s what they want. I was allowed to eat. They encouraged me to drink water the whole time. I got to labor in a tub and got to cuddle up in a queen size bed with my baby and husband afterwards.
@katyluvsmath Жыл бұрын
I delivered my 4th baby at a wonderful hospital in Colorado. I saw a CNM as my primary care provider for my pregnancy, but was also turned over to MFM due to placenta previa and some complications from that around 30 weeks. During my extended hospital stay, I was rounded on daily by MFM, but also by my CNM team. During my cesarean, my midwife came as well, which was super helpful for me having a more familiar person to support me once baby was delivered and my husband left with baby to NICU. I was so impressed at the cooperation between MFM and CNM teams. I definitely considered myself very lucky to have had a hospital nearby with these kind of policies and cooperation.
@rebeccaburrow7199 Жыл бұрын
Texas here. My midwife for my first baby is the only independent cnm for a hundred miles. She is amazing and has been in practice so long she has pretty much trained all the cpn and lm in the whole area. Here in texas there are conditions that will graduate you out of independent midwifery, like gestational diabetes, high enough blood pressure, and other conditions. Then you are referred to an obgyn because you are higher risk. But honestly, most women are not high risk. I had all three of my babies at home with my midwife, fast, no complications. (You could also do the birthing center.) She carries pitocin for haemorraging, oxygen, pretty much everything a hospital would have outside of the surgery ward. She has not lost a mother or baby in 30 years. No bones about it, she is one of the best in her field and the midwives that train under her are fantastic too. Sadly, she was not covered by my insurance, so we paid out of pocket. But her fee was the same as what it would have been at the hospital after insurance! And my insurance didnt cover the first six weeks of care after the baby was born, but she did. Such intimate and personalized care. No regrets, 10/10 would do again. I wish every woman could use a midwife and give birth at home (i know that isnt always possible but i wish!). You are not treated like a problem waiting to happen. You are let to do what your body is designed to do and supported in every way. At least, that is my experience. My midwife appreciated the pancakes my dad made too. 😂
@emsteroo Жыл бұрын
I had an amazing CNM with my vbac baby. She was evidence based, had admitting rights at my local hospital, and LISTENED to me. My appointments were at least 30mins and didn't feel rushed, she let me labor how I wanted to while ensuring safety and provided me the informed care I was hoping for. Finding an OBGYN with the same vibe near me is pretty much unheard of since they are all huge practices. I think if I had the CNM with my first, my csection would have been avoided. Thanks for breaking this down - I agree it's important to distinguish and tighten up the term midwife.
@our3geckos Жыл бұрын
I had a midwife with 2 my youngest children...along side my OBGYN. She assisted in their deliveries, BOTH ended up being C-sections... One was an emergency, the other was a planned section with a tubul ligation also. My midwife was able to get to do her first tubal ligation on me❣️ A few years later, she herself had twins... I remember she was one of the first Midwives allowed in the OR here in Hawai'i 💕❣️ ✨I should edit this to say our youngest son will be 21 this month 🥰❣️✨ 💞 ALOHA FROM HAWAI'I 💞🌹 LYSSA 🌹
@angb6616 Жыл бұрын
It is amazing that there’s all these different types of midwifery! You’re absolutely right that a patient shouldn’t have to determine which type can be what they need.
@lauracohen491411 ай бұрын
I love midwives. Both of my children were delivered with midwives, and I'm very grateful they were. They took time with me and listened to what I wanted and did not want. Excellent care.
@alidelatierra11 ай бұрын
My grandma was a ley midwife turned CNM. My great grandma from my other side in Mexico was traditional Mexican midwife. They are both equally knowledgeable but in different ways .
@the_Yellow_crayon6 ай бұрын
Yes! They were probably more knowledgeable in supporting physiological birth than anyone trained in the medical model!
@kerriprzeczewski4883 Жыл бұрын
As a NICU RN- I had to attend 15 births just to be the person attending deliveries to take care of baby. That’s on top of all the training I received on taking care of preemie/sick babies in general.
@TeaAddict Жыл бұрын
The difference between countries is astonishing. Midwifery is a full degree here in Australia and labour wards are generally staffed primarily by midwives, with doctors (OBs) called in as required. I loved all of the midwives who attended me during my first birth experience and I look forward to being looked after by them again with baby #2!
@GirliestMammy Жыл бұрын
💖 As a Brit this was shocking information to learn about how things work in America! I had no idea that anyone, other than a specially trained nurse in midwifery, could call themselves a midwife!
@whychoooseausername4763 Жыл бұрын
As a fellow Brit, everything is shocking about the American healthcare system. I have the names of the midwife and the social worker who came to visit my mother and I over the first two years of my life in my health record. That was standard practice when I was a kid.
@shirleymarie2288 Жыл бұрын
Most Americans don't know it unless they're in this field or have specifically done research, I wanted to be a midwife and wanted my children delivered by a midwife so I did research while pregnant with my first. I still only found that there were lay midwives and nurse midwives. I didn't know there were THIS many different types of midwife or that each state has different laws about who can perform what type of birth.
@9044emily11 ай бұрын
In the uk midwives aren't always nurses. There are some midwives who are nurses who have done a midwifery course on top of their nursing degree, however the majority of midwives now are registered midwives with the Nursing and Midwifery Council who do 3 years specifically as a midwife and are not nurses in any way. That being said I would 100% never use an American 'midwife' who didn't have a degree level of knowledge. Generally speaking home births in the uk are safe and midwifery care is a standardised practice with a protected title.
@WishGender Жыл бұрын
I grew up and live in the states and for a long time I thought midwives were just a job that became obsolete. Like I thought midwives were a job that basically disappeared by the mid 20th century because of medical advancement. I was in my mid to late teens when I learned that midwives were quite common in other developed countries.
@AlyssaTaylor9 Жыл бұрын
Same! I thought it was some antiquated, basically informal position that only existed because there weren't any hospitals or doctors around.
@virginianielsen3480 Жыл бұрын
I had a home birth midwife here in Georgia and I had no idea until I gave birth how lucky I was to find a good, qualified one. My OB was going to be terrible- trust me, I heard plenty of stories- and I would’ve preferred a birthing center, but this was the best option I had. Georgia DOESNT even allow home midwives to be certified- anyone can cal themselves a midwife, and mine had to be certified through Tennessee. And they can’t tell why Georgia has such a high infant injury/mortality rate (in and out of hospitals, don’t even get me started on rural areas 😭)
@jenniferburns2530 Жыл бұрын
Over 30 years ago a friend who planned to become an ob/gyn became frustrated with her premed program and the assumption of every textbook, lecture, and study that the human male is the standard, normal body and anything else was not worth discussing except when the reproductive system was involved. She shifted her career plan to midwifery, and began learning about the different pathways to education and training. After being on the medical education track it was shocking to discover how poorly the laws and regulations (which vary significantly from state to state) were constructed, and it was difficult to find solid information on the quality of programs.
@julia_newsome.t Жыл бұрын
Yay for the love for NZ midwives ❤ I live in Chch, NZ and I had different midwives with my kids and they were amazing. particularly my last birth when I had severe HG the entire 37 week pregnancy, with weeks spent in hospital on fluids and antiemetics, first with ng tube, then picc line and tpn, multiple complications - it was scary and hard on me and my family and my amazing midwife was with me every step of the way. Obviously obstetrics had to be involved as well and were also amazing, but my midwife was still central to my experience. She was also checking in way more often than officially required for the 6 weeks postnatal care, helping with breastfeeding advice etc. I will be forever grateful for her support during such a tough time. Every country deserves this type of midwife 💖💖💖
@EllenRCox11 ай бұрын
Wow! This blows my mind. I'm a New Zealander and chose to have a private OB for both my pregnancies because of my anxiety, which is not the norm and I paid "out of pocket" as they say in the US, but this always came with a midwife as part of the deal. The midwife was there for prenatal care (alternating with with OB) and worked with me on things like the birth plan. My babies were delivered by the OB, in a public hospital, but the in-house hospital midwives were also there. The midwives assigned to my OB then did my post-natal care, visiting me in my home for six weeks post-delivery to monitor my babies (and me). They helped with breastfeeding and were so supportive. They'd come as often as were needed - every couple of days when I was struggling with breastfeeding. I took for granted the care and professionalism of our midwives. It's hard to ignore the economic incentives in a system so tied to insurance like it is in the US. And its not like the medicalisation of birth there is seeing better outcomes - the infant mortality rate in NZ is 3.39/1000 births and 5.12/1000 births in the US.
@zagrizena11 ай бұрын
Regarding the number of births for certification I think it's good to consider that midwives providing home birth assistance physically cannot attend as many births as an OBGYN or a CNM in a maternity hospital in the similar time frame. They virtually can only take one birth per shift (or sometimes multiple shifts) and they cannot schedule to attend births daily, if they want to provide safe and reliable care for all clients. While it means they have less experience with stage 2 labour, their opportunities are a priori less frequent. So to expect them to match your numbers might force them to remain in training for at least few times longer than they currently have to.
@waterdragon3367 Жыл бұрын
Im actually hoping to become a cnm, so this information is super helpful! It really sucks that I will probably have to leave my home state to get my higher level degree, and im not even sure how to go about that. Not only is this information confusing to paitents, but also to students who may be wanting to pursue the field. Thank you for some clarification!
@SelmaGrytzellMusic11 ай бұрын
I’m a midwife in Sweden which requires a 3 year nursing education, 1 year of clinical practice and then 1,5 more years to study a masters degree to become a midwife. We have a requirement of 50 births to be able to graduate which could seem like a low number. However it’s a realistic number for the amount of clinical practice we do. As a midwife in Sweden you can choose to work in prenatal care, taking care of the pregnant woman or you can choose to work with birth. However we can also work with sexual and reproductive health amongst women and teenagers and prescribe contraception. There are many areas we have to cover in a 1,5 year long education that doesn’t just include birth. I would however say that the midwives here are very competent and the women can feel safe when giving birth.
@tiffanywheeler48 Жыл бұрын
My first midwife was a CNM and had a birth center with privileges at a hospital. My home birth 6 weeks ago was with a CPM who also has a nursing degree but she didn’t want to spend the outrageous amount of money to become a CNM. Her apprentice actually delivered my son, under her supervision, and did a fantastic job. The apprentice also had training in Guatemala where they have to be well trained since they don’t have easy access to hospitals. After my water broke we lost her heart rate. Even with shoulder dystocia, he was out within’ minutes! They had resuscitation equipment ready but he started crying very quickly and has no issues that were noticing.
@tiffanywheeler48 Жыл бұрын
Where I live, if you want a vbac your only option is a home birth with a midwife. My midwife actually told the OB who did my stitching in labor and delivery after I had my son that she would stop seeing vbac patients if hospitals allowed them but women should have the option to vbac. She had never seen a tear like mine in her 20 years delivering babies so she recommended I have an OB who maybe had do it. She stayed with me the entire time and was able to learn something about how to do my type of tear. (She did say the OB did it how she would have done it if I had chosen to have her do it instead.)
@alexz3289 Жыл бұрын
I am about to start a bachelor of midwifery here in Australia (I AM SO EXCITED! I want to be an obstetrician one day but still waiting to get into medicine...) but I cannot believe it is so unregulated in the US? Here it can be actually quite hard to get into the program and takes over a thousand hours of placement. That's how it should be. This is just so confusing for a woman who wants the best care. Thanks for discussing
@loveinseattle Жыл бұрын
Thankfully midwifery is certified in Canada. I had great birth experiences with mine.
@war5561 Жыл бұрын
I had a nurse midwife and I loved my experience. They only use OBs at my hospital for high risk births. Had preeclampsia, still induced and delivered by the midwife.
@cupcake1406 Жыл бұрын
Were you considered high risk since you had preeclampsia or was it under controlled? Did you have an epidural? I am happy to hear that you had a positive birthing experience.
@sandcat6610 ай бұрын
New Zealand has the most amazing and highly trained midwives. I had 2 home births and both midwives were so comforting and reassuring . Amazing experience
@ameliasandoval8663 Жыл бұрын
I've had three high risk prenancies with 3 preterm deliveries (pprom, polyhydramnios, incompetent cervix, irritable uterus, GD, preeclampsia, and a placental abruption). I never got the opportunity to see a midwife but i had always wanted to. Their care seems so much more holistic.
@NK-pr9xy Жыл бұрын
It should be mentioned that there was definitely a campaign but doctors and hospitals to portray the only safe way to labor & delivery is through them. Some women will flat out refuse to be seen by a nurse midwife or nurse practitioner even during the first visit which is mostly for education. No one educates patients better then nurses, but the AMA has done a fabulous job at disparaging any APRN where many patients are starting to refuse to see them. I appreciate the fair presentation of CNMs in this video. I wish more doctors were this open minded and practical.
@susannawerth589011 ай бұрын
I wish I would have had this info before my childbirth. Especially as an immigrant I felt completely lost with the health system and evaluating best choices for me. There was no one really available to give such general information. Your videos are awesome!!!
@StraylightWintermute Жыл бұрын
I was delivered by a CNM at a birth center in the US. I wish this was accessible to everyone, with nurse midwives being able to continue care in a hospital if necessary. The center I was born at eventually was forced to close because they were denied admitting privileges at the very close by hospital. Research says that stress has a major effect on the progression of labor, which makes sense -- I'm sure it was an advantage to early humans to be able to hold off a baby until you're safe, because it's such a vulnerable time -- so it's a major benefit to have a comfortable environment to spend labor in. Especially for first births, since labor can last for so long!
@christytrimble2293 Жыл бұрын
In my hospital, all babies are delivered by CNMs unless it's considered a high-risk pregnancy or needed intervention (usually C-section) is required.
@whatchyagonnado Жыл бұрын
That sounds like a great idea!
@rexana_rexana Жыл бұрын
Reading the comments, seeing how being a midwife nearly everywhere else is soo completely different than the US, it changes my perspective on a few things, specifically quite a few years ago I was visiting my sister in England. I met a lot of her friends, one in particular was pregnant and she'd mentioned having a midwife. I didn't really think much of it, all I knew was what I'd learned online and from my mom and that was that midwives were an option, but could be worrisome due to needing to vet their credentials and the fact that not all of them had an overseeing body like doctors do. I was kinda a POS as a teen so while part of me was worried for the child, another, very small part of me judged her for putting her comfort over the safety of her child. I didn't say anything however and Im so glad I didn't! She was so very nice! Over the years Ive not only learned that midwives don't ONLY do home birth, and can just generally help through pregnancy too, AND Ive learned there's a lot of reasons someone might choose a home birth, AND I should respect that decision, AND NOW Im learning that it's mostly America that allows (what I would consider) under trained people to label themselves midwives. Everywhere else it's a very serious education/occupation and doesn't have the same connotation. You learn something new every day
@sandrawyman-noaafederal250511 ай бұрын
Glad you learned not to be so judged, too bad Doctor Jones needs to learn that lesson too. Healthy pregnancy does not need an OB .
@coralieb.821911 ай бұрын
@@sandrawyman-noaafederal2505no but it needs a professional, certified midwife. We study midwifery for 6 years in France before we can call ourselves midwives. It's not something you can do with just a high school degree.
@samnsaganbenner2730 Жыл бұрын
When I was living in the US I ended up going with a midwife, because the OB I was with was not listening to me in my prenatal appointments. I am so glad that I did go with a CNM. I completely agree though that midwives need to be able to accompany their patients in hospital transfers. I was transferred after giving birth due to hemorrhage. My midwife was not allowed to accompany me at the hospital, and it was up to me and my husband to convey what had happened. The hospital didn't know what to do with my newborn because he had not been delivered at the hospital (fortunately they got him a bassinet even though he was a visitor). I was also very lucky that I ended up with a CNM. I had no idea that you could end up with someone less qualified. Now that I'm in Canada, it's great that midwives have the freedom to attend hospital births and accompany in the case of a transfer. Thanks so much for your informative video. I really hope that things change for the better for midwives in the US.
@maggiewinnike730911 ай бұрын
My mom is a CNM, and those are the only midwives I trust. My mom has her regular nursing degree plus a master's in Nurse Midwifery. It absolutely drives me crazy that people with no medical education from a reputable nursing school call themselves midwives.
@preciousmourning831011 ай бұрын
Yeah, I'd only trust them. They're the only ones with enough medical training. You don't want to put your and your child's life in the hands of someone with a one year online certificate course like a CPM.
@samwasson19 Жыл бұрын
I totally get what you're saying about the clarity of types of midwives and the training they get. I wish that the profession was more respected and regulated in the US! I am going to a midwife clinic for my pregnancy, and all the midwives there are Licensed Midwives and CPM. Is licensed midwife maybe just a Washington state thing? This is what their website says about it: "Licensed Midwives in Washington have completed a comprehensive midwifery program at a state-accredited school, and have passed the state licensing exam. Program standards are based on those adopted by the International Confederation of Midwives and the International Federation of Obstetricians and Gynecologists. Licensed Midwives are trained and authorized to provide complete maternity services." The clinic also has a CNM that does consults basically but doesn't attend births at their birth center. I love the care I've received there so far (27 weeks)! They are always professional and knowledgeable and I feel totally confident in their hands ❤️ Plus we are just a few minutes from the hospital at their birth center, and I know they would get me there if needed.
@Luthien_0 Жыл бұрын
I truly respect and enjoy listening to your opinions on midwifery in the US and elsewhere. I appreciate that you tell the facts, without putting down other providers. It can be difficult to have a home birth where I live. NY insurance has to cover at least some of the cost of home birth, but I live in a rural area and there is only 1 practice (with just 2 midwives) that does home birth. Interestingly, one of them is a CM and the other is a CNM. NY is also one of the 8 states that allow CM certification. The history of midwifery moving to Obstetrics is very interesting. It was originally rooted in racism and misogyny that has been difficult to get rid of. I think we have come a long way since then (when it was only men in OB, tying people to tables and knocking them out to deliver babies), but I definitely agree we could do better. I absolutely agree that it would be beneficial to have certification more standardized and use midwives for low risk pregnancies and OBs for higher risk. Thank you for all you do and being the voice we all truly need ❤
@auranacuran Жыл бұрын
Thank you for this video! The fact that there is this ambiguity is seriously one of my hot buttons!
@drbaureis5934 Жыл бұрын
It's confusing to midwifery students as well. Trust me, I've been there. This system needs to be properly regulated and understood by all parties involved, but it is severely lacking in continuity.
@abigaileg734511 ай бұрын
My CNM made my birth sooooo amazing!!! She was absolutely fabulous & I truly needed her so much during my birth journey. I had NO idea how midwifery was organized & classified here in the US!!! I appreciate this knowledge & can see where it can be problematic!!!
@Samanthabrownsingson11 ай бұрын
This video is extremely educational. I live In NJ and just hired a CNM for a homebirth. They also have privileges in a near by hospital (as you mentioned in the video). There are only two practices in NJ that have privileges in the hospital near by. I 100% if you are a CM or CNM you should also have privileges in the hospital incase the homebirth isnt going as planned. Thank you for this information!
@notevenaunicorn6 ай бұрын
I have a CNM as my provider for my pregnancy, and I'm so happy with the level of care I've had so far. They've been so informative, aren't pushy at all, and always make sure all of my questions are answered.
@iamwheels1305 Жыл бұрын
Im a CNM student and there is a lot of different clinical requirements in terms of numbers, but for the program Im in the number of births specifically is 40 total. The total amount of contact hours is 675, but you could go over trying to finish other clinical requirements or waiting on getting those 40 births. But like i said theres more than just number of births we need to be attendent to. I love this video and I LOVE your transparency and support for better collaboration between providers, hospitals, and Midwives. Many CNMs would love to do home births but the laws and how the insurance/hospital systems are set up just puts too many hoops up. Ive been a recipient of both midwifery care in the US and the Netherlands and its so sad to see the US SOOOOO BEHIND in this realm of healthcare. Thanks for this video!!
@Nursepractitionerd Жыл бұрын
I am an FNP but I almost became a midwife. I really appreciate how you presented this topic. As an APRN, I felt that you were so respectful but reasonable and cautious with the confusing midwifery issues in the US.
@gellisbarber1786 Жыл бұрын
I was delivered by a nurse midwife in 1978. My first son was delivered in a hospital by an OB. My second was a homebirth with a lay midwife. The system in the US doesn't give many options in between. If you want a midwife, there are few hospital options. If you opt for a homebirth, there's almost no CNM or CMs that do them. FWIW, the lay midwives I've met all came highly recommended and had attended hundreds of births. Like any profession, certification isn't going to tell you everything about experience or anything about bedside manner. You have to do research.
@KxNOxUTA Жыл бұрын
Yeah that is the point. You can even have highly trained doctors whit lots of skills but then they're a jerk and thus none of their professional care ends up being accessible to you and damage can come from that. That's why I appreciate how she made the distinction that all helpers have their place in the process, but distinctions should be clear enough to enable people's educated choices on what help they choose to access.
@scottishgirl1100 Жыл бұрын
I am in Canada I am so happy that here all midwives have to have a certain level of training including University to become one. I had the best experience with my son
@tamarleahh.215011 ай бұрын
My midwife saved my daughter's life when she noticed she wasn't breathing after the water birth. Forever grateful!
@amixeblu Жыл бұрын
My grandmother had 10 children during Belgium's war era and a decade beyond. Her grandmother was a registered midwife. 8 children came into the world through her assistance, at home, with a doctor present as well. Her last two were hospital births as her gran no longer worked as a midwife by then. At the hospital they barely had to assist my grandma. She had uncomplicated births, thank goodness. She was OK with the hospital as well and had no issues.
@ersmith09 Жыл бұрын
I had a great unplanned experience with a certified midwife just recently. TLDR; I had a planned induction that progressed too quickly for the OB to be called (or pain meds to be administered); the certified midwife was calm and gave me clear instructions about what to do and our baby was born without issue. She was amazing and it was such a positive experience for something that was unplanned.
@r.l.7319 Жыл бұрын
I Germany, it is the law that to every birth a healthcare professional is aware of, they have to call a certified midwife. Doctors are not required for a physiological burth, but nidwifes are. Midwifes of course are highly trained professionals here. I also love the job from a historical perspective, as traditionally these have been strong indepent women helping other women in need. Male doctors tried to regulate and eliminate this female domain of skill and knowledge for centuries. I am so glad this profession survied and is an integral part of quality healthcare here in Europe today.
@lynsiesalazar8913 Жыл бұрын
I delivered my first with an OB and my second I didn’t actually have a choice on who delivered, it was just whoever was at the hospital when it was time to push and the hospital had both OBs and midwives. Once I was close to giving birth both came in to introduce themselves and the (male) OB (whom I had never met) told the midwife he wanted to attend over my birth but he had a c-section and said he hoped I didn’t have the baby before he was done. Once he left the room she he obviously didn’t know how labor worked because it waits for no man 😂 the midwife did deliver my daughter and it was honestly an amazing experience but I totally understand and agree with the need for consistent requirements to ensure patient safety and a high standard of care
@mayei152811 ай бұрын
I'm currently looking into becoming a doula in the US and it's scary how little regulation there is concerning becoming either a doula or a midwife here. I already decided that if I do pursue that career path I will be certified by at least two well-known organizations because I wouldn't feel comfortable supporting anyone in any stage of labor or pp without being very educated on the matter. There's only so much info you can glean on your own. Thanks for talking about this.
@mamadragonful Жыл бұрын
I did what was called "shadow care". I had a homebirth midwife and a hospital midwife team. The hospital team didn't know I was planning a homebirth. My homebirth midwife didn't have admitting privileges, so if I had to transfer she would have to leave me at the door. It was surprisingly uncomfortable for me to have a fundamentally dishonest relationship with the hospital team. It was nice to be able to come clean after the homebirth went well. It was interesting to see the two systems side by side for the same birth, however. The homebirth midwife was incredibly careful to keep me in a low risk category, very diligent about checking and rechecking for possible risk signs. The hospital team weren't negligent by US standards, but certainly more...relaxed about checking things like iron levels and sugar in my urine. They had plans to save me with a blood transfusion if I was anemic, for example. The homebirth midwife was committed to making sure I didn't get anemic. I'm glad I had the option to transfer to hospital folks who knew my medical history if that had become necessary. But I got vastly better care from the homebirth midwife. Cost quite a lot, though. The homebirth midwife was all out of pocket. I was also shocked to discover that the hospital team only had one visit planned after birth. My homebirth midwife did all the postpartum and neonate care for the first six weeks.
@ourtinytownhome-stead11 ай бұрын
I basically could have written this, though my hospital provider knew what I was planning, and she secretly was in favor, but couldn't officially endorse. She was in no way negligent, but because the system only allowed for short appointments (10ish minutes w/ Dr, + 5ish w/ nurse), she wasn't able to do such in depth care like my midwife could (half to 1 hr appts). We did it this way so that insurance could cover things like ultrasounds and blood tests, which reduced our out of pocket costs. We also wanted to have a relationship with the hospital providers, so a transfer would be smooth if needed, but both times worked out just fine at home. My midwives also have good relationships with all the surrounding hospitals, and will continue care as basically a doula in the event of transfer.
@ccb4708 Жыл бұрын
Wow thank you for shedding light on this! Very very important for the general public to know. Thank you for being objective
@lauravalle376611 ай бұрын
As a CNM, there’s a lot to unpack as to why we have different routes to midwifery. It had heaps to do with racism and white, male obstetricians. Lots of books and articles about midwifery history in the US. It’s too lengthy to type here. I’ve worked in both the UK and the US and we have MORE education and training in the US when we have a CNM as we have a master’s degree in nursing, nurse-midwifery. Midwives in the UK are entry to practice with a Bachelors and they don’t have to be a nurse first. Whilst we do have CMs in the US, they are not recognized in all 50 states. Many CMs practice in NY where they do both home births and hospital births and follow their patients into the hospital. The reason why CNMs often cannot do this is due to issues accessing hospital privileges or restrictive practice laws that do not allow us to admit our own patients. I’m guessing people did not give you a report okay transfer due to state laws seeing lay, direct entry, or CPM midwives as alegal or illegal. There are so many issues surrounding midwifery care in the US including regulations at the state and hospital level that restrict our practice as CNMs. The AMA has lots of money and resources to keep us from being able to practice fully.
@Jordyn64 Жыл бұрын
I am a midwife in Australia - 3 year bachelors degree with hundreds (maybe thousands) of hours of clinical placement and intense theoretical learning. It is similar in ways to New Zealand but NZ is still superior to us. As a midwife, I am the primary care provider throughout pregnancy, brith and postnatal. I call an obstetrician for medical advice or help when needed. Maternity care is not gold standard in Australia but the US is appalling.
@bluedreams517 Жыл бұрын
I'm a rare person who had a CNM do my homebirth care in the US. I would absolutely LOVE for the US to get on board, have CNM = Midwife care and find means to continue care if there needs to be a transfer to the hospital. My midwife's policy still entailed her getting full payment of services, but I can definitely see how the lack of continued care is its own deterrence with entering the hospital. You can either stay with the Midwife who knows you well and have a personal relationship with...or you can go with medical staff you've never met with with your midwife at best being demoted to a glorified doula. It would be nice to have a system that helps envelope existing midwives into whatever needed training they needed to qualify as CNM's, have CNM's have ability to care for clients in and out of hospital, and reduce the weird dissonant practice we currently have in the US.
@coralieb.821911 ай бұрын
I'm a french midwife and it's way different in France. Only certified midwives here, with a master degree for now but it will become a doctoral degree in a few years. We also do the gynecologic follow-up (contraception, abortion, hpv test and vaccination...) I don't know if it's common in other countries but that's how it works in France. And it seems weird to see how midwifery is considered in the US, with different types of midwives, and just high school degree for CPM. It's confusing for women looking for pregnancy care 😢
@MissKapanadze10 ай бұрын
As someone in the U.S., I love having CNMs as my primary care providers. Wonderful experiences for me. I think OBs should be reserved for complications that midwife’s aren’t equipped to handle.
@MamaDoctorJones10 ай бұрын
Agree 100%
@osuzyq828 Жыл бұрын
I had a certified nurse midwife who was originally for Johannesburg, South Africa when I had my first daughter in 1983, in San Antonio, Texas as a birthing center which was technically across the street from a hospital. There was an attending physician, but she was the one with me the most, and she was great! Depends upon your situation, but she was my second birth, first with no complications. I thought about home birth 5 years later, but found a doctor who was very cool with the Bradley Method. 9 years later, I wish I had gone with a better doc and hospital, but everything turned out fine. I’m so glad for your videos talking about all these complex birth issues!
@sarahgoldberg6614 Жыл бұрын
I'm in Ireland and all of the antenatal scans were done by midwives, which was great, because they could tell you what was going on. The one time a doctor sat in on a scan was to train her because I was carrying twins and she hadn't seen m/any uncomplicated twin pregnancies and needed to know what to look at with 2 in the third trimester. My next door neighbour is a midwife, and it was a post graduate degree after she had been a nurse for a while.
@aoifedunphy645 Жыл бұрын
I have given birth twice in NZ and was so amazed with amazing care I received by midwives and how quickly they got obstetrics involved when needed too. Both midwives I had with RN midwives with hospital background too. Due to complex problems I had throughout pregnancy I had hospital births(also I am a total wimp and wanted to have an epidural but couldn't because babies came too quickly 😅) I received amazing care and even spent 2 weeks in hospital each pregnancy having 2 cerclage surgeries and 11 weeks in NICU with my oldest paying $0
@interlocution661911 ай бұрын
I had a Certified Nurse Midwife when I gave birth to my son in a birthing center that was attached to the specialized women's health care unit of the hospital. It had all the comforts of a modern birthing center and still had access to the advanced technology of the hospital if any complications should arise. Colorado did not allow lay midwives at that time. I don't know what they allow now. It was the best of both worlds. I highly recommend it. My birthing experience was wonderful and my midwife was amazing all through my pregnancy. She educated me on the changes happening in my body and what to expect. She gave me a book on what to expect after the baby was born. My experience was very different from the women I knew who chose a hospital and OBGYN. Although an OBGYN could also be available in a home-like birthing center as well. I think we need both - I also think that many women don't have the birthing options they should because the patriarchy looks at them as silly.
@skullgarden2417 Жыл бұрын
In Florida we have an awesome midwife system. We have certified midwives who can go to a specialized school in Gainesville or St. Pete (and it’s a long program) and I had a a team of three certified midwives for my home birth. I felt very safe.
@jessmercedes2669Ай бұрын
Thank you for this! I'm thinking of becoming a certified licensed midwife in Florida (not a nurse) and im looking around for information but it's really discouraging seeing everyone kind of berate non-nurse midwives. I can understand if they're uneducated and calling themselves midwives but in places like Florida where there ARE high standards, I don't think it's fair to write them off completely. Nursing in America isnt all rainbows and sunshine, either. I've heard of so much malpractice and abuse in the field, it does not interest me one bit but I still do very much value quality education and I do believe it is possible!
@emiliamolinacampos84911 ай бұрын
Hi! Im from Chile, south america. Here midwifery is a certified profession, it has its own carreer at uni, we study 5 years and take care mostly of the public system. Being a nurse here is very different than a midwife, we also have obgyns but mostly for the private health system. The public system obgyns take care of high risk pregnancies or cesareans.
@feliciasjoberg9886 Жыл бұрын
I'm Swedish and midwives are super duper common here.
@annalundquist7247 Жыл бұрын
In Sweden a midwife has to first become a nurse, then get work experience, then they can study to become a midwife. And there is only that one way to get certified. So even though they do not have the same responsibility as a medical doctor, their education is almost as long (the doctor would also specialize in gynecology to handle pregnancy and birth etc). The standard is that a midwife handles basic reproductive care (contraceptives etc), pregnancy care and all normal vaginal births. The gynecologist would handle complications and all other extras.
@sarahmyotte575011 ай бұрын
I’m my state in the US midwife’s may only be trained by one institution, only CNM’s are recognized,CNM’s are allowed to work independently or in a hospital setting interchangeably. I worked with CNM’s for a hospital birth with my first pregnancy and it was an amazing experience. Legally recognized midwife’s in this state make up for 17% of deliveries! And hospitals that include midwifery as a care option have significantly lower mortality rates 🎉
@katiemarshall4340 Жыл бұрын
Hi daughter of a midwife/family planning nurse, it's mostly midwife's that do the most during delivery. It's only OBs that take over where complications arise. Mum has a degree and over 30yrs experience in childbirth to help the mother out, obvs for an epidural the OB does it. I had a feeling New Zealand was similar to us here in UK
@eileennwachukwu7620 Жыл бұрын
OBs don't do epidurals...usually that is a anesthesiologist or in some states a CRNA.
@GizmoAndKiwi Жыл бұрын
I had no idea! In Germany we have one kind of midwives and they all have a certain level of training - there was a change recently so that everyone that wants to be a midwife now has to do it via bachelor's degree, before that you could do another route without college/university, but it's always been regulated by a specific law (Hebammengesetz). You know if they are allowed to call themselves midwife, they have a specific level of training. Of course that's no guarantee for perfect care, but I'm still a bit shocked that it is so vastly different in the US - and probably super confusing for pregnant people.
@junehoward392311 ай бұрын
I’m a mother of 7. I had widwives with my 1st 3 babies. Best experience ever. They all worked in a drs office which was in the hospital. Then they were dropped by the hospital due to liability. Last 4 babies delivered by a dr well last one by a nurse cuz the dr didn’t make it on time. I would choose a midwife over the drs anytime. To be fair all my drs were males and tougher and rougher than the midwives. No female ob/gyn in my town. The midwives were gentle and knew what I was going through. I would never give birth anywhere but a hospital in case an emergency arised and needed a dr.
@MrRachaelSmith11 ай бұрын
I do completely agree it is extremely confusing, and there should be more transparency and oversight when it comes to midwifery training and licensing, I think it’s important to also take into account the mother’s right to choose what level of training her midwife has. I have had 2 home births with CNMs and for this birth specifically chose a CPM because I wanted a midwife that did NOT have hospital experience. I am not trying to bring the hospital into my home and my birth. Personally, I think the best thing we can do for pregnant people is to give them all of the information and education about their options and then trust that they can make the best decision for their bodies and their births.
@jacquiz.6837 Жыл бұрын
Thank you for lending your expertise to this topic. I think one major downside to how midwifery was professionalized in the US is that the price of certification gatekeeps knowledge about how to give birth safely from the general public. Also, midwife education tends to be white and Western centric. People should be able to give birth using whatever method is culturally relevant to them! And it should be free! And the knowledge of how to give birth safely should be free and shared widely!
@pantheratigris0011 ай бұрын
You would be appalled at the inconsistencies and lack of quality training in the prehospital emergency medical system, especially regarding prenatal and L&D emergencies. I carried many mamas in my ambulance, and thankfully never had anything terribly bad happen. I always said if I became a nurse, I would want to be an L&D nurse. I ended up leaving the medical field altogether after the nightmare that was 2020, but I still love human health and medicine so much. I hope people like you can precipitate the necessary change to improve our health care system.
@NadiaSeesIt Жыл бұрын
My midwife was a part of a medical group of OBs. I gave birth at the hospital with my midwife and labor nurses only but an OB was there if my birth became complex or if i needed an emergency procedure. It was great for me. I was pushing for four hours because my baby's head was large and partially stuck. I have no doubt that an OB would've made me get a C section. I'm always going with a midwife who is a part of an OB group.
@RobertHeslop Жыл бұрын
Here in the UK, there's a separate degree of 3 years in Midwifery, so they are specifically trained in that field of medical care. That course is on the same campus as me, where I'm studying Nursing Science (Adult - RN), and then if I want to become licensed in Midwifery after my degree, it's another 3 years of training to earn an MSc (Master of Science) compared to 18 months for me to do a postgraduate in something like district nursing, or 18 months in research etc. So you do need that full-time commitment here and it has to be via University as its also aligned with the Nursing and Midwifery Council (The NMC)
@autumn71577 сағат бұрын
“Midwifery” is such a fun word. I didn’t learn it until a childhood friend started her nursing degree on the path to becoming a nurse-certified midwife, so she could practice anywhere in the states. It’s so wild being a layman learning about the connecting practice between hospital births, midwifery, and birthing doulas. As well as how different countries treat the birthing process. Like, something my friend cares about specifically is challenging some of the practices that are treated like gospel in the US hospital systems that don’t have segnificant scientific support. One example she told me about is letting the mother eat during labor. Like, she’s going through this extremely intense process for anywhere from 5 to 45 hours, she’s going to need something! While it’s no big deal in say Cannada, in the US it’s discouraged on this very slim chance of the mother basically choking on her own vomit. But my friend theorized that the practice was more likely started by doctors who didn’t like getting shit on their hands. (Even though it always seems to be the nurses doing most of the actual care in hospital births). Much like how there used to be a noticeable increase in c-sections done on Fridays, “so doctors don’t miss their tee-times”. 😑
@jenniferford206711 ай бұрын
It was always weird to me watching Call the Midwife and realizing that they’re all nurses and part of the healthcare system because the small community I grew up in only had midwives who attended home births for people who didn’t want traditional medical care. It always meant no pain meds, no care that I would have considered actual medical care.
@whatchyagonnado Жыл бұрын
I think it would be so cool if the hospitals and midwifes/midwife training facilities would work together, so over the course of their 2 years they can regularly be present at births, shadowing other midwives, doctors, nurses, etc. Hospitals get all of the odd cases, so I think that would be even more useful so you know what to look out for. The midwife training side can cover those as well, and specifically what to do when not in a hospital setting while ambulance is on its way or when to transfer just in case.
@Traumatized_Mel3 ай бұрын
I grew up wanting to be a midwife. A CNM I knew there were other types but my family background is in nursing so it made sense to go that route. I am finally close to my RN degree and realized to get the training I want I will probably have to much further than I originally planned. Possibly leave the US. I am really glad videos like this one are being made so I can explain it to classmates who don’t know the difference. But I really wish there were more CM/CNM friendly places in the US…I also agree NZ system is better for woman’s (&birthing person’s) health on all fronts. ❤❤
@AddisonBellCoaching Жыл бұрын
I am very lucky because I live in Texas but had a CNM that had privileges at a hospital and a attending physician at the hospital if we had to transfer. They had thier own birth center. I wish everyone had this as an option as long as they are a safe fit for a midwife birth. I adored my midwives and so we need to make some changes in U.S to this standard of care. Thanksnfor the video
@CourtneyLeigh-w9k11 ай бұрын
I'm an American living in Europe. Here where I live you don't see an OB unless there's an issue. I decided on a home birth as my experiences in the hospital were less than stellar. To be honest the midwives were surprised and yes I said midwives. They work as a team and you meet them all throughout the course of your pregnancy. They do everything unless there's concern. Like I was born with a heart condition so I had to go to the hospital to have my structure echo done. But in general being pregnant is not a medical condition so much as a part of life here . BUT, midwives are very well trained and work closely with the hospitals and not just anyone can call themselves a midwife. I think it needs to change in the US, but I don't see that happening quickly not only because the Health Insurance giants and a lot of the hospitals will resist and changing people's minds is hard.
@Midnightknotts Жыл бұрын
I had the same cpm with my 3 kids. The first she was still a student and had a cpm with over 700 under her belt assisting her. By the time I had my second she had become certified. By the time I had my 3rd she had her own business. But with the school she went to where I met her, they had to assist many births before becoming lead with a teacher backing them up, then a bunch of births as leads with the teacher but also in-between their own patients assisting other midwives with their mom's also, then they get their certification. She was involved in so many before getting certified. But I know that was just the school she went to.
@Brijeanius Жыл бұрын
May I ask the school? I am also a current student...
@Midnightknotts Жыл бұрын
@@Brijeanius it's shut down now. They shut down a year ago after they changed owners from the original. New person ran it into the ground and ran all the moms off.
@scoylephoto Жыл бұрын
Can we talk about your statement "getting privileges is complex"? Is this another crazy thing that Grey's Anatomy does? Like...there are multiple episodes I have seen where one of the old doctors that used to work there comes in for a cameo episode or a special case and walk in to a mass tragedy and just walk up to someone and say give me privileges and they are like "ta da, you have privileges, go help" and its just a verbal thing while running down a hallway. No paperwork or process or anything, just a verbal announcement. It's like Michael Scott "declaring" bankruptcy.
@zzevonplant Жыл бұрын
Yeah, that's definitely not how it is in real life. I don't know all the ins-and-outs of the process of getting hospital privileges, but it's definitely not as simple as, "sure bro, jump in" lol. Not at all.
@thehutch7728 Жыл бұрын
It’s an application process. At least some (possibly all?) have a “fast track” application for if a patient of yours is currently in hospital and they feel you’re needed, but either way, it’s definitely not as easy as “declaring bankruptcy.” 🤣
@ENSerenova11 ай бұрын
Privilages are a lot more complex than being able to have someone say "ta da you have privilages", though the process can be expedited for emergency/disaster situations when additional clinicans are needed rapidly, or to award temporary privilages so an outside clinican can follow their patients care at hospital, but it's still more complicated than a brief conversation in a hallway to be granted. In very brief a hospital need to be able to prove that they have verified that a clinican has appropriate education, certification, licensure, meets standards of clinical competency and professionalism, etc for the care the provide. Once verified hospital grants them privilages for the scope of care they provide with in the hospital setting depending on their qualifications and relationship hospital has with them. (e.g. a new hire is likely to have "provisional" privilages which may be restricted in scope and temporary while they are under probationary period, an outside expert who sees a handful of cases at hospital per year but who doesn't work for hospital routinely may have "courtesy" privilages which allow them to follow cases and participate in care when requested, but not allow them to admit patients directly to hospital, a psychiatrist employed by hospital would likely have admitting and general privilages but not surgical privilages because that would be outside of the scope of care they provide, etc).
@taviag4302 Жыл бұрын
I'm an Australian GP. I did extra time in obstetrics coz delivering babies is awesome. Typically a midwifery student would do 40 catches, medical students did 4. We attended many more labours of course but they didn't count unless the baby came out 😂. Thing is when a midwife graduates with her 40 catches she goes into a team environment, anything happens it the baby starts to come she presses a little buzzer and her team leader appears. Another button for all hands in an emergency. The obstetric team only attends the birth suite if there is a concern, likewise the paediatric team for the baby. Everyone has their role and works together, the culture is to flag problems early. Private system is a little bit different of course.
@feliciasjoberg9886 Жыл бұрын
5:02 In Sweden in the ob dep., most often a midwife works with an assistant nurse. But sometimes two midwives work together with or without an assistant nurse. There's also ob/gyns. They participate in births when needed. There might be student doctors and midwives at bigger hospitals. Source: 1177, the national healthcare system’s dedicated website
@catic1511 ай бұрын
My first child, in 1991, was with a CNM who was in independent practice. She delivered mostly at a free-standing birth center, but also for home births, and she had admitting privileges at Stanford Medical Center - one of the key factors in my deciding on her, as i was a "moderately high risk" patient due to my weight and age. She had delivered over 4,000 babies during her career and had a wealth of training. When i had my second child in 1994 I started with her, but due to rising malpractice insurance costs she closed her practice halfway theough my pregnancy and i ended up going through my HMO's OB/GYN. I still believe that if I had been able to stay with Kay (my CNM) I might not have needed a C-section with that delivery, but that's another story . . .