Midwifery in the U.S. is as old as the country itself. Midwife-attended childbirth was a customary practice up until the earliest part of the 20th century, when a number of medical groups, pushing obstetrical care, recommended hospitalization for all deliveries and the gradual abolition of midwifery. By the 1970s, the role of nurse-midwives began to broaden—thanks, in part, to national certification for nurse-midwives and a number of studies that found positive outcomes and cost savings associated with nurse-midwifery care. Certified nurse-midwife-attended births increased from about one percent in the mid-1970s to accounting for nearly 12 percent of all vaginal hospital births in 2013.
Today’s certified nurse-midwives are valued and trusted healthcare providers who provide women with a low-tech, high-touch alternative to traditional gynecologic and obstetrical care. Certified Nurse-Midwives (CNMs) provide general health care throughout a woman’s lifespan. These services include general health check-ups and physical exams; pregnancy, birth, and postpartum care; well woman gynecologic care; and treatment of sexually transmitted infections. CNMs are educated in advanced pharmacology to prescribe a full range of substances, medications, and treatments, including pain control medications. CNMs work in many different settings, such as hospitals, health centers, private practices, birth centers, and homes. Most midwives in the United States are CNMs. [source: msnedu.org]
CNMs are advanced practice registered nurses (Nurse Practitioners) with graduate education (Masters level) in midwifery. Before pursuing a masters degree in midwifery CNMs must have met the educational requirements to earn a Registered Nurse (RN) degree and passed national certification (NCLEX) to become an RN. CNMs are required to attend a nurse-midwifery education program accredited by the Accreditation Commission for Midwifery Education (ACME). This education includes a university degree as well as hands-on clinical training by practicing CNMs. Graduates of a nurse-midwifery program must then pass the national certification exam of the American Midwifery Certification Board (AMCB) to be eligible for licensure to practice in all 50 states, the District of Columbia, & U.S. territories. [source: georgiamidwife.org]
As explained by the American College of Nurse Midwives: Certified nurse-midwives (CNMs) provide care starting with a woman’s first period until after menopause, plus all the important health events in between, such as:
Certified Nurse-Midwife (CNM) CNMs are registered nurses with graduate education in midwifery. They have graduated from a nurse-midwifery education program accredited by the Accreditation Commission for Midwifery Education (ACME). This education includes a university degree as well as hands-on clinical training by practicing CNMs. They also have passed the national certification exam of the American Midwifery Certification Board (AMCB). CNMs are able to prescribe a full range of substances, medications, and treatments, including pain control medications. CNMs work in many different settings, such as hospitals, health centers, private practices, birth centers, and homes.Certified Professional Midwife (CPM)
CPMs prepare for a national certification exam administered by the North American Registry of Midwives (NARM) in different ways. There are two primary pathways for CPM education with differing requirements: apprenticeship training alone or an accredited formal education program. The health care services provided by CPMs are not as broad as those of CNMs. CPMs provide pregnancy, birth, and postpartum care for women outside of the hospital—often in birth centers or homes. CPMs are not able to prescribe most medications.
Obstetrics and midwifery are two distinct but overlapping fields of medical knowledge and practice that focus on care during pregnancy, labor and delivery and postpartum.The main difference between doctors and midwives is that, while midwives are trained to deal with women who are having normal, uncomplicated, low-risk pregnancies, doctors are trained to handle any type of pregnancy including those with complications.
If you choose to see a midwife at Obgyne Birthing Center for Natural Deliveries and any complications arise with your pregnancy, or if any develop while you are pregnant and under the care of a midwife, you will be trusted into the care of one of our obstetricians.
Our facility feels like home away from home, with plush queen size beds fitted with luxury linen, each birthing suite has its own bathroom with walk-in showers as well as private gardens for each suite. Our staff are compassionate care providers who are attentive, professional and trained to provide exceptional expertise and guidance.
According to DONA International,a trained professional who provides continuous physical, emotional and informational support to a mother before, during and shortly after childbirth to help her achieve the healthiest, most satisfying experience possible. Countless scientific trials examining doula care demonstrate remarkably improved physical and psychological outcomes for both mother and baby. Doulas have a positive impact on the well-being of the entire family.
As founded by ACOG, There are two methods of fetal heart rate monitoring in labor. Auscultation (also known as intermittent monitoring) is a method of periodically listening to the fetal heartbeat. This method is used by our midwives throughout labor and delivery with a device called “fetal doppler”. A fetal doppler is a handheld device that uses sound waves to detect motion like the fetal heart rate.
We encourage the presence of loved ones who you are comfortable with sharing the most intimate details of labor with. Doulas are welcome! The Birth Suite maximum attendees is 3 people.
At Obgyne Birthing Center, we manage the pains of labor and delivery with several natural methods, such as movement, acupressure, aromatherapy, counterpressure, etc. We also provide access to nitrous oxide, in low doses, is an anxiolytic (a drug used for anxiety relief) and an analgesic (a drug used for pain relief). According to the Journal of Midwifery & Women’s Health, “Nitrous oxide labor analgesia is safe for the mother, fetus, and neonate and can be made safe for caregivers. It is simple to administer, does not interfere with the release and function of endogenous oxytocin, and has no adverse effects on the normal physiology and progress of labor” (Rooks, 2011).
Since VBAC, vaginal birth after caesarean is considered high risk we do not offer it at the Birthing Center. However, you could still deliver with our skilled obstetrician, Dr. Bola Sogade at Coliseum Medical Center.