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Midwives Model of Care

What is it? How did it come about? What are the elements that distinguish this model of health care? Information from the Citizens for Midwifery website at www.cfmidwifery.org. Photos courtesy of Google Images.
by

Wendy Gordon

on 17 September 2013

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Transcript of Midwives Model of Care

Public "bare bones" definition
The Midwives Model of Care is based on the fact that pregnancy and birth are normal life processes.

The Midwives Model of Care includes:

Monitoring the physical, psychological, and social well-being of the mother throughout the childbearing cycle
Providing the mother with individualized education, counseling, and prenatal care, continuous hands-on assistance during labor and delivery, and postpartum support
Minimizing technological interventions
Identifying and referring women who require obstetrical attention

The application of this woman-centered model of care has been proven to reduce the incidence of birth injury, trauma, and cesarean section.
Creators of the Definition
Written for mainstream health care decision-makers and the questions
they're likely to have:

It's the type of care, not the type of provider, that matters.
What to expect from a caregiver who
provides the Midwives Model of Care

Respectful treatment
Personal attention
Plenty of information
Appropriate monitoring
Confidence in your body
Natural techniques for comfort
A care provider who stays with you
What is the Midwives Model of Care ?
Will you provide the
Midwives Model of Care ?

A definition that all of the groups could use consistently in
communicating with health care decision-makers
Something they'll actually read
"I'm not sure that mothers are
capable decision makers..."
Partnership??!?
"Will I get the basic medical care I need?"
"Is it safe?"
"Isn't home birth dangerous?"
(It's way more than this!)
Doctors can provide it.
Hospital midwives can provide it.
Ina May provides it.
Gentle nurturing care
that respects you,
your family, and
your beliefs.
Respect for your informed
decisions about medical
tests, recommendations,
and interventions.
Willingness to support your birth plan, including
any family members and friends you may want
present at the birth.
Freedom to move, eat,
bathe - to do what helps
you during labor and birth;
your midwife doesn't "prohibit"
or "allow," but patiently
supports and guides
you as needed.
Respect for the birth process as it unfolds uniquely each time.
Prenatal visits that allow plenty of time for questions and answers
Meaningful discussions to explore and help
resolve fears and concerns you or your
family may have.
Caring attention to develop a
trusting and nurturing relationship
with you and your family that can
help you to labor and give birth
naturally and safely.
Plenty of information
about pregnancy, birth
and the newborn, and
about breastfeeding
and newborn care.
Suggestions about ways that you can take good care of yourself and your baby.
Encouragement and practical
suggestions for you to have
good nutrition and make healthy
lifestyle choices.
Full information about any recommended tests,
procedures or treatments so you can make
informed choices about your care.
Regular and
thorough checkups
for you and your
baby throughout
your pregnancy,
during labor, and
after the birth,
to make sure
both of you
are healthy and
doing well.
Recommendations for diagnostic technology when appropriate.
Planning with you for
the unexpected and
for the rare emergency.
Referrals to other health care specialists or to a different birth setting if needed.
Expertise in normal, natural childbirth.
Help with discovering your own body's ability to give birth, in its own way and in its own time.
No routine treatments or arbitrary timetables that can interfere with your body's healthy process of laboring and giving birth.
Truly individualized care,
privacy, and natural
childbirth.
Support for doing the work of giving birth. Rather than someone else "delivering" the baby, you are empowered to give birth to your own baby yourself!
Help you cope with the
discomfort of labor. Midwives have found that encouragement,
massage, relaxation,
laboring in water,
changing positions
and other
approaches
are often
very
effective.
Encourage the progress of labor and help you give birth to your baby gently and lovingly.
Help you avoid risks (to yourself and your baby) that are associated with many standard medical techniques and hospital protocols.
Attentive, sensitive care and emotional support in tune with your needs throughout labor. The Midwives Model of Care means that your midwife stays with you and "mothers the mother."
Postpartum care and help with breastfeeding. After your baby is born, your midwife will stay with you until breastfeeding is established and both you and your baby are resting comfortably.
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Four organizations came together
in 1996 to put together a definition
of the "midwives model of care"
"Why would you want to have a "partnership" between mother and care provider?"
So they put together a
Full transcript