Controversies in Childbirth
The United States still has one of the highest infant mortality rates as reported by CIA World Fact Book “United States 6.06 per 1,000” (Field Listing, 2008 p.1), as compared to other high income countries who employ midwives as mainstream for low-risk pregnant women. Research shows that midwife-attended births have fewer interventions, lower c-section rates, and offer more personal care for pregnant women. The problem with the current form of obstetrical care in the United States is the uncritical acceptance of an unscientific method: the routine use of interventionist obstetrics for healthy women with normal pregnancies in contrast to a midwifery model of care for pregnant women. Should the medical establishment and insurance companies accept midwifery, as a whole, for low-risk pregnant women? In order to answer this question one must examine the history of midwives, how midwives got outlawed out of mainstream medical care and the fight to regain midwifery in the United States today.
The history of midwifery dates back to the beginning of time, although many things have changed over the past century with how women give birth. “The word midwife comes from the Middle English, meaning “with woman,” as told by Ms. McGinnis, (1998,B19) and in French, the term midwife is Sage-Femme meaning “Wise Woman.” Childbirth has always been one of the most basic human experiences. The first instance of a recorded midwife is in the Bible, “It came to pass when she had such difficulty giving birth, that the midwife said to her, "Do not be afraid, for this one, too, is a son for you" (Gen. 35:17). The 1858 Medical Act, stated who was able to practice, although barred women from institutions that would allow them the sa...
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This novel, A Midwife's Tale: The Life of Martha Ballard, by Laurel Thatcher Ulrich, is based on Ballard’s diary starting in 1785 and ending with her death in 1812. Ulrich takes us step by step through Martha Ballard’s life as a Colonial Midwife. She reveals to us all the marvelous acts that midwives performed for their families and communities. “Midwives and nurses mediated the mysteries of birth, procreation, illness and death. They touched the untouchable, handled excrement and vomit as well as milk, swaddled the dead as well as the newborn” (Ulrich, 1990, pg.47). The novel also reveals that based on the views of societal power, gender roles in the medical environment and personal values, revealed in the diary, women were subordinate to men during this historical time period. Martha Ballard lived and thrived in this inferior atmosphere.
Contrary to having doctors deliver babies today, midwives were called upon to deliver babies during the eighteenth century. There were many more midwives than there were doctors during that time. In addition, Martha served as a midwife, nurse, physician, mortician, pharmacist, and attentive wife simultaneously (40). Aside from being able to deliver babies, midwives were also highly experienced in medical care—they tended to wounds, diagnosed illnesses, and made medicine. Midwives were more accessible and abundant when compared to doctors—they did not require any formal training or education. When the medical field was underdeveloped, the midwives were the leading resource when it was related to medical conflicts.
The Grand Midwives, a term we now wish to honor them with, are still among us. Some are with us in spirit, and a few are still with us today. Two midwives who told their stories before passing on were, Onnie Lee Logan in her book, Motherwit, An Alabama Midwife 's Story, and Why Not Me ? The story of Gladys Milton, Midwife by Wendy Bovard and Gladys Milton. One midwife of a few still living is Margaret Charles Smith from Alabama. You can read her story in her book titled Listen To Me Good: The Story of an Alabama Midwife. These three midwives have shared their story with us so that we can understand our history in Midwifery. Midwives can be found throughout the United States and across the sea. In many states Midwifery is still unlawful. Some states have managed to pass laws that have made midwifery a free state to practice in. Those who practice laid midwifery in restricted states do so because they believe that families ought to have the right to birth where they want and to be attended by whom they choose. They believe in freedom and exercise this belief as Harriet Tubman once did. Many midwives today believe they were called to serve the pregnant mother as the midwives of yesterday. They serve with pride and dignity, something that no man will ever take away. As long as there are mothers upon the stool, there will always be
Cook, Selig, Wedge, and Gohn-Baube (1999) stated that an essential part of the country’s public health agenda is to improve access to prenatal care, particularly for economically disadvantaged women. I agree with this statement because access to care is very important for the outcome of a healthy mother and child. Improving access to prenatal care for disadvantaged women will not only save lives but also lighten the high financial, social, and emotional costs of caring for low weight babies. Some of the barriers that these women face are mainly structural where the availability of care is limited; the cost of care is a financial burden; and the time to seek care is problematic due to being single mothers working more than one job (Lia-Hoagberb, 1990). Additionally, there is the issue of prenatal care being delivered differently depending on one’s race. A study found that White mothers delivering ve...
Women throughout time have been compelled to cope with the remonstrances of motherhood along with society’s anticipations
With the clash of the cultures increasingly challenging our way of living, we must fight even harder to keep our families practicing good morality and traditional values. The census of the 20s shows us that more and more Americans are making the move to the big city and for reasons I don’t quite understand. There are many that embrace the new modern world, but my family members are plain old country folk that enjoy rural living, living on farms or in small towns. And marriage should be considered sacred and children should be considered a blessing from God, not a burden or imposition. In the essay entitled “Birth Control,” by Ella K. Dearborn, written for the Birth Control Review in March 1928, Dearborn opposed certain women having children
Sorensen, J., & Abbott, E. (2004). The Maternity and Infancy Revolution. Maternal & Child Health Jounal, 8(3), 107-110. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=14089739&site=ehost-live
In the Early 1900s, health care was very limited to rural women. Adequate care and practice for childbirth was never heard of and often times performed by family members or even neighbors. It was said to be lucky if a child lived through the birth and even luckier if the child lived through their first birthday.
Before I watched 'A Midwife's Tale', a movie created from the diary found by Laurel Ulrich chronicling the life of a woman named Martha Ballard, I thought the women in these times were just housewives and nothing else. I pictured them doing the cleaning and the cooking for their husbands and not being very smart because of the lack of education or them being unable to work. My view on the subject changed however when I watched this specific woman's life and her work.
In the second decade of the twentieth century, the U.S. birth control movement became an important topic among Americans. It was at this time that Margaret Sanger, the eventual founder of Planned Parenthood, became involved in the radical movement for voluntary motherhood and the distribution of contraceptives (Hartmann). As a nurse she assisted poor women in giving birth, and saw the effect of having too many children on the welfare of these women. She also saw the suffering, pain, and death of many women who obtained unsafe, backdoor abortions to escape having more children (Shaw, Lee).
...o find a balance between interventional and non-interventional birth. With this being said, I also understand that there are strict policies and protocols set in place, which I must abide to as a healthcare provider, in any birth setting. Unfortunately, these guidelines can be abused. Christiane Northrup, MD, a well recognized and respected obstetrician-gynecologist has gone as far as to tell her own daughters that they should not give birth in a hospital setting, with the safest place being home (Block, 2007, p. xxiii). Although I am not entirely against hospital births, I am a firm believe that normal, healthy pregnancies should be fully permissible to all midwives. However, high-risk pregnancies and births must remain the responsibility of skilled obstetricians. My heart’s desire is to do what is ultimately in the best interest of the mother, and her unborn child.
Pairman,S., Tracy, S., Thorogood, C., & Pincombe, J. (2013). Theoretical frameworks for midwifery practice. Midwifery: Preparation for practice.(2nd ed, pp. 313-336). Chatswood, N.S.W. : Elsevier Australia
Chances are that terms such as “midwife” and “home birth” conjure up for you old-fashioned images of childbirth. These words may bring to mind scenes from old movies, but you’re not likely to associate them with the modern image of childbirth. Do you know anyone who has had a midwife-assisted birth or a home birth? Would you consider one?
[9] Shanley, M.L, Surrogate Mothering and Women's Freedom: A Critique of Contracts for Human Reproduction, (Politics and the Human Body) editors-Elshtain, J.B, and Cloyd J.T1995, Vanderbitt University Press, Tennessee back