Midwives Blend the Personal and Professional in Obstetrics





For some folks, the time period “midwife” nonetheless conjures up a picture of a useful native girl who guides expectant mothers by medication-free childbirth at residence. The actuality is commonly far completely different, nonetheless.

“In Pennsylvania, a Certified Nurse Midwife (CNM) is a nurse who receives additional education in a two year graduate program and is licensed to practice in the state,” says Victoria Ferguson, CNM, MSN, a nurse midwife at Pennsylvania Hospital.

Penn Medicine Midwives

“Our midwives see patients in the office and help deliver babies in the hospital,” she continues. “Midwives typically care for healthy pregnant women that are considered “low risk.” In many instances, it’s widespread for ob/gyns and midwives to work collaboratively with sufferers. The resolution on whether or not to obtain most of their care from a midwife or an ob/gyn comes all the way down to a girl’s desire. Those who select a midwife could profit from the additional time they’ll spend with a CNM throughout and after being pregnant.

Though Penn Medicine’s midwifery observe has been in place since the Seventies, such applications have develop into extra widespread in latest years because of the rising reputation of pure births and the incontrovertible fact that midwifery companies are generally coated by insurance coverage.

“Penn offers the oldest midwifery practice in Philadelphia, and we’re involved in over 5,000 births a year at Pennsylvania Hospital and 40000 at the Hospital of the University of Pennsylvania,” Ferguson says. “People come right here as a result of they know we provide a tradition of supporting girls’s selections and start plans.”

Midwives are licensed to prescribe a spread of medicines and therapies, together with contraception and ache remedy throughout labor. They also can conduct prenatal exams, order exams, provide recommendation for a wholesome being pregnant, ship infants, and make use of strategies for managing labor ache.

“Patients who want to have a natural childbirth experience may turn to a midwife, as they are skilled in non-medicinal options for pain management, such as aromatherapy, guided imagery and positioning,” explains Jessica Lazzeri, MSN, RN, NEA-BC, Clinical Director of Women’s Health at the Hospital of the University of Pennsylvania. “However, at many hospitals, if a patient chooses to have an epidural to manage their pain, they can still be cared for by a midwife.”

Lazzeri recommends selecting a midwife who takes under consideration the supply expertise {that a} girl and household needs and is prepared to do issues otherwise to realize that plan.

“Our midwives are incredibly passionate about childbirth,” she says. “Nurse midwives do a great job of listening to patients and families and collaborating with the rest of our staff to make sure patients have the best childbirth experience we can offer.”



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