Midwifery Presentation by Triangle Midwives
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Transcript of Midwifery Presentation by Triangle Midwives
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Midwives: Changing Health Care for the
Better
Tuesday, November 5, 13
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Midwifery:An Ancient Commitment,A Modern Success Story
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Mary Breckinridge
Frontier Nursing Service
1925
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The Growth of Midwifery
Published research that shows CNMS:
• Provide high-quality care• Have comparable or better outcomes• Have high levels of patient satisfaction• Lower costs due to fewer interventions.
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Increased CNM-Attended Births
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• Pregnancy, birth, and newborn care
• Women’s primary health care
• Family planning
• Advanced clinical practice (first assistants, circumcision, colposcopy, ultrasonography)
• Education and Public Health
We Do More than Deliver Babies:
Scope of Midwifery Practice
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Philosophy of Care• Focus on prevention and individualized
education
• View pregnancy as a normal process
• Provide compassionate and family-centered care
• Encourage women’s participation in decision-making
• Use technology appropriately...minimize interventions
• Consultation, collaboration and referral with members of the health care team.
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Emphasis on Primary Care
Primary Care During Pregnancy
Labor & BirthPrimary CareNon-Maternity
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0
1
2
3
4
Infant Mortality
Low Birthweight
CNMs MDs
Neonatal Mortality
CNMs Have Excellent Outcomes
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0 15 30 45 60
Forceps/Vacuum
Cont. Fetal Mon.
Epidural
Induction
Cesareans
CNMs MDs
Midwives Use Birth Interventions Appropriately
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Midwives Provide Effective Labor
Support• Twice as much freedom to move in labor• Twice as much intermittent monitoring• Twice as many non-medicated births• Half as many episiotomies• Supportive care during labor • Collaborates with patient’s doula
“High Touch, Low Tech”
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Midwifery Prenatal Care
Listen to WomenProvide Emotional
SupportPregnancy and Birth
EducationCollaborate with
Physicians
Midwifery Prenatal Care = Excellent Outcomes
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70
77.5
85
92.5
100
Satisfied Use Again
CNMs No CNMs
Higher Satisfaction Rates with CNMs
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MD
• Consultation
• Collaboration
• Referral
Collaborative Practice
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32%
32%
9%
9%
8%
11%
Hospital MD Owned Gov./MilitaryMidwife Owned Education Non-profit/Health Ctr.
Hospital
MD Owned
Gov./Military
Midwife Owned
Education
Non-Profit/Health Ctr.
Where are midwives employed?
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0
25
50
75
100
Hospital Birth CenterHome
98%
1%1%
Where do midwives attend births?
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• Nationally accredited education program
• National certification exam
• State licensure
• Professional liability insurance
• Continuing competency assessment
Midwives meet the following criteria:
Credentialing Nurse Midwives
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• A modern success story built on an ancient commitment
• Maternity, gynecological, well-woman care
• Emphasis on primary care and health promotion
• The midwifery model: high-touch, low-tech
• Excellent outcomes, satisfied patients, and value-added service
• Quality, professional care.
Midwives: Changing Health Care for the Better
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Find A Midwife
•www.midwife.org to find a midwife in your community.
•Triangle Midwives is the only private practice in Wake County with midwives.
TriangleMidwives.com
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Delivery Statistics:~ 2009 - delivered 700 babies~ Midwives managed, consulted or collaborated with 80% of those patients~ Midwives delivered 70% of the 700 babies
Cesarean Section Rates:~ Nationally - 31 - 34%~ Triangle Midwives: Primary - 17%; Repeat - 26 - 29%~ Low risk midwifery patients: 12 - 14 %~ High risk midwifery patients: 16 - 20%
Vaginal Birth After Cesarean Section (VBAC) Rates:~ 75% success rate
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• Triangle Midwives has 6 Certified Nurse Midwives
• All deliveries are at WakeMed Cary Hospital
• For patients, www.TriangleMidwives.com,www.myMidwife.org.
• www.GotMom.org, ACNM’s online breastfeeding resource.
Learn more...
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With Women…
…For a Lifetime
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