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Midwives vs. Physician Care

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Midwives vs. Physician Care
Introduction The birth of a child is an event of both tremendous joy and stress. In this day and age, there are several options in regards to childbirth that include the before and after care of a newborn. But which method would provide future parents the greatest success in the delivery room? The two main options I will be discussing will be midwives or physicians. Many physicians agree that “"the safest setting for labour, delivery and the immediate post-partum period is in a hospital or a birthing center within a hospital."(Kluger, 2009). However, midwives seem to disagree by saying “home births attended by trained nurse-midwives are no less safe than hospital births...providing the midwives are affiliated with a nearby hospital to which the mothers can be brought in case of complications.”(Kluger, 2009). Although both methods are healthy, is seems as though women are more comfortable with midwives than doctors “a good midwife.....has to be caring and they need to give the patient emotional supports as well as physical support” (Reiger & Lane, 2009). Midwifery care, associated with low risk pregnancies, provides a comfortable and caring environment that is a personal experience for both the mother and the baby, as well as provides are more comfortable form of before and after care in comparison to physicians.

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Galotti, K.M., Pierce, B., Reimer, R.L., & Luckner, A.E. (2000). Midwife or doctor: A study of pregnant women making delivery decisions. Journal of Midwifery & Women’s Health, 45(4).
This first study used pregnant women to find out their preference of either a midwife or doctor. They used eighty-eight pregnant women in the study and used interviews to ask them questions. The main questions targeted in the interviews were choice of prenatal genetic tests, choice of birth attendant, and choice of comfort/pain relief measure for delivery. The results of this test showed that women who considered a midwife were more likely to feel that they



References: Galotti, K.M., Pierce, B., Reimer, R.L., & Luckner, A.E. (2000). Midwife or doctor: A study of pregnant women making delivery decisions. Journal of Midwifery & Women’s Health, 45(4). Janssen, P.A., Saxell, L., Page, L.A., Klein, M.C, Liston, R.M., & Lee, S.K. (2009). Outcomes of planned home birth with registered midwife versus planned hospital birth with midwife or physician. CMAJ, 181(6-7), 377-383. Kluger, J. (2009, May 16). Doctors versus midwives: The birth wars range on. TIME. Retrieved from http://www.time.com/time/health/article/0,8599,1898316,00.html Reiger, K.M., & Lane, K.L. (2009). Working together: Collaboration between midwives and doctors in public hospitals. Aust Health Rev, 33(2), 315-324

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