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How many midwives does it take to save lives?

 

Just one.

One trained medical practitioner who is there to offer help, guidance and support through the profound and challenging experience of bringing new life into the world.

No mother should have to risk her life or that of her unborn baby by going through childbirth without expert care. Yet every year 48 million women give birth without the support of someone with recognised midwifery skills.

The consequences of this are tragic. Over 350,000 women die each year as a result of preventable maternal causes. Millions more suffer infection and disability. Families are devastated.

99% of maternal deaths occur in developing countries and a large portion of them are preventable. You’re twice as likely to have your birth attended by a skilled healthcare worker if you life in a town or city than the countryside.

What we are talking about is inequality. Where you live should not determine how likely you are to receive medical care. Do you believe any of these should be a factor in the care a mum gets: which country you were born in, whether you live in a town or a village or the amount of money your family has?

Harriett Roberts, mum to Joe, survived her difficult birth due to the skilled care of her local hospital team in Manchester. She points out “You’ve work hard growing this little person inside you and you should have the opportunity to watch them grow.”

May 5th is the International Day of the Midwife

Most of us begin our lives in the hands of a midwife.

This is a chance to highlight the importance of the midwifery profession. A chance to call for more midwives to be trained and for those we have to be better supported.

The White Ribbon Alliance in Tanzania have produced this short film, "What I Want is Simple" to improve the public perception of midwives and to ask others to show their support for difficult job they do.

A lot of progress has already been made. Sierra Leone used to be the worst place in the world to give birth. On 28 April 2010, the government introduced free healthcare for pregnant women, breastfeeding mothers and children under the age of five, helped by UK aid money. You can see some of the lives that policy has impacted here.

What can you do?

Dr. Koby Appiah-Sakyi (Consultant Obstetrician and Gynaecologist from Ghana working in Manchester) sadly lost his own mother in childbirth. He explains “If your mother dies, a light goes out that never comes back on.” He has specialised and spent his working life to try to reduce maternal deaths. But you don’t have to be a trained healthcare worker to highlight this important issue. People across the UK and across the world are taking action to show how important this issue is to them. They are knitting giant baby blankets, walking prams of messages to see MPs, doing pregnant break dancing and more to raise awareness in their local community.

There are lots of ways that you can get involved in to show your support. Why not check out this advocacy pack as a starting point? You can also learn more about birth rights in Ghana or aid in general, and why it really matters with this e-learning resource.

Remember the international day of the midwife is only once a year, but we need more trained health workers everyday to save lives. So far Malaysia, Sri Lanka and Thailand have managed to half their Maternal Mortality Rate within 10 years by increasing the number of midwives

Imagine that the whole British army died of a disease within 6 months. That’s roughly equivalent to the rate of 500,000 women globally still dying needlessly each year in pregnancy and childbirth.

Let’s keep working together to see that governments are playing fair. Every mum deserves the same access to healthcare workers and facilities to help them to bring an amazing new life into the world.

Posted by Nicola Sansom in Women & Gender, Aid, Poverty for column Issue Analysis on May 5th 2012, 17:02

Comments

14/06/12 11:09am - Posted By Vinar - Flag as inappropriate - Reply to this comment
Listener Stacey had this comment to add: I know this is a hot topic and I won't even get into all the rnsoaes CPM's should be supported. This is the comment I find interesting: Representatives from the anti-midwife groups argue about the lack of oversight, lack of formal training, and unsafe practices unsupported by science and research.'The CPM in my area has 7 years of formal training. After obtaining her bachelors degree, she entered a 3 year midwifery program in Oregon. Since home birth is the norm up there, the programs are very thorough. She is as educated as a CNM. To become a CPM, midwives have to go through a very extensive testing process, much like CNMs. It's through NARM, National American Registry of Midwives. This includes a day of written testing as well as hands one tests. Sounds just like most other certification processes, doesn't it?Finally, the part about the quoted comment that really strikes me is the part about unsupported by science and research. The irony is, obstetrics is the least evidence based specialty in existence. The only thing continuous fetal monitoring has done is increase c-section rates. It has not been shown to save babies at all. Yet, we still do it.We still strap moms down to beds, increasing her risk for stalled labor and eventually c-section. Cytotec has been shown to be an incredibly dangerous medication to use for induction, yet it's still used extensively. Recent guideline changes by the CDC regarding protocol for +GBS have not been widely adopted, increasing hospital stays for millions of moms and babies.Dr. Tom Brewer, an obstetrician conducted studies that showed a high protein diet can prevent PIH/preeclampsia (www.blueribbonbaby.org). This is such a simple, simple thing to do ask moms at risk to increase their protein intake. Even if an OB doesn't believe the research here, it can't hurt to try. It's non-interventive and only beneficial to both mom and baby to have a protein rich diet. Yet, OB's laugh at the idea that it could help. Ignoring the evidence.How many years did it take for OB's to stop cutting episiotomy, despite the extensive evidence that it can be harmful, and rarely actually needed? How high does our nations c-section rate have to get, while morbidity and mortality also continue to climb, before folks wake up and start actually looking at the evidence?I have to admit, after nearly a decade working in labor and delivery, that I feel much safer in the hands of an illegal home birth midwife, who IS using evidence based practice. Stacey R. RNMore great input!
28/09/12 1:23pm - Posted By Ella - Flag as inappropriate - Reply to this comment
What a welcome westibe.Thank you for sharing with us. My own twins are 13 months old, and I had to fight just to be heard as to my preferences of a natural birth. I switched practices midway through my pregnancy because I was at a practice who would not allow me to be seen by the midwives once the pregnancy became high risk due to being multiples. The practice I switched to was more twin-friendly, but I was still not able to birth at home or in the birthing center. I had 3 previous vaginal births of larger babies (the smallest was just under 10 lbs, the largest was 12 lbs even) so I had no question that I could successfully birth my twins vaginally and drug-free, not to mention without other interventions! I was frustrated that many of my birth plans were being thrown out the window, but I was at least patronized enough to allow me to try to have a natural, vaginal birth. The pregnancy went so splendidly that the doctors never took me off my full time job, and at 36 weeks I chose to keep myself home so I could properly prepare for the birth. My labor began at 38weeks, on one of my older children's birthdays, but my twins waited to be born just a few short hours after midnight, as I had hoped. Twin A, my 7lb8oz baby boy was born vaginally in the C'section room (as required) in 3 steady pushes, as the surgical staff waited to have their go at us. His brother followed 7 minutes later and greeted me after the first firm, but gentle push. He was my smallest baby at 6lbs 11oz, and the only one to still be coated in vernix at birth. I have a strong sense of frustration that the natural birth I had so eagerly hoped for was not supported by the medical options I had been aware of having, yet I was filled with several moments of deep pride: I felt a sense of pride as the surgeon looked on in what appeared to be awe, and remarked that he couldn't believe that I had not been given an epidural or other pain medications because I was smiling and joking with my husband between contractions and pushes. I felt jubilation when, within moments of his brothers birth, the second twin turned head down and presented himself as ready, never giving the doctor a chance to put another damper on our birthday. I felt so empowered when I glanced up to see the surgical team exiting the room unneeded, just before 3am, and heard remarks about how I certainly didn't LOOK like I just gave birth to twins. Needless to say, I was so glad to have been able to prove to the hospital staff that it COULD be done, and I was grateful for a physician who was willing to at least humor me. I didn't tear, nor were any cuts made, I was stitch free, despite the surgical setting i was required to birth in.As I read the pages of your westibe, I am filled with a sense of loss, because I could have had such a beautiful story to tell, and yet I am filled with a sense of hope that perhaps I might have been able to be an example. I armed myself with the best knowledge I could find to support my preferences and choices, and I'm learning more still.I am expecting again, and while I am unsure at this time if I am carrying one ore more I am feeling more equipped to pursue the kind of birth I really want. We do have the perfect garden tub, after all!
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