Successfully reported this slideshow.

Midwifery Presentation by Triangle Midwives

1,236 views

Published on

Certified Midwives are delivering more and more babies in the United States and have lower rates of Cesarean Sections than OBGYNs. Learn more about Triangle Midwives, a division of Triangle Physicians for Women. Learn more at www.TriangleMidwives.com

  • Be the first to comment

Midwifery Presentation by Triangle Midwives

  1. 1. Midwives: Changing Health Care for the Better Tuesday, November 5, 13
  2. 2. Midwifery: An Ancient Commitment, A Modern Success Story Tuesday, November 5, 13
  3. 3. Mary Breckinridge Frontier Nursing Service 1925 Tuesday, November 5, 13
  4. 4. 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. Tuesday, November 5, 13
  5. 5. Increased CNMAttended Births Tuesday, November 5, 13
  6. 6. We Do More than Deliver Babies: Scope of Midwifery Practice • Pregnancy, birth, and newborn care • Women’s primary health care • Family planning • Advanced clinical practice (first assistants, circumcision, colposcopy, ultrasonography) • Education and Public Health Tuesday, November 5, 13
  7. 7. Philosophy of Care • Focus on prevention and individualized education • View pregnancy as a normal process • Provide compassionate and familycentered care • Encourage women’s participation in decision-making • Use technology appropriately...minimize interventions • Consultation, collaboration and referral with members of the health care team. Tuesday, November 5, 13
  8. 8. Emphasis on Primary Care Primary Care Non-Maternity Labor & Birth Primary Care During Pregnancy Tuesday, November 5, 13
  9. 9. CNMs Have Excellent Outcomes CNMs MDs 4 3 2 1 Infant Mortality Neonatal Mortality Low Birthweight Tuesday, November 5, 13 0
  10. 10. Midwives Use Birth Interventions Appropriately CNMs 0 Forceps/Vacuum Cont. Fetal Mon. Epidural Induction Cesareans Tuesday, November 5, 13 15 MDs 30 45 60
  11. 11. 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” Tuesday, November 5, 13
  12. 12. Midwifery Prenatal Care = Excellent Outcomes Midwifery Prenatal Care Listen to Women Tuesday, November 5, 13 Provide Emotional Support Pregnancy and Birth Education Collaborate with Physicians
  13. 13. Higher Satisfaction Rates with CNMs CNMs No CNMs 100 92.5 85 77.5 70 Satisfied Tuesday, November 5, 13 Use Again
  14. 14. Collaborative Practice • Consultation • MD Tuesday, November 5, 13 Collaboration • Referral
  15. 15. Where are midwives employed? Hospital Midwife Owned MD Owned Education Gov./Military Non-profit/Health Ctr. Non-Profit/Health Ctr. Education 11% Hospital 8% Midwife Owned 32% 9% 9% Gov./Military 32% MD Owned Tuesday, November 5, 13
  16. 16. Where do midwives attend births? 100 75 98% 50 25 1% Hospital Birth Center 0 1% Home Tuesday, November 5, 13
  17. 17. Credentialing Nurse Midwives Midwives meet the following criteria: • Nationally accredited education program • National certification exam • State licensure • Professional liability insurance • Continuing competency assessment Tuesday, November 5, 13
  18. 18. Midwives: Changing Health Care for the Better • 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 valueadded service • Quality, professional care. Tuesday, November 5, 13
  19. 19. 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 Tuesday, November 5, 13
  20. 20. 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 Tuesday, November 5, 13
  21. 21. Learn more... • 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. Tuesday, November 5, 13
  22. 22. With Women… …For a Lifetime Tuesday, November 5, 13

×