The war on midwives (part 3)

Life in the US | Midwifery

Midwives have been around since time immemorial. They appear in the Bible and in Shakespeare’s literature. They have been the main providers of maternity care throughout the history of mankind. In most cultures today, a laboring woman can still count on the presence of a skilled midwife.

Labor and childbirth in the U.S. weren’t any different. Though its history is tumultuous, “midwifery was seen as a respectable profession, even warranting priority on ferry boats to the Colony of Massachusetts,” says a website for the Parkland School of Nurse Midwives.

Unfortunately, that would change.

Between the years 1915 and 1940, midwife-assisted births plummeted from about 50% to 10-15%. The drop has been attributed to a number of historical developments; among them were World War I and advances in science and medicine.

But that wasn't all. From around 1910, the US government and the medical establishment began waging a vigorous public campaign against midwives in a nationwide offensive to medicalize the birth industry. Midwives were called filthy and ignorant, and blamed for the country's birth-related fatalities. Other tactics included public PR, where physicians touted the safety and ease of births handled by obstetricians.

“The strategy to abolish the profession of midwifery (as practiced by midwives) was multifaceted and included a legal, legislative and public education approach described as ‘elevating the public conscience,’” writes California midwife Faith Gibson.

On her website, Gibson shares excerpts from documents she uncovered after she was arrested and charged with the illegal practice of midwifery, among other things, even though she was a state-certified midwife. The charges were later dismissed.

While the outrageous labelling has subsided, midwives still operate on hostile terrain — especially those who practice outside of the hospitals. "(Doctors have) an obvious vested interest in maintaining the status quo vis a vis childbirth," said Ina May Gaskin in an interview with Wears The Baby. "(They have) openly spread disinformation about home birth and the midwives who attend birth at home."

This doesn't come as much surprise to anybody who knows that birth is big business. Some four million babies are born annually in the US. The cost of delivering at a hospital varies widely — averaging about $2,600, not including C-sections. In some states, a normal delivery with a one-day stay could cost upwards of $5,000.

Yuko >> February 16, 2005
Comments

Hello Yuko,

I am an Oregonian currently residing in Japan, and interested in continuing my education and medical experience in midwifery. I am curious if there are any suggestions on resources that may be available here to either volunteer, intern or receive further training in birthing/midwifery practice. Thank you!

Sarah Schafer


Sarah Schafer at September 21, 2008 07:54 AM

Hello, my name is Red I am a LM, CPM. I would like to use this image in a website I am putting together about birth in India. Is it yours? Thanks for emailing me your response.
jolenam@yahoo.com


Red at September 26, 2008 07:06 PM


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