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Midwives provide a high
level of care and attention to their patients. Through frequent
meetings with their patients, they monitor not only the physical
changes of pregnancy, but the mental and emotional challenges. Each
visit is forty-five minutes long, which allows for significant interaction
between midwife and patient. If you are considering a home birth,
a midwife can help you determine whether it is an appropriate choice.
For instance, your pregnancy should be low risk, with no complications.
If complications arise, your midwife will recommend a hospital stay
if it is appropriate. She will assist you through your labour, making
the birth of your child as comfortable and natural as possible.
Birth
is a normal, natural event until proven otherwise.
What can I expect when I visit
a midwife?
Midwives are specifically
trained to provide care and counselling throughout your pregnancy.
Your initial visit gives you time to interview the midwife, and
her time to interview you. In a subsequent visit she will take your
full medical history, obstetrical history, and do any routine blood
work. You will discuss the changes of the first and second trimesters
of pregnancy. You will meet with your midwife once a month until
twenty-eight weeks, then once every two weeks until thirty-six weeks,
and then once a week until birth. Midwives are on-call twenty-four
hours a day. Once your baby is born, most midwives will continue
to meet with you for a few weeks to assist with care, feeding, and
the transition to motherhood.
What kind of training do midwives
receive?
In Canada, midwives must
have a four-year Bachelor of Health Sciences degree in Midwifery.
Some provinces include midwifery as part of their regulated health
care system. In the United States, Certified Nurse-Midwives are
trained in nursing and work mostly in hospital settings. Direct
entry midwives can also be certified, but are not required to have
a college degree. If you are considering using a midwife, ensure
that she has the appropriate education and training.
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