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The culture war between doctors and midwives, explained


It’s one thing to lose our patients to doctors
but to those charlatans? It makes me sick. That’s an episode of the Mindy Project,
in which a fight brews between Mindy Lahiri – a doctor – and a midwifery practice. Midwives! Who the hell do you think you are? Let’s say I have a heart attack. How would you handle that? Would you, uh, rub eucalyptus leaves all around
my chest, huh? This is an exaggerated sitcom plot, but the
idea points to a long-standing culture war between doctors and midwives – that’s rooted
in race and class in America. Alright, ladies. Let’s go downstairs, let’s set up appointments with some real doctors. Midwifery is an incredibly common practice
in a lot of countries. In the UK, midwives deliver about half of
all babies, including Kate Middleton’s. In Sweden, Denmark and France, midwives oversee
around three quarters of births. But here in the US, they participate in
less than 10 percent of births. In these countries – the ones that tend to
rely on midwives more frequently – maternal mortality rates are a fraction of America’s. In fact, maternal mortality has risen in the
U.S. as it has declined elsewhere. So if midwives are popular and effective in
many other industrialized countries, why is the U.S. medical system still wary of them? The answer is complicated. For most of human history, babies were delivered
by midwives. Midwifery can be found in the Old Testament. They were respected for bringing their knowledge
and training to childbirth. In America, midwives were integral to both
indigenous and immigrant groups. And in the South, they known as “granny
midwives.” Midwives have always existed. It’s just that we have changed over time. That’s Patricia Loftman, a midwife of 37
years and a member of the board of directors for the American College of Nurse-Midwives. When you look at midwifery, say in the time
of enslavement, the midwife was actually the person who made certain that women were able
to produce healthy babies. Now, after slavery ended she was no longer valuable because she
was not making certain that there was a continued slave labor. I want you to
meet Mrs. Mary Coley. A midwife who lives in Albany, Georgia. Generally in the South, most of these women
were black women taking care of women, both black and poor white, because during the days
of segregation you could not access hospitals. In the mid-to-late 1800s, the professionalization
of medicine became a major trend, and male doctors began taking control of childbirth
away from female midwives. It was determined that in order to get women
into the hospital, you had to get rid of these midwives who were taking care of all of these
women in the home. All of these women who had been attending
births all of these years, they were blamed for maternal deaths, infant deaths. Two days ago a
baby, delivered by a midwife, died, when it ought to have lived. My examination showed that its cord got infected. And you all know what that means. Something wasn’t clean. Joseph DeLee of Chicago, the most influential
OB-GYN of his day, called midwives, “relics of barbarism” and “a drag upon the science and
the art of obstetrics.” In the South especially, much of the attack
on midwifery was rooted in race. One Alabama doctor dismissed black midwives
as having “fingers full of dirt and brains full of arrogance and superstition.” Some states outlawed home-birth midwives,
while most others created new regulations that made it harder to enter the profession. By the 1950s, a vast majority of women gave
birth in hospitals, attended by doctors. But something changed in the 70s: Middle-class
white women wanted more of a voice in their maternity care and that led to a rise in midwifery. Except this time, most midwives were white women. The US currently has around 15,000 certified
midwives. It’s a growing profession, but still overwhelmingly
white. Just about 5 percent of the nation’s midwives
are women of color. In addition to being from the community and
understanding not only linguistically and culturally what women need, midwives of color
protect women in a system that is hostile to them. With black mothers three to four times more
likely to die from causes related to pregnancy or childbirth, there’s evidence that empowering
midwives might change outcomes for moms and babies. Researchers found that some states have clearly
done more to integrate midwives than others. And while there are many factors that can influence maternal and infant health, many states with the least integration also had some of the highest rates on key indicators including premature births, neonatal mortality, and C-sections. In recent years, groups like the American
Congress of Obstetricians and Gynecologists have become much more welcoming to licensed
midwives. We’re all in this together. But that hasn’t resolved the culture war
between doctors and midwives just yet. There is a role for a midwifery and physician
collaborative relationship. We’re not enemies. We are colleagues who need each other. Thanks for watching! ProPublica has been reporting on the disparities
in maternal mortality in the US, and how it’s the most dangerous industrialized country
in which to give birth. There’s a lot more to the story of midwives
in America that we couldn’t fit, including the current barriers to entry that a lot of
midwives – especially midwives of color – face in certain states. For more on that and ProPublica’s latest reporting
on maternal health, click on the link below.

Jean Kelley

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100 COMMENTS

  1. Vox Posted on May 29, 2018 at 1:35 pm

    In the UK, midwives deliver half of all babies. Compare that to the US where midwives attend only around 10% of births, and maternal and infant mortality rates are much higher. Could a larger role for midwives improve health outcomes? Read more: http://bit.ly/2IYSvVw

    Reply
  2. Rob Posted on February 19, 2019 at 1:45 am

    How does everyone involved with this channel not realize that "people of colour" is just a fancy way of saying "coloured people"?

    Reply
  3. hope Posted on February 19, 2019 at 3:59 pm

    I've lived in the US my entire life and everyone is always shocked to find out I was delivered by a midwife and not at a hospital. I never realized that it was so common in other industrialized countries, I just thought my family was weird

    Reply
  4. Bo_Jelin Posted on February 19, 2019 at 4:00 pm

    Wait but… I thought midwives were only responsible for births. Why does Mindy talk about heart attacks then in the beginning, then?

    Reply
  5. louis 613 Posted on February 20, 2019 at 10:33 pm

    I'd rather have a midwife than a doctor any day. Doctors are a waste of money when related to childbirth.

    Reply
  6. Luke Mahoney Posted on February 21, 2019 at 3:30 am

    Was that Kelly from the office😱

    Reply
  7. Alexia Hitchings Posted on February 21, 2019 at 9:23 pm

    As someone who has given birth with an MD and midwife. I can say the midwife group did make my birth easier and i felt well taken care of. i was more prepared with a midwife and they looked after my mental and physical help after giving birth. I had 2 very easy births, but my care was night and day between the two different providers.

    Reply
  8. Deea Banu Posted on February 22, 2019 at 12:43 pm

    i dont get the heart attack thing.why would a midwife have to do anything with heart attacks?

    Reply
  9. Noah Henderson Posted on February 22, 2019 at 1:08 pm

    I'm actually going to take this video as a blatant attack on science, logic, reasoning, and true dialogue/debate. Awful video vox. Next time come with an actual report and argumemt.

    Reply
  10. Eleanora Dzen Posted on February 22, 2019 at 1:42 pm

    Midwifery is a qualification you can get in most countries- what is going in USA?
    Edit: no way would I want a male doctor- just too embarrassing

    Reply
  11. David Moore Posted on February 22, 2019 at 4:56 pm

    well sum reasons for us having a higher mortality rate and it going up in our nation is because we have a higher population, less ppl educated about sex and pregnancy, more ppl who dont believe in medicine and vaccines, etc

    Reply
  12. amina mustaf Posted on February 22, 2019 at 7:05 pm

    I always thought midwives were a normal thing and there still midwives in hospital working with the doctors at least in Denmark

    Reply
  13. maybeonemore Posted on February 22, 2019 at 9:51 pm

    Most Jamaican nurses are certified midwives. They collaborate with doctors…never been an issue.

    Reply
  14. Sophia Neilsson Posted on February 23, 2019 at 12:23 am

    It's so normal to have skilled and trained midwives in NZ I never considered that it wasn't in the USA. Yikes.

    Reply
  15. Katy Out n About Posted on February 23, 2019 at 5:54 pm

    I’m a little confused at the progression of your video… first you compared midwives to doctors. Then by the end you were comparing white midwives to black midwives. And there was a lot of history in the video, but the facts didn’t really run full-circle to tie everything together. It seems a lot of your audience is confused what your conclusion is, and that’s no good.

    Also, why not compare to Canada, a country which likely uses the same amount of midwives as America, but also has universal healthcare, and see what the difference is there? And, there being far less racial history in Canada, what effect that has had in comparison to the US? Considering the childbirth cultures between Canada and US are very similar, perhaps comparing those two would provide much more relevant and useful information. All said and done, it seems much of your audience is concluding the mortality rate is connected to the healthcare system, rather than institutionalized racism.

    Reply
  16. Persimmon Pepper Posted on February 24, 2019 at 12:02 pm

    So many problems in the US boil down to race. It's so sad.

    Reply
  17. Timothy Espinosa Posted on February 24, 2019 at 3:50 pm

    Fascinating!

    Reply
  18. Christina Bakir Posted on February 24, 2019 at 8:42 pm

    This is a terrible and biased video. You make it sound like the lack of midwives are the only reason why maternal fatality is higher in the US. It is much more complex. How about the different health Care coverage? Health insurance? Social programs that are much more available in many European countries? Never mind that the education and training for midwives is drastically different in North America than in Europe.

    Reply
  19. This Bitch Posted on February 25, 2019 at 4:56 pm

    Fun fact about midwives in the 1800’s: A lot of children died because the male doctors didn’t wash their hands but the midwives did, so a lot of midwives actually saved infants, but where being blamed by the doctors because apparently the midwives where dirty.

    Reply
  20. Omar Martinez Posted on February 25, 2019 at 9:35 pm

    Bottom line doctors know nothing

    Reply
  21. tatatinaa Posted on February 26, 2019 at 4:04 am

    I love learning about things like this thank you

    Reply
  22. Lunga Xulu Posted on February 26, 2019 at 5:15 am

    In South Africa, midwifery is one of the qualifications a person needs to become a senior registered nurse. Said another way, you can only become a midwife if you're a nurse first, which I think works well

    Reply
  23. Chris Resendes Posted on February 26, 2019 at 3:36 pm

    There are actually many midwives who are well trained nurses with bachelor's degrees. I dated a girl in college who was becoming one and told me all about it. The pay is crazy, suburban white woman are willing to pay out the nose for midwifery services.

    Reply
  24. Rose Kahn Posted on February 27, 2019 at 5:05 am

    I lived the first 30 years of my life in the US and thought midwives were an irrelevant relic of the past. I now live in the ME and see that it’s really just a US perspective. Midwives are extremely common on the other side of the world. There is a place for doctors ofcourse, but midwifery has been modernized and is very safe and even at times better then a doctor. But of course it should be the expectant mother’s choice.

    Reply
  25. Thyme and Tenderness -Like and Subscribe!!! Posted on February 27, 2019 at 11:12 pm

    I’m a birth worker. I work in the labor and delivery world. I have seen births both by doctors and midwives. And hands down…. Midwifery care is much more sensitive, thorough, and gentle than care provided by doctors.

    I attended a birth at John Hopkins and was horrified by the treatment of the family… especially the mother. The doctor was nowhere to be found when she needed him. The security guard told me it was common for her to see a baby born in the waiting room because of all the protocols and rules and regulations that slow down the admission of families in labor. Doctors tend to stick to what is text book. Which is amazing during a medical emergency, illness, or disease. But labor isn’t always textbook. No two pregnancies and labors are the same even within the same woman. And doctors tend to look only at what averages and statistics tell them.

    Take Due dates for example. Your due date is your ESTIMATED due date. It’s merely your 40 week marking point. But in reality your due date could be off by as many as TEN DAYS. Babies can be born any time between the 37th week of pregnancy and the 42nd week. Yet I’ve seen some doctors do inductions of women who are only 3 days past their due date. Their bodies end up not being ready for labor. They react poorly to the pitocin. And then ultimately end up in the OR for a cesarean because their labor didn’t progress at a pace the doctor seemed reasonable. But her body wasn’t ready for labor to begin with.

    It was just recently discovered that BABY triggers labor by sending out a hormone to the mother’s body pretty much saying “hey mom. My lungs are done forming. I’m ready to see you now.”

    Now with Midwifery care. Midwives tend to look at the bigger picture when it comes to pregnancy and labor. They know what the textbook says but they also recognize that the textbook wasn’t written about… say… Mrs. Smith who lives down the street. Midwives will not only make sure Mrs. Smith is physically healthy for pregnancy and labor but they will also make sure she is mentally healthy, that her home environment is secure, that she has the extra support she needs, and the resources she needs as well.

    Midwives will be in the room or very nearby form the moment you’re admitted into their care until up to 4 hours after baby is born. (This is all my experience).

    Bottom line from my first hand experience is this: midwives treat pregnancy and labor as an important and beautiful life event and doctors treat pregnancy and labor as a medical emergency.

    Reply
  26. PurePlush NBliss Posted on February 28, 2019 at 2:00 am

    I live in Canada. I had a midwife and a OBGYN. My midwife was wonderful, in addition to the babies health. She also made sure I was well physically and mentally well. I gained alot of insight on the delivery process from her. She consulted with my doctor and was there supporting me every step of the way. Wonderful experience.

    Reply
  27. Lance Nostrum Posted on March 2, 2019 at 1:42 pm

    1:35 holy s**t did that painting blink

    Reply
  28. Carly Lennon Posted on March 8, 2019 at 7:43 pm

    . Midwives in America do not undergo the same training as other countries standards vary state to state. It is more dangerous to go with a midwive in the USA because of this. You are showing one half of a very big picture.

    Reply
  29. Kimberlyn Mattison Posted on March 16, 2019 at 1:34 pm

    The thing is, in America, you have to be trained to be called a midwife. Mortality rates among mothers is higher when you end up with on of these midwives.

    It can be done safely, but you need to make sure that your midwife has credentials.

    Reply
  30. LadyPrincessDiana Posted on March 19, 2019 at 7:41 pm

    This video is informative because as a French, I didn't even know it was possible to give birth at a hospital without the help of a midwife. That's such common practice here, never thought it could be otherwise.

    Reply
  31. Natalie Xu Posted on March 19, 2019 at 10:40 pm

    … but the UK’s population is only a fifth of the US’s? The US has the 3rd largest population in the world, so more people obviously would lead to higher mortality rates. That much should be obvious.

    Reply
  32. Brandon Rafuse Posted on March 20, 2019 at 1:52 am

    That statistic you pulled up about maternal mortality is 6 years old. I would like to see a more recent study.

    Reply
  33. Kate Andrews Posted on March 20, 2019 at 4:33 pm

    After just giving birth in the UK, the compete process was midwife led, prenatal, home birth and postnatal care, I don't remember ever seeing a doctor! They are an incredible and undervalued resource in the UK and do an amazing job for mother and baby

    Reply
  34. Nesiah Coward Posted on March 20, 2019 at 8:36 pm

    Ig I'm a minority baby in the us, well when I was a baby

    Reply
  35. Valeria Del Rio-Rodriguez Posted on March 21, 2019 at 6:28 pm

    I'm getting a midwife than

    Reply
  36. Tumblr Trash Posted on March 22, 2019 at 3:16 pm

    Can't we just agree that lack of insurance AND midwives are responsible for the infant/mother mortality rates. I mean I honestly wouldn't trust a male alone to deliver my child (if the doctor was male)

    Reply
  37. are you sure? Posted on March 25, 2019 at 12:24 am

    My friend really wants to be a nurse midwife when she grows up. I think it’s pretty cool

    Reply
  38. are you sure? Posted on March 25, 2019 at 12:29 am

    Does anyone know what a male midwife would be called?

    Reply
  39. Ariel McMillan Posted on March 26, 2019 at 6:37 am

    I love the last line "we are collegues who need each other"… Not everything in this country needs to be a war but a recognition of partnership of combined practice and knowledge.

    Reply
  40. majda breliof Posted on March 30, 2019 at 8:06 am

    In Algeria , being a midwife is really really difficult , 5 years of studies , she would stay in hospital for several days it's a real hard job that most girls nowadays refuses to chose it , we have a huge lack of them which makes the actual midwives job more difficult. I'm a pharmacy student and I can see their struggle everyday

    Reply
  41. gocanadayayyy Posted on March 31, 2019 at 4:03 am

    … nothing about how for centuries, birth was something WOMEN dealt with amongst themselves? No analysis of how GENDER was a major factor in why midwives were viewed as simple and stupid while women were barred from practicing medicine, leaving men to think that (despite not helping with birth for the entirety of human history up to that point) they now had better knowledge than these "stupid simple women" and why on earth would they listen to midwives? I appreciated the racial analysis, as that was an important element of it I definitely didn't know about, but the gender factor, which seems like a HUGE factor in the history of midwifery vs doctors, is just completely ignored, which imo makes for an analysis with gaping holes.
    You also didn't mention Canada, where the stats on midwifery usage are more similar to the US (maybe it's a little more common) yet the maternal mortality rate is much better (HALF that of the us. HALF!). I see no reason to exclude Canada in this analysis; it's very similar to the US in a multitude of other ways.
    In my experience, midwives in the european countries you mentioned also have higher standards for their education for midwives… where I live, midwives receive 2 years of training straight out of high school, where a 52 in high school biology and other courses is good enough for them to get in. So I want to view midwifery as a positive, but when it comes to someone with 8 years of training vs someone who barely passed high school biology and got a 2 year diploma, I think I know who I'm going to choose for something as risky as birth. (it has been pointed out to me that midwives may fill gaps where I am, ie. women can see a midwife more easily than a doctor, they can help more after the baby is born, they may be able to provide other support women need that doctors can't give… i just don't believe that support, in my location, extends to the birth process itself).

    Reply
  42. Thomas Stewart Posted on April 2, 2019 at 6:01 am

    Very poor, lazy statistical conclusions. You show the US birth mortality rate, then say it has to do with the lack of midwives, then later show a graphic in the disparities between the mortality rates of black and white women that very clearly shows white women's birth mortality is very close to the other industrialized nations. Clearly a very large factor in our birth mortality rate is higher proportion of people of color combined with higher inequality. I'd venture to guess that a middle-class white woman in the US has a better birth mortality rate than a middle-class white woman anywhere else in the world, including midwife countries.

    Reply
  43. zatty Posted on April 8, 2019 at 8:49 pm

    You could say its a, MIDWIFE-CRISIS.

    I should go now.

    Reply
  44. Scr3amerrr Posted on April 15, 2019 at 1:40 pm

    I'm from the UK where doctors and midwives work hand-in-hand. It seems bizarre to me that America is almost against midwifery and sees it like some type of airy fairy nonsense

    Reply
  45. Einar Posted on April 17, 2019 at 9:54 pm

    What is wrong with having 5% of midwives black? isn't that the approximate proportion of black women in US population? Stop making things seem more racially motivated than they are… but then again it's vox.

    Reply
  46. Just4Kixs Posted on April 18, 2019 at 3:51 am

    I'm an American, Australian, and New Zealand registered nurse (RN).
    In the US, licensed and certified midwives need to have training as a registered nurse before going to get a graduate degree education on midwifery. They're called certified nurse midwives (CNM). They have to go through nursing school for a bachelor level education, and then to a graduate program that trains in midwifery, so yes, they are a midwife and an RN altogether in the end.
    My understanding is that other countries have it where you don't need to go to nursing school to be a midwife. This can partly be an issue in the US where midwifery education requires a nursing education even if they have RNs who specializes in maternity/labor and delivery or even doulas besides not having universal health care.

    Reply
  47. sportluver98 Posted on April 18, 2019 at 2:31 pm

    I’m a 20 yr old in the US and i had my daughter all natural with a midwife at a hospital. I would never pick an OB over my midwife. America has such a high rate of infant death it’s sad. Doctors don’t care, they push vaccines and medicine, they push induction, they push elective c sections in cases that midwifes and doctors alike could deliver babies as is etc breached doctors would opt to use surgery or forceps because it’s easy for them. We also have horrible maturity leave and no paternity leave

    Reply
  48. Ale Chacon Posted on April 26, 2019 at 11:37 am

    I’m so tired of here that America has problems, trust me I know health care sucks I have lived their. I need news of Canada since I’m living here, the old news are going have to do.

    Reply
  49. Рамен Крувец Posted on May 1, 2019 at 12:08 pm

    Where is statistics of mother’s death?

    Reply
  50. Jacob Bowl Posted on May 7, 2019 at 1:50 am

    This went from science and medicine to the color of skin having something to do with birth come on vox

    Reply
  51. K. S. Posted on May 9, 2019 at 4:34 am

    As a Brit its CRAZY to me that midwifes are not a main part of the pregnancy and birth process. I would never trust a random doctor over a specialist midwife, and in British hospitals the maternity ward really is the realm of midwives, with doctors only being bought in for extreme cases or for surgery. America is bonkers

    Reply
  52. Gavin Riley Posted on May 13, 2019 at 6:05 am

    “Rooted in race and class”

    Bullshit. That may have been the case in the past but today it is “medical degree vs tradition”. Tradition is bullshit. I want my science.

    Reply
  53. Bena B Posted on May 19, 2019 at 10:43 am

    American Heath Care Systems Are So Diluted..

    Reply
  54. firudu Posted on June 1, 2019 at 10:05 pm

    In Germany our midwives are actually taught homeopathy, as if Germany wasn't bad enough in that regard

    Reply
  55. Kahuna _ Posted on June 7, 2019 at 1:09 am

    Little confused why there is such a heavy emphasis on the race of midwives

    Reply
  56. AJW Posted on June 12, 2019 at 9:42 am

    Ummm, Singapore too has a lack of midwives but I don't recall having high infant mortality rates….the interpretation is quite off from the data presented

    Reply
  57. william sinclair Posted on June 16, 2019 at 3:09 am

    why was America the only country used when comparing doctor delivery to midwife delivery. Isn't this just blatant cherrypicking? why werent other examples such as australia or new zealand used?

    Reply
  58. Angel Kingsley Posted on June 23, 2019 at 2:05 am

    Midwives would be a cheaper alternative for poorer people and would put less strain on doctors but what we really need is better sex Ed and healthcare

    Reply
  59. Ghost ID Posted on June 25, 2019 at 6:21 pm

    this video is racist . wtf is colored woman ?
    they just woman

    Reply
  60. LEFT4BASS Posted on June 26, 2019 at 12:28 am

    I thought it was going to give evidence that midwives reduce infant mortality beyond just a correlation between infant mortality and midwives.

    It didn’t give us any specific reason that midwives would be better than doctors in making birth safer.

    I’m open to the idea, but this didn’t win me over.

    Reply
  61. Rachel Sly Posted on June 27, 2019 at 2:54 pm

    Wow. They missed a lot of key information that made this video really misleading. Like that midwives are also mostly unregulated and there's a HUGE difference between a nurse midwife and a midwife. Also, the riyals may have had a midwife present at their delivery, but don't think for a SECOND that they didn't also have a team of doctors there. Additionally midwives should never be the sole care provider for a pregnant women, and a plan should always be in place to seek medical help if needed during the delivery.

    Reply
  62. Apple Tree Posted on June 28, 2019 at 1:00 pm

    Midwifery need to encouraged and boosted back into the birthing room. My dad’s life was saved because of a midwife. He nor the midwife were black and did not live in the south. Why on earth did this turn into a skin color thing? Why no information about maternal drug abuse and obesity? Midwives can make a difference but what a strange angle to go, Vox.

    Reply
  63. Don't Lewd Ibaraki Posted on June 29, 2019 at 1:31 am

    HOLD IT. Midwives nowadays are pretty much specialized nurses, and even then they assist a doctor (and that's exactly what Ms. Loftman said at the end: they're not enemies, they are colleagues). Midwives back then were not medical professionals and they had to doctor to supervise them. So just because the name stayed the same, you shouldn't pretend that they are the same thing.

    Reply
  64. Will Poundstone Posted on July 4, 2019 at 1:23 pm

    This video is terrible. It implies that our high maternal mortality rate is due to a lack of midwifes but doesn't even bother to give a causal reason for that.

    Reply
  65. jetblackhair92 Posted on July 7, 2019 at 10:46 am

    Most people who give birth in New Zealand use midwives😊

    Reply
  66. scifirocks Posted on July 7, 2019 at 4:55 pm

    This is so weird, in the UK midwives are regulated and trained in the same manner as nurses. Also, a doctor has 5 years of training which has to cover all aspects of health, but a midwife trains for 3 years in a specialised subject, they are experts in their fields.

    Reply
  67. waligo bashir Posted on July 8, 2019 at 3:14 pm

    Rigging the system for whites

    Reply
  68. varunthedoc Posted on July 15, 2019 at 7:10 am

    US is best at monetizing things….anything….

    Reply
  69. Misshi_rhyze 83 Posted on July 19, 2019 at 1:47 am

    I had a midwife 2007, 2008 hospital doctor 2010. Midwifery is vital to the health care in this country.

    Reply
  70. Roberto Guillen Posted on July 27, 2019 at 6:30 pm

    5:05 The American COLLEGE….not Congress of Obstetricians ….

    Reply
  71. That Male Nurse Posted on July 29, 2019 at 6:09 pm

    Midwives can only care for stable births and any time a complication occurs a doctor takes over. Simply put doctors are better and safer

    Reply
  72. Maria Vazquez Posted on August 1, 2019 at 7:43 pm

    Un Europe midwifes are special nurses, not doulas.

    Reply
  73. This Girl Can't Do Makeup Posted on August 6, 2019 at 1:29 pm

    Mid wife is the way to go! Women who deliver have less complications and tear way less!

    Reply
  74. Qwertyuiop Lkjhgfdsazxcvbnm Posted on August 8, 2019 at 11:45 pm

    anyone else watching this after reading Educated

    Reply
  75. cheryl parker Posted on August 14, 2019 at 6:42 pm

    We simply cant have nothing

    Reply
  76. John Bosco Posted on August 15, 2019 at 3:22 pm

    The mortally rate is recorded differently in the US then the rest of the world. If they use the same criteria our mortally rate for babies is lower.

    Reply
  77. dead beat Posted on August 20, 2019 at 5:21 pm

    A lot of American doctors operate in line with their racist & sexist biases – subconscious or not

    Reply
  78. Third eye Posted on August 22, 2019 at 9:03 am

    In the UK, Nursing and Midwifery are separate professions, although have the same professional regulator, it doesn't exclude you from being dual registered. Both usually require 3 year uni degrees and have a heavy focus on hundreds of hours of unpaid practice before you register. They have to register with the NMC so you're accountable to the public. Midwifery is much more autonomous across Europe compared to the US. Obs/junior doctors are available in the hospital setting, but midwifery is usually community-based for patients. Health Visitors (usually nurses that have done a Masters in public health nursing) also play a huge role in conjunction with midwives to ensure continuity of care postpartum.

    Reply
  79. Molly From Michigan Posted on September 9, 2019 at 12:52 pm

    I’m American and I used midwives through Planned Parenthood. Although, I think there are many reasons why maternal mortality is higher in America—obesity, drugs, lack of healthcare…

    Reply
  80. lorraine uy Posted on September 9, 2019 at 2:47 pm

    As a student nurse I can fully appreciate the collaboration it takes amongst all medical professionals

    Reply
  81. Nur ein Mädchen Posted on September 16, 2019 at 6:48 pm

    Midwifes👍

    Reply
  82. Ishika Patel Posted on September 18, 2019 at 11:32 pm

    I’m shocked since in the uk from the time a woman is pregnant to until she gives birth she’s in a midwife’s care, I could not thank those midwifes enough for taking such good care of my mum when she had my baby sister and me

    Reply
  83. KaedinKane Posted on September 19, 2019 at 3:01 am

    Well this was intellectually dishonest, this was basically why midwives are good according to midwives.

    Reply
  84. DannyDaDuffyDucking Daffer Posted on September 22, 2019 at 5:40 am

    Would be nice to have a clear definition or something
    I guess just nurses

    Reply
  85. shinada2 Posted on September 24, 2019 at 12:12 pm

    It's not like the midwives in Europe are taking over from doctors. They work together. I will be having one or two midwives plus a doctor when I give birth. They act as more personalized care and an advocate for the mother.

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  86. fernando torrera Posted on November 1, 2019 at 4:36 am

    Learning about bacteria and infection was revolutionary I understand why they didn’t like the midwife. Old school midwives had a lot of valuable knowledge but also hard clung on to superstitions that either didn’t help or could be detrimental. I really feel they over emphasize the racism as to why midwifery fell out of favor. The attitudes towards midwives have always been mixed. Midwives didn’t just deliver babies, they did fertility charms, abortion, mended maiden heads, and some basic gynecology. When it came to hunting and killing witches midwives were the most vulnerable to be attacked. They were kind of seen as a necessary evil. I would say the sexist attitudes towards midwives has a much longer history than racism.

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  87. Hi4lili Posted on November 12, 2019 at 3:15 am

    that cow is giving some major side eye @1:32

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  88. Lea Schwartz Posted on November 21, 2019 at 2:23 pm

    wait, midwives are not a common thing in the US? i live in germany and for us it’s such a common thing to let a midwives attend a birth. there are actually not enough midwives here because for german women it’s important to let a midwive attend their birth

    Reply
  89. SughrueVS Posted on November 28, 2019 at 10:17 am

    This video fails to note that in the same period when OB/Gyn took over the delivery process……life expectancy doubled and a large portion of this was the plummeting of maternal mortality….so while midwife delivery is an option for uncomplicated births…..this video makes it seem like ob/gyn's are inferior and there is no reason to believe this is true

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  90. Lorianne Reyes Posted on December 28, 2019 at 2:42 pm

    Response to Comments saying that midwives have nothing to do with the mortality rate, etc. This video didn’t put it the right way, but if you understand the role and mindset of an obstetrician vs the one of a midwife, you will get why this affects the statistics. I have been an MD, and now becoming a midwife. Obstetricians are trained to treat complications and do cesarean sections, so this leads to a disproportionate use of interventions and surgery that are many times unnecessary. Also, obstetricians are extremely busy and have very hectic schedules; they need to deal with a huge amount of paperwork due to their physician title; this translates into overload, higher rate of medical errors, less information obtained from the patient, and even more interventions to accelerate the process of birth. More midwives with backup obstetricians will greatly help reduce these problems. Btw, here I am talking about Certified Midwives/Certified Nurse-midwives (not Certified Professional Midwives/CPMs, although they also have their role, especially in rural areas).

    Reply
  91. Ayoola Akorede Posted on January 2, 2020 at 5:50 pm

    Midwives are truly good people thank you for helping babies god bless

    Reply
  92. cardena Posted on January 24, 2020 at 5:20 am

    My grandma was part of the movement in the 70’s. She later became a doctor helping immigrants, but before that she started a midwifery college. She made so many contributions to the midwifery health industry, and almost everyone in our family has been a home birth. So cool to see a video on this 😊

    Reply
  93. incognito Posted on February 22, 2020 at 4:09 pm

    How on earth rate of C section categorized as a problem? C sections are safe and effective if done by trained medical professionals.

    Reply
  94. Tee S Posted on March 13, 2020 at 2:09 am

    The reason for the high infant mortality rates in America is the amount of vaccines being given to children from the first day they are born!!!!!!!!!!!!!!!!!!

    Reply
  95. Rook Posted on March 13, 2020 at 11:59 pm

    Doctors to teach, midwives to execute?

    Reply
  96. Prithvi Raj B Posted on March 25, 2020 at 9:03 am

    0:15 Is that Adam from Viva La Dirt League?

    Reply
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