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How Small Investments in Midwifery Can H ave B ig I mpact

How Small Investments in Midwifery Can H ave B ig I mpact. p ublic education. research. public policy. b irth equity. Foundation for the Advancement of Midwifery Robin Hutson Executive Director Grantmakers in Health, March 6, 2014. Limited resources = focused strategy. Birth Equity.

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How Small Investments in Midwifery Can H ave B ig I mpact

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  1. How Small Investments in Midwifery Can Have Big Impact

  2. public education research public policy birth equity Foundation for the Advancement of MidwiferyRobin HutsonExecutive Director Grantmakersin Health, March 6, 2014

  3. Limited resources = focused strategy

  4. Birth Equity Promoting birth equity among families of color who are atthe greatest risk in our maternity care system.

  5. “When mothers are empowered, a community is transformed.” Communities need their own perinatal paraprofessionals.

  6. Community BirthworkersTraining Program in the DC area • The CBW provides outreach, education, referrals, advocacy, labor and birth support, and home visiting services to expectant women. • 80% of trainees have expressed a desire to become a Certified Midwife, and 30% of the participants have been Registered Nurses. • Expanding to Philadelphia, Dallas, and Baton Rouge.

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  8. The great thing about the midwifery model of care is that it is universally beneficial for healthy women. Three midwives provided Kate and Prince George continuous care throughout her labor and birth while the Queen’s OB and his partner remained behind a mirror-tinted window observing from next door.

  9. Despite the fact the midwives are the de facto provider for healthy women in most countries, most American women do not have access to midwifery care or even know what it is. Less than 10% of US births are attended by midwives.

  10. Research

  11. We lack maternity care data collection in the US.We do not track indicators that could help improve maternal and infant outcomes.

  12. Smaller foundations can play a big role with seed funding. Our niche is seed funding for data collectionto ensure quality control of midwife-attended births.

  13. Midwives lead in data collection

  14. The MANA Statistics Project • Launched a national registry of midwife-attended births in 2004. • It’s the largest data set of out-of-hospital birth and contains 60,000 records of care that follow a woman from her prenatal to her postpartum visits. • Demonstrates a benchmark for normal, physiologic birth without medical management

  15. What is normal, physiologic birth? Do different models of care affect outcomes?

  16. These data collection projects lead to peer-reviewed research

  17. Birth Center Births 41% Home Births Rates of out of hospital birth continue to rise from 2004 to 2010.The rate women are choosing to leave the hospital serve as one more indicator of a broken system where mothers want to avoid unnecessary intervention. 43%

  18. Robin HutsonExecutive Director Thank you.

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