Midwives are often praised for their expertise in midwifery, but this new study shows that some midwives have a much worse time managing childbirths.
Researchers from the University of Tulsa’s College of Medicine examined the experiences of 539 midwives who were involved in deliveries in the U.S. between 2000 and 2013.
They found that midwives had a median of 2.9 epidurals, while a third had at least 2.2 epidural sutures, and a third of them had at most 1.7 epidural sutured.
They also reported more complications, including less-frequent birth, less-intense labor, and an increase in risk of death.
The study, published in the journal Obstetrics & Gynecology, also found that the women with the highest rates of complications were those who were midwives.
For the study, the researchers interviewed midwives in a large midwinder network who were in a state that approved medical use of midwives, such as Arkansas, Oklahoma, or Louisiana.
The researchers also surveyed 1,000 women who had delivered at the same midwife network in 2013.
The study was funded by the National Institutes of Health and The Midwives Association of America.
The researchers found that women who delivered at midwives were more likely to have a poor outcome, and that women with lower levels of education were more prone to complications.
For example, in the study that looked at the epidurally-sutured midwives (who had at the time 3.8 epidurales), women who were at least one year younger were more than three times more likely than their peers to have complications and more than five times more than those who had less than a year of experience with epiduraled birth.
They also found higher rates of adverse maternal and neonatal outcomes, including higher rates for maternal and infant death, and more complications and death among the women who underwent the procedure, compared to those who did not.
There was no difference in the risks of complications or death among midwives that had the same level of education as those that did not, the study found.
What this study shows is that midwinding is a skill, and women who have that experience have a lot more of a chance of a good outcome, according to Dr. Nancy Stokes, director of the Women’s Health and Medicine Program at the University Health Network.
What we need to do is start to take care of women in this profession, and we need more education,” she said.”
It’s also important to recognize that not all women will have the skills that are necessary to perform this job,” Stokes added.
Women’s health care organizations and the midwives’ association have called for greater training in childbirth care and better medical supervision.
The midwives association is encouraging more midwives to take a clinical degree and work as midwives themselves.”
We are just getting the message that this profession is important to women and that it’s important that women have access to this profession,” Stoke said.
The midwives and researchers also have called on women to be educated about the risks associated with epidural-surgical procedures.”
I want to say that we have to look at women in the future who are not yet mothers, and how we can help them become moms,” Stakes said.
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