{"id":111791,"date":"2020-09-14T08:28:39","date_gmt":"2020-09-14T12:28:39","guid":{"rendered":"https:\/\/wp.oviahealth.com\/guide\/111791\/how-working-with-a-midwife-can-help-reduce-health-disparities\/"},"modified":"2025-02-03T11:23:05","modified_gmt":"2025-02-03T16:23:05","slug":"how-working-with-a-midwife-can-help-reduce-health-disparities","status":"publish","type":"article","link":"https:\/\/www.oviahealth.com\/guide\/111791\/how-working-with-a-midwife-can-help-reduce-health-disparities\/","title":{"rendered":"How working with a midwife can help reduce health disparities"},"content":{"rendered":"\n<p><span style=\"font-weight: 400;\">Health inequity is a major public health and social justice issue in the United States. Black women and families experience disproportionately worse maternal and infant health outcomes for a number of reasons, including limited access to care, dismissal of pain and other health concerns, and higher rates of underlying health conditions \u2014 and racism and unconscious bias play huge roles in all of these areas.&nbsp;<\/span><\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Improved outcomes with midwifery<\/strong><\/h4>\n\n\n\n<p><span style=\"font-weight: 400;\">Increasingly, it\u2019s become clear that midwives can play a big role in achieving better health outcomes for the moms and families that they support. Recent studies show that access to midwifery can lower rates of complications in pregnancy, for both birthing parents and babies. Midwifery care, when offered on a large scale, seems to have the potential to help with gaps in care and reduce health disparities.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">What does this mean for you? You may want to seek out personalized care&nbsp;<\/span><span style=\"font-weight: 400;\">when deciding what sort of providers you\u2019ll work with during and after pregnancy, and this might include considering working with a midwife. In addition to lowering rates of complications, folks who work with midwives are happier and more satisfied with their care. They also report higher rates of breastfeeding.&nbsp;<\/span><\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Midwifery as social justice work<\/strong><\/h4>\n\n\n\n<p><span style=\"font-weight: 400;\">Improved outcomes like this can be traced back to the midwifery philosophy and framework that views reproductive work as social justice work and equity as essential to health. This can be seen even in the history of Black midwifery in the U.S. The term midwife, which means \u201cwith woman,\u201d seems particularly appropriate \u2014 Black midwives in the South used to deliver healthy babies when white doctors would not attend to the birthing needs of Black families. These midwives were known as granny midwives, a powerful tradition of work where they learned the craft of midwifery by observation and through apprenticeship with midwives in their community. These incredible women recognized that everyone should have access to dignified, thoughtful care and put their beliefs into practice as they cared for their community.<\/span><\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>You deserve a provider who understands you<\/strong><\/h4>\n\n\n\n<p><span style=\"font-weight: 400;\">Care that\u2019s personalized and thoughtful in this way is still just as important as ever, so consider care provider options that feel like a good fit for you. This means seeking out care providers who understand your unique needs and wishes, help you feel in control of your body and your care, and really understand where you\u2019re coming from. For example, if you\u2019re Black, you may want to work with a Black care provider, if that\u2019s possible. Black midwifery groups, Black doula groups, and other such organizations or community health groups exist to provide just this sort of care. You deserve to work with a care provider who helps you feel seen and heard. A midwife might be a part of that care picture.<\/span><\/p>\n\n\n\n<p><em><strong>Reviewed by the Ovia Health Clinical Team<\/strong><\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5 class=\"wp-block-heading\"><span style=\"font-weight: 400;\">Read more<\/span><\/h5>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/wp-59.oviahealth.com\/guide\/111798\/why-personalized-care-is-so-important-for-birthing-parents\"><span style=\"font-weight: 400;\">Why personalized care is so important for birthing parents<\/span><\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/wp-59.oviahealth.com\/guide\/111799\/how-culturally-relevant-care-can-help-you-thrive-during-pregnancy-and-beyond\"><span style=\"font-weight: 400;\">How culturally relevant care can help you thrive during pregnancy, and beyond<\/span><\/a><\/li>\n<\/ul>\n\n\n\n<h5 class=\"wp-block-heading\"><span style=\"font-weight: 400;\">Sources<\/span><\/h5>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kennedy Austin. \u201cEnd Racial Disparities in Maternal Health, Call a Midwife.\u201d<em> Columbia University Mailman School of Public Health<\/em>. Columbia University, February 2 2020. Retrieved August 31 2020. https:\/\/www.publichealth.columbia.edu\/public-health-now\/news\/end-racial-disparities-maternal-health-call-midwife.<\/li>\n\n\n\n<li>Petraten Hoope-Bender et al. \u201cImprovement of maternal and newborn health through midwifery.\u201d <em>The Lancet. <\/em>384(9949): 1226-1235. September 27-October 3 2014. Retrieved August 31 2020. https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0140673614609302.<\/li>\n\n\n\n<li>Jill Litman. \u201cCall the Midwives: Addressing America\u2019s Black Maternal and Infant Mortality Crisis.\u201d <em>The Public Health Advocate.<\/em> Berkeley Public Health, May 8 2019. Retrieved August 31 2020. https:\/\/pha.berkeley.edu\/2019\/05\/08\/call-the-midwives-addressing-americas-black-maternal-and-infant-mortality-crisis\/.<\/li>\n\n\n\n<li>Nina Martin. \u201cA Larger Role for Midwives Could Improve Deficient U.S. Care for Mothers and Babies.\u201d <em>Pro Publica. <\/em>Pro Publica Inc., February 22 2018. Retrieved August 31 2020. https:\/\/www.propublica.org\/article\/midwives-study-maternal-neonatal-care.<\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Cara Terreri. \u201cBlack History Month: The Importance of Black Midwives, Then, Now and Tomorrow.\u201d <\/span><em><span style=\"font-weight: 400;\">Lamaze International.<\/span><\/em><span style=\"font-weight: 400;\"> Lamaze International, February 22 2019. Retrieved August 31 2020. https:\/\/www.lamaze.org\/Connecting-the-Dots\/black-history-month-the-importance-of-black-midwives-then-now-and-tomorrow-1.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Koren Thomas. \u201cThe Black Midwives Movement.\u201d MedPage Today. MedPage Today, LLC, February 23 2020. Retrieved August 31 2020. <\/span><span style=\"font-weight: 400;\">https:\/\/www.medpagetoday.com\/nursing\/nursing\/85014<\/span><span style=\"font-weight: 400;\">.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Saraswathi Vedam et al. \u201cMapping integration of midwives across the United States: Impact on access, equity, and outcomes.\u201d <\/span><em><span style=\"font-weight: 400;\">PLOS ONE. <\/span><\/em><span style=\"font-weight: 400;\">PLOS, February 21 2018. Retrieved August 31 2020. <\/span><span style=\"font-weight: 400;\">https:\/\/journals.plos.org\/plosone\/article?id=10.1371\/journal.pone.0192523<\/span><span style=\"font-weight: 400;\">.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">\u201cPregnancy Mortality Surveillance System.\u201d <em>Centers for Disease Control and Prevention.<\/em> U.S. Department of Health and Human Services, February 4 2020. Retrieved August 31 2020. https:\/\/www.cdc.gov\/reproductivehealth\/maternal-mortality\/pregnancy-mortality-surveillance-system.htm.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">\u201cSocial Justice, Birth Justice, and Midwifery.\u201d <em><span style=\"font-weight: 400;\">The Midwives Alliance of North America.<\/span><\/em><span style=\"font-weight: 400;\"> The Midwives Alliance of North America . Retrieved August 31 2020. <\/span><span style=\"font-weight: 400;\">https:\/\/mana.org\/healthcare-policy\/social-justice-birth-justice-midwifery<\/span><span style=\"font-weight: 400;\">. <\/span><\/span><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Increasingly, it\u2019s become clear that midwives can play a big role in achieving better health outcomes for the moms and families that they support. Here&#8217;s why you may want to work with one yourself.<\/p>\n","protected":false},"author":1,"featured_media":233887,"template":"","format":"standard","meta":{"ovia_author_name":"","ovia_author_prefix":"","ovia_author_image":"","ovia_content_type_id":"175","ovia_product_mode":"3","ovia_days_from_signup":"","ovia_days_from_lmp":"71","ovia_days_from_baby_birth":"","ovia_days_from_enroll":"","ovia_health_module_days_from":"","ovia_article_for_email_days_from":"71","ovia_health_module":"","ovia_legacy_id2":"","ovia_ttc":"","ovia_article_subtype":"","ovia_health_symptom":"","ovia_partner_id":"","ovia_partner_custom_group":"","ovia_legacy_category":"7","ovia_legacy_category2":"","ovia_content_url_id":"111791","ovia_include_share_buttons":"","ovia_fertility_goal":"","ovia_secondary_module":"","ovia_trimester":"","ovia_child_age":"","ovia_share_image":"","ovia_more_menu_image":"","ovia_button1_url":"","ovia_days_from_postpartum":"","footnotes":"","_links_to":"","_links_to_target":""},"fert-category":[],"preg-category":[68,69,57,56],"parent-category":[],"fert-tag":[],"preg-tag":[299,263],"parent-tag":[],"class_list":["post-111791","article","type-article","status-publish","format-standard","has-post-thumbnail","hentry","preg-category-giving-birth","preg-category-labor-and-delivery","preg-category-prenatal-testing-screening","preg-category-staying-healthy-while-pregnant","preg-tag-doula","preg-tag-midwifery"],"yoast_head":"<!-- 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