Save the midwife

It's time for a rallying cry "Save the midwife!". I've talked about this already on the podcast, but this week, I'm giving it focus. Save the midwife is a campaign that needs support and not just here in the UK, and not just by midwives.

This is a family issue that affects birthing women directly.



When we hear talk of the oldest profession in the world, many mistakenly think of prostitution - thanks in part to Rudyard Kipling - but that would be wrong. What did society need first? Food? Shelter? Safety? Help birthing our young? Or an outlet for sexually frustrated men? Hmmm....

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Midwifery is one of those professions that is as old as we are and appears alongside other professions who perform human rituals. And yet, today in the UK, the profession is being chip chipped away. This makes me mad. VERY mad. Since the begining of time, midwives have been supporting women during their rite of passage from maiden to mother. This transition isn't always an easy one for women, and yet the presence of midwives can be the difference that makes the difference. A difficult, challenging experience can become an empowering, powerful emergence for a woman when she is supported by her midwife.
Midwifery under threat
Believe it or not the very esssence of midwifery is under threat here in the UK. Unfortunately, many countries around the world look to the UK on midwifery matters, so what happens here counts. I dedicated the first podcast in the current series to independent midwives because I wanted to show support for their plight which kicked off just before Christmas last year. In a nutsell: the Nursing and Midwifery Council (NMC) announced that the insurance level that independent midwives have in place is not sufficient. Although unhelpfully, they have never stated the level of insurance that IS adequate. This resulted in all independent midwives here in the UK being banned from attending births. This meant that women who had hired an independent midwife for their birth now had no-one to support them. So not only did independent midwives suddenlty find themselves without work, but women found themselves without important support. What makes this so shocking is that independent midwives are typically hired by women who feel they need the extra support.
Why hire an independent midwife?
Many people mistakenly believe that independent midwives are a superfluous requirement for women. But that is simply not the case. Here are some reasons that a woman would want to hire an independent midwife.
You want guaranteed continuity of care
This means you want the same midwife (team) to support you throughout your pregnancy, AND be present at your birth and support you during the post-partum period. Here in the UK, it is not guaranteed that the midwife who supports you during your birth will be the same one that you have met with during your pregnancy. The midwife who attends your birth will depend on the available midwives who are on shift. Also, depending on when the shift changes take place, your midwives might change during your labour.
You had a difficult or traumatic previous birth
Understandably, you're worried about your upcoming birth and need the extra support an independent midwife can offer you. Independent midwives can spend much longer with you during your pregnancy to help you prepare as much as possible.
You want to give yourself the best chance of a positive birth
Continuity of care is shown to improve birth outcomes; reduction in stilborn rates, reduction in miscarriages, reduction in pain levels experienced by women, shorter labours
You want to know the person who will support you at your birth
Birth is a big deal and so it makes sense that you want to know who will be there to support you. But knowing them isn't always enough. Trust is important too.