01/31/2025
Warning ‼️ This may upset many.
As a community-based midwife, I am getting weary of hearing these statistics. I’m weary of the phrase, “midwives are the answer!”.
I began to feel overwhelmed with the burden of responsibility for over-turning the perinatal care crisis in America as more and more stress has been placed on midwives to do more, train more, open access to more.
And while I’ve always felt this work as a service and a calling to do good, it’s time to get real here. The problem isn’t that midwives should do more. The problem is that the medical model screwed up. Midwives don’t reduce risks. The medical model increases risks.
The medical model stepped into the birth sphere and started burning and persecuting and prosecuting midwives, placing their technocratic model at the center of maternity salvation. And what we’ve seen over the past century is that the technocratic/medical model has messed it all up. We have scary high maternal and infant mortality and morbidity rates. Higher than any other first world country (psst, the others place midwives at the center of maternity care).
And instead of looking at the root cause of these statistics, we are passing the buck to midwives. They now must clean up the mess. Midwives who continue to be persecuted, under-paid, over-looked, demonized and ridiculed. If we had outcomes like the current medical model has, we would not have licenses to practice!
We are now tasked with bringing the maternal and infant mortality rates down. And while it may feel validating to know that our care has and will continue to create better outcomes, I want to hold accountable those who created this problem in the first place. Start doing better. Stop medicalizing birth. Stop making a mountain out of a molehill. Stop demonizing midwives. Start respecting women.