Midwifery model of delivery is considered safe, cost-effective and high quality in other countries apart from the USA where the medical model of delivery is more prevalent. Despite this, Amnesty International (2010) ranks the USA below 40 other developed countries in maternal health care.
The maternal health care crisis in the USA is a result of many different factors. The most significant is the conflict of interest between obstetricians and midwives. This has contributed to the popular notion that hospitals are the only safe places for childbirths in the USA (Wagner, 2008). Conversely, extensive evidence reveals that women receiving midwifery care experience excellent infant and maternal outcomes, satisfaction and cost-effective care (Blanchette, 1995; Greulich et al., 1994; Jackson et al., 2003; MacDroman & Singh, 1998).
Despite the fact that midwifery is imperative in streamlining the ailing maternal health system in the USA, it also faces some very serious challenges that require immediate intervention for it to be effective. These challenges according to Walker, Lannen and Rossie (2014) are: Physicians opposition, inadequate teaching and training methods, state and federal regulations, the publics’ lack of confidence in midwifery services, prevailing economic and political environment, not being recognized by third-party payers such as Medicaid, and conflicts among midwifery organizations.
The shift towards effective midwifery practices should begin with the revision of the midwifery education programs. Some of the changes that the midwifery institutions can apply are to change the methods of teaching and training future generations of midwives. Teaching has to be made fun, interactive, exciting, engaging and educative. This can be achieved by radically changing the way students are taught and exploring other avenues such as: films, videos, crossword puzzles, creative arts, flipping, online discussions and many more. More importantly ...
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