The Midwifery Model of Care with Sarah Stetina, CNM

Babes and Babies
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Automatic TRANSCRIPT

I would love to dive into. The training and education. So I know that there's different kinds of midwives but in order to practice in Illinois, you have to be CNN correct yes. Currently certified nurse Midwives at the only legal provider in Illinois but there's more than just two midwife types and that's kind of what makes midwifery kind of confusing or there's a lot of misconceptions about midwifery because there's so many different entries. So the first obviously as nurse Midwifery, that's what I am, and it made the most sense for me to choose nurse Midwifery because like I said I didn't learn about midwifery until was already in nursing school. So it made sense to go on and get my master's degree and specialize in midwifery, and so that row is a master's degree. It can also be a doctorate degree and it's similar to a nurse Practitioner which also masters program but you you have the same education to a certain point and then they branch off until your specialty. So you could be a needle natal nurse practitioner. You could be acute care nurse, practitioner, family nurse Practitioner. Nurse unnecess- or a nurse midwife. All of those things are kind of in the same level. Just our specialty that that varies. And so that was my education. was going to finish my masters degree doing clinicals and didactic and. Doing births and all being clinic and office visits and learning all the skills, and then you have to sit for a national. Certifying exam. And Pass that to become certified and then you have to apply for licensure in your state. So there are other routes there's also certified midwives which are Also. Take US certifying national exam. And may go through an accredited program, but they're not nurses I and it's not a masters of nursing degree at summit where free degree that isn't legal in every state. There's certain states that allow certified midwives and then the third is the certified professional midwife, which is also certified by a national exam and there are midwifery programs for CPM's or certified professional midwives. But they're not recognized every state. I, think it's up to like thirty two states now that recognized CPM's most of them work. In out of hospital setting wall nurse midwives typically work in hospital settings, but it can vary depending on the state. and certified professional midwives spent a lot of time in an apprenticeship without of hospital midway experienced midwives learning that in addition to their. Schooling. So very comparable it's just the model pathway that you want to enter midwifery. And then there's traditional midwives which maybe don't take a certifying exam don't. Have a license and have learned midwifery from being passed down through generations, and that's how midwife midwifery kind of started in the United States. And there's a lot of wisdom to be gained from traditional midwives but. The country doesn't usually recognize them as. Legal providers. Yeah do would you say that there is a lot of misconceptions around education as a midwife Oh yeah. I think a lot of people think you don't know what you're doing. Oh Yeah. I, think a lot of people don't realize they compare us with Dulas. People ask me all the time oh you deliver babies no. When I tell them I'm like, oh so like a Dula and I'm like well, no. And they're you know it's so interesting. Once, I learned everything about midway free. You just assume that everyone else is going to figure it out to which obviously is not the keys I was in nursing school didn't know what Wise Ray but that campaign in the nineteen hundreds that kind of. Discredited midwives which was led by the. Physicians and Medical Association to get people to him birth in a hospital. The kind of told the story that midwives were dangerous and an educated and not safe, and that is a really successful campaign because it is still prevalent in in the way that people think about midwives today and so I'd say whether you're CPM Siham, 'em or a CNN. Or choosing those providers most of them are very very educated and have a lot of knowledge and our experts at normal physiological birth. and. Midwives nurse midwives. In particular can we can prescribe we can order imaging, we can do lab work, we can manage normal guy any staff so whether that's a PAP smear. Cycles birth control throughout the life span. And I don't think people realize that we don't just do pregnancy and birth you can come see me for anything that you'd go see an ob for for the most part, and if it's out of my scope, I'm going to refer you appropriately in in there are levels of of scope of practice but. Yet for most. People you can see a midwife for pretty much everything related to reproductive health, right which leads us to another misconception. Because honestly I didn't really know that before. My introduction midwives was my sister when she was pregnant with her oldest who's twelve now. She didn't plan on using a midwife. She had some crazy thing happen. With her insurance, dropped her because her doctor mixed up her medical records and then they went take her and she got pregnant. No insurance started looking at alternative methods and found this midwife. And ended up doing an at home birth in that was my first. Experience seeing a birth and just fell in love with that and she ended up having all four of her kids at home. And I also dislike fell in love with her midwife she's she was doctrine Venezuela she studied birth the Amazon she came to the states started this practice and very wise. Gosh, she's so amazing and And so it's cool because then became a delay gotta work with her with some other berths to. But before that. Also, I. Yeah. You just you picture a midwife it's a home birth. It's You know. And that's all they do is birthing right and obviously now that I know it's like. I'm going to. Be Used mid wife's for the rest of my life. I'm like in menopause you know what I mean. I can still go to them not just when I'm having a baby you can have that relationship based care that really holistic approach in every aspect of your healthcare pretty much, and we're trained as a nurse midwives trained in primary care as well. So basic primary care, your annual exams, even just a asthma management simple things we are very capable and entering. To to manage as well and for for the the myth that midwives only do home birth that's really prevalent. I. Tell people a midwife and they immediately assume that I'm delivering babies at home which there's nothing wrong with that obviously uses your head a wonderful home breath but you can buy midwives in literally every setting whether it's home birth centers, hospitals clinics. Federally, Qualified Health Centers Academia doing research. You know we're we're everywhere that a physician might be

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