“[Nicolle] Gonzales is among only 14 other Native American CNMs in the United States. She and Brittany Simplicio, another midwife who is Navajo/Zuni, began raising money for a nonprofit that will run the center, Changing Woman Initiative (CWI), last year.“There is this huge disconnect between the cultural teachings and our bodies as women. [I want] to advocate for taking back our teachings about our bodies that our ancestors knew before the boarding schools or Indian Health Services came,” says Gonzales. “I’ve worked at Indian Health Services. I was not happy with the care that the Native women were receiving there. I needed to do something to step up and support Native women.””
“Seventy percent of births at IHS nationally are attended by CNMs, but the vast majority of those are non-Native providers. Recent research from aboriginal communities in Australia show that outcomes improve when indigenous women are served by indigenous providers.”
Today, even where it is available, some employers may specifically exclude midwife care from their list of covered benefits; insurers may make little effort to include midwives in their networks, since they tend to focus on negotiations with large physician groups.
That is likely to change. The Affordable Care Act added birth centers and midwife care as mandatory Medicaid services, for example. Many health experts are recommending an expanded use of birthing centers as a cost-saving measure as well as in response to women’s demand.
A very OOC personal post or All The Things I’m Into Lately
Well, doesn’t this look familiar? I’ve had the good fortune of a snow day, no work and no school, so I thought it might be time to update tumblr. All of these things connect somehow in my brain, so bear with me:
What school did you go to to become a midwife? If I became an abortion doula, would I go through the same schooling? Thanks!!!
There are 3 different types of midwifery:
Certified Nurse Midwives (CNMs) – start as Registered Nurses and get a 2 year masters degree in Advanced Practice Nursing that specializes in midwifery. They can prescribe medications, diagnose, and perform procedures. CNMs work in hospitals, birth centers, and homes.
Certified Professional Midwives (CPMs) – undergo a 2-3 year training at a midwifery institution. They can work in some birth centers and homes.
Lay Midwives – train as an apprentice under another midwife for many years, with no formal education.
Doulas do no medical care, whether they are abortion or birth doulas. Doulas provide informational, emotional, and physical support during trying experiences such as birth, abortion, the postpartum period, certain medical procedures, and in some cases death.
If you train to be an abortion doula you will go through a 1 or 2 day workshop where you will learn vital skills in supporting patients throughout their experience. That might mean good language to use, pressure points or massage points, tactful ways to counsel patients, ways to empower patients to ask the questions they need to hear the answer to.
I am a Certified Nurse Midwife, which means that I went through a 4 year Bachelors, then I attended Yale School of Nursing for an 11 month long accelerated nursing program after which I became a Registered Nurse, and then a 2 year Masters in Midwifery (also at Yale). I am a Licensed Independent Provider, which means that I am solely responsible for my patients. I work with MDs in certain circumstances, but the patients are entirely under my jurisdiction.