Despite the want and need for Nurse-Midwives in Augusta, GA and its surrounding areas, we only have two nurse-midwives available to us. However, this is not enough. Women deserve to have care providers who practice evidenced-based care and improve outcomes through reducing the c-section rate and incorporating a low interventions (including inductions) practice.
Results from studies indicate that women cared for by CNMs compared to women of the same risk status cared for by physicians had:
--Lower rates of cesarean birth
--Lower rates of labor induction and augmentation
--Significant reduction in the incidence of third and fourth degree perineal tears
--Lower use of regional anesthesia, and
--Higher rates of breastfeeding.
We believe that Nurse-Midwives in the hospital will not only provide other options for care providers for women of the CSRA, but will also improve outcomes. The Maternal Mortality Rate for the Augusta area in 2011 was 93.3 per 100,000, compared to the Georgia rate of 35.5 per 100,000 and a national rate of 15.52.
In a study of midwife-led care in birth centers across the nation with over 15,000 participants, the results showed no maternal deaths, only a 6% c-section rate, only a .47/1000 intrapartum fetal mortality rate, and a .40/1000 neonatal mortality rate excluding anomalies.
(Source: Journal of Midwifery & Women's Health Volume 58, Issue 1, page 3-14. January/February 2013. Outcomes of Care in Birth Centers: Demonstration of a Durable Model.)
Comparing Nurse-Midwife care vs National averages, it was shown that Nurse-Midwives had:
--Lower than the national average rate for episiotomy (3.6% compared to 25%).
--Lower than the national average rate for primary cesarean (3.6% compared to 32%).
--Higher than the national average rate for breastfeeding initiation (78.6% compared to 51%)