The private practicing midwife is able to provide continuity of care to the families who have chosen to use her services. This article provides an overview of private midwifery care in action.
For centuries midwives have worked among their communities providing care to women. Historically midwives have held a philosophy of care based on the belief that pregnancy is, basically, a healthy process and a normal part of life, growth and development. It is this belief that guides the way in which midwives in private practice work. Midwives choosing to work privately, rather than being employed by hospitals and other institutions, do so because it allows them to be flexible about the care they provide. That is, the care offered will be in partnership, directed primarily by the wishes of the women and their families.
The private practitioner midwife is able to provide continuity of care to the families who have chosen to use her services. During the pregnancy, the woman and her family develop a friendly supportive relationship with their midwife (in some cases the care is shared by two midwives). On the day the baby is born the midwife remains with the woman throughout the entire labour. There are no shift changes that require the midwife to leave. During the first week of the baby's life the same midwife visits each day until the baby has settled into a feeding pattern and the parents feel confident in caring for their new baby.
Some midwives in private practice choose to work in specific areas. For example, some may offer postnatal care, or advice with difficult breastfeeding problems (Lactation Consultants) or Maternal and Child Health (M&CHN). In addition, some midwives are skilled and have qualifications in complementary areas such as acupuncture, counselling, naturopathy, chiropractic, massage or homeopathy.
The range of services provided include: