Tea with Jodi S1: E6 w/Ruth Zielinski
·Click Here: https://sites.libsyn.com/435480/s001-e006-ruth-zielinski-the-importance-of-midwifery-care
o Welcome to Ruth Zielinski, a certified nurse midwife and university of Michigan nursing professor.
o About Ruth.
· What are the differences between midwifery and obstetric care? 2:18
o The differences between midwifery and obstetric care.
o Maternity care in the US.
o Everyone should receive midwifery care, including high-risk pregnancies.
o Midwife partners are vocal supporters of midwife care.
· What is the difference in outcomes between midwifery vs obstetric care? 6:22
o Intervention is almost always a good thing.
o Routine episiotomy in Michigan.
o The difference between midwifery care and obstetric care.
o The difference in outcomes over the years.
· What is the difference between midwifery and obstetric care? 10:12
o Lower rates of epidural and cesarean birth.
o Maternal satisfaction with midwifery care.
o Oxymoronic, oxymoronic and condescending.
o Ascension cutting nursing and profits.
· What’s happening with the midwifery service at the hospital. 13:56
o Borgias hospital, kalamazoo. Midwifery service ended last summer.
o Borgia Hospital is considering hiring midwives again.
o Midwifery care is not about care, but money.
o People want choices and choices.
· How doulas can fill the gap in midwifery and birthing communities. 17:11
o Every patient has the right to choose a home birth.
o The midwifery and birthing community.
o How doulas can fill the gap.
o Being a doula takes a lot of courage.
o Maternity leave and maternity leave in this country.
o The first six weeks of maternity leave.
· Doulas fill the gaps in a lot of ways in the delivery room. 24:12
o Doulas filling the gaps in the delivery room and postpartum.
o Maternity care loopholes.
o Evidence-based care at the University of Michigan.
o Patient autonomy, decision making and relational model.
o Keeping the trust of midwives at U of M.
o Risks of rupture of membranes.
· Routine electronic fetal monitoring or skin to skin? 32:11
o Routine electronic fetal monitoring and skin-to-skin care.
o Other midwifery programs in Michigan.
o The importance of evidence-based support for midwives.
o Maternity leave and doulas.
o Taking the full six weeks off after giving birth.
Link: Michigan Family Doulas
Ruth Zielinski is a Clinical Professor at the University of Michigan School of Nursing. She received her MS in Nursing in 1995 – Midwifery Track, and her PhD in Nursing/Graduate Certificate in Women’s Studies in 2005 both from the University of Michigan. Ruth’s midwifery experience came first in Southwest Michigan and then with the University of Michigan midwives. While she no longer practices in Michigan, she precepts students in global settings such as Uganda and the United Arab Emirates. She has served ACNM as Michigan Affiliate Vice-President and President, and as Chair of the Clinical Standards & Documents Committee. Her research experience has been primarily on topics of body image/sexual health, maternal health outcomes, and midwifery education in the US and global contexts.
