There is no profession quite like being a midwife. I agree, and would add that there is nothing quite like being married to a midwife.
What is a Midwife?
Every mother has a right to choose how she wants to birth her baby. The most popular option is frequently a hospital birth with an obstetrics and gynecology physician. Other women opt for using a midwife, who can either be contracted by the hospital to assist with births, privately employed, work at a birthing center, or help you give birth within your home. All 50 states in the United States allow you to choose how you want to give birth, but some states have strict regulations on midwifery.
A midwife, by definition, is a trained health professional who helps healthy women during labor, delivery, and after the birth of their babies. Most midwives work in hospitals but they often work in birthing centers and assist in home births. There are several different types of midwives as well with different levels of training:
- Certified nurse-midwives (CNMs)- registered nurses who have graduated from an accredited nurse-midwifery education program and have passed a national exam. They can practice in all 50 states and the District of Columbia.
- Certified midwives (CMs)- non-nurse midwives who have a bachelor’s degree or higher in a health field, have completed an accredited midwifery education program, and have passed a national exam. Only a few states permit CMs to practice.
- Certified professional midwives- are non-nurse midwives who have training and clinical experience in childbirth, including childbirth outside of the hospital, and have passed a national exam. Not all states permit CPMs to practice.
Midwives don’t just assist in the birth or the aftercare of a baby. They can also help a mother throughout the pregnancy. They often work closely or in partnership with an OB/GYN physician as well as a local hospital in case there is a complication that arises in pregnancy or during labor. Some of the things a midwife can do are similar to what a traditional OB/GYN would do. In fact, many OB/GYN offices employ midwives to give care to healthy, pregnant patients throughout their pregnancies. Midwives, particularly Certified Nurse Midwives, can:
- Do prenatal exams
- Order tests and labs
- Monitor physical and psychological health of the mother
- Educate about pregnancy, childbirth, and newborn care
- Offer emotional support during labor
- Deliver babies
Most midwives will only see healthy patients who have no known complications during pregnancy and have not had any previous complicated births.
Although midwives do amazing things, it is sometimes hard to remember that they, too, have families at home. Since many midwives are employed by the parents they do not follow shift hours like doctors in hospitals. They will often be called out to assist in a labor at all hours of the day and night, leaving their families to bring another life into the world. Here is the story of one man, Tom Smith, who is married to a midwife.
Married To The Midwife
Sharon’s alarm buzzes, and I wait for her to turn it off. Finally, I roll over, mumbling that it’s her alarm, and would she please turn it off-only to find myself talking to an empty bed. I groan, remembering the 2 a.m. phone call and thinking of the harried morning ahead.
When they call, she goes. It doesn’t matter what time it is, it doesn’t matter where in the movie you are or who’s over for dinner. Out the door she goes, and woe to the man who tries to stop her. I did, once. We were having a fight and she got the phone call. It wasn’t fair, I said. I stamped my foot. I cried. She just got madder and madder. She asked me if I wanted to call the woman and tell her to go ahead and have the baby herself. For a moment I hated the woman having the baby, but I also began to realize that for Sharon, a laboring mother always takes first priority.
I’ve heard midwives say, sometimes jokingly, sometimes with fierceness, that there is no profession quite like it. I agree, and would add that there is nothing quite like being married to a midwife. I hate what she does and I love what she does. I find it annoying and I find it exciting. Someone once told me that the divorce rate is high among homebirth midwives. I thought, “Are you kidding? What with the low pay and the bad hours and throw in the risk of prosecution in our state, what man wouldn’t want a midwife for a spouse?”
Am I angry? Sometimes. Do I want her to do something else? No way. How can I, when she comes home at 4 a.m. with tears in her eyes and tells me the story of a mother who was so afraid because her last baby had died in utero at 6 months, and how the grief and pain and joy combined as the 9 lb. baby burst into the world? She loves her work and she loves her women. She makes so many hard choices. I don’t want to make her choose between her work and me. Besides, I’d probably lose.
When our daughter, Hannah, whines and asks why her mother has to go out again tomorrow, Sharon says simply, “It’s my work, it’s what I do.” That’s true, but it is also her calling and her passion. It’s what she does to make a difference in the world. She is a lioness when she says, “Women need to have a choice about where they have their babies.”
I admire her greatly at that moment–and then the phone rings. I listen as she explains about the importance of eating to feed the baby. She waves her hand as she talks, cutting to shreds the myth of minimal weight gain during pregnancy. She says, “For God’s sake, if you’re hungry, eat! Eat lots of protein. Sure, four eggs with hot sauce is fine. We want fat, happy babies.” She hangs up, and the phone rings again.
One day Hannah answered the phone, and then called Sharon, who retreated into the bedroom. I asked my daughter who it was. She said she didn’t know, but it sounded like a midwife. I thought, “Oh yes, I know what you mean. The friendly but businesslike tone, the willingness to talk to children and the sound of sisterhood coming over the lines, ‘I need to talk to your mother about something.'” As Sharon shuts the door to the bedroom I hear her say, “We use comfrey and rosemary in our sitz bath for postpartum moms and find…”
The homebirth midwives I know soak up knowledge like hungry sponges. I envy Sharon’s single-minded drive for information, whether found in a medical bulletin or in the herbal lore that is passed around orally. She eagerly collects birth stories and medical texts, experiential knowledge and book knowledge. These women have to know their stuff, because they walk a pretty narrow line–especially in Indiana. Homebirth midwifery is not exactly illegal here, but neither is it licensed.
Sometimes I feel like I’m living with an emotional roller coaster. Most of the births are uneventful, and Sharon returns home exhausted and satisfied. But sometimes when she gets home her face is filled with pain and she begins, “We had to transport…” A story of loss begins, and I go down with her into the anguish. Often the stories are not easy to listen to: the agonizing decision as it becomes increasingly clear that this birth is not going to happen in the home, the cold sterility of the ER room, the gruffness and sometimes outright hostility of the doctors who don’t have much contact with midwives.
And through it all, the grief, because often, though not always, a transport means a cesarean. The midwife goes along, assisting the woman’s partner, suggesting options at the hospital. The cord of sisterhood remains intact even in this environment, so different from the quiet security and warmth of a home.
I confess that Sharon’s profession frightens me at times. She works so close to the window between life and death. She assists in the pouring forth of life into the world, and sometimes it’s a dangerous place to stand.
I talk about it as if I’m actually there, but I’m just a small part of the supporting cast. I’m a listener. I wonder at the beauty and the pain, at the toughness and vulnerability of women, and yet I stand outside. I learn the names of the birthing women and hear their birth stories, but never meet most of them.
I often think that I’m married to someone on the Wise Woman path. But Sharon is not an archetype; she’s a real woman who deals in blood and pain and bulging bellies and the epiphany of new life. She is a guardian of the birth time, and when that times comes, there nothing to do but let her go. The phone rings and she’s gone.
Tom Smith divides his time between writing, homeschooling his two children, Ben and Hannah, and working at the local library. He lives in Lafayette, Indiana, where he is still married to the midwife after 14 years.
Photo: Monkey Business Images/Shutterstock