Statistics
Name that Practice
Midwifery
History
Miscellaneous
100
How many U.S. births take place in a hospital? a. 89% b. 99% c. 100%
What is (b. 99%) (Albers, 2005)
100
This practice involves no trained professionals and the woman chooses to deliver her baby herself. a. Midwifery b. Unassisted childbirth c. Natural childbirth d. Hippie childbirth
What is (b. Unassisted childbirth)
100
How many years of schooling is required to become a CNM (Certified Nurse Midwife)? a. At least 7 years b. 4 years c. 3 months d. No education is required, trained on the job
What is (a. At least 7 years) 4 years of nursing school (not including prerequisites) 3 years Master's program in Midwifery Additional training to earn other specialized certificates
100
True or False: Some states in the U.S. have legislation banning homebirth attended by a DEM (direct-entry midwife), despite what the mother wants.
What is True! 23 states have made this practice illegal. Direct-entry midwife: an unlicensed practitioner with no training in nursing, however most have several years of apprenticeship experience with another DEM. (NYTimes.com)
100
What is the most common reason for hospital admission in the United States? a. Cancer b. Childbirth & labor c. Car accidents d. None of the above
What is (b. Childbirth & labor) (Albers, 2005)
200
What percentage of hospital births involve a healthy woman and normal labor? a. 20%-25% b. 38%-42% c. 70%-80% d. No labor is a 'normal' labor
What is (c. 70%-80%) (Albers, 2005)
200
What trained professional embodies a philosophy that emphasizes holistic options, women-centered maternity care, birth plans that are tailored to every unique woman, and minimizes or avoids unnecessary interventions? a. Medical Doctor b. Obstetrician c. Certified Nurse Midwife (CNM) d. Nurse Practitioner
What is (c. Certified Nurse Midwife)
200
The re-implementation of this practice in the Nordic countries is believed to be the reason maternal mortality rates dropped dramatically. a. Epidural b. Midwifery c. Pitocin d. C-section
What is (b. Midwifery) (Högberg, 2004)
200
During this time, a new medicalized perception of childbirth was introduced. Medical doctors felt threatened by the success of midwives they began to convince women to abandon their midwives and choose the more “modern” medical option: a. 1400s b. Early 1900s c. 1950s d. Late 1700s
What is (d. Late 1700s) This was a time when providers would use restraints as their patient was giving birth. Then they decided it was best to knock the mother out completely to avoid "disturbance". WHAT?! (Caffrey, 2009)
200
The United States renders childbirth as a medical emergency. What other regions practice this same ideology? a. Europe b. China c. South America d. No other nation in the world renders childbirth as a medical emergency
What is (d. No other nation in the world renders childbirth as a medical emergency) (Albers, 2005)
300
When compared with 30 other industrialized nations, the U.S. holds the #___ spot on the list of infant mortality rates. (#1 being the nation with the lowest rate) a. #30 b. #4 c. #1 d. #18
What is (a. #30) Just below Poland and above Slovakia Singapore and Sweden hold the #1 and #2 spots (respectively) (MacDorman & Mathews, 2009)
300
This type of provider is primarily trained in surgical procedures, practices in a hospital, focuses on technology and medical intervention for pain management and labor progression, and relates with patients on a professional and medical basis. a. Obstetrician b. Medical doctor c. Certified Nurse Midwife (CNM) d. None of the above
What is (a. Obstetrician)
300
An uncomplicated hospital delivery in the U.S. costs an average of $6200 (not including pharmacological interventions or tests). How does the total cost of a midwife-assisted homebirth compare to this cost? a. Homebirth doubles the cost of normal hospital births b. 1/2 the cost c. 1/4 the cost d. The cost is roughly the same for both
What is (c. 1/4 the cost) average $1500 (Albers, 2005)
300
In 2002, national statistics demonstrated the first increase in the infant mortality rate since what year? a. 1958 b. 1988 c. 1990 d. 2000
What is (a. 1958) In the United States home birth declined from 50% in 1938 to fewer than 1% in 1955. Coincidence? (Cassidy, 2006)
300
What childbirth practice is the most common in the world? a. Hospital with an attending physician b. Unassisted homebirth c. C-section d. Midwifery
What is (d. Midwifery) (Cassidy, 2006)
400
The World Health Organization strongly recommends the C-section rate should not exceed 5%-10%. What is the C-section rate in the United States? a. 3.2% b. 7% c. 14.4% d. 32.8%
What is (d. 32.8%) (Hamilton et al., 2011)
400
Who said this: "There is a desperate need in the U.S. for a strong independent midwifery profession as a counterbalance to the obstetrical profession in preventing excessive interventions in the normal birth process." a. A midwife b. A medical doctor c. An advocate for midwifery d. An advocate against midwifery
What is (b. a medical doctor) Marsden Wagner MD, European Director of the World Health Organization, said this in his testimony before the U.S. Commission to Prevent Infant Mortality (Mothering)
400
In European countries that have especially low infant mortality rates like Sweden, Finland, Norway, France, and the Czech Republic, which of the following is the primary provider of maternity care. a. Obstetrician b. Public health nurse c. Family doctor d. Midwifery
What is (d. Midwifery) Women first consult a Midwife who then assesses the pregnancy and based upon what the woman wants and what is healthy for her the midwife will treat her throughout her entire pregnancy or refer her to a specialist. Even then, the two providers have complementary roles ensuring the care and satisfaction of the mother. (van der Hulst et al., 2007) (Hildingsson & Thomas, 2007) (Mander and Meiender, 2005)
400
Swedish government thought it would best suit the public to expand the expertise of midwives to include subsequent care of the newborn. When did this happen? a. 1800s b. 1998 c. Early 1900s d. Mid 1900s
What is (a. 1800s) This public health decision, “soon had the desired effect, and infant mortality was reduced by 20%” in Sweden (Högberg, 2004).
400
What is a contributor to the C-section rate in the U.S. a. Efficiency and profitability for physician b. Technological and pharmacological interventions c. Casual attitudes about surgery and the harms it causes d. Failure to offer the informed choice of a normal delivery e. All of the above
What is (e. All of the above) (Corry, 2012)
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