Birth from the Lens of A Midwife

The 10 Most Essential Aspects of Midwifery

One extremely powerful moment in a woman’s life is the birth of her baby. To nurture and grow a new life in the womb and eventually birth a human is an enriching process. It transforms the woman’s mind, body, and soul. It also leaves an imprint on all who witness the surging flow of events as they support the mother-to-be through those nine months.

Who is a Midwife? 

The word “Midwife” means being “with a woman.” At the very core of the Midwifery Philosophy lies this valuable tenet – to be with a pregnant woman at every step. Through centuries, the profession of Midwifery has changed in many ways, yet the concept of being “with women” has remained constant. Every mother around the globe longs for care and a helping hand during the birth of her baby. This fact guides the pathways of care that midwives engage in.

Midwifery in Today’s Day and Age

Professional Midwives are clinically trained, duly qualified and equipped with competencies to support pregnancy, birth, and post-birth care. Midwives practice the art and science of supporting the normal physiology of pregnancy and childbirth. They do so with evidence-based, safe and women-centred care.

Apart from being specialists in facilitating normal births, Midwives also manage many common obstetric complications that may arise. They work in collaboration with Obstetricians to provide holistic care to women.

Midwives listen to women’s voices and choices and trust their innate ability to give birth with confidence. They provide high-quality care for pregnant women and help them make the best decisions for themselves and their families. Midwifery care has ten most crucial characteristics:

  • The Midwifery Model of Care is sustainable, low-cost, high-quality and evidence-based.
  • It facilitates a natural, gentle start to the birth process by boosting love hormones and natural pain-relief hormones, thus keeping fear and anxiety at bay.
  • Midwives provide informational support to mothers so that they can understand their bodies and their babies and get in tune with their natural instincts.
  • Midwives make the mother feel emotionally, spiritually, and physically empowered by giving them the right knowledge at the right time, thus encouraging them to go through the journey in the most natural way possible.
  • Their continuity of care model encompasses supporting physiological and psychological needs and promoting mobilisation throughout labour and birth, thus using gravity to aid the baby’s journey through the birth canal.
  • They facilitate the mother and the baby to have a beautiful lasting bond by encouraging skin-to-skin contact and delayed cord clamping right after birth.
  • Midwives diligently support the golden hour after birth, encouraging early breastfeeding initiation.
  • Midwifery care reduces the use of medical interventions during labour and birth.
  • Women under midwifery care are more likely to have a vaginal birth and experience higher satisfaction with their birth experience.
  • Mothers are less likely to have a cesarean section or require medications for pain relief. Evidence also supports that midwife-led care lowers the risk of pre-term and stillbirths.

Over the years, research has revealed that every woman can benefit from a Midwife. Midwives trained to global standards are highly skilled and have the expertise to handle 87% of essential care required for women and newborns.

A humane approach throughout, ongoing informational support for the mother, the couple, and the family, essential clinical observations, and decision-making motivating mobilisation and use of alternative pain-relief measures keeps the wheel of a trust-based relationship moving. That is how Midwives ensure a blissful, fulfilling and satisfying birth experience.

To learn more about our Midwifery services, visit

Commonly Cited Myths of Water-Birth

Water-birth is becoming an increasingly popular birthing option. There are, of course, many safety questions that might bother you. From concerns about infection to worries about your baby drowning or ingesting water, you could hear many myths about water-birthing. But you shouldn’t worry as long as you have the right guidance from trained professionals who will care for you.

It’s safe for you and your little one to labour in water if you’re healthy and if your pregnancy is going well. However, there isn’t enough evidence yet to say whether giving birth in water is safer as compared to giving birth out of the water.

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Role of a Midwife in Mothers Opting for a VBAC

Ever heard about a midwife? Did you get to choose your midwife during your pregnancy? You might think that a midwife is ‘just a nurse who assists the doctor when you are having a baby’, but you would be wrong!

The Mindful Midwife…

She is a nursing professional who has undergone advanced further training, usually for a period of 2 years. She is able to care for the mothers during pregnancy, labour and the postpartum period. She supports the mother-to-be during her birthing process and provides invaluable care that a mother and baby needs.

At Fernandez Hospital, we provide the right information and necessary support to encourage natural birthing. We have a team of skilled professional midwives who will support you and be your advocate during your pregnancy. Every mother needs a companion during her pregnancy. This is where your midwife can help.

There is a high percentage of C-section in India. If you’re expecting a baby after your previous cesarean and wish for a natural childbirth process, don’t worry! It is possible to opt for Vaginal Birth After Caesarean (VBAC) this time. Your midwife will be able to support you, discuss your previous birth and help you feel confident to approach a VBAC this time.  Read More

Dr. Evita’s response on the article “Midwives back: Women opt for intimate home settings to give birth”

Original Article “Midwives back: Women opt for intimate home settings to give birth” 


Kolkata: When Meenakshi sensed the hormonal orchestra of labour inside her, she ambled into the kitchen, brought out her baking trays and started whipping up carrot muffins. As the surge arrived in waves she walked over to the windowsill, crouched on the bed and eventually leaned back against her midwife inside an inflatable wading pool in the living room until her baby floated out.

Read complete article at : 

Dr. Evita’s response on the article “Midwives back: Women opt for intimate home settings to give birth”: 

Dr.Evita.jpgIn response to this article I agree that women should be given the opportunity to choose and have control in their birth journeys. There are several studies supporting continuity of care by midwives, which result in better outcomes for both mother and her newborn.

While home births offer women the much-wanted privacy, intimacy and comfort of personalized care, I strongly support the collaborative hospital model (especially for India) where midwives and obstetricians work together as a team – respecting each other’s roles. C Section if required can be performed without wasting time driving the laboring mother through narrow roads and horrendous traffic.

I am convinced of the vital role professional midwives play in a woman’s journey through pregnancy, labour, birthing of her baby and in the care of her newborn. It is time India promotes and supports Professional Midwifery.

All pregnant women who do not have medical/obstetric complications (otherwise termed as low risk) should be offered midwifery care. The midwife is trained for normality and works within a strict safety framework of rules. Stand alone birthing units in the UK is a good example where clear guidelines and defined protocols exist for midwifery led units. It is important that we in India focus on the quality of training to help produce a cadre of competent and confident midwives. It is equally important to define her role and responsibilities. Most importantly, is the attitude of the obstetric community – to accept, understand, respect and take delight in working with midwives as professional colleagues.

My own epiphany happened only a few years ago. Today as an enlightened obstetrician, I champion the cause of Professional Midwifery.

I am convinced that we obstetricians need to step back and stop interfering. We have medicalized and dehumanized birth. Our training focuses on making pregnancy a journey of complications and emergencies. Our own fears are often transferred to the woman. Most of us have a very poor understanding of “natural” birth and unfortunately an even poorer understanding of a woman’s needs during her labour and birth of her baby. We obstetricians need to get involved only when there is a medical or an obstetric complication, which demands our expertise.

At Fernandez Hospital we launched a two year in-house Professional Midwifery Education and Training Programme in August 2011. More than 4000 mothers have been supported through their labours and have enjoyed our professional midwives assisting them with their births. This journey has changed our own understanding of birthing issues and woman centered care. Our team of 40 ObsGyn doctors has had to unlearn a lot while simultaneously opening our minds to new thinking. It has been an enriching learning experience. PROMISE (Professional Midwifery Services) is the campaign we launched – out of conviction and belief that professional midwives are urgently needed. The campaign has four objectives.

  1. To make pregnancy safe
  2. Humanize birthing
  3. Train a workforce
  4. Promote midwifery by raising awareness among women and obstetricians

In India, where role models for professional midwifery exist, it is even more important that we encourage professional midwives (ensuring they are certified and have impeccable credentials) from countries that produce them i.e. UK, Australia, Sweden, Netherlands to register with the Indian Nursing Council. This will give them the license and medico legal protection to offer their services without fear. Besides, they could also partner with local hospitals/state Government in teaching and training a similar workforce for our country. The Indian Government and the Indian Nursing Council should open its doors to such well trained and competent professionals from other countries.

So while I STRONGLY support woman centered care, work towards reducing our interventions, help train a professional midwifery workforce, I do not (presently) support home births especially in a climate where there is no medico-legal protection for the professional midwife and with the Indian Government mandating institutional births.

I reiterate the fact that Professional Midwifery is the most urgent need of the hour. ALL laboring women MUST be offered midwifery support and care.