Guiding Principles and Philosophy

Birthingway College of Midwifery supports the Midwifery Model of care, which includes the following principles:

• Midwives are trained independent practitioners, who are specialists in natural, vaginal childbirth and in well-woman gynecological care.

• Pregnancy and birth are healthy processes, with a wide range of normal variations.

• Pregnancy and childbirth usually progress best without interference, which inevitably alters and frequently harms the reproductive process.

• Each woman and family is unique, and best served by individualized, non-routinized care.

• A midwife's role is not to manage, but to support, encourage and guide. A midwife does not empower women, rather she assists women as they empower themselves.

• Midwives provide continuity of care throughout the reproductive year, and integrated care for the woman, infant, and family.

• The focus of midwifery care is the childbearing woman and her family. Pregnancy and birth are major life experiences of the woman, not the birth attendant.

• Midwives honor and support a woman's right to make her own decisions. Active use of informed choice is an essential part of midwifery practice.

• Midwives believe in the intrinsic value of childbirth as a process, while simultaneously working toward the goal of a healthy mother and infant.

• Midwives strive to be inclusive and cooperative in their interactions with clients and peers, rather than oppositional or controlling, with knowledge shared freely.

• Midwives are best trained by other midwives. Hands-on learning should be a major component of midwifery education.

• While childbearing women and families are responsible for the outcomes of their own decisions, midwives have responsibility for maintaining a safe situation. Skills must be kept current and knowledge updated so that the midwife can optimally perform her tasks of overseeing the progress of pregnancy, labor, and postpartum; providing well-woman gynecological care; observing signs and detecting problems; promoting health and encouraging prevention; and utilizing midwifery knowledge and skills to rectify problems or consult/refer as appropriate.