10/12/2026
Midwives [should be] trained in physiology and normal variations.
Midwives should know when to sit in a corner quietly knitting.
Midwives should know when to support the variations that surround physiology so that they don't move into a pathology state.
Midwives should know how to be with women and their families without medical training.
Midwifery is NOT medical.
It is OK if midwives know clinical skills and use medical tools as well.... but those are MEDICAL skills and tools NOT midwifery skills and tools.
Listening and watching a woman to recognize her sounds, actions, demeanor...etc., to see she is in a state of physiology is a midwifery skillset.
Taking a blood pressure, doing a vaginal exam, or administering any type of medication is a medical skillset.
Using a rebozo, herbs, hands-on palpation, emotional support...etc., are midwifery skillsets.
Assessing fetal heart tones, reading a CTG monitor, timing contractions...etc., are medical skillsets.
Modern midwives often have a lot of clinical medical skills - and quickly moving into those skills being taught first and glorified. Its OK to have these clinical skillsets - they can be a valuable asset for midwifery, at times.
However... the majority of women thrive from the midwifery skills that have been used throughout history to manage the normal variations of physiology.
Clinical and medical skills as a routine do not improve outcomes... (please, read AS A ROUTINE)... but midwifery skills do improve outcomes as a routine.
Teaching nutrition improves outcomes.
Teaching emotional well-being improves outcomes.
Teaching body balancing improves outcomes.
Teaching physiology, patience, and trust improves outcomes.
Being a quiet presence, attentive to the variations of physiology, improves outcomes.
About 25% of women/babies will also benefit from clinical assessments.
A smaller portion of these 25% will benefit from medical management (forms of medication, induction, cesarean...etc.).
That means 75% of women and babies not only benefit from non-medical midwifery care... but THRIVE in it.