Together with your midwife, you will make informed decisions about where to give birth. Regardless of where you choose to give birth, you will receive excellent, safe care from your midwife.

About one-quarter of women in midwifery care chooses a home birth, while the other three-quarters plan a hospital birth. All midwives in Vadodara can attend births with their clients in hospitals, and you will go to one of the hospitals where your midwife holds privileges.

Your midwife works collaboratively with obstetricians, nurses, family physicians, pediatricians, anesthetists and lactation consultants, both in the hospital setting and in the community. Your midwife is an independent practitioner who, just like a doctor, can admit and discharge you from hospital and provide primary care.

Clients in midwifery care have lower rates of interventions such as c-section, episiotomy, forceps or vacuum delivery. Midwifery clients also typically have a shorter hospital stay. Healthy women and babies are then discharged to receive follow-up care at home from midwives.

After your midwife discharges you from hospital, she will continue to provide six weeks of postpartum care in your home and in the midwifery clinic, including breastfeeding support and close monitoring of you and your baby. More information is available on the Ami Hospital Website.

Health research shows that the best outcomes occur for women when midwives remain as primary caregivers (see policy statement for research sources). Midwives have the skills to manage care inside the hospital but sometimes hospitals make policies that require women to transfer to the care of a doctor under certain circumstances such as use of an epidural, induction of labour or management of vaginal birth after a caesarean (VBAC).

Midwives are often asked why they do not start a clinic in a particular community or hire additional midwives to give care to women on their waiting lists. Sometimes the answer is that it is not possible to get privileges at the local hospital. Midwives need to gain privileges at a hospital before they can take clients there. Sometimes this is a smooth process, and sometimes it is complex.

When accessing privileges are delayed, sometimes for months or even years, the practice cannot get established or grow to meet community demand. Just over one-third of midwifery practices experience difficulties expanding because of problems with hospital privileges, according to the Ministry of Health survey. This means that some women cannot access midwifery care and/or have to leave their communities to give birth.

Ami Hospitals Vadodara supports the integration of midwives into the provinces’ hospitals, recognizing the high-quality care that midwives provide to women and newborns.