{"id":12754,"date":"2020-04-13T08:00:00","date_gmt":"2020-04-13T13:00:00","guid":{"rendered":"https:\/\/blogs.wnpt.org\/mediaupdate\/?p=12754"},"modified":"2020-04-13T13:17:13","modified_gmt":"2020-04-13T18:17:13","slug":"ctm-9-3","status":"publish","type":"post","link":"https:\/\/blogs.wnpt.org\/mediaupdate\/2020\/04\/13\/ctm-9-3\/","title":{"rendered":"\u2018Call the Midwife\u2019 Recap: Season 9, Episode 3"},"content":{"rendered":"\n
\"\"
Call the Midwife.<\/strong> Image courtesy of BBC\/Neal Street Productions<\/figcaption><\/figure>\n\n\n\n

Call the Midwife<\/a> is back for its ninth season and so are the faculty of the Vanderbilt University School of Nursing with a weekly guest blog. Watch the show Sundays at 7 p.m. through May 17, then read our blog each Monday morning for historical and contemporary context about the previous night\u2019s episode. SPOILER ALERT: Some posts may contain plot details.<\/span><\/p>\n\n\n\n

Many changes are happening with the midwives this week! For one thing, Nurse Lucille Anderson (Leonie Elliott) is tasked with covering for one of the chief midwives at nearby St. Cuthbert\u2019s Hospital. She is to care for pregnant and postpartum patients at the hospital while teaching a group of student midwives. Lucille doesn\u2019t seem pleased to take on this temporary role and to make matters worse, she is met with a difficult pregnant patient, Connie. By the end of the episode, Lucille has won over Connie by providing the excellent care we have come to know from her \u2013 although in an unusual setting.<\/p>\n\n\n\n

For the past eight seasons of the show, the midwives have\nbeen caring for patients and delivering babies in their own homes. There have\nbeen a very limited number of stories that ended with patients being sent to\nthe hospital. This had me wondering \u2013 how and when did midwifery care begin to\nchange? When did it stop becoming the norm for patients to deliver at home?<\/p>\n\n\n\n

The history of birth in both America\nand the U.K. is quite complicated. In fact, the changes came about not only\nfrom the growing profession of medicine, but the changes in how people lived \u2013\nin small apartments that didn\u2019t make logical sense to deliver in \u2013 and the rise\nof medical insurance in the 1930s and \u201940s. In the U.S. this change happened\nrather abruptly. In 1938, half of U.S. births were at hospitals, by 1945 that\nnumber had already jumped to 80%; by 1955, 99% of women were giving birth in a\nhospital setting. The U.K. was a little slower in this change with 64% of women\ndelivering in hospitals by 1954 and it wasn\u2019t until 1991 that the hospital\nbirths there reached 99%.<\/p>\n\n\n\n

Today in the United States, almost all babies are born in\nhospital settings. According to the CDC, only 1.61% of babies were born in\neither a patient\u2019s home or at a birth center. There has been a slow and steady\nincrease in out-of-hospital births with midwives since 2004. This is a really\nexciting trend to see for low-risk, healthy pregnancies! Midwifery has always\nhad a hand in obstetric care, no matter what location. Now, the majority of\nmidwives perform deliveries in hospitals.<\/p>\n\n\n\n

The worrisome references this season to Nonnatus House facing demolition and the knowledge that historically there was a shift from home births to hospital births has me thinking we are going to keep seeing big changes in coming episodes! It seems to be a new concern for the midwives and I wonder how they will navigate it.<\/p>\n\n\n\n

\"Hannah<\/figure>
\n

Hannah Diaz, MSN, CNM, is a member of the Vanderbilt Nurse-Midwives & Primary Care for Women at Melrose, the clinical practice of the Vanderbilt University School of Nursing.<\/p>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"

Many changes are happening with the midwives this week! For one thing, Nurse Lucille Anderson (Leonie Elliott) is tasked with covering for one of the chief midwives at…<\/p>\n","protected":false},"author":14,"featured_media":12782,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_links_to":"","_links_to_target":""},"categories":[1746],"tags":[1642,4061,1645,1648],"class_list":["post-12754","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-call-the-midwife-2","tag-call-the-midwife","tag-hannah-diaz","tag-midwifery","tag-vanderbilt-school-of-nursing"],"yoast_head":"\n\u2018Call the Midwife\u2019 Recap: Season 9, Episode 3 - Nashville PBS Media Update<\/title>\n<meta name=\"description\" content=\"Read the Monday 'Call the Midwife' commentary by Vanderbilt University School of Nursing faculty on the NPT blog. 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