The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.
The NMC have produced standards of proficiency for pre registration midwifery education and those standards have been written in an “academic” language, for higher education institutions. Each student prior to being admitted to the profession must have achieved the proficiencies stated in the NMC publication. The purpose of this book is to provide students with material related to the standards of midwifery education. The students will be able to use the contents of this text and relate it to their own approved programme of midwifery study, as their programme of study would have had to comply with NMC’s requirements. It will help student midwives appreciate how their own programmes have been designed, and why they are required to study and understand some of the subjects they are, or will be studying.