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OB S T E T RI C S
Nurse-Midwives Have Significant Role in Obstetrics at UCLA
Part of the educational process involves
working with the couple toward the childbirth
experience they want. For many women who
are drawn to nurse-midwives, that means an
unmedicated vaginal birth. Habibi notes that a
member of the midwife team is at the couple’s
side through the birth process, advocating
to ensure a safe, calm and quiet environment,
the appropriate use of technology and the
facilitation of the normal labor process.
During labor, the midwife will often provide
massage, suggest positions of comfort and
encourage a woman to walk or shower for
pain management. “Everyone is different,”
says Habibi. “But we are there to go through
it with them and to assure them that what they
are going through, however long, is normal.”
“Our goal is to help ensure a healthy pregnancy and a childbirth experience
that fulfills all of their hopes during this incredible time in their lives.”
For more than a decade, certified nurse-
midwives have played an integral role on
the healthcare team at UCLA, providing
comprehensive pregnancy, birth and
postpartum care to women and their
partners. UCLA’s nurse-midwives care for
thousands of patients and attend nearly 450
births each year as part of the Ronald Reagan
UCLA Medical Center obstetrics group.
Certified nurse-midwives (CNMs) are
professionals who earn a master’s degree in
nursing, complete an accredited midwifery
education program and pass a national
certification examination. The scope of practice
for CNMs includes well-woman gynecology
and family planning, as well as pregnancy,
childbirth, postpartum and early newborn
care. In providing care for women with
low-risk pregnancies, they focus on health
promotion, individualized wellness education
and planning for labor and birth. At UCLA,
their close collaboration with obstetricians
UCLAHEALTH.ORG 1-800-UCLA-MD1 (1-800-825-2631)
and anesthesiologists ensures that any women
who experience complications or desire pain
medication have easy and quick access to the
medical team. UCLA’s certified nurse-midwives
also provide a valuable service by educating the
next generation of UCLA-trained obstetricians
in strategies that support holistic care and
the natural childbirth process.
Women can expect the same level of safety with
nurse-midwives as with physicians. “Midwives
all over the world are the first providers in
normal pregnancies,” notes Shadman Habibi,
CNM, MSN, a member of the UCLA nurse-
midwife team. “We are an appealing option
for women who are looking for a natural,
holistic birth process. We spend a lot of time
with women and their partners, providing
emotional and social support and educating
them on options for childbirth as well as
issues like nutrition, exercise, breastfeeding
and other childbearing issues they are
interested in.”
Because of this underlying philosophy and the
midwives’ expertise in non-pharmacological
pain-management techniques, women who
give birth with the support of UCLA’s nurse-
midwife team use medical interventions — be
it an epidural analgesia, induction of labor or
Cesarean section — at a significantly lower rate
than the national average. Nonetheless, Habibi
stresses that women who choose a medical
intervention are fully supported.
“We get to know women and their families,
educate them about their options and support
their choices,” Habibi says. “Our goal is to help
ensure a healthy pregnancy and a childbirth
experience that fulfills all of their hopes during
this incredible time in their lives.”
For more information about
UCLA nurse-midwives, go to:
midwife.ucla.edu To view a video about
UCLA nurse-midwives,
go to:
uclahealth.org/ midwives