So in this first lesson, we're going to talk about the different types of care providers on the team.

And by the end of this lesson, you'll be able to describe the percentage of births attended by midwives,

obies, and family physicians, describe the education and training of the different types of providers,

and discuss the midwifery education con so where i'm recording this in the

united states in 2017 there were more than 3.8 million births and the majority of these births were

attended by physicians most mds and some DOs so that orange there 81.5%, includes obstetricians and family practice doctors.

They did not break it down by the specialty of the doctor. And only 9.1% of births were attended

by CNMs or CMs. Other types of midwives, such as certified professional midwives, are lumped

into this 0.8%. and this is looking at overall

births so the rates change a little bit when you look just at vaginal births the u.s did not start

to track births by certified nurse midwives and certified midwives until 1989 in 2012 dr, Dr. Eugene DeClerc analyzed the birth certificate

data in the United States and found that there has been a rise in the percentage of births

attended by CNMs or CMS. In 1990, only 3.6% of all, in 1990, only 3.6% of births were attended by CNMs, and in 2017, 9.1% of all births.

There was an even larger increase in the percentage of vaginal births attended by CNMs or CMSs.

Currently, more than one out of every eight people who has a vaginal birth is attended by a CNM or CM

during birth.

This is a record high for the United States.

This is a paper from 2009, so these numbers are a bit outdated, but you can kind of get

a picture of this time period.

You can see that the United States and Canada were very unique in that the number of obstetricians

greatly outweighed the number of midwives.

Whereas in other developed countries around the world, there are often many, many more

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