North American Registry of Midwives (NARM) Practice Exam

The application of the Midwives Model of Care has been proven to reduce which of the following?

1. The incidence of birth injury

2. The duration of labor

3. The need for prenatal vitamins

4. The frequency of prenatal visits

The correct answer is: The incidence of birth injury

The Midwives Model of Care emphasizes personalized, woman-centered care throughout pregnancy, labor, and postpartum, which has been associated with significant positive outcomes. One of the key benefits of this model is the reduction in the incidence of birth injuries. This approach prioritizes the physiological processes of birth, encourages informed decision-making, and provides continuous support during labor, all of which contribute to safer delivery practices. By fostering an environment that promotes normalcy in childbirth and minimizing unnecessary interventions, the Midwives Model of Care helps reduce the likelihood of complications that can lead to birth injuries. For instance, it can decrease the rates of operative deliveries (like forceps or vacuum extractions), which are often associated with a higher risk of injury to the infant. This model supports a lower intervention approach while ensuring that appropriate care is available, which contributes to overall safer birth experiences and outcomes. In contrast, while the other options relate to aspects of prenatal care and labor, they do not demonstrate the same level of evidence supporting reduced incidence. Thus, the connection between the Midwives Model of Care and a reduction in birth injuries is a clear and valued outcome of its practices.