North American Registry of Midwives (NARM) Practice Exam

Which component is NOT part of the Midwives Model of Care?

1. Providing continuous hands-on assistance during labor

2. Minimizing technological interventions

3. Conducting mandatory cesarean sections

4. Monitoring the mother's well-being throughout the childbearing cycle

The correct answer is: Conducting mandatory cesarean sections

The Midwives Model of Care emphasizes a holistic approach to childbirth that prioritizes the physical, emotional, and social aspects of pregnancy and labor. One of its core principles is to support natural childbirth practices, which typically include providing continuous hands-on assistance during labor, minimizing unnecessary technological interventions, and monitoring the mother’s well-being throughout the childbearing cycle. The emphasis on reducing technological interventions is rooted in the belief that many women can give birth without the need for invasive procedures or medications, which aligns with midwifery philosophy. Continuous support during labor is aimed at creating a safe and reassuring environment for the laboring person, while consistent monitoring of the mother’s health is essential to ensure both the mother and baby are safe throughout pregnancy and delivery. Conducting mandatory cesarean sections contradicts the very philosophy of the Midwives Model of Care, which advocates for supportive practices that prioritize natural birth and informed consent. Cesarean delivery is considered a surgical intervention and is usually only performed when medically necessary. Therefore, the notion of mandatory cesarean sections does not align with the midwifery approach that favors autonomy and informed choices for birthing individuals. This understanding underscores why this component is not part of the Midwives Model of Care.