Hospital Promotes Midwifery Approach

North Adams Regional Hospital in Vermont  has achieved…

  • an average of 18% C-section birth rate
  • better-than-average prenatal care (9 or more prenatal visits)
  • about 10% primary C-section rate
  • 7% repeat C-section rate


“I think what is being reflected in our numbers is that we are taking a more ‘midwifery’ approach with our practice then before,” Robin Rivinus, a certified nurse midwife with Northern Berkshire Obstetrics & Gynecology at the hospital, said last week. “It means that we do fewer unnecessary interventions — inductions, Cesarean sections, episiotomies. We treat childbirth as the normal, natural thing that it is. We only step in when it’s medically necessary, which is much better for both the mother and the baby.”

Read the whole article here.


3 Responses

  1. Wow, that’s awesome!!! Hurray!!

  2. Hi Kathy,
    I wanted to forward a response I received from a comment I posted on the Happy Hospitalist blog . I stated that I would recommend a CNM to any low risk pregnant patient. Here is what one “doctor” had to say:

    Bad Medicine, Good Solutions said..

    ” This is one of the silliest things I’ve ever read. It’s like saying if you are a safe driver you won’t need car insurance. Or even if (s)he is really nice, I don’t need to use a condom. Any one can catch a baby, including the inanimate vehicle the woman is driving in enroute to the hospital. OB complications are not restricted to easily identifiable factors. There are also emergent complications which the Midwife is not trained to deal with. Only OB/GYN’s are trained to deal with all complications. To be willing to invest 9+ months of your body, time and energy into a fetus and then at the end take the risk with some one who is not capable of handling all the complications is pure stupidity.

    Midwives are on par with poor choices like not vaccinating your child or smoking.”

    Unbelievable ignorance from the public and the medical community about nurse midwifery. I hope to god this guy is not really a doctor? What do you think of his attitude?
    Here is the link:

  3. i know this is an old post, but i just wanted to point out that North Adams Regional Hospital is NOT in Vermont. southwestern Vermont is a very small portion of the region it serves because it is so close, but it is located in North Adams, Massachusetts.

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