Jade Parnaby
banner
sylviadingwell.bsky.social
Jade Parnaby
@sylviadingwell.bsky.social
Registered Midwife / Certified Nurse Midwife
Assistant Professor of Nursing, Vermont State University
Reposted by Jade Parnaby
If you had to choose between a maternity service rated "outstanding" and one rated "inadequate" - you'd go with the first. Yet outcomes from UK maternity services in the UK were no different between the different service categories.

birthsmalltalk.com/2025/08/27/b...
August 27, 2025 at 7:00 AM
‘Vermont hospitals shouldn’t decide what services to cut purely based on their financial burden…´

If the provision of healthcare is based only on what is profitable, what can we expect to receive?

Will elders on Medicare with broken hips be next? Definitely no money to made on them…
From News & Citizen: An analysis that Copley presented to the Green Mountain Care Board claimed that maintaining birthing center operations would have resulted in the hospital running a $3.7 million loss, based on 2023 data.
State of Vermont urged to stop Copley Hospital birthing center closure - VTDigger
An analysis that Copley presented to the Green Mountain Care Board claimed that maintaining birthing center operations would have resulted in the hospital running a $3.7 million loss, based on 2023 da...
vtdigger.org
August 26, 2025 at 12:20 AM
The Board of Trustees of Copley hospital have decided that “fiscal responsibility” is more important than the lives and safety of women and children.
They should be so, so ashamed….
July 1, 2025 at 1:44 AM
Beautiful uncomplicated home birth of a 10th baby….
Being a midwife is way cool.
#midwife #midwifery
June 11, 2025 at 11:44 PM
Reposted by Jade Parnaby
76—that’s how many women are shot and killed by an intimate partner EVERY MONTH.

Keeping guns out of the hands of domestic abusers is the key to keeping millions of women safe.
June 11, 2025 at 11:01 AM
Reposted by Jade Parnaby
Fact or myth? Early decelerations are due to head compression and not fetal hypoxia.
(Also - a reminder that human research requires consent to be ethical!)

wp.me/pbCorF-7O...
May 21, 2025 at 7:00 AM
Reposted by Jade Parnaby
Brooklyn Leonard was 14 weeks pregnant when her water broke, but her doctor wrote she could only intervene when there was “concern for maternal mortality.”

It was only after visits to 3 Houston hospitals over 5 days that Leonard was able to get the care she needed.

Read more: propub.li/3Zd4Vlu
May 12, 2025 at 9:40 PM
Reposted by Jade Parnaby
Women are sometimes told that CTG monitoring is "essential" for their #VBAC but the evidence simply doesn't stack up. More details about why in the blog post.

birthsmalltalk.com/2025/04/23/i...
April 23, 2025 at 7:00 AM
Reposted by Jade Parnaby
The price of Fetal Monitoring: The Basics is about to go up! Enrol now to secure lifetime access at the current price. Everything you need to make confident decisions about your fetal monitoring options for your birth.

More details here - education.birthsmalltalk.com/fmtb
April 22, 2025 at 5:30 AM
No amount of demonizing Midwifery is going to get Amish women to birth at a hospital with a Doctor! New York State needs to license CPMs now!
#midwifery
www.jezebel.com/amid-a-mater...
Amid a Maternal Mortality Crisis, Midwives Are Being Targeted
Over a third of U.S. counties are currently maternity care deserts. Arrest the Midwife, which recently premiered at SXSW, tells the stories of three midwives recently arrested for trying to bridge tho...
www.jezebel.com
April 12, 2025 at 2:10 AM
Reposted by Jade Parnaby
The location is currently the only Planned Parenthood health center operating in Vermont’s Northeast Kingdom.
Planned Parenthood to close St. Johnsbury clinic this summer - VTDigger
The location is currently the only Planned Parenthood health center operating in Vermont’s Northeast Kingdom.
vtdigger.org
April 8, 2025 at 9:27 PM
Reposted by Jade Parnaby
🌍💡 Midwives are key to achieving #UHC and the #SDGs, A new scoping review highlights the economic benefits of midwifery services, showing that midwife-led models of care are often cost-saving, cost-effective, or cost-beneficial.

🔗Learn more: zurl.co/SSRVS
A Scoping Review Mapping Economic Evaluations of Midwifery Service Provision and the Midwifery Workforce - Applied Health Economics and Health Policy
Background Midwives are essential in achieving universal health coverage targets and the health targets of the Sustainable Development Goals, yet a significant global shortfall exists in the midwifery workforce. Economic evaluations of midwifery are scarce but can assist in supporting evidence-informed decision-making for sustainable and equitable health care for women and girls. Objectives This review aimed to systematically identify, map and report on available literature regarding economic evaluations conducted on midwifery service provision and the midwifery workforce in all settings. Methods A scoping review was conducted following the Joanna Briggs Institute methodology. A comprehensive search strategy was developed and run in six health databases. Peer-reviewed studies and unpublished research theses conducting economic evaluations on midwifery service provision or midwifery workforce strategies were included. Sources were limited to English-language literature published in the past 20 years. Identified sources were screened and reviewed, and data from included sources were extracted, reviewed, mapped and synthesised to report findings. Quality appraisal was conducted on all included sources using the Joanna Briggs Institute Critical Appraisal Checklist for Economic Evaluations. Results A total of 32 studies were included in the review. Most were from high-income countries (26/32), and very few were from low- and middle-income countries (6/32). The quality of included studies varied greatly. Under half of the studies conducted full economic evaluations (15/32), and the remainder were partial economic evaluations (17/32). Most studies evaluated midwifery service provision (29/32) through either midwife-led models of care (15/29) or by place of birth (13/29), mostly for low-risk women (23/29) from the perspective of healthcare funders. Evaluation of midwifery education programs was less common, and these were all conducted in low- and middle-income countries (3/32). Most studies concluded that midwifery service provision was cost-saving, cost-effective or cost-beneficial. Conclusions Our review identified a significant gap in economic evaluation of midwifery from low- and middle-income countries. However, there is ongoing need for robust, quality economic evaluations on midwifery service provision and workforce strategies in all global regions. Such studies would further support health policymakers and governments to make evidence-informed decisions to address midwifery workforce shortages and provision of evidence-based and respectful care that meets the healthcare needs of women and girls.
link.springer.com
April 4, 2025 at 9:11 AM
Reposted by Jade Parnaby
When MEDICINE becomes a CRIME

As always, a great expert take by Dr Mama Jones.

#Resist #Women #Health #Medicine #Abortion #Midwife #Texas

youtu.be/SIkQbHeJUxs?...
They're arresting midwives...
YouTube video by Mama Doctor Jones
youtu.be
March 24, 2025 at 8:43 PM
March 5, 2025 at 11:50 PM
Finally Vermont might get the free standing birth center it needs!
legislature.vermont.gov/bill/status/...
Women deserve to get more out of their birth experience than just survival.
Unfortunately in many hospital settings, that is all they are expected to want or deserve.
Bill Status S.18
legislature.vermont.gov
February 7, 2025 at 10:26 PM
More evidence that proves that when homebirth is fully integrated into the healthcare system, women win. The USA is so miserably behind… #midwifery
www.sciencedirect.com/science/arti...
Insights from a publicly funded homebirth program
There are high levels of consumer demand for homebirth in Australia, however access is limited due to a wide range of factors, including associated co…
www.sciencedirect.com
January 18, 2025 at 11:07 PM
I did a prenatal today for a woman who is 36 weeks pregnant and is JAIL because she accidentally hit a deer driving home from work, so the cops drug tested her and found THC.
What the fuck South Dakota?
December 21, 2024 at 2:18 AM
November 25, 2024 at 11:49 PM