Entrevista Amanda Nelson

  • What inspired you to become an obstetrician? 
    Many things, but the turning point was the birth of my children when I was a medical student at the age of 22 and 26 years old.
  • What was your training like as an obstetrician?
    Like a regular teaching hospital. Technocracy, focus on pathologies, emotional distance from patients, authoritarian attitude from teachers and preceptors and an interventionist perspective in childbirth.
  • In your area, what is the relationship like between obstetricians and midwives? Is there a collaborative relationship between physicians and midwives? 
    In my area, extreme south of Brazil, midwives are not allowed to assist births. Obstetricians assist almost all births since the complete “annihilation” of midwifery practice in the middle of the 20th century. Around 10 years ago a public hospital in my city opened a midwifery service, but with just a few midwives and with no support from doctors from the community. Midwifery has its real rebirth through the homebirth practice that I myself reinstated around 20 years ago with our team – obstetrician, midwife and doula.
  • If you could change one thing, anything, about maternity care (or healthcare in general) in the U.S., what would it be? 
    The simple modification of birth assistance, creating midwifery schools all over the country to (slowly, but consistently) replace all obstetricians that assist normal birth by midwives, putting all medical doctors and obstetricians to work solely in high risk and emergency obstetrics.
  • What advice do you have for a student midwife? 
    Keep your dreams, envision the best and be prepared for the worst.

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