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The midwife in Taiwan: an alternative model for maternity care.


 While more than 99% of all American babies are delivered by obstetricians, the majority of Taiwanese babies are delivered by midwives. The history of traditional and professional midwives in Taiwan is reviewed. Taiwanese midwives operate their businesses according to the principles of client-centered health service. They also serve many social and religious, as well as health, needs of their clients. This system contrasts with that in operation in the U.S. where pregnant women utilize physician-centered, not client-centered, maternity care. The role of the Taiwanese midwife in the management of childbirth is described. Postpartum care provided by the midwife includes nutrition information and initial care of the infant once the mother returns home. The role of the midwife in relation to abortion, adoption and other obstetric and gynecologic services is explained. The American system of childbirth might be made more flexible and acceptable if the client-centered features of the Taiwanese system could be incorporated into the modern American health care system.
