What surprised me the most was how many births the midwife attends each year: 200 to 300. Most home birth midwives limit their practice to around 40 or 50 births per year. This is in part due to the relative scarcity of midwives, which means they spend a lot of their time traveling to and from their clients' houses. I wonder how she manages such a large load. I have read the the Amish generally do a lot less prenatal care, which would definitely cut down on the midwife's time demands. Her practice is 65% Amish.
A few paragraphs from the article:
Midwife Diane Goslin’s farmhouse office bustles with activity this summer morning. Horse drawn buggies line the driveway, while pregnant women line the waiting room inside – their hair tucked into bonnets, their dark dresses covered by black aprons.Read the rest of the story...
A mother expecting her 11th child arrives with her daughter, who is expecting her first. Women do mending as toddlers scoot around their ankles. Childhood friends reunite, chattering in Pennsylvania Dutch. Sisters shriek with laughter at the unexpected sight of their expectant aunt.
Outside, on the porch – in a waiting room of his own – a lone, straw-hatted man rocks, amused, pretending not to overhear the women.
The Amish here in Lancaster County may go to the hospital if they break an arm or need surgery, but when it’s time to give birth they stay home. Usually, they deliver their babies with the aid of a midwife, and the women in this waiting room half-joke that if Ms. Goslin goes out of business, they are through with childbearing.