11/17/2025
Amid national conversations sparked by The New York Times’ “Worst Test in Medicine,” it’s important for our community to know that evidence-based maternity care is already happening right here in Colorado Springs. At birth centers like Beginnings, midwives use proven, research-backed approaches—such as Intermittent Auscultation—to monitor labor safely, respectfully, and without unnecessary intervention. These practices consistently support healthy outcomes for both moms and babies.
As we share this thoughtful Letter to the Editor, we’re reminding Colorado Springs that modern, evidence-based care isn’t a future goal—it’s the foundation of midwifery today. Your local birth center is already doing the work. Midwives Are the answer.
NYTimes Letter to the Editor ✒️
Many of you may have already seen the NY Times article "The ‘Worst Test in Medicine’ is Driving America’s High C-Section Rate" (https://www.nytimes.com/2025/11/06/health/electronic-fetal-monitoring-c-sections.html?unlocked_article_code=1.108.XT6J.Y2YuWc0Xc01e&smid=url-share ).
AABC sent a Letter to the Editor in response! Since our letter did not get published, we wanted to share it with you all here.
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Dear Editor,
Thank you for highlighting the overreliance on continuous electronic fetal monitoring (EFM) and its role in rising Cesarean rates.
There is a solution to this epidemic. Midwifery-led birth centers use intermittent fetal monitoring instead of continuous EFM. They are an evidence-based model that delivers outcomes comparable to those of the top nations globally by offering holistic, family-centered care that protects and empowers patients, thereby enhancing both physical and mental well-being in our community.
Birth centers are fully integrated into the healthcare system and guided by principles of prevention, safety, appropriate medical intervention, and cost-effectiveness. While midwifery care can occur elsewhere, birth centers are unique in offering this dedicated, physiologic model.
Outcomes speak for themselves:
-Cesarean rates under 6%
-NICU admissions less than half the national average
-Low rates of interventions with superior overall outcomes
These results demonstrate the clinical excellence and fiscal prudence of the birth center model, reducing complications and costs while maintaining world-standard safety, lowering maternal mortality risk, and prioritizing maternal autonomy and satisfaction.
Respectfully,
Kate Bauer
Executive Director
American Association of Birth Centers
Perkiomenville, PA