内容摘要：that day. Soldiers took hours to respond. Some families have said they saw Hamas militants killing or kidnapping animals.

that day. Soldiers took hours to respond. Some families have said they saw Hamas militants killing or kidnapping animals.

But even within America’s fragmented health care system, experts say reducing the death toll is possible.In Florida, where maternal mortality is

, Joseph’s organization relies heavily on philanthropy, which makes up about half its $3.5 million budget. This allows the clinics to accept patients who can pay little or nothing — and midwives to spend more time with them than most OB-GYNs could.For women with no major health problems, research shows midwifery is cheaper globally than care led by OB-GYNs and leads to fewer medical procedures like C-sections, said Marian Knight, a professor of maternal and child population health at the University of Oxford in England. There areSome of Commonsense Childbirth’s patients with complications are referred to specialists, and most choose to give birth at a local hospital, where Joseph has forged strong ties, instead of in Commonsense’s on-site birthing rooms. They then return to a midwife for postpartum care.

Jennie Joseph, lead midwife and clinic director at the Commonsense Childbirth clinic talks with clients and staff. The midwives who run the program welcome vulnerable patients that other practices turn away, such as those who are uninsured or haven’t had prenatal care until late in pregnancy. (AP Photo/John Raoux)Jennie Joseph, lead midwife and clinic director at the Commonsense Childbirth clinic talks with clients and staff. The midwives who run the program welcome vulnerable patients that other practices turn away, such as those who are uninsured or haven’t had prenatal care until late in pregnancy. (AP Photo/John Raoux)

“It’s Jennie’s National Health Service,” Joseph said with a sly smile.

At her Orlando and Winter Garden locations, she instructs front desk staff to greet patients warmly, even during busy times. Women are encouraged to bring their children to appointments instead of struggling to find child care. Toys fill corners of the waiting areas.Before examining Sturrup, midwife Celena Brown asked: “How we feeling?”

Midwife Celena Brown speaks with Kayleigh Sturrup during a pregnancy checkup. Midwives at Commonsense Childbirth are striving to provide good, accessible care. (AP Photo/Laura Ungar)Midwife Celena Brown speaks with Kayleigh Sturrup during a pregnancy checkup. Midwives at Commonsense Childbirth are striving to provide good, accessible care. (AP Photo/Laura Ungar)

“Nervous and excited,” the 31-year-old replied. “As it comes closer, I worry: Am I going to be able to cope with the pain?”“It’s normal to feel nervous,” Brown assured her. “You want to be open to the entire process. You got this. You can do it!”