Sources & citations

Every statistic, historical account, and photograph credited across this site, gathered in one place and organized by page. Where a source is available online, the link goes to the original.

The Model

Statistics & data

38 of 254
Of the 254 babies born each day in Virginia, 38 are delivered with a midwife.
Virginia Department of Health.
Midwives licensed in Virginia, 2026 — 589 CNMs · 159 CPMs · 5 CMs
Virginia Department of Health Professions — Licensing Health Professionals. View source ↗

History

Statistics & data

“A workforce that nearly vanished” — ~9,000 (1918) → ~1,500 (1950) → under 600 (1962)
Women with Women: The History of Midwifery in Lynchburg and Central Virginia (1918 figure); Claudine Curry Smith & Mildred H. B. Roberson, My Bag Was Always Packed (2003), p. 44 (1950 & 1962 figures).

Historical accounts

Walter Plecker “pressured midwives directly”
Library of Virginia — “The New Virginia Law To Preserve Racial Integrity,” Virginia Health Bulletin, March 1924. View source ↗
Orlean Hawks Puckett — “died three weeks after moving”
Karen Cecil Smith, Orlean Puckett: The Life of a Mountain Midwife, 1844–1939 (pp. 129–30).
Mary “Mary Si” Fullen — the record that names her
Nancy Fullon Axon, written oral-history interview — Emory & Henry University Library. View source ↗
Rebecca Fullen — county death record
“Southwest Virginia Miscellaneous Death Records,” comp. Jack Hockett — New River Notes. View source ↗
Postpartum care — weekly baby baths in Wise County
Mary Elizabeth “Toddy” Collins, oral history of delivering babies in Preacher Creek, Wise County.
Postpartum care — two to six weeks of seclusion and recovery
Gertrude Jacinta Fraser, African American Midwifery in the South (pp. 34, 242).

Photo credits

Orlean and John Puckett (photograph)
Courtesy of the NC History Center on the Civil War, Emancipation & Reconstruction. View source ↗
Margaret Jones, 1823–1904 (portrait)
Courtesy of the Lynchburg Museum System. View source ↗

Collaborative Care

Statistics & data

42% of Virginia’s pregnancy-associated deaths occurred 43–365 days after the end of pregnancy
Virginia Maternal Mortality Review Team, 2025 Annual Report (2023 data). View source ↗
Home visits by a midwife or nurse are linked to better mental health, breastfeeding, and lower costs
Commonwealth Fund (2020), citing MacArthur et al. 2002; Paul et al. 2012; Dodge et al. 2014. View source ↗

The community stories are first-person interviews recorded for this campaign by Virginia Interfaith Center staff. Photographs shown without a credit are free stock images from Unsplash and Pexels, or CC0 historic images.