Granny midwives in Mississippi: career and birthing practices

In this study career and birthing practices of Mississippi granny midwives who held permits and practiced in the early 1980's are reported. Leininger's (1978, 1985) mini ethnonursing method was used as the primary research approach. Although other authors have studied granny midwives in the South using alternate research methods such as Mongeau (1973) in North Carolina using analysis of historical documents and field research; Campbell (1946) in Georgia using field study research; Kroska (1985) in Alabama using mini-ethnography, to date no one has systematically studied granny midwives and their practices in Mississippi. Patterns and themes from verbatim and record analysis data indicate that the Mississippi granny midwives were practitioners who were called by God to practice. The majority had a mother or aunt who had also been a midwife. They used an oligopolistic market approach combined with altruism and care. They practiced family centered maternity care while using three practice modalities of folk, professional and motherwit for enacting their practice. Although their practice was externally regimented, they practiced in an autonomous way as their individual judgment dictated.