privilege to be part of a liflife-alteringe altering event
Midwifery and not another profession?
Specialists in their role of supporting women
career with a unique chance to empower and advocate for women
opportunity to specialise e.g., teenage pregnancy or womans health
variety
What do you think midwives do day to day, what do they get up to?
monitor the health of expectant mothers and unborn babies
educating mothers on reproductive health
delivering babies
emotional support
taking bloods, blood pressure
helping families to cope after loss
creating birth plans
educating breastfeeding
What kinds of professionals do midwives work with?
Doctora, obstetricians, neonatal nurses, health visitors, dieticians, anesthetists and pediatricians.
What kind of challenges do midwives face day to day?
mental health affecting both patients and midwives.
trauma in expectant mothers from birth or any stage in pregnancy
antenatal trauma due to obstetric complications
post-partum depression
important that midwives have a good understanding women and recognising when they may be struggling with mental health.
Do you think midwives need to have experienced birth and motherhood before they can be a good midwife?
not essential but beneficial
a good midwife must have the ability to communicate well
adapt based on each patient
compassion and empathy when supporting
these are skills gained from not just childbirth but life experience
What does natural birth mean to you?
A natural birth can be interpreted but to me it means giving birth vaginally without the need for medicalintervention.
Midwives cope with lots of responsibility how do you feel you will cope?
i enjoy responsibility
work as a swim teacher
responsible for children in my care
How will you cope with long shifts and unsocial hours?
optimistic and energetic person
if was struggling i would look for positives and ensure high-quality-qualityh quality care
lo ok to collegees for support and check they are also managing well
studying has made me understand the need for commitment when working long periods of time.
when not working i would make sure to rest to ensure i was in good shape.
events will never be easy to deal with
essential to be a form of support for women and their families
initially allowing them to express emotions
allowing to process events
being their by offering a hand to hold or a tissue
refer to support services
work experience - validating womans fears
if you were working in the community and had a good relationship with a client and they wanted to have a homebirth after medical advice not to. how would you best support that woman?
allow her to make decision
inform of concerns
non-judgemental apporach
plan for emergency situation
What have you read in the news about midwifery?
shortage of midwives
2500 midwives short
staff working unpaid overtime
positives and negatives
How would you react if you failed an essay you thought you did really well on?
seek help from peers
ask for feedback
edit the essay
Events expected in typical birth?
inititially mild and irregular contractions as cervix is dilating
lasts for hours to days
contractions become stronger
water may break
intense contractions in pushing stage
head delivers first
check airways
cord cut not immediatly
placenta delivered
challenges of midwives nowdays?
own plans on birth so adapting care
trauma
religious beliefs
Nhs values?
patient care comes first
value each person
care
compassion is central to care
improving health and wellbeing
maximise resources to benefit whole community
MIDIRS - carepathways for autistic women to improve outcomes
strategy to make all students and healthcare professionals have training on autism to reduce health inequalitiies
acknowledging difficulties with access to healthcare
coping with interactions
80% of women with autism do not recieve a diagnosis before turning 18. So many women will go through pregnancy without support in place for this.
Why is is understanding autism important for midwives? autism has increase prevalance of following issues:
ptsd and anxiety
ocd
preterm labour and birth
diabetes
pcos and more
complex presentation requires the need for lots of care and planning. midwives can be the first step in this planning
so importance of reconissing and providing pkans for each woman is neccessary.
SPELL FRAMEWORK - adovcated by national autistic society model for healthcare settings.
strucuted routine of planning
positive approach
empathy in all interations, bias free care.
low sensory stimuli
links for long term care.
What do you know about the nursing and midwifery council?
Sets standards for nurses and midwives across the UKRegisters all midwivesProtects the publicFile complaints and deals with themProduces up to date information and articles on current affairs in midwifery and nursing
What do you know about the royal college of midwives?
Offers legal and educational support and campaignsTrade union for midwivesPromotes professional standards.