Baby Friendly Initiative

It relies on persuasive tactics to ensure compliance. Being medical-based, it aims to reduce morbidity and reduce premature mortality and is conceptualised around the absence of disease. As midwives do not regard pregnancy and child-birth as states of ill-health, its validity in midwifery care must be questioned (Dunkley, 2000a). The benefits of breastfeeding are well-documented (Appendix Two), however difficulties arise in making this information relevant and personal to each woman. Often, simply giving women ‘information’ makes little difference to them (Dunkley, 2000b).

This means recognizing each woman’s social, emotional, physical, spiritual and cultural needs. It also acknowledge that a woman and her newborn baby does not exist independently of the woman’s social and emotional environment. This includes incorporating an understanding in assessment and provision of health care (Yanti et al., 2015). The fundamental principles of women-centred care ensures a focus on pregnancy and childbirth as the start of family life, not just as isolated clinical episodes. These motherhood phases take into complete account the meaning and the values of each woman. Providing women centred care helps women make an informed choices, being involved in and having control over their own care, this also includes their relationship with their midwives (Johnson et al., 2003). This demonstrates that midwives are able to attend for women during pregnancy, childbirth and in early parenting years. In addition to this, midwives also provide education for women in order to have a healthy lifestyle (Woods et al.,

The ANMC states that midwives should promote safe and effective practice. This competency standard involves: Applying knowledge, skills and attitudes to enable woman centred care, provide or support midwifery continuity of care and manage the midwifery care of women and their babies. Midwives providing continuity of care are able to provide safe and effective practice. They know there patients well from the woman’s blood test results to the woman’s birth plan. The midwife can provide safe and effective practice because she knows the woman best. Midwifery Continuity of care is associated with a reduction in the rate of a number of interventions, without compromising safety of care (Spiby &

The immediate and long-term benefits of breastfeeding have been demonstrated. Mothers are encouraged to begin breastfeeding immediately after delivery, however mothers choosing to breastfeed find numerous challenges once returning to work. There are not appropriate accommodations to support nursing mothers in the workplace. Although there are laws in place to support accommodations in the workplace these laws are not enforced and therefore it is virtually impossible for mothers to continue to breastfeed as a result of the significant barriers they face to effectively find suitable accommodations in the workplace. There needs to be a standard for enforcing these policies if the goal is to move toward encouraging all mothers to breastfeed throughout the first six months of life.

Mothers and newborns have a physiologic need to be together during the first moment of birth. Interrupted skin-to-skin attachment between mothers and babies can be harmful and can negatively impact short and long term health outcomes and breastfeeding success. Evidence supports instant skin-to-skin care after the birth, vaginally and C-section, during and after cesarean surgery for all stable mothers and newborns will enhance limitless opportunities for care and breastfeeding. Skin-to-skin contact after delivery is golden opportunity. Many studies validate that mothers and babies should be skin-to-skin promptly after birth. Not only promotes healthier baby and successful breastfeeding outcome, it is also

Skin to skin contact in the delivery room and breastfeeding are best for mothers and infant. Skin to skin contact helps mothers become confident with their infants, decreases the mother’s anxiety toward motherhood, helps produce more breast milk, and helps them become aware of their infant’s cues, not to mention an incredible lifelong bonding experience. As for the infant’s benefits of skin to skin contact, it helps with temperature regulation, stabilization of the heart rate, control of the infant’s blood sugar, and helps with weight gain. When initiating immediate skin to skin contact, infants should be placed on their mother’s chest for instinctive skills. The infant begins to smell their mother’s breast and look at their mother, which

Being a midwife refers to a profession where the midwife would work in partnership with the women throughout her pregnancy, labour and the postpartum period. Not only is being a midwife women-centred, however, their role also includes ensuring the partner and family members are prepared and aware of the process. Within a women’s health, the midwife should focus on health, family planning, nutrition, domestic and other health issues as the main priority is the

This essay demonstrates significant factors, a midwife and the women may face within Australian public hospitals. As a midwife the key skills are understanding of what supports and impacts the normal physiological process of labour and birth. This essay will discuss two influencing factors that have a negative effect on the normal progress of labour and birth. This will be seen, firstly by discussing the cultural and environmental impacts of labour and birth. Then, examining how the midwife may best support and facilitate the adverse effects of normal physiological process. This essay also discusses a positive labour and birth environment within the Australian standard model of care.

Midwives identify high risked pregnancies and they make referrals to doctors and other medical specialists.

The Nursing and Midwifery Council (NMC) published the expected standards for pre-registration midwifery education. They stated that Student Midwives are required to assist in the care and support of several women throughout their antenatal, intrapartum and postpartum period. This is achieved via the caseload holding scheme (Nursing and Midwifery Council, 2009). Midwifery led continuity of care models are described as care given during the antenatal, intrapartum and postnatal period from a known and trusted midwife in order to empower a woman to have a healthy pregnancy and birth (Sandall, Soltani and Gates, 2016). In September 2005 research was published supporting midwifery-led continuity of care, which they found was linked to a number of benefits for both mothers and babies, in contrast with obstetrically led and shared care (The Royal College of Midwives, 2014).

Breastfeeding is one of the best methods for providing infants with a healthy start to life. Breast milk helps the body fight off various bacteria and viruses that one’s child might be at risk for catching. Breastfed babies are thirty-six percent less likely to die from sudden infant death syndrome and are fifty-five percent likely to become obese later in life, compared to babies who are not breastfeed. (Workplace and Public Accommodations for Nursing Mothers, 2016) Not only is the child benefiting from breastfeeding, the mother is as well. Women who breastfeed are more likely to revert to their

This report will evaluate the roles and responsibilities of a midwife. “Midwifery encompasses care of women during pregnancy, labour, and the postpartum period, as well as care of the new-born.”(WHO, 2015) This is a recent definition and clearly points out that a midwife has many roles and responsibilities. The NMC Codes of Conduct will be evaluated with specific emphasis on recent changes within healthcare. These changes took place as a result of the tragedies at Mid-Staffordshire Hospital in 2005-2009 and are the outcome of the Francis report in order to improve care given to patients.

I have chosen breastfeeding as my teaching topic for this assignment. The specific clientèle will be the new mother at between 2 and 7 days postpartum, newly discharged from hospital. As a community health nurse working with children and young families, I do initial postpartum visits at home. Breastfeeding is a very complex skill, natural, yet sometimes difficult to do. The client is often overwhelmed with information received in hospital, so sessions must be kept short, and made easy to understand. The area in which I work is multicultural. There is often a language barrier which further complicates

This is the beginning of the mother’s involvement with the midwife. This is an opportunity for both parties to establish a personal relationship, partnership. This is where education exchange can occur, recognition of responsibilities, options and choices are determined which are supported and discussed with the mother and her supporters. (Pairman, 2010, pg. 431-432)

Woman-centred care requires a holistic approach and should encompass all a woman’s expectations from an emotional, physical, spiritual and cultural perspective (Fahy K 2012 & Australian College of Midwives (ACM) 2016). I believe that woman-centred care is of utmost importance in all aspects of midwifery care, and I am sure that many others in the profession would share my opinion. Simple principals of woman-centred care include but are not limited to: collaborative care between health professionals, continuity of care provider, care focused on the woman’s needs and expectations before those of the institution or health professionals and ensures the woman’s autonomy and ability to make informed decisions is supported and respected (Fahy K 2012 & ACM 2016). Unfortunately in some situations, woman-centred care is not always successfully implemented. A common example is when there is an indication for Electronic Fetal Monitoring (EFM), particularly in the intrapartum period