Essay on Midwife

Historian Laurel Thatcher Ulrich provides a glimpse of America post Revolutionary war through her critically acclaimed book, A Midwife’s Tale, which is the interpretation of Martha Ballard’s seemingly humble diary—a record of her life as a midwife, mother, wife, and caregiver from 1785 through 1812. The book features Ballard’s account of her average day’s activities, which, in turn, serves to represent the tasks of women in her society; however, Ulrich cross-references the diary with documents such as court transcripts, land records, maps, and other diaries in order to piece together a more detailed account than one gathered solely from Ballard’s words. While popular belief envisions women in this timeframe as being constrained to the home and a litter of children, it is Ballard’s diary that reveals that women played a major role in other aspects of society, including the market economy, medicine and childbirth, versus just being mothers and homemakers.

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 Australian College of Midwives believes that it is the right of every pregnant woman to have access to continuity of care by a known midwife for her pregnancy, labour and early postnatal period. Midwives are the most appropriate primary care providers for healthy mothers and newborn babies and are able to refer to specialist medical care if the need arises (Hicks, Spurgeon & Barwell, 2003). Midwives must work within the competency standards enforced by The ANMC Australian Nursing & Midwifery Council (2006) in order to obtain and practice as a registered midwife in Australia. Competency 4 states Midwives should “promote safe and effective practice” (ANMC, 2006), this is achievable by providing Midwifery continuity of care to women and

     Before I watched 'A Midwife's Tale', a movie created from the diary found by Laurel Ulrich chronicling the life of a woman named Martha Ballard, I thought the women in these times were just housewives and nothing else. I pictured them doing the cleaning and the cooking for their husbands and not being very smart because of the lack of education or them being unable to work. My view on the subject changed however when I watched this specific woman's life and her work.

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.

When Thomas Jefferson wrote the second paragraph of the Declaration of Independence, it became one of his greatest legacies. In the first line he wrote, "We hold these truths to be self-evident, that all men are created equal" (U.S. Constitution, paragraph 2). Jefferson wrote these words to give inspiration to future generations in the hopes that they would be able to change what he either would or could not. The word “men” in the Declaration in the early 1700 and 1800’s meant exactly that, but even then it only was true for some men, not all. Women, children, and other segments of the population such as slaves and Native Americans were clearly not included. Jefferson himself was a slave owner and held the belief that women were

In America, midwives attend less than 8% of all births and less than 1% of those occur outside a hospital. At the same time, the US

Women’s health is an important and rewarding field of study. Certified Nurse-Midwives or CNMs are Advanced Practice Registered Nurses provide education and care prior to conception, during pregnancy, childbirth and after delivery of a baby. CNMs work in settings that may include doctors’ offices, hospitals, birth centers, health clinics and attending patients’ homes for birth services or routine pre and post-natal care. CNMs also provide health care to women throughout their reproductive lives that may call for reproduction education, health visits, annual exams, and post-menopausal

Public health is defined by the World Health Organisation as ‘all organised measures to prevent disease, promote health, and prolong life among the population as a whole’ (WHO, 2015). Within this role of public health, the midwife has an essential role. They are in the best position to be able to guide

Call the Midwife fills that need we have to see how poor people live and also serve them. These midwifes spend their time serving members of the community no matter the problems that arise and we don’t often recognize that effort. These women as we talked about in class also often don’t have people supporting them and they are taken advantage of, so seeing them be cared for in such a supportive way is amazing. The emotional bond that the show thrives on is vital because people don’t always make connections with facts and tables but hearing stories of a young girl in a workhouse or having to give up their child because they were unwed and forced into prostitution, makes it real. I started watching the show a couple years ago and while it may not be the perfect solution to learning about this time and place compared to history texts and the like because it is a TV drama after all. But seeing the people interacting or even learning about how a woman’s body works during pregnancy and childbirth is so important. So many things they do in the show or in Jennifer Worth’s books have never occurred to be before I started watching and reading because poverty and pregnancy isn’t really talked about. We haven’t escaped that woman’s world being separate from the rest of the work and seeing how these people and especially women lived is important.

Poor women have other income-generating trades in addition to working as housemaids, such as handicrafts and raising poultry and goats. Among these trades, one of them is unique to the village, and that is midwifery. Among the poor women, midwives enjoy a different status in the village. In the absence of an adequate medical and healthcare system, village women depend on midwives when delivering babies. The parda culture bars women from attending a medical doctor, in most of the cases who is a male, and whose office is located at the government hospital at the sub-district or district town. Poverty and lack of proper transportation also compel village women to use the services of midwives. Midwives learn this knowledge from experience.

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)

According to the American College of Nurse-Midwives (ACNMb) (2015), home births account for 1.4% of all births in the U.S. In eight years the number of home births in the US increased by 41% (ACNM, 2015b). Providing home births falls within the scope of practice of midwives and is supported by the American College of Nurse-Midwives (ACNM, 2015b). A mother can have the option of a home birth as long as the home birth follows regulations set in place by the state and can provide a favorable safe environment for both mother and newborn (ACNM, 2015b). Both the American College of Obstetricians and Gynecologists (ACOG) and the American Academy of Pediatrics (AAP) state that the ultimate decision of having a home birth is a patient’s right, especially if she is medically well informed (Declercq, & Stotland, 2016).