Midwifery Philosophy

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).

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

I believe as a Midwifery Student at Australian Catholic University (ACU) that childbirth is a natural life process. Within my philosophy, my aim is to provide a women-centred care based on evidence- based practice. Also the importance of supporting women with cultural variation, social circumstance and understanding other specific needs throughout the woman’s pregnancy. The women-centred care is an essential quality to a midwife as it ensure that the women is educated in healthy lifestyle choices within pregnancy, childbirth and during parenthood. This relationship of “women-centred care” is the key to midwifery practices as Australian College of Midwives (2009) refers to the philosophy of maternity care that promotes a holistic approach by recognising each women’s social, emotional, physical, spiritual and cultural needs. In retrospect, it is important to reflect on your past experiences during your midwifery practice but also your life beyond midwifery.

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.

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.

For hundred of years, women have wrestled with their womanhood, bodies, and what it means to be a woman in our society. Being a woman comes with a wonderful and empowering responsibility--giving birth. What sets us aside from other countries is that the process and expectations of giving birth has changed in our society; coming from midwifery, as it has always been since the early times, to hospitals where it is now expected to give birth at. Midwifery was a common practice in delivering babies in

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

A constructive critique of the research into women’s experiences of becoming a mother after prolonged labour.

The concept should be clear and distinct, unambiguously defined and well differentiated from other concepts, and should be applicable to the world and appropriate in context. Concept analysis is applied for the refinement and definition of concepts originating from nursing practice, nursing research and nursing theory (Maputle & Donavon, 2013), which helps to differentiate between similar and dissimilar concepts. Walker and Avant assert that concept analysis and development are fundamental processes required by nurse researchers who are attempting to measure the metaphysical phenomena of nursing, or in this study the midwifery practice.

This essay will be relating to an episode of care that was provided to a woman, her partner and their baby on day five during the postnatal period. It will examine the role of the midwife in relation to breastfeeding and how this was not achieved in the case study which is shown in the appendix. Throughout the essay it will look at the following outcomes: the role and responsibility of the midwife within current maternity care provision, the importance of sensitive midwifery, key legal and ethical dimensions of the midwife's role and key sociological and psychological agendas impacting on current maternity care.

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

Woman-centred care focuses on women’s health, aspirations and expectations during pregnancy, as well as recognising that every woman is different, and therefore has a responsibility to make informed decisions for herself and her baby (Fahy, 2012, pp 150). (Guilliland & Pairman, 1996, pp 41) state that midwives “work to facilitate the optimal experience for the pregnant woman and her baby.” Midwives centre their work ensuring that their focus is purely on the woman, who defines her personal needs (Pairman & McAcra-Couper, 2015, pp 398). To enable woman-centred care, the (NMBA, 2008) states that midwives must participate in respectful partnerships with not only the woman, but other members of the health care team. Woman-centred care recognised a woman’s right to autonomy, with regards to choice, control over her pregnancy and baby and continuity of care (ANMC, 2006). A woman has the right to determine whether or not she accepts treatments, be given understandable explanations of any health issues, proposed treatments and the right to be made aware of any test

This model identifies midwifery partnership as a relationship of ‘sharing’ between the women and the midwife, involving trust, shared control and responsibility and shared meaning through mutual understanding. It is the sharing relationship which constitutes midwifery and it is one which spans the life experience of pregnancy and childbirth. (Guilliland, K., & Pairman, S, 2010, p. 7).

Hearing the word midwife leaves many people thinking of unprofessional, inexperienced women who help deliver babies naturally, without the help of medication. In truth, nurse-midwives are registered nurses who have attended additional schooling for women’s health and are taught to make women feel as comfortable as possible. In the beginning, remedies were the females’ legacies, their “birthright”; these females were known as “wise-women by the people, witches of charlatans by authorities”. (Ehrenreich, 1973). “Females were wanderers, traveling from one place to another, healing the sick and wounded.” (Ehrenreich 1973). These women were among the first human healers and they were especially helpful when it came to childbearing. The midwives