Additionally, midwifery skills is continually polluted by years of managing labour under obstetric vigilance and high end technology. Consequently, the dominance of the medical model over the biological model persisted with a negative implication for midwifery confidence in promoting normal births (RCM, 2014; Lucas, 2011). Hence, change can only be possible if the blame and claim culture of childbirth and birthing without fear is realised for women, midwives and obstetricians (Johanson et al., 2002). Amidst the medical model dissecting and reconstructing pregnancy and childbirth with disregard for maternal inherent physiology, there is no doubt that the obstetrician plays an important role in preserving lives when complications of pregnancy …show more content…
This skill encourages individualised care, a hands-off midwifery approach that encourages informed consent for a genuinely important intervention when the need arises (Wickham, 2009). The physical attribute of water birth is associated with the environment in the water which brings about relaxation for the mother (Garland, 2010). In land births however, the assembly line model of birth dictates a woman’s labour and progress at specific intervals. For IOL, the midwives know the specific time for intervention and manipulation of labour, thus labour fits in to the organisational dictates with little or no involvement of the women in her labour process (McCourt, 2014; Walsh, 2006). Water birth on the other hand, involves women in decision making where they generally have a sense of control over their bodies and their labour (Richmond 2003; Hall and Holloway 1998). Kelly will also feel calm knowing that there is no significant neonatal adverse effect recorded with water birth (Taylor et al., 2016) or long term complications (Russell 2014) even though, the risk of cord avulsion is three in a thousand deliveries (Schafer, …show more content…
Walsh (2009) identified this denial as disembodiment which has a traumatizing effect. Sadly, its effect results into a dehumanizing separation of the woman’s body from being making it (body) easy to manipulate (Foucault, 1973). This is exemplified when pain during induction of labour over powers the woman, disconnecting her from her corpus (McCourt, 2014; Walsh, 2009; Akrich and Pasverer, 2004; Foucault, 1973). However, despite the instrumental need of the institution, the notion of risk and an institutionalized behavior, obstetricians and midwives can tactfully soften their professional skills to facilitate a natural birth (Walsh, 2009; Berg, 2005). Midwives caring for women in the obstetric unit, can serve as guardians for providing woman-centred care, support women’s choices by acting as a buffer, shutting the door for privacy and guarding her in a space where she can labour undisturbed (Downe, 2008; NICE, 2008; Garland, 2010). Midwives must however feel empowered in order to empower women (Hermansson and Mårtensson, 2011). An empowered midwife will use her expertise to improve outcomes of practice, parents’ awareness of available resources and adaptation for the parenting process (Lucas, 2010; Hollins-Martin and Bull,
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.
Giving birth to a baby is the most amazing and miraculous experiences for parents and their loved ones. Every woman’s birth story is different and full of joy. Furthermore, the process from the moment a woman knows that she’s pregnant to being in the delivering room is very critical to both her and the newborn baby. Prenatal care is extremely important and it can impact greatly the quality of life of the baby. In this paper, the topic of giving birth will be discussed thoroughly by describing the stories of two mothers who gave birth in different decades and see how their prenatal cares are different from each other with correlation of the advancement of modern medicine between four decades.
After having less liberty than desired under the care of an Obstetrician while delivering my older sister, my mum decided to seek care from a Midwife for her last two delivers. In comparison to her reflections about her first birth, when recalling my birth she remains enthused about the respect, care and freedom her Midwife gave her. The impact self-governance has on birth always strikes me when my mum speaks of her experiences. It is evident that allowing laboring women to assume ownership of their own bodies affects them, and subsequently their children, for a
Robin Yates’s paper, “Pregnancy and Childbirth, The 1800’s vs. Now: What to Expect When You’re Not Expecting,” was filled with many clear points on the advancement of labor and medicine since the 1800s. This essay was filled with interesting and grabbing facts; however, the structure of the essay needs more support.
When Sarah was out of the bed and standing her whole attitude changed, she was more comfortable and relaxed. Sarah went on to give birth on her hands and knees, there were no complications and the perineum was intact. The student felt that through the use of different positions, listening and observing, she had empowered Sarah to have a normal birth. The two specific topics the author will analyse are positions in labour and the role the midwife plays in facilitating choice.
The theory I selected to apply to the above situation is the Birth Territory theory. This theory was created from empirical data collected by the authors who serve as both midwives and researchers. It has a critical post-structural feminist undertone and elaborates on the ideas of Michel Foucault. The Birth Territory theory predicts and elaborates on the relationships between jurisdiction (use of authority and influence), terrain (the birthing environment), and personal emotional and physiological experience by the mother. This nurse-midwifery theory was chosen because both of the major concepts directly correlate with the incident and are critical aspects of labor and delivery situations. MAYBE ELABORATE A diagram of the Birth Territory theory can be seen in Appendix A.
Childbirth is one of the greatest privileges on the earth anyone could have and we, as women, should feel proud to be major contributors for it. Thus, a mother has to play a key role in aiding the healthcare workers to mitigate the health crisis associated with childbirth by performing her duties faithfully. One such associated health crisis is “Premature (preterm) birth” which occurs when the baby is born too early, before 37 weeks of gestational period (CDC, 2015). The rate of preterm birth ranges from 5% to 18% of babies born across 184 countries (WHO, 2015).
The assignment will be written in the style of the British Journal of Midwifery (BJM), the abstract is incorporated into this introduction and Harvard 2014 will be used for the referencing style.
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
The author is a nurse in a level two trauma facility in a community of approximately fifty thousand people in Oregon. The community is a college-town surrounded by a large agricultural area. There is a minimal ethnic diversity within the community. The diversity present occurs mainly from internationally students and faculty from the college. There is a growing population of women who desire low interventional births in the community. The author has worked on the labor and delivery unit of the hospital for the last 14 years. The hospital is the only one in the area to offer trial of labor services to women who have previously undergone a cesarean section. The unit on average experiences around 1000 deliveries annually.
Medical and technological advances in maternal and neonatal care have significantly reduced maternal and infant mortality and medical interventions have become commonplace and arguably routine. Used appropriately, they can be lifesaving procedures. Routine use, without valid indication though, can transform childbirth from a natural physiologic process and family event into a medical or surgical procedure. Every intervention presents the possibility of unwanted effects and subsequent risks that can potentiate more interventions with their own inherent risks (McKinney, 2014).
This paper will focus on the differences and conflicts between doctors and midwifes. Doctors have been been the lead care providers for women for hundreds of years. Just short of one-hundred years ago Mary Breckinridge became the first midwife in the united states. Today there doctors and midwives have an ongoing feud. Many doctors feel as if midwives are uneducated and are not trained enough to provide health care to women, and do not agree with their more natural approach to child birth. However there conflict is slowly but surly being resolved, as many health care facilities are allowing midwives to have more authority in the work place. Secondly, this paper will go over the differences between doctors and midwives, many people are uneducated
The introduction is clear and states the need for study, which is to evaluate various published materials supporting the underwater births. The introduction further wants to probe that the underwater birth method being an alternative for women willing to give birth, is not safe or beneficial to both the mother and the child (Simpson, 2013). The introduction provides a reason to make the study necessary. It starts with a doctor who used to work in France, in healthcare where he attended pregnant women using the underwater birth procedure. Dr. Michael Odent promoted the idea of underwater birth based on a study that he had pioneered in 1983 (Simpson, 2013). The study did not have enough information on the procedures he
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