The Mortality Rate Of Mothers And Infants With A Midwife As The Practitioner

Continuity of care may have different meanings, ranging from continuity of caregivers, to a shared philosophy of care by large numbers of caregivers with different professional backgrounds or ideally one-to-one care (Waldenstrom et al. 2000). The purpose of midwifery continuity of care is to allow women and their midwives to get to know each other over time. This involves not only a personal knowledge of each other, but also the ability to be able to work out, investigate, talk about and consider the complex decisions, bearing in mind the woman’s needs and expectations. The relationship has a professional purpose, which is the provision of safe and effective midwifery care (Homer, Brodie & Leap, 2008).

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

Providing an effective care and support to the patient and for their babies during labour

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

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

Although nurse midwives do complete the task of aiding in the delivery of newborns, “they also provide health care and wellness care to women, which may include family planning, gynecological checkups, and prenatal care” (nurse.org). Nurse midwives also assist along with physicians during c-sectional births. Certified Nurse Midwives or CNMs are advanced nurse practitioners; however, nurse midwives must earn an advanced degree, a special certification, and training in order to practice midwife duties. CNMs offer similar care to that of an OB/GYN doctor; therefore they make different financial earnings. “Nursing Economics, found that when midwives work in collaboration with physicians, the birth is less likely to end in a C-section” (nurse.org). If less c- sections are performed in hospitals, it could help lower the medical costs due to paying for medication during the labor and delivery, of a natural vaginal birth. To illustrate, nurse midwives should be more prevalent in hospitals, in order to lower the financial status of medical

North America’s childbirth conditions and practice have been revolutionized throughout time. Today, many aspects of childbirth are carefully inspected to create, in their opinion, the healthiest environment for the women and child. The vast majority of Americans birthing environment takes place at a “hospital, birthing-centers, and homes,” while “planned home births” are fewer then 1% of birth (347). When having a planned at home birth, a birthing center will bring all the required equipment to your

As well as being involved in the main care of the mother during her pregnancy midwives are also part of and implement initiatives. One initiative is ‘the baby friendly initiative’.

After reading the articles and the book and watching the videos I have change how I see a midwife. I never really knew what exactly they were able or prepare to do and now I feel like they are very prepare to help with the delivery of a baby. I always thought that doctors were more prepare that it was too risky to have a birth at home and with a midwife. But now I learn that that’s not always the case. Am the mother of two kids and my plan was always to have them in a hospital with the best doctors that I could find, I wanted my kids to be born in a safe environment and with people that knew what to do in case of an emergency. When I first was pregnant with my fist, I actually search the whole water birth with a midwife and I was surprise that people had an option to have kids in that environment, I though it was very interesting but I didn’t felt that it was for me.

As a society, why should we care if babies are born in the hospital or with a midwife? As technologically advanced as the United States is, we rank 29th in infant mortality. Even more shocking is that 99% of all births in the US take place in the hospital (Kluger, 2009). These numbers are staggering. Modern medicine should be eliminating most of these risks but looking at the statistics there is a lot of room for improvement when it comes to birth experience. Why should we care about using a midwife? The United States needs to decrease the numbers of infant deaths and the key component is using more midwifes.

Providing continuous physical and emotional support during labour can reducing maternal fear, stress, and anxiety and protect physiological birth (Steen, 2012). Research shows that fear and anxiety during labour and birth can be detrimental to physiological birth. An environment that women feel unsafe in may stimulate a surge of neuro-hormones that can influence both fetal and maternal physiology, causing irregularity of contractions, fetal distress and subsequent medical inteverntions (Fahy & Parratt, 2006). Conversly, maintaining an environment where women feel safe, protected and supported can facilitate favourable physiological performance (Fahy & Parratt, 2006). Midwives can do this by giving women one-on-one continuous support and placing her at the centre of care throughout childbirth (Steen, 2012). As observed in practice, by constantly reassuring the woman about her progress, her baby’s health and addressing any of her concerns, the midwife can provide a calm and relaxing environment that is conducive to the labouring woman (Buckley, 2015; Steen, 2012). The midwife worked with the woman, encouraging her throughout labour and birth by telling her that she was doing extremely well. The midwife also breathed in-tune with the woman while giving her a back massage, inducing a sense of comfort. The atmosphere was calm and this contributed to the woman garnering confidence in her ability to avoid medical pain relief. Downe (2008) noted that the positive impact of

This book is very informative and serves many purposes. First, it demonstrates one of life’s miracles – the childbirth process. Second, this book provides evidence and research findings that shape nursing care practices to promote a greater well-being in both the mother and newborn. Third, this book serves as a resource for healthcare

The future of the discipline of nursing depends on social and political factors as well as research and theory development. The use of theories by clinical nurses with varying levels of clinical expertise is rapidly increasing. In the past, the nursing profession has relied on the authority of educators, sociologists, psychologists, physiologists and anthropologists to provide answers to nursing problems. The purpose of this paper is to critically analyze a clinical-related practical concern that will impact the nursing professional environment. The United States is lagging behind other nations of the world in fully integrating midwifery into its health care system. “While midwives deliver only 6% of the approximately 220,000 babies in

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).