I strongly believe in and support the mutual partnership that is established between Midwives, Wahine and their Whanau. It is an honour to be a part of women and their families journey to welcoming a new family member and I cherish the opportunity to be able to do this with them. Whilst pregnancy and childbirth is a normal, natural process of life, for some this can be complicated and I feel it is my responsibility to be able to walk with low risk and high risk women, injecting as much of my midwifery philosophy as I can into what might be a complex medical picture. By keeping practice hollistic and woman-centred this can be achieved. All women are entitled to make fully informed decisions and granted the time to do this. I am pro-choice and
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).
Thirty-Five Native American tribes exist in Washington State. The Tulalip tribe resides in Marysville, Washington bordering the town that I live in. The Tulalip Tribes are the state’s second largest tribal group. In the past Cascade Midwives & Birth center, where I plan to practice my skills, has conducted mini prenatal clinics for expectant Tulalip mothers. While, in recent years it has not been as prevalent. Midwives have been integral for many underprivileged women to get quality healthcare throughout pregnancy. These women are typically marginalized in society but can be well served by midwives. Midwives are less threatening and believe in informal consent, they allow people to make their own decisions. This helps avoid the stigma of a
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.
Midwifery has been practiced in several communities of the world since time immemorial. A midwife is a trained person, mostly a woman, who assists in the pregnancy, delivery and post-partum care of an infant. In most countries of the world, the act of midwifery has been neglected for more modern and westernized medical practices deemed safer. In the First nations community, midwives have always been an integral part of the health system assisting expecting women during delivery. In the mid nineteenth and twentieth century, midwifery was outlawed in many communities and reserves ‘for the sake of the health of the country’ (Parkland Memorial Hospital School of Nurse Midwifery). With the outlaw of midwifery in First nation reserves, expectant mothers were transported to hospitals and clinics in urban centers for delivery. With this came several new challenges for expectant first nations women and mothers including, ‘increased maternal newborn complications, increased postpartum depression and decreased breast-feeding rates’ (O’Neil et al., 1990, Smith, 2002 and Klein et al., 2002a. The relegation of first nations midwifery has done more harm than good because it makes the birth process more medical, has led to the inflict of new post natal diseases and has led to the neglect of the traditional and spiritual roles in child
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.
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
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
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.
There are more and more steam mops entering the market place lately and with good reason. They work like a charm and solve several floor cleaning problems you may not even know you have.
Within Victoria there are multiple models of maternity care available to women. An initial discussion with the woman’s treating GP during the early stages of her pregnancy is critical in her decision-making about which model of care she will choose and this key discussion is essential in allowing a woman to make the first of many informed decisions throughout her pregnancy. According to a survey conducted by Stevens et al. (2010) only 43% of women felt ‘they were not supported to maintain up-to-date knowledge on models of care, and most reported that model of care referrals were influenced by whether women had private health insurance coverage.’ Many elements of these models of care differ: from location of care, degree of caregiver continuity, rates of intervention and maternal and infant health, outcomes access to medical procedure, and philosophical orientation such as natural or medical (Stevens, Thompson, Kruske, Watson, & Miller, 2014). According to the World Health Organization (1985) and Commonwealth of Australia (2008) there is a recognition that ‘85% of pregnant women are capable of giving birth safely with minimal intervention with the remaining 15% at potential risk of medical complications’ (McIntyre & Francis, 2012).
Before the introduction of modern birth control, gender roles emphasized the responsibility of women to conceive and raise children. Although this began to change in the in the mid-twentieth century, with the introduction of the first hormonal birth control pill, Enovid, taking place in 1960, it was not readily accessible during that time period (Buttar and Seward, 2009, p. 1-3). This did not change during the time period immediately following the introduction either; five years after the introduction of Enovid, there was still controversy surrounding the use of contraceptives. In the Supreme Court case of Griswold v. Connecticut, the legality of birth control on the market was debated, and the case concluded with the allowance of hormonal contraceptives, but it was limited to married couples only under the right of marital privacy (George and Lewis, 2016, p. 1). The controversy and secrecy that surrounded the use of birth control shortly after its introduction indicates that although it was certainly present and used in society during this time period, it still carried the negative social connotations of the past, which prevented it from being socially normalized. In contrast, the standardization of birth control in society took place decades later, from approximately the 1990 to 2010s.
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.
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
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
While everyone is different there are many aspects of wellness that are needed by everyone to be happy and successful in life. When speaking of wellness most people think of one thing: physical wellness. This is one of the major aspects of wellness, however there are several more including; spiritual, environmental, occupational, social, emotional, and intellectual. Throughout this paper I will set goals that I would like to personally achieve in each of these categories and how I will achieve them. I am also going to talk about the role that medications play in the arraignment and maintenance of personal wellness. Everyone’s wellness is important and vital aspect to daily life. Because of this, I am going to figure out what I need to do to achieve my goals of being overall more healthy and active.