Wahine And Whanau: A Conceptual Analysis

“The Business of Being Born” In America and globally, we are known to do things differently apart from other countries, and sometimes it is beneficial, but by doing things differently; are we setting ourselves in the lead or few steps back? For hundred of years, women have wrestled with their womanhood,

The relationship between a woman and her midwife is quite unique. For the majority of the time the woman is in new territory and needs to be made to feel safe and secure (Baston and Hall, 2009). Midwives must remember this relationship is a professional rapport and should never cross the boundary and form a friendship (NMC, 2015). The woman will need to entrust her midwife with many personal details that she may not wish to have shared (Baston and Hall, 2009). This can sometimes place

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

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

CITY COLLEGE COVENTRY Roles and Responsibilities of a Midwife Chloe Allsop Contents Introduction 2 Summary 2 Background 2 Multi-disciplinary Teams 4 Codes of Conduct 5 Professional Bodies 6 Conclusion 6 References: 7 Introduction 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.

TITLE: FIRST NATIONS MIDWIFERY NAME: SALAM IFEJESU STUDENT NUMBER: 200356851 COURSE NAME: INHS 100 INSTRUCTOR: JULLIET. O. BUSHI INTRODUCTION 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

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).

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.

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

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

I first became fascinated about midwifery when I read an inspiring article based on pregnant asylum seekers. This has opened my mind about the support that each person needs regardless of their struggles. I consider myself as an advocate for women during their pregnancy. I am a person who regularly gives to charity by using my spare time and skills to support young children in the community. This has helped me to develop my communication skills when working with diverse children. The reason I chose midwifery is to empower women and to assist them with their choices that they make. As a liberal feminist, I have a great trust and confidence to connect with women from their own perspective.

Unfortunately, this system of disease management includes obstetrics and thus often pregnant women are treated as if they have a disease, not that they are experiencing a normal process. Women are often not satisfied with the care that they receive within the healthcare system because they feel as if they have little to no control of their body, are essentially forced into giving birth in a specific way (convenient for the doctors, but not as pleasant for women), or their opinions are not considered. Therefore, as an individual aspiring to enter into a field that often limits a woman’s choice, it will be imperative for me to attempt to overcome such practices and provide care that is highly accessible for all patients that offers a wide range of services such as birthing classes, referral to other alternative medicine practitioners, and coordinates the care of the patients. I must also provide care and services that ensures that the macro and micro factors that may threaten my patients’ health are minimized. Additionally, it will be imperative for me to have measures in place, such as patient and staff review to ensure that I am delivering effective quality care to the women that come to my practice. In the future, I aspire to run a successful practice, within a community that already has one OB-GYN practice that has a monopoly on the discipline currently. Therefore, I will have significant competition, but If I ensure that I place the patient first, a factor that Don Berwick cites as being vital to help our system, then I will be able to run a successful practice that maximizes patient satisfaction and helps provide obstetric and gynecological services back to the community that raised me (Conaboy). At the end of the day, under the current system and how many practices are

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

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

Assignment 2: Professional Midwifery Portfolio Philosophy: 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.