What A Postnatal Abdominal Palpation Is Important For A Successful Birth Experience Essay

Midwives are able to work in homes, clinics, and hospitals but there are risks of childbirth at home. If complications arise outside of the midwives’ abilities, providers in the hospital must be contacted (AWHONN Executive Board, 2016). This is another situation where interprofessional care would be incorporated.

While there are many challenges that present themselves when deciding to go back to school, nothing compares to the end result of completion. The many obstacles can also be the motivating factors in succeeding. Having been married for a short time I will have to deal with balancing my relationship with my new husband and working as an on-call midwife. This in turn offers our relationship the ability to grow in the face of challenge. I have an incredible support system pushing me to be my best and to help reaffirm my commitment to midwifery in times of need. I know that working on-call can be tiresome but being trusted to aide in birth is one of the most precious gifts. To me, midwifery is a lifestyle not a job. A good friend of mine is currently

The founder and director of The Farm Midwifery Center is Ina May Gaskin, who is married to Stephen. She, like all the Farm midwives, is a Certified Professional Midwife. This credential is interesting because it is focused on practitioners who provide out-of-hospital births, focusing on providing “traditional, natural, non- interventive births with good outcomes and state-of-the-art professional skills” (CITE). This certification nicely captures the mission of the Farm midwives, who strive to practice midwifery as it was practiced for generations before the medicalization of childbirth.

As a midwifery student, the author has worked with two women, within the Continuity of Care Experience, who have been induced for post-term pregnancy. Reflections have been written about the care these women received and are located in the authors Continuity of Care Experience reflective journals under the pseudonyms RO’B and EE. The purpose of this portfolio is to explore current midwifery practice in relation to this event which can turn an uncomplicated pregnancy into a complex labour and birth. Current literature will be reviewed to determine best practice in care provision for woman who are post-term and a recommendation will be made on how midwifery practice can improve outcomes for women whose pregnancies progress past term. For

Guilliland and Pairman defines midwifery partnership as a relationship of ‘sharing’ between the woman and the midwife, involving trust, shared control and responsibility and shared meaning through mutual understanding (2010, p. 7). Continue care model is a holistic approach in assessing a woman’s health with equal emphasis on her physical, emotional and social aspects of wellbeing in a partnership model of midwifery care. The sharing knowledge and experience of the midwife will enable and support the woman in monitoring her own health. However, midwife is required to integrate cultural safety into her midwifery practice; be flexible, sensitive and understanding (Pairman, S., Pincombe, J., Thorogood, C & Tracy, S. 2015, p. 728 & p. 745). The New Zealand College of Midwives defines cultural safety as the effective care of women from other cultures by midwives who have undertaken a process of reflection on their own cultural identity and recognise the impact of the midwives’ culture on their own practice. Unsafe cultural practice is any action that diminishes, demeans or disempowers the cultural identity and wellbeing of an individual (2008, p. 48). Hence, a routine assessment such as on lochia requires the development of partnership, coupled with continued care and cultural safety. In addition, a sound knowledge on the anatomy and physiology and assessment skills of lochia will definitely make the partnership between the midwife and her woman a reciprocal one.

The Midwives Model of care was created by a few well-known organizations such as The Midwives Alliance of North America (MANA), the North American Registry of Midwives (NARM), the Midwifery Education Accreditation Council (MEAC) and Citizens for Midwifery. The definitions created by these organizations are simply characteristics a mother should look for in her midwife and caregiver. Mothers should be able to ask questions and have all the information laid out for her so she can make the best decision for her birth. After all labor and birth are natural processes that mom is completely capable of choosing where it happens if all goes to plan.

During the course of this placement I have focused my learnings on ‘true’ midwifery whilst beginning a journey to find deeper meaning and understanding in my pratice. I have tried to advance my abilities to manage more challenging situations. I have developed my competence and practice reasoning to be able to critically anaylse and respond but also focused on the main basis that governs my interctions with families– partnership. I have had goals in regards to developing my interdisciplinary communication skills and focusing on the multidisciplinary interface that as a future midwife I will be involved heavily in when planning and negotiating care with women. Throughout my entire development the underpinning threads of midwifery have helped guide and shape me but I’ve found during this placement continuity has weaved all these threads together. Continuity has enabled me to establish deeper partnerships than I have been able to in the past and connect with clients on higher levels transcribing to a more intense sense of accountability and responsibility as I am able to see the results of my decisions and care provided. Continuity is a concept that is integral to midwifery and is the backbone to holistic women-centred care. Continuity of care has been showen in samples of low risk women to reduce the likelyhood of epidurals, episiotomies and instrumental deliveries in conjunction with increasing the chances of a spontaneous vaginal birth (Sandall, Soltani, Gates & Shennan,

Eagerly yearning to have a positive impact on health standards in my community has compelled me towards studying Midwifery. I believe there’s nothing more remarkable than understanding how a woman’s body functions during their pregnancy. Broadening my horizon and developing my understanding about how midwives specialise in nurturing a pregnant woman and her baby from early postnatal periods, pregnancy and birth. However what intrigues me the most is having the privilege of forming a relationship with mother whilst being pregnant. Another appeal is that midwives are essential in preparing women for motherhood by providing around the clock support and educating both parents and family, to help them make informed decisions about their new-born

Munro introduces the potential solution to the current health human resource shortages in many developed nations in relation to interprofessional primary maternity care. The study explores the barriers to interprofessional models of maternal care between physicians, nurses and midwives in rural British Columbia, Canada and the changes that need to occur to facilitate such models

After participating in a well-managed physiological third stage, the student midwife further improved her learning experience and enhanced her knowledge by critically reflecting on the scenario using Gibbs' reflective cycle (1988). She concluded that Laura’s midwife demonstrated excellent midwifery values, good communication, competence, commitment, courage and compassion. She formulated a client centred care plan and delivered evidence based, safe and effective care, while protecting and supporting the birth process holistically. This experience has reinforced the student midwife’s view of the importance of keeping the midwifery skills up-to date and adhering to the ethical and legal duties while providing care for women and their families.

My particular interest is in normality and my future ambition is to become a core member of the Midwifery Led Unit team at Leighton Hospital and to become a mentor for future students undertaking the midwifery degree. I have gained valuable experience in normality to date in particular with water birth. I am motivated by helping women achieve the birth experience they plan for, in the safest way possible, bearing in mind the findings from the Morecambe bay inquiry. Although normality is my passion I am also keen to work on the labour and post-natal wards. I have experience of multiple birth namely twins and I have also cared for woman who have suffered Postpartum haemorrhage and sepsis. I also have skills from working within induction of labour, theatre, triage and within the antenatal outpatients department. Throughout my training I have gained 3 years’ experience of working within the NHS, caring for women with varying health needs including women who suffer inequalities and special needs. Caring for a woman in labour who had learning difficulties and complex safeguarding issues was a challenge that I enjoyed and helped me to gain knowledge on safeguarding and its importance. I feel confident that I could replicate the care given again when needed.

Higher traditional birth attendant incomes when not partnering, requests for patients who prefer to give birth at home and the experience of new midwives at the primary health care become the reason traditional birth attendant refuse to partnered with midwife. While the reduced workload and good communication between midwives, traditional birth attendant and Posyandu cadres be the reason traditional birth attendant to want to partner with midwives.

Becoming a midwife is a long-term goal that I have maintained since early childhood. I am aware that my choice of becoming a Nurse-Midwife will throw many challenges and rigorous demands which I am ready to face because I want to help individuals who cannot help themselves, as well as, bridge service gaps to reduce health

There are many health care options available during pregnancy, so why would a mother want to choose a midwife? Midwifery is a natural approach to labor and delivery that offers a less intrusive kind of birthing environment, more birthing options, and midwives are able to accommodate the specific needs and wants of the mother. “Midwives attend approximately 10% of births in the U.S. across all settings, including hospitals, birth centers, and home births. In every setting, midwife-led maternity care results in reduced infant and maternal mortality and morbidity, fewer medical interventions, decreased costs, increased savings, and improved client satisfaction” (MANA). In order to fulfill the needs and wants of the mother, one must be able to adjust accordingly by having the right set of skills and education, allowing the woman the right to make her own decisions about the type of childbirth she desires, and have the added benefit of being able to adapt to the cultural and social desires of the client. Midwives practice and promote the philosophy of women’s rights, have the adequate skills and education, and include many benefits associated with the blessings of childbirth. (* 67%)

Antenatally, midwives need to bond with the women they care for as they will be taking a detailed history of not only their health but that of their partners, and family. ( *** ) http://reader.eblib.com/(S(0gibyjkz4xelrtva3ltnssv1))/Reader.aspx?p=1073537&o=344&u=70IRrwEsYGoKlMKy0UYcD27X2Ls%3d&t=1396368366&h=E7906F1DD8648B117E08993FFBFCFD651101E109&s=22240473&ut=1049&pg=1&r=img&c=-1&pat=n&cms=-1#