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MidwifeCare

Apgar scores

So I have learnt something new today as a midwife….about the Doctor who invented Apgar scores – a score/tool used by us midwives/ doctors all over the world for assessing/recording a newborn’s condition at birth. “Google Doodle” today celebrates the 109th birthday of Dr Virginia Apgar – the doctor who devised the Apgar score. Its a score that we give newborns at 1minute, 5 minutes and 10 minutes after birth, assessing heartrate, breathing, colour, muscle tone and neurological reflexes. Clever lady! Incredible that her assessment score is still today used as a standardised assessment tool at birth for the wellbeing of the newborn!

Dr. Virginia Apgar’s 109th Birthday

MidwifeCare

Continuity of care

I have been super busy since new Professional Indemnity Insurance has facilitated a return to the full Independent Midwifery services that I can offer clients again.
Supported several clients for their births in recent weeks, and lots of new bookings for births due over the coming months. Been truly privileged to support returning clients – having now provided care for their first pregnancy, birth and postnatal, and now second! Adds a terrific dimension to continuity of care!

A text from a new Dad client following the support I provided them as a couple for their birth.

Finding my work very rewarding.

text 2018

new mum

Maternity Leave

Several of my antenatal clients have chatted with me during their antenatal appointments this week re maternity leave, and how long to take etc. Read an article yesterday which quite surprised me!
I quote (no idea re source for this data)…..
“1:4 women in the USA take just 2 weeks off after giving birth” and it stated that a former Yahoo CEO took just a fortnights leave after having her twins! My she must have had a very robust support around her to achieve that!
My thoughts though were also towards the newborn babies….feeding and establishing of it generally takes a couple of weeks at least.
It quite simply is not long enough off following the birth – for new mother recovering postbirth and newborn baby/babies.
Maternity Leave needs to be longer than that ideally!

MidwifeCare

Recommended products

http://www.telegraph.co.uk/women/mother-tongue/11089255/Five-best-things-to-buy-for-a-second-baby.html

As a midwife, (and mum myself of 3 children) I am often asked what products I would recommend or endorse to smooth the path of parenting!
Of the five things that this article recommends, I would myself wholeheartedly say “hear hear” too to Metanium nappy rash cream. Absolutely fabulous stuff! Only need to use it if your baby has nappy rash…not necessary at every nappy change if all is ok etc.

“Metanium is the nappy rash ointment that leaves all others standing. Consistently voted a Mumsnet Best, this “magic cream” is the subject of eulogies among grateful parents, with words such as “brilliant” and “miracle” being regularly bandied about. In the words of one grateful user: “Do not be without this cream.””

MidwifeCare

Joys of being a midwife!

I have had a very busy but professionally rewarding 2 weeks, supporting clients.

2 of my clients birthed very close together (in the 5 years I have been working independently, its been the closest!!). Yes “Mother Nature” did make me wonder but it worked out perfectly in the end!
Both had excellent care from the NHS Team’s at their local chosen hospitals. The NHS is often slated but it provides impressive acute care! Yes it does not often give continuity of care, but my personal midwifery care can provide that aspect!

Feeling so blessed – I love my job as a midwife!

MidwifeCare

Something to be celebrated for Independent Midwives

Just wanted to share this link on my blog!

http://www.midirs.org/insurance-victory-independent-midwives/​

The survivial of Indpendent Midiwfery and ultimately choice for women!

Yipee I can continue my work as an Independent Midwife….a job I passionately enjoy!

 

imukIndependent Midwives UK (IMUK) have announced the resolution of the longstanding ‘Choose your Midwife, Choose your Birth’ campaign to secure workable, affordable professional indemnity insurance (PII) for self-employed (independent) midwives.

Following a requirement of EU legislation, professional indemnity arrangement is mandatory for all healthcare professionals from 17th July 2014.

Historically, midwives who have chosen to work as self-employed practitioners outside of the NHS have been unable to secure affordable PII due to the insurance industry combining midwifery with obstetrics in terms of risk assessment.

IMUK’s scheme, which launched today, meets the requirements of both the EU directive and the Nursing and Midwifery Council (NMC), is tailored to independent midwifery practice and is based on the analysis of midwifery data only, over the past decade.

IMUK Chair Jacqui Tomkins hailed the breakthrough, saying: “This campaign saw thousands of women, families, politicians, birth groups and midwives working together to retain women’s rights to choose the circumstances of their birth.

“We are incredibly relieved to have procured a solution which ensures that future generations of women will have independent midwifery as a choice in maternity care and that midwives can exercise their right to self-employment.

“We’d like to wholeheartedly thank all those who have supported us throughout a very tumultuous time. We are all greatly looking forward to continuing to serve families at an incredibly important time in their lives.”

Belinda Phipps, chief executive of the NCT, added: “We welcome the continuation of independent midwifery. It is a powerful partner for change in woman-centred care and we are glad to see them with a future. Independent midwives are a great example of continuity of carer, providing the individualised support that women need and want.”

 

new mum, postnatal, pregnancy

What does new motherhood look like?

Interesting article I read over the weekend with some great photo’s…..proud new Mum’s with their newborn baby! Photographer Jenny Lewis undertook a project called “One Day Young”, photographing new mum’s and their babies within first 24 hours after birth!

In the article Lewis talks about an all familiar issue for me as an independent midwife….
“At the peak of the project Lewis would have weeks with 10 due dates. “I’d be thinking, ‘Please, don’t have them all on the same day!’ When I go on holiday I feel terrible but I can’t plan my whole life around it. My kids have been amazing. ‘Sorry guys I’ve got a One Day Young!’ I say, ‘Back in an hour.’”

My husband and children are amazing too…as I await client labours/births and jumping into action etc when they do! Often not back in an hour though!!

http://www.telegraph.co.uk/women/mother-tongue/10941357/What-does-new-motherhood-look-like.html

MidwifeCare

Dads @ births!

Dads attending for the birth – 
Amusing article as linked below regarding Dads being present for the birth of their baby.
This is a very personal decision, and no rules should be applied to force either way!

In the many many births I have been present for in my 20 year midwifery career, by far the majority of men would not miss the occasion of the birth of their baby, and lovingly support their wife/partner in any way they can.
It is fair to say that some Dads can feel at a “loss” to know how to help when their loved one is in so much pain, but this too can be accentuated by being in hospital, which is not a “familiar” environment.

This has to one of the biggest plus points for home birthing – being in the relaxed environment of your own home, with the sense of the familiar, and having your baby born in your own “love nest”….great for calming the nerves etc!

What is key is preparation for the expectant couple and in my work as an Independent Midwife, I always make sure that my clients are fully aware of all the options regarding place of birth, as well as strategies for how to cope on the day of birthing.
I also attend with clients for their births and draw on my midwifery experience to support both the woman in labour, as well as the expectant Dad!

http://www.telegraph.co.uk/men/relationships/fatherhood/10938391/Why-dads-should-keep-their-distance-from-the-delivery-room.html

antenatal, birth plan, pregnancy

Birth Plan!

Birth Plan!
Read an article this weekend in Waitrose Weekend – Q & A’s to Kirsty Allsop.
One question was “What’s the best piece of advice you’ve been given?”
Kirsty answered – “Nobody makes a birth plan the second time!”

Educating yourself so that you and your partner know about all the choice’s open to you for labour and delivery is really important. Starting from where to deliver your baby, through to knowledge about the 3 stage’s of labour, as well as strategies for self help coping mechanisms in labour as well as all the pain relief options. Common occurances in labour is another useful topic too.

As a practising midwife for the last 20 years, I have put lots of thought into the content of my classes, and aim to educate couples so that they can make informed choice re the above.

Preparation is key and knowledge is powerful. However, it really is best to keep an open mind as to how your labour may go. Mother Nature can sometimes interrupt the best laid plans, so if you keep an open mind, you are less likely to feel that your birth plan do not go “to plan”.

pregnancy

Water birth alert! Only related to one type of birthing pool!

For all you pregnant ladies considering labouring in a pool at home/ home waterbirth.
The warning issued by Public Health England is ONLY related to one type of birthing pool that you can hire. That is the pools where the hire company you employ come and set the pool up in your room at home, @ around 38 weeks, and fill pool etc…..so the pool is all ready for when you go into labour. The pool water is kept warm for the whole length of time until you labour, with a heater.

The alert does not affect the vast majoirty of home water births, where the pool is put up and filled only when the woman goes into labour. Equally hospital birthing pools are not affected as they too are filled immediately prior to commence of use.

See following link!

http://www.telegraph.co.uk/health/healthnews/10907044/Birthing-pool-alert-as-baby-becomes-severely-ill-with-Legionnaires-disease.html

Any questions, do message!