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

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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

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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.””

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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!

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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.”

 

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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

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Royal Baby!

Well you may wander where I have been – I have not added an entry for a while! I have the perfect excuse and one which I do not have to give apologies for really!

I have been so busy with my midwifery practice, supporting women/couples in a whole variety of different ways, all bespoke to their own individual needs and wishes. And since I am so passionate about midwifery, I have been busy enjoying my professional role!

Many congratulations go to the new Royal Baby born in July 2013. I had a new IMG_0683role for myself that day, employed by Sky News to give an interview, outside the Lindo Wing where the Duchess delivered her newborn son.

The photo’s of me are not the best quality so do forgive, but illlustrate the point!

IMG_0685IMG_0693

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Limiting baby milk powder sales in UK

I read this news item on BBC website, and it was one of those moments in life when you think “my oh my”. You can understand the reasons why “foreign made formula” has become in such demand in China, given the details described of milk powder being laced with chemicals, and the awful consequence’s for babies health and well being………..this news item has got to be another good reason to add to the already full list of good reasons to at least try to breastfeed your baby!

Please note the “to at least try to breastfeed”….as an experienced midwife and mother myself of 3 children, I am only too aware that for some women, despite all their best efforts,breastfeeding is so much more difficult to achieve than for others. Key to breastfeeding is early support and encouragement in the first week, getting off to the best start possible for mother and baby. I am always happy to help and advise!!

“Retailers in the UK are rationing sales of powdered baby milk because of a surge in demand in China.

Danone, the manufacturer of Aptamil and Cow and Gate baby milk powder, said most supermarkets were introducing a restriction of two cans per customer.

It said the limit was to prevent some individuals from bulk-buying baby milk for “unofficial exports”.

“We understand that the increased demand is being fuelled by unofficial exports to China to satisfy the needs of parents who want Western brands for their babies.”

“We would like to apologise to parents for any inconvenience caused by this limit. We know that most parents only buy one pack at a time, so we hope that the impact of this limit on UK parents will be minimal,” it added.

Foreign-made baby formula are popular in China, especially since a locally manufactured formula laced with the industrial chemical melamine killed six infants in 2008 and caused another 300,000 to fall ill.

Earlier this year, shops in Australia were forced to restrict sales of infant formula, as Chinese customers and tourists bought them in bulk to send them home or to sell them online.

http://www.bbc.co.uk/news/business-22066243

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Keep as active as possible as you approach your due date!

So following on from optimal fetal positioning…………..

As you approach your due date, this can be a time when you are most challenged by the pregnancy. This is not only in respect to being physically challenged, but also mentally/emotionally too.

So on a physical level, getting about can be difficult, not only due to carrying the weight of pregnancy, but also as the baby’s head starts to enter your pelvis or “engage”.  The strain on your pelvic floor is enormous, and all your pelvic floor muscles are working so hard to keep everything in!

Secondly, emotionally, it is getting closer and closer to delivery, and the uncertainty of “when” and “how” for labour can really play with emotions.

Many women go on maternity leave, some weeks before the due date, others literally as their due date approaches. If you enjoy work, then this can feel like a “loss”; for others it may be a huge relief to be finishing work.

Either way, big changes in your daily routine!

When you give up work, do try and stay as active as you can.  The temptation may be to feel that the least physical exertion you have to spend, the better! However it is best to keep yourself as up and about as you can. One really helpful and yet simple  tip is to find the time each day to have a walk, for at least 30 minutes. It is so useful for all the optimal fetal positioning points that I have mentioned in the two previous blog entries. Apart from, the benefits of getting out and about in the fresh air!

If you think you are in labour, going for a walk can help in encouraging things to get going. You can never “will” yourself into labour but it can help to stimulate contractions in the early stages.

I remember walking around our local park at 22.30 hours with my husband and trusty dog when I went into early labour with my first child. Before going for the walk, I was not really sure if this was my body having yet another  practice session or potentially was it  labour?  By the end of the walk we were sure that this was “it” and sure enough it was the start! The walk definitely helped to encourage more consistent contractions.

Keep safe though!  I don’t promote walking around your local park alone, query in labour, in the middle of the night!! Neither in horrid weather!  Common sense prevails.