Why Midwifery?
I choose to be a certified nurse midwife (CNM) after working with five of the most amazing CNMs. Seeing how great their contribution is to our future generations, made it easy to decide what I wanted to do with my future. I worked for five years as a medical assistant(MA) at the Henry ford health system in the OBGYN department. Most of our patients did not speak English and required translation. Although Henry ford health system has a translation line, our patients had special treatment and translation was provided by the MA. Because of that I had the privilege of being in the room with all non-english speaking patients. I was there to educate the pregnant mothers on how to take care of themselves and their unborn babies. I also
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• You will have the opportunity to work in collegial relationships with physicians, nursing specialists, and other health care professionals.
Midwifes work long hours and have irregular schedules. They are expected to be available at all times and also keep office hours for prenatal and well woman checkups. When they are on call they can be up working 24 hours or more, straight. Depending on the job, midwifes can work in hospitals, clinics, home, or birth centers.
Benefits of midwifery care Slide: notes
• Studies show that U.S. women receiving care during labor by midwifes and/or in out of hospital settings had great outcomes and cesarean rates were well below the general population rate.
• Midwifes believe in minimizing the chance of having an episiotomy
• They also discourage the use of pain medication and epidurals; they use a natural approach to managing labor pains like massaging, walking and water immersion. Women usually feel confident to use this approach knowing they have the freedom to change their mind at any point during labor.
• Women receiving care from midwives are less likely to have preterm deliveries, or have a
The disparities may be attributed to the amount of prenatal care that pregnant women of different ethnicities receive. In 1996, 81.8% of all women in the nation received prenatal care in the first trimester--the m...
Johnson, K. C., & Daviss, B. A. (2005). Outcomes of planned home births with certified professional midwives: large prospective study in North America. Bmj, 330(7505), 1416.
Upon viewing “More Business of Being Born” (Epstein, 2011), I learned a lot about the different pros and cons of Vaginal Birth After Cesarean (VBAC). Women are often deprived of the choice of the method of delivery of their children after they’ve previously had a cesarean birth. The cause of this is that there exists medical fright about a rupture of the uterus which often leads to death of mother and baby (Epstein, 2011). In the mid twentieth century, it became a common saying that “once a cesarean, always a cesarean” came about. This saying perpetrated the fear and understanding that women have to go about having another cesarean, depriving them of choice (Epstein, 2011).
How do you feel about home birth? When it comes to most peoples minds they most likely think that is just horde, and that they world never even think of baring there child that way. After reading this I hope that you will change you mind, or reconsider it. home birth is better then the hospital in many ways, and i'm going to share with you many of those ways with you. In the articular ( Midwifes alliance) is says, (Journal of Midwifery & Women’s Health (JMWH), a landmark study** confirms that among low-risk women, planned home births result in low rates of interventions without an increase in adverse outcomes for mothers and babies. This study, which examines nearly 17,000 courses of midwife-led care, is the largest analysis of planned home birth in the U.S. ever published.The
As defined by Lowdermilk, Perry and Cashion, preterm labor is “cervical changes and uterine contractions occurring between 20 and 37 weeks of pregnancy”. Preterm birth is a dramatic event causing distress for both the child and parents. There is a significant amount of information available on the risk factors related to preterm labor. Seeing the ineffectiveness of interventions directed towards known risk factors emphasizes the lack of maternal understanding of possible underlying pathways.
Throughout history mankind has come up with some wonderful inventions and innovations, but out of all the creations by far the most beautiful and precious is human birth. I first developed an interest in nursing and in particular midwifery years ago. I believe it is a great service within the health profession because of the privileged position to assist in human childbirth. The word midwife means with woman. Centuries before obstetricians delivered babies, midwifes assisted women in having at home births. But it was only formally established as a profession in the early 1900’s. A nurse-midwife is a registered nurse that specializes in midwifery. The job of midwife is to assist in family planning and birth control advice, provide general gynecological services (such as pap smears and breast exams), aid women in childbirth, and help women by providing prenatal and postpartum care. Nurse-midwives are required to have a Master’s of Science in Nursing (MSN) degree and pass the American College of Nurse Midwifery (ACNM) board examination to obtain certification.
Their work environments include a physician’s office, hospitals, nursing care facilities, schools, and clinics. Nurse midwives also work in birthing centers. Some may even treat patients in the comfort of their patient’s home. Also, they may travel long distances to help care to patients in places wh...
...o find a balance between interventional and non-interventional birth. With this being said, I also understand that there are strict policies and protocols set in place, which I must abide to as a healthcare provider, in any birth setting. Unfortunately, these guidelines can be abused. Christiane Northrup, MD, a well recognized and respected obstetrician-gynecologist has gone as far as to tell her own daughters that they should not give birth in a hospital setting, with the safest place being home (Block, 2007, p. xxiii). Although I am not entirely against hospital births, I am a firm believe that normal, healthy pregnancies should be fully permissible to all midwives. However, high-risk pregnancies and births must remain the responsibility of skilled obstetricians. My heart’s desire is to do what is ultimately in the best interest of the mother, and her unborn child.
Chances are that terms such as “midwife” and “home birth” conjure up for you old-fashioned images of childbirth. These words may bring to mind scenes from old movies, but you’re not likely to associate them with the modern image of childbirth. Do you know anyone who has had a midwife-assisted birth or a home birth? Would you consider one?
Worldwide, the rate of cesarean section is increasing. According to the CDC, in 2012 the rate of cesarean sections comprised 32.8% of all births in the United States (CDC, 2013). Between 1996-2009 the cesarean section rate has risen 60% in the U.S (CDC, 2013). According to the World Health Organization (WHO), more than 50% of the 137 countries studies had cesarean section rates higher than 15% (WHO, 2010). The current goal of U.S. 2020 Healthy People is to reduce the rate of cesarean section to a target of 23.9%, which is almost 10% lower than the current rate (Healthy People 2020, 2013). According to a study conducted by Gonzales, Tapia, Fort, and Betran (2013), the appropriate percentage of performed cesarean sections is unclear, and is dependent on the circumstances of each individual birth (p. 643). Though often a life-saving procedure when necessary, the risks and complications associated with cesarean delivery are a cause for alarm due to the documented rate increase of this procedure across the globe. Many studies have revealed that cesarean deliveries increase the incidence of maternal hemorrhage and mortality and neonatal respiratory distress when compared to vaginal deliveries. As a result, current research suggests that efforts to reduce the rate of non-medically indicated cesarean sections should be made, and that comprehensive patient education should be provided when considering an elective cesarean delivery over a planned vaginal delivery.
I choose to be a Family Nurse Practitioner. In many ways, it has also chosen me. I was twelve years old when I first thought of becoming a nurse. I was spending time with my elderly neighbor who was like a grandmother to me, and she had an accident. She was mortified. I ran over and got something to clean it up and started to wipe up the mess without thinking about it. “We all have accidents,” I said. After she got changed she said, “You were meant to be a nurse. Some day you will be, I just know it.” She passed away later that year and I have never forgotten that moment.
Nursing has been a long time childhood dream. Some may choose nursing for so many other reasons, for me nursing is my passion and I believe I have a caring personality which is a key point of nursing. Coming from a country that had been in a civil war for long since I was a little child, and growing up in that kind of situation, seeing everyday people die for even minor things because of no doctors or nurses available, left me with deep sadness and wanting to make difference in the lives of so who are in need. This experience had planted in mea caring natures that I want to make use of it. Coming to America has made my dream of becoming a nurse come true. I was able go to college while having a family as well. I have always admired what nurses do for their patients. Doctors only see patients for few minutes but nurses stay with patients 24, 7 therefore; physicians only make diagnosis while nurses heal the patient.
I have developed strong communication skills and gained such strong interdisciplinary relationships with doctors, nurse practitioners, patient care technicians, and healthcare professionals. Teamwork and collaboration attributes will be useful in my preparation to become an autonomous nurse practitioner and I am looking forward to further developing my connections, challenging myself and expanding my nursing
A midwife is more than just delivering babies. Kathleen is a board certified nurse midwife and a member of American College of Nurse Midwives. A midwife is usually the first and main contact for the expectant mother during her pregnancy, and throughout labor. She is responsible for providing care and supporting women to make informed choices. According to
Child Birth can be a beautiful, yet unimaginable experience any mother and family member can encounter. It is a process of emotional and social involvements that make-up a natural human being. The familiarity of childbirth can play an important role in life for every individual, especially the mothers who are in labor or in delivery. Each moment during labor will become memories for the mothers to share with their grown up child in the future. Childbirth is a breath taking experience that can change someone’s life forever. The process of childbirth does not occur in a blink of an eye; in fact, it is more of a procedure that may take a few steps. Some mothers during labor, experience a severe amount of pain that medication can control and some