Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
The role and responsibilities of the midwife
Prenatal care quizlet
Midwives role in maternal health essay
Don’t take our word for it - see why 10 million students trust us with their essay needs.
. ‘The need for communication skills has always been a fundamental part of delivering maternity care.’ (RCM, 2010)
Many women may become anxious that they feel that their heart is beating faster than it normally would in their pre-pregnant state as the cardiac output in pregnancy is greater as it increases by around 30-40%. It is then again the midwives job to use effective communication to provide support to the woman and help her by providing an insight into what is going on in her body and ensure her that it is to all accommodate for the growing fetus. It is important that the midwife is able to reassure and empathise with the woman when discussing these adaptations as there may be difficulties in communication if the woman is worried
…show more content…
Midwives will provide high quality and individualised health care to each and every woman they look after by ensuring that the womans needs are taken into account when deciding on a care plan. It is believed that communication plays an important role in discussing a womans care plan as the midwife needs to listen to what the woman and her family wants while she also provides the woman with information about how her body will change throughout her pregnancy. An aim of antenatal care is ‘The establishment of open communication and a relationship of partnership between the woman and the professional involved in her care, ensuring that she has continuity of care and carer. (Henderson and MacDonald, 2004, page 142) It may be easier for a woman to report any problems to her midwife if she has a relationship as she may be more open and trusting, which will then improve the standard of healthcare that is delivered and ensure that the safety of the woman and the baby remain. The Royal College of Nursing(RCN) (December 2012) set out 6 standards for all midwives and health care providers to follow in order to make sure that a high standard of care is delivered. These standards are called the '6c's' which include values such as care, compassion, competence, communication, courage and commitment. This provides midwives with a standard to follow when delivering care to many women and their families to ensure the needs are looked after. The author believes that the 6'cs are effective as it ensures that when delivering care, no values are missed and the standard of care is high with every woman that is looked
The SSSC codes of conduct contains 10 codes 5 are for employees and other 5 are for employers where as in the NMC there is 4 codes which are, prioritise people, practise effectively, preserve safety and promote professionalism. Both codes are very similar even when dealing with different patient groups both codes state in 1.1 to prioritise people and treat each person as an equal individual. These both codes of conduct should be followed correctly at all times by anyone working in the health and social care. The NMCs aim is there to protect the public and decides if a nurse or midwife is fit to practice up to their high standards. The NMC was published on the 29th January 2015 but didn’t come effective to 31st March 2015.
Pairman,S., Tracy, S., Thorogood, C., & Pincombe, J. (2013). Theoretical frameworks for midwifery practice. Midwifery: Preparation for practice.(2nd ed, pp. 313-336). Chatswood, N.S.W. : Elsevier Australia
But, while researching this assignment, I came across numerous articles and guidelines specifically addressing the nurse's role in the post operative period but none of them mentioned a midwife. The definition of a midwife according to WHO (2014) is “the care of women during pregnancy, labour, and the postpartum period, as well as care of the newborn. It includes measures aimed at preventing health problems in pregnancy, the detection of abnormal conditions, the procurement of medical assistance when necessary, and the execution of emergency measures in the absence of medical help.” Therefore, the midwife plays an essential part in caring for a woman post-hysterectomy but the guidelines do not fully outline the midwife's duty to the same extent of that of a nurse's position. It was difficult at times to read the guidelines as they just addressed how a nurse works in the post-operative environment and didn't outline the midwife’s role in the patient's care. Therefore, it may be harder for a midwife to follow some of the guidelines as her role is clearly not stated in them. Because midwifery is expanding and always changing, the midwife needs to be up to date with her skills and knowledge. The midwife has huge responsibility in caring for patients and as stated in my introduction, there are risks associated with gynaecological surgery and it is clear from this assignment and my research that the midwife has a vital role in minimising these
...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.
NMC (2008) Code of Professional Conduct: Standards for Conduct, Performance and Ethics, Nursing and Midwifery Council.
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.
Standards are important aspects of nursing that a nurse must learn and implement every day for the rest of their nursing career. These standards provide for a nurse’s competence in the quality of care they deliver to the public. Standards offer a necessary guidance to nurses everywhere in an effort to ensure that people are treated correctly and ethically. Patients expect nurses to have a general knowledge of the medical realm and to know exactly what it is they –as nurses- are responsible for. Nurses need to have a sense of professionalism that enable the patient to feel safe and secure, knowing that a competent person is caring for him. A lack of professionalism does the opposite, making it impossible for a patient to trust or respect the nurse caring for him. Standards of nursing, if utilized correctly, give the nurse that sense of professionalism the patient is expecting. It insures for the safety of the patient and allows the nurse to provide quality health care that is expected of a medical professional.
The code is structured around four key areas. Prioritise people, practise effectively, preserve safety and promoting professionalism and trust. The Code can be used by nurses and midwives as a way of strengthening their professionalism. If the code is not followed correctly it could bring their fitness to practise into question. http://www.bfwh.nhs.uk/onehr/wp-content/uploads/2016/01/Reflection-for-revalidation-May-2015-values.pdf Prioritising patients is an important role in nursing.
“Communication is the heart of nursing… your ability to use your growing knowledge and yourself as an instrument of care and caring and compassion” (Koerner, 2010, as cited in Balzer-Riley, 2012, p. 2). The knowledge base which Koerner is referring to includes important concepts such as communication, assertiveness, responsibility and caring (Balzer-Riley, 2012). Furthermore, communication is complex. It includes communication with patients, patient families, doctors, co-workers, nurse managers and many others. Due to those concepts and the variety of people involved, barriers and issues are present. Knowing how to communicate efficiently can be difficult.
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...
I initially considered midwifery when I attended an antenatal scan with my auntie and heard the heartbeat of the unborn baby for the first time. Listening to discussions regarding health concerns and family support highlighted the importance of the midwife and mother relationship. Two years ago I was given the opportunity to be my mum’s birthing partner alongside my dad. I saw how the midwives interacted and were supportive through the birthing and decision making process. It was found that the baby was breach and the safe option was a caesarean section, and with the complications discussed mum was able to make the right decision. I attended pre and postnatal appointments and listened to the midwives offering advice and guidance, develop a birthing plan as well as check and monitor the health and wellbeing of mum. These first hand experiences have given me a deeper understanding of the role of a midwife and how communication and building trusting relationships is key during these emotional and vulnerable times for a woman, and inspired me to become a midwife.
(9) United Kingdom Central Council for Nursing, Midwifery, and Health Visiting. (UKCC) (1992). Primary Health Care, Code of professional conduct for the nurse, midwife and health visitor. London: UKCC.8 (2)
“All over the world there exists in every society a small group of women who feel themselves strongly attracted to give care to other women during pregnancy and childbirth. Failure to make use of this group of highly motivated people is regrettable and a sin against the principle of subsidiarity.”
She further identified seven concepts that are essential to current nursing practice, she stated that,” Based on the acronym FLOWERSTM, they include fundamentals of care, leadership at the bedside, ownership of outcomes, wisdom, ethics, relational competence, and skilled caring.” (Sprayberry, 2014, p.123). Nursing professionals play several key roles, which directly affects client outcomes, such as, critically thinking while being the patient-caregiver, advocate and educator along with coordinating and collaborating with the various members of the multidisciplinary health care delivery team. Nurses always prioritize excellent patient safety and care every day and collect information and recognize the practices that need improvement. For example, the process of identification and documentation of nursing-sensitive outcomes that are a direct result of nursing assessments and interventions. Nursing professionals take leadership roles concerning promoting safety and quality through collecting evidence, analyzing and interpreting the data necessary to improve practice. Armed with the edge of working closely with clients, nursing professionals can identify opportunities of cost-effectiveness without compromising on QI. Through being patient advocates, nurses ensure, that health care clients receive good quality and
All mothers, especially first time mothers need help moral support and advice during the first few days after their delivery to ensure proper care of their newborn. The care and help given to first time mothers is of utmost important during this period as to maintain the normality in their babies as well as to prevent any further complications. Typically all pregnant women are counseled during their antenatal period on how to prepare themselves mentally on the care of their babies after birth. Upon delivery, majority of the mothers would stay for a short period in the hospital. During this short stay, they would need time to recuperate, need to know what care to give their baby and how to carry out the care and also learn what to do if their baby is feeling unwell. Thus it is important for health care providers to assist first time mothers be it at the hospital or at home since it is a crucial period for them and they often requires more help and moral support especially when it comes to the proper care of their newborn. ("Routine care of a newborn baby")