All 2 entries tagged Midwives
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April 12, 2016
Community Midwives out in the Field
We recently started a new block of Core Clinical Education, the second of three blocks for all second-year students. And with the shift to a new hospital comes a whole new set of speciality-introductions and mini-rotations through various wards and services. Over the past couple of weeks, we have been lucky enough to spend a few days shadowing community midwives to get a very clear idea of the challenges that they face and the responsibilities that they bear – it is a lot more than I ever imagined.
Although we spent an entire block in the first year studying reproduction and child-development, we have not had much of an opportunity so far in the second year to apply much of what we’ve learnt within clinical practice. The majority of the patients whom we’ve seen so far in hospital have been elderly with complex health needs and have usually required lengthy stays, discharge planning and that sort of thing. Understandably, my clinical partner and I were very excited to spend a few days with community midwives outside of hospital as the type of medicine that they are involved with is entirely different from what we’ve been used to.
As I understand it, there are various types of midwife. Community midwives are usually associated with GP practices or other non-hospital care services and are normally out “in the field”, meeting with pregnant women (and their partners/family who are usually present to provide support) in surgeries at several points throughout the pregnancy. These meetings tend to be fairly routine, and involve things such as assessing maternal and foetal health, advising the mother on the best practices to promote health for her baby, and detecting and acting on any early-warning signs.
My days shadowing the community midwives were a very interesting and eye-opening experience. Whereas our GP surgery had been based in a very affluent and comfortable part of Warwickshire with a very specific demographic, the community midwives whom I shadowed covered a less-well-off area. This presented a very different set of issues for the midwives to confront. Their attitudes were unfailingly supportive, and they were adept at dealing with many varied social circumstances – sometimes in languages other than English, reflecting the national diversity of the areas they covered.
What struck me most, other than the fact that they all work so hard! – was feeling absolutely honoured to be working with individuals in a health service who are so clearly committed to ensuring that every child really does get the best start in life. These midwives made countless home visits, they squeezed patients into appointments even though they were really busy, they helped patients find the right resources to solve housing and schooling issues and conducted myriad other, immensely helpful small acts that hopefully make each mother’s life just a little bit less stressful. Getting out of our small bubble and seeing the true diversity of our society, the challenges that everybody faces and using our tools to hopefully make their health even a tiny bit better is such an important part of our education, and I am so glad to have had the chance to see it on this level.
John
Megan Earle
12 Apr 2016 15:10
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March 30, 2016
Cradle to Grave…
Writing about web page http://www2.warwick.ac.uk/fac/med/study/ugr/
In medicine we are privileged to witness both the birth of new life and the end of life. During Core Clinical Education (CCE) 1 there were times when I started on the ward and enquired about a patient only to learn they had passed away; other students have been present for a patient's last moments and others have been present when families have been informed. All of these situations present unique challenges to doctors and to us as medical students. I still feel like an unwelcome intruder in these situations but the only way we will learn how to cope with these difficult times is by observing others. We have excellent teaching from doctors and nurses who work in palliative care in the local hospice, teaching us about care at the end of a person’s life. I’m grateful of any extra knowledge in the hope that it will help me when it’s my turn to cope with these difficult situations, although I'm prepared to feel like I said all the wrong things the first time knowing that after reflecting I will be better next time.
An equally pivotal moment in a patient’s life that we get to witness is their birth. In my first couple of weeks of CCE2 at University Hopsital Coventry and Warwickshire I have had shifts on the Labour ward (both day and night!) and have also spent time in the community with the midwives. These have been amazing experiences and have made me think a lot about what specialty I see myself in. Working with the team of midwives and Obstetrics and Gynaecology doctors was great, I got to spend lots of time with the patients and was able to provide a lot of practical help to the midwives as well as be a much needed distraction for some of the women whose contractions were pushing them over the edge! I was able to observe both natural deliveries as well as some emergency Caesareans.Seeing the team come together to ensure that it is no longer than 30 minutes from the time of the call to when the baby comes out was incredible. Seeing the midwives, anaesthetists, theatre staff and obstetricians all working as one to ensure both Mum and Baby are safe was incredible and I had tears in my eyes on several occasions. As a second year medical student we are limited in what we can do and therefore how helpful we can be, but we can talk to patients and reassure them, and nowhere is this needed more than on the Labour ward. Leaving my 13 hour shift and saying bye to a patient I had worked with for the last six hours I was really touched to be hugged by both the patient and the midwife who said I was a pleasure to work with, hearing this was so rewarding and makes you realise that no matter what stage of your medical career you can make a difference. I’ve learnt that One Born Every Minute is not entirely accurate but the Labour Ward is certainly filled with some very special moments that are great to be part of.
In our first year we learnt a lot about health inequalities and the effects of social deprivation on the health of both mothers and children. Nowhere is this highlighted more than when working with the community midwives. The community midwives spend a lot of time educating patients about their health and wellbeing and also take part in multi-agency schemes designed to support families in a variety of ways. Seeing pregnant mothers living in damp, overcrowded housing makes you realise just how important health professionals are in tackling poverty and social isolation. Working with the community midwives we spent a lot of time trying to find a good place to listen to a heartbeat in the antenatal clinic in cases where a baby was especially active (apparently a sign it’s a boy!) as well as spending time on postnatal visits ensuring families were coping and checking for signs of postnatal depression. What I really liked about Obstetrics and Gynaecology is that it is a specialty that takes a holistic approach, the whole family and social circumstances around a patient are relevant and can have a huge impact on outcomes.
As well as cooing over newborn babies I presented my summer project at the Warwick Academic Medicine Society’s annual conference, an amazing day filled with excellent talks from both staff and students and tonight I start my first week of the optional Student Selected Component (SSC) in Medical Education. There is definitely never a dull week as a medical student!
Joanne
Sarah Hill
30 Mar 2016 09:58
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