Role of the Midwife in Health and Social Care, Benefits of Midwifery as a Community–Based Service, Ramifications, Complications, and Risks of Midwifery as a Community-Based Service, and Midwife Experiences in Different Countries.

Role of the Midwife in Health and Social Care

This guide is an essay on the role of the midwife in health and social care. Study it to come up with good articles on the role of the midwife in health and social care and its related topics.

Introduction to Role of the Midwife in Health and Social Care Essay

Who is a midwife?

The name “midwife” comes from the Latin for “with woman” or “wise woman” in France. “Throughout history, women have relied on a trained person, generally another woman, to be present with them during birthing” (Cooper & Fraser 2003:4).

Midwives care for mothers and their newborns antenatally, postnatally, and during childbirth. The midwife’s primary responsibility is to assist the lady in adjusting to this life-changing event. On a one-on-one basis or in a group of women with their spouses, assisting her with this may be quite beneficial. Continuity of midwifery care is critical and advantageous to a pregnant woman, and this sort of care is uncommon on hospital wards.

Throughout her pregnancy, a woman is generally with the same midwife or is familiar with other midwives in the community birthing teams in the setting of community midwifery. As a result, the midwife will have a better awareness of the woman’s history and delivery plan. This article will compare hospital and home births, as well as varied experiences with women and midwives and the services available in Ireland that allow for home births.

Routine intervention in labor is prevalent in Ireland; nonetheless, considerable modifications in Irish maternity services have occurred since the early 1990s. In several regions, pilot initiatives for community midwifery have been launched. The Kinder report, which included a recommendation to introduce pilot midwifery-led units (MLUs) in the Health Service Executive, North Eastern area (formerly the North-Eastern Health Board), was created in response to the challenges associated with the provision of maternity care in the Health Service Executive, North Eastern area (formerly the North-Eastern Health Board) (Devane D. Murphy-Lawless J. Begley CM, 2007).

Since the late 1970s, there has been a shift toward hospital births with medical assistance, since individuals believe this is a safer setting in which to give birth. Many people believe that hospitals are the safest places to give birth because of contemporary technology (Tew 1990).

According to the Department of Health’s maternity care in action report (1984), “since unanticipated problems might arise in every birth, every mother should be urged to have her baby in a maternity facility where emergency resources are available.” In some situations, this remark may apply to some women, but we now know that it is not necessary for every baby to be born in a hospital because the majority of pregnancies do not have issues.

Julia Allison, for example, analyzed data on 35000 homebirths in a study of the personal registers of 300 midwives working between 1948 and 1972. (Allison, 1996). “she discovered that the rates of stillbirth and newborn mortality were consistently lower at home than in hospitals, despite the fact that half of women who gave birth at home would be considered ‘unsuitable’ for homebirth under existing standards.” Henderson and Mac Donald 2004:401:402 (Allison, 1996; Henderson and Mac Donald 2004:401:402).

Midwives’ and Moms’ Goals are Aligned.

Do midwives assist mothers in achieving their objectives?

One cannot deny that an intensive care infant unit is always ready in an emergency circumstance, which may make an expectant mother less concerned. Some may associate hospitals with places where sick people go, which may make a patient apprehensive. A midwife’s purpose involves assisting a woman in realizing that childbirth is a normal life function that is not related to disease. The midwife and the woman will collaborate on the home birthing plan, which can help the woman feel more in charge. Homebirths can benefit not just the mother and baby, but also other persons involved, such as relatives, partners, and children.

“Midwives are in a unique position to contribute to women’s healthcare and well-being by effectively and quickly recognizing, responding to, and referring to delivery complications” (NICE, 2001: 92). Midwives are in a period of transformation. A shift away from obstetrician-led births and toward natural and midwifery-led deliveries. To aid midwives in this shift, confidence and clinical skills must be re-established after being destroyed by the hospital style of maternity care. This must be done in order to re-establish the midwife’s professional position as essential to successful home deliveries. SNMAC (1998)

Even if the place of the delivery is altered, the midwife’s job remains unchanged. This function is to aid the mother during her labor and after she has given birth. If there is any evidence of fetal discomfort or difficulties, a midwife should recognize it and take appropriate measures. The role of the midwife does not end with the delivery. She will also be able to provide postnatal care.

Midwives will educate parents on topics such as infant washing, feeding methods, and diaper change. “Midwives are in a fortunate position to assist the work with parents during their transition to parenthood, particularly those with little or no parenting experience, but also for more experienced parents who may still want help and direction with a new and/or dependent newborn” (Henderson & MacDonald 2004:371).

Benefits of Midwifery as a Community–Based Service

What are the advantages of midwifery?

There is no evidence that women should have their infants in obstetric institutions overseen by consultants (Campbell, 1987). Home births might appeal to women for a variety of reasons. A woman may want a home birth for a variety of reasons. Women, like everyone else, feel more at ease at their own homes, where the surroundings are familiar, and where they may feel more in control, while hospitals can be daunting to some individuals.

Another key reason many women choose home birth is to avoid medical intervention such as caesarean sections. It also involves less hospital interventions, like prenatal and postnatal checkups, because they are all performed at home, giving the woman more time to prepare for her labor and a sense of control over the labor. The fact that the kid is born at home creates positive memories of the birth as well as a more comfortable setting for the mother.

Ramifications, Complications, and Risks of Midwifery as a Community-Based Service

What are the disadvantages of midwifery?

There is no question that when dealing with home births, there are serious hazards associated if everything does not go as planned and if the situation is not handled swiftly. The midwife must be aware of the woman’s condition and regularly watch her, and documentation is essential.

If a baby or the mother must be hospitalized, the midwife must be efficient in reporting any symptoms and it is critical to get to the nearest hospital for medical assistance, which is very stressful and worrying for both mother and midwife, but it is necessary if the worst-case scenario occurs and results in the death of the baby or the mother. Although infant or maternal death is uncommon, there have been a few occurrences of fatalities associated with home deliveries.

In July 2004, a lady gave birth to her son and lost him as a result of the midwife who managed the home birth’s negligence. Midwife Elizabeth Ann O’Toole admitted liability in the proceedings brought against her by Julie Stuart over the death in hospital of her son Dagan five days after suffering brain injuries during his birth at home in July 2004. (The Irish Times). The primary disadvantages of a home birth include the absence of medical procedures such as forceps, ventouse delivery, and professional physicians and support.

Midwives who routinely visit home births, on the other hand, have seen that women who labor and give birth in their own homes are less likely to require pharmaceutical analgesia (Cronk and Flint, 1989; RCM, 1993). This might be dangerous if a lady isn’t coping effectively with her aches. There is also less help for the mother in the postnatal period in terms of pain medication, care aides, food, and infant care. This hospital treatment can provide moms with an opportunity to recuperate and adjust to parenting.

Midwife Experiences in Different Countries

What are the experiences of midwifery in different countries?

In Australia, a control experiment was carried out. A control panel of 1089 women was assembled at random to compare their experiences. Throughout their pregnancy, some women got the novel form of continuity of midwifery care, while others received normal hospital care. The women who took part in the experiment were all of mixed obstetric risk and were asked to fill out a questionnaire between 8 and 10 weeks after giving birth. It was discovered that 69% of women had completed and returned surveys. The women from St. George Outreach Maternity Project (STOMP) were found to be more open with their midwife about their birth intentions and their understanding of labor, caesarean sections, problems, and so on.

It was also shown that 63 percent of STOMP women said they knew the midwife who was with them and that as a result, they had a “more sense of control” during labor and the postoperative period. Control over care and the labor process (Green et al, 1990; Hundley et al, 1997), as well as the presence of a trusting connection with the midwife (Tinkler and Quinney 1998). Brown and Lumley (1994, 1998:8) linked ‘having an active voice in decisions made during labor and birth’ to fulfillment and postnatal emotional well-being.

According to the results of this poll, STOMP is successful and beneficial to women. They were better informed about all of their birthing alternatives, and they felt they could communicate honestly and freely to their midwife about their birthing goals, thoughts, and feelings.

They also felt they had a lot of control throughout the third stage of labor. In comparison, conventional care provided to women by various caregivers throughout her pregnancy’s three trimesters was shown to have a greater level of unfavorable experiences. The STOMP group was demonstrated to have a 50% reduction in the rate of caesarean section.

Most women who choose home birth desire a natural delivery with little or no intervention: they see birth as a normal part of the regular life process, not as a sickness that necessitates a hospital stay. When they are at home, they feel in control of their surroundings and who is present. Cohen and Dorsey (1998).

On February 6, 2007, Sheila Shribman, the National Clinical Director for Children, Young People, and Maternity Services for the National Health Service in England, implemented a strategy named “Making it Better: For Mother and Baby.” She reported that in the early 1950s, there was a 1 in 1500 probability of mothers dying during or after childbirth, and 30 out of 1000 kids delivered perished due to stillbirth or other reasons.

Today, the trend in her study reveals that 1 in 20,000 moms has a probability of dying, and infant mortality is less than 5 per 1000 births. This is a six-fold decrease. There is little question that this is due to the fact that giving birth is far safer than at any other point in history. However, as we all know, this has resulted in an increase in medical intervention. There is an indication that a comeback to community-based midwifery is underway. The Maternity Care Review Group (Kinder, 2001) supported this approach by recommending that maternity services be as community-based as feasible.

Community and hospital-based midwifery has become considerably more widespread in Ireland. There are three forms of midwifery at The National Maternity Hospital (NMH):

Midwife Tending to an Expectant Mother
Role of the Midwife in Health and Social Care
  1. The Domino Scheme
  2. Home Births.
  3. Early Transfer Home (ETH)

The ‘Domino’ plan is available to women with no health consequences or difficulties. This strategy entails the lady and a small number of midwives who will all work with her at some point during her pregnancy. The scheme provides continuous care to the woman during her pregnancy, including visits to her home and in the community, which is generally at Ballinteer Health Centre, Greystones Health Centre, or the NMH Midwives Clinic.

We students may learn about childbirth without the need for medical assistance by using facilities like the Domino scheme on Holles Street. These services are provided to residents in South and East Dublin, as well as North Wicklow.

Home births are offered to women with no obstetrical risks or difficulties. Women can only benefit from this service if they live in South and East Dublin or North Wicklow. The rationale for this is in case of an emergency that necessitates the woman’s visit to NMH. Otherwise, all checkups are performed at the woman’s home, even 10 days postpartum.

The ‘Early Transfer Home’ (ETH) program is often reserved for low-risk women. The first prenatal visit is normally between 18 and 22 weeks of gestation and will take place in the NMH. All other checks are distributed at home (antenatal and postnatal checks). In contrast to home deliveries, the baby is born in the NMH and is typically transferred home within 36 hours if there are no underlying issues.

Conclusion

The future of community midwifery is undeniably bright. Negative attitudes concerning home delivery are gradually fading. Health-care executives are experiencing difficult circumstances, particularly in light of the present economic slump and budgetary restraints, to name a few. This would likely delay the speed of community-led service delivery, including new priorities in the midwifery profession.

Meanwhile, midwives can play a role in further informing women and gathering groups in individual hospitals and health centers of skilled midwives and community nurses and further informing women of the benefits they can gain from this service with the help of hospital-linked supports and independent midwives themselves.

Frequently Asked Questions (FAQs)

1. What are the risks of being a midwife?

Midwives who routinely visit home births, on the other hand, have seen that women who labor and give birth in their own homes are less likely to require pharmaceutical analgesia (Cronk and Flint, 1989; RCM, 1993). This might be dangerous if a lady isn’t coping effectively with her aches. There is also less help for the mother in the postnatal period in terms of pain medication, care aides, food, and infant care. This hospital treatment can provide moms with an opportunity to recuperate and adjust to parenting.

2. What are the advantages of becoming a midwife?

 

advantages of becoming a midwife
Role of the Midwife in Health and Social Care

A woman may want a home birth for a variety of reasons. Women, like everyone else, feel more at ease at their own homes, where the surroundings are familiar, and where they may feel more in control, while hospitals can be daunting to some individuals. Another key reason many women choose home birth is to avoid medical intervention such as caesarean sections.

It also involves less hospital interventions, like prenatal and postnatal checkups, because they are all performed at home, giving the woman more time to prepare for her labor and a sense of control over the labor.

3. How do midwives help mothers?

“Midwives are in a unique position to contribute to women’s healthcare and well-being by effectively and quickly recognizing, responding to, and referring to delivery complications” (NICE, 2001: 92).

4. What are the roles and responsibilities of a midwife?

A midwife’s purpose involves assisting a woman in realizing that childbirth is a normal life function that is not related to disease. The midwife and the woman will collaborate on the home birthing plan, which can help the woman feel more in charge.

 

Role of the Midwife in Health and Social Care

 

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