Community Midwife
It occurs every day and everywhere. It happens whether accidentally or intentionally, meticulously planned or not at all, and to those of an elder age or younger demographic. The birth of a new life requires aid during the process, along with receiving assistance before and post pregnancy. Individuals offering such service are known as a midwife. The World Health Organization or WHO recognizes midwifery as a role that "encompasses care of women during pregnancy, labour, and the postpartum period, as well as care of the newborn."
Community midwives vary from those that work in hospitals. The former are involved from the beginning by scheduling the initial appointments, and manage and administer the workings of the clinic. As well, community midwives are present during the postnatal care at the mother's home, and are there for home births. Community midwives are to see women who are newly pregnant and take a detailed health assessment, which can be in a client's home. The midwife conduct an antenatal screening in the antenatal period so the mother to be may be informed of what's to come in the next couple of months. Once the assessment is conducted, the midwife is to assess and evaluate the risks for the client and the fetus. Afterwards, a way of care is then designed and discussed with the mother that's suitable for her and the baby. Midwives that give antenatal care to women in a clinical setting tend to be routine appointments. As aforementioned, such meetings can take place in the client's home if a problem or dilemma has been identified and recognized. Antenatal appointments with the community midwife "discuss issues such as diet, smoking and work…you may also be weighed" (BBC, 2012). Furthermore, these appointments include "blood pressure, weight, palpation -- feeling your [pregnant woman] tummy, listening to your baby's heart, questions about your baby's movement, urine tests, checking for any swelling in your legs, arms or face, questions about how you feel" (BBC, 2012).
Community midwives offer birth-planning meeting to pregnant mothers, which is usually done in the vicinity of the client's home. Intrapartum care is offered and given by midwives so they are on-call in a particular area of the community. The schedule of community midwives is full since some may do on-call nights two to three nights per week, and some will also work on the weekends. There are also times when the hospital is short staffed in giving intrapartum care to women, especially to those pregnant who want a midwife to deliver the baby so such professionals are called to help. Intrapartum care involves "prolonged labor, caesarean birth, or TENS (transcutaneous electrical nerve stimulation) use for pain relief" (University of Manchester). Community midwives work in pairs and it is about teamwork so he or she will be on-call in one area but also be on-call for another group. It is because midwives are to work in pairs during birth. Such professionals give postnatal support to mothers and babies at home. As well, community midwives center their focus on public health so recommendation and services to mothers include screening, discourage smoking, and encourage breastfeeding when and if possible.
Community midwives offer natal services, which include pre and post birth to mothers and their babies in a localized neighborhood and area. It is to help women give birth the way they want to, which is not being in a hospital setting but rather in the comforts of their own home. It is offering future mothers a natural proves of birth and life. Community midwives may also offer lab work and ultrasound assessments done within the clinics they work at. In addition, mothers are to trust the midwives and do not suggest medical interventions unless it is necessary during the birthing process. Furthermore, as mentioned before, midwives will continue to assist the client post birth, and be present at scheduled appointments, and answer any questions the mother may have for a certain time.
Women may consider having a midwife is the pregnancy is determined to be a low risk. The option of having a midwife is opened up, and community midwives offer a more holistic and personal care to one's pregnancy. The responsibility and role of such midwives are to answer any concerns the mother and/or couple may have concerning about their baby. Such professionals are seemingly more approachable and offer an alternative to doctors. Prenatal care is very important so community midwives are very involved in this period, which is why prenatal visits with midwives are more common than with doctors. Furthermore, community midwives...
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