“Midwifery is a health science and health profession that deals with pregnancy, childbirth, and the postpartum period (including care of the newborn), besides sexual and reproductive health of women throughout their lives. In many countries, midwifery is a medical profession (special for its independent and direct specialized education). A professional in midwifery is known as a midwife.”
Pregnancy is a state in which a woman carries a fertilized egg inside her body. While most people talk about pregnancy being 9 months long (divided into three trimesters), most health care providers refer to a pregnancy as being 40 weeks long, starting with your last known menstrual period. This is also equal to 280 days, or 10 Lunar Months.
“A midwife is
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3. THE TASKS OF THE MIDWIFE IN PREPARING PREGNANT WOMEN FOR EXAMINATION AND BASIC DIAGNOSTIC TESTS IN PREGNANCY
The midwife must be a highly educated person who knows the psychology of pregnant women because she will be the first one to get in touch with the pregnant woman and her family. The midwife must develop good communication and instill a sense of trust so that the health care process may flow smoothly.
On the first examination, the midwife will measure blood pressure, height, weight and weight gain during pregnancy. She will also measure possible proteinuria from urine with test strips, she will assist the gynecologist during the examination and arrange her next appointment with a gynecologist. The midwife must educate pregnant women about complications that may occur and about pregnancy in general.
3.1. PREGNANCY
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In early pregnancy we can use transvaginal sonography, but in later pregnancies, transabdominal sonography is used. Common reasons for receiving an ultrasound examination in the first trimester are to confirm that the fetus is alive or to determine gestational age.
A transvaginal ultrasound is also called an endovaginal ultrasound. It is a type of pelvic ultrasound used by gynecologist to examine female reproductive organs. This includes the uterus, fallopian tubes, ovaries, cervix, and vagina. “Transvaginal” means “through the vagina.” This is an internal examination with whom we can detect pregnancy.
Picture 2. Shew of abdominal ultrasound
“Ultrasound is an essential tool for evaluating your baby during pregnancy. An abdominal ultrasound is a procedure where a technician slides a transducer that emits high-frequency sound waves, over the abdomen to project an image (sonogram) to a computer screen. “ 3.2. PRENATAL CHECK-UPS AND TESTS
It is necessary to visit a gynecologist 9 times during normal pregnancy. They will be scheduled every month until 32 to 34 weeks. After that, they will be every two weeks until 36 weeks, and then weekly until delivery. If you experience any complications between your scheduled visits, call your doctor immediately.
Also, using an ultrasound is a great way to make sure that everything is okay with the mother during the pregnancy. The doctor can also see if there is more than one fetus and the gender of the fetus to prepare the parents for what they will need to be gathering for the future.
At the doctors, they will also arrange some antenatal care for Miley as well as answer any questions she may have about the dos and don’ts and about what she should and shouldn’t whilst pregnant, on top of this they will also provide the ‘what’s next?’ step and to her options and classes available to her. I think it is very important that Miley attends regular classes regarding everything she may need to know for the upcoming months as well as the birth and even for when the baby arrives, she will be able to go along and observe or even get involved depending on the class and whether any of the mothers wish to let her experience certain aspects using their child, alongside this it will open up many avenues such as meeting other parents to be, there will be varied ages including some of similar age to herself. Whilst meeting other mum to be’s or even parents, she will be able to ask questions and get some answers from real life experience. They then made an appointment with the midwife who will deal with scans and care for both Miley and her baby. A Midwifes duty is very important for a pregnant woman and her child, not only do they teach and educate, they also empower women to take control of their own health. In most communities midwifes provide prenatal care or supervision of the pregnancy, after assisting throughout the
Diagnostic medical sonographers play a key role in the health care team and often work alongside doctors, nurses, and other technologists. They prepare patients by explaining the procedure and collect necessary patient history information prior to examination. An ultrasound is then performed, which is a non-invasive process that enables sonographers to send high-frequency sound waves into the body. The return signals are then analyzed to help visualize internal organs in 2D, 3D or 4D. These images help physicians with medical diagnoses and are also used for monitoring pregnancy. An ultrasound is often executed on many different areas of the body including the abdomen, pelvis, tissues, and vascular and cardiac systems. A DMS may also be required
Ultrasounds continue into Obstetric and Transvaginal. Obstetric is the use of ultrasound scans in pregnancy (Woo, Dr. Joseph S.K). Transvaginal are used to capture more precise images in patients who are obese and/ or in the early stages of pregnancy and is conduction through the vaginal cavity (Woo, Dr. Joseph S.K).
Midwives identify high risked pregnancies and they make referrals to doctors and other medical specialists.
The international Confederation of Midwives (ICM) defines the midwife as a person who has successfully completed a nationally recognized midwifery education program, is qualified for registration, and competent to practice in midwifery. As a midwifery student, I will explore the philosophies of this profession whilst working with my first continuity of care experience woman and her family. In this essay, I will examine the roles of the midwife, the scope of the practice for midwives and midwifery students, and search the value of the midwifery partnership and the importance of the woman centered care. I will also clarify the legal, professional and ethical responsibilities of the midwife in accordance with national standards and code. Analyzing
An ultrasound is a test that sends sound waves into the woman’s abdomen or vagina in order to create an image to observe how the fetus is developing within the womb (“Pregnancy Ultrasound,” n.d.). Some of the many names for an ultrasound include pregnancy ultrasound, babi, obstetric ultrasonography, and an obstetric
The ANMC states that midwives should promote safe and effective practice. This competency standard involves: Applying knowledge, skills and attitudes to enable woman centred care, provide or support midwifery continuity of care and manage the midwifery care of women and their babies. Midwives providing continuity of care are able to provide safe and effective practice. They know there patients well from the woman’s blood test results to the woman’s birth plan. The midwife can provide safe and effective practice because she knows the woman best. Midwifery Continuity of care is associated with a reduction in the rate of a number of interventions, without compromising safety of care (Spiby &
Diagnostic medical sonography is a profession where sonographers direct high-frequency sound waves into a patient’s body through the use of specific equipment to diagnose or monitor a patient’s medical condition. As described by the Bureau of Labor Statistics, this examination is referred to as an ultrasound, sonogram, or echocardiogram. The high-frequency sound waves emitted from the handheld device, called a transducer, bounce back creating an echo and therefore produce an image that can be viewed on the sonographers computer screen. This image provides the sonographer and physician with an internal image of the patient’s body that will be used in the diagnosis. The most familiar use of ultrasound is used in monitoring pregnancies
The midwives role is not to deliver the baby. Their role is to be a
Gathering a maternal history is a significant phase of the first antenatal appointment. This allows discoveries about many aspects of the woman and her life. Information gathered by the midwife will include family health history, maternal and paternal, as many issues connected with the father have now been discovered. () Previous pregnancies, this includes information about miscarriages, ectopic pregnancies, fetal demise after birth, previous caesarian sections, place of previous births, gestation, gender, birth weight, previous multiple pregnancies, labour, birth, and postnatal details. This will give information about how the following pregnancy might develop and
This means recognizing each woman’s social, emotional, physical, spiritual and cultural needs. It also acknowledge that a woman and her newborn baby does not exist independently of the woman’s social and emotional environment. This includes incorporating an understanding in assessment and provision of health care (Yanti et al., 2015). The fundamental principles of women-centred care ensures a focus on pregnancy and childbirth as the start of family life, not just as isolated clinical episodes. These motherhood phases take into complete account the meaning and the values of each woman. Providing women centred care helps women make an informed choices, being involved in and having control over their own care, this also includes their relationship with their midwives (Johnson et al., 2003). This demonstrates that midwives are able to attend for women during pregnancy, childbirth and in early parenting years. In addition to this, midwives also provide education for women in order to have a healthy lifestyle (Woods et al.,
Mom should have plenty of time to ask questions. She should have prenatal visits where she can freely and completely ask about any concerns or fears. Especially new mothers to be or mothers who didn't have a good experience with the last birth. It is the midwives objective to build a comfortable and trusting relationship with mom. The better the relationship is the more comfortable mom will be and the better her experience is with her midwife.
Being a midwife refers to a profession where the midwife would work in partnership with the women throughout her pregnancy, labour and the postpartum period. Not only is being a midwife women-centred, however, their role also includes ensuring the partner and family members are prepared and aware of the process. Within a women’s health, the midwife should focus on health, family planning, nutrition, domestic and other health issues as the main priority is the
During her pregnancy, a woman should see her doctor about once each month for the first six months of pregnancy, then every two weeks for the seventh and eighth month of pregnancy, and then every week until her baby is born. However, if a woman is over 35 or has a pregnancy with high risks due to health problems, she would probably have to see her doctor more often.