The midwife should be able to provide the information regarding the various aspects of pregnancy and birth, for example the effects of different forms of pain relief, without being prejudiced. Some other ways which might help the mother is by providing them written information in booklets or notice boards. A midwife is responsible for making accurate medical notes which is passed onto the health visitor. In case of mothers with second babies, it has been observed that the midwives are less inclined to inform and support them but it is very important to remember that the mothers still needed their advice as each birth and child is different.
It is the duty of a midwife to handle every patient equally regardless of her age, profession or previous experience (Nasak, 2005). Environment Every woman should be given the opportunity to choose a place where she feels secured, relaxed and cared for giving birth. Her personal preferences, emotional wellbeing and privacy should be respected and taken care of. A mother’s ability and confidence to give birth is enhanced or diminished by the ability of the midwife and the environment where she gives birth.
The midwife should encourage the woman to opt for home birth because this is the place she will feel most relaxed. The choice of time and place where the pregnant woman would like to take antenatal and postnatal classes should be adjusted according to her convenience. Nowadays, places other than the hospital and clinics might be convenient for the pregnant women to learn about pregnancy. They should be provided the choice of these places for example children’s centers, drop in clinics, and their home.
Midwives should be flexible with the time when the patient is comfortable to take the classes whether its morning, evening or night. They should also adjust themselves to individual needs (Livesley, 2010). Active birth classes should be provided by the midwives to implement the Maternity Matters recommendations and reduce the rate of a caesarean birth. The midwifery team should not only provide birth classes for women but also for their birth partners. We can also have trial based birth classes on the birth unit which includes the use of active birth materials, that is, Birthing Balls, chairs, water pools etc.
during the classes the midwife should discuss all the birthing options and help her in charting out a Birth Plan. Services should be introduced whereby a woman should be able to contact a midwife directly through a dedicated phone line which will not only enable her to contact her named midwife in early pregnancy but also make prior booking arrangements.
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