Midwifery and birth, NHS

Summer Sky 

Just recently I was  caring for a woman (‘Georgie’) in early labour , she was very calm and relaxed and preparing to go home . I’d left the room once to get Georgie a glass of water and when I’d returned I’d noticed a beautiful spring like aroma in the room which I commented on . I have a very keen sense of smell which seems to be heightened as I get older . Read more facts about the  SENSE OF SMELL HERE  Georgie’s partner was at home looking after her other child so her mother (‘Lydia’) had brought her in . I asked her about her last pregnancy and then I asked Lydia “How many children do you have?” 

Lydia replied “Two but I would’ve had three – one of my children was born asleep”  

As she spoke I was helping Georgie to get comfortable – Lydia’s sadness was profound, tangible and palpable  – I said” I think you need a hug ” 

I stopped what I was doing and hugged her for at least one minute we both cried and she said “that’s the first time I’ve talked about my son for a long time – and people usually don’t respond to me saying I’d HAVE three children”

The reason why I responded was because I could see, smell and feel her sadness . I also have a dear friend Andrea – we’ve been friends for 35 years – our children have spent weeks at each other’s houses during school holidays when child care was less of a working mothers right and more of a struggle – as a double parent I was bringing my children up doing shifts and being on call. Andrea and her husband helped me so much and our children all had so much fun together  . The bonus was that although 60 miles apart our children practically grew up together . 

Andrea and Micks beautiful son Christopher was killed by a speeding driver in June 2009 who  lost control of his car – Chris was 15 years old . Chris was almost at the kerb and had pushed his friend to safety only to lose his own life in the blink of an eye. 

Andrea and Mick will never get over the death of their beloved son. Andrea’s  daughter is left with only memories of her dear brother and the impact of Chris dying goes on daily in their lives, as well as affecting their family & friends . In February this year 21 red balloons were released on a foggy white sky day to celebrate Chris & his life but also to show that we all miss him & love him. This was also to show Andrea Mick & Rebecca that we LOVE them too. 

When Andrea meets  new people some ignore the fact that when asked about her children she says “I had two” she is slowly learning to talk about Chris to strangers and when I met Lydia that’s why I connected with her . I felt her sorrow and pain as I see & feel Andrea Mick & Rebeccas pain on a regular basis – although I cannot put myself in their shoes . 

We are humans and humans thrive on love and kindness . Why did I talk about the sense of smell ? 

As Lydia & George were leaving  the hospital , Lydia turned to me and said “please don’t say no Jenny ” she pressed into my hand a small bottle of perfume half used and said “please have this and when you smell it think of how you helped me today ” I cried and told her that I wasn’t supposed to receive such gifts that I was merely doing my job – but she said “I I will get myself another bottle I really want you to have this one “

I was with a future midwife who say the whole story unfurl and she was also moved by the Lydia’s  story 

The bottle is the picture connected with the blog and I will treasure that bottle even when it’s empty. It’s called Summer Sky 🌈

I’d like to dedicate this blog to all mothers who have lost children. If you ever ask someone how many children they have and they hesitate to answer or say “I would’ve had …. ” give them a hug – it’s a small act but it will mean a world of difference to no hug at all

❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️

Midwifery and birth, NHS

Show Your Heart

Last week I was mentoring future midwife Emily Leeder and I wanted to explain the value of “show your heart” 

As a midwife/ maternity care worker would you sit down next to a woman in labour – hold her hand ? Put your hand very gently onto her shoulder and you will connect with her- sometimes silence is more powerful than any words 

Try putting your hand on a colleagues shoulder and imagining warmth and kindness flooding from you – ask your colleague to be mindful for a moment and I can guarantee she will feel calmness and reciprocity in that moment. Now imagine that for a woman in labour in any birth setting – teach her birth partner to do this – you are connecting the human spirit and showing empathy by a simple act like a hand on a shoulder

Could you help a woman to prepare her mind when the obstetric team are about to come into the room on the labour ward round? Or do you wait in the office ? Does your labour ward have privacy curtains inside the door entrance of each birth room – question why and start to make a change – your Trusts privacy and dignity policies & guidance will help you 

…..ever been strapped to a CTG machine  sat on a bed and had a group of health care professionals standing over you discussing …

your baby 

your body

Your pregnancy

 your induction 

your pain relief 

Your progress

Their plans ? 

I want to shake up midwifery and obstetrics so that all women have an equal voice and so that we all have the same goal – I want midwives obstetricians , maternity workers, MSWs  to show their hearts , to care for women like they’d want their own female family members & friends  to be cared for. 

Start today by caring for each other in the workplace – show your colleagues your heart. If you know a colleague is off work do you wonder if that colleague is ok ? Do you send a card ? You don’t need an address you just need kind words and a stamp – take the card to a manager & they will add the address & post for you. – if you find this difficult then imagine how difficult it is for a woman you are with to show you her own heart and explain how she is feeling 

Be kind to one another and from the 6cs I’d like you to use the following three to help you on your journey 

Compassion 

Courage

Communication 

As a caremaker each day I go into work to think how I can improve my kindness rating I try not to be complacent about what I do – I focus on imagining myself as the other person (whether this is a colleague or a women) and I try to think hard about how they may be feeling -this helps me – I tell future midwives that I’m not perfect that I make mistakes & that I’m learning each & every day. I ask future midwives if they have new information to share -they are basking in the depths of learning and we can all learn so much from others 

Be kind 
Thankyou for reading my blog 
Jenny x

Children's week, Midwifery and birth

Young People Week of action 2014

Public Health England’s mission is “to protect and improve the nation’s health and to address inequalities”

The Director of Nursing at The Dept of Health Viv Bennett (@VivJBennett on twitter) states that

“All of the evidence shows that a healthy start for children is essential for health and well-being and for a healthy future. Ensuring a healthy start is a major public health priority”

Public Health England (@PHE_uk) have a web site full of resources and information click here

As a clinical midwife I promote immediate skin to skin contact between mothers and their newborn regardless of type of birh. It is imperative that health care professional do not preach to those they care for.
If you are with a woman who has given birth, quietly explain what is happening and put the emphasis on the intelligence of the newborn by highlighting certain behaviour and movements that the baby makes.
I’ve been a midwife for over 21 years yet I am still learning about a newborn’s instinctual behaviour. Midwives have a unique role – which other health professional is present at every birth? We have a wealth of knowledge and information to share with parents. It is part of our role to facilitate parents into gaining a thirst for this knowledge and focus on a partnership with families.
It is complex to visualise how something we do in the present moment could have an effect on our future health. Babies cannot communicate verbally but through highly intelligent behaviour they can move themselves and crawl towards their mothers breasts – an innate instinct – the desire to feed is imprinted into our DNA to aid survival. and it also facilitates the forming of a bond between the newborn and the birth mother.
#ifbabiescouldtalk is a hashtag I use on Twitter to try and make us all think differently about babies – in my eyes – a baby would choose skin to skin contact immediately at birth , a baby would choose to breast feed and a baby would choose to not have parents who smoke .
Perhaps what I’m trying to say for “Young people week of Action” let’s remember that babies become children-become teenagers-become adults and that by giving them the best possible start in life we are making the future brighter.

If you are interested in more information about Maternal and infant bonding this is a brilliant site written and maintained by Felicity Stockwell please click here – Felicity recommends that you go through the website at your own pace as there is a lot to take in

Apologies as this blog was lost in the ether so I had to rewrite today from my notes

IMG_4194.JPG

Midwifery and birth

Language motherhood and midwifery

In my opinion Postnatal Care starts as soon as the baby is born.
When a woman holds her newborn in her arms that is the moment she becomes a mother to that child. Not all women get the chance to continue their life as a mother in a tangible way – some newborns do not survive some are removed soon after they are born. It is both crucial and paramount that memories made during pregnancy and birth are good ones – kind empathetic words said are never forgotten – a touch and/or a hug towards women, parents and birth partners will be forever retained in lifelong memories
Think of how you as a midwife may chat in the corridor or office of your Trust and continuously consider how you speak about the people you are with as well as the women and families you care for . Think of how you talk about your colleagues as well. We are submerged into our role on a daily basis and we must choose our words wisely when handing over care , during ward rounds , in clinical settings and the office environment – don’t be dragged into the culture of “room 3 is delivered” challenge words deeds and thoughts for the sake of feminism and equality .
Recently I overheard someone call a woman a ‘wuss’ and despite wanting to shout out I decided that a calm approach away from others was more beneficial – I wanted to help that person think about this label .
I took the person to a quiet room on the pretext of showing an article in a journal and said
“I’ve two questions for you – the first is ‘are you a feminist ?’ The 2nd ‘is birth a feminist issue ?’ ”
The person replied “err I’m not sure”
I then said “if you found out someone like you had called your mother a ‘wuss’ when she was giving birth to you how would you feel?”
This led to a lightbulb moment for this person and our conversation led onto feminism and the medicalisation of childbirth – we are now firm friends – and I’ve even heard this same person talking about feminism to other staff.
Challenging someone does not need to be aggressive it should be to inspire thought and to change mindset – we are all learning and sometimes we need to stop think and consider our words – if you do you’ll realise how your positive approach can soon spread . Be kind with your language
I’d like to thank Sheena Byrom for writing so much about language around midwifery and obstetrics – and making me think of how I speak each and every day

IMG_3515.JPG

IMG_3516.JPG

Midwifery and birth

Holiday mode – achieving a balance

Why does it take some longer to switch off “work mode” and switch on “holiday mode”? Whilst some can zap themselves straight into holiday mode and forget work, do others struggle to relax and reject thoughts of work ?

Which group are you in?

I have to confess that I used spend a couple of days trying to turn off my midwifery brain and switch on my Jenny “on holiday” home brain . However, I now embrace thinking of midwifery when I’m away from my clinical role , I enjoy reading articles, writing my blog, tweeting and listening to talks about birth when I’m not actually working . Being a midwife is an intrinsic part of who I am , I’m also a mother ,a dog owner, a rustic baker, a loyal friend and sister, I love interior design-moving my furniture around every couple of months-I also paint and enjoy photography.
This week I’m spending quality time with my two grown up children – we like to get to the beach every day with Sammy our 12 year old black Labrador – the earlier the better – this is because one of my mantras is “I like to get out early so I can get back” I love my home and I feel very happy when I get home from trips out or holidays .
All I’m saying I guess is however you choose to relax is ok for and it’s also acceptable to think about work or do work whilst you’re off . Thinking time away from work might give you your best ever ideas and inspiration – we can’t put segments of our lives into boxes as they all interact with each other .

Today I went to the beach very early in the morning and thought of birth being like the tides of the sea – they both arrive every day and bring something with them – each birth and tide is different and yet beautiful in its own right . There is a sense of anticipation for all involved in both and they are both far beyond words and descriptions
Staring at the sea helps me to relax , listening to the sea is therapeutic. Thoughts of my job pop into my brain mixed up with what my day will bring, who I might see , and other stuff I’ve planned and I now realise that this is ok

So don’t give yourself a hard time if you relax and unwind in a different way to your peers or friends – simply smile and embrace the way that suits you

IMG_3451.JPG

IMG_3458.JPG

Midwifery and birth

If Babies could talk ……Be an advocate for Babies 💕💙

My Birth

It’s quiet in here sounds are muffle, soft
I know the tone and rise of my mothers voice
I am moving forwards to meet my family
And soon two will become three
-one will become two
Whatever the number I’ll be the extra little person in the group
I feel light around me I am here
My mother holds me close I am calm -without fear
I snuggle up close feel her love for me begin
And I am in wonder and awe at my beginning – skin to skin

@JennyTheM

Think differently

Just imagine if we could interview every baby after it’s own unique birth – what would the baby say ?

“I felt tranquil and calm being born was magical and peaceful”

“I didn’t really appreciate the noise bright lights and loud voices ”

“Someone moved me away from my mother – I tried to protest but they’d misplaced the baby language translation book and they didn’t understand me!”

“ThankYou for delaying clamping my cord – I feel so much better than I would have without the extra blood”

“Those scales are freezing cold aren’t they!”

“It was a wonderful experience and I thank my mother for fighting for the right to hold me for ages and ages – it’s helped my start in life to be easier”

“Do you know my wonderful caesarean birth has actually sparked an interest in me that has made me consider being a surgeon”

“Yes I was rushed to neonatal unit but the staff encouraged my mother to hold me close as soon as possible”

“I am SO proud of my mother she is so courageous”

“I’d like to be a midwife”

….the next time you are in a room with a woman who is in the depths of the birth process think like this – babies can hear all sounds and feel all experiences – but babies cannot tell their story – imagine if they could ?

Be an advocate for families women and most of all be an advocate for babies

💛💕💛💕💛💕💛💕💛💕💛💕💛

Midwifery and birth, NHS

Why positivity matters in the NHS

This week I’ve been in Uni all week – as a more mature student I’ve loved meeting young people and some of them weren’t even health care professionals . I’ve met artists , maths geeks , musicians and engineers , psychology students and many more . In the lift in the media building a young man was wearing headphones – I asked “are they Dr Dre!” His face was a picture – I told him my son has a pair that I regularly wear around the house connected to my iPhone when I need “me time” but I have stuff to do like moving items from one room to another , cleaning , cooking – it’s escapism hearing my favourite music as I work . However I could never study with music on like both my children do and I love that we all are different and we use various techniques to help us to work. We are all different and that’s what makes us the same.
Just the other week at work someone said to me ‘we need more staff ‘ and started to complain- I was teaching a new midwife about intravenous antibiotics and the time it took me to show the reference book , work out the dose and consider how to prepare in an ultra clean environment the person moaning continued to ‘chunner’ – I then emptied a box of pharmacy drugs and thought if no one moaned at work how much time could we save ? If every single person was on a ‘positivity push’ and negative comments or actions were banned could we save time ?
I am very positive at work I don’t stand in the office complaining as I veer away from crowd culture – I might sometimes feel irked at another night shift but believe me as I leave the threshold of my front door I say positive things to myself – I put Jo Whiley’s programme on my radio (a very positive woman!) and I say to myself “you are going to be with women who are giving birth to the children of the future tonight – how amazing is that!” (Rhetorical as no answer required) At work I smile and I like to tell corny jokes , I involve the partners in care – if the woman is in the pool I show her partner how to maintain the temperature and christen them “PoolTech” they offer me a cuppa when they have one and I genuinely feel lucky and privileged to be doing something so fantastic as well as meeting new folk . So I say this to you – yes we would like a payrise it would be amazing – but please remember we must switch off thoughts about pay when we are caring for women and families and we must shine smile and be happy that we have the NHS , we are employed and we are helping others in the great big universe of life – positivity matters 💛💛💛
Shine loud Be proud 🌟💡

Midwifery and birth, NHS

WaterBirth

I am a physiological midwife . I promote the use of water in pregnancy, labour and also birth . I have not always been this way – I’ve read and studied the effect water can have on us as humans and in the past ten years I have developed a belief and understanding about the benefits of using water to calm, relax and strengthen. Some women are uncertain about the role that water can play in their labour. I discuss the benefits and try to imagine myself as a future mother listening to my views and my passion for birth in water.
At no point do I ever force anyone to get into the water. However I always admit a woman to a room with a pool and try to have the water running as she enters the room . There is something calming and reassuring about the sound of running water – memories of bath time as a child are evoked. Water has long been used to cleanse, relax and prepare for rest as well as helping us as humans to start our day . Washing and bathing are such a huge part of our lives that we give no thought to them – water is primitive . Think of lakes pools, rivers- places where our ancestors would wash, play, perform ritual, religious ceremonies and do chores- water is embedded into our psyche. Water makes is feel good and this is highlighted in the following article.
http://www.theguardian.com/sustainable-business/impact-sea-lakes-rivers-peoples-health
We are drawn to water – the Lake District is named after water , there are many places in the world infamous because they have involve water – hot springs , falls, rivers and streams . We marvel at the strength and beauty of a waterfall, at the gentleness of morning dew on a spiders web and how many of us have stared at the sun setting on the horizon and disappearing from view as if appears to submerge itself into water.

20140809-063603.jpg

Being in a pool gives a woman her own environment – mammals seek a safe place to birth away from other mammals, predators and noise . They seek somewhere secure, warm and calm- a protective place. The pool environment fits all these criteria and more – compare a pool to a bed – there is in fact more privacy in the pool – once inside the pool a woman is covered by water and her private areas are away from view. Consider this in relation to a woman on a bed with a sheet over her and feel her vulnerability in this position. Staff stand over her and instantly the inequality begins – whereas in a pool a midwife will sit on the floor , kneel down and bring herself to the woman’s level – if you are with a woman who is on a bed then gets chairs for other HCPs who may enter the room , make sure the correct door is opened to maintain privacy and dignity , make the bed higher so the woman feels at a positional advantage or help her to get off the bed off the bed http://www.rcmnormalbirth.org.uk/ten-top-tips/

I call the pool the “watercave”and women I have talked to after the birth say they felt safe strong and protected by the walls of the pool , they felt they could move and choose their own position and in control of their own movements . As the birth process begins I’ve noticed that more women feel for the babies head in the pool than on a bed – I never ask a woman if she would like to feel her newborns head prior to birth as it should be an instinctual choice – once we say , are we interfering? I talk to women and their birth partners about the physiology of birth in the pool, how it happens and about physiological third stage . I feel as health professionals we should not presume prior knowledge and that discussing birth choices builds on the relationship between the family and the midwife . We should feel equal and the same – this will facilitate a two way process of communication and care and will also embed the 6cs in order to give the best experience to the woman primary not the midwife .
The most wonderful thing about the pool is that the midwife learns to sit on her hands there is no need to touch anything and this is just amazing for the woman .
To see a woman reach down and lift her own child out of the water (or for the father / second mother / grandparent / partner / friend to
do this) is just so beautiful it is the land of goosebumps the place where birth belongs and when you facilitate this you are giving birth back to women. Midwives are “with woman” WITH suggests equality – we are not superior to women and we should rejoice in the power of the uterus and the power of womanhood in its own right.

20140809-074917.jpg

20140809-075924.jpg

IMG_4029.JPG

Midwifery and birth, NHS

With woman

💛Midwife means with with woman .
There is so much depth to this word – it doesn’t just mean that as a midwife you are present at a birth but so much more.
To me “with woman” means you are “with the women of the world with your every breath” – it means you believe in compassion, feminism, women in society , the future of humanity and life itself
Today I started thinking (ooh look out when Jenny The M starts to think!) what if…….
There were no womankind
no births
no midwives
where would the world be?

Women are the backbone of society but somehow in its own delusion society has slightly forgotten all this. Emily Pankhurst fought with her comrades to get women the vote – yet female authors hide behind a male name

Being with a woman in labour who is single and labouring alone -you take on the role of a friend as well as a midwife and I defy any midwife not to feel like this.
Midwifery is all about women and that doesn’t mean that male midwives can’t be feminists too after all they like us were ‘brought up and raised’ in the organ that rocks – the female uterus
Does society truly value the fact that women give birth? Do midwives realise the implications that a child’s birth has on the mother and the child ? Does society see the effect birth has on the earth?

See the strength and courage in women who suffer from domestic violence- imagine the fear a woman feels in such a relationship and her shame to admit it to anyone

Embrace the power of many women who support their female friend whether she is grieving, being bullied , giving birth or facing challenges – women rush to other women’s aid.

We are one voice and we have to remember this every single day
So each day I get out of my bed I say to myself ” I am a strong woman, I am proud to be a woman and know other women who are strong. I will help any woman who may need my help and support today ” help and support may just be a chat, a reassuring hand on a shoulder or it may mean a hug , a way to help change a situation or a way to get help from someone else . So if you are working with women , as a midwife or in a role where you are in contact with women – just focus on how amazing women are and where the world would be without them – give support – be womankind

20140719-212604.jpg

20140719-212632.jpg

This post is dedicated to my friend – a strong courageous woman

Midwifery and birth, NHS

Birth by caesarean

I’m writing today about birth by caesarean . I want to try and make everyone who visits my blog arrive with an open mind and leave after reading it with a fresh perspective. 💭

“If we do what we have always done there is no change there is no development things stay the same” (by me 📝)

Operating theatres have to be sterile, organised and have processes for risk in place – safety is paramount . At the heart of the operating theatre is the patient – the staff do their job every single day it is a routine to them – running an infusion through, ensuring the sterility of instruments, making sure that the staff present are trained and that the correct checks have taken place. Al these things take place prior to the patient entering theatre.
I would like you to consider this – we come to work to do our job, we love our job and if not for the patient we would not have a job – do we see the patient as our employer ? In an indirect way the patient is our employer and yet simultaneously our customer . If our customer and employer has a good experience they will not always shout it from the rooftops as much as if they have a bad experience – so we must put this thought into our heads daily – a bad experience is more likely to be shared than a good experience.

As an independent human you access food, drink and warmth whenever you want it – you are thirsty so you get a drink you need food so you eat – if you ever become a patient the ability to do this stops or reduces – you cannot access food immediately, you have to ask for a warm drink and also you may have to ask to use the toilet 🚽. Your have to ask to satisfy your basic needs. These are some of the hard parts about becoming a patient – to access these things that you took for granted which you never considered you have to call another human by pressing a buzzer or asking permission. Add to this the fact that you may have had an operation or an illness which has compromised your ability to mobilise , access pain relief and compromised your high standards of hygiene . I’m not trying to influence your thoughts I just want you to think about these things.

Who does an NHS Women’s Unit theatre belong to ? In my eyes it belongs to Women so this means that NHS staff are the guardians of it . The theatre environment is very white bright and clinical because it’s always been that way – hang on “because it’s always been that way ?” Well let’s try to change that – why can’t we have paintings on the walls which are part of the wall ? imagine lying on a theatre bed staring into a blank void or imagine looking at a beautiful scene above you – which would you prefer?

A woman enters theatre knowing this will be the birthplace of her child. Her individuality has been removed by placing her into a generic gown removing her jewellery and make-up All the people in theatre will share the event of her child’s birth. The first thing that she sees are staff in pale blue gowns, masks and hats with only eyes peering out. The ability to communicate is lessened and there is a sense of stage and routine . Instruments on the trolley been arranged in place neatly ready for her operation to begin. If the woman is wheeled in she feels vulnerable and compliant on her hospital bed whilst others look upon her .

20140816-152248.jpg</

“All the world’s a stage,
And all the men and women merely players;
They have their exits and their entrances,
And one man in his time plays many parts,
His acts being seven ages. At first, the infant
…….”
William Shakespeare

We have one thing in common we are all born we all die . I am passionate that women who give birth in theatre either by Caesarean section or by forceps or ventouse are facilitated to feel as positive about their birth as women who give birth without intervention. I also want you to question your own units practices – do women who may require a manual removal of their placenta hold their babies routinely ? Do women who may have to have a repair of perineal trauma in theatre routinely hold their babies ?

The culture of the staff in the operating theatre is one of the largest barriers to skin to skin care taking place after a woman has undergone a Caesarean. Several clinicians have reported the implementation of immediate skin-to-skin care (within 30 minutes after birth) in their hospitals’ operating rooms (Smith, Plaat et al. 2008; Hung and Berg 2011) The authors noted that operating room staff members were initially skeptical, reluctant, and afraid to change their routine habits and behaviors. But after seeing the benefits of this family-friendly procedure, staff became supportive of the change
– read this link for further references http://evidencebasedbirth.com/the-evidence-for-skin-to-skin-care-after-a-cesarean/

If every HCP in the theatre setting considered the promotion and facilitation of skin to skin in theatre as intrinsic part of their role – rates would soar and women and babies would be shouting from the rooftops . Patchiness is no good – just the other day I asked about the “Theatre list” and was sad to hear that two women and their babies did not have skin to skin discussed with them – Jenny The M can’t be everywhere – if only I could be like a fairy and zip into theatre with my wings and dust skin to skin thoughts on everyone around – imagine 💡.Read the following about cHange by Helen Bevan and Steve Fairman

NHS Change and transformation – Helen Bevan and Steve Fairman </a.

the NHS thrives on change it’s time to lose tradition and focus on the new – this is a slide I made for a presentation about optimal and appropriate use of an area – to do with Competence and the 6cs and it applies to any area involved in Women’s Health

It can be applied to the theatre setting and also to the process of skin to skin contact – so please please if you work in theatre and come into contact with a woman who may have to have a caesarean ask her if someone has discussed skin to skin contact and if they have not make it your goal to do this

Be rebellious for women out there – we are a crucial and core part of society and humankind – being rebellious for a woman’s cause shows courage and will have a profound effect on that persons life and first experiences.be a rebel
You might fear rejection but eventually you’ll get noticed and people will start to follow your lead and do the same 💡

20140827-121046.jpg

I know where the skin to skin fairy lives

20140827-121737.jpg

20140827-121748.jpg

If you think you can’t make a difference just search #skinToSkin on twitter – 💕

Skin to skin

@JennyTheM