Midwives have a key role in public health (Midwifery 2020, 2010) with a major
impact on the health of families and society, and we must always keep this in mind when we work.
In pregnancy it is essential to promote the empowerment of women, to protect and care for the welfare of mother and baby; we must maximise the mother's safety, while increasing her confidence in the physiology and instinctive behavior of the mother, to minimize unnecessary interventions.
Working alongside women in childbirth should take into account the physical, emotional, spiritual and social aspects of birth, because midwifery care can determine the long-term physical outcomes and emotional integrity of women and their families(Page, 2008). Their experiences are influenced by their environment (Walsh, 2010) and the care they are offered by childbirth professionals(Lyberg and Severinsson 2010, Nilsson et al, 2010, Eriksson et al, 2006; Fisher et al, 2006; Melender, 2006) .
Information, advocacy of women and their wishes (Royal College of Midwives (RCM), 2008) and continuous care (National Institute of Health and Clinical Excellence (NICE), 2014) should always be present in order to build up a relationship of mutual trust and minimise stress levels for both mother and baby (Foureur, 2008; Kightley, 2007).
As a midwife, I see myself as a guardian of the privacy and dignity of the women I work with. I intend to provide meticulous physical and verbal interactions, understanding the inherent sexuality of childbirth which is affected by each woman’s physiology, anatomy, lived experiences (Buckley, 2009), cultural expectations and reality (Maggioni et al, 2006).
What do I offer as a midwife?
visits scheduled for weeks 10, 16, 25, 28, 34, 36, 38, 40, 41 and 42 of the pregnancy
advice at any time during pregnancy
advice and support to pregnant mothers with previous traumatic births
assistance in the preparation of birth plans
advice in preparation for childbirth and postpartum
childbirth preparation/pregnancy support in private or group sessions