Valerie Gommon Midwife’s Blog

Archive for the ‘Midwife’ Category

A new campaign has been launched with the aim that, every woman should have a midwife that they know and trust and:

• who can support her through her pregnancy, birth and beyond
• regardless of her circumstances
• or where her baby is to be born

Please do take a look at the website http://www.m4m.org.uk and follow up on the Action Plan as listed:
http://www.m4m.org.uk/takeAction.php
Please take the following actions
• Read the Manifesto
• Sign up for our Newsletter
• Tell your friends and colleagues
• Post on Facebook and Twitter
• Pledge your support
• Check your organisation is supporting the manifesto
• Sign up your organisation
• Take part in our Deliver a Baby campaign
• Make a donation to support the campaign

It won’t take you long and together we can make a HUGE difference to maternity care in the UK – the Government is really listening to us!

Following the recent screening of “Freedom for Birth” a film documentary discussing the plight of maternity services and midwifery world-wide I have put together an Action Plan of ideas that you may like to consider to support the midwives and maternity services.  Please do as much as you can to make things better for women today and our daughters in the future.

ACTION PLAN

Please consider joining the following Facebook groups:

Independent Midwives UK

Fighting for Independent Midwives

The Birth I Want

ARM Conference 2012

One Born Every Minute—The Truth

One World Birth

Human Rights in Childbirth

Face of Birth

http://www.facebook.com/pages/Podpora-pro-%C3%81gnes-Ger%C3%A9b-Support-for-%C3%81gnes-Ger%C3%A9b/139577179421729?v=wall

Websites:

The Birth I Want:

http://www.thebirthiwant.org.uk

Register an Interest in Independent Midwifery at:

http://www.independentmidwives.org.uk/

The Association of Radical Midwives—Midwifery Matters:

http://www.midwifery.org.uk/

The Association for Improvement in Maternity

Services:

http://www.aims.org.uk/

The Face of Birth

www.faceofbirth.com

Sign the petitions:

http://www.change.org/en-GB/petitions/amnesty-international-europe-amnesty-international-to-save-persecuted-midwives-in-europe?utm_campaign=autopublish&utm_medium=facebook&utm_source=share_petition&utm_term=4998292

http://you.38degrees.org.uk/petitions/choice-for-mothers-to-be-saves-nhs-money

http://epetitions.direct.gov.uk/petitions/34513

 

View the short version of “Freedom for Birth” available November 2012

Write a letter of support for Agnes to President of Hungary, János Áder ugyfelkapu@keh.hu

 

On Thursday 20th September women (and men) around the world will be hosting film screenings to raise the profile of midwifery.  I am joining this event because I passionately believe that women are entitled to better maternity care.

Everyone in the UK knows that our maternity services are in crisis and indeed the Royal College of Midwives has strongly stated this.

I am planning to take a break from midwifery as I am totally burnt out … this is partly the demands of being on-call 24/7 for the past 8 years, but it is also due to the increasing scrutiny, red tape  and pressures on midwives.  I believe that most midwives do their very best for women.  Of course there are some rouge practitioners and the public needs to be protected against them, but the pressures on midwives are immense; more paperwork, more investigations of our practice, pressures of working with a system that is barely fit for purpose ….

At the same time Independent Midwifery, which gives “gold standard” care is set to become illegal unless an eleventh hour solution can be found to provide us with Professional Indemnity Insurance which will become mandatory from October 2013.

What will happen to these highly skilled midwives and the clients they currently care for?  I’m afraid that I feel ground down and beaten by all that is currently happening in midwifery … it is so sad, midwifery and childbirth has been my passion and my life for the past 20 years!

So, as my swan song to midwifery (for now at least) I am hosting this film showing in Milton Keynes and I hope this will serve to raise the profile of midwifery and to mobilise women to demand the service they deserve.

FREEDOM FOR BIRTH FILM SCREENING Thursday 20th September 2012 Two showings, 1pm and 7pm

The Bee House

Interchange House

Howard Way

Newport Pagnell

MK16 9PX

  • Entrance by donation – suggested donation £5 (Any profits to be donated to Midwifery Campaign)
  • Refreshments available at the venue
  • Birth related Exhibition and discussion after film showing

ALL WELCOME – please advertise widely! Please print and display the attached poster

For further information & to book a seat please email info@3shiresmidwife.co.uk

FREEDOM FOR BIRTH – GLOBAL FILM LAUNCHA new documentary that reframes childbirth as the most pressing global Human Rights issue today is launching with hundreds of premieres all over the world on the same day, Thursday 20th September 2012.

Freedom For Birth is a 60 minute campaigning documentary featuring a Who’s Who of leading birth experts and international Human Rights lawyers all calling for radical change to the world’s maternity systems.

Hermine Hayes-Klein, US lawyer and organiser of the recent Human Rights in Childbirth Conference at the Hague, the Netherlands says, “the way that childbirth is being managed in many countries around the world is deeply problematic. Millions of pregnant women are pushed into hospitals, pushed onto their back and cut open. They are subject to unnecessary pharmaceutical and surgical interventions that their care providers openly admit to imposing on them for reasons of finance and convenience. Women around the world are waking up to the fact that childbirth doesn’t have to be like this and it shouldn’t. Disrespect and abuse are not the necessary price of safety”.

Made by British filmmakers Toni Harman and Alex Wakeford, Freedom For Birth film tells the story of an Hungarian midwife Agnes Gereb who has been jailed for supporting women giving birth at home. One of the home birth mothers supported by Ms Gereb decided to take a stand.

When pregnant with her second child, Anna Ternovsky took her country to the European Court of Human Rights and won a landmark case that has major implications for childbirth around the world.

Toni Harman, one of the filmmakers says, “the Ternovsky vs Hungary ruling at the European Court of Human Rights in 2010 means that now in Europe, every birthing woman has the legal right to decide where and how she gives birth. And across the world, it means that if a woman feels like her Human Rights are being violated because her birth choices are not being fully supported, she could use the power of the law to protect those rights. With the release of “Freedom For Birth”, we hope millions of women become aware of their legal rights and so our film has the potential to spark a revolution in maternity care across the world. In fact, we are calling this the Mothers’ Revolution.”

Cathy Warwick, Chief Executive of the Royal College of Midwives (RCM), says: “A safe childbirth should be a fundamental human right for women. Sadly, for many, many millions of women and their babies across the world this is not the case. The world is desperately short of the people who can help to ensure and deliver this human right; midwives. There is a real need for leaders of nations to invest in midwifery care in their countries. I hope that the making of this film which the RCM is supporting with a screening will go a long way to help make skilled maternity care a reality for those women who currently do not have access to it.”

Lesley Page, President of the Royal College of Midwives adds, “Too many women across the world are dying or suffering terribly because of a lack of skilled maternity care. This is unacceptable and I call on all Governments across the world to give women the right and access to safe care in pregnancy and childbirth.”

Ms. Hayes-Klein concludes, “Freedom For Birth” holds the answer to changing the system. Birth will change when women realise they have a right to meaningful support for childbirth and claim that right. Birth will change when women stand up against the abuses that are currently suffered in such high numbers and say, No More.”

The filmmakers are aiming for 1,000 screenings happening across the world on Thursday 20th September, 2012. The countries with confirmed screenings include the UK, Ireland, Germany, France, Denmark, Spain, Greece, Italy, Norway, the Netherlands, Sweden, Austria, Poland, Bulgaria, Croatia, Slovenia, Slovakia, Belgium, Hungary, Israel, Sweden, Finland, Iceland, Russia, USA, Canada, Mexico, Colombia, Brazil, Argentina, Chile, Uruguay, Panama, Australia, New Zealand, Malaysia, Philippines, China, South Africa and India.

Each screening is being organised by local birth campaigners.

Freedom For Birth is Harman and Wakeford’s third documentary film about birth. They were inspired to make films about following their own difficult birth of their daughter four years ago. A cascade of interventions in their birth led to an emergency caesarean section.

Contact Information:

Toni Harman, Producer/Director, Freedom For Birth info@altofilms.com +44 (0) 1273 747837

Guest blog from Hazel Roberts, Jammy Cow MK www.jammycowmk.co.uk

Valerie says, “I am delighted to have been part of Milton Keynes Midnight Moo, and part of the Moos at Ten team!”

Hazel writes:

Last Saturday night  was the 2012 Midnight Moo – an all ladies 10 mile walk through Milton Keynes. The herd set off a midnight and whilst they were busy striding through the early miles, Jammy Cow and her heifer friends were busy preparing the final mile for their welcome home.
At the beginning of mile 10, ready to greet the herd for their final mile was the very professional Moos at Ten Cow, Mavis.  She is a very sensible and reliable cow and in stark contrast to the next cow round the first corner. Silly Cow, Connie giggled her way through the night.
Those of you who walked the 10 miles will know that most of mile 10 is uphill so the Moos at Ten team were ready to add that extra bit of encouragement as the herd came through. Having said that, Bossy Cow’s version of encouragement is about as friendly as bootcamp with her strident, “Keep moooving!” shout. It is at this point in the early hours of the morning that you realise exactly how far 10 miles is to walk. “Holy cow, aren’t we there yet?” you may mutter as you pass the pious Holy Cow, Mary.

Continuing up Midsummer Boulevard, the end is near and breakfast at Pret A Manger awaits, a thought not lost on the perpetually hungry Fat Cow, Victoria as she patiently waved the crowds through. Normally, Hetty the Mad Cow stands out as a bit odd but last night she was in good company with lots of ladies suitably dressed up for the night.

Through Witan Gate underpass and by now there is less than half a mile to go. Bed is calling and lucky you, you’ll soon be home and tucked up. Lucy, the Lucky Cow was there, cheering you on for the final push. And only another 50 calories left to burn, something Clover, the Skinny Cow was quick to point out. Nearly at the end of mile 10 now and so very close to achieving your aim. A point to feel proud and to reflect upon why you are doing this. Willen Hospice is a fantastic cause and everyone is impressed by your fundraising efforts. Remember those Concrete Cows you passed in mile 7, well one makes a final appearance here to salute your efforts on behalf of Milton Keynes.

And there, with the end in sight, Jammy Cow welcomes you to the end of mile 10 and congratulates you on completing the Midnight Moo. A big cheer, breakfast, bath and bed.

So can you work out how many cows there were on mile 10 of the Midnight Moo? If you can and you are local to Milton Keynes then why not enter our competition to win a fabulous hamper of goodies. Visit www.themoosatten.co.uk or email your answer to enquiries@jammycowmk.co.uk

Very sadly it looks fairly certain that Independent Midwifery will end in October 2013.  The Government and Nursing and Midwifery Council have for a long time been recommending that Independent Midwives should have professional indemnity insurance (negligence insurance) despite it not being commercially available in the marketplace i.e. insurers do not provide this insurance for midwives.  You can read more about the current situation here http://www.independentmidwives.org.uk/?node=11615

An E.U. Directive is now due to come into force to implement this change and our current information is that it will be illegal for us to practice without professional indemnity insurance from October 2013.  This means that women will be denied the choice of choosing an Independent Midwife and we will be denied the choice of working independently and will be forced to stop practising or to return into the NHS.

The Independent Midwives UK organisation has been working tirelessly for years to find a solution and it is just possible that an eleventh hour solution will be found but this is now looking unlikely.

A group of midwives have formed an organisation called Neighbourhood Midwives www.neighbourhoodmidwives.org.uk/ and are working towards setting up an employee-owned social enterprise organization, to provide an NHS commissioned caseload midwifery homebirth service, based in the local community.  This may prove to be a workable alternative to Independent Midwifery but at present (if it comes to fruition) the service will only be able to accept “low-risk” women and this is of concern to all of us who have supported women with more complex situations, for example first time mothers, vaginal birth after a previous caesarean, twins, breech birth and women who are not deemed “low risk”.  The aim of Neighbourhood Midwives will be to extend their remit to include more women as soon as possible.

There is already a precedent for this type of care as One to One Midwives in Liverpool www.onetoonemidwives.org have already managed to set up a caseloading midwifery service (similar to independent midwifery in that a woman will care for a caseload of women throughout the whole of the pregnancy, birth and postnatal period) within the NHS.

It is a very sad time for midwifery and for women’s choice, but perhaps good things will come out of it, I certainly hope so.

I was recently asked a question about painful stitches/perineum after childbirth  and thought it would be useful to share my reply.

I’m not so sure you were told all this! You *should* have been, but sometimes things get missed in the busy hurly burly of hospitals!
Okay, so the pain … I take it this is when you wee? This may well have passed by now? This can be eased by weeing in the bath or shower or by pouring water from a bottle of jug over yourself as you pass urine. The pain gradually lessens but it should already have started to improve. If it is getting worse then you definitely need to get your midwife to check you out.

Don’t know whether you have opened your bowels yet, or if this is what you are referring too? Women are naturally worried about the first time after stitches. I usually suggest that if a woman is anxious that she might like to support the perineum (the stitched area) with some toilet paper when she goes to the loo. This is mostly a psychological prop, but … if it works … it will be fine I promise! Just make sure you drink plenty of fluids (this will also help dilute the urine) and eat so that you don’t get constipated.

Regarding the bleeding, it is normal to bleed for several weeks after having a baby. Again, the bleeding quickly lessens and will often stop only to start again … it is not unusual to bleed on and off for somewhere between 2 – 6 weeks after having a baby.

Your midwife will be very happy to have a look at your stitches and will usually ask you if you are comfortable or not. If you are unsure definitely ask her to look as occasionally they can become infected and need treatment.

Hope you soon feel more comfortable … in the meantime enjoy your new baby.

I have to say that I have never been a fan of Gina Ford.  Although I haven’t read her book “The contented little baby” from cover to cover, I’ve read enough to know that I completely disagree with her ideas of strict routines, indeed I wonder how any mother could cope with doing anything else if she followed Ms Ford’s advice as every moment of the day and night appears to be mapped out!

I was very interested in a parenting programme that was on TV a year or so ago which followed three couples who followed various styles of parenting; there was a couple who adopted a very strict time scheduled routine, a middle way and those who adopted an attachment style of parenting.  I was not surprised to learn that the couple who practised attachment parenting were the ones who got the most sleep!  Whilst I appreciate that this may not be for everybody, I think it is important for parents to know that they should listen to their instincts and parent in the way that makes them feel most comfortable and that they don’t have to listen to the “so-called” experts.

Back to Gina Ford, in her new book “The contented mother’s guide” she apparently is advising women that they should resume marital relations within four to six weeks after the birth.  Well, as a mother and a midwife I KNOW this will not be for everyone and indeed in some circumstances this could be positively dangerous and harmful.

As a midwife, women have sometimes shared their stories with me and I have known women who resume sexual relations within days of childbirth and I also know that there are women who wait a year (or more).  What is right for women couple will not be for another and you should follow your own instinct and not listen to a woman who has not had children herself!

For further information see https://midwifevalerie.wordpress.com/2009/01/03/sex-after-birth/


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