Introduction of The Role Of The Midwife During Labour And Birth Assignment
1.1 Different birthing environments to suit different labour choices
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Many different birthing environments can be suitable for the parent(s)' labour choices, according to their options they can choose from different types of working environments that can be suitable for the circumstances of labour. The optional choices are vaginal birth or natural birth, unplanned caesarean, scheduled caesarean. Depending on the circumstances there are two other types of birthing environments, one is scheduled induction and the other one is “vaginal birth after C-section” or (VBAC) (Neiman, 2020). All these different environments can suit the different level choices that the parents are making and safely deliver the child.
Start of the labour
The liver is a natural process that can suffer interaction and complication factors, from the start of the labour they are needed for clinical intervention to making sure that the process of labour finishes with a child birth without any complications (Hildingsson, 2019). First stage of labour is known as dilation, in this state the cervix begins to thin and dilate, Because of various types of hormone secretion during the labour. For the particular vaginal delivery, the cervix needs to be fully dilated in about 10 cm for the baby to pass through without any complication.
In the beginning of the early phase the contractions can be mild or shorter and irregular to the mother. The liver progress and contraction can become stronger and more frequent, when the contraction comes in every 5 minutes then the acceleration of labour has started.
Stages of labour
Acceleration of labour
When the labour accelerates the contractions become stronger and painful for the mother to bear, then the contraction can be frequent and comes in every 2-3 minutes. The dilation rate of the cervix can be faster and the opening can be as wide as its 3 inches and the baby's head can descend further into the pelvis (Sosa, 2018). Then the mother’s water breaks and they can experience pressure in the lower back due to the muscle contraction becoming stronger and the acceleration of labour going to the next stage.
Then in the 3rd stage, which is called transitional stage, the cervix can be opened as wide as 8 to 10 cm, which can be enough for the baby to pass through. Among the intense contractions the legs can get cramps and the mother can feel nauseated or shaky. The movement of the baby is continuous to the pelvis. Then the delivery stage begins. Delivery stage is a very vital aspect. Because in this stage the baby can begin to come out and the head can be shown from the vaginal cavity.
Monitoring of labour
During the all faces the monitoring for any complications is very necessary for the doctors and nurses, during the contraction pain of labour in many cases the mother can pass out and can't push the baby all the way out the doctors need to keep on checking that pack and make sure the mother is wake up during the delivery stage (Nilsson, 2019). While the baby's head can emerge in the opening of the vagina that can be called crowning, Then the continuous monitoring doctor needs to prevent the mother from pushing for the and east to the baby's head slowly and pulling out gently. Monitoring of every stage of the labour is highly significant because any complications during this time can lead to fatal damage and risk the life of the mother and the baby. So, it is very significant to process and monitor each and every aspect during the liver stage to the delivery stage. The doctors and midwives take extra measures to ensure the mother’s health and vitals are in check before they proceed further into safely delivering the baby.
Interventions in labour
There are many types of intervention in the labour that continue from the first stage to the last. the significant aspect related to the after birth is that the contraction can start again and the Placenta can be separated from the walls of uterus, so the doctors need to intervene and ask the mother to pull gently the empirical cord and gently massage the uterus to help the Placenta to come out fully. The medication needed after the Placenta is pushed out to encourage the contraction in the uterine and minimise bleeding.
2.2 Role of midwife in different stages of labour
The device can operate in many settings including the maternity unit of the hospital or the birth centres. The midwife has some essential duties beside the doctors during all stages of labour.
- The midwife usually checks the baby's health and position during the labour and the contraction. Then they can advise or help the hospital bookings to route tests and checks that can be suitable for the mother and the upcoming baby.
- The midwife can support and encourage the mother and make sure they don't pass out during their stages of labour (White, 2019). Emotional support and encouragement are very important during labour.
- The midwife can monitor the progress of labour and is suggested to help the labour complete without any further complication.
- The midwife has the essential duties to monitor the baby's Heartbeat and other vital signs.
- Getting extra medical care or any other services to the mother and helping them to relieve their pain or arrange the doctor to administer all the monitoring process after birth.
- After the work the midwife takes care of both the mother and the new-born baby, the network and checks for the blood losses and any vital changes in the mother. then they can check if the baby is healthy and measure their weight and keep them safely (Rota, 2018).
- The midwife can show the mother how to wear the baby properly and change the nappies and administer the pain relief if the mother is needed or organising a doctor to provide the particular medication.
3.1 Assist by the midwife
The mean by can take care of the mother and new-born after birth. As per the recommendation of WHO the mother and the new-born child need to have assistance 24 hours after the birth. During this time the midwife can regulate precaution measures to ensure the baby is not catching any diseases, and assess the mother to take care of the baby. The Midwife can check the fighters of the baby and the mother to ensure their help and in perfect condition and assist with doctors for the intervention of medicinal treatment. There are chances of ensuring complications that can occur in the first 24 hours after birth, so the mother and new-born child needs postnatal examination as early as possible (Reisz, 2019).
This type of recommendation and importance of the postnatal visit is a very significant aspect before discharging the mother and baby. The measure ensured the importance to new mothers and their eating habits to healthier food to maintain their vitals in their body and ensure the good nutritional value to develop the mother’s health and recovery after the painful childbirth event. The midwife can ensure the mothers are getting enough rest and sleep to avoid heart physical labour related complications after birth. This is all the significance and assistance that has been provided by the meat wife to take care of the new-born baby and their mother and ensure their health after the labour. The bitwise assistance is very useful for the doctors to ensure the mother and their baby are recovering and their nutrition levels are good.
3.2 Assist by the midwife to the parent(s)
The midwives' assistance is not limited to the childbirth event, but after that childbirth the network can access their parents to ensure the safety of the new-born child and the mother. the significance of its parents to understand what precautionary measures need to be taken in labour and after the birth can be assisted by the midwife. The normal birth related procedures that have to be promoted by the advice and help the parents of the new-born child understand that the normal way of birth is secure (Maya, 2018). The midwife can prepare the parents of mentally and encourage them during the live events and after the word help them to take care of the precious new-born child. The midwife's help and assistance can boost the confidence and knowledge of their parents to take care of the child and help the child to grow in a healthy environment.
The midwife's assists the parents to have medicinal cure and acknowledge them about the complications that can occur after the first few months of birth. They take extra precautions to ensure the babies and mothers' health are in the right form. The parents' knowledge needs to be increased and the preparation of the mental state to handle a baby and how to take care and ensure the baby's health is determined by the midwife and the doctors and they clarify this type of aspect to the new parents. This is the all-significant care that the midwives take care of the child and help the parents by providing assistance.
Hildingsson, I., Karlström, A., Rubertsson, C. and Haines, H., 2019. Women with fear of childbirth might benefit from having a known midwife during labour. Women and Birth, 32(1), pp.58-63.
Maya, E.T., Adu-Bonsaffoh, K., Dako-Gyeke, P., Badzi, C., Vogel, J.P., Bohren, M.A. and Adanu, R., 2018. Women’s perspectives of mistreatment during childbirth at health facilities in Ghana: findings from a qualitative study. Reproductive health matters, 26(53), pp.70-87.
Neiman, E., Austin, E., Tan, A., Anderson, C.M. and Chipps, E., 2020. Outcomes of waterbirth in a US hospital?based midwifery practice: a retrospective cohort study of water immersion during labor and birth. Journal of midwifery & women's health, 65(2), pp.216-223.
Nilsson, C., Olafsdottir, O.A., Lundgren, I., Berg, M. and Dellenborg, L., 2019. Midwives’ care on a labour ward prior to the introduction of a midwifery model of care: a field of tension. International journal of qualitative studies on health and well-being, 14(1), p.1593037.
Reisz, S., Brennan, J., Jacobvitz, D. and George, C., 2019. Adult attachment and birth experience: importance of a secure base and safe haven during childbirth. Journal of reproductive and infant psychology, 37(1), pp.26-43.
Rota, A., Antolini, L., Colciago, E., Nespoli, A., Borrelli, S.E. and Fumagalli, S., 2018. Timing of hospital admission in labour: latent versus active phase, mode of birth and intrapartum interventions. A correlational study. Women and Birth, 31(4), pp.313-318.
Sosa, G.A., Crozier, K.E. and Stockl, A., 2018. Midwifery one-to-one support in labour: More than a ratio. Midwifery, 62, pp.230-239.
White VanGompel, E., Perez, S., Wang, C., Datta, A., Cape, V. and Main, E., 2019. Measuring labor and delivery unit culture and clinicians’ attitudes toward birth: Revision and validation of the Labor Culture Survey. Birth, 46(2), pp.300-310.
World Health Organization, 2018. Defining competent maternal and newborn health professionals: background document to the 2018 joint statement by WHO, UNFPA, UNICEF, ICM, ICN, FIGO and IPA: definition of skilled health personnel providing care during childbirth.