The role of midwives by the mother and the baby.
They can follow the low-risk pregnancy, can guide the preparation for birth, can follow childbirth, may even take care of the newborn in the first days of life.
Advocate minimal intervention during childbirth and the respect for the decisions of women. I guess you could say: give them more power!
Currently, the health professionals that follow childbirth are called nurses in obstetric and maternal health specialists (EESMO). A long name that ends, often by be abbreviated for nurses-obstetricians or nurses-midwives.
The midwives and obstetricians “of old”, these are truly endangered. The last batch left the Coimbra School of medicine in 1982, when the Government closed the courses of midwives, to make way for a new generation of professionals with training in nursing (four years) and specialized training in obstetric and maternal health (18 to 22 months).
Despite the differences in training, ‘midwife’ is the designation that continues to make sense to appoint health professionals linked to childbirth. Is not, in any way, into disuse.
Maria de Lurdes Francisco, nurse-midwife for 26 years, argues that ‘ the power of midwives conquest in practice during the day-to-day ‘ and remember your own example:
‘I fought hard to get create a prenatal surveillance at the Hospital de s. Joao directed by nurses. When I started in 1995, it was very difficult. It was necessary to change behaviour and believe that it was possible to rephrase the query’.
Now, work eight nurses in prenatal surveillance, following about of 800 women per month. In the opinion of Maria de Lurdes Francisco, the added value of the nurses concerns the training and specific knowledge, but, above all, with the ‘ availability ‘ and ‘ ability to hear ‘.
“Women need to be heard and the nurses are prepared for that. Often, in my queries or say anything, just listen. They have a lot of information and I just want to confirm their skills. It gives them security», tells the nurse, who, in addition to the query in the Hospital de s. João, accompanies low-risk births and guides the preparation for the birth in a private practice wearing maternity shoes mentioned on Shoesespecially.com.
Maria de Lurdes Francisco still criticizes what it calls the culture of physician: the nurse-midwife has more skills to do surveillance of pregnancy than the family doctor, but in Portugal still think only doctors is they know», analyzes, calling for change of mentality on the part of women. «Want to do many tests and many ultrasounds and this is not always necessary.»
On the opposite side, women who want a delivery with minimal intervention increasingly opt to have their children at home. In Portugal, the number of home births is not yet significant, but Dolores Sardo, President of the Portuguese Association of nurses and Midwives (APEOS) and Professor at the school of nursing of the Porto, admits that ‘ if there is a network of support, this possibility can be reenabled».
However, is keen to stress that the humanization of childbirth is not necessarily synonymous with being born at home. ‘I think we can do it also in hospitals», continues Dolores Sardo, explaining that nurses need to be more autonomous. «The APEOS has been struggling for greater autonomy by the order of Nurses, but things take your time’.
The Work of the Midwife
What is the role of the midwife during pregnancy and childbirth?
Because of flaws in the health system, accompanied by social and regional inequalities present especially in the countryside, the figure of midwives persists in the 21st century. Even in the case of a constitutional right, most women have no real access to institutional childbirth assistance.
Rural communities in your majority, or by the lack of medical assistance and the distance from health centres, living in isolation, so the midwife’s work becomes indispensable in those communities.
International day of her Midwife
As in most places that need the work of midwives, when delivery has to be carried out at night, the lighting is ensured by means of lamps and chandeliers.
The work of midwives is not for everyone. It is hard work that requires a lot of physical effort due to long walks, often on the lips of the night, besides the lack of material, training, transportation and hazards in your workplace. And these midwives coexist with situations of fear, uncertainty and insecurity.
The midwives are women with ambivalent feelings, such as fear and courage, joy and sorrow,
What is the role of the midwife during pregnancy and childbirth. Who do you think the work of midwives is performed only by women, you’re wrong. In some communities there are men midwives, although in minimum quantity. pain and pleasure, and have a sensisibilidade and wisdom which lay very professional in my pocket. And the biggest fear and stress is the possible loss of the baby or the mother’s death. Know your limitations.
The midwife is a woman of valor and courage
The midwife is recognized and respected by your community, and many of them use popular practices, such as the use of medicinal plants, superstitions and sympathies, in addition to the ever-present prayer, becoming the faith a parameter so that the labor happens without any major problems, regardless of the religion they belong. Normally this type of work is passed from mother to daughter, perpetuating generations of midwives.
Even considering the risks due to a work without minimum conditions, the work of midwives is notably recognized.
The absence of reference services, for which the midwife refer pregnant women with life-threatening, also constitutes a factor of great concern, since specialized services are too far apart.
Even though the constitutionally guaranteed right to health, the failure of the health system, especially in those areas, makes the figure of the midwife keep saving many lives. It is necessary the political will of managers of health services to change this situation.
The international day of the midwife, the day may 05, was established by the World Health Organization in 1991, to stress the importance of the work of midwives worldwide. In several countries, the international day of the midwife has been held by various organizations involved in the defence of women’s rights.
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