With woman midwifery 

❤️Before I start I’d like to thank Soo Downe for using this photo of me with my pinards in her slides during this years EMA ❤️ &  thanks to Jacque Gerrard RCM for letting me know. 

Hello , are you a midwife ? Have you ever heard or said any of the following sentences ? 

“I’m coming in the office for a few minutes , they don’t want me in there all the time” 

“I’ll leave you in peace for a while – you don’t need me here all the time” 

“I’m giving them some time to themselves whilst she’s in the early stages” 

There is evidence and research to prove unanimously that women who have continuous one to one care have less pain relief , more incidence of normal birth , less perineal trauma and feel more positive about their birth process . As midwives there’s always information to share and explain that the woman may not know about . I also view my role as a guardian to the partner making sure he or she feels involved and free to ask questions . So the next time you hear yourself or a colleague say “I’m leaving the couple I’m caring for as they don’t need me in their birth room all the time” just remember leaving them  isn’t evidence based practice – staying with them totally is 

Resources on continuity 

http://onlinelibrary.wiley.com/store/10.1002/14651858.CD004667.pub5/asset/CD004667.pdf?v=1&t=iwl6t8eo&s=72d734e7de6a3665a8d183e2d5df1492e37dc2ec

http://www.sciencedirect.com/science/article/pii/S0140673616314726

http://www.sciencedirect.com/science/article/pii/S0266613816300572 

Bright Friday

This post by Good Palpations makes you think about Life and about death – but more than that it made me think about the dash between those two things that happen to us all “Life -dash – Death” fill your life up – help each other and look out for others as well as yourself – tell people how you really feel – and find out how others really feel too – you never know ………. Thankyou Heather you’ve made me think 🌟

Good Palpations

Dumbing down the science as much as possible, I will tell you that the “colour” black isn’t a colour at all; it downright refuses to reflect any of the colours that light bounces against it. Rams all the colour into it and keeps it for itself. Greedy black.

So Black Friday is well named, isn’t it really? Judging by recent footage people are rammed into a small space and greedily grab as much as they can carry.

I used to work as a customer service assistant at The Bear Factory (now Build-a-Bear) – yes it was as awesome as it sounds…until it was very, very crowded and people lost sight of the fact that they were getting cross about pricing ON A FOOTBALL KIT FOR A BEAR. In a buzzing crowd, it’s easy to lose perspective, I guess.

Perspective: this is one of my friends from school, bright, enthusiastic…

View original post 850 more words

Antenatal education

I offered to run the group for two sessions for one of the midwifery teams . The last time I’d “led” a group was in the late 90s since those years have slipped by I’ve gained courage knowledge and insight into how normal birth can actually be .
I agreed to be there with a student and was told there’d be about 8 couples so approx 16 people. I arrived with lots of things to handout and felt nervous but excited as I love meeting new people. In fact there were 14 couples
The staff at the children’s centre where the group was held were amazing – they’d set up drinks and snacks in the middle of the room and it was a friendly relaxed atmosphere.
The people arrived- “future parents” all excited about learning but at the same time doubting their own abilities – my job was to make them leave the group feeling and thinking differently than when they came. I really wanted to give them a thirst to seek out more information .
I promised them all I’d do my best to give evidence based advice and that I’d back it up with written evidence so they could read about it afterwards . I also gave out mum and baby care plans that have information in about signs and symptoms of illness , postnatal recovery , investigations , discharge planning and what midwives check for after the birth – I did this as sometimes these documents are rarely looked at by parents until they go home and I wanted them to see in advance their packages of care to make it all more real and current.
I put my phone on silent and on the table upside down the first thing someone said to me was “Skin To Skin Switches on babies brains?”

20140629-204158.jpg – so I then launched into the benefits of skin to skin and they were hooked.
I made sure I stopped every 8-10 minutes to allow questions and gave out post-it notes for questions – we laughed together practising breathing techniques and we also became emotional when we all discussed mental health issues and I talked about my own experience of post-natal depression . Putting myself in the spotlight was quite tough but I just knew that if I said it they’d accept it’s existence- in some small way this might just break the stigma around mental health.

The group were soon bonding and the characters surfaced – “Jenny you do realise next week England are playing ?” …..but hang on this is your first baby ? but then I said let’s have a plan and make the class earlier – I kept thinking that it’s good to be flexible in all matters around birth so why not times of the group?
We all chatted and laughed -I learnt about their hopes for birth. My aspiration was that in some way I had helped to dissolve their fears and turn them into courage for labour and an ability to believe in their bodies – my parting quote for week one was “no-one knows how any of you will give birth but we don’t worry about other mammals giving birth – you need to read up what I’ve given you, feel your own strength by recognising how amazing the human body is and give yourselves the best chance for a normal birth . A positive mind is a true gift ”

Week two -arrived and I was so thrilled that everyone had arrived- in the back of my mind perhaps my conscience was telling me that only half the group would arrive – they wanted more – and so did I .
We recapped on the first week and they all excitedly told me how nice it was to read the care plans and think about their babies – we then talked about One Born Every Minute as there was a Hypnobirth on this particular week and they were all really amazed but also said that the birth had backed up what I talked about the week before i.e. believing in their abilities (never thought I’d be discussing OBEM ! Then skin to skin came up and some had asked their parents about it and really researched the subject (proud!) – we staged a mini production called “I need skin to skin” in which another health professional enters the room after the woman has given birth and tries to move the baby – I really felt amazed by their power and passion for skin to skin – my little signs around the place on post it notes, my phone cover and even mini stickers had worked !
We revisited breathing and all had a huge attack of hysterical laughter – but I liked this very much as I imagined them breathing in labour and recalling the laughs they had with me.

20140629-212723.jpg

Eventually it was time to prepare to close the group – I asked for post-it notes with anything on they felt relevant and this was the result

20140629-212935.jpg

The best part was at the end when they all came to hug me and tell me that they were ready – I felt like a proud mother hen sending her chicks out into the world – and I knew they’d all be fine

I’d like to thank Student Midwife Gemma Whiteside for coming to the first group with me and being such a great student ( she was off that week and revising for exams = commitment!) Also the staff at The Children’s Centre – you know who you are ( turns out one of these lovely ladies is pregnant and she only told me at the end of the second week !)

Thank you to all the nameless couples who I laughed with, learnt from and bonded with – I know you are all going to be amazing in labour and even more wonderful as parents

20140629-213717.jpg

20140629-213728.jpg

Annie Coopers presentation to Nurses and Midwives Day 2014 at Blackpool Hospital

The 6cs and information

Health Informatics

It started with NHS direct – Annie always volunteered for roles that others shied away from and this has led to and maintained her love of IT and informatics . Technology is going so fast -the 6Cs are relevant to Informatics. Information is integral to knowing if you are fulfilling 6 CS in your role

Compassion – when you ask you’re collecting information – the way you ask and gain more knowledge about your patient needs compassion

Information is an integral part of nursing midwifery and healthcare

Care – nursing care indicators – F&F test- benchmarking

Courage– incident forms – different ways of working – raising your head above the parapet and speaking out

Commitment-duality – focused on the patients experience

Competency – training records -informatics

Communication – feedback – consumer informatics -NhS choices is an informatics resource

“Each individuals responsibility”

Informatics is the use of information in care service improvement research and education

“Step up be courageous ”

Link up with IT it’s a requirement of a modern nurse in 2014 – evidence based practice –

Prescribing alert systems – tools warnings

Leadership – are we adopting ? How do practitioners step up to lead in place – nurses are creative and innovative – what are YOU doing to be a modern nurse ? If you are not IT literate you are not fulfilling your role and meeting requirements

New students arrive with technology skills and It is wrenched out of their hands and they are made to work “our way” paper based work etc we (NHS) need to lead and harness theses skills

Information governance training -Who likes to do this ? One of the most important areas of work we need to change our mindset – Caldecott share responsibly – if the IT system goes down no access to patient record – is this a clinical incident or an IT incident ? It’s definitely a clinical incident

Transparency – traditional method of paper records –

Challenges are key

Engagement across all teams
Leadership at all levels
Development of clinical content that supports practice
Development of best of breed tools for nursing and midwifery
Clinical safety
Clinical skills development
Learning more about the potential of data- an opportunity

Care.data – http://www.england.nhs.uk/ourwork/tsd/care-data/ this will help us all to to better understand health – debate around consent

The changing relationship with pt access to records – transparency debate

The effect on Nursing and Midwifery

Info sharing will be a requirement if in the patients best interest
Communication techs
Quantified self
Outcome measurement & improvement
Clinical safety of new IT
Clinical content and content management
Clinical informatics leadership
Pt self management and personal wellness – stop paternalistic attitude that WE are in control of records – “peer support is a critical part of self management ”

Comparison can drive up quality

-These notes were made whilst Annie was talking so I hope you all get the main message that technology and informatics are a crucial part of our role and embedded into what we do – informatics is here and developing continually – we use it daily without realising

Are YOU a 21st C modern nurse / midwife / HCP?

I thoroughly enjoyed Annie’s lecture and it made me realise that I’m an informatics geek but proud of my geekiness . However I have a long way to go – ” We are all learning ” as Sheena Byrom says.

Please consider a large part of your role is informatics and it’s developing more each day – try to learn more about IT and make friends with your IT dept they will help you and you can help them : )

(Annie says they love cake!)