A week in the life of a student midwife

Friday
Instead of going to university today we had a directed study day based around the Morecambe Bay Investigation.  It didn’t make for very pleasant reading.  If you haven’t read it, I would encourage you to do so.  It would be a fantastic thing to discuss in any interviews you may have.  For me it reminded me of the importance of multidisciplinary working and effective communication.  Professional relationships can be a tricky thing to negotiate, especially in the high pressure environment of the labour ward.  The most important thing is to ensure the woman remains at the centre of everyone’s focus and this will hopefully ensure a positive outcome for everyone.

Saturday and Sunday
My weekend started with work; the final session of antenatal education.  It was brilliant once again.  I learnt so much about how a baby’s brain develops.  For example, I didn’t realise that a baby could recognise its mother by smell from birth, by sound at 10 days old and by sight at 3 months.
After this, I made my way to the outskirts of London to spend a couple of days with an old friend.  We watched some (terrible) films and drank lots of tea.  She is 6 months pregnant so she had lots of questions and I was able to share with her what I had learnt in the morning.  It was delightful.

Monday
Back to work, and I was in clinic all day.  Back-to-back appointments can be quite draining but it also gave me an opportunity to practice my clinical skills in abdominal palpation, fetal heart auscultation, blood pressure reading and taking blood.  I am getting to grips with planning care and what happens at each appointment, but there is a lot to remember.
I am so looking forward to the day that I have my own clinic.  I have always felt most comfortable working in the community; I enjoy seeing the women throughout their pregnancy and building a rapport with them.  It is also wonderful to have a cuddle with their new baby when they come home!

Tuesday
Another clinic today, but mostly for postnatal women which meant different clinical skills to practice.  Newborn blood spot tests, infant checks, weighing and breastfeeding support to name just a few.
After work, I rushed back home to get changed and then met a friend to go to the cinema.  We saw Will Smith’s new film- Focus.  I really enjoyed it, and not just because of the numerous topless scenes!

Wednesday
Although I was on a late shift, my morning was filled with a course meeting.  As I am set rep I have to go to various meetings from time to time.  Today’s meeting was a forum for the set reps to bring any concerns or questions to the teaching team.  It’s wonderful to have such an open interaction with the staff and to know they value our opinion so much.
The meeting ran a little late so I raced (whilst keeping to the speed limit of course) across town to meet my community mentor.  I had the most amazing shift and it was the perfect ending to my community placement.  I am looking forward to returning to delivery suite next week though, and getting my remaining 11 births!

Thursday
Finally, a day off!  After sleeping in and cleaning my bathroom, I sat down to work quite a lot later than I had hoped.  I am starting to make some headway with my dissertation but not enough to own up to my word count!  I was very grateful for the fantastic library resources available at UoB today.  My first literature search brought up over 6000 results!
This afternoon I popped into town to get a birthday card for my step-mum and have dinner with a friend before coming home and doing some revision for our interview preparation day tomorrow.

See you next week!

Learning from the students

For the past three weekends I have been attending the antenatal classes we offer in Luton.  The course explores all aspects of labour, birth and life with a new baby.  It has been fascinating meeting this group of women and their partners and learning from them. 

It is very easy to follow our own agenda as midwives; focusing on the advice we need to give and the clinical features we have to monitor.  It is far too easy to forget that the parents will have their own motives when accessing maternity services.  They come with their own unique experience, understanding, hopes, fears and questions.

Although, as I am coming to the end of my course, I have a solid knowledge base, talking to these parents I realise there is still a lot more to learn.  I had forgotten, for example, how difficult it can be to change a nappy on a squirming baby.  For some of the couples in the group, their child will be the first contact they have ever had with a newborn.  It must be an extremely daunting prospect knowing you are completely responsible for caring for this little human.

Being a midwife is so much more than delivering babies.  It is supporting a woman as she makes the exciting and terrifying journey into motherhood.  One of the simplest ways we can do this is through antenatal education classes.

It makes sense that the better prepared you are for something, the better the outcome will be.  For example, when you take an exam at school, you will often do a mock paper in advance and your

teacher will explain the format of the examination.  They can’t tell you what the questions will be, but they reduce the stress you feel by removing any other uncertainties you may have.  Imagine you had to sit your last ever A Level examination and you didn’t know where it was taking place or what you would have to do.  Understandably you would not do well.

The same applies for labour and birth.  Many women are scared of the prospect of giving birth because they don’t understand what will happen to them.  They may have watched One Born Every Minute and expect that their labour will neatly fit into the edited one hour programme they have seen on channel 4.  This is not the case.  They expect it to hurt and that they won’t be able to cope with that pain.  This is also not always true.  Usually when we are in pain, it is because we are not well and our body is telling us that something is wrong. In labour however, the body sends out hormones which act as a natural analgesia.  If the woman can understand the process her body is going through, instead of being scared of being in pain, she can embrace it and realise that it is helping her to meet her baby.  With the correct preparation and belief in her amazing body, a mother can do wondrous things.

I am so grateful for the opportunity of being a part of the journey for the couples I have met in antenatal classes and thank them for reminding me of the importance of the softer skills of midwifery.  See you next week!

Flat Pack Furniture and Flat Mates

Last weekend I moved once again.  In my 27, nearly 28, years of life, I have lived in 11 different houses, with 30 different people (not all at the same time).  I have lived with family members, strangers and friends and I can tell you this – you don’t really know someone until you live with them.

Student Village

My mum tells me when she dropped me off at university at the tender age of 18, she cried because she was scared I wouldn’t make any friends.  Hopefully, this isn’t because she thinks I am a social pariah but more because I didn’t know anyone.  I must admit, when I waved her goodbye I sat on my bed and wondered if I had made the right decision.  Then there was a flurry of knocks on my door and a second year student came bursting in. Her name was Katie and she soon became a close friend - which is fortunate, because we shared a bathroom. 

I loved living in student accommodation when I did my first degree.  I had an immediate group of friends, all doing different courses to me and whom I went on to live with out of halls.  So it felt only natural to do the same when I started at the University of Bedfordshire.  I wasn’t familiar with Luton so living in student accommodation right in the centre of town was extremely convenient whilst I was finding my feet.  I also didn’t drive at the time so was relived to discover the university, bus routes and shopping were all in easy walking distance.

One of my favourite passive aggressive notes

 There is a knack to sharing a house or halls of residence with other people as other people’s habits will drive you up the wall if you let them.  Door slamming, milk stealing, hair in plug holes, late night music blaring – I have lived with them all.  You have to remember, it is only temporary.  There are also massive positives; another person’s DVD collection to raid, someone to make you a cup of tea when you are hung-over, someone to help you put together your flat pack furniture as you try to make a room, a home.  As long as the benefits outweigh the negatives, stick with it.  If not, move on.

Flat mates are a staple of university life.  Hopefully you will be as lucky as me and make some life long friends.  See you next week.

Housemates for three years, friends forever

Wanted: more time

I would like to borrow Bernard's watch!

I can’t quite believe we are in March already.  I’m sure time travels quicker the older I become!  I have been told many times that my final year will go past in a blink of an eye, and I am starting to realise the truth in this cliché.

According to the countdown app on my phone, I have 187 days left of my degree.  This fact terrifies and excites me in equal measure.  I am also reliably informed that there are 84 days until my dissertation deadline.  *Please excuse me for a moment of mad panic.*

I have been considering my dissertation topic since I first put in my UCAS application.  At that time, I was interested in choice of birth place as my nephew had recently been born at home.  Then when I started my course, and especially after being a patient myself, I become fascinated by communication within healthcare, particularly between clinician and service user.  As it turns out, I am doing neither of these topics for my dissertation. 

Everyone has moments which completely change their perspective on life.  For me, one of these was the first time I cared for someone whose baby had died.  I remember feeling completely inadequate and ever since then bereavement care has become a passion of mine.  It seemed only natural therefore for this to be the topic for my (mini) tome.

Grumpy Cat feels my pain

My biggest stumbling block when it comes to writing is that I am a perfectionist.  If something doesn’t flow flawlessly, I delete it. This makes the thought of writing 10,000 words extremely daunting. Consequently, I have spent a lot of time formatting my title page and searching for literature.  Now, I need to put pen, or curser, to paper. 

By no means do I have all the answers when it comes to writing an essay, but 6 years of academic writing has taught me a few lessons;

Read the question thoroughly
Highlight the important words in the question – this will give you focus in your writing.

Dissertation = an excuse for new stationary

Start with a detailed plan
Write down all your ideas and start to put it in an order.  This will probably change as you start writing but it will ensure you don’t forget anything you wanted to say.

Begin early
It is possible to pull an all-nighter and write a 2000 word essay the day before the deadline but it is not advisable.  It will never be your best work.

Leave time for proof reading
There will come a point when you can’t see the mistakes any more.  When this happens, you will need a set of fresh eyes in the form of a friend or family member.

No doubt I will discuss my dissertation in a future blog post.  Hopefully I will have made more of a dent in the word count when I do!  Until then, see you next week.

Getting organised

This week I have been full of cold so have appreciated my bed when I can finally crawl into it.  It is usually when I settle down to sleep however, that I suddenly remember everything that the day’s events have put to the back of my mind, which is why I sleep with a notebook and pen close to hand.

I’ve always considered myself to be an organised person, but even with my colour coded diary, there always seems to be something that prevents me from sleeping until I have scribbled it down in the semi darkness. 

When you start university, you will be reminded that you are an ‘adult learner’ on an almost weekly basis.  This means the investment you make in your education is much greater than it ever was at school or college.  Although the tutors want you to pass and are incredibly supportive, there is no spoon feeding of information.  They will provide you with the basics so you are safe in practice, but if you want to get a good grade, then you have to be self motivated and put in a lot of work yourself. 

When you are a health care student, not only do you have written assessments such as essays and exams, you also have the added pressure of clinical placement and your practical assessments.  This all means organisational skills are key.  Below are some of my top tips;

Get a diary
I would be lost without my diary, which is covered in post-it notes and coloured tabs.  Along with black pens, a diary with plenty of room to write for each day is an essential purchase for any health care student. 

Early to bed, early to rise
Not only will you catch the early worm, but you will also be more productive and healthier!  Too many times I have tried to burn the candle at both ends, with a 05.30am alarm for an early shift and then staying up until the small hours.  The result was burn out.
 
Make lists
One of the simplest joys in life is to cross things off your to do list.  It is often a good idea to break things down to smaller tasks which are manageable rather than popping down ‘dissertation’ and then carrying it over from day to day.  

Plan your day, week and month
During busy periods I have been known to plan my day hour by hour, but that is just me!  It is important you have an overview of what your month looks like so you can book in time for my last point…

Remember to rest
There is such as thing as working too hard!  It is important you take time to slow down and enjoy a day off.  Go for coffee with a friend, watch a film, stay in bed until 1pm, take the dog for a walk, however you relax, but make sure it has nothing to do with your course.  Otherwise, it is very easy to get lost down the rabbit hole.

Hope that has been helpful. See you next week. 

On a final note, if you get a chance to watch Childbirth: All or Nothing on BBC iplayer, I recommend you do.  It makes very interesting viewing and has sparked debate within our cohort. 

Heroes

Beware of Syler!

Let it be known, if I fail my degree, it is all because of Netflix.  My latest obsession is the 2006 hit show, Heroes.  Most of the time I have been completely lost as it jumps around in time and location but it got me thinking about the notion of heroes.

We all can think of at least one person who has inspired us, someone who we consider to be a hero.  Be it a prominent person from history, a family member, a friend or a teacher.  The most recent person who has inspired me was a community midwife: my mentor on my first ever placement.  She was so knowledgeable, calm, kind and passionate - every day I was able to work with her was an honour.  I couldn’t imagine I would ever be able to advise and support women with the skill she possessed.  She was born to be a midwife.

In my humble opinion, all midwives are heroes.  We enter women’s lives at a monumental time, often

Our new uniform policy

when women are extremely vulnerable.  With the skills and knowledge we have at our fingertips we bring new life into the world, encourage, comfort and educate.  Even though we don’t wear our pants on top of our trousers, women will always remember how we made them feel and the care we gave them.  We are trusted to be advocates for women and their babies and to have this responsibility is a privilege.

So, I have concluded, we don’t necessarily need to have super powers to be super heroes.  See you next week!

Back to Basics

Early in November last year I attended a Midwife Study Day in London about pre-eclampsia (hosted

APEC

by APEC).  Sandwiched between the morning coffee break and lunch was a presentation about the importance of accurately measuring blood pressure and urinalysis.  Now, I can’t have been the only person who was internally rolling their eyes.  These are skills we master in our first year of training, and I was surrounded by a wealth of experienced midwives practicing in a range of clinical practice areas.  Why had we travelled all this way to be taught a basic skill by an obstetric physician who, by their own admission, probably had a hundredth of the practical experience of the delegates?

But as I listened, I realised that for as much confidence I had in my ability to accurately measure blood pressure and the optimum conditions under which to do it, there were a number of details I had forgotten.  It is like learning to drive; when you are under instruction you diligently check every blind spot before starting off, you mentally chant “only a fool breaks the two second rule” to ensure you are travelling at a safe distance from the vehicle in front, you tell yourself, “it’s a speed limit, not a speed target”. But soon after you pass your test, and once you get over the initial thrill of flying (well,

Being a midwifery student is a bit like learning to drive

driving) solo, you start to cut corners, although not literally hopefully!  You quickly glance in your mirrors (and maybe over your shoulder) before you pull out into traffic, you get slightly closer to the slow moving car in front of you, well, the speed limit is 60 down that road!

It dawned on me as I sat in that air conditioned basement of a conference room, that I was guilty of doing the same thing in my clinical practice.  Not on the big things of course, I’m not confessing negligence.  Nor am I suggesting that I know everything – far from it.  However, as I reflected, I realised how my confidence in practice may also be limiting me.  Skills like taking a blood pressure I now do without thinking, whereas I used to listen intently for the quiet dub dub dub of the heart beat.  I used to excitedly pull my sterile gloves over my shaking hands as soon as the women first involuntarily pushed, thinking the baby was imminent, but now, I wait until I see the hair on the

Midwifery 101

baby’s head before I open the delivery pack!  How many times have you driven home and as you park, realise you have no memory of the journey? 

Don't get me wrong, confidence and familiarity is a good thing.  I would be worried if I still had the apprehensions and hesitations I did in my first year, and so would my mentors and tutors!  But on the other hand, I need to ensure the care I give is still as diligent and considered as it was when I was mastering the skill. So, as I continue with my final year of study, I have made a promise to turn my focus back to basics.