Saturday, 7 February 2009

Women's Rights

Style Police wrote on November 4th 2008 that midwives are 'transient in women's lives'. How I would beg to differ with that statement. Not only do I remember all the midwives that cared for me through 3 pregnancies, labours and during very stormy post-natal times but I remember their faces and names as clearly as if it was yesterday. In real time it is now nearly 40 years since I had my first baby and those midwives were certainly not transient to me or my babies.

How sad it is that we now are educating and delivering a work force of midwives who have no concept of professionalism and vocation. To be a midwife - with woman, is totally that and we are not looking after tins of biscuits on a production line as much as it may feel like this at times. No, we are providing a service and that does mean some sacrifice along the way and if as a midwife you are doing this as a 'professional' then you will certainly not be transient in women's lives - quite the opposite in fact. To become a professional and remain one, requires some degree of discipline and high standards - after all - midwives are dealing with real lives and not some reality show. To sustain this high standard requires constant updating and a life time of continuing professional development.

How can this be achieved safely and to standards required of the NMC (2004) for example, if when midwives go on maternity leave themslves don't return for over a year and do not attend the mandatory study days (which are supposed to be 10 in total) whilst they are on leave? And when they finally do return to the work place on very reduced hours (some only 1 day a week) how are they supposed to maintain their safety and high standard of care for the women that they look after on these very reduced hours and lack of professional study?

In these highly litigatious times, Trusts seriously need to consider the safety of allowing this kind of practice to continue. I certainly would not wish to be cared for by midwives who had been out of the professional arena for so long with no updating that is required by all midwives who declare themselves 'Fit to Practice' when clearly they are not. (NMC Midwives Rules and Standards).

6 comments:

Isobel Martin said...

So let us return to the good old days of midwifery when midwives were spinsters of the parish. She rode a bicycle and wrapped the placenta in brown paper before throwing it on the open fire. Times are changing and the trusts have an obligation to ensure that the correct number of Whole Time Equivalent midwives are available to run the service appropriately.
By the by midwives, I think midwives sacrifice enough in terms of family and are more likely to be childless due to the shift pattern, putting off child bearing until later in life for career and because of the entonox exposure.
Many midwives I know are the breadwinners in their household, going part time is not an option. I can see why this may breed some resentment towards their more financially secure colleagues who are able to juggle part time work with their midwifery career.
I also feel that it is a little unfair to assume that because these midwives are part time that they are anything but up to date and professional.

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Jessica said...

I'm so glad to have found your blog! I live in Canada and have recently been accepted to the midwifery education program in Ontario. It's quite competitive and I can't imaging anyone applying without feeling truly called to be 'with woman'. I can't imagine any other profession, or not wanting to devote much time and effort to keeping up-to-date and at working at full tilt. It helps that in Canada midwifery is provincially legislated and midwives in Ontario are paid by the government. This kind of stability would make it much easier (I imagine) to continue with ongoing training. Do American midwives maybe face more difficulties working outside of a public health care system?

Thanks for creating this blog :)

Jessica said...

Oh, sorry. You live in the UK. My bad! I imagine the NHS works much in the same way as our health care system.

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