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The Virtual Midwife

The Virtual Midwife

By The Virtual Midwife

A podcast for the thinking woman, not afraid to question the current policy based maternity system. Hosted by the Virtual Midwife, Karen Wilmot who left hospital work to unlearn everything she knew and relearn it in a way that remains true to her calling to be "with women". In this podcast she shares lessons from the labor room, women's wisdom, interviews with thought leaders and discussions with change makers, along with transformational lessons and meditations for pregnancy and birth.
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Guide to Essential Oils during pregnancy

The Virtual MidwifeSep 15, 2021

00:00
30:30
A meditation for new mothers

A meditation for new mothers

This meditation is for the breastfeeding mother who finds herself at the intersection of myriad emotions and responsibilities. If you're feeling sleep-deprived, anxious about your baby and your milk supply, overwhelmed by the profound shift in your identity, torn between the roles of mother and wife, grappling with the loss of freedom, experiencing financial strain, succumbing to societal pressures to look a certain way, or feeling compelled to share every moment on social media, this meditation is here for you.

These complex and weighty concerns may have left you feeling disconnected from your transformed body and your newborn baby, contributing to your baby's fussiness and neediness. In the midst of this challenging journey, it's crucial to find moments of respite and self-compassion.

My hope is that this meditation will  be your sanctuary, a haven where you can slow down, fully inhabit the present moment, and rediscover the beauty of your breath and your profound connection with your baby. It's an opportunity to explore the depths of your inner world, embrace the complexities of motherhood, and find the peace and strength within yourself to navigate this transformative path.


Join me in The Due Date Club Whatsapp Support Group "Ask the Virtual Midwife"


The group is a hub of expertise and shared 

experiences.  See a friendly face, hear a 

reassuring voice, and receive guidance that 

feels like it's coming from a trusted friend. 


Experience the difference that a truly personalized support system, led by professionals can make


If you're looking for answers - especially ones that can't wait until you see your midwife/LC/or pead then join the Ask the Midwife Supprot group and get 


✅ Personalized video answers  to your questions and concerns 

✅ Premium access to our library of resources and video answers

✅ Confidence and connection through shared experiences.


https://duedateclub.co.za/ask-the-virtual-midwife/

Sep 19, 202313:26
Hypnobirthing Series - The Conscious and Unconscious Mind

Hypnobirthing Series - The Conscious and Unconscious Mind

This is it my lovelies - the last episode of the podcast series on Hypnobirthing!

In this episode, we're exploring the conscious and unconscious mind – two aspects of our thinking that can have a significant impact on our childbirth experience.

The conscious mind is the part of our thinking that is aware of our surroundings and makes rational decisions based on our current circumstances. The unconscious mind, on the other hand, operates beneath the surface of our awareness and can influence our thoughts, feelings, and behaviors in profound ways. By understanding how these two aspects of our thinking work together, we can use Hypnobirthing techniques to tap into our body's natural birthing instincts and achieve a positive and comfortable birth experience.

In this episode, we'll cover:

  • What the conscious and unconscious mind are and how they work together
  • The impact of negative beliefs and emotions on our unconscious mind during childbirth
  • How Hypnobirthing techniques like relaxation, visualization, and positive affirmations can influence our unconscious mind and create a positive birthing experience
  • Techniques for releasing negative emotions and beliefs that may be affecting your unconscious mind during childbirth

Remember, by understanding the conscious and unconscious mind and using Hypnobirthing techniques to influence these aspects of our thinking, we can achieve a deep state of relaxation and tap into our body's natural birthing instincts.

Thanks for tuning in to our Hypnobirthing podcast series! I hope you've enjoyed learning about the different techniques and approaches to achieve a positive and comfortable birthing experience.

If you're looking to continue your Hypnobirthing journey, I encourage you to join me in The Due Date Club – a community of expectant parents who are all on the same journey as you. By joining The Due Date Club, you'll have access to a range of resources, including:

By joining The Due Date Club, you'll be part of a supportive community of like-minded individuals who are all working towards a positive and empowering birthing experience. You'll have access to expert advice and guidance, as well as the opportunity to share your own experiences and connect with others who are going through the same journey.

So don't wait – join The Due Date Club today and take the first step towards a comfortable and positive birthing experience. We wish you all the best on your Hypnobirthing journey!


If you have suggestions for another series then drop me an email - I'm currently recording one on hospital interventions but hit me up with what you want to know more about.

In the meanwhile - I'm looking forward to meeting you in The Due Date Club


Midwife Karen

Jun 30, 202310:14
Hypnobirthing Series - Let's Talk About Brain Waves

Hypnobirthing Series - Let's Talk About Brain Waves

Welcome back to our podcast series on Hypnobirthing! In this episode, we're talking about brain waves – a key aspect of the Hypnobirthing approach.

Brain waves are the electrical activity that occurs in our brains, and they can affect our mood, perception, and overall state of consciousness. By understanding brain waves and how they relate to childbirth, we can use Hypnobirthing techniques to tap into our body's natural ability to birth our baby with ease and comfort.

In this episode, we'll cover:

  • What brain waves are and how they work
  • The different types of brain waves and their associated states of consciousness
  • How Hypnobirthing techniques like deep relaxation and visualization can influence brain wave activity during childbirth
  • The benefits of achieving a state of relaxed awareness during childbirth


Remember, understanding brain waves and how they relate to childbirth is a key aspect of the Hypnobirthing approach. By using Hypnobirthing techniques to influence brain wave activity, you can achieve a deep state of relaxation and tap into your body's natural birthing instincts.

So don't wait – start exploring the power of brain waves and Hypnobirthing today, and take the first step towards a comfortable and positive birth experience!

Thanks for listening, and be sure to tune in to our future episodes as we continue to explore the wonderful world of Hypnobirthing. And if you're looking for more resources or support on your Hypnobirthing journey, be sure to check out our website or join The Due Date Club.

Meet new friends who are due in the same month and share your journey with The Due Date Club! Compare symptoms, be inspired & find a community of women who understand your experience.

I'll see you there


Midwife Karen


Jun 02, 202311:51
Hypnobirthing Series - Answers to Your Questions
May 24, 202317:42
Hypnobirthing Series - How to use Hypnotic Anchors

Hypnobirthing Series - How to use Hypnotic Anchors

Welcome back to our podcast series on Hypnobirthing!

In this episode, we'll be discussing how to use hypnotic anchors – a powerful technique for deepening your relaxation and entering a hypnotic state during childbirth.

Hypnotic anchors are a way of associating a physical sensation or object with a relaxed state of mind. By using an anchor during childbirth, you can quickly and easily enter a deep state of relaxation and tap into your body's natural ability to birth your baby in a calm and positive way.

In this episode, we'll cover:

  • What hypnotic anchors are and how they work
  • The benefits of using hypnotic anchors during childbirth
  • Techniques for creating and using hypnotic anchors, including visualization and touch
  • Tips for using hypnotic anchors effectively during childbirth

Remember, Hypnobirthing is all about empowering you to make informed choices and approach childbirth with confidence and trust in your own abilities. By using Hypnobirthing techniques like hypnotic anchors, you can achieve a deep state of relaxation and tap into your body's natural birthing instincts.

So don't wait – start exploring the power of hypnotic anchors today, and take the first step towards a comfortable and positive birthing experience!

Thanks for listening, and be sure to tune in to our future episodes as we continue to explore the wonderful world of Hypnobirthing. And if you're looking for more resources or support on your Hypnobirthing journey, be sure to check out our website or join The Due Date Club.


May 17, 202310:05
Hypnobirthing Series - How to Strengthen Your Intuition During Pregnancy

Hypnobirthing Series - How to Strengthen Your Intuition During Pregnancy

May 10, 202316:31
Hypnobirthing Series - How to Use Visualisation Effectively

Hypnobirthing Series - How to Use Visualisation Effectively

In this episode, we're discussing how to use visualization effectively – a powerful technique for preparing your mind and body for childbirth.

Visualization is a way of creating mental images or scenarios in your mind's eye. By using visualization during Hypnobirthing, you can tap into your subconscious mind and create a positive and empowering birthing experience. Visualization can help you reduce anxiety, stay relaxed, and focus on your goals during childbirth.

In this episode, we'll cover:

  • What visualization is and how it works
  • The benefits of using visualization during childbirth
  • Techniques for creating and using effective visualizations, including guided imagery and affirmations
  • Tips for using visualization effectively during childbirth

Remember, visualization is a powerful tool for preparing your mind and body for childbirth. By using Hypnobirthing techniques like visualization, you can approach childbirth with confidence and trust in your own abilities.

If you're ready to start exploring the power of visualization today, then tune in now!

And if you're looking for more resources and support on your Hypnobirthing journey, be sure to check out The Due Date Club or our Hypnobirthing Course. , and take the first step towards a comfortable and positive birthing experience!


The Due Date Club is an online community of expectant parents who are interested in Hypnobirthing and want to connect with others on the same journey. You'll find resources, support, and encouragement from other parents who are using Hypnobirthing to achieve a positive and joyful birthing experience.

And if you're looking for a more structured approach to Hypnobirthing, then our Hypnobirthing Course might be perfect for you. Our course provides in-depth guidance and support for using Hypnobirthing techniques to achieve a comfortable and positive childbirth experience.


I'll see you there


Midwife Karen

Apr 27, 202313:42
Hypnobirthing Series - What is Cognitive Bias and What Does it Have to do with Hypnobirthing
Apr 25, 202313:47
Hypnobirthing Series - How your Beliefs and Expectations Impact Your Experience

Hypnobirthing Series - How your Beliefs and Expectations Impact Your Experience

Welcome back to our podcast series on Hypnobirthing! In this episode, we're discussing how your beliefs and expectations can impact your childbirth experience. Your mindset plays a crucial role in how you perceive and approach labor, and by cultivating positive beliefs and expectations, you can achieve a more comfortable and joyful birthing experience.

In this episode, we'll explore:

  • How your thoughts and beliefs affect your body during childbirth
  • Techniques for identifying and transforming negative beliefs
  • The importance of setting realistic expectations for your birthing experience


If you're looking for more resources and support on your Hypnobirthing journey, be sure to check out The Due Date Club or our Hypnobirthing Course.

The Due Date Club is an online community of expectant parents who are interested in Hypnobirthing and want to connect with others on the same journey. You'll find resources, support, and encouragement from other parents who are using Hypnobirthing to achieve a positive and joyful birthing experience.

And if you're looking for a more structured approach to Hypnobirthing, then our Hypnobirthing Course might be perfect for you. Our course provides in-depth guidance and support for using Hypnobirthing techniques to achieve a comfortable and positive childbirth experience.

So don't wait – start exploring the power of positive beliefs and expectations today, and take the first step towards a joyful and empowered birth experience!

Thanks for listening, and be sure to tune in to our future episodes as we continue to explore the wonderful world of Hypnobirthing.

Midwife Karen


Apr 19, 202309:25
Hypnobirthing Series - Understanding The Mind Body Connection

Hypnobirthing Series - Understanding The Mind Body Connection

In the second episode in our series on Hypnobirthing , we're diving deeper into the concept of the Mind-Body Connection – a fundamental aspect of the Hypnobirthing approach.

The Mind-Body Connection refers to the relationship between the mind and body during labor and childbirth. When we're in a state of deep relaxation and using Hypnobirthing techniques, we can tap into our body's natural ability to birth our baby without tension, pain, or fear. By harnessing the power of the mind-body connection, we can achieve a more comfortable and positive birthing experience.

In this episode, we'll explore:

  • How the mind and body are connected during labor
  • The benefits of staying relaxed and calm during labor
  • Techniques for achieving a deep state of relaxation during childbirth

If you're ready to learn more about the Mind-Body Connection and how it can help you achieve a comfortable and positive childbirth experience, then tune in now!

Remember, Hypnobirthing is not just about achieving a certain type of birth – it's about empowering you to make informed choices, advocate for yourself and your baby, and feel confident and in control throughout the birthing process.

So don't wait – start exploring the Mind-Body Connection today and take the first step towards a positive and joyful birth experience.

Apr 12, 202310:17
The Hypnobirthing Series - The Principles of Hypnobirthing

The Hypnobirthing Series - The Principles of Hypnobirthing

Apr 05, 202310:14
Bonus Episode - Listen to this if you've JUST FOUND OUT you're pregnant.

Bonus Episode - Listen to this if you've JUST FOUND OUT you're pregnant.

Congratulations! You've just found out that you're pregnant – but now what?

The journey of pregnancy can be a rollercoaster of emotions, from excitement and joy to discomfort, anxiety, and overwhelm. In this episode, we're exploring the importance of trusting your body during this transformative time.

Pregnancy is a time of incredible physical and emotional changes. It's common to experience discomforts like morning sickness, back pain, and fatigue, as well as anxiety and overwhelm about the unknowns of childbirth and motherhood. But despite all of these challenges, your body is designed to carry and birth a baby. By trusting in your body and its natural processes, you can approach pregnancy and childbirth with confidence and calm.

In this episode, we'll cover:

  • Why it's important to trust your body during pregnancy
  • Common discomforts and challenges of pregnancy, and how to manage them
  • Techniques for reducing anxiety and overwhelm, including mindfulness and relaxation techniques
  • The importance of self-care and self-compassion during pregnancy

Remember, by trusting your body and its natural processes, you can approach pregnancy and childbirth with confidence and calm. If you're looking to deepen your knowledge and practice of trusting your body during pregnancy, be sure to check out our course of the same name in The Due Date Club. I created this course because every other pregnancy course is all about birth - but what about all the stuff in between?

You need information right now and in this course you'll learn

  • tips for optimal nutrition in pregnancy (what you should be eating and why + meal plans)
  • staying healthy - the ins and outs of prenatal exercise
  • which prenatal supplements to take and why
  • how to discern between regular pregnancy discomforts and signs of complications
  • what you need to know to start planning ahead for your big day.

So don't wait – enroll now and take the first step towards a comfortable and confident pregnancy and childbirth journey.

Thanks for listening, and be sure to tune in to our future episodes as we continue to explore the wonderful world of pregnancy and childbirth.



Apr 02, 202317:20
Switch on your Vagus Nerve in Labor

Switch on your Vagus Nerve in Labor

It's part 2 of the Vagus Nerve and how you can "switch it on" to assist you during labor. 

In this episode you'll learn about 

  • Breathing techniques to tone the vagus nerve
  • Massage techniques and touch points for the vagus nerve
  • Toning and sound during labor

As usual, there's lots of laughs and sex just always seems to come up but hey! that's how we roll!

The Due Date Club is a midwife led mother directed online community. Communities are awesome. They are the single best way for you to gather the support you can’t get on your own, especially in these chaotic, rapidly changing times. In the Due Date Club you'll find tons of free resources and courses to prepare you for an informed and empowered birth. 

Relax into Birth with Doula Charlene Yared West

Jun 17, 202228:41
Everything you wanted to know about the Vagus Nerve during Pregnancy
Jun 06, 202219:31
Hermine Hayes-Klein Human Rights in Childbirth
Mar 14, 202253:07
Hermine Hayes-Klein Human Rights in Childbirth
Mar 14, 202253:07
What You Need to Know About Blood Types and Pregnancy
Feb 14, 202208:58
How important is your birth environment?
Dec 01, 202126:40
All about Transition

All about Transition

Transition is the final phase of the first stage of labour and marks the cervix opening to its widest diameter and the descent of the baby's head. It's physically and emotionally intense and is often the time when you think you can't go on anymore. Karen talks about the 4 D's of transition - denial, despondence, defiance and desperation and they share examples of these from recent births. Charlene highlights the importance of making sure partners know what to expect with transition so they can step in and support you rather than freaking out when you most need them!


More about Charlene here 

More about Karen here 

Join The Due Date Club here 


Nov 20, 202120:59
Do you Need a Birth Plan?
Nov 03, 202137:16
What About Water Birth?

What About Water Birth?

Waterbirth is known for its pain relieving effects and the benefits do not stop there. Water helps the mother to be buoyant and gives her added capacity for mobility. The water softens the tissues as the baby moves down the birth path and provides the baby with a gentle landing, as it transitions from the amniotic waters into the waters of the pool. The soothing effects of water cannot be denied and we chat all about this amazing option for labour and for birth at home or at hospital, to help you make your mind up about it and decide if you would like to try it for your birth experience. 

More about Karen here

More about Charlene here

Preview Relax into Birth PLUS here

Oct 28, 202130:13
When Should I Call my Doula?
Oct 14, 202127:59
Birth Affirmations

Birth Affirmations

Enjoy this 1-hour track of soothing music with positive birth affirmations. I recommend listening to it daily during pregnancy 

  1. during deep meditation or 
  2. as background while doing other tasks. 

During labor, you can have it playing quietly in the background or listen with headphones to keep you focused and grounded. Don't underestimate the power of your mind to change negative and limiting thought patterns. Use the affirmations that don't resonate to identify possible blocks.


Oct 10, 202101:53:04
Is a baby ever to big to be born vaginally?
Oct 10, 202121:10
Do I need to be induced?

Do I need to be induced?

In this episode, we cover the topic of induction as requested by a listener on our Relax Into Birth PLUS mom's whatsapp group. 


"Dear Charlene and Karen. I am 39 weeks tomorrow and this morning at my routine checkup, my doctor recommended that I come in for an induction of labor on Thursday. Part of me is like 'hell yes, let's get this baby out pleazzzze', but there is another part that is wondering whether my baby needs a few more days inside? Is he ready? And actually - am I? I have definitely noticed that I am getting more frequent Braxton Hicks and I am feeling a lot of heaviness in my pelvis, but besides that, not much at all. If I go in on Thursday, I could be home by the weekend with my precious baby boy? Should I go for it? Looking forward to your thoughts on induction. Thanks Anon"

Is induction of labour always necessary, or is it (sadly) sometimes scheduled out of convenience, fear, impatience or discomfort? Listen in for the ins and outs of this topic, as well as learn about some natural forms of induction that can get the bun in the oven keener to come earth side. If you are keen to join our whatsapp group of preggie mamas, please slide into our DMs and let us know. Also, look out for our Relax Into Birth PLUS online antenatal course, covering extensive Hypnobirthing techniques, as well as the physiological side of labour and birth. See you there!

Remember to subscribe and share this podcast if you liked it. 

More about Karen here

More about Charlene here

Preview Relax into Birth PLUS here

Sep 29, 202139:31
What does Bait and Switch mean?
Sep 22, 202134:47
Guide to Essential Oils during pregnancy
Sep 15, 202130:30
When to go to Hospital in Labor
Sep 08, 202125:04
Talk to me about episiotomy and tearing

Talk to me about episiotomy and tearing

In this episode, because we love it - we talk about a natural footling breech twin birth, weekends away in the mountains to recharge and last but not least, we answer a mom's question about tearing and episiotomies. We cover the full spectrum from what an episiotomy is, when is it necessary to perform one, when tearing is better than an episiotomy, how to avoid one and how to heal up the perineum after birth. Filled with expert tips and advice, we aim to remove your fear from this topic and help you understand what you need to know before you birth your baby!

Resources mentioned in the podcast:
*Check out
this link about your role and your doctor's role in protecting your perineum during birth:
*Read up more about how to use an epi-no - and check out the video on this page
*Postpartum Perineal care info:
Check out my @relax_into_birth Insta reel on this very topic: https://www.instagram.com/reel/CRyBdstJ27q/?utm_medium=share_sheet
You can thank me later! 


Here's a quick guide and recipes to help heal the perineum for the Postpartum Mama.

💜Spray bottle for the loo:

Mix:

-100mls Witchazel

-4-5 tablespoons of sea salt or Epsom salts

-1-2 drops or high quality lavender or tea tree essential oil

Spray the area every time you go to the bathroom - to assist the healing process.

💜Padsicles

A padsicle is a frozen pad, made for nicks, tears or episiotomy. It is so soothing can help with bruising of the area. It is also helpful for post caesarean birth to place over the dressing.

What you will need:

-A spray/squeezie bottle

-1 cup Raspberry tea

-¼ cup of hammelis (witch hazel)

-3 drops Lavender Essential Oil

-3 drops Tea Tree Essential Oil

-A tube of single ingredient aloe vera gel / hammelis gel

-1 to 2 packs of 12 absorbent maternity pads

-A butter knife that you have sterilised in boiling water

Method:

1. Make the tea and pour it into your spray/squeezie bottle once cooled.

2. Add the drops of essential oil to the bottle.

3. Lay your pads out, face up on a table on top of a clean towel / linen saver.

4. Spray the solution of tea, witch hazel and oils onto the pads quite thoroughly.

5. Squirt a little of the gel onto the tea-soaked pads and then spread like butter onto each pad.

6. Fold pads in half and place into a clean freezer bag / lunchbox and freeze.

7. Use as desired.

Do not use one pad for an extended period of time. Change as needed.

💜Sushi Noori aka Seaweed: This is an amazing natural product too. Get a pack of sushi noori and

use the sheets individually.

Take one sheet, fold it in half, wet it under water and place on top of

a dry pad. This has immense healing capacity.

💜Soak in a sitz bath of salt or Epsom salts daily until all healed up.

More about Karen here

More about Charlene here 

Get your pregnancy playbook and journal here

Sep 01, 202147:29
Giving Birth in Dubai with Midwife Cecile de Scally
Aug 26, 202132:32
Pain Relief in Labor - what are my options?
Aug 19, 202129:58
What is the difference between a midwife and a doula?
Aug 11, 202134:21
How do I know if my doctor is good for the birth I want?
Aug 07, 202136:38
Will my GYN know I had sex?
Jul 29, 202125:18
I'm worried about how my husband will be after he watches me give birth?
Jul 22, 202124:32
What if I poo?
Jul 15, 202131:34
Effect of delayed vs early cord clamping on breast feeding and skin to skin contact rates

Effect of delayed vs early cord clamping on breast feeding and skin to skin contact rates

Teresa LW and Inderjeet Kaur, Fernandez Foundation, India

The World Health Organization (WHO) recommends Delayed umbilical cord clamping (not earlier than 1 min after birth) for improved maternal and infant health and nutrition outcomes. The aim of this paper is to investigate the effect of delayed vs early cord clamping on breast feeding and skin to skin contact rates. Retrospective data collection of six-month data from 1741 mothers who birthed at Fernandez hospital is analysed from July 2020 to December 2020. The analysis shows that 292(17%) mothers had early cord clamping soon after birth of the baby followed by 1449(83%) had delayed Cord Clamping. The breast feeding and skin-to-skin contact rates were high among the mothers who had delayed cord clamping. We recommend delayed cord clamping for all births irrespective of the mode of delivery unless there is an indication to separate the mother and baby.

May 31, 202105:55
Impact of intrapartum midwifery-led care on routine episiotomy rates in a public health care setting in South India

Impact of intrapartum midwifery-led care on routine episiotomy rates in a public health care setting in South India

In Indian health care settings Midwifery-led care is in its infancy. In public maternity settings, practice of prophylactic episiotomy is implemented for all primigravidae and for those with diagnosis of meconium-stained liquor or LGA baby. From December 2020 to January 2021, 55 mothers were supported during birth by the midwifery mentors and trainees of the Telangana State Nurse Practitioner in Midwifery [NPM] program. 

The group we studied had 24(44%) primigravidae, 52(95%) with term gestation and 3(5%) with MSL. Perineal protective measures like intrapartum mobilization, warm perineal compresses during active second stage, birth positions of choice along with perineal support and helping mothers breathe out their baby slowly were used. Results revealed only 3(5%) mothers needed an episiotomy, 22(40%) had intact perineum post-birth .

None had extensive tears. Twenty one (38%) babies had birth weight of 3kgs and greater while 53(96%) enjoyed the first golden hour with skin-to-skin contact.

May 24, 202110:20
Acupressure for induction and augmentation of labour

Acupressure for induction and augmentation of labour

Acupressure for induction and augmentation of labour

Loredana Zordan, Independent midwife, Italy

Acupressure is an ancient Chinese technique based on the principle of acupuncture which involves the use of finger pressure (without the needle) on specific points along the body. Chinese culture believes the points to the junction of the meridian pathway that carry energy called QI, Acupressure stimulates the bodies own energies to help fight illness and restore harmony. Acupressure has also been used to stimulate contractions, helping to induce labour. Induction of labour is common as Post maturity can pose risks for the pregnant women and the unborn child, increasing the risk of stillbirth. Acupressure helps to establish contraction and promote cervical dilation. The acupressure points commonly used for induction of labour, have a very strong effect on the energy of the uterus, causing uterine activity and promoting a downward expulsion of the foetus. We have chosen to focus on acupressure rather than acupuncture as acupressure is a less invasive procedure and has the advantage that the woman or her partner can administer it themselves. The case presentation here reports a case of successful use of acupressure for induction and augmentation of labour for post maturity in a home birth situation.

Apr 28, 202110:29
Reviewing evidence and revisiting the option of caesarean sections in breech mothers by offering physiological breech as a choice of birth

Reviewing evidence and revisiting the option of caesarean sections in breech mothers by offering physiological breech as a choice of birth

Reviewing evidence and revisiting the option of caesarean sections in breech mothers by offering physiological breech as a choice of birth

Kalavathi Mudili and Inderjeet Kaur, Fernandez Foundation

Introduction: At Fernandez Foundation, the Breech clinic was introduced weekly in June 2019 after multidisciplinary breech training by Shawn Walker. Method: Retrospective data collection of 68 low risk mothers with breech presentation between 32-38 weeks attended breech clinic from June 2019 to March 2020. Results: Spinning baby exercises explained at the initial visit. 27 babies (45%) turned cephalic when checked for presentation between 36-37 weeks. 8 notes were misplaced, 33 mothers (55%) offered ECV. 14 (42%) mothers accepted ECV and 7(50%)were successful. Out of 19 (68%) mothers 5(26%) accepted the choice of a Vaginal Breech Birth and 3 (60%) mothers had physiological Breech Birth. There were no maternal or fetal morbidities in Vaginal Breech Births. Conclusion: The breech team and midwifery consultations offered mothers who were eligible, the choice of physiological breech birth. This will also impact on the caesarean section rates for breech presentation.

Apr 28, 202107:16
Midwifery postpartum clinical guideline following a term stillbirth

Midwifery postpartum clinical guideline following a term stillbirth

Midwifery postpartum clinical guideline following a term stillbirth

Barbora Snuggs, University of North Georgia, Vanderbilt University, USA

Many pregnancies and births bring joy and excitement while some end with the death of the baby prior to labor and delivery, also known as an intrauterine fetal demise (IUFD) or a stillbirth. Midwives are closely involved in care for these women during labor and delivery, but evidence-based care guidelines related to midwifery care during the postpartum period following a term stillbirth are limited in the literature published in the United States. A midwifery guideline was developed based on 1) a needs assessment, 2) a literature synthesis, and 3) current guidelines to care for women following a term stillbirth in the initial 6-week postpartum period with input from obstetrician-liaison and the midwives working in a practice setting. Midwives can care for patients utilizing their clinical knowledge with skill, empathy, and compassion by following an established term stillbirth postpartum clinical guideline.

Apr 28, 202111:53
Signs of a healthy birth

Signs of a healthy birth

Signs of a healthy birth / Zeichenlehre der gesunden Geburt

Rafaela Joos

Signs of a healthy birth. Observation of the healthy birth process by midwives. Background: «Unique normality», that each person’s uniqueness is normal for them, has been recently postulated in the literature as a new paradigm in midwifery practice. Midwifery skills should include a holistic, woman-centered care during a healthy birth. Instead of a linear approach where, birth should be considered as a circular process. Method: Within the setting of action research, four semi-structured interviews with midwives with expertise in the field of birth centre or homebirth were conducted and an observation chart for the healthy birth was developed. The qualitative interview analysis was carried out with the Mayring method. Results: The multi-faceted knowledge of midwives is demonstrated. A comprehensive observation chart for the observation of a healthy birth could be provided. Conclusions: Each birth is unique and requires continuous individual observation by the supervising midwife.

Apr 28, 202109:11
Pregnant women during the COVID-19 pandemic in Indonesia

Pregnant women during the COVID-19 pandemic in Indonesia

Pregnant women during the COVID-19 pandemic in Indonesia: Knowledge, anxiety and motivation

Niken Bayu Argaheni, Universitas Sebelas Maret, Indonesia

Background: The COVID-19 pandemic threatens such as pregnant women who are predicted to be at higher risk and more susceptible to exposure. The purpose of this study was to find out the knowledge about COVID-19 among pregnant women and how their motivation to continue pregnancy.

Methods: Researchers collaborated with SEKOCI (Sekolah Komplementer Cinta Ibu) to provide bold counseling to its members consisting of 69 pregnant women from various cities once every 7 days for 1 month, then an online questionnaire was evaluated the knowledge, the feelings and motivation for pregnancy during the COVID-19 pandemic.

Results: This study shows that respondents who have good knowledge about COVID-19 (76%), experience moderate levels (69%), and have motivation to do pregnancy (93%).

Conclusion: Pregnant women in Indonesia have good knowledge about COVID-19, and still have the motivation to come to health workers.

Apr 27, 202107:38
Improving Midwifery Students Motivation and Learning Outcome in Contraceptive Course

Improving Midwifery Students Motivation and Learning Outcome in Contraceptive Course

Improving midwifery students motivation and learning outcome in contraceptive course

Erika Agung Mulyaningsih, Stikes Pemkab Jombang, Indonesia

UNESCO said 73% of schools were closed for 3 months or more due to the Covid-19 pandemic. Face-to-face learning at Diploma III Midwifery Program has been stopped for more than 9 months. Efforts to achieve competence in Midwifery Education are a problem that must be solved innovatively. The purpose of this study was to improve student motivation and learning outcomes through the Lesson Study method. The method of this research is Classroom Action Research which is conducted in two cycles, The research was conducted on third semester students on contraceptive study materials which consisted of 9 topics. Lesson study can increase student motivation and learning outcomes. Various innovations and creativity are needed for students and lecturers to continue learning and teaching in a pandemic situation which is supported by the management in improving the quality of learning.

Apr 27, 202105:49
Promoting a positive norm towards planned home birth practice among midwives

Promoting a positive norm towards planned home birth practice among midwives

Promoting a positive norm towards planned home birth practice among midwives: A randomised controlled trial

Auwalu Muhammed, Department of Nursing Sciences, College of Health Sciences, Usmanu Danfodiyo University, Sokoto; Lee Khuan; Shariff-Ghazali Sazlina;  Salmiah Md Said; and Mairo Hassan, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia

This study was to determine the effect of a PHB education in promoting a positive norm towards PHB among midwives. A parallel group randomised controlled trial was conducted among 226 midwives. A close-ended questionnaire was used for data collection. The intervention group received training, while the control group maintained a usual care. Data were re-collected at immediate-post, and three months follow-up. Statistical analysis showed a significant change in the mean subjective norm within the intervention group (p;lt;0.001), but not in the control group (p =0.140). The participants in the intervention demonstrated a more positive norm towards PHB practice compared to the control group at immediate post-intervention (p & lt;0.001, d =0.9), and three-month follow-up (p & lt;0.001, d=0.9). PHB education is effective in promoting a positive norm towards PHB practice among midwives. The finding may inform midwives and policy makers on the strategy to create a network of collaboration towards safe motherhood.

Apr 27, 202107:19
Getting to Know Isabella Garti

Getting to Know Isabella Garti

Midwives' knowledge of pre-eclampsia management: A scoping review

Midwives in poorly resourced settings are engaged in pre-eclampsia management and deliver lifesaving interventions depending on the prescribed scope of practice. Therefore, we aimed to produce a synthesized summary of what midwives from around the world know about pre-eclampsia management. Method: We utilized the Joanna Briggs Institute (JBI) format and the Preferred Reporting Items for Systematic Reviews and Meta‐Analysis extension for scoping reviews (PRISMA-Scr) checklist. 

Results: Following application of the inclusion criteria, twenty journal articles from low- and middle-income countries and nine guidelines were reviewed. Three main themes identified related to management whilst the last theme described how contextual factors led to either increased or decreased knowledge of pre-eclampsia. Conclusion: Midwives in some low- and middle-income countries have knowledge deficits of several aspects of pre-eclampsia management. The review suggests pragmatic steps are urgently needed to strengthen the knowledge base of practicing midwives in resourced constrained settings.

Apr 27, 202111:25
Lupus and Pregnancy

Lupus and Pregnancy

Nikoleta Chatzipanagiotidou, Midwifery Department, University of Western Macedonia, Greece

Lupus is a chronic systemic autoimmune disease that occurs when the body's immune system attacks its own tissues and organs because it cannot tell the difference between viruses, bacteria, and other germs and the body’s healthy cells, tissues, or organs. Out of 1.5 million Americans with Lupus, 90% are women between the ages 15-44. Lupus affects them greatly when it comes to making the decision of getting pregnant. There are a lot of misconceptions that Lupus prevents people from getting pregnant and there is not enough information given to those who are interested and the results of that are showing very clearly on the studies that have been done. This poster aims to provide accessible, evidence-based knowledge on the subject of pregnancy with Lupus in order to inform people about the possibilities that women with Lupus have on the matter of becoming pregnant.

Apr 26, 202107:58
Getting to Know Marcela Mendoza

Getting to Know Marcela Mendoza

Marcela Mendoza es una obstetra peruana que actualmente reside en Australia.

Esta es su tercera conferencia como facilitadora/moderadora y nos cuenta cómo ha sido su experiencia en estos últimos años desempeñando este rol. Que significa Equidad de Nacimiento para Todos. Y también anima a personas interesadas a formar parte del equipo de facilitadores para las próximas conferencias del VIDM.

Marcela is a midwife from Perú, currently residing in Australia.

This is her third conference as a facilitator, and she tells us what her experience has been in the last years participating in this role. What does Birth Equity for All mean to her? And she also encourages people interested in becoming part of the facilitator group for the coming VIDM conferences.

Apr 19, 202116:44
Getting to Know Kaveri Mayra

Getting to Know Kaveri Mayra

Kaveri Mayra is a midwifery, nursing and public health researcher from India. She has over twelve years' research experience working on nursing and midwifery workforce policies and practice. Having seen mistreatment during childbirth early on as a student midwife and experienced the lack of leadership and decision making power to midwives and nurses, Kaveri started researching and advocating on these life experiences and issues. 

Kaveri is a global speaker on disrespect and abuse during childbirth; nursing and midwifery governance, workforce policies and welfare; and gender-based challenges underlying all these issues. 

She has spoken about these issues in conferences, through guest lectures in universities and at public events in countries including Zambia, Switzerland, USA, Argentina, England, Iceland, Wales, Canada and in many states in India.  Kaveri has been recently recognized as one of the 100 outstanding global woman midwife and nurse leaders by Women in Global Health (WGH) to mark the Year of the Nurse and the Midwife 2020 in collaboration with WHO, ICN, ICM, the Nursing Now Campaign and UNFPA. 

She has worked with many reputed organizations such as Oxford Policy Management Ltd., WHO, ICM, White Ribbon Alliance (WRA), Public Health Foundation of India (PHFI), Jhpiego and Academy for Nursing Studies and Women's Empowerment Research Studies (ANSWERS) and has consulted with central and state governments. 

She is currently working as a consultant with the WHO HQ, at Geneva alongside pursuing her PhD on Global Health at the University of Southampton, UK where she is exploring the drivers and determinants of obstetric violence in India.

Apr 19, 202117:19
Getting to Know Niessa Meier

Getting to Know Niessa Meier

Niessa Meier is faculty in Frontier Nursing University’s Doctorate of Nursing Practice program where she teaches healthcare quality improvement. She maintains a clinical practice in Kerrville, Texas where she lives with her husband and three teenagers.

Apr 10, 202108:19