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Facilitator: Jane Houston
Join the World Health Organization (WHO) Director General, the Chief Nurse (a midwife!), and the Midwifery Advisor to hear the headlines of the State of the Worlds Midwifery Report – hot off the press! Find out what the future holds for midwifery education, services, workforce, and leadership from WHO midwives around the world. This is your opportunity to ask questions and give your valuable inputs to WHO.
Keynote Speaker: Soo Downe
Facilitator: Catherine Salam
The growing emphasis on professionalism in midwifery and in other health and social care groups runs the risk of obscuring the critical role of vocation in these occupations. As ‘professionalism’ becomes increasingly identified with power and elitism, and with managerial control and standardization, the question of personalized, equitable, humane health care is becoming increasingly acute. This is a critical area of investigation in midwifery, for all women and childbearing people, and especially for those who are currently most marginalized. This presentation will explore some of the issues arising from the apparent conflicts between ‘professional’ and ‘vocational’ approaches to midwifery and to maternity care, in the light of some of the current issues midwives encounter, from maternal mortality to informed choice. The intention is to raise some questions for debate, and to propose that a synergy of vocational and professional ways of being might help us to create a ‘future perfect’ form of equitable maternity care.
Adapted from an earlier presentation to the RCM Research Conference 2021
Speaker: Farida Shah
Case Study: Pakistan’s key demographic health indicators are lagging far behind desired levels: maternal mortality ratio stands at 186 deaths per 100,000 live births (1), the infant mortality rate at 62, and neonatal mortality is 42, deaths per 1,000 live births and 31% are conducted by unskilled birth attendants. Also, the country is currently listed among the nations with critical health workforce deficiency and categorized as one of the 57 countries that are facing an HRH crisis (2). Community Midwives (CMWs) were introduced by Maternal Newborn and Child Health Programme as a trained cadre of birth attendants in 2006. However, several challenges persist after more than one decade of implementation and all of the provinces have still struggled with the required number of CMWs. Therefore, the Government was supported with the Identification of the optimum number of CMWs that need to be deployed in various provinces of Pakistan and make workforce projections based on the WHO HRH model.
En los últimos años, la migración venezolana se ha extendido al mundo entero, siendo el Perú el segundo país receptor de dichos migrantes a nivel latinoamericano. El propósito de la investigación fue establecer la relación de los resultados perinatales adversos en mujeres peruanas y migrantes (la mayoría de ellas venezolanas). Se realizó un estudio observacional, retrospectivo, analítico, correlacional; de los datos del sistema de registro nacional de hechos vitales del Perú – 2018. Los resultados muestran diferencias estadísticamente significativas entre las migrantes y peruanas en relación a los partos pre-términos y mayor número de cesáreas, así como en los promedios de peso y talla al nacer, siendo desfavorables para las migrantes. Se concluye que la condición de migrante coloca a las gestantes en una situación de desventaja, siendo que las obstetras deberían considerar esta variable en los cuidados ante, pre y postnatales.
English: In recent years, Venezuelan migration has spread to the entire world, with Peru being the second receiving country for such migrants in Latin America. The purpose of the research was to establish the relationship of adverse perinatal outcomes in Peruvian and migrant women (most of them Venezuelan). An observational, retrospective, analytical, correlational study was carried out; of the data of the national registry system of vital events of Peru – 2018.The results show statistically significant differences between migrants and Peruvians in relation to preterm deliveries and a greater number of cesarean sections, as well as in the averages of weight and height at birth, being unfavorable for migrants. It is concluded that the migrant condition places pregnant women in a disadvantageous situation, and midwives should consider this variable prenatally and postnatally.
Speaker: Gergana Nikolova
Facilitator: Paula Pelletier-Butler
Very often, when we talk about midwifery practice and motherhood, we describe the perfect circumstances and bond between the mother and her best friend – the midwife. And don’t we all wish that were true? Sadly, more often than not, the reality is far from the ideal. The presentation will tell the story of the National campaign “Midwives alongside mothers” which was born to fulfill the need for structured and consistent evidence-based midwifery care for every mother across Bulgaria. The campaign is organised and run by the Alliance of the Bulgaria Midwives and for the last 3 years has provided nationwide free antenatal education courses, breastfeeding seminars, local intrapartum support, and now during the pandemic – additional regular online updates and support groups. The presentation demonstrates how even in difficult and challenging circumstances, a midwife’s support can be offered to every mother whenever she needs it.
Keynote Speaker: Hannah Dahlen
Facilitator: Karen Wilmot
Midwifery, childbearing women and feminism are a historical triparted. We have come so far, but not far enough. We have fought so hard but have we been as strategic as we could be? Do we see the threats today clearly? Can we be braver. louder, smarter, stronger? Do we really believe in what we do? How do we reclaim the passion and re-find our hope?
Speaker: Joeri Vermeulen
Introduction: This study aimed to explore the current state of professionalisation of midwifery in Europe. Methods: An exploratory inquiry with an on-line semi-structured questionnaire, based on Greenwood’s sociological criteria for a profession. Descriptive statistics and thematic content analysis were used. Participants were delegates from midwifery associations from 29 European countries. Results: Progress towards professionalisation of midwifery has been made through the move of education into higher education, coupled with opportunities for postgraduate education and research. Lack of progress was noted in regard to midwifery practice, regulation, and leadership. Most countries had a code of ethics as well as a midwifery association. Conclusions: Progress in midwifery education and research has taken place. However, midwives’ current roles in practice as well as leadership and their influence on health care culture and politics are matters of concern. Future efforts for advancing professionalisation in Europe should focus on the challenges in these areas.
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Speaker: Fatemeh Ghodsi
Facilitator: Carol Maringa
Normal vaginal delivery is a delivery method requiring no intervention while medical reasons and emergencies could indicate Cesarean delivery (C-section). In 2014, Iran was recorded as the third country with the highest C-section in the world. A great number of C-sections performed following maternal requests due to fear of childbirth. Thus, since 2014, Iran has been providing childbirth preparation programs for pregnant women. This article aims to provide a review of such training courses’ efficiency on reducing the fear of childbirth. Following a list of inclusion/exclusion criteria, 12 articles were reviewed. Results show that in successful programs, reducing the fear of childbirth varies widely. Also, in a few cases, programs increased maternal anxiety and concerns. This study suggests a comprehensive review of contents, materials, and delivery methods of programs. Following the results of the successful trials, a well-designed program could serve as a beneficial tool in reducing fear from childbirth.
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Invited Speaker: Anna Byrom
Facilitator: Jane Houston
In this presentation, Anna will share insights in to supporting and sustaining relational Midwifery Continuity of Carer by centring learning around individual childbearing women, people and their families. The session will discuss the new NMC Standards of Proficiency for Midwifery (2019) and will offer examples from education and practice. Consideration of the research aims, objectives and plans will be communicated with some guidance for developing toolkits for wider roll out and dissemination. This session will be useful for midwifery educators, students, midwives, managers, leaders and other researchers.
Para acceder a “Equidad de nacimiento para todos” … Ha llegado el momento de fomentar un movimiento de partería con voces de mujeres en el centro. Presentation will be in Spanish with English slides. English translation will be available for key points.
Speaker: Roisin Lennon
Facilitator: Carol Maringa
Background: Midwifery led care is not the norm in Ireland. A locally rising caesarean section rate and unnecessary interventions resulted in the Registered Advanced Midwife Practitioner (RAMP) led service being introduced in 2017 to normalise pregnancy for medium risk women. Aim: To offer choice and to establish a safe, quality service for the agreed caseload of women in this North West of Ireland Maternity Unit. Method: A retrospective analysis of women attending RAMP care from November 2019-November 2020 compared to the birth outcomes for similar risk women attending for obstetric led care in this North West of Ireland Maternity Unit. Findings: Maternal outcomes for those attending for RAMP versus obstetric care shows less inductions of labours, amniotomy, oxytocin, regional analgesia, episiotomy, postpartum haemorrhage and less failed inductions with higher vaginal birth rates, vaginal birth after caesarean section (VBAC) and breastfeeding rates. For the babies fewer are born preterm or weighing
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Speaker: Shona Shinwell
Facilitator: Aleema Noormohamed
Continuity of midwifery care models are a crucial feature of maternity care policy in the UK. Robust evaluation of such models is vital to ensure women are indeed receiving high-quality midwifery care. Our qualitative evaluation of women’s and midwives’ views of a home-based continuity of carer scheme in Scotland, grounded in the Quality Maternal and Newborn Care Framework, comprised six focus groups and a one-to-one interview. Thematic analysis identified three principal themes: Organisation of care/Work culture; Information and support; Relationships. Sharing several sub-themes, these mutually co-dependent themes were crucial to the scheme’s success. The midwives’ enthusiasm for the scheme was reflected in the women’s very positive accounts of receiving tailored, sensitive and family-centred care. Midwives and women both valued the flexibility and autonomy they experienced. Women sharing their stories normalised homebirths. Providing insight into the co-dependent elements of this scheme’s success may benefit others when designing similar continuity care models.
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Speakers: Keshet Korem and Sivan Lienhart
Facilitator: Kimberley Couch
Our presentation will focus on the need for maternity healthcare improvement in Israel. Based on the results of the first survey conducted on the subject in Israel, we mapped the desires, expectations and experiences of 3500 women in relation to the period of pregnancy, childbirth and postpartum. Our results showed that women are interested in midwifery-led care, continuity of care and out-of-hospitals midwife-led birth centers. Those results are showing an urgent need for change in childbirth related policy in Israel, within which hospitals suffer from shortage of midwives and limits midwives to attend out-of-hospital births. From the obtained data and existing figures related to maternity care provided to minorities, we formulated recommendations for enhancing healthcare services, adapting them to Israeli birthing women desires. Allowing all birthing women and people to access quality public and equal maternal healthcare with no relation to their ethnicity or geographical location are aimed.
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Keynote Speaker: Kaveri Mayra
Obstetric violence has engulfed the world, making it an epidemic that goes unnoticed while being in front of our eyes, with birth being a part of all our lives. I was horrified when I noticed it first as an adolescent midwifery and nursing student over 15 years ago in my home state, and then around the country in India. My readings led to the realization that the problem isn’t Indian, or Asian, women were being violated and are birthing in dehumanized conditions globally, including the developed countries with well funded health systems. My research, spanning over a decade, inherently focused on bringing out these stories of birth in all it’s reality, embracing its joy, fear, shame, stigma and all its sensitivities. Visual arts based research gave me the tools to cross the barriers of power, language and cultural norms based inequities, to explore and understand women’s stories of birth involving trauma and violence. After studying through various traditional forms of data collection and analysis in research, birth mapping (an adaptation of body mapping) was born, as a revelation that presented the embodied birthing experiences in their holistic form. My work brings forth midwives and nurses perspectives and experiences, as key stakeholders in caring for women during childbirth and a crucial missing voice in finding ways to ensure respectful care. My research is embedded in critical feminist theory and uses an intersectional inequities lens to acknowledge women and birthing people’s unique experiences and how it is impacted by their positionality across the intersections. This is essential to address from the gentlest to the most traumatic forms of obstetric violence and to ensure equity in birth.
It’s not over yet! Following the closing Keynote speaker, stay in Room 1 for a reading by Canadian poet Alice Major of her poem “Homing” (Corona Radiata – Link to the downloadable PDF https://www.alicemajor.com/wp-content/uploads/2021/05/Corona-radiata.pdf )
Then join the VIDM Organizing Committee, volunteers, and delegates as we say thank-you for another year by sharing our closing video with you.
Closing video: TBA