Facilitator: Jane Houston
Join us at this pre-conference event with colleagues from the World Health Organization (WHO) celebrating the worldwide contribution of midwives.
Welcome and introduction from the World Health Organization (WHO) by Frida Berg with video greetings from
- Chief Nursing Officer: Dr Amelia Latu Afuhaamango Tuipulotu
- Director General: Dr Tedros Ghebreyesus
We will then explore the following topics:
- Evidence to reality in 6 countries, strategic findings (Clara Fischer and Prof. Lorena Binfa)
- Evidence to reality – From STAGE – recommendations on midwifery and how to take this forward (Justine Le Lez)
- Essential Childbirth care course and the Interprofessional Midwifery Education Toolkit (Dr Florence West and Indie Kaur)
- What’s new in WHO? (Dr Emily McWhirter)
Following a Question and Answer period, Dr Anshu Banerjee will provide closing remarks from WHO.
Recording: https://www.youtube.com/watch?v=6OAqCOOGfz0
Title: Arte de la Partería Indígena: Resistencias, desafíos y continuidades
Speaker: Tania Pariona Tarqui
Facilitator: Paloma Terra
Los objetivos de este mapeo son: identificar organizaciones de parteras indígenas, además de delinear la situación en la que se encuentran y las experiencias que se han generado cada país, acorde a su contexto histórico y aspectos legales. Finalmente, indicar las buenas prácticas, recomendaciones y retos señalados por las organizaciones de parteras de cada país.
Uno de los elementos relevantes del mapeo, es las diferencias que existen entre el ejercicio de la partería y la relación con el Estado, esto de acuerdo al nivel organizativo alcanzado por los grupos de parteras y los avances legales en el reconocimiento de la misma. Por ejemplo, algunas parteras en sus países presentan un estado de sobrevivencia por el poco o nulo reconocimiento de los pueblos originarios y la partería indígena, en otros casos por su nivel de organización hay parteras indígenas que en sus países exigen autonomía al Estado.
Sin embargo, en todos los países se dan prácticas de control, desprestigio y criminalización. Esto realza la importancia de fortalecer las organizaciones de parteras y de los pueblos originarios para la construcción de propuestas desde los sistemas de salud indígenas y la articulación horizontal con los Estados.
Como parte de sus recomendaciones se destaca la necesidad de fortalecer el tejido organizativo entre las parteras tanto a nivel nacional como en la región, el politizar la lucha por el respeto a las parteras y todas las mujeres como sujetos de derechos para que puedan tomar decisiones informadas sobre su cuerpo, su maternidad y la atención del parto desde su propia tradición y la necesidad del cuidado de las abuelas parteras que viven en situaciones vulnerables como garante de la continuidad generacional para el cuidado de las mujeres y comunidades de los pueblos indígenas.
Recording: https://youtu.be/zuIlj3va4E4
Title: Biomechanics for birth: New learning & insights for practice: The 3 R’s
Speaker: Molly O’Brien
Facilitator: Linda Wylie
Midwifery work is wide ranging. In essence we are public health practitioners, protecting, maintaining and enhancing the health and wellbeing of women and their families. As skilled practitioners we seek to understand and mitigate myriad factors that contribute to ill health while aiming to support and optimise birth physiology as per our code of proficiency.
Specifically, the presentation focuses on labour dystocia and the midwifery skill of recognising when birth goes awry using the art and science of watchful attendance. It looks at ways to support physiology to reduce difficulties during the birth process and seeks to resolve mechanical difficulties by optimising physiology including the use of biomechanical techniques.
This presentation highlights areas of midwifery training and education that hinder understanding of anatomy and physiology in relation to the birth process and the baby’s journey through the pelvis. It examines the impact the dominant biomedical model of care has on midwifery practice, the profession as a whole and the women who use the service.
Recording: youtube.com/watch?v=FVN63zUtXXI
Speaker: Margaret Jowitt
Facilitator: Adetoro Adegoke
In ancient times Hippocrates considered that at the appointed hour the fetus put its feet against the fundus of the uterus and pushed but for the last 500 years the baby has been relegated to being a passenger in the story of birth. In the 21st century it is time to consider how material and structural remodelling of the uterus and cervix in the last four weeks of pregnancy unleash the body’s ability to help the birthing baby find the best way through the pelvis. At crowning, the fetus activates his mother’s fetal ejection reflex to release oxytocin and complete his journey. The mother and fetus need to move instinctively to enable each to act on the other to effect a straightforward birth.
Being with women throughout labour, midwives are ideally placed to advance scientific knowledge of how birth works. They observe the evolving hormonal milieu as labour progresses, they see how the mother’s mind and body work in concert with her fetus to provide a smooth passage. They recognise the importance of the social, emotional and physical environment in facilitating or impeding birth. A better understanding of the mechanobiology of birth will avoid aggressive medical and surgical intervention which can disrupt the transition to confident motherhood.
The art of midwifery is to educate and inspire the mother to trust the power of her body and her baby to work together in birth, and also to recognise when more help is needed to achieve a safe birth.
Recording: https://youtu.be/K5xj_GBnhVY
Speakers: Billie Bradford and Margaret Murphy
Facilitator: Meron Tessema
Abstract:
An estimated 2 million babies are stillborn at or before the time of their birth and 2 million babies die in the first month of life each year around the world. The International Stillbirth Alliance (ISA) is a global organization, aimed at ending preventable stillbirths and neonatal deaths via collaborations with researchers, clinicians and parent advocates. As midwives are key providers of pregnancy and perinatal healthcare globally there is the potential to advance the aims of ending preventable perinatal deaths and improving support and care of bereaved parents through collaboration between ISA and the global midwifery community. To enable this ISA has launched its Health Provider Advocacy and Parent Advocacy toolkits which are readily adaptable to different country settings and easily utilised by midwives globally. The Health Provider Advocacy toolkit provides information for midwives wanting to improve their skills in achieving deeper and more open communication with parents after a stillbirth by providing respectful bereavement care. The toolkit includes suggestions on ways to approach delivering the news, acknowledging parents’ grief, talking with parents about how and why their baby may have died, making room for them to express their need for support, and discussing a safe plan for future pregnancies. This presentation will provide an overview of the outputs developed by the International Stillbirth Alliance to support healthcare providers including the toolkits, the Global Guide for Stillbirth Advocacy and Implementation supported by the Gates Foundation, and resources available through our Western Pacific Regional Office the Stillbirth Centre of Research Excellence.
Recording: https://youtu.be/kAAXRbw01IY
Speaker: Aisha Sani Lugga
Facilitator: Rizka Ayu Setyani
Abstract:
Knowledge of modern contraceptive choices among postpartum women in secondary health facilities in katsina state cross sectional descriptive survey was employed for the study The research was aimed at assessing the knowledge of postpartum women on modern contraceptives and the most common methods of modern contraceptives used 414 women were recruited for the study and the study was conducted in some selected secondary health facilities in the state ,two each from each senoeterial zone Using questionnaire as the tool for collecting data the result was analyses using the SPAS version 23 result from the study revealed that the women use modern contraceptives but with low knowledge on the methods and oral contraceptive pills was found to be the most commonly used among postpartum women in katsina state followed by injectable contraceptives and then implants .surgical methods/permanent contraceptives are not used at all for the women In conclusion strengthening policy and creating awareness at both individuals family and community level including male involvement in reproductive health and health education and awareness creation to women at every entry point of the health facility especially the antenatal clinics so that immediate postpartum initiation can be effectively implemented ,male involvement as partners in contraceptive usage and improve accessibility and availability of contraceptives services even at the grassroots will pave a great way toward achieving good knowledge and use of modern contraceptives methods and having a significant impact In reducing the burden maternal death in the region and also birth compliance can be tacked appropriately.
Check the time in your location: https://bit.ly/VIDM24-session-12
Access: https://frontier.zoom.us/j/85247108685?pwd=IrHHzQGfo3YDsowtZYSKVGKzcYkH84.1
Recording: TBA
Speaker: Margaret Jowitt
Facilitator: Caroline Maringa
Abstract: The uterus is a wonder of bioengineering. If only we could respect its mechanism better, we could encourage more babies to be born into the hands of a midwife, who can then swiftly transfer them into the arms of their mother. Within the space of a few hours, the uterus is transformed from a safe haven, a strong fortress for a vulnerable fetus – into the means of their transition to the outside world. Since the mid twentieth century, birth workers have been given a one dimensional view of uterine activity – that contractions start from the fundus and push downwards. Managing labour using this flawed model has tethered women to the obstetric bed, encouraged overuse of synthetic oxytocin and denied the uterus its full directive power. It’s time to think again. We need to learn to respect the uterus, to respect its owner and to respect its occupant, the baby, who also plays an active part in birth. Fortunately, we can rehumanise childbirth with a far more accurate user-friendly model – The Womb’s a Balloon.
Recording: https://youtu.be/DmRj1vII8qk
