May 18, 2012

What role does the midwife involve?

Midwifery is one of the most exciting and rewarding careers you can pursue, and is something many operating in neonatal nursing jobs aim to achieve.

What does the job involve?

Many people assume that the midwife’s role is simply to help deliver babies, but this is not the case. Midwifery involves caring for the mother, the father and the baby both before and after the baby is born. Midwives are an important source of support, information and advice for expectant parents and also play an extremely important role after the baby is born.

Pregnant women are put in touch with a midwife when their pregnancy is confirmed. They will see a midwife at various points during their pregnancy and the midwife will help to answer any questions, monitor their general health and wellbeing, ease worries and concerns and be a general source of support for the mother. Often, expectant parents are anxious and nervous about the arrival of their baby, especially if it is their first child and they may have lots of questions and queries. The midwife can help to reassure them and give them advice about parenting, labour and birth.

During labour, midwives can literally play a vital role – they will be there throughout the birth to reassure the parents, administer pain relief, encourage the mother with her breathing, talk her through the different stages of labour and eventually deliver the baby. If there are complications, the midwife may call for additional help from an obstetrician.

After the baby has been born, the midwife will continue to care for the mother and baby. Usually the midwife visits the mother at home a couple of times to check the health of both the mother and baby and offer advice and support during the first ten days. When the midwife is happy that the mother and baby are both well and the parents are coping well, they will stop visiting the mother and a health visitor will take over this duty.

What qualities does a midwife need?

Being a midwife may seem to be a lovely job on the surface. Many people have a rose-tinted image of neonatal nursing careers but being a midwife is very physically and emotionally draining and there are challenges which you will have to confront on a daily basis; sometimes, there are complications and you will have to act fast, under pressure. As with all jobs in medicine, there is not always a happy ending and you will be required to offer emotional support and counselling for parents who have lost a baby or have a baby that is very ill.

Midwives work long hours and are required to work night shifts, evening shifts, weekends and bank holidays.

In order to be a midwife it is important to be understanding, patient, compassionate and sympathetic. You will also need good communication and social skills and you should have an understanding of practical and cultural matters related to childbirth.

How do you become a midwife?

In order to become a midwife you must complete a midwifery course. Many higher education institutions offer midwifery courses and they have different entry requirements, so it is important to check with the individual organisation. The courses combine academic study with practical training and students will complete practical placements in clinical settings in addition to written assessments, practical assessments and exams.

Neonatal nurse shortage

In the UK there is currently a shortage of those in neonatal nursing jobs and the NHS is currently trying to encourage more nurses to pursue a career in neonatal nursing.

What is the current situation in the UK?

Recently, baby care charity, Bliss, claimed that there was a severe shortage of those in neonatal nursing jobs in the United Kingdom and this was posing a risk to newborn babies. Research carried out by Bliss found that there was a shortage of 1,150 nurses, which was contributing to increased risks for newborn babies, as staff were under so much pressure and resources were stretched. The charity claims that nurses who care for around 70,000 sick and premature babies across the UK each year are being pushed to their limits due to the shortage of neonatal nurses working in specialist units. Research shows that three quarters of neonatal units in the UK had to turn away newborn babies last year and four in five units were working above their occupancy.

Why is there a shortage of neonatal nurses in the UK?

It is believed that around 10 percent of posts in neonatal nursing are vacant and this, coupled with the increase in the number of newborn babies requiring specialist care, has lead to increasingly stretched resources and increased pressure for neonatal units. Research has shown that there has been an increase in the number of babies requiring specialist care; in 2006, 62,000 babies were admitted to neonatal units and 1,500 were admitted to intensive care. Experts have attributed to the increase in admissions to an increase in the number of women aged over 40 giving birth, an increase in the number of obese women giving birth and an increase in the number of mothers from ethnic minorities giving birth to children (this is associated with mothers not going to antenatal classes or receiving antenatal care during their pregnancy).

What are the implications of a shortage of neonatal nurses?

The shortage of neonatal nurses in the UK means that many specialist neonatal units are stretched beyond their means and there are not enough staff to care for the amount of babies that need specialist care. Members of staff working in specialist units are under extreme pressure and often carry out additional work to make up for the fact that there is nobody else free to do it. Figures show that many neonatal units are oversubscribed, as the number of babies requiring specialist care has increased in recent years. Health experts have warned that the shortage of neonatal nurses could increase the risk of mistakes and prevent some babies from receiving the specialist care they need.