Midwifery Challenges - CPD Conference
- : Surry Hills NSW 2010
Modern midwifery is increasingly demanding. Rapid social changes and new evidence are affecting the way that midwives practice. Attend this annual Ausmed Education event to explore some of these challenges. Take time out to network with like-minded colleagues. Learn about:
- The neonatal gut microbiome
- Perineal wound infections - applying evidence to practice
- Recognising and responding to neonatal sepsis
- Pumps, cups, syringes and fingers - a look at alternative feeding techniques
- The secret life of serotonin and much, much more...
Ausmed Education’s Midwifery Challenges – CPD Conferences are always highly evaluated and very popular. They are relevant to all midwives working in any setting and offer you a wonderful opportunity to ensure your knowledge does not slip. Don’t miss out – book now!
Schedule Day One
8:30 REGISTRATION FOR DAY ONE
Welcome and Introduction
Dr Vincent Ho
The Neonatal Gut Microbiome
Scientific evolutions in the field of genomics has resulted in huge gains in knowledge about the human microbiome. In particular, evidence now reveals the relationship between early establishment of the neonatal gut microbiome and long-term immune and metabolic health. This introductory session will explain what helps and what hinders the development of this gut microbiome. It includes:
- When does the neonatal gut microbiome begin to develop?
- How does early acquisition occur – from in utero onwards?
- What interrupts the assembly of the neonatal gut microbiome?
- How might this affect long-term health?
- What restores it – a look at the evidence?
- What does this mean for midwifery practice?
First 1000 Days – Why Everyday Counts
Good nutrition in the early period of child development, from preconception to aged two is known to lay the foundations for life. Why is this period is so important? Why can poor health in this period contribute to non-communicable disease risk factors later in life? This session explains:
- A window of opportunity – why 1000 days?
- What’s the effect of poor nutrition and poor health during this time?
- What impact does this research have?
10:30 MORNING TEA
Marijuana During Pregnancy – A New Concern?
Cannabis, also known as marijuana, is a contentious topic in today’s healthcare landscape. This session looks at a highly emotive area of cannabis use – during pregnancy and breastfeeding. We will consider the challenges that may confront midwives when working with people who use this substance and explore:
- How can midwives communicate with women who are using cannabis during pregnancy?
- What are realistic goals around harm minimisation?
- What are the practical considerations for breastfeeding?
- What are your attitudes towards cannabis and does this impact on the care you provide?
Health Coaching & Pregnancy – Practical Approaches to Changing Behaviour
Good nutrition and appropriate exercise are cornerstones to optimal mother and baby outcomes, especially in when conditions like gestational diabetes or high mother BMI are present. This almost always relies on some degree of behaviour change. Think back on a change you have had to make to your own lifestyle. How challenging was this? Practical approaches to achieving elusive behaviour change are essential. Understanding barriers to change and how to overcome these can greatly assist midwives to coach, guide, and support healthy outcomes. This session looks at:
- Why do some people resist change?
- How can we understand what might motivate a mother to change behaviour?
- Simple, practical solutions to overcoming common barriers to change such as:
- Other people
1:00 LUNCH AND NETWORKING
The Secret Life of Serotonin
Serotonin has many roles in the human body. The most recognised is its impact upon mood, but serotonin wears many other hats. In relation to breastfeeding, serotonin is pivotal to lactogenesis II and breast involution. This presentation will highlight the role of peripheral serotonin in successful breastfeeding and includes:
- What is serotonin and where is it found?
- What is it’s role in lactogenesis and breast involution?
- How can midwives use this knowledge to facilitate optimal lactogenesis?
3:00 AFTERNOON TEA
Dr Michael Nancarrow
Managing Expectations in the Face of Futility – The Role of the Midwife
This final session of day one will will debate the challenging circumstances that arise when clinicians and family members disagree about a diagnosis of clinical futility. Midwives may or may not be present if withdrawal of treatment is the eventual option. However, the need for continuity of care and the impact of such extraordinary cases means they affect us all. This session will draw upon the Charlie Gard Case at Great Ormond Street Hospital, London to discuss the following:
- How do legal, moral, and ethical rights and responsibility intersect in such circumstances?
- What are a midwife’s responsibilities to a mother and child?
- What are a midwife’s obligations to their workplace?
- What are a midwife’s obligations to the broader community?
4:30 CLOSE OF DAY ONE OF CONFERENCE
9:00 COMMENCEMENT OF DAY TWO
Pumps, Cups, Syringes and Fingers – Alternative Feeding Techniques
Feeding techniques other than breastfeeding may be required when feeding directly from the breast is not an option. This session will weigh up the indications, advantages, disadvantages, and practicalities of the following alternative feeding methods, including:
- Cup feeding, spoons, and syringes – how to do it safely
- Finger feeding
- Tubes, aids, and devices – SNS line, Haberman Feeder, Calma teat
- Bottle feeding a breastfed baby – paced feeding and nipple “confusion”
- Pumps – “Hands On” pumping, Haakaa bottle
Early Detection and Management of Postpartum Haemorrhage (PPH)
Preventing mortality associated with primary PPH is dependant on impeccable assessment skills that detect early signs of shock. If a woman’s condition deteriorates further and a massive postpartum haemorrhage occurs then additional measures will be required. This session will focus on the assessment and management of primary PPH and briefly describe the rationales, from a critical care perspective, behind the multi-disciplinary response to a massive postpartum haemorrhage. It includes:
- What are the clinical signs and symptoms of shock in primary PPH?
- What are the rationales for the management of primary PPH?
- Respond – the basic measure to take
- Identify and treat the cause – the four Ts
- Resuscitate – when to give oxygen and what fluids are needed?
- Reassess – how would you recognise further deterioration?
- When should a massive blood transfusion policy be triggered?
- What are the rationales for the multidisciplinary management of massive PPH?
- An overview of the clotting cascade – what are we trying to achieve?
10:45 MORNING TEA
Group B Streptococcal Infection – Applying Evidence to Practice
A consistent approach to improving outcomes is warranted in the case of preventing and managing Group B streptococcus infections. Despite guidelines and hospital policies, variations in practice at times still occur. This session reviews the current evidence on GBS, in particular, relating to antenatal screening, intrapartum antibiotic prophylaxis (IAB), and postnatal monitoring. The session will centre on applying evidence to practice across a range of settings and includes:
- An overview of the most recently updates to the NSW health guideline
- Antenatal screening – how should women colonised with GBS be identified?
- Who should receive intrapartum antibiotic prophylaxis and when should they be given?
- When is IAB not required even if a woman is a GBS carrier?
- What if a woman refuses antibiotics?
- How can we balance prevention of neonatal sepsis with unnecessary use of intrapartum antibiotics?
Recognising and Responding Early to Neonatal Sepsis
Whilst still relatively uncommon, early-onset Group B streptococcus (GBS) is the most common cause of neonatal sepsis. In most cases of early-onset GBS, signs and symptoms of neonatal sepsis were present in the first six hours. In almost all cases, these signs and symptoms were present in the first 24 hours. As such, all midwives must feel confident in the following:
- How does intrapartum antibiotic prophylaxis reduce the risk of early-onset GBS and neonatal sepsis?
- How should the signs and symptoms of neonatal sepsis be assessed?
- Review of the Newborn Sepsis Pathway – investigations, antibiotic therapy and other management considerations
- When is escalation required?
- Do the symptoms of late onset GBS differ?
12:45 LUNCH AND NETWORKING
Perineal Wound Healing – What Works?
Perineal wounds are common in most women following childbirth and it goes without saying that this increases with assisted delivery. Midwives play a key role in assessing and preventing infections and, importantly, providing support and education for new mothers. This session will ensure that the next time a mother asks, you can confidently answer the question “what helps a wound heal?”. It includes:
- What should be assessed in a perineal wound?
- How would you know if a perineal wound is becoming infected?
- What cleansing techniques, products, dressings, lifestyle, and hygiene advice should be given?
- How do we assess if a particular therapy is effective?
- What types of nutrition can assist with tissue remodelling?
To Top Up or Not to Top Up?
Despite research evidence and international recommendations to exclusively breastfeed, it is not always possible, nor chosen. What is our responsibility as health professionals when there is non-medically indicated formula feeding, particularly in the first few days and weeks? This session includes:
- What advice should be given regarding infant formula? A look at preparation, hygiene and other considerations
- Topping up – for who, when, how much, how often, and via which method?
- Introducing formula feeding – when, how much, which method, and what type? Special infant formulas and changing formulas
3:15 AFTERNOON TEA
Dr Judy Lovas
More than Just In and Out – How to Teach Breathing
All midwives are familiar with the importance of breathing, especially during labour. Research demonstrates that breathing deeply encourages both psychological and physical relaxation. This final session includes clear, practical, evidence-based ways for you to teach and assist women with their breathing, including the why, how, and when to breathe deeply, for before, during, and after labour. It explores:
- How does breathing affect the parasympathetic nervous system to reduce stress?
- How can midwives support women to include deep breathing in their daily lives, as well as during labour?
4:30 CLOSE OF CONFERENCE AND EVALUATIONS
The Goal Need for Program
In recent years birthing has increased in Australia. It is inevitable that there are gaps in the knowledge of many midwives in relation to latest research and the emerging issues that face them in the current practice setting. The context in which midwives practice is increasingly complex and makes demands on the ever-expanding scope of practice. The link between education and the provision of quality care to mothers and their babies is indisputable. A broad range of education that relates to contemporary midwifery practice will assist in closing gaps in knowledge and practice.
Purpose of Program
This conference provides a broad range of education relevant to midwifery practice that will enhance the provision of quality care to mothers and babies.
Your learning outcomes:
Apply evidence-based knowledge about several clinical aspects of midwifery care, including breastfeeding, which will improve the health and safety of mother and baby
Monitor the mother and baby during the perinatal period, taking into consideration conditions that impact on best possible outcomes
Provide compassionate care to a woman who has challenges associated with the perinatal experience
Interprofessional collaboration will be optimised to enhance mother and baby outcomes
Heather Harris first qualified as a midwife in 1970 and has worked in all areas of midwifery practice over the ... Read More
To Be Determined
Karyn Smith is an outreach clinical midwife consultant at the Sunshine Hospital providing collaborative midwifery care to vulnerable families in ... Read More
Dr Vincent Ho is an academic gastroenterologist based at the School of Medicine, Western Sydney University with a clinical appointment ... Read More
Michael Nancarrow has studied economics, law, and political theory at Macquarie University, the University of Sydney, and at the University ... Read More
Felicity McLaren, MClinNurs (Critical Care), BN, CNC, CNS is a clinical nurse consultant specialising in critical care. She is responsible ... Read More
Dr Judy Lovas’ dynamic presentations explain the art and science of evidence-based relaxation therapy. In our increasingly fast-paced world everyone ... Read More
Fleur Trezise was endorsed in 2013 as a Nurse Practitioner: Wound Management and is currently working in South Western Sydney. ... Read More
Margaret Evans is a midwife and Clinical Nurse Consultant, Infection Prevention and Control at the Royal Hospital for Women. ...Read More
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