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 program to explore some of these challenges. Includes:
- High risk pregnancies
- Substance abuse and pregnancy
- The legal status of unborn child
- Maternal depression and medicines
- Neonatal abstinence syndrome
- Self care for midwives
- The booming breast milk market and much, much more...
CHAIRPERSON: HEATHER HARRIS
8:30AM REGISTRATION FOR DAY ONE
Jo PerksA Healthy Pregnancy, A Healthy Baby
We now know that life inside the womb is a critical period for the metabolic ‘programming’ of obesity in later life. A mother’s weight at the time of conception and subsequent weight gain from early to late pregnancy profoundly influence the infant’s birth weight and future risk of becoming overweight. The nutritional status of a woman before and during pregnancy plays a vital role in foetal growth and development. This session will look at how, through diet, exercise and healthy planning we can work with women to improve their pregnancy experience and future quality of life for themselves and their baby. Includes:udes:
- What are the basic principles of healthy eating during pregnancy?
- A brief look at nutrition in the face of morning sickness, gestational diabetes, low energy or obesity
Angela JamesPhysiotherapy During Pregnancy
Many women suffer from pelvic and back pain during the prenatal period and it is well known that the management of symptoms can be improved through the support of a physiotherapist. This session will discuss the promotion of physiotherapy in prenatal women and how midwives can help support this model of care. Topics include:
- How to deal with pregnancy related pain e.g. back and pelvic pain
- What is Symphysis Pubis Dysfunction (SPD) and how is it treated?
- Relaxin hormone - how can this affect the muscles and cause issues?
- Labour preparation and the role of physiotherapy
- How to assess when you should be referring a woman to a physiotherapist?
10:30 MORNING TEA
TBADiabetes During Pregnancy
It can be expected that of the women who give birth in Australia each year, 1 in 20 will either have pre-gestational diabetes mellitus or develop gestational diabetes. Diabetes, whether gestational or pre-gestational (type 1 or type 2), is one of the most challenging complications encountered in pregnancy for midwives and other health professionals. This session will look at why the presence of diabetes increases the risk of health problems for both the mother and the baby. It will also broadly explain how some of these concerns can be managed.
Dr Colin WalshPreventing Preterm Birth
In Australia the risk of premature birth is still apparent. Most babies who are premature are born between 32 - 36 weeks. These babies face risks and the specific cause of preterm birth is not always well known. This session will look at the following:
- Who is at risk of preterm birth?
- What is the effects for infants born prematurely?
- What screening is being done currently?
- How do we prevent it - cervical sutures?
12:45PM LUNCH BREAK
Heather HarrisBack to Basics - How to Teach Breastfeeding
As midwives there is much to understand and know when supporting a mother who is breastfeeding her baby. In the twenty-first century there are many differing opinions and advice may change from midwife to midwife.This session will highlight the importance of understanding the basics of breastfeeding, why it is imperative that the correct techniques are being taught and how health care providers can simply meet the needs of mothers. Topics include:
- What are the basics of breastfeeding?
- What is ‘SYPNCY’ and how should you apply this to enhancing breastfeeding?
- What are practical tips to help a midwife support a mother through the learning to breastfeed stage?
Frances LalicThe Legal Status of the Unborn Child
There is much debate about the viability, health and ethical situation of unborn children. Midwives may become involved in such considerations and it is advisable to have thought through some of the dilemmas. Includes discussion on:
- Definition of life and rights of the unborn child
- Should a midwife intervene if a mother is drinking to excess during pregnancy?
- Can a mother be sued for damage to her foetus caused by maternal neglect?
3:30 AFTERNOON TEA
Frances LalicLegal Challenges and Trends in Midwifery
Midwives are regulated health professionals who function in accordance with legislation and common law affecting midwifery practice. This session will provide an update and challenge you to consider the following current and future legal challenges as a midwife:
- Professional Indemnity Insurance (PPI)
- Duty of Care and Negligence
- Illicit Drug Use in Pregnancy and Child Protection
- Notifications to the Nursing and Midwifery Board of Australia
4:30 CLOSE OF DAY ONE OF PROGRAM
CHAIRPERSON: HEATHER HARRIS
9:00AM COMMENCEMENT OF DAY TWO
Heather HarrisNot Another Lactation Lecture!
Over time, the mantra of ‘breast is best” has evolved. But as midwives do we take into account the struggles that some women may face in pursuit of this goal? What do midwives need in order to meet the early challenges, particularly in the hospital setting? Some mothers describe being tormented by the pressures to breastfeed. This idea that “breast is best” circulates within parenting groups and maternity units and can ignite feelings of anxiety in mothers who are finding breastfeeding traumatic. Modern mothers often face the competing pressures to give their baby the very best nutritional start, whilst also attempting to meet the clinical feeding requirements demanded by hospital protocols, resulting in significant stresses. This session will discuss the midwife’s role in supporting a mother who is struggling to breastfeed. Discussion includes:
- "Breast is best" should be replaced by "Potential risks of no breastmilk feeding"
- If breast is really best how can we help mitigate the early maternal emotional stress so common among new mothers?
- What affect does conflicting advice have on mother, staff, breastfeeding success?
- Developing supportive and non-judgmental skills for the mother who" cannot" breastfeed or is experiencing undersupply
- How can we better educate and support mothers who may need to make different choices?
Gwen HigginsMaternal Depression and Medications
Maternal depression can have a harmful and enduring impact on an infant and of course affect a mother, her partner and family. A careful and balanced assessment must consider the benefits consequences of untreated depression against potential foetal or child risks. This session will include:
- What is the impact of maternal depression?
- Basic pharmacotherapy review of common antidepressant and anti-anxiety medications
- Which of these medicines are safe during pregnancy
- What about during breastfeeding?
- If there is a potential harm to the baby, when does the mother's’ mental health override this?
10:45 MORNING TEA
Karyn SmithDrugs, Alcohol and Motherhood
Mothers who are currently or have previously used alcohol, tobacco and other drugs during pregnancy often report negative experiences when receiving care from a health care facility. When a woman who has an addiction is viewed in a judgemental manner the effects can be very detrimental, resulting in rejection of the care and support offered. This can create a distance between the midwife and mother throughout the pregnancy, having terrible ramifications. It is important as caregivers to deliver honest, open and non judgemental care, improving outcomes for these mothers. This open and honest session will challenge you to consider and discuss the following:
- Are we actually providing non-judgemental care?
- How do we support women with lifestyles that involve an addiction to tobacco, alcohol and cannabis?
- Finding the time to provide practical harm minimisation education to women
- Statewide services that are useful with post-natal discharge planning
Karyn SmithNeonatal Abstinence Syndrome - Assessment and Treatment
It is vital that midwives are aware of the importance of assessing and managing a neonate who is withdrawing from illicit substances as a result of maternal use. If a baby is withdrawing, Neonatal Abstinence Syndrome may develop and the ability to correctly asses these babies is imperative. Topics include:
- Signs and symptoms of of NAS
- Withdrawal period and average length of recovery
- How to complete NAS scoring and why this is needed
- Treatment of NAS affected babies
1:00PM LUNCH BREAK
Jessica Rojas and Naome ReidWhen the Baby Dies...
The death of a baby is always a tragic event and grief is a normal reaction to loss. The depth and duration of the experience is different for everyone but can have considerable psychological effects. Research has indicated the positive benefits of bereavement support during this time. This session aims to provide you with an opportunity to discuss some of your experiences and identify key support mechanisms you can use when faced with the death of a baby during pregnancy or childbirth.
Heather HarrisLiquid Gold? - The Booming Breastmilk Market
In today's world of technology the ability to access donated breastmilk is becoming increasingly common. There are now websites committed to buying, selling and donating breastmilk. How might this type of transaction work in the real world of midwifery? Is this a positive change to be encouraged or is there room for potential error? This session will discuss the growth of the breastmilk market that isn’t always traditional. Includes:
- Is there a screening process to donate breastmilk?
- Are there ethical considerations we need to be mindful of?
- Is this something we should be supporting and promoting within Australia?
- Historically, breastfeeding by other than the mother has been common - only since the twentieth century has formula feeding been "safe" enough to be used widely. What has caused many to reject formula in favor of donated human milk?
- What is the role of Milk Banks?
3:15 AFTERNOON TEA
Shari CoventrySelf-Care, Shift Work and Midwifery
Working at shift work can be stressful, fast-paced, demanding and often leaves midwives feeling isolated and exhausted. Looking after our patients who are often stressed and anxious means midwives must be given tools to promote their own emotional health. How can we start and finish each shift feeling renewed and energised? This final and practical session will introduce three techniques that can reduce stress and anxiety so we can be the best version of ourselves when working shift work. We will look at:
- Does our thinking contribute to our stress?
- Will breathing differently make us feel different?
- How can laughter change the way we feel?
4:30 CLOSE OF DAY TWO OF PROGRAM
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 making 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 relating 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
Deliver compassionate care to a woman who has challenges associated with the perinatal experience
Provide midwifery care that is mindful of personal safety for yourself, a mother and her babyPresenters
Karyn Smith is an Outreach Clinical Midwife Consultant at the Sunshine Hospital providing collaborative midwifery care to vulnerable families in ... Read More
Heather Harris (BN Deakin, MMid LaTrobe) first qualified as a midwife in 1970 and has worked in all areas of ... Read More
To Be Determined
Joanne Perks is a Women's Health Nurse Practitioner at the Liverpool Women's Health Centre. Joanne has extensive experience working in ... Read More
Angela James is the founder of Sydney Pelvic Clinic and specialises in Men’s and Women’s Pelvic Health. She uses a ... Read More
Frances Lalic completed a Diploma in Applied Science (Nursing) at the University of Western Sydney. She was employed by South ... Read More
Gwen Higgins is an accredited pharmacist undertaking home medicines reviews for general practitioners in the inner western suburbs of Sydney. ... Read More
Shari Coventry is an Internationally Certified Laughter Yoga Trainer, Clinical Hypnotherapist and NLP Practitioner, and has studied many alternative modalities. ... Read More
Dr Colin Walsh is a Consultant Obstetrician & Gynaecologist and Maternal-Fetal Medicine (high-risk pregnancy and advanced obstetric ultrasound) specialist. He ... Read More
Jessica Rojas has been a Perinatal Senior Social Worker at the Royal Hospital for Women since early 2015. She has ... Read More
Naome Reid is a Senior Social Worker at The Royal Hospital for Women. She has been employed as a social ... Read More