Midwifery Challenges - CPD Conference
- : Melbourne VIC 3000
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
8:30Registration and Refreshments
Colleen OliverA 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:
- 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
Allison ThomasGenetic Testing - What Midwives Need to Know
In today’s world of technology the opportunity to request a wide variety of genetic testing is at most parents’ fingertips. Supporting families to make informed choices where genetic testing is concerned is something that all midwives should feel comfortable with and are certainly capable of doing. This session will look at basic information relating to prenatal screening that is most relevant to midwives. Topics include:
- Basic information for midwives regarding prenatal screening
- What may the future hold as genetic testing and technologies continue to evolve?
10:30 MORNING TEA
Professor Shaun BrenneckeHigh Risk Pregnancies
There are a range of reasons which may contribute to a pregnancy being ‘high-risk’. As this may cause the health outcomes for a mother and baby to be compromised, midwives must have a strong knowledge base on the following:
- What conditions may result in a ‘high-risk’ pregnancy?
- Are certain cultures more at risk?
- Evidence-based Guidelines for the management and follow up of mothers deemed ‘high-risk’
- Developing a health plan to improve outcomes
Denise SameWhen 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.
1:00PM 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?
Amanda WynneThe 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
Amanda WynneThe Vulnerable Child and Family Violence - Your Responsibilities
Midwives have a responsibility to report and refer if they believe that a family is showing factors that affect child safety. It can at times be difficult to decipher if reporting should be made and if there is a threat to a baby. This session will help clarify the grey areas of reporting and support midwives in educating child safety. Topics include:
- When must you make a report?
- What happens if you fail to make a report?
- If in doubt is reporting the best option?
- Is reporting different when a mother is involved in family violence?
- What services are available to at-risk families?
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?
Associate Professor Louis RollerMaternal 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
12:45PM LUNCH BREAK
Heather HarrisLiquid Gold? - The Booming Breastmilk Market
In today’s world of technology the ability to obtain donated breastmilk is becoming increasingly easier. There are now websites committed to buying, selling or 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 this to turn sour? This session will discuss the growth of the breastmilk market that it 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?
- History says breastfeeding from other people worked - who says it can’t now?
- What is the role of Milk Banks?
Annette BeauchampPelvic Physiotherapy for Chilbirth and Recovery
This session looks at evidence underpinning strategies and interventions for minimising trauma to a woman’s pelvic floor as a result of childbirth. It will discuss:
- What happens to the pelvic floor during vaginal delivery
- How pelvic physiotherapy can best prepare the woman for childbirth
- The importance of post-partum physical rehabilitation
- Musculoskeletal injuries during childbirth: what to look out for and when to refer
- How to effectively and quickly assess pelvic floor function
- Spine and pelvic pain pre and post natal care
3:15 AFTERNOON TEA
Ros Ben-MosheSelf-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
Denise Same is a Social Worker and Family Therapist and has worked with people experiencing trauma and grief and loss, ... Read More
Amanda Wynne is a barrister at the Victorian Bar whose practice includes family law, child abuse, family violence, mental health, ... Read More
Associate Professor Louis Roller, PhC, BPharm, BSc, MSc, PhD, DipEd, FPS, FACPP has been an academic at the Faculty of ... Read More
Annette Beauchamp graduated as a physiotherapist from Lincoln Institiute, La Trobe University in 1994. Annette has worked in the area ... Read More
Ros Ben-Moshe is Director of LaughLife Wellbeing Programs, a leading provider of wellbeing, mindfulness and laughter wellness programs. LaughLife delivers ... Read More
Colleen Oliver graduated from Deakin University in 2000 with a Masters in Nutrition and Dietetics. She has specialised in paediatric ... Read More
Professor Shaun Brennecke is the Director, Department of Perinatal Medicine, and Head of its Pregnancy Research Centre at the Royal ... Read More
Allison (Alli) Thomas (Nursing RMIT, Post Graduate-Midwifery La Trobe University, Post Graduate-Genetic Counselling Melbourne University) has been working as a ... Read More