Just as i delayed my nursing career because I thought i’d be too scared of blood, i always doubted my ability to handle babies nonstop crying. However, after seeing a day or two old new life held in their dearest mother’s hands, their vibrant struggle in an unfamiliar environment, and trying hard to convey their basic instinct in the only manner they know, all of a sudden, it’s more than bearable, in fact, quite enjoyable.
I learnt so many things in this new field.
- BB’s assessments (by midwife and pediatrics doctor)
- Mom’s assessments:
- Wound care for episiotomy wound, c-section wound, tear wound and degree,
- Swabbing, perineal hygiene,
- Uterine subinvolution
- BCG live vaccine:
- Hep B vaccine
- Group B streptococcus
- Breast feeding,
- Bottle feeding, how to calculate the amount day 1: 60mls, day 2: 90mls, day 3: 120mls, day 4: 150mls, burping
- Diaper change
- Clothing change, wrapping the BB,
- BB temp, maintaining body temperature in incubator,
- How to safely hold the BB,
- Importance of communication to develop good rapport with the mother and family
Some staff shared their love of working as a midwife and strongly suggested us to seriously consider it. As a midwife, there is a much higher level of autonomy as you need confidence in your knowledge as you will be in-charge of the whole process; holistic care for not only the BB and mom but also her family and how she will cope with difficulties during the birth and childcaring process; how to empower the mom through health education to not just learn necessary skills, but be able to seek more information and assistance through MCH and other sources to provide safe and adequate care for the BB. She still suggested doing a year of general nursing before applying to a midwifery course (18 months of work and study) to gain general knowledge in this profession and develop intuition, makes sense in any specialty.
Not only were the staff amazing as they tried to teach or show us the features of a postnatal ward in 3 short days, but i was greatly impressed with the staffs’ willingness to take time and explain procedures, rationales, and mostly share their own experience gained from many years in this field.