What does a Midwife’s scope of practice look like? What are the do’s and don’t do’s

What does a Midwife’s scope of practice look like? What are the do’s and don’t do’s


Welcome to our Well Rounded Momma
YouTube channel. Thanks for joining us. If you like this video, like
subscribe and ring the bell. Today we’re going to be talking
about the midwife and your newborn. How does midwifery care affect the
care and keeping of your newborn baby? What is in our scope and
what is out of our scope? What do we do when something
falls out of our scope? What kind of things do we offer? That is what this video is going to do
is talk to you about all of the services that your certified professional midwife
can offer for you and the care and keeping of your baby. For starters, I do want to point out that as
midwives we all work as a global fee, which means all of your care and keeping
is included including the care and keeping of your newborn. So turning to a care provider who’s
already invested in your care prenatally postpartum and labor and delivery wise
is one of the best ways to make your dollars stretch the farthest. And so now to talk to you a little bit
about why we’re qualified and what we do to make sure that we’re monitoring keeping
your baby low risk once you’ve had a home birth within about an
hour or two after delivery. What a midwife offers is
a newborn exam. Camilla, would you like to talk to us about
what kinds of things we’re looking for? When we do a newborn exam for
a baby at the home, at home, we check the baby head to toe
pretty much. We do measurements, we do, we check the baby weight. We are trained to identify what’s
normal versus what’s not normal. We also check the baby’s heart. He checked the bowel sounds. Head
to toe pretty much. That’s great. So essentially what you’re saying is the
same newborn exam that a pediatrician comes to the hospital and
does is what we offer at home. We want to make sure that before we leave, you and your baby are completely stable
and there’s no reason for you to seek immediate attention of
a physician. However, if we were to find something
that was disconcerting to us, we know again how to
refer out and why. Again, we’re super heroes of normalcy. Tiffanie is a CLC as well as a midwife. I didn’t even introduce these
ladies that you’re talking to. So we have Camilla and we
have Tiffanie and I’m Sherry. If this is the first time
that you’re tuning into us. One of the biggest things that a midwife
can help with is the breastfeeding relationship. Tiffanie, Do you want to talk to our clients
about how we can help facilitate breastfeeding. So what’s really important after baby
is born that they have every opportunity to be uninterrupted from mom. Babies go straight to mom’s chest unless
theres something that we need to do. But we actually tried to do everything
when it comes to any intervention that we need to do with baby. We tried
to do it right there on mom. Um, it’s really important for babies to be
connected and skin to skin with their moms right after birth.
There’s lots of studies, um, and there’s lots of cultural things
worldwide with babies being attached to their moms. Those first crucial crucial hours
they like to call that first hour, the golden hour. And we actually don’t even
really interrupt moms and
babies at all during that time unless we need to.
Babies know how to breastfeed, they come out knowing how to do
it, they don’t need to be taught. So it’s really important for moms
to be able to be comfortable and not interrupted and not anybody
taking their baby away from them. And the baby is given those opportunities
to latch on and stay there as long as they want. And it’s really, really crucial for babies in that first
few minutes and hours to be able to be stuck there with mom and
attached to mom and nursing. And that little bit of colostrum that
they get is a really small amount. It’s literally drops that they’re
getting, but it’s magical honestly, that those first drops in the colostrum
are cleaning out a baby and making their digestive system start to work and
all of their metabolism to be set. And it’s really, really important at first little bit
afterwards to add the microbiota to it’s far from there. And so why might home visit at day three
or four for a client help continue to help facilitate that? That’s
usually when milk comes in for moms. So that’s a big day for moms
is that time when they’re, they’re transitioning from that
early colostrum to mature milk. Babies are going to get
a lot more from moms. It’s really important to
have that relationship go
uninterrupted. As midwives, we’re checking for tongue ties and lip
ties and cheek ties and we’re making sure that the baby is latching properly and
mom is not suffering from any pain. Those are things that can really
make or break breastfeeding. And if you don’t have the support and you
don’t have somebody checking in on you and making sure that those
things are going well, a lot of times a moms they may give
up because they don’t have that help. And it’s really, really important to have those visits and
be having somebody come into your home and the mom not have to be leaving her
house after she was just had a baby. absolutely. And so that’s one of the reasons is we
really don’t like to see women leaving their homes for just that first week. We want them to be treated
kind of like a princess, but why bring up that day to three to
four visits so that you can see that a midwife will help facilitate that baby
is putting out weight and having those wet and poopy diapers and
just that you feel confident. The other exam that I want to talk about
is we do a 24 to 48 hour home visit as well and at that 24 to 48 hour home visit. Besides just helping facilitate
that breastfeeding relationship, there are also some exams
that we’re offering. One of them is the metabolic screening
or It was previously for a lot of years referred to as the test, but nowadays they test for 40 or more
different metabolic disorders and is also referred to sometimes as the heel poke. And the thing that we like the least I
think of our jobs I used to take it is I used to take all of my girls with me to
my postpartum visits until one day they were like, mom, I take that you
poke those poor babies heels. Although all of our clients have the
opportunities to say no to any exam. We really feel like its a
pretty noninvasive way of
testing for those different metabolic disorders. And although we’ve seen very
few come back with the problem, when you do have one of those problems, that is the best way to have the best
information to move forward and your relationship with your child.
One of the other screenings, we offer it as a heart screening where
we’re simply taking a newborn pulse oximeter, which we all carry here at Well Rounded
Momma and we’re attaching to the baby’s right hand, right foot and we’re looking for a set
of numbers to make sure that we can rule out any congenital heart
defects. And so again, we are doing very close followup for
your baby during that newborn time. Um, there are women’s options
for vitamin K, Erthromycin and so there, although we
haven’t gone into depth, we could certainly go into depth in
a further video for you if you are interested post down below that you
would like more information about those kinds of options. But those in and of themselves are
enough information to kind of talk about. The only thing that we are not able to
offer a newborn during those first 48 hours is um, we cannot administer vaccines
and we cannot perform circumcisions. Those really are the only two things in
those first 48 hours that we aren’t able to do ever actually ever, ever, ever,
ever. We’re never, we don’t do that. Sometimes in hospitals, they do those things in those first couple
of days and there are things that we don’t offer all of the other
tests, medications, information, all of that are things that we
can offer the client. Camilla, do you want to talk to individuals about
their very first one week office visit, but first outing out of the house, um, moms and babies come here so sometimes
they’re late because getting baby out requires a lot of equipment, but it’s really sweet to see the
clients at that first week. Um, after the baby’s born, we’re
monitoring the baby for weight gain, um, measurements and seeing
like how breastfeeding’s
going and this is what makes the difference is the continuative care
the midwife offers because we see this seen baby. The same person had seen the baby
from the first latch throughout this relationship that we establish. So that first week we are also
checking the baby for jaundice, how all those things are
going so far. Wonderful. Another thing that we offer at that one
week visit is we are able to complete birth certificates as well
as order social credit cards. Everything is done
online. It’s super simple. I’m surprised how many people are
like, Oh my gosh, you had a home birth. How in the world are you going
to get a birth certificate? Um, and so here as CPMs in
the state of Nevada, we all have accounts at the department
of vital records and can perform birth certificates. In fact, although midwives
here in Nevada are not legislated. There are a couple of things that we
are required to do and one is to carry Erthromycin. The second one is to file proper
and correct birth certificates. That’s actually the only two things that
I’m aware of that I’m expected to do. There’s rumors that they’re going
to require the heart screening, but I don’t think thats
required yet. Yeah, but I don’t think this state covered,
I guess we’re ahead of the game. We are oh my gosh! Tiffanie, do you want to talk to him a little bit
about we do at that two week office visit. At your two week visit, we offer
hearing screening for baby, um, to check and make sure that they can
hear and if they don’t pass that hearing screening and then we will refer out
for further testing and to see an audiologist to check and make sure that
they are able to hear or if there’s another issue going on. Um, and
we also weigh the baby again. We check baby for waking and making
sure they’re growing properly. We talk about milestones, um, we visit with mom and baby and we make
sure everything’s going well and baby’s doing well with their growth
and also how mom is doing, um, and how breastfeeding is going
on, how she’s doing emotionally. You’re kind of a whole package
when you become a family. So we like to check in with everybody
and make sure that we’re giving all the care that we need and that
among would need for their baby. So at that two week visit, we also might follow up with the metabolic
screening depending on what those options look like. So, we certainly don’t limit ourselves
to these particular visits. Just so you’re clear. We have the ability to create custom care
for our clients depending on what they need. Some clients might need more visits and
there is no additional costs to that. Our clients might be just meet with our
therapist or a life coach or a lactation counselor here. Um, and insurance certainly
helps facilitate that. Or Well Rounded Momma has some
scholarships for lactation health, we have an amazing lactation
counselor here. Um, the very last appointment that we see
you in generally is the six to eight week postpartum visit. And at that visit we
really are. That one really is for mom. That is to make sure that
she healed. She’s well, it’s okay for her to return
to the gym or return to work. Unfortunately in the United States, that’s a really common conversation that
we’re having even though we think it should be much longer than that. We also spend time talking a little
about about birth control and family planning as well as offering,
well women care that appointments, we can do pap smears. That’s something that we asked about
a lot is we’re really excited that our clients get to continue that well women
care with us and that we can continue doing pap smears and wellness
exam. Thanks for tuning in. That’s just a few examples of
what we offer for newborn care. It’s certainly not the end all be all, but it gives you a really good idea of
just how thorough midwives are and caring for families and their newborn. If
you liked this video, like subscribe, ring the bell. Please. If
you would like to talk. So one of our birth
professionals certainly call
the front desk our information. You can be found down in the box
below. Thanks again and I’ll tune in. Thanks again and we’ll join in
next week with our next topic. Sometimes I have these shy little
toddlers that come into my office, all prenatal care that are hiding from
me and shy and I swear the moment after I go into their home for the birth,
now we are like best friends. I am their favorite person. Yes. Yeah.

8 thoughts on “What does a Midwife’s scope of practice look like? What are the do’s and don’t do’s

Leave a Reply

Leave a Reply

Your email address will not be published. Required fields are marked *