Melissa Hatter VIDM presentation

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This is my presentation from the Virtual International Day of the Midwife on May 5, 2011. I hope that you enjoy it!

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  • 1.The View From Both Sides Midwifery-Assisted Birth Experience of a Student Nurse-Midwife Melissa Hatter, BSN, RNC-OB Virtual International Day of the Midwife May, 2011

2. Last Clinical Day for Spring Semester!!! 3. Personal Background

  • Married with 18-month old son
  • Lived in North Carolina for 3 years
  • Raised and currently living in Alabama

4. Educational Background

  • Bachelors of Science in Nursing at the University of Alabama, Capstone College of NursingGraduated in May, 2007
  • Masters of Science in Nursing, Nurse-Midwifery at East Carolina University, School of NursingExpected Graduation in May, 2012

5. Passion for Women

  • Womens unique health care needs
  • [See Brucker (2011)]
  • The role of women in the health of the family[See Welch et al. (2009)]
  • Womens health care choices
  • Womens rights
  • Family planning

6. Calico

  • My first midwifery experience!
  • Calico the Cat had her kittens in my closet
  • What nature intended

7. Midwifery or Medical? A Personal Choice

  • Working as a labor and delivery nurse
  • No midwives in my hospital system
  • Passed up opportunity for free obstetrical services
  • Traveled 1 hour each way to For Womens Health
  • After delivery, received hospital bill for full cost of services
  • Fought with BCBS-TN for payment for midwifery services in hospital

8. Prenatal Care

  • Becky Yates, CNM and
  • Rebecca Hunnycutt, CNM
  • Student nurse-midwives in the clinic
  • Appointments available to fit husbands school schedule
  • Time and attention provided by the midwives
  • Questions answered

9. Labor and Delivery Experience

  • Preterm labor onset
  • Early labor at home
  • Decision to call midwives
  • Electronic fetal monitoring and variable decelerations
  • Desire for natural childbirth

10. Labor and Delivery Experience

  • Coaching
    • Husband
    • Family via telephone
    • Midwife
      • Birthing ball
      • Positioning
  • Delivery
    • Unmedicated
    • Hands and knees positioning
    • Awarenessring of fire
    • Short umbilical cord

11. Immediate Postpartum and Breastfeeding

  • Premature infant, white malerequired extra attention
  • Breastfeeding attempts
  • Husbands response to birth experience

12. Happy Family! 13. Nurse-M idwifery in the Southeast US

  • North Carolina & Alabama
    • CNMs are licensed as RNs and approved to practice midwifery
    • Must hold collaborative agreement with physician involved in obstetrics
    • [See Advanced practice (2004); FAQ (2005)]
  • Dilemmas
    • No CMs, CPMs, or other midwives in either state
    • Practice is not independent; must have physician approval to practice
    • Limited access to care in many rural areas

14. Making a Difference

  • Educate yourself
  • Educate the public
  • Advertise midwifery services
  • Reach out to underserved women
  • Attend events such as local, state, national conferences and VIDM

15. Conclusion

  • Awareness during pregnancy, labor, delivery, and breastfeeding
  • Confirmation of choice to become nurse-midwife
  • Desire to make patient experiences as beautiful as mine
  • Make a difference!!!

16. References

  • Brucker, M.C. (2011). Modern pharmacology. In T.L. King & M.C. Brucker (Eds.),Pharmacology for womens health(pp. 3-24). Sudbury, MA: Jones and Bartlett.
  • Frequently asked questions (FAQ). (2005).American College of Nurse-Midwives, North Carolina Affiliate. Retrieved from http://www.ncmidwives.org/for_consumers/questions.html
  • Advanced practice nurses: Collaborative agreement, Alabama Board of Medical Examiners S 540-X-8-.17 (2004).Retrieved from http://www.alabamaadministrativecode.state.al.us/docs/mexam/8MEXAM.htm
  • Welch, N., Hunter, W., Butera, K., Willis, K., Cleland, V., Crawford, D., & Ball, K. (2009). Womens work: Maintaining a healthy body weight.Appetite, 53 (1), 9-15. Retrieved from EBSCOhost.