Phase One Practicum
Phase One Practicum
I didn’t understand why everyone who was low risk, just didn’t have a homebirth. Mine
was amazing and wonderful, and I felt drawn to become a midwife because of it. I began my
journey into the birth world 8 years ago with a very different belief than I have now. Shifting into the role of a doula changed that perspective for me. I went from being a person who only wanted to be a doula at homebirths and thinking epidurals were the devil, to being able to appreciate many of the aspects of all births and a variety of birthing choices. As I shifted into the role of a birth assistant I gained a new appreciation for midwives and the work they do, beyond what they have done for me. The effect that they have on my local community has been profound. The way they practice, and talk to their clients, has changed the way people in the community expect to be cared for, and has begun to change the way in-hospital providers care for their clients. It is incredible to see an obstetrician make changes to practice the midwifery model of care because the midwives have set a community standard.
Each birth I have attended has made me a slightly different person than I was before they
happened. It has been incredible to be a part of so many births. As I have moved into a birth
assistant role, it has become my job to call time of birth, and it is by far my favorite part about
birth assisting. But, there have been some births that leave me with little check boxes of how I
plan to practice in the future. I have been to births that are almost magical and when there is a
resuscitation or some other urgency, it is not scary and rushed, but calm, and almost
synchronized. It is essential for me as a future midwife to have a trusted birth assistant who can almost read my mind. Having witnessed a midwife and her assistant work together in harmony to resolve a shoulder dystocia and resuscitate a baby with almost no talking was incredible. The assistant just knew what the midwife needed and gave vital information.
Connections to Midwifery Classes
During this trimester at MCU, I got the opportunity to witness births at home, in a free-standing birth center and in the hospital. Of those births, I witnessed very different examples of care, between the variety of births.
The Midwives Model of Care:
- Monitoring the physical, psychological, and social well-being of the mother throughout the childbearing cycle
- Providing the mother with individualized education, counseling, and prenatal care, continuous hands-on assistance during labor and delivery, and postpartum support
- Minimizing technological interventions
- Identifying and referring women who require obstetrical attention (NACPM, 2018)
One birth I attended encompassed all-of the models of care. It began with a person who was planning a homebirth with their midwife.