My first Labour Ward placement

This was the placement I was most looking forward to and also probably the most panicked about. I got in my own head a fair bit in the few weeks beforehand, thinking about every possible thing that could go wrong. But it was amazing! Potentially my favourite placement. On labour ward no two days are the same. Sometimes the whole atmosphere can change at the turn of the hour! I found the variety of who came through the door and their individual situations amazing, even if sometimes the pace of it left me feeling like I’d never walk again.

 

 

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I saw two cesarean births. I witnessed three normal vaginal births. I am in equal awe and admiration of both ways of birthing. I am now even quicker to correct anyone who says one way is easier than another, because it’s not. It’s individual in terms of why someone goes one route, and the healing from both are very individual as well.

I witnessed lots of women in early labour in the admission room and in the ward, and it really hit home how individual pain management is. I also witnessed lots of birth partners having their hands squeezed and running to get ice, basically doing anything they could think of to be helpful. I did my best every day to remember that it wasn’t just intense and difficult and draining for the person in labour, it’s the same for their birth partners. I found it very difficult to not natter on when I was caring for someone, so I can only imagine how their loved ones felt!

 

I can’t describe what I felt during my first hands on birth. I still can’t describe how it felt to simply witness birth. It’s truly otherworldly. It’s miraculous (which isn’t a word I use often) and beautiful and powerful. Seeing my first instrumental delivery was a fair bit more of a shock reaction than any other time, as was seeing very premature babies. But taking part in that moment, with my hands on a perfectly new and unblemished human half into the world and still half inside its mother. There are no words for that. But it’s probably the closest that I’ve felt to complete peace in years.

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So that’s my first ever labour ward placement! It was the hardest unit I’ve ever worked on in my entire time working in healthcare. But by far the most exciting and rewarding.

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So, why Work the World?

As part of my blog series about my Cambodian elective, I want to talk a little bit about why I chose to go with Work the World.

 

No age requirement: some of the companies I had considered had certain age limits – you had to be under the age of around twenty five, which wasn’t great from my perspective as students come at every age, especially in midwifery. So straight away anywhere with age limits was ruled out, meaning that Work the World was ruled in!

 

The WtW team: I love questions. I love answers even more. And the enquiries team were brilliant at getting back to me quickly and helping me to figure out as many details as I could before I booked. (L, if you’re reading this, thank you!) After I booked, WtW had a student coordinator give me a call to go through all the details of my booking and answer all of my questions.

 

Location, location, location: right back when I started dreaming this whole adventure up, I knew I wanted to go east. I thought about India, Sri Lanka, Thailand, places like that. But for some reason I kept being drawn back to the idea of going to Cambodia. So while I did do a bit of dithering on the website, flicking between different beautiful pictures of all of these WtW locations, I went with my heart and chose Cambodia.

 

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Price: I’d be lying if I said price didn’t play a big part in my choice. Cambodia was one of the lower priced options on the WtW list. Being a student, a realistic price was probably as important as how much I actually wanted to go to a location.

 

Ethics: this was a pretty major factor. I’m very aware of the “white saviour” complex, and “volun-tourism”. I did not want this trip to just be about my learning and my life experience and my dream. I wanted to make sure that my experience wouldn’t be at the expense of other people. The people are the most important. So, I was really relieved to read that Work the World has a strong ethos when working with their partner hospitals. They pay the hospital for every student they take. They donate equipment regularly, liaising with hospitals every few months to see what they need most. They also buy from and employ locals as much as possible so that money flows back into the communities.

 

These reasons all pointed me towards Work the World as the right team to help me on this journey to my dream. Keep an eye on the blog for my next post about this adventure, or go to our facebook page!

 

The current fundraiser is Laura’s SAVE OR SHAVE  

https://www.gofundme.com/shave-or-save-for-work-the-world&rcid=r01-153027137226-3d88d7ed65584217&pc=ot_co_campmgmt_w

First placement: Postnatal ward

 

It was a fair while ago at this stage but I’m finally writing about my first placement as a student midwife! It’s times like these that I’m grateful I scribbled everything down in my reflective journal at the end of (almost) every day.

 

For confidentiality reasons I obviously can’t and won’t go into detail about individual people or families.

 

I was incredibly nervous the first day, as anyone would be. But every person we met was so welcoming, especially our placement co-ordinators. We were orientated to the hospital for most of the morning. I had my first HSE scone and have been addicted ever since!

We started on the wards in the early afternoon. Having been out of healthcare for a while it was more of a shock to my system than I was expecting it to be but the staff on the ward were obviously well used to dazed and confused first year students and looked after me until I found my feet.

I didn’t keep count of how many women and babies I interacted with or looked after which I am now of course kicking myself for! I was mainly looking after families that had had cesarean sections from the first or second hour after the surgery to up to three days after. I was lucky to not run into any particularly difficult or painful situations and I find myself thinking about different people at different moments. It’s funny how once you’ve been a part of such a special intimate time in someone’s life the kind of things that remind you of them. There’s one family who comes to mind when I see lollipops! I guess that’s just midwife life. And I’m quite happy with it.

 

Some of the skills I got to observe and practice were baby bathing (terrifying but so manageable!), changing wound dressings, helping newborns to feed from the breast and the bottle, the process of checking and giving medications, and changing many many many many nappies. I’m overwhelmingly proud to say that not one wee baby managed to christen me in pee to date! The big important skills of course were the daily newborn and woman postnatal checks. I still rely on my checklist when I do them but the theory of it all made much more sense on the last day of placement than it did the first time.

 

One of the things I feel most privileged about is that I was able to follow a family through from her pre-op preparation to her postnatal care, which meant I got to watch the cesarean and see my first birth! I had already been blown away by the strength and power of the women who had had this major abdominal surgery but to see what was involved in the actual procedure gave me a whole new perception of the power that women possess.

 

Of course it wasn’t all perfect. I struggled with feeling like a spare part, especially in the first week when I couldn’t remember where anything was kept. I found it hard to match my expectations of myself with what I was actually supposed to be doing – I found myself falling back into the healthcare assistant role a few times and had to catch myself. We were very lucky to be given a session on infant death by the hospitals bereavement midwife. It’s invaluable and essential knowledge but it was very hard on my heart.

 

So that’s my first placement! Done and dusted and passed and forever in my memory. Keep an eye out for my postnatal placement essentials list.

I’m going on an adventure!

If you follow my facebook page or my instagram you’ll know that after years and years of dreaming, I have booked to go on an elective midwifery placement in Cambodia for six weeks in the summer of 2019.

 

I’ve been dreaming about this for as long as I’ve been dreaming about midwifery. I’ve looked at multiple companies and locations. Ultimately I decided to go with Work the World. They have no age limits, a good ethical history, and were so helpful with all my questions (of which there were many) before I actually dived in and booked.

So in March, just before my second placement block, I went ahead and booked my dream. I don’t think the reality of booking it really hit me until a few days later, then I started crying and literally hopping around the place with excitement! I think my parents still don’t really believe that I’m going but there is absolutely no stopping me now! Especially as one of my loveliest classmates has booked to come along with me on this amazing journey.

 

I feel incredibly lucky to be in a position to start this adventure off. Booking alone cost €350 and with extra costs like vaccinations and flights I can easily see this tipping into €4000 by the time it’s all added up. So I’ll be doing a lot of fundraisers over the next year to earn as much as I can. I’ve already done the 2018 Women’s Mini Marathon, splitting what I raised between my fund for this trip and the Rape Crisis North East centre. I’ve set up a GoFundMe (link here) where anyone and everyone can vote on whether I should shave my flame hair or save it. And I’m hoping to make use of my self care hobby – cross stitch!

Cross stitch was something I detested in Junior Cert Home Ec, but I’ve learned to love it. It’s methodical, it’s routine, it’s hard to make a mistake. And it’s not an expensive or messy hobby, which is a bonus. A few girls in my class have asked me to make similar pieces for them so the little bit of extra money I make from them goes straight into my adventure savings!

 

I’ll keep updating as things develop but for the short and sweet versions make sure to follow our facebook page here

Student Midwife Life: Orientation week

Hello, dear readers! It’s been a crazy few weeks between registering for college, meeting classmates, and shopping, packing and moving to Dundalk . But things are starting to settle down now, which is brilliant, because in all honesty I am completely exhausted. I know, I know, if I’m exhausted now what will I be like at the end of the semester? I’ve missed solid routine though, and it’s close now.

 

 

I actually missed the first day. I was coming back from a wedding, and toddled up to Dundalk in the evening. I was honestly sick with nerves and excitement. I was fidgeting all over my room, packing and unpacking and rearranging my bag. I almost forgot to set my alarm, it was a near disaster!

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But all went off without a hitch. I got up nice and early, relaxed with my morning mocha, did my makeup, and headed off. I have to say, if it hadn’t been for getting to know a few other mature students before I went in I would have been a wreck. It was such a relief to walk into my building and be greeted with smiles and familiar faces. Even walking in with my friend was so much easier than walking in alone. If you can get to know people beforehand, DO IT!

 

We had lots of talks (in the whole 130 person first year group) and icebreakers (in the group of 20 midwives). We had a scavenger hunt across the campus, lunches together, visits from union reps, and lots of talks from occupational health, the placement office, and student services. We went through booklists, how to access Moodle, some college policies, and what to expect in the course. There’s always an overwhelming amount of information to take in on orientation week, but it always makes me glad that DkIT is a small campus, it’s impossible to get lost for very long. Already it feels like home again, and I don’t think I could be happier!

 

Now, on Thursday, I had to miss another day. This was a big day. While the rest of my midwifery group were getting fitted for their uniforms and finishing the next step in their Garda Vetting (which I’ll be catching up on as this post goes live), I was getting my McDonald’s Scholarship. €1000 for an essay on improving service for customers – I wrote about breastfeeding families and families with additional needs (despite never needing them, I’m always sad when I see disabled bathrooms with no proper facility for people above the age of two). It was a great morning, up in the Celtic Suite of Croke Park with my franchise owners, my family, my partner, and the other winners. We had a lovely lunch, lots of pictures taken, and I managed to not fall out of the stands. I’ve had fantastic support from my store and my franchise since day one, so it was nice to celebrate with them and talk about what’s up next. I was hoping to be sent pictures by this morning but I’ll post them as soon as I have them!

 

That’s pretty much it for my first week as a student midwife. Starting as I mean to go on, as busy as possible! Have you just started a new course, or gone back? Let me know how you’re getting on in the comments

 

Essentials for Midwifery

Well, the majority of offers are out and there are lots of excited future midwives around the country (and around the world). But what do you need as a student midwife? What’s the most important thing to pack in your bag? I’ve put together a list of what I won’t be leaving behind!
  • LOTS of black pens: they’re one of the most valuable things to have on the wards!
  • A5 notebook to go in your pocket on placement: great for taking note of what’s going on during the day, scribbling down words or phrases you don’t quite understand, keeping track of keycodes and staff names
  • Silicone fob watches: don’t buy expensive ones, they’ll get wrecked. Silicone is easy to clean and comes in cheerful colours and patterns
  • Lots of bobbins and hairpins, hair has to be up on shift
  • A diary or planner for keeping track of everything (personally love The Happy Planner Company student midwife diaries, about £25-30)
  • A notebook specifically for reflecting on your experiences while you study and are on placement (reflective practice is really important)
  • A USB
  • A good backpack (shoulder bags and handbags will wreck your back). I’ve been using a black Jansport backpack since 2007 – it’s been through secondary schools, Scout camps from Punchestown to Sweden, and a million other trips
  • Comfortable black shoes for placement that fully cover your feet and ideally are waterproof
  • A good lunchbox (canteen food can be nice but it gets pricey after a while!)
  • The Roar Behind The Silence by Sheena Byrom and Soo Downes: cheap on bookdepository.com and recommended by midwives around the world
  • Flask to keep hot drinks hot and cold drinks cold: Kleen Kanteen has been recommended
  • Hand cream: washing and sanitising your hands multiple times a day will hurt your skin, a thick hand cream will help save them
  • Colouring pencils or markers for notes, especially if you’re a visual learner like me!
  • Folders for college: I’m using slim plastic folders for each module, although I know Anatomy and Physiology will require a much bigger one!
  • Spiritual Midwifery by Ina May Gaskin. It’s considered a bit woo-y by some but it warms my soul every time I read it and it has such important messages about trusting women

 

I hope that’s of some help! I wouldn’t go buying a lot of books before you get settled. Books for university can be very expensive (and heavy). Advice I have seen over and over again is to wait until you’ve been in the college library a few times, gotten a feel for some of the books and figured out which ones you’ll need the most. Talk to lecturers.

 

If there’s anything you think should be added to the list, let me know in the comments here, or on the facebook page.