The document discusses women's experiences of childbirth and what factors contribute to feeling safe and fulfilled during labor and delivery. It notes that having a known and trusted midwife, feeling in control and involved in decisions, and receiving continuous care are important. However, some women report negative experiences like being left alone when frightened or not feeling listened to by healthcare professionals.
All "ways of knowing" take place during a birthing. Using Quality Improvement tools such as PDSA, NKE+ provides family centered communication and better teamwork to meet the patient and family goals.
A presentation given by NCT's CEO, Belinda Phipps, on the importance of listening to what women and midwives want. Presented at the Local Supervising Authority Midwifery Officers Forum 2013 in Yorkshire
All "ways of knowing" take place during a birthing. Using Quality Improvement tools such as PDSA, NKE+ provides family centered communication and better teamwork to meet the patient and family goals.
A presentation given by NCT's CEO, Belinda Phipps, on the importance of listening to what women and midwives want. Presented at the Local Supervising Authority Midwifery Officers Forum 2013 in Yorkshire
Luton and Dunstable Hospital reduced their C/S rate from 31% (April 09) to 22% (2010), this extract frrom "Promoting Normal Birth" says how they managed to do this in a year!
Nancy Fontaine and Tim Keogh on the patient experience revolution at Whipps C...The King's Fund
Nancy Fontaine, Deputy Director of Nursing, Patient Safety and Quality Whipps Cross University Hospital NHS Trust and Tim Keogh, Partner, April Strategy on the work that Whipps Cross has done to revolutionise patient experience.
What Adds Value to the Patients Experience?
Empathy is the key to connecting with our
patients Janine Lucking, National Improvement Lead
Presentation from the Productive Endoscopy Workshop, Tuesday 15th October 2013 at Ambassadors Bloomsbury , London, WC1H 0HX
This meeting brought together teams from around the country, and embarked on creating and testing the productive endoscopy toolkit. The aim of the day is to allow time with your team for sharing of experiences and exchange of good practice, learn how to apply lean techniques and hear the impact of successfully implemented case studies.
One of the biggest challenges women face in medicine is being taken seriously. Fair or not, we have to work harder than our male colleagues to show patients, nurses, and consultants that we know what we’re talking about. In today’s SlideShare, two experienced physician leaders offer practical tips on communicating confidently and assertively … without losing yourself in the process.
Mother and Baby Friendly Care: Mother friendly care during pregnancySaide OER Africa
Newborn Care was written for healthcare workers providing special care for newborn infants in level 2 hospitals. It covers: An essential tool in the initial and ongoing training and teaching of any healthcare worker – Miriam Adhikari, South African Journal of Child Health, Primary Newborn Care was written specifically for nurses, midwives and doctors who provide primary care for newborn infants in level 1 clinics and hospitals. It covers: Mother and Baby Friendly Care describes gentler, kinder, evidence-based ways of caring for women during pregnancy, labour and delivery. It also presents improved methods of providing infant care with an emphasis on kangaroo mother care and exclusive breastfeeding. It covers: mother-friendly care in pregnancy, a modern approach to normal labour, skin-to-skin care of infants, encouraging breastfeeding, a baby-friendly nursery.
A workshop on parental substance use and the impact on children and families, how social workers can support families while keeping the protection of children at the forefront; work with parents and the children, and in partnership across Child and Adult Care Social Work systems. Contributor: Aberlour
Better Communication in Nursing - Ending Nursing Violencegriehl
In Nursing, there exists a culture of lateral violence and bullying, I have finally come to the realization that what we are seeing is the symptom of something much larger, something that starts, grows, and is nurtured with our own participation. We communicate in ways that have the ability to support each other, but we can also communicate in ways that are hurtful, mean, and contribute to a culture of oppression. We need to change our culture.
BrightStar provides homecare, including elder care, childcare and qualified caregivers along with medical staffing solutions in Oak Brook, IL. From childcare to elder care, the Oak Brook BrightStar team is available to you 24 hours a day, 7 days a week. Proudly Serving Southeast DuPage County, including Burr Ridge, Clarendon Hills, Darien, Downers Grove, Elmhurst, Hinsdale, Lemont, Oak Brook, Oakbrook Terrace, Villa Park, Westmont, and Willowbrook.
This was a speech I gave in September 2015 to an audience of NZ women as part of The Women in Media and Communication Leadership Summit.
It was a real honour to be asked to speak and share my story. This presentation reflects my own opinion based on my life experience and I appreciate that we each do our best and create our own path in life.
I have included several reference from those that I admire and are inspired by.
feel free to contact me directly for a chat
Luton and Dunstable Hospital reduced their C/S rate from 31% (April 09) to 22% (2010), this extract frrom "Promoting Normal Birth" says how they managed to do this in a year!
Nancy Fontaine and Tim Keogh on the patient experience revolution at Whipps C...The King's Fund
Nancy Fontaine, Deputy Director of Nursing, Patient Safety and Quality Whipps Cross University Hospital NHS Trust and Tim Keogh, Partner, April Strategy on the work that Whipps Cross has done to revolutionise patient experience.
What Adds Value to the Patients Experience?
Empathy is the key to connecting with our
patients Janine Lucking, National Improvement Lead
Presentation from the Productive Endoscopy Workshop, Tuesday 15th October 2013 at Ambassadors Bloomsbury , London, WC1H 0HX
This meeting brought together teams from around the country, and embarked on creating and testing the productive endoscopy toolkit. The aim of the day is to allow time with your team for sharing of experiences and exchange of good practice, learn how to apply lean techniques and hear the impact of successfully implemented case studies.
One of the biggest challenges women face in medicine is being taken seriously. Fair or not, we have to work harder than our male colleagues to show patients, nurses, and consultants that we know what we’re talking about. In today’s SlideShare, two experienced physician leaders offer practical tips on communicating confidently and assertively … without losing yourself in the process.
Mother and Baby Friendly Care: Mother friendly care during pregnancySaide OER Africa
Newborn Care was written for healthcare workers providing special care for newborn infants in level 2 hospitals. It covers: An essential tool in the initial and ongoing training and teaching of any healthcare worker – Miriam Adhikari, South African Journal of Child Health, Primary Newborn Care was written specifically for nurses, midwives and doctors who provide primary care for newborn infants in level 1 clinics and hospitals. It covers: Mother and Baby Friendly Care describes gentler, kinder, evidence-based ways of caring for women during pregnancy, labour and delivery. It also presents improved methods of providing infant care with an emphasis on kangaroo mother care and exclusive breastfeeding. It covers: mother-friendly care in pregnancy, a modern approach to normal labour, skin-to-skin care of infants, encouraging breastfeeding, a baby-friendly nursery.
A workshop on parental substance use and the impact on children and families, how social workers can support families while keeping the protection of children at the forefront; work with parents and the children, and in partnership across Child and Adult Care Social Work systems. Contributor: Aberlour
Better Communication in Nursing - Ending Nursing Violencegriehl
In Nursing, there exists a culture of lateral violence and bullying, I have finally come to the realization that what we are seeing is the symptom of something much larger, something that starts, grows, and is nurtured with our own participation. We communicate in ways that have the ability to support each other, but we can also communicate in ways that are hurtful, mean, and contribute to a culture of oppression. We need to change our culture.
BrightStar provides homecare, including elder care, childcare and qualified caregivers along with medical staffing solutions in Oak Brook, IL. From childcare to elder care, the Oak Brook BrightStar team is available to you 24 hours a day, 7 days a week. Proudly Serving Southeast DuPage County, including Burr Ridge, Clarendon Hills, Darien, Downers Grove, Elmhurst, Hinsdale, Lemont, Oak Brook, Oakbrook Terrace, Villa Park, Westmont, and Willowbrook.
This was a speech I gave in September 2015 to an audience of NZ women as part of The Women in Media and Communication Leadership Summit.
It was a real honour to be asked to speak and share my story. This presentation reflects my own opinion based on my life experience and I appreciate that we each do our best and create our own path in life.
I have included several reference from those that I admire and are inspired by.
feel free to contact me directly for a chat
Similar to What women and midwives want 26 february 2013 (20)
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7. “It ranks as number 1 in my great moments”
“The way a woman gives birth can affect the
whole of the rest of her life - how can that not
matter - unless the woman herself doesn‟t
matter”
8.
9. “It‟s something you never forget and it does
mark a huge transition in your life”
“Incredibly important”
“Nothing can compare to the experience of
giving birth and holding your child for the first
time. It definitely altered my relationship with
my partner - for the better”
10.
11. “Life changing - more meaningful than all other
experiences”
“Birth experiences strike at the very heart and
soul of you, they touch new emotions not
experienced before and bring a whole new
perspective to life”
12. The Potential of Birth
• Empowering
• Affirming
• Identity changing
• Courage giving
• Advocate creating
• Healing
13.
14. Post-traumatic stress
disorder
• „feeling in control during the labour and delivery and
knowing what to expect were important protective
factors against the development of PTSD‟ (Lyon,
1998)
• Czarnocka and Slade (2000) found that „women with
symptoms of PTSD were more likely to feel that they
had little control during the labour, to have higher
ratings of trait anxiety, and greater fear during the
labour‟
15. Safety is …
• A midwife you know and trust
• An NHS you trust
• Being listened to and taken seriously
• Good teamwork
• Feeling consulted and involved and supported to decide
• Affirmation
• Explanation
• A comfortable and comforting and clean place to be
• Being and feeling cared about and cared for
• Confidence you can cope
16. Safety is not…
• Being left alone in labour or other times
when frightened
• Being told off or threatened
• Professionals arguing with each other and
contradicting each other
• Being told your baby will die unless..
• Being unable to ask any question you want
without feeling silly
17.
18. The ‘patient experience’
• 1. Patients are treated with dignity, kindness, compassion, courtesy, respect,
understanding and honesty.
• 2. … staff …have demonstrated competency in communication skills.
• 6. Patients are actively involved in shared decision making and supported to make
fully informed choices about investigations, treatment and care
• 7. Patients are made aware that they have the right to choose, accept or decline
treatment and these decisions are respected and supported.
• 11. Patients experience continuity of care delivered, whenever possible, by the
same healthcare professional or team throughout an episode of care.
• 12. Patients experience co-ordinated care with clear and accurate information
exchange between relevant health … professionals.
• 14. Patients are made aware of who to contact, how to contact them and when
to make contact about their ongoing healthcare needs.
NICE guideline QS15. Quality standard for patient experience in adult NHS services. NICE 2012.
19. Care Quality Commission
Maternity Survey 2007/2010
Question 2007 2010
Women who got the pain relief they wanted 64% 65%
Women with confidence and trust in the staff caring for them 68% 73%
Women whose birth partner was made welcome by the staff? (not asked) 84%
Women left alone by midwives or doctors at a time when it worried them? 26% 22%
Women who were spoken to in a way they could understand during 82% 84%
labour
Women involved in decisions about their care during labour? 70% 71%
Women with legs in stirrups at the birth 27% 30%
20. Fulfilment is …
• A midwife you know and trust
• An NHS you trust
• Being listened to and taken seriously
• Good teamwork
• Feeling consulted and involved and supported to decide
• Affirmation
• Explanation
• A comfortable and comforting and clean place to be
• Being and feeling cared about and cared for
• Confidence you can cope
21. Fulfilment is not…
• Being left alone in labour or other times
when frightened
• Being told off or threatened
• Professionals arguing with each other and
contradicting each other
• Being told your baby will die unless..
• Being unable to ask any question you want
without feeling silly
22. In order to have this I must do this
need action
safety A
Main stream
In order to have this
CONFLICT
aim
To be a good
parent B
In order to have this I must do this
fulfilment Less common
A
need
action
23. Midwifery 2020
“Women and their partners want a safe transition to
parenthood and they want the experience to be positive
and life enhancing. Quality maternity services should be
defined by the ability to do both.”
“Midwives should have a visible place in a community setting where women can choose to access them as the first
point of contact.”
“There are two key roles for midwives that are important if we are to achieve our vision: one is that midwives are
the lead professional for women with no complications, and the other is as the coordinator of care for all
women.”
“Each woman and her partner need a midwife they know and trust to coordinate their physical and emotional care
through pregnancy and until the end of the postnatal period.”
26. In order to have this I must do this
need action
Provide high A Focus on one
quality care person
In order to have this
aim
Provide the
best care for
B
everyone
In order to have this I must do this
Provide some
care to many Spend some
people time with
A everyone
need
action
28. She came to me and calmly said we were just
going to chill out together, she asked why I was
scared of hospitals and was the only person who
actually listened to my fears. She actually 'said'
very little but her whole presence spoke
volumes, if that makes sense?. She advocated
for me and truly.
Study currently being undertaken (with interim findings submitted to BMJ) shows screening for PTSD symptoms 6-8 weeks postnatally identifies significant number of women. PTSD is associated with severe maternal morbidity but if these women felt in control throughout the rate is more similar to those experiencing normal birth and healthy baby
14 statement altogether, these are editedNB not just for maternity so this applies to women who may be seriously ill elsewhere in care
All good except last – needs addressing before 2013 survey carried out1!