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Space (Corona Reflections: Day 1)

Space (Corona Reflections: Day 1)

I realised COVID-19 was going to be a problem on the 13th May. Since then, I've been manic.

When I work from home, my standard day is demanding but quiet. I do long hours but run off habit, writing and work scheduled around making coffee, doing the washing, exercise, meditation, and social media.

But it's been a wild rush to get my community up to demand, drive supplies to my parents, and I've had my phone on speaker while replying to emails or cooking (egg fried rice 3 days running), often talking with pregnant family or friends about what the hell they should do.

The problem is, I don't get to think about any single concept for more than a few minutes.

It's like I've got ten different songs in my head playing all at once.

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March 25, 2020 0

Advice and Strategy for Aspiring Midwives Facing a Remote Interview (phone/skype)

I know how unfair this must feel. Please have a look at this video to stay on your game as an aspiring midwife.

Thanks for wanting to join the profession, you can see how crucial you are.

My advice is:

  1. Be as calm as possible, especially right now admissions tutors will be looking for student midwives who can be creative, empathetic and resilient

     

  2. Focus on what can be done

     

  3. Revise standard interview questions; look around here on midwifediaries.com, Better Births, MBRRACE, the Imperial College London COVID-19 modelling document and see this video (an interview you can 'attend' at home)

     

  4. Revise MMI style questions - in my course there is a format for working through unknown questions which is essentially: common sense, MW/non-MW point of view, wider social and ethical implications, and who's most vulnerable - this is not just for MMIs but for all questions and situations - also see this blog post

     

  5. Put your attention on your interviewer like a light shining on them as opposed to your nerves
I'm sending all my best! You're so brilliant, thanks for being here and wanting to be a midwife! xxx

March 20, 2020 0

On Coronavirus

On Coronavirus

It's really frustrating me that I'm not in practice right now. I want to be making a difference.

Coronavirus is obviously a wild card that the NHS didn't need and the situation will get worse before it gets better.

I'm no expert and I'd advise everyone to listen to scientists and medical professionals, and your Trust, for the latest information and official recommendations.

It's good news that midwifery clients and babies seem to be at low risk - the RCOG Guidelines are here.

And public health scientist and infectious disease expert Michael Osterholm has been sharing a lot of his insight.

I found this interview to be very helpful in understanding transmission and remaining calm and centred.

Twitter is also a great place for information if you follow the right people and critique what you read, this list is a good place to start (thanks Tim Ferriss).

I'm thinking of everyone out in practice, especially those who like me, have elderly loved ones with asthma, high blood pressure and some funky undiagnosable sinus conditions.

And I'm also aware that every professional I've talked to about coronavirus has said 'we will get through this'.

There's a great interview on finding peace amidst the chaos of coronavirus here, lots about on acknowledging fear and letting it come through you so you can find your centre again.

Healthcare professionals will be leading with their calmness and the number one question I'm asking is 'who do I want to be in this situation?'

The likelihood is if you're on MidwifeDiaries.com, you're the kind of person that's interested in caring for others - so if you're doing this, thank you and look after yourself mentally and physically,

All my best,

Ellie x

March 13, 2020 0

Can we talk about this? (Epidurals)

Can we talk about this? (Epidurals)

This weekend I was at a party in a rented Air B and B manor house. It was a blissful spot, with enough room for 30 of us and you know what it's like when you're in a roomful of people you love and you've known most of them since school.

My lot are now all assorted doctors and dentists and are busy getting engaged and getting pregnant, not in that order. We wanted to meet up before everything changes and as always when I go to this kind of thing, the discussion got midwifery themed pretty quickly.

It started with considering old fashioned baby names life Audrey, Dorothy and Tessa.

Then on a windy beach walk, we talked about waterbirth.

And in the hot tub, where some of the pregnant people did join us, because it was the same temp as a bath, and we figured it couldn't be more of an infection risk than having sex (right?) we were discussing pain relief in labour, especially epidurals.

The conversation was prompted by a Guardian article that's making the rounds on Facebook right now. It does acknowledge that a lack of staff, or very fast labours can be reasons that a woman doesn't get an epidural, but overall it focuses midwives denying epidurals to women because it makes for a less natural birth.

So as we sat in the drizzly garden with the jets on, the chat got controversial. Denying anyone pain relief if they need it is a horrific thing indeed.

If you've read the Guardian article, you'll know there are loads of online comments ranging from I'm a midwife and I've never seen a woman denied an epidural all the way to this happens all the time.

It's a personal discussion to many.

On one hand, as someone with a clinical background as a midwife, it's hard not to feel attacked by this article.

It tears into a midwife's role in promoting physiological childbearing, ending "(we need to) eradicate the last remaining pockets of any outdated ideological support of so-called “normal births".

When in actual fact, we know from Better Births and many other sources that women feel denied all kinds of things, including their right to pursue a natural approach to childbearing.

Women are just not listened to as much as they'd like in general.

But then I can't help thinking about that David Foster Wallace short story about fish. Two younger fish are swimming along and an old fish comes over and says 'Hey, how's the water?' and the younger fish reply 'What do you mean?'

Most people can't see the water. Maybe what I'd see as a hard conversation about pain relief someone else would see as outright denial and part of a cult-like culture.

On reflection, I have heard midwives saying that an epidural isn't possible. But the times I can think of are often at the end of labour where an epidural might not have time to take effect, rather than denying a woman a choice to promote normal birth. Or during early induction when an anaesthetist might find it hard to get an epidural working because, to quote one of my anaesthetist friends you have to have pain to have it taken away.

As we walked back up the drive, across the village and towards the station to catch our train home, the results of the polled healthcare professionals were that only one agreed that sometimes midwives do promote normal birth in this way. I'm not sure if this is relevant, but the doctor was on first her obs and gynae placement, and was quick to tell me she was very new and very afraid of birth.  Hmm.

I'd like to say I came to a solid opinion on whether women are denied epidurals. But all I can say for sure is the Guardian article lacks nuance, and because of this, I'm pretty sure it will blow away and be forgotten.

But I hope women's experiences won't be. When I'm back in clinical practice in September, I want to be able to see the water. I want to be good at listening. I want women to be able to tell me their opinions and discuss what they need as easily as if we'd known each other fifteen years and were sitting in the garden in a hot tub, whether that's an epidural asap or a waterbirth at home.

I'd love to hear from you about all this.

Do you have any experience with women being denied epidurals? Or anything to add on the subject of midwifery in the media?

Leave me a comment letting me know.

 

March 5, 2020 0

A Simple Summary of MBRRACE 2019

A Simple Summary of MBRRACE 2019

I'm sitting here with my purple mug of long cold tea, trying to get into words what the National Perinatal Epidemiology Unit (NPEU) is and how MBRRACE works.

I've noticed a few students worry that they don't understand, and I've struggled to find a post explaining, so here's my take. If you read towards the end, you'll also find a summary of the 2019 findings and my comments on something quite hard to talk about, which is race and how it impacts maternal mortality.
.
Everyone's talking about MBRRACE right now because of the report published in Dec 2019. It was actually blocked from being published for a while, as the government did their general election period 'purdah' thing - the idea was to stop the report influencing votes given that no party would have had time to change manifestos based on the findings, but it's questionable whether this repression was ethical.
.
MBRRACE is the bit of the NPEU that do Confidential Enquiries; it stands for 'Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries'. Since the UK started to run Confidential Enquiries into Maternal Death in 1952, the maternal mortality rate has dropped from 90/100,000 to 10/100,000.

That's a lot of Mums who got to see their kids grow up, thanks to lessons learned.

The MBRRACE-UK team is based at Oxford and Leicester Universities. It's made up of midwives, obstetricians, anaesthetists, pathologists and others and they receive every set of notes for every mother who died so they can share lessons with maternity care providers. This is what the Confidential Enquiry process is.

 

The 'Saving Lives, Improving Mothers’ Care' report is out annually, but as (thankfully) only 200ish women die from maternity causes each year, MBRRACE has to wait for three years to get enough data to assess.

 

This means MBRRACE publishes on different topics each year.

This is the bit students find confusing, it's kind of like one of those magic tricks with the three cups and the ball but the reports go like this:

2014 (covers deaths from 2009-2012): Topic cycle A which covers sepsis, haemorrhage, amniotic fluid embolism and more

2015 (covers deaths from 2011-2013): Topic cycle B which covers psychiatric causes, thrombosis, homicide and more

2016: (covers deaths from 2012-2014): Topic cycle C which covers deaths from cardiac causes, deaths from pre-eclampsia, and more

2017: (covers deaths from 2013-2015): Back to Topic Cycle A again, i.e. sepsis, haemorrhage, amniotic fluid embolism and more

And then the cycle continues.

It's like if a TV show covered the whole week's news but did it in three different themed episodes spaced out across 7 days.

There'd be a bit of a delay while the episode got made, but every day and every topic would eventually get covered.

The 'Saving Mothers Lives' reports give details about the death rate as a whole, particular lessons learned from expert opinion, and also 'maternity morbidity' themes are chosen and addressed.
.
.
This year it was breast cancer, which is fascinating, lots on chemotherapy and how to breastfeed around the treatment, it can't just be me who has limited information on the topic.

 

On to the actual findings. I might need coffee. Or wine...

 

The main learning points were about clinicians getting better at multi-professional teamwork and liaison, and that the maternal mortality rate has stayed about the same, which is not great because, in 29% of mortality cases, care could have been improved.

 

The leading cause of death is still cardiac disease so we all have to be on the look out for high resps, sinus tachycardia and breathlessness, and other signs that are not normal in pregnancy, and we need to ask for help from specialists fast.

 

There's lots on pre-eclampsia, particularly on taking aspirin throughout pregnancy if you're in a high-risk group. This is a new recommendation.

 

And then there's there are the stats around mortality and race.

If you're an Asian mother, you have a 3x increased risk of dying during childbearing; if you're black you have a 5x increased risk.

These risks are not linked to being from deprived areas (though that in itself is another issue).
I'm reading a lot of Reni Eddo-Lodge and Roxane Gay and reflecting on this inequality and I think this quote summarises things well.
.

“When I talk about white privilege, I don’t mean that white people have it easy, that they’ve never struggled, or that they’ve never lived in poverty. But white privilege is the fact that if you’re white, your race will almost certainly positively impact your life’s trajectory in some way. And you probably won’t even notice it.”

- Reni Eddo-Lodge, Why I’m No Longer Talking to White People About Race

We have to be so careful about keeping our privilege front and centre.

 

I'd love to hear your thoughts on all this.

Leave me a comment, what's your key takeaway from MBRRACE 2019?

I'd recommend a hot cup of tea to help the learning!

Much Love, Ellie xxx

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January 19, 2020 0

The Secret Community For Midwives In The Making Reading List

The Secret Community For Midwives In The Making Reading List

I first became obsessed with midwifery when I was a teenager, and I found out Waterstones had midwifery books. And I could ‘browse’ them for free.

I'd turn up most weekends in the bookshop cafe, order the cheapest coffee on the menu and then take Mayes or Myles Midwifery from the shelf, remove my bookmark, and start where I'd left off. I made notes.
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November 19, 2019 17

Should We Apply #MeToo to Birth – Webinar with Milli Hill

Should We Apply #MeToo to Birth – Webinar with Milli Hill

Here's my debate with birth activist Milli Hill about whether #MeToo should apply to birth.

It's up now! You can stop asking me for the replay! 😉

Thanks for all the questions, there were some brave ones.

Not to detract from the seriousness but Milli is hysterical - love the story about talking about birth rights on a train, Milli reports it 'was like that Peter Kay stand up about garlic bread.'

People just didn't get the concept. Birth? And rights? We don't need that in the UK, do we?

 

Answers to this question and much more can be found in Milli's new book, 'Give Birth Like A Feminist', out 22nd August.

Leave me a comment - I bet you have an opinion! Should We Apply #MeToo to Birth?

Thanks to Milli Hill and to you for listening. Much love and respect to birth workers leading the way x

 

 

August 17, 2019 3

Concerned about bullying in midwifery?

Concerned about bullying in midwifery?

Yeah, me too. That's why I've got a chat with a mw researcher looking at 'civility' coming up. 'Civility' is just a research term for being nice and kind and polite.

I'll make a magic link where you can attend the video chat and ask any questions. Deidre Munro is a total lovely.

This will be in 'Wholehearted Midwives'. If you sign up to this chat you get access to the forum for a month too. It's £4.99/month, get a refund if it's not for you (within 10 days).

Or drop me a message as you sign up and I'll email you to remind you to cancel after the month if you like.

CLICK HERE AND 'BECOME A PATRON' TO SIGN UP

Se you Monday at 6pm!

NB. This event is now over. Here's what we found out:

'What's very clear is that civility saves lives.

But otherwise, the concept is fluid. Civility doesn't have one definition and changes depending on culture and current events.

Individuals have different takes too, what's incivility or bullying to one ?is just someone having a whinge to others.

This means it's impossible to write a guideline specifying how you s??hould behave in practice? and actually, that'd be awful. Monitoring stuff like? ?micro?expressions and voice decibel level?? ?Creepy.??

?Our researcher ?also ?mentioned something I've come to realise ?and that the ?evidence shows:

?People being uncivil often ?have something horrific going on in their personal life - or they've been bullied themselves.

On one level I'm reassured by ?this because it's easier to know that people aren't ?mean, they're in pain.

But on another, when you're standing up for yourself, it's easier to think you're in the right and they're just a bully.

The main take away for me is that we're all making it up as we go along and this bullying or ?'?incivility?'? thing ?is a multidimensional mess of misunderstandings?.?

I have so many questions.

?Is it possible to ?develop? a 'toolkit' to deal with difficult behaviour?? While still respecting the colleague in mind? (Our midwifery researcher mentioned the SBAR tool for communicating)?.??

How do we suggest ?a toolkit? without implying it's ?every staff member's? responsibility to deal with ?incivility?, i.e. the whole resilience debacle?

How do we respectfully help those who are behaving badly?

What gives me the right to class behaviour as bullying?

?Should we be writing about this online or ?should we leave it until we have more evidence??

Memory's a funny thing. ?Now I'm writing this I realise these are all questions that were raised in the conference on midwifery culture I ran in 2017.

It's great we're thinking about all this in the research and it's too important of a topic to ignore until we have all the facts.

?It's fantastic that? practice appears? to be changing. ?I?f we look at? the Caring for you Campaign, the mention of staff culture in ?Better Birth and ?really ?the last 50 years of changes in? NHS there's a lot to be hopeful about.

I'll going to keep? writing about ?bullying and civility? because it's too important to worry about getting it wrong.

But I'll be more careful to press the fact that ever?y NHS staff member??, even if they're causing pain, is doing the best they can.'

June 27, 2019 0

Getting your place as a student midwife in 2020

Getting your place as a student midwife in 2020

"Invite this one for interview asap!" - your admissions tutor after reading your statement.

Get step by step instructions on writing your statement and 'Ask Me Anything' sessions so you won't get stuck.

We're in a private Facebook group, you can get help at any time.

'I now recognise I have many strengths... I would definitely recommend this group to anyone who is struggling to get started or needs help with the structure/flow of their writing.' - Gemma Davies

Join now so you can steadily write your statement and be confident about it by the beginning of August.

Reserve your spot below, scroll down and 'add to cart':

Deadline for Midwifery Personal Statement Writing Group 1st July - £9.99

UCAS opens 4th September

**This group is now full**

If you try the group and feel it's not for you you'll get a full refund.

(This isn't for people wanting one to one coaching. This is for mutual support, great if you're staring at a blank page, are having problems writing with confidence, or struggling with structure. )

Testimonials from the first group:

'The weekly prompts helped massively as it broke the process up into manageable chunks' - Lucy Jo Bradford

'I found it very helpful at keeping me on track. Prompts were really useful, loved the Ask Me Anything sessions. I have a draft written that I'm pretty confident about!' - Keeley White 

For more info or to book, see above or email me on ellie@midwifediaries.com

 

p.s.

I'm 99.9% sure I won't be running one of these again this year due to other projects. So if you'd like to do it, now's your chance!

 

June 26, 2019 2

This thing that almost happened to me

This thing that almost happened to me

This is a story of me being a prat.

A few years ago, I left midwifery to work on my blog and books. But actually, I left because of night shift.

When I was practising in New Zealand, I was also training for a half marathon, writing a novel, running my business and doing conversion exams. I was getting up at 5 to get a start on it all before a 7am shift and working in the evening too.

How could there be anything wrong? I was nuts for midwifery and life.

I thought I just had a regular aversion to nights (like many).

But on runs of nights.... I’d fantasise about whether I could get my bike hit by a car on the way in.

Huh.

And between you and me, it did get a bit more stupid than that but don't tell my Mum, okay?

On days, my mental health was great. On nights...well.

I'm not sure I could have explained any of this, I wasn't good at thinking about it at the time.

I didn't think I could be very helpful to midwifery as a non night shift midwife.

So instead I gave in my notice, published two midwifery books, and founded a 24,000 strong midwifery community.

A bit of an overreaction.

What I needed was for someone to ask me how I was doing and to point out I was being a total lunatic idiot.

Cut to three years later, I went to an ARM midwife at my local hospital and asked for her advice.

She booked me an appointment with the Head of Midwifery...and, one GP appointment and sleep researcher advice session later, turns out I'll be clinical again in 2020, sans nights.

There was a lot of ugly but happy crying.

I was this close to never coming back at all. (Thanks midwives who helped!)

Please learn from this:

We were never meant to face midwifery alone.

Enter Wholehearted Midwives:

I’ve set up Wholehearted Midwives as a private, off Facebook support group.

We’re here for you in whatever way you need us but mostly we remind members that:

  • Everyone has challenges, it's how you solve them that counts
  • You’re a strong, rocking, awesome, empathetic student/midwife
  • Sharing your stories and listening to other midwives is key – hearing from those who’ve got through the stage you’re at is essential

CLICK HERE TO JOIN OR FIND OUT MORE

June 13, 2019 0

Can I Count You In?

Can I Count You In?

I have this idea, could I run it past you?

We’ve all been to doubt and exhaustion land.

People are leaving the profession over this.

I’d like to start a group for student and newly qualified midwives who get it, who want to do something to reset their positivity and be part of their midwifery community. I'm researching platforms and costs but I'd like it to be off Facebook and with a live component.

I want you to think about what would happen if you had unwavering support, you were listened to, knew what you were feeling was normal and often heard stories about wonderful midwifery care.

When you feel good about your abilities, you pick things up fast, and get a rep as a fantastic midwife. You have a social life because you’re not exhausted all the time. And you can drawn on supplies of confidence and self-respect even when it’s hard.

I want to call this group 'Wholehearted Midwives'.

In Wholehearted Midwives we would:

  • Focus on one anonymous midwifery challenge or story a week
  • Discuss practical and emotional tools for midwifery, showing up for each other,And
  • Read without judging, offering advice and help wherever we could, so none of us feel on our own.

What do you think? Leave me a comment if you'd be up for it.

As always, thanks for reading. More on this soon,

Ellie x

 

This project is now afloat! Click here to become a Wholehearted Midwife

May 23, 2019 0

The Maternal Journal Project, Hollie McNish, and Motherhood Poetry

The Maternal Journal Project, Hollie McNish, and Motherhood Poetry

I’ve just got back from the Maternal Journal project in Cambridge. Sat here in my PJs. I got soaked on the way back but it was totally worth it and I wanted to write up while I remember everything.

This was the first session in a series supporting a group of mother to keep art journals.

This project is an awesome idea because:

  • Cataloguing those raw, precious, early days using art is a wonderful thing – and creativity improves mood*
  • In the long term, creativity helps you make sense of things, leading to better mental health**
  • We got free lemon drizzle cake and I got to hang out with toddlers with some of the best hair I've ever seen

We started off with motherhood poetry session led by local writer Hollie McNish.

If you haven’t read Hollie McNish’s book ‘Nobody Told Me’, it's so worth your time. It’s a collection of funny, insightful and clever motherhood poetry.

I was going to get Hollie to sign my copy of 'Nobody Told Me' but it’s in bad shape, I’ve dumped a glass of water on it and dropped it in the bath, a clear sign it’s one of those books I keep going back to. As a writer, Hollie’s work reminds me to be honest and not to overthink it. As a midwife, Hollie reminds me that each woman brings an entire world to her care, not just a bump.

Hollie is a working poet and you can tell because she has a stock of ways to get herself writing.

She shared prompts with us like:

Tell me about bad advice you’ve had about motherhood
What about good advice
Tell me something about socks
Tell me something about comfort
Tell me something about your body you like

And then the women shaped their notes into poems, many of which made us cry.

So what did I get up to?

You could argue that a lot of what I was doing was running around after toddlers and making tea. One of the women even apologised and said I was overqualified to do this (why do we always apologise???). Sod that. If I’m in any way qualified to help women write I’ll grab at the chance.

As Hollie said, most of artists and writers throughout history have been men and that’s because they haven’t had little ones running around needing attention.

Women are the people holding families together (usually) so it’s a shame more women don't write. Motherhood poetry is often the most powerful work I come across.

Women have better stories to tell. The motherhood poetry we heard exhibited this, everything from the reflection that ‘having a baby is actually quite a violent thing’ to 'you unlatch and it's peaceful. I love you.'

Each woman was given a leather-bound journal to write their thoughts in. No pressure, there’s no homework and you don’t actually have to do any art at all. But you could see the women were loving fast tracking their thoughts and emotions to the surface. It’s about breaking free from perfectionism.

The project is led by midwife/artist/producer Laura Godfrey Isaacs and I couldn’t be more impressed. It reminded me a lot of when the famous obstetrician Michel Odent said we should think more about the ‘happiness’ of women – at his clinic, singing around the piano with other families was encouraged.

Wouldn’t it be great of one of the questions we asked at appointments was ‘and how’s your motherhood poetry coming along, anything you want to share with me?’

Jump at the chance if you can go and volunteer at a Maternal Journal group.

All my best,

Ellie.

P.s.  Have you written any midwifery/motherhood poems you’d like to share? Leave me a comment!

I made one based on Hollie’s prompts which I’m reluctant to share because poetry is not my thing, I just do blog/novels.

But the women today were brave enough to share so here we go!

(I changed the prompts to be about midwifery because I’m not a Mum)

Things You Can’t Tell A Midwife

I’ve been told by TV that I’m prettier when I’m thinner
But when I see expanding bumps/milky boobs
I know that's not true
I’ve been told by senior obstetricians
that anyone can be nice, we’re here to save lives,
But being with women and actually hearing them
has taught me almost everything I’ll ever need to know
I’ve been told by Netflix
that you spark joy by de-cluttering your house and folding your socks
But the happiest I’ve ever been was when I was sat against the heating pipes on the floor of room 2 of St Marys Birth Centre
with a labourer in the pool
with snow falling outside
with my room at home a glorious mess

 

 

 

*/** Jaussi, K., Randel, A. and Dionne, S. (2007). I Am, I Think I Can, and I Do: The Role of Personal Identity, Self-Efficacy,
and Cross-Application of Experiences in Creativity at Work. Creativity Research Journal; Stuckey, H. and Nobel, J. (2010). The Connection Between Art, Healing, and Public Health: A Review of Current
Literature. American Journal of Public Health

 

May 9, 2019 0

11 Responses

  1. Hi I’m 12 and hope to become a midwife when I am older do you have any tips or know anything I could work on now towards it??

    • Hi Katie, thanks for you comment, wow you’re very focused at such a young age! I would come and subscribe to midwifediaries.com for free blog posts on midwifery which are up to date, I have fun with them too so they’re good to read! Volunteering with people is always a good thing to do to develop your transferrable skills, could you get involved via your school with any caring volunteer positions? I’d also start to read everything you can get your hands on midwifery wise, and perhaps come over to the Secret Community for Midwives in the Making on Facebook for an idea of what midwives talk about x

  2. I love your blog and am currently reading your book. Unfortunately, I am from the US so the educational path and such is much different than what you describe in the UK. Do you know of any American midwife blogs? I’ve tried searching online but most are very, very established in their careers and the things they write about are so far off from where I am in my journey to be a midwife.

    • Hi Alicia,

      Great question! I don’t know many American midwife blogs sadly, though MidwifeThinking is a great Australian one, and SaraWickham.com is one of my favourite UK ones. Please do let me know if you find any good American midwife blogs, I’m always on the lookout! x

  3. Hi Ellie,
    I just wanted to share a bit of the furore that is occurring in the Queensland state of Australia. Obstetricians are moaning about the poor outcomes etc etc of midwifery led care. http://www.couriermail.com.au/news/queensland/ama-queensland-seeks-urgent-change-to-way-maternal-services-delivered-in-queensland/news-story/5fa372d6478e4cdbba9de7977df224e1
    I thought we were passed all this but apparently not.

  4. Pille

    Hi Ellie,
    I’m a first year student midwife, and would eventually like to work as a midwife on First Nations reserves in Canada. Do you have any contacts who have trained as a midwife in the uk and moved over to Canada? Or do you yourself have any idea how the transfer would work?

    • Rachel Wild

      Hi Ellie – if you particularly want to work for First Nations’ families I would first contact some of the Aboriginal health organisations or governance bodies to scope out how they would see a midwife from the UK working out. Perhaps you have First Nations/ Aboriginal heritage yourself, but if not you’d need to consider the implications of working as a outsider in communities that have a history of colonialism harming their existing birth cultures. e.g. http://www.naho.ca/midwifery/ also your immigration and work visa would be through the Canadian government but perhaps you could also ask permission of First Nation government for the area you’d like to practice in?

  5. Miroslava

    Hi Ellie, i am a second year student of midwifery in Slovakia.
    I would like to ask you, what’s your posture for needs of women who are in puerperium ? What is your opinion for lactation and sports activities in postpartal period?

    Thanks, for answer 🙂

  6. Alysia

    Hello, I have always been interested in midwifery at young age. At the moment, I am a Senior in high school and I am writing a paper on a career that I am interested in. I am required to have an interview with a midwife for research for my pages.Would you mind if I interviewed you for the role?

  7. Keeley

    I’d LOVE LOVE LOVE to win a free month of your personal statement school! I’m a 33(nearly!) year young working Mum of 2, retaking 2 of my GCSE’s, training to become a breastfeeding peer supporter, and trying to save as much as I can for 3 years without a wage and shed loads of student debt, with a mortgage! I’ve got your book which I LOVE! But I am still struggling on how to even get started!!! And what experience I have that’s relevant enough to be worthy of going on my statement to stand out! I’ll be applying in Sept 19, to hopefully get a place in Sept 2020, so this would be amazing!!! Pretty pretty pretty please!!!! ??????

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