Day 1 :
- Midwifery and Nursing
Danat Al Emarat Hospital, UAE
Dr Tracy Roake is the Head of Education and the Deputy Chair for the Resuscitation committee as well as an active member in the Research and Ethics committee at Danat Al Emarat Hospital, Abu Dhabi. Tracy is a registered nurse and a certified Advanced Midwife has been awarded with a DBA, MBA, M.Sc. Healthcare management, and has a Master of Applied Business Research; she is a qualified hypnobirthing instructor and has a diploma in Aromatherapy, Herbalist, Reflexology and Naturopathy. She has a great passion for quality midwifery care, obstetric emergencies and pioneered all the first private hospital water births in KZN South Africa. She is also proud to say that he is an invited facility member or the PROMPT foundation in the United Kingdom.
Statement of the Problem: Historically obstetric emergencies can be taxing for all and important messages and documentation can be lost due to the stress and anxiety. Colour coded proformas offer an opportunity for people under these circumstances to easily manage the document process whilst being prompted on the next action in management.
Study Design: This study uses a descriptive cross sectional design. This study aims to look at previous records and documents and compared the new process since March 2019, when coded proformas colours were introduced in the units.
A survey will be sent out to gather quantitative information on how people appreciate these proformas after training was given. This research will be illuminated as a presentation to expose how simple to use tools can enhance patient care and safety while creating easy ways to reduce time waste and reduce Health care related costs.
Hamad Medical Corporation, Qatar
Anthonia Biola Orimolade is a Nurse and a Midwife with wealth of experience as a clinical lead and healthcare system management.Expert in developing midwifery led service, workforce modification, re-structing of maternity setting tailored to the need of women.Passionate in maternity quality improvement projects.Founder of KETO Medical Foundation in Nigeria with the main aim of improving maternal and neonatal care outcomes.A.B Orimolade: Female genital mutilation, impact on maternal mortality and morbidity rate in Nigeria 2014.
Globally, a typical model of maternity care is a medically led system with varying levels of midwifery input. Countries such as UK, New Zealand, Australia and many more developed countries operate the midwife-led model of care.Information shared during patient or family education in some countries regarding the roles and the difference midwives contribute to care of expectant mothers is not talked about robustly. There are ongoing debates in some countries to adopt the midwife led care continuity model. There is a paucity of systemic evaluation that formally investigates safety-related outcomes in relation to midwife-led care within an entire maternity service.
Aim: To explore some of the challenges midwives face in being accepted as lead practitioners in the care of women.
To explore the factors that impact on midwives as lead practitioners.
Assess how these factors impact on the organization
Explore Management and communication adopted by leaders and
how it’s impact s on the midwives as autonomous practitioners.
Discuss and explore
on the benefits of midwifery led care
Introduction: It is a known fact that obstetric/medically led care or shared care model is practiced in most hospitals globally. Unnecessary early intervention in the antenatal or during the intrapartum period move women away from experiencing normality during child birth which is a normal process.
These interventions contribute immensely to the increase in the rates of c/sections, instrumental deliveries, maternal and neonatal mortality and morbidity.
We need to appreciate the care model in place currently obstetric led care or sheared care models; however, there are so much evidence out there regarding the benefits of midwifery led care. C/section rate is on the increase in most countries, according to WHO 10% is recommended and that is for women with complications.
Furthermore, Lack of adequate education, during the antenatal period leads to uninformed choice, unnecessary early intervention, these and many more factors impede on the success of midwife led care.
University of Southern Queensland, Australia
Sandra J Caling is a graduate of the University of Southern Queensland. The passionate advocate of nursing as a profession of high esteem, aims to highlight the benefits of continued education on professional development. Currently engaged in Alcohol and other drug – Inpatient Mental Health, while undertaking a Masters in Mental Health.
A review of published literature examines the transition to professional practice of undergraduate registered nurses. Literature retrieved from the cumulative index for nursing and allied health literature (CINAHL) addresses the paradigm of defining a successful transition into professional practice.
The question of why new graduates consider leaving nursing altogether during the first twelve months of professional practice highlights the importance of supporting new graduates during the transition period. The barriers to development of clinical reasoning and psychomotor skills provide focus by which to compare the effectiveness of different support structures offered to new graduates. The research highlights the responsibility of organizational management, not only in maintaining patient safety but also providing avenues of support for the professional development of new graduate. The development of clinical reasoning takes time. If done correctly, the RN’s are equipped with a profound skill set, which will not only enable them to complete the cycle of becoming professional practitioner but will help towards mentoring the next classes of graduate nurses.
Learning begins in University and there is a misconception that once you graduate it concludes this process. This can leave new graduates floundering when they enter the workforce. New graduates must take responsibility for their own professional development and know their boundaries in his or her scope of practice. There are certain expectations placed on new graduates and these organizational expectations are often misaligned with the “beginners’ perception” of what his or her role entails. This could be why many nurses are dissatisfied with their roles and consider dropping out in the first year of practice (Brown, Stevens & Kermode, 2011). The current research explores how professional identity forms in new nurses and what role professional socialization plays in the attrition or retention of new graduates.
Clinique de L'estree, France
Obstetric gynecologist, also specialized in surgery for benign pathologies and cancerology (breast and pelvis). Currently installed in clinic. I also regularly train in breast reconstruction surgery.
Secretary of the French-language French college of lifestyle medicine (cfflm) whose goal is to develop prevention and improve the way of life to avoid the appearance of chronic diseases.
I am also an expert in medical leadership, helping and assisting doctors in their careers.
Glasgow Caledonian University, UK
Caroline Matteo has been a practicing midwife for 12 years, in various hospital and community settings in France. She has been involved in a midwifery voluntary organization providing continuous training for midwives in developing countries. She is progressing towards a career in midwifery education. Her focus is on improving and revealing the specific role of the midwife in perineatal health. Her research proect is part of a professional doctorate program and was awarded a grant from Fondation Mustela and the French National College of Midwives in 2018.
Statement of the Problem: Postpartum pain has shown to be linked to a variety of consequences on health and well-being such as: mobility and ability to perform daily tasks, bonding with infant, mental health, breastfeeding. Perineal pain is the most frequently reporter pain (90% of patients), and is also associated with impact on sexual activity. Studies in midwifery have suggested that perineal pain is strongly associated to episiotomy, tear, or laceration, but that it may also be present in the case of an intact perineum. This is coherent with research in other medical specialties that suggest pain is not necessarily proportionate to anatomic lesions, and that other determinants are at stake. Studies encompassing all perineal statuses have suggested alternative determinants such as: breastfeeding, mental health, mode of delivery, pushing technique. However, no study to this day explores patients’ views, nor is there a study that explores specifically the case intact perineums. This study is a gadamerian hermeneutic study and aims to gain an understanding of postpartum perineal pain in the absnce of vaginal damage. This is hoped to enable better prevention, care, and understanding by midwives in order to improve patients’ experience of postpartum. Data collection will take place in France between September 2019 and March 2020. The data will be collected using open interviews of participants having given birth vaginally to a single live child and have not undergond episiotomy, tear, or laceration. The study will be guided by Fleming et al’s (2003) 5 steps for data analysis.
National Guard Heath Affairs, KSA
Ana Luisa Cavaco, Portuguese nationality, is a nurse and midwife with a passion in improving the health and wellbeing. Before coming to Saudi Arabia, was working in a Portuguese University Hospital for 25 years. Has been dedicating the last 22 years of her professional life to the obstetric area. Ultimately is leading a program that conduce the safety of the nursing and midwifery cares that allowed the mothers to deliver in a safe and serene environment. Enhance the function and operationalization of the unit, streamlining roles and functions. Promotes an open mind, motivates and inspires the team by couching and educating enabling harmless and effective cares. Is a strong voice for effective, holistic and dignified nursing and midwifery care for patients during intra-partum period. This improvement quality program, is a good example of the team success by engaging all stakeholders in innovative practices evidenced based.
In an universe of 8500 deliveries per year, between December of 2015 and March 2016, 4 incidents of swabs left in the vagina during the delivery were described on the safety reported system, with respective readmission of the patients for treatment. This repeated occurrence in a period of 4 months was an opportunity to reflect on clinical practices.
Swabs are used by obstetricians and midwives during vaginal delivery and perineal repair to clean and absorb blood. They can be difficult to identify once soaked in blood and are occasionally left inside the vagina by mistake. Retained vaginal swabs were more common than surgical swabs or any other category of foreign object. The impact of retained vaginal swabs can be severe. Women may experience serious physical and psychological complications including infection, secondary post-partum hemorrhage, sepsis, and depression, lack of bonding with their baby due to re-hospitalization and finally, loss of trust in the health organization with consequent discredit by the population. In addition they represent a significant problem in that they are very difficult to be defended in clinical negligence litigation, as they reflex the failure of clinician to comply with practice standard. The repercussions can harm the professionals as a ‘second victim’. Organizational consequences can be financial and reputational, as Never Events are considered to reflect quality and safety processes within an organization. Therefore, maternity service provider must put measures in place to manage this preventable clinical risk.
Nation Hospital, UAE
A Nurse /Midwife/Lactation Consultant & patient educator with Diploma in Hypnobirthing . Currently a nurse educator responsible for orientation of new employees, organising in house education & competency based training. Experience with organising education & health awareness events considered to be organized highly motivated & able to motivate staff.
I am currently undertaking a course which includes reviewing culturally competent care which includes reviewing information including the above review
Working in the UAE with such a diverse cultural and religious population are we delivering culturally competent care, are individual staff aware of the many cultural similarities and diversities, the beliefs related to such rituals and the impact on current and future health. Do the organisational policies and procedures and the advice given to families include these areas as well as looking at evidence based practices
Does cultural competent care have an impact on the incidence of Post-natal depression and overall mental health and relationship with our children?
In contrast where cultures follow their rituals there is a low incidence of mental health issues in comparison to other countries with education, migration and moving away from the family unit are the rituals and beliefs changing?
Universal Hospital Al Ain, UAE
Maha Abu Saleem, Registered Midwife, worked for more than 12 years in Maternity care, Labor and Delivery, Antenatal Care classes, Midwifery continuity of care and more all about the maternal and child health services.
Working on educating laboring women to give a safe birth naturally.
Being a head of department gave more responsibilities to me to be more confident, accountable and part of health education department in my facility.
My researches are about midwifery care for maternal health before, during and after pregnancy.
Background: Care during pregnancy, childbirth, and the postnatal period is often provided by multiple caregivers, many of whom work only in the antenatal clinic, labour ward or postnatal unit. However continuity of care is provided by the same caregiver or a small group from pregnancy through the postnatal period.
The objective of this review was to assess continuity of care during pregnancy and childbirth and the puerperium with usual care by multiple caregivers.
Clear benefits for women from continuity of care during pregnancy and childbirth.Care during pregnancy, childbirth and the postnatal period is often provided by multiple caregivers. The term 'continuity of care' refers to the actual provision of care by the same caregiver or small group of caregivers throughout pregnancy, during labour and birth, and in the period following birth. The review of trials found that women who had continuity of care by a team of midwives were more likely to discuss antenatal and postnatal concerns, attend prenatal classes, give birth without painkillers, feel well prepared and supported during labour, and feel prepared for child care. Resuscitation was also less frequently required for their babies.