ISSUES AFFECTING MIDWIFERY 1

  • Category:
    Nursing
  • Document type:
    Assignment
  • Level:
    Undergraduate
  • Page:
    1
  • Words:
    732

Issues Affecting Midwifery and Opportunities Available to Solve Them.

Midwifery is a health profession that deals with pregnancy, delivery and the postpartum period of birth (Nakanjako, 2015). The profession allows mothers and their newborn babies to get the proper health care and attention they require. Through it, there has been a reduction in epidurals and instrumental births. A midwife is educated to recognize the different variations of normal labor progress and what to do in case of problems before and after labor. The practice of midwifery has had some major problems that affect both the professionals and consequently, the mothers and infants that they attend to as well. This paper will look into some of these problems and restraints that affect midwives and some of the probable opportunities and solutions to alleviate the issues.

One of the problems facing midwifery is the inadequacy of proper resources in the health centers. In the past decade, the number of challenging births has increased and the overall percentage of women giving birth as well (Gamble, 2015). For example, there has been an increase in the percentage of mothers who are obese and mothers who are older. Both of these cases have a demand for the service which is not being matched with an adequate increase in resources. As a result, this causes strain and pressure on the staff, and the mothers do not get proper attention, care, and advice that they need.

Another underlying problem is the current shortage of midwives. Most of the working midwives are aged and heading to their retirement, and there are not enough recruitments being made to replace them. The problems emerge primarily from the restraint in government bursary that requires a high amount of tuition fees to study for the profession (Rossie, 2014). Since most of the women getting into this job are in their late twenties or early thirty’s and tend to have young families, most tend to avoid the risk of taking a loan and getting into debt.

The closure of maternity units is a major problem facing midwifery. This is due to the increase in childbirth rates that has resulted in temporary closure of some of the centers because they simply cannot cope with the large numbers. This is worsened by the fact that most governments do not increase the budget set to cater for these services despite the increase (Hamadneh, 2016). This has resulted in the low quality of service to pregnant women with some not receiving medical attention at all.

One of the opportunities to solve this problem is the funding of maternity services by the government to reduce the strain on the current midwives so as to provide the best possible care for infants and their mothers (Larsson, 2015). Also, there is a need for the government to cut on the coast of training young women who are interested in the profession so as to encourage more women to pursue the course. Lastly, improving the facilities that cater for newborn babies and their mothers will improve the much-needed service needed due to the increase in complex deliveries.

In conclusion, it is important that the problems that are facing midwives be addressed. This is crucial for the health and well-being of the mothers and their babies and to do justice to the midwives who work so hard to ensure they have the proper care before, during and after birth. Through increasing funds and quantity of staff and improving existing facilities, patient care would be enhanced significantly.

References

Höglund, B., & Larsson, M. (2015). Midwives’ comprehension of care for women with intellectual disability during pregnancy and childbirth: an open-ended questionnaire study in Sweden. Women and Birth, 28(3), e57-e62.

Kassab, M., Alnuaimi, K., Mohammad, K., Creedy, D., & Hamadneh, S. (2016). Midwives’ Experiences, Education, and Support Needs Regarding Basic Newborn Resuscitation in Jordan. Clinical nursing research.

Walker, D., Lannen, B., & Rossie, D. (2014). Midwifery practice and education: current challenges and opportunities. Online journal of issues in nursing.

Sidebotham, M., Fenwick, J., Rath, S., & Gamble, J. (2015). Midwives’ perceptions of their role within the context of maternity service reform: an appreciative inquiry. Women and Birth.

Osingada, C. P., Nalwadda, G., Ngabirano, T., Wakida, J., Sewankambo, N., & Nakanjako, D. (2015). Nurses’ knowledge in ethics and their perceptions regarding continuing ethics education: a cross-sectional survey among nurses at three referral hospitals in Uganda. BMC research notes.