Tag Archives: nurse midwife

Midwifery FAQ

1. What the hell does 6cm look like?

Sure, I could pull out a tape measure and treat you like an adult, but instead please direct your attention to this gross chart so I can fulfill a childhood dream of mine by comparing your cervix to a bagel (which, by the way, vary in size greatly).

Source: Sweet Leigh Mama

2. Why is the midwife always squeezing my tummy? And who is this Leopold?

Christian Gerhard Leopold (24 February 1846 – 12 September 1911) was a German gynecologist who developed these four maneuvers for determining the position of the fetus in the uterus. They are used by midwives to assess for a breech presentation (feet or butt first) and to estimate the size of the growing fetus.

Source: Wikipedia

3. Oh, you’re going to be a midwife? Is that better than a doula?

Well, that’s like asking if a pilot is better than a flight attendant. It’s not wrong, it just means our profession needs a better PR department.

But yes, I’m also a doula — many of us are.

Source: Ancestral Wellness Temple

4. Why is my baby covered in cheese? No, I don’t want to touch it. You touch it!

Vernix is an expected finding on a newborn and its benefits (along with thermoregulation) are part of the reason the WHO recommends that baby’s first bath be delayed at least 6 hours (and ideally 24h).

Sidebar: Has anyone checked out The Alternative Mom, from whom I stole this photo via the Pinterest? She sounds feisty.

Source: The Alternative Mom

5. What exactly is the difference between a vagina, a cervix and a uterus?

More than you’d think! If a female person is standing up, the vagina is closest to the ground and is accessible through the middle of the three openings that persons with two X chromosomes typically have.

The cervix is the (normally closed) canal that leads to the uterus and becomes thinner and more open during labor. Ask to take a look the next time you have a pelvic exam or check back here soon for a series I’m working on called Guess Whose Cervix?*

For more info on the cervix, check out this great post on Across The Speculum.

The uterus is the uppermost cavity where tissue builds up every month to either support a fertilized egg, be shed during a woman’s period or be safely reabsorbed if she is on progesterone-only contraception (more on that later).

For now, this:

Source (and on sale now): Blue Barn House Store

*currently accepting photos for this series at leacraftspencer@gmail.com

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Certified Nurse Midwife: Huh?

I wait tables in Nashville from time to time and am often caught explaining to people what I really do. Servers love this question because it manages to be invasive and critical at the same time. On one such occasion I was explaining to the stranger who had inquired that, in addition to supporting myself by waiting on people like her, I was a nurse and studying to be a midwife. She became very excited and said, “Oh, wow! My niece is doing the same thing. Oh, no… wait.. No, I’m sorry, my niece is going to be a nanny.” Now, I’ve answered an impressive range of questions about what a midwife is, how it is similar to a doctor and how it differs from a witch. But this genuine mistaking of a midwife for a nanny has been by far the most amusing.

Nursing school is a bubble land and it can be very difficult to remember how little the public really knows about advanced practice nursing. This is partly because the profession is evolving and has been for the past several decades, but it’s also because the general public doesn’t really care where their healthcare comes from — which is fine. It’s my job to know how to be a midwife, but it’s also important to offer digest-able knowledge to people when they want it (if only for the survival of our trade). To that end, I went digging for some straightforward definitions of what a midwife is and came across this infographic from 2010.* Some of the information might be a little dated, but I think it breaks it down pretty well. What do you think?

 

Infographics: making complicated concepts simple enough for you, me and everyone we know.

(Source: Scrubs Magazine)

*That’s a lie — I was looking for giggle-worthy memes and found this by accident. Whew, felt good to get that off my chest.

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