Tag Archives: nurse practitioner

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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Peer Pressure, I’m very sensitive.

It has been a minute since I’ve used this space but two of my best friends have recently taken to the social media and now I’m gonna, too! Their excellent writing has impressed in me the importance of using the online to spread information about women’s health. Please check out this great blog: https://acrossthespeculum.tumblr.com/ and follow this twitter feed: @southern_stdtNM. These are two brilliant women who inspire me to be more but make me feel like I’m enough. It’s possible that I will write some about women’s health, but no promises.

A lot has happened since I’ve been away. We lived in Carolina while Jared did the MBA thing and then we backpacked around South America for a few months (cause when else are we going to have the time?) and now I live in Nashville where I’m studying to be a midwife (what?) and Jared lived in Seattle, where he works for Amazon. We also exchanged sarcastic nuptials in a bar last March. Mazel to us.

But back to being a student midwife and all the amazing women I get to grow into this role with. After spending a year becoming an RN, which included spending time with a lot of 22-year-old blonde women, I am proud to call one or two of them my friends. My other comrades in this program are older, wiser and more brunette (although the true geniuses among us remain defiantly blonde). We are a motley crew of individuals from all over the country with different goals and opinions about women’s health. How great is that?

Our group runs the gamut. We have die-hard liberals eager to take issue with the status quo as well as southern conservatives whose norms are being challenged. I believe the breadth of experiences each of us bring makes all of us better. Our differences are representative of the wide range of women we will be serving, all of whom deserve health care providers who will advocate for their wants and needs.

A brilliant friend once said, “If I’m ignorant about something don’t belittle me, educate me.” This knife cuts both ways because I know firsthand that liberal New Yorkers are just as capable of being closed-minded as conservative Texans. Being truly able to embrace newness without judgment is a skill I have yet to master, but it’s one I aspire to. We have only to gain from being open to learning from people who are different from us. It’s when we think we’ve figured it all out that we’re really missing opportunities to grow.

This program has shown me both that I know nothing, Jon Snow, and that I’m capable of literally anything. We all are. In 18 months Vanderbilt has turned 140 students, some fresh of out undergrad, into nurses on their way to becoming NPs. What’s an NP do again? They help the doctor, right? And midwives – are they really still a thing?

In a nutshell, a nurse-midwife is an advanced practice nurse just like a nurse practitioner. A nurse practitioner is an independent health care provider who can work with or without doctors in a variety of settings. Other types of nurse practitioners include those who work in primary care, those who work in acute care (the hospital), those who just see kids, those who just see older folks and those who specialize in mental health. 95% of CNMs (certified nurse midwives) work in hospitals attending vaginal births and our scope of practice includes primary care for women from puberty through menopause.

Pelvic exams, STI testing, contraception prescribing, IUD insertions, prenatal care, labor and birth support, sexual health needs, menopause symptom management — midwives do it all.

The more you know.

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