Are your children’s vaccines up to date?

Set a reminder

Please or to access all these features

Childbirth

Share experiences and get support around labour, birth and recovery.

What did you want from midwives on postnatal wards?

116 replies

Studentmidwife247 · 16/11/2014 14:19

Hi ladies, I am a first year student midwife heading out on my first placement next week. I will be spending a fortnight on a postnatal ward and was just wondering what you most wanted from the staff during your time on postnatal wards? I'm mainly hoping to be a supportive, consistent friendly face who can get to know the women (due to the high risk nature of the ward, ladies are likely to be spending long periods of time on it). I know that staff on these wards are normally incredibly busy, so from your experiences, what would you have wanted from a student midwife to make your stay more comfortable/pleasant? Was it just someone to chat to? Someone to assist with practical skills such as breast feeding? I want to make myself as useful as possible during my time there! Thanks Smile

OP posts:
Are your children’s vaccines up to date?
Nunyabiz · 21/11/2014 20:51

Casperandjasper this happened to me...with both of mine. Must be fairly common. You would think after pushing put 2 (10lb) babies, sans pain relief, followed by stitches, they could spare a little paracetamol Hmm

CokeFan · 21/11/2014 21:23

Can I say what the postnatal midwives/staff did right following my second birth (EMCS) as opposed to what they did wrong following my first birth (ventouse 5 years earlier, same hospital, some of the same problems that others have had)?

Firstly they were all kind.

Without fail they were all busy but they all looked me in the eye and treated me like a human being.

They were all professional but also smiled and congratulated me on the birth. It created a much more relaxed atmosphere and cost nothing.

I felt like I was being listened to and they explained everything they were doing and why they were doing it - this is before, during and after the birth.

They were patient and gave me advice but also still left the decisions to me.

They had a checklist of things to make sure they had done (showed me how to work the bed/call button, got fresh water for me and put it where I could reach it etc.)

I was never made to feel like an inconvenience or that I was doing things "wrong".

Just remembering that someone who has given birth recently can feel very vulnerable and emotional and it doesn't take much to upset her is extremely important.

TurquoiseDress · 21/11/2014 23:40

Great that you're looking here for tips & advice...you will no doubt get a mountain load!

If a woman asks for pain relief it's because she really needs some!

If a doctor has prescribed oral morphine on the PRN side of the drug chart & specified how often she can have it, that's how often she can have it if needed.

It's not up to the midwife to decide whether the woman needs it.

Also it's not right to make a woman wait longer than necessary to be "allowed" opiate analgesia.

If it's prescribed as '4 hourly' she can have it every 4 hours if she feels it's necessary. A doctor does not need to be contacted to make a decision (unless the woman is unwell, having a bad reaction to the medication etc).

Please do not make sarcastic, unhelpful comments to woman who are in pain after an ELCS- you do not know her full history or her personal reasons for choosing an ELCS.

Food- to be honest I didn't really notice as my husband & family kept me well fed.

Although the midwife who was there when my baby was born offered to bring some toast which never materialised.

Don't offer if you can't do it...I was so looking forward to some toast after being nil by mouth from midnight the night before (around 18 hours without food).

It was a small thing, but actually it set the tone for how shit the whole post-natal ward experience was! Angry

clover83 · 22/11/2014 10:35

I'd love to hear how the OP gets on whilst on placement. I think you do have to be realistic about your role as a first year on first placement.

You're not going to be able to change policy or alter the lives of every woman. Just remember that a little bit of kindness goes a long way. I was referred to as my bed/bay number, baby & buzzer were left out of reach after an emcs, told not to be silly/there was nothing to cry about and criticised for my choices at 2 am (using water and cotton wool, not wipes). The couple of staff members who treated me like a human being made it vaguely bearable.

Pandora37 · 22/11/2014 13:44

Speaking from a student's perspective, you can definitely make a difference as a first year, especially on night shifts. Night shifts on postnatal ward are a special brand of hell - not enough staff and buzzers going all night with not enough time or people to answer them. I've only ever done one night shift on postnatal ward and it was hideous. As a student I'm not a proper member of staff yet I was told they didn't know what they would have done without me.

Anyway, enjoy it as much as you can. Focus on the basics - learning how to do obs, listening to the doctor's ward rounds, starting to help with breastfeeding support, nappy changing, giving women washes, helping them to the toilet etc. We're quite privileged as students on postnatal ward actually, particularly in the early years, as you have the time to do basic care. Having said that, you can sometimes be used as an extra health care assistant which is fine for some shifts but not all the time. You're essentially there to learn so make sure you're not just used as an extra pair of hands all the time and you are getting some teaching. Don't be afraid to get stuck in early on - help with the drugs rounds, get your mentor to go through the drugs cupboard with you etc. Make friends with the MCAs - they know all about baby care and some are better at breastfeeding support than some of the midwives. Don't worry if you're overwhelmed - it was so busy, I didn't have a clue what was going on half the time in first year.

I don't mean this to be negative but enjoy being a first year. I've loved postnatal ward as a student but in third year when I was given my own bay of women I felt constantly harassed and people will get stroppy with you because you haven't done their discharge paperwork or they've waited 5 hours to see a doctor. Sometimes you will have to tell a woman whose baby is on SCBU that she can't move out a bay full of babies because there is nowhere else to put her. You will feel terrible but having to deal with anxious parents who are desperate to go home and telling them they can't is a skill you need to learn quickly (I once had a girl with dangerously high blood pressure ask me why she couldn't just go and see her GP. Her family got very grumpy with me because I said she couldn't go home. I had to explain why without frightening the life out of her, i.e. she could have an eclamptic fit and die). Sometimes you will have to do hands-on breastfeeding support - hands-off is the ideal but when you've got a screaming baby who hasn't fed for 6 hours, your principles have to fly out the window. I'm not saying just shove a baby on the boob but ask nicely if it's okay if you touch them so you can help get the baby latched on. I've never had anyone say no.

You will forget to do things. I've had women before now ask me to get something for them then caught up in something else and realise 3 hours later I completely forgot to do it. A notebook will be your best friend - get used to writing everything down, when obs are due, drugs etc. because you will forget stuff. Sometimes you just can't provide enough care (although that's not so much a problem as a student but it can sometimes be) and you will go home feeling crap but you just have to try and do your best. On the odd occasion, you will go 8 hours without going to the toilet or having a drink. My mentors have been very good at making sure I have breaks but it does sometimes happen that you don't get one, or you don't get lunch till 4pm. I've only ever done 1 night shift and I didn't get a break at all. From a learning perspective, I would try and avoid doing night shifts on postnatal. The staff there won't have the time to teach you, and I think you'll have more learning opportunities from the day management of the ward and doctor's rounds (of course, you will see doctors at night but not as much).

You will find yourself wanting to scream sometimes. Visitors in particular take up a lot of time having to let them in and out and trying to fight your way through them just to take a blood pressure or empty a catheter. The endless paperwork and having to write the same things down in a hundred different places will make you want to slam your head into a wall. When I first started on postnatal I thought the midwives were all miserable bitches but by the time I got to third year I understood why. I was shouted out for no reason by the co-ordinator once and I was upset but I realised the ward was full and she was stressed. You will be snapped at sometimes by staff and you have to try not to take it personally.

Having said all that, I love postnatal ward. It is hard, physical work being on your feet for 13 hours and your feet will be killing you by the end of the shift. You will be frustrated that sometimes you don't have the time to provide all the care you want to but when someone hugs you and tells you you've made a difference just by sitting with them for half an hour teaching them to hand express, it's the best feeling in the world. I actually prefer it to labour ward - a lot of the students are obsessed with births, but I love getting to know women and helping them become more confident in their role as a mother. Good luck! A fortnight isn't very long but you'll be amazed at how much you can learn in such a short space of time.

redexpat · 22/11/2014 14:26

Am horrified reading all these stories.

There was a lovely student mw on post natal. She was the ONLY hcp in the whole 9 months who pronounced my name properly. I know I am forrin, but when youve all had 10 years of english in school, you dont have much of an excuse!

If you move the locker out of the way to get to the bed, move it back when you have finished.

Make sure call button is in reach.

Dont just forcefully grab my boob and blame me for my baby not latching. Dont shout you have to help him. I havent done this before, i really am trying my best.

It would be nice if you could ask about pain levels.

If they have been stitched sfter a tear, tell them what grade, what that means and how long they can expect to be sore for.

If someone asks for paracetamol for a headache and there were suspicions of preeclampsia, please do not look like a rabbit in headlights. When the patient tells you its because they are gritting rheir teeth every time rhey feed, then that may be a good rime to offer support for bf.

ApproachingATunnel · 27/11/2014 09:05

Post c section: if i ring a bell and ask to change my baby can you please just do it instead of walking off telling me you will be back (in a few hours by which time i changed my baby myself, some 10 hrs post section with catheter still in!).
Wonder if that woman would happily leave her own newborn sitting in meconium for few hours?..
Don't patronise women when giving breastfeeding advice. The bf advisor was like that with woman opposite me - spoke to her like she's stupid and only got marginally better upon finding out that she had 2 kids already (e.g. not a stupid first time mother).

batmanandrobin · 27/11/2014 09:15

i kept wetting myself after birth ?? and the cleaner would give me the sheets to change my own bed. normally fine but when you've just pushed out a baby with stitches and back ache you don't have the energy to change- regardless as to whether it's your wee!!

and what plenty of pps have said- i lacked bfing advice and they made me feel like annoying when i kept asking for help with how to latch.

and i had pre eclampsia so was on an emergency ward and nobody EVER checked by blood pressure again after birth. would have been nice to know i was healthy before returning home and collapsing!

otherwise people were friendly. but always felt like nobody had time for me!

batmanandrobin · 27/11/2014 09:20

and also i felt judge as my DH and i didn't name our DDs for a long time as we don't find out gender at scans so didn't have names decided and felt very judged that we didn't name them immediately ("oh well this can be name unknown girl then") and it's written on her little red book!!!!!

ladyflower23 · 28/11/2014 18:18

I wanted someone to offer practical support with stuff like breastfeeding and nappy changing in a friendly manner particularly during the night.

I think its great that you have posted this question by the way. You sound like you will make a great midwife Smile

MagicMonday · 28/11/2014 23:20

My requests would be:
If women have to change their own sheets, tell them this and where the linen is kept. I had a fever and sweated a lot. I bled a lot. I desperately wanted clean sheets.

Remember to go back if you've promised you will. It was three fucking days before someone finally showed me how to hand express an four before I was shown how to breast feed. Also, don't discharge women as 'exclusively breast feeding' when the baby hasn't had a drop of breast milk.
If a mother has to take her child to a different ward for medication, do let them back in afterwards rather than ignore the ward buzzer. I could have done without the 10 minute waits in the corridor in my nightie.
Please don't hook anyone up to an iv drip attached to the wall and leave them there for 2 hours, well after the drip has finished. I needed the loo and couldn't reach my baby.

Try to avoid doing 4-hourly obs of baby and mother separately, making it 2-hourly wake ups. Do us at the same time.
Don't tell a patient in a window bay off for not being dressed and ready to let the window cleaners in at 9am. Without notice. That bitch reduced me to hysterical tears.

If a woman is quiet, polite and doesn't make a noisy fuss, remember that she might be struggling as much as the shouters. I disappeared into myself as I basically went into shock. I needed help, but was mostly ignored when I asked.

Things that I will gratefully remember:
The midwife who found me hysterically sobbing on day 4, after the window incident, gave me painkillers, took my baby and told my DP to take me off the ward for 20 minutes. I had fresh air and a proper sandwich. The lactation consultant was waiting for me when I got back. That midwife was amazing.
Those staff that smiled at me.
The staff that knew I was still an intelligent human being, but also that I was ill, exhausted and overwhelmed and managed to communicate clearly without being patronising. They didn't call me 'mummy'.
The midwife who summoned cleaners to sort out the paperless cesspit of a toilet when she realised I was sneaking off to use the visitor loos.

Ooh, that was cathartic.

Stripylikeatiger · 01/12/2014 11:50

My experience is very different as my dc were not born in the uk, we had a private double room with our own shower/toilet dp stayed with me the entire time. I had fairly easy vaginal births but I still really really needed my dp's help those first couple of days, I can't imagine how hard it must be for women to be all alone and in sole charge of a newborn so soon after labour, it seems so very cruel :(

The one downside to having my babies abroad was that I had no family to come and visit and coo over my babies and say how cute they were (they were not cute, they looked like they had been in a boxing match ;) ) there was a student midwife who was so lovely with ds2, she was so tender when she touched him and said how lovely he was, that made a big difference to me.

I actually prefered to just be left to get on with breastfeeding, ds1 never latched "properly" he still breastfeeds at 2 years old and he still doesn't latch as he is "supposed" to but we never had any breastfeeding issues. Dc2 has recently been born and now I realise that dc1 has/had a tougue tie but we worked out how to breastfeed anyway and I think too much breastfeeding intervention was unhelpful as he physically couldn't feed in the way I was told he should feed.

MiaowTheCat · 04/12/2014 11:11

This reply has been deleted

Message withdrawn at poster's request.

WillowHouse · 04/12/2014 11:28

To not be utterly and totally abandoned in a side room. Dd1s birth was deeply traumatic and still under the influence of an epidural i was put in a side room - thankfully i refused to let the porter put dd1 in her cot as it was two hours before i saw another person Shock That was after a long traumatic labour and i was hungry, dehydrated and unable to walk. Buzzer was way out of reach and door closed. Best bit was been told off by the midwife who eventually came to check on me for not asking for help as she hadn't been told i was a difficult patient.

With Dd2 there was a student midwife on the ward and she was utterly wonderful. Dd2 nearly died during labour and it was the student who realised i was in utter shock and managed to get me referred for support. So students can make a big difference

Studentmidwife247 · 11/12/2014 20:48

Well my two weeks on the ward are done, and it makes me feel even more sad to read some of these experiences. The hospital I am at isn't too bad, buzzers were always answered within a couple of minutes and there were plenty of staff (though I do feel that this was helped by the fact there were students on the ward). As time went on I felt more and more confident and was able to spend lots of time (hours in fact!) helping different women with breast and cup feeding, and also just giving general advice. I thought I'd hate it on the ward but I actually really enjoyed it. I think I did make a difference to some of the ladies and their babies. Some of them also had a big impact on me, which they'll never realise Smile

OP posts:
Pandora37 · 18/12/2014 15:54

Awww that's lovely, I'm glad you had such a good experience. I love postnatal ward! It's great fun in third year when you get the responsibility of looking after your own bay of women but don't have to worry about the drugs round and the rest of the ward.

New posts on this thread. Refresh page
Swipe left for the next trending thread