tag:blogger.com,1999:blog-57831336400948160702024-03-20T07:18:05.313+00:00Aimeeby Aimee, a second year student of Midwifery.University of Greenwichhttp://www.blogger.com/profile/05879701446496502511noreply@blogger.comBlogger11125tag:blogger.com,1999:blog-5783133640094816070.post-65456817602841692352015-11-03T14:00:00.000+00:002015-11-03T14:00:06.036+00:00A change of address<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjTEpyiPdoVvCXwHwExXBa7bsKWgbohA-wdWVxnBW2n7MwbWF85K3_2he7IkcsZucXEQIQGfzaiwZtCBpPlG1ZVSD9ofKRAgtNRVWgbx06K15xuO9ofpUIl5O3cXp-SlVe8ufmN8OuKwFA/s1600/Blogs_have_moved.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="280" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjTEpyiPdoVvCXwHwExXBa7bsKWgbohA-wdWVxnBW2n7MwbWF85K3_2he7IkcsZucXEQIQGfzaiwZtCBpPlG1ZVSD9ofKRAgtNRVWgbx06K15xuO9ofpUIl5O3cXp-SlVe8ufmN8OuKwFA/s400/Blogs_have_moved.jpg" width="400" /></a></div>
<span id="goog_1544989493"></span><span id="goog_1544989494"></span><br />
Give me a bicycle and call me a travelling midwife, because my blog has just arrived over at <a href="http://blogs.gre.ac.uk/studentlife">blogs.gre.ac.uk/studentlife</a>, alongside all of your other favourite student bloggers.<br />
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<a href="http://blogs.gre.ac.uk/studentlife/category/aimee">Click here to view all my posts</a>, old and new.University of Greenwichhttp://www.blogger.com/profile/05879701446496502511noreply@blogger.com0tag:blogger.com,1999:blog-5783133640094816070.post-4648980649252567872015-07-20T17:00:00.000+01:002015-07-23T17:15:09.273+01:00Second year is FINISHED! DONE! NO MORE!<div class="MsoNormal">
<span style="font-family: inherit;">The 2<sup>nd</sup> year of my Midwifery training is
officially complete. How on EARTH did I manage that?!<o:p></o:p></span></div>
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<span style="font-family: inherit;">I have recently received my letter from the university,
confirming my progression into the third and final year of my studies. My
second year will account for 25% of my overall classification, so it is nice to
have a small chunk of it out of the way. I am not entirely sure how my grade
for this year is calculated, but I have done a few sums and I have achieved
either a first or a high 2:1. I’ll take that!<o:p></o:p></span></div>
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<span style="font-family: inherit;">Over the course of the last few weeks I have received around
10 results, all of varying significance. My nerves are shot, however I passed
everything- so no resits needed!<o:p></o:p></span></div>
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<span style="font-family: inherit;">The results I feel most proud of, I would say, are for my
exams. My cohort sat a written exam which was probably one of the scariest
things that I have ever had to do. Students two cohorts ahead retaking the
paper with us didn’t help with the panic. This was for our complications
course, and any 2 out of 30 possible obstetric emergencies/complications could
have featured. What made it scary was that we had to write at least a thousand
words on the management of each of the two topics. It was a hefty exam-
definitely not one that anyone could blag.<o:p></o:p></span></div>
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<span style="font-family: inherit;">I was hoping for Post Partum Haemorrhage- (as the management
has been drilled in to me so much now despite having never managed one
following a vaginal delivery), or shoulder dystocia, which I do have experience
of in practice. I turned over the page to reveal my questions and the words
‘UTERINE INVERSION’ jumped out at me- I immediately freaked out. I knew the
basics- but I didn’t know enough to write 3 pages about it! I was starting to
feel all shaky when I told myself to keep it together, and I calmly read the
other two questions (we pick two questions out of three to answer). Maternal
and Fetal complications following shoulder dystocia- phew. The second question
that I answered was the role of the midwife in the care of a woman experiencing
a stillbirth. I left the exam feeling a bit uneasy, but secretly confident.
When I learnt that I had not only passed- but passed <i>well, </i>I was ecstatic. <o:p></o:p></span></div>
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<span style="font-family: inherit;">My second exam was the dreaded OSCE. This is a practical
exam; again, centred on the management of obstetric emergencies. Whilst this
particular format of examination is daunting- the topics were narrowed down to
5, which helped a great deal with revision. The possible scenarios included
Cord Prolapse, Post Partum Haemorrhage, Vaginal Breech Delivery (not
necessarily an emergency but OK), Shoulder Dystocia and Occipito-Posterior
Birth (again, certainly not a stand-alone emergency). <o:p></o:p></span></div>
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<span style="font-family: inherit;">For the entire month of June, my PROMPT (Practical Obstetric
Multi-Professional Training) manual went with me wherever I went. Evening in?
Prompt. 5 minute tea break on labour ward? Prompt. Bathroom? Prompt prompt
prompt. With the help of the PROMPT manual I memorised and felt confident
with 4/5 emergencies. However; malpresention (Occipito-posterior) doesn’t
really have a set management protocol, so I REALLY didn’t want that one coming
up. I’ve delivered OP babies before- many a time in fact, I just didn’t quite
understand how I would structure an entire OSCE exam around it.</span></div>
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<span style="font-family: inherit;">To my huge relief, the scenario I picked out of the hat was
shoulder dystocia! I had learnt so much about this, I could feel myself going
bright red with joy. I had safely facilitated the birth of the dummy baby and
quoted additional evidence and medical definitions when the clock struck 13
minutes- with seven minutes to spare! I achieved a high first for that OSCE
which I am over the moon about.<o:p></o:p></span></div>
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<span style="font-family: inherit;">The results for my numerous essays were varied to say the
least. I achieved both my highest ever mark and my lowest. That’s second year
for you- a complete rollercoaster! I was disappointed when I received my lowest
grade, however it was still a pass and I have made a point of taking on the
feedback I received. Hopefully my academic writing will improve during my final
year- although it will have to- it’s dissertation time!<o:p></o:p></span></div>
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<span style="font-family: inherit;">I have a number of ideas in my head for my literature
review, at the moment I am leaning towards breech birth outcomes. (Watch this
space!)<o:p></o:p></span></div>
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<span style="font-family: inherit;">For now, I can relax with second year as just a memory. The
feeling of relief is immense, especially as I now have no more exams to
undertake for the remainder of my degree. The OSCE had been looming over me
since day one of my training- I have always felt like if I could pass that, I
could truly make it and achieve my goal of becoming a registered midwife.<o:p></o:p></span></div>
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<span style="line-height: 107%;"><span style="font-family: inherit;">Now for the final chapter of my midwifery
education, year 3!</span></span>University of Greenwichhttp://www.blogger.com/profile/05879701446496502511noreply@blogger.com0tag:blogger.com,1999:blog-5783133640094816070.post-8747875946045473322015-06-12T14:00:00.000+01:002015-06-12T17:49:32.508+01:00Bloggie Blog<div class="MsoNormal">
Hello! It has been a stupid amount of time since my last
blog so I do apologise! I have been so busy with 2<sup>nd</sup> year placements
and assignments that this blog, along with my social life, have sadly been
neglected.<o:p></o:p></div>
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I will begin with my placement on Fetal Assessment Unit
(FAU). It was probably one of my favourite placements so far. It is essentially
an assessment centre where women can attend if there are concerns over maternal
and/or fetal wellbeing. They can self-refer or be sent up to the unit by
community midwives if observations detect a deviation from normality. Cases
that I came across mainly consisted of reduced fetal movements, abdominal pain,
itching and high blood pressure, but you can be presented with anything and
everything.<o:p></o:p></div>
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Over the course of the week I became much more confident in
undertaking assessments. I needed some prompting at the start, and I was quite
weary of getting anything wrong so I was always asking the midwives to check things!
However, by mid-week I was starting to take more initiative. When women
presented with symptoms, for the most part I could identify the associated
conditions, risks and procedures. It was a lot of blood tests and CTGs! Even
though I am probably the shakiest person you will ever meet, I’ve always had
the knack of venepuncture. I had to take blood from most of the women I saw, so
it was a great opportunity to increase my confidence. Some ladies required
special measures to obtain a sample, so I learnt how to take blood using a
butterfly needle and syringes which I had never done before. A definite
highlight of the week was when I managed to take blood from a client who
claimed no midwife had ever successfully obtained a sample, and apparently even
the anaesthetists had struggled in the past! Probably a lucky shot, but I was
happy all the same.<o:p></o:p></div>
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Although I was only there for a week, I developed great
relationships with the midwives working there. They were friendly, approachable
and extremely knowledgeable which is all you can ask for in a mentor. I was
working alongside another student midwife from my cohort too, and we get along
really well. It is always good to have another student on placement, you can
help each other out! I even grew close with clients- some women experiencing
more complex conditions attended the unit up to three times that week.<o:p></o:p></div>
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Now that I think about it, it was a week of firsts for me. I
performed my first membranes sweeps, a procedure I’ve been asking mentors to
let me do for ages. They can be really difficult, especially on primiparous
women. Fortunately I have long fingers which certainly helps! Following one
sweep, I asked a client to give me feedback and she wrote the loveliest things
in my pad! I also tried my best at a couple of speculum examinations. I found
it really fiddly but I’m starting to get the hang of it (especially now that
I’ve had more practice in Triage placement). <o:p></o:p></div>
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I could go on for so long about how much I learnt on FAU but
this blog would be 1000s of words! My next placement was on Neonatal Unit,
which I had been looking forward to. It’s safe to say I’m glad I went down the
path of midwifery instead of paediatrics- it just wasn’t for me. The nurses and
doctors were lovely, and I am happy I was given the opportunity to see how the
‘other side’ works. However, as cute as those babies were- I prefer to be able
to have a conversation with my clients!<o:p></o:p></div>
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I then had a week on triage- this was similar in ways to
FAU. Many women attended reporting the same problems (aches, pains, movements)
if it was the night shift as the fetal assessment unit closes in the evening.
There were many women with query SROM (waters breaking) and contracting, so I
got lots of vaginal examinations and speculums in. Surprisingly, I managed to
get the majority of exams correct- which I was over the moon about. Except for
one where I assessed someone as 4cm and they turned out to be 8. I have no idea
what happened there.<o:p></o:p></div>
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Triage consisted of liasing with lots of different people-
from paramedics to mental health services. A lot of the time we acted as a
signpost, assessing clients and then transferring them to the appropriate ward.
Women at various points in labour were often in the unit, and so much of the
time my guesses of progress from outwards appearance were proved entirely wrong
on internal examination. One was so close to delivering that I ended up facilitating
the birth seconds after her admission to labour ward!<o:p></o:p></div>
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My latest placement was with a specialist community
midwifery team who caseload clients in need of extra support. The midwives’
caseloads differed depending on their own specialism and interests, however the
cases mostly comprised of women with mental health problems, teenage
pregnancies, and those with social care involvement. I found this placement
enlightening, and I was inspired by the commitment that the midwives had for
their women. I was happy to see a model of community midwifery as it probably
should be- continuous care, a named midwife, and no appointments. The
specialist midwives each had their own weekly drop-in clinics, during which
their clients could visit at any point in their pregnancy. They were so well
supported, I know that I would love to have that standard of care for my
pregnancy. <o:p></o:p></div>
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I am now very near to the end of my second year. I am in
shock that I have made it this far. I am starting to see clients who I have
cared for in their previous pregnancies which is so weird! I’ll find myself
looking at their toddlers thinking ‘I felt you when you were in your mummy’s
tummy!’ <o:p></o:p></div>
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Just one week left of placement now on the ward. I have a
lot of competencies to get signed off so I am feeling a bit stressed at the
moment. At least I know that I will obtain a range of experiences caring for antenatal
and postnatal clients on the ward, so hopefully I will be all signed off for
year 2 practice in a matter of days. <o:p></o:p></div>
University of Greenwichhttp://www.blogger.com/profile/05879701446496502511noreply@blogger.com0tag:blogger.com,1999:blog-5783133640094816070.post-73806753560545868772015-04-24T16:01:00.000+01:002015-05-06T16:03:10.611+01:00Sexual Health<div class="MsoNormal">
I am very pleased to say that I am feeling much less
stressed than I was when I wrote my last post!<o:p></o:p></div>
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The sun has come out, and Greenwich is looking absolutely
beautiful with all the blossom trees blooming. I was at a wedding last weekend which
was so much fun, and my student loan is finally in- it feels good to no longer
be a pauper.<o:p></o:p></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjror15b-eFqDcgfyC2fsTRfZAUO73xuuW1HvbrlWpNhxkWAlhyphenhyphen4w7zYkq_CZSfFFOLZHYh2etgP7zMAh3cxmiFHVR-hd9UPfToYVV8I4zkplfEaimsVFo96GguvE7CAw1D9Sk6Xx2eClM/s1600/aimee+sexual+health+3.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjror15b-eFqDcgfyC2fsTRfZAUO73xuuW1HvbrlWpNhxkWAlhyphenhyphen4w7zYkq_CZSfFFOLZHYh2etgP7zMAh3cxmiFHVR-hd9UPfToYVV8I4zkplfEaimsVFo96GguvE7CAw1D9Sk6Xx2eClM/s1600/aimee+sexual+health+3.jpg" height="179" width="320" /></a></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjUPgB7Y-vSnRwXXkeHLmnKyWS7KsHgqFHx2hbUfjJwBdS6TGW8oTTlBQBtiJ7kKiKW6vj7U8-dd0zhGWV1RdoE6U6QBMoAsZ7EPFAIEq60gHL1if5XQhbJqgyAXhNp5gHpe5Ho46_7URY/s1600/aimee+sexual+health+1.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjUPgB7Y-vSnRwXXkeHLmnKyWS7KsHgqFHx2hbUfjJwBdS6TGW8oTTlBQBtiJ7kKiKW6vj7U8-dd0zhGWV1RdoE6U6QBMoAsZ7EPFAIEq60gHL1if5XQhbJqgyAXhNp5gHpe5Ho46_7URY/s1600/aimee+sexual+health+1.jpg" height="239" width="320" /></a>I am currently on my Sexual Health placement which I am
LOVING. It is unbelievably interesting. I have been working with the nurses and
doctors in a sexual health clinic. The team are all so friendly and they’ve
taught me so much (and they give me cake which is always a bonus). I’ve
witnessed check-ups, STI screens, counselling and treatment. I’m sure that this
isn’t for everyone, but I love being in the lab looking at the specimens under
a microscope! I now know how to find candida albicans (thrush) from a sample-
lovely!<o:p></o:p></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjE1AYmVHqjg7CXLKBbQNrGRy7fE9azV5fCOOFzl_dtYTOaZXW98Iw52tWDznhXfsFlekyqrJBRcUn_r1aR87IImkjxIdqnJ4J6Q5hzPtWehmkE9FT6jmsF8ZMT9GQGxsV8dKP1jMB0_Cs/s1600/aimee+sexual+health+2.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjE1AYmVHqjg7CXLKBbQNrGRy7fE9azV5fCOOFzl_dtYTOaZXW98Iw52tWDznhXfsFlekyqrJBRcUn_r1aR87IImkjxIdqnJ4J6Q5hzPtWehmkE9FT6jmsF8ZMT9GQGxsV8dKP1jMB0_Cs/s1600/aimee+sexual+health+2.jpg" height="216" width="320" /></a>What I have found the most challenging is sitting in with
the nurse as they take a history- especially with the men as I’m sure you can
imagine, it’s all a bit awkward. We have to ask some really, really personal
questions so I’ve found myself trying my hardest not to blush! In order to
witness these appointments I do need the patients’ permission first, which I
was worried about as I thought no one would want me looking at their bits! But
I found that as long as I introduced myself and struck up conversation quickly
they didn’t have a problem. It’s important to let them know that all
information they disclose is confidential and that we aren’t judging. A few of
the men have questioned why me, a student midwife, is there. I try to make a
joke out of it and explain that I need an understanding of both sides- as they
are involved in the baby making too!<o:p></o:p></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh1A98JzZvUYUdQ9Z7XIGeqKS02A2iRNibC1hNO8IZ9jQqkF2zckpbNaG2yC0Co6QfQj1eXmKfjRqnMJBckbxM1q4H7axeCQr-y8E0xtFEyQ1MSAv3qWu30FgOJ12Ud8pL-a1xzdj3kWtk/s1600/aimee+sexual+health+4.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh1A98JzZvUYUdQ9Z7XIGeqKS02A2iRNibC1hNO8IZ9jQqkF2zckpbNaG2yC0Co6QfQj1eXmKfjRqnMJBckbxM1q4H7axeCQr-y8E0xtFEyQ1MSAv3qWu30FgOJ12Ud8pL-a1xzdj3kWtk/s1600/aimee+sexual+health+4.jpg" height="240" width="320" /></a>My week hasn’t all been light-hearted banter and
precautionary check-ups. I had a really interesting discussion with a clinical
psychologist, who cares for people with HIV. It made me realise how far we have
advanced in medicine in recent years. Years ago, HIV was seen as a death
sentence; however now, for many people diagnosed, their condition is managed
with medication. The psycho-social aspects of contracting HIV are so complex,
and the psychologist kindly took me through how she breaks ‘the news’ to those
with a positive result, and the various care pathways and services that are
then offered. <o:p></o:p></div>
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I am surprised at how hands on this placement was for me-
where I thought it would be mainly observational, I have still been given the
chance to develop my skills in venepuncture and speculum examinations which is
great! <o:p></o:p></div>
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This week has been so enjoyable that I am seriously
considering specialising in sexual health after I qualify. The university
offers a post-graduate certificate in sexual health, so watch this space! <o:p></o:p></div>
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University of Greenwichhttp://www.blogger.com/profile/05879701446496502511noreply@blogger.com0tag:blogger.com,1999:blog-5783133640094816070.post-91518241396915589332015-04-13T14:18:00.000+01:002015-04-17T14:20:00.658+01:00I take back what I said...<div class="MsoNormal">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjGWaVo5d6LGp0jeH-vca8lVnTyWaKw1EOeGCTST2IAGxTbsF9_EYhKDWpLLygHRV9wMcZ3b5sCv0pJVDTxxhxh0ChvF86XqbwzeeGxiL1GEYKmLe04c7gcaILZZa4b_SCK2PrfWn3eOtg/s1600/stressed_nurse.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjGWaVo5d6LGp0jeH-vca8lVnTyWaKw1EOeGCTST2IAGxTbsF9_EYhKDWpLLygHRV9wMcZ3b5sCv0pJVDTxxhxh0ChvF86XqbwzeeGxiL1GEYKmLe04c7gcaILZZa4b_SCK2PrfWn3eOtg/s1600/stressed_nurse.jpg" /></a>I take back what I said. 2<sup>nd</sup> year is HORRID. I
think that the first semester lulled me into a false <o:p></o:p></div>
sense of security, as I
didn’t find it as challenging as I had expected. However now that I am well and
truly in semester 4, I’m so stressed I’m getting regular nose bleeds!<br />
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What I have found with this course is that everything can
seem plain sailing, you’re working hard, getting good grades, you think to
yourself ‘Wow! This isn’t as hard as they say!’ and then bam, something happens
and everything feels a bit out of control.<o:p></o:p></div>
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My Nan passed away a few weeks ago, and it’s been a hard
blow. Instead of picking myself up after a nasty night shift, I will find
myself in tears, again, on the bus back home. During the final moments of a
birth I was facilitating, the parents decided to play a hymn on their phone,
which happened to be the single song we sung at my Nan’s funeral. That hurt a
lot. You come across such raw emotion every day in midwifery, and if you feel
the slightest bit vulnerable it can leave you in pieces.<o:p></o:p></div>
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I remember being so desperate to get into Midwifery that I
swore to myself I would never complain about it if I ever got in, so the last
thing I want to do is be negative. I am still so thankful to be here and I am
determined as ever to reach my full potential. Three essays, two exams and
placement to pass- the prospect sounds incredibly daunting, but the fact it
will be behind me in 2 months is so comforting! <o:p></o:p></div>
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I guess what I am trying to say is that if I can get to the
summer, I am sure I can do it. It’s my final week on labour ward for the year,
so I really really REALLY hope that I get more deliveries as I feel like 2<sup>nd</sup>
year has been a bit of a ‘dry spell’ for me. <o:p></o:p></div>
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But- swings and roundabouts, although my deliveries have
slowed a bit this year, my clinical skills including vaginal examinations are
really improving, and it is those skills that I will carry with me through my
career. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<br />
<div class="MsoNormal">
So all in all I’m getting there! It’s been such a struggle
but I am seeing the light at the end of the tunnel, and I’ll be super happy
once I’ve finished my research essay tomorrow. One hurdle at a time!<o:p></o:p></div>
University of Greenwichhttp://www.blogger.com/profile/05879701446496502511noreply@blogger.com0tag:blogger.com,1999:blog-5783133640094816070.post-16233208494202662172015-02-19T13:55:00.001+00:002015-02-19T13:56:10.160+00:00More Lectures<div class="MsoNormal">
I am well and truly into lectures now, and I am hoping to
get started on my assignments soon to get them out of the way.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
A few exciting prospects have surfaced- including the
opportunity to write an article with one of the senior lecturers. To be
published before I have even graduated would be such a huge honour- so I will
be working hard over the next few weeks to write a really decent piece. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhCq4s6SVzgIL0QJv0SJSpcmpmUlDptg6KZCnCFpmKlfSKgFcCCJgTNJhDKVLPoF_whAjF4MXqmk9xVSqYGpTQap7XQBn67Jg51Wp_KdY7V3Bd8bFUJPJ3w-BnIio-MshxSXDSsnqIw4UI/s1600/FGM_183x90_ABCNY2.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhCq4s6SVzgIL0QJv0SJSpcmpmUlDptg6KZCnCFpmKlfSKgFcCCJgTNJhDKVLPoF_whAjF4MXqmk9xVSqYGpTQap7XQBn67Jg51Wp_KdY7V3Bd8bFUJPJ3w-BnIio-MshxSXDSsnqIw4UI/s1600/FGM_183x90_ABCNY2.jpg" height="156" width="320" /></a>Next week I am attending a conference on FGC (Female genital
cutting, often referred to as FGM). It is a topic I am particularly passionate
about so I intend to learn how the NHS and department of health intend to
implement services and safeguarding measures in my region, and I will hopefully
expand my knowledge on the subject in the process.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
I am also getting together with a group of women who have
kindly agreed to meet with me through a local division of a national bereavement
charity. They will share with me their personal experiences of miscarriage,
stillbirth and infant loss, in the hope for me to develop my understanding as a
student midwife. I am hoping this will equip me to provide a high standard of
individualised, compassionate care to the families I come across who are going
through these incredibly difficult times. This experience will hopefully
complement the learning I have undertaken over the past week in lectures. I
have benefitted from both a theoretical lecture and a workshop on bereavement
in midwifery. Although I found the
lectures hard-hitting and difficult; I am grateful we have had the opportunity
to learn more, as it is important to be as prepared as possible for practice. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
This week I received my results for the dreaded
pathophysiology exam- and by some miracle I got a high 2:1! I am ecstatic with
this result as I feel I struggle with the general science element of the
course. We studied pathophysiology alongside the nursing students who are much
more likely to come across anaphylaxis, pneumonia or other critical conditions.
I am always more confident when I’m being examined on something I have already
learned about or witnessed in practice. The clientele that midwives work with
are generally young healthy women going through a natural physiological
process. However- I worked hard and with
my result I feel more confident in identifying symptoms in a case where a
deviation from normality may indicate a medical problem.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<br />
<div class="MsoNormal">
Until next time!<o:p></o:p></div>
University of Greenwichhttp://www.blogger.com/profile/05879701446496502511noreply@blogger.com0tag:blogger.com,1999:blog-5783133640094816070.post-82432938390058413802015-02-05T13:51:00.000+00:002015-02-05T13:51:43.132+00:00Back to lectures<div class="MsoNormal">
It’s my first week back in lectures, which I am actually
really happy about. (Not that I’m a geek or anything). It is such a relief to
have the pressure of placement and juggling assignments behind me for the time
being. It also makes a big difference having the weekends off. The 9-5 Monday
to Friday regime is great for my social life, especially as I have a lot more energy
after spending 8 hours sat in lectures as opposed to 12 hours (sometimes
overnight) on my feet!</div>
<div class="MsoNormal">
<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://www2.gre.ac.uk/__data/assets/image/0009/634806/lecture-hall-17.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://www2.gre.ac.uk/__data/assets/image/0009/634806/lecture-hall-17.jpg" /></a></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
My cohort has an extra course to study this semester in
addition to the usual three. Not only does this mean more contact hours in
university; but more assignments! What makes the workload even more intense is
that some of the courses will be assessed in multiple formats; so for example,
our grade for the midwifery module this term is awarded based on our practical
assessment on placement, a written exam, and an OSCE examination. That’s for
only one out of the four courses we are undertaking! <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
However, the subject matter is becoming increasingly
interesting as the course goes on. This term we are heavily focussing on
complications- in childbearing and in the fetus and neonate. It helps having a
year and a half of practical experience behind me as I have witnessed many of the
conditions I’m now learning about in theory.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
I’m nervously anticipating my results from my exam and essay
to come through- I desperately hope that all the hard work paid off. My final
placement for semester 3 on the community was hugely successful so my overall
grade for practice was my highest ever! Also my placement planner for this
semester finally came through today- I am beyond excited.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
My first placement is three weeks on delivery suite. This
will hopefully be an opportunity to get some births in as I’ve only delivered
two babies so far this year! (We need 40 births by the end of the degree).
Although I have delivered 21 babies I can only count 15 for my course- as four
were in Africa and two deliveries were followed by complications with the
delivery of the placenta- which unfortunately means we can’t count them!<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
I am also scheduled for a placement in triage which I’m
excited about- this will help me gain confidence in determining the onset and
progression of labour. The long-awaited sexual health placement is also just
round the corner which I’m sure will be fascinating. My other practical
experiences lined up include Fetal Assessment Unit, for which I’m not sure what
to expect, Neonatal Unit, and Best Beginnings (a midwifery team who care for
women in need of extra support).</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
I am now over half way through my degree and the pressure is
really on. Sometimes I feel completely out of my depth and at other times I
surprise myself with how much I have learnt. The reality is sinking in. It’s
getting serious!</div>
<div class="MsoNormal">
<o:p></o:p></div>
University of Greenwichhttp://www.blogger.com/profile/05879701446496502511noreply@blogger.com1tag:blogger.com,1999:blog-5783133640094816070.post-31756782318021685752015-01-20T12:00:00.000+00:002015-01-20T13:43:32.808+00:00Busy Me! :)<div class="MsoNormal">
It’s been a busy couple of months for me, with two
placements to complete, two essays to write and a huge exam to prepare for! <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
However I can see the light at the end of the tunnel, with most
of my academic work for the term behind me and my last week of placement for
semester 3 finally here. Next week I will once again be a ‘normal’ university
student, with lectures 9-5 and weekends off!<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Today I received my grades for my placement on post-natal
ward. I am over the moon with the feedback my mentor gave me, its’ given me a
real confidence boost! <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
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<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
I wasn’t looking forward to ward prior to my placement,
although I’m not too sure why. I have been there occasionally when transferring
ladies from delivery suite once they have had their babies- and it always
seemed so hectic. However my first day working there reminded me why I love
what I do. I had learnt a lot of what I
was doing when providing post natal care on the community- this was the perfect
opportunity to develop my confidence. My mentor and I worked well as a team,
which I feel helped the women in our bays feel like they were being given
enough time. This made for a positive experience for all involved- my client’s
feedback was incredibly encouraging and my hope was to be more of a help than a
hindrance to my mentor.</div>
<div class="MsoNormal">
<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Some women were on the ward for over a week post natally,
which gave me the opportunity to develop strong client-professional
relationships. I was also blessed enough to provide care for women whom I
booked and cared for antenatally- meeting their babies was a fantastic
experience, especially as I had known some of these families for the best part
of a year.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
I grew in confidence in medicines management, administered
my first injections, helped give a blood transfusion, and learnt loads about
the various drugs under the ‘midwives exemptions’. My documentation improved a
great deal (this is something that I can struggle with in practice) and I
learnt how to discharge women from the ward back home. Once I became familiar
with the ward, myself and my mentor would look after a bay each- and I started
to take the lead in the care of the women and their babies. After a while I
began to notice how much my clients appreciated my care. I received my first
bouquet of flowers and was given lots of encouraging comments. My mentor was
fantastic at teaching me new things, and I quickly grew comfortable with all of
the midwives on the ward- everyone was so friendly and helpful.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
I am now back on the community (I have already spent 12 weeks
in this area during my 1<sup>st</sup> year) and I’m finding all that I learnt
on the ward has helped me become more competent in practice, especially with
post natal home visits. I am now in the final week on the community, and this
is the only time I have here for year 2. Next year I will be expected to lead
ante natal clinics and visit women at home on my own, so I’m using this
placement to learn as much as I can and polish my practice so that I am ready
for the responsibility that third year brings.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Speaking of responsibility, this week I need to find a woman
(or two) to form part of my caseload. In our 2<sup>nd</sup> and 3<sup>rd</sup>
years we are required as part of our midwifery education to take on a small
caseload. We are recommended to take on between 2-4 women- and these pregnancies
can spread the span of the remainder of our degree. Ideally we shall book these ladies, then
accompany them to scans, doctors’ appointments and, if they are experiencing a
‘normal’ pregnancy, act as their lead carer throughout their care. We are then expected to be on call 24/7
whilst these ladies are at term- so between 37-42 weeks. We should then be
notified by delivery suite (or by the attending midwife on call if a
homebirth), and provide intra partum care (which hopefully includes delivering
the baby!). We can ask any of our ladies whether they would like to be
case-loaded, they could be planning a homebirth or an elective caesarean.
Personally I am intending my caseload to comprise of predominantly low-risk
ladies needing midwifery-led care, so that it is more likely that I can be her
primary care provider throughout pregnancy, during labour and birth and
post-natally.</div>
<br />
<div class="MsoNormal">
Unfortunately, the majority of the women I am now booking on
the community are due over my annual leave (and also my 21<sup>st</sup>
birthday). I have my heart set on booking the ladies I take on, so I’m hoping
for a ‘late booker’ (past their first trimester), otherwise I may have to
settle at asking women at their 16 week appointments. I am so nervous about
taking the lead for an entire pregnancy and beyond- but I can imagine this
experience is going to be incredibly rewarding. It is a huge responsibility
however I will still have my mentor for support and assistance along the way.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
University of Greenwichhttp://www.blogger.com/profile/05879701446496502511noreply@blogger.com0tag:blogger.com,1999:blog-5783133640094816070.post-26076979248534423492015-01-12T15:16:00.001+00:002015-01-12T15:16:16.718+00:00University of Greenwich Midwifery society<div class="MsoNormal">
I cannot believe it is 2015 already! I qualify next year… Oh
my goodness.<o:p></o:p></div>
<div class="MsoNormal">
2014 closed with an exciting month, a brand new placement
setting and the launch of the University of Greenwich Midwifery society!<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
The midwifery society was set up to compliment the degree
programme, and is a chance to expand our knowledge with student midwives from
other cohorts. I was excited for the opportunity to network with midwives,
doulas, and whoever else attending with a passion for midwifery and obstetrics.
I had been anticipating this event for some time, with the line-up being as
impressive as it was. We had the honour of world-renowned obstetrician Michel
Odent heading up the launch event, as well as midwives Amanda Burleigh and Tara
Pauley delivering seminars. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Amanda Burleigh spoke to us about the importance of delayed
cord clamping. Those who are ‘pro’ cord clamping had a real breakthrough just
last month when the latest NICE (National Institute for Clinical Excellence)
guidelines recommended not clamping and cutting the cord for at least one
minute after the baby is born. At delivery, the placenta still contains up to
1/3 of the baby’s blood supply, and has been associated with a lower incidence
of infant anaemia. I find this image of twins below really interesting. Baby A
(on the left) had immediate cord clamping and Baby B had delayed cord clamping.
Look at the difference in colour!</div>
<div class="MsoNormal">
<br /></div>
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<br />
We then had Tara Pauley, a research midwife, talk to us
about her complementary therapies clinic she has recently set up at Hitchengbrooke
Trust for post-dates women. As I have mentioned in a previous post, after a
lecture on complementary therapies by guest speaker Denise Tirran, I was very
keen to learn more. Tara and her team offer services to their maternity clients
including acupuncture and aromatherapy alongside optional membrane sweep with
the aim of reducing their unit’s induction rate- which they have by a fantastic
5 percent! The NMC states that ‘You must ensure that the use of complementary
or alternative therapies is safe and in the best interests of those in your
care’ and ‘Registrants must have successfully undertaken training and be
competent to practice the administration of complementary and alternative
therapies’. Becoming a qualified complementary therapist is something I am
interested in upon qualifying- however evidence on its benefits are sparse and
often inconclusive. It is estimated that around 80% of pregnant women are now
using complementary therapies- however this is rarely disclosed or documented
with midwives. Whilst complementary/alternative therapies can be advantageous,
they can be very dangerous when not used correctly- this includes ‘natural
remedies’ like the well-known raspberry leaf tea. It is important for women to
be aware that everything has its contraindications. I was surprised by the vast
amount of women using complementary therapies and felt that my knowledge base
in this area was still limited. With this in mind I decided to contact Tara
Pauley and arrange an observational placement in her clinic for my transition
project in July. To my excitement, Hitchengbrooke trust are happy to have me
and I cannot wait to work with them in the Summer!<br />
<div class="MsoNormal">
<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
The final speaker of the evening was Michel Odent, who is
famous for introducing concepts like home-like birth environments, birthing
pools, and the application of ‘gate control theory of pain’ to obstetrics.
Michel Odent is known for a few controversial opinions too, such as his view
that men should not be in the birthing room. Despite being a relatively new
expectation of fathers, it already seems engrained into our culture. Whilst
historically women have been known to labour alone or with only female
companions, I am not sure I entirely agree with Odent’s statement.
Unfortunately I didn’t get the chance to debate this topic with him on the
night! However, the in-depth discussions on the use of water in labour,
cultural conditioning and microbirth were equally fascinating.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<br />
<div class="MsoNormal">
Here are few pictures from the night- a big thank you to the
amazing Midwifery Society for putting together such a fab event!<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
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University of Greenwichhttp://www.blogger.com/profile/05879701446496502511noreply@blogger.com0tag:blogger.com,1999:blog-5783133640094816070.post-82423424192318552352014-12-02T10:06:00.001+00:002014-12-02T10:06:42.960+00:002nd year!<div class="MsoNormal">
I am well and truly in second year now, with only a few
weeks left until Christmas-it’s crazy how it flies by! I am currently buried
beneath a mountain of books and work with a couple of deadlines looming around
the corner. My lecturers are now starting to say ‘when you’re qualified’, which
is both exciting and terrifying! So many students in cohorts above warned me of
what is known as ‘the death zone’ (in other words, year 2) - so as you can
imagine removing my 1<sup>st</sup> year badge was particularly daunting. However
on my return to placement I was greeted as a valued member of the team. More of
the midwives and doctors knew my name, remembered me or trusted me to help them
with a task. With experience comes greater responsibility, and the course
always had to progress. The workload is somewhat intense, but fortunately I am
reasonably organised when it comes to getting work done so I haven’t suffered
too badly! <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
I can feel myself slowly shaping into the professional I
will one day become. I’m finding areas in midwifery which I am particularly
passionate about, areas I want to make a difference in one day. We had a guest
speaker talk to us about the controversial topic of complementary therapies- it
was nothing short of fascinating, I’m going to see if there are any legit study
days I can attend to expand my understanding .I also had a particularly
interesting seminar on family spacing contraception- which has me looking
forward to my sexual health placement next year! I would love to specialise in
something like that one day.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
However; I need to get this degree first! I am presently
working on an essay about evidence based practice- I’ve decided to focus on
perineal care. This is a hugely debated subject in the field of midwifery and a
lot of the evidence isn’t significantly conclusive either way. It is a
frustrating essay in many aspects but I am finding it useful- as a healthcare
professional it is required of me to have a solid evidence base providing
rationale for any clinical decisions I make. The International Confederation of
Midwives states ‘Autonomous midwifery practice enables midwives to fulfil their
contract with society by providing up-to-date, evidence-based, high quality and
ethical care for childbearing women and their families’. This outlines how in
order to be a competent and independent midwife, we must update ourselves
constantly on the most current and reliable research.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
This is my last day of lectures for semester 3- wow it only
just hit me as I wrote that! I have arranged a Christmas meal for the student
midwives of our cohort after we finish at uni today- I’m really looking forward
to socializing with everyone. It’s always sad when we finish lectures and go
our separate ways for the placement period!<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
I start a brand new placement on Post-natal ward next week
which I am really looking forward to. I <o:p></o:p></div>
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhqPCq_AdcSkAvdly479ryE2u3LbbMBRpHmOtW-Odh-83E_WZHY_E1Z6XeLxP3zCGZf5j7XUDH-7fGXOL8ZLJCuZ1LXWnMLjBcDfm2ArqmZaIEk6YaSFFkE0l645ZcEKS7l1B_7K1nPGrs/s1600/wardf11250x165.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhqPCq_AdcSkAvdly479ryE2u3LbbMBRpHmOtW-Odh-83E_WZHY_E1Z6XeLxP3zCGZf5j7XUDH-7fGXOL8ZLJCuZ1LXWnMLjBcDfm2ArqmZaIEk6YaSFFkE0l645ZcEKS7l1B_7K1nPGrs/s1600/wardf11250x165.jpg" /></a>have been told it will be a challenge-
the midwives always seem to be so busy there. I have already met the midwife
who will be my mentor when I’ve been working on delivery suite- she is really
lovely which takes a lot of the pressure off! I find the post natal period so
interesting yet I feel like I don’t know enough about it yet. So I’m sure that
the next few weeks shall be a learning curve for me. <br />
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I shall keep you updated!<o:p></o:p></div>
University of Greenwichhttp://www.blogger.com/profile/05879701446496502511noreply@blogger.com1tag:blogger.com,1999:blog-5783133640094816070.post-14830959865519040182014-10-21T15:48:00.001+01:002014-10-21T15:49:19.271+01:00Here goes, this is my first post as a bloggie!<div class="MsoNormal">
I am a
20-something midwifery student at the University of Greenwich, and I am about
to embark upon my second year of training. My life as a student midwife is
hectic, challenging and emotional- with this in mind I decided to write down my
thoughts and ponderings to reflect on my day-to-day life (and hopefully
entertain you in the process).<o:p></o:p></div>
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Where to begin? Whenever I tell people I am studying to
become a midwife, the question they always ask me is 'what made you want to
become a midwife?’- I guess this is a better place to start than any.<o:p></o:p></div>
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When I was studying A-levels at college, the plan was to
become a journalist. I was a bit lost for what to do with my life; I think I
was too young to make any serious career decisions. When choosing what courses
to undertake, I went with what I was good at previously at school. I chose
subjects like English Lit and Journalism. Almost as soon as I started I knew it
wasn't right for me. <o:p></o:p></div>
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However, in October 2011 I travelled out to India with my
mother who works for a charity based there. One day in Bengaluru I stumbled
across a 'child survival clinic'. Women would attend </div>
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ante-natally and
post-delivery with their children, and learn about preventative life threats,
hygiene and infant feeding. The surrounding area was deprived and impoverished,
the slums being a hot-zone for the likes of Malaria, HIV and tropical disease.
These pregnant women were generally young, yet some of them were pregnant for
the 5th or 6th time. I attended this centre for a few days and was fascinated
by the work I was witnessing. As a naturally inquisitive person, this aspect of
life that I knew barely anything about drew me in.<o:p></o:p></div>
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I decided to look into Midwifery on my return to the UK. I
was haunted by what I had seen in India and wanted to learn more. I haven't had
any children of my own, so the world of child-bearing was an entirely new and
exciting one for me. The applicant-to-place ratio was initially off-putting,
but I like a challenge! Although I was studying courses that seemed irrelevant,
I worked hard at them to achieve the best grades. The idea of becoming a
midwife became increasingly dominant in my mind, so upon finishing college I
applied to university. I started a job in healthcare, got used to bodily fluids
and paper work and night shifts.</div>
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<o:p></o:p></div>
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People kept telling me not to bother, how I should apply for
nursing first to give me a better chance. The doubts spurred me on even more; I
just worked harder to make my application stand out! I can be stubborn, so
before I got ahead of myself I wanted to make sure this career was definitely
for me.</div>
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I worked and saved for a year and spent thousands of pounds to travel
out to Africa, to see midwifery on a more intimate level. As I mentioned
before, I haven't had any children of my own and have never been pregnant, so I
wanted to at least witness a birth first hand before commencing midwifery
training. Fortunately, this pricey experience confirmed to me the beginnings of
a passion. I fell head over heels for the profession; I knew this is what I
wanted to do for the rest of my life!<o:p></o:p></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhlPPsZYlIoCcVSxI3ZWiaBWHWgneUWX5teukvS_iM0GVgVnDG_GdJV_5HzW5JPsegQ2xrf-8yKl0TwSbZTL9jIO7YAPl0IqaFQH5l1xqh7wtm2Mbdp8uXeWRvmPVef07TjYj_mrCiXIgc/s1600/IMG_8677+(2).jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhlPPsZYlIoCcVSxI3ZWiaBWHWgneUWX5teukvS_iM0GVgVnDG_GdJV_5HzW5JPsegQ2xrf-8yKl0TwSbZTL9jIO7YAPl0IqaFQH5l1xqh7wtm2Mbdp8uXeWRvmPVef07TjYj_mrCiXIgc/s1600/IMG_8677+(2).jpg" height="320" width="240" /></a></div>
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I haven't looked back since.<o:p></o:p></div>
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Until next time, Aimee<o:p></o:p></div>
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University of Greenwichhttp://www.blogger.com/profile/05879701446496502511noreply@blogger.com0