knowing when you need to take a break from something that you love, can be so very difficult. I realized that I was not providing the care that reflected my view and expression of midwifery. I was so fatigued. It was not easy, and there were other circumstances that hastened me to take care of myself. Last May I contacted my clients, contacted other midwives to take over their care. So very difficult, not following though with their care as I had signed up to do. But, I needed to take care of myself, to only take care of myself. This might look different for other midwives but for me it meant to stop completely.
I did some research on midwifery burnout. I learned, and I was comforted that I was not alone.
The role of midwife is so unique. I carry my clients with me, in my mind and heart at all times. I have no staff. I have no secretary, or other staff to carry the load, to bounce ideas on or ask a second opinion of. Not only do I need to stay up on the latest research pertaining to midwifery (this I love) but stay up to date on technology (I do not care for this part) and running a business, especially one that is attractive to Millennial's. I just want to be a midwife, love on my clients and give the most competent care possible.
After seven months, no on call, no big decisions..... I am ready to return to my calling; Midwifery. But with the clarity of practicing the way I was first called to, to serving women. No longer being sidetracked by all the latest technical options, but I will outsource what I need to, allowing me to simply love midwifery again. Remaining mindful of self care, I will keep my practice small.
So happy, so excited!
Is home birth safe?
According to the most recent and up-to-date research evidence, yes.
A systematic review and meta-analysis has been published by The Lancet. It looked at 14 studies including data from around 500,000 intended home births. The authors found that, “The risk of perinatal or neonatal mortality was not different when birth was intended at home or in hospital.”
If you’re the kind of person that likes the detail, here are the results of the most recent study:
“Among nulliparous women intending a home birth in settings where midwives attending home birth are well-integrated in health services, the odds ratio (OR) of perinatal or neonatal mortality compared to those intending hospital birth was 1.07 (95% Confidence Interval [CI], 0.70 to 1.65); and in less integrated settings 3.17 (95% CI, 0.73 to 13.76). Among multiparous women intending a home birth in well-integrated settings, the estimated OR compared to those intending a hospital birth was 1.08 (95% CI, 0.84 to 1.38); and in less integrated settings was 1.58 (95% CI, 0.50 to 5.03).” (Hutton et al 2019). credit dr. Sara wickham