Essay on The Midwife Will Analyse The Women 's Health

Essay on The Midwife Will Analyse The Women 's Health

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Throughout pregnancy, women predominately receive their health care through the medium of a midwife (National Institute for Health and Care Excellence, NICE, 2008) whose role it is to provide support and health education (Nursing & Midwifery Council, NMC, 2015; World Health Organisation, WHO, n.d.). The midwife will analyse the women’s health and lifestyle to ensure appropriate care and services are made available to them, whilst taking into account any cultural and diversity barriers (NMC, 2015). In this essay, the author, a student midwife, will reflect upon a single event in their clinical practice; focusing on a particular client who was unable to communicate in English. The author will also explore the impact this has on the disclosure of domestic abuse. To support their reflection, the author will be using Gibbs’ (1988) reflective cycle, which was developed by elaborating on Kolb’s (1984) cycle, thus allowing the author to perform a more in-depth analysis of the individual event. With the use of this reflective cycle (Gibbs, 1988), the author will able to explore cultural influences, such as language, which may erect barriers in communication, directly impacting the discussion of domestic abuse. The psychological effects of communication barriers on women will also be explored, including the impact these barriers have on the maternity services and public health. To comply with confidentiality the author uses pseudonyms for both: the hospital trust, Local Trust; as well as for referring to the client, Rashida (NMC, 2015).
The client, Rashida, a twenty-eight year old multigravida, of Kenyan descent, attended her initial antenatal booking appointment, as per a referral from her GP, complying with the NICE (2008) antenatal care...


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There are many aspects of the scenario which are exclusively positive in enhancing and ensuring the correct care is given to the woman, however, there are other aspects which contradict this and are more negative. Using the husband to aid translation is an example of both a positive, and negative, aspect of the scenario. The husband helped Rashida understand important information, such as, the pattern to which maternity appointments conform, as well as allowing her to express any relevant medical history (NICE, 2008). In turn, this means that although Rashida cannot communicate directly with the health care professionals, she is exposed to the midwifery care that she is entitled to (NICE, 2010). Subsequently, Rashida’s health needs will be met as her routine antenatal appointments will provide education and support, as well as medical advice (NICE, 2008).

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