Denise and her blog
Global Warming, Pregnancy And Midwifery
I was fascinated recently to see that the effects of extreme heat were debated at the International Maternal and Newborn Health conference in Nairobi, which included representation from WHO, ICM, UNICEF and other international organisations. Global warming is becoming a critical issue in relation to women’s, babies’ and children’s health, and to the work of midwives around the world.
It is well evidenced that Schumann resonance – the electromagnetic energy of the earth – has increased from around 7.83 Hz to over 8.2 Hz in recent years, and that this rising heat is becoming critical to health and wellbeing. The effect of this heat on human (and animal) health and wellbeing has been discussed for some decades, and attributed to the huge rise in population 9including people living longer) and the ever-increasing use of technology and electromagnetic forces, transportation and industrialisation, excessive use of chemicals in the atmosphere (in processed foods, in fragrances, cleaning products), uncontrolled viruses such as Covid – and much more. The issue of “electrosmog” from increased use of mobile ‘phones, radio frequencies, electricity, microwaves, ultrasound and more adversely affects sleep patterns, energy levels and mental wellbeing. Stress, which is a source of heat, increases brain vibrations, leading to agitation, anger (becoming “hot tempered”) and increased cortisol and adrenaline, causing hormonal imbalances, whilst the rise of ADHD and dementia in modern society is one of the longer term impacts of global warming.
In reproductive health, increased energetic impulses adversely affect fertility and conception, raising the risk of genetic mutations (heat affects the speed of cell division and mitotic division). Later in pregnancy, excess heat can lead to gestational complications - hypertension, diabetes, preterm labour, stillbirth – and to issues such as ovum implantation, potentially leading to placenta praevia, antepartum haemorrhage and more. Crucially, the abhorrent use of often unnecessary intervention in childbirth is a major source of negative energy for parents, babies and professionals – from CTG monitoring to brightly lit rooms, to increased use of induction, epidural and Caesarean births, with all the technology surrounding this terminal medical management of birth. For newborn babies, there is an impact on temperature regulation, maturation of the immune system and neurological development.
For midwives, exposure to constant heat in the maternity unit causes dehydration, extreme tiredness and a reduced ability to “think straight” – with the risk of poor decision making. Constantly raised cortisol affects midwives’ mood and cerebral balance, leading to agitated midwives who become short-tempered and who lose their ability to be compassionate. Over time, these issues lead to occupational burnout and, in the long-term, major health issues for midwives – and of course other healthcare professionals. In midwifery education, whilst technology has its place in aiding learning, constant exposure to digitalised equipment, mobile ‘phones, virtual learning resources and – since Covid – online learning, all contribute to additional exposure to heat.
Clinical midwifery – and antenatal and intrapartum care – have changed out of all recognition since I was first a midwife. There is so much reliance on technology, and consequent loss of basic observation, listening, smelling and other skills that, when well refined, were just as reliable in detecting complications – and midwives were taught how to resolve or manage those complications well before the arrival of medical help. Midwifery “care” – despite good intentions – is no longer as caring as it once was because the “system” does not allow us to care. Caring is a skill which balances the midwife’s brain, reducing cortisol and raising oxytocin, in the same way as it aids physiological progress in the women for whom we care. Addressing the clinical – and learning - environments to minimise sources of heat which adversely affect women, babies and their caregivers is crucial, particularly as some aspects of global warming are outside our direct control.
How do you think you can contribute to reducing heat sources in your workplace?
Expectancy is Worldwide!
Did you know that Expectancy is unique, worldwide, in providing university-level professional and academic courses specifically for midwives on the safe use of complementary therapies in pregnancy, birth and the postnatal period? Expectancy has been offering complementary therapy courses for almost 22 years, in the UK and overseas. I’ve helped NHS midwives to implement aromatherapy, clinical reflexology and moxibustion for breech presentation. I’ve encouraged several hundred midwives to train in both complementary therapies and business studies so they can start their own private practices. And I’ve had the great pleasure of travelling to many countries around the world, including Japan, Hong Kong, Taiwan, China, Iceland, Spain, Norway, Canada and elsewhere, to train midwives in various therapies. I’m immensely proud of the midwives who join our Expectancy Community and who follow their dreams of providing the best possible care to their clients.
A Place For Complementary Therapies
One of the most important principles behind everything I teach at Expectancy is safety and professional accountability.
Complementary therapies in midwifery can sometimes attract scepticism, particularly when they are associated with discussions around physiological or “natural” birth.
That’s why our programmes place such a strong emphasis on evidence-based practice, safety frameworks and professional debate.
Midwives need to be able to explain why they are using a therapy, understand the safety considerations, and practise within the professional boundaries set out in the Nursing and Midwifery Council Code.
This allows midwives to confidently discuss their practice with colleagues, managers and parents - grounded in professional accountability and the best evidence available.
Complementary therapies should never sit outside professional practice.
They should sit within it.
What About Midwives Who Choose To Work Outside Mainstream Midwifery?
I had a great time recently at the Royal College of Midwives’ education and research conference in London. It was good to meet up with friends and colleagues and to debate current issues around midwifery and maternity care. As you might expect, there was a lot of discussion about the ongoing investigations into maternity service problems, and of course, everyone had their views on possible solutions. There were several presentations on equity, diversity and inclusivity and several on the increasing use of artificial intelligence in midwifery education. There was also much talk of the difficulties facing students trying to achieve their required 40 physiological births and, of course, the ongoing problem of intervention in childbirth.
However, it was disappointing to see that the RCM and all the speakers focused only on NHS clinical midwifery or research and on education provided by universities. There was no acknowledgement at all of the growing number of registered midwives choosing to work outside “the system” – independent midwives offering full birth services, midwifery educators providing specialist post-registration training, midwives in private practice offering antenatal education, complementary therapies, tongue tie division and other maternity-related services, midwives working for charities such as BPAS, or for companies that design digital programmes for maternity care or midwives engaged by private companies to undertake research or very senior midwives with national and international reputations offering consultancy services.
This lack of recognition that midwives can work in many ways in diverse settings is disrespectful to those of us who are self-employed. There is no apparent appreciation that being a registered midwife entitles you to work anywhere in any setting in any field of midwifery as defined by the WHO and ICM, from preconception care and fertility through pregnancy, birth and the postnatal period up to one year after birth. It is as if those who work outside mainstream clinical or educational organisations are “persona non grata” and disregarded in favour of the majority. Is this not a form of discrimination in its own right?
I raised this point on at least two occasions during the conference, including in sessions at which there were several midwifery educators or clinicians who have retired from the university sector or NHS and who are now working in a freelance consultancy capacity. There is an inherent undercurrent of dismissal of those who leave the NHS or higher education systems (even when some of those have given years of service and reached retirement age but who choose to continue working). It is almost as if our treacherous behaviour somehow undermines the value of the NHS or HEIs and that by doing so, we come up lacking credibility. (I remember, over twenty years ago when I left the university to set up Expectancy, a colleague from another university implying that I could not possibly be as good a lecturer as before now I had dared to go it alone.)
Then of course, there is the small matter of freelance midwives actually charging for our services. Chatting with colleagues about the various investigations currently in the news, one fairly senior midwife commented on the apparent hefty fees one authority was “raking in” – it was not actually a large amount that was quoted - but to an NHS midwife on a salary it obviously seemed like a small fortune. Yet, do NHS midwives work for nothing? Do they offer their services pro bono? Absolutely not – even though they may work plenty of hours of unpaid overtime. It seems, however, that actually having to charge for your services (rather than being paid a salary) is not de rigeur, not in keeping with the philosophy of our free-at-the-point-of-access healthcare system.
Whilst I completely understand that there are other priorities at present, including Ockenden reviews, the Amos report, ever-increasing intervention rates in childbirth, lack of resources, including staff and a dwindling (retiring) workforce, no jobs for newly qualified midwives and more, it is imperative that our colleagues and the organisations that affect our profession recognises that the way midwives choose to work is changing – and the way expectant parents want to receive care is also changing and they are prepared to pay for services they cannot find in the NHS. Let’s have a shout out for all those wonderful midwives who are working incredibly hard outside the system – in clinical midwifery, in education and in other areas in which being a registered midwife is a requirement.
Working with The Midwives at Liverpool Woman's NHS Foundation Trust
I’ve just returned from a wonderful few days in Liverpool working with the midwives at Liverpool Women's NHS Foundation Trust.
This was my second visit to provide Expectancy’s 3-day course on Aromatherapy and Acupressure for Postdates Pregnancy, helping midwives expand a specialist clinic designed to support women preparing for birth and potentially reduce the need for induction.
It was fantastic to see such enthusiasm from the 20 midwives attending the training.
Over the three days we explored:
• Safe use of aromatherapy at term and during labour
• Massage techniques for labour support
• Reflex zone therapy and its diagnostic insights
• Acupressure points to support cervical ripening and labour onset
But the highlight for me was visiting the birth preparation clinic in the midwife-led unit and seeing how the service is being delivered in practice.
The clinic is proving hugely popular, and early audit findings suggest that more women are going into labour spontaneously and requiring fewer interventions.
Most importantly, the midwives are delivering the service with a strong foundation in safety and professional criteria, exactly as we teach on the course.
It was a pleasure to spend time with such a dedicated team and to see the impact they are already having for the women they support.
And now… time to pack my bags for Yorkshire for the next course.
Previous articles
Global Warming, Pregnancy And Midwifery
Expectancy is Worldwide!
A Place For Complementary Therapies
What About Midwives Who Choose To Work Outside Mainstream Midwifery?
Working with The Midwives at Liverpool Woman's NHS Foundation Trust
How Things Have Changed In Midwifery
Would you ever think to ask about pets when discussing essential oils? 🐾
Praise for Liverpool Women’s Hospital’s Pre-Birth and Postdates Pregnancy Service
FAQs
Safety and Storage of Essential Oils
