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Caring Headlines — September 16, 2010 Jeanette Ives Erickson (Continued) Headlines CaringSeptember 16, 2010 Certifi ed nurse-midwives Certifi ed nurse-midwife, Dana Cvrk, CNM (right), and labor & delivery nurse, Elizabeth West, RN, support patient, Kerin Mejia, through a labor contraction moments before she gave birth to a beautiful baby girl. See senior vice president for Patient Care, Jeanette Ives Erickson’s, column on page 2. The newsletter for Patient Care Services Massachusetts General Hospital Jeanette Ives Erickson Certifi ed nurse-midwives When choosing a caregiver to guide them through pregnancy and childbirth, women should know they have a choice urse-midwifery has been a recognized healthcare profes- sion since the early 20th cen- Nurse-Midwifery tury, but surprisingly, many people are still unclear about Philosophy of Care what nurse-midwives do. First established in rural Kentucky Jeanette Ives Erickson, RN, senior vice president •Focus on prevention for Patient Care and chief nurse and education NNin the 1920s, nurse-midwives brought family health •View pregnancy as a services to poor and under-served areas of the Appa- Nurse-midwives bring a holistic approach to the normal process lachian Mountains. Today, more than 7,000 certifi ed management of pregnancy, labor, and childbirth. They •Provide nurse-midwives practice in all 50 states providing indi- have their own patients and work collaboratively with compassionate, vidualized, holistic care as integral members of the ob- obstetricians and maternal fetal medicine physicians family-centered care stetrical team. within the Vincent multi-disciplinary obstetrical ser- •Encourage women’s Certifi ed nurse-midwives are registered nurses vice. participation in who’ve completed graduate-level training in midwifery, According to Marie Henderson, CNM, director of decision-making passed the national certifi cation exam offered by the the Nurse-Midwifery Program, “A nurse-midwife can •Use technology American Midwifery Certifi cation Board, and been li- start to manage the prenatal care of an expectant and intervention censed by the state to practice in birthing centers, clin- mother as early as the fi rst positive pregnancy test. If, appropriately ics, and hospitals. At MGH, nurse-midwives practice after a risk assessment, a pregnancy is deemed low-risk •Consult, refer, and within guidelines established in collaboration with the (as the vast majority of pregnancies are), a woman can collaborate with division of Maternal Fetal Medicine and within the choose to have a nurse-midwife manage her care. The members of the scope of practice prescribed for advanced practice goal of nurse-midwives is to support the choices healthcare team nurses. Of the more than 3,500 babies delivered at women make by providing accurate information, en- MGH each year, approximately one third are delivered couragement through the discomfort of pregnancy, re- by nurse-midwives. spect for cultural values, and anticipatory guidance.” continued on next page Page 2 — Caring Headlines — September 16, 2010 Jeanette Ives Erickson (continued) Contrary to popular misconceptions, giving birth Midwives encourage a variety of positions for women with the guidance of a nurse-midwife does not neces- during labor (as shown in the photo on the front cover). sarily mean giving birth at home, nor does it mean Shifting positions helps women cope with the pain of giving birth without the benefi t of pain medication. childbirth more effectively. Nat ural childbirth (no medication) can be accom- MGH serves a global community. Respect for cultural For the well- modated when it’s the mother’s choice, but pain values is an important part of midwifery care. Supporting medication and/or an epidural are available. the choices of women who come to us from other coun- being of both As Henderson is quick to point out, “That’s what tries means honoring the beliefs and traditions surround- makes MGH such an incredible place to give birth. ing labor and childbirth in their native countries. A map the baby and the Women who choose midwifery care can deliver in a of the world hangs in the midwifery call room as a way of mother, nurse- birthing room in the company of their partner or affi rming the local and global practice of MGH midwives. support person, the midwife, and a labor nurse. The Midwives are trained to assess complications through- midwives talk entire obstetrical team (obstetricians, pediatricians, out pregnancy. During the day, the triage area on the anesthesiologists, maternal-fetal medicine specialists, Labor & Delivery Unit is run by midwives who assess to expectant and access to the MGH Blood Bank) is available if each woman’s concerns and admit, or defer admission, the need arises. Nurse-midwives are trusted members accordingly. mothers about of the obstetrical team. Every woman contemplating Says Henderson, “It’s a privilege to do what I do. As a prenatal testing, motherhood should know that nurse-midwifery care midwife, I bring a set of skills to women as they give is safe for moms and safe for babies.” birth. To touch a baby’s head as it enters the world and smoking, alcohol Nurse-midwives view the onset of pregnancy as hand that baby to its mother is an incredible moment.” an opportunity to provide valuable health education. Nurse-midwife, Amy Kogut, CNM, says one of her fa- use, nutrition, For the well-being of both the baby and the mother, vorite things about being a nurse-midwife is, “that mo- weight-control, nurse-midwives talk to expectant mothers about pre- ment when the mom and family see their baby for the natal testing, smoking, alcohol use, nutrition, fi rst time — especially when they don’t know the gender. exercise, fl u weight-control, exercise, fl u shots and other vac- They just love it because it’s here, it’s theirs, and it’s cines, oral care, breast-feeding, motherhood, home/ amazing. There’s just nothing else like it.” shots and life balance, even the use of seat belts. Moms are For information on becoming a nurse-midwife, other vaccines, given the most up-to-date information to empower e-mail Marie Henderson at: [email protected]. them to make the best choices for themselves and To arrange a consult with a nurse-midwife at MGH, call oral care, their babies. 617-724-2229. breast-feeding, motherhood, In this Issue home/life balance, Certifi ed Nurse-Midwives ............................................1 The Knight Center ............................................................9 • Annual Regulatory Compliance Training even the use of Jeanette Ives Erickson ......................................................2 • Certifi ed Nurse-Midwives Fielding the Issues ..........................................................10 seat belts. • Acute Care Documentation (ACD) Ramadan at MGH .............................................................4 Announcements .............................................................11 Clinical Narrative ...............................................................6 • Daphne Noyes and Rachel Spence, RN Collaborative Governance .......................................12 Reinvigorating Our No-Smoking Campaign ......8 September 16, 2010 — Caring Headlines — Page 3 Observances Ramadan at MGH an opportunity to celebrate and educate — by Firdosh Pathan, RPh n August 24, 2010, in the employees, patients, families, and visitors as they came to- spirit of unity and commu- gether to enjoy good food and good company. Firdosh nity-building, Patient Care Pathan, RPh, who organized the event, and Audrey Jasey, Services, Human Resources, RN, co-chair of the PCS Diversity Committee, offered Below: event organizer, and the MGH Muslim com- welcoming remarks. Guest speaker, Abdur-Rahman, pro- Firdosh Pathan, RPh, and munity held an Iftar (a break- vided insight into the meaning and importance of fasting guest speaker, Abdur-Rahman, OOing of the fast during the Holy month of Ramadan). It during the month of Ramadan. And Muslim chaplain, welcome guests before was the tenth observance of this important Muslim Imam Talal Eid, ThD, led the gathering in prayers. (at right): breaking fast holiday, and heavy rain didn’t dampen the spirits of Muslims follow the religion of Islam. Ramadan is a spe- cial month for more than 1.2 billion Muslims around the world. It is a time for inner refl ection and devotion to God. During Ramadan, the ninth month of the Islamic (Photos by Paul Batista) Paul (Photos by Good food. Good friends. Evening prayers. And a chat about the benefits Page 4 — Caring Headlines — September 16, 2010 Observances (continued) lunar calendar, healthy Muslim adults and many chil- ing one another, or helping the sick and poor. Rama- Typically, Muslims dren fast from dawn until sunset. Smoking and marital dan is a time for Muslims to be better Muslims. The el- celebrate Iftar with family intimacy are forbidden during fasting, and at the end of derly and expectant mothers may abstain from these in their home countries, the day the fast is broken with prayer and a meal called practices or choose to observe the fasting tradition at but many Muslims living the Iftar. another time of year. in the United States are During Ramadan, Muslims perform good deeds such The purpose of Ramadan and the fasting tradition is apart from their families as giving more to charity, discontinuing bad habits, visit- to acquire self-control, discipline, generosity, and God- during Ramadan. Having consciousness. Because an opportunity to share Ramadan is a lunar this celebration with month, it begins approxi- friends and colleagues in mately 11 days earlier each the MGH community year. was a much-appreciated At the end of the holy gesture for Muslim staff month, Muslims celebrate and patients. Eid-ul-Fitr, the festival of Perhaps Pathan said it fast-breaking, which will best in his prayer prior to take place this year breaking fast, “We have September 10th or 11th one God, one humanity, (depending on the sight- one world to share. I ing of the moon). hope that all the people of the world who pray to this God can one day live together in Peace.” For more information about prayer times or to learn more about the Muslim religion, send e- mail to [email protected] or [email protected].
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