2 hr lesson plan

LESSON PLAN:

Sponge activity:  I plan on asking them if they have heard of a midwife, and what they do. Explain the term and how it means "with woman" and how they really are with woman the whole time. i will also ask if they have heard of water birth and what the water does. Many people think that the baby can drown in the water, so i will elaborate on how the baby cannot drown. So for the sponge i will simply ask questions pertaining to what i will be discussing.

Introduction:  What is the best way a midwife can influence a birth experience?

Words:
midwife: A female in most cases who delivers babies, they tend to intervene less and empower the mother by helping her deliver her baby naturally.
Influence: The midwife must educate the mother, build a bond and support the natural process in order to influence the mother’s birth experience. She has a big role in her pregnancy, labor and birth so whatever she says or does will be obvious in her birth. She has the power to help the mother and assist her while she has a beautiful birth.
Birth experience: (I know two words but they go together) The whole experience can be very empowering to woman, and society associates birth with pain. So if the mother can over come it with no drugs then she has come out as a fighter. Birth experiences are physical and psychological. A birth experience only happens once but that experience and memories can go for the rest of a family's life.

I chose this topic because it is the career path that I want to be in. My grandma was a midwife and the summer before I went into senior year she told me her baby delivering stories and that encouraged me.

Plan for the day: After the sponge activity, I will talk about my topic why I chose it, explain my EQ, state the first answer and then do the activity.

 Explain my 1^st answer. Then do the rest of the activity.

I will then explain my 2^nd answer and do the activity.

Then my 3^rd answer and how it relates to my eq.

I will give details on how they all relate to my eq at the end.

I will then conclude with what my best answer was and why.

Then my 3 meaningful sources.

I will then say my product and state my goal of the presentation, which is for students to have a better idea of what a birth experience can be.

Foundation:  I will talk about my grandmother being a midwife back in her time and how she inspired me. I will say how I want to be a CNM (certified nurse midwife) and help those in rural areas one day.

Body:

Answer 1: educating the mother

-----Activity 1: 

•  I will assign two people as partners randomly, senior with a junior.
• Then I will ask for one to be the "expectant mother"
• I will say okay so the mother has a pain in her lower back what should she do? What should her partner do? What should the midwife suggest for her to do?
• For each question I will give them time to discuss and think about their answers.
• Next question is if the labor is taking longer than expected what should the midwife suggest for the mother to do?
• The last question is if the mother is in a lot of pain what should she do?

So the students are not educated they are not going to be able to know what to do, because they do not have enough knowledge. So by this I show that if you're not educated you cannot choose what is best for you. Then I will discuss my first answer, educate them. Ask them again and hope they answer better. I will also ask an additional question:

• If the mother is having a difficult birth, what should she do? Difficult being she is having a hard time pushing, the baby is not coming out. 

In total it will be 4 questions. Each question will be given 2 -3 min. I will ask for some to share their answers and why they chose that. At the end I may suggest something or agree with them.

Answer2: Building a bond

-----Activity 2:  So I will pair them up with other partners, junior with a senior.

·         I will give each one two papers one the midwife role the other the mother.

·         On the paper it will have three visits:

- Interview

- Prenatal #1

- Prenatal #2.

·         I will write a couple questions for each visit. I will also write things that the midwife needs to ask as well as the mother.

·         They are going to be role-playing and will have to improvise with the information that I give them.

·         Interview q’s:

-Why did you choose a midwife?

Possible answer: She may want something different, she may be unhappy with her last birth.

-Who will be at the birth?

Possible answer: Entire family, immediate family, just her partner.

Try to understand her partner’s role.

· Ask medical history: previous c-sections, history of abortions.

History of abortions may lead to negative feelings about labor. ( heart and hands 14)

Mother:

· How much experience do you have?

Possible answers: Worked in a hospital, I have my own private practice, I do home births. I have delivered breech babies, VBAC.

·Try to express your hopes and desires from the birth.

-         Will you want your partner to catch your baby?

-         Will you allow routine check ups from time to time?

-         Water birth, home birth?

Prenatal #1 qs:

· Hi how are you today?

· What have you ate today?

o        How are you feeling?

Possible answers: She may be feeling tired, fat, sad, happy or excited.

o        Do you have any fears?

Possible answers: Scared of stretch marks, scared that she will feel a lot of pain, worried that she will have a difficult labor. That her birth may not be what she is hoping for.

o        How is your partner?

o        If she is late, you may want to ask why she is late and if everything is okay?

o        Find out about her life style, like work, her daily routine?

Midwifery care is personalized care and you have to be able to build a connection.

Prenatal #2 q’s:

o        These Prenatal visits are to check the health of the mother, the baby and the emotional state of the mother. These visits are meant to provide nutritional counseling, emotional support and to build a bond. You need to make her feel comfortable with you.

o        I will give them room to ask questions, I want them to make up their own questions to see how an actual visit is. The mother is choosing the midwife to be a part of a very intimate part of her life. The students will see how hard it is to try to make a connection with someone you do not know. They need to be able to make each other comfortable not just the mother needs to feel the comfort.

o        The goal is to gain her trust, her confidence and comfort.

**At the end I will ask for them to share something intimate with their partner, if they feel comfortable enough. Or rate their comfort, discuss how they felt. They could talk about how many children they may want or how they wish to deliver their baby.

** These activities will work better if I pair them up girl and boy, so that is what I’m aiming for.

Conclusion

What is your best answer and why?

 Educating the mother, because that is the best way for a midwife to influence a birth experience. The mother needs to be educated on the protocols and needs to be able to make the best decisions for her and her baby. Education is key and allows for me to connect all the answers.

What is your 3 most important sources and why?

-    “The Thinking Woman’s Guide to a Better Birth”- great book with facts that are easy to understand. It compares the hospital and midwives really well.

-    My service learning- I asked questions whenever I felt I didn’t understand something, they helped me comprehend everything. I got a lot of great information from them, and absorbed everything like a sponge.

-    My fourth interview with Maryam the CNM. - My last interview summed everything up for me. It ended all my senior project interviews nicely. Although I was upset finding out that nurse midwives and Ob’s are the same in the hospital, it was a great way to see the other side of the midwifery model of care. That was a more medical model and I understood her very well. I was able to picture myself working as a nurse midwife one day, and for the first time it felt real.

What is your product and why?

My relationship with my midwife, the fact that I feel I can go back to be a student midwife there makes me feel proud. My relationship with her means a lot to me, I feel she has opened many doors for me and when I do begin my career I have a foot in.