Fourth Interview Question Approval

These questions are intended for a CNM. I feel asking her will help me a lot more because this is the specific career that I want. I've interviewed a CPM and a SM, but talking to a CNM will give me the chance of actually seeing how it is.

1. What is the best way a midwife can influence a birth experience?
2. Do you feel a competitive environment working in a hospital with OB's?
3. Working in a hospital as a CNM have you noticed different birthing methods, or different techniques?
4. * Do you feel it is more beneficial delivering in a hospital or in a birth center with a midwife?
5.  How different is the atmosphere from the hospital to a birth center?
6. How do you encourage partner involvement while you meet with the mother?
7. During the prenatal visits in the hospital how do you make sure that they are not like OB visits that last a quick 10-15 min visit?
8. Out of having a private practice, and working in a hospital where do you think a CNM is more versatile?
9. If the OB suggests using Pitocin for a "slow labor" what would your response be?
10. Do you agree with hospital's protocol? Is it different from yours?
11. Why do you think C-section in hospital is more popular now?
12. Do you think C-section is overused?
13. If the mother is afraid of delivering through C-section what words of encouragement would you give?
14. When fetal distress is picked up would you immediately pursue c-section?
15. What is your opinion on the drugs that the hospital uses?
16. Why do you think that the U.S has a high infant mortality rate?
17. What’s your opinion U.S's maternal mortality rate? (Most are due from c-section or the drugs used)
18. How would you handle a mother who is having twins?
19. What is the first thing you would do for a breech birth?
20. *After the mother delivers do you give the baby right away to her?
21. *After the delivery how often do you check up with the mother and her baby?
22. *How do you allow the mother to bond with the baby after birth? ( hospital's may want to take the baby right away to the nursery)

The ones with a star are the ones I’m not sure about.

Independent Study 2 Approval

1)
I'm a little iffy on this idea, but I was thinking of taking birthing classes! Like Hypnobabies, even nutritional classes, or just first time parents classes, baby classes in general.

2)
This will give me the opportunity to see all types of birthing methods, and to see how and why parents chose they way they wanted to birth their baby! I could get a chance to see the whole baby experience. It relates to my EQ because usually the midwife encourages the parents to take classes or to gain more knowledge on pregnancy, and on nutrition, and at that moment she has influenced her birth experience in so many ways!

Independent study1

 Evidence!!:)

1.Log

I have been watching videos from the start, but I began keeping a log and taking notes of all of them, starting January 7th- Feb10th.
1/7,1/15,1/17,1/19,1/24,1/26,2/01,2/03,2/05,2/09,2/10

I mainly watched videos at service learning, and at home. I would watch numerous videos through out service learning, it was never just one video. Each video was either 30 min-1hr. The longest video I watched was 2hours. So in total 20 videos, plus the timing of notes, pausing the video, asking the midwives questions, and reviewing the notes again at home.
3. Complete the LIA:
Literal

(a) “I, Valeria Iniesta, affirm that I completed my independent component which represents 30 hours of work.”

(b) I watched a lot of birth videos! I saw many babies being born, and all the births were honestly very beautiful, I recall smiling through out the videos because the babies were so cute! Plus what the video meant and signified made me happy too!  I watched births in hospitals, I watched births at home, and watched births in water. (which could be at home too, or in a birth center) I saw all the birthing methods, and while I watched the videos I took notes, paused the video, asked questions to the midwives and jotted everything down.  At the end of every video I would summarize the video then compare it with hospital births.

Interpretive

The significant parts of my independent comp is the thorough notes I took, and at the end comparing both birth experiences, which is part of my goal for my senior project. Comparing both experiences so people know how different these births are and the benefits of midwifery births.  This demonstrates 30 hours of work, because half of the journal is full, its not just the 20 videos I watched, its the time I took to understand everything, write it down and review it all.


Applied

This most definitely helped me a lot answer my EQ! The independent comp served its purpose! I saw how nurturing the midwives were towards the mother, how well the baby reacted to the birth, and how much the midwife actually influenced the birth experience. The midwives supported the natural process, built a strong bond with the mother, and encouraged partner involvement. My independent component compared hospitals, birth centers, OB's and midwives.  These comparisons played a significant role in my EQ. These videos allowed me to see my EQ in a different perspective and that's how I was able to come up with my EQ answers.

Presentation 2 Rough Draft:

Essential Question: What is the most effective way a midwife can influence a birth experience?

(A) Introduction
 I want to present on the different types of birthing methods, like water birth, and hypnobabies.  I will go over what water birth is and what it exactly does, and what hypnobabies is and how effective it is.

2.
I want to let the class know and understand what these methods do for the woman and for her baby. I want them to realize that going to the hospital is not the only option and these experiences are not painful, BUT they're not exactly pain free either (depending on the experience)

(B) Body

1. Major point 1:
First I will state what different options expectant mothers have and what these options can provide for them. The options being water birth and hypnobabies. I will explain what the hospital does, to show how different these methods are. I will also state that water birth is not exactly accepted in hospitals and how water birth used to be in hospitals and is in some (very few) now.
(3 min)

2. Major point 2:
I will explain water birth and how great it is! I really like water birth, it's something that I wish to advocate in hospitals one day:) I feel that it's a very peaceful transition for the baby and a beautiful experience for both partners. Water birth provides women with shorter labors. The warm water also provides therapeutic benefits, I will elaborate on all of this.
" Your complete guide to water birth"
(5 min)

3. Major point 3:
I will explain hypnobabies and how it's full of relaxing excerises.  It's a full child education class and is before the due date, it reprograms the mind to think positive and to surround your mind, body and soul of only positive people. It's also about relaxing music you can listen to before birth and during, especially during! This class also provides scripts to read during birth, but these scripts and this special music are not listened to until that day. The other scripts and music is to prep for birth in a way, and is listened to.
(5 min)
-Hypnobabies class.

4. Activity:
I'm still a little iffy on the activity. But I was thinking of pairing up two people, and having them read the hynobabies script, while playing the music that it offers. I can dim the lights and have the class be really quiet and everyone whisper it so everyone is having there on secluded time. OR maybe I can just read it to them??

5. They can get a feel of what it says and how relaxing it is (if its done properly) the students can get hands on experience of what it does, and how it's done.
(5-7 min)
-hypnobabies class.
(C) Conclusion

1. Essential points:
-I’ll state how great these ways are, and how more people need to be informed so they can one day experience this and enjoy their labor.
-Hypnobabies and water birth is something that should not be overlooked and one day be accepted in the hospitals.
-This is connected to my EQ because midwifery offers many options that hospitals don't. Midwives care about the expectant mother, and want her to be comfortable and free enough to do what she wants and these methods offer that. If the midwife allows the expectant mother to experience her birth the way she wants, then she has most definitely influenced her birth experience.

2. What was your most important source for this presentation and why?
- The class I took of hypnobabies
-My Water birth guidebook for Aqua Natal
- The many videos I have seen!

(D) Materials needed
-Power point
-music
-Scripts for hypnobabies

ESLR Check

1. I think I've been an effective learner because I don't just sit there in class and go with out my questions answered.  If I have a question I ask it, and I know that my peers may have the same questions as well. I do my best to grasp the concept and I try learning as mush as possible and sometimes my brain doesn't recognize the material and I get frustrated but I go out of my way and try learning it. Like I usually stay and talk to Mr.Ogden if I don't get the math that day, which is a normal thing for me. I usually bug him too in class when I don’t get something, and when I ask something I know I’m not just asking for me, I ask  for Jackie and J.P too at times.  As well as for the W.B I needed help and went to him and after I got help I helped others.   
2. As for my senior project I think I have been a great effective learner! I have been going more and more to service learning (which is better by the way) and no doubt about it every time I go I learn so much! I may read a lot but its not compared to the real life thing. I always have questions for my midwife, and my brain soaks them up like a sponge each time. When I read I highlight what needs to be answered and I ask it whenever I get the chance. I also bug Mrs. Ortega! haha. 
3. Some ways I can improve in this semester on the ESLR would be to ask more questions in physics, I usually get lost and leave the class with out knowing what just happened. But lately I have been bugging my peers to explain the material to me. So I can improve my ESLR in that class.

What is an effective learner at I-Poly?
Someone who takes initiative and doesn't just sit around waiting for things to get done. I feel an effective learner is somewhat independent and communicates with the teachers enough to know what is going on, what will go on and how they are doing.  Once they know all these things, they help their peers and explain it to them so we as a graduating class can be on the same page.

Service Learning 10 Hour Progress Check

Service Learning Time log

Sep. 7: My first day of service learning was very nerve racking! I was given a tour and a run down of what would basically happen when I would go.  Very simple and easy day, a couple came in and I met them and watched a birth video after.

1-5

Sep.8: I was asked to come in this day because a different couple had an appointment.  It was difficult interacting with the couple because it’s a very private thing to enter the room during a prenatal check up.  That’s the hardest part about my service learning, but it was nice actually seeing how it would beJ I pictured myself doing it one day!

3: 00-5:00

Oct.26: I was watching a birth video and I was taking notes when a very nice couple came in. They had a post-natal check up and had a very cute baby boy! They told me how the mother had a water birth in the birth center, and how relaxed she was.  After them a couple cam in for a post-natal check up and from the other room I could hear the baby’s heart beat. I wasn’t sure if it was a boy or girl.

2:00-5:00

Nov. 10: This was the best day! I had a lot of fun, and felt very comfortable with the mommy’s and the soon to be mommy’s! I also asked a lot of questions to my midwife Joyce and watched another birth video with her!

2:00-5:00

Jan.11: This was the first time I attended service learning at night.  It was a three hour class on Hypnobabies. It was a great class! I loved it, I almost fell asleep because the class is very relaxing with soft music in the background, and they make you close your eyes and hear stories.

*Well this class opened my eyes to a different birthing technique and a different way of handling the pain.

6: 30-9:30

Jan.12: This day at service learning was very slow, but also helpful.  I had free time to read my midwifery books and ask my midwife Joyce questions. Every time I go, I learn something new and that’s always nice! There was a pre-natal check up, and I interacted with the mother for a little bit.

2:30-5:00

-The most significant thing I have learned from this experience is how hard it will be.  I thought it would be cherry pie and I was going just join every check up, but in reality it’s very difficult entering a private part of woman’s (which we are both strangers to each other) experience.  You have to build a special relationship with her, but not just her, with her family, her life and her baby. Which most OB’s fail to do.  From this experience I saw how it will actually be in life, and realized anything that is worth it requires hard work.

Total Hours: 16 hrs and a half

Interview 3 Question Approval

1. What is the most important skill for a successful midwife?
2. What is the best way a midwife can influence a woman's birth experience?
3. When a problem arises during a birth was is the most important thing to do? For a midwife and the mother?
4. How can the midwife make sure that she is building a bond with the mother?
5. How different is the atmosphere from the hospital to a birth center?
6. What is your opinion on c-section?
7. If you had the chance to include water birth in the hospital would you?
8. Working in a hospital as a CNM have you noticed different birthing methods, or different techniques?
9.  * Do you feel a competitive environment working in a hospital with the OB's?
10. *Do you feel it is more beneficial delivering in a hospital or in a birth center with a midwife?
I'm not sure about the last two??

I am aware that I'm asking the Essential questions, BUT it helps me a lot when I ask them:)