Danielle Chambers, Student Midwife
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Reflection on Assistant Births
I
have
definitely
improved
as
a
midwife
this
semester.
I
have
taken
more
of
a
hands
on role
and
taken
leadership
in
many
situations.
I
have
a
deeper
understanding
of
conducting prenatal
visits,
births,
newborn
exams,
and
postpartum
visits.
I
am
more
efficient
in
drawing blood,
reading
lab
work,
charting,
palpating,
listening
to
fetal
heart
tones,
and
shared
decision making
with
clients.
I
am
more
competent
and
conscious
about
giving
the
appropriate
labor support
for
mother
and
for
the
family
around.
I
have
been
more
focused
on
listening
to
the specifics
of
what
my
midwife
is
asking
of
me.
I
had
my
first
two
experiences
doing
vaginal exams.
I
had
a
heart
to
heart
with
my
midwife.
She
came
to
me
stating
that
she
feels
that
I
am
not 100%
committed
to
her
practice
and
being
a
part
of
the
births.
This
was
a
breakthrough
for
me.
I told
her
that
I
would
dedicate
myself
and
give
my
full
attention
to
learning
and
being
a
part
of
as many
births
and
visits
as
I
can.
I
think
having
this
crucial
conversation
made
me
improve
as
a midwife.
It
made
me
put
things
into
perspective
and
prioritize
my
time
more
efficient.
This
talk made
me
take
more
of
a
leadership
role
to
prove
to
my
midwife
that
I
have
what
it
takes
and
that this
is
what
I
truly
want
to
do.
I
have
found
time
and
finances
to
be
a
difficult
barrier
for
me
this
semester.
I
have
been having
to
work
4
days
a
week
in
order
to
pay
for
my
rent.
I
have
had
a
hard
time
balancing
life, work,
school,and
clinicals.
Finding
the
time
for
everything
has
been
extremely
challenging
for me.
Prioritizing
my
time
and
activities
has
made
this
challenge
easier
for
me.
By
spending quality
time,
whether
it's
at
clinicals,
work,
or
with
my
daughter
has
made
it
easier
to
cope
with. Even
though
I
only
have
clinicals
two
days
a
week,
I
am
making
sure
that
my
full
attention
is
on clinicals
and
that
I
am
asking
questions
and
constantly
learning.
I
still
feel
stuck
financially.
I
wish
that
I
didn’t
have
to
work
as
much
so
I
can
make
it
to more
births
and
more
clinical
experiences.
I
am
currently
looking
for
scholarships
or
programs that
can
help
single
mothers
that
are
students.
I
think
finding
financial
support
will
help
me tremendously
to
get
through
these
last
years
of
school.
I
want
to
fully
commit
myself
to
clinicals and
not
stress
about
money.
I
will
continue
to
look
for
programs
and
also
reach
out
to
family members
and
outside
support.
My
new
clinical
strategy
has
been
to
bring
a
notebook
to
clinicals
and
write
all
the questions
I
have
and
ask
my
preceptor
after.
Also
to
take
it
upon
myself
to
research
what
I
have questions
about
and
to
gain
a
better
understanding
of
what
I
am
learning.
Before,
I
did
not
bring a
notebook
to
clinicals
and
would
just
try
to
remember
my
questions.
I
would
then
ask
my preceptor
and
she
would
give
me
the
answer.
I
find
that
by
having
a
notebook,
I
can
remember the
answers
and
questions
and
reflect
on
them
more
deeply.
This
approach
has
helped
me
with my
learning
process
tremendously.
Some
patterns
that
I
have
noticed
in
my
personal
practices
is
that
I
have
been
journaling more
and
jotting
things
down.
I
also
have
been
better
at
scheduling,
prioritizing
and
getting
my support
system
in
place.
It
is
now
easier
for
me
to
go
to
a
birth
since
I
have
multiple
people
that are
willing
to
watch
my
daughter.
I
have
been
better
at
planning
and
organizing.
This
is
a
break though
behavior
for
me
since
I
have
never
been
one
to
be
organized
and
pre
emptive.
In
a
professional
manner,
I
notice
that
I
am
truly
listening
to
the
clients
concerns
and internalizing
it
instead
of
just
speaking.
I
make
sure
that
I
try
to
help
my
midwife
with
whatever she
needs
before
she
even
asks
me.
I
have
made
patterns
where
I
get
things
done
before
I
am asked,
and
taking
things
into
my
own
hands.
I
am
not
waiting
for
my
midwife
to
ask
me something.
I
am
taking
on
the
leadership
role.
This
semester
has
taught
me
a lot
of
what
I
have improved
in
my
practice
and
what
I
have
yet
to
improve.
It
has
taught
me
to
take
everything serious
and
soak
up
all
I
can
because
I
will
not
be
a
student
midwife
forever.
It
has
taught
me
to seize
the
moment.
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