i can’t believe that it’s the end of october and i haven’t blogged since the end of august!! i feel almost like i’m coming up for air for the first time all semester—graduate school weren’t nuthin’ compared to midwifin’. where to start?
school is going really well. the classes are set up much differently than your typical college schedule, and i’m finding that i like it a lot better this way. we have several classes that we complete throughout the semester, and rather than having them an hour a day several days a week for the entire length of the semester, we have them as full or occasionally half days, scattered about, and some of them run the length of the semester while others last only 3 or 4 days. it keeps things new, and it lets us really dig into the topics that we’re talking about since we have all day. we’re there from 9 to 4 (not bad!) and we have an hour-long lunch in the middle of the day. with all of the farm goodies that i’ve been bringing home, i always have something tasty to eat.
a lovely life-sized wooden statue at birthwise. it was rescued from life in a birth center closet because someone there thought it was "obscene"
our classroom is very non-traditional as well. we have tables set up in a horseshoe facing the instructor/overhead/chalkboard. it’s good to have a combination of the circle dynamic and the forward-facing thing going on all at once. the only problem that we have is a little bit of overcrowding. for a long time, we had 17 people and 16 chairs. the last person in either had to sit on an exam table at the back (so fitting!) or had to get a cushion and sit in the middle of the horseshoe. we called it being “the pickle.” one day we asked heidi, the school director and our a&p teacher, why there weren’t enough chairs. she just smiled and said that by this time in the semester, at least one person has usually dropped, so it’s never been a problem. (the second years are down from 18 to 10 people already!) apparently my class has some major staying power 🙂
the school has such a wonderful feel to it because it’s in a sprawling centuries-old brick house. the classroom has high ceilings, and all the nooks and crannies are filled with art, photos, wall-hangings, anatomy torsos, pelvises, baby dolls, and fake bellies for palpation practice. affirmations and inspiring quotes are stuck to the walls on little pieces of paper with type-writer font, and the back of the classroom looks like a high-volume clinic, with four hand-me-down exam tables, calico curtain partitions, sharps containers, gooseneck lamps, and mismatched stools.
it’s an interesting feeling to be so invested in what i’m learning for once. when i was working on my graduate degree, i liked what i was doing because i enjoy reading and am a pretty good formal writer, but it didn’t really mean anything to me—i wasn’t invested in it. i didn’t wax philosophical for hours off the clock about jonson’s unnerving juxtaposition of sex and god or bloom’s theory that post-enlightenment poets were crippled under the anxiety of influence. who cares, really? fun stuff to talk about (then and now!), but hardly a deep-tissue soul massage for me.
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midwifery is different. developing my own personal philosophy about birth and women’s reproductive health matters. giving women the opportunity to take charge and own their births matters. improving the united states’ dismal birth statistics matters. mastering both the spiritual art and the evidence-based science of midwifery is something in which i am truly invested. and good thing, because man, school is life-swallowing!! the reason that i’m actually getting to sit down and write this is that it’s fall break. i have mountains of things to do to get ready for the week back at school, but at least i don’t have tests to study for, projects to finalize, or class to attend. i have plenty of time to get done what i need to get done, so i don’t feel bad taking some time to type.
so far, i’ve taken and finished history and politics of midwifery and professional issues:informed choice. i had a leg up on the politics and history because i’d spent so much time studying that for my women’s studies classes in grad school. it was really great to add more current information though, especially about midwifery in the 1980s and 1990s. informed choice was awesome. even though it was a short class, it’s insanely important for everything that i will do as a midwife.
so you know when you go to the hospital and they chunk that huge stack of papers at you that you have to sign but no one will explain to you? that’s an informed choice document—or one that’s handled very unethically i should say. informed choice documents describe certain procedures, give the risks and benefits of the procedure, give alternatives to the procedure with their risks and benefits, and provide any other pertinent information about hospital protocol. as a midwife, i’ll be writing documents for things like hiv testing, vitamin k injections, and first trimester screens, AND i’ll be sitting down with my clients and going over everything with them.
damn skippy
***PLEASE KNOW THIS!! if you’re ever in a situation where you don’t have time to read the informed choice document at the hospital, know that before you sign it, you can write anything on it or amend it in any way. going under for surgery at a teaching hospital? write “NO PELVIC EXAMS” on the first page; otherwise students may use the fact that you’re, umm, unable to refuse when unconscious, as permission to practice their pelvic exam technique. i’m not making this up! (read on abc news: “students perform pelvic exams without consent”) other things you can write include “no students,” “do not disturb me at night to take my temperature every hour,” or “no unnecessary students/interns/staff admitted to my room”. remember that, no matter how much a hospital my bully you, you are in charge!
ok, off the soapbox.
so i’m also taking the human body for midwives, which is like an a&p class with pregnancy and newborn-specific information added. it’s very interesting and tremendously intense. over the course of 11 classes, we’re learning all of the body systems in detail plus genetics, nutrition, and metabolism. thankfully, we have a study guide (in its 142 page glory) and we’re tested on 20-30 pages of it every two weeks or so. i’ve made a’s so far (birthwise a’s even, which means above a 93!) but the studying is really intense. i couldn’t do it without stephen, who tirelessly quizzes me on page after page of information. we have our last class week after next—last test, class presentation, and done! i’m presenting on gm foods.
the other tough class that we’re working on right now is normal prenatal. it’s ridiculously fascinating! in addition to learning about maternal and fetal development, healthy baselines, and charting, we get to do skills practice like venipuncture and finger pricks. i still haven’t actually gotten blood from anyone yet (sigh), but i did get to test my glucose on friday—a stellar 87! that class is another tough one to study for because it is so much information. i’ve done well in it so far though, and i have two or three more classes to go.
the big bad class for most folks (in the beginning anyway) was physical assessment. this is the class that gave folks a little anxiety, and the topic in question is one that has elicited many, many “WHAAAAT??”s from other people in conversation. at birthwise, we learn pelvic exams—on each other. i was a little anxious about this one at first—not so much about being a guinea pig but about practicing an exam on someone. for so many women there is so much anxiety around pelvic exams, and i felt like it was a tremendous responsibility to do as good of a job as i could. thankfully, my first one went well, albeit a little fumbly. it took until about my third to really get my technique down and know that i wasn’t going to injure someone though….lol.
until you’ve got the hang of remembering everything that you have to do in what order, it’s really more complicated than it seems at the gyno. add to that the fact that we’re supposed to be learning a script to go along with it, and it’s quite a challenge. you have to be careful what you say and how you say it—when you’re nervous, this is tricky! the thing i like the most though is that midwives, unlike a lot of obgyns, really try to include the women as much as possible. we give clients mirrors and they get to sit up during exams. ever seen your cervix?? it’s amazing!
the other classes we’re taking right now are group process (a counseling skills class) and skills practice (just what it sounds like). we’re staring normal labor and birth when we get back from break, and i’ll be taking good grief, prenatal massage, and placenta medicine as one-day electives in november. in december, we have periodic exams that will cover all of the skills we’re learned plus all the material from normal prenatal and normal labor and birth—-and then a whole month off! i think i’m going to hibernate.
all in all, school is great. i’ve really found my place. the teachers are great, my classmates are amazing each in their own ways, and i’ve managed to keep my head above water so far. three days of class generally means an additional three and a half days of homework, but i’m making time to veg with stephen, cook some good food, scout around town, and watch plenty of mad men and dexter. life is good.
to be continued….