Baby

What do you need an environmental midwife for? - something about patronage visits


Each of us has a family midwife from an early age. The choice of midwife is based on the same principles as the choice of a doctor and a nurse from the Health Care Center (Basic Health Care). Filling the family midwife selection form, we take care from birth to old age (not everyone knows that the task of a family midwife is to constantly look after a woman EVERY period of her life). Therefore, the family midwife takes care of the newborn baby (of both sexes, only after the toddler has finished six weeks, the care of male children is taken over by a primary care nurse), then if necessary he meets with a pregnant woman and after delivery, and also deals with women suffering from gynecological and oncological diseases that require midwife care in the home environment.

Choosing a family midwife

As I mentioned the POZ midwife, we choose by printing the family midwife's selection form. This printout can be unsubscribed at any time and we can change our family midwife at any time. This change is free (we can change the doctor, nurse and family midwife up to 2 times a year free of charge). It is worth knowing that the selection of the POZ team does not have to be based on regionalization. If you prefer a doctor or midwife from a distant clinic, you can choose him. Also remember that you do not have to choose a doctor, nurse and midwife in one clinic. Take advantage of the choice. Your primary care physician may belong to one clinic, and your midwife may work in a completely different ZOZ (Health Care Center).

Patronage visits

It's best to report to a midwife who is already pregnant then after giving birth you only need to call for professional help. If you do not have your midwife or you do not know who she is, call your GP practice or GP and they will definitely show the right person. Also remember that patronage visits include Your privilege, not your duty. You can use them, but you don't have to.

However, the midwife is obliged to show up at your home if you request it. The first visit of a family midwife should take place within 48 hours of discharge from the hospital. The midwife is obliged to visit at least 4 patronage visits. Remember to reserve at least 1-2 hours for the midwife, because a good visit will not last less than an hour (especially the first one). Midwife visits are free (financed by the NFZ).

The midwife will take care of both you and the baby who was just born.

First will examine the newborn baby and check if it develops properly. Next will look at your wound after caesarean section or perineal incision. It is important to check that whether an inflammatory process develops in the wounds. The midwife will also check whether the uterus contracts properlyand will also ask you about the amount and color of the faeces. The next point of the visit will be assessment of your breasts. The midwife will help you cope with, for example, the milk crisis.

The midwife will probably ask you undressing a child, disguising a diaper and performing basic care activities, and in case of any problems, I will show you how to properly pick a toddler. During the examination, the midwife will pay attention to the umbilical stump (check if it dries properly and whether the inflammatory process develops in it).
Another important element of the patronage visit is feeding rating. So you will be asked to put the baby to the breast and feed him. The midwife will help you put your baby to the breast properly as well will show you convenient feeding positions breastfeeding. Be prepared for some feeding questions such as: How often do you feed? How long does feeding take? How long are the breaks between day and night feeding? Answers to these questions can explain many ambiguities and problems such as excessive weight loss, getting up frequently at night, etc.

The midwife will probably discuss with you vaccination calendar and newborn vitamin supplementation.

The midwife's job is also care for your family and your mental health. So he'll make sure how are you doing in the new role parents. He will also clarify your fertility return questions after delivery if needed.

Before the visit write down all those bothering you questions - during your visit you can forget about them. Remember that for a midwife, some things may seem obvious and for this reason they may forget to explain a few things to you. So don't be shy to ask. The environmental midwife is here to help you in the new situation and explain all the ambiguities to you. If you are concerned about changes in the skin of the newborn baby - show them, if you do not like the stool of your child, hide the diaper and show it to the midwife.

Pregnant midwife's visit

It is worth knowing that every woman from 26 weeks of pregnancy, no more than 2 community midwife visits are allowed per week. Therefore, if you are pregnant and have questions or concerns, it is worth calling your midwife. The Health Care Center is obliged to provide this type of services (Regulation of the President of the NFZ No. 105 of November 5, 2008). The midwife's task is therefore mainly the education of pregnant women. If you have doubts about delivery, would like to learn how to prepare and what to do, call and ask. It's worth knowing and exercising your rights!

Remember that the midwife is not the person who has to check and control - he is not an inspector! The midwife is here to help you, answer your questions, or recognize conditions that require medical attention.