Interview with a Student Midwife

Have you ever wondered what it is like to be a student midwife? I asked my friend, Angela Geurts, to answers some questions about life as a midwife in training. – Robyn

 

Tell us a little about how you were guided to become a midwife.

Sometimes each of us may feel that we have a calling in the church stamped on our foreheads. For me, it has been the calling of ward/stake Emergency Preparedness Specialist. Not sure how or why, but it seems to be a calling of choice for me regardless of where I live. I’ve learned all about food storage and rotation, using wheat and stored foods, having a home apothecary of natural remedies, etc. After my 5th baby was born at home I realized “Wow, I now have four daughters. Four daughters that will grow up in uncertain times, which may very well need my help during their child bearing years and experiences… and I do not know enough.” My emergency preparedness focused in sharply on how I could be prepared for this eventuality….

The decision to become a midwife was a difficult one for me. I have always valued being at home with my children and supporting my husband as he works to provide for our family. It took me about 2 years of soul searching, scripture study and earnest prayer before I made the decision to enter this occupation of sacrifice, with my husband’s support. Many scriptures spoke to me, but I felt my answer was found in Abraham 1:2; mainly in the line “desiring also to be one who possessed great knowledge.” That is what I most desired; to have the knowledge necessary to help my daughters, and women in the church to have a beautiful and safe birth regardless of what the circumstances might be. To have the knowledge, skill set and experience to provide care for them in a home setting. My world view includes the belief that in the near future hospitals may not be available in times of catastrophe or chaos as an option for birthing women, and so my focus is on gaining all the skills that may be needed in such situations.

I also was influenced by the midwives who attended my personal births, and the care and great birthing experiences that they provided for me and my family including Nancy Mooy, CNM (Utah, retired), Michelle Bartlett, CPM (retired), Kathy LeBaron, LM, CPM and Valerie Hall, LM, CPM, with whom I am now an intern. Each one of my personal birth experiences taught me important life lessons and added to my desire for other women to have the birthing options and experiences that I enjoyed. Particularly my home births, where we together as a couple received a great strengthening power from working together and relying on each other; that is when I realized “Wow, this is what birth is meant to accomplish for a family.”

 

What midwifery school and training did you decide upon?

I decided on the National College of Midwifery in Taos, New Mexico, because it was a program that I could complete from home while raising my five children, and it seemed to me the best financial option at the time; according to my financial plan, I could achieve the needed training for state licensure for about $15,000.00.

 

At what point in your path as a midwife are you at?

I am in the beginning of attaining my Primary Under Supervision numbers, with 27 credit hours of academics still complete. For births as Assistant, I have 39 out of 20 required, and for Primary births I have 6 of 25 completed. I will complete all of my academics and numbers by August of 2016 and apply to take the NARM either fall of 2016 or early 2017.

 

What is a typical day or week for you as a student midwife?

A typical week… is basically fly by the seat of your pants… taking care of my home (cooking meals, cleaning – admittedly these activities have gotten fewer and fewer with all the load of midwifery), my five daughters ages 1-17, writing to my missionary son, making appointments and scheduling for the midwifery practice, completing office details like charting, keeping contacts current, and doing MANA statistics, trying to squeeze in 10 hours per week of academic classwork, attending prenatal visits 1-2 days per week, performing massages (for continued income) of 4-6 per week on average, providing placenta encapsulation services and limited doula births, and working on my current church callings (ward emergency preparedness & stake assistant emergency preparedness coordinator). A typical birth load for our practice is about 3 births per month, although births don’t usually happen like that-sometimes we have no births in a month and sometimes 6-7-there is always an ebb and flow to birth work.

 

How has your commitment to become a midwife affected your family?

Being a midwife is one of those professions that require the whole family to sacrifice and bend and flow. Particularly in home birth settings where being on call is something that is constant, and induction of labor is not an option, being ready to jump and go at all times with a young family involves multiple layers of planning and back up plans. Scheduling vacations is difficult, and often needs to be done at least 9 months in advance. There are some good things; for instance, my children often have to step up and take care of younger siblings, meals, cleaning, and planning for alternate ways to take care of their activities and commitments if Mom is not available to help. Finding the balance between meeting my family’s needs and having just the right amount of clients/clinic days/office work is a constant process. The first few years of my midwifery training, working at a birth center one hour from my home I thought was going great and the kids were adjusting and everyone was happy. Then I conceived our 6th child, and stepped back from the rate I was doing midwifery. The relief from my husband and children was tangible, and they often mentioned how happy they were to have me home again. When it came time for me to get back at it, each one of my children had different nightmares about me leaving/being gone/being injured. That is when I realized that though I thought all was well before, it really wasn’t. Finding that balance for my family is something that I intend to seek for direction from the Lord in prayer and humility for the rest of my career.

 

What are some of the blessings and challenges you have faced?

Baby number six takes the cake for being the biggest challenge (and blessing) to my midwifery education. I was half way through my training and numbers when I conceived, and really it’s taken a toll of extending my training a good two years. And accepting that, like in birth, the speed of my midwifery education and control of the outcome is in God’s hands and not mine. I’ve really tried to settle in to the fact that maybe He just wants me to get all the experience and education, and is less concerned about how quickly I accomplish it or whether I become licensed. (Of course, I do not intend to practice illegally, either). I’m just doing my best and relying on, trusting in and following the divine direction that I receive. By the way, there is plenty of ‘no clue what God wants me to do.’ So that just equates to moving forward with what I do know He wants me to do, and trying to let go of the worry over everything else.

 

What advice would you give someone who is considering whether or not to begin training to be a midwife?

With a young family in tow, midwifery learning can begin in the books, long before you ever decide to begin formal training. You might also consider completing doula training or workshops, becoming a childbirth educator, taking a midwife assistant class, and perhaps some courses in counseling women with breastfeeding issues; each of which will give you more tools to help mothers if you decide to pursue midwife. I would recommend purchasing all of Anne Frye’s books including Holistic Midwifery, Healing Passage and Diagnostic Tests. Next in line would be Varney’s Midwifery, and LLL breastfeeding answer book. And of course, learning about dietary needs, herb’s and tincture’s goes right along with midwifery in all its glory 😉

 

What is one of the most spiritual experiences you have had as student midwife?

I think the most touching and spiritual experiences are when the whole family participates in the birth; or when other small children are brought in with mom, dad and the new baby. But for the most part, spiritual experiences for me happen each day, mostly when I am talking with parents about how birth may go, and the type of experience that we are trying to create for them as providers. It is in those moments when I share something that is absolute truth and feel the spirit witness to me that it is true, that is part of each visit day and hopefully each birth. It’s kind of a little divine witness that helps me remember the importance of what I am doing and how I am trying to do it. Most of the time those witnesses are associated with the importance of family, and the way God has designed for families to come about, through the process of experiencing the birth together, and putting their faith in God and efforts towards educating themselves, taking responsibility and preparing themselves for the process.

 

Has working in midwifery affected your testimony? How does your work as a midwife combine with your testimony?

The supreme courts’ recent decision on marriage, and the recent laws that have been passed in my state which have threatened my personal religious freedom (as in mandating that I cannot choose what clients I serve as a midwife without responsibility for litigation) caused me to reflect and soul search about why I am putting so much effort, time, money and sacrifice into midwifery training. This caused me a bit of grief and anxiety for a while, until I came to my real purpose: supporting, upholding and sustaining the family unit through a birth environment and experience that enables, teaches and empowers. Birth is meant to physically draw a couple together in a unified purpose which allows them to experience trial, work, long-suffering and unsurpassed joy together. That is why I am becoming a midwife, and I know in this pursuit I am absolutely using my daily work to “promote those measures designed to maintain and strengthen the family as the fundamental unit of society.”

Watching and learning from my preceptor, Valerie Hall, as she uses and seeks for inspiration and direction with each client and each birth has been a great blessing. There is no differentiation between religion and work, they are rolled into one; together they define each of us. Getting an answer to prayer takes effort, and keeping yourself in a position to receive answers quickly when under pressure necessitates that daily effort is made to pray, read the scriptures, spend time strengthening my marriage and my family… and still it is difficult to obtain answers quickly in times of decision making… so it’s a talent I’m trying to develop and tune into in all aspects of providing midwifery care.