The moment I realised... I wanted to be a midwife
Abbie Rich explains how her passion for midwifery has motivated her to make a long-term impact on families' lives
8 min read
8 min read
I remember being interested in midwifery from a really young age, but I think I began my interest in it quite naively. I thought midwifery was all about cuddling babies. I didn’t really know what else the role encompassed.
But as I got more interested in midwifery, I did research, I did work experience. I came to open days and I talked to student midwives about the role – what the role really was and I realised it had so much more to it.
Midwife itself means 'with women' and I soon learnt that midwives play a massive role in the antenatal intrapartum and postnatal periods, as well as supporting women preconceptionally in some areas.
I used this passion to push me through all my GSCEs and my A levels and when I had to do an access course, that kept me going through.
Fast forward time and I was on a night shift on a labour ward. I had just facilitated a particularly memorable delivery with a lovely couple and they brought their younger son in to visit the new baby.
Nobody had ever actually called me a midwife at that point and even though I was still a student very rarely did people refer to you as the student, they say that you are the midwife. I felt I played a massive role in that family’s life and I really enjoyed spending time with them afterwards.
On another occasion I was caring for a couple following the news that their baby had died. This involved a lot of bereavement care, something which I hadn’t done before and I hadn’t had a lot of experience in learning during placement. It’s not something we learn about a lot at University and I don’t think it’s something you can learn too much about.
The couple had found out shortly after their 20 week scan and this wasn’t their first baby loss. I sat with them, I cried with them, and when the baby was born I helped create memories so they could remember their baby. I provided a memory box, hand and footprints, as well as photos.
A few weeks later, quite a few weeks later, I received a letter in the hospital thanking me for how I helped them. It made me realise you really do have a long-term impact on a family whether you are a midwife or a student, they just remember you as being someone who was there and held their hand and listened to them.
Within my role as a midwife, I work in a continuity of carer model, whereby I am in a team of eight midwives, and we provide care to women and birthing people across the antenatal, intrapartum and postnatal period.
This means that I am not now fixed to one area or ward, but rather do a combination across the week between community midwifery, labour ward and the antenatal/postnatal ward.
I really enjoy working in this way, as I get to see the women and their families across the continuum, and sometimes I meet them antenatally, and then care for them in labour and then provide elements of their postnatal care.
I have been very lucky to see a few women antenatally, facilitate the birth of the baby and provide all their postnatal care and discharge them from midwifery care. It is a very rewarding role, and I feel part of the team which is a fantastic feeling.
I see myself continuing in this role and potentially looking at further development into a champion role within labour ward to develop my skillset further in this area in a non-rotational role.
By this point I will have completed my MSc in Advanced Professional Practice which I recently started at the University. However, I really want to get a grounding across all elements of midwifery care at present, developing my ‘with women’ skills and feeling confident and competent in my role.
I chose to become a midwife as I have a passion for pregnancy and birth, and supporting those on that journey.
I have always found physiology fascinating and the journey the body undergoes to accommodate a pregnancy is so interesting and really makes you think about how incredible the human body is.
I also love that pregnancy is a fantastic opportunity to provide a woman or birthing person with information regarding public health and important health issues such as smoking cessation, healthy eating, pelvic floor health and mental health awareness.
There is a true approach of holistic care in midwifery, as we do not just see the patient as someone having a baby, but rather a woman or person who is physiologically carrying a growing baby, but also undergoing emotional and mental changes to adjust to becoming a parent.
There are also so many opportunities within midwifery, despite many people thinking its restricted to delivering babies. However, as a midwife you can go into research, leadership positions, managerial positions and educational roles as well as specialist midwifery roles such as diabetes, bereavement, fetal medicine, public health as well as caseloading and homebirth care and many more!
I feel excited to go to work and have a strong philosophy of wanting to support and make a difference in someone’s journey.
However, I really enjoyed chairing the midwifery society for my final two years, as well as being in the PALs scheme.
One of my proudest achievements was being nominated for the Student Midwife of the Year award by the Royal College of Midwives and being shortlisted to the final five. I had to go to London for an interview and discuss what I had done as a student and my plans for the future. This was a really big thing for me, as a girl from a small Cornish village, and was a great way to celebrate the end of my midwifery degree.
However, my proudest moment was seeing all the students I trained alongside in their blue midwifery uniforms and 'midwife' badges! We all worked so hard to get here, and really had a big hurdle at the end with COVID, but we made it!
I had placements of around 24–25 weeks a year that were spread into blocks across each academic year. This was over half of my time and I gained a lot of learning during this time.
I spent time on labour ward, the antenatal and postnatal wards as well as in the community midwifery setting. Across these settings I worked towards the aims within my ongoing achievement record, as well as the numbers required by the European Union. I also had additional non-maternity placements such as the gynaecological ward, neonatal intensive care unit and intensive care unit.
These areas gave me an understanding of skills related to midwifery in a non-maternity setting, and also the potential ongoing care women and birthing people require postnatally.
If you are passionate about supporting women and birthing people through their journey of parenthood, including care and advice whilst they’re pregnant and care afterwards. As well as advocating for them and providing holistic care based around their situation and circumstance – then do it!
Being a midwife is also about promoting physiology and the ‘art and science’ of midwifery through birth and providing psychological support. If your interest lies more in babies, and looking after babies – I’m afraid midwifery isn’t for you.
If you’re unsure, try and gain some work experience or volunteering experience within the maternity department, or get talking to a student midwife and the lecturers at an open day about where your interests lie.
We need lots more midwives, and even if you have the slightest interest – research and find out more!
The degree at Plymouth is also just that, a degree – so requires a lot of commitment academically. However, I had fantastic support through the midwifery team as well as the learning and development support team to succeed.
And when you’re studying something you love – it doesn’t really feel like work!
The library was a fantastic space to study, with lots of different seating areas and nooks to study.
I lived in a shared student house during the first two years of my training near the Plymouth campus. I loved that the campus was well integrated with the city centre and therefore everything was nearby including transport and the shops, as well as being within walking distance of the Hoe where you could look out to sea to relax.