BBC - Call The Midwife Christmas special and series eight commence filming - Media Centre
Made by Neal Street Productions for BBC One, the award-winning drama series, Call The Midwife, has begun filming for a Christmas special in and new series of eight episodes in Call the Midwife is created and written by Heidi Thomas, Executive Producers are Pippa Harris. In five shades, blonde, auburn, brunette, black/brown and jet black, all vegan and cruelty-free, WunderBrow claims to be budge-proof. Meet your coworker. Meet Stacy . avesisland.info or call our Physician Referral Line at () . I love witty BBC shows like Sherlock and Endevour. I have a dream of being a Certified Personal Midwife and using this skill to cheering on the Auburn Tigers. Samuel is from Ennis, MT and is.
Each episode brings in different patients, and the show has covered all kinds of conditions and special cases. Her backstory, revealed in later seasons, is touching. Sister Monica Joan is easily the crowd favorite, an elderly nun who is too old to work, but remains the heart of Nonnatus House - and prone to stealing things and reciting poetry.
Sister Winifred is trickier to like, but her views that would be considered problematic now reflect the time the show is set in.
The actress who played Mrs. Trunchbull in Matilda plays Sister Evangelina, a staunch believer in old rules with a hidden soft heart. The Nurses Nonnatus House employs and houses several nurses. Nurses Patsy Mount and Delia Busby are both strong and funny, and their story will certainly break your heart and make you cheer within episodes.
Nurse Phyllis Crane seems feisty at first, but quickly becomes friends with the younger nurses, especially Nurse Barbara Gilbert. Barbara is very innocent and kind-hearted, making the audience root for her.
The Relationships The nurses and nuns all truly love and respect each other. Their bond with each other is so admirable and believable. To"guest" on comparative care: Some of the difficulties in our maternity care system lack of continuity, gaps in care are simply a manifestation of general problems in our health care system. Other industrialized countries have better outcomes in terms of mortality and morbidities and their outcomes are improving at a faster rate than those in the US.
These systems rely more heavily on midwives and generally though not always rely less on interventions, but perhaps most importantly they focus on the normality of birth with obstetricians seen as high risk specialists whose role is to care for high risk cases rather than all mothers.
Why 'Call the Midwife' Should Be Your New Favorite Series | Her Campus
Soem of the benefit comes from different roles for the respective providers and some from the underlying philosophy on which the system is based. Question from Erica P What is your opinion on the growing gap between healthy birth outcomes of African-American women compared to Caucasian women?
Erica, the gaps between the outcomes of births in the US between whites and blacks has been persistent for decades. It's not generally growing at the moment but it's not decreasing either. What's challenging is that in the terms we generally document practices, black mothers who enter the system generally receive more care, but continue to have worse outcomes.
Part of it is ensuring broader access to care, but part is also looking at prenatal and intra-partum care as more than a series of tests and interventions and that's a relationship with mothers that hasn't characterized our systems. Finally someone has mentioned health disparities of Black mothers and other groups. My career was in public and community health with a focus on Black women's health.
One job was at Mass. DPH in a women's health department--in mid-eighties. Childbirth was only one of the myriad disparities of Black women's health experiences.
I remember hearing when I was there that one year ALL the maternal mortality occurred among Black in Boston or statewide? I have never forgotten this. I went into public health because of my experiences in my own family of such tragedies.
I'd be curious to hear more about the issue of time pressure at many hospitals. Does it really pay for OBs to hurry things along? Alisha, I sure can't speak for all doctors and midwives but with the way labor and delivery is currently staffed with doctors and midwives dedicated to the unit for shifts of hours, time pressure is, in my experience, increasingly a thing of the past. The days of a provider needing to hurry a delivery because she has a dinner to go to because he has patients waiting in the office are fading fast and gone already at places like mine.
As I said above: Often in these discussions, outcome 'I just want to get the baby out safely" is pitted against experience "Having a good birth". How can we avoid this perceived conflict? We need to develop a global view. Unfortunately getting such a view is difficult: In truth different patients with different values will weight similar outcomes differently.
This all points to the importance of paients and providers having conversations to understand each others' values and make plans and decisions concordant with such. And for those of us interested in measuring and improving quality of care: I think that women in our society can have too many expectations in their birth experience.
I think they can sometimes lose the focus on the final result and focus more on things happening exactly the way they want them to. As childbirth can be a touch unpredictable, I think it can be setting women up to believe they failed in their attempts at having the delivery they intended to. I'm not at all saying that women shouldn't have a say in how their experience goes or that they shouldn't think about it, I'm only saying that you have to be forgiving and willing to change in the moment as life does not always go as planned.
Question from Chris Just How does prenatal education fit into the discussion? Did the moms online take classes and if so, did they find the info helpful when making choices and advocating for themselves? I think that women can prepare themselves best in the prenatal period for labor and delivery by understanding the various interventions and what are the potential outcomes.
As Gene pointed out, if women are communicating with their physicians then they are likely to trust the physician's advice more, and they will have a feeling of more control over the situation. I am also a Nurse and have had years of experience working in a hospital. I think understanding the system, as well as the terminology really helped me feel like I was in control and getting appropriate care.
Even though only one out of my three deliveries went smoothly, I am very happy with how everything worked out. I was able to advocate for myself, my providers were also very open and made me feel like we were more of a team. That was very important to me. Chris, I accessed my prenatal care through an interesting model called Centering Pregnancya form of group health care delivery where women are grouped by gestational stage and attend prenatal visits together. I now recommend it to every pregnant woman I know!
Something about being part of a group of women all going through the experience together is empowering and certainly made me feel more equipped to advocate for what mattered most to me during my birth experience.
It also offered a platform for me, and the other women in my group to spend time thinking carefully about what we valued and felt committed to during the birth process--and also to consider the things that might be somewhat out of our control. I think that the social support, and other benefits, that comes with group healthcare is something that should be evaluated in more depth. I bet some pretty interesting stuff will come up, the more we look at this model.
Sadly, the practice I go to has discontinued this at least for the time being and in my 2nd pregnancy it's really easy for me to see how women go into the whole process knowing very little about both what happens and their options. I am curious about the use of pitocin during labor. What has driven the rising use of pitocin? What is known about the connections between the use of pitocin and the cascade of additional interventions such as c-section that can follow?
Induction and augmentation of any kind increase risk for C-section. Kate on use of pitocin; Cara on C-sections: The rates of induction of labor in the U. In an analysis we did there appeared to be what's termed a "cascade of interventions" from induction through epidural to cesarean. Lower risk first time mothers e. There will be cases where interventions like induction and pain relief from an epidural are absolutely necessary, but the decision to have them should be made with an understanding of the tradeoffs involved.
Cara, I don't disagree that patience — waiting in healthy pregnancies for labor to happen on it's own is generally best. But induction and augmentation do not always increase cesarean rates. In fact much research demonstrates that, especially in pregnancies in which there are concern for a mother's or baby's health, induction and augmentation decrease cesarean rates.
The problem here is often one of inappropriate comparison: Part of the problem is varied measures used to evaluate this group of interventions. At another level, we are looking for an experience that women judge as positive--but of course, the way they judge it, during and after the fact, is shaped by what we are primed culturally to expect. If we learn that it's good to have no pain, we give high marks to twilight sleep or general anesthesia. If we are acculturated to think that natural is good, we will smile on fewer interventions.
So while I think women's choices should matter, having a good birth is not so much about having it go the way you want. IT is not only that we are looking for safer or less costly or more efficient practices, but we want to bring new people into the world in a way that respects them and the human work their parents do in birthing.
Agnes, I couldn't agree more! Very we'll said Agnes! KellyR responds As the Huffington Post recently reported, we have re learned that midwifery has better outcomes same outcomes as compared to MDs, fewer interventions, higher patient satisfaction.
How can we ensure that every woman has access to midwives at every MA hospital? It will require a culture shift at many institutions for sure, but I disagree that women think the end justifies the means. That is old-school thinking in my opinion.
Thank you for this discussion. Outside of epidural and C-section, there is usually no formal consent process for things "done" to a laboring or birthing woman. Debbie, I strongly disagree. I and my colleagues spend much time explaining to patients what we are going to do or not do and why.
Why 'Call the Midwife' Should Be Your New Favorite Series
Such conversations are the essence of informed consehnt. Question from Erica F Do you think hospitals do enough to follow up with women after they go home? All New Hampshire and Massachusetts women get a visiting nurse after discharge included as part of maternity care covered by insurance, as far as I know. This is the time when all the emotions and questions come flooding, especially with breastfeeding. Question from Martha B I'm hearing from moms who've had C-sections and wonder if they tried hard enough to avoid the procedure?
Any guidance for these well meaning women? During the successful campaign to save the North Shore Birth Center, a group of birth center consumers and activists met with administration from Beverly hospital. During this meeting, we were told by a high level administrator I believe he was the Vice President for external affairs that is he had "his my way, every woman who walked through those doors would have a C-section".
How, as consumers of maternity care and change makers do we combat ideas such as these from hospital administration? How do these ideas affect the way in which midwives and doctors make decisions? This quote still haunts me years later as a symbol of what is wrong in maternity care.
Wow Nicole - I hope that's old-school! When was this conversation? I wish I could say it was, Martha.