Moehau  Midwives

   
   

Information about our Services

   

 

COMING SOON!!!   WE WILL BE AVAILABLE TO TAKE BOOKINGS FROM MID-JULY 2019

   

 

About Us

 
Carey Aburn

Hi.  After a few years pursuing other interests I am excited to be returning to practice and assisting women and families living in this rural / remote rural area. 

My experience includes being a mother and an enrolled nurse before graduating as a midwife in 2000 with a Bachelor of Health Science.  Since then I have worked as a both a core and community midwife on the North Shore and in Auckland City. 

I am friendly and approachable and enjoy meeting women and families.   I look forward to joining you on your journey.

 

   
Sheryl Wright

Hi.   After 15+ years working as a community midwife in the rural and remote rural areas of the North Waikato I am excited to be moving to the Coromandel and continuing my passion for rural primary midwifery. 

I'm a proud Mum (of three) and recently became a 'Grammy' for the second time.    Experiencing the joys (and demands!) of pregnancy, birth and becoming a mum inspired me to become a midwife and I enjoy supporting women and families during this special time.   

After many years working with a huge variety of women I still believe that the secret to achieving a positive pregnancy and birthing experience is having the right attitude and excellent support.

I am currently the Chairperson representing the Waikato region on the NZ College of Midwives National Board and enjoy the chance to share my experience and rural viewpoint at a national level.  In my spare time you’ll find me spending time with my family, with my head in a book, out in the garden, or planning my next travel adventure!

 

Our Services

Moehau Midwives cover the upper and western side of the Coromandel peninsula from Port Jackson to Manaia, including Colville & Coromandel Town. We  specialise in providing community primary care and offer friendly, supportive, flexible and professional care including:

  • Free Pregnancy Testing

  • Antenatal care including referrals for pregnancy testing (such as blood tests & ultrasounds) and information / resources to help you make a birth plan

  • Labour and birth care for low risk women at either the Thames Birthing Unit or at home.   For women who chose to birth outside of the region or who need to birth in at a hospital due to their more complex needs in consultation with you we will refer you to your choice of provider.   

  • Postnatal care in your own home (or other location at your request) for one month after the birth

  • Prescriptions relating to the pregnancy and post-natal period, including some contraception options

  • Referral to your chosen Well Child Tamariki Ora Provider / GP  and other health care practitioners, medical specialists and support agencies if / when required

All of our midwifery services are fully funded by the Ministry of Health (if you are a NZ citizen, resident or have a work visa). However during your pregnancy you may need to pay for additional services such as ultrasound scans, prescription part charges, childbirth education classes and optional tests at private laboratories.

Our Philosophy of Care

  • We believe that pregnancy is a normal and special part of a woman’s life and that most woman can and will give birth without complications or interventions.

  • We acknowledge that research shows outcomes improve when women birth in an environment that supports and protects normal birth so we encourage low-risk women to plan to birth either at home or in a primary maternity unit.

  • We believe that in a usual progression of pregnancy and birth we have a responsibility not to interfere with the physiological (natural) process unless there is a medical indication.

  • We believe that with the right support most women experiencing a normal labour are able to give birth without the use of pharmaceutical drugs but we will discuss all the options that are available should you require these or if your labour is abnormal or complicated.

  • We have the skills required to undertake all aspects of primary midwifery care, including the management of emergency situations, however if during your pregnancy or birth you require additional medical care we will arrange this for you.

  • We are pro-breastfeeding, because of the many benefits for both mother and baby, and will support you in beginning your breastfeeding relationship. However if for some reason this is not the right choice for you or your baby then we can discuss your options and support you with alternatives.

  • We believe that midwives and women should work in partnership, with women as active informed consenting participants in their care planning. We base our practice on research and the principles of informed choice and consent and will assist you in your decision-making with information and education.

  • We will respect and support your decisions, however there are of course limits to safe practice and as responsible care providers we will advise you if these limits are reached.


How do Moehau Midwives work together?

We work closely together sharing a caseload as this allows our clients the chance to get to know us both really well while still providing the recommended midwifery-led continuing of care that ensures the best possible experience and outcomes for you, your baby and family. 

At most times we have one midwife "on call" and the other "off-call".  

The midwife who is "on-call" will carry our mobile phone and provide all the midwifery care.    To provide optimal continuity of care our midwives share a computer system which allows us to access our client's full maternity records whenever required.  

As midwives our time "off-call" is very important as when we are "on-call" we can often work long unpredictable hours so regular time off to rest and recuperate is essential not only for our own health and wellbeing but also to ensure that we can do our best for you and your baby when we are "on call".    Time "off-call" also allows us to attending meetings / study days for our required continuing education ensuring our clinical and professional skills are always up to date.  We ask our clients to please respect our own self-care and understand that we have lives and families outside of our work, just like you do. 

Most of our time “off-call” is planned in advance but at times we might need to go “off-call” unexpectedly, if for example we are fatigued after a long birth, are unwell, or have a family commitment or emergency.  At these times we may be supported by other midwives from the region or locum midwives to ensure we can always offer you the safest possible care.

When will I see a midwife?

Regular antenatal visits are a very important part of your care. Your partner / family / support people are always welcome and encouraged to be part of your visits. The schedule of visits will be negotiated with you but typically we plan our visits based on the recommended schedule of NICE (National Institute for Health and Care Excellence) as follows:

  • Booking visit (ideally by 10 weeks)

  • 16 weeks

  • 24 weeks

  • 28 weeks

  • 31 weeks

  • 34 weeks

  • 36 weeks

  • 38 weeks

  • 39 weeks

  • 40 weeks

Once your baby is born we will visit you in your home (or other location at your request) for one month (minimum of five home visits). 

As you can imagine the schedule of a rural midwife can be unpredictable due to the travel distances and conditions and the difficulty of planning appointments around baby’s births! Due to this there will be times when your midwife is running a little early or late, or may need to reschedule your appointment.  We will make every effort to keep you informed if we cannot make an appointment (to assist with this please ensure we can always contact you by letting us know if you change your phone numbers or address).

If you are not able to keep your appointment please contact us well in advance and we will do our best to arrange a new date and time. Please be aware that if you do not cancel and then miss an appointment you may have to wait for our next clinic day to see us. We are also required to document in your notes that you ‘did not attend’ a booked appointment as research shows that non-attendance or under-attendance for pregnancy care carries a substantially elevated risk of severe adverse pregnancy outcomes which puts yourself, your baby and us as midwives at risk. If appointments are frequently missed we will ask you to make other arrangements for your on-going maternity care.

Sadly many health professionals, including community midwives, are increasingly being subjected to incidents of intimidation, threatening and abusive behaviour from both clients and support people.  There is never an excuse for aggressive bad behaviour. We understand that stress, anxiety, grief and fear can cause people to act in a way they wouldn’t normally. However all forms of violence (both words and actions) will not be tolerated and depending on the level of violence we will withdraw from your care and the Police may be involved.

Please also ensure that when we visit you at home that your home is a safe environment for us. This includes making sure that any animals are tied up.

What happens if my pregnancy or birth becomes complicated?

As community midwives, we specialise in providing maternity care within the "primary” (normal) scope of practice. Although we all hope everything goes smoothly for you a vital part of our role is to recognise when aspects of your pregnancy, labour, birth or postnatal care may have deviated from normal. If this occurs, in consultation with you, we will arrange a (free) referral to the medical / obstetric team at the hospital.

If you then require ongoing “secondary” care (also known as “complex” or “high risk” care) then after discussing this with you and the hospital team it will be agreed who is best to now provide your maternity care. For minor concerns your midwife is likely to remain your main carer, working together with the hospital team.  However if your needs are more complex then responsibility for your care will likely be transferred to the hospital team.  Your midwife will then take on the role of providing support and advocacy working closely with the hospital team and / or remaining in regular contact with yourself and the hospital team so she can maintain your continuity of care.

All midwives are trained to provide emergency care should this become necessary.


How do I contact Moehau Midwives?

New Clients

*** WE WILL BE TAKING BOOKINGS FROM LATE JULY 2019 ***

We look forward to hearing from potential new clients.   Please be aware that we have a maximum number of clients we can safely care for each month so it is recommended that you contact us as soon as possible and if we have availability we will arrange an appointment to meet and discuss our services.

If phoning please contact us during business hours (Monday to Friday: 9am - 5pm)  on (022) 500 1310  or send us an email 

Existing Clients

Please remember that as midwives we are "on-call" 24/7 for EMERGENCIES ONLY!    We are NOT on call 24/7 to answer non-urgent matters e.g prescriptions, change of appointments, non-urgent questions.

Emergencies / Urgent Contacts: 

If you need to contact us URGENTLY (e.g. You are concerned about you or your baby’s well-being or you are in labour) please always PHONE and your call will be received by the midwife who is "on-call".   If your call is answered by voicemail please leave a message and we will ring you back as soon as we can.  

It is very important that you do not text with urgent queries or medical questions as there are frequently long delays in text messages being received and medical advice can’t be given via text due to the risk of misunderstandings.

If you are feeling unwell and it is NOT pregnancy related please see your doctor or after hours medical clinic.

If you are unsure as to what an emergency is please discuss this with your midwife.

Non-Urgent Contacts:  

Before contacting us please consider if your question or request could wait until your next appointment?  If not please remember that we also have families and personal lives outside of midwifery and restrict all non-urgent contacts to within business hours e.g. Monday to Friday: 9am - 5pm.

If you have a lingering problem please contact us during normal office hours and don’t wait until 10pm on a Saturday night to tell us of a problem which has been bothering you for several days.

Please remember it is YOUR responsibility to ensure you are always able to contact us. This means making sure you always have enough money on your phone to call us!! It is not acceptable to text us asking us to phone you back.

Home

   

Copyright © 2003   Last modified: 23 Apr 2019