So I’m still thinking on this, but it’s something that I’ve been wondering about for a long time. Being a midwife over here isn’t the same as being one in America. Over here you’re part-obstetrician and part-obstetric nurse (we don’t have ob nurses over here at all, just midwives).
In Northern Ireland, midwives do all the antenatal care and deliver babies in any “normal” birth, and doctors only get involved if the abnormal presents itself. It’s supposed to mean that, because the state of pregnancy is one of the normal, natural states for a woman to be in, it isn’t a condition that usually needs to be treated. So keeping doctors out of the ordinary pregnancy cases means no one is looking for problems. Which is supposed to avoid the cycle of intervention that happens once doctors involve themselves. Quite a few women get all their proper healthcare throughout pregnancy, including their scans, blood tests etc, but they never see a doctor.
Sometimes midwives get a bad rap in the press. Especially in England, where maternity services are very underfunded. The problem starts when midwives, for whatever reason, don’t refer genuine medical issues to doctors. This endangers the mother and the baby. This happened with my first pregnancy when I nearly died, and long-time readers know that ended in a lot of tears, and with me thinking that I couldn’t get pregnant. That was one big reason why, when I came back to Europe from China, I didn’t go back to England and I never plan to live there again. When I was in China and found out I actually could have a baby safely, I felt quite angry at the two unnecessary losses I had in England.
In Northern Ireland, we have the best maternity services in the UK. I think it’s because half of the country (traditionally) was Catholic, and had a lot of babies, so there is high demand for services. From my baby classes and Facebook groups of Northern Ireland mums, I know a lot of people with at least three children. Maternity services is a huge priority over here because family is important. A lot of people over here complain about the health service but I think it’s fantastic compared to England.
The training pathway for both dietetics and midwifery is a bit intimidating. I was good at science until I was about 15 then I struggled epically. I could follow the teacher in class with no problem, but I just couldn’t hold all the information in my head and by the time I did tests or exams, I just forgot everything. I’ve read recently that this is an ADHD thing, but I don’t know if that’s true.
Anyway, midwifery and dietetics are both very scientific subjects, with a lot of anatomy, medical science, biology, and in the case of midwifery, all the medical procedures like intubating babies and taking blood samples and doing urine tests, as well as diagnosing things like pre-eclampsia.
I’m so excited about doing this but I know it’s not going to go down well with my wider family, particularly if I do midwifery. I was thinking of applying straight after high school but my aunt who I lived with said it was a bad plan. Looking back, at the time I do think she was right, but since then I’ve grown, I’ve drifted through my twenties without purpose or direction, and I have spent a lot of time trying to discern what career would suit me. However, I am not sure if my aunt will agree or if she’ll tell me I outright shouldn’t do it.
I want to stay in touch with all my relatives but it’s hard when I want to do something they don’t think is a good idea. She used to be a midwife and I don’t know what happened but I think she got very disheartened with the way things went in England and I think she began to hate her job. My other aunt is an Advanced Nurse Practitioner, having had a long and varied career with the NHS (our free healthcare service which runs 99% of all medical services in the UK), and my sister recently got a job at the NHS and it’s been the absolute best thing for her, she’s so happy in her job (finally). My other other aunt is a podiatrist, fixing people’s feet problems, and my mum was a cadet nurse (like, the lowest entry point into nursing) for a very short time after school, before she freaked out over the sight of blood and ran away with a motorcycle gang (I wish it weren’t true). My grandma was a nurse, midwife, matron and then a district nurse, and she couldn’t walk down the street in the town where I grew up without people stopping her to say hello. And that’s all just on my mum’s side.
On my dad’s side, my other other other aunt (the one we don’t speak of) is a physiotherapist. That’s not even mentioning all the cousins, my sister, great aunts etc who work in the health service. It’s like our family industry is taking care of sick people.
So coming from a long line of nurses and allied healthcare workers, I think I’ve got a pretty good idea about whether this is a good move or not. On my husband’s side, literally no one works for the NHS, which I find a bit odd.
I am drawn to midwifery specifically because I have seen extremely good and extremely bad maternity care, in four different countries (England, Nepal, China and Northern Ireland), and I know the best midwives advocate for women and put women’s best interests at the centre of everything they do.
I discovered feminism fairly late compared to a lot of people, as I only really came to it when I started my master’s degree. But I really engaged with it and I see midwifery as an inherently feminist role because you’re supporting women to make their birth choices, but also supporting women to actually give birth.
On the dietitian side, I could really see myself getting my teeth into that as a job, too. Dietitians are different in the UK to America, too. They predominantly work for our state healthcare service and they don’t get paid to go to events sponsored by Pepsi or McDonalds. Over here, dietitians follow the scientific evidence.
The downside of them not getting funding from unhealthy food corporations is that there’s not many dietitians around, there are very, very, very long waiting lists, and generally, to cut down waiting lists and make the healthcare service look good, doctors simply don’t refer people to dietitians when they would benefit from it.
Having said that, I am fascinated by nutrition and have written tons of articles about it in the past so dietetics does also appeal to me, but I’m not sure if I will be able to keep up with the 2-year course that’s 4 years of work condensed into half the time.
Overall, midwifery science and dietetics both offer stable, structured career paths, while also both allowing for the option of private practice in the future, and both of them would be jobs I could do abroad, particularly in New Zealand, which I’d quite like to go to at some point, even if only for a few years.
Okay. Now I think I’m ready to finish those applications. Well done if you’re still with me haha I just had to get out all my thoughts on it.
PS The featured image is my jellyfish when he was a newborn.