The Midwifery Bible

What is a midwifery bible?
A midwifery bible is a binder or electronic catalogue of everything you think is important to support you in your clinical practice. That can be simply a bunch of informed choice discussions or as detailed as you’d like even including all your drug cards and a “Taking Midwifery PagesTaking Midwifery Pages” document.

 

IMG_0381Why make a bible?
Personally, I’m someone who likes to have things written down and organized. This system of organizing notes, ICDs, and clinical issues is not for everyone but doing this gives me a sense of calm and preparedness.

I also bring this bible with me everywhere I go, it’s kind of my whole brain, and it’s nice to feel like I have a written down version of what’s in my brain when I’m inevitably tired at births and in clinic.

When should you make your bible?
When you start your first clinical placement – that’s when I started. I wrote about 2 ICDs per week in my first placement to start building a base. Then I continued to write things as they popped up in clinical placements – for example, I had a pregnant trauma patient in an L&D placement that prompted me to make a clinical guideline cheat sheet for that issue.

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Here’s how you get started making your own midwifery bible.

Instructions

Supplies

  • Itty bitty binder found at Staples (5.5 x 8.5)
  • Type your ICDs and save them as PDFs – print them “booklet size” and they will fit perfectly
  • There are dividers and lined paper available to fit into the small binder
  • I also have my ICDs saved electronically in Evernote, if I ever need quick access on my phone
  • Optional: cute sticker for the front

Sections

  • Schedule
    • includes how often we see clients
    • schedule of informed choice discussions week by week
    • e.g. 20-24 weeks: glucose screening, place of birth
  • Quick Access
    • includes things I need quickly and don’t really fit into other sections
    • NST classification chart/BPP
    • clinical issues like early pregnancy bleeding, normal lab values for pregnancy, hypertension issues fact sheet, and the “power and control wheel” for domestic violence
  • Informed Choice Discussions
    • these are organized in order of delivery
    • initial visit, 18-20 weeks, 20-24 weeks, 32-36 weeks, labour, and newborn
    • the informed choice discussions correspond to topics in the schedule section of the binder
  • Labour & Birth
    • includes things like vital signs, induction protocol, IA & EFM, dermatome levels for epidural, and an NRP cheat sheet
  • Newborn & Postpartum
    • physical assessments, cord gas values, newborn sugars protocol for my hospital, postpartum teaching, breastfeeding information like TFI calculations, issues with supply, and sample infant feeding plan
  • AOM & CMO

Some Resources to Consider:

  • SOGC ALARM Textbook
  • SOGC Guidelines
  • AOM Guidelines
  • AOM Emergency Skills Textbook
  • Comprehensive Midwifery Textbook
  • Pharmacotherapy Textbook
  • Neonatal Resuscitation Program Textbook
  • Canadian Paediatric Society Guidelines
  • Notes from your interprofessional clinical placements

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There you go! Seems relatively simple, right? Hopefully making a midwifery bible eases your anxiety, impresses your preceptors, and most of all: is useful!

 

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