WEBVTT

1 00:00:03.530 --> 00:00:05.820 Katieanne Duncan-Bruce: Hello! They are, Ashley! How are you?

2 00:00:05.840 --> 00:00:08.040 Ashley Robson: Hello! I'm great. Thank you. How are you?

3 00:00:08.320 --> 00:00:12.469 Katieanne Duncan-Bruce: I'm thanks so much for coming on and speaking with us today.

4 00:00:12.920 --> 00:00:24.980 Katieanne Duncan-Bruce: So I'm so delighted to welcome Ashley Robson, who is a very experienced midwife marketing over 13 years to families in the money area.

5 00:00:25.340 --> 00:00:31.549 Katieanne Duncan-Bruce: I'm really glad that we did.

6 00:00:31.680 --> 00:00:34.320 Katieanne Duncan-Bruce: and at least say you need to.

7 00:00:34.410 --> 00:00:52.739 Katieanne Duncan-Bruce: I heard Ashley talking all over our new business, and I thought all I would just love to get actually on the charts and ask some of my things to be clients on, please. You can Instagram for any questions that you like across there. So thank you. Absolutely totally excited about this.

8 00:00:53.120 --> 00:01:00.030 Katieanne Duncan-Bruce: So you recently started your own business.

9 00:01:00.890 --> 00:01:27.949 Ashley Robson: So As you said, I'm a midwife work, you talk to base, and I have over the last couple of years, being in in complimentary specifically for pregnancy and and the preconception postnal times, and decided that I wanted to set up my own business, offering these services to women so they can come to me, and I can cheat them for all sorts of different kinds of complaints season a range of different things.

10 00:01:29.260 --> 00:01:52.250 Katieanne Duncan-Bruce: That's amazing. I'm not to caught your as well. So I've got your award that you won last night. I'm so shocked for you. Can you tell us a little about that as well? He actually so. Yes, and I was in a Inverness at the University of Highlands and Islands last night for their yearly new and emerging business awards.

11 00:01:52.410 --> 00:02:16.580 Ashley Robson: And this is where they have any business doesn't necessarily need to be changing. It can just be an idea, or anybody within the first year of cheating, and you get nominated and shortlisted to be a finalist. If you are lucky enough which I was. And then there's different awards for different areas in so things like engineering and cultural environmental things.

12 00:02:16.610 --> 00:02:31.589 Ashley Robson: And I won the best new business for social impact awards. So I was absolutely delighted with that. We really please. Well, thank you very much. Give me a chance to get the the, the, the, the inspiration, and that kind of motivation behind the the business out there.

13 00:02:31.700 --> 00:02:35.219 Ashley Robson: and let people know about what I'm hoping to achieve with this

14 00:02:35.670 --> 00:02:38.760 Katieanne Duncan-Bruce: definitely. And then you have to give a speech.

15 00:02:39.120 --> 00:03:02.940 Ashley Robson: So yeah, so I had to. Originally, I had to. And just post on the Via email. Just a bit. There can be synopsis of the business behind it. Then they shortlisted 15 of us to be finalists, and they had to go up here and present to a panel of 5 judges just a short 15 min presentation about the business. I see what.

16 00:03:02.940 --> 00:03:12.369 Ashley Robson: So I've inspired it. What I've done to say to app, and what I mean to achieve, and and just kind of hand it that you and put some give them an idea of what what it's about.

17 00:03:12.900 --> 00:03:16.660 Katieanne Duncan-Bruce: For that some reason I'm so happy for you.

18 00:03:17.690 --> 00:03:25.770 Katieanne Duncan-Bruce: So one of the questions that we've had come to you is what inspired you to become a bit like. And how did you get started in this field?

19 00:03:26.440 --> 00:03:36.299 So I came into with a little bit later. I didn't go into it straight from school. I actually had gone and done a psychology to be prior to that, when only in school.

20 00:03:36.450 --> 00:03:45.019 Ashley Robson: I then had my oldest child, who is now 17, and going off to Union South this summer. I had him in Aberdeen because I was living there at the time.

21 00:03:46.160 --> 00:03:55.130 I wanted to go into too many details. It wasn't exactly the best experience. A labor was my parents. It's fine, but I had horrific time in labor.

22 00:03:55.350 --> 00:04:01.959 Ashley Robson: and although I never ever had any issues with the care I received. I was fantastic. It did

23 00:04:02.190 --> 00:04:07.149 Ashley Robson: sort of make my perception of me to be a bit scary to think

24 00:04:07.600 --> 00:04:24.859 Ashley Robson: And then, when it came to happen number 2. I was actually back up here with it by then, and had her up, and it was like a completely different wellbeing. I mean. The lab and tendency itself is different, as they all are. But I just I couldn't get over

25 00:04:24.860 --> 00:04:44.569 Ashley Robson: how supportive and family the midwives were, and it was like being. It was with friends, with family, due to Melbourne. I just we laughed at it by secure to me. We just laughed always in my labor, and that's a fantastic time, and afterwards secure that and see it. It was just amazing. And I remember thinking himself

26 00:04:44.580 --> 00:05:00.750 Ashley Robson: God, this is for this is what it should be, and and also why it's class is high risk and the mainly midwives. I had a consultant who was lovely, but you know I I wasn't made to feel any different to any Ds in there. I was just another woman in having her baby.

27 00:05:01.080 --> 00:05:05.280 Ashley Robson: so I then start started looking into.

28 00:05:05.370 --> 00:05:17.940 Ashley Robson: didn't think I was getting so I had no medical background at all. I've never been in had any desire to do anything on nursing or any kind of lines. That's not for me. But when I looked at the course I realized that actually.

29 00:05:18.110 --> 00:05:19.650 Ashley Robson: Midwest is not about

30 00:05:20.110 --> 00:05:42.540 Ashley Robson: the cared. Necessarily. It's about that social impact and the the whole holistic sense of what you do as a minimization and supporting these families. It's not just about the so I applied for Robert Gordon and Aberdeen didn't think I'm game, and I think there was about 200 applicants that year for 24 species. So it was. It's a tough course to get into

31 00:05:42.570 --> 00:05:46.879 Ashley Robson: and went for an interview. And yeah got accepted for the course. So

32 00:05:47.010 --> 00:06:17.010 Ashley Robson: it's all about the worldwide. All happened to the quickly and did machine in between the Aberdeen and Dr. Grease. I was lucky enough to get most of my place into Dr. Grace, so I'm you know, kind of being a member of the team, they cheated me like a member of the team right from the start. And yeah, following qualifying. I got a job there and been there ever since. So so many leads. Okay, every time that I've spoken with you, I think now how passionate you are about this stuff. So obviously that must come through you. And

33 00:06:17.190 --> 00:06:18.160 Katieanne Duncan-Bruce: okay.

34 00:06:18.330 --> 00:06:21.839 Katieanne Duncan-Bruce: it's been great that you, if you manage to get through all that.

35 00:06:23.510 --> 00:06:30.520 Katieanne Duncan-Bruce: So how do you work with expected manners during privacy. And what kind of support do you provide?

36 00:06:31.380 --> 00:06:56.630 Ashley Robson: So in my any? I am hospital based on work on the board, and I'm sure most of your viewers will be there being there themselves that are going there at the minute for. But we cover everything on the board from pre-conception. Women that have maybe had losses, or that I've had a previous loss and are looking to get pregnant now right through the pregnancy to it. Labor and then post it as well

37 00:06:56.630 --> 00:07:17.500 Ashley Robson: as a word we do, if it, doctor, please. Like I say, it's it's so dynamic somebody should be looking after somebody that's maybe had a a beavement at the loss the next day could be looking after somebody in the Labour Ward following the it could be a so it's very, very, very what we do. And we're skilled in all the areas. And we, we use a lot of our skills

38 00:07:17.800 --> 00:07:21.240 Ashley Robson: to I, the day in different different.

39 00:07:21.290 --> 00:07:28.349 And then, obviously, with my new business, I'm taking that. I'm going to continue with my Nhs rules. Well, but I'm taking that out of.

40 00:07:28.440 --> 00:07:41.499 Ashley Robson: and the Nhs set in and into my clinic saying, which is a cool, which is actually what I'm in now. And I'm going to be combining my skills and the different knowledge with my complimentary piece

41 00:07:41.670 --> 00:07:46.360 Ashley Robson: to offer support in any way that women need. So it can be that could be for a physical reason.

42 00:07:46.380 --> 00:07:52.839 Ashley Robson: back pain. Say, I care nausea for me, and in a along that lines to get women into liber.

43 00:07:52.870 --> 00:08:07.449 Ashley Robson: but also as because of my midwife, I'll be able to offer them that support, that they need as well that information, that chatting about best plans, where they're going to go, hopefully, help release some anxiety if they have to travel to.

44 00:08:07.510 --> 00:08:09.959 Ashley Robson: And so it's just combining the 2. Really.

45 00:08:10.230 --> 00:08:30.999 Katieanne Duncan-Bruce: that's amazing. And definitely like all the things you mentioned. And they are a lot of my tendency clients to come along to the Yoga office. They're always they're mentioned in these things. So it's it's amazing to have someone to to. They're on. And and obviously what you're experienced here. I've seen the photos in your your clinic. It looks so. It's lovely and deliver lots in itself.

46 00:08:31.140 --> 00:08:35.910 Ashley Robson: So it's because it's at home as well. So I'm just to the doors in here

47 00:08:36.100 --> 00:08:46.109 Katieanne Duncan-Bruce: perfect. Oh, that's great. So what are some of the most common misconceptions about?

48 00:08:47.100 --> 00:08:59.600 Ashley Robson: So the biggest one has to be that all we do is play with babies all day, all so that we deliver babies. That is absolutely not the case, as I said earlier. Actually, they.

49 00:08:59.840 --> 00:09:16.610 Ashley Robson: it's probably one of the smallest parts in terms of the care that we provide. Obviously for Peter. It's the biggest part. But for us, you know, that journey starts right at the very start with these women, and and really to support them the whole way soon.

50 00:09:16.610 --> 00:09:31.260 Ashley Robson: not just in terms of having their behavior. But we're looking at them as a whole, as a, as a, as a family unit, and everything about this journey into parent, which I mean you've done it. It's a massive thing. It's a huge, huge thing for me.

51 00:09:31.390 --> 00:09:35.150 We're here for for all that. I mean, we're going to make sure that we're like

52 00:09:35.500 --> 00:09:50.410 Ashley Robson: social workers. For, like Midway, you know, we we do everything for these women, and I think a lot of people do understand the whole gravity of that. It's not just that one d that then having their baby, it's a huge. It's a huge thing. Apart from that.

53 00:09:50.750 --> 00:09:52.790 the other thing, I think, is the aim

54 00:09:53.170 --> 00:10:15.360 Ashley Robson: which we're not. We're not nurses. We used to be used to have to do your notion training before you did your midwest free, and you could still convert from a nurse to midwife now. But anyone coming into with you now is a completely separate degree, and we are different in the sense that we are what's classes at all, this practitioner. So

55 00:10:15.360 --> 00:10:35.159 Ashley Robson: we'd allowed to do things on. I don't. We can prescribe certain things we can do things that doctors do. You obviously couldn't. Can you listen, you know, and women things like that. So we've got a lot a bigger scope compared to maybe a nurse working in a hospital. So it's as good as that is. It's also quite scary at times, because

56 00:10:35.200 --> 00:10:44.040 Ashley Robson: we we're responsible for that work here. You know what we provide. We are ultimately the ones responsible for this as well. But yeah, it's great.

57 00:10:44.130 --> 00:10:46.950 Ashley Robson: No, absolutely. And then.

58 00:10:47.490 --> 00:10:50.719 Katieanne Duncan-Bruce: being through it myself as well. It's it's such a

59 00:10:50.870 --> 00:11:00.399 Katieanne Duncan-Bruce: important time. And since it's time. So having somebody like well like yourself, and they are along with you, and it's

60 00:11:00.810 --> 00:11:07.559 Katieanne Duncan-Bruce: so for that. That's something I found with my parents when I was down. I'm living in West Virginia.

61 00:11:07.790 --> 00:11:09.499 Katieanne Duncan-Bruce: I I had this one

62 00:11:09.600 --> 00:11:17.739 Katieanne Duncan-Bruce: appointments kind of stop us all over the place, because I was under that twin consultant which was at St. John's Hospital, but I was also

63 00:11:17.750 --> 00:11:27.730 Katieanne Duncan-Bruce: like in an armored deal in. So my midwife appointments, for they are, but then I also have to use it differently, for, like my weekly scans, which ones

64 00:11:27.790 --> 00:11:33.710 Katieanne Duncan-Bruce: and I did find, like, I had a lot about sort of consistency and begin like.

65 00:11:35.790 --> 00:11:40.710 Katieanne Duncan-Bruce: so what you're saying, I think is, it's really important to your patients.

66 00:11:41.820 --> 00:11:52.539 Katieanne Duncan-Bruce: Okay, so how do you help women prepare for labor and delivery? what are some techniques that you use to monitoring on this complex?

67 00:11:53.720 --> 00:11:54.820 Ashley Robson: So I think

68 00:11:54.870 --> 00:12:19.369 Ashley Robson: it's important. It's it's hard to get that fine balance. You want to start repeating women sort of mentally quite early on in the pregnancy, and we, you know we will. The community with the especially are fantastic. They'll start bringing in conversations that I'm delivering

69 00:12:19.420 --> 00:12:24.969 Ashley Robson: but just little bits and pieces, so that we have an idea of what they may be. I think it was like

70 00:12:25.130 --> 00:12:35.850 Ashley Robson: now, obviously, everyone that's had a baby will know that 9 times 10 it doesn't go. How you would expect in it to be better, it could be worse. But having just a few kind of simple things that would then but what you might.

71 00:12:36.010 --> 00:12:48.180 Ashley Robson: One is a good idea, particularly for a partner as well, so that if you know in throws a labor, the woman herself just not really getting what she wants, and or doesn't you know what she wants to do to, partner.

72 00:12:48.190 --> 00:12:49.490 Ashley Robson: although it doesn't have?

73 00:12:49.650 --> 00:12:59.780 Ashley Robson: I see he can't override what she's saying that he can be there to start. Say, look, this is what she'd say. It's during the pregnancy, and this is what she would prefer to avoid, etc., etc.

74 00:12:59.890 --> 00:13:03.810 Ashley Robson: in terms of labor themselves. When the League is come in.

75 00:13:03.910 --> 00:13:25.909 Ashley Robson: We're very much guided by what they want to do. And obviously, Dr. Greece, we are slightly. We're limited to what we all for ply. We have the the and we have morphine. We also have no medicalize things. So things like tens machines, my heat pads, and we have our burden pool as well.

76 00:13:25.980 --> 00:13:38.199 Ashley Robson: which woman cannot go into. And it's just it's very much about building up that relationship with your woman so that you can be able to guide her, and how you feel. It's never about seeing

77 00:13:38.310 --> 00:13:56.680 Ashley Robson: right. I think we need to have X y. Z. Now or no, you don't need this. It's about being able to be your women and say, Look, this is maybe the time to have. Think about this or no. Look, you're almost there. You don't need it. Let's just keep going, and a lot of them, I'll say test afterwards, like God, you know I I really appreciate that you

78 00:13:56.840 --> 00:14:26.650 Ashley Robson: maybe you will not me. Maybe you know you advise me to do this at this point, because it works really well, or and it it it comes with experience. But it is. It does help. If you kind of had that chat with them before that, and obviously me myself. I also offer. I don't know if you massage in the Board for Labor, if I'm on that shift, and there's somebody in leave I can offer. And and hopefully, that's something that I'll get go up in the world to warm it up to.

79 00:14:28.080 --> 00:14:38.650 Katieanne Duncan-Bruce: Not some reason, actually. And even when you're saying there just now, about like how your you speak to the women and stuff. That's something that's stage with me like you. My

80 00:14:38.790 --> 00:14:43.580 Katieanne Duncan-Bruce: language that was used. and I think, subconsciously.

81 00:14:43.790 --> 00:15:01.909 Katieanne Duncan-Bruce: who else? I' a negatively in my mind and just I share this with you before. It's like they have on twins. It. It will be very painful if you're having 2 babies. It's going to be twice the clean up one, and things like that in my mind.

82 00:15:02.060 --> 00:15:14.850 Katieanne Duncan-Bruce: I I had that in my mind all the time, and it's all me now that I'm obviously like delivering my classes when the

83 00:15:15.120 --> 00:15:22.589 Katieanne Duncan-Bruce: they can share openly anything they want to chat about that. They're discussing any of their worries and times, and and these kind of things come up

84 00:15:22.650 --> 00:15:24.110 Katieanne Duncan-Bruce: it. It's same.

85 00:15:29.550 --> 00:15:46.090 Ashley Robson: I would be able to help everything over all the whole. I mean, I think, sort of traditionally, years ago you never really talked about it because you didn't. There was that perception that if you draw to, you would scare them into, you know, thinking I'm gonna go. This is perfect. I can't do it.

86 00:15:46.360 --> 00:15:52.959 Ashley Robson: But, like, see, there needs to be a balance, because there's nothing worse than somebody coming in and labor who has absolutely no idea

87 00:15:53.120 --> 00:16:01.689 Ashley Robson: folks going on and what to expect. At least, if somebody's got a bit of an idea of what may happen. And then, you know, hopefully, they'll be able to come and

88 00:16:01.740 --> 00:16:06.710 Ashley Robson: calm. This definitely helps, but nothing else. Yes.

89 00:16:07.750 --> 00:16:18.860 Katieanne Duncan-Bruce: not some reason sounds good. So next question, how do we help women? Now that the the postpartum period, and what kind of support do you provide to in this time?

90 00:16:20.100 --> 00:16:32.799 Ashley Robson: So again, when we've had delivery dot degrees, we, it's the same midwife, obviously, then, cares for them for the means of that shift, and potentially the following day they're on again, and we.

91 00:16:32.990 --> 00:16:43.319 Ashley Robson: the postnatal part at doctor is is the scene. It's all on board, so we'll bring them up to the board up. And then it's really after that it's really depending on the women. I mean.

92 00:16:43.380 --> 00:16:49.129 Ashley Robson: some women come in. It's maybe baby number 3, for however many they've had. And

93 00:16:49.140 --> 00:17:01.720 Ashley Robson: do you know what they're doing? And really, we're just in there to kind of hear from Mom more than maybe, to be honest in that kind of hours after delivery, you know. Make sure she's comfortable paying relief flies and make sure she's the engine can.

94 00:17:01.820 --> 00:17:22.989 Ashley Robson: Then, obviously, there's Mom that maybe you need a bit more support. First time Mom's mom's, who maybe had a very difficult experience the first time and months of maybe had a bit of a difficult experience during this time. So we're there for support with this feeding, and we're there for support, with just normal baby care for months that I've never seen a baby before.

95 00:17:22.990 --> 00:17:42.479 Ashley Robson: and but a lot of it also is just emotional care. So you know, you'll get women that all one, and there's something to be said about that middle of the night when everything's quiet, and it's just you and the woman in the room, and they offload to us so much. And it's it's a really good time to be able to discuss things with women that they've experienced, or they're worried about

96 00:17:43.110 --> 00:18:08.649 Ashley Robson: women generally in with us a lot shorter now than they ever before, and it's an unusual for them to be with us longer than maybe one or 2 nights, and so then, when they go home, the community to take over and they do a fantastic job, they quite see the ladies at home again. Maybe, Taylor to the individual. Some ladies, and we only see a couple of times if they are happy with everything. Other ladies might get support every single day. But

97 00:18:08.690 --> 00:18:13.190 Ashley Robson: it's very much a individual based here program. So that we do.

98 00:18:15.050 --> 00:18:21.430 Katieanne Duncan-Bruce: That's great. That's so. What are some of the most important aspects of being an advice.

99 00:18:21.550 --> 00:18:25.330 Katieanne Duncan-Bruce: And what Some of the challenges that you face in your work?

100 00:18:26.100 --> 00:18:37.219 Ashley Robson: Oh, I I mean the reward, and I say as much as the see that the delivery bits a small part of it emotionally, is a huge part for us. I mean, we're there at a moment where

101 00:18:37.430 --> 00:18:56.760 Ashley Robson: you know, we're so privileged to be there to see families becoming, you know, a new, whether it's a first baby or a baby. Number 5, you know everybody special. And to just to see that emotion and relief the parents faces is is amazing. And I still get really emotional. It'd be delivery on that. And I think for us as well. It's

102 00:18:56.760 --> 00:19:08.130 Ashley Robson: it's a huge sense of relief when that becomes that in everything. If one could just calm down. And and yeah, it's a reason to absolutely love it. But also just that

103 00:19:08.130 --> 00:19:33.829 Ashley Robson: here in the Pennsylvania, let's say, to know you've been there and supported a woman the whole way through whether you've seen her once, whether you've seen her twice or hundreds of times. You know what that, what a team! And to know that everybody's work together to to help these families become a family. It's it's it's brilliant. And I've got so many friends now from people that I've cared for, whether just once in the 10, or whether I've delivered their babies. And

104 00:19:34.080 --> 00:19:45.719 Ashley Robson: it's then they'll come to me like, you know, years later, sometimes I'll I'll bump into them, and they're like, Oh, you know, it's wonderful to see. And I always remember you say this, if you did that, it was really, really a lot. It really helped me out in.

105 00:19:45.840 --> 00:19:53.900 Ashley Robson: It's just yeah. It's amazing. It's it's it really is the best job in the world like I can't argue with that.

106 00:19:54.180 --> 00:20:03.459 Ashley Robson: Obviously, a minute is quick challenge. I mean, it's always been a a challenging job in the terms of you know as much as we've got wonderful outcomes. We also have

107 00:20:03.700 --> 00:20:17.450 Ashley Robson: very speedy and difficult times, and you know you're dealing with pain, that I've had losses. You're dealing with emergency situations which you know what we've got not just one life in our hands. We've got 2. We've got Mama baby, and it's a lot of pressure.

108 00:20:17.680 --> 00:20:33.449 Ashley Robson: but certainly it's recently with the the having to travel with women to Aberdeen in situations that you, you know, takes it to be having a baby

109 00:20:33.470 --> 00:20:40.729 Ashley Robson: literally. There's just us there. We might have. Well, obviously, we've got a paramedic with us as well, but you know often we've never even seen the delivery. So

110 00:20:40.880 --> 00:21:04.599 Ashley Robson: they're kind of sitting there thinking, God, this is. This is all in me here, and it's it's so scary. And plus, you know, we we want to be able to offer our women the services that we've always that it's the women love Dr. Grace as a unit when it's a consult. You know. It was so highly thought of, and for us not to be able to offer that anymore. It's it's really hard. And you know, it's been. It's taken a real tool and a lot of us

111 00:21:04.700 --> 00:21:12.779 Katieanne Duncan-Bruce: in the system. And yeah.

112 00:21:12.990 --> 00:21:18.950 Katieanne Duncan-Bruce: we can also

113 00:21:19.420 --> 00:21:23.939 Katieanne Duncan-Bruce: interested to see what the outcome will be.

114 00:21:25.160 --> 00:21:28.640 Ashley Robson: And when you were seeing data. But the rewarding parts of the job

115 00:21:28.730 --> 00:21:33.839 Katieanne Duncan-Bruce: what you like for you, because even for me

116 00:21:34.230 --> 00:21:47.499 Katieanne Duncan-Bruce: be in the at all like weekly, some of them coming along since they were trail feats. and then the Then 9 times the

117 00:21:47.760 --> 00:22:10.609 Ashley Robson: once they've they've got their hopes, and they even if it's in the middle of the night, if I get the full. So I'm like, I I feel so excited to that. We feel like really connected around them. I can't even imagine what you feel like if you're here at the bar. I think it's a good thing. It's a majority of us that work in the team. We've had our children at least one or 2, if we've all had at least one child there.

118 00:22:10.610 --> 00:22:37.099 Ashley Robson: and you know. So we we've now seen colleagues in that position, and we've been that person in that position, and, like I was lucky enough that it was my closest friend at work who was here with my youngest board, and then we laugh about the things I was doing and see it now, but just knowing that she was there was just amazing. And then he ended up going to the special care. And actually it was another really cool, straight mine, that cute for him in there. We're like a family. And yeah, it's just it's amazing.

119 00:22:37.330 --> 00:22:43.140 Katieanne Duncan-Bruce: Oh, that's really special.

120 00:22:44.080 --> 00:22:45.280 Katieanne Duncan-Bruce: So

121 00:22:46.210 --> 00:23:04.080 Katieanne Duncan-Bruce: how do you stay up to date with the latest research and best practices in the with rate, and how you incorporate this knowledge into your practice. I know you've already covered some of this with your your business as well. Yeah. I mean, I think, as midways, we're not actually always

122 00:23:04.190 --> 00:23:18.930 Ashley Robson: looking for new information. There's always it. It's just an indulg thing, and it's anyway. But I'm nurses and midwives we have to do something called re validation. So every 3 years. We this is the National Council that we have to

123 00:23:19.090 --> 00:23:20.950 Ashley Robson: provide it in.

124 00:23:21.000 --> 00:23:32.109 Ashley Robson: I suppose evidence that we have been keeping up today, and you have to do so many hours of continuous professional development. It's called. So you have to do participating. Stack it to do online stuff.

125 00:23:32.110 --> 00:23:44.020 A lot of it's mandatory stuff that we would be doing anyway, but also all your things like your additional courses that you do training things. You read online looking at journals that all kinds. So because

126 00:23:44.020 --> 00:24:06.860 Ashley Robson: we have to do that, I think it all, then kind of prompts people to do more, and to be honest, there's always something something exciting to learn. I've done a lot of training. Obviously, Covid kind of put a bit of a stopped a lot of it. But in the last year or 2 I've done a loading machine and things I wanted to do, and there's always a new skill to learn something exciting. I mean, recently I was involved in

127 00:24:06.890 --> 00:24:29.849 Ashley Robson: workshops developing trauma care pathways that are going to be coming into effect in so working with families that I've deal with all sorts of trauma not just virtual. Not that, you know. Migrants, people with financial difficulties, partners that have maybe had Ptsd something in the forces them, you know, going through the pregnancy journey. And that was amazing. Like learning. All of that, it was fantastic. So yeah.

128 00:24:29.950 --> 00:24:35.060 Ashley Robson: it's something that we just, I think, is built into us now, but we do have to do it anyway soon.

129 00:24:35.860 --> 00:24:41.439 Katieanne Duncan-Bruce: for some reason.

130 00:24:42.110 --> 00:24:48.099 Katieanne Duncan-Bruce: What advice would you get to women who are considering working with them. It's like for the

131 00:24:49.210 --> 00:25:05.179 Ashley Robson: so obviously in the Uk. And everybody gets allocated to a midwife. And that's a standard here in the Uk. Compared to other countries. What may differ for some women is that they may see the consulted mode as well. I mean, we try very

132 00:25:05.320 --> 00:25:21.289 Ashley Robson: hard to ensure that even a woman is high risk. It's helped to feel that she's still normal, and that there's nothing different for her so as much as she may be seeing the consultant every week or 2 weeks, whatever they need. They'll still see the community advice as well. They'll still be involved in that way.

133 00:25:21.330 --> 00:25:26.390 Ashley Robson: And so we've encouraged people to try and build up that communication with them. Advice because

134 00:25:26.490 --> 00:25:53.949 Ashley Robson: they are the can you make it to the fish port? Call for a lot of them, for like questions, you know, little bits and pieces that they might think. Well, you know, I don't really need to ask the consulting this, but I want to. I I need to know all like, and I will say to them, you know, even so, you've been seeing that the ward or you can see by the consultant. Just get in touch with your community midwife as well. They're there, for instance, and they've communicated by that so fantastic. They build up a really good onto their their ladies, their case loads, and

135 00:25:54.240 --> 00:26:03.129 Ashley Robson: let's say they'll often have the message in them like rounded times with really valuable questions, but that's what they're for. So yeah, we would say, Oh, no, I'm our whole

136 00:26:03.200 --> 00:26:12.039 Ashley Robson: journey. You don't. In terms of your care package. Your midwife is always going to be the most important person in that package and make the most of it most of them advice

137 00:26:12.680 --> 00:26:17.769 Katieanne Duncan-Bruce: that's amazing and I'm sure all your patients really appreciate as well.

138 00:26:17.830 --> 00:26:18.849 Katieanne Duncan-Bruce: I know this

139 00:26:18.900 --> 00:26:24.449 Katieanne Duncan-Bruce: be so important to them about Germany that they that they can get in touch. And absolutely

140 00:26:25.680 --> 00:26:33.770 Katieanne Duncan-Bruce: so what do you see as the future of of midwifery? And how do you think this field will continue to evolve in the coming years?

141 00:26:34.910 --> 00:26:49.730 Ashley Robson: Oh, I mean, obviously the biggest thing at the minute for us is we get in the unit back up to what it once was. that's the goal for all of us at a minute, and we obviously are working really closely with the Scottish Government things to be able to implement that. But I think

142 00:26:49.980 --> 00:26:52.369 Ashley Robson: there's a lot to be said now for

143 00:26:52.650 --> 00:26:57.970 Ashley Robson: individual queue as well like at the time we were very much just.

144 00:26:58.500 --> 00:27:10.730 Ashley Robson: This is the pathway that you don't. This is supposed to be that you're on, and they'll give you the DVD. And you had your set. You're ready to say appointments and things like yourself. You had one equipment for this one equipment, for that one, for something else. I think

145 00:27:10.750 --> 00:27:27.869 Ashley Robson: we need to be more adaptable to what we can offer and what we can work for women to provide, so that women are getting a really really individualized package of here. And whether that's things like whether it's physical support that they need not. Everybody will need that but

146 00:27:28.170 --> 00:27:43.850 Ashley Robson: emotional care, you know, just general payments to care. It needs to be a lot more adaptive. I think there is a lot of plans in in this this sort of work and plans that we've got for building back up. There is a lot of fun to have more specialized things going on in in, doctor, please, so that

147 00:27:43.890 --> 00:28:07.740 Ashley Robson: women feel that they're not having to travel to Aberdeen for the more specialized things in that they're getting a specific package for what they want, and also for me, like I'm really hope, you know, want to push integrate in the A compliments, say, and getting that more of a a standard, because in things like concert here, you know, agriculture and things is provided by the Nhs is standard.

148 00:28:07.910 --> 00:28:18.309 Ashley Robson: and obviously, we don't have that. And it's something that can make a huge difference. These little lecture pieces that women can access. And so hopefully, in the next couple of years we'll be able to

149 00:28:18.520 --> 00:28:19.690 Ashley Robson: all for more.

150 00:28:20.760 --> 00:28:22.499 Katieanne Duncan-Bruce: What are some of the

151 00:28:23.250 --> 00:28:28.659 Katieanne Duncan-Bruce: the procedures that you can offer to?

152 00:28:29.260 --> 00:28:37.470 Ashley Robson: So at talk to your crease. All I'm allowed to do there is and massage.

153 00:28:37.850 --> 00:29:05.670 Ashley Robson: and I offer, and that to. I can offer that for any of the pregnancy complaints that women are having, and might say they just get referred to me through a colleague on the ward if they've seen some deemed. And you know the woman's talked about that queen or something. Then they can get in touch a meeting. I can organize an appointment. The other thing I do at the hospital is post States, Pennsylvania, and set a situation where myself and one of the community

154 00:29:05.670 --> 00:29:10.179 Ashley Robson: I'm I'm caught in, or she's just back from maternity. Leave the city of vessel for

155 00:29:10.360 --> 00:29:24.140 Ashley Robson: women that are past their duty. They're hoping to go into labor. Naturally, they offer appointments where they can come. They can. We can practice occupation on certain points on the body and their own therapy that will hopefully help contractions to begin on their own.

156 00:29:24.210 --> 00:29:36.549 Ashley Robson: and that is quite limited, because it's got to be women that are really low risk and obviously time wise and things. It's slightly limited at the minute that we're hoping that can build, and we can offer more of that.

157 00:29:37.040 --> 00:29:47.520 Ashley Robson: Unfortunately, I'm not like to offer anything else. I don't degrees, as I say, just because of like health and safety and purposes of things. But what I offer at home is

158 00:29:47.580 --> 00:29:55.969 Ashley Robson: for any kind of pen to complain. I offer which is a Chinese treatment that times be be.

159 00:29:56.260 --> 00:30:08.639 Ashley Robson: and they they can be done together separately, whatever women want. And I also, I'm in the process of doing the clinical hypnosis genome. So I'll be able to offer hypnosis for things like

160 00:30:08.670 --> 00:30:28.840 Ashley Robson: phobia. So fear of needless fear of labor, stress, and di about the Aberdeen situation and help to stop smoking, and help to deal with the previous burnt on, and things like that. So I well, I can offer, and then sometimes it's a tailored package of different things. I advise women to get in touch with other than

161 00:30:28.870 --> 00:30:44.349 Ashley Robson: to looking at the same piece and see if it I want. Now I advise him to get in touch with me and discuss what their issues are, because there may be something different that works better for them. Yeah, absolutely. And then all this thing like that for a consultation, and you can advise all of those things that same.

162 00:30:44.760 --> 00:30:51.480 Katieanne Duncan-Bruce: You're. I'm sure that your your new business is just going to

163 00:30:51.520 --> 00:31:00.670 Katieanne Duncan-Bruce: something is so needed, and that's just unreal. So I'm so excited for you to see how I will go in the upcoming months and years.

164 00:31:02.010 --> 00:31:08.820 Katieanne Duncan-Bruce: A question from as your, what can you suggest to help with nausea on?

165 00:31:09.470 --> 00:31:28.010 Ashley Robson: Okay, so this is obviously a huge one, and lots of women will suffer, and we'll see them into a certain degree. Most women are lucky that it's mild, and you know, maybe just the nausea on occasion. A. The occasional woman. Some women have it horrifically bad. And to the point where it's really, really.

166 00:31:28.020 --> 00:31:37.570 Ashley Robson: it impacts on their mental health. And and in the worst cases we do often get women who feel they can't walk the because they're so badly affected by the.

167 00:31:37.770 --> 00:31:55.160 And obviously, if it's women at that stage, it does need to be more of a medicalized approach, and we advise them to contact the ward or the key image to discuss that. And then, possibly, you know, having to come in for treatment and things. But as a general sort of sense, we all do suggest to women, first, that they speak to your Gp.

168 00:31:55.190 --> 00:32:06.150 Ashley Robson: Early, because we can get medications to help you. All the medications, and the the earlier, the more sort of frequently you're taking these the better they're going to work. And a lot of women all

169 00:32:06.270 --> 00:32:27.660 Ashley Robson: take them initially, sort of sporadically, or take them for a few weeks, and then they'll stop taking them, and then it starts all over again. So it's about getting that good practice in early and keeping it going. But from things you can do for yourself at home and eat a little and often it's great small meals. We often say it doesn't really matter

170 00:32:27.760 --> 00:32:29.740 Ashley Robson: what you're eating as long as your

171 00:32:29.960 --> 00:32:41.449 Ashley Robson: like. It's something, you know. If it's something. All they want is, I slowly find the entity, the baby. I'll take what it means to you and your quote. It's just like getting yourself to do that. And with whatever means you need to.

172 00:32:41.660 --> 00:33:00.870 Ashley Robson: Jim Ken is a big thing. So making sure you're keeping your flu with levels up. And like, I say things like ice pools and nice flows are great for that. If you can't physic crut all the the fluids and small snacks having something that you can nibble on when you get up in the morning. It's something that a lot of people will come to us asking about is Ginger

173 00:33:01.100 --> 00:33:27.659 Ashley Robson: and I have to say, ginger biscuits are not the way to do it. Everybody automatically bump into your biscuits. You'd have to eat about 100 to get the right a message into it which would be lovely, you know, if you like a ginger. That's fine, but and it's good from that point of view that it's a nice kind of dry thing you could nibble on it. It's not going to do any harm, but from a medical point of view there's not enough ginger in your biscuits to make any difference, you whatsoever. You're better with including your team.

174 00:33:27.660 --> 00:33:50.120 Ashley Robson: So blue and ginger tea, and we've got leaflets and things that we can give women about how to do that, and and also not go in the opposite. We've taken too much, because if you're taking in too much, it can actually have a negative effect. But things like peppermint oil. So, having a a vial of peppermint

175 00:33:50.310 --> 00:33:57.059 Ashley Robson: tends to work quite well with women, and avoiding harsh perfumes and things as good as well, and then, if all else feels.

176 00:33:57.080 --> 00:34:21.730 Ashley Robson: come along and see me, and I'll do some treatments for you. I mean things like acupuncture. It's fantastic for. And it's so so good. And and actually, one of the points we use is that point here that the chapel balance that we will use but 90% women are using them on their own place to not be work to come along to me, and I can do some

177 00:34:22.590 --> 00:34:41.219 Ashley Robson: that's amazing. And all that information for those treatments. Who you on your website as well. Yeah, everything's on there. And let's see what we can always get in touch with it. I'm on all the social media. So when we get in touch with me and to ask if they are, I mean, I'm happy to just give advice over emails and things as well. You don't have to come and see me.

178 00:34:48.340 --> 00:35:00.739 Ashley Robson: This is another cultural. And it's one thing that everyone seems to have heard of towards the end of their tendency. So always friends will talk about it. You know, we might have midwives who don't really understand how it works. We'll talk about it.

179 00:35:00.940 --> 00:35:26.959 Ashley Robson: But actually, a lot of women are using it in their own way. So we're as we leave tea. It's not going to put you into labor. What is going to do is it's going to help tone your us to make it more effective. So when those contractions do start the work better, and it's like, I say, it's not going to cause the contractions. It's just going to help your body to use some more effect. But like they see the yoga like obviously changing your muscles.

180 00:35:27.210 --> 00:35:51.899 Ashley Robson: you know. That's the the goal. It's not about creating the contractions. It's about giving them the what they need to make them more effective. The other thing that we find is that women know all they'll start using. That's really far too late. So they'll start using the other 2 days, and can all I need to get into deeper now. It's not going to work. If you've only started it the week before you go into labor. We'd recommend that you can't start it from 32 weeks.

181 00:35:52.330 --> 00:36:10.430 Ashley Robson: It does need to be smaller volumes, and then you build it up. And then sort of from 36 weeks, you're obviously going to be on the full candles. By that point it should have had a good effect on your muscles, and then help things to to come more effective when the time actually comes again. And it's not sure it can get in touch with me, and I can give them some advice for that

182 00:36:11.010 --> 00:36:13.439 Katieanne Duncan-Bruce: amazing and the final question.

183 00:36:13.590 --> 00:36:16.650 Katieanne Duncan-Bruce: what will happen if I?

184 00:36:18.060 --> 00:36:23.779 Ashley Robson: Yeah. So this is a big one at the minute. So said women having to go champion for this.

185 00:36:24.160 --> 00:36:36.800 So it depends a lot on the reason why you're being induced in, for obviously a lot of women. It's purely that they passed their their duty. And this baby just does not want to come out, and they're going to need up at the hand to get things going

186 00:36:36.800 --> 00:36:56.439 Ashley Robson: the other room, and it could be because there, there's a concern with either one or baby, whether that's them to be size, whether that's an issue with months such as to you, Clancia, and whether it's concerned that if they go too far over, it may cause more problems if it's maybe had a previous traumatic delivery in the past, and they want to avoid that again.

187 00:36:56.740 --> 00:37:07.870 Ashley Robson: So whatever we it happens, obviously there'll be different points in the. So the first thing really for us is that we're going to assess of women to work out

188 00:37:08.080 --> 00:37:13.220 Ashley Robson: how favorable she's going to be to be, and what method we're going to need to do with it.

189 00:37:13.490 --> 00:37:30.829 Ashley Robson: So what generally happens is, the Aberdeen will allocate a date for a woman, and she will be given that day, and then it's almost a bit like she goes on. Call that day. So Aberdeen in the morning will look at their deduction list and work out who needs to be

190 00:37:30.830 --> 00:37:47.319 Ashley Robson: draw in asap? Who can be brought in later that day, and who can wait till the next day. Obviously a lot that's in their work. Hold on that day as well. When a woman is then sort of next on list, everybody will phone ourselves at Dr. Gr. And ask us to bring the leading into us to assess her.

191 00:37:47.910 --> 00:37:54.660 Ashley Robson: And and we do that by the general examination to see for our services doing? Basically. No.

192 00:37:54.940 --> 00:38:15.099 Ashley Robson: we use something called the balloon. So you may not have heard of that. But in this kind of before you had your voice it would be. But essentially it's It's a method of softening the cervix which doesn't involve any drugs, so women can then go home with them rather than previous times, where, when you came in production, you were in for days and days and days in the hospital, do nothing.

193 00:38:15.150 --> 00:38:27.639 Ashley Robson: So this it's it's it's almost like a like a. It goes into the surface, fills with water, and then the 2 blues just sit on the service and put that pressure on it to hopefully soften things up like, I say, the women then go home with that. In

194 00:38:27.900 --> 00:38:48.720 Ashley Robson: after 24 h it's taken out. They they go to Aberdeen, they to have their if somebody comes in to us, and their service is already soft and open enough that we could take their wars, they then just go home again and wait for that. We need to call them to go straight to Labor board, and they get their waters broken, and then it's just a case of how well their labor prices after that.

195 00:38:49.030 --> 00:39:01.279 Ashley Robson: So one of the biggest services that I offer, and, as I said before, myself and to my colleagues. The hospital for a post States connect. So we from 7 days past their due date.

196 00:39:01.340 --> 00:39:25.399 Ashley Robson: women can come and see us, and we will perform acute pressure and rum, a therapy massage all in specific points on the body that can help promote contractions to start and to soften service and things like helping the baby to move down if they're still a little bit high, and that they can access to their community. And and we can organize appointment to come in and do that with them. There

197 00:39:26.050 --> 00:39:38.830 Ashley Robson: we must have from the business I can offer this earlier. I can do from 37 weeks of printing what's called birth preparation. So it's not as intense as the post date stuff, but it's similar to in that. I'll be

198 00:39:39.720 --> 00:39:54.390 Ashley Robson: using this the same points to provide either pressure with the application tools or to use acupuncture. just to kind of help the body get ready for labour and things. I can do a massages and things as well to help promote natural labor.

199 00:39:54.580 --> 00:40:06.040 Ashley Robson: Once they hit their Judy, I can see them but turn it on their their they of delivery aim, and right to till whenever they go into the in, and it can be used with.

200 00:40:06.320 --> 00:40:17.340 Ashley Robson: and the major conduction, so I can see them, even if they're going to be going in introduction. See? On a Friday I can see them right up to the Thursday. And because actually, even if it doesn't put them into labor.

201 00:40:17.440 --> 00:40:32.019 Ashley Robson: All that processes we're doing can help to soften the targets and make it an easier labor. So it's not just about that whole getting you going. It might actually help to make things easier. And with, there's loads of research to say that women that have had birth preparation

202 00:40:32.270 --> 00:40:55.890 Ashley Robson: at things like lower, a need for annotesia or a complications such a huge amount of research into it. So even if I can't get into labor. I hopefully will help get you an easier right once it actually starts. So yeah, there's lots that we could do to help. And hopefully, the the world will get out, and women will be able to come in and see men more remotely, but have their babies at Dr. Grace hopefully.

203 00:40:57.160 --> 00:41:06.379 Katieanne Duncan-Bruce: Oh, actually, that's obviously, I'm using. Obviously, you can just tell like, how passionate you are about your your job, and also just like to knowledgeable and experience.

204 00:41:06.480 --> 00:41:26.380 Katieanne Duncan-Bruce: And it's been really interesting, but so I'm sure that the viewers will have the answer to the questions that they were want to know. And how else can you get in touch vehicle. Can you remind us of your website?

205 00:41:26.380 --> 00:41:50.809 Ashley Robson: So the website is, www, dot, it's muddy maternity, it is dot.uk, it's really easy. I have got Facebook, which is also just on their money maternity. And I have my Instagram, and and there's contact buttons on both of those that they can pop in a form. And I also on the all the social media is my email address and my phone number. So women are welcome to get in touch with me.

206 00:41:50.810 --> 00:42:07.910 Sometimes I could say it's just for a chat, really, just to see if I can, and or that can get in touch with me to if they know they want a specific treatment that can book it in themselves online, or they can get in touch with me to just discuss what I can offer, what would be the most viable thing for them.

207 00:42:08.950 --> 00:42:19.580 Katieanne Duncan-Bruce: Amazing? Well, thank you so much. That's it. We really appreciate your time for coming on and take care. I just wanted to see one of the thing as well, and just a new service that I've just started off in. So

208 00:42:19.580 --> 00:42:46.120 Ashley Robson: it's a like a preconception and fertility service. And so anyone who has maybe have issues in the past with an infertility or psychologically so maybe women with call to to go through these women who have a regular cycles, and I can work with them over the space of a month or 2 to help using a a outcome and say architecture to help regulate their cycles, to get them back into regular cycle, also do things like

209 00:42:46.290 --> 00:43:05.030 Ashley Robson: food diabetes and discussing lifestyle and things to help them pick up things that may be an impact in their ability to to get pregnant and get their bold, and for them to speak. So I'm really excited about that. That's not so exciting. And I've actually just invested in an add on to my qualification.

210 00:43:05.090 --> 00:43:13.210 Ashley Robson: Yoga, for fertility. And yeah, I'm just going to start that at the end of June. So I'm going to be speaking now over the summer.

211 00:43:13.340 --> 00:43:20.450 Katieanne Duncan-Bruce: the

212 00:43:20.530 --> 00:43:22.070 Katieanne Duncan-Bruce: no, that's some reason.

213 00:43:22.190 --> 00:43:24.450 Ashley Robson: Yeah.

214 00:43:25.240 --> 00:43:27.809 Katieanne Duncan-Bruce: that's great. Was there anything else?

215 00:43:28.200 --> 00:43:31.960 Ashley Robson: No, I don't think so. It's been a nice to tell you all about that.

216 00:43:32.360 --> 00:43:38.810 Katieanne Duncan-Bruce: Well, thank you so much for having me bye, bye.