I have done very little work to my ePortfolio in the last couple of weeks. However, I have just finished writing out my midwifery philosophy.
I first articulated this philosophy in the early 1990s. It hasn't changed much over the years. But I would confess that my scope of practice does not extend like it did a few years ago. By this I mean that I do not stretch the boundaries of the care I provide in a way that I used to eg I would not consider a breech (baby coming bottom first) birth at home, whereas years ago I would have.
There are a couple of reasons for this. Firstly, I do not do much clinical work these days because of my other roles of teacher and researcher, so I am probably not so confident as when I was practicing as a midwife full time. The second reason is my concern about litigation. I have written about this before and constantly challenge myself to ensure that I am not a fearful midwife. But it can be hard at times.
Please feel free to have a look at my midwifery philosophy and give me feedback. What aspects would you agree with and in what areas would your beliefs differ?