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.
Why 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.
Here’s how you get started making your own midwifery bible.
- 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
- 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
- in this section, there’s all my drug cards and the consultation and transfer of care document
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
There you go! Seems relatively simple, right? Hopefully making a midwifery bible eases your anxiety, impresses your preceptors, and most of all: is useful!