 And I'm going to hand it directly over to Irene and Jenny who Their bios can be found on the program page. So I'm not going to spend time doing that and let them get started They have a fantastic presentation on really working on changing the culture of midwifery care and obstetrical care in China no small task. So Irene I'm gonna Send it to you I'm going to introduce you to Meng who was going to take over the first part. We've got a lot to cover Meng's done. She's great She's a very passionate midwife and we're changing an entire system of maternity care that is led by midwives So I hope you enjoy the presentation and over to Meng Hello Hello, I'm very happy and Jenny and I'm Meng Xie from China Okay, this speech I Introduced by MMSF Okay, Chinese philosophy please are important rules in the Provision of respect for maternity care The multi-maternity service system is women, baby, and family-thinkers We want to establish happiness in maternity units the delivery wisdom and Celebrate childbirth Why I means philosophy of Chinese traditional culture is the center of the MMSF Maternity care works should keep their Condition clear, have a love and the respect for life and hold positive attitude Midwife and the obstetrician hold Comprehensive a big key to provide a whole holistic Continuity of care service multi-maternity service system philosophy is to uphold tradition to support the natural philosophy Physiological process of mother and baby the MMSF Homework is based up on reading respect for integrated maternity care Chinese traditional medicine Has been used for thousands of years Before 1929 many obstetrician War who will put this in America 19 MMSS we integrate the old System with the modern system show that care is effective reduces Intervisual witness Inter-witness and Provence many complications most importantly this Uploads to care gives the woman and the family's voice and the choice in all matters Health mother a healthy mother Healthy babies and healthy China my body my baby to provide holistic continuity and Personalized Service for mother and babies in China In China there are around 16 20 million on both for a year 30 years ago in China made wife lost its status as a professional made wife to became nurses and this country lost its middle midwifery midwifes and its midwifery education system Good clinic clinical midwife risk to girls were lost in 1980 women were equal To delivery deliver their babies in hospital because of the difference in regional cultures the country did not establish a established uni-field standard standard of midwifery There were no longer any Community midwifery services made wife and Obstetrics all worked in the hospital city the broken chain became the weapon dependent up on the president women's press or wants Press or wants there is no effective management of the maternal system in China Obstetrics team as all the lab of the hospital have different models of maternity maternal and infant services Some hospital made the wife work only in the delivery room and responsible for Observing labor and the delivery Some hospital made the wife only responsible for observing the labor and the doctor takes the skates and Deliver the baby Some hospitals do not have midwives doctors are responsible for prenatal Exemptation and the delivery in 2019 Series in China become the Highest in the world China has Read the world's healthy organization Millenium Millenium goes but in the global ranking China The old Behind Comparate with the developing Country, we still have a long way to go the midwives read Proficial was agreed if not it's well Well, yeah, it's not Optino Workloads health and the heavy this you Produce a great loss of a midwife read a midwife Midwife education is low in Lampere made the wife re-training paste and skills were lost the medical intravenous increases and The title was became a high risk increasing in 20 I in 2008 with passing and the end of my into Inter tip We is Douglas China's first the midwife Or line or links organized season China is Douglas the midwife website this became and at the academic exchange Plates former for midwives The midwives and the nurse training school They linked Advanced experience experience and physiology philosophy of developing countries North and the midwives linked to to do the used duties duties of the world's healthy organizing midwife Responsible for the management of low risk woman Obstruction is responsible for the management of the high risk woman We in Asia, we is doubly MMSF we have more than We have more than 18,000 members midwife include our midwives and Obstetrician and PDA Doctor MMS from work is They designed to be a woman baby and the family centered system MMSS supports Respect for maternity care MMSS complete Compliments China's culture and the woman's needs their pain modules or Modules share the same philosophy The seven modules cover theory Evidence is the practice and the clinical skills the remodels cover management Management skills they and pattern and Intro pattern and the post pattern services through Interprofessional team work as we Continuity and the indy Individually the pair there are there are pros and cons to all things China's Advantage comes from the Factor that obstetrician and the midwives Working in the same unit They have a great we are at the passing to work together Or longer as the Philosophy is the same. It is easy to promote the development of the MMSS module Over the last ten years we have treats Treats the maternity teams in almost 100 hospitals We opened the network teaching the school training more than 30,000 3000 people a year the government introduced a Policy to support the development of midwifery Opens a midwife in University course the lower The lower c-section rate is evident midwives coming to the forefront of again MMSS is a service module Modding that shows the world that Integrated in the we do lines and the continuity of system rates It is the basic the upon up on Chinese culture Next I will Induce introduce MMSS Let the Arring team go on. Thank you Okay, I think may need a marvelous job because two years ago She could not speak any English. So I want to say well, she's doing an amazing job But I'm going to take over from here on the next slide You're going to roughly see what the MMS module does it starts from conception and goes through the entire system. I And we also train obstetricians and with that is an interprofessional team and we also include all the holistic practices from Therapy To massage to homeopathy and Chinese traditional medicine. It's a really awesome module Sorry, it's just not So Again, we covered the first point to call is the midwife and the midwives will assess all the women and then Care will be planned with the woman and it will follow through the whole The whole system and they work together as a team because in China the obstetricians and the midwives work very closely together We're very very fortunate to be here amongst all this passion and once again We start off with the the appointment system and we go through low risk if I know risk high risk But we take the woman's psychological aspects in hand and we Have a lot of consultation Services without actually having to hand the women over We've got lots of great support here and you can see on here what we use to get high quality care Oh, once again, this is we set up the midwives clinic So again, we have the booking visit the planning of individualized care monitoring growth and well-being of baby Again individualized care putting the woman first It's quite amazing to see the communication skills of these midwives Really really been able to communicate with women and explain the woman's physiology and what's happening with her and Give her confidence to birth So again, we have we have the school we have a public class we have very strong prenatal education We teach all our health care providers to be first and foremost prenatal education and we're all sending the same message So our vision is is to create a celebrated childbirth where women are remaining control and reduce postpartum Depression Because after all it is a once or a twice in a lifetime event here, but maybe more so we have a free positioning in birth and Even though for some of you in our hospitals in New Zealand, we don't wear gowns But unfortunately we sometimes have government systems that haven't changed yet, but here we're celebrating a woman delivering Squatting on the floor, which is quite a squatting on the bed changing positions. It's a great thing to see here in China So we also have framework for breastfeeding and where we use holistic practices Chinese traditional medicine And the idea is to avoid pharmaceutical preparations We have great postpartum recovery here I think it beats the world because there's lots of respect for postpartum care Women can stay in the hospital and they're truly supported throughout the entire process So this is the hospital that main Did a few years before I came it was up to 500 beds There were 14 nurses and midwives and she put the entire system into there and reduce the C-section rates And here we are. This is a Tian Dong. We're opening the projects and cutting the ribbon We're very excited and when I stood up there and I had the whole team Together with passion to make a change and at this hospital, it's a traditional Chinese medicine hospital So it's very open to holistic practices So here we have the the group the teams We have the professional team in Tian Dong together to give confidence in the training The 10 modules there are 10 expert lectures with theoretical part training. So we're all playing we bring international experts And you can see our New Zealand doctor Emma Perry up there We have Ricardo Herbert Jones from Brazil We have obstetricians who are also homeopaths on board and very holistic So our clinical teaching is the use of ultrasound and we're teaching midwives and obstetricians And we're also trying to reduce the technical interventions Positioning of baby and you can see me they're sitting Showing the different birthing positions and demonstrating normal birth So we've got the midwives there the clinics here we use charts We created our own educational tools our charts. They're bright. They're colorful And when we first got to the hospital there was little communication at all with the women And now we've got a beautiful happy atmosphere where all the women's Questions are answered no matter where she comes whether it's in prenatal class where it's prenatal education There are health professionals teaching prenatal education supporting normal philosophy So we have yoga and meditation and we have international experts come into To teach us all how to do it So the obstacles we had was removing fear about the bag. It was Getting in there face to face Bringing back the evidence-based practice And giving being there and giving them confidence in helping make the right decisions But most of all observing birth Observing the normal process and learning from the woman and less from the machine We continuous perennial suturing you can see as they're demonstrating that where the woman's pain-free And helping the woman feel her own baby's position and we get the partners and everyone to be involved too So we allow the endorphins to work the husband supporting and we're training the husband how to accompany it so we You know, we do have donors in remote areas of china where we don't have enough midwives But we believe in teaching the the husband the family and the support to do the do the work And the midwife is the observant one. They're just stepping if something goes wrong And get it back on track, of course with optimal positioning So how to accompany the maternal and infant skin contact in c-section? We started that and of course Involving husbands too. They're now allowing husbands in We're helping the team to improve management so that we're learning but one thing about china There's no lack of white and I love it here because it's not over-regulated We've got a lot of common sense and teamwork actually making the decisions Assessment time and communicating this asking and doing and ways of exploring and having happy mothers and listening to the woman And the midwives master of training so this is the midwives actually holding their own midwife clinics and Showing the woman optimal positioning or working with flip charts. It's just amazing to see this turnaround in such a Short time. I think we were about four or five months into yandong weren't we Jenny? So the confidence and empowerment is telling women I can birth and women choose where they're birth celebrating the outcomes Well the positions for birth. We've got beautiful Tian Dong is just getting its new hospital ready and Jenny and I went around picking the colors for the the hospital So we're actually going to sleep with colors on our mind We did an ecv giving the obstetricians Confidence to do an ecv with ultrasound there and this woman went on and had a normal baby He was called the opposite to turn breach babies and here we are the hospital is not quite ready It's just about getting ready. This is the postpartum area at the end is the entrance to the delivery unit and we're trying to pick nice soft home like colors This will be the reception area downstairs in the hospital We picked the red desk because it reflects culture and we've designed colors to go with that The women's health education class will have bureaus and a plenty of room to use the pilates balls yoga balls And access to bring family and we want to bring the grandmothers and everyone else from the community in here This is the chinese characteristic postpartum ward. This was designed by mms all the hospital designs we've done So we're very proud that mms is designed by midwives For women from design from content of education All the way through it. So we're very proud. We're too amazing. I'm so lucky to be here with with jenny doing this Here we have a VIP room For women who do want up to pay privately award-winning area Postpartum recovery here We've got a roma therapy and massage for women after they've had their babies And it's something that the chinese women love because I know myself since being in china I've had more massage and a roma therapy and traditional practices Then I did in new zealand Which I was looking in new zealand too because my doctor is a chinese traditional medicine practitioner So we have infants water care and exercise and massage therapy rooms for children from birth all the way through Get water massage and touch therapy And this is our team with their choosing the new uniforms. So they chose that they wanted the The the the the purpley color the the lighter one to blend in and we let them choose what they felt happy being And here we are after barbeque the team full of strength joy and happiness to everyone So even contact is in the following way. We're looking for exceptional midwives or Healthcare providers who want to join us. We have an international We have a large conference coming up in october if you want to come over and support us You can contact us at cnzcs8163.com And you can just tab it to jenny or myself So, thank you Thank you. We're looking forward to your questions That was fantastic I know that we probably have a great deal of questions and Maybe some input. We have a lot of comments for Irene and Meng on the comment side just With lots of exclamations of how amazing it is So it would be great if people have questions. You can just type them into the box on the right Absolutely We're more than happy to help and support Because of course with with jenny and myself Midwifery is our first passion and only well, I've got many because I've got a whole me offered to And the traditional therapies and I believe the midwives of the future won't need to prescribe farmer college Farmer ecology we will be able to prevent complications by the use of holistic practitioner holistic care Yes, yes Can I ask um, you guys to give a little bit of a background of how you interfaced with the chinese medical system to make such amazing changes in such a short period of time Well, it hasn't been easy You know, we we actually went out into the provinces because sometimes the cities are still quite western medicine, you know, so We we found the experts across china and globally that supported us and we found hospitals like tiandong hospital Supporting us. So tiandong is the history of this. It's we we're putting in an entire system a software system management system And we're launching it in june. We're actually going to develop the holistic midwifery research center there Can you tell us one of the Questions we have was um, how did you get started? What was your first step? How you two came together maybe Well, I actually wrote the book my body my baby and I was on linkedin and meng found me out of the blue and she says hey, can you come and lecture in china and You know, I would have my own Practice my a beautiful practice in new zealand But when she when I saw her passion and I came to china and the passion of the people That was it. She after uh, a few months. She says right come on over here and join me So she did she invited me here That's how we met it was kind of it's meant to be You know, it's like all my surnames chain and it's an amogram of china. So I think I must be meant to be here Lovely and there's a question also about whether the midwives do deliveries Yes, the midwives do all Do all the deliveries? Yes in our hospitals the midwives are in charge on delivery units They call the obstetrician if they have a problem Well china is a very big place, you know, it's about 10 countries in one So we're getting it across china and I think jenny Would like to answer this in To us. Uh, yes, we have the the conference there Uh, we've traveled up and down china and across it, but there are many many more A lot of work still to go Yeah, that question was um, has the change been recognized in all the areas of china? Well, that's what i'm saying. No, it's not in all areas of china because china is such a vast place and it's run by Lots of different provinces. So if you're in shandong province, you've got about 11 Uh million people and you've got one governor and then there's another governor in another province So it's not easy to uh get directly into the into the major league of the government To you know to voice what we're doing, but we've done lots of media Uh, the hospitals have been supporting us. So it's growing What types of midwifery training problems do we have for midwives? Midwives Every year Yes, well At the moment we don't have enough midwives So the the types of Yeah, we with mms We kind of up skill and train the midwives Because they're all trained as nurses first The midwives that we train midwife. Yes And we are upskilling the nurses to become midwives Because that's the only route we have at the moment Yes Now midwife can Do midwifery a walk So the time is the government uh, a me midwife Midwives with developing So China is open a country Uh developing quickly Now the midwife Is important to you Support the family support the family ume and bb so, um next So we are We are growing and uh tinsy Yes, so it's hoping that you know, jenny works very closely with the china Union the confederation of midwives. She has such a big Such a big such a big support that you know Supporting the development of thinking about the future development of midwifery There's a huge team across china. That's helping it grow Yes The time is the environment is better Uh for midwife training for midwives for walking so the The obtutry sin obtutry sin live or working with the midwife Midwife together And we're hoping to develop this training based in based in a hospital setting a hospital that has uh The philosophies of normal supporting normal birth both in high and low risk. So the training will be practical Yes Yes, uh the government want to lose the C-sexy risk So, uh, the midwife and the obtutry sin together work hard To load the C-sexy And as we're saying before we hope to have direct entry midwifery But we're not ready in china yet for this We're you're very lucky in new zealand and other countries where you have this we don't have it here in china Uh, so we're hoping that's going to happen But we yes, we we do train the nurses in midwifery at the moment Yes If you would just read the question Yeah, i'm just going through them now because i've just answered the direct entry midwifery and now there's one about the chinese people and the Women's movement towards medicalization of birth and seeking midwifery care Well, as i said that the midwives off, you know, we're just building up midwifery here So, yes, we've got a lot of changes to do with the public just as we had in new zealand when we were Obstetrically dominated before midwifery had its profession So, uh, a lot of we so we are promoting midwifery care in the provinces and the hospitals that we're going to So it takes time I told meng that i came two years ago and it would take five years to see good changes They're saying that when some medical unit will start a four-year direct entry. Yes midwifery program. Yes This is this this autumn You know this one jenny ven saia Can you answer the university? Direct entry midwifery education program Uh, yeah. Yes, ten is ten. I have Eight Eight universities for Midwifery Yes, yes Yes, so they have eight universities for midwifery, but the training is not holistic Yes, and that's why we believe mms will be together in the future will change it Uh, not only ring to medical university. Yes, so it's not only when venzao medical university There are there are talk of eight universities according to jenny, but she's in touch with uh The unit some of the universities that teach the midwifery. Yes Eight universities eight universities. Yes. I'm the time that and uh, uh, many Cities, that's right. Yeah, Guangzhou uh, Beijing, Shanghai uh, Suzhou eight Uh, universe midwifery universe. That's right, which is nowhere near enough To cover what china needs so we have to rely on mms to upskill the nurses And up skill the midwives and the obstetricians and the entire team So, uh, mms is special Put the nurse become uh midwifery with the obstetrician together working for uh, so the woman and the baby uh, think the Recall recall the dental graph And uh, good education Education and uh support the family Yes, other universities are supposed to admit their first classes. Yes. So that's what we're saying We are we're aware of what is starting to happen But the current situation is like I said, we don't have enough so mms is focusing on on Upskilling the midwives the obstetricians To be prepared for when these midwives comes through Yes Any more questions? Fantastic If anybody has another question for Irene and Meng Sure This question is I see in many countries pregnant women are going first to obstetrician Or obi doctors and we see the rate of C section has been increased But in your case it is the opposite Yes, we're turning it down. We're removing the We're integrating it. So we have the medical knowledge but the But because we're so open to the holistic care and preventative Prenatal education We are getting it. Uh, we are reducing the C section by You know, the obstetricians are learning normal birth. I was teaching yesterday in uh, in Qingchong And I was teaching the obstetricians the hospital leaders The pediatricians the midwives and the nurses and we're all moving our pelvis and learning about birth So yes, we we we we're having the difference with mms is that we have the entire philosophy With the whole system and the entire maternity service care providers, which is unique because it doesn't happen In many other countries we've got obstetricians doing one thing pediatricians doing another thing midwives doing another thing nurses doing another thing and Yet the the knowledge of the training should be that universal philosophy of supporting normal birth and preventative care And working together its teamwork and I think the future is into professional teams Thank you so much. We do have a comment that I do want to share with you It says not a question but sending congratulations. I think that this this comment speaks for us all Um, and best wishes to keep the great progress in women and holistic care moving forward across the whole of china So I really thank you too for for for the work you've done Well, you know, thank you all too. I've just come back from new york and I've just recorded an online Midwifery led homeopathic course for midwives with the new york academy, which is part of our training at mms So but what we want is the midwives from around the world to join us So any professional any special project you have anything you want us to share with china You know, we can invite some of you to come to our conference come to tiandong and see what we do You'll be very very welcome You know, we want to see midwives lead this and midwifery philosophy held everywhere and You know, men and I have such a passion for all you midwives. That's why we're here You know, my family is all over the world and I got to get chance to see them So, you know, I want to thank you all for listening today and send you wonderful messages for From men and I for this special day for independent day of the midwives. So I'm going to say Midwives rock so on on and we look forward to hearing from you Fantastic