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CORE ROLE OF
MIDWIFE
Ms. Ishita shah
Nursing Tutor
Manikaka topawala institute of nursing
CORE ROLE OF
MIDWIFESome choose their profession to
become popular ,some to serve other
people & do their duty ,but
midwives have all this we become
part of families
CORE ROLE OF
MIDWIFE
“A midwife is a trained health
professional who helps healthy
women during labor, delivery
and birth of the babies.”
CORE ROLE OF
MIDWIFE
Midwifery in India before
independenceIn ancient India, care of
women and practice of
midwifery were totally in the
hands of indigenous village
‘dais’.
These indigenous dais, not
only helped during childbirth
but also acted as consultants
for any condition of the
mother related to birth.
CORE ROLE OF
MIDWIFE
Midwifery in independent
India
In 1946, the Bhore Committee laid stress on the need for
qualified midwives, health visitors, and the training of dais.
In 1955, the Shetty Committee recommended the training
of Auxiliary Nurse Midwife (ANMs) in health centers for
maternal and child health services, provided there were
adequate health visitors to supervise them.
In 1959 Bishoff, a technical Consultant supported the
training of two types of nursing personnelANM and General
Nurse Midwife (GNM Nursing- 3 years and Midwifery- 1
year).
CORE ROLE OF
MIDWIFE
Present and future of
midwifery in IndiaThe presence of a skilled midwife at birth
is the single most important factor for
achieving safe motherhood (WHO).
The number of midwives available as per
population is an important indicator of the
maternal health status in a country.
CORE ROLE OF
MIDWIFE
Need for midwifery as a
profession
1.
• To achieve safe motherhood
2.
• To participate in country’s concern
i.e. maternal and child welfare
3.
• To avoid duplication of
services
CORE ROLE OF
MIDWIFE
Statistics
An Indian woman dies from complications
related to pregnancy and childbirth.
Every seven minutes
Gujarat: 112/100000 live birth
India: 167/100000 live birth
CORE ROLE OF
MIDWIFE
SOME FACTS
20-25% deaths occur during pregnancy.
40-50% deaths occur during labour and
delivery
25-40% deaths occur after childbirth
(More during the first seven days)
It is important to focus attention during
pregnancy and also after childbirth
CORE ROLE OF
MIDWIFE
CORE ROLE OF
MIDWIFE
CORE ROLE OF
MIDWIFE
MIDWIFERY MODEL OF CARE
Four CS:
•Core concept
•Context (overview)
•Content
•Compensation (Benefits)
CORE ROLE OF
MIDWIFE
CORE CONCEPT
“..pregnancy and birth are normal life
processes.”
CORE ROLE OF
MIDWIFE
CONTEXT
Monitor
Well being
Education ↓Technological
Interventions
Referral
Services
Midwifery Model of Care
CORE ROLE OF
MIDWIFE
• The midwife is recognised as a
responsible and accountable
professional who works in
partnership with women to give the
necessary support, care and advice
during pregnancy, labour and the
postpartum period, to conduct births
on the midwife's own responsibility
and to provide care for the newborn
and the infant.
CORE ROLE OF
MIDWIFE
What do nurse-midwives do?
They help women to give birth in
hospitals, birthing centers, and at
home…
But that’s not all !!!!
CORE ROLE OF
MIDWIFE
• There are two basic role for achieving our
goal & provide best care to mother as well as
baby:
CORE ROLE OF
MIDWIFE
1.LEADPROFEESIONAL
 A midwife as a role of lead professional
provide care to the initial assessment to
postnatal period.
Evidences suggest that for low risk women,
midwife-led reduces admission in the hospital.
CORE ROLE OF
MIDWIFE
2.CO-ORDINATIONOF CARE
Midwives coordinate care for all women.
Coordinator ensures holistic, voluntary and
social services for pregnant women when
appropriate so that every women’s birth
experience regardless of risk factor.
CORE ROLE OF
MIDWIFE
EXPANDED ROLE OF NURSE
MIDWIFE
1.Care giver:
Midwives provide high quality antenatal and postnatal
care to maximize the women’s health during and after
pregnancy, detect problems early and manage or refer
for any complications.
CORE ROLE OF
MIDWIFE
2. Communicator:
• As a communicator, the midwives understand that
effectiveness of communication. It helps to develop
trust relationship with pregnant women and family
members. The midwife has to communicate
effectively with pregnant women and family
members as well as others so that they can share their
all problems.
CORE ROLE OF
MIDWIFE
3. Family planner:
• They also counsel people as a family planner.
They provide all information about all kind of
family planning methods and help couple to
take decision.
4. Recordkeeper:
• Record keeping is an integral part of
midwifery practice. It helps making continuity
of care easier and enabling identify problem in
early stage.
CORE ROLE OF
MIDWIFE
5.FamilyCentered Care
• By adopting a view of pregnancy, childbirth as
a family event, nurses can be instrumental in
including family members in care and consult
family members about a plan of care and
provide clear health teaching so that family
members can monitor their own care
CORE ROLE OF
MIDWIFE
Midwife-Led Care….
Believes: That pregnancy and birth is a normal
physiological process for women, not a disease or illness.
 Promotes: Compassionate and continuous partnership
with women and their families for health care decisions
 Provides: Individualized woman and family-centered
care, education, and empowerment to make care choices
 Is based on: Midwifery Model of care &
Evidence-based care
CORE ROLE OF
MIDWIFE• Reduced use of pain meds and epidural
anesthesia
• Reduced episiotomies
• Increased chance of normal vaginal
delivery
• *Shorter hospital stays for hospital birth
experiences
• *Increased breastfeeding rates
Benefits of Midwifery led Care
CORE ROLE OF
MIDWIFE
Healthy Mother
India's most trusted, Midwife-led maternal,
newborn and infant care provider. care model
is universally practiced in the UK, many states
of the US, and in Europe.
They believe pregnancy and birth are normal,
physiological life events in mothers' lives.
They need to be celebrated, supported and
respected, rather than subjected to "assembly
line" hospital protocols, which view them as
patients and birth as risky "disease".
CORE ROLE OF
MIDWIFE
A woman’s body is created
to
give birth, labour and
delivery is not a
sickness that needs to be
suppressed
or medicated.
CORE ROLE OF
MIDWIFE
.
"Midwives see birth
as a miracle and only
mess with it if
there's a problem;
doctors see birth as a
problem and if they
don‘t mess with it,
it's a miracle!”
CORE ROLE OF
MIDWIFE
.
CONCLUSION
The strong voices of powerful midwives, working
close to government & civil society institutions &
major external entities committed to improving
maternal & newborn health status, have realized
the goal of achieving IMP
Midwives many strengths and contributions have
not been fully utilised to meet today’s health care
needs.
CORE ROLE OF
MIDWIFE
.

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ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
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ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
 

Core role of midwives

  • 1. CORE ROLE OF MIDWIFE Ms. Ishita shah Nursing Tutor Manikaka topawala institute of nursing
  • 2. CORE ROLE OF MIDWIFESome choose their profession to become popular ,some to serve other people & do their duty ,but midwives have all this we become part of families
  • 3. CORE ROLE OF MIDWIFE “A midwife is a trained health professional who helps healthy women during labor, delivery and birth of the babies.”
  • 4. CORE ROLE OF MIDWIFE Midwifery in India before independenceIn ancient India, care of women and practice of midwifery were totally in the hands of indigenous village ‘dais’. These indigenous dais, not only helped during childbirth but also acted as consultants for any condition of the mother related to birth.
  • 5. CORE ROLE OF MIDWIFE Midwifery in independent India In 1946, the Bhore Committee laid stress on the need for qualified midwives, health visitors, and the training of dais. In 1955, the Shetty Committee recommended the training of Auxiliary Nurse Midwife (ANMs) in health centers for maternal and child health services, provided there were adequate health visitors to supervise them. In 1959 Bishoff, a technical Consultant supported the training of two types of nursing personnelANM and General Nurse Midwife (GNM Nursing- 3 years and Midwifery- 1 year).
  • 6. CORE ROLE OF MIDWIFE Present and future of midwifery in IndiaThe presence of a skilled midwife at birth is the single most important factor for achieving safe motherhood (WHO). The number of midwives available as per population is an important indicator of the maternal health status in a country.
  • 7. CORE ROLE OF MIDWIFE Need for midwifery as a profession 1. • To achieve safe motherhood 2. • To participate in country’s concern i.e. maternal and child welfare 3. • To avoid duplication of services
  • 8. CORE ROLE OF MIDWIFE Statistics An Indian woman dies from complications related to pregnancy and childbirth. Every seven minutes Gujarat: 112/100000 live birth India: 167/100000 live birth
  • 9. CORE ROLE OF MIDWIFE SOME FACTS 20-25% deaths occur during pregnancy. 40-50% deaths occur during labour and delivery 25-40% deaths occur after childbirth (More during the first seven days) It is important to focus attention during pregnancy and also after childbirth
  • 12. CORE ROLE OF MIDWIFE MIDWIFERY MODEL OF CARE Four CS: •Core concept •Context (overview) •Content •Compensation (Benefits)
  • 13. CORE ROLE OF MIDWIFE CORE CONCEPT “..pregnancy and birth are normal life processes.”
  • 14. CORE ROLE OF MIDWIFE CONTEXT Monitor Well being Education ↓Technological Interventions Referral Services Midwifery Model of Care
  • 15. CORE ROLE OF MIDWIFE • The midwife is recognised as a responsible and accountable professional who works in partnership with women to give the necessary support, care and advice during pregnancy, labour and the postpartum period, to conduct births on the midwife's own responsibility and to provide care for the newborn and the infant.
  • 16. CORE ROLE OF MIDWIFE What do nurse-midwives do? They help women to give birth in hospitals, birthing centers, and at home… But that’s not all !!!!
  • 17. CORE ROLE OF MIDWIFE • There are two basic role for achieving our goal & provide best care to mother as well as baby:
  • 18. CORE ROLE OF MIDWIFE 1.LEADPROFEESIONAL  A midwife as a role of lead professional provide care to the initial assessment to postnatal period. Evidences suggest that for low risk women, midwife-led reduces admission in the hospital.
  • 19. CORE ROLE OF MIDWIFE 2.CO-ORDINATIONOF CARE Midwives coordinate care for all women. Coordinator ensures holistic, voluntary and social services for pregnant women when appropriate so that every women’s birth experience regardless of risk factor.
  • 20. CORE ROLE OF MIDWIFE EXPANDED ROLE OF NURSE MIDWIFE 1.Care giver: Midwives provide high quality antenatal and postnatal care to maximize the women’s health during and after pregnancy, detect problems early and manage or refer for any complications.
  • 21. CORE ROLE OF MIDWIFE 2. Communicator: • As a communicator, the midwives understand that effectiveness of communication. It helps to develop trust relationship with pregnant women and family members. The midwife has to communicate effectively with pregnant women and family members as well as others so that they can share their all problems.
  • 22. CORE ROLE OF MIDWIFE 3. Family planner: • They also counsel people as a family planner. They provide all information about all kind of family planning methods and help couple to take decision. 4. Recordkeeper: • Record keeping is an integral part of midwifery practice. It helps making continuity of care easier and enabling identify problem in early stage.
  • 23. CORE ROLE OF MIDWIFE 5.FamilyCentered Care • By adopting a view of pregnancy, childbirth as a family event, nurses can be instrumental in including family members in care and consult family members about a plan of care and provide clear health teaching so that family members can monitor their own care
  • 24. CORE ROLE OF MIDWIFE Midwife-Led Care…. Believes: That pregnancy and birth is a normal physiological process for women, not a disease or illness.  Promotes: Compassionate and continuous partnership with women and their families for health care decisions  Provides: Individualized woman and family-centered care, education, and empowerment to make care choices  Is based on: Midwifery Model of care & Evidence-based care
  • 25. CORE ROLE OF MIDWIFE• Reduced use of pain meds and epidural anesthesia • Reduced episiotomies • Increased chance of normal vaginal delivery • *Shorter hospital stays for hospital birth experiences • *Increased breastfeeding rates Benefits of Midwifery led Care
  • 26. CORE ROLE OF MIDWIFE Healthy Mother India's most trusted, Midwife-led maternal, newborn and infant care provider. care model is universally practiced in the UK, many states of the US, and in Europe. They believe pregnancy and birth are normal, physiological life events in mothers' lives. They need to be celebrated, supported and respected, rather than subjected to "assembly line" hospital protocols, which view them as patients and birth as risky "disease".
  • 27. CORE ROLE OF MIDWIFE A woman’s body is created to give birth, labour and delivery is not a sickness that needs to be suppressed or medicated.
  • 28. CORE ROLE OF MIDWIFE . "Midwives see birth as a miracle and only mess with it if there's a problem; doctors see birth as a problem and if they don‘t mess with it, it's a miracle!”
  • 29. CORE ROLE OF MIDWIFE . CONCLUSION The strong voices of powerful midwives, working close to government & civil society institutions & major external entities committed to improving maternal & newborn health status, have realized the goal of achieving IMP Midwives many strengths and contributions have not been fully utilised to meet today’s health care needs.