Midwifery in the USA and NZ Vanderbilt School of Nursing, Nashville, USA Otago Polytechnic, Dunedin, NZ International Day of the Midwife May 5, 2008

Aims for today Celebrate International Day of the Midwife Raise awareness of midwifery in international context Raise awareness of potential for online communication & collaboration Get used to using web conference HAVE FUN! Keep Sarah happy

Celebrate International Day of the Midwife

Raise awareness of midwifery in international context

Raise awareness of potential for online communication & collaboration

Get used to using web conference

HAVE FUN!

Keep Sarah happy

Agenda Short introductions – verbal or text Presentation from Mavis and Sarah Questions & discussion Will be ending on time because of room booking at Sarah’s end

Short introductions – verbal or text

Presentation from Mavis and Sarah

Questions & discussion

Will be ending on time because of room booking at Sarah’s end

Midwifery in the USA

Nashville, Tennessee

Types of midwives Certified Nurse-Midwives (CNM) Certified Midwives (CM) Certified Professional Midwives (CPM) Lay Midwife (LM)

Certified Nurse-Midwives (CNM)

Certified Midwives (CM)

Certified Professional Midwives (CPM)

Lay Midwife (LM)

CNM Scope of Practice Primary care Gynecologic care Family planning Preconception Maternity (prenatal, intrapartum, postpartum) Newborn

Primary care

Gynecologic care

Family planning

Preconception

Maternity (prenatal, intrapartum, postpartum)

Newborn

Birth in the USA Predominantly in the hospital with MD (normal and high-risk) Cesarean section rate at all time high Home birth / birth centers available in some areas CNMs primarily in hospitals All midwifery increasing slowly

Predominantly in the hospital with MD (normal and high-risk)

Cesarean section rate at all time high

Home birth / birth centers available in some areas

CNMs primarily in hospitals

All midwifery increasing slowly

The system may be different but birth is the same around the world

Midwifery in New Zealand

Midwifery in the USA

Dunedin Image: ' Dunedin Railway Station ' www.flickr.com/photos/19538540@N00/2050575685 Image: ' The Dunedin Cityscape ' www.flickr.com/photos/97726668@N00/2713895

Types of midwife Registered midwife 3 year direct entry degree Nurses may have slightly shortened course © Otago Polytechnic, 2008

Registered midwife

3 year direct entry degree

Nurses may have slightly shortened course

RM Scope of Practice Self employed LMC – funded by government Employed by facilities-primary, secondory & tertiary Family planning Preconception - informal Maternity (prenatal, intrapartum, postpartum-up to 6 weeks discharge) Newborn Screening Prescribe

Self employed LMC – funded by government

Employed by facilities-primary, secondory & tertiary

Family planning

Preconception - informal

Maternity (prenatal, intrapartum, postpartum-up to 6 weeks discharge)

Newborn

Screening

Prescribe

Birth in NZ Maternity care free to women Predominantly in the hospital (normal and high-risk) Home birth an option Birth centers available in some areas

Maternity care free to women

Predominantly in the hospital (normal and high-risk)

Home birth an option

Birth centers available in some areas

Challenges Cesarean section rate approx 23% Increasing medicalisation Recruitment and retention Midwives getting older http://www.flickr.com/photos/t3rmin4t0r/93569830/

Cesarean section rate approx 23%

Increasing medicalisation

Recruitment and retention

Midwives getting

older

Potential solutions Flexible of midwifery education First year of practice mentoring program Recertification program © Otago Polytechnic, 2008

Flexible of midwifery education

First year of practice mentoring program

Recertification program

Congratulations to you all on International Midwives Day 2008 Image: ' Midwife taking stock ' www.flickr.com/photos/68319844@N00/446270854