Midwifery In New Zealand and USA
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Midwifery In New Zealand and USA

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Comparison of midwifery in New Zealand & USA

Comparison of midwifery in New Zealand & USA

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Midwifery In New Zealand and USA Midwifery In New Zealand and USA Presentation Transcript

  • 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
  • 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
    View slide
  • Midwifery in the USA View slide
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  • Nashville, Tennessee
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  • Types of midwives
    • 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
  • 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
  • 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
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  • Types of midwife
    • Registered midwife
    • 3 year direct entry degree
    • Nurses may have slightly shortened course
    © Otago Polytechnic, 2008
  • 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
  • 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
  • Challenges
    • Cesarean section rate approx 23%
    • Increasing medicalisation
    • Recruitment and retention
    • Midwives getting
    • older
    http://www.flickr.com/photos/t3rmin4t0r/93569830/
  • Potential solutions
    • Flexible of midwifery education
    • First year of practice mentoring program
    • Recertification program
    © Otago Polytechnic, 2008
  • Congratulations to you all on International Midwives Day 2008 Image: ' Midwife taking stock ' www.flickr.com/photos/68319844@N00/446270854