Aims: To facilitate discussion about midwifery in New Zealand To employ Elluminate as a means of online conferencing to encourage international networking and collaboration Your hosts: Carolyn McIntosh & Sarah Stewart

Midwifery in New Zealand Introductions Ten-minute presentation about NZ midwifery Questions and discussion

Introductions

Ten-minute presentation about NZ midwifery

Questions and discussion

Maternity system Population-just over 4 million 59,000 birth 2006 Free maternity care Every woman has LMC Approx. 80% women have midwife LMC LMC paid by government-modules, self-employed Conception-6 weeks post partum May change LMC

Population-just over 4 million

59,000 birth 2006

Free maternity care

Every woman has LMC

Approx. 80% women have midwife LMC

LMC paid by government-modules, self-employed

Conception-6 weeks post partum

May change LMC

LMC midwives Provides: Home/clinic visits Prescribes Screening tests Referral to other health professionals Cannualtion/perineal suturing Neonatal checks Each woman must have care plan Works to Section 88 requirements & ‘guidelines for referral’ Home birth 1-10%

Provides:

Home/clinic visits

Prescribes

Screening tests

Referral to other health

professionals

Cannualtion/perineal suturing

Neonatal checks

Each woman must have care plan

Works to Section 88 requirements & ‘guidelines for referral’

Home birth 1-10%

Core midwives Staff primary/secondary/tertiary birthing facilities Support to LMC In-patient women whose care has been transferred from LMC Post natal in-patients

Staff primary/secondary/tertiary birthing facilities

Support to LMC

In-patient women

whose care has been

transferred from LMC

Post natal in-patients

Education 3 year direct entry 1 st year- 20% clinical, 80% theory 2 nd year-50/50% 3 rd year-20% theory, 80% clinical Postgraduate

3 year direct entry

1 st year- 20% clinical, 80% theory

2 nd year-50/50%

3 rd year-20% theory,

80% clinical

Postgraduate

On-going competency Annual practicing certificate Yearly neonatal and maternal resuscitation 3 yearly BF update & technical skills workshop Yearly standards review Portfolio Points: 40 elective education 30 professional development

Annual practicing certificate

Yearly neonatal and maternal resuscitation

3 yearly BF update &

technical skills workshop

Yearly standards review

Portfolio

Points:

40 elective education

30 professional development

Challenges for NZ midwives Maintenance of competency Recruitment & retention-’elderly’ midwives Increasing medicalisation Loss of midwifery skills- 23% C/S rate Litigation

Maintenance of competency

Recruitment & retention-’elderly’ midwives

Increasing medicalisation

Loss of midwifery skills-

23% C/S rate

Litigation

Resources New Zealand College of Midwives www.midwife.org.nz Midwifery Council of New Zealand www.midwiferycouncil.org.nz Sarah’s blog http://sarah-stewart.blogspot.com Carolyn’s blog http://mymidiblog.blogspot.com

New Zealand College of Midwives

www.midwife.org.nz

Midwifery Council of New Zealand

www.midwiferycouncil.org.nz

Sarah’s blog

http://sarah-stewart.blogspot.com

Carolyn’s blog

http://mymidiblog.blogspot.com