Midwifery In New Zealand

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This is a short slide show that gives an overview of midwifery in New Zealand

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Midwifery In New Zealand

  1. 1. 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
  2. 2. Midwifery in New Zealand <ul><li>Introductions </li></ul><ul><li>Ten-minute presentation about NZ midwifery </li></ul><ul><li>Questions and discussion </li></ul>
  3. 3. Maternity system <ul><li>Population-just over 4 million </li></ul><ul><li>59,000 birth 2006 </li></ul><ul><li>Free maternity care </li></ul><ul><li>Every woman has LMC </li></ul><ul><li>Approx. 80% women have midwife LMC </li></ul><ul><li>LMC paid by government-modules, self-employed </li></ul><ul><li>Conception-6 weeks post partum </li></ul><ul><li>May change LMC </li></ul>
  4. 4. LMC midwives <ul><li>Provides: </li></ul><ul><ul><li>Home/clinic visits </li></ul></ul><ul><ul><li>Prescribes </li></ul></ul><ul><ul><li>Screening tests </li></ul></ul><ul><ul><li>Referral to other health </li></ul></ul><ul><ul><li>professionals </li></ul></ul><ul><ul><li>Cannualtion/perineal suturing </li></ul></ul><ul><ul><li>Neonatal checks </li></ul></ul><ul><li>Each woman must have care plan </li></ul><ul><li>Works to Section 88 requirements & ‘guidelines for referral’ </li></ul><ul><li>Home birth 1-10% </li></ul>
  5. 5. Core midwives <ul><li>Staff primary/secondary/tertiary birthing facilities </li></ul><ul><li>Support to LMC </li></ul><ul><li>In-patient women </li></ul><ul><li>whose care has been </li></ul><ul><li>transferred from LMC </li></ul><ul><li>Post natal in-patients </li></ul>
  6. 6. Education <ul><li>3 year direct entry </li></ul><ul><li>1 st year- 20% clinical, 80% theory </li></ul><ul><li>2 nd year-50/50% </li></ul><ul><li>3 rd year-20% theory, </li></ul><ul><li> 80% clinical </li></ul><ul><li>Postgraduate </li></ul>
  7. 7. On-going competency <ul><li>Annual practicing certificate </li></ul><ul><li>Yearly neonatal and maternal resuscitation </li></ul><ul><li>3 yearly BF update & </li></ul><ul><li>technical skills workshop </li></ul><ul><li>Yearly standards review </li></ul><ul><li>Portfolio </li></ul><ul><li>Points: </li></ul><ul><li>40 elective education </li></ul><ul><li>30 professional development </li></ul>
  8. 8. Challenges for NZ midwives <ul><li>Maintenance of competency </li></ul><ul><li>Recruitment & retention-’elderly’ midwives </li></ul><ul><li>Increasing medicalisation </li></ul><ul><li>Loss of midwifery skills- </li></ul><ul><li>23% C/S rate </li></ul><ul><li>Litigation </li></ul>
  9. 9. Resources <ul><li>New Zealand College of Midwives </li></ul><ul><li>www.midwife.org.nz </li></ul><ul><li>Midwifery Council of New Zealand </li></ul><ul><li>www.midwiferycouncil.org.nz </li></ul><ul><li>Sarah’s blog </li></ul><ul><li>http://sarah-stewart.blogspot.com </li></ul><ul><li>Carolyn’s blog </li></ul><ul><li>http://mymidiblog.blogspot.com </li></ul>

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