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Midwifery In New Zealand and USA


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Comparison of midwifery in New Zealand & USA

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Midwifery In New Zealand and USA

  1. 1. Midwifery in the USA and NZ Vanderbilt School of Nursing, Nashville, USA Otago Polytechnic, Dunedin, NZ International Day of the Midwife May 5, 2008
  2. 2. Aims for today <ul><li>Celebrate International Day of the Midwife </li></ul><ul><li>Raise awareness of midwifery in international context </li></ul><ul><li>Raise awareness of potential for online communication & collaboration </li></ul><ul><li>Get used to using web conference </li></ul><ul><li>HAVE FUN! </li></ul><ul><li>Keep Sarah happy </li></ul>
  3. 3. Agenda <ul><li>Short introductions – verbal or text </li></ul><ul><li>Presentation from Mavis and Sarah </li></ul><ul><li>Questions & discussion </li></ul><ul><li>Will be ending on time because of room booking at Sarah’s end </li></ul>
  4. 4. Midwifery in the USA
  5. 6. Nashville, Tennessee
  6. 11. Types of midwives <ul><li>Certified Nurse-Midwives (CNM) </li></ul><ul><li>Certified Midwives (CM) </li></ul><ul><li>Certified Professional Midwives (CPM) </li></ul><ul><li>Lay Midwife (LM) </li></ul>
  7. 12. CNM Scope of Practice <ul><li>Primary care </li></ul><ul><li>Gynecologic care </li></ul><ul><li>Family planning </li></ul><ul><li>Preconception </li></ul><ul><li>Maternity (prenatal, intrapartum, postpartum) </li></ul><ul><li>Newborn </li></ul>
  8. 13. Birth in the USA <ul><li>Predominantly in the hospital with MD (normal and high-risk) </li></ul><ul><li>Cesarean section rate at all time high </li></ul><ul><li>Home birth / birth centers available in some areas </li></ul><ul><li>CNMs primarily in hospitals </li></ul><ul><li>All midwifery increasing slowly </li></ul>
  9. 14. The system may be different but birth is the same around the world
  10. 15. Midwifery in New Zealand
  11. 16. Midwifery in the USA
  12. 17. Dunedin Image: ' Dunedin Railway Station ' Image: ' The Dunedin Cityscape '
  13. 22. Types of midwife <ul><li>Registered midwife </li></ul><ul><li>3 year direct entry degree </li></ul><ul><li>Nurses may have slightly shortened course </li></ul>© Otago Polytechnic, 2008
  14. 23. RM Scope of Practice <ul><li>Self employed LMC – funded by government </li></ul><ul><li>Employed by facilities-primary, secondory & tertiary </li></ul><ul><li>Family planning </li></ul><ul><li>Preconception - informal </li></ul><ul><li>Maternity (prenatal, intrapartum, postpartum-up to 6 weeks discharge) </li></ul><ul><li>Newborn </li></ul><ul><li>Screening </li></ul><ul><li>Prescribe </li></ul>
  15. 24. Birth in NZ <ul><li>Maternity care free to women </li></ul><ul><li>Predominantly in the hospital (normal and high-risk) </li></ul><ul><li>Home birth an option </li></ul><ul><li>Birth centers available in some areas </li></ul>
  16. 25. Challenges <ul><li>Cesarean section rate approx 23% </li></ul><ul><li>Increasing medicalisation </li></ul><ul><li>Recruitment and retention </li></ul><ul><li>Midwives getting </li></ul><ul><li>older </li></ul>
  17. 26. Potential solutions <ul><li>Flexible of midwifery education </li></ul><ul><li>First year of practice mentoring program </li></ul><ul><li>Recertification program </li></ul>© Otago Polytechnic, 2008
  18. 27. Congratulations to you all on International Midwives Day 2008 Image: ' Midwife taking stock '