SlideShare a Scribd company logo
Evidence based midwifery care
13 February 2015
NMCHC Director of Nursing
Ms. Chhay Sveng Chea Ath
1
Concept of the midwifery care
• Woman-centered care
• Individualized care
2
Circle of Midwifery
Assessment Process
Evidence Based Midwifery Care
Clinical
Expertise
(Dr, MW)
Research
Evidence
Woman
Values
Evidence
Based
Midwifery
Care
Evidence Based
Midwifery Care is the
integration of clinical
expertise, research
evidence and woman
preference.
3
4
Workshop “Woman &Baby
Friendly Childbirth Care Based on
Evidence”
5
Guide to Individualized Midwifery Care for
Normal Pregnancy and Birth
• Basic concept of midwifery care
• Role of midwives
 External Environment for Birth
 Support to Keep Birth Normal
 Position for Labor
 Assessment and Monitoring Labor
 Midwifery Care in 2nd, 3rd,and 4th stage
 Immediate Care of New-born Baby
6
To put understanding into practice
practice
SEEING
LISTENINIG
FEELING
THINKING
7
Study tour
Trust game
Role Play, Video
discussion
presentation
Action Plan
Actual practice
To build trust relationship with women and their families
Individualized and based on evidence midwifery care
Case study, SOAP
Improvement of birth environment
Permission of attendance of family to delivery room
Position change during labour
Massage to reduce pain for women
Intake of food and beverage during labour
Explanation of progress of labour and procedure to women and families
Introduction of methods for measuring progress of labour without
vaginal
8
2012
2011 2013 2014
Guide
Workshop on Woman and Baby Friendly Childbirth Care Based on Evidence
KCM
province
: 31
KCM region:
177
Other Regions: 76
NMCHC:153
Communication WS
(for new employees)
9
Targets
Voice of midwives who practiced the care in
their working place
• “If I took care of woman gently and politely, I felt the woman’s
attitude toward us also changed well more relaxed.”
• “I want to care for every woman to give birth safety and happily with
love”
• “If I make woman to push naturally and assess necessary case of
episiotomy, it took longer time for delivery. But it reduced bleeding
during delivery and pain after delivery.”
10
What is required to midwives after
this?(Vision of the future)
• To share the concepts among all
midwives in Cambodia
• To build the trust relationship with
women and their families forever
• To continue the practice what we learnt
any time
11

More Related Content

Similar to 1-Evidence based midwifery care.pdf

Northumbria Healthcare Trust- Introducing a birth reflection pathway in mater...
Northumbria Healthcare Trust- Introducing a birth reflection pathway in mater...Northumbria Healthcare Trust- Introducing a birth reflection pathway in mater...
Northumbria Healthcare Trust- Introducing a birth reflection pathway in mater...
RuthEvansPEN
 
Northumbria Healthcare Trust- Introducing a birth reflection pathway in mater...
Northumbria Healthcare Trust- Introducing a birth reflection pathway in mater...Northumbria Healthcare Trust- Introducing a birth reflection pathway in mater...
Northumbria Healthcare Trust- Introducing a birth reflection pathway in mater...
RuthEvansPEN
 
thesis presentation
thesis presentationthesis presentation
thesis presentation
Satish Rinhayat
 
Michael Peek - The Australian National University
Michael Peek - The Australian National UniversityMichael Peek - The Australian National University
Michael Peek - The Australian National University
Informa Australia
 
2020 tour infant feeding presentation final
2020 tour infant feeding presentation final2020 tour infant feeding presentation final
2020 tour infant feeding presentation final
NCT
 
Cadth 2015 d6 rn np cadth srna (2)
Cadth 2015 d6 rn np cadth srna (2)Cadth 2015 d6 rn np cadth srna (2)
Cadth 2015 d6 rn np cadth srna (2)
CADTH Symposium
 
Company Profile And Courses[2]
Company Profile And Courses[2]Company Profile And Courses[2]
Company Profile And Courses[2]
anniebarr
 
Innovations in Breastfeeding and Breastmilk Feeding in the NICU
Innovations in Breastfeeding and Breastmilk Feeding in the NICUInnovations in Breastfeeding and Breastmilk Feeding in the NICU
Innovations in Breastfeeding and Breastmilk Feeding in the NICU
Leith Greenslade
 
4 The rationale for skin to-skin contact at birth and rooming in
4 The rationale for skin to-skin contact at birth and rooming in4 The rationale for skin to-skin contact at birth and rooming in
4 The rationale for skin to-skin contact at birth and rooming in
Varsha Shah
 
Midwifery in cny 2 11 11-10
Midwifery in cny 2 11 11-10Midwifery in cny 2 11 11-10
Midwifery in cny 2 11 11-10
midwifekj
 
SNS 2017 - Family-based neonatal care
SNS 2017 - Family-based neonatal careSNS 2017 - Family-based neonatal care
SNS 2017 - Family-based neonatal care
Stefan Johansson
 
Evaluation Graduation PPT 20112015 a (3)
Evaluation Graduation PPT 20112015 a (3)Evaluation Graduation PPT 20112015 a (3)
Evaluation Graduation PPT 20112015 a (3)
Jackie Jackson
 
Maternity Care Practices and
Maternity Care Practices andMaternity Care Practices and
Maternity Care Practices and
liz moore
 
Hillingdon Breastfeeding_v1.0 24Jan16
Hillingdon Breastfeeding_v1.0 24Jan16Hillingdon Breastfeeding_v1.0 24Jan16
Hillingdon Breastfeeding_v1.0 24Jan16
Jade Lawrence
 
Dr Joanna Elverson and Lynne Young
Dr Joanna Elverson and Lynne YoungDr Joanna Elverson and Lynne Young
Dr Joanna Elverson and Lynne Young
St Oswald's Hospice
 
Presentation
PresentationPresentation
Presentation
masoum
 
My Success Story as a Gynecologist
My Success Story as a GynecologistMy Success Story as a Gynecologist
My Success Story as a Gynecologist
Dr Nupur Gupta High Risk Obstetrician
 
Build a NICU Nurse
Build a NICU Nurse Build a NICU Nurse
Build a NICU Nurse
Rachel White
 
Family Participatory Care Introduction
Family Participatory Care IntroductionFamily Participatory Care Introduction
Family Participatory Care Introduction
Breastfeed India
 
Professor Zoe Knowles - Health, wellbeing and the environment
Professor Zoe Knowles - Health, wellbeing and the environmentProfessor Zoe Knowles - Health, wellbeing and the environment
Professor Zoe Knowles - Health, wellbeing and the environment
Innovation Agency
 

Similar to 1-Evidence based midwifery care.pdf (20)

Northumbria Healthcare Trust- Introducing a birth reflection pathway in mater...
Northumbria Healthcare Trust- Introducing a birth reflection pathway in mater...Northumbria Healthcare Trust- Introducing a birth reflection pathway in mater...
Northumbria Healthcare Trust- Introducing a birth reflection pathway in mater...
 
Northumbria Healthcare Trust- Introducing a birth reflection pathway in mater...
Northumbria Healthcare Trust- Introducing a birth reflection pathway in mater...Northumbria Healthcare Trust- Introducing a birth reflection pathway in mater...
Northumbria Healthcare Trust- Introducing a birth reflection pathway in mater...
 
thesis presentation
thesis presentationthesis presentation
thesis presentation
 
Michael Peek - The Australian National University
Michael Peek - The Australian National UniversityMichael Peek - The Australian National University
Michael Peek - The Australian National University
 
2020 tour infant feeding presentation final
2020 tour infant feeding presentation final2020 tour infant feeding presentation final
2020 tour infant feeding presentation final
 
Cadth 2015 d6 rn np cadth srna (2)
Cadth 2015 d6 rn np cadth srna (2)Cadth 2015 d6 rn np cadth srna (2)
Cadth 2015 d6 rn np cadth srna (2)
 
Company Profile And Courses[2]
Company Profile And Courses[2]Company Profile And Courses[2]
Company Profile And Courses[2]
 
Innovations in Breastfeeding and Breastmilk Feeding in the NICU
Innovations in Breastfeeding and Breastmilk Feeding in the NICUInnovations in Breastfeeding and Breastmilk Feeding in the NICU
Innovations in Breastfeeding and Breastmilk Feeding in the NICU
 
4 The rationale for skin to-skin contact at birth and rooming in
4 The rationale for skin to-skin contact at birth and rooming in4 The rationale for skin to-skin contact at birth and rooming in
4 The rationale for skin to-skin contact at birth and rooming in
 
Midwifery in cny 2 11 11-10
Midwifery in cny 2 11 11-10Midwifery in cny 2 11 11-10
Midwifery in cny 2 11 11-10
 
SNS 2017 - Family-based neonatal care
SNS 2017 - Family-based neonatal careSNS 2017 - Family-based neonatal care
SNS 2017 - Family-based neonatal care
 
Evaluation Graduation PPT 20112015 a (3)
Evaluation Graduation PPT 20112015 a (3)Evaluation Graduation PPT 20112015 a (3)
Evaluation Graduation PPT 20112015 a (3)
 
Maternity Care Practices and
Maternity Care Practices andMaternity Care Practices and
Maternity Care Practices and
 
Hillingdon Breastfeeding_v1.0 24Jan16
Hillingdon Breastfeeding_v1.0 24Jan16Hillingdon Breastfeeding_v1.0 24Jan16
Hillingdon Breastfeeding_v1.0 24Jan16
 
Dr Joanna Elverson and Lynne Young
Dr Joanna Elverson and Lynne YoungDr Joanna Elverson and Lynne Young
Dr Joanna Elverson and Lynne Young
 
Presentation
PresentationPresentation
Presentation
 
My Success Story as a Gynecologist
My Success Story as a GynecologistMy Success Story as a Gynecologist
My Success Story as a Gynecologist
 
Build a NICU Nurse
Build a NICU Nurse Build a NICU Nurse
Build a NICU Nurse
 
Family Participatory Care Introduction
Family Participatory Care IntroductionFamily Participatory Care Introduction
Family Participatory Care Introduction
 
Professor Zoe Knowles - Health, wellbeing and the environment
Professor Zoe Knowles - Health, wellbeing and the environmentProfessor Zoe Knowles - Health, wellbeing and the environment
Professor Zoe Knowles - Health, wellbeing and the environment
 

Recently uploaded

8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
Holistified Wellness
 
Artificial Intelligence Symposium (THAIS)
Artificial Intelligence Symposium (THAIS)Artificial Intelligence Symposium (THAIS)
Artificial Intelligence Symposium (THAIS)
Josep Vidal-Alaball
 
Top Effective Soaps for Fungal Skin Infections in India
Top Effective Soaps for Fungal Skin Infections in IndiaTop Effective Soaps for Fungal Skin Infections in India
Top Effective Soaps for Fungal Skin Infections in India
SwisschemDerma
 
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
rishi2789
 
Ketone bodies and metabolism-biochemistry
Ketone bodies and metabolism-biochemistryKetone bodies and metabolism-biochemistry
Ketone bodies and metabolism-biochemistry
Dhayanithi C
 
Cell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune DiseaseCell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune Disease
Health Advances
 
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Oleg Kshivets
 
Aortic Association CBL Pilot April 19 – 20 Bern
Aortic Association CBL Pilot April 19 – 20 BernAortic Association CBL Pilot April 19 – 20 Bern
Aortic Association CBL Pilot April 19 – 20 Bern
suvadeepdas911
 
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPromoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
PsychoTech Services
 
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
19various
 
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Kat...
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Kat...TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Kat...
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Kat...
rightmanforbloodline
 
Role of Mukta Pishti in the Management of Hyperthyroidism
Role of Mukta Pishti in the Management of HyperthyroidismRole of Mukta Pishti in the Management of Hyperthyroidism
Role of Mukta Pishti in the Management of Hyperthyroidism
Dr. Jyothirmai Paindla
 
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
Donc Test
 
The Electrocardiogram - Physiologic Principles
The Electrocardiogram - Physiologic PrinciplesThe Electrocardiogram - Physiologic Principles
The Electrocardiogram - Physiologic Principles
MedicoseAcademics
 
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachIntegrating Ayurveda into Parkinson’s Management: A Holistic Approach
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Ayurveda ForAll
 
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.GawadHemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
NephroTube - Dr.Gawad
 
Tests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptxTests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptx
taiba qazi
 
The Best Ayurvedic Antacid Tablets in India
The Best Ayurvedic Antacid Tablets in IndiaThe Best Ayurvedic Antacid Tablets in India
The Best Ayurvedic Antacid Tablets in India
Swastik Ayurveda
 
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấuK CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
HongBiThi1
 
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptxREGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
LaniyaNasrink
 

Recently uploaded (20)

8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
 
Artificial Intelligence Symposium (THAIS)
Artificial Intelligence Symposium (THAIS)Artificial Intelligence Symposium (THAIS)
Artificial Intelligence Symposium (THAIS)
 
Top Effective Soaps for Fungal Skin Infections in India
Top Effective Soaps for Fungal Skin Infections in IndiaTop Effective Soaps for Fungal Skin Infections in India
Top Effective Soaps for Fungal Skin Infections in India
 
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
 
Ketone bodies and metabolism-biochemistry
Ketone bodies and metabolism-biochemistryKetone bodies and metabolism-biochemistry
Ketone bodies and metabolism-biochemistry
 
Cell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune DiseaseCell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune Disease
 
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
 
Aortic Association CBL Pilot April 19 – 20 Bern
Aortic Association CBL Pilot April 19 – 20 BernAortic Association CBL Pilot April 19 – 20 Bern
Aortic Association CBL Pilot April 19 – 20 Bern
 
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPromoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
 
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
 
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Kat...
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Kat...TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Kat...
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Kat...
 
Role of Mukta Pishti in the Management of Hyperthyroidism
Role of Mukta Pishti in the Management of HyperthyroidismRole of Mukta Pishti in the Management of Hyperthyroidism
Role of Mukta Pishti in the Management of Hyperthyroidism
 
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
 
The Electrocardiogram - Physiologic Principles
The Electrocardiogram - Physiologic PrinciplesThe Electrocardiogram - Physiologic Principles
The Electrocardiogram - Physiologic Principles
 
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachIntegrating Ayurveda into Parkinson’s Management: A Holistic Approach
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
 
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.GawadHemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
 
Tests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptxTests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptx
 
The Best Ayurvedic Antacid Tablets in India
The Best Ayurvedic Antacid Tablets in IndiaThe Best Ayurvedic Antacid Tablets in India
The Best Ayurvedic Antacid Tablets in India
 
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấuK CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
 
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptxREGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
 

1-Evidence based midwifery care.pdf

  • 1. Evidence based midwifery care 13 February 2015 NMCHC Director of Nursing Ms. Chhay Sveng Chea Ath 1
  • 2. Concept of the midwifery care • Woman-centered care • Individualized care 2 Circle of Midwifery Assessment Process
  • 3. Evidence Based Midwifery Care Clinical Expertise (Dr, MW) Research Evidence Woman Values Evidence Based Midwifery Care Evidence Based Midwifery Care is the integration of clinical expertise, research evidence and woman preference. 3
  • 4. 4
  • 5. Workshop “Woman &Baby Friendly Childbirth Care Based on Evidence” 5
  • 6. Guide to Individualized Midwifery Care for Normal Pregnancy and Birth • Basic concept of midwifery care • Role of midwives  External Environment for Birth  Support to Keep Birth Normal  Position for Labor  Assessment and Monitoring Labor  Midwifery Care in 2nd, 3rd,and 4th stage  Immediate Care of New-born Baby 6
  • 7. To put understanding into practice practice SEEING LISTENINIG FEELING THINKING 7 Study tour Trust game Role Play, Video discussion presentation Action Plan
  • 8. Actual practice To build trust relationship with women and their families Individualized and based on evidence midwifery care Case study, SOAP Improvement of birth environment Permission of attendance of family to delivery room Position change during labour Massage to reduce pain for women Intake of food and beverage during labour Explanation of progress of labour and procedure to women and families Introduction of methods for measuring progress of labour without vaginal 8
  • 9. 2012 2011 2013 2014 Guide Workshop on Woman and Baby Friendly Childbirth Care Based on Evidence KCM province : 31 KCM region: 177 Other Regions: 76 NMCHC:153 Communication WS (for new employees) 9 Targets
  • 10. Voice of midwives who practiced the care in their working place • “If I took care of woman gently and politely, I felt the woman’s attitude toward us also changed well more relaxed.” • “I want to care for every woman to give birth safety and happily with love” • “If I make woman to push naturally and assess necessary case of episiotomy, it took longer time for delivery. But it reduced bleeding during delivery and pain after delivery.” 10
  • 11. What is required to midwives after this?(Vision of the future) • To share the concepts among all midwives in Cambodia • To build the trust relationship with women and their families forever • To continue the practice what we learnt any time 11