Midwives are trained healthcare professionals who help women during labor, delivery, and birth. In ancient India, midwifery was performed by indigenous village dais who assisted during childbirth and acted as health consultants. Currently, midwives in India work to reduce maternal mortality, participate in maternal and child welfare initiatives, and provide coordinated, holistic care during pregnancy, childbirth, and the postpartum period. The presence of skilled midwives is critical to achieving safe motherhood.

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MIDWIFE
Ms. Ishita shah
Nursing Tutor
Manikaka topawala institute of nursing

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MIDWIFESome choose their profession to
become popular ,some to serve other
people & do their duty ,but
midwives have all this we become
part of families

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MIDWIFE
“A midwife is a trained health
professional who helps healthy
women during labor, delivery
and birth of the babies.”

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MIDWIFE
Midwifery in India before
independenceIn ancient India, care of
women and practice of
midwifery were totally in the
hands of indigenous village
‘dais’.
These indigenous dais, not
only helped during childbirth
but also acted as consultants
for any condition of the
mother related to birth.

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MIDWIFE
Midwifery in independent
India
In 1946, the Bhore Committee laid stress on the need for
qualified midwives, health visitors, and the training of dais.
In 1955, the Shetty Committee recommended the training
of Auxiliary Nurse Midwife (ANMs) in health centers for
maternal and child health services, provided there were
adequate health visitors to supervise them.
In 1959 Bishoff, a technical Consultant supported the
training of two types of nursing personnelANM and General
Nurse Midwife (GNM Nursing- 3 years and Midwifery- 1
year).

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MIDWIFE
Present and future of
midwifery in IndiaThe presence of a skilled midwife at birth
is the single most important factor for
achieving safe motherhood (WHO).
The number of midwives available as per
population is an important indicator of the
maternal health status in a country.

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MIDWIFE
Need for midwifery as a
profession
1.
• To achieve safe motherhood
2.
• To participate in country’s concern
i.e. maternal and child welfare
3.
• To avoid duplication of
services

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MIDWIFE
Statistics
An Indian woman dies from complications
related to pregnancy and childbirth.
Every seven minutes
Gujarat: 112/100000 live birth
India: 167/100000 live birth

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MIDWIFE
SOME FACTS
20-25% deaths occur during pregnancy.
40-50% deaths occur during labour and
delivery
25-40% deaths occur after childbirth
(More during the first seven days)
It is important to focus attention during
pregnancy and also after childbirth

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MIDWIFE

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MIDWIFE

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MIDWIFE
MIDWIFERY MODEL OF CARE
Four CS:
•Core concept
•Context (overview)
•Content
•Compensation (Benefits)

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MIDWIFE
CORE CONCEPT
“..pregnancy and birth are normal life
processes.”

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MIDWIFE
CONTEXT
Monitor
Well being
Education ↓Technological
Interventions
Referral
Services
Midwifery Model of Care

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MIDWIFE
• The midwife is recognised as a
responsible and accountable
professional who works in
partnership with women to give the
necessary support, care and advice
during pregnancy, labour and the
postpartum period, to conduct births
on the midwife's own responsibility
and to provide care for the newborn
and the infant.

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MIDWIFE
What do nurse-midwives do?
They help women to give birth in
hospitals, birthing centers, and at
home…
But that’s not all !!!!

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MIDWIFE
• There are two basic role for achieving our
goal & provide best care to mother as well as
baby:

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MIDWIFE
1.LEADPROFEESIONAL
 A midwife as a role of lead professional
provide care to the initial assessment to
postnatal period.
Evidences suggest that for low risk women,
midwife-led reduces admission in the hospital.

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MIDWIFE
2.CO-ORDINATIONOF CARE
Midwives coordinate care for all women.
Coordinator ensures holistic, voluntary and
social services for pregnant women when
appropriate so that every women’s birth
experience regardless of risk factor.

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MIDWIFE
EXPANDED ROLE OF NURSE
MIDWIFE
1.Care giver:
Midwives provide high quality antenatal and postnatal
care to maximize the women’s health during and after
pregnancy, detect problems early and manage or refer
for any complications.

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MIDWIFE
2. Communicator:
• As a communicator, the midwives understand that
effectiveness of communication. It helps to develop
trust relationship with pregnant women and family
members. The midwife has to communicate
effectively with pregnant women and family
members as well as others so that they can share their
all problems.

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MIDWIFE
3. Family planner:
• They also counsel people as a family planner.
They provide all information about all kind of
family planning methods and help couple to
take decision.
4. Recordkeeper:
• Record keeping is an integral part of
midwifery practice. It helps making continuity
of care easier and enabling identify problem in
early stage.

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MIDWIFE
5.FamilyCentered Care
• By adopting a view of pregnancy, childbirth as
a family event, nurses can be instrumental in
including family members in care and consult
family members about a plan of care and
provide clear health teaching so that family
members can monitor their own care

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MIDWIFE
Midwife-Led Care….
Believes: That pregnancy and birth is a normal
physiological process for women, not a disease or illness.
 Promotes: Compassionate and continuous partnership
with women and their families for health care decisions
 Provides: Individualized woman and family-centered
care, education, and empowerment to make care choices
 Is based on: Midwifery Model of care &
Evidence-based care

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MIDWIFE• Reduced use of pain meds and epidural
anesthesia
• Reduced episiotomies
• Increased chance of normal vaginal
delivery
• *Shorter hospital stays for hospital birth
experiences
• *Increased breastfeeding rates
Benefits of Midwifery led Care

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MIDWIFE
Healthy Mother
India's most trusted, Midwife-led maternal,
newborn and infant care provider. care model
is universally practiced in the UK, many states
of the US, and in Europe.
They believe pregnancy and birth are normal,
physiological life events in mothers' lives.
They need to be celebrated, supported and
respected, rather than subjected to "assembly
line" hospital protocols, which view them as
patients and birth as risky "disease".

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MIDWIFE
A woman’s body is created
to
give birth, labour and
delivery is not a
sickness that needs to be
suppressed
or medicated.

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MIDWIFE
.
"Midwives see birth
as a miracle and only
mess with it if
there's a problem;
doctors see birth as a
problem and if they
don‘t mess with it,
it's a miracle!”

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MIDWIFE
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CONCLUSION
The strong voices of powerful midwives, working
close to government & civil society institutions &
major external entities committed to improving
maternal & newborn health status, have realized
the goal of achieving IMP
Midwives many strengths and contributions have
not been fully utilised to meet today’s health care
needs.

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MIDWIFE
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