This document provides an introduction to midwifery and obstetrical nursing. It discusses the history and evolution of midwifery in India, from traditional dais (midwives) assisting with home births, to the establishment of formal midwifery training programs and certifications like Auxiliary Nurse Midwives. Today in India, there are several cadres of midwives including registered nurses with midwifery training, ANMs, and skilled birth attendants. The future of midwifery in India involves improving access to care and achieving safe motherhood.
This presentation includes all the events , its sign and symptoms about IOL as well as management of women in the first stage of labor and how to assess the women in labor with the help of partograph.
Globally the incidence of unwed mothers is rising.Unwed mothers remain a challenge in obstetric practice due to a complex interplay of obstetric,medical,social and psychological complications associated with them.so ,it is important to know who are unwed mothers,causes and nurses role.
This presentation includes all the events , its sign and symptoms about IOL as well as management of women in the first stage of labor and how to assess the women in labor with the help of partograph.
Globally the incidence of unwed mothers is rising.Unwed mothers remain a challenge in obstetric practice due to a complex interplay of obstetric,medical,social and psychological complications associated with them.so ,it is important to know who are unwed mothers,causes and nurses role.
MATERNAL & CHILD HEALTH PROGRAMME IN COMMUNITY HEALTH NURSING
According to W.H.O. (1976) Maternal & child health services can be defined as “promoting, preventing, therapeutic or rehabilitation facility or care for the mother & child.” Thus maternal & child health services is an important & essential services related to mother & child’s overall development.
6. Reduce maternal, perinatal, infant & child mortality & morbidity rates. Child survival. Promoting reproductive health or safe motherhood. Ensure birth of healthy child.
7. Prevent malnutrition. Prevent communicable disease. Early diagnosis & treatment of the health problems. Health education & family planning services.
8. The MCH service are rendered through the infrastructure of P.H.C. & sub centers. It is proposed to set up one P.H.C. & sub-centers. It is proposed to set up one P.H.C. for every 30,0000 population, & one sub-centers for every 3000 to 5000 population. Each sub-centers are foundation of national health system. Each sub-sub-center is manned by a team of one male & female health worker. In addition there is a team of one trained Dai & one health guidein every village.
This topic contains Meaning and definitions of midwifery, obstetrics, obstetrical nursing, midwife, scope of midwifery, basic competencies of a midwife, history of midwifery in nursing and development of maternity services in India.
Family welfare programme IN COMMUNITY HEALTH NURSING
INTRODUCTION • Family planning means planning by individual or couples to have only the children they want, when they want them, this is responsible parenthood. • Family welfare includes not only planning of birth, but they welfare of wholes family by means of total family health care. The family welfare programme has high priority in India because its success depends upon the quality of life of all citizens.
3. HISTORY OF FAMILY WELFARE PROGRAMME • It was started in the year 1951. • In 1977, the government of India redesignated the NATIONAL FAMILY PLANNING PROGRAMME as the NATIONAL FAMILY WELFARE PROGRAMME also changed the name of the ministry of health and family planning to ministry of health and family welfare.
4. Cont… • It is a reflection of the government anxiety to promote family planning through the total welfare of the family. • It is aimed at achieving a higher end i.e. to improve the quality of life of the people.
5. Cont… • India is the first country in the world that implemented the family welfare programme at government level. • Health is a part of concurrent list but centers provides 100% assistance to states for this programme.
6. Cont… • Government has concentrated on this programme in various five year plans through higher priority was accorded to it after fourth five year plan. • Due to bad effect of emergency and faulty propaganda family planning suffered major setback, during 1977-1979.
7. Cont… • It was decided in national health policy in 1983, and then net reproduction rate should be one by the year 2000. • The 7th five year plan placed more emphasis on the use of spacing methods between the birth of two children
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
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A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
2. • Obstetrics word came from a Latin word
“OBSTETRIX” means “MIDWIFE”.
• Midwifery, as known as obstetrics, is a health
science and health profession that deals
with pregnancy, childbirth, and the postpartum
period(including care of the newborn),besides
sexual and reproductive health of women
throughout their lives.
3. Terminology
• Midwifery is the knowledge necessary to perform the
duties of midwife.
• Obstetrics is that branch of medicine, which deals
with the management of pregnancy, labour and
puerperium.
• Gynaecology is that branch of medical science,
which treats diseases of the female genital organs.
• Reproduction means process by which a fully
developed offspring of its kind is produced.
4. • Pregnancy is a state of carrying fetus inside the
uterus by a woman from conception to birth.
• Gestation means pregnancy.
• Gravidae is state of pregnancy irrespective of its
duration.
• Multipara refers to woman who has given birth more
than once
• Nullipara is the woman who has not given birth
before.
• Primigravidae is a woman carrying first pregnancy.
• Multigravidae is a woman carrying pregnancy more
than once.
5. Healthy women are the key to the health of any
nation, primarily because of their vital role in co-
creating healthy infants and co-caring for the family.
Providing health care to women is not only a health
issue but a matter of human rights issue.
In women’s life childbirth is a special event.
A mother will never forget a ‘midwife’ who delivered
her baby; and who was ‘with the woman’ during
childbirth, which is the very essence and identity of a
midwife.
Hence a midwife is an obvious catalyst in providing
safe motherhood in the fabric of our society.
6. • This presentation sets out the situation of Indian
midwifery in three sections:
• 1. Midwifery in India before independence.
• 2. Midwifery in independent India
• 3. Present and future of midwifery in India
7. Midwifery in India before
independence
• In ancient India, care of women and
practice of midwifery were totally in the
hands of indigenous village ‘dais’.
• These indigenous dais, not only helped
consultants for any condition of
during childbirth but also acted as
the
mother related to birth.
• When medical missionary women from
England came to India, the first striking
observation they made was that, since dais
were unable to deal with difficult
deliveries and pregnancies, the maternal
and neonatal mortality were very high.
8. • The first training school for dais was started in 1877
by Miss Hewlett, an English missionary of the
Zenana Missionary Society.
• However, the training of dais was not taken up by
Government of India (GoI) till 1900 when a fund was
established by Lady Curzon to improve the
conditions of childbirth in the country.
• But before that, in 1872, a handful of Indian
Christian nurses were trained for two years at Delhi.
• In 1899 the Zenana Bible and Medical Mission
started the training of nurses, but until 1893 there was
no generally accepted scheme of training in the
hospitals.
9. • In 1918 with the help of Dufferin Fund, Lady
Reading Health School was established to train
Auxiliary Nurse Midwives (ANMs).
• In 1926 the Madras Registration of Nurses and
Midwifes Act was passed to promote the role of
a registered midwife for service during
childbirth.
• In 1936 Dufferin fund sanctioned grant to a
number of Dufferin hospitals to build hostels,
supply teaching materials and employ qualified
sisters in nursing schools.
• Thus Dufferin fund helped in raising the
standards of nursing and midwifery in India.1
In fact prior to independence, midwifery
training started as a separate course, in India.
Young girls at the middle school level (8th)
were selected to undergo this training.
10. 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).
11. • In 1947, the first step the Indian Nursing Council
took after its inception was to combine the nursing
and the midwifery courses into a single course.
• The course was designed to be of three and a half
years duration, with the entry qualification being 10th
class.
• In 1975 the Kartar Singh Committee recommended
shortening the two year course of ANM to one and a
half years and entry after class 10th.
• These ANMs were designated as female health
workers. They were specially trained in midwifery
and child health care services. GoI also invested
heavily in the training of dais.
12. 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.
• The maternal health status of women and maternal
mortality are closely related to the presence of trained
attendants at birth.
• As the percentage of births attended by trained
personnel goes up, the maternal mortality ratio goes
down.
13. In India there are the following
cadres of midwives:
• 1. The trained nurse midwife (RN, RM): Who has
undergone a diploma (Diploma in General Nursing
and Midwifery), which is of three and a half years
duration. Or A degree nurse who has done B.Sc.
(Honors) Nursing, which is of four years duration.
• 2. The ANM, who is designated as the Multi-purpose
health worker (female), is registered as a midwife.
• Presently, this is a two years course with entry
classification being 12th class.
• India has a huge cadre of ANMs who are educated
and trained in Midwifery.
14. • 3. Skilled Birth Attendant (SBA) refers exclusively
to people with midwifery skills (e.g. doctors, nurses,
midwives), who have been trained to get proficiency
in the skills necessary to manage normal deliveries,
and to diagnose, manage, or refer complications to all
levels of health care settings.
• Midwifery skills are defined as a set of cognitive and
practical skills that enable the individual to provide
basic health care services throughout the natal
continuum period and also to provide prompt actions
in emergencies including life saving measures, when
required.4
15. Need for midwifery as a
profession in India
1. To achieve safe motherhood
2. 2. To avoid duplication of services
3. 3. To give health education
4. 4. To participate in country’s concern i.e. maternal
and child welfare
5. 5. To get status and recognition in the society
16. TRENDS IN THE MIDWIFERY AND
OBSTETRICAL NURSING
• Changes in social structure, variations in family
lifestyle: It has altered health care priorities for maternal
and child health nurses. Today, client advocacy, an
increased focus on health education, and new nursing roles
are ways in which nurses have adapted to these changes.
• Cost Containment
Cost containment refers to systems of health care delivery
that focus on reducing the cost of health care by closely
monitoring the cost of personnel, use and brands of
supplies, length of hospital stays, number of procedures
carried out, and number of referrals requested.
17. • Expanded roles for nurses
Increasing nursing responsibility for assessment and
professional judgment and providing expanded roles
for nurse practitioners, such as the nurse-midwife.
• Family Centered Care
• More natural childbirth environment where partners,
a homelike
the childbirth
family members may remain in
environment, and participate in
experience
• 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
18. • Access to Health Care
• Strong predictors of access to quality health care include having
health insurance, a higher income level, and a regular primary care
provider or other source of ongoing health care. Use of clinical
preventive services, such as early prenatal care, can serve as
indicators of access to quality health care services. The objectives
selected to measure progress in this area are:
• Increase the proportion of persons with health insurance.
• Increase the proportion of persons who have a specific source of
ongoing care.
• Increase the proportion of pregnant women who begin prenatal
care in the first trimester of pregnancy
19. • Shortening Hospital Stays
• Women who have begun preterm labor stay in the hospital while
labor is halted and then are allowed to return home on medication
with continued monitoring.
• Routine hospital stay for mothers and newborns after an
uncomplicated birth is now 2 days or less.
• Short-term hospital stays require intensive health teaching by the
nursing staff and follow-up by home care or community health
nurses.
• Increased Use of Alternative Treatment Modalities
• There is a growing tendency to consult alternative forms of
therapy, such as acupuncture or therapeutic touch, in addition to,
or instead of, traditional health care providers. Nurses have an
increasing obligation to be aware of complementary or alternative
therapies.
20. • Increased Use of Technology
• The field of assisted reproduction (e.g.,
in vitro fertilization), seeking
information on the Internet, and
monitoring fetal heart rates by Doppler
ultra sonography are other examples.
• In addition to learning these
technologies, maternal and child health
nurses must be able to explain their use
and their advantages to clients.
Otherwise,
technologies
clients may
more frightening
find new
than
helpful to them.
21. • Technological Advances As the
technology has revolutionized and
increasingly sophisticated computers in
today’s world, it has become necessary
thorough knowledge of the
for the nursing personnel to have
new
technology being used.
• Due to this advancement, ‘the hands
on care’ of the client is reduced, so also
is the, quality nursing care.
• Today foetal monitoring has
progressed from the use of fetoscope to
electronic foetal monitors. It can be
used both, directly and indirectly.
22. Maternal and Child Health
Indicators
• Birth rate: The number of births per 1,000 population.
• Fertility rate: The number of pregnancies per 1,000
women of childbearing age.
• Fetal death rate: The number of fetal deaths (over 500
g) per 1,000 live births.
• Neonatal death rate: The number of deaths per 1,000
live births occurring at birth or in the first 28 days of
life.
23. • Infant Mortality Rate: The number of deaths per
1,000 live births occurring at birth or in the first 12
months of life.
• Childhood Mortality Rate: The number of deaths
per 1,000 population in children, 1 to 14 years of age.
• The Maternal mortality rate (MMR) is the annual
number of female deaths per 100,000 live births from
any cause related to or aggravated by pregnancy or its
management (excluding accidental or incidental
causes).
24. • Maternal morbidity rate: Any departure, subjective or
objective, from a state of physiological or psychological
well-being.(during pregnancy, childbirth and the
postpartum period up to 42 days or 1 year).
• Perinatal mortality: The World Health Organization
defines perinatal mortality as the "number of stillbirths
and deaths in the first week of life per 1,000 total births,
the perinatal period commences at 22 completed weeks
(154 days) of gestation and ends seven completed days
after birth"
25. FERTILITY RATES
• The total fertility rate (TFR), sometimes also
called the fertility rate, absolute/potential
natality, period total fertility rate (PTFR) or total
period fertility rate (TPFR) of a population is the
average number of children that would be born to a
woman over her lifetime if:
1. She were to experience the exact current age-
specific fertility rates (ASFRs) through her lifetime,
and
2. She were to survive from birth through the end of
her reproductive life.
26. LEGAL AND ETHICAL PRINCIPLES IN
THE PROVISION OF HEALTH SERVICES
• 1. Informed decision making.
• Patients or individuals who require health care
services have right to make their own decision about
the opinions for treatment or other related issues. The
process of obtaining permission is called informed
consent.
27. • The health care provider should disclose the
following details:
1. The individual is currently assessed health status
regarding the general or reproductive health.
2. Reasonably accessible medical, social, and other
means of response to the individual’s conditions
including predictable success rates, side effects and
risks.
3. The implications for the individual’s general, sexual
and reproductive health and lifestyle declining any of
the options or suggestions.
4. The health provider’s reasoned recommendation for
a particular treatment option or suggestion.
28. • Autonomy:
• Autonomous persons are those who, in their
thoughts, work, and actions, are able to follow norms
chosen of their own without external constraints or
coercion by others.
• It is to be noted that autonomy is not respect for
patient’s wish against good medical judgement.
• Simply put, a health provider can refuse a treatment
option chosen by the patient, if the option is of no
benefit to the patient.
29. • Surrogate decision makers:
• Surrogate decision makers[ parents, caregivers,
guardians] may take the decision if the affected
individual’s ability to make a choice is diminished by
factors such as extreme youth, mental processing
difficulties, extreme medical illness or loss of
awareness.
30. • privacy and confidentiality
•
• A patient’s family, friend or spiritual guide has no
right to medical information regarding the patient
unless authorized by the patients. The following
points of confidentiality are to be kept in mind:
health care providers duties to protect patient’s
information against unauthorized disclosures.
• Patient’s right to know what their health care
providers think about them.
• Health care provider’s duties to ensure that
patients who authorize releases of their confidential
health related information to others, exercise an
adequately informed and free choice.
31. • Competent delivery services:
• Every individual has a right to receive treatment by a
competent health care provider who knows to handle
such situations quite well. According to the laws,
medical negligence is shown when the following 4
elements are all established by a complaining party.
• A legal duty of care must be owed by a provider to
the complaining party.
32. • Breach of the established legal duty: of care must
be shown, which means a health care provider has
failed to meet the legally determined standards of
care.
• Damage must be shown.
• Causation must be shown.
• Safety and efficacy of products:
• Health care providers are responsilble for any
accidental or deliberate use of products that differs
from their approved purposes or methods of use, for
instance, the dosage level for drugs. Look for the
drug contraindications, drug expiry, damage of
diluted sterilization solvents etc.
33. PRE-CONCEPTION CARE &
PLANNING FOR PARENTHOOD
• Preconception care is the provision of biomedical,
behavioural and social health interventions to women
and couples before conception occurs.
• It aims at improving their health status, and reducing
behaviours and individual and environmental factors
that contribute to poor maternal and child health
outcomes.
• Its ultimate aim is to improve maternal and child
health, in both the short and long term
34. • Even if preconception care aims primarily at
improving maternal and child health, it brings
health benefits to the adolescents, women and
men, irrespective of their plans to become
parents.
35. NEED FOR PRECONCEPTION CARE
• reduce maternal and child mortality
• • prevent unintended pregnancies
• prevent complications during pregnancy and delivery
• prevent stillbirths, preterm birth and low birth weight
• prevent birth defects
• prevent neonatal infections
• prevent underweight and stunting
• prevent vertical transmission of HIV/STIs
• lower the risk of some forms of childhood cancers •
36. Areas addressed by the
preconception care package
• Nutritional conditions
• Tobacco use &Psychoactive substance use
• Genetic conditions
• Environmental health
• Infertility/sub-fertility
• Interpersonal violence
• Too-early, unwanted and rapid successive pregnancies
• Sexually transmitted infections (STIs)
• Vaccine-preventable diseases
• Female genital mutilation (FGM)
• Mental health
37. Preconception care for all women of childbearing age should include:
• Access to good quality health care for all adolescents Vaccination
(e.g., rubella and hepatitis B vaccine)
• Essential nutrition for girls and women and work to combat eating
disorders (obesity prevention), including the administration of folic
acid supplements
• Preventive medical consultations, risk assessment, and psychological
counseling (e.g., prevention of psychotropic substance abuse, risk
behaviors)
• Family planning, including the promotion of planned, adequately
spaced pregnancies
• Detection and treatment of sexually transmitted infections, especially
HIV/AIDS
• Treatment of chronic diseases (e.g., diabetes, hypothyroidism,
malaria, tuberculosis, and Chagas’ disease).
38. Role of nurse in midwifery &
obstetric care
• Midwife:
• A midwife is a health care professional who provide
health care services for women including
gynecological examinations, contraceptive
counselling, prescriptions, and labor and delivery
care. Midwife provides expert special care during
labor, delivery and after birth so that midwife unique.
39. Various roles and responsibilities of a midwife have
presented in the below:
• 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.
• Coordinator:
• 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.
40. • Leader:
• The role of leader is to plan, provide and review a
women’s care, with her input and agreement, from the
initial antenatal assessment through to the postnatal
period. Midwife’s leading role reduces admission to
hospital and results in significantly less intervention
during birth.
• 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.
41. • Manager:
• Manager is a great role for midwife. Midwives manage
all the circumstances where appropriate and can
recognize and refer women to obstetricians and other
specialists in a timely when necessary.
• Educator:
• As an educator, midwives provide high quality,
culturally sensitive health education in order to promote
healthy, helpful family life and positive parenting.
• Counselor:
• Midwives provide information and counsel pregnant
women on prenatal self care including nutrition, hygiene,
breastfeeding and danger sings in pregnancy and
childbirth.
42. • 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.
• Adviser:
• Midwives give advice on development of birth plan and promote the
concept of birth preparedness. They also give advice during
complicated situation so that it will help them to take decision.
• Record keeper:
• Record keeping is an integral part of midwifery practice. It helps
making continuity of care easier and enabling identify problem in
early stage.
• Supervisor:
• Supervising and assisting mothers during antenatal period, monitoring
the condition of the condition of the fetus and using their knowledge
to identify early sings complication.