Midwifery in iran

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Midwifery practices differ significantly between the UK and Iran, where midwives have less autonomy and physiological birth is less common. In Iran, births are often induced or augmented, without one-to-one midwifery care or the presence of partners, and routine practices include early vaginal exams, lithotomy deliveries with episiotomies, and early cord clamping rather than skin-to-skin contact. The document discusses these differences and the author's experiences interning as a midwife in Iran.

Physiological Birth?
UK
Arguably
Spontaneous onset
Spontaneous (vaginal) birth
Physiological third stage
Iran
Controlled by (paid) ‘gynaecologists’.
Augmented/Induced at term
Not in a pump!
Not one to one care
No partner in attendance
First stage rooms
Routine VE (? Informed choice)
Delivered in lithotomy position in stirrups
Elective episiotomy
Active third stage
Skin to skin (wrapped in towel over Mum’s
clothes)
No optimal cord clamping

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