ROLE OF MIDWIVES IN LABOUR : BREADTH OF VIEW

1. Dr.Esther Rakel, M.Sc (N), PhD
Dean cum Principal,
Ganga College of Nursing ,
Coimbatore.

2. ROLE OF MIDWIVES IN
LABOUR : BREADTH OF VIEW
DR.ESTHER JOHN
DEAM CUM PRINCIPAL
GANGA COLLEGE OF NURSING
COIMBATORE.

3. “WITH WOMAN”

4. A MIDWIFE IS A PERSON WHO, HAVING BEEN
REGULARLY ADMITTED TO A MIDWIFERY
EDUCATIONAL PROGRAMME, DULY RECOGNIZED IN THE
COUNTRY IN WHICH IT IS LOCATED, HAS SUCCESSFULLY
COMPLETED THE PRESCRIBED COURSES OR STUDIES IN
MIDWIFERY AND HAS ACQUIRED THE REQUISITE
QUALIFICATIONS TO BE REGISTERED AND OR LEGALLY
LICENCED TO PRACTICE MIDWIFERY
WHO DEFINITION OF
MIDWIFE

5. MIDWIFE…….
AN ACCREDITED HEALTH
PROFESSIONALS
WHO HAS BEEN EDUCATED
AND TRAINED TO ACHIEVE
PROFICIENCY IN THE SKILLS
NEEDED TO MANAGE
NORMAL OBSTETRICAL
CONDITIONS.

6. OLDER, EXPERIENCED FEMALE IN FAMILY
OR COMMUNITY
APPRENTICE-TRAINED
IN ANCIENT PERIODS……

7. RELIGIOUS VIEW…..
BLESSED WOMENS – SHIPRAH & PUAH
GENESIS- 35: 17
EXODUS- 1:15-17

8. • HIGHLY EDUCATED PROFESSIONALS
• WORK COLLABORATIVELY WITH
PHYSICIANS
MORDEN MIDWIFE - CERTIFIED NURSE
MIDWIVES …..

9. MIDWIVES ARE A MORDEN SUCCESS
STORY BUILT ON AN ANCIENT
COMMITMENT
MIDWIFE…….

10. MIDWIVES…….
MATERNITY
WOMEN CARE
GYNAECOLOGY

11. NURSING MAY OR MAY NOT BE A
PREREQUISITE
BSc (N) – part of curriculum
Registered Midwife

12. COUNTRIES HAVE THEIR OWN SPECIFIC
REQUIREMENT
SCOPE OF PRACTICE MAY VARY

13. SKILLED BIRTH ATTENDANTS (SBA)

14. MMR & IMR
GOVERNMENT OF INDIA HAS A COMMITMENT
UNDER
NPP
NRHM
RCH-I
TO ENSURE UNIVERSAL
COVERAGE O F ALL BIRTHS WITH
SKILLED ATTENDANCE BOTH IN THE
INSTITUTION AND AT COMMUNITY LEVEL

15. COMMUNICATE EFFECTIVELY TO PROVIDE
HOLISTIC''WOMEN CENTERED CARE ''.
MAKE ARRANGEMENTS FOR EFFECTIVE
REFERRAL.
MONITOR THE PROGRESS OF MATERNAL AND
FETAL WELLBEING.
IDENTIFY COMPLICATIONS IN MOTHERS AND
NEWBORNS, PERFORM FIRST LINE MANAGEMENT

16. EDUCATE AND ASSIST PREGNANT WOMEN
AND THEIR FAMILIES ABOUT BIRTH PLAN
PROVIDE POST NATAL CARE TO WOMEN AND
THEIR NEWBORN
PROVIDE POST ABORTION CARE WHENEBER
NECESSARY
ASSIST WOMEN AND THEIR NEWBORNS IN INITIATING
EARLY AND EXCLUSIVE BREAST FEEDING.

17. PERMITTED TO USE UTEROTONIC DRUGS FOR
THE PREVENTION OF PPH
USE CERTAIN DRUGS IN EMERGENCY SITUATIONS
TO STABILIZE THE PATIENT PRIOR TO REFERRAL.
PERFORM BASIC PROCEDURES IN EMERGENCY
SITUATIONS.

18. MIDWIFERY MODEL
HIGH TOUCH
LOW TECH
CNM’S

19. MIDWIVES PROVIDES…
EXCELLENT OUTCOMES
SATISFIED PATIENTS
VALUE ADDED SERVICES

20. MIDWIVES PROVIDES…
QUALITY CARE
ACCESSIBLE
CARE
COST
EFFECTIVE
PROFESSIONAL
CARE

21. SKILLS REQUIRED FOR MIDWIVES…..

22. SKILLS REQUIRED FOR MIDWIVES…..
AN UNDERSTANDING AND CARNG
ATTITUDE

23. SKILLS REQUIRED FOR MIDWIVES…..
UNDERSTANDING PEOPLE FROM VARIOUS
BACKGROUND

24. SKILLS REQUIRED FOR MIDWIVES…..
EMOTIONAL & MENTAL STRENGTH

25. SKILLS REQUIRED FOR MIDWIVES…..
GOOD OBSERVATION SKILL

26. SKILLS REQUIRED FOR MIDWIVES…..
AN ABILITY TO ACT ON OWN INITIATIVE

27. SKILLS REQUIRED FOR MIDWIVES…..
AN UNDERSTANDING AND CARNG
ATTITUDE
MATURITY
PATIENCE

28. SKILLS REQUIRED FOR MIDWIVES…..
AUTHORITIVE, ACCOUNTABLE,
RESPONSIBLE & ANSWERABLE

29. SKILLS REQUIRED FOR MIDWIVES…..
RAPID ASSESSMENT

30. SKILLS REQUIRED FOR MIDWIVES…..
ABLE TO DO MULTI TASKING

31. SKILLS REQUIRED FOR MIDWIVES…..
BE CALM IN STRESSFUL SITUATION

32. SKILLS REQUIRED FOR MIDWIVES…..
LISTENING SKILL

33. SKILLS REQUIRED FOR MIDWIVES…..
GOOD COMMUNICATION SKILL

34. SKILLS REQUIRED FOR MIDWIVES…..
AS A MIDWIFE, YOU ARE EXPECTED TO REMAIN
PREPARED FOR WORKING LONG HOURS…

35. SKILLS REQUIRED FOR MIDWIVES…..
NON CLINICAL SKILLS….
NEGOTIATION SKILL
GOOD REPORTING &
RECORDING

36. SKILLS REQUIRED FOR MIDWIVES…..
SENSITIZING ALLIED PROFESSIONALS
& POLICY MAKERS

37. SKILLS REQUIRED FOR MIDWIVES…..
HEALTH
COUNSELLING

38. CHILD BIRTH
CHILDBIRTH IS
MORE THAN THE
ACT OF GIVING
BIRTH

39. CHILD BIRTH
FOR A WOMAN CHILD BIRTH IS A
CONTINOUS PROCESS,
FROM CONCEPTION THROUGH
PREGANACY, LABOUR, BIRTH AND
BEYOND

40. RESPONSIBILITIES & DUTIES
DIAGNOSE PREGNANCY AND MONITOR
NORMAL PREGNANCY

41. RESPONSIBILITIES & DUTIES
GIVE THE NECESSARY SUPERVISION, CARE AND
ADVICE TO PREGNANT WOMEN THROUGH COMPLETE
PHASE OF THEIR PREGNANCY

42. RESPONSIBILITIES & DUTIES
PROVIDE COMPREHENSIVE CARE,INCLUDING
SCREENING TEST IN THE HOSPITAL,COMMUNITY.

43. RESPONSIBILITIES & DUTIES
DETECT LABOR SYMPTOMS IN WOMAN AND PROVIDE
APPROPRIATE NURSING CARE

44. RESPONSIBILITIES & DUTIES
ASSIST THE MOTHER IN GIVING CHILD BIRTH.

45. RESPONSIBILITIES & DUTIES
CHECK CERVIX DILATION AND COUNT CONTRACTIONS
TO DETECT PREGNANCY IN WOMEN

46. RESPONSIBILITIES & DUTIES
TO CONDUCT DELIVERIES ON HER OWN
RESPONSIBILITY AND TO CARE FOR THE MOTHER
AND THE NEW BORN

47. RESPONSIBILITIES & DUTIES
CARE FOR MOTHER AND FETUS DURING LABOUR

48. RESPONSIBILITIES & DUTIES
MANAGE COMPLICATIONS IN PREGNANCY AND
CHILDBIRTH, IN ACCORDANCE WITH THE PRINCIPLES
OF BASIC EMERGENCY OBSTETRIC CARE.

49. RESPONSIBILITIES & DUTIES
CONTACT A MEDICAL PRACTITIONER WHERE A
DEVIATION FROM THE NORM IS OUTSIDE HER SPHERE
OF PRACTICE

50. RESPONSIBILITIES & DUTIES
IDENTIFY HIGH RISK PREGNANCIES AND MAKING
REFERRALS TO DOCTORS .

51. RESPONSIBILITIES & DUTIES
PROVIDE SUPPORT AND ADVICE FOLLOWING
MISCARRIAGE, TERMINATION,STILLBIRTH,NEONATAL
ABNORMALITY AND NEONATAL DEATH.

52. RESPONSIBILITIES & DUTIES
EXAMINE AND CARE FOR THE NEW BORN BABY-
IMMEDIATE RESUSCITATION IF NEEDED

53. RESPONSIBILITIES & DUTIES
CHECK BABY’S CONDITION WHILE IN LABOR USING
FETAL MONITOR OR DOPLLER

54. RESPONSIBILITIES & DUTIES
CHECK DAILY CARE OF THE BABY INCLUDING
FEEDING, BATHING AND MAKING UP FEEDS.

55. RESPONSIBILITIES & DUTIES
CARE AND MONITOR THE PROGRESS OF
MOTHER/BABY IN THE POSTNATAL PERIOD

56. RESPONSIBILITIES & DUTIES
HELP TO DECREASE
MMR AND PREGNANCY
RELATED SUFFERINGS.
SUPERVISE THE PROVISION OF
PRIMARY HEALTH CARE
WITHIN THE COMMUNITY BY
FEMALE HEALTH WORKERS.

57. RESPONSIBILITIES & DUTIES
PROVIDE ALL NON-SURGICAL METHODS
OF FAMILY PLANNING AND COUNSELLING
FOR SURGICAL METHODS.
EDUCATING PATIENT’S FAMILIES ABOUT
TREATMENT AND FOLLOW UP CARE

58. RESPONSIBILITIES & DUTIES
A MIDWIFE PROVIDES SOUND FAMILY PLANNING
ADVICE AND INFORMATION- FERTILITY REOCCURING
DAY-21

59. RESPONSIBILITIES & DUTIES
ADHERING WITH THE PROTOCOLS, NORMS,
RULES AND REGULATIONS IN ORDER TO
MAINTAIN COMPLETE MEDICAL RECORDS
MAINTAINING REPORT OF PATIENTS
MEDICAL HISTORIES AND MONITORING
CHANGES IN THEIR CONDITION

60. RESPONSIBILITIES & DUTIES
CHECKING THE STOCK ON REGULAR BASIS FOR
MAINTAINING THE INVENTORY LEVEL, AND
PLACINGORDERS IF REQUIRED
MAINTAINING HYGENIC AND SAFE
WORKING ENVIRONMENT IN COMPLIANCE
WITH THE HEALTHCARE PROCEDURES

61. RESPONSIBILITIES & DUTIES
CONDUCTING RESEARCH FOR IMPROVING THE
NURSING PRACTICES AND HEALTHCARE
OUTCOMES

62. WORKING ENVIRONMENT OF
A MIDWIFE…..
HAS COMPLEXICITIES AND
MAJOR RESPONSIBILITIES

63. WORKING ENVIRONMENT OF
A MIDWIFE…..
IT IS A CHALLENGING VOCATION THAT
DEMANDS VERSATILITY AND ALERTNESS

64. WORKING ENVIRONMENT OF
A MIDWIFE…..
THEY ARE SUPPOSED TO WORK CLOSELY WITH THE ANTENATAL
MOTHERS WITH INFECTIONS

65. WORKING ENVIRONMENT OF
A MIDWIFE…..
WORK FOR LONG HOURS

66. WORKING ENVIRONMENT OF A
MIDWIFE…..
WALKING IN A DAY = HOW MANY STEPS?????????

67. WORKING ENVIRONMENT OF
A MIDWIFE…..
8 KILOMETER……

68. WHAT EXACTLY A MIDWIFE….
LEADER
CARE GIVER COORDINATOR

69. WHAT EXACTLY A MIDWIFE….
EDUCATOR
COMMUNICATOR MANAGER

70. WHAT EXACTLY A MIDWIFE….
SUPERVISOR
COUNSELLOR/ADVISOR RECORD KEEPER

71. WHAT EXACTLY A MIDWIFE….
TO PROMOTE QUALITY MATERNAL AND CHILD HEALTH CARE IN
COMMUNITY

72. MIDWIVES - INDEPENDENT
PRACTIONERS

73. INDEPENDENT MIDWIFERY
PRACTICE PACKAGE
24/7 ACCESS TO
MIDWIFE
PROVIDE WOMAN
CENTERED CARE

74. SOCIETY OF MIDWIVES IN
INDIA

75. SOCIETY OF MIDWIVES IN
INDIA
APRIL 11TH

76. SOCIETY OF MIDWIVES IN
INDIA
MAY 5TH

77. CREATE ADVOCACY BY
MOBILIZING NURSE
MIDWIVES

78. NEW TRENDS IN MIDWIFERY
PRACTICE
POSITIONING
PITOCIN
PARTOGRAM
USING OF THE GOOD PRACTICE

79. NEW TRENDS IN MIDWIFERY
PRACTICE

80. FATHERS- PART OF A
SOLUTION
BETTER
OUTCOME

81. FATHERS ARE PARTICULARLY
OPEN AT THIS TIME TO
INFORMATION , SUPPORT AND
ADVICE

82. PERINATAL PERIOD- “GOLDEN
OPPOURTINITY MOMENT” FOR
INTERVENTION WITH
FATHERS.

83. NEW TRENDS IN MIDWIFERY
PRACTICE
SKIN TO SKIN
CONTACT
LATE CALMING
POST NATAL
CARE

84. GOVERNMENT OF INDIA - PROGRAMMES
JANANI SURAKSHA
YOJANA (JSY)
JANANI SHISHU
SURAKSHA

85. GOVERNMENT OF INDIA - PROGRAMMES
RASHTRIYA BAL SWASTHYA
KARYAKARAM (RB SK)
JANANI SHISHU SURAKSHA
KARYAKRAM
NAVJAAT SHISHU SURAKSHA
KARYAKARM

86. GOVERNMENT OF INDIA - PROGRAMMES
RASHTRIYA KISHOR SURAKSHA
KARYAKARAM(RKSK)
WEEKLY IRON AND FOLIC ACID
SUPPLEAMENTATION (WIFS)

87. “SAVE ONE
LIFE YOU ARE A
HER,
SAVE 1000 LIVES
YOU ARE A
NURSE”

88. P’s FOR GOOD
OUTCOME

89. POWER - PRIMARY

90. POSITIONING OF THE
MOTHER

91. PITOCIN

92. PROSTAGLANDINS

93. PARTOGRAM

94. PROVIDER – HEALTH CARE PERSONNEL

95. POLARITY

96. PERINEOTOMY

97. PASSENGER

98. PELVIS – PASSAGE WAY

99. PATHOLOGICAL RETRACTION
RING

100. PLANETS

101. GANGA INSTITUTE OF HEALTH SCIENCES,
COIMBATORE - 641022
THANK YOU