Professional Regulation Commission
Framework of Midwifery Licensure
Examination
Board of Midwifery
ROLES FUNCTIONS/RESPONSIBILITIES
Service Provider
1.1Provides adequate care to mothers
during the childbearing period:
antepartum,intrapartum,
postpartum stages.
1.2 Attends to normal deliveries
ensuring safety and comfort for both
mother and baby.
1.3 Provides adequate care to a
normal child during the pre-natal,
intra-natal, neonatal and infant stages.
1.4 Provides family planning services.
1.5 Provides primary health care to
individuals antifamilies in the
community.
1.6 Gives health teachings to mothers
on: nutrition, hygiene, health
promotive practices, disease
prevention, infant care and feeding.
1.7 Gives appropriate first aid
measures to clients as needed.
1.8 Implements, health programs of
the Department of Health following
proper protocol.
1.9 Makes timely and appropriate
referrals.
2.1 Manages a barangay health
station.
2.2 Cooperates with other health,
professionals in the provision of health
services to clients.
2.3 Supervises barangay health
workers in the implementation of the
maternal-child health programs of the
Department of Health.
2.4 Performs professional
responsibilities based on acceptable
standards.
2.5 Supervises the mother in providing
care to herself and her infant care.
2.6 Participates in activities directed
towards
2.6.1 Improvement of the self
2.6.2 Improvement of the profession.
COMPETENCIES OF THE GRADUATE
MIDWIFE DERIVED FROM
PROFESSIONAL FUNCTIONS AND ROLES
ANTEPARTUM
1. Assesses accurately maternal
condition during pregnancy.
1.1 Performs general physical
examination.
1.2 Determines EDC and AOG.
1.3 Obtains pertinent history.
1.4 Performs Leopolds- maneuver.
1.5 Obtains vital signs and fetal heart
rate.
1.6 Performs breast examination.
1.7 Performs simple laboratory
examination.
1.7.1 hemoglobin
1.7.2 urine sugar
1.7.3 urine albumin
2. Detects deviations from normal.
3. Provides appropriate interventions
based on accepted standards.
4. Gives appropriate health teachings
to pregnant mothers with emphasis on:
4.1 hygiene in pregnancy.
4.2 prevention of complications/ risk
factors.
4.3 nutrition
4.4 exercise
4.5 management of common
discomforts associated with pregnancy.
4.6 preparation for delivery.
5. Conducts home visits to normal
prenatal cases following proper
protocol.
6. Performs the bag technique
correctly.
7. Evaluates effectiveness of
interventions provided.
8. Makes appropriate and timely
referrals.
INTRAPARTUM
9. Assesses the progress of labor
accurately.
10. Interprets correctly the signs and
symptoms of labor.
11. Assists the mother during the
normal delivery of the baby.
11.1 prevents complications.
11.2 prevents laceration.
12. Provides appropriate care to the
mother in labor.
12.1 comfort measures
12.2 safety measures
12.3 diet
12.4 elimination
13. Performs relevant procedures
based on proper protocol
13.1 catheterization
13.2 enema
13.3 shaving
13.4 internal examination
13.5 repair of minor laceration
13.6 sterilization
13.7 hand washing
13.8 hand scrubbing
13.9 gloving
3.10 draping
13.11 positioning
13.12 disinfection
14. Makes correct judgment/decision
on the case to be handled by the
midwife based on standards.
15. Carries out accurately doctors-
orders related to management of the
mothers- condition including the
administration of oxytocin after
expulsion of placenta.
16. Gives intravenous fluids during
obstetrical emergencies following
proper protocol.
17. Repairs perineal laceration
following proper protocol.
POSTPARTUM
18. Assesses accurately condition of
the mother immediately after delivery.
18.1 obtains vital signs.
18.2 monitors signs and symptoms of
complications.
19. Interprets signs and symptoms
accurately.
20. Makes timely and appropriate
referrals.
21. Provides appropriate care to
mothers after delivery.
22. Supervises mothers performs self
care activities.
23. Gives health teachings on:
23.1 breast feeding
23.2 hygiene
23.3 postpartum check-up
23.4 nutrition
23.5 exercises
23.6 prevention of complications
23.7 human sexuality
24. Provides motivation to couples to
utilize family planning services.
25. Performs relevant procedures
following proper protocol i.e. periheat,
pericare, bag technique.
26. Conducts home visit to normal
postpartum following proper protocol.
27. Evaluates effectiveness of
interventions.
NEONATE AND INFANT
28. Assesses accurately the condition
of the neonate immediately after birth.
28.1 Takes the APGAR score and vital
signs (TPR).
28.2 Obtains anthropometric
measurements i.e. BW, BL, head and
chest circumference.
28.3 Checks reflexes.
29. Detects deviations from normal.
30. Makes necessary and timely
referrals.
31. Performs relevant procedures
following proper protocol.
31.1 Cord care-immediate and daily
31.2 Eye prophylaxis
31.3 Bathing
31.4 Identification
31.5 Suctioning
31.6 Injection of vitamin K
32. Conducts home visit following
proper protocol.
33. Supervises mother in providing
care to the infant
34. Provides health teaching to
mothers on:
34.1 nutrition
34.2 daily care
34.3 prevention of illness
34.4 immunization
34.5 monitoring of growth and
development
34.6 childrearing practices
35. Accomplishes accurately and files
on time the birth certificate.
36. Evaluates effectiveness of
interventions provided
WORKING AS A MEMBER/LEADER
OF THE TEAM
37. Manages a barangay health
station.
38. Performs first aid services as
necessary following proper protocol.
39. Makes correct judgment/ decision
on cases to be handled by the midwife.
40. Utilizes appropriate community
resources in rendering primary health
services to the
community.
41. Works harmoniously with other
health professionals in providing health
services to the clients.
42. Supervises barangay health workers
in the implementation of health
programs of the
Department of Health.
43. Cooperates with other health
professionals in implementating health
programs of the
Department of Health.
43. Cooperates with other health
professionals in implementing health
programs of the
Department of Health.
Section 19. Registration of Nurse-Midwife.-
Certification of registration may be issued to registered
nurses who pass the examination for midwives:
Provided, That the nurse, before being allowed to take
examination show evidence to the Board of having
actually handled twenty (20) delivery cases as certified
to by
the director or chief of a duly registered or recognized
hospital, or by the proper municipal, city, or provincial
health officer.
Section 20. Fees of Examination and Registration.-
Applicants for examination for the practice of
midwifery shall pay an examination fee as prescribed by
the Professional Regulation Commission.

Section 21. Inhibition Against Practice of Midwifery.- No

person shall practice or offer to practice
midwifery in the Philippines, as defined in this Act,
without holding a valid certificate of registration & a
professional license as midwife.

Section 23. Practice of Midwifery Defined.- The practice

of midwifery consist in performing or rendering,
or offering to perform or render, for a fee, salary, or
other reward or compensation, services requiring an
understanding of the principles and application of
procedures and techniques in the supervision and care of
women during pregnancy, labor and puerperium
management of normal deliveries, including the
performance
of internal examination during labor except when patient
is with antenatal bleeding; health education of the
patient, family and community; primary health care
services in the community, including nutrition and family
planning, in carrying out the written order of physicians
with regard to antenatal, intra-natal and post-natal care
of the normal pregnant mother, in giving immunization,
including oral and parenteral dispensing of oxytoxic drug
after delivery of placenta, suturing perineal lacerations to
control bleeding, to give intravenous fluid during
obstetrical emergencies provided they have been trained
for that purpose; and may inject Vitamin K to the
newborn: Provided, however, That this provisions shall
not apply to students in midwifery schools who perform
midwifery services under the supervision of their
instructors, nor to emergency cases.

There are no other statutes listed that cover

Midwifery...Nor any directives on the PRC website that
change any of the requirements as outlined in the
Midwifery Act.

Hope this clarifies things for nurses wishing to take the

midwifery exam!