PEER GROUP TEACHING

ON
ROLE OF INDEPENDENT NURSE
MIDWIFERY PRACTIYIONER

SUBMITTED TO : SUBMITTED BY :
Mrs. Amanpreet Mam Ms. Nriti Supolia
( Assistant Professor ) ( MSc. Nursing ,1ST Year)
2240982502
ROLE OF INDEPENDENT NURSE MIDWIFERY PRACTIONER:-
INTRODUCTION:-
Activities of health care providers who are experts in the women health care including prenatal
care to expectant mothers, attending at birth and providing post partum care to mother and infant.
Practitioners of midwifery are known as midwife.
Independent midwifery practice enables registered nurse midwives to utilize their knowledge ,
skills , judgment and authority in the provision of midwifery practice package and primary
women’s health services who maintaining accountability for the management of patient care in
accordance with midwifery standards laid down by the midwifery or nursing council of their
country.

DEFINITION:-
Independent Midwives: Independent Midwives are fully qualified registered nurse –
midwives utilize their knowledge , skills, judgment and authority in the provision of primary
women’s health services while maintaining accountability for the management of patient care in
accordance with midwifery / nursing council of one’s own country.

Nurse Practitioners:- Nurse Practitioners ( NP ) are registered nurses who have graduate
level nursing preparation as a nurse practitioner at the master’s or doctoral level and perform
comprehensive assessments and promote health and the prevention of illness and injury.

REASON TO FOCUS ON MIDWIVES:-

 Eradicate Extreme poverty and hunger.
 Achieve universal primary Education
 Promote Gender Equality and empower women.
 Reduce child mortality.
 Improve maternal health
 Combat HIV / AIDS malaria and other diseases.
 Ensure Environmental sustainability.
 Global Partnership for development.

MIDWIFERY MODEL OF CARE

Four Cs

Core
Context Content Compensation
Concept
ROLE OF MIDWIFERY PRACTICE:-
 Care Giver:- Midwives provide high quality antenatal and postnatal care to maximize
the women’s health during and after pregnancy , detect problems early and mange or
refer for any complication.
 Coordinator: Midwives coordinator care for all women . Coordinate ensures holistic ,
voluntary and social services for pregnant women.
 Leader:- The role of leader is to plan , provide and review a women’s care from the
initial antenatal assessment through to the postnatal period.
 Communication:-As a communicator, the midwives understand that effectiveness of
communication . It helps to develop trust relationship with pregnant women and family
members.
 Manager;- Manager is a great role for midwife . Midwives manage all the
circumstances where appropriate and can recognize and refer women to obstetrics and
other specialists.
 Educator:- As an educator , midwives provide high quality , culturally sensitive health
Education in order to promote healthy , helpful family life.
 Counsellor:- Midwives provide information and counsel to pregnant women on prenatal
self care including nutrition , hygiene , breastfeeding and danger sings in pregnancy and
child birth.
 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 or 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 .
 Supervisor:- Supervising and assisting mothers during antenatal period , monitoring the
condition of the fetus and using their knowledge tp identify early sings complication.
MIDWIFERY PRACTICE PAKAGE FOR INDEPENDENT PRACTICE:-
 Access to a midwife 24hours a day , 7 days a week.
 Two midwives available alternatively and provide women centered antenatal ,
intrapartum and postnatal midwifery care.
 Antenatal care in privacy.
 Continuity of care throughout labor.
 Postnatal care up to 6 weeks.
 Knowledgeable breast feeding support.
STANDARDS REQUIRED FOR THE PRACTICE OF MIDWIFERY:
Midwifery practice as conducted by midwifery is the independent management of women’s
health care , focusing particularly on pregnancy , child birth the postpartum period . care of
newborn, family planning and gynecological needs of women.
Midwives provide consultation management , collaboration management or referral as indicated
according to standards of midwifery practice.
Standard 1:-
 Midwifery care is provided by qualified practitioners.
 Midwifery should be registered .
 Shows evidence of continuing competency as required by certification agency by council.
 It is in compliance with the legal requirements of the jurisdiction where the midwifery
practice occurs.
Standard 2:-
 Midwifery care occurs in a safe environment within the context of the family ,
community and a system of health care.
 Demonstrate a safe mechanism for obtaining medical consultation , collaboration and
referral .
 Uses community services as needed.
Standard 3:-
 Demonstrate knowledge of the medical , psychological , economical , cultural , and
family factors that affect care.
 Demonstrate appropriate techniques for emergency management .
 Promotes involvement of support persons in the practice settings.
Standard 4:-
 Midwifery care is comprised of knowledge , sills and judgements that foster the delivery
of safe , satisfying and culturally competent care.
 The midwife collects and assess client care data, develops and implement individualized
plan of management and evaluates outcome of care.
 Demonstrate the clinical skills and judgements described in the basic midwifery practice.
Standard 5:-
 Midwifery care is based upon knowledge , skills and judgments which are reflected in
written practice guidelines and are used to guide the scope of midwifery care and services
provided to clients.
Standard 6:-
 Midwifery care is documented in a format that is accessible and competent.
 The midwives uses records that facilitate communications and institution.
Standard 7:-
 Provide for systemic collection of practice data as a part of a programme of quality ,
management .
 Seeks consultation to review problems , including peer review of care.
 Act to resolve problems identified.
Standard 8:-
 Ensures that there are no institutional state or council statures , regulations or laws that
would constrain the midwife from incorporation of procedure into practice.
CHALLENGES FOR INDIAN MIDWIVES:-
 Practice challenges.
 Challenge for law regulation.
 Educational challenge.
 Challenges for research activities.
 Challenges for policy makers.
INDIAN NURSING COUNCIL ( INC):-
Initiatives of INC:-
1. Developed PhD Nursing Curriculum.
2. Developed Minimum Standards for nursing practice.
3. Developed Nurse Practitioner in Midwifery’
4. Development different nursing speciality programmes.
5. Use of selected life saving drugs and intervention approved by MOHFW.
6. Integrated Management of neonatal and childhood illness ( IMNCI) Module for basic
health workers.
7. Strengthening of advanced skills in midwifery practice in M.Sc. nursing curriculum.
BIBLIOGRAPHY:-
 DC Dutta’s ,Text book of Obstetrics , Jaypee Brother publisher , 8th Edition.

 https://www.slideshare.net

 https://study.com

 https://learning.candid.org

 https://www.scribd.com

 https://wbxpress.com