R O L E O F N U R S E I N

M I D W I F E R Y
A N D
O B S T E T R I C A L
C A R E
Introductio
n
 Independent
nurse midwifery
practitioner
 Independent midwifery practice
package
• Access to a midwife 24 hours a day, 7 days a
week.

• Provide women centered care antenatal,

intrapartum and postnatal midwifery
care.

• Antenatal care in privacy.

• Continuity of care through the labour.

• Postnatal care up to 6 weeks.

• Knowledgeable breastfeeding
support.
 Standards for midwifery
practice
STANDARD I
• Midwifery care is provided by
qualified practitioners
 STANDARD
II
• Midwifery care occurs in a safe
environment within the context of the
family, community, and a system of health
care.
 STANDARD
III
• Midwifery care supports individual rights
and self-determination within boundaries
of safety
 STANDARD
IV
• Midwifery care is comprised of knowledge,
skills, and judgments that foster the
delivery of safe, satisfying, and culturally
competent care.
 STANDARD
V
• 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
VI
• Midwifery care is documented in a
format that is accessible and complete.
 STANDARD
VII
• Midwifery care is evaluated according to an
established program for quality
management that includes a plan to
identify and resolve problems.
 STANDARD
VIII
• Midwifery practice may be expanded
beyond the ACNM core competencies to
incorporate new procedures that improve
care for women and their families.
Challenges for Indian
midwives
 Practice
challenges
• Midwives should be recognized as
independent practitioners with the rights and
responsibilities regarding scope of practice.
Authority and accountability that all
independent by share.
• Health organization should use to allow
quality and standard based midwifery care.
• Midwife should ensure case consultation,
collaboration and referral provided to a
woman without interruption and for overall
benefits.
 Challenges for law
regulation
• Health care system should develop privileging
and credentializing mechanisms for midwives
that are consistent with professional
standards, recognize established process that
permits midwives to build upon competencies
within their statutory scope of practice.
 Educational
challenge
• Direct entry midwife programme to create
a new category of professional midwife.
• The midwifery profession should identify,
develop and implement mechanism to
recruit midwives who reflect Indian
population with their competencies.
• It is needed to develop categories of
midwives as per their expertise in their
midwifery.
 Challenges for research
activities
• It is required to continually grow and evolve
in order to provide evidence based
midwifery practice which will help to
practice independently.
• Analysis of midwifery practice in view
of consumers or women who receive
care.
 Reference
• Basher P. Shabeer, Khan Yasheen S. “A concise text book of advanced nursing
• s
practice”, EMMESS Medical Publishers, first edition 2012, page no. 694-698.
Kozier B, Erb G, Barman A, Synder AJ. Fundaments of Nursing, concepts,
process
and practice, edition 7 2001.
• Potter Perry;S, fundaments of nursing by Jackie crisp, patricia ann potter,
2nd edition, Annegriffin perry page no. 143-155.
• World Health Organization (2001) Health and human rights publication
series, WHO press, geneva available: www.who.int accessed 19 march 2008.
• A.A.C. Title 9, Chapter 10, Article 8: Hospices; Inpatient Hospice Services.
(2003). Arizona
• AAFP. (2008). Guidelines on the Supervision of Certified Nurse Midwives,
Nurse Practitioners and Physician Assistants. Retrieved March 5, 2009, from
American Academy of Family
• PhysiciansPolicyandAdvocacy:http://ww
w.aafp.org/online/en/home/policy/policie s/n/nonphysicianproviders.html
American Association of Colleges of Nursing. (2004). AACN Position Statement on
the Practice
• www.Wikipedia .com
• www.scribd.com
• currentnursing.com
• www.google.com