J. G.

Collage of Nursing

Ahmedabad

Subject: obstetrics & gynaecological nursing

Topic: independent nurse midwifery practitioner

Presented By:
Sona Modi
1st Year M.Sc Nursing
Defination

A midwife is a person who, having been regularly

admitted to a midwifery educational program that is
duly recognized in the country in which it is located,
has successfully completed the prescribed course of
studies in midwifery and has acquired the requisite
qualifications to be registered and/or legally licensed
to practice midwifery.
-WHO and the
International Federation of Gynecology and Obstetri
cs
Types of midwives

A Certified Professional Midwife (CPM) is a

knowledgeable, skilled and professional independent
midwifery practitioner who has met the standards
for certification set by the North American Registry
of Midwives (NARM) and is qualified to provide the
midwives model of care. The CPM is the only US
credential that requires knowledge about and
experience in out-of-hospital settings. At present,
there are approximately 900 CPMs practicing in the
US.
Conti

A Licensed Midwife is a midwife who is licensed

to practice in a particular state. Currently, licensure
for direct-entry midwives is available in 24 states.
Conti

The term "Lay Midwife" has been used to

designate an uncertified or unlicensed midwife who
was educated through informal routes such as self-
study or apprenticeship rather than through a formal
program. This term does not necessarily mean a low
level of education, just that the midwife either chose
not to become certified or licensed, or there was no
certification available for her type of education (as
was the fact before the Certified Professional
Midwife (CPM) credential was available).
Job specification

As a midwife practitioner she has appropriate

knowledge, skills & competence to provide care,
supervision & advice to a woman from conception,
through pregnancy, labour, birth 7 the post partum
period.
This includes conducting deliveries under their own
responsibilities & to care for the new born.
Conti

This care includes preventive measures, the dection

of abnormal conditions in the mother & child.

This practice may be in the home or hospital &

should based on the best available current evidence.

The post requires effective communication & ability

to provide support to the clinical lead in their area of
work.
Duties & responsibilities

Professional responsibilities

Management responsibilities

Educational responsibilities

Personal responsibilities
Skills of midwife

Promotion of health

Assessment

Managing care

Independent action

Initiating the action of others

Conti
Undertaking care prescribed by a doctor

Communication:

Research awareness

A team member

Keeping the law

Ethical issues
Work activities

diagnosing, monitoring and examining women

during pregnancy;

developing, assessing and evaluating individual

programmes of care;

providing full antenatal care, including screening

tests in the hospital, community and the home;
Conti

identifying high risk pregnancies and making

referrals to doctors and other medical specialists;

arranging and providing parenting and health

education for the woman, her partner and family
members;
Midwifery Code of Ethics

ANA Code of Ethics

Midwives Codes of Ethics

International Codes of Ethics

Essential Points

Ethics Education
Thank you!!!