What Does a Nurse Midwife Do?

A midwife is a nurse who studies in a formal midwifery school or has the same ability to deliver and care for a mother independently.

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A midwife is a nurse who studies in a formal midwifery school or has the same ability to deliver and care for a mother independently.

The midwife's technical level and operation ability are related to the safety of mother and child. A midwife who has worked for many years has no less experience than an obstetrician and gynecologist. Her experience comes from clinical practice and meticulous observation. She is familiar with every aspect of the progress of the birth process. This kind of change is familiar with and can cope with the various situations of sudden changes in the birth process, and even every expression and reaction of the mother. She has zero contact with the mother and is a true guardian god and partner of the mother. ^[1]

1.The midwife is at

1. Work under the leadership of the obstetric director and head nurse and under the guidance of a physician.

2. Responsible for the delivery of normal mothers, assist doctors in the delivery of dystocia, prepare for the delivery, pay attention to the progress and changes of the birth process, and meet complications or babies

Midwives are often exposed to more dangerous factors due to the special nature of their work, leading to work-related illnesses. In recent years, more and more people have begun to pay attention to occupational hazards. In order to minimize the harm and to ensure the physical and mental health of the midwife to the minimum, the midwife should learn and receive more education, understand the harm, and strengthen their protection in daily work.

Almost 90% of medical professionals believe that women are not patients, and that they should enjoy more humane services when they come to the hospital. For Chinese midwives, the eyes of respect and trust gradually increase with age. Compared with their daily work intensity, their income is not high.

Midwifery International Concept

Emphasize that the midwife is the main caregiver of the pregnant woman, and the midwife must provide professional medical services for the continuous care of the mother.

New Zealand's midwifery development has a century-old history, and it is the first country in the world to issue a registered nurse qualification certificate. Waikato Institute of Technology is the largest college in New Zealand to provide midwifery education. Dr. Margie Duff, the director of the midwifery degree at the college and the first New Zealand doctoral degree awarded in midwifery, said at the forum that, unlike the obstetrician-led model, the midwife-led model emphasizes that the midwife is the main caregiver during pregnancy and provides the mother through Professional medical services of continuous care can improve natural birth rate, reduce hospital stay during pregnancy, reduce drug analgesia and perinatal anesthesia, reduce perineal lateral resection rate, reduce neonatal resuscitation rate, and also increase maternal response to childbirth. Satisfaction.

Dr MargieDuff said that there are multiple models to achieve continuous care of a midwife. A continuous service model is implemented in a group mode. A group of midwives take care of a certain number of women, ensuring that women have a midwife who can accompany them throughout the childbirth, and the midwives perform postpartum follow-up. Midwifery partnerships are another example of a continuous care model, which was introduced in 1990 in New Zealand and Australia. The core idea of "Partnership" is that pregnancy and childbirth are natural life events. Midwifery services are centered on women, and midwives can independently use their expertise to provide continuous midwifery care. Midwives are considered responsible professionals who work in partnership with women to provide them with the necessary support, care and advice during pregnancy, childbirth and puerperium.

Women have proven to benefit from continuous care models and continuous support during delivery. The 2003 survey data showed that the natural birth rate of women in New Zealand reached 67.4% and that of Australia was 60.8%; while the rate of maternal perineum was only 10.2% and 16.1%.

Midwife reality is awkward

China's midwifery services are still dominated by obstetricians, and midwifery is still subordinate to the nursing profession. It is neither an independent discipline nor a professional system, which is far from the international level.

Professor Ye Hongkun, chairman of the Chinese Medical Association's Perinatal Medicine Branch, pointed out that Chinese midwives also play an important role in perinatal medical health care. They are mainly responsible for normal maternal delivery, assisting obstetricians to manage difficult births, and responsible for family planning and perinatal health care. And maternal and child health education and technical guidance. In the one-on-one full-time paternity of Dole and midwives carried out in recent years, the humanized services of midwives have achieved very good results and reduced the rate of cesarean section. However, he also pointed out that in China, midwifery still belongs to the nursing profession. It is neither an independent discipline nor a professional system. It is far from the international level. The process of specialization in this field needs to be strengthened.

Wang Lixin, director of the Obstetrics and Gynecology Professional Group of the Chinese Nursing Association, believes that the current international midwifery professional education has developed into an independent higher professional education, and midwives must have a professional education background of undergraduate or higher. However, China s midwifery education and professional training are inadequate. Professional education is limited to secondary technical education. There are no midwifery college or undergraduate majors in medical schools. A considerable number of midwives have changed their careers from nurses. There is no possibility of further professional training in continuing education. , Can only choose courses in nursing specialty to study. "I came to this forum at my own expense. The leader said that there is nothing to learn about midwifery, and I was not allowed to come." A chief nurse from a hospital in Henan said, "But there are too few opportunities for such a professional study. I asked for a vacation and came to Beijing at my own expense. "

Wang Lixin also pointed out that an independent registration and access system is implemented in the midwifery field in most countries and regions, and midwives have relatively independent international management agencies and organizations. Midwives have basic inspection and prescription rights after registration. Routine pregnancy follow-up, examinations, and normal spontaneous childbirth can be completely managed by the midwife. Hospital specialists are mainly responsible for the management of high-risk cases. Although China has established a relatively complete maternal and child health care system, midwives are still subordinate to the nursing profession, and in terms of registration and promotion of professional titles, the corresponding system for midwifery profession is still blank.

She analyzed that the reason for this is the low level of education and lack of professionalism. At the same time, Chinese midwives lack human resources. It is understood that in developed countries, the ratio of midwives to fertility women is 1: 1000, compared with 1: 4000 in China. In addition, the high demand for maternal health care workers has also led to a situation in which midwifery services are still dominated by obstetricians in China. But in fact, for normal pregnancy and childbirth, a highly-educated and trained midwife is perfectly qualified.

Midwifery Outlook

With learning, midwives have their own homes. Director Wang Lixin, who has represented China for three consecutive times at the International Midwife Alliance conference, screamed at the forum. Due to the lack of a professional system, it is difficult for Chinese midwifery to establish independent academic groups and societies, which has also become a practical obstacle for China to join the International Midwife Alliance. It is understood that the International Federation of Midwives is a midwife alliance representing midwives from 72 countries. It is mainly dedicated to defining the role of midwives and providing guidelines for midwives education and preparation. The Alliance holds an international midwifery conference every three years. Although mainland China has been invited to attend for three consecutive years, they have all attended the conference as observers. Hong Kong, China and Taiwan have become full members. "With learning, a midwife has her own home."

Today, China also has its own midwife alliance.

The Chinese Midwifery Alliance was founded by Meng Xue and was established on May 5, 2008. It currently has 31 provinces, municipalities and autonomous regions and Hong Kong, Macau, Taiwan, New Zealand, Australia, the United States, Canada, the United Arab Emirates, Malaysia and other Chinese midwives. 6 More than 10,000 people; owns Qingdao Wellcome Nursing Training School, three clinical teaching hospitals, a "Midwife Today" magazine connected to the world, and a physical training base for high-end obstetric service systems. Is a civil society.

Mission of the Alliance: Consolidate midwifery personnel (midwives, obstetricians, and obstetric nurses) across the country, improve midwifery technology and management, and return midwives to the correct position. Emphasize that midwives are caregivers for low-risk pregnant women, and obstetricians are high-risk Maternal guardians have clear responsibilities, provide continuous nursing services for mothers and babies, promote international exchanges and cooperation, increase China's natural delivery and breastfeeding rate, and protect the health of mothers and babies.

Alliance vision: Let natural childbirth become the mainstream of human childbirth, and make childbirth a happy and happy experience!

Alliance management: real-name membership management, members need to submit application forms and photos, strictly follow the alliance charter, communicate with real identities, pay attention to science and practicality, rigorously study, respect natural laws, and open QQ group, email, WeChat, Weibo and other platforms with members Establish interactive relationships, actively help solve various problems encountered in the clinic, promptly counseling midwives who have encountered difficulties and difficulties in their work, and set up a consultation phone.

Annual Conference of the Alliance: The National Midwifery Technology and Management Training Course and Midwifery Annual Conference is held once a year. The conference is large in scale and has been held for four consecutive years. The expert committee of the conference has 68 experts at home and abroad. Childbirth brand meeting.

Alliance Essay: In order to spread the culture of fostering childbirth, the Alliance organizes an International Midwifery Day Essay Contest on May 5 each year, with more than 3,000 articles in each session. These poems, novels, and essays all come from clinical frontline works, most of which are The awareness of midwifery work and understanding of fertility culture, the expression of love for life and deep feelings for mothers and babies, stimulated the enthusiasm of the midwife and reflected the lofty state of the selfless dedication of midwives.

Alliance exchanges: The alliance has established friendly and cooperative relations with New Zealand, Canada, the United States, Australia, Hong Kong, Spain, the United Arab Emirates and other countries, and has carried out short-term inspections, three-month training, study tours, and further studies abroad; translated a large amount of foreign language materials It has built a bridge for the exchange of midwifery personnel at home and abroad, injected fresh blood for the development of midwifery profession, and made positive contributions in spreading midwifery culture, improving midwifery technology and promoting natural delivery! He has conducted more than 100 learning exchange meetings with organizations at all levels throughout the country, and actively participated in the Chinese midwifery medical midwifery construction and the International Midwifery Union conference on the construction of Chinese midwifery professionals.

Alliance training: In 2011, the Alliance established the Qingdao Wellcome International Nursing Training School, which mainly trains seven modules of the high-end obstetric service system (midwife consultation clinic, pregnant women's school, guide music, free-position delivery, breastfeeding, postpartum recovery, aquatic (aquatic (Early education)), in which trainers, breastfeeding consultants and the Ministry of Human Resources and Social Security cooperated in training. After completing the required courses and passing the examinations, the trainees were awarded CETTIC guides and breastmilk from the China Employment Training Technical Guidance Center of the Ministry of Human Resources and Social Security Certificate of vocational training for feeding consultants. This certificate shows that the holder has passed the relevant training and examinations of the China Employment Training Technical Guidance Center of the Ministry of Human Resources and Social Security, has the corresponding occupation, level of working ability and professional level, and has entered the national manpower The talent pool of the Ministry of Resources can be used as a qualification certificate for music guides and breastfeeding consultants, and can also be used as a national vocational skill training and appraisal certificate, which is universal across the country.

Alliance Magazine: Midwifetoday, a midwifery magazine in the United States, was launched in 1986 and is a global professional birthing magazine.

Alliance achievements: In order to promote natural childbirth, after translating the guide music teaching materials, the alliance and Shandong Yingfu Road Medical Device Factory have developed a guide music delivery support tool, including a guide ball, guide pad, guide car, guide chair, guide At present, hospitals around the country have benefited from supporting equipment such as music ball shelves, music pillows, soy bags, cold packs, and aroma lamps.

"The road is long and long, and I will search for it all the way up and down." The Chinese Midwife Alliance has come along and received the support and help of leaders at all levels, experts and colleagues. Since we set sail, we have more lives and more struggles. We will follow The footprints of the seniors have made efforts for human reproduction and future generations. The ancient Chinese culture has a long history. Respect for women is respect for mothers. The culture of midwifery is shining. The cultural concept that a qualified midwife should have is rooted in the cultivation of the heart, no need to remind Consciousness, freedom under the premise of restraint, kindness for the sake of others! "As long as we have love in our hearts, the midwifery tomorrow will be brilliant, and the health of mothers and babies has an ideal future!