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Volume 3
Midwifery and Gynaecology 2019
December 04-05, 2019
Page 15
Midwifery nursing and Gynaecology
December 04-05, 2019 | Dubai, UAE
Annual Congress on
J Nurs Res Pract, Volume 3 |
ISSN: 2632-251X
Journal of Nursing Research and Practice
Exploring the challenges of accepting midwives as lead practioners in the maternity setting
Background:
Globally, a typical model of maternity care is a medically led system with varying
levels of midwifery input. Countries such as UK, New Zealand, Australia and many more developed
countries operate the midwife-led model of care. Information shared during patient or family
education in some countries regarding the roles and the difference midwives contribute to care
of expectant mothers is not talked about robustly. There are ongoing debates in some countries to
adopt the midwife led care continuity model. There is a paucity of systemic evaluation that formally
investigates safety-related outcomes in relation to midwife-led care within an entire maternity service.
Aim:
To explore some of the challenges midwives face in being accepted as lead practitioners in the
care of women.
Objectives:
To explore the factors that impact on midwives as lead practitioners.Assess how these
factors impact on the organization Explore Management and communication adopted by leaders and
how it’s impacts on the midwives as autonomous practitioners. Discuss and explore the benefits of
midwifery led care.
Introduction:
It is a known fact that obstetric/medically led care or shared care model is practiced in
most hospitals globally. Unnecessary early intervention in the antenatal or during the intrapartum period
move women away from experiencing normality during child birth which is a normal process. These
interventions contribute immensely to the increase in the rates of c/sections, instrumental deliveries,
maternal and neonatal mortality and morbidity. We need to appreciate the care model in place currently
obstetric led care or sheared care models; however, there are so much evidence out there regarding
the benefits of midwifery led care. C/section rate is on the increase in most countries, according to
WHO 10% is recommended and that is for women with complications. Furthermore, Lack of adequate
education, during the antenatal period leads to uninformed choice, unnecessary early intervention, these
and many more factors impede on the success of midwife led care.
Anthonia Biola Orimolade
Hamad Medical Corporation, Qatar