LOCAL DIALOGUE IN MIDWIFERY CARE

THE FAMILY: OUR PRIORITY

LOCAL DIALOGUE IN MIDWIFERY CARE

Prepared by: Betty-Ann Pilgrim MSc, RN, RM, CNS, FPN

Nurse Manager San Fernando General HospitalSFGH

Presented by:Eureka Griffith BSc.,MSc., RN., RM

Principal- School of Midwifery San Fernando

PRESENT DIALOGUE

• Maternal Mortality remains unacceptably high across much of the developing world

• Maternal Mortality remains a challenging task

• Area of least progress among all the MDGs

( UN Headquarters, NY, September, 2008)

The Millennium Development Goals

• Goal 4: Reduce child mortality

• Goal 5: Improve maternal health

Target 5a: Reduce by three quarters the maternal mortality ratio

Target 5b: Achieve, by 2015, universal access to reproductive health

WHERE ARE WE?SFGH- 2006-2010

Birth Rate Maternal Deaths

2006 - 5351 0 2007 - 5004 2 2008 - 5258 0

2009 - 5000 1 2010 - 4839 0

WHERE ARE WE?

• How do women access care? • Type of care offered?

• Role of the Midwife?

WHAT IS OUR ROLE?

FIVE (5) KEY ROLES OF THE MIDWIFE: 1. To work in partnership with women to

provide support2. To counsel women, their families and the

wider community. 3. To give care and advice during pregnancy,

labour and the postpartum period 4. To provide care for the newborn and the

infant

Midwives Roles cont’d5. A wider role in health education

TOPICS / AREAS may include: i. Pre-conception workshops/ lecturesii. Antenatal education

• Preparing for parenthood iii. Women’s health issues

• Including sexual or reproductive healthiv. Child care

TOPICS / AREAS cont’d

v. Health Education in the Community

vi. HIV/AIDS testing and counselling

vii. Dietary Advice

viii.Home care service (ambulance)

CARE MAY INCLUDE:

1. preventative measures2. promoting a normal birth3. detecting any complications in the mother

and/or her baby4. accessing medical care or other

appropriate assistance5. carrying out emergency measures.

The Three (3) KEY ROLES of a MIDWIFE

1. Practitioner

2. Partner

3. Leader

LOCAL DIALOGUE

OVERCOMING CHALLENGES

WHAT CHALLENGES?- Staff Shortages- Poor Infrastructure- Outdated, insufficient equipment- Little or no opportunities for CPD- Insufficient funding- Poor Public Image

HOW?

• MIDWIFERY LED CARE• SHARED CARE• COMMUNITY BASED CARE• CASELOAD MIDWIFERY• EDUCATION & TRAINING

The 7-Point-VISION

1. To follow women and their families through from booking to parenthood

2. To learn to carry a caseload

3. To work more closely and in partnership with the Obstetricians

THE VISION4. To become adept at community mapping

by using data to analyse the characteristics of their locality

5. To audit practice routinely

6. To become confident in their clinical judgements and decision-making

THE VISION

7. Education and Training

LOCAL DIALOGUE IN MIDWIFERY CARE

THANK YOU

Q & A