ROLE OF A

MIDWIFE IN THE
BIRTH OUTCOMES
INTRODUCTION

• Midwifery is an approach to care of women

and their newborn infants whereby
midwives:
• optimise the normal biological, psychological,
social and cultural processes of childbirth and
early life of the newborn; work in partnership
with women, respecting the individual
circumstances and views of each woman;
CONTI…………

Promote women's personal capabilities to

care for themselves and their families;
Collaborate with midwives and other health
professionals as necessary to provide holistic
care that meets each woman's individual
needs.
• History
• Who is a midwife
DEFINITION OF MIDWIFERY

Midwife is a person who, having been

regularly admitted to a midwifery educational
programme, 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. (ICM 2005)
Birth outcome
CORE VALUES
WOMAN, BABY AND
FAMILY-CENTREDNESS

TEAM COMPASSION
WORK
CORE VALUES
ETHICAL RESPECT
PRACTICE

EQUITY MORAL
& RIGHTS COURAGE
ROLE OF A MIDWIFE

Caregiver Coordinator Leader Communicator

Manager Educator Counsellor Family Planner

Adviser Record Keeper Supervisor

 MIDWIFE ROLE IN ADOLESCENCE PERIOD
In adolescence period the midwife performs two
major roles.
1. COUNCELLOR

• Midwife counsel the adolescence regarding.

1. Puberty changes 2. menstrual cycle
2. Sex education 3. pre- marital counselling
 2. TEACHER

Midwife teaches regarding the

1. Menstrual hygiene
2. Healthy practices during the menstrual time
3. Importance of exercises
4. Diet
 MIDWIFE ROLE IN ANTENATAL PERIOD
1. CARE GIVER

1. Provide high quality care.

2. Identify the foetal wellbeing.
3. Assess for any risk of pregnancy.
4. Assess the mother regarding warning sign of
pregnancy
5. Give nursing measures according to the minor
disorder or complication
 2. CLINICIAN

1.Assess the antenatal mothers during admission.

2.Adequate examination during each antenatal visit.
3. Maintain adequate antenatal record.
4. Do proper antenatal examination.
5. Give proper care in case of risk pregnancy
6. Refer high risk cases
 3. TEACHER

Acts as a role model

General
information
for the technical
regarding care of clients or
pregnancy, labour their infants
and the child birth

Helps the mother

to take the best
possible decision
for themselves or
their children
 4.HEALTH EDUCATOR
ANTENATAL
CARE

PHYSIOLOGICAL WARNING SIGN

CHANGES OF LABOUR

PARENTHOOD CHILD BIRTH

EDUCATION EDUCATION
 5.COUNCELLOR

NUTRITIONAL
COUNCELLING

SEXUAL
CHANGES IN
RELATION WITH
SELF IMAGE
PARTNER
6.ADVOCATOR

SUPPORT THE
ANTENATAL
MOTHERS DURING
ALL PROCEDURES
AND INFORM THE
MOTHER ABOUT
THE BENEFIT AND
HARM
 7. COMMUNICATOR

GOVT.HEALTH SCHEME

COMMUNICATES
LINK BETWEEN THE
REGARDING VARIOUS
COUPLE AND
ASPECTS OF
DOCTOR
MOTHERHOOD
NURSE MIDWIFE ROLE IN THE INTRA NATAL
PERIOD
1.CARE GIVER
2.CASE MANAGER

3.TEACHER
4.CLINICIAN
5.COMMUNICATOR

6.CLIENT ADVOCATE
7.RESEARCHER
 1.CARE GIVER
Give proper
Proper new nursing measures
born care during each stage
of labour.

Provide safe Proper

environment positioning

Prepare the Assessing

mother for foetal
labour wellbeing
 2.CASE MANAGER

Expert
Monitoring
nursing
of labour
measure

Referral Labour
services conduction
 3. TEACHER
Teaches regarding
Normal physiology of labour
Pain measures
Position and pushing effort
Importance of breast feeding
Parent’s role
 4. CLINICIAN
Assess the maternal and foetal well being
 Provide basic care for the mother
 Maintain partograph
 Conduct delivery
 Promote the measures necessary for child birth.
 Documentation
 5. RESEARCHER

g t h e
ro v in
n i m p y a n d
l p s i li v e r
He s o f d e
e c ti ve
h o d eff
met ing more res.
o v i d e a s u
pr s i ng m
nur
 6. CLIENT ADVOCATE

In intra natal period the midwife makes

decision regarding the mother in
7.COMMUNICATOR
complicated labour , risk to foetus

Nurse conveys the information regarding the birth of

the child. She also informs the family members
regarding the immediate requirements after the
birth of the baby.
ROLE OF NURSE IN THE POST NATAL PERIOD

CLINICIAN

PREVENTER
OF ILLNESS COUNSELLOR

CARE GIVER TEACHER

 1.CLINICIAN
 Assessment of post natal units
Initiating breast feeding
Provide new born assessment
Provide post natal assessment
Identified risk in the post natal period
Developing discharge planning
 2.COUNCELLOR
Counselling regarding
1. Family planning
2. Care of the new born
3. Immunization of the new born
3.TEACHER
Teaches regarding
Perineal hygiene and personal hygiene
Importance of breast feeding
Essential new born care
Cont.…..
Early ambulation and post natal exercise
Importance of nutrition
IUCD care for the spacing method
4. CARE GIVER
Post natal overall care
Assess wound healing
Identify minor disorder
Evaluate progress of the client
Provide emotional support
 5.PREVENTER OF ILLNESS

The primary focus of a midwife is to prevent

illness.

The nurse practices disease prevention in such

a way by conducting antenatal, post natal
clinics for identification of any risks and
promoting the health.
CONCLUSION

• In conclusion, the midwifery plays a crucial

role in promoting positive maternal and
neonatal outcomes. These professionals are
trained to provide holistic care to women
throughout pregnancy, childbirth, and
postpartum periods. They offer a combination
of medical expertise and emotional support,
emphasizing the importance of a personalized
and patient-centered approach.