local dialogue in midwifery care the family: our priority
TRANSCRIPT
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WHAT CHALLENGES?- Staff Shortages- Poor Infrastructure- Outdated, insufficient equipment- Little or no opportunities for CPD- Insufficient funding- Poor Public Image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