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THE ROLE OFSPECIALIZEDNURSING:GYNAE &OBSTETRICNURSES INUNIVERSITYHOSPITAL OFFUENLABRADA

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A BRIEF HISTORICAL OVERVIEWOF MIDWIFERY IN SPAIN

Up until the early 20 th century nursing andmidwifery in Spain were kept apart and wereregulated by different laws.

It was in 1992 when the midwifery training program was established as a specialty of thenursing degree. This program acknowledges the

scope of midwi es in both community andspeciali!ed hospital care.

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THE ROLE OF THE COMMUNITYMIDWIFE

In Spain" community midwi es are enabled to take part in bothse#ual and reproducti e health programs at all stages of thewoman$s life. This role includes%

& 'arental education.& (ontraception ad ice.

& (o&operation in early diagnosis of breast and gynaecological cancer.

& (o&operation and early diagnosis of se#ually transmited diseases.

& )anagement of midwifery clinics to attend parents duringuncomplicated pregnancy and normal postpartum.

& Supporting couples who e#perience difficulties with breastfeeding and parenting.

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THE OBSTETRIC & GYNAE TEAM

In order to pro ide e#cellence in care"midwi es are able to work harmoniousand effecti ely within the health team"

which includes obstetricians" generalnurses" health care assistants and porters.

)oreo er" midwi es also communicate

effecti ely with other hospital unitsin ol ed in women$s care" such as *eonatology" +naesthesia and thesurgical team.

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THE ROLE OF THE MIDWIFE INTHE EMERGENCY ROOM

To assess and deli er care to all women whoe#perience heath problems during pregnancy"specially from the 2, th week of gestation.

The midwife will carry out a full re ision of thewoman$s clinical history" laboratory and ultrasoundtests" as well as a physical" abdominal and aginal

e#amination -from the /th

week .rom the 2, th week of pregnancy the midwife must

listen to the fetal heart rate and carry out fetalcardiotocography when indicated.

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THE ROLE OF THE MIDWIFE INTHE EMERGENCY ROOM

The midwife is able to decide when a woman witha full term pregnancy needs to be admitted tohospital or when she needs to be seen by a doctor.

In this hospital we ha e been pioneers" since weha e a protocol which enable midwi es todischarge some women from the emergency room.

)idwi es also pro ide care to women during the postpartum" specially with breastfeeding problems.There is a 2, hour phone number for women toadress their feeding problems to the midwife.

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THE ROLE OF THE MIDWIFE INTHE DELIVERY SUITE (DS)?

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WHAT DO MIDWIVES DO INFUENLABRADA'S DS?

)idwi es pro ide care to mothers and partnersduring labor" assessing fetal well&being.

e also assist spontaneous aginal deli eries incephalic presentation.

e are able to take care of women who want tokeep the process of labour as low risk as possible.

3ur 4ob is to ensure the mother and baby$s safety"so if we see any abnormalities we call theobstetrician.

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WHAT DO MIDWIVES DO INFUENLABRADA'S DS?

e are able to pro ide care to thenewborn" although the is always a

paediatric nurse at the time of deli ery.

)idwi es help to stablish the bond between the new parents and the baby"through the uninterrumped skin to skincontact and the early start of

breastfeeding" e en in the case of

ha ing a caesarean section" with the co&operation onthe 5eco ery 5oom staff.

The midwife also administrates theantibiotic and antihaemorrhagic

prophyla#is to the newborn

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WHAT DO MIDWIVES DO INFUENLABRADA'S DS?

)others" fathers and babies lea e the 6Sappro#imately two hours after the birth takes

place. )idwi es must ensure their safety at all

times and need to gi e ad ice to the new parentsabout care during the postpartum period.

Two years ago we started to collect cord bloodsamples" which are processed and kept in a public

bank for anyone who may need them.

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THE ROLE OF THE MIDWIFE INTHE MATERNITY WARD

)idwi es carry out fetal heartrate monitoring of babieswhose mothers ae admitted tothe ward due to health

problems during pregnancy.

hen re7uired" midwi esmay go to the ward to assess

women who refer regularcontractions from the 8 th week of gestation.

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FUTURE PROSPECTS

In a few months time mothersand babies will be dischargedhome 2, hours after deli ery" if

there are no complications.These mothers will come backto see the midwife , hoursafter deli ery to ensure theirwell&being and to help themwith breastfeeding.

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FUTURE PROSPECTS

)idwi es are not in ol ed in the care of womenand babies during pregnancy in two units%& 8th week low risk pregnancy clinic" currently conducted

by a general nurse.

& etal physiopathology clinic" were women with high risk pregnancies undergo fetal monitoring and are assessed by an obstetrician. +gain" itis currently conducted byageneral nurse.

e belie e that midwi es are the most suitable professionals to take care of women" and hope tode elop these functions in the near future.

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THANK YOU!