midwifery in new zealand and usa
DESCRIPTION
Comparison of midwifery in New Zealand & USATRANSCRIPT
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Midwifery in the USA and NZ
Vanderbilt School of Nursing, Nashville, USAOtago Polytechnic, Dunedin, NZInternational Day of the MidwifeMay 5, 2008
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Aims for today
•Celebrate International Day of the Midwife
•Raise awareness of midwifery in international context
•Raise awareness of potential for online communication & collaboration
•Get used to using web conference•HAVE FUN!•Keep Sarah happy
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Agenda
•Short introductions – verbal or text•Presentation from Mavis and Sarah•Questions & discussion•Will be ending on time because of room
booking at Sarah’s end
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Midwifery in the USA
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Nashville, Tennessee
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Types of midwives
•Certified Nurse-Midwives (CNM)
•Certified Midwives (CM)
•Certified Professional Midwives (CPM)
•Lay Midwife (LM)
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CNM Scope of Practice•Primary care•Gynecologic care•Family planning•Preconception•Maternity (prenatal, intrapartum,
postpartum)•Newborn
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Birth in the USA
•Predominantly in the hospital with MD (normal and high-risk)
•Cesarean section rate at all time high•Home birth / birth centers available in
some areas•CNMs primarily in hospitals•All midwifery increasing slowly
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The system may be different but birth is the same around the world
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Midwifery in New Zealand
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Midwifery in the USA
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Dunedin
Image: 'Dunedin Railway Station' www.flickr.com/photos/19538540@N00/2050575685
Image: 'The Dunedin Cityscape'
www.flickr.com/photos/97726668@N00/2713895
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Types of midwife
•Registered midwife•3 year direct entry degree•Nurses may have slightly shortened course
© Otago Polytechnic, 2008
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RM Scope of Practice•Self employed LMC – funded by
government •Employed by facilities-primary, secondory
& tertiary •Family planning•Preconception - informal•Maternity (prenatal, intrapartum,
postpartum-up to 6 weeks discharge)•Newborn •Screening•Prescribe
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Birth in NZ•Maternity care free to women•Predominantly in the hospital
(normal and high-risk)•Home birth an option •Birth centers available in some
areas
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Challenges
•Cesarean section rate approx 23%•Increasing medicalisation•Recruitment and retention•Midwives getting
older
http://www.flickr.com/photos/t3rmin4t0r/93569830/
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Potential solutions•Flexible of midwifery education•First year of practice mentoring program•Recertification program
© Otago Polytechnic, 2008
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Congratulations to you all on International Midwives Day 2008
Image: 'Midwife taking stock'
www.flickr.com/photos/68319844@N00/446270854