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Introduction To Midwifery

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INTRODUCTION TO MIDWIFERY

The simplest definition of midwifery is “with woman”, but truly, midwifery


means different things to different people. For many, the midwifery model is
an attitude about woman and how pregnancy and birth occur, and view that
pregnancy and birth are normal events until proven otherwise. It is an
attitude of giving and sharing information, of empowerment, and of
respecting the right of a woman and her family to determine their own care.
1. Definisi dari kebidanan
Definition of midwifery
2. Perbedaan pelayanan bidan dengan rumah sakit
The differences between midwifery care with hospital
3. Tugas seorang bidan
The duty (obligation) of midwife

The attitude of midwifery, or the midwifery model can be contrasted with


the medical model. In general, Medical Model is an attitude that there is
potential pathology in any given situation, and that medicine can assist to
improve the situation. Medicine is also about teaching, informing, and
prevention, but the power seems to be more with the provider rather than
with the woman.
1. Perbedaan keputusan medis dengan keputusan bidan
The contrasted between medical and midwife decision
2. Model kebidanan dan model medis
Midwifery model and medical model
3. Semua perempuan bisa melahirkan secara normal
All women can deliver (have a birth) normally
All women can have a normal birth
Historically, midwifes have always been around to help woman give birth.
Before physicians, midwifes were the primary healers in their communities.
They were the medicine women of their own cultures, and assisted families
and woman throughout their lives. In the old testament they were described
as examples of the strength and faith in God.

Midwifes were once the nutritionists, herbalists, doctors, ministers,


counselors, all rolled in to one ‘profession. Many feel they were the first
holistic practitioners. Midwifes were always available to help the poor, the
woman without medical care or the woman who were the outcasts of their
culture. Today, midwives take care of anyone who wishes to see them, but
practice within the constraints of their medical and legal systems.

Today midwives are as diverse as the populations they serve. Midwives are
willing to take care of anyone who wishes to see them. Over 70% of birth in
the world are attended by midwives. In the Netherlands, midwives deliver a
majority of the babies. Other countries do not utilize
midwives to their fullest potential. Each country worldwide has a slightly
different view of midwifery, and of how midwives work within their
communities. In sci.med.midwifery, midwives will speak from these various
perspectives and cultures. Midwives are encouraged to share their
statistics and work situations within this newsgroup.

The World Health Organization (WHO) presents us with the following


definition of the midwife:

A midwife is a person who having been regularly admitted to a midwifery


educational program, duly recognized in the country in which it is located,
has successfully completed the pescribed course of studies in midwifery
and has acquired the requisite qualifications to be registered and/or legally
licensed to practice midwifery.

(WHO, FIGO, ICM statement)

Midwives teach, educate and empower woman to take control of their own
health care. In most communities, they provide prenatal care, or
supervision of the pregnancy, and then assist the mother to give birth. They
manage the birth, and guard the woman and her newborn in the
postpartum period.

Most midwives encourage and monitor women throughout their labor with
techniques to improve the labor and birth. Reassurance, positive imaging
and suggestions to change position and walk helps labors progress. Many
midwives provide family planning services and routine women’s health
examinations such as pap smears and physical examinations.

They teach women about sexually transmitted infections, and focus on


prevention of the spread of infections. What specifically midwifes do will
depend on: her training, her licensure, and what is allowed in the state,
province, or country in which she practices.

For example, in the united states some midwives can prescribe


medications, provide women’s health care throughout the menopause
years. Midwives worldwide births in the home, hospital or birthing center,
depending upon their education and licensure, and the rules governing
their practices.

Midwives believe it is especially important to provide time for questions,


teaching, and time to listen to the concerns and needs of the women they
care for. The WHO definition of the midwife gives us the following
guidelines about what midwives do:
She must be able to give the necessary supervision, care, and advice to
women during pregnancy, labour and the postpartum period, to conduct
deliveries on her own responsibility and to care for the newborn and the
infant. This care includes preventative measures, the detection of abnormal
conditions in mother and child, the procurement of medical assistance and
the execution of emergency measures in the absence of medical help. She
has an important task in health counseling and education, not only for the
woman, but also within the family and the community. The work should
involve antenatal education and preparation for parenthood and extends to
certain areas of gynecology, family planning and child care. She may
practice in the hospitals, clinics, health units, domiciliary conditions of in
any other services. (WHO,FIGO, ICM Statement).

Answer the questions!

1. What is midwife?

2. What do midwives do?

3. What is midwifery according to the text?

4. What is midwife according to your opinion?

The questions for discussion.

1. What is difference between midwife and obstetrician, explain briefly!

2. Why do you want to be midwife?


3. Is midwifery care safe?

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