Essential Competencies for Midwifery.pdf

Essential Competencies for Midwifery
Prepared by: Mayuri Gamit
M.Sc Nursing (OBG)
Nursing tutor

1. Essential Competencies for Midwifery
Prepared by: MayuriGamit
M.ScNursing (OBG)
Nursing tutor

2. TheCounciladoptedtheInternationalConfederation
ofMidwives(ICM)competenciesforthetrainingof
nursepractitionersinmidwiferyforIndiaandthe
frameworkisgivenbelow:

3. ICMEssentialCompetenciesforMidwiferyPractice(2019)The
competenciesareorganizedunder4categories/domains.

4. COMPETENCY CATEGORY 1: GENERAL
COMPETENCIES
NPMs(NursePractitionerinMidwifery)demonstrate
professionalaccountabilityasanautonomous
practitionerinthedeliveryofmidwiferycareasper
ICMstandardsadoptedbytheCouncilthatis
consistentwithmoral,andhumanisticprinciplesin
midwiferypractice.

5. Competencies:
1a. Assume responsibility for own decisions and actions as an
autonomous practitioner
1b. Assume responsibility for self-care including personal safety and
self-development as a midwife
1c. Appropriately delegate aspects of care and provide supervision
1d. Utilize research to inform practice

6. 1e. Uphold the fundamental human rights of
individuals when providing midwifery care
1f. Adhere to laws ethical, regulatory requirements,
codes of conduct for midwifery practice
1g. Facilitate women to make individual choices about
care

7. 1h. Demonstrate effective interpersonal
communication with women and families, health care
teams, and community groups
1i. Facilitate normal birth processes in institutional
and community settings, including women’s homes
1j. Assess the health status, screen for health risks,
and promote general health and well-being of women
and infants

8. 1k. Prevent and treat common health problems related
to reproduction and early life
1l. Recognize conditions outside midwifery scope of
practice and refer appropriately
1m. Care for women who experience physical and
sexual violence and abuse

9. COMPETENCY CATEGORY 2:PRE-PREGNANCY AND
ANTENATALCARE
NPMsPerformhealthassessmentofwomanand
fetus,promotetheirhealthandwell-being,detect
complicationsduringpregnancy,andprovidecareto
womenwithanunexpectedpregnancy

10. Competencies:
2a. Provide pre-pregnancy and antenatal care
2b. Determine the health status of women
2c. Assess the fetal wellbeing
2d. Monitor the progression of pregnancy
2e. Promote and support healthy behaviors that
improve their wellbeing

11. 2f. Provide anticipatory guidance related to pregnancy, birth,
breastfeeding, parenthood, and change in the family
2g. Detect, manage, and refer women with complicated
pregnancies
2h. Assist the woman and her family to plan for an appropriate
place of birth
2i. Provide care to women with an unintended or mistimed
pregnancy

12. COMPETENCY CATEGORY 3:CAREDURINGLABOUR AND
CHILDBIRTH
TheNPMscontinuetomonitorandprovidecareto
womenduringlaborthatfacilitatesphysiological
processesandsafebirth,immediatecaretonewborn
infants,anddetectioncomplicationsinmotherand
infant.

13. Competencies:
3a. Promote physiologic labor and birth
3b. Manage a safe spontaneous vaginal birth and
prevent complications
3c. Provide care of the newborn immediately after
birth

14. Competency Category 4: Ongoing Care of
Women and Newborns
TheNPMscontinuetoperformhealthassessmentof
motherandinfant,providehealtheducationandsupport
forbreastfeeding,detectcomplications,andinitiate
familyplanningservices.

15. Competencies:
4a. Provide postnatal care for the healthy woman
4b. Provide care to healthy newborn infant
4c. Promote and support breast feeding
4d. Detect and treat or refer postnatal complications in woman
4e. Detect and manage health problems in newborn infant
4f. Provide family planning services

16. Referances:
https://www.bareactslive.com/ACA/act3794.htm