This is the minimum of what European midwives have to learn, either in 3 years of practical and theoretical studies (after 10 years of general school education) or in 18 months (for qualified nurses responsible for general care):
TRAINING PROGRAMME FOR MIDWIVES The training programme for obtaining a diploma, certificate or other evidence of formal qualifications in midwifery consists of the following two parts: A. THEORETICAL AND TECHNICAL INSTRUCTION (a) General subjects 1. Basic anatomy and physiology 2. Basic pathology 3. Basic bacteriology, virology and parasitology 4. Basic biophysics, biochemistry and radiology 5. Paediatrics, with particular reference to new-born infants 6. Hygiene, health education, preventive medicine, early diagnosis of diseases 7. Nutrition and dietetics, with particular reference to women, new-born and young babies 8. Basic sociology and socio-medical questions 9. Basic pharmacology 10. Psychology 11. Principles and methods of teaching 12. Health and social legislation and health organization 13. Professional ethics and professional legislation 14. Sex education and family planning 15. Legal protection of mother and infant (b) Subjects specific to the activities of midwives 1. Anatomy and physiology 2. Embryology and development of the foetus 3. Pregnancy, childbirth and puerperium 4. Gynaecological and obstetrical pathology 5. Preparation for childbirth and parenthood, including psychological aspects 6. Preparation for delivery (including knowledge and use of technical equipment in obstetrics) 7. Analgesia, anaesthesia and resuscitation 8. Physiology and pathology of the new-born infant 9. Care and supervision of the new-born infant 10. Psychological and social factors B. PRACTICAL AND CLINICAL TRAINING This training is to be dispensed under appropriate supervision: 1. Advising of pregnant women, involving at least 100 pre-natal examinations. 2. Supervision and care of at least 40 women in labour. 3. The student should personally carry out at least 40 deliveries; where this number cannot be reached owing to the lack of available women in labour, it may be reduced to a minimum of 30, provided that the student participates actively in 20 further deliveries. 4. Active participation with breech deliveries. Where this is not possible because of lack of breech deliveries practice may be in a simulated situation. 5. Performance of episiotomy and initiation into suturing. Initiation shall include theoretical instruction and clinical practice. The practice of suturing includes suturing of the wound following an episiotomy and a simple perineal laceration. This may be in a simulated situation if absolutely necessary. 6. Supervision and care of 40 women at risk in pregnancy, or labour or postnatal period. 7. Supervision and care (including examination) of at least 100 post-natal women and healthy new-born infants. 8. Observation and care of the new-born requiring special care including those born pre-term, post-term, underweight or ill. 9. Care of women with pathological conditions in the fields of gynaecology and obstetrics. 10. Initiation into care in the field of medicine and surgery. Initiation shall include theoretical instruction and clinical practice. Is it different in Australia? -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Judy Chapman Sent: Tuesday, August 30, 2005 2:14 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Fw: 'Higher risk' in midwife deliveries (http://theaustralian.com.au report) You are so right about many Australian Midwives being prevented from gaining the full spectrum of skills necessary for total care of well women. As you said the answer is to give midwives the opportunity to learn what they should not just want OB's want them to learn. Those midwives who work independently, in birth centres and some in hospitals have had to actively chase the knowledge and experience necessary to do their work properly. It is hard work sometimes. All worth it though when you have a satisfying birth with a woman who you have developed a relationship with antenatally. Cheers Judy --- wump fish <[EMAIL PROTECTED]> wrote: > I think there is a difference between the training and skills > of Australian > mw and UK mw. But, this largely exists due to the different > maternity > systems and the blocks placed on practice by the obs. Your mw > training is > reliant on the experiences you are able to access. For > example, as a direct > entry mw in the UK my training began in the community with a > community > midwife providing midwifery-led care with a family focus. By > the end of our > course we were expected to be able to provide total care for > 'normal' women > (including suturing). > > I realise that I have a limited viewpoint at present, but I > have noticed > that the mainstream perception of midwives is that we are > nurses with a mid > specialisation, and even refer to each other as nurses. People > are getting a > bit sick of me correcting them when they call me a nurse. > Midwives are > prevented from maintaining and developing skills by hospital > systems. For > example, I have been told I am not allowed to suture! Many mw > do not rotate > and will only work in one area eg. postnatal. I am working on > an escape plan > to get out of the maternity system as I can see my midwifery > skills being > worn away. > > I am sure that the independent mws and birth centre mws are > more than able > to provide total care for women. But, I wonder if mws who have > been trained > in the mainstream system and have only worked in this system > would have the > skills, experience or confidence to provide total care for > women. > > If Dr Giltrap is correct, then the answer is not to leave > birth the the obs, > but to improve mw education and empower the mw profession. > > Rachel > > >From: Vedrana Valèiæ <[EMAIL PROTECTED]> > >Reply-To: ozmidwifery@acegraphics.com.au > >To: <ozmidwifery@acegraphics.com.au> > >Subject: RE: [ozmidwifery] Fw: 'Higher risk' in midwife > deliveries > >(http://theaustralian.com.au report) > >Date: Tue, 30 Aug 2005 08:54:14 +0200 > > > >" Obviously scary rubbish makes better news than > >truthful lovely births." > > > >I think you are SO right there. > >It seems to me that viewing birth as a disaster just waiting > to happen, > >even if it is a "normal" birth, is Dr Giltrap's problem. > Plus, I'm still > >trying to understand what he meant by: > >"Dr Giltrap claimed Australian midwives were not as well > trained as their > >European counterparts and Australian standards were often > higher than those > >in Europe." > > > >There is a resolution by EU which states how many hours of > what midwives > >have to have, and I doubt that it is more than you have in > Australia. > > > > > > > > > >-----Original Message----- > >From: [EMAIL PROTECTED] > >[mailto:[EMAIL PROTECTED] On Behalf Of > Janet Fraser > >Sent: Tuesday, August 30, 2005 6:22 AM > >To: ozmidwifery@acegraphics.com.au > >Subject: Re: [ozmidwifery] Fw: 'Higher risk' in midwife > deliveries > >(http://theaustralian.com.au report) > > > >Rachel (welcome btw!) I hear everything you're saying and I > concur. It's so > >transparently about a professional monopoly but their own > brilliant > >misinformation campaign is so entwined with our current > cultural fears > >around normal physiological birth that very little gets into > the media to > >contradict it. Of course what I really want is for them to > have to answer > >how all the guff they spout really stands up against the > research but the > >seven second soundbite only allows long enough for scare > tactics, not > >evidence. It's interesting to me that in many years of > writing letters to > >SMH and The Age, I have never had one published on birth > issues. I've got > >quite a track record on political issues of other kinds, but > not even the > >most benign letter on home birth or midwifery has made it > into their > >publications. Obs and midwives get published a bit but very > rarely > >consumers. I sent letters to every major paper plus regionals > for Home > >Birth > >Awareness Week last year, and not one was published. That's a > lot of > >editors > >making the same decision. Obviously scary rubbish makes > better news than > >truthful lovely births. > >Food for thought! > >J > >-- > >This mailing list is sponsored by ACE Graphics. > >Visit <http://www.acegraphics.com.au> to subscribe or > unsubscribe. > >-- > >This mailing list is sponsored by ACE Graphics. > >Visit <http://www.acegraphics.com.au> to subscribe or > unsubscribe. > > _________________________________________________________________ > Don’t just search. Find. Check out the new MSN Search! > http://search.msn.click-url.com/go/onm00200636ave/direct/01/ > > -- > This mailing list is sponsored by ACE Graphics. > Visit <http://www.acegraphics.com.au> to subscribe or > unsubscribe. > ____________________________________________________ Do you Yahoo!? The New Yahoo! 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