WHAT IS MIDWIFERY CARE?
How should I resolve issues with my midwife?
First of all, we suggest talking to your midwife - most problems are simple matters of misunderstanding or differing expectations.
If you decide your midwife is not the one for you, you have the right to change your midwife at any time in your pregnancy or afterwards. Please let the midwife know as soon as you can that you have found another midwife.
It's important to provide feedback for your midwife as it forms the basis for our Midwifery Standards Reviews. You can download feedback forms or provide on line feedback here;
If you have unresolved concerns with a midwife, you can make confidential enquiries or seek advice by contacting the Midwifery Resolutions Committee in your area;
firstname.lastname@example.org or phone 03 377 2732.
Midwifery Scope of Practice
The midwife works in partnership with women, on her own professional
responsibility, to give women the necessary support, care and advice during
pregnancy, labour and the postpartum period up to six weeks, to facilitate
births and to provide care for the newborn.
The midwife understands, promotes and facilitates the physiological
processes of pregnancy and childbirth, identifies complications that may arise
in mother and baby, accesses appropriate medical assistance, and implements
emergency measures as necessary. When women require referral midwives provide midwifery care in collaboration with other health professionals.
Midwives have an important role in health and wellness promotion and
education for the woman, her family and the community. Midwifery practice
involves informing and preparing the woman and her family for pregnancy, birth, breastfeeding and parenthood and includes certain aspects of women's health, family planning and infant well-being.
The midwife may practise in any setting, including the home, the
community, hospitals, or in any other maternity service. In all settings, the
midwife remains responsible and accountable for the care she provides.
Midwifery Standards of Practice
Standard one: The midwife works in partnership with the woman
Standard two: The midwife upholds each woman's right to free and informed choice
Standard three: The midwife collates and documents comprehensive
assessments of the woman and/or baby's health and wellbeing
Standard four: The midwife maintains purposeful, on-going, updated records and makes them available to the woman and other relevant persons
Standard five: Midwifery care is planned with the woman
Standard six: Midwifery actions are prioritised and implemented appropriately with no midwifery action or omission placing the woman at risk
Standard seven: The midwife is accountable to the woman, to herself, to the midwifery profession and to the wider community for her practice
Standard eight: The midwife evaluates her practice
Standard nine: The midwife negotiates the completion of the midwifery partnership with the woman
Standard ten: The midwife develops and shares midwifery knowledge and initiates and promotes research.
Turanga Kaupapa are guidelines for cultural competence developed by Nga Maia o Aotearoa and formally adopted by both the Midwifery Council of New Zealand and the New Zealand College of Midwives.
Whakapapa: The wahine and her whanau is acknowledged
Karakia: The wahine and her whanau may use karakia
Whanaungatanga: The wahine and her whanau may involve others in her birthing programme
Te Reo Maori: The wahine and her whanau may speak Te Reo Maori
Mana: The dignity of the wahine, her whanau, the midwife and others involved is maintained
Hau Ora: The physical, spiritual, emotional and mental wellbeing of the wahine and her whanau is promoted and maintained
Tikanga Whenua: Maintains the continuous relationship to land, life and nourishment; and the knowledge and support of kaumatua and whanau is available
Te Whare Tangata: The wahine is acknowledged, protected, nurtured and respected as Te Whare Tangata (the “House of the People”)
Mokopuna: The mokopuna is unique, cared for and inherits the future, a healthy environment, wai u and whanau
Manaakitanga: The midwife is a key person with a clear role and shares with the wahine and her whanau the goal of a safe, healthy, birthing outcome.