1. LOCAL DIALOGUE IN MIDWIFERY CARE THE FAMILY: OUR PRIORITY

2. LOCAL DIALOGUE LOCAL DIALOGUE IN MIDWIFERY CARE Prepared by: Betty-Ann Pilgrim MSc, RN, RM, CNS, FPN Nurse Manager San Fernando General Hospital SFGH Presented by: Eureka Griffith BSc.,MSc., RN., RM Principal- School of Midwifery San Fernando

3. PRESENT DIALOGUE Maternal Mortality remains unacceptably high across much of the developing world Maternal Mortality remains a challenging task Area of least progress among all the MDGs ( UN Headquarters, NY, September, 2008)

4. The Millennium Development Goals Goal 4: Reduce child mortality Goal 5: Improve maternal health Target 5a: Reduce by three quarters the maternal mortality ratio Target 5b: Achieve, by 2015, universal access to reproductive health

5. WHERE ARE WE? SFGH- 2006-2010 Birth Rate Maternal Deaths 2006 -5351 0 2007 -5004 2 2008 - 5258 0 2009 - 5000 1 2010 - 4839 0

6. WHERE ARE WE? How do women access care? Type of care offered? Role of the Midwife?

7. WHAT IS OUR ROLE? FIVE (5) KEY ROLES OF THE MIDWIFE: 1.To work in partnership with women to provide support 2.To counsel women, their families and the wider community. 3.To give care and advice during pregnancy, labour and the postpartum period 4.To provide care for the newborn and the infant

8. Midwives Roles cont’d 5.A wider role in health education TOPICS / AREAS may include: i.Pre-conception workshops/ lectures ii.Antenatal education Preparing for parenthood iii.Women’s health issues Including sexual or reproductive health iv.Child care

9. TOPICS / AREAS cont’d v.Health Education in the Community vi.HIV/AIDS testing and counselling vii.Dietary Advice viii.Home care service (ambulance )

10. CARE MAY INCLUDE: 1.preventative measures 2.promoting a normal birth 3.detecting any complications in the mother and/or her baby 4.accessing medical care or other appropriate assistance 5.carrying out emergency measures.

11. The Three (3) KEY ROLES of a MIDWIFE 1.Practitioner 2.Partner 3.Leader

12. LOCAL DIALOGUE

13. OVERCOMING CHALLENGES WHAT CHALLENGES? -Staff Shortages -Poor Infrastructure -Outdated, insufficient equipment -Little or no opportunities for CPD -Insufficient funding -Poor Public Image

14. HOW? MIDWIFERY LED CARE SHARED CARE COMMUNITY BASED CARE CASELOAD MIDWIFERY EDUCATION & TRAINING

15. The 7-Point-VISION 1.To follow women and their families through from booking to parenthood 2.To learn to carry a caseload 3.To work more closely and in partnership with the Obstetricians

16. THE VISION 4.To become adept at community mapping by using data to analyse the characteristics of their locality 5.To audit practice routinely 6.To become confident in their clinical judgements and decision-making

17. THE VISION 7. Education and Training

18. LOCAL DIALOGUE LOCAL DIALOGUE IN MIDWIFERY CARE THANK YOU Q & A