Midwifery Knowledge: Pregnancy, Labor, and Postpartum in Hospitals

Midwifery Knowledge and Skills in Normal Pregnancy, Labor, Birth and Postpartum in Hospital Settings 1) Responsibilities of Midwives in the Health Service System A midwife must be able to maintain her responsibilities in her service. Midwives' responsibilities in the service system include: 2) Responsibility for statutory regulations Midwife practice activities are contracted by these regulations. Midwives must be able to be accountable for their duties and activities in accordance with applicable laws and regulations. 3) Responsibility for competency development Every midwife has the responsibility to maintain her professional abilities. Therefore, midwives must always improve their knowledge and skills by attending training, continuing education, seminars and other scientific meetings. 4) Responsibility for keeping obstetric records Each midwife is required to document her activities in the form of written notes. Midwives' records regarding the patients they serve can be held accountable if a lawsuit occurs. Notes taken by midwives can be used as report material to submit to their superiors. 5) Responsibility towards the families served Midwives have an obligation to provide care to mothers and children who ask for help. Mother and child are part of the family. Therefore, midwife activities are closely related to the family. The midwife's responsibility is not only for the health of the mother and child, but also for the health of the family. Midwives must be able to identify family problems and needs and provide services appropriately and according to family needs. Services that require safety, satisfaction and happiness during pregnancy or childbirth. Therefore, midwives must mobilize all their knowledge, attitudes and behavior in providing health services to families in need. 6) Responsibility towards the profession Midwives must accept their professional responsibilities. Therefore, she must comply and play an active role in carrying out midwifery care in accordance with her authority and professional standards. 7) Job Description of Midwives in Hospitals Midwives must participate in the activities of midwife organizations and official midwifery bodies. To develop their professional skills, midwives must seek information about developments in midwifery through the mediamidwifery, seminars and other scientific meetings. All midwives must be members of a midwife organization. Midwives have the right to express their voices and opinions regarding their profession. 8) Job description of the Executive Midwife in the delivery room Main Duties: Carrying out Midwifery Care in the Maternity Room Job Description: - Carry out the handover of duties to the replacement officer verbally or in writing, at the time of change of service. - Prepare facilities and environment for smooth service and make it easier for patients to receive services. - Carry out aseptic and antiseptic techniques - Receive patients who are about to give birth or procedures related to obstetrics and gynecology, according to the procedures and policies applicable in the hospital - Assessing the patient's needs and health problems, according to the limits of his or her abilities, by means of; carry out an anamnesis, carry out an examination which includes: a) Physical examination b) Obsteric examination & inspection & Palpation & examination (nature) c) Carry out emergency measures before the doctor arrives according to the patient's circumstances and needs, including: d) Bleeding during pregnancy e) Pregnancy poisoning f) Then immediately report the actions that have been taken to the doctor in charge of the patient. - Help refer patients to hospitals that have more complete health facilities. - Provide birth guidance according to the patient's condition and needs. - Providing assistance with normal childbirth - Carrying out midwifery procedures according to the limits of ability - Caring for and researching newborns, and recording their identities - Moving the mother and baby to the treatment room is accompanied by verbal and written instructions for nursing actions and subsequent treatment programs - Monitor and assess the patient's condition regarding; Childbirth process, condition of the baby, condition of the placenta, bleeding after delivery