Aims:

To facilitate discussion about midwifery in New Zealand

To employ Elluminate as a means of online conferencing to encourage international networking and collaboration

Your hosts:

Carolyn McIntosh

&

Sarah Stewart

Midwifery in New ZealandMidwifery in New Zealand

1. Introductions

2. Ten-minute presentation about NZ midwifery

3. Questions and discussion

Maternity systemMaternity system

Population-just over 4 millionPopulation-just over 4 million 59,000 birth 200659,000 birth 2006 Free maternity careFree maternity care Every woman has LMCEvery woman has LMC Approx. 80% women have midwife LMCApprox. 80% women have midwife LMC LMC paid by government-modules, self-employedLMC paid by government-modules, self-employed Conception-6 weeks post partumConception-6 weeks post partum May change LMCMay change LMC

LMC midwivesLMC midwives

Provides:Provides:– Home/clinic visitsHome/clinic visits– PrescribesPrescribes– Screening testsScreening tests– Referral to other health Referral to other health

professionalsprofessionals– Cannualtion/perineal suturingCannualtion/perineal suturing– Neonatal checks Neonatal checks

Each woman must have care planEach woman must have care plan Works to Section 88 requirements & ‘guidelines for referral’Works to Section 88 requirements & ‘guidelines for referral’ Home birth 1-10%Home birth 1-10%

Core midwivesCore midwives

Staff primary/secondary/tertiary birthing Staff primary/secondary/tertiary birthing facilitiesfacilities

Support to LMCSupport to LMC In-patient women In-patient women

whose care has been whose care has been

transferred from LMCtransferred from LMC Post natal in-patients Post natal in-patients

Education Education

3 year direct entry3 year direct entry 11stst year- 20% clinical, 80% theory year- 20% clinical, 80% theory 22ndnd year-50/50% year-50/50% 33rdrd year-20% theory, year-20% theory,

80% clinical 80% clinical PostgraduatePostgraduate

On-going competencyOn-going competency

Annual practicing certificateAnnual practicing certificate Yearly neonatal and maternal resuscitationYearly neonatal and maternal resuscitation 3 yearly BF update &3 yearly BF update &technical skills workshoptechnical skills workshop Yearly standards reviewYearly standards review PortfolioPortfolio Points:Points:40 elective education40 elective education30 professional development30 professional development

Challenges for NZ midwivesChallenges for NZ midwives

Maintenance of competencyMaintenance of competency Recruitment & retention-’elderly’ midwives Recruitment & retention-’elderly’ midwives Increasing medicalisationIncreasing medicalisation Loss of midwifery skills-Loss of midwifery skills-

23% C/S rate23% C/S rate LitigationLitigation

Resources Resources

New Zealand College of MidwivesNew Zealand College of Midwiveswww.midwife.org.nzwww.midwife.org.nz

Midwifery Council of New ZealandMidwifery Council of New Zealandwww.midwiferycouncil.org.nzwww.midwiferycouncil.org.nz

Sarah’s blogSarah’s bloghttp://sarah-stewart.blogspot.comhttp://sarah-stewart.blogspot.com Carolyn’s blogCarolyn’s bloghttp://mymidiblog.blogspot.comhttp://mymidiblog.blogspot.com