DEVELOPMENTOFMIDWIFERY

DEVELOPMENT OF MIDWIFERY
CURRICULUMMAP

Biran Affandi

DepartmentofObstetricsandGynecology
FacultyofMedicine,UniversityofIndonesia/
y , y /
Cipto Mangunkusumo GeneralHospital
Jakarta
 Objectives
j
1. Midwife,TraditionalBirth
Attendant(Dukun)and
Obstetrician ?
Obstetrician?
2. To review Midwifery
2.ToreviewMidwifery
Education/Training
3.Torecommendadevelopmentof
midwifery curriculum map
midwiferycurriculummap
 InternationalConfederationofMidwives
World Health Organi ation/International Federation of G necolog and Obstetrics
WorldHealthOrganization/InternationalFederationofGynecologyandObstetrics

Amidwifeisapersonwho,havingbeenregularly
admittedtoamidwiferyeducationalprogramthat
d i d id if d i l h
isdulyrecognisedinthecountryinwhichitis
l
located,hassuccessfullycompletedtheprescribed
d h f ll l d h ib d
courseofstudiesinmidwiferyandhasacquired
therequisitequalificationstoberegisteredand/or
h ii lifi i b i d d/
legallylicensedtopracticemidwifery.
Theeducationalprogrammaybean
apprenticeship,aformaluniversityprogram,ora
combination
 Definition
A
Amidwifeisapersonwho,havingbeenregularly
id if i h h i b l l
admittedtoamidwiferyeducationalprogramme,
du y ecog ed t e cou t y
dulyrecognizedinthecountryinwhichitislocated,
c t s ocated,
hassuccessfullycompletedtheprescribedcourseof
studiesinmidwiferyandhasacquiredtherequisite
q alifications to be registered and/or legall
qualificationstoberegisteredand/orlegally
licensedtopractise midwifery.
Shemustbeabletogivethenecessarysupervision,careandadvicetowomenduringpregnancy,labour and
the postpartum period to conduct deliveries on her own responsibility and to care for the newborn and the
thepostpartumperiod,toconductdeliveriesonherownresponsibilityandtocareforthenewbornandthe
infant.Thiscareincludespreventativemeasures,thedetectionofabnormalconditionsinmotherandchild,the
procurementofmedicalassistanceandtheexecutionofemergencymeasuresintheabsenceofmedicalhelp.
Shehasanimportanttaskinhealthcounselling andeducation,notonlyforthewomen,butalsowithinthe
familyandthecommunity.Theworkshouldinvolveantenataleducationandpreparationforparenthoodand
e te ds to ce ta a eas of gy aeco ogy, fa y p a
extendstocertainareasofgynaecology,familyplanningandchild.Shemaypracticeinhospitals,clinicshealth
g a d c d. S e ay p act ce osp ta s , c cs ea t
units,domiciliaryconditionsorinanyotherservice.

JointlydevelopedbytheInternationalConfederationofMidwives,theInternationalFederationofGynaecology andObstetrics.
AdoptedbytheInternationalConfederationofMidwivesCouncil1972,AdoptedbytheInternationalFederationofGynaecology andObstetrics1973,LateradoptedbytheWorldHealth
Organization.
AmendedbytheInternationalConfederationofMidwivesCouncil,KobeOctober1990,AmendmentratifiedbytheInternationalFederationofGynaecology andObstetrics1991andthe
WorldHealthOrganization1992.
 Whatisamidwife?
Amidwifeistheprimary
careproviderforawoman
andherbabythroughout
d h b b th h t
pregnancy birth and for six
pregnancy,birthandforsix
weeksafterthebirth.
MidwiferyEducationProgramme
Midwifery Education Programme
LaurentianUniversity
 Traditionalbirthattendants
(Dukun)
Oftenhavelittleornoformaleducationandhave
y
learnedwhattheyknowaboutbirtheitherfrom
othertraditionalbirthattendantsand/orby
g , g ,
attendingthebirthsoftheirfriends,neighbors,
andrelatives.
Theyattendbirthsinwomen
They attend births in women'sshomes,andoften
homes, and often
donothavetheknowledge,skills,orsupplies
necessary in some births.
necessaryinsomebirths.
 Womenbecometraditionalbirth
attendantsinavarietyofways
d i i f
A
Alotofcultureshaveatraditionoftraditional
lot of cultures have a tradition of traditional
midwives.
Theyhaveacallingtobeamidwifebecause
They have a calling to be a midwife because
someoneintheirfamilywasatraditionalmidwife.
y y pp
Theyaretoldindreamsthattheyaresupposedto
bemidwives.
Someofthemarejustcaughtinasituationwhere
f j g
theyhavetodoadeliverybecausenooneelseis
there.Theylatercontinuetoattendbirthsafter
thatoneexperience.
 Midwives
Areautonomouspractitionerswhoarespecialistsin
normal pregnancy, childbirth and the postpartum. They
normalpregnancy,childbirthandthepostpartum.They
generallystrivetohelpwomenhaveahealthy
pregnancyandnaturalbirthexperience.
Arealsoprimarycaregiversprovidinggeneralwomen's
healthcare.
Aretrainedtorecognizeanddealwithdeviationsfrom
thenorm.
Aretrainedtohandlecertainsituationsthatare
consideredabnormal,includingbreechbirthand
posteriorposition,usingnoninvasivetechniques.
 Obstetricians
Are
Arespecialistsinillnessrelatedtochildbearingand
specialists in illness related to childbearing and
insurgery.
Themidwives&Obstetricianscanbe
The midwives & Obstetricians can be
complementary,butoftenareatoddsbecause
obstetricians are taught to "actively
obstetriciansaretaughtto activelymanage
manage"
labor,whilemidwivesaretaughtnottointervene
unlessnecessary. y
Midwivesrefertoobstetricianswhenawoman
q y p
requirescarebeyondherorhisareasofexpertise.
Inmanyjurisdictions,theseprofessionswork
togethertoprovidecaretochildbearingwomen.
STANDARDSINMIDWIFERYEDUCATION
STANDARDS IN MIDWIFERY EDUCATION.

INPUT PROCESS OUTPUT OUTCOME

Qualityof Qualityof Qualityof Qualityof

new
e teaching
g ggraduate professional
p
enrollment and work
learning
 INPUT RECRUITMENT
P
R
O
LOGBOOK

C EDUCATION MonEv
EDUCATION M E
E
S
S
NATIONAL EXAMINATION
NATIONALEXAMINATION
OUTPUT WRITTEN
ORAL
 Standard,whatisit?
CConsensusonminimumrequirements
i i i t
Shouldincludedirectionsforquality
q y
development
Mustbetestedinevaluationstudies
M tb t t di l ti t di
Amatterofspecificconduct&intentional
p
planning
Mustbeclearlydefined,meaningful,
Must be clearly defined meaningful
appropriate,relevant,measurable,
achievable&acceptedbyusers
PLAN OF ACTION
ACTIVITIES OBJECTIVES MEETING TIME PRODUCT
1.COREGROUP TODRAFT Meetings .. Dec2010 DraftSME
MEETINGS STANDARDOF
MIDWIFERY
MIDWIFERY
EDUCATION(SME)
2.MEETING Todiscuss&to SEMINAR January2011 WORKING
WITHstake have consensus GROUP
holders ondraft1SME Jobdescription
(Depkes, Timetable
Diknas,IBI,IDI,
AKBID etc)
AKBID,etc)
3.FOLLOWUP DRAFT2 WORKSHOP Mar2011 DRAFTISME
ofActivity1
4 Mar
4. Mar Ap2011)
Ap2011):INPUTS&COMMENTS
: INPUTS & COMMENTS
INTERNALDISCUSSIONAMONGSTAKEHOLDERS
5.MEETING MOREINPUT CONFERENCE Ap2011 REVISED
WITHALL DRAFTISME
STAKE
HOLDERS
6.EDITING DraftIISME(Ap May2011) FINALDRAFT
 Accreditation
Aprocessthatreferstoreviewofeducational
p g
programsagainstcertainstandards.
g
Programsareaccredited,whileindividual
midwives are licensed and certified
midwivesarelicensedandcertified.
Theaccreditingprocessinvolvesareviewof
certainwritteninformation,aselfstudy,asite
visit to the educational program, and
visittotheeducationalprogram,and
thoughtfulconsiderationoftheinformation
by a review committee
byareviewcommittee.
 Whatisthepurposeandfunctionof
accreditation?
dit ti ?
"provid[ing]assurancetothepublicthat
accredited institutions and programs
accreditedinstitutionsandprograms
meetorexceedestablishedpublic
expectations(standards)ofquality."
t ti (t d d ) f lit "

The Council for Higher Education Accreditation (CHEA)

TheCouncilforHigherEducationAccreditation(CHEA)
 Summary&Conclusion
y
1. Themidwiferyeducationhad
developed
2 TheremustbeStandardson
2. Th t b St d d
midwifery education followed by
midwiferyeducationfollowedby
implementation&accreditatio
3. Thereisaneedtoestablish
Indonesian College of Midwives
IndonesianCollegeofMidwives