• Midwifery should be separate from nursing, says IIM-A study
     August 25th, 2012     Kunal     Posted in Education In Gujarat, Gujarat in News

    Midwifery should be treated as an independent profession instead of including it under the nursing umbrella, says a study by the Indian Institute of Management, Ahmedabad (IIM-A). In order to understand the policy processes on the ‘Nurse practitioners in midwifery’ in Gujarat, a case study was conducted by Bharati Sharma, programme associate at the Centre for Management of Health Services at IIM-A along with Dileep Mavalankar, professor (on leave) at IIM-A and director, Indian Institute of Public Health, Gandhinagar.

    The study Health policy processes in Gujarat: A case study of the Policy for Independent Nurse Practitioners in Midwifery says that midwives feel the need for a separate identity with a clear job description. The study was conducted on 38 students of the first batch of Nurse Practitioners in Midwifery course, a course introduced by Gujarat government.

    The students were from Ahmedabad, Bhavnagar and Vadodara districts of Gujarat.

    Out of the 38 students, eight participants reported that they did not manage normal childbirth in their work settings as many were given other routine nursing duties.

    “Twenty one of the participants mentioned the need for a separate identity as midwives, with a clear job description and scope of practice, and better compensation compared to staff nurses,” said the study.

    The study suggests that while Gujarat has experimented with many innovations for improving maternal and child health, midwifery should not be taught as a specialization of nursing.

    “More than half of the participants (53%) felt they needed more education as they were undecided about the adequacy of programme to cover everything they needed at their work situations as midwives,” the study said.

    More than 90% of the batch was confident in most of the skills required for normal labour. Yet, according to the study, the participants have gone back as staff nurses to their health facilities in spite of learning new skills.

    “The competence to manage first level complications is arguably the basic difference between the staff nurses who also perform normal childbirth and the NPMs. This one year course is supposed to develop this competence,” the study said.