This occupation is present in a variety of healthcare settings providing completely different fashions of care. Most midwives are employed by the NHS whereas others work within the non-public sector, social enterprise or independently. A midwife may go locally similar to in a lady’s dwelling, neighborhood hubs, GP surgical procedures, clinics, midwife-led items and delivery centres or in hospital maternity items. Which means that they often work shifts together with evenings, weekends and nights and could also be on-call to supply 24-hour care.

The broad function of the occupation is to be the primary and foremost contact for a girl, her companion and household. Recognised as a accountable and accountable skilled, the midwife acts as an advocate for the girl, working in partnership along with her and giving the required assist, care and recommendation throughout being pregnant, labour and the postnatal interval. Midwives are lead co-ordinators of care in addition to the primary level of contact for a girl, her child and household. They provide assist, care and recommendation and are answerable for facilitating births and offering take care of the new child. Midwives are specialists in regular physiological delivery and in supporting the girl by way of all delivery outcomes. The personalised care they supply contains preventative measures, the detection of issues in mom and child, the promotion of regular delivery, the accessing of medical care or different applicable help and the finishing up of emergency measures. The midwife has an vital function in public well being, providing well being counselling, prevention and schooling, not just for the girl, but in addition throughout the household and the neighborhood. This work entails antenatal schooling and preparation for parenthood and will lengthen to a lady’s well being, sexual or reproductive well being. A midwife gives full antenatal take care of the girl, finishing up scientific examinations and screening. They provide antenatal and parenting lessons to assist the girl, her companion and household put together for labour, the delivery of the newborn and take care of the newborn as soon as born. The midwife displays and helps the girl, her companion and household throughout labour and delivery, serving to the girl to delivery her child and assessing each the girl’s and the newborn’s general well being and wellbeing. Midwives can determine complicated pregnancies and know when to confer with others or search applicable assist. They’re able to supply data steerage and assist round points similar to stillbirth, miscarriage, termination, neonatal loss of life or different issues. Following delivery midwives supply assist for toddler feeding and postnatal care and will refer the girl to different providers as required.

Of their day by day work, an worker on this occupation interacts with ladies and households from a variety of backgrounds. Midwives must have glorious communication abilities to assist the girl, her companion and household by way of the emotional, bodily and psychological means of childbirth. Midwives are a part of the broader well being and social care inter-disciplinary, multi-disciplinary and inter-agency crew, working in partnership with colleagues as required. A midwife should have glorious situational consciousness and information of different human elements.

An worker on this occupation will likely be answerable for offering care throughout being pregnant, labour and the postnatal interval.  A midwife will take care of various ladies and supply continuity of care and carer. Midwives are accountable and accountable autonomous practitioners who present lady and household centred built-in care. Midwives are advocates for ladies, enabling them and their households to make knowledgeable decisions concerning the choices and providers out there all through being pregnant, labour and post-natal interval. The midwife is answerable for the well being of each the mom and child and refers to others if there are medical, social, safeguarding points or different issues. Midwives are regulated by the Nursing and Midwifery Council (NMC) and are answerable for their very own follow and for maintaining updated with present information and abilities.

Entry necessities to the apprenticeship are set domestically by particular person employers. Apprentices may even want to satisfy the entry necessities set by the college and the NMC.

KSBs

Data


K1: Related authorized, regulatory, and governance necessities, insurance policies, and moral frameworks together with any necessary reporting duties and differentiations between the devolved legislatures of the UK
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K2: The continuum of care, the significance of safeguarding, the human rights of girls and new child infants, ladies’s sexual and reproductive rights together with how and when to boost considerations
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K3: The scope of their very own function together with the extent and limits of personal competence, methods to handle stress and resourcefulness and the significance of sustaining secure and efficient follow regardless of the state of affairs
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K4: The rationale that influences their very own judgements and choices, recognising, reflecting on and addressing any private and exterior elements that will unduly affect their very own decision-making in routine, complicated, and difficult conditions
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K5: The skilled accountability to keep up the extent of non-public well being, health, and wellbeing required to satisfy the wants of girls, new child infants and households for psychological and bodily care
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K6: The best way to critically analyse and interpret analysis proof, native, nationwide, and worldwide information and experiences and the way they inform resolution making and finest follow
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K7: When and problem and escalate considerations and de-escalate conditions, taking account of the views and choices made by others
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K8: The significance of continuity of care and carer and the affect it has on ladies, new child infants and their households
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K9: The significance of being compassionate and appearing in a non-discriminatory method that respects variety and upholds the rights, dignity and autonomy of others
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K10: The well being and social care system, the rules of sustainable healthcare, the other ways of organising care, the vary of settings for maternity care, the roles of various professions, groups and companies and the affect these have on ladies, new child infants, companions and households
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K11: The significance of common midwifery care together with methods of figuring out and reaching out to ladies who might discover it troublesome to entry providers, and adapt care provision to satisfy their wants
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K12: The bodily, psychological, social, cultural, and non secular context during which ladies and their households stay and the way it informs their wants and preferences
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K13: The necessity to work with different professionals, companies, and communities together with the significance of woman-centred care plans and the necessity for correct and well timed information
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K14: The significance of common take care of all ladies, fetuses and new child infants, the affect it has on them, the other ways to supply care that’s applicable to every lady and methods to keep away from and scale back trauma the place potential
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K15: The significance of knowledgeable consent, the girl’s proper to say no consent and methods to supply applicable care and assist in these cases
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K16: Ladies’s relationships, particular person household circumstances and the way it might affect on choices about her care and the care of the new child toddler
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K17: The significance of privateness, dignity, security and wellbeing together with methods to supply a welcoming surroundings for the girl, companion/delivery companion, and household, and to create the circumstances wanted for the delivery and subsequent care to be as light as potential for the new child toddler
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K18: The rules of an infection prevention and management, communicable illness surveillance, and antimicrobial resistance and stewardship
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K19: Anatomy, physiology, genetics, genomics, epigenetics and psychology and the way it informs the evaluation, planning and provision of take care of the girl and new child toddler
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K20: The measures, checks and checks wanted to supply secure and efficient care to ladies together with switch of care
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K21: Modifications to psychological, behavioural, and cognitive elements throughout being pregnant, labour, delivery and the postnatal interval, toddler feeding and relationship constructing, the transition to parenthood and optimistic household attachment
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K22: The girl’s on a regular basis life and the significance of selling public well being, encouraging prevention, supporting well-being throughout the life course and sharing details about care appropriately.
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K23: The vary of things affecting ladies, new child infants, companions, and households and the affect these elements might have, their determinants and methods to mitigate well being and social care inequalities and psychological well being points
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K24: Historic and social developments and developments, cultural and media influences on public {and professional} understanding and the way these might affect particular person attitudes
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K25: The best way to recognise safeguarding points and the dangers to public safety and high quality of care together with escalate considerations in keeping with native/nationwide pointers
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K26: The significance of human milk and breastfeeding to public well being and well-being, and shield, promote and allow breastfeeding with the girl, her companion and household
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K27: The significance of selling, supporting and defending breastfeeding in all settings and the problems, dilemmas and difficulties that girls face when feeding their new child toddler together with new child infants receiving neonatal care
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K28: The best way to assist and supply guardian schooling and preparation for parenthood to people and teams, providing recommendation regarding areas similar to immunisation, toddler feeding (each breast and system) meals security, weight administration, train, sexual and reproductive well being
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K29: The significance of basing care on particular person ladies’s wants, views, preferences, and choices, and dealing to strengthen ladies’s personal potential to take care of themselves and their new child toddler
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K30: The psychological, behavioural, and cognitive elements that have an effect on adolescents, adults and new child infants and the modifications that happen through the childbirth continuum
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K31: The significance of planning care that’s responsive and displays the preferences and desires of the person lady, fetus and new child toddler
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K32: Nationwide screening and diagnostic checks for ladies, fetuses and new child infants and related moral dilemmas
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K33: The significance of and methods to encourage reciprocity between the girl, her companion and the new child toddler and their potential to reply to cues for closeness, love, consolation and feeding
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K34: The physiology and psychology of lactation
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K35: The implications of the several types of toddler feeding together with system feeding and their affect on well being
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K36: Regular physiological processes at every stage of being pregnant, labour and delivery, widespread signs and issues and methods to anticipate and take care of them
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K37: How elements within the care surroundings can affect on regular physiological processes and the way the midwife can work to advertise and shield an energetic, optimistic and secure surroundings
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K38: Regular labour and evidence-based methods to securely conduct a delivery while acknowledging the girl’s particular person circumstances and preferences
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K39: The fast and ongoing assessments that have to be made upon the girl and new child toddler at and after delivery, together with methods to interpret the findings and take applicable actions on findings together with working in collaboration with the neonatal crew
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K40: When extra care or assist is required and seek the advice of and make referrals for extra care or assist wants when crucial for circumstances similar to feminine genital mutilation, urinary incontinence, surrogacy or adoption and caesarean part.
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K41: The vary of medical and surgical interventions related to being pregnant and the childbearing continuum
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K42: Information on native, nationwide, and worldwide prevalence and threat to develop information and consciousness of issues and extra care wants that will have an effect on ladies, new child infants, and households
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K43: Pre-existing, present and rising issues and extra care wants that have an effect on the girl or her new child toddler, together with their potential affect on the girl’s well being and wellbeing, and the flexibility to recognise and supply any care, assist or referral which may be required because of any such issues or wants similar to working in collaboration with the neonatal crew when finishing up transitional care
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K44: Present finest follow for managing issues and extra care wants of girls, new child infants, companions and households together with people who might relate to bodily, psychological, social, cultural, and non secular elements
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K45: The escalation coverage inside your personal organisation together with when and who to confer with for routine and emergency conditions
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K46: A midwife’s skilled accountability for working in partnership with ladies to make sure the secure administration of medicines
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K47: Pharmacology and the rules of secure and efficient administration of treatment
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K48: Proof-based strategies for ache administration together with consolation measures, non-pharmacological and pharmacological strategies
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K49: The assorted procedural routes below which medicines might be prescribed, equipped, disbursed, administered, saved and disposed of and the legal guidelines, insurance policies, rules and steerage that underpin them
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K50: Regular, antagonistic and irregular reactions to drugs, the affect of those and methods to handle signs and escalate considerations as required
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K51: The affect of medicines on the girl, the fetus, new child toddler, in breast milk and on the breastfed toddler
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K52: Methods to securely administer medicines and intravenous fluids, transfusion of blood and blood merchandise together with in an emergency
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K53: The best way to determine and work in collaboration with related providers, multi-professional and multi-agency groups to supply continuity of care and carer
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K54: The significance for ladies and new child infants of being thought-about collectively in all settings to allow contact, skin-to-skin/kangaroo care, reciprocity and applicable feeding supporting ladies who’re separated from their new child infants and enabling contact with the new child toddler to maximise the time they will spend collectively
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K55: Palliative, postmortem and post-discharge providers required for ladies and/or households experiencing being pregnant loss, neonatal or maternal loss of life, bereavement, perinatal loss or maternal loss of life with assist with lactation suppression, postmortem examination, registration of loss of life and funeral preparations.
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K56: Trauma and its affect on bodily and psychological well being and well-being
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K57: The significance of maintaining updated, reflection, ongoing skilled and private growth and incorporating modifications to personal follow and behavior together with performing delegated duties
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K58: The significance of midwives’ consciousness of and contribution to the information base for follow and coverage similar to by way of analysis, audit and repair analysis, engagement and session
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K59: Why inter-disciplinary, multi-disciplinary crew and multi-agency working and studying issues acknowledging the management function of the midwife
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K60: The rules of human elements, environmental elements, and strength-based approaches when working with colleagues
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K61: Methods to handle vulnerability in self and others together with reflection, in search of assist, strength-based approaches and compassionate self-care
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K62: The significance of growing efficient enchancment methods for high quality, security and alter, and sharing suggestions and studying from optimistic and antagonistic outcomes and experiences
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K63: The significance of delegation protocols and managing, escalating and reporting on considerations and de-escalating battle
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K64: A variety of communication strategies and media together with the necessity for confidentiality and software of knowledge governance
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K65: The applying of updated, related and correct data
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K66: The significance of offering culturally delicate and person-centred care and data throughout the continuum of take care of all ladies, their companions and households to make knowledgeable choices and the significance of correct report maintaining
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K67: The significance of enabling ladies, their companions and households to make knowledgeable choices
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K68: The significance of participating successfully with others to construct belief and develop a relationship together with methods to handle troublesome conversations about doubtlessly delicate points and choices
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K69: The significance of report maintaining through a variety of strategies and its implications for communication
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K70: When and advocate for ladies and new child infants who’re susceptible on account of bodily, psychological, social, cultural, or non secular circumstances
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K71: Methods to advocate for ladies when their choices are outdoors of scientific steerage enabling and advocating for his or her human rights, views, preferences and choices
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Expertise


S1: Act in accordance with related authorized, regulatory, and governance necessities, insurance policies, and moral frameworks to supply common midwifery care
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S2: Act in the perfect pursuits of girls and new child infants always throughout the continuum of care, selling and enabling secure bodily, psychological, social, cultural, and non secular care
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S3: Apply the resourcefulness, and suppleness wanted to work as an accountable, autonomous {and professional} midwife in all conditions together with aggravating and troublesome ones by growing methods that contribute to secure and efficient follow
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S4: Apply evidence-based follow to resolution making
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S5: Apply the rules of compassionate care, braveness, integrity, transparency, and the skilled obligation of candour, recognising, reporting any conditions, behaviours, or errors and escalating considerations
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S6: Act as an envoy, uphold public belief and promote confidence in midwifery and well being and care providers
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S7: Be accountable and autonomous in offering midwifery care and assist throughout the continuum of care
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S8: Present and promote non-discriminatory, respectful, compassionate, and sort common care that takes into consideration any want for changes
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S9: Present continuity of carer throughout the continuum of care for ladies and new child infants with and with out issues and extra care wants
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S10: Inform, assist, and help in assembly ladies’s wants and preferences
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S11: Coordinate care throughout the wider inter-disciplinary, multi-disciplinary and multi-agency groups, arranging a seamless switch of care and selling continuity of care and carer
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S12: Inform and replace inter-disciplinary, multi-disciplinary and multi-agency colleagues about modifications in care wants and care planning, updating information accordingly
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S13: Take care of and assist the girl, fetus and new child toddler throughout the continuum of care guaranteeing security and well-being, optimising the traditional processes of copy and formative years, avoiding and lowering trauma the place potential
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S14: Search knowledgeable consent from the girl for herself and/or her companion in relation to the new child toddler
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S15: Contain ladies in evaluation, planning and evaluating their very own care and that of their new child toddler, selling her confidence in her personal physique, well being and well-being
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S16: Assess the surroundings to maximise security, privateness, dignity, optimising regular physiological processes and well-being
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S17: Apply an infection prevention and management procedures, following native and nationwide insurance policies and protocols
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S18: Have interaction ladies, companions, and households in understanding and making use of rules of an infection management and antimicrobial stewardship
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S19: Undertake applicable examinations and assessments to supply care for ladies and new child infants, utilizing technological aids the place applicable
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S20: Implement applicable responses and choices together with responding to deviations from regular physiological processes and selection of fatherland
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S21: Assess, promote, and encourage the event of the mother-newborn toddler relationship, and alternatives for attachment, contact, interplay, psychological wellbeing and relationship constructing between the ladies, new child toddler, companion and household
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S22: Share data on public well being, well being promotion and safety with ladies, empowering them to make choices, and facilitating entry to sources and providers
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S23: Assess, interpret, report, and supply tailor-made data and entry to sources or community-based providers for ladies and households that promote their bodily, psychological, social well being and wellbeing
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S24: Share data and entry to sources and providers for ladies and households in regard to violence, abuse, poverty homelessness, refugees, victims of trafficking and safeguarding, appearing appropriately and elevating considerations as required
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S25: Share data with ladies and households about nationwide and native data and networks which can be out there to assist ladies within the continuation of breastfeeding
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S26: Share data with ladies and households about nationwide and native data and networks which can be out there to assist ladies in secure and responsive system feeding the place applicable
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S27: Present guardian schooling that’s knowledgeable by present proof on public well being promotion methods and finest follow
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S28: Work with different professionals, companies, and communities to advertise, assist and shield breastfeeding, together with neonatal ward and different settings encouraging pores and skin to pores and skin / kangaroo care, enabling the new child to obtain human milk if wanted
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S29: Contain the girl within the evaluation, planning and analysis of their very own care, selling well being and well-being, recognising the variety of particular person circumstances and the girl’s personal experience of any pre-existing circumstances together with psychological well being points, studying and bodily disabilities
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S30: Conduct holistic assessments of bodily, psychological, social, cultural, and non secular well being and well-being of the girl and the new child toddler throughout the continuum of care, involving her companion and household as applicable
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S31: Plan and supply individualised, culturally delicate evidence-based care
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S32: Supply and conduct screening programmes, interpret, and report findings in being pregnant, throughout labour, at delivery and within the postnatal interval for the girl, fetus and new child toddler together with psychological well being, behaviour, emotional wants and people within the prison justice system
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S33: Observe, assess, and promote the girl’s, and companion’s response to the new child toddler and skill to reply to cues for closeness, love, consolation and feeding
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S34: Assess, observe and supply assist on all facets of toddler feeding together with system feeding
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S35: Implement care that optimises regular physiological processes throughout the continuum of care, manages widespread signs and issues, anticipates and prevents issues
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S36: Use evidence-informed physiological and energetic strategies as applicable to securely handle all levels of labour and delivery, encouraging mobility and optimum positions
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S37: Information and assist the girl as she offers delivery, utilizing evidence-based approaches to securely conduct the delivery, and in search of to keep away from and scale back trauma the place potential, whereas responding to the girl’s personal preferences
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S38: Conduct an instantaneous evaluation of the new child toddler at delivery and after delivery, deciphering, recording and appearing appropriately on findings together with working with the working in collaboration with the neonatal crew
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S39: Conduct a full systematic bodily examination of the new child toddler in keeping with native and nationwide evidence-based protocols
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S40: Conduct ongoing assessments of the well being and well-being of the new child toddler, involving the mom and companion as applicable, offering related explanations as required
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S41: Assess interpret and report the well being and well-being of the girl postnatally
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S42: Contain the inter-disciplinary, multi-disciplinary and multi-agency crew the place applicable, consulting and making referrals for extra care or assist wants as required for circumstances similar to feminine genital mutilation incontinences, surrogacy or adoption and caesarean part
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S43: Present midwifery care for ladies and new child infants earlier than, throughout, and after medical and surgical interventions similar to epidural analgesia, anesthesia, fetal blood sampling, instrumental births, caesarean part and haemorrhage
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S44: Recognise issues and extra care wants similar to fertility, fetal growth, adaptation to life, the new child toddler, very early little one growth, feeding, the transition to parenthood and optimistic household attachment
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S45: Recognise and supply care, assist or referral which may be required because of any pre-existing, present and rising issues or care wants similar to working in collaboration with the neonatal crew when finishing up transitional care
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S46: Use proof and finest follow approaches to handle emergency conditions and reply to indicators of compromise and/or deterioration within the lady, fetus, and new child toddler to make scientific choices based mostly on the findings and act on these choices
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S47: Seek the advice of with, search assist from, and confer with different well being and social care professionals each in routine and emergency conditions
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S48: Use the rules of secure distant prescribing and instructions to manage medicines together with correct drug calculations, secure storage, transportation and disposal of medicinal merchandise
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S49: Safely provide and administer medicines listed within the midwives’ exemptions and different related laws
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S50: Work in partnership with the girl and multi-disciplinary crew to evaluate, plan and supply care and assist in regard to her expertise of and response to ache and her want for ache administration
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S51: Administer injections utilizing intramuscular, subcutaneous, intradermal and intravenous routes and handle gear required to manage medication safely
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S52: Recognise and reply to antagonistic or irregular reactions to drugs
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S53: Recognise the affect of medicines in breastmilk and assist the girl to proceed to responsively feed her new child toddler and/or to precise breastmilk
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S54: Collaborate successfully with multi-disciplinary groups and work in partnership with ladies to evaluate, present care and assist when emergency conditions or scientific issues come up to make sure the secure administration of medicines
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S55: Work collaboratively with ladies and the inter-disciplinary, multi-disciplinary or multi-agency crew to plan and implement midwifery care for ladies and new child infants requiring different providers, and assist ladies to entry these as wanted
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S56: Be sure that the wants of girls and new child infants are thought-about collectively as a precedence in all settings, encouraging fast skin-to-skin contact at delivery, even when ladies and infants should be cared for individually, supporting ladies who’re separated from their new child infants and enabling contact with the new child toddler to maximise the time they will spend collectively
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S57: Plan and implement midwifery care for ladies and/or companions and households following traumatic experiences, conveying respect, compassion and sensitivity when supporting ladies, their companions and households who’re emotionally susceptible, distressed and/or experiencing psychological well being points
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S58: Plan and implement compassionate, respectful, empathetic, dignified midwifery care for ladies and/or companions and households experiencing perinatal loss or maternal loss of life miscarriage, bereavement, perinatal loss or maternal loss of life with assist with lactation suppression, postmortem examination, registration of loss of life and funeral preparations
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S59: Be a reflective practitioner, dedicated to growing as a midwife, taking private accountability for ongoing studying and growth and for participating in schooling {and professional} growth alternatives and the emotions round optimistic and damaging suggestions
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S60: Maintain updated by figuring out, critically analysing, and deciphering analysis proof and native, nationwide, and worldwide information and experiences
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S61: Present management and function modelling together with the flexibility to information, assist, inspire, collaborate and share studying with and confer with inter-disciplinary, multi-disciplinary and multi-agency colleagues appropriately
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S62: Recognise and reply to indicators of non-public {and professional} vulnerability in themselves or their colleagues and take motion to minimise dangers
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S63: Work with inter-disciplinary, multi-disciplinary and multi-agency colleagues, advocacy teams and stakeholders to advertise and develop high quality or security enhancements and handle change
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S64: Present secure crew administration when supervising, supporting, instructing and delegating midwifery care
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S65: Use applicable and responsive communication with ladies, new child infants, companions, households and colleagues, respecting confidentiality
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S66: Entry oral, written and digital data together with printed proof, information and experiences to tell conversations with ladies, companions, and households
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S67: Conduct person-centred, delicate and compassionate conversations with ladies, their companions and households on ladies’s and youngsters’s well being throughout the life continuum of care
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S68: Contain the girl and her companion and household in discussions and choices about her care and the care of the new child toddler, at all times respecting the girl’s preferences and choices about who to contain and the extent of involvement and communication
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S69: Use evidence-based approaches to construct person-centred relationships with ladies, their companions and households that respect and allow their wants, views, preferences, and choices
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S70: Preserve constant, full, clear, correct, safe, and well timed information and responsibly share information inside groups and between companies
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S71: Act as an advocate to make sure that care continues to concentrate on the wants, views, preferences and choices of girls, and the wants of new child infants
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S72: Develop and preserve relationships with colleagues from the inter-disciplinary, multi-disciplinary and multi-agency crew
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Behaviours


B1: Deal with folks with dignity and respect
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B2: Be caring and compassionate
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B3: Have the braveness to talk up and problem appropriately
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B4: Be competent, dependable and dedicated
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B5: Show management qualities
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B6: Act in accordance with the Code: Skilled requirements of follow and behavior for nurses, midwives and nursing associates
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