This occupation is present in a spread 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 in the neighborhood comparable to in a girl’s house, group hubs, GP surgical procedures, clinics, midwife-led items and delivery centres or in hospital maternity items. Which means that they normally work shifts together with evenings, weekends and nights and could also be on-call to offer 24-hour care.

The broad objective of the occupation is to be the primary and fundamental contact for a girl, her associate 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 mandatory help, 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 help, care and recommendation and are answerable for facilitating births and offering look after the new child. Midwives are specialists in regular physiological delivery and in supporting the girl by means of all delivery outcomes. The personalised care they supply consists of 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 necessary function in public well being, providing well being counselling, prevention and schooling, not just for the girl, but additionally throughout the household and the group. This work includes antenatal schooling and preparation for parenthood and should prolong to a girl’s well being, sexual or reproductive well being. A midwife offers full antenatal look after the girl, finishing up medical examinations and screening. They provide antenatal and parenting courses to assist the girl, her associate and household put together for labour, the delivery of the child and the best way to look after the child as soon as born. The midwife displays and helps the girl, her associate and household throughout labour and delivery, serving to the girl to delivery her child and assessing each the girl’s and the child’s general well being and wellbeing. Midwives can determine complicated pregnancies and know when to consult with others or search applicable help. They can supply info steerage and help round points comparable to stillbirth, miscarriage, termination, neonatal loss of life or different issues. Following delivery midwives supply help for toddler feeding and postnatal care and should refer the girl to different providers as required.

Of their every day work, an worker on this occupation interacts with girls and households from a spread of backgrounds. Midwives must have glorious communication abilities to help the girl, her associate and household by means of the emotional, bodily and psychological technique 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 data of different human elements.

An worker on this occupation shall be answerable for offering care throughout being pregnant, labour and the postnatal interval.  A midwife will look after various girls and supply continuity of care and carer. Midwives are accountable and accountable autonomous practitioners who present girl and household centred built-in care. Midwives are advocates for ladies, enabling them and their households to make knowledgeable selections in regards to the choices and providers obtainable 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 retaining updated with present data and abilities.

Entry necessities to the apprenticeship are set domestically by particular person employers. Apprentices may also 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 obligatory 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 ladies and new child infants, girls’s sexual and reproductive rights together with how and when to lift 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 no matter the scenario
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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 which will unduly affect their very own decision-making in routine, complicated, and difficult conditions
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K5: The skilled duty to take care of the extent of private well being, health, and wellbeing required to satisfy the wants of ladies, new child infants and households for psychological and bodily care
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K6: Find out how to critically analyse and interpret analysis proof, native, nationwide, and worldwide knowledge and reviews and the way they inform determination making and greatest follow
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K7: When and the best way to 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 impression it has on girls, new child infants and their households
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K9: The significance of being compassionate and performing in a non-discriminatory method that respects range and upholds the rights, dignity and autonomy of others
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K10: The well being and social care system, the ideas of sustainable healthcare, the other ways of organising care, the vary of settings for maternity care, the roles of various professions, groups and businesses and the impression these have on girls, 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 girls who might discover it troublesome to entry providers, and the best way to adapt care provision to satisfy their wants
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K12: The bodily, psychological, social, cultural, and non secular context during which girls and their households dwell and the way it informs their wants and preferences
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K13: The necessity to work with different professionals, businesses, and communities together with the significance of woman-centred care plans and the necessity for correct and well timed data
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K14: The significance of common look after all girls, fetuses and new child infants, the impression it has on them, the other ways to offer care that’s applicable to every girl and methods to keep away from and cut back trauma the place attainable
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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 help in these cases
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K16: Ladies’s relationships, particular person household circumstances and the way it might impression 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 offer a welcoming surroundings for the girl, associate/delivery companion, and household, and to create the circumstances wanted for the delivery and subsequent care to be as light as attainable for the new child toddler
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K18: The ideas 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 look after the girl and new child toddler
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K20: The measures, exams and checks wanted to offer secure and efficient care to girls together with switch of care
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K21: Adjustments 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 girls, new child infants, companions, and households and the impression 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 tendencies, cultural and media influences on public {and professional} understanding and the way these might impression particular person attitudes
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K25: Find out how to recognise safeguarding points and the dangers to public safety and high quality of care together with the best way to escalate considerations according to native/nationwide pointers
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K26: The significance of human milk and breastfeeding to public well being and well-being, and defend, promote and allow breastfeeding with the girl, her associate 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 ladies face when feeding their new child toddler together with new child infants receiving neonatal care
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K28: Find out how to help and supply mother or father schooling and preparation for parenthood to people and teams, providing recommendation referring to areas comparable to immunisation, toddler feeding (each breast and formulation) meals security, weight administration, train, sexual and reproductive well being
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K29: The significance of basing care on particular person girls’s wants, views, preferences, and choices, and dealing to strengthen girls’s personal capability to look after 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 throughout 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 girl, fetus and new child toddler
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K32: Nationwide screening and diagnostic exams 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 associate and the new child toddler and their capability to answer 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 formulation feeding and their impression 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 impression on regular physiological processes and the way the midwife can work to advertise and defend an lively, optimistic and secure surroundings
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K38: Regular labour and evidence-based methods to soundly conduct a delivery while acknowledging the girl’s particular person circumstances and preferences
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K39: The rapid and ongoing assessments that must 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 help is required and the best way to seek the advice of and make referrals for added care or help wants when essential for circumstances comparable 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 data and consciousness of issues and extra care wants which will have an effect on girls, 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 impression on the girl’s well being and wellbeing, and the flexibility to recognise and supply any care, help or referral that could be required on account of any such issues or wants comparable to working in collaboration with the neonatal crew when finishing up transitional care
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K44: Present greatest follow for managing issues and extra care wants of ladies, new child infants, companions and households together with those 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 consult with for routine and emergency conditions
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K46: A midwife’s skilled accountability for working in partnership with girls to make sure the secure administration of medicines
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K47: Pharmacology and the ideas of secure and efficient administration of treatment
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K48: Proof-based methods for ache administration together with consolation measures, non-pharmacological and pharmacological strategies
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K49: The assorted procedural routes underneath which medicines could be prescribed, equipped, allotted, administered, saved and disposed of and the legal guidelines, insurance policies, laws and steerage that underpin them
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K50: Regular, hostile and irregular reactions to drugs, the impression of those and methods to handle signs and escalate considerations as required
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K51: The impression 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 soundly administer medicines and intravenous fluids, transfusion of blood and blood merchandise together with in an emergency
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K53: Find out how to determine and work in collaboration with related providers, multi-professional and multi-agency groups to offer 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 girls 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 help with lactation suppression, postmortem examination, registration of loss of life and funeral preparations.
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K56: Trauma and its impression on bodily and psychological well being and well-being
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K57: The significance of retaining 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 data base for follow and coverage comparable to by means 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 ideas 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, looking for help, 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 hostile 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 spread of communication strategies and media together with the necessity for confidentiality and software of knowledge governance
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K65: The appliance of updated, related and correct info
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K66: The significance of offering culturally delicate and person-centred care and data throughout the continuum of look after all girls, their companions and households to make knowledgeable choices and the significance of correct file retaining
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K67: The significance of enabling girls, 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 probably delicate points and choices
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K69: The significance of file retaining by way of a spread of strategies and its implications for communication
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K70: When and the best way to advocate for ladies and new child infants who’re susceptible attributable to bodily, psychological, social, cultural, or non secular circumstances
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K71: Methods to advocate for ladies when their choices are exterior of medical 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 offer common midwifery care
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S2: Act in the most effective pursuits of ladies 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 demanding and troublesome ones by growing methods that contribute to secure and efficient follow
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S4: Apply evidence-based follow to determination making
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S5: Apply the ideas 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 help throughout the continuum of care
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S8: Present and promote non-discriminatory, respectful, compassionate, and sort common care that takes under 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, help, and help in assembly girls’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 data accordingly
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S13: Look after and help the girl, fetus and new child toddler throughout the continuum of care making certain security and well-being, optimising the conventional processes of copy and youth, avoiding and lowering trauma the place attainable
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S14: Search knowledgeable consent from the girl for herself and/or her associate in relation to the new child toddler
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S15: Contain girls 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 girls, companions, and households in understanding and making use of ideas of an infection management and antimicrobial stewardship
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S19: Undertake applicable examinations and assessments to offer 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 place of origin
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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, associate and household
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S22: Share info on public well being, well being promotion and safety with girls, empowering them to make choices, and facilitating entry to assets and providers
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S23: Assess, interpret, file, and supply tailor-made info and entry to assets or community-based providers for ladies and households that promote their bodily, psychological, social well being and wellbeing
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S24: Share info and entry to assets and providers for ladies and households in regard to violence, abuse, poverty homelessness, refugees, victims of trafficking and safeguarding, performing appropriately and elevating considerations as required
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S25: Share info with girls and households about nationwide and native info and networks which can be obtainable to help girls within the continuation of breastfeeding
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S26: Share info with girls and households about nationwide and native info and networks which can be obtainable to help girls in secure and responsive formulation feeding the place applicable
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S27: Present mother or father schooling that’s knowledgeable by present proof on public well being promotion methods and greatest follow
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S28: Work with different professionals, businesses, and communities to advertise, help and defend 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 range 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 associate 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 file 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 associate’s response to the new child toddler and skill to answer cues for closeness, love, consolation and feeding
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S34: Assess, observe and supply help on all points of toddler feeding together with formulation 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 lively methods as applicable to soundly handle all phases of labour and delivery, encouraging mobility and optimum positions
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S37: Information and help the girl as she offers delivery, utilizing evidence-based approaches to soundly conduct the delivery, and looking for to keep away from and cut back trauma the place attainable, 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 performing 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 according to 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 associate as applicable, offering related explanations as required
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S41: Assess interpret and file 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 added care or help wants as required for circumstances comparable 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 comparable to epidural analgesia, anesthesia, fetal blood sampling, instrumental births, caesarean part and haemorrhage
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S44: Recognise issues and extra care wants comparable 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, help or referral that could be required on account of any pre-existing, present and rising issues or care wants comparable to working in collaboration with the neonatal crew when finishing up transitional care
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S46: Use proof and greatest follow approaches to handle emergency conditions and reply to indicators of compromise and/or deterioration within the girl, fetus, and new child toddler to make medical choices primarily based on the findings and act on these choices
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S47: Seek the advice of with, search assist from, and consult with different well being and social care professionals each in routine and emergency conditions
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S48: Use the ideas 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 help 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 hostile or irregular reactions to drugs
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S53: Recognise the impression of medicines in breastmilk and help 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 girls to evaluate, present care and help when emergency conditions or medical issues come up to make sure the secure administration of medicines
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S55: Work collaboratively with girls 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 help girls to entry these as wanted
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S56: Be certain that the wants of ladies and new child infants are thought-about collectively as a precedence in all settings, encouraging rapid skin-to-skin contact at delivery, even when girls and infants should be cared for individually, supporting girls 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 girls, 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 help 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 duty for ongoing studying and growth and for participating in schooling {and professional} growth alternatives and the sentiments round optimistic and detrimental suggestions
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S60: Maintain updated by figuring out, critically analysing, and deciphering analysis proof and native, nationwide, and worldwide knowledge and reviews
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S61: Present management and function modelling together with the flexibility to information, help, inspire, collaborate and share studying with and consult with inter-disciplinary, multi-disciplinary and multi-agency colleagues appropriately
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S62: Recognise and reply to indicators of private {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, educating and delegating midwifery care
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S65: Use applicable and responsive communication with girls, new child infants, companions, households and colleagues, respecting confidentiality
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S66: Entry oral, written and digital info together with printed proof, knowledge and reviews to tell conversations with girls, companions, and households
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S67: Conduct person-centred, delicate and compassionate conversations with girls, their companions and households on girls’s and youngsters’s well being throughout the life continuum of care
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S68: Contain the girl and her associate and household in discussions and choices about her care and the care of the new child toddler, all the time 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 girls, their companions and households that respect and allow their wants, views, preferences, and choices
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S70: Keep constant, full, clear, correct, safe, and well timed data and responsibly share knowledge inside groups and between businesses
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S71: Act as an advocate to make sure that care continues to give attention to the wants, views, preferences and choices of ladies, and the wants of new child infants
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S72: Develop and keep 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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