The word ‘midwife’ is being used since long for a woman who is there with a woman when she gives birth to a baby. Traditional midwives are the old ladies with a lot of experience about how to deal with a situation at the time of delivery.
However, this title today has a lot of demand, as they are highly educated and qualified nursing professionals such as certified nursing assistants (CNAs). The latter work under the supervision of physicians.
A nurse midwife is the one who is an advanced practice registered nurse trained, especially in obstetrics. Nurse-midwives have to practice under complete supervision of the obstetricians in various hospitals, nursing homes, health maintenance organizations, public health care centers, family planning centers, etc.
They are individuals with special expertise in supporting women in maintaining a healthy pregnancy, birth, providing individualized expert care, education, and counseling.
They also tend to support the women, newborns, and their families throughout the entire cycle of childbearing. They serve for the unique physical, social and psychological needs of the women.
Requirements by facilities offering midwife courses vary state by state, but most of them usually requires the candidates with bachelor’s degrees in nursing. One must have taken high school education with tough subjects such as science, math, and English.
The candidate must fulfill all the desired prerequisites for becoming a baccalaureate registered nurse.
This enables the candidates to apply for and obtain the graduate-level degree or master’s degree or certification for the additional training for nurse midwives. They must pass the written exam taken by the American College of Nurse Midwives, Washington.
Job Profile of Nurse Midwifes
Certified nurse-midwives (CNMs) offer an entire range of primary health care services to all women in the US, and the facilities include regular gynecological checkups, family planning services, preconception care, prenatal care, and postpartum care services and finally delivering babies.
They assist the doctors in birth operations, but can also practice at birth centers and private homes. Those who are typically for attending home births are called as direct-entry midwives. Some of the direct-entry midwives get certified from the ACNM and then are known as certified midwives (CMs). However, they are not nurses even though they receive training as same as CNMs do.
Work of any typical CNM follows a procedure–
- Take a comprehensive medical history.
- Solve all the queries
- Perform physical examination
- Laboratory screenings
- Arrange a prenatal test
- Refer a doctor if there is an issue that needs special care
All the nurse-midwives are mandatory to hold a registered nurse license to be able to practice as the CNMs all over the country. Possessing an active license makes them eligible to prescribe some medication, recommend a treatment, medical devices, and also specific other remedies like therapeutic and diagnostic measures.
Working in any specialized field depends upon the state in which they are practicing. This is because some states allow them to offer health care services right from puberty through menopause, care for their newborn babies, antepartum, intrapartum, and postpartum, along with the non-surgical gynecological care.
On the other hand, some states allow them to provide health care and advice in areas of sexually transmitted diseases and reproductive health. CNMs can also work individually as their practice or under a professional practitioner’s assistance. CNAs assist them in performing their duties.
The model for a nurse-midwife believes in the fact that ‘pregnancy and birth are natural processes’ and thus, it involves certain aspects –
- Providing the mother with individualized counseling, education, and prenatal care
- Monitoring physical, psychological and social well being of the mother from start to end of the childbearing cycle
- Determining and referring the women who need any obstetrician attention
- Providing constant assistance during labor and delivery
If you wish to pursue a career in the field of nursing as a midwife, then you must first contact midwife schools and midwifery courses to get all the required information about the midwife training programs. Such training would take you to a bright career as a midwife.