Professional identity and public responsibilities of a midwife
A midwives role centers on a relationship with the woman that is distinguished by “each woman’s social, emotional, physical, spiritual and cultural needs, expectations and context as defined by the woman herself” (Australian College of Midwives [ACM], 2016a). ACM (2015, p.1) position the midwife as the primary profession for quality maternity care founded during training, through the direction of the Code of professional conduct for midwives in Australia (NMBA, 2008). and reinforced by the Code of ethics for midwives in Australia. (NMBA, 2008). It is the boundaries in the NMBA code of conduct along with meeting the educational requirements of the Midwifery competency standards …show more content…
it is advisable to work within the continuum of professional behavior (NMBA, 2008) and boundaries enabling the midwife to facilitate safe and appropriate midwifery care for each woman and her infant(s). The midwife works simultaneously within boundaries in relation to the obstetric risk hierarchy, Dove, Shona; Muir-Cochrane, and Eimear (2014) identified the midwives role as risk negotiator contributing to improved outcomes for women able to trust in the mother-midwife relationship to negotiate obstetric risk practice (p. 1063). The NMBA guide to professional boundaries (2010). advises the importance of acknowledging the disparity of power boundaries within the therapeutic relationship that may leave the woman vulnerable to exploitation or abuse should the midwife misuse this position of …show more content…
Sandall, Soltani, Gates, Shennan and Devane’s (2015) review of midwifery care revealed several benefits for women and babies involved in midwifery led care including a reduction in use of epidurals, fewer episiotomies or instrumental births, less likely to experience preterm birth or lose their baby before 24 weeks gestation. To ensure the safe practice of midwifery leading to satisfactory outcomes for the woman, the NMBA (2008) require midwives work within their scope of practice in accordance with legislation and standards, practice with a woman-centred focus, practice reflectively and ethically, whilst engaging in continuous education using researched