|Making Motherhood Safe (World Bank, 1993, 161 pages)|
The midwife is a person who:
· By her/his training has the competence and skills to provide reproductive health care as an independent and interdependent practitioner in the maternity care team.
· By regulatory mechanisms is entitled and protected to practice in the spheres defined by the content of midwifery.
1. Provision of care of high technical competence:
· Prenatal, labor and delivery, postnatal care
· Family planning
· Newborn and infant care
2. Provision of the following essential obstetric functions:
· Repair of vaginal and cervical lacerations
· Performance and repair of episiotomy
· Vacuum extraction
· Administration of IV fluids, blood
· Emergency evacuation of uterus
· Manual removal of placenta
· Emergency treatment of severe pre-eclampsia, eclampsia
· Administration of IM and IV antibiotics
· Family planning functions: prescription of oral contraceptives, insertion of IUD and Norplant
3. Provision of social and psychological support, counselling, and education of clients, families, and communities, based on norms and values appropriate to the society.
4. Provision of leadership in matters of safe motherhood including the areas of administration, management, leadership, and research.
Source: WHO 1990a.