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Where there are no midwives

C Rolls

    Australian College of Midwives Incorporated Journal
    |March 1, 1996
    PubMed
    Summary

    This article details midwifery education experiences in Nepal, highlighting challenges and the need for specialized training to improve maternal and infant health outcomes. It emphasizes the crucial role of nurses in providing essential care.

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    Area of Science:

    • Medical Education
    • Public Health
    • Nursing Education

    Background:

    • Nepal faces significant health challenges impacting women and newborns.
    • Midwifery education is integrated into a general nursing program, lacking specialization.
    • Graduates are prepared for general maternity care in hospitals and health posts.

    Purpose of the Study:

    • To outline experiences as a lecturer and clinical educator in Nepal's midwifery education.
    • To highlight the absence of specialized midwifery training programs.
    • To underscore the need for enhanced maternal and infant healthcare education.

    Main Methods:

    • Descriptive account of experiences as a nursing lecturer and clinical educator.
    • Observation of student nurse training in antenatal, delivery, and postnatal care.
    • Analysis of the existing nursing curriculum's scope for midwifery.

    Main Results:

    • Student nurses receive foundational training in essential maternity care.
    • Graduates are deployed to various healthcare settings to provide care.
    • A significant gap exists due to the lack of specialized, advanced midwifery education.

    Conclusions:

    • Nepal's healthcare system requires specialized midwifery education to address women's and newborns' health issues.
    • Enhancing midwifery training is crucial for improving maternal and infant survival rates.
    • Further development of dedicated midwifery programs is recommended.

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