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Continues her partnership with the woman until that partnership is ended at the final postnatal visit or until she or the woman ends the partnership and the midwife documents same
Ensures that the woman is educated to care for herself and her baby prior to discharge from midwifery care
Ensures that the woman has had an opportunity to reflect on and discuss her childbirth experience
Informs the woman and her family of available community support networks and refers appropriately.
Standard Five: The NACPM member collects and records the woman's and baby's health data, problems, decisions and plans comprehensively throughout the caregiving partnership. The NACPM member:
Keeps legible records for each woman, beginning at the first formal contact and continuing throughout the caregiving relationship
Does not share the woman's medical and midwifery records without her permission, except as legally required
Reviews and updates records at each professional contact with the woman
Includes the individual nature of each woman's pregnancy in her assessments and documentation
Uses her assessments as the basis for on-going midwifery care
Clearly documents her objective findings, decisions and professional actions
Documents the woman's decisions regarding choices for care, including informed consent or refusal of care
Makes records and other relevant information accessible and available at all times to the woman and other appropriate persons with the woman's knowledge and consent
Files legal documents appropriately.
Standard Six: The midwife continuously evaluates and improves her knowledge, skills and practice in her endeavor to provide the best possible care. The NACPM member:
Continuously involves the women for whom she provides care in the evaluation of her practice
Uses feedback from the women she serves to improve her practice
Collects her practice statistics and uses the data to improve her practice
Informs each woman she serves of mechanisms for complaints and review, including the NARM peer review and grievance process
Participates in continuing midwifery education and peer review
May identify areas for research and may conduct and/or collaborate in research
Shares research findings and incorporates these into midwifery practice as appropriate
Knows and understands the history of midwifery in the United States
Acknowledges that social policies can influence the health of mothers, babies and families; therefore, she acts to influence such policies, as appropriate.
V. Endorsement of Supportive Statements
NACPM members endorse the Midwives Model of Care ({ 1996-2004 Midwifery Task Force), the Mother Friendly Childbirth Initiative ({ 1996 Coalition for Improving Maternity Services) and the Rights of Childbearing Women ({ 1999 Maternity Center Association, Revised 2004). For the full text of each of these statements, please refer to the following web pages.
Mother Friendly Childbirth Initiative (MFIC) -http://www.motherfriendly.org/MFCI/
Rights of Childbearing Women - http://www.maternitywise.org/mw/rights.html
Copyright © 2004 National Association of Certified Professional Midwives, All Rights Reserved
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Published under s. 35.93, Stats. Updated on the first day of each month. Entire code is always current. The Register date on each page is the date the chapter was last published.