Case study of Midwifery in hospitals

Midwifery is a profession which provides the pregnant women their needed care and treatment (Jean and John, 1986). The main approach for the achievement of the chief indicators for MDGs IV and V on the maternal and child health is by the use of multi professional approaches (Lancet Maternal Survival Series Steering Group, 2006). When different professionals work together in combination, the partnership assures the sharing of knowledge, excellence, respect, trust and willingness to contribute to the mother child health care system (Bhutta, 2005). Access to the professional experts before and during the child birth is very crucial for the well being of babies and mothers. The nations which have paid attention in this issue and taken necessary steps to improve the child and mother health, have achieved drop in new born mortality rates (WHO, 2005). In the cycle of life an individual depends upon the availability of health care professionals not only to save the life but also to improve the physical and mental conditions of the human beings particularly (International Federation of Gynecology & Obstetrics). When taken in the context of mother child care systems these professions range from nurses to experts. They have majorly focused upon the availability of multi professional experts at the time of delivery at the hospitals (Simpson et al, 2006; Mann and Pratt, 2006; Nielsen et al, 2007; Williams 2008). These professionals majorly are nurses, midwives, physicians, obstetricians, neonatologists, anesthesiologists (Physician trained in anesthesia) (ABA, 2009) and pharmacists and the pediatricians who can examine the child right after birth for any kind of disease or life threatening condition (International Federation of Gynecology & Obstetrics). The approach to females with assumed preterm labor has altered slightly in the past 3 decades. The main element to that method is the slowdown of complete inhibition of contractions (Simhan, 2007; Caritis,et al, 1979) but to use such methods only professional team could work.

Health care professionals and managers require a very strong and integrated system of care at both the local and the national level (Princeton University, 2007). These are particular in case of deliveries and C-sections. If the system of this multi professionalism is integrated at the hospitals at every level particularly in the gynecological departments millions of deaths and disabilities can be avoided as complications in the delivery can cause severe mental or physical retardations (Lane, 1987; Stockham and Alice, 1891)

The major issue in his view point is also the lack of experience during the critical conditions and non availability of multi professionals at the time of need particularly in critical or unexpected conditions like C-sections (Ramondt, 1990). The midwifery in separate is not recommended but when the midwives join the complete health care professional team they should be given the status of a special professional (Golden, 2002; Bailey, 1998). This should be taken into account by the fact that they provide quality care and support to the mother during the child bearing and right after birth. This helps the mother to establish a loveable and comfortable relationship with the baby right after birth. They also help the mother to feed the baby immediately after birth which is a difficult task as the new born is a bit tricky to feed (Harper, 2006). To explain all these facts in detail and to establish the importance of multi professionalism in the field of gynecological departments with particular reference to the child delivery case, a special clinical case is discussed below.

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