Midwives in the delivery suite
Who they are, what they do and which devices they use: a research-based profile for recruiting this target group for MedTech and pharma projects.
Overview
Midwives in the delivery suite admit pregnant women for birth, take the history and open the obstetric record. They accompany physiological birth, keep a partogram, monitor the fetal heart rate with CTG or auscultation and document the course. Their activities include perineal protection, cord clamping, initial care of the newborn, monitoring of the placental stage and bleeding, and treatment of birth injuries. They place peripheral venous cannulas and urinary catheters and accompany epidural analgesia, analgesia and medication. In high-risk births and emergencies they initiate first measures, trigger emergency algorithms and call in obstetricians and paediatricians. For instrumental vaginal deliveries and caesarean sections they prepare the woman, accompany her to theatre and receive the baby.
Profession by country
Fields of use and typical tasks
Evidence from: DE, AT, CH
- Run registration consultations to prepare for birth four to six weeks before the due date
- Explain options and limits in the midwife consultation and check pre-existing conditions against a criteria catalogue
- Provide one-to-one care for women in the midwife-led delivery room
- Accompany the birth and transfer to the physician-led delivery room if complications arise
- Treat birth injuries (example from one facility, covered by further training)
- Hold a debriefing conversation after the birth
Specializations
Devices and systems they use
Who they work with
- Obstetricians and gynaecologists
- Anaesthetists
- Paediatricians
- Theatre nurses
- Independent midwives
Frequently asked questions
Who operates the CTG in the delivery suite?
According to the professional association's description of activities, midwives attach the CTG or auscultate the heart rate and document, among other places, in the central CTG monitoring system.
Which documentation systems do midwives use during birth?
The source names the partogram, paper record, IT system, delivery suite board and central CTG monitoring.
Which invasive measures do midwives perform themselves?
The source names placing peripheral venous cannulas and urinary catheters and, where applicable, applying a probe to measure the fetal heart rate. They administer medication according to their competence and medical delegation.
How are midwives involved in emergencies?
They initiate first measures, for example in shoulder dystocia, bleeding or imminent asphyxia, trigger emergency algorithms and start resuscitation of the newborn or mother. Interdisciplinary emergency training is part of their field of activity.
Do midwives take measurements on the newborn themselves?
For newborns with adaptation problems they check vitality, breathing and temperature and measure blood glucose.
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Sources
- Tätigkeitsbeschreibungen von Hebammen, Deutscher Hebammenverband e. V. (DE)
- InfoAbend Geburtshilfe (Folien), Klinikum Bremerhaven-Reinkenheide (DE)
- Hebammenkreißsaal (Informationsbroschüre), Elisabeth-Krankenhaus Essen, Contilia (DE)
- Ein Tag mit Hebammen am Klinikum, Klinikum Wels-Grieskirchen (AT)
- Informationen zur Geburtenabteilung, Krankenhaus der Barmherzigen Brüder Eisenstadt (AT)
- Schwangerschaft & Geburt (Broschüre der Frauenklinik), See-Spital Horgen (CH)
- Midwifery (for physicians), Women & Infants Hospital of Rhode Island (US)
- Core Competencies for Basic Midwifery Practice, American College of Nurse-Midwives (Kopie bei University of Arizona College of Nursing) (US)
- Certified Nurse Midwife, Full Time (Midwifery Service, Department of OB-GYN), Boston University Chobanian & Avedisian School of Medicine, Department of Obstetrics & Gynecology / Boston Medical Center (US)
- Nurse Midwifery Program, UC San Diego Health, Department of Obstetrics, Gynecology & Reproductive Sciences (US)