Diploma in Post Nurse Assistant Preventive/Curative Midwifery

Philosophical Considerations

The Nursing and Midwifery Council of Ghana believes that Health is ‘a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity’ (W.H.O. 1947). It is a relative state which is determined by several factors (personal) within the individual’s environment. Reproductive and Child Health is a Fundamental human right of all families, individuals and communities, irrespective of their race, sex, religion, creed, beliefs and values. Health therefore, is the purpose of all reproductive health actions.

Individuals have reproductive rights that must be respected. The individual is a rational being endowed with intelligence and must be encouraged to utilize her potentials in solving important problems. Individuals belong to families and communities with specific physical, socio-cultural and economic factors which influence their health seeking behaviour and health patterns.

Midwifery education prepares the midwife to function effectively and improves her knowledge and skills by participating in professional and community activities.
The purpose of Midwifery education is to enable the student midwife obtain qualification which makes her eligible for certification by the Nursing and Midwifery Council of Ghana and assume the responsibilities and accountability that Midwifery licensing imposes.

The special training that the midwife receives puts her in a unique position to assume the role of a counsellor, leader, resource person, teacher, manager and care giver to assist individual mothers and families to promote good family health. With the knowledge of midwifery, social sciences, anatomy, family planning, moral principles, infection prevention and reproductive and child health, she is able to provide efficient care to individuals, families and the community at large.

The student midwife can best provide total Midwifery care being provided with learning experiences in real midwifery situations which will stimulate motivation and self-direction. The Midwife has the ability to perform her functions independently, work in co-operation with her colleagues, other members of the health team, families and community members for the achievement of better family health.

The aim of the programme is to produce a polyvalent midwife who would practice midwifery in any sector of the community.
The professional midwife would have acquired knowledge, skills and attitudes to recognize the total health needs of individuals, families and communities and participate effectively and efficiently in meeting those needs.

Objectives of the programme/Scope of Practice
By the end of the programme, the student midwife who will be able to:

      1. Obtain medical and obstetric history and conduct physical examination
      2. Use the midwifery process to assess, diagnose, treat and evaluate care of the mother and child during pregnancy, labour and pueperrium
      3. Promote and maintain an environment which assures physical and mental well-being of mother and child by reassurance of mother, child, family, group and community; promote and maintain hygiene and physical comfort; care and cleanliness of all midwifery equipment and sterilization of surgical equipment
    4. Provide pre-conceptual care
    5. Provide pre-natal and family planning services
    6. Monitor progress of pregnancy, identify and manage minor disorders and medical conditions of pregnancy
    7. Provide intra partum care; monitor progress of labour, identify and manage post-partum complication or refer when necessary
    8. Prevent complications relating to labour and pueperium; identify and manage post-partum complication or refer when necessary
    9. Prevent complications relating to labour and puerperium by performing episiotomy, suturing first and second-degree tears or episiotomy and administration of local anaesthetic/anaesthesia
    10. Perform emergency life-saving procedures including augmentation of labour, vacuum delivery and manual removal of placenta
     11. Provide child care including resuscitation and examination of the new born (head to toe); promote breast feeding
     12. Monitor reaction of mother and child to disease condition, trauma, stress, medication and treatment
     13. Provide care for mother and child in obstetric emergencies, and refer complications of pregnancy
     14. Recognize abnormal obstetrical condition and seek prompt medical intervention to a higher level of care/Registered medical practitioner
     15. Administer medicine used in midwifery to mother and child and monitor its effects
     16. Educate and counsel individuals, families and communities to prevent maternal and infant morbidity and mortality
     17. Promote antenatal and post-natal exercises
     18. Administer and monitor supply of oxygen to the mother and child
     19. Maintain fluid, electrolyte and acid base balance of mother and child
     20. Improve and maintain the nutritional status of mother and child
     21. Promote effective communication between care givers, clients and significant others
     22. Ensure infection prevention while carrying out clinical procedures
     23. Prepare an assist surgical operation, diagnostic and therapeutic interventions for mother and child
     24. Ensure wound healing by dressing of operation and other wounds removal of stitches/clips and drainage tubes
     25. Keep accurate records of all activities or interventions for mother and child
     26. Obtain specimen for diagnostic investigation (blood, urine etc)
     27. Advocate for mother and child to obtain optimum quality health care
     28. Collaborate with other health personnel to provide care for mother and child
     29. Identify training needs of students and staff and impart knowledge, skills and principles of reproductive health to meet those needs
     30. Provide administrative and leadership roles/support in the management of health care units within the framework of the national health policy
     31. Plan and coordinate the use of supplies and serves
     32. Administer medication ordered by a Registered Medical Practitioner e.g. oral and rectal administration, intramuscular and intravenous injections, application for eyes, ears, throat, vaginal urethral and skin, administer by inhalation but not anaesthetic except in the presence of a registered medical practitioner
     33. Initiate research, share relevant research findings and provide evidence-based practice
     34. Notify births, maternal and neonatal death and conduct maternal and neonatal death audit
     35. Care of the dying and a recently deceased patient in accordance with midwifery standards
     36. Care of a still born infant and dead neonate
The scope of practice for the Registered Midwife at the basic level therefore shall be as outlined above