Nurse Midwife: Treats and provides nursing care to obstetrical patients in accordance with approved and recognized standards of midwifery. Evaluates patients, performing initial examinations with physician, and is assigned responsibility for plan of care, treatment, and delivery of patient. Manages normal labor, delivers babies, and teaches patients in prenatal and postnatal health practices, consulting health team as necessary. Requires Nurse Midwife certification. Examines patient during pregnancy, utilizing physical findings, laboratory test results, and patient's statements to evaluate condition and ensure that patient's progress is normal. Discusses case with members of health team to assure observation of specified practices. Instructs patient in diet and prenatal health practices. Stays with patient during labor to reassure patient and to administer medication. Delivers infant and performs postpartum examinations and treatments to ensure that patient and infant are responding normally. When deviations from standard are encountered during pregnancy or delivery, administers stipulated emergency measures, and arranges for immediate contact of Obstetrician. Visits patient during postpartum period in hospital or at home to instruct patient in care of self and infant and to examine patient. Maintains records of cases for inclusion in establishment file. Conducts classes for groups of patients and families to provide information concerning pregnancy, childbirth, and family orientation. May direct activities of other workers. May instruct in midwifery in establishment providing such training. [-] Less
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