The document discusses the roles of a nurse midwife throughout the four stages of childbearing: adolescence, antenatal, intranatal, and postnatal. In each stage, the nurse midwife acts as a caregiver, counselor, teacher, and clinician. During adolescence, the midwife provides education on puberty, sexuality, and marriage. In the antenatal stage, the midwife provides prenatal care, screening for risk factors, and education. In labor and delivery, the midwife supports the mother, monitors labor, and teaches about the birthing process. After birth, the midwife assesses mother and baby, counsels on parenting and family planning, and teaches about newborn and

2. PRESENTED BY
SUJTA SAHU

3.  The process of child bearing right from the time
of conception till delivery can be divided in to 4
stages
 Adolescence stage -Required proper education
& counselling regarding marriage, sexuality and
motherhood.
 Antenatal stage
 Intranatal stage
 Postnatal stage

4.  In adolescence period the midwife performs 2
major role
 As a counsellor
 As a teacher
 She should counsel the adolescence regarding
 A)puberty changes-

5. Puberty changes
Maturation of sexual characteristics

6. • Menstrual cycle
 Hormone action in menstrual cycle &
pysiological chahges during menses
 Regarding,
The menstrual care
Changing of the pad
Perineal care during mensturation
Diet , exercise,recreation

7. Sex education
• Harm of premarital sex
• Transmission of HIV,STD,& other
communicable disease through
unprotected sex

8. Pre-marrital counselling
• Counsel regarding
• Marriage
• Changing the role of women
after marriage,
• Good sexual health,
• About whole maternity cycle

9. Nurse midwife teaches regarding
• The menstrual hygiene,
• Healthy practices during the menstrual time,
• Importance of exercise & the diet during this
period.

10. Nurse functions in the antenatal period in
many care taking role
 Care giver
 Counselor
 Teacher
 Educator
 Advocator
 Clinician
 Communicator

11.  Gives antenatal care to the pregnant mother in
each trimester efficiently.
 Assess antenatal mothers by history collection,
physical examination & lab reports & identify fetal
wellbeing.
 Assess the high risk factor & complication in
pregnancy & delivery
 Specific care to mother having risk factors.
 Give nursing measures according to miner ailments
 Assess the warning sign of labour.

12.  Assess the antenatal mothers during admission.
expected EDD, measures to taken to diagnosis of
pregnancy.
 Adequate exam during each ANC
 Provide therapeutically based nursing measures
for the mother in the ward
 Maintain adequate antenatal record including
vital signs, fundal height, sugar testing etc each
trimester visit.
 Give awareness regarding the antenatal measure
that has to be taken by mothers.
 Give proper care to case of risk pregnancy.

13.  Assisting pregnant mothers about general
information regarding pregnancy, labor & child
birth.
 Help the mother take the best possible decision
for the care of themselves or their child.

14.  Antenatal care: personal hygiene, rest, clothing,
travel, physical activity, sexual intercourse,
dental care, diet etc.
 Educate the importance & essentials of nutrition
& exercise during antenatal period.
 Giving knowledge the warning sign of labor.
 Give education regarding child birth &
parenthood.

15.  Provide counsel for emotional tension related
to problem.
 Sexual relation with partner.
 Changes in self image.
 Nutritional counselling

16.  Nurse has to support all the antenatal
mothers during all procedures & inform the
mother about the benefit & harm.
 She is the link between the couple & the
doctor
 She also communicates with the expectant
mother regarding various aspects of
motherhood.
As a communicator

17. In the intranatal period, the midwife have the
role of:
 Caregiver
 Case manager
 Teacher
 Clinician
 Researcher
 Client advocate
 Change agent
 communicator

18.  Has to give proper nursing measure during
each stage of labor.
 Proper positioning of the mother.
 Give medication according to physician order.
 Assess fetal wellbeing
 Prepare mother for labor & provide adequate
psychological support for the mother.
 Provide environment which is safe for labor
 Provide proper newborn care.

19.  Nurse has the role of providing treatment for
the mothers such as labour conduction,
monitoring the labor.
 In any risk labor adequate referral services as
per the physician order.

20.  Teaches regarding the normal physiology of
labor & changes in the labor.
 Teaches regarding the pain measures to be
taken during contraction time.
 Teaches regarding the position & pushing
effort of mother during the labor.
 Teaches regarding the importance of
breastfeeding & KMC for newborn baby.

21.  Assess maternal & fetal wellbeing.
 To do admission in the labour room & provide
basic nursing care for the mother.
 Monitor the mother record each & every action
in the partograph.
 Providing all nursing care through out all stages
& conduct delivery
 Promote the measures necessary for child birth.
 Promoting contusive environment for the
mother & newborn.

22.  Nurse midwife can do research studies in
order to improve the nursing measures during
the intranatal period.
 Research helps in improving the methods of
delivery & providing more effective nursing
measures.

23.  Nurse provide necessary information for the
clients to make informed decisions in utilizing
& choosing services appropriately.
 Nurse makes the mother regarding their
decision in the complicated labour, risk fetus.

24.  Conveys the information regarding birth of
child.
 Inform the family members regarding the
immediate requirements after the birth of
child.

25.  After delivery, every mother goes through
several physical, psychological changes.
 A nurse has to provide adequate information
& support during postnatal period.
 Clinican
 Counselor
 Teacher
 Care giver

26.  Assessment in the postnatal units.
 Initiating breast feeding & newborn care.
 Provide newborn & postnatal assessment.
 Identifying any risk in postnatal period.

27. Counselling regarding the
 Family planning
 Spacing of the pregnancy, temporary &
permanent methods.
 Care of the newborn
 Immunization

28. Nurse midwife has the role of teacher as
 Importance of personal hygiene in the
prevention of infection in the episiotomy
wound.
 Importance of the breast feeding.
 Essential newborn care
 Early ambulation & postnatal exercises.
 Importance of the nutrition

29. The nurse has to provide the care
 Postnatal overall care.
 Indentify miner disorder & provide adequate
nursing measures.
 Provide emotional support to the mothers

30. Nurse has to perform her different & varied
roles during different phases of child bearing.
These roles will gain through her full
experiences & this will helps her to provide
better care for the mothers.