In NZ we do teach bimanual compression, but I see this as quite different from both manual removal of the placenta and manual examination of the uterus
I do however agree it is very country/region specific and could be lifesaving in remote areas where access to medical assistance and/or theatre and anaesthesia is not available. There are associated concerns with whether people in these circumstances have access to sterile equipment and antibiotics.
So it is potentially a double-edged sword having this taught in midwifery curricula and put into midwifery scope of practice I would think
Robyn Maude PhD, MA (Midwifery), BN, RM, RN
Associate Director of Midwifery - Mondays, Tuesdays and alternate Wednesdays
Capital and Coast DHB, Private Bag 7902, Wellington South, New Zealand
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0274793826
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Graduate School of Nursing, Midwifery and Health, Victoria University of Wellington, P O Box 7625, Newtown, Wellington 6242
Office - Level 7, Clinical Services Block, Wellington Regional Hospital
04 463 6137; [log in to unmask]
-----Original Message-----
From: A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] On Behalf Of Jenny Cameron
Sent: Friday, 5 April 2013 14:27
To: [log in to unmask]
Subject: Re: Manual removal of placenta training
In Australia some uni's may teach this skill, at Charles Darwin Uni, we do teach manual removal and bimanual compression because if you are out remote you could save a life. I would think curricula vary on whether this skill is taught in UG or not.
Jenny
On 5/04/2013 8:51 AM, Morwenna Williams wrote:
> Hi Jo,
> I'm an Australian midwife and the two procedures that you are
> describing are not taught to midwives in their training or any time.
> They are considered practices only performed by obstetric medical
> staff and considered out of keeping with a midwives scope of practice.
>
> I actually find this quite concerning that these procedures are taught
> to midwives. From my knowledge, in Australia most often the women who
> require a manual removal of placenta are taken to the operating
> theatres and this procedure attended under a GA or under epidural or
> spinal anaesthetic if the woman already had one insitu for her labour
> and birth. If the woman has a working epidural or spinal then this
> procedure might be attended in the birth unit.
>
>
> Just my thoughts!
>
> Morwenna.
>
> Morwenna Williams
> Clinical Midwifery Consultant Orange, Bathurst, Molong, Blayney and
> Oberon.
> Western LHD
>
> C/O Orange Health Service
> Women and Infant's Unit
>
> Ph. (02) 6369 3928
> Mobile: 0408 987 692
> Email: [log in to unmask]
>
>
>
>
>>>> Jo Holland <[log in to unmask]> 4/04/2013 11:31 pm >>>
> Hi
>
> Please can any one help with the following:
>
> The NMC Standards for Pre-Registration Midwifery Education, on page 27
> state the following:
>
> "Undertake appropriate emergency procedures to meet the health needs
> of women and babies.
> Emergency procedures will include:
> ● manual removal of the placenta
> ● manual examination of the uterus
>
> Please can you advise if this is taught as standard pre-registration
> training for midwives in other areas/countries. I understand that this
> is taken from an EU directive and am partucularly interested to see if
> within Europe it is taught as an emergency care skill alongside the
> breech and PPH training as well as in other parts of the world.
>
> I would be greatful of any information asap as am writing an essay for
> my Supervisor of Midwives training due in in 2 weeks!
> Look forward to hearing from you.
> Thanks
> Jo
>
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