Kwast B E, Bentley J
Midwifery. 1991 Mar;7(1):8-9. doi: 10.1016/s0266-6138(05)80129-9.
The present crisis in midwifery and the seriousness of maternal mortality and morbidity demands a rethink about the background and training requirements of each level of midwifery worker. This paper describes the background of the present shortage and mal-distribution of midwives. The reduction of maternal mortality by 50% at the turn of this century requires the development of a maternal health care team in which the midwife functions as the linchpin. In order to equip the midwife for the leadership functions in this team, the present educational system needs to be fundamentally improved. The rationale for the acquisition of epidemiological, managerial specialised technical and teaching skills by midwives is discussed. Implications for further education are high-lighted. Collaborative actions taken by the WHO, ICM, UNICEF and other governmental and non-governmental agencies to address the issue of midwifery are outlined. This paper was given at the 1990 ICM, WHO, UNICEF Pre-Congress Workshop on Midwifery Education--Action for Safe Motherhood in Kobe, Japan.
当前助产领域的危机以及孕产妇死亡率和发病率之高，需要重新思考各级助产工作人员的背景和培训要求。本文描述了目前助产士短缺和分布不均的背景情况。要在本世纪之交将孕产妇死亡率降低50%，就需要建立一支以助产士为核心的孕产妇保健团队。为使助产士能够在该团队中发挥领导作用，当前的教育体系需要从根本上加以改进。文中讨论了助产士掌握流行病学、管理、专业技术和教学技能的基本原理，并着重指出了其对继续教育的影响。概述了世界卫生组织、国际助产士联合会、联合国儿童基金会以及其他政府和非政府机构为解决助产问题而采取的协作行动。本文是在1990年国际助产士联合会、世界卫生组织、联合国儿童基金会于日本神户举办的助产教育——保障母婴安全行动会前研讨会上发表的。
