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Birth. 1995 Dec;22(4):227-31. doi: 10.1111/j.1523-536x.1995.tb00263.x.
Midwives are experiencing problems in playing their full part in the maternity services and the communities in which they practice. Mothers, babies, and families require greater care from these caregivers for healthier pregnancy and birth outcomes. Change to renew the power, skills, and knowledge of midwives is evident in many parts of the world. Processes of change require an examination of the purpose of midwifery. The starting point of change is an awareness of the meaning of birth to individuals and society, and of the role of midwives in supporting families around the time of birth. Midwives should use their power to resolve the considerable problems facing childbearing families, and to enrich the event.
助产士在充分发挥其在孕产妇服务以及她们执业所在社区中的作用方面正面临问题。母亲、婴儿和家庭需要这些护理人员提供更多关怀，以实现更健康的妊娠和分娩结局。世界各地许多地方都明显出现了旨在恢复助产士权力、技能和知识的变革。变革过程需要审视助产的目的。变革的起点是认识到分娩对个人和社会的意义，以及助产士在分娩前后支持家庭方面的作用。助产士应运用其权力解决生育家庭面临的诸多问题，并丰富这一过程。
