American College of Nurse-Midwives. The Midwives Alliance of North America (MANA) was founded in April 1982 to build cooperation among midwives and to promote midwifery as a means of improving health care for North American women and their families. The MANA Core Competencies were written and adopted by the MANA Board of Directors on October 3,1994, and revised and adopted on August 4, 2011 and again in December 2014. The Midwives Alliance of North America envisions Midwifery as a thriving, diverse, autonomous profession in service to families throughout North America. [http://cfmidwifery.org/mmoc/define.aspx  Copyright © 1996–2008, Midwifery Task Force, Inc., All Rights Reserved.]. Midwives respect and support the dignity, rights and responsibilities of the clients they serve. The midwife determines the need for consultation, referral or transfer of care as appropriate. The World Health Organization uses the ICM Core Competencies to inform midwifery organizations and government agencies to improve the health of mothers and babies world-wide. (a) "The Midwives Alliance of North America Core Competencies", (December 2014); and (b) "Standards and Qualifications for the Art and Practice of Midwifery", Midwives Alliance of North America, (October 2005). The body of professional knowledge, clinical skills, and clinical judgments described in the Midwives Alliance of North America (MANA) Core Competencies for Basic Midwifery Practice 2. The midwife has knowledge and skills to provide care that include but are not limited to: B. parameters and methods, including relevant health history, for evaluating the client's and baby's well-being during labor, birth and immediately thereafter; C. assessment of the birthing environment to assure that it is clean, safe and supportive and that appropriate equipment and supplies are on hand; D. attention to emotional responses and their impact during labor, birth and immediately thereafter; E. comfort and support measures during labor, birth and immediately thereafter; F. fetal and maternal anatomy and their interrelationship as relevant to assessing the baby’s position and the progress of labor; G.hydration and nutritional requirements during labor, birth and immediately thereafter; H.techniques to assist and support the spontaneous vaginal birth of the baby and placenta; I. recommendations for rest and sleep as appropriate during the process of labor, birth and immediately thereafter; J. techniques to assist and support labor, birth and the immediate postpartum in water; K. treatment for variations that can occur during the course of labor, birth, and immediately thereafter, including prevention and treatment of maternal hemorrhage; L. emergency measures and transport for critical problems arising during labor, birth, or immediately thereafter; M. appropriate support for the newborn's natural physiologic transition during the first minutes and hours following birth, including skin-to-skin contact and practices to enhance mother-baby attachment and family bonding; N. pharmacological measures for management and control of indications in the intrapartum and immediate postpartum for client and baby; O. current interventions and technologies that may be commonly used in a medical setting; P. care and repair of the perineum and surrounding tissues; Q. third-stage management, including assessment of the placenta, membranes and umbilical cord, and collection of the cord blood; S. identification of pre-existing conditions and implementation of preventive or supportive measures to enhance client well-being during labor, birth, the immediate postpartum and breastfeeding. Midwives work as autonomous practitioners, and they collaborate with other health care and social service providers whenever appropriate. The scope of midwifery practice may be expanded beyond the Core Competencies outlined in this document to incorporate additional skills and procedures that improve care for women and their families. The midwife has knowledge and skills to provide care that include but are not limited to: A. identification, evaluation and support for the client's and baby's well-being throughout the process of pregnancy; B. initial and ongoing history at each antenatal visit; C. physical examination and explanation of findings to the client; D. education and counseling during the childbearing cycle; E. identification of pre-existing conditions and preventive or supportive measures to enhance client well-being during pregnancy; F. nutritional requirements of pregnancy and methods of nutritional assessment and counseling; G. emotional, psychosocial and sexual variations that may occur during pregnancy; H. environmental and occupational hazards during pregnancy; I. effects of smoking, alcohol and drug use on pregnancies and unborn babies; K. the growth and development of the unborn baby; L. genetic factors that may indicate the need for counseling, testing, or referral; M. screening methods and diagnostic tests used during pregnancy, including indications, risks and benefits; N. health and psychosocial needs associated with spontaneous or therapeutic abortion, including referral to community resources; O. anatomy, physiology, and evaluation of the soft and bony structures of the pelvis; P. palpation skills for evaluation of the baby and the uterus; Q. the causes, assessment and treatment of the common discomforts of pregnancy; R. Identification, implications and appropriate treatment of various infections, disease conditions and other problems that may affect pregnancy; S. basic principles of pharmacokinetics of drugs prescribed, dispensed or administered during pregnancy; T. effects of prescribed medications, herbal medicines, and over-the-counter drugs on pregnancy and the baby; U. administration of medications as indicated; V. management and care of the Rh-negative client; W. signs, symptoms and indications for referral of selected complications and conditions of pregnancy; X. the physiology of lactation and methods to prepare for breastfeeding; Y. counseling to the client and family to plan for a safe, appropriate place of birth. Midwives work to optimize the well-being of the mother-baby unit as the foundation of caregiving. Midwives Alliance of North America (MANA) conference papers (Notes, list of core competencies, program, miscellaneous), 1993 Scope and Contents. The Competencies inform practicing midwives … The Midwives Alliance of North America Core Competencies establish the essential knowledge, clinical skills and critical thinking necessary for entry-level midwifery practice. Midwives acquire and maintain the necessary knowledge and skills pertinent to midwifery practice and derived from a variety of fields including, but not limited to: human anatomy and physiology, midwifery, history of midwifery, obstetrics and gynecology, neonatology, genetics, embryology and fetal development, pharmacotherapeutics, nutritional sciences, naturopathy, social sciences, ethics, critical thinking, research and epidemiology, emergency care, communication, counseling and education. Midwives strive to ensure optimal birth for the whole family and provide guidance, education and support to facilitate the spontaneous processes of pregnancy, labor and birth, lactation and mother–baby attachment, using appropriate intervention as needed. Open Letter to the Midwives Alliance of North America regarding the recent revisions to the organization’s standing Core Competencies document: August 20, 2015. The Competencies inform practicing midwives, student midwives, Click here for a pdf file. Midwives work as autonomous practitioners, and they collaborate with other health care and social service providers whenever appropriate. Midwives obtain proficiency through various types of education, training, mentoring, clinical preceptorship, hands-on practice, and life experience. Midwives value continuity of care throughout the childbearing cycle and strive to maintain such continuity. Midwives integrate clinical or hands-on evaluation, theoretical knowledge, intuitive assessment, spiritual awareness and informed consent and refusal as essential components of effective decision making. Midwives provide care in a variety of settings in accordance with the Midwives Model of Care™, which is based on the principle that pregnancy and birth are normal life processes. Individual midwives are responsible to the licensing authority and regulations of the jurisdiction within which they practice. The competencies undergo continual evaluation and may be updated to incorporate new evidence and evolving midwifery practice, and as the needs of childbearing individuals and families change. All Rights Reserved. [http://cfmidwifery.org/mmoc/define.aspx; Copyright © 1996–2008, Midwifery Task Force, Inc., All Rights Reserved.]. Background:. The Midwives Alliance of North America Core Competencies establish the essential knowledge, clinical skills and critical thinking necessary for entry-level midwifery practice. Curriculum is based on the Midwives Alliance of North America standards for practice and "Core Competencies for Basic Midwifery Practice", and incorporates NARM educational requirements. monitoring the physical, psychological and social well-being of the mother throughout the childbearing cycle; providing the mother with individualized education, counseling and prenatal care; continuous hands-on assistance during labor and delivery; and postpartum support; identifying and referring women who require obstetrical attention. The midwife provides care, support and information throughout the postpartum period and determines the need for consultation, referral or transfer of care as appropriate. The midwife’s knowledge and skills include but are not limited to: A. communication, counseling and education; D. various therapeutic health care modalities for treating body, mind and spirit; E. community health care, wellness and social service resources; F. nutritional needs, health and lifestyle habits; G. diversity awareness, sensitivity and competency. Midwives respect and support the dignity, rights and responsibilities of the clients they serve. An entry-level midwife is qualified to practice midwifery autonomously. The MANA Core Competencies are a living document. The Midwives Alliance of North America Core Competencies … Pregnant individuals are the only direct care providers for themselves and their unborn babies, thus the most important determinant of a healthy pregnancy is the pregnant person. The midwife provides care, support and information throughout pregnancy and determines the need for consultation, referral or transfer of care as appropriate. Midwives integrate clinical or hands-on evaluation, theoretical knowledge, intuitive assessment, spiritual awareness and informed consent and refusal as essential components of effective decision making. • Midwives certified by the American Midwifery Certification Board (AMCB) as CNMs or CMs. In March 2013 the MANA Document Committee prepared a side-by-side comparison document of the ICM and MANA Core Competencies to … Its stated goal is to unify and strengthen the profession of midwifery, thereby improving the quality of … Midwives have the ability to provide high quality, culturally relevant, and holistic midwifery care in a variety of settings. The mission of the Midwives Alliance of North America is to unite, strengthen, support and advocate for the midwifery community and to promote educational, economic, and cultural sustainability of the midwifery profession. The essential documents of the Midwives Alliance describe the core competencies for basic midwifery practice, as well as the standards, qualifications and ethics necessary to provide high-quality, evidence-based services to women, newborns and childbearing families. The biological wisdom to give birth is innate, it has been held throughout time, and is experienced across cultures by all pregnant people. The midwife’s knowledge and skills relate community health to client needs, including but not limited to: A. the community and social determinants of health, including race, income, literacy and education, water supply and sanitation, housing, environmental hazards, food security, disease patterns, and common threats to health; B. principles of community-based primary care using health promotion and disease prevention and control strategies; C. direct and indirect causes of maternal and neonatal mortality and morbidity in the local community, and strategies for reducing them; F. emergency preparedness for disaster response including communication and transport mechanisms; G. human rights and their effects on health of individuals, including issues such as domestic violence, genital circumcision, gender equity, gender identity and expression, and how their expression affects health outcomes; I. culture and beliefs, including religion, social norms, family structure and health practices; J. birth planning, benefits and risks of available birth settings. Julia C. Phillippi, Melissa D. Avery, The 2012 American College of Nurse‐Midwives Core Competencies for Basic Midwifery Practice: History and Revision, Journal of Midwifery & Women's Health, 10.1111/jmwh.12148, 59, 1, (82-90), (2014). The biological wisdom to give birth is innate, it has been held throughout time, and is experienced across cultures by all pregnant people. International Definition of the Midwife (Updated and Endorsed by the International Confederation of Midwives (ICM), June 2011) A midwife is a person who has successfully completed a midwifery education programme that is duly recognized in the country where it is located and that is based on the ICM Essential Competencies … The midwife has knowledge and skills to provide care that include but are not limited to: A. anatomy and physiology of the birthing parent; B. lactation support and appropriate breast care and treatments for breastfeeding problems or complications, including mastitis; C. management and care of the Rh-negative client with the Rh-positive baby; D. support for the client’s well-being and mother-baby attachment; F. nutrition, rest, activity and physiological needs during the postpartum period and lactation; G. emotional, psychosocial, mental, and sexual variations; H. signs and symptoms of postpartum conditions requiring management, including those needing immediate medical intervention; I. current identification and treatments for psychosocial adjustment problems including postpartum depression and mental illness; J. principles of interpersonal communication with, and support for, grief counseling when necessary; The midwife provides care to the newborn during the postpartum period, as well as support and information to parents regarding newborn care and informed decision making, and determines the need for consultation, referral or transfer of care as appropriate. “Attainment of clinical skills must meet the Core Competencies developed by the Midwives Alliance of North America. Midwives work to optimize the well-being of the mother-baby unit as the foundation of caregiving. Midwives strive to ensure optimal birth for the whole family and provide guidance, education and support to facilitate the spontaneous processes of pregnancy, labor and birth, lactation and mother–baby attachment, using appropriate intervention as needed. Revised 2014. From the Collection: Boxes 1 through 3 document the activism of Susan Hodges and others prior to the founding of CfM. The childbearing experience and birth of a baby are personal, family and community events. The Midwives Alliance of North America (MANA) created the core competencies, or standards of learning, for direct entry midwives. Midwives have the ability to provide high quality, culturally relevant, and holistic midwifery care in a variety of settings. The essential documents of the Midwives Alliance describe the core competencies for basic midwifery practice, as well as the standards, qualifications and ethics necessary to provide high-quality, evidence-based services to women, newborns and childbearing families. A Certified Professional Midwife (CPM) ® is a knowledgeable, skilled and professional independent midwifery practitioner who has met the standards for certification set by the North American Registry of Midwives (NARM) and is qualified to provide the Midwives Model of Care. The midwife involves the client and childbearing family in all aspects of decision making and maintains an integrated understanding of the needs, challenges, and goals of the client and family by utilizing midwifery knowledge and skills, critical thinking, intuition, and the process of informed consent, refusal, and shared-decision making. Midwives Alliance Core Competencies Introduction. Individual midwives are responsible to the licensing authority and regulations of the jurisdiction within which they practice. The Midwives Alliance of North America Core Competencies establish the essential knowledge, clinical skills and critical thinking necessary for entry-level midwifery practice. Midwives work in partnership with clients and their chosen support community throughout the caregiving relationship. The Midwives Alliance Core Competencies for Midwifery Practice establishes the essential knowledge, clinical skills and critical thinking necessary for entry-level midwifery practice. An entry-level midwife is qualified to practice midwifery autonomously. The MANA Core Competencies are a living document. It also provides clear and written objectives for clinical practice that were written largely by early midwives, most of whom were self-taught and apprenticeship-trained. 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