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Towards autonomy - and examination of midwifery education in New Zealand

By Eyres, G
on Tuesday, 01 Oct 1991 in New Zealand College of Midwives Journal - Volume: 5

An examination was conducted, over the period of one academic year to obtain information about student midwive's [sic] beliefs, expectations, and aspirations, concerning becoming autonomous, independent, midwife practitioners. Concurrently, an exploration was made of the five midwifery curricula available in New Zealand (1990), and discussions were held with the various tutors responsible for each course. The study was both quantitative and qualitative. The sample was not randomly selected, the target population being all full-time student midwives enrolled in a midwifery course in New Zealand in 1990.

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Supporting the supporters

By Hales, B
on Tuesday, 01 Oct 1991 in New Zealand College of Midwives Journal - Volume: 5

There has been much change in the practice of midwifery in recent times. A strong motivation for this has come from listening to the needs and wishes of women. We have heard that women are wanting to choose their companions to be with them through the birth, whether they be the baby's father, her mother, a close woman friend, or a group o family and friends. Jean talks about the importance of having this choice in birth: "I am really, really, really pleased you are here Gareth. It makes all the difference in the world, you holding me - you have no idea" and later, "It sounds corny to go on about it but to have that person who you know best in the world to hang on to, to listen to, to remind you of practical things". (McKenna, 1998, p.126, 129). In her introduction to Birth Reborn, Sheila Kitzinger writes: "Fathers are now encouraged to share in childbirth, but our society has made a mockery of the loving passionate participation a man can feel when he is fully involved in the drama of birth, not just a 'voguer' at delivery... A midwife's actions and behaviour can be crucial in enabling a woman to choose, by welcoming her supporters, and ensuring that they can share positively in the birth process.

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New Zealand College of Midwives (INC) Annual Report

By Guilliland, K
on Tuesday, 01 Oct 1991 in New Zealand College of Midwives Journal - Volume: 5

The year started in Dunedin with the National Conference and Keynote Speaker, Marsden Wagner. The theme, "Women in Partnership", and the friendly, relaxed atmosphere ensured a very successful conference. Dr Wagner's support of Midwifery, as the profession internationally recognised as the experts on normal pregnancy and birth, came at a very politically expedient time... Helen Clark, then Minister of Health, raised Midwives to their feet when she promised independence and support for Direct Entry Midwifery. She was given a standing ovation and made and Honorary Member of the College. Sure to her word, two days later on the 22nd August, the Nurses Amendment bill passed through Parliament and became law... The rest of this year's work has mostly been dealing with implications of the Amendment Act.

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New Zealand College of Midwives (INC) Annual Report

By Guilliland, K
on Tuesday, 01 Oct 1991 in New Zealand College of Midwives Journal - Volume: 5

The year started in Dunedin with the National Conference and Keynote Speaker, Marsden Wagner. The theme, "Women in Partnership", and the friendly, relaxed atmosphere ensured a very successful conference. Dr Wagner's support of Midwifery, as the profession internationally recognised as the experts on normal pregnancy and birth, came at a very politically expedient time... Helen Clark, then Minister of Health, raised Midwives to their feet when she promised independence and support for Direct Entry Midwifery. She was given a standing ovation and made an Honorary Member of the College. Sure to her word, two days later on the 22nd August, the Nurses Amendment bill passed through Parliament and became law... The rest of this year's work has mostly been dealing with implications of the Amendment Act.

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Antenatal education - why childbirth educators?

By Cole, S
on Tuesday, 01 Oct 1991 in New Zealand College of Midwives Journal - Volume: 5

In the last Journal, Andrea Gilkison posed the question 'Antenatal education - whose purposes does it serve?' While lamenting the erosion of another traditional area of midwifery practice, Gilkison illustrates how midwives have abrogated that responsibility by perpetuating institutional control over women, through the antenatal education that is offered in the hospital setting. This admission by Gilkison is precisely the reason that a Parents Centres New Zealand's childbirth educators' course has emerged. Kitzinger (1977:3) explains that antenatal teaching is a new profession, demanding new and varied skills and while a midwife's knowledge of body mechanics and her experience of conducting labours are important, they are not sufficient to make a good antenatal teacher. The midwife aspiring to be a teacher needs further study and practice, and needs a much greater knowledge of the psychological and social factors that are interwined with the physiological factors in the experience of childbearing.

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Editorial and College update

By Davies, B
on Wednesday, 01 May 1991 in New Zealand College of Midwives - Volume: 4

Editorial Committee update; Board of Management update

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Midwifery education: A national perspective

By Guilliland, K., Pairman, S.
on Wednesday, 01 May 1991 in New Zealand College of Midwives Journal - Volume: 4

In our history, the submersion of the midwifery profession into nursing can be directly linked to the medicalisation of childbirth. The traditional "with women's" role of the midwife is difficult if not impossible to maintain when the power base has shifted from the woman to obstetrical and nursing management. It is important to introduce measures to encourage and empower the Midwifery profession to support women's choices. Education is the key to social change. We must acknowledge that Midwifery education is more than a professional issue for us as health providers. Change in maternity care is a women's issue and a fundamental social issue. The purpose of the amendment to the Nurses' Act was to protect women and provide them with choices for maternity care. Our Midwifery education system must reflect this.

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A framework for midwifery education

By Pairman, S.
on Wednesday, 01 May 1991 in New Zealand College of Midwives Journal - Volume: 4

The nursing and midwifery forum called Vision 2000: Project 1991 took place in Auckland on March 14 and 15. The intent of day one was to identify the issues facing education and day two was for developing strategies and a framework for nursing and midwifery education towards the year 2000. Despite the title of the forum and the obvious intent to decide on the future of midwifery education as well as nursing, only three midwives were invited to speak during the forum. A small working group on Saturday 16th collated all the discussion from the forum and developed the framework and mechanisms. Midwives did not go unnoticed however and it became increasingly clear that nursing was looking to midwifery for some guidance as to the direction they should take. Whilst there is clearly some individual resistance to the idea of nusing and midwifery being separate professions, this resistance is not active and opportunities to challenge were never picked up by nurses.

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Jesse's birth

By Penwarden, R.
on Wednesday, 01 May 1991 in New Zealand College of Midwives Journal - Volume: 4

For three weeks now I have been trying to tell myself "Don'te get excited, these are pre-labour contractions, not the real thing, not yet, not yet..." And this morning I wake feeling different. "I feel different today Tim, maybe you'll get a baby for Father's day." But on the outside, in the practical part of me that has been battling futilely these weeks to stop my excitement, I think "Oh yes, I've said that before". "Oh yes, you've said that before", says Tim. Perhaps I may even be imagining the "show" that I find this morning, it is so slight, hardly a speck. Could it really be what I've been waiting to see? Do I ignore it or begin to get excited... again?

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Political comment: It's still women & midwives in partnership

By Donley, J.
on Wednesday, 01 May 1991 in New Zealand College of Midwives Journal - Volume: 4

After the heady days of the Nurses' Amendment Act, the present climate is depressing, to say the least. But, despite the doom and gloom promoted by the 'targeting' of universal benefits, further restructuring of health and education services and the Employment Contracts Bill, the performance of our midwives at Vision 2000 augers well for the future. Although in the minority at a Forum 'to develop a national frameword for nursing and midwifery education...', midwives were brilliant, they really had it together! They were articulate, politically aware and made valuable contributions to the proceedings and workshops. And finally, in developing the midwifery 'Vision' based on midwifery as a profession in its own right, they made another stride towards control of midwifery destiny. The development of the midwifery Vision was democratically open to all midwives and consumers prepared to come back on Saturday morning. In three hours we had a comprehensive document which was presented to the official 'invited' framework group.

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