How do midwives become obstetricians and gynecologists

International concept

Emphasize that midwives are the main caregivers of pregnant women during pregnancy, and midwives should provide continuous care to mothers. Professional medical services The development of midwifery in New Zealand has a century-old history. It was the first country in the world to issue a registered nurse qualification certificate. Waikato Polytechnic is the largest college in New Zealand to provide midwifery education. Dr. Margie Duff, director of the college's midwifery degree and the first person in New Zealand to be awarded a doctorate in midwifery, said at the forum that, unlike the obstetrician-led model, the midwife-led model emphasizes that midwives are the main caregivers of pregnant women during pregnancy. Professional medical services that provide continuous care to mothers can increase the rate of natural birth, reduce hospitalization time during pregnancy, reduce drug analgesia and intrapartum anesthesia, reduce the rate of episiotomy, and reduce the rate of neonatal resuscitation. It can also increase maternal awareness of childbirth. Satisfaction with the process.

Dr. Margie Duff said that there are many models that can achieve the continuity of midwifery care for mothers. The continuous *** model is carried out in a group model, with a group of midwives taking care of a certain number of women, ensuring that women have a midwife who can accompany them throughout the delivery period, and the midwife provides postpartum follow-up. The "midwifery partnership" relationship is another typical example of the continuum of care model, which was adopted in New Zealand and Australia in 1990. The partnership's core philosophy is that pregnancy and childbirth are natural life events, midwifery is woman-centred and midwives are able to independently apply their expertise to provide a continuum of midwifery care. Midwives are considered responsible professionals who work in partnership with women to provide them with necessary support, care and advice during pregnancy, childbirth and the puerperium.

Women have been shown to benefit from continuity of care models and continuous intrapartum support. Survey data in 2003 showed that in New Zealand, the natural delivery rate of mothers reached 67.4%, and in Australia it was 60.8%; while the episiotomy rates of mothers in the two countries were only 10.2% and 16.1%.

Embarrassing reality

Midwifery services in my country are still dominated by obstetricians, and midwifery is still subordinate to the nursing profession. It is neither an independent discipline nor a professional system, and it is far behind the international level. Very far. Professor Ye Honghao, chairman of the Perinatal Medicine Branch of the Chinese Medical Association, pointed out that midwives in my country also play an important role in perinatal medical care. They are mainly responsible for normal maternal delivery, assisting obstetricians in handling difficult labor, and are responsible for family planning and perinatal care. and maternal and infant health education and technical guidance. In recent years, doulas and midwives have been carrying out one-on-one and full-time childbirth accompaniment. The midwives' humanized services have achieved very good results and reduced the cesarean section rate. But he also pointed out that midwifery in my country is still subordinate to the nursing profession. It is neither an independent discipline nor a professional system. It is far from the international level. The professionalization process in this field needs to be strengthened urgently.

Director Wang Lixin of the Obstetrics and Gynecology Professional Group of the Chinese Nursing Association believes that international midwifery professional education has developed into an independent higher professional education, and midwives must have a professional education background above a bachelor's degree. However, the higher education and professional training of midwives in our country is very lacking. Professional education is limited to technical secondary education. There are no junior college or undergraduate majors for midwives in medical schools. A considerable number of midwives have changed careers from nurses and have no professional further education in continuing education. Possibly, you can only choose courses in nursing. "I came to this forum at my own expense, but the leader said there was nothing to learn about midwifery and refused to allow me to come." A nurse in charge from a hospital in Henan said, "But there are too few professional learning opportunities like this. I asked for a vacation and came to Beijing at my own expense."

Wang Lixin also pointed out that most countries and regions currently implement independent registration and access systems in the field of midwifery. Midwives have relatively independent international governing bodies and organizations. After registration, midwives enjoy basic examination and prescription rights. Routine pregnancy follow-up, examinations and normal natural delivery can be completely managed by midwives, while hospital specialists are mainly responsible for the management of high-risk cases. Although my country has established a relatively complete maternal and child health care system, midwives are still subordinate to the nursing profession. In terms of registration and professional title promotion, the system corresponding to the midwifery profession is still blank.

She analyzed that the reason for this situation lies in the low academic level and lack of professionalism of the employees. At the same time, my country's midwifery human resources are scarce. It is understood that in developed countries, the ratio of midwives to childbearing women is 1:1000, while in my country the ratio is 1:4000. In addition, the high demand for medical staff by pregnant women has also resulted in the situation that midwifery services in my country are still dominated by obstetricians. But in fact, for normal pregnancy and delivery, midwives who have received higher education and training are completely competent

Future Outlook

Only with the academy can midwives have their own home.

Director Wang Lixin, who has represented my country at the International Federation of Midwives conferences three times in a row, loudly stated in the forum that due to the lack of a professional system, it is difficult for my country’s midwifery to establish independent academic groups and societies. This has also become an important issue for my country to join the International Federation of Midwives. Realistic obstacles to the alliance.

It is understood that the International Federation of Midwives is a midwifery union that represents midwives from 72 countries. It is mainly committed to defining the role of midwives and providing guidance standards for midwife education and preparation. The Alliance holds an International Midwifery Congress every three years. Although mainland my country has been invited to attend for three consecutive years, it has attended as an observer. Hong Kong and Taiwan have become full members. "With the society, midwives have their own family." Wang Lixin suggested that my country should speed up the professionalization of midwifery to create conditions for my country to integrate into the international midwifery family as soon as possible. At this forum, more than 140 obstetrics and gynecology medical staff and nursing school teachers from 27 provinces and cities across the country also collectively signed the "Proposal on the Establishment of the Chinese Midwifery Association", calling for the establishment of a midwifery association in my country. , can family midwives who have integrated into international midwives as early as possible convert their certification to become obstetricians and gynecologists?

No,

Midwives are between nurses and doctors. They work like nurses but can also do part of the work of doctors!

Midwifery is a good career. If you are a boy, you can consider re-study.

Otherwise, there is still a lot of room for development!

If necessary, you can study clinical medicine and become a doctor! Information about applying for midwives to become obstetricians and gynecologists

A full-time clinical medicine graduation certificate for the medical certificate is acceptable, or a clinical medicine graduation certificate for adult education before 2003. If you don’t have one, you have to study under the tutelage of traditional Chinese medicine. After a few years, I took the exam for Chinese and Western medicine and got a Chinese medicine certificate. I am an obstetrician and gynecologist and want to change my career to become a midwife. Is it cost-effective?

I don’t suggest that in public hospitals, the status of midwives is very low.

I also came from a public hospital. Doctors’ salaries are very high, but midwives’ salaries are particularly low.

However, if you can persist, you can become a midwife first, and then slowly show your talents and abilities. I believe you will become a doctor again.

Have you ever read the book "Diary of a Head Nurse"? The author is Zhang Jihui, who works at Guangzhou First People's Hospital. After she resigned from Guilin, when she first came to work in Guangzhou, she could only do A nurse gradually became a head nurse based on her own ability. How can a medical midwife take the self-study exam to become an obstetrician and gynecologist?

The medical self-study exam has been cancelled

You can only take the adult examination, but you cannot take the doctor qualification certificate with an undergraduate degree, which means you cannot become a doctor.

One way is to let her take the postgraduate entrance examination for a clinical postgraduate degree two years after graduating from junior college (but it is difficult to switch from nursing to medicine. First, she must learn clinical knowledge. She should have some medical background, and her skills should be pretty good. )

Or in the junior year, you can upgrade from a junior college to a bachelor's degree on campus, but this can only be upgraded to the corresponding major, but you can directly take the postgraduate entrance examination after graduating from the bachelor's degree without waiting for two years

There is only one way to take the clinical graduate examination, otherwise you cannot be a licensed obstetrician and gynecologist

If you want to deal with gynecological or nurturing issues, such as pre-pregnancy care, miscarriage, postpartum health care, traditional Chinese medicine infertility can See, the body is better.

Normal, probably more than 6 pounds. Obstetrician and gynecologist for help

The first possibility: you remembered the time wrongly, and the pregnancy time has already exceeded 24 weeks;

The second possibility: you should not have entered the pregnancy at 24 weeks Basin, the B-ultrasound examination doctor said that the child’s head is in the pelvis, which may be a misdiagnosis;

The third possibility: If you remember correctly, it is indeed 24 weeks of pregnancy, and the B-ultrasound examination doctor also did not If misdiagnosed, then you may indeed have a premature birth;

Point 4: If the child really enters the pelvis, it will be impossible to see the child’s head clearly through B-ultrasound, and it will also be impossible to let the child’s head come out of the pelvic cavity. ——This is difficult to achieve even with laparotomy. After the child's head enters the pelvic cavity, it is neither allowed nor possible to come out of the pelvic cavity.

It is recommended that you change to a larger public hospital for another B-ultrasound examination after confirming the time of pregnancy. Private hospitals... should be used as a reference. If the diagnosis is really that the baby entered the uterus at 24 weeks of pregnancy, then unfortunately prepare to... induce labor. Ask an obstetrician and gynecologist for help!

It is abnormal for the lower edge to reach the internal opening, which is called placenta previa. However, it is not serious at 19 weeks and may gradually increase as the gestational age increases. But there are also those that don’t grow up. Review B-ultrasound regularly and avoid strenuous activities. Go to the hospital anytime if you have *** bleeding. Other indicators are normal.