Certified Nurse Midwife

Participates in initial examination of obstetrical patient, and is assigned responsibility for care, treatment, and delivery of patient.

Participates in antenatal evaluation and treatment of the obstetrical patient.

Examines patient during pregnancy, utilizing physical findings, laboratory test results, and patient's statements to evaluate condition and ensure that patient's progress is normal.

Instructs patient in prenatal health practices.

Discusses case with Obstetrician and staff to assure observation of specified practices.

Stays with patient during labor to reassure patient and to administer medication.

Delivers infant and performs postpartum examinations and treatments to ensure that patient and infant are responding normally.

When deviations from standard are encountered during pregnancy or delivery, administers stipulated emergency measures, and arranges for immediate contact of Obstetrician.

Visits patient during postpartum period in hospital to examine patient and instruct patient in care of self and infant.

Participate in discharge care including discharge orders.

Assist Obstetrician as First Assist for C-sections Maintains records of cases for inclusion in establishment file.

Conducts classes for groups of patients and families to provide information concerning pregnancy, childbirth, and family orientation.

May direct activities of other workers.

May instruct in midwifery in establishment providing such training.

Participate in the performance improvement activities of the department.