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. Midwives work as autonomous practitioners, and they collaborate with other health care and social service providers whenever appropriate. â¢ Midwives certified by the American Midwifery Certification Board (AMCB) as CNMs or CMs. 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 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. I voluntarily adopt the MANA Standards and Qualifications for the Art and Practice of Midwifery. The ATM Midwifery Training Program (ATMMTP) curriculum is based on the Midwives Alliance of North America Core Competencies for Basic Midwifery Practice, MANA Standards and Qualifications for the Art and Practice of Midwifery, NARM written and skill test specifications, and the Midwives Model of Careâ¢. The midwifeâs assessment, care and shared information include but are not limited to: A. anatomy, physiology and support of the newbornâs adjustment during the first days and weeks of life; B. newborn wellness, including relevant historical data and gestational age; D. benefits of breastfeeding and lactation support; E. prophylactic treatments and screening tests commonly used during the neonatal period including applicable laws and regulations; F. newborn growth, development, behavior, nutrition, feeding, and care; G. traditional or cultural practices related to the newborn; H. neonatal problems and abnormalities, and referral as appropriate; I. discussion of circumcision and immunizations; The midwife provides care, support and information regarding reproductive health and determines the need for consultation or referral by using a foundation of knowledge and skills that includes but is not limited to: A. reproductive health care across the lifespan; B. evaluation of the client's well-being, including relevant health history; C. common laboratory tests and screenings; D. physical examination, including clinical breast and pelvic examination, focused on the presenting condition of the client; E. anatomy and physiology related to conception and reproduction; F. contemporary family planning methods, including natural, chemical and surgical methods of contraception, mode of action, indications, benefits and risks; G. decision making regarding timing of pregnancies and resources for counseling and referral; H. preconception and interconceptual care; The midwife assumes responsibility for practicing in accordance with the principles and competencies outlined in this document. 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. My memberships are with Missouri Midwives Association and Kansas Midwives Association as well as the Midwives Alliance of North America. Open Letter to the Midwives Alliance of North America regarding the recent revisions to the organizationâs standing Core Competencies document: August 20, 2015. Midwives are committed to sharing their knowledge and experience through such avenues as peer review, preceptorship, mentoring and participation in MANA’s statistics collection program. Our members are primary care providers for women throughout the lifespan, with a special emphasis on pregnancy, childbirth, and gynecologic and reproductive health. C. principles and practice of data collection as relevant to midwifery practice. 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 babyâs 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. The Competencies inform practicing midwives, student midwives, midwifery education programs, consumers, accreditation and certification agencies, state and federal legislators, licensing authorities, health policy makers and other health care professionals concerning the practice of midwifery.
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