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Midwives to assist in delivery at home
DUBAI - To lessen the burden on hospitals, low-risk expectant mothers may be visited by midwives at home in the future.
Discussing long-term health strategies and the scope of midwifery in the UAE, experts met at Rashid Hospital at a two-day conference on the theme “Promoting midwifery in the UAE” which was organised by the Midwifery Professional Practice Group, Federal Department of Nursing and Federal Midwifery Committee.
The conference ended yesterday.
In her talk on ‘Antenatal Care Pathway - moving low risk care into the community’, Jill Wright, Practice Development Midwife, Al Wasl Hospital, said, “Midwives visiting homes is still a long-term plan as there are only a handful of qualified midwives in the country.”
As per the plan, in the near future, low-risk women could have the choice of home or hospital birth with the help of midwives. “But before this, we need to have in place the required infrastructure, training, education and more robust ways of antenatal care,” she said. This would also give more time to obstetricians and doctors to follow up with high-risk cases admitted in hospitals.
However, at present, to lessen the burden on overbooked antenatal clinics within hospitals, a three-month pilot programme was launched on January 27 through which low-risk patients from Al Wasl Hospital were being referred to Al Bada’a Primary Health Care for antenatal care and delivery. By the end of April, the programme would be launched in other PHCs as well, added Jill.
Simultaneously, the woman concerned would also be issued a patient-held record card, which has been upgraded from the existing one. The card lists basic statistical info and appointment records. It also eliminates the need for the physical transfer of files from hospitals to PHCs.
“The project requires that certain guidelines be followed. Midwives and nurses are being trained to identify high-risk cases so that they are not referred to PHCs,” explained Jill.
She pointed out that, at present, at least 20 per cent of pregnant women in Al Wasl Hospital had a long waiting time for check-ups due to over-crowding due to which high-risk women had a lesser chance of seeing a doctor.
She also said the PHCs would mean a standardised package of care, clear referral process as well as a one-stop-shop.
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