BASIC CONCEPTS IN MIDWIFERY Definition of midwifery Midwifery is a discipline that studies of science and art of preparing for pregnancy,

helping labor, supervision during childbirth and lactation, the interval and fertility regulation, and menopause, newborns and toddlers, human reproductive functions and providing assistance / support to women , families and communities. Midwifery care is the process of decision-making and actions taken by a midwife in accordance with the authority and scope of practice, based on the science of obstetrics and tips. Midwifery care is given by applying the principles of compassion, conscience, mutual trust and commitment based on competence, ethics and code of ethics, and considering the state of physical and psychological effects, social, culture to maintain the health of mothers and babies. Midwives in the community are midwives who practice in a community or community groups with a comprehensive service both in his own practice room or visit / visit patients in their homes. The practice is handled by midwives, either with the help of the patients family or community.

Purpose

Goal-oriented community midwifery care midwifery practice community, namely the ability of communities to implement midwifery services engineering approach to problem solving and Public Health Care (PHC). Ability to work

with the management team midwifery, as well as increasing the participation of individuals and communities to increase the degree of health

Paradigm of midwifery In implement health care, midwives provide health professionals who adhere to the paradigm, a view of humans, in this case women, environmental, behavioral, health services / obstetrics and offspring as the nations next generation. Paradigm in detail described as follows:

1. Women are human beings biopsychosocial-cultural as a whole and unique, and have the basic needs of the units according to developmental level. Women as the successor generation, so the presence of a healthy woman physically, spiritually and socially indispensable. Women as human resources is first and foremost educators in the family. Human quality is determined by the existence / condition of the woman or mother in the family. The women in the community are the movers and shakers increase in family welfare

2. Environment is all visible in the interaction of individuals at the time of carrying out its activities, both physical environment, psychosocial, biological and cultural. Psychosocial environments include the family, groups, communities and society. Mom was always involved in family interaction, the group has a goal and value systems.

3. Behavior is the result of experience and interaction

with its

environment, which materialized in the form of knowledge, attitudes and actions.

4. Midwifery services are an integral part of the system of health care provided by midwives who have been registered. Service can be performed independently, collaboration or referral. Midwifery service targets individuals, families and communities, including prevention, healing and restoration of health problems, and improving family welfare. Midwifery services include primary care, collaboration services, referral services.

5. Heredity is one factor that determines the quality of human beings. A healthy mother will give birth to healthy humans, and vice versa. The philosophy of midwifery In carrying out its role providing care, midwives have the confidence as a guide, among others:

1. Beliefs about pregnancy and childbirth, is a natural process 2. Beliefs about women as unique individuals, have rights, needs and desires of each, so that the required active participation in receiving the care given 3. Beliefs about womens empowerment in decision making about their own health and their families through communication, information and education. Decision making is a shared responsibility between women, families and midwives as care givers. 4. Belief functions and benefits of a profession that has always sought the

welfare of mothers and babies, appreciate and support the physiological processes, using appropriate technology and effective referral 5. Beliefs about the goals of care 6. Beliefs about the partnerships / collaborations 7. Beliefs about individual rights to health services safe, satisfying according to the needs and cultural differences 8. Belief in the rights of individuals born in a healthy 9. Confidence in the experience of childbirth is a family developmental tasks The scope of midwifery Midwives have an important task in counseling and health education, either as individuals, families and communities. Midwifery services focusing on prevention, health promotion, normal delivery assistance, detection of complications in mother and child, carry out appropriate care authority, as well as implementing measures in emergency conditions according to authorities.