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One of the he alth workers who plays an important role in serving the community is the midwife. According to the laws in force in Indonesia, a midwife is defined as a woman who has graduated from midwifery education, who has been registered according to the provisions of the legislation
A person can become a midwife and provide he alth services to the community if they have taken a minimum education of Diploma 3 (D3) in Midwifery. Midwives who want to work independently or work in he alth care facilities must have a Midwife Work Permit (SKIB).In addition, those who wish to conduct independent practice are required to have a Midwife Practice License (SIPB).
Knowing the Duties of Midwives
In general, the duty of a midwife is as a professional he alth worker who helps women from pregnancy to childbirth. If described in more detail, this is what their task looks like:
- Doing checks during pregnancy, including monitoring the physical and psychological he alth of pregnant women.
- Provides consulting services on family planning and pre-pregnancy care.
- Providing advice regarding food consumption, sports activities, medicines, and general he alth to pregnant women.
- Help pregnant women in planning their birth.
- Providing assistance to strengthen emotions and support the delivery process for pregnant women.
- Providing sufficient knowledge to mothers regarding pregnancy, birth and baby care.
- Guiding the birth process
- Make a referral to a doctor if pregnant women need it.
In Indonesia, the noble work of midwives is regulated by law. Clearly, the authority of midwives is to provide he alth services which include he alth services for mothers, children and women's reproductive he alth services and family planning.
To women in general, the he alth services provided by midwives include the pre-pregnancy period, pregnancy period, delivery period, postpartum period, breastfeeding period and the period between two pregnancies. To be more specific, services by midwives can be in the form of:
- Antenatal care in normal pregnancy.
- Counseling services during pre-pregnancy.
- Normal delivery service.
- Normal postpartum mother service.
- Service for breastfeeding mothers.
- Counselling services in the period between two pregnancies.
Choosing the Right Midwife
Currently, the profession of midwife has been widely spread in various regions in Indonesia. Midwives have also begun to be trusted to help with childbirth because their assistance is focused on individual pregnant women accompanied by minimal medical action.
However, to ensure that the midwife you want to accompany is of good quality, there are several things you should ask before making your choice, including:
- Make sure they have both SKIB and SIPB permits, and have a good reputation.
- Ask for an explanation from the midwife regarding the ties she has, whether with hospital he alth care facilities, maternity clinics, or independent practice.
- Find out how midwives manage pain in patients who give birth.
- Find out what approach the midwife used in the care of the patient's pregnancy and delivery.
- Ask the midwife for info on how many patients need an episiotomy under her care, and under what circumstances the procedure should be
- Ask for a backup plan from the midwife who wants to be a companion in case of an emergency with the patient.
- Ask whether the midwife consulted an obstetrician and the possibility of the patient having an appointment with that doctor.
You are also advised to choose a midwife who cooperates with the he alth insurance provider, and choose a midwife location that is easily accessible and ready to serve at any time, especially when an emergency occurs.
The role of the midwife is very important in maintaining the he alth and safety of mothers and babies. Therefore, you need to choose a competent midwife to accompany you during your pregnancy and assist in delivery.