ICM Midwifery Competencies

Normal Birth includes 15 practice sessions where each session includes:

• Scenario
• Pre-reflection
• Practice section
• Post reflection

SKILLS AND METHODOLOGIES COVERED

• Demonstrate competency in using the WHO labour Care Guide
• Practice possible positions for birth
• Cardinal movements of the cephalic fetus during labour and birth
• Perform a vaginal examination during labour
• Practice normal birth -2nd stage
• Practice normal birth -3rd stage
• Practice active management of third stage labour
• Manage nuchal cord at birth
• Perform catheterization on a woman in labour
• Manage twin delivery
• Examination of the placenta and membranes
• Measure blood loss immediately after birth
• Practice breech birth

EXAMPLES OF COMPETENCIES COVERED

• Promote physiologic labor and birth
• Manage a safe spontaneous vaginal birth; prevent, detect, and stabilize complications
• Educate women to make individual choices about care
• Detect, treat, and stabilize postnatal complications in women and refer as necessary

Postpartum Care includes 4 practice sessions where each session includes:

• Scenario
• Pre-reflection
• Practice section
• Post reflection

SKILLS AND METHODOLOGIES COVERED

• Examine, assess, and counsel on perineal tears
• Provide postpartum assessment of the new monther
• Repair of second-degree perineal tear

EXAMPLES OF COMPETENCIES COVERED

• Manage a safe spontaneous vaginal birth; prevent, detect, and stabilize complications
• Provide postnatal care to ensure the health of the woman

Complicated Birth includes 9 practice sessions where each session includes:

• Scenario
• Pre-reflection
• Practice section
• Post reflection

SKILLS AND METHODOLOGIES COVERED

• Administer local anesthesia before performing an episiotomy
• Perform an episiotomy on a woman during second stage of labor
• Manage shoulder dystocia
• Advise on the warning signs of hypertensive disorders
• Prepare loading dose of Magnesium Sulphate for severe pre-eclampsia in pregnancy
• Management of eclampsia in pregnancy
• Manage postpartum hemorrhage in third stage of labour (AMTSL)
• Perform manual removal for a retained placenta
• Perform abdominal aortic compression
• Management of PPH using Uterine Balloon tamponade
• Perform bimanual compression
• Perform shock management
• Practice instrumental birth - vacuum extraction

EXAMPLES OF COMPETENCIES COVERED

• Recognize conditions outside midwifery scope of practice and refer appropriately
• Detect, stabilize, manage, and refer women with complicated pregnancies
• Manage a safe spontaneous vaginal birth; prevent, detect, and stabilize complications
• Detect, treat, and stabilize postnatal complications in woman and refer as necessary

Family Planning includes 7 practice sessions where each session includes:

• Scenario
• Pre-reflection
• Practice section
• Post reflection

SKILLS AND METHODOLOGIES COVERED

• Provide counseling on Family Planning and contraceptive methods
• Counsel and advise on emergency contraceptive pill (ECP)
• Demonstrate condom application
• Insertion of Intra Uterine Device (IUCD) in the postpartum period
• Practice removal of Intra Uterine Contraceptive Device (IUCD)
• Perform insertion of implant
• Supervising a midwiferty student in the removal of an implant

EXAMPLES OF COMPETENCIES COVERED

• Provide family planning services

Abortion Care includes 1 practice session with:

• Scenario
• Pre-reflection
• Practice section
• Post reflection

SKILLS AND METHODOLOGIES COVERED

• Provide counseling to a woman for medical abortion for an unplanned pregnancy

EXAMPLES OF COMPETENCIES COVERED

• Provide care to women with unintended or mistimed pregnancy

General Midwifery Care includes 4 practice sessions where each session includes:

• Scenario
• Pre-reflection
• Practice section
• Post reflection

SKILLS AND METHODOLOGIES COVERED

• Practice respectful midwifery language
• Practice cervical screening
• Take urine analysis pregnancy test
• Identifying signs of possible sexual trauma in women

EXAMPLES OF COMPETENCIES COVERED

• Facilitate women to make individual choices about care
• Demonstrate effective interpersonal communication with women and families, health care teams, and community groups
• Manage a safe spontaneous vaginal birth; prevent, detect, and stabilize complications

Newborn Care includes 5 practice sessions where each session includes:

• Scenario
• Pre-reflection
• Practice section
• Post reflection

SKILLS AND METHODOLOGIES COVERED

• Conduct initial assessment of the newborn
• Perform newborn resuscitation
• Administer BCG injection to newborn infant
• Provide kangaroo mother care for the premature infant
• Support initiation of breastfeeding

EXAMPLES OF COMPETENCIES COVERED

• Provide care of the newborn immediately after birth
• Provide care to healthy newborn infant