The Midwifery Management Process (MMP)

By S.R. Muheriwa 23/2/2011

OBJECTIVES OF THE PRESENTATION

Define the midwifery management process Explain the steps of the midwifery management process Demonstrate competence in using the midwifery management process in the provision of care.

Definition:
The Midwifery Management Process is a systematic approach of problem-solving which is based on scientific principles and uses critical thinking to enable a professional midwife to assist clients and their families to cope with health problems.

Steps of the Midwifery Management Process

Assessment Midwifery diagnosis Planning Implementation Documentation Evaluation

STEPS OF THE MMP CONTD

ASSESSMENT First step of the MMP

Consists systematic and orderly collection and analysis of data pertaining to the health status of the client for the purpose of identifying needs, problems or making a midwifery diagnosis

STEPS OF THE MMP CONTD

Is an important part of the process because if an incorrect assessment is made a wrong diagnosis will follow which could mean inappropriate planning and implementation of improper care.

STEPS OF THE MMP CONTD

Forms of Data to be collected 1. Subjective data: Chief complaint, personal data, family history, past and present obstetric history, socioeconomic, nutritional, psychological, and her perception of pregnancy and childbirth

STEPS OF THE MMP CONTD

1.

Objective data: Includes; findings from the physical examination, laboratory findings, and other investigations.

STEPS OF THE MMP CONTD

Midwifery Diagnosis Involves analysis of collected data to come up with actual and at risk problems.

It expresses the midwife's professional and clinical judgment about individual family and community responses to act

STEPS OF THE MMP CONTD

It forms the basis of selection of midwifery interventions to achieve outcomes for which the midwife is accountable.

STEPS OF THE MMP CONTD

Note: Not Medical Diagnosis!
Does

not focus on defining the cause of a problem or pathological condition

STEPS OF THE MMP CONTD

Planning The midwife plans the care to be rendered to the client.

The midwife develops the midwifery care plan:

- A written document which is designed to guide the midwife in providing quality care.

STEPS OF THE MMP CONTD

Components of the care plan:
1.

Midwifery diagnoses Listed according to priority. High priority involves the clients urgent needs
Goals of care The desired change in the health status of the client.

2.

STEPS OF THE MMP CONTD

3.

Midwifery Intervention Provides exact interventions required to achieve both short and long term goals. Rationale The midwife should have a justification for each intervention carried out.

4.

STEPS OF THE MMP CONTD

5.

Evaluation Monitoring of midwifery interventions or orders.

STEPS OF THE MMP CONTD

Implementation Putting into action or carrying out the interventions selected in the midwifery care plan.

The planned activities can be done by the midwife directly, by the client and her family or the physician.

STEPS OF THE MMP CONTD

Documentation

CARE NOT DOCUMENTED IS NOT DONE !!!

STEPS OF THE MMP CONTD

Document: All information collected

All problems identified

All interventions implemented

STEPS OF THE MMP CONTD

Documentation: Provides evidence of activities

Provides communication to other health care workers Must be continuous

STEPS OF THE MMP CONTD

Evaluation A process of examining the impact or effectiveness of interventions

Carried out after each patient interaction

Documented in evaluation column

CASE STUDY
Mrs Thabwa is a 20 years old primgravida. She reports to the labour ward at term gestation with complaints of lower abdominal pains and backache since yesterday. On examn, she looks anxious, and exhausted. T. 37c, p. 88, R.28. BP 120/80. contractions are 2 moderate in 10 minutes and cervix is 4 cm dilated. Using the midwifery management process, give the management of Mrs Thabwa up to the time of delivery.