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Starting Life as a Midwife
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Table of Contents

IntroductionChapter 1. AustraliaMichelle Gray, Allison CumminsContext of Midwifery Practice in Australia
Preparation for Clinical Practice/Midwifery Education; BMid, Post graduate programs, dual degreeRegistration and Regulation of New MidwivesTraditional new graduate program Mentorship and support: benefits, challenges, innovations, exemplars Current Research: highlight recent or ongoing research regarding the transition to clinical practice that is unique to AustraliaRecommendations for the implementation of innovations to support new graduates into COC modelsThe lived experience of newly qualified midwives in their first year as registrants
Chapter 2 . BelgiumGenevieve Castiaux The legislation related to regulation of midwifery in your country
A brief outline of the education leading to registration as a midwifeThe regulation related to initial and ongoing registrationThe transition of new midwives after registration as a midwife - discussing what support systems exist (if any), what program involve (such as additional training of extended skills and/or mentorship from an experienced midwife)Reflective experiences by new midwives in their first year of practise
Chapter 3. BrazilDulce Maria Rosa and Edemilson The legislation related to regulation of midwifery in your country
A brief outline of the education leading to registration as a midwifeThe regulation related to initial and ongoing registrationThe transition of new midwives after registration as a midwife - discussing what support systems exist (if any),what program involve (such as additional training of extended skills and/or mentorship from an experienced midwife)A reflective experience written by a new midwife in their first year of practise.The lived experience of newly qualified midwives in their first year as registrants
Chapter 4. CanadaChristine Sandor, Beth Murray-Davis bmurray@mcmaster.caContext of midwifery practice and education in Ontario, Canada
* Overview of scope of practice, models of practice , funding and remuneration* Midwifery education in Canada Registration and Regulation of New MidwivesMentorship, Supervision and Support for New MidwivesNew Midwives process of learning, transitioning and identifying
Chapter 5. EthiopiaAnnette Bennett The legislation related to regulation of midwifery in your countryA brief outline of the education leading to registration as a midwifeThe regulation related to initial and ongoing registrationThe transition of new midwives after registration as a midwife - discussing what support systems exist (if any), what program involve (such as additional training of extended skills and/or mentorship from an experienced midwife)Reflective experience by new midwives in their first year of practice
Chapter 6. GermanyMarina Weckend
Chapter 7. Hong Kong
Hau wai Lei The legislation related to regulation of midwifery in your country
A brief outline of the education leading to registration as a midwifeThe regulation related to initial and ongoing registration

The transition of new midwives after registration as a midwife - discussing what support systems exist (if any), what program involve (such as additional training of extended skills and/or mentorship from an experienced midwife)Reflective experience by new midwives in their first year of practise
Chapter 8 . Iran/TeheranAnahita Esbati The legislation related to regulation of midwifery in your country
A brief outline of the education leading to registration as a midwifeThe regulation related to initial and ongoing registrationThe transition of new midwives after registration as a midwife - discussing what support systems exist (if any), what program involve (such as additional training of extended skills and/or mentorship from an experienced midwife)Reflective experience by new midwives in their first year of practise
Chapter 9. JamaicaCynthia Pearl Pitter The legislation related to regulation of midwifery in your country
A brief outline of the education leading to registration as a midwifeThe regulation related to initial and ongoing registrationThe transition of new midwives after registration as a midwife - discussing what support systems exist (if any), what program involve (such as additional training of extended skills and/or mentorship from an experienced midwife)The lived experience of newly qualified midwives in their first year as registrants
Chapter 10. New Zealand
Jacqui Anderson, Lesley Dixon Context of midwifery practice in New Zealand (employed/self-employed, place of work, autonomous practice)
Undergraduate Preparation for practice (preparing for NZ context, standards of education theoretical and practice requirements)Registration and regulation (HPCAA)* Frameworks for Midwifery Practice (Professional standards, expectations, ethics, code of conduct)* The Midwifery First Year of Practice Programme ( supporting successful transition)Mentoring and support (importance of relationships and networks)Experiences of new graduate Midwives in New Zealand (feedback from new graduates in New Zealand)
Chapter 11. The Netherlands
Liesbeth Kool and Esther Feijen-de JongContext of midwifery practice in The Netherlands (history of midwifery, place of birth, the birth of the clinical midwife, organisation of midwifery practice)
Preparation for clinical practice/midwifery education (midwifery education, competences of a midwife in the educational system, midwifery education at the AVAG)Registration and regulation of new midwivesMentorship and support: benefits, challenges, innovations, exemplarsCurrent research: highlight recent or ongoing research regarding the transition to clinical practice that is unique to that countryThe lived experience of newly qualified midwives in their first year as registrants
Chapter 12. United KingdomEllen Kitson Reynolds and Liz CluettThe context of Midwifery Practice: National policy/England, Ireland, Scotland, Wales policy on supporting new graduate midwives onto practice
Preparation for Clinical Practice/Midwifery Education: Changes to the university funding and the consequences to midwifery educationNew graduate Midwives' experiences of the current graduate programmes? Changes to include the introduction of associate professionals and the potential impact on the newly qualified midwifeThe changing landscape in view of the Morecambe bay review, changes to legislation, and Francis reportsPreceptorship and developing competence/extended rolesDeveloping a career planThe lived experience of newly qualified midwives in their first year as registrants

About the Author

Michelle Gray has 25 years of midwifery practice experience working in a diverse range of maternity services in England and Australia; providing midwifery care to women in and out of hospital.

For the last ten years she has been a midwifery academic at the University of the Sunshine Coast where she has lead a Masters of Midwifery program 2007- 2015. More recently Michelle has coordinated the Bachelor of Midwifery program which commenced in February, 2017.

Michelle has a particular interest in midwifery regulation, registration, and standards of midwifery practice and education. This is evident in her professional engagement activities which include her professional engagement activities with the Australian College of Midwives (ACM) as Council representative for Queensland, Chair and committee member for ACM Queensland Branch; and reviewer for Elsevier articles and books. Finally, Michelle's PhD thesis completed in September, 2016 investigated, 'Midwives' responses to the changed condition for registration renewal in Australia'. Her findings have been published in Australian and International peer-reviewed journals, and she has completed many conference presentations on her findings.

Michelle's interest in midwifery regulation, education and practice led her to undertake a six month sabbatical in Ontario, Canada, June-December 2015, where she collaborated with international midwives on the examination of the support of new midwives in practice. This focus was the initiative that led to the creation of this collaborative international book dedicated to examining the experiences of new midwives as they transition into registered practice.


Dr. Ellen Kitson-Reynolds is a Midwifery Programmes Manager and principle lecturer in the Faculty of Health Sciences, University of Southampton, UK, and a Post-doctoral Clinical academic Midwife. She has led the three year Bachelor of Science Midwifery (Honours) and Master of Science Midwifery programmes since 2011 and successfully validated a BSc and MSc 2 year midwifery (with advance standing) programme for adult nurses. Her education leadership is realized through her role as the Lead Midwife for Education in the University of Southampton and supporting students at all academic levels and clinical experiences.

Ellen's clinical and published expertise covers clinical decision making, supporting newly qualified midwives and educational advances for pre-registration midwifery education, bladder management linked to birth and a special interest in autistic spectrum disorders linked to maternity services. Ellen's continued clinical support is that of a professional midwifery advocate and works in partnership with clinicians to support transition to first post. This has stemmed from her Clinical doctorate thesis entitled: 'The lived experiences of newly qualified midwives'.
Dr. Allison Cummins has completed a PhD on Enabling New Graduate Midwives to work in Midwifery Continuity of Care Models in Australia. She currently teaches in both the undergraduate Bachelor of Midwifery and post-graduate midwifery programs at the University of Technology Sydney. Allison also supervises PhD students in Midwifery with a special interest in women's experience of midwifery services. She has developed teaching and learning grants, including a one-touch midwifery app for smartphones, and other online and workshop projects.

Allison is currently conducting research that aims to evaluate midwifery led care in Australia.

Allison has a number of publications from both her research and teaching and learning grants. In addition, she has co-authored a book, "Stories in Midwifery" and contributed to textbook chapters on midwifery and maternity care.

Allison has been a practicing midwife for over 20 years working with women in home and hospital settings. She continues to work as a midwife at Sydney's Royal Prince Alfred Hospital on a casual basis, her practice complementing her teaching role. She also provides private antenatal classes to women and their partners. She is an active member of the Australian College of Midwives and sits on its Professional Development committee.


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