Table 1 Comparison of the competencies of Auxiliary Midwives in Myanmar with the assumed competencies of Auxiliary Nurse Midwives according to WHO recommendation
Assumed competencies of Auxiliary Nurse Midwives (ANM) within WHO recommendations | Current Auxiliary Midwives competency in Myanmar | Potential competency for Auxiliary Midwives |
|---|---|---|
Promotion of maternal, newborn and reproductive health interventions | √ | √ |
Oxytocin administration to prevent and treat PPH – standard syringe/ CPAD | Χ | Not allowed due to strict restriction on injection |
Misoprostol administration to prevent PPH | Χ | Possible |
Misoprostol administration to treat PPH | Χ | After the preventions dose must refer the patient immediately to hospital |
Oral supplement distribution to pregnant women | Χ | Possible |
Low dose aspirin distribution to pregnant women at high risk of pre-eclampsia/eclampsia | Χ | After detection of high blood pressure must referred pregnant mothers to the MWs for further care |
Continuous support for women during labour, in the presence of a skilled birth attendant | √ | √ |
Puerperal sepsis management with oral antibiotics | Χ | Possible |
Puerperal sepsis management with intramuscular antibiotics – CPAD | Χ | Not allowed due to strict restriction on injection |
Maternal intrapartum care (including labour monitoring, e.g. using a partograph; foetal heart rate monitoring by auscultation; decision to transfer for poor progress; delivery of the baby) | √ | √ |