What has public health got to do with midwifery? Midwives' role in securing better health outcomes for mothers and babies.
BACKGROUND
The maternity services hold a unique position in influencing current and future maternal and infant health and midwives play a pivotal role. However, midwifery's role in public health is rarely acknowledged by the "system" or by midwives themselves. In fact most midwives may find it difficult reconciling public health with the care they provide.


OBJECTIVE
This paper aims to raise midwives' public health consciousness and explores the ways in which they can, regardless of the maternity service context in which they work, explicitly acknowledge their own public health practice and the role of midwifery more generally in securing maternal and infant health.


CONCLUSIONS
Salient examples in antenatal, intrapartum and postnatal care have highlighted how midwives can engage in public health issues relevant to their everyday clinical practice and in so doing re-define and extend their boundaries of care. Public health has much to do with midwifery and midwifery has much to do with public health.


CONCLUSIONS
Midwifery practice can have a profound impact on maternal and infant health both short and long-term, so it is critical that all midwives take up the public health challenge for the benefit of the population they serve.
Biro
Mary Anne
MA
School of Nursing & Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Wellington Road, Clayton, VIC 3800, Australia. maryanne.biro@monash.edu.au
D055317:Evidence-Based Practice; D005260:Female; D006801:Humans; D008427:Maternal Health Services / Q000458:organization & administration; D008430:Maternal-Child Health Centers; D008880:Midwifery; D009035:Mothers; D009721:Nurse Midwives; D011247:Pregnancy; D011320:Primary Health Care / Q000458:organization & administration; D024382:Professional Role; D011634:Public Health