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Burton [ 26] suggests that midwives should perform symptom screening for tuberculosis at each antenatal visit, and ensure that all women who screen positive are investigated for tuberculosis.
However, by our own experiences we observed that about 90% of midwives do not perform mother-newborn skin-to-skin contact while the Iranian Ministry of Health asks that all midwives should perform skin-to-skin contact immediately after birth.
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It is suggested that midwives and paediatricians should perform more thorough intra-oral investigations of all new-borns, including both a manual palpation, as well as a visual inspection of the palate.
Midwives should be permitted to perform all 7 basic emergency obstetric and newborn care functions.
Midwives should be encouraged to do more to promote activity in pregnancy.
Supervision should empower midwives, should not focus on just filling in a checklist, and should be performed by provincial or national health offices.
Midwives should not act as gatekeepers to the maternity services.
"Midwives should be dealing with cold-normal women," he said.
Certified professional midwives and certified nurse midwives should be licensed to practice independently in all 50 states.
Student nurses and midwives should have a good social life, by all means, says the guidance.
"Midwives should not be co-managing the high-risk patients," the memorandum said.
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