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The midwives were provided with intensive training, 6 monthly updates and regular contact visits.
Participating midwives were provided with an RLP guide and a booklet.
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Concern was expressed by some key informants that care providers other than midwives were providing postnatal care: I think that with the high rates of caesareans you might get away with an RN looking after the Caesar patient and having a lactation consultant looking after the breastfeeding side.
In 2009, only 4 public-sector locations provided IUD services; by 2013, trained midwives were providing IUDs in 248 community health centers.
Additionally, it is important that midwives are provided with education and support regarding the implementation of GWG guidelines.
Additionally, another 35 nurse-midwives were provided 5 days short intensive training on skilled birth attendance and evidence based delivery care.
In this area, around 120 independent midwives are providing primary care.
To protect the integrity of the data, each midwife is provided with an individual user identity and a secure login procedure.
In one of the health centres, a nurse midwife was providing services solely because her colleague (a nursing officer with a degree) was sick.
A number of cases were provided where midwives denied women requesting epidural analgesia in early established labour, as examples that some midwives worked according to their personal views of promoting normal non-interventionist labour and birth rather than what an individual woman might choose.
Weighing scales were provided by the midwives and were calibrated daily.
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