Midwifery in Iceland: From vocational training to university education
Section snippets
Background
Globally, within an evidence-informed framework for quality maternal and new-born care (QMNC), midwifery has been identified as a pivotal part of health systems for all childbearing women and their families (Renfrew et al., 2014). In Iceland, this has been the case for more than 250 years. In 1761, an educated midwife, Margarethe Christine Magnussen, came to Iceland from Denmark to teach midwifery based on guidelines from the first Country Doctor (now Directorate of Health).
Iceland has a
Structure of midwifery education in iceland
In 1964, midwifery education in Iceland was a two-year direct-entry vocational training programme. A nursing licence became the admission requirement from 1982 onwards, with midwifery students thus requiring five or six years to complete their studies, depending on whether the nursing education was a three-year diploma or a four-year BSc. In 1996, a new two-year post-nursing midwifery education programme (120 ECTS, European Credit Transfer and Accumulation System) was established in the then
The ‘new’ Icelandic midwifery curriculum development
The basis for the development of the new midwifery curriculum was a need to enhance midwifery knowledge and quality of maternity care with an aim to facilitate normal childbirth. A secondary aim of the curriculum building was to make a statement of midwifery ideology and identify the theoretical underpinning of midwifery as an independent healthcare discipline and a profession.
The model was originally developed in the context of cultural and historical traditions of midwifery and childbirth (
Discussion
In the last 20 years, there have been innovations and drawbacks in midwifery services, which have affected midwifery education. Attempts to provide midwife-led continuity-of-care services at the National University Hospital have eventually resulted in closure and an integrated midwife-led birth centre for normal births named ‘The Nest’ closed due to a combination of economic reasons and re-structuring of care. Thus, the Icelandic system of maternity care, not based on evidence, is fragmented
Conclusions and future considerations
An effective midwifery curriculum and continuous review are fundamental for quality maternity care. Revision of our programme has been in progress for some years in the Department of Midwifery, suggesting changes in admission requirements and implementation of a five-year direct-entry Master's programme. This was not accepted by the Councils of the Faculty of Nursing. Instead, a decision was made to develop the post-nursing two-year programme towards a full master's degree and a licence to
Funding sources
None declared.
Clinical trial registry and registration number
Not applicable.
References (22)
- et al.
A midwifery model of woman-centred childbirth care in Swedish and Icelandic settings
Sexual & Reproductive HealthCare
(2012) - et al.
Maternal attitudes towards home birth and their effect on birth outcomes in Iceland: a prospective cohort study
Midwifery
(2016) - et al.
The primacy of the good midwife in midwifery services: an evolving theory of professionalism in midwifery
Scandinavian Journal of Caring Sciences
(2011) - University of Iceland, 2018. Programme structure. Midwifery, Candidata Obstetriciorum. Retrieved March 11 2018, from...
New Active Birth: A Concise Guide to Natural Childbirth
(1989)- Bohren, M.A., Hofmeyr G.J., Sakala C., Fukuzawa R.K., Cuthbert A., 2017. Continuous support for women during...
Theory For Midwifery Practice
(1995)- EURO-PERISTAT Project with SCPE and EUROCAT, 2013. European Perinatal Health Report The health and care of pregnant...
Sensitive Midwifery
(1986)
Spiritual Midwifery
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