Abstract
This paper explores issues around the education and competencies of midwives who are involved in the delivery of high dependency care. It argues that all midwives who provide this specialist care should possess the appropriate clinical skills and knowledge relevant to the management of this cohort of women. It also discusses the rational for the development of high dependency care in midwifery and the role of the midwife, as well as the location for care delivery and preparation for practice. The evidence base for this paper comes from research currently being undertaken into the organisation, provision and education of high dependency care within the midwifery setting. The study is being conducted in maternity units in England with a delivery rate in excess of 3000 per year, and is using a series of individual semi-structured interviews with midwives, consultant obstetricians, consultant obstetric anaesthetists and midwifery educationalists. The study will contribute to the debate on the delivery of high dependency care in the maternity setting and highlights the importance of specialist education relating to this area of practice.
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