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Consensus Statement

Roles and Responsibilities in the Hospital
This Consensus Statement was ratified National Committee 2001

All midwives have the right to autonomous practice.
The New Zealand College of Midwives expects that self employed and employed midwives will respect each other’s right to autonomous practice and their accountability for that practice.
All midwives, whether employed or self employed, have a responsibility to communicate and decide their respective roles and responsibilities in relation to each woman’s care while in the hospital setting.
A Lead Maternity Carer (LMC) midwife (whether employed or self-employed) is responsible for developing a care plan with her client. All care plans are documented and available for non-LMC employed midwives to refer to, thus enabling them to work in cooperation with the woman and her chosen Lead Maternity Carer.
When the Lead Maternity Carer is a general practitioner or an obstetrician, the midwife, whether employed or self-employed, remains responsible to the woman and to the midwifery profession for her midwifery care. The principle of cooperative planning and professional action remains the same regardless of who shares the care.
For women who do not choose a midwife as LMC, both employed and subcontracted midwives have a responsibility to develop a midwifery care plan in consultation with the woman and the

NZCOM Midwives Handbook for Practice
New Zealand College of Midwives, PO Box 21106, Christchurch


Maternity Services Notice, Section 88, July, 2002
Ministry of Health, New Zealand

The purpose of New Zealand College of Midwives Consensus Statements is to provide women, midwives and the maternity services with the profession’s position on any given situation. The guidelines are designed to educate and support best…...

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