Investigation and analysis of midwives human resource and delivery mode

Objective To investigate midwives human resource and accouched delivery mode, and analyze the midwives personnel structure and manning level status, so as to provide reference for the construction and reasonable allocation of midwifery team. Methods Self-designed scale was used to comprehend accouched delivery mode and midwives human resource status in 20 hospitals which owned obstetric room and were selected by convenient sampling method form May to June 2014 in Beijing, and the results of scale were analyzed and compared. Results The characteristics of midwifery team were almost aged from 25 to 34 (59.5%), and highest education levels were associated degree (50.2%) and bachelor degree (41.7%), and non professional midwifery graduation was 62.6%, and primary occupational title accounting for 69.8%. The accompanied delivery rate in 20 hospitals was 90.0%, 72.2% of labor was whole process companion, and 27.8% people chose to accompany at first or second labor stage. 45% one shift of midwives lasted 12 to 16 h, and just 25% of them was 8 h working length for one shift, and 20% of them worked lasted 24 h, and 10% of midwives had uncertain length work shift. Different accouched delivery mode had similar midwifery allocation, and one delivery bed averagely disposed (3.75±1.21) midwives, and one midwife should take responsibility for (137.92±73.09) neonatus in one year. Conclusions The educational level and occupational title of midwives require to improve in Beijing region, the midwives proportioning should research and allocate combined with accouched delivery mode and woke load. Nursing management and training tutor should actively explore and regulate midwives continuing education and training system bonded with national situation. Key words: Midwife; Human resource; Accouched delivery mode; Continuing education; Current situation investigation