Independent Midwifery
Midwifery is the most securely regulated profession in the UK. All practising
midwives must adhere to the Midwives' Rules which are enshrined in the 1902
Midwives Act of Parliament and subsequent amendments. All independent midwives
are subject to yearly supervisory visits and equipment checks and must notify
their NHS appointed Supervisor of Midwives of their "Intention to
Practise" each April. In line with the requirements of our regulatory
body, the NMC, we are required to ensure that our clinical practice is up to
date and that our actions are within our sphere of competence.
Independent midwives are fully qualified midwives who have chosen to work
outside the NHS, in order to be able to use their midwifery skills to their
full extent. However, they are happy to liaise with other NHS professionals
when it is necessary. Independent midwives provide care antenatally, during
labour and the birth, and postnatally. Because they only look after small
numbers of women, they can provide a continuity of care which is not
always available on the NHS.
Many women who hire independent midwives are planning a home birth, although
some are planning a hospital birth, or to give birth in a birth centre. Women
who may otherwise be unlikely to have a birth without medical interventions may
benefit from hiring independent midwives. For example, independent midwives are
often experienced in helping women to give birth to breech babies, or to twins,
or if a woman has had a previous Caesarean section. Some women with
uncomplicated pregnancies may choose independent midwifery care because of the
confidence and support it gives them.
Some independent midwives practise alone, and others group together to form
independent midwifery practices. Some of these practices also run birth centres
in which women can give birth.