INC AND MoHFW GUIDELINES
FOR OBSTETRICS AND
MIDWIFERY
Submitted to – Lt Col Saravani Eswari
Submitted by – N/Cdt Astha Negi
INTRODUCTION
• Obstetrics and Midwifery are crucial fields in
maternal and child health.
• Guidelines standardize and improve maternal care
services.
• Regulatory authorities:
- Indian Nursing Council (INC) – Education and training
- Ministry of Health and Family Welfare (MoHFW) –
Public health programs and implementation
ROLE OF INC IN OBSTETRICS AND
MIDWIFERY
• Regulatory body for nursing education and practice in
India
• Sets standards for:
- Auxiliary Nurse Midwives (ANM)
- General Nursing & Midwifery (GNM)
. - B.Sc. Nursing & Post-Basic Nursing
• Ensures ethical, skilled, and safe practice
KEY INC GUIDELINES IN OBSTETRICS AND
MIDWIFERY
1. Revised Syllabus (2021–22 onward)
2. Competency-Based Curriculum and Logbooks
3. Focus on Skill Labs and Simulation-Based Training
4. Midwifery Educator Guidelines (2020)
5. Promotion of Midwifery-Led Care Units (MLCUs)
Latest INC Additions (2023–2025)
• Nurse Practitioner in Midwifery (NPM) expansion
• Launch of Digital Midwifery Tools
• Community-Based Midwifery Practice Guidelines
• Inter-professional education for maternal
emergencies
ROLE of MOHFW IN OBSTETRICS AND
MIDWIFERY
• Develops national policies and guidelines for
maternal and child health
• Implements programs like:
- LaQshya
- SUMAN
. - JSY and JSSK
• Provides training materials, SOPs, and monitoring
tools
MOHFW GUIDELINES – KEY FOCUS AREAS
• Essential Obstetric & Newborn Care (EONC)
• Standard protocols for:
- Normal Labour
- High-Risk Pregnancy
. - Postpartum Hemorrhage (PPH)
• Midwifery-Led Continuum of Care
MIDWIFERY GUIDELINES BY MOHFW
• National Midwifery Guidelines (2020–2023)
. - Midwifery Educator Training Institutes (METI)
. - Establishment of Midwife-led Units (MLUs)
• 2024–2025 Updates:
- Mobile Health Tools
. - Respectful Maternity Care Toolkit
- Task-sharing in underserved areas
INC VS MOHFW GUIDELINES –
COMPARISON
Feature INC MoHFW
Focus Education and regulation Policy and service delivery
Training NPM Syllabus, lab skills METI standards, clinical
Guidelines mentoring
Evaluation Competency checklists, Logbooks LaQshya assessments,NABH
tools
Community Curriculum inclusion Outreach via ASHA, ANM
Role supports
Government Programs Supporting
Midwifery
• LaQshya: Labour Room Quality Improvement
• SUMAN: Free, Respectful Maternity Services
• Janani Shishu Suraksha Karyakram (JSSK)
• Janani Suraksha Yojana (JSY)
• Safe Motherhood Booklets and IEC tools
Recent Developments (2023–2025)
• Gender-Friendly Labour Rooms
• Simulation-based Midwifery Training
• WHO-SEARO collaboration
• Digital tools: ANMOL, e-Partograph
• Focus on Maternal Mental Health in PNC
CHALLENGES AND THE WAY FORWARD
• Midwife shortages in rural areas
• Need for continuous in-service training
• Strengthen public-private collaboration
• Scale up Midwifery-Led Units nationally
CONCLUSION
• INC and MoHFW together shape midwifery
education and services.
• New initiatives focus on quality, respectful and safe
maternity care.
• Empowering midwives is key to better maternal
health outcomes.
REFERENCES
• INC Guidelines (2021–2024)
• MoHFW Midwifery Guidelines (2020–2025)
• WHO-SEARO Midwifery Toolkit
• National Health Portal India
• LaQshya Operational Guidelines