Ethics and Professional Aspects of Midwifery

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Course Code: 
Course Outline: 


I- Introduction.

  A- The practice of  a professional midwifery

  • Midwifery today characteristics
  • Personal Requirements
  • Midwifery as a Profession
  • Purpose of a profession

   B – Main Definitions

  • Ethics
  • Bioethics
  • Moral
  • Morality
  • Moral dilemma

    C- Professional values

  • Value
  • Beliefs
  • Attitude

     D- Professional Values

     E – Professional Values in midwifery







II- Caring: a basis for ethics:

  • The uniqueness of caring.
  • The five Cs of caring.
  • The care – giver and receiver.

III- The caring relationship.

  • Models of relationship.

IV- Values and value-statement










V- Theories and principles of ethics:

  • Theories.
    • Utilitarian.
    • Deontologic.
  • Principles.
    • Autonomy.
    • Beneficence.
    • Confidentiality.
    • Fidelity.
    • Justice.
    • Non maleficence.
    • Paternalism.
    • Veracity.









VI- Ethical decision making.

     A- Assessment.

     B- Planning.

     C- Diagnosis.

     D- Implementation.

     E- Evaluation.

  - Ethical dilemmas.

    A- Types.              B- Example













First Hour Exam




VII – International Code of ethics for midwives


  • Palestinian code of ethics.


VIII – Patient Rights

  •  Childbearing Women
  •  Reproductive Rights


IX - Professional Responsibility


X - Types of ethical problems :

  • Confidentiality.
  • Trust issues.
  • Refusing care
  • End of life issues.

     E- Advance Directives

      F- Informed Consent







XI-  Ethical and legal  Issues

  • Legal aspects of maternity and perinatal care
  • Ethical and legal considerations prior to conception
  • Artificial Insemination
  • In Vitro fertilization and embryo transfer
  • Surrogate Mothers
  • Amniocentesis (Screening and the perfect baby)










Second Hour Exam



  • Ethical and legal considerations in abortion
  • Ethical and legal considerations for the fetus and sick neonate
  • The Fetus
  • Fetal Research
  • Fetal Therapy


  • The Neonate and effects of invasive procedures
  • Ethical issues in research
  • Ethical issues between nurses and physicians:

1- Disagreements about the proposed medical regimen.

2- Conflicts regarding the scope of midwifery role.

3- Unprofessional, incompetent, unethical or illegal physician                     practice.








Final Exam