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The extended role of the midwife.

Midwifery is one of the oldest professions in history. Midwives were first mentioned in the Bible and even Socrates wrote of his respect for his mother's profession of midwifery. The word ‘midwife’ meaning ‘with woman’ continues to be the fundamental principle from which midwives work. Midwives play a pivotal role in the provision of maternity care in the antenatal, intrapartum and postnatal period. However, a number of contributing factors has led to some midwives diversifying and obtaining skills to enable them to develop their role. These factors include a reduction in junior doctors' hours, a reduction in GP involvement in maternity care, the desire to provide continuity of carer for women and the need to provide a clinical career framework.