Midwifery Education in Japan

Webinar international
“Indonesia midwifery education towards global

“Indonesia-Japan collaboration”
June 26 th 2020
Midwifery education in Japan
Department of Children and Women’s Health

Division of Health Science
Osaka University Graduate School of Medicine
HIROKO WATANABE, Ph.D, RN, RM

Self Introduction
Name: Hiroko Watanabe

Professor of Maternity nursing/Midwifery course
Delegate of Japan Academy of Midwifery, Western Pacific
Regional ICM (International Confederation of Midwives) .
Ph.D degree: Tokyo University, Japan
Master degrees: Tokyo University/ Woolongong University,
Australia
My research fields:
・ｍaternal nutritional education
・ｗeight gain control during pregnancy
・childbearing support system
・reproductive health approach
・management of gestational diabetes mellitus
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Outline
 How to become a midwife in Japan

 Midwifery education system in Japan
 Midwifery educational institution
 Midwifery curriculum
 Midwifery education in case of Osaka university
Graduate course
4
How to become a midwife in Japan
In Japan, there is no Direct-entry midwives course like in

Indonesia and England.
Firstly, go to the nursing school and get the nurse license.
Then, go to the midwifery school and get the midwifery
license.
An applicant for the midwife license is required to have

acquired certification as a nurse either prior to or
simultaneously as acquiring the midwifery license.
In addition, the person has to complete the prescribed
midwifery courses at university, college or training school to
obtain a midwifery license.
Outline of Midwife Education Courses
Midwife
Around 2000 midwifery students taking the
national midwifery examination yearly.
National Midwifery Examination
there are several pathways to midwifery education
Junior College of
Graduate school of College of nursing Training school for
nursing advanced
nursing advanced course midwives
course
2 years 1 years 1 years
1 years
National Nursing Examination

there are several pathways to nurse education
Nursing school
3 types (College/University, Training school) 3 or 4 years
Graduate from high school

Outline of Midwife Education Courses
Midwife
Since it is not necessary to renew the Around 2000 midwifery students taking
license once it is obtained, the holder can the national midwifery examination
continue midwifery practice indefinitely. yearly.
National Midwifery Examination
there are several pathways to midwifery education

Junior College of
Graduate school College of nursing Training school
nursing advanced
of nursing advanced course for midwives
course
2 years 1 years 1 years
1 years
The prescribed midwifery course refers to 28 credits

described in Midwifery Curriculum. When the applicant passes
the national examination after completing 28 credits, the
midwifery license is given by the Minister of Health, Labour and
Welfare.
Number of Midwifery Schools / Training
Schools and Midwifery Courses
Graduate school of nursing Increased by 18.8%
College of nursing advanced course (2002 VS 2018)
(n) College of nursing
Junior College of nursing advanced course
Training school for midwives
2002 2005 2010 2015 2018

Midwifery curriculum and Course Content
The current curriculum consists of 5 items as indicated below.

Subject Credit Credit
current 2020~
Fundamental of Midwifery 6 ６
Midwifery Diagnostics and Skills 8 10
Maternal and Child Health in 1 ２

Community
Midwifery Management 2 ２
Clinical Midwifery Training 11 11
Total 28 31
To provide at least 930 hours lecture, practical training, etc.

Fundamental of Midwifery
To learn about basics of midwifery as an activity supporting women

throughout their lifetime with a focus on reproductive health
To understand the midwife’s role to be responsible for respecting the

life of mother and child at the same time and to learn bioethics in
depth
To nurture the ability to support motherhood and fatherhood

development placing particular importance on psychological and
sociological perspectives of the family
To learn about team approach and coordination/ liaison with the

related institutions
To learn about expertise of midwives, attitudes and stance required

for midwifes
Midwifery Diagnostics and Skills
To ensure to acquire the essential midwifery skills required for
implementing midwifery process, through improved and
strengthened practical training designed for thorough acquisition of
essential basic midwifery skills
To strengthen the ability responding to emergencies that can occur

in childbirth (repair of perineorrhaphy and laceration, neonatal
resuscitation, hemostatic treatment and assistance to parturient
women and the family of abnormal newborns, etc.)
To strengthen assessment techniques of health conditions of

pregnant/puerperant women and newborns and assistance
techniques based on the assessment result
To nurture the ability to assist childbirth respecting the pregnant

and parturient women’s initiative
How to Read a Fetal Monitor during Labor
Student midwives practice
for ultrasound examination
Student Midwives Practice for
Internal examination
Student Midwives Practice for
Birth Assistance
Student Midwives Practice for free
style Birth Assistance
Student Midwives Practice for Neonatal
Cardiopulmonary Resuscitation
Maternal and Child Health in Community
To nurture the ability to provide maternal and child

health services meeting the various needs of
citizens as well as the ability to promote regional
maternal and child health in cooperation and
collaboration with the related persons in public
health, medical care, and welfare.
Maternity Home
Public health
center
A “Midwifery Home” is a place where a midwife

provides midwifery services (excluding those
Health checks consist of antenatal given in a hospital or
check-ups, postpartum check-ups, clinic) to the general public and selective group of
and newborn/infant check-ups. people.
Midwifery Management
To learn about management of midwifery services,
operation of maternity clinics, and the perinatal
medical care system
Maternity Home
A “Midwifery Home” is a place where a midwife provides midwifery services (excluding

those given in a hospital or clinic) to the general public and selective group of people.
The Midwifery Home may not consist of facilities that can accommodate 10
or more pregnant, parturient, or puerperal women.
Clinical Midwifery Training
To integrate clinical training in midwifery diagnostics and

skills, maternal and child health care in the community, and
midwifery management. Births assisted by students will be
limited, in principle, to full-term, vaginal, cephalic and single
births, during a period of from the fi rst stage of labour up to
two hours after the completion of the third stage
To provide continuous care at least one case of woman from

her mid-pregnancy to one month after delivery during the
training period
To include clinical training to strengthen the ability to assess

pregnancy progression through antenatal health check-ups
support breastfeeding of puerperant women, and conduct
newborn babies’ assessment
Clinical practice in the hospital
Pregnancy Delivery Postpartum
Health Education to reduce 10 assisted delivery Support for child bearing

the risk for minor problems
The impact of COVID-19 on education
Notice regarding Osaka University’s activities (11 June – 30 June)

See you at 32th ICM Triennial
Congress 2021, in Bali
Please drop in at the Japan exhibition booth

Thank you for your attention

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Webinar international

“Indonesia midwifery education towards global

Midwifery education in Japan

Department of Children and Women’s Health

HIROKO WATANABE, Ph.D, RN, RM

Name: Hiroko Watanabe

 How to become a midwife in Japan

In Japan, there is no Direct-entry midwives course like in

An applicant for the midwife license is required to have

National Nursing Examination

Graduate from high school

National Midwifery Examination

there are several pathways to midwifery education

The prescribed midwifery course refers to 28 credits

2002 2005 2010 2015 2018

The current curriculum consists of 5 items as indicated below.

Maternal and Child Health in 1 ２

To provide at least 930 hours lecture, practical training, etc.

To learn about basics of midwifery as an activity supporting women

To understand the midwife’s role to be responsible for respecting the

To nurture the ability to support motherhood and fatherhood

To learn about team approach and coordination/ liaison with the

To learn about expertise of midwives, attitudes and stance required

To strengthen the ability responding to emergencies that can occur

To strengthen assessment techniques of health conditions of

To nurture the ability to assist childbirth respecting the pregnant

To nurture the ability to provide maternal and child

A “Midwifery Home” is a place where a midwife

A “Midwifery Home” is a place where a midwife provides midwifery services (excluding

To integrate clinical training in midwifery diagnostics and

To provide continuous care at least one case of woman from

To include clinical training to strengthen the ability to assess

Health Education to reduce 10 assisted delivery Support for child bearing

Notice regarding Osaka University’s activities (11 June – 30 June)

Please drop in at the Japan exhibition booth

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