Unfortunately at the moment the decision to induce is made by the doctors in 
the antenatal clinics, and often we are only seeing the women when they arrive 
in birthsuite for induction.  I like to discuss the reasons for IOL, and the 
pros and cons but not sure what other midwives do.  Hopefully soon we will have 
a midwifery model of care so that alot of this unnecessary intervention can be 
avoided.

Cheers
Michelle


----- Original Message ----
From: Janet at home <[EMAIL PROTECTED]>
To: ozmidwifery@acegraphics.com.au
Sent: Thursday, 1 March, 2007 10:20:52 PM
Subject: RE: [ozmidwifery] Frustration


That must be very frustrating. Do you or your other midwife colleagues have any 
strategies for challenging these management decisions given that they are 
clearly not evidence based, are gross overservicing and just plain dangerous? 
J
 
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Michelle Windsor
Sent: Thursday, 1 March 2007 8:50 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] Frustration
 
It amazes me that sometimes these doctors just don't seem to learn.  We have 
had a run of inductions and LUSCS for either SGA or LGA lately because 'the 
scan said such & such'.  The SGA's that I've seen have ranged from 2.8-3.1kg 
and the LGA's from 3.4-4.1kg.  One lady recently had a LUCSC for her 4th bub 
because by USS it was 12 pound. Surprise, suprise out came an 8 pounder which 
was less than her last vaginally born baby.   Grrrrrr....
Michelle
----- Original Message ----
From: Ken Ward <[EMAIL PROTECTED]>
To: ozmidwifery <ozmidwifery@acegraphics.com.au>
Sent: Thursday, 1 March, 2007 2:46:51 PM
Subject: [ozmidwifery] Frustration
Delightful doctor told his lady that the episi he cut which extended to a
3rd degree tear was so extensive that she would need a C/S next time. Also
she would need to be reviewed, and may need the repair repaired by another
dr. One wonders what he has done. Of course it will all be her and/or the
baby's fault. Grrrrrrrrr


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