Nigel,  Rather than knocking people  how about sitting back a bit and 
trying to think about the fact that we don't all work in an ideal world. 
I never advocated that the partogram was a good tool to be using but I 
can guarantee that more women who birth babies in this country have one 
to record their labours on than don't. For those of us who continue to 
work in institutions, whether by choice or by need, then the reality is 
that the partogram is a part of our daily lives. Now we can go ahead and 
write pages and pages of lovely contemporous notes that would be a 
delight to read by other midwives and the women but the reality is that 
the doctors would continue to walk in and take a ten second look at the 
partogram and the fact that nothing was written on it would only fuel 
their case for intervention to access their own agendas. I was responding 
to Melissa's request for a way to help resolve a situation that she was 
facing and I will let Melissa respond to which one of our email replies 
was of more assistance to her. Let's not get into a slinging match with 
each other as I'm sure we have all got something to offer and I would be 
happy to see you add to the list an example of
>detailed chronological and
>descriptive notes that include All aspects of the birthing process for
>that individual.
as a learning tool for those not familiar with what you mean.

Andrea Quanchi
Echuca
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