The midwife is responible for her midwifery care, the hospital policy or protocol has to be based on research evidence surley so I would enquire as to the basis of this ie prevention of retention of urine etc.then identify the focus of the midwifrey postnatal care map which incorporates bladder care and adjust the policy to for instance if the uterus is slow to in volute if the bladder is palpable etc then the policy is to measure urine still dumb and from the dark ages but a start to get rid of policy . Also a letter from midwives to Oand G comittee as to why this policy should continue would be very revealing I think the core group would agree there is no need. If measuring the urine really impinges on time ask the women to do it and record they can refuse but usually are happy to help and its much better than stale specimens hanging around to be measured .jan ----- Original Message ----- From: Sadie Geraghty <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Cc: <[EMAIL PROTECTED]> Sent: Thursday, December 06, 2001 10:20 PM Subject: Re: measuring urine
> Dear Cheryl, > This policy has been in place 7 years, written by one of the consultants who > has a 'bee in his bonnet' about bladders. I've only been at the hospital 8 > weeks, and you can imagine he thinks I'm challenging his knowledge/authority > - which I am! Your questions have given me a great starting point Cheryl, I > really do appreciate your help. I am newly qualified, and a bit daunted > where to start, but I feel I must do something. Other midwives agree with > me, but I believe I am on my own with this one. > Thanks again, > Sadie > > > >From: "Cheryl LHK" <[EMAIL PROTECTED]> > >To: [EMAIL PROTECTED] > >Subject: Re: measuring urine > >Date: Fri, 07 Dec 2001 08:36:41 +1100 > > > >Sadie, > > > >I'm curious?? Is this a policy that has been handed down from the "powers > >that be upstairs" for the last 20 years and never challenged or is it a > >midwife inspired? idea a few generations ago or what??? > > > >I suppose I would start with > > > >- what does the 24 hour urine measurement tell us about normal/abnormal > >postpartum recovery? > > > >- Why do we add this extra 'job' to the first 24 hours after the birth when > >other things are much more important, eg. BF education, breast care, > >possible wound care etc. > > > >- What are policies of other major mid hospitals? If they have no policy, > >surely that's a indication that we dont' actually need one? > > > >- Are women carrying through these instructions, and what reason is given > >to them to having to measure and keep the urine after birth, they must ask > >the midwives why they have to do this? Can large numbers of women just > >conveniently 'forget' to do this, or is it fairly strictly monitered? > > > >Just a few thoughts. > > > >Cheryl > > > > > >>From: "Sadie Geraghty" <[EMAIL PROTECTED]> > >>To: [EMAIL PROTECTED] > >>CC: [EMAIL PROTECTED] > >>Subject: measuring urine > >>Date: Thu, 06 Dec 2001 09:45:49 > >> > >> > >>Dear Denise, > >>unfortunately I haven't had any help with my mission to try to stop women > >>having to measure their urine for 24 hours post delivery. I have managed > >>to > >>pull some research from MIDIRS, but I'm at a loss as how to proceed with > >>writing a policy. Will battle on though, > >>luv Sadie > >> > >> > >> > >>_________________________________________________________________ > >>Get your FREE download of MSN Explorer at http://explorer.msn.com/intl.asp > >> > >>-- > >>This mailing list is sponsored by ACE Graphics. > >>Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > > > > > >_________________________________________________________________ > >Get your FREE download of MSN Explorer at http://explorer.msn.com/intl.asp > > > >-- > >This mailing list is sponsored by ACE Graphics. > >Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > > > _________________________________________________________________ > Get your FREE download of MSN Explorer at http://explorer.msn.com/intl.asp > > -- > This mailing list is sponsored by ACE Graphics. > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
