In a message dated 10/12/01 10:02:40 PM AUS Eastern Daylight Time, 
[EMAIL PROTECTED] writes:

<< Put all of this together and what I am trying to say I gues is that I 
agree 100% with what Jo is saying. We need to speak to women - find out what 
they feel about their care, record it and use this information to shape our 
care of women now and in the future.
  >>

Hi Lynne, Jo and all.

Thanks for sharing Lynne. Its amazing the 'throw away' comments made by 
'caring' carers, friends and family that will live and often haunt us 
forever, with those who made them often never give them a second thought !!!!!

I copied off what you wrote Jo as it particularly struck a chord with me 
also, as it echoed the very sediments to come out of the findings of the 
latest Victorian Survey of Recent Mothers 2000 (SRM2000). In regards to 
Lynne's comments, this is probably the overwhelming theme to arise from this 
recent study - that women seek a dialogic relationship with their care 
providers and rate their care far better where there is some quality to the 
interaction between the woman and her care provider; ie, the extent to which 
women perceive their care as being sensitive and understanding, the degree to 
which their concern's are taken seriously, how rushed care givers seem, how 
readily women are able to access information and support and the degree to 
which they are involved in decision making about their care. 

Some findings of the report are very disturbing, particularly 'that across 
the spectrum of  antenatal, intrapartum and postnatal hospital care, there 
are many instances where basic minimum standards of helpfulness, courtesy and 
respectful care are not being met' (SRM 2000 pg 44). Attitudes and comments 
made by midwives and doctors were obviously the 'make or break' in many 
instances for many many women involved in this study, with only one in five 
women attending a public hospital or midwives clinic rated their doctors and 
midwives as 'always' sensitive and understanding, (SRM2000 pg 34).
This recent research is clear evidence in supporting what Jo is saying, in 
that a woman's satisfaction with her care is intrinsically linked to her 
perceptions of individual practitioner's attitudes and understanding of her 
individual circumstances and personal needs.

LISTENING to women, taking time to hear their stories and how their stories 
impact on their lives, is probably the BEST care midwives can provide. The 
other stuff, all the checking, note taking, partograms, wee measuring etc.. 
etc.. while it has its place is really only window dressing to what is at the 
heart of midwifery - the BEING 'with woman' stuff. Those of you who were in 
Brisbane in September as saw and listened to Mavis Kirkham as she described 
the 'Modern Midwifery Dilemma' of 'Checking not Listening' will not be 
suprised by these results. Mavis' research found that women only saw midwives 
as 'checking' not 'listening' and attending primarily to the tasks of 
clinical monitoring, rather than listening to the concerns of individuals. 
This research of Mavis' compliments that of the Victorian SRM2000, in 
describing that what women what universally, is midwives who listen and 
understand and will "discuss things" with them and take their worries and 
concerns seriously.  

So carry on from Lynne is saying, I would argue that from a decade of 
research here in Victoria into women's views of and experiences with their 
maternity care - we clearly now know what women feel about their care (in a 
nut shell it stinks !!!) and time is well and truly overdue to 'use this 
information to shape our care of women now and in the future.'

Now have I offended ???

Yours in birth,

Tina Pettigrew
Birthworks
Independent CBE and aspiring B.Mid Midwife.
Convenor, Aust B. Mid Student Collective.
http://groups.yahoo.com/group/BMidStudentCollective
[EMAIL PROTECTED]

" As we trust the flowers to open to new life
               - So we can trust birth"
Harriette Hartigan.
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