Dear All Robin Payne's request and I take it Nikki's response reminds me of the Mother Friendly Childbirth Initiative which can be seen on the web address below, http://www.motherfriendly.org/
Denise ----- Original Message ----- From: "Nikki Macfarlane" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Monday, April 15, 2002 10:33 AM Subject: Re: consumer representation > I wrote the following for another list I am on for doulas. This is my "Gold > Standard": > > What I would like to see, and aim for having established, in all > institutions and practices that support pregnant and > labouring women and new parents. The following is my gold standard. Perhaps > yours is different. perhaps we should each have our own if we have any hope > of effecting change. > > The Gold Standard for All Birthing Women: > > Antenatally: > > No routine testing for fetal abnormality: > full explanations given of the false positive & negative rates, the benefits > and risks, the decisions that need to be considered when there is a positive > outcome to a test. > > No routine ultrasound scanning except by maternal request > > Full information provided on self help and dietary considerations for women > diagnosed with GBS, gestational diabetes, pre eclampsia, anaemia and high > blood pressure > > Quality antenatal education available for all > > Exercises taught to all women for encouraging a breech or posterior baby to > turn > > ECV & moxibustion suggested and practiced wherever possible for breech > babies > > All doctors taught the techniques & skills necessary for vaginal births of > breech babies > > Consent forms for caesarean and epidural made available antenatally for > women to read, ask questions about and understand > > Hospital policies and routines published and made available antenatally > > Labour & Birth > > The following not to occur unless there is a medical indication, which is > explained ot the mother with the benefits, risks, alternatives and possible > outcomes if nothing is done provided for her: > > IV's & heplocks > episiotomy > electronic fetal monitoring > suctioning > eye drops > induction > pain relief > lying on the bed > stirrups > time limits > AROM > Vaginal examinations > restrictions on eating and drinking > stitching for first degree tears > cord traction fo rnatural third stage > drapes > enemas > > The following made available in every birthing environment: > > massage oil > mattress on the floor > dimmed lighting > adjustable temperature > water in the form of bath or shower > low lighting > heat packs > variety of seating (rocking chair, bean bag, birth ball etc) > perineal compresses > music > > All babies to be with mother immeidately after delivery, unless there is a > medical need for baby to be separated > > Baby to be weighed and measured in labour room and returned straight to > mother > > No baby to be washed or cleaned except by maternal request > > All mothers to be able to be upright and mobile if they wish to be, > encouraged by the staff to do this > > Privacy available for all women, with all staff and attendants knocking > before entering her room > > No pain relief to be offered by anyone in attendance, but available for any > woman who would like it > > No limit on number of attendants that mother wishes to have around her > > Vaginal examinations only by maternal request unless there is a complication > during labour > > Postnatally > > All mothers to be supported and encouraged to offer breastfeeding to baby > within one hour of delivery > > No routine jaundice testing > > No baby's in nursery unless requested by mother > > No pacifiers or water to be offered > > No artificial milk to be offered to breastfed babies unless there is a > medical indication > > Full information on the risks and benefits of vaccination > > Full information on the risks and benefits of circumcision > > A room set aside in the special care baby unit for intensive care babies for > the parents to stay while their baby is in special care > > Breastpump to be available to all women with babies in special care > > All postnatal staff to be fully trained in breastfeeding techniques and > possible problems > > All postnatal staff to be fully trained in recognising postnatal depression > > Support groups available, and contacts given to all women, of groups to > support mothers with any problems or just to have support of other women > postnatally > > That is what I am working towards. How do I do it? Empowerment of my > clients. Education of the doctors I work with. Speaking up if I see > something that I know is not supported by evidence and research. Don't sit > back and expect things to change. They won't unless we make it happen. Don't > blame doctors for being thoughtless, insensitive and not offering choice. If > we, and our clients, don't ask for it to be any different it never will be. > People do not change because everyone else is muttering to themselves about > how awful they are. They change because of pressure. Because they start to > hear of another way. > > Nikki Macfarlane > ----- Original Message ----- > From: "Johnston" <[EMAIL PROTECTED]> > To: "ozmidwifery list (E-mail)" <[EMAIL PROTECTED]> > Cc: "Robin Payne (E-mail)" <[EMAIL PROTECTED]> > Sent: Sunday, April 14, 2002 5:07 PM > Subject: FW: consumer representation > > > > This message is from Robin Payne, who is a consumer activist > > extraordinaire, and runs the Choices for Childbirth work in Melbourne. > > > > Dear friends > > > > I have become the consumer rep. on the Royal Australian & New Zealand > > College of Obstetricians and Gynaecologist's (RANZCOG) curriculum > > development committee. Next Thursday (18th April) I will participate in a > > full day workshop on the curriculum with 15 other committee members (all > > members of RANZCOG). I am keen to represent as broad a view as possible > > although feel there are some fundamental commonalities that all women > would > > expect from the obstetrician as her carer. I would value any feedback and > > comments from anyone who wishes to comment as I have been asked to make a > > 10 minute presentation at the study day on "A Consumer View of What the > > Obstetrician and Gynaecologist Needs to be Like in 2020". As this is > coming > > up fairly soon your comments would be appreciated asap. Even if you just > > jot down key points, I can then incorporate them into what I'm saying. I > > will also be providing feedback via the Maternity Coalition journal Birth > > Matters on my presentation for the day. > > Please feel free to contact via email or on (03) 9380 2863 if you would > > like more info. > > thanks, Robin Payne > > --- > > Outgoing mail is certified Virus Free. > > Checked by AVG anti-virus system (http://www.grisoft.com). > > Version: 6.0.286 / Virus Database: 152 - Release Date: 9/10/01 > > > > > > -- > > 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. -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
