Subject: Flouting Hospital Policy and VBAC Birth at Birth Centre RWH

Some of you may remember the entry made on my behalf by Toni about having a 
2nd VBAC birth at the Birth Centre at RWH.  I have managed to secure a 
review of the policy, with the suggestion that they implement a study into 
the safety of VBAC in the RWH Birth Centre utilising women who have already 
had a successful VBAC (the lowest risk group).  This is currently under 
consideration and I have been advised by Kevin Forbes that there should be 
some sort of conclusion by 10th May (it has been under consideration and 
review now for a month).

My second query is however directed at midwives currently working in the 
public hospital system.  I intend to use water for pain relief during my 
labour - shower or bath.  The policy at RWH is currently that women cannot 
labour in the baths (let alone give birth).   I am aware that we have the 
right to refuse any treatments even if it is hospital policy eg. initial 
monitoring on admission.  However this is refusal of a preferred treatment.  
In the circumstance I am considering it is the opposite situation, ie. 
utilising a non preferred treatment.  How do hospital staff react if a woman 
and her support team take action to run a bath for the woman and to assist 
her to enter the bath when hospital staff are not asked to assist?  (It is 
assumed that due to policy a request for assistance would be refused).

Your opinion / examples would be appreciated.

Debby Miller.
Interested Mum and a bit of an advocate.


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