|
Well said Mary. it can be a very delicate balance
at times but definetly worth it. marilyn
----- Original Message -----
Sent: Saturday, August 10, 2002 5:40
PM
Subject: [ozmidwifery] Pressure re ctg's
etc
After replying to Joy's message I was thinking about where that "pressure
in my head" came from. It wasn't because I was afraid about the
baby. The movements were more than adequate, on palpation there was
plenty of fluid. All other obs were perfect. Both of us felt that
the baby was o.k. I think that the pressure comes from a collective
sense of responsibility when part of a larger birthing community. The
Community Midwifery Program is always under political pressure from the
doctors to not put a foot wrong. Always defending us for our
"un-orthodox"(ie non-interventionist) practice. My daughter is a
client of that program and I am a midwife contracted to that program. Because
of that it is always important for us to be seen to be doing the "right"
thing. I felt that we were more or less obliged to do what is assumed to
be "right" by the mainstream community. (except for being induced at 7-10 days
which is fast becoming the rule at our large teaching hospital). It is
something for you all to think about when contemplating NMAP. The gains
outweigh the losses, but for midwives there is ALWAYS that loss of true
autonomy, for the client a trade of a free homebirth, for some subtle
pressures, increased protocols and that sense of responsibility to make sure
the Program itself is not damaged, for the greater good. On the whole the
existance of the Community Program has been just wonderful and I urge you all
to work towards it, but these are some of the drawbacks. Cheers, mary
M
|
