Lyn I'm sure that the client can't be refused care abnd that she can make
an informed decision re all medication at the time. A disclaimer will
suffice and accurate documentation WHAT the hell is happening to our
birthing services jan
----- Original Message -----
Sent: Saturday, September 21, 2002 3:56
PM
Subject: [ozmidwifery] Ongoing
physiological 3rd stage.
Just to thank people for their input to this topic, and to pass on the
response I received when I questioned the intro of a policy re physiological
3rd stage.
I was informed that it was the hospital policy that all women birthing at
this rural hosp, would consent to having 3rd stage medically managed. If they
chose to have a physiological 3rd stage then they would have to choose to
birth at an alternative venue.
This policy came about after some severe pph's, and now they choose to
actively manage 3rd stage in all cases. It is a relatively small mid service,
generally with 1 midwife allocated to birthing suite. Obs up to 30 min
away, unless it is his OT day.
I can't believe that a hospital can dictate to women how they will
birth their placenta, or deny them services because of a choice they
make.
Does any one else know if other hospitals are manipulating women's
birth choices this way? If so, how can they do it? Can they actually deny care
to women on the basis of their informed choices re care?
I am astounded by all of this.
Thanks
Lyn.
