Hi Rosalee - your mailings are coming with an attachment - I am not going to
open in case it's a you-know-what!
----- Original Message -----
From: "Rosalee Shaw" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>; <[EMAIL PROTECTED]>
Sent: Wednesday, October 02, 2002 10:00 AM
Subject: Re: [ozmidwifery] Midwives & computer databases


you ask why I feel that midwives need to control our own data.

For a good example-
in the 1920's california redesigned their birth registration form. It
allowed the medical officer, or in the abscence of the medical officer one
of the parents, to register the birth.
That meant births attended by midwives were recorded among births with no
attendant. Simple as that.
The flow on was that national figures needed to conform to the "minimum data
set" so all births in other states could only be grouped as medical or no
attendant.
and that meant...............
when midwifery was arguing about its right to legally practice in terms of
numbers, safety etc, there was no data - it was all combined with untrained
attendants, no attendant, births by the side of the road etc, etc.

another example ;- a couple of years ago the MDC data form "lost" the
mother's insurance field. That would have meant that no outcomes for
privatly insured women - and their obstetricans - would be publicly
available. Thank God midwives noticed and  spoke up!

regards
rosalee

>>> [EMAIL PROTECTED] 10/01/02 06:09PM >>>
"Any history of midwifery will throw light on the damage done to the
profession by its attitude that "some-one-else" could mess with data -
some-one like doctors or beaurocrats. "

Rosalee, is this a negative or a postive thing you are saying? I'm not sure
I comprehend ( although after a long, long day, I'm not sure I comprehend
anything except my wine glass!)

are you saying that there was some anxiety that others-not-midwives would
fiddle with the data on Obstet when it was developed? Or is it that they
already did ( do) anyway and Obstet is supposed to alleviate that imbalance
by providing us with our own data?

Robin

----- Original Message -----
From: "Rosalee Shaw" < [EMAIL PROTECTED] >
To: < [EMAIL PROTECTED] >
Sent: Tuesday, October 01, 2002 5:14 PM
Subject: [ozmidwifery] Midwives & computer databases


Midwives were well represented on the consortium which developed OBSTET, and
they continue to be involved with it - any if any of them are on this list
they might tell you who they are.

It was designed by midwives, and intended to give midwives control of their
own data, and yes, I mean the ones with the women !

Any history of midwifery will throw light on the damage done to the
profession by its attitude that "some-one-else" could mess with data -
some-one like doctors or beaurocrats.

The future of midwifery is in our data, and we should control it !

Regards
Rosalee

>>> [EMAIL PROTECTED] 10/01/02 03:06PM >>>
Robin,

Were any midwives involved in planning, designing and implementing the
software? By midwives, I mean the ones with the women.

Penny B.

On 30/9/02 8:16 PM, "Robin Moon" < [EMAIL PROTECTED] > wrote:

> NO, the OBSTET data base does not take the place of notes and paper....
> unfortunately.
> Whilst it is great for generating data in an orderly and easy fashion, it
is
> VERY time consuming. Particularly in a labour ward.It is great however for
> pulling stats when needed to back up one's arguments with medical staff
> etc..... But I say, Roll on OBSTET Mark 2 cos this one is wearing thin....
>
> Whilst the intentions were great for it's development and use, I have
found
> units that now require of the LW midwife to enter pregnancy and labour
info
> on the database, progress notes on the labour AND the partogram. PHew! No
> wonder we're all stressed!
>
> Jen, I think the State of the Art hospital in Australia is one that would
> have the woman as their focus. Not documentation, not legalese, not
doctors.
> Where is that???? cos I want a job there! lol.
>
> Robin
>
>
>
> ----- Original Message -----
> From: "Jennifer Semple" < [EMAIL PROTECTED] >
> To: < [EMAIL PROTECTED] >
> Sent: Monday, September 30, 2002 1:12 PM
> Subject: Re: [ozmidwifery] computer databases
>
>
>> Please forgive my ignorance on the issue... but does a computer
>> database take place of the midwife making notes & obs on paper?
>>
>> I was w/ a woman @ her birth in a hospital in the US where they had a
>> PC in every labour & birth room (every room was private)... all of the
>> notes & obs were entered directly on to it & the CTG was hooked up to
>> the PC as well. Hehehe, it was hard to tell whether the computer or
>> the bed (with the woman tethered to it) was more of a focal point in
>> the room!
>>
>> I'm a first year BMid student & haven't been on clinicals yet, so I
>> don't know what the "state of the state" in hospital in Oz is. I'm not
>> passing judgement on the computers... I have no idea what the pros &
>> cons are for the midwife... just my observation from the birth w/ the
>> woman.
>>
>> Jen
>>
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>
>
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