Debby M wrote:
I have recently been corresponding with a friend of mine who is an obstetrician. He supports midwifery models of care, particularly those that offer integrated choice so that midwives and obstetricians can work together.I work in a caseload model of care which means on call plus all the things you mentioned, and personally I love it (most of the time) but when we are looking for other midwives to replace us for long service leave or whatever, we cant get midwives interested and we often have comments like "I dont know how you do it!" or" I have a life outside work" (so do I is my reply I fit work in around my life not the other way around) but its a long standing culture we need to work at changing my hope lies in the new direct entry midwives who believe what I do is the norm !So though I wish it wasn't the case I think your friend is right.
He did state to me however that he believes one of the great obstacles to such models is the reluctance of most midwives to work other than an 8 hour shift, and to possibly have to do away with family time and holidays and to be called out at odd hours to attend births.
I am sure there are probably some out there that do like the straight forwardness of shifts however I would be interested to hear the opinion of you ladies (and gentlemen) about your experience of the dedication of midwives when they are expected to provide ongoing antenatal, birth and postnatal support - outside the normal 8 hour shift, as my gut feeling is that the majority of midwives would love the opportunity to be able to fully use their skills in the support and care of pregnant and birthing women without unnecessary "guidance" or interferrence.
Debby
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