I've been reading the NSW Mothers and Babies Report (2001) with great interest over the past couple of weeks. The figures tell a shocking story - of failed opportunity in midwifery led units to gross overservicing in the private sector. I've explored some of the outcomes in My Diary entries over the past week

I hope that the new Royal Prince Alfred Hospital Womens and Babies Unit can improve its figures - - they are not as bad as some, but fall a long way short of good. After my experience of their approach to public relations, support during labour, attitudes to normal birth and silly water birth policies I wrote to several people suggesting that a meeting to discuss improvements might be in order. Sadly, they don't seem to think that it is important to follow up on letters, let alone discuss the issues that I raised - I have had no response of any kind. They did phone the mother concerned, catching her at a time of stress when she was still in that "early days" haze. She corroborated my comments in the letter (which she hadn't seen) but all they seemed concerned about was obtaining an assurance that she would use the hospital again for her next birth. I think she will probably go elsewhere (she's even thinking now about home birth).

Such a contrastt to the staff at St George Hospital where I presented an Active Birth workshop for their staff and students last week. Everyone, from Jo Wills (the Patient Services Coordinator) down, was positive, enthusiastic and committed to woman centred care. Their outcomes could be better as well, but there is a strong feeling of positive action being taken and a united philosophical approach driving their plans and care patterns.

Andrea

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Andrea Robertson
Birth International * ACE Graphics * Associates in Childbirth Education

e-mail: [EMAIL PROTECTED]
web: www.birthinternational.com


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