Dear Julie
I agree with what you say and do not see it as any reflection on any midwife because even when you are 1-1 no one person can be all things to every woman.
 
Additionally we need also to accept that sometimes the path of the birth is what is needed for that woman or, and others, seemingly negative outcomes can be positive parts of life's journey
 
Denise
----- Original Message -----
Sent: Sunday, July 13, 2003 5:50 PM
Subject: RE: [ozmidwifery] what's happening ?

I wholeheartedly agree with you Denise � the antenatal care the woman receives makes a world of difference.

The women in my preparation sessions who are booked into birth centres or are having other good quality midwifery care are the most positive and empowered, unlike those with OB�s or GP shared care or general ante-natal clinic (cattle mustering yard as one partner in class described it once).

When women feel �processed� by the system it can be very frightening and damaging to them, it is sooo disempowering!

Those that are experiencing supportive, trusting, genuine care (and there is a number of midwives in the system providing this), are the ones who are more confident in their own ability to give birth.

The language the �carer� uses, the attitude they convey, the reactions they give all have a very significant effect not just on how the woman feels during the pregnancy and the birth but how she experiences early motherhood.  I feel the potential outcome is a very significant impact on the woman�s relationship with her baby.

I think the splitting up of care, the different departments in a hospital � the antenatal clinic, the delivery suite, the postnatal ward � with different groups of midwives in each area � is an unbelievably cruel style of �care/processing� to subject a woman to, any relationship of trust she has developed with any midwife is short lived.

It is an interesting concept the broken current day style of care isn�t it?

It is very effective in preventing midwives from really being midwives � and from mothers being empowered at a time when they most need it.

It is the best way of preventing women from really being able to help other women.

Although I am not qualified as a midwife many women and their partners will automatically turn to me for help and support because I have been the only bit of continuity in the system for them, as their educator in the hospital.  I have had regular contact with them from about 25 weeks of pregnancy through to about 2 to 3 months post natally.   I give them my home phone number and email address so they can contact me if they want to, and over a decade, this has rarely posed a problem.

They feel they know me, they can trust me, and they know from my language, my attitude, and my behaviour towards them that I do understand and that I care about each of them and their babies.  This is what they like, they need and they want.  I am dedicated to supporting midwives and mothers, and am able to fill in many gaps that exit in the system. 

Even with complete continuity of care I think it�s �healthy� for women to have an educator/supporter/trainer/guide to assist them along the path to parenthood � as long as that person has integrity and an attitude of genuine care,  then they can be an excellent resource person for parents to be and new parents.

 

Hug

Julie

 

Julie Clarke

Childbirth and Parenting Educator

Transition into Parenthood

9 Withybrook Pl

Sylvania NSW 2224.

T. (02) 9544 6441

Mobile 0401 2655 30

 

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Denise Hynd
Sent: Monday, 14 July 2003 5:27 AM
To: [EMAIL PROTECTED]
Subject: Re: [ozmidwifery] what's happening ?

 

Judy

Is there a lot differences between these 2 locations for example how ANC is approach positively or as birth is to be feared??
Denise

----- Original Message -----

From: Judy Chapman

Sent: Saturday, July 12, 2003 6:02 PM

Subject: RE: [ozmidwifery] what's happening ?

 

I think we all have bad runs. Since I have been at my new job primips have given me a hard time with a couple going on to CS. Had real good figures at the last place.

Cheers

Judy

From: Ken Ward

<[EMAIL PROTECTED]>

Reply-To: [EMAIL PROTECTED]

To: [EMAIL PROTECTED]

Subject: RE: [ozmidwifery] what's happening ?

Date: Thu, 10 Jul 2003 08:26:35 +1000

Okay, so I'm not a home birth midwife, but I do believe in women's bodies

and abilities. I also have had a run of unexpected outcomes. Just the other

day I took over, primip in good labour, 7cms, head at spines. Wanting to

push an hour later, pushed to urge, no progress so a quick feel with her on

her hands and knees. Could feel head about2cms in. Kept on pushing to urge.

Sat on loo 1.5 hrs later. VE while there 7cms with a very puffy anterior

lip! Four hours, no progress and I had caused further complications. Over

to delivery for an epidural, by the time we got the analectic the anterior

lip had reduced(head down) and she had dilated about 0.5.. Finally had a C/S

at 9pm. I donot encourage women to push, but to go with their bodies. Weal,

maybe next time I'll make her get over on her back, do a invasive VE,(not a

gentle 'feel' while she is in a comfy position, nor ask her to have a feel)

and just make sure she is fully.

-----Original Message-----

From: [EMAIL PROTECTED]

[mailto:[EMAIL PROTECTED] Behalf Of Janet Caulfield

Sent: Friday, July 11, 2003 2:26 AM

To: [EMAIL PROTECTED]

Subject: Re: [ozmidwifery] whats happening ?

Dear Jan<

I am glad i am not alone i also have had an unusual run of difficult

births and complicated deliveries> Just home now at 2am after looking after

a primip all day she turned out to have a face presentation and it failed to

turn to the anterior. so she has had an emerg Luscs which makes 4 emerg

LUSCS for me in less than a month...A very high ratio..

:((( Feeling drained myself ...hopefully this period of time will pass and

we shall both have a magnificent run of beautiful births in the near

furture....

Yours in Midwifery

Janet Caulfield

Subject: [ozmidwifery] whats happening ?

bad run?

unbelievable 5 births this month3 c/s trans from homebirth 1 normal del

priv hosp 1 normal del home what is happening bewildered tired and yuk jan



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