Cheryl, thanks so much for your comments. I think I might come join you at your hospital for revitalisation! "95% of your women progress under their own steam!" It must be a brilliant feeling for you to see such success. I think you have the answer though - ie a small rural hospital, less medical intervention and no epidural access.
Nola ----- Original Message ----- From: "Cheryl LHK" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Tuesday, September 16, 2003 6:59 PM Subject: Re: [ozmidwifery] Re: presentation - words of wisdom? > Nola, > > I think it's possible to have an active birth in the public system, but > certainly becoming a rarity, especially I would suggest in the larger > regional and metropolitan hospitals. I think for the woman and her support > system, several things need to occur: > > 1. The woman needs to be ' in charge ' of her labour - and good r'ship with > m/w > > 2. Excellent communication between m/w from shift to shift. How often do > you see the m/w with her own agenda come into a birth suite after change of > shift and intro a CTG or a VE or comment that the progress might be a bit > slow. > > 3. Communication between medical and mid staff at an optimum level. > > Saying all the above, I consider myself a 'new' midwife - finished mid in 98 > but have had three babies since (just as well they give me maternity leave) > but working in a small rural hospital - 200 birth/yr - and only working > nights, I find I have a lot of active and brilliant births. No epidurals > are available, so gas and peth is the most you can get. Big bath and > showers available. No time constraints from the dr, because they will only > come in if I request it. It's a bit embarrassing to admit, but I have only > had to look after 2 synt aug IV's since I've been an RM - 95% of the ladies > progress under their own steam. > > Cheryl. > > > >From: "Nola Aicken" <[EMAIL PROTECTED]> > >Reply-To: [EMAIL PROTECTED] > >To: <[EMAIL PROTECTED]> > >Subject: [ozmidwifery] Re: presentation - words of wisdom? > >Date: Tue, 16 Sep 2003 01:03:02 +1000 > > > >Thanks Jo and Melissa for your responses. Whilst your comments are > >invaluable, I was actually wondering about midwives perceptions on whether > >they think it is possible to have an active birth in a public hospital. As > >a clinician myself, I find that it is becoming a rarity to see a woman come > >into the unit in which I work and have an active birth, without some form > >of intervention. Indeed it is not all about the obstetrical model. The last > >woman I cared for in labour, during a night shift, was in the unit 10 > >minutes and stated, "I want an epidural. It is my right!" That's a hard > >call! > > > >Nola > > > > > > _________________________________________________________________ > Get less junk mail with ninemsn Premium. Click here > http://ninemsn.com.au/premium/landing.asp > > -- > This mailing list is sponsored by ACE Graphics. > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
