Re: [ozmidwifery] midwife is a midwife...?

[Sadie]

All of these aspects you have listed Maureen occur because they have either been ordered by medical staff or are policies and protocols instigated by the hospital. I am a midwife, not an obstetric nurse, and absolutely love my job. I usually go home on a 'high', feeling I have facilitated a woman to have the best experience possible - regardless of the circumstances. Admittedly, I work in a high risk delivery suite, where women come when problems develop. It is so disheartening to hear your peers and colleagues continually criticising fellow midwives who choose to work in this area.   Sadie ----- Original Message ----- From: Ken WArd To: [EMAIL PROTECTED] Sent: Friday, April 09, 2004 11:20 AM Subject: RE: [ozmidwifery] midwife is a midwife...?  agree. So many 'midwives' I've worked with are really 'ob nurses'. They do ARM's, continuous CTG's on healthy women, they push analgesic, they want her to do what they want,the dr orders. Active 3rd stage, 4/24 VE's, augment if progress 'too slow'.  Need I go on?  They take control, and some women love it!  I've seen the most awful delivery with the 'midwife' pushing on the fundus while actually pulling the baby's head , her knuckles white  (it was home time). I couldn't sleep for nights, but the woman thought this person was wonderful!  A lot of people I've worked with think they are doing a good job.  Maureen -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Jo & Dean Bainbridge Sent: Friday, 9 April 2004 1:26 PM To: [EMAIL PROTECTED] Subject: [ozmidwifery] midwife is a midwife...? I read this today and wanted to chat about this without fear of being lynched! lol   And given a birth I attended last week with the worst hospital midwife I have ever met who was SO much less good than the obstetrician I am totally off the idea of a midwife is a midwife....   I am totally off the idea of a midwife is a midwife....     I would like to hazard a discussion that one of the problems we encounter is that there ARE a proportion of midwives who do not support what our definition of a midwives role/responsibility and so forth and these midwives are firmly entrenched in the system...so when a woman births in a hospital (as so many do) and go down the ob model (as so many do) they encounter some of these midwives and leave the woman thinking the midwife was "awful".    I know a that there are those wonderful woman focused midwives who still work labour ward and so on, so I am not suggesting they are all 'bad'; but would you say that the midwives who do fit our definition are the ones who put their hands up for birth centre care and so on, thus leaving the 'obstetric nurse type'  who are less supportive to actively assisting the woman in any other way other than increasing the drip or topping up the drugs.   In a long winded, public holiday type way I am saying that : there are a few people who would read a sticker like "I chose carefully: I chose a midwife" and say "the midwife I had was a bitch! I would never chose her!"  The public are almost blind to the fact midwives are midwives not nurses, so to then extend that understanding to the two types of midwives (which I call ob nurses -"yes doctor, no doctor type" and the with woman midwife) is an ask.    Perhaps we need to suggest a system that does define the midwife from the obstetric nurse??   I have heard from practicing midwives that they are not supportive to things like case load or community midwifery because "...don't want that type of responsibility" (actual quote).  I have no idea of how this would be done and not suggesting it would even work; but we must be aware when addressing the general public we are aware that there is a difference between those midwives who see women as someone to be empowered and those who see the woman as someone to be rescued: but do the general public??   "My Midwife empowered me to birth beautifully!"   (awaiting the hate mail! lol) Jo Bainbridge