With expensive equipment the expectation is that it will be and should be used. In a rural hospital I worked in the midwives fought against the purchase of a CTG machine for that reason and very few of our low risk births even used narcotics in labour, rather they relied on the midwives to get them through 1st stage of labour with great success. The mind is a powerful tool.
----- Original Message -----
To: list
Sent: Saturday, April 10, 2004 12:15 PM
Subject: [ozmidwifery] birth environment

I can only speak of units in W.A. but I have often wondered about the impact of the current environment on both the midwives, the care we give, the birth outcomes and the women's satisfaction, no matter what the outcome.  By this I mean for instance:  At KEMH & most other birth units in W.A. ALL the delivery suites are "set up" for high risk births and that is what the women see both on the hospital tour and as soon as they walk into the room. Therre is a kind of expectancy about it.  The staff working in them are expected and are quite capable of giving both high risk & low risk care.  But, how does this kind of environment impact on both the staff and the women?  MM

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