Re: [ozmidwifery] Request for information on current models of midwifery led care

[Graham and Helen]

Hi again Anne   No you didn't give me the wrong answer on doctors seeing a labouring woman - I was just having a vent about my thoughts on why they shouldn't routinely see them.   Thanks again Helen ----- Original Message ----- From: Anne Clarke To: Graham and Helen Sent: Wednesday, August 04, 2004 9:52 PM Subject: Re: [ozmidwifery] Request for information on current models of midwifery led care Dear Helen, Thanks a lot for the taking the time to answer my questions.  Would love a copy of your stats.  Are there any plans to increase the staff to cater for the obviously high demand?    Unfortunately no, as we have limited beds too in the Birth Centre (4 rooms).   I will send you the stats ASAP, but I still need a snail mail address (postal) as I cannot send you them over the email.   One of the reasons I wanted to know if a doctor has to "admit" a labouring woman is because I feel when they do, they inevitably do a VE on admission which I feel is totally unnecessary 99% of the time and seems to set the woman up for the old "failure to progress" line and then on to a caesar.  This is where the doctors go wrong if you ask me.  There are so many other ways to see if a woman is progressing in labour but once you have that cervical dilatation timeline it seems to influence all decisions from then on.  So if the midwife is the primary care attendant I suspect admission VEs aren't done routinely in labour....correct me if I'm wrong....   Must have given you the wrong answer to this one as no, a doc does not admit or discharge any of our women in labour etc.  A consultant/registrar only has to pass them to come to the Birth Centre as low risk and that is generally the only time they see the doc unless we refer them on for some reason.   Regards, Anne