We do live in a 'fix it' culture. I think most women still do not believe they can labour & birth without pharmacological help. Even 'well informed' women who have attended the classes and read it all have probably mostly been educated on how to behave 'in the system'. Midwives & obs need to demonstrate their deep belief in the ability of women to birth their baby without pharmacological pain relief. In my experience as a midwife holding that belief, women sense your committment & if you (the midwife/obs) act as though everything is normal & give tons of positive feedback & support, she will do it herself. I believe it is so unfair to offer a strongly labouring woman an epidural when she is vulnerable and it is wicked to use the argument of 'the anaesthetist will be busy later' to talk women into an early epidural.
Jenny
Jennifer Cameron FRCNA FACM
ProMid
Professional Midwifery Education  Service
0419 528 717

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