The secret to working effectively for women in an environment that is not entirely women-centred is to NOT go "head-to-head" with the obstetricians as this will only serve to make them antagonistic. I find the best thing to do is discuss everything with the woman who is in labour and explain her options and the possible consequences of each choice. Then all you need to say to the doctor is that the patient has declined an ARM or augmentation at this stage.
Be smart, be subtle and think ahead so your labouring women know what to expect and can choose wisely. At the end of the day it is the woman's choice and if she chooses an unnecessary intervention that we know will result in more intervention we must just care for her the best way we know how, however frustrating this may be from a midwifery point of view.
All the best,
Leanne.
From: "Nicole Hmelnitsky" <[EMAIL PROTECTED]> Reply-To: [email protected] To: <[email protected]> Subject: [ozmidwifery] midwives vs obstetricians Date: Thu, 20 Jan 2005 17:49:41 +1100
I'm hoping to get some advice and words of support from midwives working in Sydney metro area. I am a new grad midwife of 6 months that is currently working on a postnatal ward and about to rotate to the birthing unit (of a large tertiary referral hospital in the south west Sydney area). My fear is the conflict I have with obstetricians who love to make decisions on behalf of women without any concern/respect/autonomy such as blanket decisions with comments like: "if she is 5cm rupture her membranes" and "if not established put up the Synto" etc etc or not allowing a primip to at least have a fair go at pushing before the ventouse or forceps come out. I know that obstetricians have their place but I am already feeling the stress thinking about trying to fight these Men and their decisions.
It is true, the later a woman presents to hospital, the better it is for her because there is less time to intervene.
My question is this:- How much birthing unit experience do I need before I am eligible to apply for a birth centre or another lower risk delivery suite - and does anyone know of anything coming up!
Thanks Nicole
Leanne Wynne Midwife in charge of "Women's Business" Mildura Aboriginal Health Service Mob 0418 371862
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