What an interesting and thought provoking conversation...I have always felt
too that there must be a middle ground, but surely, we need to be adequately
and realistically preparing women for what they will face when they get
home.  A new mother expects to be tired, and yes, we can try in hospital to
give them time to rest, but taking a baby to the nursery, bottle feeding it,
and letting mothers sleep all night until the day of discharge, (which is
what I saw happen in my midwifery training, only a few years ago) is surely
a recipe for disaster.  Reality has to hit eventually, surely it's better to
happen with the support of midwives during those first few days, so some
strategies can be made to cope with excessive feeding, not settling etc,
rather than finding out on the first night home that your baby doesn't
actually sleep all night!  

I'm not sure I agree that we need to be 'prioritising' the mothers need for
rest over the babies need for attention, I think it is our job as midwives
to help the new family adjust to the needs of the new baby, to be able to
recognize the need for rest, and then to gain the skills and strategies to
be able to achieve that rest, while adjusting to all the demands of new
parenting. So it is a juggling act, but shouldn't we be trying to arm women
and couples with ways of dealing with it, rather than taking away the
'problem' and creating a false sense of reality?    

I think 'woman friendly' needs to be seen in a realistic light, we are there
to help the women in their early mothering, this for me, does not include
taking over part of that mothering, or protecting her from the realities she
will face only too soon, without the safety net of midwifery staff on tap.

Just my thoughts...

Tania 

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of brendamanning
Sent: Wednesday, 21 September 2005 4:23 PM
To: [email protected]
Subject: Re: [ozmidwifery] Midwifery-led units - warning, a bit of a rave!

Kate,

Must admit I also promote 'women friendly' care, not including some of the 
things your colleague does, but if we don't care for the mothers how can we 
expect them to nurture their babies??
They need nurturing too, mothers need mothering & baby-friendly can be very 
hard on the women. I feel that his is where the term 'breast-feeding nazi' 
originated, not prioritising the maternal need for rest & 
recovery/convalescence over the obsession with infant attention.

Must be a happy medium !

BM
----- Original Message ----- 
From: "Kate &/or Nick" <[EMAIL PROTECTED]>
To: <[email protected]>
Sent: Wednesday, September 21, 2005 3:22 PM
Subject: Re: [ozmidwifery] Midwifery-led units - warning, a bit of a rave!


>
> ----- >>how about the 'woman friendly birth centre'?
>
> There's a lot of different definitions of that one. Just had a placement
> with a m/w who promoted woman-friendly over baby-friendly. Her idea of w-f
> was to have longer hospital stays, baby in nursery, bottlefed until 
> woman's
> milk comes in. She theorised that it would give mother a chance to sleep,
> recover from the birth, and remove the stress of a hungry baby unable to
> feed.
>
> Just doesn't gel to me.
>
> Kate
>
> --
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