Re: [ozmidwifery] support people in OT

[Kate &/or Nick]

Title: Message

I wonder if they would let a student in with a homebirther? Or would there be enough disapproval to have the student refused permission? While the primary caregiver might not be able to get in, they tend to be fairly receptive to students. At least a woman might have a familiar face, advocate and support. Might be worth having a student involved?   Kate ----- Original Message ----- From: Tania Smallwood To: ozmidwifery@acegraphics.com.au Sent: Wednesday, October 19, 2005 10:36 AM Subject: RE: [ozmidwifery] support people in OT I think there are extra considerations to be thought of with women who have opted for some kind of continuity of care, and then find themselves needing medical intervention.  Obviously I wholeheartedly support that no woman should be left alone in the bizarre environment that theatre is, and that’s not even going into the stress and trauma they might be going through because of the necessity of being there.  Women going through our fragmented maternity care system though, have an expectation that someone will be there, a nurse, or midwife, to look after them, while the Dr does the op.  I don’t know that they have any greater expectation that it will be someone they know, or have any relationship with.  Now I know that the surgeon performing the operation is a necessary part of the team, but when women have chosen to go through a midwifery group practice, or have an independent midwife for the continuity of care, surely they should be seen as a necessary part of the team too.  These women have an expectation that their primary care provider will be with them as a support, no matter how their baby ends up needing to be born.  I have personally been with a woman who transferred appropriately to hospital, eventually required an operative birth, and was extremely distressed at the way in which her wishes to have someone she knew to support her and her partner in theatre, was dismissed and disallowed.  She was given the option of having her midwife, or her partner.  Women know that midwives become support people when they enter the hospital system, but to be told that they basically don’t have a choice, and can’t have that person there that they trust and have envisioned sharing their birth with for 9 months, is a hard pill for women to swallow.  In this instance, the woman and partner were not supported by anyone at the head end of the bed other than the anaesthetist, not appropriate at all.  I don’t buy the whole room thing, I’ve worked in theatre, and when there’s something interesting or clinically unusual going on, it’s amazing how many other bystanders you can fit in for a gander   Just my thoughts.   Tania   From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Janet Fraser Sent: Wednesday, 19 October 2005 9:59 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] support people in OT   Yes yes yes! I was left alone in recovery with cranky staff and it was hell. Thanks, Jo! My PTSD made replying to this one really hard. : ( J ----- Original Message ----- From: Dean & Jo To: ozmidwifery@acegraphics.com.au Sent: Tuesday, October 18, 2005 11:38 PM Subject: RE: [ozmidwifery] support people in OT   From a consumers personal experience and perspective it should be imperative that the woman has some say in who she wishes to be there for the birth of her child and who can stay with her during recovery.  There is NO hell like being left alone when dad goes off with baby if special care or observations are needed, having strangers hidden behind masks pulling tugging at you, chatting about this that and the other like you are not important or even there!  To labour for hours and then require a cs for distress or complications (immersed in the language that is less than woman focused -distress, emergency etc), to be whisked off to surgery, have baby and your rock -being your partner- leave you and then be left alone in recovery is one of the reasons why women DO suffer Post Traumatic Stress. As a doula I have been able to be a second support person on a few occasions which has aided the woman's emotional recovery.  If there is room for students and a woman wants a second support person, then say no to a student and make room! NO WOMAN SHOULD EVER BE LEFT ALONE DURING ANY STAGE OF A CS!!    Jo Bainbridge CARES SA www.cares-sa.org.au   -----Original Message----- From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of diane Sent: Tuesday, October 18, 2005 7:51 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] support people in OT Hi Katrina, It would be great,(but a huge mind leap for Gosford!) to get the recovery thing going. You should look at the John Hunter changes (in a recent Midwifery matters I think?) and see if you can get something happening. Im sure with Carols help you could get it going. Can you bring it up at a meeting? Looks like we may be getting caseload of the ground up at Wyong before long, as management (at the top) is supportive. Cheers Diane ----- Original Message ----- From: Ceri & Katrina To: ozmidwifery@acegraphics.com.au Sent: Tuesday, October 18, 2005 11:59 AM Subject: Re: [ozmidwifery] support people in OT   As yet we don't routinely get the recovery time happening. Midwife, dad and baby meet mum back on the ward after recovery... It is usually only when we have a quieter time or lots of staff, or nice recovery staff that we can get into recovery. Hopefully this will change in the future Katrina www.niagaraparkshow.com.au On 18/10/2005, at 8:34 AM, Cheryl LHK wrote: Thanks, it does sound rather crowded doesn't it? We had the em LUSCS at 2330 on the weekend (pretty normal time isn't it?) and I had just come on for the night. Hubby and Mum had been there the whole day with her, obstructed labour at fully. Primep. So I went and saw her GP and asked him if he had a problem with Mum coming in as well. So the GP anaes sat them up near Mum's head after her spinal, and babe came out screeching, so he was wrapped and I plonked myself inbetween the anaes machine and GP surgeon and held baby beside her face so he could nuzzle her and hubby/Nanna (now) had cuddles, then we all trotted out to recovery and bub went straight into bed with Mum, BF beautifully... it was quite a pleasant night all round actually. I just sat warming myself at the resusataire doing the paperwork watching this gorgeous family chattering away and just enjoying their new little man. I suppose being the small hospital, we don't have students, paeds' etc, and also a huge OT room. It's interesting what you say about GA's though. I'm sure our fathers are allowed in once the anaes is settled and she is draped, then they come in and sit with the midwife in the corner and get to hold the baby, go to recovery with baby and meet Mum there. I know personally one grandma who was at our hospital for both of her grandchildren's LUCSCs and in the OT with her camera!! She had a great time! Anyway, off for the school run Cheryl From: Ceri & Katrina <[EMAIL PROTECTED]> Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] support people in OT Date: Mon, 17 Oct 2005 13:00:33 +1000 HI Cheryl not sure if it is protocol as such, but at Gosford if it is an emergencey Code 1 LSCS, and the women is under a GA, then no support people are allowed in theatre at all. If it is a lesser code or elective, then the partner/husband can be present. I have not heard of more than this number. It gets pretty cramped by the time you have the Ob, registrar or/and resident, anaestheitist, anaesthetic nurse, scout nurse, and scrub nurse plus the midwife and midwife student if there is one. Plus we have the paeds present so there is at least 2 more doctors. If it is twins there is a paed and midwife for each baby.!!! Katrina :-)   << smallnps2.jpg >>   www.niagaraparkshow.com.au On 17/10/2005, at 12:44 PM, Cheryl LHK wrote: Do any hospitals have set protocols on number of support people going to OT for LUSCS be they elective or emerg? Just interested. Cheryl -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.   -- No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.344 / Virus Database: 267.12.2/139 - Release Date: 10/17/2005   -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.344 / Virus Database: 267.12.2/139 - Release Date: 10/17/2005