Rachel,
Please don't 'shut up for now', as you know once you start 'not' saying
things it becomes a habit that they never get said at all!
Also I enjoy your posts !
I wonder why you aren't attending homebirths here if you enjoy then so much
? There is no money in it (not the way I practice anyway LOL) but if it's
where your heart lies then you make do somehow.
I work bank at the birth centre to feed the family & homebirths in the
community to feed my soul !
I totally agree with you, it requires a complete change of mindset when I
work for myself.
Work in the unit, (and I work in a very lovely liberal unit if you
strrrrrrrrrretch the boundaries of the prescriptive policies )requires my
brain to function in a straight line. Alot of it is damage control &
treating the symptoms which the system often causes.
However in my practice my brain works in a circle (if you can understand the
metaphor) & focuses largely on preventing the problem occurring in the
first place. !
Not sure I can explain it but that's how it feels !
With kind regards
Brenda Manning
www.themidwife.com.au
----- Original Message -----
From: "wump fish" <[EMAIL PROTECTED]>
To: <[email protected]>
Sent: Sunday, October 30, 2005 12:45 PM
Subject: RE: [ozmidwifery] The Advertiser today...
Tania - I didn't think you were having a go at all! In the UK I was lucky
enough to gain experience of community based midwifery-led care
(homebirths etc) and midwifery-led care in a large regional referral unit
(high risk heaven). It was interesting that I was perceived by colleagues
as has having a higher level of skill and kudos when working in hospital
on birth suite. Whereas, I felt I had to use a higher level of skill in
the community setting.
I think part of the problem in hospital based midwifery is where the
emphasis is placed in education and updates - for example, CTG
interpretation, resus, emergencies etc. There is kudo is being competent
in the management of abnormal and emergencies. Unfortunately, there is not
the same emphasis placed on the skills involved in facilitating
physiological birth and preventing those emergencies from occuring in the
first place. Risk management strategies are also back-to-front and result
concentrate on the symptoms ignoring the cause. Anyhow... I could rant on
forever about risk management and education. So I will shut up for now.
Rachel x
From: "Tania Smallwood" <[EMAIL PROTECTED]>
Reply-To: [email protected]
To: <[email protected]>
Subject: RE: [ozmidwifery] The Advertiser today...
Date: Sun, 30 Oct 2005 10:03:02 +1030
Agree with all of that Rachel, and sorry if it seemed I was having a go -
not intended at all. What I feel is sad is that what you are talking
about
is not widely acknowledged, not by the midwives working in the hospital
system that I know anyway. They seem to hide behind this notion of
needing
to be upskilled rather than acknowledging that for many of them, the
system
they work in has resulted in them becoming deskilled and desensitized to
the
realities of birth. I like the idea of rewiring! I think I'd need a
total
motherboard overhaul to work just one shift in a labour and delivery
suite.
Well done for being able to deliver care to the women who really need it
in
the system, hats off to you!
Tania
xxx
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of wump fish
Sent: Sunday, 30 October 2005 9:38 AM
To: [email protected]
Subject: RE: [ozmidwifery] The Advertiser today...
I think any midwife who has spent their career in a hospital setting would
need 're-wiring' to attend homebirths. Hospital birth is so different to
homebirth, and the danger is that midwives bring the hospital and it's
guidelines to the home. I don't think it is a case of 'upskilling', just a
totally different way of working and hospital midwives have been oppressed
and socialised into a particular way of practising. They often lack
confidence in their own midwifery skills and women's ability to birth.
Rachel - trapped in a hospital with pinging machines and missing homebirth
and midwifery.
>From: "Tania Smallwood" <[EMAIL PROTECTED]>
>Reply-To: [email protected]
>To: <[email protected]>
>Subject: RE: [ozmidwifery] The Advertiser today...
>Date: Sat, 29 Oct 2005 21:06:12 +0930
>
>Love that term, Macdonaldisation! I also get concerned when I hear of
>midwives needing to be "upskilled" to attend 'normal' births, or to give
>women care in water, etc. I think as a midwife we should all be able to
>handle the 'normal'. I personally would need upskilling to work in a
>tertiary institution with all those machines that go 'ping'!
>
>
>Tania
>
>
>-----Original Message-----
>From: [EMAIL PROTECTED]
>[mailto:[EMAIL PROTECTED] On Behalf Of Belinda
>Sent: Sunday, 30 October 2005 1:57 PM
>To: [email protected]
>Subject: Re: [ozmidwifery] The Advertiser today...
>
>a big part of it is the multi skilling crap which is just a way of
>getting constant work out an individual which i think is why so many
>places are against direct mid entry midwives, they cant be used like
>slaves to work everywhere anywhere anytime. it is an evolving problem
>and much to do with globalisation and utilising the human resources to
>the best benefit of corporation which hospitals are fast becoming. The
>macdonaldisation of society!!! It really worries me....
>Belinda
>
>Tania Smallwood wrote:
>
> > Not just a question for Barb, but anyone who knows about it, I'm
> > curious to know about the Midwife/nurse practitioner that you refer
> > to
> > in Qld. What exactly do they do? How is this different to working
> > within the scope of a registered midwife? I'm aware that the college
> > is not supportive of the notion of midwives becoming NP's, but I'm
> > actually interested in what role they play in maternity care over and
> > above the general run of the mill midwife?
> >
> > Cheers,
> >
> > Tania
> >
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>
>
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