----- Original Message -----
Sent: Friday, June 16, 2006 4:16 PM
Subject: Re: [ozmidwifery] How long before synto is used?

Hi Jo,
 
Policies are apparently to make the midwife feel better and to get everyone to support you and be on your side.  I heard this comment made just yesterday by an Ob ( one that we both know and like) to one of my clients who is having an ebac. He wasn't as it happens talking about ruptured membranes but continuous monitoring, but the underlying thought was the same.  The best way to get a birth is to shut up and put up and everything will be just dandy.
 
Policies are to make the professional feel in control no thought at all is given to the fact that the body and the baby belong to a woman and absolutely no credence is given to evidence based practice when it doesn't suite.
 
As Brenda said the evidence says 96 hours is a reasonable time to watch and wait with ruptured membranes the figures behind that (available on the nice web site) are 94% of women are in labour by that time. and thereafter it is still open to discussion in keeping with the woman's wishes.  All the crap about gbs antibiotics etc etc is mainly rhetoric to add the scare factor into the scenario so women are unable to make any other choice than the one the system offers.
 
Don't let the eye roll put you off.  It's only people like us that stop the system doing exactly what they want. Disempowering the women they claim to be helping.
 
Lisa
 

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