>>I would love to hear what other hospitals are doing with Syntocinon
Inductions.  Is it policy to use continuous CTG's throughout labour?

>From my perspective only, it seems to be all of them at the induced /
augmented births I have been attending. I attend usually one but sometimes
two births a month and it seems it's all part and parcel to be strapped down
with Synto AND EFM in the bigger hospitals. Haven't been to a birth that's
otherwise anyway. 

We work very hard to fob off any synt-happy midwives and doctors, especially
where the membranes are ruptured even if it's only been an hour or two (yes
I'm afraid there's pressure from midwives too, one was in a 'Know Your
Midwife' program and thank goodness we were able to say no enough times as
she did establish contractions on her own after the ARM). 
It's such a big effort sometimes that you can see how a woman without good
support is going to be more likely to accept this as what's needed or feel
overpowered, but you do it because you know you not only get synt you get
continuous monitoring too. Say no and you get an entourage of doctors
sometimes!

Another challenge too is not only letting them have that choice, but choice
without having an inappropriate comment made after she makes a choice
alluding to the health of the baby, e.g. '... but if you keep labouring
without the monitoring, I can't tell you / guarantee that everything will be
okay for your baby down the track...' or mentioning the 's' word...
(stillbirth). 

I don't know how many times one poor woman struggling to get the confidence
to say no was spoken down too, not in a nasty way, but with lots of little
dug in comments, she had to fight to say no to antibiotics, no to synto
sooner after only an hour or two, EF monitoring, a drip for her baby in case
he had strep b, which he didn't, the list goes on. 

Best Regards,

Kelly Zantey
Creator, BellyBelly.com.au 
Gentle Solutions From Conception to Parenthood
BellyBelly Birth Support - http://www.bellybelly.com.au/birth-support


-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Bowman Family
Sent: Thursday, 21 September 2006 4:35 AM
To: ozmidwifery@acegraphics.com.au
Subject: Re: Re: [ozmidwifery] How long before synto is used?

Abby,

 I agree with you, the proceedure should not be compulsory and I will take
this up with colleagues, women should be given the right to choose if they
want this, and I suppose the best way to go is what Emily has suggested and
explain to the mother and write it in their notes if they choose to not have
EFM..
I find this whole policy/proceedure thing often very difficult  to work
with, but hospitals do have to work within the safety of policies and
guidelines to protect not only the mother and baby, but the hospital and
staff themselves.  In a court of law they will have to show that they
followed proceedure. and have risk management in place.


I would love to hear what other hospitals are doing with Syntocinon
Inductions.  Is it policy to use continuous CTG's
throughout labour?

Our policy is still at  the updating stage  and has room for change
(hopefully)

Thank you also Emily for you advise.

 Linda



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