Hi Sally,

I'm sorry if you feel offended or upset by any discussion on this forum, I'm sure no-one intentionally does that because part of the joy of it is we are all able to talk without prejudice.

Thank god there are midwives like you working your butts off to help women get the best birth in a totally awful system. And that is the truth the system isn't woman centred or well informed and in the main practice isn't evidence based. That doesn't mean everyone working in it is the same. If however everyone was as great as you there wouldn't be this sort of discussion happening.

Last year I started work at a brand new hospital in Berwick. A 'low risk' midwifery led unit...we endeavor to work with women in the true sense, we buck the system as much as we are able, which is often, and we bend the rules constantly, however,it is hard given that the medical profession, especially anaesthetists, have us over a barrel...this is where the rock and the hard place come in. We buck the system and we are hauled over the coals by the 'programme' and the medical establishment, we tow the line and we are shot down in flames by people who regard anything to do with hospitals as anti birthing women.

If any unit was perfect no-one would feel like they were bucking the system or bending the rules. Policies and procedures are guildlines they are not Australian law each woman should have equal choice. In or out of hospital.

I for one know (As I have been there myself) how frustrating it is to keep knocking against a brick wall but if we don't all stand up and be counted and shout loudly about the ridiculous nature of our hospital obstetric system how will we change it. If every midwife working at the hospital said look we are not doing continuous monitoring (for example) because it's not evidence based then what would happen. They would have to change. Why don't we do this. Mainly because half of the midwives feel safer with it on regardless. It might sound like I'm talking people down and I'm sorry about that but it is true.

Don't give up on midwifery because birthing women need midwives who feel passionately and practice well.

Lisa
Independent midwife


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