Can I come too? :)
----- Original Message -----
From: "Kristin Beckedahl" <[EMAIL PROTECTED]>
To: <ozmidwifery@acegraphics.com.au>
Sent: Friday, December 29, 2006 2:42 PM
Subject: Re: [ozmidwifery] What happened with this birth?


>
> Gee Carolyn...I'd like to have coffee with you one day or two....! :-)
>
> Kristin
>
>
>
> >From: "Heartlogic" <[EMAIL PROTECTED]>
> >Reply-To: ozmidwifery@acegraphics.com.au
> >To: <ozmidwifery@acegraphics.com.au>
> >Subject: Re: [ozmidwifery] What happened with this birth?
> >Date: Fri, 29 Dec 2006 13:24:40 +1100
> >
> >Dear Gail,
> >
> >Firstly, your instincts are spot on.
> >
> >This is a very distressing story.  It is not a coincidence that these
> >women's labours stalled following his VE's, that is absolutely to be
> >expected and is the result of a mindless disruption of the women's
optimal
> >state of neurophyiological functioning. Taylorism, that is an industrial,
> >efficiency management model, has no place in the dynamic fluid process of
> >birth, sadly it has become merged into the 'health' care system with this
> >sort of unconscious abuse becoming more common.
> >
> >'Discussions' with the doctors at that stage will do nothing except breed
> >resistence and further intervention; in mindless individuals it can even
> >result in payback situations where intervention will be done just because
> >you are the midwife. The right to rule is still endemic in the maternity
> >services.
> >
> >the first thing to understand is that these people really believe they
are
> >doing the right thing.
> >the second thing to understand is that they are taught all about the
> >abnormalities of birth, they have absolutely no idea about normal
> >physiology as applied to birth (gross generalisation, I know)
> >the third thing is that they are terrified of birth
> >the fourth thing is that they are taught throughout medical school that
> >they are the boss of everything and the government and health departments
> >agree and structure everything (I know, there are exceptions) to
reinforce
> >that idea
> >the fifth and probably MOST important thing is that they do get taught
> >about 'patient' autonomy and the need for consent.
> >
> >So, here is where it gets interesting and where our opportunity lies.
> >
> >It is vitally important that you use every moment with birthing women to
> >help them understand the situation, without making it combatative and
> >engendering a siege mentality and ask them what they want to have happen,
> >how they would like things to go, so they can say what they want - be
left
> >alone, checked in another hour a few more hours, more time, a bath, move
> >freely, have the baby listened to by doppler in the shower/bath etc if
> >women have the information that can help them with the deeply damaging
> >throw away lines that get trotted out like 'stillbirth' 'brain damage'
etc,
> >then women can say what they want and we as midwives can support them in
> >that and remember to DOCUMENT what women want.  To do things against
> >rational people's will is abuse. To argue about medical intervention with
> >midwives is a nuisance and an affront to power beliefs.
> >
> >Getting strategic is important. Learning tactical support of birthing
women
> >is a midwifery art form and a very challenging one.  It is crucial that
you
> >avoid blame, judgement and criticism as these emotional states are
damaging
> >for everyone and lead to despair.  It is useful to come from the point of
> >view that they mean well but are ignorant about birth physiology and are
> >taught to look for problems. Neuroscience and quantum physics teaches us
we
> >find what we are looking for. That also means we make it up if it is not
> >there.
> >
> >Our job is to work with women and their processes, to give women
> >information to make their own decisions and to help them actualise their
> >decisions and to help doctors know what women want. :-)   makes it so
> >simple really. Simple does not, however, mean easy.
> >
> >Every time you find yourself with a pregnant and/or birthing woman ask
> >questions of yourself like 'how can I best inform her of her options?'  '
> >how can I best explain the process of birth so she knows what to expect?'
> >'how can I support her with what she wants?' ' how can I best let her
know
> >how well she is doing so that she can feel secure in asking for more time
> >if she needs it?'  " how can I best let her know her rights so she feels
> >powerful and in control of her process?'  some women, no matter what
doors
> >you open, will succumb to medical pressue. That is just the way it is and
> >all we can do is support her through her experience with love, compassion
> >and kindness.
> >
> >One last thing, make friends with that doctor. It is not 'sucking up'  it
> >is working with integrity. Everyone wants to do a good job. Approach that
> >person, say you feel uncomfortable about the interaction - open dialogue.
> >We need to be friends with each other. Focus on creating a healthy
> >workplace. Over time, you may have more influence as trust deepens
between
> >you.  We need to focus on the long term with our doctor midwife
> >relationships. Remember that he is scared of birth and wants to control
it
> >- the women get in the way of that and get caught in the melee. He is
doing
> >the best he can with what he knows. Doctors are not enemies, they are, in
> >the main, ignorant about normal birthing physiology. Power dynamics,
> >history and politics have put them where they don't belong. We as
midwives
> >have to work with that reality to the best of our ability. Birthing
women,
> >when they have accurate information, can call the tune. However, if
someone
> >is doing something that is not medically 'right', then it is important to
> >put in a formal complaint and have the matter seen to.
> >
> >Hope this helps, warmly, Carolyn
> >
> >
> >
> >
> >
> >
> >
> >
> >
> >
> >
> >
> >----- Original Message ----- From: "Gail McKenzie"
<[EMAIL PROTECTED]>
> >To: <ozmidwifery@acegraphics.com.au>
> >Sent: Friday, December 29, 2006 11:04 AM
> >Subject: [ozmidwifery] What happened with this birth?
> >
> >
> >>It's been so interesting for me to read about this birth and Andrea's
> >>woman's experience too.  I am a newly qualified student midwife
currently
> >>working in birth suite doing my rotations.  I have come across both
these
> >>types of births and each time I instinctively knew the mother & baby
only
> >>needed to reorientate their head-space.  Unfortunately, hospital
protocol
> >>& "time" would not allow for it.  I even had a "discussion" with the
> >>doctor about giving more time as the labours were going so beautifully
> >>until then (coincidentally, both stalled when VE performed by
him???????)
> >>
> >>Outcome was 1 enemy for me & 2 very unhappy women getting C/S.  If it
> >>wasn't for websites like this one the next 12 months would be the
longest,
> >>most unhappiest of my life.  You are all keeping me sane & knowing that
my
> >>instincts are not wrong.  Thank you, ladies.
> >>
> >>Gail xxxxxxxxxxxxxxxxxxxxx
> >>
> >>_________________________________________________________________
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