Dear Joy and list
What did u do in the hospital? was there anything different than at home was
the family happier in hospital or was the midwife safer This is the common
scenario go to hospital but what forhydration? syntocinon? 2nd opinion
?[why not get it from a mw or p/p from back up hospital?]
it is soo frustrating was the woman activly pushing ?
I READ A BIRTH PLAN RECENTLY FROM A PLANNED HOME BIRTH WERE THE REASONS FOR
GOING TO HOSP WERE CLEARLY listed . They didn't include slow progress but
did include if the family/midwife felt it was better even though no
intervention was nec is this defensive midwifery?
Recently during a labour I thought to myself this women has to birth at home
because we can't front up now after all this time do we trans to aviod doing
it with egg [TIME NOT PROBLEMS] on our faces] do we like to be well thought
of because we miss the collegship of our cloth members?all these questions
arise when your at home with no problems except,
slow worst of all is it fear and for me i think it is.
I have been with 3 pg this week they all took days to get to 4cms and then
delivered after a few hard wondrful hrs.
The first woman was a planned hosp birth and 42 weeks and I advised her to
see her ob she did had ctg and u/s and was augmented at 4cm as the AFI was
dangerously low out of all 3 her labour was most difficult and I regret my
advise All three women had nvds and are all happy
My ADVISE IS YOUR DAMMED IF U DO AND DAMMED IF U DON'T
But what's new keep up the good work. LOL JAN
hrs
- Original Message -
From: Johnston [EMAIL PROTECTED]
To: ozmidwifery list (E-mail) [EMAIL PROTECTED]
Sent: Sunday, August 19, 2001 4:14 PM
Subject: RE: Bipolar realities
Dear Carolyn
There were a couple of reasons why I was not going to read your message.
It came as a text attachment, and I am very wary of attachments; and
because you said it was long. But because *you* wrote it I felt compelled
to open and read. I'm glad I did. Thankyou.
In my practice in the past week there has also been an event which has
made
me reflect seriously about streams of thinking. I have been challenged by
the boundaries of normalcy - particularly time. The woman was planning
homebirth; and experienced a slow and frustrating (first) labour that
seemed to be going nowhere. Having tried all the physical and mental
empowerment strategies I know, I suggested to both mother and father that
they close their eyes and rest a while, in preparation for transfer to
hospital. Stretched out in the bathtub, with soft winter light filtering
through the closed louvres, with noone else around, and with me sitting on
the floor with my back up against the bathroom wall, the woman's labour
took on new energy and in a very short time the unmistakable sounds of
pushing were heard. This was about 2pm.
Four hours later, once again with infrequent and quite mild contractions,
we agreed that hospital was the best place to be. There was a wild storm
outside. I would have done anything to stay at home! The woman was not
distressed by labour - in fact she appeared tired but totally unstressed
as
we stood at the desk in the birth unit, and introduced ourselves.
In hospital, the doctor, a woman-friendly female GP with experience in
homebirth, came into our partnership with new energy and confidence. Her
words babies are meant to be pushed, not pulled, were beautiful.
It was about 10.30 pm, when the woman gave birth to a very healthy boy.
More than 8 hours after I suspected full dilatation!
Birth challenges us from many different perspectives. I want to be able
to
be 'with woman' whether it's at home or hospital, whether I am taking a
leading role, as the midwife responsible for the birth, or in a little
team
of strangers that have been allocated to work in that room. In the
situation I have described, I had become puzzled and concerned by the lack
of activity. Did I slow it all down even further by taking my client out
through that storm? Could I have confidently waited for a couple more
hours? What then? ... (I have many unanswered questions.)
If anyone is interested in further reading on twin births, there is a
wonderful account by Celia Adams and Tim Jacka - Three births in the
Birth Story section of my website. www.aitex.com.au/joy.htm
Joy Johnston
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