Dear list A couple of weeks ago I forwarded this message. I haven't seen any response. I have to assume that either noone is interested or noone has time to respond. (I have attended 2 wonderful women for homebirths since then, so have been a bit caught up myself.)
I don't want to let this one go. A service needs to have statements that describe what is to be expected in a particular situation - ie policies, procedures, protocols. If a midwife (or other health professional) works for a service (eg hospital) they are required to work within the policies and procedures (protocols) of that institution. That does not mean slavishly *doing* things to the customer (patient), as nothing (other than potentially lifesaving first aid) can be done without the consent of the person it is being done to. The midwife has the opportunity to explain a protocol (such as taking standard observations of temp, pulse, blood pressure, abdominal palpation and fetal heart rate), and ask permission to do this. There is a statement in the Vic Code of Practice for midwives that "Each midwife has the professional responsibility to identify policies, procedures, or practices that are restrictive and/or detrimental to the standard of midwifery practice and woman-centred care. In identifying these issues, midwives must act to ensure that they are brought to the attention of the relevant authority." DOES ANYONE KNOW IF ANY HOSPITALS HAVE DEALT WITH SUCH CHALLENGES? What are midwives doing about this? If there was a complaint that a midwife had not followed hospital procedure, it would be good for the midwife's defence if she/he could show that the woman refused the procedure, and that the midwife had requested that the hospital review the protocol in the light of evidence. Any comment please? Joy Johnston 25 Eley Rd Blackburn South Vic 3130 Tel: 03 9808 9614 Fax: 03 9808 3611 M: 04111 90448 www.aitex.com.au/joy.htm Previous message: This request for a hospital protocol for care in first stage of labour has come to me from India. Many people on the list have voiced objections to 'restrictive' and 'medical' hospital practices. Would anyone care to suggest what should be included in a woman-centred, evidence based protocol? The inquirer would appreciate the literature on which such a protocol is based, and I am sure the ozmidwyves would appreciate being included in the discussion. Many thanks Joy Johnston -----Original Message----- From: aileen mathias [SMTP:[EMAIL PROTECTED]] Sent: Sunday, January 06, 2002 5:05 PM To: [EMAIL PROTECTED] Subject: reply Dear madam Johnston, I am a M.Sc nursing student at Fr. Muller's college of nursing, India. I would like to use the protocol for my research studies. Problem statement is ; Development of protocols on Nursing care of women in first stage of labour in a selected hospital in Mangalore. I will be glad if you can help me by sending your material the way you went about, the review of literature, need for the study, and background of the study etc. Here in India the development of protocol is not yet began since the people are educated and problem of consumer protection act our midwifery cntre Hospital, decided to develop a protocol in the labour room. So i would like to do on 1st stage of labour. Kindly if you know anybody who has done the study on protocol send their e-mail address or thier abstarct and litratures. Fr. Muller's is one of the big hospitals in South India. I would be grateful to you if you can send me the material. Thanking you, Sr.Aileen. ________________________________________________________________________ Looking for a job? Visit Yahoo! India Careers Visit http://in.careers.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
