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Making childbirth easier

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Re: Making childbirth easier

Post by Ali on Thu May 02, 2013 10:04 pm

So what's the answer, build more maternity units, stop closing down those still in existence and create more midwifery jobs obviously.

But the fact is Dimples that thousands of babies every year are not dying through lack of midwifery care in labour, established or otherwise, thousands every year are not being born in hospital corridors or car parks because there is no room at the inn and the fact is, if women didn't come screaming into hospital at one centimetre dilated demanding epidurals (and they do) and then complain about it when it doesn't happen then the midwifery profession could get on with the job in hand of delivering those women in most need of their care right then.
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Re: Making childbirth easier

Post by Ali on Thu May 02, 2013 10:25 pm

Dimples wrote:
Ali wrote:So what's the answer, build more maternity units, stop closing down those still in existence and create more midwifery jobs obviously.

But the fact is Dimples that thousands of babies every year are not dying through lack of midwifery care in labour, established or otherwise, thousands every year are not being born in hospital corridors or car parks because there is no room at the inn and the fact is, if women didn't come screaming into hospital at one centimetre dilated demanding epidurals (and they do) and then complain about it when it doesn't happen then the midwifery profession could get on with the job in hand of delivering those women in most need of their care right then.

Not everyone is looking for an epidural and not everyone comes into hospital at 1cm dilated. However, if someone has arrived in labour, they should not be sent home - particularly if they have come a long distance or are reliant on someone else for transport. In addition, no woman wants to feel as if she is on a production line when she comes to hospital to have her baby. It should be made as pleasant an experience as possible and there should be continuity of care, which becomes harder to implement if she is sent away and comes back later to a range of people who are different to those she saw when she arrived a few hours earlier.

No, and not everyone in early labour or early established labour or with ruptured membranes gets sent home either, a lot will simply depend on how busy the unit is that day.

I was on the unit one day when there 17 women on CDS, some with pregnancy problems, some in early labour who had come in to be assessed, some labouring and two post natal in high dependancy, but with 7 delivery rooms, 4 assessment beds and 4 post natal beds, with only 7 midwives and two students on duty that is excessive and not only is it excessive it can be downright dangerous too and some people can't understand why those women who don't really need to be at the hospital are sent home.
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Re: Making childbirth easier

Post by Ali on Thu May 02, 2013 10:35 pm

Dimples wrote:
Ali wrote:
Dimples wrote:
Ali wrote:So what's the answer, build more maternity units, stop closing down those still in existence and create more midwifery jobs obviously.

But the fact is Dimples that thousands of babies every year are not dying through lack of midwifery care in labour, established or otherwise, thousands every year are not being born in hospital corridors or car parks because there is no room at the inn and the fact is, if women didn't come screaming into hospital at one centimetre dilated demanding epidurals (and they do) and then complain about it when it doesn't happen then the midwifery profession could get on with the job in hand of delivering those women in most need of their care right then.

Not everyone is looking for an epidural and not everyone comes into hospital at 1cm dilated. However, if someone has arrived in labour, they should not be sent home - particularly if they have come a long distance or are reliant on someone else for transport. In addition, no woman wants to feel as if she is on a production line when she comes to hospital to have her baby. It should be made as pleasant an experience as possible and there should be continuity of care, which becomes harder to implement if she is sent away and comes back later to a range of people who are different to those she saw when she arrived a few hours earlier.

No, and not everyone in early labour or early established labour or with ruptured membranes gets sent home either, a lot will simply depend on how busy the unit is that day.

I was on the unit one day when there 17 women on CDS, some with pregnancy problems, some in early labour who had come in to be assessed, some labouring and two post natal in high dependancy, but with 7 delivery rooms, 4 assessment beds and 4 post natal beds, with only 7 midwives and two students on duty that is excessive and not only is it excessive it can be downright dangerous too and some people can't understand why those women who don't really need to be at the hospital are sent home.

But you were there too.... so that must have made ALL the difference! Smile

As a first year student left to care for the high dependency women pretty much unsupported because my mentor was too busy running around like a blue arsed fly dealing with women pitching up in early labour demanding to be assessed there and then. No

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Re: Making childbirth easier

Post by Ali on Thu May 02, 2013 10:38 pm

Just to add though, there were also no antenatal or postnatal beds empty on the wards (44 of them) and that is the one and only time I ever saw that unit closed in the time I was there.
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Re: Making childbirth easier

Post by Ali on Thu May 02, 2013 10:39 pm

Dimples wrote:
Ali wrote:
Dimples wrote:
Ali wrote:

No, and not everyone in early labour or early established labour or with ruptured membranes gets sent home either, a lot will simply depend on how busy the unit is that day.

I was on the unit one day when there 17 women on CDS, some with pregnancy problems, some in early labour who had come in to be assessed, some labouring and two post natal in high dependancy, but with 7 delivery rooms, 4 assessment beds and 4 post natal beds, with only 7 midwives and two students on duty that is excessive and not only is it excessive it can be downright dangerous too and some people can't understand why those women who don't really need to be at the hospital are sent home.

But you were there too.... so that must have made ALL the difference! Smile

As a first year student left to care for the high dependency women pretty much unsupported because my mentor was too busy running around like a blue arsed fly dealing with women pitching up in early labour demanding to be assessed there and then. No


Were you a midwifery student or nursing student?

Midwifery.
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Re: Making childbirth easier

Post by Ali on Thu May 02, 2013 10:41 pm

Dimples wrote:
Ali wrote:
Dimples wrote:
Ali wrote:

As a first year student left to care for the high dependency women pretty much unsupported because my mentor was too busy running around like a blue arsed fly dealing with women pitching up in early labour demanding to be assessed there and then. No


Were you a midwifery student or nursing student?

Midwifery.

If you don't mind me asking, why did you not continue with it?

I'll pm you.
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Re: Making childbirth easier

Post by Ali on Thu May 02, 2013 10:53 pm

Dimples wrote:
Ali wrote:Just to add though, there were also no antenatal or postnatal beds empty on the wards (44 of them) and that is the one and only time I ever saw that unit closed in the time I was there.

..... which would rather confirm the absolute folly of closing down maternity units left,right and centre.

Yes, but that is the one and only time in a consultant led maternity unit that served a massive area over 3 different counties. At that time there were 7 midwifery led units linked to this one hospital.
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Re: Making childbirth easier

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