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 for????hydration? syntocinon? 2nd opinion
?[why not get it from a mw or p/p from back up hospital?]
it is soooooo 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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