Re: [ozmidwifery] physiological 3rd stage

[Denise Hynd]

Dear Sue Who is it you want the evidence for woman or the Ob? The women has accept the dr's scaremongering   I think  both need information on what is informed consent And she needs to be reminded to trust her own god given body's ability to give birth which if she were in many other "undeveloped" countries would not be questioned   see the Health Consumer's Council pages and leaflets http://www.hcc-wa.asn.au/pages/questions_doc.html   and as you sad on the cascade of Intervention   I can hear it in operation from here!! Denise Hynd   "Let us support one another, not just in philosophy but in action, for the sake of freedom for all women to choose exactly how and by whom, if by anyone, our bodies will be handled."   ? Linda Hes ----- Original Message ----- From: Susan Cudlipp To: midwifery list Sent: Thursday, June 16, 2005 10:03 PM Subject: [ozmidwifery] physiological 3rd stage Dear list-wives Have just had a frustrating 'discussion' with one of our obs. A woman has written a very clear birth plan stating that she wants no interventions unless absolutely necessary.  The 'problem' being that she is a JW and will not accept a transfusion under any circumstances.  The said obs was of the opinion that she should not be 'allowed' the choice of physiological 3rd stage in this case so as to prevent the risk of haemorrhage. I wonder if any of you know of any studies into physiological 3rd stage that I can use here?  There is plenty of 'evidence' about the 'wisdom' of prophelactic use of oxytocics, but naturally the doctors, and sadly very few midwives, have any experience of expectant management of third stage.  I am quite upset about the attitude displayed here that the woman's informed wishes are not being respected, but of course got no-where in trying to discuss this.  This girl is no more likely to bleed than any other person, but she has now been 'persuaded' to alter her birth plan. The trouble is she now has a raised BP at term and has been admitted. I can almost hear the 'cascade' starting!  Any good evidence gratefully recieved. Regards, Sue "The only thing necessary for the triumph of evil is for good men to do nothing" Edmund Burke No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.7.3/15 - Release Date: 14/06/2005