Sending this to the list for the second time as it mysteriously disappeared. >:o( ----- Original Message ----- From: "Stephen & Felicity" <[EMAIL PROTECTED]>
To: <ozmidwifery@acegraphics.com.au>
Sent: Wednesday, July 05, 2006 1:17 PM
Subject: Re: [ozmidwifery] Blood pressure...


"A little bit of knowledge can be a dangerous thing."

Heidi, I'm shocked by this statement. I can only assume I misunderstood your stance; could you expand on this statement?

Being well-informed is not about being scared or doubtful of the Hospital (and a Doula doesn't "put fear or doubt" into their clients); it's a basic human right, particularly for a birthing woman and her baby. Knowledge is never dangerous (it's NOT being informed that carries the danger); and if knowledge leads a woman to feel fearful of a course of action that is proposed for her, that is a GOOD thing - it's her intuition telling her that she isn't ok with it happening, and pushing her to seek other options. Co-operation with a Hospital and her careprovider is not the ultimate goal for a birthing woman. It should be the other way around.

Women are not infants and they have a right to any and all information, and to their emotions - even if they include fear. Fear is natural in birth and it's good support and good practice that gets us through it effectively; not avoiding the feeling altogether.

Careproviders might not interfere with women and birth for fun (although I've seen and heard of Obs that indicate differently - and even, rarely, Midwives), but the rates of intervention compared to the rates indicated as actually necessary show that they're not often intervening based on evidence, either.

It's not the information and knowledge that scares women. It's the practices and the outcomes. To address the fear we don't need to withhold information so the women can birth in Hospital without fuss; we need to truly support women, foster open negotiation and respect, and keep pushing to change the practices that aren't evidence-based or in the best interests of women and their babies.

----- Original Message ----- From: "Kelly @ BellyBelly" <[EMAIL PROTECTED]>
To: <ozmidwifery@acegraphics.com.au>
Sent: Wednesday, July 05, 2006 12:29 PM
Subject: RE: [ozmidwifery] Blood pressure...


Oh no no no, not at all!!! I have been as level headed with her as possible,
encouraged her to ask questions, and forwarded some information which I
found on the list in regards to how it all works - I am just more blunt on
the list as I know I am not going to scare anyone who is informed, and I
like honest questions and answers without having to worry about upsetting
anyone!
Of course I have encouraged her to do the regular check-ups with them, and
if she wants to and all is well, ask if she can have more time or if they
think it's important that she does go ahead with it, then that's fine. I
often say more here than I do to the women, and make sure my role is support
and not advice.

If anything, she is paranoid about having a posterior baby which was
fostered by a mum they brought into her ante-natal class who had a posterior
bub as well, was induced and had an epidural - all of which she doesn't
want. I have told her that having an OP bub now doesn't mean she will in
labour, and if she did, we have tricks up our sleeve to work with that.

Best Regards,

Kelly Zantey
Creator, BellyBelly.com.au
Gentle Solutions From Conception to Parenthood
BellyBelly Birth Support - http://www.bellybelly.com.au/birth-support


-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of heidi crisp
Sent: Wednesday, 5 July 2006 12:01 PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] Blood pressure...

I am a student midwife in a tertiary hospital and this is from Myles
textbook  Generally, hypertension is regarded as 140/90, however if the
individual has an increase of 30mg systolic or 15mg diastolic with presence
of proteinurea then she should be monitored closely.  The risk is of
developing pre-eclampsia and then eclampsia, harm to baby and mother....
Your client has shown these symptoms and therefore the hospital has an
obligation to care for her as best they know.


"My blood pressure throughout my pregnancy has been 100/60, but when it was tested Thursday/Friday last week it was 130/80... so not really high, just
high for me."

also she wrote
"I basically
just said I would like the drip to start slowly and allow time for active
labour to establish before increasing the dose, and also said that even if
induced I would like to avoid an epidural (if humanly possible!)."

When having an induction where I work- we do start very low and increase
UNTIL established labour, then the dose stays the same. We don't do this to

be horrible to women- there is no half way with having a baby, there is no
point in doing an induction if you can't reach established labour because
then she really will have doctors hanging about wanting a C/S for failure to

progress!

remember, A little bit of knowledge can be a dangerous thing. Support this woman in all the ways your service offers but do your best not to put fear or doubt of the hospital into her, the brain is a crucial part of labour and

if she's scared silly of the place labour won't happen either.  We don't
interfere with women for fun that's for sure!

regards from Heidi


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