Sunday, November 23, 2008

Some thoughts on evidence based midwifery

I know the' talking head' is a little boring, but couldn't resist the opportunity to test the camera of my new Ausus eee PC.

This video will be a resource for midwifery students thinking about the value of research in their practice.


http://www.youtube.com/watch?v=Xx3MJ-kL1Ko

How do you feel about what I've said - any thoughts or comments?

7 comments:

Bill Perry said...

Well done, Sarah! The quality is excellent. What did you use to do the recording?
Bill

Sarah Stewart said...

@Bill. Thanks for the feedback. I didn;t think the quality, especially the sound, was that good, so thanks for your perspective.

@Pam. Thanks for the comments. Re: management of 2nd stage. Yes, you're right, some women need more active encouragement, but the point I was trying to make is that shouldn't be routine - 'managed' second stage with enforced pushing has no benefit & can actually harm the baby. Yet, it is a practice that still prevails.

Partnership: know what you're saying & would say myself that that is not a partnership - women have to do 'their bit', take responsibility/control, or else it isn't a partnership - it's something else. How would you define that sort of relationship?

Sarah Stewart said...

This sounds a great book - very interesting. I'll have to take a look when I get a chance :)

Anonymous said...

hi sarah
just a comment about the partnership thing - I think there is scope to negotiate roles within a partnership and there may be areas where one partner leaves the other with more responsibility at times - which could be ok if the other party is happy to or comfortable taking that area on more. I think this weaving happens in midwifery partnerships and as long as it is negotiated or agreed by the partners involved thats ok - or perhaps addressed if not satisfactory or desirable to one party.
I think we need to get over the whole idea of counting who does what - whats important is that power is shared / balanced. If i as the woman decide to let you take control or responsibility for an area of my life - or to drive that - and you agree to because you can or are comfortable - its partnership - negotiated.If i give you too much control over my life - and you are not comfortable with that - you can discuss that issue with me and negotiate areas I need to work on taking some control over.
If I think of my life partnership - we don't do everything equally all
the time so there's scope to delegate some roles - he earns a lot more than me so he takes responsibility for saving for our retirement - or I am working hard this week so he cooks the food for everyone...

Sarah Stewart said...

Anonymous: I like this explanation. Thank you. But is it partnership or a relation ship, or is there no difference? Does it actually matter? All questions I keep thinking about and to be honest, it changes with every woman I work(ed) with.

Sarah Stewart said...

Pam: yes, but do women reallt have that control, especially when they birth in hospital?

Anonymous said...

yes good question - and I think the answer depends entirely on the midwives ability to let it be - perhaps - depending on their philosophy...some midwives are just not comfortable with letting the cards fall where the woman tossed them and do feel a need to dominate and control. Others are more process driven - and understand birth as being about making mothers...
Can you think of times in practice when women couldn't or wouldn't decide stuff - and so you let it be and thats how it was? We can often do that in birth cos - its a normal process and the outcome normally essentially fine despite us all.
(ok obviously there are times when we would use our wisdom and intervene as appropriate - but so often we can not act- allow the woman to experience her power and all is well)