tag:blogger.com,1999:blog-652950132925204088.post4144839268671519165..comments2024-02-13T23:28:25.524+11:00Comments on Sarah Stewart: What has web 2.0 got to do with catching babies?Sarah Stewarthttp://www.blogger.com/profile/00480597227427423793noreply@blogger.comBlogger10125tag:blogger.com,1999:blog-652950132925204088.post-9716130910622813102008-05-11T10:22:00.000+10:002008-05-11T10:22:00.000+10:00A further point: in a midwifery model - it is the ...A further point: in a midwifery model - it is the woman who prioritises the value of the evidence for her. She considers this among her other values. Women are regarded as competent decision makers for their own life, body and family. The midwife facilitates the woman through this process of discovery and learning and prioritising. Deciding when to contribute further and when to let the information sit is similar to the quiet careful art of being the midwife you talk about anonymous - except that you only acknowledge this skill at the moment of labour/birth whereas this is a broader view of it being a more continuous act. Midwifery is about women becoming mothers within this philosophy.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-652950132925204088.post-48245677450185406852008-05-11T10:17:00.000+10:002008-05-11T10:17:00.000+10:00you seem to feel powerless to the evidence which i...you seem to feel powerless to the evidence which is a shame I think. <BR/>You neglect to acknowledge the midwifes skill in evaluating the evidence both in terms of its quality and its relevance to a particular context, practice / clinical/ social situation or woman. In the NZ maternity system the midwifery workforce seeks to work in partnership with women - bringing knowledge - so each woman can determine the relevance of the evidence for her circumstance. <BR/>Evidence only has value when considered in relation to an individual circumstance - at least thats how the midwifery model of care would approach it anyway. <BR/>Evidence is something a woman can incorporate into her care - but without a woman it has little value.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-652950132925204088.post-57322827118366008832008-05-11T05:14:00.000+10:002008-05-11T05:14:00.000+10:00"The evidence-based enterprise invented by the Coc..."The evidence-based enterprise invented by the Cochrane Group has captivated our thinking for too long, creating for itself an enchanting image that reaches out to researchers and scholars. However, in the name of efficiency, effectiveness and convenience, it simplistically supplants all heterogeneous thinking with a singular and totalising ideology.<BR/>The all embracing economy of such ideology lends the Cocrane Group disciples a profound sense of entitlement, what they take as a universal right to control the scientific agenda".<BR/><BR/>What was that you said about power?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-652950132925204088.post-53566961404229373992008-05-10T15:25:00.000+10:002008-05-10T15:25:00.000+10:00Couldn't agree more. I must get off this blog and ...Couldn't agree more. I must get off this blog and cook tea!!Sarah Stewarthttps://www.blogger.com/profile/00480597227427423793noreply@blogger.comtag:blogger.com,1999:blog-652950132925204088.post-19401338761875939522008-05-10T15:21:00.000+10:002008-05-10T15:21:00.000+10:00I guess my point is that this is a good way of hei...I guess my point is that this is a good way of heightening awareness or discussing those thingsAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-652950132925204088.post-72766033747162493892008-05-10T14:57:00.000+10:002008-05-10T14:57:00.000+10:00At the same time, midwives ignore good evidence th...At the same time, midwives ignore good evidence that has been around for years and continue with routine practices that have no basis in evidence such as directed pushing in the second stage of labour. <BR/><BR/>We also have to be mindful of 'evidence' that is flawed such as the breech trial which midwives and doctors hold up as gold standard yet has had detrimental effects on both women's choices and midwifery practice.Sarah Stewarthttps://www.blogger.com/profile/00480597227427423793noreply@blogger.comtag:blogger.com,1999:blog-652950132925204088.post-32308182934913615482008-05-10T10:51:00.000+10:002008-05-10T10:51:00.000+10:00EBP is important because so much of the medical ev...EBP is important because so much of the medical evidence which has directed practice "norms" is flawed. poor quality, not robust - and this has a very real impact on womens lives and well being. A lot of medical practice in the area of birth is not evidence based. It is important that women and midwives know that - without EBP the medicval profession goes largely unchecked. An informed midwifery profession can now say "actually there is not good evidence to support that practice". This is power.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-652950132925204088.post-85859366884390797272008-05-10T10:37:00.000+10:002008-05-10T10:37:00.000+10:00responding to anonymous; I think the potential of ...responding to anonymous; I think the potential of web2.0 for midwives is that it is a tool for networking and discussing and sharing experiences, knowledge and perspectives. The potential is there for raising awareness, strengthening each other, supporting each other...and ultimately making a positive contribution to womens health - although it depends how we all choose to use it I guess. <BR/>The art of being with women - reading them and responding - is a fundamental skill of midwifery I agree - but surely its not the only skill.? I think midwives are far more multi skilled than this. I value and use knowledge and theory in practice and consider it adds depth to my practice. I would suggest it is possible to be intuitive midwives in the moment with women - but also to take responsibility for being well informed so you can engage women in interactive conversations about aspects of care relevant to them. This gives women power and control over decision making. Academic discussion and inquiry is vital to achieving this. If we don't build and construct midwifery theory and knowledge - the midwifery model of care ceases to be an option for women. What remains is the medical model. <BR/>Midwives can use these tools to heighten awareness of issues for womens health and well being. It doesn't diminish our role in the one on one situation with the individual woman - it expands our potential. <BR/>RaeAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-652950132925204088.post-33982645219372839382008-05-10T06:29:00.000+10:002008-05-10T06:29:00.000+10:00Thank you for your comment, Christine. It is alway...Thank you for your comment, Christine. It is always interesting to hear non-midwives' perspectives on my work.Sarah Stewarthttps://www.blogger.com/profile/00480597227427423793noreply@blogger.comtag:blogger.com,1999:blog-652950132925204088.post-715112295313654002008-05-10T03:56:00.000+10:002008-05-10T03:56:00.000+10:00Fascinating how the push back comes in a variety o...Fascinating how the push back comes in a variety of forms in the different disciplines. As I have seen your blog emerge, I immeadiately thought about the benefit of assisting midwifes worldwide and how many more you can reach through the web. <BR/><BR/>I know you have challenges with licensing and what you can say in a way that I certainly do not, yet you seem to walk with balance and offer real value consistently.Christine Martellhttps://www.blogger.com/profile/17475948139385466432noreply@blogger.com