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	<title>Comments on: Struggling to care</title>
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	<link>http://midwifemuse.wordpress.com/2008/08/26/struggling-to-care/</link>
	<description>Midwifery &#38; childbirth, family</description>
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		<title>By: CAT</title>
		<link>http://midwifemuse.wordpress.com/2008/08/26/struggling-to-care/#comment-1874</link>
		<dc:creator>CAT</dc:creator>
		<pubDate>Sat, 30 Aug 2008 14:38:07 +0000</pubDate>
		<guid isPermaLink="false">http://midwifemuse.wordpress.com/?p=378#comment-1874</guid>
		<description>I&#039;ve read your blog with interest for some time now, but have to say this post made me really sad.

I am English, but married an Australian and moved to Sydney with him 2 years ago. I am now 22 weeks pregnant with our first baby. The system here is quite different to the UK. There is public health care, but you are strongly encouraged and incentivized to also have some element of private cover, so I understand I am not making a direct comparison. Anyway, the care I have received here has been fantastic. Again the way I am cared for is different to the UK, I see my obstetrician monthly from 10 weeks and more frequently at the end of my pregnancy and he will be at the birth. As for a midwife, I do not have home visits and will not meet them until the birth when I have whoever happens to be on duty/call. There are birthing classes given by midwives to help you understand what to expect and how to prepare for hospital (for example what to bring) and breastfeeding is strongly encouraged and there appears to be lactation specialist on hand to help with any problems. Obviously, some of this I can&#039;t comment on fully until I have had my baby.

Anyway, I feel sad when I read articles like this, as it makes me glad (almost thankful) that I am not having my baby in my own country and that the sacrifice of not being close to my family while pregnant is perhaps not as big as it might be. It really upsets me that things have come to this - an English woman feels safer having their pregnancy and birth outside of the UK.</description>
		<content:encoded><![CDATA[<p>I&#8217;ve read your blog with interest for some time now, but have to say this post made me really sad.</p>
<p>I am English, but married an Australian and moved to Sydney with him 2 years ago. I am now 22 weeks pregnant with our first baby. The system here is quite different to the UK. There is public health care, but you are strongly encouraged and incentivized to also have some element of private cover, so I understand I am not making a direct comparison. Anyway, the care I have received here has been fantastic. Again the way I am cared for is different to the UK, I see my obstetrician monthly from 10 weeks and more frequently at the end of my pregnancy and he will be at the birth. As for a midwife, I do not have home visits and will not meet them until the birth when I have whoever happens to be on duty/call. There are birthing classes given by midwives to help you understand what to expect and how to prepare for hospital (for example what to bring) and breastfeeding is strongly encouraged and there appears to be lactation specialist on hand to help with any problems. Obviously, some of this I can&#8217;t comment on fully until I have had my baby.</p>
<p>Anyway, I feel sad when I read articles like this, as it makes me glad (almost thankful) that I am not having my baby in my own country and that the sacrifice of not being close to my family while pregnant is perhaps not as big as it might be. It really upsets me that things have come to this &#8211; an English woman feels safer having their pregnancy and birth outside of the UK.</p>
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		<title>By: midwifemuse</title>
		<link>http://midwifemuse.wordpress.com/2008/08/26/struggling-to-care/#comment-1873</link>
		<dc:creator>midwifemuse</dc:creator>
		<pubDate>Fri, 29 Aug 2008 19:13:10 +0000</pubDate>
		<guid isPermaLink="false">http://midwifemuse.wordpress.com/?p=378#comment-1873</guid>
		<description>Dot - Definitely sounds like a planned homebirth next time!</description>
		<content:encoded><![CDATA[<p>Dot &#8211; Definitely sounds like a planned homebirth next time!</p>
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		<title>By: kenanddot</title>
		<link>http://midwifemuse.wordpress.com/2008/08/26/struggling-to-care/#comment-1872</link>
		<dc:creator>kenanddot</dc:creator>
		<pubDate>Fri, 29 Aug 2008 10:33:46 +0000</pubDate>
		<guid isPermaLink="false">http://midwifemuse.wordpress.com/?p=378#comment-1872</guid>
		<description>Oh dear! Well, I guess I&#039;m glad I&#039;m in Ireland. It says a lot for the midwives working under these conditions that none of the friends of mine who&#039;ve recently given birth in the UK have come away with horror stories of inattentive care.

There were no complications with the birth of my baby: it happened at home because it was so much easier than expected and I didn&#039;t realise until too late it was time to go back to hospital (having been sent home earlier when I went in because my waters had broken). But I needed stitches and home was not set up for the care of a first-time mother and baby. The placenta didn&#039;t appear until well after we got to hospital.</description>
		<content:encoded><![CDATA[<p>Oh dear! Well, I guess I&#8217;m glad I&#8217;m in Ireland. It says a lot for the midwives working under these conditions that none of the friends of mine who&#8217;ve recently given birth in the UK have come away with horror stories of inattentive care.</p>
<p>There were no complications with the birth of my baby: it happened at home because it was so much easier than expected and I didn&#8217;t realise until too late it was time to go back to hospital (having been sent home earlier when I went in because my waters had broken). But I needed stitches and home was not set up for the care of a first-time mother and baby. The placenta didn&#8217;t appear until well after we got to hospital.</p>
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		<title>By: midwifemuse</title>
		<link>http://midwifemuse.wordpress.com/2008/08/26/struggling-to-care/#comment-1871</link>
		<dc:creator>midwifemuse</dc:creator>
		<pubDate>Thu, 28 Aug 2008 20:05:31 +0000</pubDate>
		<guid isPermaLink="false">http://midwifemuse.wordpress.com/?p=378#comment-1871</guid>
		<description>Dot - Pleased you&#039;ve visited. BBA, but admitted to hospital, were there problems?
I obviously have no personal experience of more than a few maternity units but I do meet midwives from all over the UK at study days and conferences and I have to say that the majority of midwives experience days like those discussed on a regular basis.</description>
		<content:encoded><![CDATA[<p>Dot &#8211; Pleased you&#8217;ve visited. BBA, but admitted to hospital, were there problems?<br />
I obviously have no personal experience of more than a few maternity units but I do meet midwives from all over the UK at study days and conferences and I have to say that the majority of midwives experience days like those discussed on a regular basis.</p>
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		<title>By: Dot</title>
		<link>http://midwifemuse.wordpress.com/2008/08/26/struggling-to-care/#comment-1870</link>
		<dc:creator>Dot</dc:creator>
		<pubDate>Thu, 28 Aug 2008 12:29:57 +0000</pubDate>
		<guid isPermaLink="false">http://midwifemuse.wordpress.com/?p=378#comment-1870</guid>
		<description>I came to this post having found your blog through a link to the discussion of Dr Amy&#039;s criticisms of Morag and her preceptor (back in May). I found the juxtaposition instructive. What woman reading this account of hospital care would choose it in preference to one-on-one attention in her own home?

I truly hope the situation is not this bad in all or most NHS hospitals. The Daily Mail is not known for its kindly and balanced approach to such issues. I gave birth in Dublin last November. My baby was BBA, so I don&#039;t know how much attention I would have received in labour had I made it to the hospital in time. But, though the birthrate has shot up in recent years and the hospitals are considered very stretched, my aftercare was excellent; someone always came when I rang the bell and I was given a lot of help with breastfeeding. 

Btw, though we aren&#039;t yet trying for the next baby, I am already planning a homebirth for next time. I firmly believe that, if the pregnancy has been uncomplicated, mother and foetus appear healthy, and there is adequate support in place, homebirth is best for both mother and baby.</description>
		<content:encoded><![CDATA[<p>I came to this post having found your blog through a link to the discussion of Dr Amy&#8217;s criticisms of Morag and her preceptor (back in May). I found the juxtaposition instructive. What woman reading this account of hospital care would choose it in preference to one-on-one attention in her own home?</p>
<p>I truly hope the situation is not this bad in all or most NHS hospitals. The Daily Mail is not known for its kindly and balanced approach to such issues. I gave birth in Dublin last November. My baby was BBA, so I don&#8217;t know how much attention I would have received in labour had I made it to the hospital in time. But, though the birthrate has shot up in recent years and the hospitals are considered very stretched, my aftercare was excellent; someone always came when I rang the bell and I was given a lot of help with breastfeeding. </p>
<p>Btw, though we aren&#8217;t yet trying for the next baby, I am already planning a homebirth for next time. I firmly believe that, if the pregnancy has been uncomplicated, mother and foetus appear healthy, and there is adequate support in place, homebirth is best for both mother and baby.</p>
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		<title>By: midwifemuse</title>
		<link>http://midwifemuse.wordpress.com/2008/08/26/struggling-to-care/#comment-1869</link>
		<dc:creator>midwifemuse</dc:creator>
		<pubDate>Thu, 28 Aug 2008 10:12:28 +0000</pubDate>
		<guid isPermaLink="false">http://midwifemuse.wordpress.com/?p=378#comment-1869</guid>
		<description>Flighty - Hope always springs eternal and I always just believe that one day someone with some insight will be allowed to rescue the beleagured, political pawn which is the NHS.</description>
		<content:encoded><![CDATA[<p>Flighty &#8211; Hope always springs eternal and I always just believe that one day someone with some insight will be allowed to rescue the beleagured, political pawn which is the NHS.</p>
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		<title>By: midwifemuse</title>
		<link>http://midwifemuse.wordpress.com/2008/08/26/struggling-to-care/#comment-1868</link>
		<dc:creator>midwifemuse</dc:creator>
		<pubDate>Thu, 28 Aug 2008 10:09:59 +0000</pubDate>
		<guid isPermaLink="false">http://midwifemuse.wordpress.com/?p=378#comment-1868</guid>
		<description>Lisa - The huge differences in the work load on labour ward is one of the difficulties with staffing. The maternity units work to a &#039;formula&#039; as to deliveries per year requiring a certain number of WTE (whole time equivalent) midwives, it is not updated regularly. This assumes that women will even their births out, but they don&#039;t, so one day there may be 1 or 2 on labour ward and the next there could &#039;no room at the inn&#039;, but the same number of midwives available. Plus, most units opt for the minimum, or less so too many woemn in labour, or staff off sick or transferring urgent cases to other units leaves the unit shortstaffed and struggling to cope.</description>
		<content:encoded><![CDATA[<p>Lisa &#8211; The huge differences in the work load on labour ward is one of the difficulties with staffing. The maternity units work to a &#8216;formula&#8217; as to deliveries per year requiring a certain number of WTE (whole time equivalent) midwives, it is not updated regularly. This assumes that women will even their births out, but they don&#8217;t, so one day there may be 1 or 2 on labour ward and the next there could &#8216;no room at the inn&#8217;, but the same number of midwives available. Plus, most units opt for the minimum, or less so too many woemn in labour, or staff off sick or transferring urgent cases to other units leaves the unit shortstaffed and struggling to cope.</p>
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		<title>By: Flighty</title>
		<link>http://midwifemuse.wordpress.com/2008/08/26/struggling-to-care/#comment-1867</link>
		<dc:creator>Flighty</dc:creator>
		<pubDate>Wed, 27 Aug 2008 07:38:48 +0000</pubDate>
		<guid isPermaLink="false">http://midwifemuse.wordpress.com/?p=378#comment-1867</guid>
		<description>You know my feelings and thoughts on the subject! That the NHS is like this, and knowing that it will continue as is at best, is appalling.
With what is being asked of midwifes, nurses and others it&#039;s not surprising that they feel as they do. 
There are no easy answers or quick solutions but I wonder if it&#039;s gone beyond the point of even trying. I hope not as that scenario doesn&#039;t even bear thinking about. 
Sadly this is yet another damming indictment against bureaucracy and the powers that be which they will ignore or shrug off. 
Take care. xx</description>
		<content:encoded><![CDATA[<p>You know my feelings and thoughts on the subject! That the NHS is like this, and knowing that it will continue as is at best, is appalling.<br />
With what is being asked of midwifes, nurses and others it&#8217;s not surprising that they feel as they do.<br />
There are no easy answers or quick solutions but I wonder if it&#8217;s gone beyond the point of even trying. I hope not as that scenario doesn&#8217;t even bear thinking about.<br />
Sadly this is yet another damming indictment against bureaucracy and the powers that be which they will ignore or shrug off.<br />
Take care. xx</p>
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		<title>By: Lisa</title>
		<link>http://midwifemuse.wordpress.com/2008/08/26/struggling-to-care/#comment-1862</link>
		<dc:creator>Lisa</dc:creator>
		<pubDate>Wed, 27 Aug 2008 00:07:31 +0000</pubDate>
		<guid isPermaLink="false">http://midwifemuse.wordpress.com/?p=378#comment-1862</guid>
		<description>I have only read &quot;Shift 1&quot; so far, and what I find very bizarre is that there are SO many delivering mothers on one day.    

When I spent a day in the maternity ward having my daughter... one other woman delivering.  That was it.  

Amazing!

I would whole-heartedly recommend your job as a career.. even though it&#039;s severely frustrating at times.. you love it so much that you know change has to occur to provide the care you want or need to provide for everyone...  without you (and more midwives) it would only be loads worse.

BTW, overwhelmed woman in her 30&#039;s.. you gave something I did not get.. any notice that I was overwhelmed.  :)    

AND the nurses MADE ME STAY in the hospital until I was shown the bath demo; and &quot;no&quot;, they had no time for about 6 hours, which sounds like quicker than your time might be, but still...   I kept thinking, &quot;How hard can this BE?  I&#039;ve taken a bath all my life... I know how to do it.&quot;    (but that&#039;s just me.. I&#039;m sure there&#039;s a good medical reason for watching a baby bath).  :)</description>
		<content:encoded><![CDATA[<p>I have only read &#8220;Shift 1&#8243; so far, and what I find very bizarre is that there are SO many delivering mothers on one day.    </p>
<p>When I spent a day in the maternity ward having my daughter&#8230; one other woman delivering.  That was it.  </p>
<p>Amazing!</p>
<p>I would whole-heartedly recommend your job as a career.. even though it&#8217;s severely frustrating at times.. you love it so much that you know change has to occur to provide the care you want or need to provide for everyone&#8230;  without you (and more midwives) it would only be loads worse.</p>
<p>BTW, overwhelmed woman in her 30&#8217;s.. you gave something I did not get.. any notice that I was overwhelmed.  <img src='http://s.wordpress.com/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' />     </p>
<p>AND the nurses MADE ME STAY in the hospital until I was shown the bath demo; and &#8220;no&#8221;, they had no time for about 6 hours, which sounds like quicker than your time might be, but still&#8230;   I kept thinking, &#8220;How hard can this BE?  I&#8217;ve taken a bath all my life&#8230; I know how to do it.&#8221;    (but that&#8217;s just me.. I&#8217;m sure there&#8217;s a good medical reason for watching a baby bath).  <img src='http://s.wordpress.com/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' /> </p>
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