Christine's message provides some evidence for not using a model developed
to handle pathology. One of our greatest challenges as midwives is
deciding what works for normalcy. Because we are part of the health care
(read disease focused) system, we need to be very wise in the way we accept
the prevailing models of that system. Whether it is language, procedures
or processes, what is appropriate for disease diagnosis and treatment may
gravely dis-serve women who are not part of that reality. Pat
At 09:37 AM 1/15/02 +1030, you wrote:
>Cate,
>
>I have worked with clinical pathways for postnatal care for normal birth,
>(normal vaginal delivery is the term the pathway uses). I cannot see any
>benefit to using pathways. They group women as one and they lose all
>individuality which I feel is one of the major problems women have when
>dealing with health care systems. When using pathways there is a
>requirement to write in the woman's notes only if there has been a deviation
>(another terrible word to add to the list which we use about women who don't
>fit our model), this means the women lose all individuality and that the
>midwives words and observations mean nothing. I have not seen any evidence
>of improved care or outcomes for the women.
>
>Christine
>
>-----Original Message-----
>From: A forum for discussion on midwifery and reproductive health research.
>[mailto:[log in to unmask]]On Behalf Of Jane Sandall
>Sent: Sunday, 13 January 2002 4:43 AM
>To: [log in to unmask]
>Subject: Fw: [ukmidwifery] clinical pathways
>
>----- Original Message -----
>From: "cate langley" <[log in to unmask]>
>To: <[log in to unmask]>
>Cc: <[log in to unmask]>
>Sent: Wednesday, January 09, 2002 10:59 PM
>Subject: [ukmidwifery] clinical pathways
>
>
> > Wales is presently looking at producing a clinical pathway for
> > 'normal' labour - the discussion about what's normal has already
> > begun! but I'm interested if anyone out there is using clinical
> > pathways in their practice and what you all think should and shouldn't
> > be included!
> > In anticipation of some lively dabate and apologies if you get this
> > twice
> > Cate
> >
> >
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Patricia Burkhardt
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