quick thought re strategies -is it possible to go ahead with women who would be on the lists of the obstetricians who agree? the others will then probably come into line fairly quickly, especially if they find they are working harder than the others, and especially if women realise what is happening. If the issue of consensus is a problem, are all decisions in the unit taken by consensus? Do any of the obstetricians practices vary? if they do, I think you can challenge the necessity for consensus.
I agree with the view that all women should be treated as if all is physiological unless a clear problem presents itself. If they argue with this, ask them to justify their stance on the basis of good quality evidence (and not their prejudices), rather then letting them make you justify yourself to them.. I presume that you have already presented them with all the evidence on the safety and efficacy of midwife led care anyway?
all the best
soo
>>> [log in to unmask] 03/06/03 12:14am >>>
Hello all.
I have a problem....2 in fact. I have just finshed drafting up some
guidelines for our Family Birth Rooms. The guidelines have been approved by
all the appropriate committees but 2 of our Obstetricians will not agree to
consensus unless there is a clear definition of what is normal re pregnancy,
labour & birth. I thought I had made it clear but no..... I have attached
the guidelines for your perusal. I do not believe we need to spell out what
is normal. I thought that was the basis for midwifery education & practice.
However, I welcome your thoughts on whether I should provide these 2 with a
definition of what is normal. I would also welcome strategies for dealing
with this sort of obstructive behaviour.
Thanks
Jenny
Midwifery Joint Appointment
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