Hi, Kathy!
The thing is that we have 34 midwives in the delivery room and 5000 births
per year. Usually they work 8 per shif and sometimes they manage the work.
But sometimes (when there is 25-30 births per day), one midwife must care
for three women at the same time, which is impossible if we are talking
about providing support and quality in care. My ideal was always 1 midwife
per women, but the organizationally this is too expensive - I guess we are
looking for some kind of compromise. How did you solve the problem?
Polona
----- Original Message -----
From: "kathy Carter-Lee" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, October 07, 2005 9:21 AM
Subject: Re: working standards
> Dear Polona
>
> I have not had to face this question myself before, but it seems to me
> that as well as numbers of birth you might find it useful to look at other
> trends such as the maximum and minimum numbers of deliveries per type of
> shift, and also are there predictable trends regarding delivery numbers? I
> can think of communities where this would be predictable. This might help
> to see if you need full time midwife cover all the year or if you have a
> period where you employ more staff.
>
> Thanks
> Kathy CL
> Midwife Technical Advisor
> Afghanistan
>
>> Hi!
>>
>> Thank you for this answer. So, how do you know how many midwives to
>> include in a shift, if you do not know how many births to expect? Do you
>> have any approximate numbers? Is it true that somewhere they have
>> criteria
>> 150 births per midwife per year? Is there an official document about
>> this?
>> Sorry to ask so many questions about that, but we are really at the
>> beggining of this...
>>
>> Best wishes,
>> Polona
>> ----- Original Message -----
>> From: Tina I Harris
>> To: [log in to unmask]
>> Sent: Monday, October 03, 2005 12:24 PM
>> Subject: Re: working standards
>>
>>
>> Dear Polona,
>>
>>
>>
>> The royal College of obstetricians and gynaecologists have produced a
>> rudimentary figure of 1.1 midwives per woman in labour as the basis for
>> staffing levels for delivery suites.
>>
>> Tina Harris
>>
>>
>>
>> -----Original Message-----
>> From: Ana Polona Mivsek [mailto:[log in to unmask]]
>> Sent: 04 October 2005 10:48
>> To: [log in to unmask]
>> Subject: working standards
>>
>>
>>
>> Dear colleagues!
>>
>>
>>
>> I do not know the expression that I'm interested in - it is not in my
>> vocabulary. The most close term would be "working standards".
>>
>>
>>
>> I'm obliged to tell, how many midwives would we need, if we had a
>> delivery room with approximatelly 5000 births per year.
>>
>>
>>
>> I do not know the criteria - do you count births per year per midwife
>> or
>> births per midwife per shift or something else...?
>>
>> Do you have national guideliness for this?
>>
>>
>>
>> Thank you in advance for your help and I hope this is not too boring
>> topic for the forum.
>>
>>
>>
>> Best wishes,
>>
>> Polona Mivsek
>>
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