how about looking at the birth rate plus method which is what we have been recently using
information can be obtained by putting in a search for Marie washbrooks name and you will get some articles published on its benefits/uses. where you actually get the staff once the recommendations are made is another matter. good luck
Elaine
Lead Midwife
Ulster Hospital
Belfast
-----Original Message-----
From: A forum for discussion on midwifery and reproductive health
research. [mailto:[log in to unmask]]On Behalf Of Ana
Polona Mivsek
Sent: 12 October 2005 12:01
To: [log in to unmask]
Subject: Re: working standards
Hello!
Can you tell me where can I get these documents, so that I can quote them?
Best wishes and thank you for everything.
Polona
----- Original Message -----
From: "kathy Carter-Lee" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, October 11, 2005 8:15 AM
Subject: Re: working standards
> Dear Polona,
>
> I have not had to deal with the issue myself. It seems you are in a
> difficult situation with a shortage of midwives. Is it possible to use
> documents from other countries to advocate increased staffing? eg. The
> recommended statement from the Royal College of Obstetricians and
> Gynaecologists reccomending 1:1 care, plus any other similar national or
> international statements(does FIGO have such a statement? or ICM?).
>
> Sorry I cannot help more.
>
> Warm Regards
> from
> Kathy CL
>
>> 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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