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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