Hej everyone.
Amadas question on "how women will feel knowing that they are being
monitored beyond the walls of the room within which they labour" let me to
remember a refugee women I interviwed several years ago. She had a history
of experiencing torture in her country. While beeing in labour is was
beeing monitored with external CTG and the midwife left the room. The women
then started to reexperience scenes from the time of the torture, she felt
watched, and began thinking if the midwife was a prisonguard? Finaly she
had hallucinations. This was a very bad experiece for her. A midwife who
later talked to her postpartum helped her in contact with a psychologist
and she recovered saying to me: "I am abel to live my life now". The
nidwifes and doctores she meet during pregnacy and labour diden`t know
anythink of her background and diden`t ask either.
Jette/Denmark
Amanda Mansfield <[log in to unmask]>@JISCMAIL.AC.UK> on 09-01-2003
10:01:06
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Subject: Re: Centralised CTG monitoring
Joy
Thankyou for bringing this issue up for discussion, I wonder how women
will feel knowing that they are being monitored beyond the walls of
the room within which they labour.
It seems to be a trend that women are exposed to technological
interventions, which do not necessarily demonstrate a benefit for the
majority of women experiencing normal birth, yet it is the majority of
the women that then become exposed to this intervention. Have you
noticed how these contemporary technologies cannot be sold on the
"evidence-based" benefit to women "sales-lines", but they then use the
"risk" limitation argument!, this theme is exactly what is happening
with trusts implementing policies of cord pH measurements on all
births! (my clinical bain at present!)
Amanda
Amanda Mansfield
Lecturer in Midwifery
FLorence Nightingale Institute of Nursing and Midwifery
Kings College, London
>Dear All
>
>It is proposed in my unit to introduce centralised CTG monitoring for
the
>labour ward. The rationale given by the lead consultant and clinical
risk
>manager (midwife) for this is that CTGs will then be recorded and
archived
>electronically, so will be available for review purposes
indefinitely.
>
>I know of one piece of research done recently in which video cameras
were
>used to collect data, but cannot recall the name of the researcher or
>whether this has yet been published. Can anyone enlighten me, and/or
point
>me to any other work which has been done on the subject.
>
>For those who have worked with such a system, please would you also
let me
>know your thoughts on whether centralised monitoring empowers or
seeks to
>control midwifery practice and whether there are any other issues we
may
>need to be aware of.
>
>Many thanks
>
>Joy Kemp
>
Amanda Mansfield
Lecturer in Midwifery
mailto:[log in to unmask]
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