Hi Charlotte
I was involved in implementing waterbirth in a
hospital. The main resistance was from midwives not
obs. Their main concerns were 'doing nothing' during
the birth of the baby (perineum, nuchal cord, traction
etc). Other concerns included:
*isolation - having to stay in the pool room at the
end of the corridor at all times rather than chatting
at the desk
*mess - when transferring from pool to bed afterwards
*hassle - filling and maintaining the pool, cleaning
afterwards
*concerns about emergency situations
*the baby remaining blue for longer - slower
transition and not sure when to intervene
Eventually after watching waterbirths and being
supported whilst doing them some mw became fans and
would suggest the pool to women. However, the majority
did not change their practice and would not suggest
the pool unless the woman asked.
In terms of research - maybe look at how midwives
develop skills / practice ie. tradition and
experience. Reluctance to try something unfamiliar
etc.
Good luck
Rachel
--- Amanda Hutcherson <[log in to unmask]>
wrote:
> Maybe look at the issues I have discussed, there are
> certainly articles
> around clamping and cutting a nuchal cord and
> guarding the perineum, this
> could lead you to further questioning of the process
> of birth in water and
> current midwifery practice. Is it what we think it
> is?! As previously
> recommended Diane Garland could probably help you
> with issues such as
> midwives confidence and training.
>
> Hope this helps, Amanda
>
>
>
> _____
>
> From: A forum for discussion on midwifery and
> reproductive health research.
> [mailto:[log in to unmask]] On Behalf
> Of charlotte bachtold
> Sent: 13 March 2008 18:20
> To: [log in to unmask]
> Subject: Re: Water birth and the midwife
>
>
>
>
> Thank you for your quick responses and advice. I
> have searched the available
> databases for articles concerning midwives promotion
> of a care option but
> have had little success. Are there any key articles
> that the group could
> recommend in this area?
> Once again than for your help.
> Charlotte.
>
> > Date: Wed, 12 Mar 2008 17:07:57 +0000
> > From: [log in to unmask]
> > Subject: Re: Water birth and the midwife
> > To: [log in to unmask]
> >
> > Hi Charlotte
> > You are correct there is little evidence, in terms
> of primary studies,
> > looking at the role of midwives in promoting
> waterbirths. But if you
> > look at the literature on other topics linked to
> midwives' promotion of
> > a care option, for example home births, the
> reasons some midwives do not
> > promote these is related to their clinical
> competence and confidence,
> > the support they have from managers, availability
> of resources including
> > staff numbers to enable educational activities,
> medical dominance, and
> > fear of litigation (note I say fear of, not
> necessarily actual). This
> > list would apply to waterbirths, as well, although
> not necessarily in
> > that order.
> >
> > Best wishes
> > LIZ
> >
>
******************************************************************
> > Dr Elizabeth R Cluett
> > PhD MSc RM RGN PGCEA
> > Senior Lecturer, School of Nursing and Midwifery
> > University of Southampton
> > tel; 023 8059 7850
> > email [log in to unmask]
> >
> > -----Original Message-----
> > From: A forum for discussion on midwifery and
> reproductive health
> > research.
> [mailto:[log in to unmask]] On Behalf
> Of
> > Charlotte Bachtold
> > Sent: 12 March 2008 13:47
> > To: [log in to unmask]
> > Subject: Water birth and the midwife
> >
> > My name is Charlotte and I am a final year
> midwifery degree student who
> > is
> > in the middle of her dissertation.
> >
> > I have chosen water birth as my topic and having
> carried out an
> > extensive
> > electronic and hand search of the literature I
> have decided to focus my
> > literature review upon what is preventing women
> from birthing in water.
> > I
> > have found a great deal of research regarding the
> benefits of water
> > birth
> > and its 'safety' yet I can find very little on the
> subject of the
> > midwives
> > role and perspective on water birth. From my own
> clinical experience I
> > am
> > aware that midwives play an essential role in the
> promotion and uptake
> > of
> > water birth yet I am having difficulty finding
> anything on this
> > interesting
> > aspect from a research perspective.
> >
> > It is for this reason that I am writing to you to
> see if anyone has any
> > interesting thoughts or ideas on this subject. Any
> opinions or advice
> > would
> > be much appreciated. I look forward to hearing
> from you,
> >
> > Charlotte.
>
> _____
>
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>
>
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