Dear Soo

thanks infinitely for that, this is exactly what I told this morning to our coordinator, that first of all they have to provide the evidence! but the reply was 'well we need to be prepared'...

and you are absolutely right also in saying that actions are taken at times without looking at the presence of robust evidence but following sort of syllogism such as

there is an operating theatre in labour ward= labour ward is an operating theatre are= midwives in labour ward should behave as staff of operating theatres....

strong of your suggestion, first of all I'll try not to give up in telling that they have the onus..

life is never boring in the Italian system.....

thanks infinitely

laura

2016-06-28 10:14 GMT+02:00 Soo Downe <[log in to unmask]>:

Laura, how about requiring those who are telling you to do this to provide you with evidence that it will reduce infections without increasing unnecessary labour interventions/CS?. If the organisation wants to introduce something new, the onus is on them to prove that the new change will be beneficial with no increased adverse unexpected consequences, before you need to agree to take on those new practices. This doesn’t stop you gathering your evidence, of course, but they must not introduce new practices (which will also be more costly) without strong evidence that these new practices will result in the benefits they are claiming.

All the best

Soo

From: A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] On Behalf Of Laura Iannuzzi
Sent: 28 June 2016 08:48
To: [log in to unmask]
Subject: use of behaviours of operating theatres in labour wards

Hello,

In our hospital in Florence we have been asked to modify our 'behaviours' in the labour wards and follow the operating theatre 'rules' such as conforming our dress code in labour rooms and all labour ward areas (thus not only when in the operating theatre within there) under the discourse of infection controls and best practice.

As the scenario seems that we are going to face a big step backward ( we fought for years to remove all those things that were making our labour wards like little operating theatres and midwives like operating staff for the sake of women and families and normal of birth..)

my request of help is on this: have you got any references, evidence and anything relevant to suggest me to look at that can help in supporting the fact that midwives do not need to dress and behave as in operating staff in all areas and that is not impacting on infections while is crucial in facilitating normal birth and all the connected themes (e.g. birth is not a pathology, environment matters).

this morning I was so happy for the fact that why I was looking for literature I knew I had a forum like that can support, that it was even more evident for me the importance of the network you created. thanks infinitely for that

Laura Iannuzzi