Dear Ruth,
My previous post was as a clinical lead midwife in a free standing birth
centre in Wiltshire, where my colleague Lynne Williams and I managed
several cases of women requesting care outside of guidelines. With well
documented care plans, good communication and support for both the woman
and the midwives (who can find such cases very stressful), we
successfully negotiated some particularly challenging cases. It was an
advantage that we are both supervisors of midwives. On reflection, I
feel that effective leadership and support are key components to both
delivering mutually acceptable care to these women and learning from the
experience.
I am copying Lynne in, as she is still practicing in the Birth Centre
and she was particularly talented in this area of practice. I hope this
helps.
Good luck with the Masters!
Best wishes,
Chris
Chris Adamson
Research Midwife
West Middlesex University Hospital NHS Trust
Tel 020 8560 2121 Pager 480 or 0208 321 5427 (voicemail)
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-----Original Message-----
From: A forum for discussion on midwifery and reproductive health
research. [mailto:[log in to unmask]] On Behalf Of Ruth
Hanna
Sent: 07 December 2012 11:07
To: [log in to unmask]
Subject: Individualised plans of care
I am a new member to the group and am going to introduce myself, as
recommended!
I am a hospital based, rotational midwife. I have been a midwife for 17
years now, and have done 13 years of that on community/integrated. I
worked in london for 13 years (Guy's, The Whittington and Lewisham) and
for the last 4 years in the North East of England (Durham and RVI). I am
also a Supervisor of Midwives.
I am currently doing a practice project for a masters degree. I am
looking at implementing documented, individualised plans of care for
women who request care outside of guidelines and against the
recommendations of obstetricians. The plans of care would include the
risks involved, that the woman is fully aware of these, the offer of an
alternative and her reasons for making her choice. Examples of this are
VBAC homebirths, VBAC poolbirths, intermittent monitoring and pool birth
with SGA babies, increased BMI women requesting homebirths, to mention a
few.
I am eager to know if this is being done anywhere else and also other's
views on this.
I look forward to some replies.
Many thanks.
Want to give up smoking or help your patients to give up?
Contact the Stop Smoking Service based at West Middlesex Hospital on 0208 321 5188,
Hounslow Service 0845 111 0155 or Kingston & Richmond Service on 0800 085 2903
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