Dear all
I am attending the pre congress courses of the BIRTH Congress in Venice and I ll be speaking this afternoon of our experience in the Margherita birth centre in The Italian context
The doctor who was chairing the course this morning in his presentation posed the question of what is the benefit of having MLUs if women in large part need to be transferred (he mentioned the 40% transfer rate for nulliparous in the birthplace study) and access to obstetric led unit with consequent trauma for women and costs for the system and ‘risks’ related to emergency
(homebirth was not even considered to be an option being ‘risky’ - and he used US based literature )
So he was posing question on the issue of transfers
I am trying to slightly change my presentation trying to address this question (that express a very common cultural standpoint in some context, that encourages midwife led care in labour ward but not midwife led care in midwife led units or home)
For sure in my mind are coming reflection such as ;
- yes it might be quite a challenge the theme of transfer for both women/ family and midwives
- what is provided is not only intrapartum care
- the more you protect physiology the less u need to transfer
- the theme of women’s choice
- the fact that transfers are mainly not due to emergency reason but more ‘tranquil’ situation such as slow progress of labour
- what about the costs of unnecessary interventions ? Are we sure that they are lower than the costs of transfers
- health is more than a intact Perineum and so on
But as even if thoughly posed this is an interesting are of debate, I d like to know if possibile from you what would you argue, what points would you make to answer ?
This could be of massive help
Thanks!
Laura
Laura Iannuzzi
PhD, MSc, PgCert, BMId, RM
Lead midwife physiological pregnancy path and Margherita birth centre
Careggi university hospital
Italy
Inviato da iPhone
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