Unfortunately at the moment the decision to induce is made by the doctors in the antenatal clinics, and often we are only seeing the women when they arrive in birthsuite for induction. I like to discuss the reasons for IOL, and the pros and cons but not sure what other midwives do. Hopefully soon we will have a midwifery model of care so that alot of this unnecessary intervention can be avoided.
That must be very frustrating. Do you or your other midwife colleagues have any strategies for challenging these management decisions given that they are clearly not evidence based, are gross overservicing and just plain dangerous? J
It amazes me that sometimes these doctors just don't seem to learn. We have had a run of inductions and LUSCS for either SGA or LGA lately because 'the scan said such & such'. The SGA's that I've seen have ranged from 2.8-3.1kg and the LGA's from 3.4-4.1kg. One lady recently had a LUCSC for her 4th bub because by USS it was 12 pound. Surprise, suprise out came an 8 pounder which was less than her last vaginally born baby. Grrrrrr.... Michelle ----- Original Message ---- From: Ken Ward <kwar6996@bigp...> To: ozmidwifery <ozmidwifery@aceg...> Sent: Thursday, 1 March, 2007 2:46:51 PM Subject: [ozmidwifery] Frustration Delightful doctor told his lady that the episi he cut which extended to a 3rd degree tear was so extensive that she would need a C/S next time. Also she would need to be reviewed, and may need the repair repaired by another dr. One wonders what he has done. Of course it will all be her and/or the baby's fault. Grrrrrrrrr