Nature's Mothers Blog

Childbirth, Parenting and Other Passions

What if… A woman is told “there are no midwives available for homebirth”… May 23, 2013


Another guest post:

What if… A woman is told “there are no midwives available for homebirth”…

Quick answer: If couples decline hospital transfer and insist on remaining at home there’s a good chance that the hospital trust will be able to organise attendance by other midwives.

Longer answer: The government report ‘Maternity Matters’ (2007) guaranteed that every woman in England would have the choice of giving birth at hospital, at a birth centre or at home. This promise is far from being met as maternity services remain overstretched.

The Nursing and Midwifery Council say “Should a conflict arise between service provision and a woman’s choice for place of birth, a midwife has a duty of care to attend her… Withdrawal of a home birth service is no less significant to women than withdrawal of services for a hospital birth” (NMC 2010).

A health authority is legally obliged to provide emergency care, although it cannot be forced by law to provide a homebirth service. However, if women decline hospital transfer and insist on staying at home in labour then the trust do their utmost to provide a midwife.

If a woman’s local team is already busy or unavailable, midwives can be called in from other local areas. If other community teams are busy or unavailable the on-call supervisor of midwives will be asked to attend. As a last resort paramedics can be called to attend.

Birth partners should advocate for the woman clearly, calmly and assertively on the telephone. Calmly repeating phrases such as “No, she does not wish to transfer to hospital, we’re having a homebirth. Please arrange for a midwife to attend. There’s no way she’s getting out of the pool” sends out the message loud and clear.

Some women voice concerns that insisting on midwives coming out might mean that they get grumpy care providers… I have to say, when I’ve supported local couples in these circumstances as a doula, the midwives who arrive have always been professional and happy to be there.

Obviously, women should only stay at home if they still feel comfortable doing so.

If a woman is involuntarily pushing (especially near the beginning of each contraction) and a midwife might not arrive in time, birth partners are advised to call 999 just as a precaution and prepare for an unassisted birth… And keep calm!

Cornwall homebirth provision…

Maternity service commissioners here in Cornwall have requested that any incidents of threatened or denied homebirth provision should be reported to them.

Kernow Clinical Commissioning Group can be contacted directly, or you can pass your comments to the Maternity Services Liaison Committe via myself (Alice Kirby) of the chair Mandy Wells (07833 054664).

First family photos

Many thanks to Alice Kirby of  Hypnobirthing with Alice Kirby here in Cornwall for letting me post this very useful info. This is often a concern for pregnant mothers and it’s good to know where we stand.

Advertisements
 

Drugwatch.com: How to Treat Pelvic Organ Prolapse Naturally

Filed under: pregnancy — naturesmother @ 3:39 pm

A Guest Blog from Drugwatch.com

 

naturesmothers

Pelvic organ prolapse is a condition that frequently develops in women who have had children, though it’s often not diagnosed until menopause. When the pelvic floor muscles are no longer strong enough to support the pelvic organs, they begin to move downward and out of position, placing pressure on the vagina.

Prolapse is characterized by feelings of pelvic pressure or pain, a pulling sensation or noticeable bulge near the vagina, incontinence, pain during sex, irregular bleeding, frequent constipation or infection. Some women may need surgery, but the majority can treat prolapse with alternative options.

Risk Factors and Treatment

Certain lifestyle factors can contribute to a weakened pelvic floor, including obesity, heavy lifting, smoking, high-impact sports, chronic cough and chronic constipation. Women can address these risk factors by losing weight, engaging in exercises like yoga and Pilates, and adding more fiber to their diet to avoid constipation.

Kegel exercises should be practiced daily to build and maintain pelvic floor strength. Contracting the pelvic floor muscles inward and upward can prevent prolapse, make pregnancy and childbirth easier, and improve women’s sex lives.

Pelvic physical therapy uses various techniques, like massage or manual stimulation, biofeedback therapy, and posture-correction to improve pelvic floor and core strength, which can prevent prolapse or be an effective treatment of prolapse symptoms.

Doctors may also suggest the use of a vaginal pessary. Pessaries are small devices that come in different shapes and sizes, and are fitted and put in place vaginally by a doctor. They support prolapsed organs and relieve symptoms. Pessaries do not cure prolapse, and symptoms will reoccur if the pessary is removed.

Transvaginal Mesh

Some surgical solutions for prolapse are more dangerous than others. The Food and Drug Administration (FDA) has issued warnings that procedures using transvaginal mesh are riskier and not necessarily more effective than non-mesh surgical options.

Transvaginal mesh, which is used to support pelvic organs, can lead to severe complications, including infection and organ perforation. The mesh can erode through the vaginal, making sex impossible. Internal tissues grow into and around the mesh, which makes it hard to remove.

If prolapse symptoms require surgery, women should ask their doctors about procedures that do not use transvaginal mesh.

Linda Grayling writes for Drugwatch.com. Linda has a number of professional interests, including keeping up with the latest developments in the medical field. Join the Drugwatch community on our Facebook page to find out more.

 Some more interesting info on drugs for women here 

 

 
%d bloggers like this: