Not about politics. Promise

Sup, followers / casual readers?

 

Apologies for the silence for the past couple of weeks, but I have been doing the do. aka being a midwife.

I know, I know, other midwives manage to blog and be amazing and change the world overnight – but I’m here feeling like I’ve won the day if I remember to take my work shoes to work.
Which I didn’t yesterday.

I’ve mentioned before that my new job is in a Trust which is not where I trained, and while the core principles are the same, subtle and savage differences have left me feeling like a 2nd year student on a couple of occasions.

The most reassuring thing is that I work with colleagues who pretty much tell me “Heather, same same, but different, but same!”. A crisis of confidence is causing this – I keep second guessing myself – I rattle off my plans to anyone who will listen and then look for someone who will cannulate (I can’t yet), set up IVs (I can’t yet), sort out the online prescribed drugs (awaiting IT thumbs up), descend like an angel to do an ARM through a woman’s 1-2cm dilated cervix (thank you, AO!).

Basically, I feel like a freaking burden in a lot of ways at the minute, and that vindictive voice in the back of my head (the one I have gagged for months and months by feeling like I’m winning a bit) has woken up with a fresh batch of disdain and vitriol at the ready.

Essentially, care of the woman is the same wherever you are, but there is no denying that correct and accurate record keeping, ANTT, and policy is essential.

I need to stop being so bloody hard on myself, but with no peers at the minute (everyone has at least 6 months more experience), it’s difficult to gauge my progress.

My Bishop’s score is approximately 2. And I need to get a fucking grip

Bleeping Edna…

edna

 

MHJ xx

Sex With Strangers…walking in.

During the past week there was a momentary blip across the news desks of the nation; something happened in Bristol that shook the prudes among us to their very cores. Was it a giant, inflatable butt plug being passed off as a Christmas decoration? No.

The news was that a domestic at St Michael’s Hospital, Bristol, has walked in on a couple having sex in a private room on the maternity ward. The woman having sex was heavily pregnant and she was waiting to be induced.

mrs overallJulie Walters as Mrs Overall in Acorn Antiques.
Image from BFI

While it was in discussion for a few minutes at uni over coffee, the usual phrases came out that we all talk about when trying to give advice to women about non-pharmacological ways of inducing labour:

  • Orgasms stimulating uterine muscle contractions
  • Relaxing helps the flow of oxytocin – responsible for uterine contractions
  • Semen being rich in prostaglandin (a synthetic version of this being used as a pessary for induction otherwise)

Unfortunately there is no hard and fast evidence that sex itself leads to the onset of labour – but the reasons above are all true. As Ina May Gaskin says:

“Breast stimulation is especially effective in starting labor at term when it is combined with sexual intercourse. Unless your partner is an abysmally poor lover, this combination is by far the most enjoyable method of induction.” 

The one other point that was brought up was the lack of the domestic’s common courtesy; now the story says that she had heard complaints from other women…then walked in on the couple and was offended not only by what they were doing, but the fact that everyone else (midwives MSWs etc) pretty much told her that it’s fine for couples to get down to it. They are, however, asked to put a “Do Not Disturb” sign on the door, which apparently hadn’t been done.

First: massive round of applause to St Mike’s for standing up for women against prudishness. How someone can work in a maternity ward and be offended by sex, I’ll never know. Perhaps she thought a midwife’s duties involved waiting for storks and pruning the cabbage patch.

Second: I was at St Mike’s a few weeks ago (not as a student midwife!) and the other sign that is up all over the place is about knocking and waiting for a reply; signs about dignity and privacy.

Maybe she did knock and thought someone yelled “COME IN”? *ahem* 😉

Evidently I must have missed the signs about talking to a newspaper regarding people’s personal business.

The way that it has been phrased in the press is “a hospital source”; so has this domestic reported it herself, or has she gossiped to someone else (who comments “Amazing” read somewhat sarcastically) who then goes to the paper? Either way it’s tasteless behaviour by anyone involved in bringing it to the attention of the press, but I must also applaud the vast majority of commenters on al the stories saying that sex is a way to achieve childbirth and everyone needs to get over themselves. Well done, people!

As for the domestic, I’m not sure where she’ll end up, but it looks like she started here as the child in the blue baseball cap 🙂

Confidentiality on Good Palpations

All names and circumstances will always have been altered to protect trust and confidentiality of all involved.

Any accounts of situations are only ever from my point of view.

I am not the authority on anything, I never assume to be right, just to tell you how I feel about something.

 

If you’ve been linked to this post directly, it’s because you’ve asked me for more than I personally feel is right to say. Should you disagree, that’s your privilege, but you followed a link to my blog and unless you develop legilimency you’re not going to get much further with the detail searching. Please consider this effective occlumency.

Yes, that was a Harry Potter reference, but yes, I’m still serious about it. Actually, the fact that I used HP means I’m doubly serious.