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Appendices & Glossary
APPENDIX 1
Consumer advisor feedback – Women’s Health planning workshop, 21 October 2020 What did you know about where to have your baby? • Other women told me – ‘safer to go to Middlemore’ • Don’t know about home birth
• Hospitals – go to • Homebirth – no • Primary birth option is subsequent births only
• Perception birthing units are for postnatal care • Followed midwife – TRUST
• Not all women have a trusting relationship with their midwife so creates an inequity
What’s needed? • Street appeal needed for primary birthing units • Nice facilities • Restful environment • Bigger beds
• Home-cooked meals • Car seat access • Antenatal classes at units • Approachable staff at reception
• Birthing pools
• helpful
• Swiss balls
• show you around
• Partners to stay • protection of partner
• Ownership by the woman: my place to birth – familiar
• partners feel excluded
• Opportunity to view the hospital, and familiar with and understand emergency transferring. • Family pressure to birth in a hospital setting • Important to meet midwife at birth unit, invite whaanau to view the unit – tell whaanau why its important
• Need own toilet and shower facilities wherever we give birth • More childbirth educators, more classes, more facilities at birth units • Stop the first caesarean section – empower women to own physiological birth
What is choice? • Women can choose where to birth, but Middlemore caters for complex pregnancies • Series of education throughout pregnancy; choices are made from information • Teach women their rights – increase their knowledge • Vulnerable staff
152 CM HEALTH
• relies on one person
Why not choose midwifery as a career?
• persuaded
• doesn’t pay
• Midwifery shortage
• three to four years’ study
• unable to find midwife to support birth place
• Do not share pregnancy news with people until 12 weeks or more, so unable to get recommendations
• Social media forms to ask for recommendations • December to January estimated delivery dates, very difficult to get midwife