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Re: MonitoringFrom: Suzanne S. Powell (suzannep@mindspring.com)Sat Oct 28 15:53:59 2000
At 11:15 AM 10/28/00 -0500, RModugno@aol.com wrote: >I agree entirely. I work in a hospital that does about 14,000 deliveries >annually. We have 36 LDR's and a large nursing staff - truely deserves its >name of "baby factory". As you can imagine, individuality is difficult when >dealing with such numbers... > >So it's basically admit 'em, pit 'em, give 'em their epidural, birth 'em, and >on to the next. The CNMs in my practice have the opportunity to provide a >more "personalized' service, hence we give our patients the option of Ob >or midwife care - and it really is the care that matters, Having worked many times as a doula at the hospital you are speaking of, I've not seen much difference in how often the CNM's are with a mom during labor vs. the OB's (though I admit to not having worked with your CNM's). I have definitely seen the value of having a doula present, though, to help the laboring woman feel like she has some continuity of care and support. Of course a doula does not do anything clinical, but I do think the nurses appreciate having us there (from the comments they've made). As much as I love working in various hospitals in our area, this particular hospital is one of my favorite for the simple fact that I almost feel a doula is more needed in an assembly-line type place than anywhere else.
-- Suzanne S. Powell childbirth educator, doula, and student midwife Peachtree City, GA
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