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Midwifery
Care
Throughout Europe women having babies have always used midwives.
The word mit wif is Anglo Saxon and
means 'with woman' It is the name for the woman who accompanies
another woman on her journey through the long hours of labour
and birth. The midwife is someone who respects the ability of
women to give birth under their own steam; the midwife only intervenes
when absolutely necessary and refers to a doctor if the need arises.
In other countries, such as Holland where the
maternity statistics are some of the best in the world, 33% of
women have their babies at home with a midwife as their only care-giver.
Other women in Holland choose hospital births with care from just
a midwife. Women who are at high risk have care from both a midwife
and an obstetrician. In the UK most women have a great deal of
their care from midwives as well as some care from doctors, either
GPs or obstetricians.
Unfortunately, as the system works at the moment,
many women see a great number of different midwives and doctors
throughout their pregnancy, labour and birth and then afterwards
whilst the baby is new.
UK midwives have the most thorough training
in the world, they also have the best system of practice scrutiny
in the world. Every area has a Supervisor of midwives to ensure
the safety of the women in the care of the midwife - she scrutinizes
the midwife's professional practice and she knows about every
midwife practicing in her area.
You have the reassurance when using a UK midwife
that her equipment has been vetted by the Supervisor of midwives,
that she has been to the requisite number of updating study days,
that annually the Supervisor checks her bags, equipment, premises
and records to ensure that they are of the required high standard.
All midwives are subject to this scrutiny which,
(although we find it irksome at times) does ensure that women
in the UK receive a very high standard of midwifery care.
Equally, if you choose to have your baby in
our Birth Centre, this is classified as a maternity home and is
registered by Merton, Sutton and Wandsworth Health Authority and
checked twice yearly by the Nursing Homes Inspector who ensures
that rigorous health and safety checks are carried out. We have
regular checks for high quality cleanliness in our Birth Centre,
for adequate fire safety, for adequate access to medical facilities
and for food safety.
Privacy
in birth
Women are mammals and like all other mammals in labour,
you may find that you gain great comfort from being very private
whilst in labour; not overlooked, not interrupted, not disturbed,
not having strangers around you. We ensure that you are kept private
whilst in labour. This is easy in our Birth Centre and when you
are at home, but it takes extra vigilance from us when we are
in hospital with you where privacy is not always high on the agenda.
In any situation, your need for privacy is, for us, second only
to your and your baby's safety.
Darkness is another aspect of privacy: you may
find harsh lights too bright in labour and you may prefer very
dim lighting or even none at all - we are able to work happily
with these constraints, because we are so used to them. Another
aspect of labour is the discomfort: you may find that you are
extremely restless, moving about to get into the most comfortable
position and to enable you to do that easily we provide you with
comfortable chairs and sofas in our Birth Centre. At home you
will have your usual comfortable chairs and settees, in hospital
we usually take with us soft mats and bean bags to ensure that
you can get into a comfortable position.
Sometimes we take waterpools in as well. These
can also be used at home, and in our Birth Centre they are available
in every room - lovely deep warm pools especially designed for
the woman in labour.
The healing
process
You may be thinking of coming to us for a second baby because
your first birth was an ordeal. Much of our work is centered on
healing the sad experience of a first birth when women have felt
pushed around and out of control of the situation. We are very
skilled in caring for you if you are seeking midwives who will
LISTEN to you, who will respect your needs and who will treat
you as an individual.
Our aim is that you have
the most exciting and pleasant experience possible when you have
your baby, but there can be disappointments. If you have a miscarriage
after you have booked with us, we are there for you, to help you
through a sad time, to give you practical support and are available
to you 24 hours a day, seven days a week.
Births usually go well
when your midwife respects and supports the process that your
body is going through, but not all outcomes are good, babies can
die or be born handicapped and if tragedy happens we can help
and support you and your family through this sad time.
If your labour is a disappointment,
more painful than you had hoped, or you needed a caesarean that
you hadn't wanted, we are there for you, able to discuss and go
through the circumstances, able to go through your notes and explain
and re-live the decisions taken minute by minute during your labour.
Not all labours can be perfect, but it can help enormously to
have someone who knows you and was there to talk it through with.
You're worth
it
The birth of your first child is one of life's peak experiences.
It is never forgotten and can have an effect on the mother, on
her self confidence, on her relationship with that child, for
the rest of her life. How it takes place is really important,
the quality of the birth can affect the child for life. A child
delivered with respect and love has a gentle start in life. Consider
what care like this is worth.
A woman can be reluctant to spend money on what
she sees as 'for herself'. If by spending money on the birth you
start off your life as a mother with greater confidence and comfort
and a greater feeling of well-being, the outlay is more than justified
for the whole family.
Just to compare some prices: the average cost
of a wedding in 1997 was £12,500 (Source - Brides and Setting
up Home), an average mortgage repayment for a London couple in
1998 was £13,200 a year.
The cost of a holiday - a fourteen day holiday
for two in Barbados cost £3,200 in 1996 (Thomas Cook).
- School fees: Bryanston fees £12,600 per year
- Dulwich College Preparatory School fees
for an 8 year old £6,500 a year
- Epsom College day pupils fees £8,286
- St. Paul's Girls School fees (11 year old)
£6990 per year
- Westminster School fees (13 year old) £9930
per year
- The Birth Centre New Family Package £4925.00
- Heals sofa: £5500.
Quality &
Complaints
In order to ensure that the care we give to you is of the
highest quality we have put in place several checks. Firstly we
have a system of client feedback: if you come with us you will
receive a questionnaire after your care has finished for you to
evaluate your care - we read every one and change our care accordingly.
Annually we have an in-house inspection by the Supervisors of
Midwives from every Health Authority in which we work (36 Health
Authorities in 1997), the Supervisors check through our equipment,
our registers, our records, our drugs, our documentation, our
ongoing education, our premises and our practice statistics. Every
year we receive a letter commending our practice from a Supervisor
of Midwives in the north of London and another from a Supervisor
of Midwives in the south of London. Supervisors of Midwives also
do spot checks on all midwives' practice on a regular basis. This
is why British midwifery has always been so safe and so highly
regarded.
If you are the fourth
person in 12 years of our hundreds of clients who has a complaint.
We have a complaints policy - we ask you to put any complaint
in writing with your suggestion of how you would like us to deal
with it and Caroline Flint will personally investigate the complaint
and will attempt to find redress for you.
Ecological Concerns
On our logo you will have noticed
our little green leaf; this is to signify that we are ecologically
sensitive. We believe that your body is a brilliant and very sensitively
balanced organism which can give birth in the way that humans
have been doing for millions of years. We don't interfere unnecessarily,
and we use up as few of the world's resources as possible when
looking after you. After a birth the amount of paper that we need
to dispose of can be contained in one dustbin liner bag. When
you have a home birth we protect your furnishings, our pride is
that your baby is the only evidence that a birth has taken place.
Choice
Knowing how important it is for you to
have full control over how much you pay for your maternity care
you can put together your own package ranging from £3725 -£4925.
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