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In
1985, in order to stem the tide of increasing medical intervention
during childbirth, the World Health Organisation (WHO) determined
(amongst other things) that no geographical region should have an
induction of labour rate of more than ten percent. To exceed this
rate would reflect the inappropriate use of technology.
New Zealand’s
rate is more than twice the WHO goal with the Report on Maternity
2002, showing a 17.2% – 29.7% range in the regional rates.
The Referral
Criteria in New Zealand oblige a Lead Maternity Carer to recommend
to the woman that a consultation with a medical specialist is warranted
when pregnancy is longer than forty-one weeks. While this may be
for assessment, discussion and planning of care, it frequently results
in the woman being booked for induction of labour, irrespective
of her or her unborn baby’s wellness, simply because of the
length of pregnancy. This practice is purported to prevent unexpected
stillbirth – an opinion that is contentious when considering
the evidence. As the average incidence of pregnancy reaching forty-two
weeks – that is, the outer range of a term pregnancy - is
reported as 10%, there will be many women who are exposed to unnecessary
induction of labour for simple post-dates who would otherwise labour
spontaneously.
The aims of
this workshop are firstly, to enable midwives to develop or enhance
an evidence-informed position on post-dates issues and, secondly,
to explore strategies to providing safe and effective midwifery
care for the woman (and her unborn baby) during a ‘longer’
pregnancy.
Midwifery
Council's Recertification Programme
The WAITING,
WIATING, WAITING! A Post-dates Workshop has been approved by
Midwifery Council and allocated 10 points in the elective education
category of Council’s Recertification Programme for midwives.
Certificates will be issued on the day.
This
seminar is intended to support practice by:
- Promoting
critical thinking on issues relating to post-dates pregnancy;
- Broadening
midwives’ knowledge around key issues of planning, providing
and documenting midwifery care and the woman’s decision-making;
- Identifying
evidence-informed positioning to facilitate the woman’s
informed choice;
- Offering
opportunity for each midwife to reflect on her own practice; and,
- Offering
opportunity to provide collegial feedback on practice reflection.
Presenter
Maggie Banks is a home birth midwife, researcher and writer living
in the Waikato, New Zealand. A home birth midwife since 1989, previously
she worked for 18 years in women’s and newborn health in both
large and small hospital settings. Maggie is a guest lecturer in
undergraduate and postgraduate midwifery programmes in New Zealand
and regularly runs Workshops, Seminars and Intensives. She completed her PhD in 2007..
Hours
9.30am - 4.30 pm (Coffee available from 9.15am)
Cost
$185.00 (incl. GST) Registration includes lunch,
morning and afternoon refreshments during the Seminar, plus printed
material.
Pre-registration is essential. Numbers are strictly limited and
are allocated as paid registrations are received.
Further
information
Contact Maggie for any queries - ph 07 856 4612 or email maggiebanks@birthspirit.co.nz
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