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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 induction of labour
rate is 20.4 per 100 births - more than twice the WHO goal - with the Report on Maternity
2004 showing a regional range of 12.4 - 27.5 per 100 births.
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,
WAITING, WAITING! A Post-dates Workshop has been approved by
Midwifery Council and allocated 5 points in the elective education
category of Council’s Recertification Programme for Midwives.
Certificates will be issued on the day.
This
Workshop 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 from 1989 - 2010, 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.
Dates
Thursday 22 March 2012
Tuesday 29 May 2012
9.30am - 4.30pm (Coffee available from 9.15am)
Venue
Birthspirit Cottage, 15 Te Awa Road, Tamahere (between Hamilton and Cambridge).
Cost
$185.00 (incl. GST) Registration includes lunch,
morning and afternoon refreshments during the Workshop, plus printed
material.
Registration
Pre-registration
is essential. Numbers are limited to 13 people - places are allocated as paid
registrations are received.
You can
register and pay by secure credit card, online banking or by cheque:
Secure
Credit Card:
Thursday 22 March 2012 Register
now
Tuesday 29 May 2012 Register
now
Direct
credit by online banking: Register
now
Payment
by New Zealand cheque: Register
now
Further
information
Contact Maggie for any queries - ph 07 856 4612 or email maggiebanks@birthspirit.co.nz |
