The midwife: a Politician looks only to the numbers, we do not have the resources

as for this summer, predicted the Region of Stockholm, sweden, that maternity care would be less difficult. Through the generous funding from the government, it

Ann McDonald
Ann McDonald
16 September 2019 Monday 12:01
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The midwife: a Politician looks only to the numbers, we do not have the resources

as for this summer, predicted the Region of Stockholm, sweden, that maternity care would be less difficult. Through the generous funding from the government, it had the workforce has increased. The midwives had only been marginally any more, but instead it was the other staff have been hired, as well as nurses, nursing assistants, and the assistants, which would relieve the pressure on midwives.

During the summer months, there will also be this year's babies for the time being. During the months of June, July, August, saw, 7.580 small, the residents come to light. As the summer is coming to an end, says Johan Bratt, chefläkare in the Region of Stockholm, sweden, to maternity care, at times, been very, very stressful.

" It was a very high förlossningstal in July and August. In particular, in the first week of August. The close contact between the förlossningsenheterna, " he says Bratt.

draw a picture

”this summer has been about the two midwives, fewer and fewer with each pass than what we use to be. In spite of this do not have platsläget has changed, but we have all of our 13 födelserum in the open. We also have four function rooms in which to give birth. Certainly in a tough place and without the availability of nitrous oxide or other pain relief, but, as in all of the rooms are full and the baby is coming, yes, they will take what they've got.”
Andrea, It is a midwife at Danderyd hospital. Photo credit: Adam Daver

In the hall in the casino is a mat of curled up, waiting for the mattvätt. It will be an illustrated picture of how small the margins are. As a woman, and when she saw the green sign saying ”birth”, and could no longer hold back the krystvärkarna. And then she, the midwife, who tries to keep the peace, while she is in charge of the two men, and to control the fosterljuden of the two unborn children, one of whom has been to a specialist and after a traumatic experience in the first, the birth of the child. It requires a high level of attendance by the midwife. Then, tap a colleague on the door, and tells her that she needs to be.

in the eyes and says "please don't leave me'. My heart breaks a little bit. Here I am faced with a choice that is not self-evident. I have to make a judgment, as a priority. It is easier to choose if it is all that stands between life and death.”

in a letter to the sjukvårdsregionrådet Anna Starbrink (L), Andrea It, a midwife at Danderyd's hospital, provides an insight into the working environment.

Then DN has recently reported that a woman at the Fair, at the end of July, was an accidental home birth, after having received the invitation to me to go to the birth, at Danderyd hospital, where it was. To the ROTOR, said Anna Starbrink, among other things, that she didn't understand, if it was a bit difficult to make an assessment over the phone, but no one can be happy with a woman who unwillingly gave birth to a child at home. Starbrink also said that there was förlossningsplatser in Stockholm, sweden.

as Politicians know, of numerical the way it looks, but what it does not appears in the effects on the environment and on the full

" The reality is she has, it is not what I and my colleagues - is that there are things that happen that we don't wish to, not because we have a coffee, but there is a lack of resources. The politicians know the numerical the way it looks, but it's not resulting in the effects of the work environment, and they are full, tell Andrea It, that is also the point of how it will affect the safety of patients.

to publish a letter to the regionrådet in a Facebook post, she gets a great response.

From the co-workers and friends, she got to the question, ”is there a new barnmorskeuppror at the same time?” But, no, it's not, " says Andrea, It.

" it is, Unfortunately, a little more desperately.

and When the ROTOR meets Andrea, It is her day off. It's a warm late summer's day, however, Andrea's face, dressed in a långkofta, with a barnmorskelur of the wood, which is pressed against gravidmagen used to listen to the fosterljud.

"It was hell," she says, whether it's completing the pass, a pressure that is amplified by the fact that many parents-to-be during the summer, get in touch, and would like to make a extrakontroller, the fear of not getting a place.

it was by no means a given. She had worked as a nurse for five years without being aware that it was really the right thing. She took a break for a while, before she decided in order to update their knowledge and skills.

For the first birth in the as a midwife, she was with her first birth of twins, an experience that was pivotal for her career.

"I realized,' wow, you can work with it from here?” I just walked around and laughed and was in bliss.

this , and divide up the time into a ”before” and ”after” maternity ward " Sophia, which was opened in 2014. Then Barnmorskeupproret spread all over the country, with demands for better terms and conditions, and a doctor for each and every feeding, which is easy to apply with a new unit. But in private, BB, Sophia's closed after just two years of age.

" When the BB Sophia started, we had to give them some breathing space. When it was down, it quickly became a downward spiral, " says Andrea, It.

since Then, midwives provided maternity care, and in the summer, as even in the past were stretched to their limits have become all the more challenging.

I would point out that the situation this summer is worse than in the past, because the midwives did not want to work in maternity care

" I would point out that the situation this summer is worse than in the past, because the midwives did not want to work in maternity care. Therefore, it does not help to educate others.

" I love my job, and it will remain so as long as it gives more than it takes.

at the same time, tell Andrea It, that she would see the colleagues around the get sick and end up. , Johan Bratt, chefläkare in the Region of Stockholm, sweden. Photo: Magnus Hallgren

as Before, all results are analyzed it is there in black and white, and so far this year, 120 women had to give birth in a different county, in order that it has been in the whole of sweden, an increase compared to the same period of the previous year. However, out of the region chefläkare, Johan Bratt, for the reference to the cities of Västerås, Uppsala university, Uppsala, Gävle, Eskilstuna, sweden, or the Lakeville is made for a medical assessment in each individual case.

the region's clinics, at the same time, has decreased.

Barnmorskeförbundet lifting up of a number of the region to collect, but not reported officially to the who shows, as cross-references to the hospitals in the county have not been able to be done, as was the case in 116 times in July.

" It's been a tough summer, because we often are not able to get help from each other and the reference. Then we have to take anyway, despite the fact that there is no room, guest room, or a midwife, " says Ia, Jeppson, a midwife in the maternity hospital in Stockholm, and the president of the Barnmorskeförbundets local branch in Stockholm, sweden.

grundbemanningen been better than it was last year. It would have taken many of the midwives, and, therefore, more difficult to refer between the förlossningsenheter said he was not aware of.

"we have recruited other professionals, such as nurses and nursing assistants," he said.

But the point is to replace public health nurses with other occupational groups is not possible, " says Ia, Jeppson.

" It's a second-best solution, since it is the midwife who has the skills.

employed such as, for example, for the cleaning of the förlossningsrummen, that is good, " says Andrea, It. But they can't relieve the pressure with a doctor who is responsible for three full.
She Starbrink (D) sjukvårdsregionråd in the region of Stockholm, sweden. Photo credit: Lisa Mattisson

this is a list of requirements that she submitted to the regionrådet is in addition to the increases in the salaries of public health nurses, and other attendants of a re-opening of the BB to the Sophia, to the opening of the st. george to be put on. And landstingsfinansierad the option for home birth - an option which has recently been abolished, in the Region of Stockholm, sweden.

" There is talk of freedom of choice, and then we're going to be able to apply it well - those who would like to be able to give birth at home or in a smaller unit. It's a shame that it's not going to be there for a little.

Anna Starbrink, who came in at the beginning of september. Starbrink said that she was not able to comment on the grounds that the individual cases mentioned in the text. However, Andrea, It points out that there is about a fictional patient case notes, drew inspiration from the real world.

" Not specifically, of course, in order to keep the patientsekretessen.

the DN salute to the Anna Starbrink, through his press secretary that it is related to the health and safety at work that the manager should be dealing with”. Starbrink suggest that maternity care is evolving right now, among other things, in the operations in Södertälje, sweden, and the Karolinska institutet in Stockholm, with a project in which the same midwife follow the woman through the pregnancy and birth. The estimate of the small scale of the closures in the South of the BB and the BB of Sophia is, however, difficult to achieve due to security reasons, " she Starbrink.

" It is important that our förlossningsverksamheter is laser-focused on safety, and the safety of medicines, and, therefore, is connected to the emergency hospital. This limits the ability of smaller units in one location.

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Updated: 16.09.2019 12:01