WEBVTT - When a birth doesn’t go to plan. 0:00:05.921 --> 0:00:07.281 Apolgiate Production. 0:00:10.321 --> 0:00:13.681 Hi, my name's beck Woodbine and welcome to Tenderness for Nurses. 0:00:14.281 --> 0:00:18.121 I'm grateful for the person that I have the opportunity 0:00:18.161 --> 0:00:21.721 to be, so I hit it and parked it for 0:00:21.801 --> 0:00:24.961 Nellie four years. We always have free will, we always 0:00:25.001 --> 0:00:26.881 get to choose. We are autonomous. 0:00:27.921 --> 0:00:31.721 Thank you for turning back into Tennis for Nurses. Today 0:00:31.761 --> 0:00:35.080 we have Sophie Dietera with us, who's she's left just 0:00:35.161 --> 0:00:38.360 breastfed her little Bubba and Hubby's taking the kids for a. 0:00:38.281 --> 0:00:39.921 Little bit of a play at the park. 0:00:40.561 --> 0:00:47.001 But Sophie's a midwife, had two really differing birthing experiences, 0:00:47.120 --> 0:00:49.001 and I thought it'd be great for her to come 0:00:49.200 --> 0:00:52.841 on and have a chat about her experience being a midwife, 0:00:53.561 --> 0:00:58.280 having quite the first birthing I ordeal, and then her 0:00:58.361 --> 0:01:02.721 second child being born and how she came into the world. 0:01:03.041 --> 0:01:09.681 But also Sophie's had pretty interesting life experiences having worked 0:01:09.721 --> 0:01:12.280 and given off her time to work in orphanages. 0:01:12.721 --> 0:01:14.801 So welcome, thank you for having me. 0:01:14.881 --> 0:01:18.361 So fill us in a little bit about your background 0:01:18.721 --> 0:01:23.640 and your study. Did you study your Bachelor of midwiffree 0:01:23.721 --> 0:01:26.280 or did you do registered nursing And then midwif. 0:01:26.041 --> 0:01:29.441 Free straight mid Okay, yeah, how long ago was that that? 0:01:29.721 --> 0:01:33.720 I graduated in twenty eighteen end of twenty eighteen, so yeah, 0:01:33.761 --> 0:01:36.280 I just did my straight Bachelor of meda three years 0:01:36.280 --> 0:01:37.321 at ACU. 0:01:37.121 --> 0:01:41.241 And then straight into the hospital sector. Yes, did you 0:01:41.280 --> 0:01:42.200 ever want to do home birth? 0:01:42.241 --> 0:01:42.321 Thing? 0:01:42.441 --> 0:01:44.000 Is it something that would ever be on your radar? 0:01:44.360 --> 0:01:47.321 When I was a student, I thought like that the 0:01:47.441 --> 0:01:50.241 MGP model, so the mid free group practice is like 0:01:50.721 --> 0:01:53.201 gold standard. I thought, that's absolutely what I'm going to 0:01:53.241 --> 0:01:56.641 do as a midwife. But yeah, so straight into a 0:01:56.721 --> 0:02:00.561 hospital for my GRADEA, I went out to Dolby. Think 0:02:00.561 --> 0:02:04.201 it's really cool Delby. Yeah, well it definitely wasn't my 0:02:04.201 --> 0:02:08.400 first reference, but I actually really loved being out there 0:02:08.401 --> 0:02:10.681 and the sort of mid three that I got exposed 0:02:10.681 --> 0:02:13.161 to out there being completely different to the big tertiary 0:02:13.161 --> 0:02:15.800 hospitals where I did all my student training, so I 0:02:15.881 --> 0:02:19.601 kind of got to see a lot more normal birthing, 0:02:19.841 --> 0:02:22.641 which was amazing as a student. I did my training 0:02:22.960 --> 0:02:25.921 in one of the big ones that in Brisbane, which 0:02:25.960 --> 0:02:28.240 was good as a student because you see a vast 0:02:28.361 --> 0:02:32.321 range of everything from normal to all the complications, all 0:02:32.321 --> 0:02:36.761 the abnormal. But yeah, so being a grad midwife out 0:02:36.800 --> 0:02:39.521 in Dolby was much better than what I thought it 0:02:39.561 --> 0:02:42.641 was going to be. The midwives out there were beautiful 0:02:43.001 --> 0:02:45.801 and if that hospital was here in Brisbane, I would 0:02:45.800 --> 0:02:47.601 have just stayed there, But I didn't want to live 0:02:47.601 --> 0:02:50.960 in Delby, so I get that, Yeah, a bit too 0:02:50.960 --> 0:02:53.241 far away from everything here. Yeah, So did that for 0:02:53.321 --> 0:02:56.401 a year, just over a year. I went into midle 0:02:56.441 --> 0:02:59.041 free group practice. At the end of my grade year 0:02:59.441 --> 0:03:02.441 they started to implement that model for all of the 0:03:02.481 --> 0:03:04.921 women out there, so we kind of all the midwise 0:03:05.201 --> 0:03:08.120 got to transition into that. So I did that for 0:03:08.281 --> 0:03:10.281 I think five months at the end of my grade 0:03:10.321 --> 0:03:12.721 yea and then going into my second year of mid 0:03:13.001 --> 0:03:17.800 and I didn't love it. Why is that I just 0:03:17.921 --> 0:03:21.361 couldn't get my head around being on call all the time? 0:03:22.041 --> 0:03:24.520 I think I just for myself wanted to have some 0:03:24.680 --> 0:03:28.961 more experience before I kind of went into doing like 0:03:29.001 --> 0:03:30.361 the mid group practice. 0:03:30.641 --> 0:03:32.201 It's an interesting thing with nursing. 0:03:33.041 --> 0:03:35.841 You don't know what you don't know, yeah, and then 0:03:36.121 --> 0:03:39.721 the more skills you develop and the more you go along, 0:03:39.801 --> 0:03:43.161 you realize that you thought you knew everything, but you 0:03:43.241 --> 0:03:46.001 really didn't. And then you look back at that time, 0:03:46.041 --> 0:03:48.241 and I don't know, this is very true within you 0:03:48.281 --> 0:03:51.681 know my nursing career is I look back, I think, 0:03:51.721 --> 0:03:53.041 oh my god, I thought I knew everything. 0:03:53.081 --> 0:03:55.521 I really yeah, and. 0:03:56.121 --> 0:03:59.001 You sort of take stock of you think I probably 0:03:59.001 --> 0:04:02.361 wouldn't have done that that happened. Now you would, and 0:04:02.521 --> 0:04:06.321 I mean that's age, and that's experienced. You would certainly seeguay, 0:04:06.401 --> 0:04:09.241 probably in a different way, not all the time. But 0:04:10.001 --> 0:04:12.241 did you find that so obviously had insight though. 0:04:12.521 --> 0:04:14.641 Yeah. So as I said when I was a student, 0:04:14.761 --> 0:04:17.521 I thought, mid group practice, that's definitely what I want 0:04:17.561 --> 0:04:20.801 to do. You know, that continuity, that's the best outcome 0:04:20.841 --> 0:04:25.001 for all women, having that continuity of care throughout their pregnancy, 0:04:25.041 --> 0:04:28.601 their labor, their everything, and then postpartum, but then actually 0:04:28.721 --> 0:04:32.400 being thrown into that model of care as a midwife. 0:04:33.281 --> 0:04:36.041 For me, I loved all the women that I looked after. 0:04:36.721 --> 0:04:39.121 I loved that I could see them from start to finish. 0:04:39.921 --> 0:04:43.201 But I just didn't enjoy being on call. And that 0:04:43.361 --> 0:04:45.760 was just my biggest thing. I think I just couldn't 0:04:46.161 --> 0:04:50.241 train myself how to be on call properly, and I 0:04:50.241 --> 0:04:52.481 couldn't switch my brain off when I wasn't on call, 0:04:52.561 --> 0:04:55.121 and then having like other people's phones over the weekend, 0:04:55.161 --> 0:04:56.841 and you're just like, oh my gosh, Like, how am 0:04:56.880 --> 0:04:58.921 I gonna manage all of this? 0:04:59.521 --> 0:05:00.801 And it's not for everybody? 0:05:01.041 --> 0:05:03.880 No, and it's not. And I kind of was upset 0:05:03.961 --> 0:05:06.041 that I didn't enjoy it much as what I thought 0:05:06.201 --> 0:05:08.561 I would, But I'm glad that I got to experience 0:05:08.921 --> 0:05:11.121 it for a few months, and maybe I'll get back 0:05:11.121 --> 0:05:13.561 into it when like the girls are older and you 0:05:13.641 --> 0:05:15.880 don't have other people to be looking after and you 0:05:15.921 --> 0:05:18.321 can just be called in the middle of the night 0:05:18.401 --> 0:05:20.241 and be up and do whatever you need to do 0:05:20.281 --> 0:05:22.281 and not have children to look after. But so maybe 0:05:22.281 --> 0:05:23.521 eventually I'll get back into it. 0:05:23.801 --> 0:05:27.601 In Brisbane, are those midw free groups attached to the 0:05:27.601 --> 0:05:31.321 different hospitals. Yeah, and then there's an independent. 0:05:31.320 --> 0:05:33.720 Yeah, so that's not home birthing. Yes, So the middle 0:05:33.761 --> 0:05:35.760 free group practice is just a model of care you 0:05:35.801 --> 0:05:39.361 can select and I would say most hospitals have that 0:05:39.601 --> 0:05:42.961 as an option, and there's just different advisor. Yeah, work 0:05:42.961 --> 0:05:46.241 in smaller little groups in the group practice. 0:05:46.521 --> 0:05:49.401 And then is there an obstetrician that then it works 0:05:49.481 --> 0:05:52.161 with you as well, or you call someone in their. 0:05:52.880 --> 0:05:55.161 It would just be like the whoever's working in the 0:05:55.161 --> 0:05:59.161 public hospital. Yeah, so it's just your little little groups 0:05:59.481 --> 0:06:01.080 and you can select to be a part of that, 0:06:01.241 --> 0:06:03.321 or you can if you don't want to do that 0:06:03.361 --> 0:06:05.801 as your birth in experience, you can and do them 0:06:05.841 --> 0:06:08.440 just be like through the public hospital system and you 0:06:08.521 --> 0:06:11.001 just go to the clinic and get a different midwife 0:06:11.001 --> 0:06:12.681 every time and all that sort of stuff. 0:06:12.761 --> 0:06:15.641 Okay, Yeah, do you think it's a good model of care? 0:06:16.161 --> 0:06:18.320 I think yeah, it is a good model of care. 0:06:18.401 --> 0:06:23.321 There's just not enough midwives available to do it. But 0:06:23.481 --> 0:06:27.001 there's a way. They're just always have too many women, 0:06:27.041 --> 0:06:30.481 i think in their case loads, and not enough midwives 0:06:30.521 --> 0:06:32.520 to be working it. And a lot of women love 0:06:32.561 --> 0:06:35.041 that model of care, so more people are opting to 0:06:35.041 --> 0:06:37.401 have it, which is amazing. But then I just don't 0:06:37.401 --> 0:06:40.561 think there's enough midwives to service it, and they get 0:06:40.561 --> 0:06:43.641 burnt out and they get you know, working too many 0:06:43.641 --> 0:06:44.561 hours over time. 0:06:44.721 --> 0:06:47.241 And then is there a shortage of midwives? 0:06:47.880 --> 0:06:51.440 Yeah, and there always will be with midwives and nurses, 0:06:51.481 --> 0:06:51.961 isn't they. 0:06:53.401 --> 0:06:54.440 It's really problematic. 0:06:54.561 --> 0:06:58.721 A lot of midwives and nurses are leaving the health 0:06:58.761 --> 0:07:02.441 space and going elsewhere. Yeah, because of so many reasons, 0:07:02.681 --> 0:07:09.161 just workload bullying, work life balance, pay rates, it's there. 0:07:09.521 --> 0:07:10.921 It's so problematic and it is. 0:07:11.041 --> 0:07:14.161 I mean over a hundred psychiatrists are walking off the 0:07:14.241 --> 0:07:18.001 job down in New South Wales right because they're not 0:07:18.521 --> 0:07:23.401 there's no parody with pay with the other states, and the. 0:07:23.401 --> 0:07:25.641 Same with the midwives down in New South Wales as well. 0:07:25.881 --> 0:07:29.921 So they're all resigning in mass and it's going to 0:07:30.041 --> 0:07:35.281 leave the mental health space, isn't it. Yeah, So imaginea 0:07:35.361 --> 0:07:36.881 all midwives or the nurses or. 0:07:36.921 --> 0:07:38.921 Strikes like that. It never happened. 0:07:39.121 --> 0:07:42.361 I just think there should be one pay system across 0:07:42.401 --> 0:07:44.681 all of Australia for all nurses and all doctors. 0:07:44.801 --> 0:07:46.921 We're all doing the same drill. I don't understand. We've 0:07:46.961 --> 0:07:50.561 all had the same training, we've all got the same degrees, 0:07:51.041 --> 0:07:53.761 So yeah, why is the pay not reflective. 0:07:53.281 --> 0:07:57.401 Of That's so it's bizarre. Did you find having just 0:07:57.561 --> 0:08:02.001 done straight midwif free and not r in midw free 0:08:02.241 --> 0:08:04.361 do you think there was a real divide within the 0:08:04.401 --> 0:08:06.840 midwif free space or no one cared? 0:08:07.601 --> 0:08:11.161 Not really anymore, I don't think because they hard even 0:08:11.201 --> 0:08:12.961 know how long it's been since they've had just a 0:08:12.961 --> 0:08:15.161 straight midw free course in a while. It has been 0:08:15.161 --> 0:08:17.201 a while, so obviously before that you had to be 0:08:17.241 --> 0:08:19.041 a nurse first and then you could do extra to 0:08:19.041 --> 0:08:21.601 be a midwife. But I think because the straight mid 0:08:21.641 --> 0:08:24.321 has just been around for so long, there's so many 0:08:24.681 --> 0:08:28.521 midwives who are just rms. So no, I don't think 0:08:28.561 --> 0:08:30.121 so when you think about. 0:08:29.961 --> 0:08:32.441 It, Yeah, mire has been around for centuries. 0:08:32.441 --> 0:08:37.321 Well yeah, and if you're working in a maternity setting, 0:08:37.361 --> 0:08:39.641 you're not really working as a nurse. 0:08:39.921 --> 0:08:43.161 With the training they go into the full systems or 0:08:43.841 --> 0:08:47.721 like you get also a knowledge of different disorders or 0:08:47.761 --> 0:08:50.441 is it everything related to midw free. 0:08:50.881 --> 0:08:55.321 No, So the first year you do like your biology 0:08:56.241 --> 0:08:59.441 classes and everything. So a lot of our classes in 0:08:59.481 --> 0:09:02.561 the pretty much that first first year of mid you're 0:09:02.601 --> 0:09:05.481 doing it with the nurses, of paramedics and the mid students, 0:09:05.481 --> 0:09:07.401 so you kind of all together. So all your biology, 0:09:07.401 --> 0:09:10.561 all your basic health professional subjects, all that sort of 0:09:10.561 --> 0:09:14.041 stuff is with your nurses, paramedics and midwives. We kind 0:09:14.041 --> 0:09:16.521 of all do the same courses and then after that 0:09:16.561 --> 0:09:18.641 you kind of break off into your different streams. 0:09:18.721 --> 0:09:23.481 Yeah, so what happened in your background that made you 0:09:23.641 --> 0:09:26.681 want to go and give of your time and go 0:09:26.761 --> 0:09:30.201 work in orphanages and how old were you when you 0:09:30.241 --> 0:09:31.041 decided to do that. 0:09:31.361 --> 0:09:35.241 I the first time I went to Africa was when 0:09:35.361 --> 0:09:38.401 I was sixteen, so I just went for a month 0:09:38.441 --> 0:09:41.161 at the end of grade eleven. So we had family 0:09:41.201 --> 0:09:44.921 friends that were missionaries and they had moved over to 0:09:45.081 --> 0:09:48.161 a small little country called Lusutu. It's like a landlocked 0:09:48.201 --> 0:09:51.161 country in South Africa. They moved to Lsutu to work 0:09:51.201 --> 0:09:54.201 at an orphanage over there. So me and my sister 0:09:54.361 --> 0:09:56.841 who's two years younger than me, went over with my 0:09:57.081 --> 0:09:59.521 cousin just for a month to stay with them and 0:09:59.561 --> 0:10:02.881 just to see what they were doing over there. And 0:10:02.961 --> 0:10:05.561 just year I visit and I just loved it. We 0:10:05.601 --> 0:10:07.681 fell in love with the orphanages that we went to visit, 0:10:07.841 --> 0:10:09.201 and I was just like, I really want to come 0:10:09.241 --> 0:10:11.161 back here when I finished school, So I did. 0:10:11.601 --> 0:10:13.321 And how long were we there the second time? 0:10:13.441 --> 0:10:16.521 Six months? The second time. It was amazing. By that point, 0:10:16.641 --> 0:10:20.161 they had adopted two children from Lusutu themselves, so they 0:10:20.321 --> 0:10:23.441 were preschooled in grade two. I think they were quite young, 0:10:23.561 --> 0:10:25.121 and they were living up in the mountains and they 0:10:25.161 --> 0:10:29.401 were working with some organizations over there doing helping to 0:10:29.441 --> 0:10:31.801 like do some farming in the villages and stuff like that. 0:10:32.281 --> 0:10:34.041 So I pretty much just went over there and just 0:10:34.041 --> 0:10:36.361 lived with them for six months, and I just helped 0:10:36.401 --> 0:10:40.841 home school there too little kids, hung out with the 0:10:40.921 --> 0:10:43.681 village kids, and tried to form some relationships with some 0:10:43.721 --> 0:10:46.641 other teenagers that were there, and kind of just followed 0:10:47.041 --> 0:10:49.521 them along with what they did. In that six months. 0:10:49.881 --> 0:10:52.201 I loved it absolutely, and it was really cool to 0:10:52.281 --> 0:10:56.041 just experience that sort of village life and so just 0:10:56.081 --> 0:10:57.841 see what they were doing over there and what different 0:10:57.881 --> 0:11:01.801 missionaries and different organizations are doing in that country. And 0:11:01.841 --> 0:11:04.601 then for my last month that I was there, I 0:11:04.681 --> 0:11:07.801 went back to the city and volunteered at the orphanage, 0:11:07.841 --> 0:11:10.161 so one of the main orphanages over there, and just 0:11:10.161 --> 0:11:14.001 stayed with the other volunteers that were living there. So 0:11:14.041 --> 0:11:16.201 I did that for my last month and really enjoyed 0:11:16.201 --> 0:11:18.681 doing that. So I came home after my six months, 0:11:19.201 --> 0:11:21.361 worked for a year and a bit, and then went 0:11:21.401 --> 0:11:23.041 back again for another six months. 0:11:23.201 --> 0:11:26.241 And was it education you were doing or was it health? 0:11:26.361 --> 0:11:30.121 Was it teaching you know, hygiene, Was it just helping 0:11:30.161 --> 0:11:31.161 to school the kids? 0:11:31.201 --> 0:11:34.361 It was probably mostly just helping with the school ling. 0:11:34.521 --> 0:11:36.961 So my last six months didn't that I did. 0:11:37.041 --> 0:11:37.281 I was. 0:11:37.361 --> 0:11:40.641 Yeah, basically the orphanage stayed with the Yellow Volunteers and 0:11:40.841 --> 0:11:44.161 just went to the orphanage every day, and everyone kind 0:11:44.201 --> 0:11:48.521 of just did their own little thing that they wanted 0:11:48.561 --> 0:11:50.441 to do when they were over there. So I was 0:11:50.481 --> 0:11:53.521 helping another lady who was doing like after school programs 0:11:54.081 --> 0:11:56.601 for all the school aged kids. So every afternoon we 0:11:56.641 --> 0:11:59.161 would open up one of like their little rooms, and 0:11:59.241 --> 0:12:02.321 we would have different grades each day and just help 0:12:02.401 --> 0:12:04.721 help them with their homework, help them with English if 0:12:04.721 --> 0:12:07.681 they had like assignments I needed help with. So it 0:12:07.761 --> 0:12:10.801 was mostly this helping them with English. The younger kids 0:12:10.841 --> 0:12:13.801 like their basic masks and stuff like that and doing 0:12:13.841 --> 0:12:16.721 like educational games and so they had like these two 0:12:16.721 --> 0:12:18.881 little function rooms, so we would do that in one room. 0:12:18.961 --> 0:12:22.161 Then the other room was so for the older like 0:12:22.241 --> 0:12:23.921 high school kids, and we just opened that up and 0:12:23.961 --> 0:12:27.361 they just had like books and games and like a 0:12:27.401 --> 0:12:29.361 pool table and stuff, and we would have like craft 0:12:29.401 --> 0:12:30.681 activities and stuff in there. 0:12:30.761 --> 0:12:34.161 So I think you decided to do midwif free. 0:12:34.721 --> 0:12:37.401 No, So I wanted to be a midwife for a 0:12:37.441 --> 0:12:40.481 long time. So growing up, I've got heaps of cousins. 0:12:40.641 --> 0:12:43.561 I've got two younger sisters and an older sister. But 0:12:43.681 --> 0:12:46.641 I've always just been around babies and little children, and 0:12:46.681 --> 0:12:50.361 I'm just comfortable with them. Like I just love babies, 0:12:51.321 --> 0:12:54.321 and growing up, I would always like be babysitting like 0:12:54.401 --> 0:12:58.521 my sisters and looking after like my older cousins their 0:12:58.521 --> 0:13:01.081 little children and that sort of stuff, and just loved them. 0:13:01.081 --> 0:13:03.081 So I just always thought, oh, just be a midwife, 0:13:03.121 --> 0:13:07.001 like I love babies, isn't that what? Like what midwives do? 0:13:07.321 --> 0:13:10.001 Was always fascinated with birth and that sort of thing, 0:13:10.041 --> 0:13:12.761 and would always look through some books that my mum 0:13:12.841 --> 0:13:15.001 had and of women giving birth, and I thought, that's 0:13:15.401 --> 0:13:16.281 amazing it. 0:13:16.361 --> 0:13:21.481 Actually, when I worked with them, marda mom's every time, 0:13:21.481 --> 0:13:24.961 it took my breath away every single time, and I. 0:13:26.921 --> 0:13:29.881 Just used to always think what a miracle it was. 0:13:30.001 --> 0:13:31.241 And that never changed. 0:13:31.841 --> 0:13:35.481 Even if I see something on TV, I find it. 0:13:35.641 --> 0:13:36.561 You find yourself. 0:13:36.761 --> 0:13:40.281 I still find myself getting emotional when I see a 0:13:40.281 --> 0:13:43.321 woman giving birth because it's it's so intimate and it's 0:13:43.441 --> 0:13:49.281 so raw, and I've got goosebumpses talking about It's remarkable. 0:13:48.801 --> 0:13:51.521 It is, so You've always been fascinated by it. 0:13:52.081 --> 0:13:58.001 So, Sophie, your first birth was quite traumatic in that 0:13:58.881 --> 0:14:02.961 Bubby arrived faster than you realized, couldn't get to the 0:14:03.001 --> 0:14:07.161 hospital in time. You were very blessed that your cousin 0:14:08.001 --> 0:14:11.401 had come to support you, which was her role was 0:14:11.401 --> 0:14:14.601 to be a support person, even though she was rich 0:14:14.681 --> 0:14:17.721 a midwife. She wasn't there in the capacity as a 0:14:17.721 --> 0:14:20.161 birthing midwife. She was just one of your support people 0:14:20.241 --> 0:14:26.881 with your husband. Yes, what transpired once you realized that 0:14:27.041 --> 0:14:29.601 Bobby was coming sooner than you realized? 0:14:30.961 --> 0:14:34.881 I think as soon as my cousin arrived, everything in 0:14:34.921 --> 0:14:38.081 me just relaxed and I was able to just completely 0:14:38.121 --> 0:14:40.481 let go to the process. So, yeah, we had made 0:14:40.521 --> 0:14:43.241 the phone call to the hospital that we were coming, 0:14:43.321 --> 0:14:46.081 we were on our way, and then I just all 0:14:46.081 --> 0:14:50.081 of a sudden got urges to push, and I just 0:14:50.161 --> 0:14:53.241 knew in myself that I didn't want to leave my 0:14:53.521 --> 0:15:00.081 apartment and that I just didn't think I physically could. So, yeah, 0:15:00.081 --> 0:15:03.081 I checked with my cousin obviously that she was okay 0:15:03.121 --> 0:15:05.401 with me staying where I was and that she happy 0:15:05.441 --> 0:15:08.041 for me to continue berthing our home, which she said yes. 0:15:08.921 --> 0:15:11.401 And you would have assumed you let the hospital know 0:15:11.481 --> 0:15:12.601 that this was transpiring. 0:15:12.761 --> 0:15:15.481 Yeah, Yeah, Yeah, so once we decided, okay, we're just 0:15:15.481 --> 0:15:18.641 staying here where everyone's comfortable with this decision. We then 0:15:18.681 --> 0:15:22.401 caught the hospital back and said, actually, things have progressed 0:15:22.841 --> 0:15:25.961 very quickly in the last few minutes. We're not coming in. 0:15:26.001 --> 0:15:29.001 And you can't I mean once yeah, that urge to 0:15:29.081 --> 0:15:34.521 push comes, there's nothing. You actually can't think of anything 0:15:34.521 --> 0:15:36.801 else to do. That like, it just takes over, it 0:15:36.801 --> 0:15:41.281 doesn't it, It does. Yeah, so you were pushing and pushing. 0:15:41.761 --> 0:15:44.121 Yeah, So what I thought was, you know, not going 0:15:44.201 --> 0:15:46.201 to take probably very long because I had those urges 0:15:46.241 --> 0:15:49.961 to push, ended up being a couple of hours, which 0:15:50.001 --> 0:15:52.601 is normal for a first time Yeah, mum to be 0:15:52.761 --> 0:15:56.601 you know, pushing for a little while. But yeah, we 0:15:56.681 --> 0:16:02.481 kind of just realized that the baby's head wasn't getting 0:16:02.521 --> 0:16:04.521 past a certain point. We could just see a little 0:16:04.521 --> 0:16:08.841 bit of her head through my pery and yeah, just 0:16:09.041 --> 0:16:12.801 wasn't advancing any further. And I could feel my pery 0:16:13.361 --> 0:16:16.601 so tight. I was trying to stretch it myself with 0:16:16.681 --> 0:16:19.601 each contraction and trying to stretch and stretch, and just 0:16:19.841 --> 0:16:22.881 I could I could feel how tight it was. 0:16:23.361 --> 0:16:25.561 I just had to say, how impressed I am. 0:16:25.641 --> 0:16:30.921 Right now, the fact that in between pushing you actually 0:16:30.961 --> 0:16:31.281 had the. 0:16:31.241 --> 0:16:34.721 Presence of mind to try and stretch a perieum. 0:16:35.041 --> 0:16:36.041 Yeah, I mean. 0:16:35.961 --> 0:16:38.441 That's out there, but I think that's probably what Do 0:16:38.481 --> 0:16:41.041 you think that was your midwife training kicking in? 0:16:41.201 --> 0:16:41.401 Yeah? 0:16:41.481 --> 0:16:47.161 Probably, I think ye's remarkably women are amazing. We are. 0:16:48.161 --> 0:16:52.961 When did you realize that there was a problem and 0:16:53.241 --> 0:16:56.761 Bubby wasn't going to progress because there was no given 0:16:56.801 --> 0:16:57.761 the perodeum. 0:16:57.801 --> 0:17:00.601 I think we tried so many different positions. I had 0:17:00.641 --> 0:17:04.441 been in the shower and we just tried all different positions, standing, 0:17:04.561 --> 0:17:09.321 legs up on the toilet, squatting, all sorts and make it, 0:17:09.360 --> 0:17:12.881 pushing multiple times in those positions, and just nothing was changing. 0:17:13.441 --> 0:17:16.600 So I moved on to the bed just so we 0:17:16.600 --> 0:17:19.080 could have some more light and we could just really 0:17:19.640 --> 0:17:22.561 fully see what was happening and going on. And by 0:17:22.600 --> 0:17:25.241 doing that, my cousin could see that, Okay, we've got 0:17:25.281 --> 0:17:28.680 like that white band around Ji Perry. It is just 0:17:29.001 --> 0:17:32.080 that's the biggest indication that nothing's going to give. We 0:17:32.120 --> 0:17:34.080 need to do an episiotomy. 0:17:34.160 --> 0:17:37.921 In the past, say our woman was at home birthing, 0:17:38.120 --> 0:17:41.001 can get to a hospital in time. Would the peronem 0:17:41.160 --> 0:17:45.240 just torn or are there some paranems that just don't. 0:17:45.880 --> 0:17:50.041 I guess it's hard to know. Some probably, yeah, just don't. 0:17:51.080 --> 0:17:54.240 I guess if you really didn't have anything and you 0:17:54.281 --> 0:17:56.761 were just at home by yourself, that maybe it would 0:17:56.801 --> 0:18:00.880 just really really badly tear or you would just have 0:18:00.961 --> 0:18:04.121 to at that point find the strength to get into 0:18:04.160 --> 0:18:06.600 an ambulance or into your car and go to the 0:18:06.600 --> 0:18:09.880 hospital if you didn't have any health professionals around you 0:18:09.961 --> 0:18:11.001 to because. 0:18:10.761 --> 0:18:14.281 What a health outcome If the baby can't get through 0:18:14.281 --> 0:18:15.281 the birth and canal. 0:18:15.481 --> 0:18:18.321 Well, the baby would get very distressed, especially like with 0:18:18.400 --> 0:18:20.520 all that pressure on their head, and especially if you've 0:18:20.561 --> 0:18:22.721 been pushing for a while, So that would be. 0:18:22.761 --> 0:18:26.241 The biggesting medication scenario would be the baby would get 0:18:26.281 --> 0:18:28.281 so distressed that they would. 0:18:28.120 --> 0:18:30.201 Die if it was left long enough. 0:18:30.241 --> 0:18:32.120 Possibly Yeah, wow, that's terrifying. 0:18:32.241 --> 0:18:35.400 Yeah, when did the ambulance arrive? So we called the 0:18:35.441 --> 0:18:38.321 ambulance after we had called the hospital to say change 0:18:38.321 --> 0:18:40.880 of plans were not coming in. We hadn't decided we 0:18:40.921 --> 0:18:42.480 were going to call an ambulance then. We didn't really 0:18:42.521 --> 0:18:45.440 think it was necessary, but the hospital midwives kept calling 0:18:45.481 --> 0:18:47.561 back and saying, Okay, if you're not coming to the hospital, 0:18:48.241 --> 0:18:51.041 maybe you should have the paramedics there just, you know, 0:18:51.201 --> 0:18:53.521 in case anything happens. So we said, okay, fine, we'll 0:18:53.521 --> 0:18:56.761 call them. So they had been there for probably a 0:18:56.761 --> 0:19:01.120 good couple of hours. Oh yeah, yeah, but they were amazing, 0:19:01.201 --> 0:19:03.961 the two paramedics that came. They just they didn't interfere. 0:19:04.001 --> 0:19:07.440 They didn't even come into the space until we moved 0:19:07.481 --> 0:19:09.641 on to the bed and we realized, okay, we need 0:19:09.681 --> 0:19:10.400 to be doing something. 0:19:10.721 --> 0:19:13.920 So they're really respectful of yourself. Yeah, they were at 0:19:13.961 --> 0:19:16.001 the moment, and that's lovely. 0:19:16.281 --> 0:19:19.441 Yeah, and I'm like my cousin obviously being a midwife, 0:19:20.321 --> 0:19:22.960 they were probably more comfortable with her being in that 0:19:23.041 --> 0:19:26.041 space because that's her bread and butter, whereas a paramedic 0:19:26.080 --> 0:19:29.281 they you know. So yeah, they were very respectful of 0:19:29.360 --> 0:19:31.200 us in that space. They just stayed in the hallway 0:19:31.281 --> 0:19:33.441 until we needed them, got them into the room when 0:19:33.481 --> 0:19:36.841 we realized, okay, we need to do something here. 0:19:38.041 --> 0:19:40.160 So at that stage, you realized you need to do 0:19:40.241 --> 0:19:42.921 in a poy. Yes, So do you want to explain 0:19:43.281 --> 0:19:46.000 for the listeners that may not know what any is? 0:19:46.241 --> 0:19:49.761 An episiotomy is when you have to cut the perineum. 0:19:49.880 --> 0:19:52.641 So you make a cut, usually on the right side, 0:19:52.880 --> 0:19:56.360 with scissors. In a hospital, we have like a pisiotomy 0:19:56.360 --> 0:20:00.041 of scissors. They're just on an angle and they're just 0:20:00.241 --> 0:20:02.481 what you use normally. You would, if you haven't already 0:20:02.481 --> 0:20:05.640 got an epidurol on board, you would give like local 0:20:05.681 --> 0:20:08.920 anesthetic to the perry so that you can't feel it. 0:20:09.721 --> 0:20:11.920 And yeah, so it's just a cut downe to the 0:20:11.961 --> 0:20:14.761 perineum to allow space for the baby to be born. 0:20:15.120 --> 0:20:17.201 And do you want to explain where the perineum. 0:20:16.921 --> 0:20:22.120 Is, Well, it's the part between your vagina and us. 0:20:23.120 --> 0:20:29.680 So when women get tearing in child birth, that's usually where. 0:20:30.481 --> 0:20:31.440 Yeah, it occurs. 0:20:31.600 --> 0:20:35.241 Usually, Yeah, you can get internal tears and to other 0:20:35.241 --> 0:20:38.480 parts your laborer and all that sort of stuff. But yeah, 0:20:38.761 --> 0:20:42.001 first second degree, third degree tares, a fourth degree all 0:20:42.001 --> 0:20:42.721