1 00:00:03,720 --> 00:00:06,800 Speaker 1: Welcome to the kick your Expert led podcast, helping you 2 00:00:06,880 --> 00:00:11,280 Speaker 1: explore and learn everything about getting pregnancy, birth, and becoming 3 00:00:11,280 --> 00:00:11,680 Speaker 1: a parent. 4 00:00:12,039 --> 00:00:15,800 Speaker 2: On the podcast and our online pregnancy program, grow My Baby, 5 00:00:15,960 --> 00:00:18,880 Speaker 2: we share my experience of helping more than four thousand 6 00:00:19,000 --> 00:00:20,360 Speaker 2: babies to be born and. 7 00:00:20,320 --> 00:00:23,279 Speaker 1: Our experience of running a women's health clinic and parenting 8 00:00:23,360 --> 00:00:23,960 Speaker 1: four boys. 9 00:00:24,160 --> 00:00:27,160 Speaker 2: We're here to help everyone to feel empowered in pregnancy 10 00:00:27,320 --> 00:00:30,120 Speaker 2: and birth with real life, practical information. 11 00:00:33,280 --> 00:00:35,080 Speaker 1: Hello everyone, this is Bridget Maloney. 12 00:00:35,120 --> 00:00:37,680 Speaker 2: Welcome back everyone. I'm obstatrician doctor Patrick. 13 00:00:37,400 --> 00:00:40,280 Speaker 1: Maloney, and today's episode is who is in the room 14 00:00:40,320 --> 00:00:43,440 Speaker 1: when you birth? And why are they there? This is 15 00:00:43,479 --> 00:00:46,879 Speaker 1: the episode that Pat thinks we don't need haha, but 16 00:00:46,880 --> 00:00:49,120 Speaker 1: that's because you're in the room all the time. Um. 17 00:00:50,120 --> 00:00:52,919 Speaker 1: So this is really what we hope you learn from 18 00:00:52,960 --> 00:00:56,200 Speaker 1: this episode. Is it's a logistics episode, isn't it. It's 19 00:00:56,200 --> 00:01:01,440 Speaker 1: about helping you visualize the day of your baby and 20 00:01:01,560 --> 00:01:04,480 Speaker 1: what to expect. Yeah, we want to take out the 21 00:01:04,520 --> 00:01:07,000 Speaker 1: surprises so you feel more comfortable on the day and 22 00:01:07,040 --> 00:01:09,399 Speaker 1: you know why someone is in the room and you 23 00:01:09,440 --> 00:01:11,119 Speaker 1: feel empowered to say, hey, what are you doing? 24 00:01:11,360 --> 00:01:11,880 Speaker 2: What are you doing here? 25 00:01:12,400 --> 00:01:14,560 Speaker 1: Does everybody in this room. Need to be in this room. 26 00:01:14,760 --> 00:01:15,800 Speaker 2: That's good. That is a good point. 27 00:01:15,880 --> 00:01:17,240 Speaker 1: Yeah, and it may not be you. It might be 28 00:01:17,240 --> 00:01:20,520 Speaker 1: your partner, yeah, or your your support person or whoever's 29 00:01:20,520 --> 00:01:21,959 Speaker 1: there with you. Yeah. 30 00:01:22,400 --> 00:01:24,360 Speaker 2: Sometimes in the hospital it seem there's an awful lot 31 00:01:24,360 --> 00:01:29,319 Speaker 2: of people there yea. And ideally there's no just like 32 00:01:29,680 --> 00:01:32,840 Speaker 2: interested members of the general public, that we should have. 33 00:01:32,880 --> 00:01:34,320 Speaker 2: Everyone should have a job if they're there. 34 00:01:34,560 --> 00:01:37,080 Speaker 1: Yeah, and sometimes it's worth knowing what that job is. 35 00:01:37,240 --> 00:01:41,560 Speaker 1: So I think this is a good episode, perfect. Yeah, 36 00:01:41,840 --> 00:01:44,640 Speaker 1: all right, So I want to start with laboring at 37 00:01:44,640 --> 00:01:46,840 Speaker 1: home because you know, I hope it's come across in 38 00:01:46,880 --> 00:01:49,920 Speaker 1: our episodes. You always recommend people to labor at home 39 00:01:49,960 --> 00:01:51,720 Speaker 1: as long as they feel comfortable, don't you. 40 00:01:51,840 --> 00:01:53,800 Speaker 2: Yeah, So it should be part of everyone's birth plan. 41 00:01:53,960 --> 00:01:56,960 Speaker 2: If it's appropriate that the that the some of the 42 00:01:57,000 --> 00:01:58,880 Speaker 2: early parts of labor happens at home. 43 00:01:59,040 --> 00:01:59,280 Speaker 1: Yeah. 44 00:01:59,320 --> 00:02:02,200 Speaker 2: It's always options to that rule for various reasons. Maybe 45 00:02:02,200 --> 00:02:04,720 Speaker 2: you live away too far from your planned birthing hospital. 46 00:02:06,120 --> 00:02:10,359 Speaker 2: But certainly at the start for most people there's no hurry, 47 00:02:10,880 --> 00:02:12,840 Speaker 2: and we should have some of that early part of 48 00:02:13,400 --> 00:02:16,240 Speaker 2: labor at home, which has decreased the amount of time 49 00:02:16,280 --> 00:02:21,440 Speaker 2: in the hospital. And may contribute to reduction in unnecessary interventions. 50 00:02:21,639 --> 00:02:24,640 Speaker 1: Yeah, and when you are laboring at home, it's your choice. 51 00:02:24,800 --> 00:02:25,799 Speaker 1: You're choosing who's there. 52 00:02:26,160 --> 00:02:28,320 Speaker 2: Yes, that's a good point though, So this is something 53 00:02:28,320 --> 00:02:30,160 Speaker 2: that we should plan for. You know, you won't want 54 00:02:30,360 --> 00:02:34,040 Speaker 2: you won't want a surprise. No, So who's going to 55 00:02:34,080 --> 00:02:37,720 Speaker 2: be there in that early phase. Your partner, your sister, 56 00:02:37,880 --> 00:02:38,239 Speaker 2: your mother. 57 00:02:38,440 --> 00:02:42,200 Speaker 1: Yeah, if you've got children already, like, are they going 58 00:02:42,240 --> 00:02:45,280 Speaker 1: to be there? So you know what's the plan for 59 00:02:45,480 --> 00:02:48,840 Speaker 1: your family? And I think that that's important. You also 60 00:02:48,919 --> 00:02:52,240 Speaker 1: might have a birth support person, so you might have 61 00:02:52,480 --> 00:02:55,640 Speaker 1: an independent midwife or a dueler or someone like that, 62 00:02:55,760 --> 00:02:58,639 Speaker 1: so you know their people that you know are going 63 00:02:58,680 --> 00:03:03,560 Speaker 1: to be there. In my second labor, I had my 64 00:03:03,960 --> 00:03:08,359 Speaker 1: father in law and brother in law turn up unannounced. 65 00:03:08,680 --> 00:03:10,200 Speaker 1: They didn't know I was going into labor, but that 66 00:03:11,320 --> 00:03:15,440 Speaker 1: they soon turned around and went somewhere else. But you 67 00:03:15,480 --> 00:03:18,400 Speaker 1: know those sort of things. Just keep planning. So that's 68 00:03:18,440 --> 00:03:20,639 Speaker 1: your choice. Who's there when you're laboring home? 69 00:03:20,840 --> 00:03:23,640 Speaker 2: Very good, And I think we should also have consideration 70 00:03:24,440 --> 00:03:28,000 Speaker 2: of that those people need a job. Yes, Okay, we don't. 71 00:03:28,040 --> 00:03:30,520 Speaker 2: They're not just there to hold a hand. So there's 72 00:03:30,919 --> 00:03:33,560 Speaker 2: a job for people, and that's what will make it work. 73 00:03:33,760 --> 00:03:37,200 Speaker 1: Yeah, no, that's absolutely a good point. So you've driven 74 00:03:37,240 --> 00:03:40,280 Speaker 1: off to the hospital. Law got a taxi? Well, have 75 00:03:40,360 --> 00:03:45,040 Speaker 1: you got to the hospital orange scooter? Oh, you've arrived 76 00:03:45,040 --> 00:03:46,880 Speaker 1: at the hospital. Who's the first person that you see? 77 00:03:46,920 --> 00:03:49,120 Speaker 2: Well, I think that's a good question, because this are 78 00:03:49,160 --> 00:03:51,800 Speaker 2: the These are the practical things that they should cover 79 00:03:53,000 --> 00:03:57,440 Speaker 2: in the hospital birthing classes or in the hospital in 80 00:03:57,680 --> 00:04:03,440 Speaker 2: take meeting. What happens if you're coming in labor. So 81 00:04:03,440 --> 00:04:06,080 Speaker 2: you should have a phone number ring. You should have 82 00:04:06,320 --> 00:04:09,600 Speaker 2: a phone number to get some expert advice. You should 83 00:04:09,640 --> 00:04:12,600 Speaker 2: be told which door to come to, how to get 84 00:04:12,600 --> 00:04:14,560 Speaker 2: to the labor ward, how to get in after hours. 85 00:04:14,960 --> 00:04:16,280 Speaker 2: All those sort of things are really important. This is 86 00:04:16,480 --> 00:04:20,680 Speaker 2: the practical nitty gritty coming to thospital at nighttime in particular, Yeah. 87 00:04:20,520 --> 00:04:23,240 Speaker 1: Which you know might happen frequently. 88 00:04:24,160 --> 00:04:25,479 Speaker 2: So it should be an easy way for you to 89 00:04:25,520 --> 00:04:27,720 Speaker 2: get in and identify yourself as someone in labor to 90 00:04:27,760 --> 00:04:30,960 Speaker 2: the person at the front door, and then and then 91 00:04:31,200 --> 00:04:33,000 Speaker 2: not have to be not be chunted in through a 92 00:04:33,040 --> 00:04:36,400 Speaker 2: busy hospital emergency department, but move straight up to birthing swite. 93 00:04:37,040 --> 00:04:39,039 Speaker 1: Okay, so you just when you're ring to say that 94 00:04:39,040 --> 00:04:40,800 Speaker 1: you're in labor and you're coming in, they'll tell you 95 00:04:40,839 --> 00:04:41,560 Speaker 1: those instructions. 96 00:04:41,800 --> 00:04:44,360 Speaker 2: Yeah, but it should be super clear. You've got enough 97 00:04:44,400 --> 00:04:46,240 Speaker 2: on your mind without knowing how to get in thus 98 00:04:46,279 --> 00:04:47,000 Speaker 2: bit at nighttime. 99 00:04:47,120 --> 00:04:49,039 Speaker 1: Yep, all right. And then you go into the labor 100 00:04:49,080 --> 00:04:50,520 Speaker 1: and delivery room. Is that what it's called? 101 00:04:50,800 --> 00:04:51,040 Speaker 2: Sure? 102 00:04:52,279 --> 00:04:53,840 Speaker 1: And who's there with you? Then? 103 00:04:53,960 --> 00:04:55,719 Speaker 2: Well, I think that's where you need your team up 104 00:04:55,760 --> 00:05:01,360 Speaker 2: and going sour. Is it our partner or or support person, 105 00:05:03,000 --> 00:05:07,760 Speaker 2: other family member, if you've got an independent midwife or 106 00:05:07,800 --> 00:05:10,600 Speaker 2: a duller as that person been fully arranged to come 107 00:05:10,640 --> 00:05:14,760 Speaker 2: with you into the hospital, everyone aware of their roles 108 00:05:14,760 --> 00:05:20,600 Speaker 2: and responsibilities. And then in particular, well before the day 109 00:05:20,640 --> 00:05:24,080 Speaker 2: when the baby's coming, you know who's coming, who's going 110 00:05:24,120 --> 00:05:24,640 Speaker 2: to be there. 111 00:05:25,720 --> 00:05:28,240 Speaker 1: And then you would meet the midwife that's going to 112 00:05:28,240 --> 00:05:30,560 Speaker 1: be like allocated to you. Is that right? 113 00:05:30,640 --> 00:05:33,760 Speaker 2: Yeah, that's in our system. So you'll have a midwife 114 00:05:33,800 --> 00:05:38,200 Speaker 2: allocated to you, and that midwife will stay with you 115 00:05:38,360 --> 00:05:42,800 Speaker 2: and care for you at least until the until a 116 00:05:42,839 --> 00:05:45,200 Speaker 2: baby comes, or at least until the end of their shift. 117 00:05:45,600 --> 00:05:48,679 Speaker 2: And after that another midwife will come on who again 118 00:05:48,720 --> 00:05:50,400 Speaker 2: will be with you until a baby comes. 119 00:05:50,160 --> 00:05:52,880 Speaker 1: And we hear so many stories of midwives that stick 120 00:05:52,920 --> 00:05:55,480 Speaker 1: around because the baby's close or whatever, even though they're 121 00:05:55,480 --> 00:05:57,320 Speaker 1: shifts and a. 122 00:05:57,320 --> 00:06:01,160 Speaker 2: Little bit of that that's very dedicated. So yeah, I 123 00:06:01,200 --> 00:06:06,120 Speaker 2: think if we're if we're fully dilated and pushing, then 124 00:06:06,320 --> 00:06:08,640 Speaker 2: sometimes don't want to go, yeah to wait till it 125 00:06:08,640 --> 00:06:10,320 Speaker 2: baby comes and see that and. 126 00:06:10,279 --> 00:06:14,040 Speaker 1: What you get on with a midwife, like, can you 127 00:06:14,080 --> 00:06:18,240 Speaker 1: ask for a different midwife? No, I'm getting a shake 128 00:06:18,279 --> 00:06:19,039 Speaker 1: of the head board. 129 00:06:18,960 --> 00:06:22,520 Speaker 2: Don't I don't think so. You know, when we talk 130 00:06:22,520 --> 00:06:25,440 Speaker 2: about making birth plans, the thing that I ask all 131 00:06:25,480 --> 00:06:27,280 Speaker 2: of my patients to put up the top of their 132 00:06:27,320 --> 00:06:31,120 Speaker 2: birth plan is a little acknowledgement that even though this 133 00:06:31,400 --> 00:06:33,520 Speaker 2: is what my plan is and these are my preferences, 134 00:06:33,839 --> 00:06:38,080 Speaker 2: I understand that the birth process can be unpredictable and tricky. 135 00:06:38,839 --> 00:06:41,520 Speaker 2: And I like them to put in a little nod 136 00:06:41,880 --> 00:06:44,000 Speaker 2: to the expertise of the midwife who are looking after 137 00:06:44,080 --> 00:06:47,040 Speaker 2: them in that opening paragraph of the birth plan, because 138 00:06:47,320 --> 00:06:50,279 Speaker 2: what that says to the midwife is, this is my 139 00:06:50,320 --> 00:06:53,320 Speaker 2: first go You've been here, You've been here for hundreds 140 00:06:53,400 --> 00:06:56,520 Speaker 2: or thousands of births, and I want to hear the 141 00:06:56,520 --> 00:06:59,480 Speaker 2: benefit of your expertise. That's how to get off on 142 00:06:59,520 --> 00:07:00,680 Speaker 2: the right flore Yeah. 143 00:07:00,880 --> 00:07:05,279 Speaker 1: Yeah, and hopefully your hospital's perfectly resource allocated and you 144 00:07:05,360 --> 00:07:08,000 Speaker 1: have a midwife that can spend some decent amount of time, 145 00:07:08,080 --> 00:07:10,200 Speaker 1: but like they would be caring for a few more 146 00:07:10,200 --> 00:07:11,640 Speaker 1: people at the same time, wouldn't they. 147 00:07:11,960 --> 00:07:15,000 Speaker 2: Well, ideally, if you're in active labor, then they're just 148 00:07:15,080 --> 00:07:17,280 Speaker 2: then just you. Okay, okay, but what if it's a 149 00:07:17,320 --> 00:07:20,720 Speaker 2: super busy day or a pandemic or yeah, some things 150 00:07:20,720 --> 00:07:21,920 Speaker 2: are different different. 151 00:07:21,760 --> 00:07:26,200 Speaker 1: Yeah, And in those sort of early labor, would you 152 00:07:26,240 --> 00:07:29,200 Speaker 1: be seeing your obstitric if you had one, say, in 153 00:07:29,240 --> 00:07:30,640 Speaker 1: a public or a private sense. 154 00:07:30,920 --> 00:07:32,400 Speaker 2: Yeah, So this is where it gets a little different 155 00:07:32,400 --> 00:07:34,520 Speaker 2: in public versus private. And we're talking about our system 156 00:07:34,560 --> 00:07:39,440 Speaker 2: here in Australia. So in the public hospitals, you may 157 00:07:39,520 --> 00:07:42,320 Speaker 2: not need the care of an obstetric doctor at all. 158 00:07:43,120 --> 00:07:49,000 Speaker 2: You might come in to spontaneous laborate term props, your membranes, waters, clear, 159 00:07:49,040 --> 00:07:52,760 Speaker 2: babies happy, dial that up, pushing baby out fantastic, and 160 00:07:52,800 --> 00:07:57,640 Speaker 2: that's all well and truly within the capability and expertise 161 00:07:57,800 --> 00:08:01,000 Speaker 2: of a midwife. And you might only get a dot 162 00:08:01,120 --> 00:08:05,320 Speaker 2: called if somewhere along that process things are not going well, 163 00:08:06,400 --> 00:08:08,680 Speaker 2: in the private system, the patient is admitted to the 164 00:08:08,680 --> 00:08:13,200 Speaker 2: private hospital under the care of the obstitution. And so 165 00:08:14,280 --> 00:08:16,040 Speaker 2: if one of my private patients comes into labor, I 166 00:08:16,120 --> 00:08:18,520 Speaker 2: go and see that woman, regardless of how things are going, 167 00:08:19,160 --> 00:08:23,200 Speaker 2: and make a plan, let that patient know when I'll 168 00:08:23,240 --> 00:08:25,840 Speaker 2: be back again. And then I don't stay the whole time, 169 00:08:25,960 --> 00:08:29,360 Speaker 2: coming and coming and going at agreed times to check 170 00:08:29,360 --> 00:08:34,760 Speaker 2: on progress and to make plans and to change advice 171 00:08:34,800 --> 00:08:36,240 Speaker 2: if the circumstances are changing. 172 00:08:36,480 --> 00:08:38,520 Speaker 1: And I just want to talk really briefly about the 173 00:08:38,520 --> 00:08:41,559 Speaker 1: responsibility of say if that person had an independent midwife 174 00:08:42,160 --> 00:08:46,720 Speaker 1: and the hospital midwife who's in charge in that circumstance. 175 00:08:46,240 --> 00:08:48,520 Speaker 2: Yeah, that can get a little tricky, which is why 176 00:08:48,520 --> 00:08:51,199 Speaker 2: if someone is under the care of an independent midwife 177 00:08:51,360 --> 00:08:53,960 Speaker 2: and they want that independent midwife to come with them 178 00:08:54,000 --> 00:08:56,720 Speaker 2: to the hospital, then that's something that has to be 179 00:08:57,160 --> 00:09:01,400 Speaker 2: arranged in advance. If that indo pace and midwife in 180 00:09:01,440 --> 00:09:05,160 Speaker 2: our system is not an accredited midwife to practice at 181 00:09:05,160 --> 00:09:09,520 Speaker 2: that hospital, then they can then if they come along, 182 00:09:10,080 --> 00:09:13,480 Speaker 2: it's a as a support person, but it's the hospital 183 00:09:13,520 --> 00:09:15,400 Speaker 2: midwife's would be calling the shots. 184 00:09:15,480 --> 00:09:19,360 Speaker 1: Yeah, and that independent midwife, if she's had clearance and 185 00:09:19,679 --> 00:09:21,880 Speaker 1: it ticked all the boxes. Yes, she can be the 186 00:09:21,920 --> 00:09:23,240 Speaker 1: person that delivers the baby. 187 00:09:23,440 --> 00:09:28,120 Speaker 2: Yes, So sometimes with an independent midwiff free a model. 188 00:09:28,320 --> 00:09:30,800 Speaker 2: The best independent midwife to have is someone who's also 189 00:09:30,800 --> 00:09:33,480 Speaker 2: an employed midwife at that hospital. Yeah, right, so that 190 00:09:33,520 --> 00:09:35,520 Speaker 2: they could come with you into the hospital and then 191 00:09:35,679 --> 00:09:39,640 Speaker 2: become your primary midwife for the hospital part of your care, 192 00:09:40,440 --> 00:09:43,160 Speaker 2: and that that would be one of the better systems. 193 00:09:43,200 --> 00:09:47,280 Speaker 2: But it's not. It's a hard system to organize, yeah, 194 00:09:47,440 --> 00:09:49,200 Speaker 2: and it's not available everywhere. 195 00:09:49,400 --> 00:09:51,840 Speaker 1: Yeah, all right, So we talked about the main medical 196 00:09:51,880 --> 00:09:55,920 Speaker 1: people actually during the labor, are there any other non 197 00:09:55,960 --> 00:09:59,160 Speaker 1: medical people that perhaps could pop their heads in at 198 00:09:59,160 --> 00:10:01,959 Speaker 1: that stage? There's no one taking an order for dinner 199 00:10:02,000 --> 00:10:02,720 Speaker 1: or anything, is there. 200 00:10:03,160 --> 00:10:07,000 Speaker 2: Yeah, there's the tea lady, absolutely, the tea person that 201 00:10:07,200 --> 00:10:09,320 Speaker 2: definitely pop in saying do you need a cup of tea. 202 00:10:09,559 --> 00:10:13,920 Speaker 2: There's various other hospital people or with a job. Yeah, 203 00:10:14,160 --> 00:10:17,280 Speaker 2: so's if you're patient in a hospital, there's plenty of 204 00:10:17,280 --> 00:10:19,480 Speaker 2: people not connected all various reasons. 205 00:10:19,160 --> 00:10:21,720 Speaker 1: And pat I'm assuming that if it's a teaching hospital 206 00:10:21,800 --> 00:10:25,199 Speaker 1: that you might have some student doctors and student midwives. 207 00:10:25,360 --> 00:10:30,719 Speaker 2: In the Australian system, doctors mostly taught in public hospitals, 208 00:10:31,280 --> 00:10:34,120 Speaker 2: and there would be some junior doctors and doctors in 209 00:10:34,160 --> 00:10:39,520 Speaker 2: training involved in your care with acceleration of the care 210 00:10:39,600 --> 00:10:43,760 Speaker 2: right up to the senior people and to the specialist 211 00:10:44,320 --> 00:10:46,360 Speaker 2: if it's needed. 212 00:10:46,480 --> 00:10:49,640 Speaker 1: Yeah, radio, and so at any one stage during this 213 00:10:49,760 --> 00:10:55,400 Speaker 1: actual labor, can that woman or her support person say enough, 214 00:10:55,920 --> 00:10:59,480 Speaker 1: like is there too many people here? Student doctors, know, 215 00:10:59,640 --> 00:11:04,000 Speaker 1: student midwives, No, I don't want tea? Go away. 216 00:11:04,200 --> 00:11:05,520 Speaker 2: You can put a sign on the door saying I 217 00:11:05,520 --> 00:11:07,400 Speaker 2: don't need I don't I definitely don't need a cup 218 00:11:07,440 --> 00:11:11,319 Speaker 2: of tea. Don't knock for a cup of tea, and 219 00:11:11,400 --> 00:11:16,600 Speaker 2: you can request that training people are not involved in 220 00:11:16,640 --> 00:11:20,080 Speaker 2: your care in a public hospital in Australia, it's not 221 00:11:20,320 --> 00:11:26,160 Speaker 2: always possible. Sometimes the training people they're not only there 222 00:11:26,160 --> 00:11:29,319 Speaker 2: to train, they're also part of the service service provision. So, 223 00:11:29,400 --> 00:11:33,920 Speaker 2: for example, registrars and residents, junior doctors in a public 224 00:11:33,960 --> 00:11:36,120 Speaker 2: hospital in Australia, they're not just there to learn. They've 225 00:11:36,160 --> 00:11:40,240 Speaker 2: got a distinct job to provide as well. And if 226 00:11:40,280 --> 00:11:42,640 Speaker 2: you need assistance, then that's the person that's going to 227 00:11:42,640 --> 00:11:43,080 Speaker 2: give it to you. 228 00:11:43,280 --> 00:11:45,640 Speaker 1: Yeah, And I think we sort of mentioned this in 229 00:11:45,679 --> 00:11:47,920 Speaker 1: the birth plan, but you can ask people to use 230 00:11:48,160 --> 00:11:52,319 Speaker 1: quiet voices or messages to go via the support person 231 00:11:52,720 --> 00:11:54,360 Speaker 1: or whatever like you know, just have to think about 232 00:11:54,360 --> 00:11:56,760 Speaker 1: how you might like that room to look good or 233 00:11:57,200 --> 00:12:00,720 Speaker 1: ready to push? Does anything change? Are there more people 234 00:12:00,720 --> 00:12:00,920 Speaker 1: in the. 235 00:12:00,960 --> 00:12:05,160 Speaker 2: Room occasionally so that at that point we would want 236 00:12:05,960 --> 00:12:09,480 Speaker 2: your midwife to be there if you if you're in 237 00:12:09,559 --> 00:12:12,120 Speaker 2: a private hospital under a private obstetric, ideally the private 238 00:12:12,120 --> 00:12:17,280 Speaker 2: obstrition is there at the pushing stage. So when we're 239 00:12:17,360 --> 00:12:19,640 Speaker 2: right up to the baby's nearly coming that point, I 240 00:12:19,720 --> 00:12:22,800 Speaker 2: would come and then not go away again, wait till 241 00:12:22,800 --> 00:12:27,040 Speaker 2: the baby comes. And we might at that stage have 242 00:12:27,240 --> 00:12:31,679 Speaker 2: some other people involved. So for example, if we think 243 00:12:31,720 --> 00:12:34,000 Speaker 2: that the baby is in a state we might need 244 00:12:34,040 --> 00:12:37,440 Speaker 2: to come out and need some resuscitation, or we're doing 245 00:12:37,440 --> 00:12:40,280 Speaker 2: an instrumental birth on the ward on the then we'd 246 00:12:40,320 --> 00:12:43,360 Speaker 2: call the pedautrition first. Okay, have no sense really calling 247 00:12:43,400 --> 00:12:45,040 Speaker 2: them once the baby's out and if we need trouble, 248 00:12:45,080 --> 00:12:47,040 Speaker 2: because they might be fifteen to twenty minutes away, so 249 00:12:47,880 --> 00:12:50,520 Speaker 2: we have them, have them there already. If having problems 250 00:12:50,520 --> 00:12:52,280 Speaker 2: with an epidural block, but might have the uneath just 251 00:12:52,360 --> 00:12:55,480 Speaker 2: around come around and give us a top up. Yeah, 252 00:12:55,640 --> 00:12:59,480 Speaker 2: in checks some more local anesthetic and make things more comfortable. 253 00:13:00,000 --> 00:13:01,800 Speaker 1: We have to talk about the unethodist earlier. Do that 254 00:13:01,920 --> 00:13:04,000 Speaker 1: just come one person or is it their men an 255 00:13:04,000 --> 00:13:06,079 Speaker 1: assistant not just them? Yea. 256 00:13:06,600 --> 00:13:08,080 Speaker 2: And they might have come in earlier to put an 257 00:13:08,120 --> 00:13:10,040 Speaker 2: epidural in and then we might want to back towards 258 00:13:10,040 --> 00:13:10,960 Speaker 2: the end to give it a top up. 259 00:13:11,720 --> 00:13:13,920 Speaker 1: We're talking today about who is in the room when 260 00:13:13,960 --> 00:13:16,040 Speaker 1: you're birth and why are they there? 261 00:13:16,280 --> 00:13:16,520 Speaker 2: Sure? 262 00:13:16,640 --> 00:13:19,760 Speaker 1: Sure? All right? So let's say the birth now needs 263 00:13:19,880 --> 00:13:22,920 Speaker 1: further assistance. Sure, and you're going for an assisted birth, 264 00:13:22,960 --> 00:13:25,120 Speaker 1: and if we can talk about maybe in the room first, 265 00:13:25,120 --> 00:13:27,240 Speaker 1: in the same room, is there extra people there? 266 00:13:27,360 --> 00:13:31,280 Speaker 2: No, not necessarily at this stage. So we've got our pediatrician, 267 00:13:31,360 --> 00:13:36,240 Speaker 2: we've got our obstetric, we've got our midwife, patient and 268 00:13:36,280 --> 00:13:41,000 Speaker 2: support person. That should be enough for an uncomplicated vacuum 269 00:13:41,200 --> 00:13:43,840 Speaker 2: or forceps in the laboard. Different if we go to theater, 270 00:13:44,080 --> 00:13:45,679 Speaker 2: So if we're going to go to theater, not for season, 271 00:13:45,720 --> 00:13:48,480 Speaker 2: but if we're going to go to theatre because we 272 00:13:48,520 --> 00:13:52,080 Speaker 2: want to do the instrumental birth in theater just in 273 00:13:52,120 --> 00:13:53,560 Speaker 2: case it doesn't work. We want to be able to 274 00:13:53,559 --> 00:13:55,840 Speaker 2: immediately do a caesar or if we'd prefer to be 275 00:13:55,880 --> 00:14:00,240 Speaker 2: in the theater environment for other reasons. Then yeah, there's 276 00:14:00,320 --> 00:14:02,560 Speaker 2: going to be a whole bunch of extra people in 277 00:14:02,559 --> 00:14:02,959 Speaker 2: the theater. 278 00:14:03,160 --> 00:14:05,120 Speaker 1: Can I go back? And this is again it's a 279 00:14:05,160 --> 00:14:08,120 Speaker 1: logistics episode. So how have I got to the theater? 280 00:14:08,320 --> 00:14:08,920 Speaker 2: How do you get there? 281 00:14:09,000 --> 00:14:09,200 Speaker 1: Yeah? 282 00:14:09,240 --> 00:14:10,760 Speaker 2: Yeah, well that's one of the extra people. So the 283 00:14:10,760 --> 00:14:14,400 Speaker 2: theater will send audally around. We call them ordalies or texts, 284 00:14:14,640 --> 00:14:16,520 Speaker 2: and they're the people that sort of wheel you in 285 00:14:16,559 --> 00:14:19,360 Speaker 2: and out of theater. And they are also the people 286 00:14:19,400 --> 00:14:21,960 Speaker 2: who know how to use all the clever gagets in theater. 287 00:14:22,160 --> 00:14:22,440 Speaker 1: Yeah. 288 00:14:22,560 --> 00:14:24,840 Speaker 2: They know how to switch everything on, how to breod 289 00:14:24,880 --> 00:14:27,480 Speaker 2: everything up, how to start the computers up, all sorts 290 00:14:27,520 --> 00:14:34,960 Speaker 2: of of really quite technical expertise, as well as actually 291 00:14:34,960 --> 00:14:35,680 Speaker 2: pushing the trolley. 292 00:14:35,800 --> 00:14:38,760 Speaker 1: Yeah, and I'd have to say, like during my Caesars, 293 00:14:38,800 --> 00:14:41,560 Speaker 1: the person pushing the trolley, I've had big conversations with them, 294 00:14:41,600 --> 00:14:45,240 Speaker 1: so you know they all are part of your care absolutely. Yeah, 295 00:14:45,320 --> 00:14:48,200 Speaker 1: all right, so I've been pushed along to the theater. Yeah, 296 00:14:48,360 --> 00:14:50,320 Speaker 1: and it's for the assisted birth, but I could imagine 297 00:14:50,360 --> 00:14:52,120 Speaker 1: it's a bit the same, is it as a cesarean 298 00:14:52,160 --> 00:14:55,000 Speaker 1: birth or is the people in that theater room different. 299 00:14:55,240 --> 00:14:57,880 Speaker 2: Well, no, they're the same people. So now whether we're 300 00:14:57,880 --> 00:15:01,200 Speaker 2: coming around to theater for a force in theater or 301 00:15:01,240 --> 00:15:04,720 Speaker 2: for a cesarian section, we've definitely got the team we 302 00:15:04,800 --> 00:15:08,080 Speaker 2: talked about before. We definitely need underneath this now because 303 00:15:08,120 --> 00:15:10,200 Speaker 2: we might want to put in a spinal block for 304 00:15:10,280 --> 00:15:14,720 Speaker 2: either the caesar or for for our theater instrumental and 305 00:15:16,520 --> 00:15:19,720 Speaker 2: theater is a different environmental labeloard, So midwife midwife is 306 00:15:19,760 --> 00:15:22,600 Speaker 2: the is the bossing labor woard and the boss in 307 00:15:22,680 --> 00:15:26,560 Speaker 2: theater is theater nurses. And that's a little different because 308 00:15:26,600 --> 00:15:28,680 Speaker 2: we've got the theater nurses running the show in theater, 309 00:15:28,800 --> 00:15:30,760 Speaker 2: so in charge of checking you in and bringing you 310 00:15:30,800 --> 00:15:33,160 Speaker 2: into theater and making sure things are all kept sterile 311 00:15:33,200 --> 00:15:35,360 Speaker 2: and less sort of things. But you also want your 312 00:15:35,400 --> 00:15:37,280 Speaker 2: midwife come around from label ward as well, because she's 313 00:15:37,320 --> 00:15:37,840 Speaker 2: been looking. 314 00:15:37,640 --> 00:15:39,640 Speaker 1: After it all day and she gets all scrubbed up. 315 00:15:39,800 --> 00:15:42,200 Speaker 2: Yes, you go and put on a theater pajamas. And 316 00:15:42,240 --> 00:15:46,000 Speaker 2: then the midwife's got a role in the theater of 317 00:15:46,000 --> 00:15:49,040 Speaker 2: continuing to support you and liaising with the theater people 318 00:15:49,080 --> 00:15:51,400 Speaker 2: to make sure that goes well. Then from the moment 319 00:15:51,440 --> 00:15:54,720 Speaker 2: that we take that, we start up, say the cesarian section. 320 00:15:54,960 --> 00:15:58,840 Speaker 2: Then the thin nurses do that, do all their technical 321 00:15:59,760 --> 00:16:02,840 Speaker 2: theater things like they would for any operation. And then 322 00:16:02,880 --> 00:16:06,280 Speaker 2: once baby's out, baby's handed to the midwife, and the 323 00:16:06,320 --> 00:16:10,520 Speaker 2: midwife who will look after the baby, give the baby 324 00:16:10,560 --> 00:16:16,040 Speaker 2: little kickstart, help the pediatrician with the resuscitation if it's necessary. 325 00:16:16,200 --> 00:16:18,800 Speaker 1: Right, And when you say theaterns is how many are 326 00:16:18,800 --> 00:16:19,520 Speaker 1: we talking, Well. 327 00:16:19,480 --> 00:16:21,680 Speaker 2: There's always quite a few of those. So there's there's 328 00:16:21,760 --> 00:16:28,360 Speaker 2: usually one person who's in charge. Like let's say for 329 00:16:28,440 --> 00:16:30,160 Speaker 2: us as air in section, there'll be one scrub nurse 330 00:16:30,200 --> 00:16:33,000 Speaker 2: so that she's up at the table with me and 331 00:16:33,000 --> 00:16:34,560 Speaker 2: and she's handing. 332 00:16:34,240 --> 00:16:37,360 Speaker 3: Me the instruments, so she's your assistant. No, there's another 333 00:16:38,680 --> 00:16:41,320 Speaker 3: a lot of people. So the assistants another doctor, and 334 00:16:41,360 --> 00:16:44,000 Speaker 3: that person is helping me do the operation. And when 335 00:16:44,000 --> 00:16:46,120 Speaker 3: I tire not they cut the they cut the stitch 336 00:16:46,200 --> 00:16:48,920 Speaker 3: and and they move instruments around so I can see 337 00:16:48,920 --> 00:16:50,880 Speaker 3: it I'm doing. That's what the that's what the assistant 338 00:16:50,880 --> 00:16:54,120 Speaker 3: doctor does. There's a scrub nurse and she's in charge 339 00:16:54,120 --> 00:16:56,600 Speaker 3: of sterility around the operating table and she's handing me, 340 00:16:56,880 --> 00:17:03,560 Speaker 3: handing me instruments, loading up suitures and doing that scrub 341 00:17:03,640 --> 00:17:06,520 Speaker 3: nurse job. Then there's a scout nurse who's the nurse 342 00:17:06,520 --> 00:17:08,560 Speaker 3: we send out if we need something unexpected that wasn't 343 00:17:08,600 --> 00:17:10,920 Speaker 3: on the original setup, So we say, can you please 344 00:17:10,960 --> 00:17:12,720 Speaker 3: go and get us this stitch or this instrument, and 345 00:17:12,760 --> 00:17:16,600 Speaker 3: if they go and get it, and there's the neatnest 346 00:17:16,720 --> 00:17:18,960 Speaker 3: and the uneath, this will often have an assistant who's 347 00:17:18,960 --> 00:17:19,960 Speaker 3: an anesthetic. 348 00:17:19,600 --> 00:17:23,240 Speaker 1: Nass right and still got orderlies. 349 00:17:22,880 --> 00:17:25,800 Speaker 2: In the room, not that the whole time, but they'll 350 00:17:25,840 --> 00:17:27,600 Speaker 2: be in charge of bringing you in and setting you 351 00:17:27,680 --> 00:17:29,080 Speaker 2: up on the operating table. That's for important. 352 00:17:29,160 --> 00:17:30,760 Speaker 1: Yeah, they're the ones that sort of bring you over 353 00:17:30,800 --> 00:17:31,880 Speaker 1: onto the operating table. 354 00:17:31,920 --> 00:17:34,000 Speaker 2: Yeah, exactly. And positioning you on the operating table is 355 00:17:34,000 --> 00:17:36,199 Speaker 2: in input. It's a really important job. One of the 356 00:17:36,240 --> 00:17:39,359 Speaker 2: things that really makes the difference between a difficult or 357 00:17:39,359 --> 00:17:42,280 Speaker 2: a really easy operation is how well the patient is 358 00:17:42,320 --> 00:17:46,720 Speaker 2: positioned on the operating table and an experienced theater tech 359 00:17:47,200 --> 00:17:47,840 Speaker 2: is there for that. 360 00:17:48,200 --> 00:17:51,560 Speaker 1: Yeah, you're sort of a bit head down, aren't you, 361 00:17:51,680 --> 00:17:52,520 Speaker 1: and a bit twisted. 362 00:17:52,760 --> 00:17:57,560 Speaker 2: No, from memory, a little bit head down definitely helped. 363 00:17:57,600 --> 00:17:59,719 Speaker 2: So for a sizarian section, we want to be on 364 00:17:59,760 --> 00:18:03,040 Speaker 2: the our reading table tilted to one side so that 365 00:18:03,200 --> 00:18:06,800 Speaker 2: the we're not squishing those big veins that bring blood 366 00:18:06,800 --> 00:18:10,800 Speaker 2: from your legs back to your heart from and for 367 00:18:10,920 --> 00:18:16,399 Speaker 2: a theater instrumental, we might be less tilted, but legs near. 368 00:18:16,440 --> 00:18:22,000 Speaker 1: Yeah, yeah, all right, and pediatrician, did we mention pediatrician? 369 00:18:22,480 --> 00:18:26,280 Speaker 2: Yeah, waiting waiting to receive the baby and make sure 370 00:18:26,280 --> 00:18:30,080 Speaker 2: the baby doesn't need any immediate resuscitation, providing that resuscitation 371 00:18:30,119 --> 00:18:32,879 Speaker 2: if the baby does need it, and usually assisted by 372 00:18:32,880 --> 00:18:34,280 Speaker 2: the midwife has come around from the wood. 373 00:18:34,440 --> 00:18:38,159 Speaker 1: Yeah, all right. That sounds like a lot, and it 374 00:18:38,240 --> 00:18:40,240 Speaker 1: is a lot, and it does feel busy, but. 375 00:18:40,240 --> 00:18:41,400 Speaker 2: It feels busy, that's right. 376 00:18:41,480 --> 00:18:45,119 Speaker 1: Yeah, but it feels with purpose, like everybody's moving around 377 00:18:45,160 --> 00:18:49,080 Speaker 1: with purpose. And even if anyone's in that situation and 378 00:18:49,080 --> 00:18:51,600 Speaker 1: they might think, oh my god, this, why is there 379 00:18:51,680 --> 00:18:53,520 Speaker 1: so many people here? And it does that mean that 380 00:18:53,560 --> 00:18:56,280 Speaker 1: this is going that pear shape? No, everybody's just got. 381 00:18:56,160 --> 00:18:58,040 Speaker 2: A job, yes, And it doesn't mean it's going pair 382 00:18:58,040 --> 00:18:59,760 Speaker 2: shape at all. In fact, having all of those people 383 00:19:00,160 --> 00:19:02,920 Speaker 2: trained for their job means that it doesn't go pair Sure. Yeah, 384 00:19:03,119 --> 00:19:05,120 Speaker 2: to the patient, I get that it can feel that way, 385 00:19:05,760 --> 00:19:09,320 Speaker 2: but people often report in an emergency or even a 386 00:19:09,359 --> 00:19:12,000 Speaker 2: sort of a semi urgent situation. How impressed they are 387 00:19:12,000 --> 00:19:13,359 Speaker 2: that the team works so well together. 388 00:19:13,520 --> 00:19:18,320 Speaker 1: Yeah. My advice is really look at your midwives eyes 389 00:19:18,440 --> 00:19:22,840 Speaker 1: because once we've got a mask on, it's hard. But 390 00:19:22,840 --> 00:19:25,080 Speaker 1: hopefully they've come and introduced themselves to you. 391 00:19:25,160 --> 00:19:27,200 Speaker 2: Yeah, that's a good point. I'm going through that in 392 00:19:27,640 --> 00:19:30,640 Speaker 2: the consulting at the moment because I'm still I'm looking 393 00:19:30,680 --> 00:19:32,399 Speaker 2: after lots of people who are still pregnant for the 394 00:19:32,440 --> 00:19:34,960 Speaker 2: first two thirds of their pregnancy. We had masks in 395 00:19:34,960 --> 00:19:37,320 Speaker 2: the rooms. Yeah, so I still don't know what everyone 396 00:19:37,320 --> 00:19:38,040 Speaker 2: looks like with a mask. 397 00:19:38,320 --> 00:19:42,400 Speaker 1: Yeah, yeah, that's right. Good. All right, So we've come 398 00:19:42,480 --> 00:19:46,200 Speaker 1: back after the cesarean and in the recovery. 399 00:19:45,760 --> 00:19:47,760 Speaker 2: Ward, Oh we didn't hang on, we didn't do who's 400 00:19:47,800 --> 00:19:50,800 Speaker 2: coming from the support people? Oh yeah, theah, So you 401 00:19:50,920 --> 00:19:52,960 Speaker 2: might have to support people in the labor ward, but 402 00:19:53,040 --> 00:19:55,439 Speaker 2: give or take, there's used only one support person in 403 00:19:55,440 --> 00:19:55,920 Speaker 2: the theater. 404 00:19:56,200 --> 00:19:56,800 Speaker 1: Yeah, Radio. 405 00:19:56,960 --> 00:20:00,280 Speaker 2: I've had a few exemptions granted to that for the 406 00:20:00,359 --> 00:20:06,600 Speaker 2: years in some special situations, but usually that's that's a 407 00:20:06,680 --> 00:20:09,640 Speaker 2: key that's your key support person who's coming to theater, 408 00:20:10,080 --> 00:20:12,640 Speaker 2: and that's something you should work out beforehand. Oh, definitely, 409 00:20:12,800 --> 00:20:15,280 Speaker 2: extra people in theater can be extra risk of infection 410 00:20:15,359 --> 00:20:19,040 Speaker 2: and so forth. So usually the rule is one, yeah, 411 00:20:19,119 --> 00:20:21,000 Speaker 2: so if your mum and your husband are coming to 412 00:20:21,040 --> 00:20:22,360 Speaker 2: the birth, better workout's going to theater. 413 00:20:22,400 --> 00:20:23,960 Speaker 1: If you need to get a theater, well, the tricky 414 00:20:24,000 --> 00:20:27,719 Speaker 1: decision between your duela and your partner, you well, all 415 00:20:27,760 --> 00:20:31,399 Speaker 1: of that. You can just make those decisions. And just 416 00:20:31,440 --> 00:20:34,320 Speaker 1: so they know, they get all in their gear too, 417 00:20:34,400 --> 00:20:35,560 Speaker 1: don't you. What do they do? 418 00:20:35,600 --> 00:20:39,040 Speaker 2: They get a hat and the theater scrubs. 419 00:20:39,240 --> 00:20:41,280 Speaker 1: And it's normally the tech that helps them out there. 420 00:20:41,320 --> 00:20:43,399 Speaker 2: That's right, So take will take the dad's around the 421 00:20:43,400 --> 00:20:45,040 Speaker 2: theater and get them, get them kidded out. 422 00:20:46,520 --> 00:20:49,960 Speaker 1: Right. So then you go into the recovery room. Yes, 423 00:20:50,840 --> 00:20:53,359 Speaker 1: if you've gone to theater, this is recovery room, and 424 00:20:53,359 --> 00:20:57,200 Speaker 1: you've got your midwife, yeah, and recovery nurse. 425 00:20:57,240 --> 00:20:59,600 Speaker 2: Recovery room nurse whose job it is to keep a 426 00:20:59,640 --> 00:21:03,080 Speaker 2: close eye on your observations and make sure that after 427 00:21:03,240 --> 00:21:05,440 Speaker 2: you've had an operation like a cesarean section, that your 428 00:21:05,440 --> 00:21:09,320 Speaker 2: heart rate, respiratory rate, blood pressure, you're an output, it's 429 00:21:09,320 --> 00:21:14,840 Speaker 2: all normal and then you'll ideally you'll be together with 430 00:21:14,880 --> 00:21:18,760 Speaker 2: your partner and your baby. And we pride ourselves on 431 00:21:18,840 --> 00:21:22,240 Speaker 2: being able to do that practically every time. Okay, so 432 00:21:22,320 --> 00:21:23,960 Speaker 2: sometimes a sick baby will need to go straight up 433 00:21:23,960 --> 00:21:26,960 Speaker 2: to the nursery. But assuming that everything goes fine and 434 00:21:27,000 --> 00:21:30,399 Speaker 2: the baby's not sick, then we want to keep the 435 00:21:30,400 --> 00:21:34,120 Speaker 2: family unit together, yeah, with your support people, so you're 436 00:21:34,119 --> 00:21:36,199 Speaker 2: not really a part at all, and go as a 437 00:21:36,200 --> 00:21:38,280 Speaker 2: family around to the recovery room, stay in the recovery 438 00:21:38,320 --> 00:21:44,120 Speaker 2: room as a family. And you know, in our general hospital, 439 00:21:44,119 --> 00:21:45,720 Speaker 2: the recovery rooms full of people have had all sorts 440 00:21:45,720 --> 00:21:48,720 Speaker 2: of other operations. So we've got a little you know, 441 00:21:49,800 --> 00:21:53,880 Speaker 2: a curtained off area just for someone who's not sick. 442 00:21:53,960 --> 00:21:57,720 Speaker 2: They've just had a cesarian section, and it's a little 443 00:21:57,720 --> 00:21:59,879 Speaker 2: bit separate, separate from all of the people who've had 444 00:22:00,040 --> 00:22:03,680 Speaker 2: a gall bladder and a vowel operation and a broken 445 00:22:03,760 --> 00:22:06,639 Speaker 2: leg and all the other things in the other recovery base. 446 00:22:06,920 --> 00:22:10,680 Speaker 1: And your midwife might be there and you might start 447 00:22:10,720 --> 00:22:13,399 Speaker 1: trying breastfeeding if that's what you're choosing. 448 00:22:13,119 --> 00:22:15,919 Speaker 2: To absolutely, so it's business as usual there. We get 449 00:22:15,960 --> 00:22:21,600 Speaker 2: you know, skin, skin contact, baby on the breast, start 450 00:22:21,640 --> 00:22:24,720 Speaker 2: that all of that motherhood starts right there, and. 451 00:22:24,720 --> 00:22:28,080 Speaker 1: Then yay, oh my god, little buzz and I just 452 00:22:28,160 --> 00:22:31,960 Speaker 1: want to ask, if you've had an assisted birth in theater, 453 00:22:32,160 --> 00:22:33,200 Speaker 1: do you still go to the recovery? 454 00:22:33,280 --> 00:22:36,199 Speaker 2: Yeah, got to go recovery. You know you're likely to 455 00:22:36,240 --> 00:22:38,520 Speaker 2: have had a spiral and a sad egg. You know, 456 00:22:38,520 --> 00:22:40,800 Speaker 2: we're in the theater environment and that's so made a 457 00:22:40,800 --> 00:22:44,280 Speaker 2: recovery for a bit. Yep, do the usual recovery things, 458 00:22:44,320 --> 00:22:47,960 Speaker 2: and then back to the labor ward when it seems appropriate, 459 00:22:48,880 --> 00:22:52,320 Speaker 2: and then from the labor ward out to a post 460 00:22:52,400 --> 00:22:56,280 Speaker 2: natal ward post natal room once everything's stable and good, yep. 461 00:22:56,520 --> 00:22:59,119 Speaker 1: And you know you could stay there any anywhere between 462 00:22:59,160 --> 00:23:03,160 Speaker 1: maybe twenty four hours and five days, depending on whether 463 00:23:03,200 --> 00:23:05,479 Speaker 1: you've had a vaginal birth or us is arean. So 464 00:23:05,520 --> 00:23:07,320 Speaker 1: the people that you're going to see is going to 465 00:23:07,359 --> 00:23:10,040 Speaker 1: be varied. But there's quite a few people. 466 00:23:09,720 --> 00:23:10,879 Speaker 2: That might come in. 467 00:23:10,960 --> 00:23:14,080 Speaker 1: Yeah. Good, So you have lots of midwives that come. 468 00:23:14,359 --> 00:23:17,520 Speaker 2: Midwives will come in and they'll change on a shift basis. 469 00:23:18,200 --> 00:23:20,199 Speaker 2: If you've got a private obstetriction, that person will come 470 00:23:20,200 --> 00:23:22,200 Speaker 2: on today see you and deal with any issues that 471 00:23:22,280 --> 00:23:24,320 Speaker 2: come up. And hospitals are busy places. 472 00:23:24,520 --> 00:23:27,320 Speaker 1: Yeah. Are they all midwives in the personator wood or 473 00:23:27,400 --> 00:23:29,240 Speaker 1: are some ward nurses? 474 00:23:29,800 --> 00:23:33,040 Speaker 2: The usually midwives in Australia, they usually midwives. But the 475 00:23:33,040 --> 00:23:34,960 Speaker 2: hospital's a busy place, you know. There's the guy with 476 00:23:35,160 --> 00:23:39,120 Speaker 2: selling the newspapers and the tea person and the people 477 00:23:39,280 --> 00:23:42,960 Speaker 2: bring around the meals and a cleaner. And it's one 478 00:23:43,000 --> 00:23:44,639 Speaker 2: of the many reasons why it's a good idea to 479 00:23:44,680 --> 00:23:47,560 Speaker 2: go home when safe. 480 00:23:47,720 --> 00:23:50,320 Speaker 1: Yeah. And if you get your little tick the box, 481 00:23:50,320 --> 00:23:51,560 Speaker 1: what do you want to just do it there and 482 00:23:51,600 --> 00:23:53,439 Speaker 1: then and so then you can give it back and 483 00:23:53,480 --> 00:23:55,480 Speaker 1: nobody comes again and again and say have you done 484 00:23:55,480 --> 00:23:56,920 Speaker 1: that yet? And you no, I haven't have you done 485 00:23:56,920 --> 00:23:57,159 Speaker 1: that yet? 486 00:23:57,359 --> 00:24:00,680 Speaker 2: To be an organized consumer of health, so that yeah, 487 00:24:00,760 --> 00:24:03,439 Speaker 2: get it all done. And because you also want some sleep. 488 00:24:03,600 --> 00:24:05,439 Speaker 1: Yeah, And I'm not sure this is the same in 489 00:24:05,600 --> 00:24:07,760 Speaker 1: everywhere in the world, but here in Australia. You also 490 00:24:07,920 --> 00:24:11,040 Speaker 1: have a visit from the audiologist yes, to do the 491 00:24:11,040 --> 00:24:13,280 Speaker 1: newborn hearing test. Yes, and you get a visit from 492 00:24:13,320 --> 00:24:14,560 Speaker 1: the physiotherapist too. 493 00:24:15,160 --> 00:24:18,960 Speaker 2: Kickstart to physiotherapy. Yeah, So newborn hearing screen is very important. 494 00:24:18,960 --> 00:24:21,840 Speaker 2: We want to pick up babies with hearing problems straight away. 495 00:24:21,960 --> 00:24:26,399 Speaker 2: The hospital physio visit is important, but not to be 496 00:24:26,520 --> 00:24:29,600 Speaker 2: confused with the importance of going to see a physiotherapist. 497 00:24:29,680 --> 00:24:33,280 Speaker 2: After six weeks. I think that's where the real benefit is. 498 00:24:33,359 --> 00:24:35,679 Speaker 2: There's too much going on mentally and physically right at 499 00:24:35,680 --> 00:24:37,159 Speaker 2: the start of it to take much of it in. 500 00:24:37,440 --> 00:24:39,520 Speaker 2: But if you go back to the physio after six weeks, 501 00:24:40,720 --> 00:24:45,879 Speaker 2: to a private women's physio or to a community physio facility, 502 00:24:46,720 --> 00:24:48,720 Speaker 2: you've got a chance of taking it in and learning 503 00:24:48,760 --> 00:24:51,160 Speaker 2: a good technique for public floor exercises that I'll see 504 00:24:51,200 --> 00:24:52,840 Speaker 2: you in good stead for the rest of your life. 505 00:24:52,920 --> 00:24:57,760 Speaker 1: Yeah, that's a good tip, Patty. And does every baby 506 00:24:57,800 --> 00:25:00,000 Speaker 1: need a pediatrician check before their discharge? 507 00:25:01,080 --> 00:25:04,520 Speaker 2: No, in our hospitals we have baby checks. Every baby 508 00:25:04,560 --> 00:25:08,400 Speaker 2: should be checked before discharged, so by a pediatrician, by 509 00:25:08,680 --> 00:25:12,040 Speaker 2: a skilled person, so that might be a midwife, might 510 00:25:12,040 --> 00:25:15,760 Speaker 2: be a junior doctor, might be a junior pediatrician, might 511 00:25:15,800 --> 00:25:17,719 Speaker 2: be a consultant pediatrician. Depends what's going on. 512 00:25:17,800 --> 00:25:20,760 Speaker 1: Yeah, Radio, I think in the States you definitely have 513 00:25:20,840 --> 00:25:24,480 Speaker 1: to have pedio nutricians like Dick of approval. But I 514 00:25:24,520 --> 00:25:26,520 Speaker 1: could be wrong, So if you're listening from the States, 515 00:25:26,600 --> 00:25:28,680 Speaker 1: just DMS and tell us whether I've got that wrong 516 00:25:28,800 --> 00:25:32,399 Speaker 1: or right. Sure, And it's a bit like the same 517 00:25:32,440 --> 00:25:35,240 Speaker 1: thing about laboring at home. You do have to have 518 00:25:35,280 --> 00:25:37,560 Speaker 1: a plan for your family and friends, and if you've 519 00:25:37,560 --> 00:25:40,240 Speaker 1: got other children, like who do you want to visit? 520 00:25:40,359 --> 00:25:40,639 Speaker 2: Yeah? 521 00:25:40,680 --> 00:25:43,720 Speaker 1: And when ye, because that makes the room pretty busy too. 522 00:25:43,880 --> 00:25:47,399 Speaker 2: Yeah. The COVID pandemic has really changed the nature of 523 00:25:47,440 --> 00:25:49,480 Speaker 2: coming to see people in hospital. It's changed it from 524 00:25:49,520 --> 00:25:51,480 Speaker 2: a right of passage, something that was normal and pretty 525 00:25:51,520 --> 00:25:55,320 Speaker 2: much always done, to something that's kind of only done 526 00:25:55,320 --> 00:25:59,240 Speaker 2: by with in discussion with the family and by permission 527 00:26:00,080 --> 00:26:00,920 Speaker 2: from the family. 528 00:26:01,160 --> 00:26:01,520 Speaker 1: Yeah. 529 00:26:01,840 --> 00:26:03,800 Speaker 2: And I think that's probably a good thing. So the 530 00:26:03,880 --> 00:26:07,160 Speaker 2: labor ward is quieter, and it still it still is, wow, 531 00:26:07,359 --> 00:26:10,760 Speaker 2: even all this time later, because fewer people are considering 532 00:26:10,760 --> 00:26:12,960 Speaker 2: it a reasonable thing to do to come and visit 533 00:26:13,000 --> 00:26:14,720 Speaker 2: their friends in the hospital and bring their own kids, 534 00:26:15,040 --> 00:26:19,080 Speaker 2: and certainly they're not doing it much without asking permission. Yeah, 535 00:26:19,119 --> 00:26:20,320 Speaker 2: but that used to be different. 536 00:26:20,560 --> 00:26:23,240 Speaker 1: Yeah. And what a great way for someone to feel 537 00:26:23,240 --> 00:26:27,560 Speaker 1: comfortable about doing something as tricky for some women as breastfeeding. 538 00:26:27,840 --> 00:26:30,880 Speaker 1: I just had that time and to have them the 539 00:26:30,920 --> 00:26:33,960 Speaker 1: midwives there instead of saying I'm sorry, could you please 540 00:26:34,000 --> 00:26:35,320 Speaker 1: come back? My family's here. Yeah. 541 00:26:35,400 --> 00:26:37,400 Speaker 2: It might just be a phase, but but I'm seeing 542 00:26:37,440 --> 00:26:39,920 Speaker 2: a lot more people saying no, we're we're having visitors 543 00:26:39,960 --> 00:26:41,280 Speaker 2: when we get home, all right, Pat. 544 00:26:41,119 --> 00:26:43,760 Speaker 1: So this episode was really aimed at demystifying, you know, 545 00:26:43,800 --> 00:26:45,920 Speaker 1: the workings of a hospital, which I know you've got 546 00:26:46,160 --> 00:26:48,639 Speaker 1: totally nailed, but a lot of people that it's a 547 00:26:48,400 --> 00:26:49,520 Speaker 1: baffling or deal. 548 00:26:49,600 --> 00:26:50,960 Speaker 2: It can be a little baffling here. 549 00:26:51,040 --> 00:26:52,960 Speaker 1: Yeah, all right, So let's move on to the myth 550 00:26:53,119 --> 00:26:59,560 Speaker 1: or fact, myth or fact. If you're induced, the pain 551 00:26:59,680 --> 00:27:02,320 Speaker 1: in that is worse. Myth or fact. 552 00:27:02,840 --> 00:27:06,760 Speaker 2: This is a maybe yeah right, yeah, the strong contractions 553 00:27:06,760 --> 00:27:09,000 Speaker 2: that get the cerve extylaid and the baby out are 554 00:27:09,040 --> 00:27:12,760 Speaker 2: going to be painful. If you are induced with a 555 00:27:12,840 --> 00:27:16,560 Speaker 2: sintotional drip, the painful ones will come more quickly then. 556 00:27:16,720 --> 00:27:20,800 Speaker 2: For example, if you broke your waters spontaneously at term 557 00:27:21,160 --> 00:27:24,640 Speaker 2: and waited ten twelve twenty hours for the contractions to come, 558 00:27:24,920 --> 00:27:30,840 Speaker 2: so in the ten twelve twenty hour system they'll creep up. 559 00:27:31,720 --> 00:27:36,040 Speaker 2: Whereas if we've decided, for whatever reason in discussion with 560 00:27:36,080 --> 00:27:37,840 Speaker 2: the patient that the best thing to do is to 561 00:27:38,160 --> 00:27:40,960 Speaker 2: use this sintotional drip, then they'll creep up much more quickly. 562 00:27:41,640 --> 00:27:43,720 Speaker 2: So people often think that the pain's going to be worse. 563 00:27:43,800 --> 00:27:47,160 Speaker 2: I'm not sure that it's worse it'll just come quicker, yeah. 564 00:27:46,920 --> 00:27:50,320 Speaker 1: Without like nice breaks in between or breaks to recover 565 00:27:50,400 --> 00:27:51,840 Speaker 1: in between, or do you still know. 566 00:27:51,920 --> 00:27:54,080 Speaker 2: We're supposed to use the st in a way that 567 00:27:55,000 --> 00:27:58,320 Speaker 2: gives the baby plenty of breaks in between to recover. No, 568 00:27:58,480 --> 00:28:00,679 Speaker 2: I just mean in between starting the rip and regular 569 00:28:00,720 --> 00:28:04,000 Speaker 2: painful contractions coming. That's going to be less time than 570 00:28:04,160 --> 00:28:07,480 Speaker 2: if that all happens naturally. Is the pain worse? I 571 00:28:08,640 --> 00:28:12,199 Speaker 2: don't think so. I think it just comes on you faster. 572 00:28:12,400 --> 00:28:14,040 Speaker 1: Why don't they when they give this into give a 573 00:28:14,080 --> 00:28:16,440 Speaker 1: little bit of an injection of endorphins at the same time. 574 00:28:17,720 --> 00:28:19,480 Speaker 2: I don't think that's a thing. 575 00:28:19,600 --> 00:28:20,960 Speaker 1: Oka, That's why I'm not the doctor. 576 00:28:21,320 --> 00:28:26,680 Speaker 2: Sometimes I think that the higher levels of intervention that's 577 00:28:26,720 --> 00:28:31,399 Speaker 2: sometimes called the cascade of intervention, probably happens because we 578 00:28:31,600 --> 00:28:34,720 Speaker 2: don't get a chance for painful contractions to creep up 579 00:28:34,800 --> 00:28:39,080 Speaker 2: slowly and to slowly adapt to it. We give sintos 580 00:28:39,080 --> 00:28:42,640 Speaker 2: non because we want to get things moving faster, and 581 00:28:42,680 --> 00:28:45,840 Speaker 2: it works. They do move faster and it really hurts. Yeah, 582 00:28:45,880 --> 00:28:48,840 Speaker 2: and we might reach for some stronger levels of pain 583 00:28:48,880 --> 00:28:49,800 Speaker 2: relief in those settings. 584 00:28:50,080 --> 00:28:55,480 Speaker 1: You heard it here. That's a maybe confirm maybe Thanks 585 00:28:55,480 --> 00:28:58,920 Speaker 1: for listening everyone, We really appreciate your love and support, 586 00:28:58,960 --> 00:29:01,720 Speaker 1: and we love being here than just sharing our knowledge. 587 00:29:01,760 --> 00:29:05,000 Speaker 1: So if you've got any questions, just you can jump 588 00:29:05,000 --> 00:29:07,000 Speaker 1: on the speak pipe. We're getting some really great questions 589 00:29:07,040 --> 00:29:09,080 Speaker 1: through there, so we should do a Q and A 590 00:29:09,360 --> 00:29:12,000 Speaker 1: soon so you can just find that on our grow 591 00:29:12,040 --> 00:29:17,080 Speaker 1: my Baby website. So that's www. Dot growmybaby dot com 592 00:29:17,160 --> 00:29:26,520 Speaker 1: dot AU. All right, until next week, We'll see you then. Hey, 593 00:29:27,040 --> 00:29:29,640 Speaker 1: even though doctor Pat is well a doctor and we 594 00:29:29,680 --> 00:29:32,640 Speaker 1: get lots of other doctors and other experts on our podcast, 595 00:29:32,920 --> 00:29:35,800 Speaker 1: I just need to remind you that this podcast is 596 00:29:35,840 --> 00:29:40,240 Speaker 1: for informational purposes only. We share lots of medical insights 597 00:29:40,280 --> 00:29:43,720 Speaker 1: and experience, but everything we talk about is general in 598 00:29:43,840 --> 00:29:47,800 Speaker 1: nature and may not apply to your specific situation. Please 599 00:29:48,080 --> 00:29:51,880 Speaker 1: always consult with your own healthcare provider for your individual 600 00:29:52,000 --> 00:29:54,040 Speaker 1: medical advice when you grow your baby