Sue Learner reports on a talk by Kathryn Gutteridge on providing services as requested
In June 2016 Midwife Kathryn Gutteridge was invited by North Bristol Trust's Lead for Normal Birth Midwife to speak to obstetricians and midwives about the Serenity Birth Centre (AMU) in Birmingham. With a sound philosophy and appropriate guidelines Kathryn has led the way to enable women with certain pregnancy issues, who request to use the birth centre, to be able to do so.
During Kathryn's authoritative, data-led, experiencebased and clear presentation I saw at first hand, by the response of some senior obstetricians, who controls our Maternity Services. Shock and horror were displayed that a woman with twins, and another woman with Type 1 diabetes, gave bir th at the Serenity Birth Centre. There was disbelief that 100% of women with a BMI of more than 35, who asked to use Serenity Birth Centre, used the centre throughout labour and gave birth there. There was surprise that 94% of women with a previous Caesarean Section, who asked to use Serenity Birth Centre, successfully gave bir th there. Also it was considered irresponsible that the baby of a woman who had Type 1 diabetes went home with its mother, on approval of the neonatologist, within hours of the birth.
But it was acknowledged by one or two consultant obstetricians that ‘...it is important to support women’. ‘These figures show the importance of this...’ and ‘...our system does not offer flexibility’. On the other hand one doctor questioned: ‘If we encourage this (that is give full support to these women) all other women will follow’. Midwives cheered ‘That’s the whole idea’ and ‘you mean that they should lose their freedom of choice?’ So for women to control their own pregnancy and labour we need to give women back their power by deeply respecting their decision from wherever it has come; by supporting their pregnancy and facilitating how, where, and with whom they wish to give birth; by acknowledging that continuity of care allows for support of a woman’s decision which may sound madness to another clinician. As midwives, by considering ourselves the guardians rather than the managers of pregnancy and labour we can support women and offer them flexibility. The resulting reduction of inter ventions would in turn be in the interests of women and their families. This will happen in North Bristol Trust thanks to a birth centre midwifery team which has dynamic and tenacious leadership that promotes normal birth.
Sue is a registered midwife, practising independently in Bristol.
AIMS Journal, 2017, Vol 29 No 3 A huge welcome to readers old and new! The AIMS Journal, the backbone of our work for nearly 60 years, is now entirely available online, t…Read more
AIMS Journal, 2017, Vol 29 No 3 Jo Dagustun reports on the INFANT trial study day in October 2017 This national (central Birmingham based) free-to-attend study day on the…Read more
AIMS Journal, 2017, Vol 29 No 3 Ann Roberts shares her story of how AIMS helped her back in 1983 I first contacted AIMS 34 years ago (1983), when I was pregnant with my s…Read more
To register your interest please email email@example.com or keep an eye on our website https://www.npeu.ox.ac.uk/mbrrace-uk/bookings . Earlybird bookings will open…Read more
17–21 October 2018 Further DetailsRead more
AIMS AGM 2018 All members welcome! Please email firstname.lastname@example.org if you plan to attend to help us to judge numbers, or if you wish to send apologies 10 for 10.30 sta…Read more
Dr. Ágnes Geréb is a Hungarian obstetrician and midwife who has been under house arrest following her support for women outside of the obstetric system. March 2018: ENCA…Read more
AIMS submitted our response to this consultation on the 23 January 2018. A number of regulators, including the Care Quality Commission (CQC), the Professional Standards A…Read more
Beverley Lawrence Beech At an AIMS AGM it is customary for the Chair to give an account of the activities of the Committee during the year. I am not going to do that this…Read more