
Day 2 of the Tech skills workshop was far more enjoyable that the previous day's workshop. Somehow there was a greater feeling of 'bonding' within the group which made a more relaxing atmosphere.
The theme for the day was about keeping birth 'normal' and to remind us all of the physiology of birthing.
The day began with a video of, I think it was, 4 women being videoed during their labours. It was a german video. I was ok until the second shot of a couple 'chanting' through her contractions. I looked at a colleague who sort of giggled, I then had to look at the floor as I was suddenly overcome with those childish attacks of uncontrollable giggling laughter that makes you cry.
Overall it was a good video and plenty of us have seen women go through labour following their own instincts through labour not requiring pain relief. These women in the video were well motivated, well informed women birthing in a birthing unit.
It caused plenty of debate amongst the group after the video's had finished.
Assessment skills in labourWe then divided into groups and reviewed 4 articles which were concerned with Vaginal Examinations in labour, partograms, purple line and abdominal palpation. Each group reviewed their article and fed back to the group to see if it would change any of our practices. My group had an article on Partograms many things came to light, the usefulness of it, when was it useful? For my own practice if a labour is abnormal, induced or requires the involvement of an obstetrician then I will use the partogram. If someone comes in with spontanteous labour, has a normal birth with no problems then I don't waste any time duplicating information by creating a partogram after the fact. In actual fact I love to tear it up and put it in the bin!
Actually the partogram was created by the WHO thinking of women in 3rd world countries who are dying in childbirth because they have been in labour for weeks.
Marketing Fetal heart MonitoringI loved the task our group had when we were given an item of monitoring which we had to market to the rest of the group. Our group had a soncaid doppler to sell. We created an infomercial style of advert. It was a whole heap of fun and I wish we could have video'd it.
Monitoring the normal progress of labourThis was a scenario based theme which we all worked in a group to solve.
Overall it was good to revise emergency situations and question the reasons for routine practices. I was given cause to think about how not only how the baby moves and rotates through the pelvis but to also consider how the pelvis can move when the women changes position through her labour.
I did learn things and I have been reflecting.
I also ordered another book once I got home from the day,
'Gentle Birth, Gentle Mothering" By Sarah J. Buckley, MD