Category: Quotes and shares

A much needed revolution

“Centralisation, standardisation and market economics have been the dominant concepts in maternity care over recent years. Organisationally, NHS maternity care has been centralised into large units based on an industrial model where care is highly fragmented. Standardisation of services is…

EFM and conflicts of interest

“So the question is why would the BRPOs* of the world ignore obvious evidence of EFM harm, ignore informed consent, ignore the violation of mothers’ bioethical autonomy, and ignore the reality that most of the birth profession is lying daily…

“Everything matters to a pregnant woman…”

“Listening to a mother is the most important skill of midwifery. Asking her questions is the second most important. Third is making unrushed time together in nature with a bit of privacy so the important matters can be discussed. Everything…

Risk: what is to be done?

“[R]isk has come to be defined as narrowly as possible, while there is a real and growing sense of concrete risks which overwhelm the poorer and more vulnerable on a daily basis. Within what Nicolas Rose, another sociologist calls the…

The risks of documentation

“Documentation of care is at risk of overtaking the delivery of care in terms of time, clinician focus, and perceived importance. The medical record as currently used for documentation contributes to increased cognitive workload, strained clinician–patient relationships, and burnout. We…

The stages of labour – bunkum!

Inspired by a friend’s request to look out an old TPM article to which she wanted to refer in a book that she is writing, I have decided to start an occasional series featuring my favourite extracts from old midwifery…