38. I would prefer my husband and/or doula be in the operating theatre.

39. Before leaving the hospital, I will get a copy of me and my baby medical records.

Noted by:

______________________________

Mother

dan berikut ini adalah wawancara awal yang bisa kita lakukan ke Obsgyn/ Bidan Anda (masih dalam bahasa ingris ya?)

Rate of cesarean, episiotomies, water births in the hospital. In RSIA Bunda, 30 to 40%

Do they depend from the doctor? In case, who will be the backup doctor? His/her data?________________

How is the law in Indonesia about the informed consent? Is it possible to make choice different than hospital protocols? How do you deal with birth plans?_______________________________________

Can I have written protocols?___________________________________________________________

What”s happening exactly? Woman arrives to the hospital, she goes to… (her room, delivery room/labor room)? Monitor? Call Obsgyn? Inspections? Women go directly to labor room, only in case of small dilation they can stay in their room. After 5/6 cm (7 according to midwives) they can enter birth tub if they wish. Midwife recommend to rest lying in bed, although the woman is free to choose the position.

Who is the staff in the delivery room? 2 midwifes and Obsgyn

In which PRECISE cases is a C-section necessary? And episiotomy? And induction? Do you perform compassionate use of induction?_____________________________________________________

Due date: when do you begin proposing induction? 40+10 ___________________________

SROM: when do you begin proposing induction? _________________________________________

What”s your antibiotics policy? 6 hours after rupture of membranes ___________________________

What prostaglandins are used? How much time from AROM to augmentation? ___________________

How do you manage with leaks vs rupture? They should be treated differently because top leak is not possible source of infection…. Both leaking at the top of amniotic sac and sudden break at the bottom of amniotic sac are treated similarly.

When do you propose augmentation? How much time for second stage, assuming that heartbeat is fine?

WHO recommends 1 cm dilation per hour, so second stage should be 6 to 8 hours because long labor implies risk of bleeding. 30 minutes are allowed for 3rd stage (birth of placenta), otherwise the cervix is going to close. (????)

How do you check heartbeat? Doppler? Does the hospital have wireless facilities for monitoring, to allow woman to move and be monitored?__________________________________________________

Use of forceps / ventuose: when?________________________________________________________

Continuous fetal monitoring or intermittent?_______________________________________________

How much time do you allow for transition (from “complete” dilation to birth)? Do you have routine inspections?_________________________________________________________________________

Are natural methods of induction/augmentation/pain relief/malpositioning suggested and under command of your staff?________________________________________________________________

What exams/tests really check and permit to avoid complications during delivery?_________________

Jaundice? Parameters and intervention.____________________________________________________

Vitamin K injection, antibiotics in the eyes (when necessary?), vaccinations are mandatory? Vitamin K is recommended, not mandatory. Vaccinations are administered later, not during birth.

What happens in case of vomit of the woman?___________________________________________

Can be own private midwife present to birth? Yes for a doula

In general, father and elder children can assist birth? Normally, only 1 person, exception can be done for the father and doula to be both present. No children

Lotus birth? Apparently, the Obsgyn never heard about it ______________________________

Stitch “policy”? Indonesian women normally want to be stitched in any case, but we can agree on stitch only in case of big tear.

What”s happening in next visit? When test for diabetes? Test GBS will it be performed? Pap test?_____

How does post partum work?___________________________________________________________

 

Semoga Bermanfaat

Salam Hangat

Bidan Kita