#WeMidwives - Tuesday 24th February 2015 8pm (GMT Standard Time) Latent phase of labour

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This chat is guest hosted by @DawnT_89

Care during the latent phase is oft discussed amongst midwives as it can be an unpredictable and challenging phase of labour to support women through. What can be challenging is ensuring women feel respected and cared for, and are empowered to move through this phase of labour while still preserving normality and protecting women from unnecessary intervention. 

Recently I have had the experience of women who, for a multitude of reasons, chose not to go home during the latent phase and thus were admitted to the antenatal ward, either for further pain relief such as pethidine or because they were anxious about leaving the hospital. As a midwife caring for a caseload of women on a ward, juggling the needs of multiple women can be exceptionally challenging. Add an (understandably) anxious and frightened labourer into a busy ward, and it becomes more challenging. 

What is hardest I think is women want your care and time - they're in labour and have stayed for a reason. However when you have a caseload to manage, this becomes difficult. 1:1 care is not deemed necessary until cervical dilatation of 4cms or more confirms established labour - yet I would argue many women want and need this support prior to established labour.

Many colleagues often comment these women should be at home, which the evidence supports. However that doesn't provide help and support to women who choose not to leave the hospital.

How do we best manage this workload? And women's expectations? Is AN preparation enough?

http://www.sciencedirect.com/science/article/pii/S0266613807000393

(Carlssonn et al, 2009) 

https://www.rcm.org.uk/sites/default/files/Latent%20Phase_1.pdf

(Royal College of Midwives, 2012)

http://yhhiec.org.uk/wp-content/uploads/2012/01/Should-I-come-in-now.pdf 

(Cheyne et al, 2007)





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 #WeMidwives transcript

 
@DawnT_89
24 February 2015 20:00
GOOD EVENING #wemidwives - lets get this chat started! The latent phase is a challenge for women AND midwives; agree?
@WeMidwives
24 February 2015 20:02
RT @DawnT_MW: GOOD EVENING #wemidwives - lets get this chat started! The latent phase is a challenge for women AND midwives; agree?
@Dottymom
24 February 2015 20:02
RT @WeMidwives: It's about that time tweeting midwives... A few minutes to go! Give us a shout if you're joining in tonight! #wemidwives #l…
@WhoseShoes
24 February 2015 20:02
RT @DawnT_MW: GOOD EVENING #wemidwives - lets get this chat started! The latent phase is a challenge for women AND midwives; agree?
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24 February 2015 20:03
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24 February 2015 20:03
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24 February 2015 20:03
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24 February 2015 20:03
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24 February 2015 20:03
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24 February 2015 20:03
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24 February 2015 20:03
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24 February 2015 20:03
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24 February 2015 20:03
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24 February 2015 20:03
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24 February 2015 20:03
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@WeMidwives
24 February 2015 20:03
Don't forget the # tonight - use #wemidwives so can all follow chat! ??
@Gibson7CL
24 February 2015 20:04
@DawnT_MW Agree! Striking the balance between promoting normality and intervention at the right time is challenging #wemidwives
@ShelaghAHP
24 February 2015 20:04
RT @WeAHPs: Chatting right NOW are #WeMidwives and #WeNurses Prechats here http://t.co/RewYMbuXRk lurk or join, just don't miss!
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24 February 2015 20:05
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@DawnT_89
24 February 2015 20:05
Have looked after many women admitted during latent phase for support - busy ward means this often doesn't happen #wemidwives #latentphase
@DawnT_89
24 February 2015 20:06
@CKuponiyi Exactly. So challenging, especially when women keen for normal birth but wish to stay in #wemidwives
@MidwifeDiaries
24 February 2015 20:06
IMO, so important: ‘Midwives should allow time to enable women to ‘tell their story’ before offering advice’ (RCM guidance) #wemidwives
@WhoseShoes
24 February 2015 20:06
Hi @WeMidwives. Thanks for amazing support and community building in #MatExp campaign. Have a great #wemidwives #latentphase tweetchat! ??
@WeMidwives
24 February 2015 20:06
RT @WhoseShoes: Hi @WeMidwives. Thanks for amazing support and community building in #MatExp campaign. Have a great #wemidwives #latentphas…
@sljvalk
24 February 2015 20:06
#wemidwives what is the definition of latent phase
@olvindaRM
24 February 2015 20:07
@DawnT_MW @WeMidwives yes, women can get so exhausted before labour even begins in earnest #latentphase #wemidwives
@WeMidwives
24 February 2015 20:07
RT @DawnT_MW: Have looked after many women admitted during latent phase for support - busy ward means this often doesn't happen #wemidwives…
@MidwifeDiaries
24 February 2015 20:07
RT @WhoseShoes: Hi @WeMidwives. Thanks for amazing support and community building in #MatExp campaign. Have a great #wemidwives #latentphas…
@WeMidwives
24 February 2015 20:07
RT @DawnT_MW: @CKuponiyi Exactly. So challenging, especially when women keen for normal birth but wish to stay in #wemidwives
@jojolilley
24 February 2015 20:07
@DawnT_MW @WeMidwives definitely. I think education is key, involving birth partners & how they can support in latent phase. #wemidwives
@WeMidwives
24 February 2015 20:07
@MidwifeDiaries Very valuable quote, across whole continuum. #wemidwives
@SagefemmeSB
24 February 2015 20:08
RT @DawnT_MW: Have looked after many women admitted during latent phase for support - busy ward means this often doesn't happen #wemidwives…
@Gibson7CL
24 February 2015 20:08
@DawnT_MW women who don't want to be at home in #latentphase how do we ensure that we support without increasing interventions? #wemidwives
@WhoseShoes
24 February 2015 20:08
Hope to see some of you at #TwitterNHS tomorrow ?????? @WeMidwives @DawnT_MW #wemidwives #latentphase
@SagefemmeSB
24 February 2015 20:08
RT @olvinda: @DawnT_MW @WeMidwives yes, women can get so exhausted before labour even begins in earnest #latentphase #wemidwives
@WeMidwives
24 February 2015 20:08
RT @olvinda: @DawnT_MW @WeMidwives yes, women can get so exhausted before labour even begins in earnest #latentphase #wemidwives
@nicolabradley0
24 February 2015 20:09
RT @DawnT_MW: GOOD EVENING #wemidwives - lets get this chat started! The latent phase is a challenge for women AND midwives; agree?
@Gibson7CL
24 February 2015 20:09
RT @DawnT_MW: @CKuponiyi Exactly. So challenging, especially when women keen for normal birth but wish to stay in #wemidwives
@DawnT_89
24 February 2015 20:10
@CKuponiyi Therein is the question! Provide safe space, encourage mobilisation. Find root of fear? #wemidwives
@olvindaRM
24 February 2015 20:11
@sljvalk period of time, not nec continuous, when painful contractions & cervical change, inc efface & dil up to 4cm NICE 2007 #wemidwives
@SagefemmeSB
24 February 2015 20:11
@jojolilley @DawnT_MW @WeMidwives what do you about @sljvalk view latent phase doesn't exist? #wemidwives
@Gibson7CL
24 February 2015 20:11
@DawnT_MW in my experience home assessments can empower women to be at home in #latentphase #wemidwives
@SagefemmeSB
24 February 2015 20:11
RT @sljvalk: #wemidwives what is the definition of latent phase
@SagefemmeSB
24 February 2015 20:11
RT @WhoseShoes: Hi @WeMidwives. Thanks for amazing support and community building in #MatExp campaign. Have a great #wemidwives #latentphas…
@DawnT_89
24 February 2015 20:11
RT @CKuponiyi: @DawnT_MW in my experience home assessments can empower women to be at home in #latentphase #wemidwives
@Gibson7CL
24 February 2015 20:11
RT @DawnT_MW: @CKuponiyi Therein is the question! Provide safe space, encourage mobilisation. Find root of fear? #wemidwives
@sljvalk
24 February 2015 20:11
#wemidwives I think we should invest more in education. Women should be more familiar with normal prodromal signs
@WeMidwives
24 February 2015 20:11
RT @SagefemmeSB: @jojolilley @DawnT_MW @WeMidwives what do you about @sljvalk view latent phase doesn't exist? #wemidwives
@DawnT_89
24 February 2015 20:12
@CKuponiyi Absolutely! I think sometimes fear is around the journey and having to be assessed if comes in again? #wemidwives
@MidwifeDiaries
24 February 2015 20:12
@sljvalk NICE say it's a period not necessarily continuous w/painful contractions; and some cervical change, but <4cm #wemidwives
@WeMidwives
24 February 2015 20:12
RT @sljvalk: #wemidwives what is the definition of latent phase
@SagefemmeSB
24 February 2015 20:12
@WhoseShoes @WeMidwives thanks Gill! Just woke up to join in..#wemidwives
@Gibson7CL
24 February 2015 20:12
RT @DawnT_MW: @CKuponiyi Absolutely! I think sometimes fear is around the journey and having to be assessed if comes in again? #wemidwives
@WeMidwives
24 February 2015 20:12
RT @SagefemmeSB: @WhoseShoes @WeMidwives thanks Gill! Just woke up to join in..#wemidwives
@sljvalk
24 February 2015 20:12
@olvinda #wemidwives sorry, disagree. Latent phase doesn't exist imo. Women and midwives need a proper diagnosis. They are in labor or not
@WeMidwives
24 February 2015 20:12
RT @sljvalk: #wemidwives I think we should invest more in education. Women should be more familiar with normal prodromal signs
@WeMidwives
24 February 2015 20:13
RT @DawnT_MW: @CKuponiyi Absolutely! I think sometimes fear is around the journey and having to be assessed if comes in again? #wemidwives
@WeMidwives
24 February 2015 20:13
RT @CKuponiyi: @DawnT_MW in my experience home assessments can empower women to be at home in #latentphase #wemidwives
@janet_t_55
24 February 2015 20:13
RT @DawnT_MW: GOOD EVENING #wemidwives - lets get this chat started! The latent phase is a challenge for women AND midwives; agree?
@WeMidwives
24 February 2015 20:13
RT @DawnT_MW: @CKuponiyi Therein is the question! Provide safe space, encourage mobilisation. Find root of fear? #wemidwives
@WeMidwives
24 February 2015 20:13
RT @WhoseShoes: Hope to see some of you at #TwitterNHS tomorrow ?????? @WeMidwives @DawnT_MW #wemidwives #latentphase
@olvindaRM
24 February 2015 20:13
RT @sljvalk: @olvinda #wemidwives sorry, disagree. Latent phase doesn't exist imo. Women and midwives need a proper diagnosis. They are in …
@sljvalk
24 February 2015 20:13
@olvinda #wemidwives please have a look at my website http://t.co/2AtDq0wOwK
@WeMidwives
24 February 2015 20:14
@sljvalk @olvinda What name then do we give before established labour? #wemidwives
@WeMidwives
24 February 2015 20:14
@CKuponiyi @DawnT_MW home assessment is much better but not available for many sadly...#wemidwives
@Gibson7CL
24 February 2015 20:14
@DawnT_MW Definitely! I think for some they doubt themselves and are scared they will make the wrong call #wemidwives
@sljvalk
24 February 2015 20:15
@CKuponiyi #wemidwives definitely. Here we do homevisits with everyone to assess
@WeMidwives
24 February 2015 20:15
@sljvalk yet even then there will be mothers who want to be in hospital? #wemidwives
@olvindaRM
24 February 2015 20:16
@sljvalk what should we call it before active labour, when something's happening but irregular and intermittent ? #wemidwives
@janet_t_55
24 February 2015 20:16
@MidwifeDiaries #wemidwives the importance of active listening...in all parts of midwifery...
@JennytheM
24 February 2015 20:16
Latent phase -different for every woman #weMidwives - important not to focus on what the main percentage of women experience #matExp
@WeMidwives
24 February 2015 20:17
RT @janet_t_55: @MidwifeDiaries #wemidwives the importance of active listening...in all parts of midwifery...
@Gibson7CL
24 February 2015 20:17
@DawnT_MW Is it the view that hospital is safer/best? Do we indirectly reinforce this view? #wemidwives
@WeMidwives
24 February 2015 20:17
RT @CKuponiyi: @DawnT_MW Definitely! I think for some they doubt themselves and are scared they will make the wrong call #wemidwives
@Gibson7CL
24 February 2015 20:17
RT @JennytheM: Latent phase -different for every woman #weMidwives - important not to focus on what the main percentage of women experience…
@WeMidwives
24 February 2015 20:17
RT @JennytheM: Latent phase -different for every woman #weMidwives - important not to focus on what the main percentage of women experience…
@WeMidwives
24 February 2015 20:17
@sljvalk @olvinda you do this at home in Holland Simone? #wemidwives
@Gibson7CL
24 February 2015 20:18
@JennytheM @DawnT_MW How do we individualise care in the #latentphase with limited resources? #wemidwives
@olvindaRM
24 February 2015 20:18
@sljvalk I see. Interesting. 'Without a clear diagnosis you are at risk for a cascade of interventions' #latentphase #wemidwives
@JennytheM
24 February 2015 20:18
Rapid assessment is not good-where I work we are encouraged to observe woman for longer than an hour-not necessarily do VE #WeMidwives
@olvindaRM
24 February 2015 20:18
RT @sljvalk: @olvinda #wemidwives please have a look at my website http://t.co/2AtDq0wOwK
@JennytheM
24 February 2015 20:18
RT @CKuponiyi: @JennytheM @DawnT_MW How do we individualise care in the #latentphase with limited resources? #wemidwives
@WeMidwives
24 February 2015 20:19
RT @CKuponiyi: @DawnT_MW Is it the view that hospital is safer/best? Do we indirectly reinforce this view? #wemidwives
@MidwifeDiaries
24 February 2015 20:19
@sljvalk is it not a helpful idea for women finding contractions hard though not effacing/dilating? Or not helpful iyo? #wemidwives
@Gibson7CL
24 February 2015 20:19
RT @janet_t_55: @MidwifeDiaries #wemidwives the importance of active listening...in all parts of midwifery...
@WeMidwives
24 February 2015 20:19
RT @CKuponiyi: @JennytheM @DawnT_MW How do we individualise care in the #latentphase with limited resources? #wemidwives
@MidwifeDiaries
24 February 2015 20:19
RT @janet_t_55: @MidwifeDiaries #wemidwives the importance of active listening...in all parts of midwifery...
@annette_anders
24 February 2015 20:20
@wemidwives So important NOT to use the words "You are only.." when you are feeding back on dilatation. Use encouraging language #wemidwives
@SagefemmeSB
24 February 2015 20:20
RT @DawnT_MW: GOOD EVENING #wemidwives - lets get this chat started! The latent phase is a challenge for women AND midwives; agree?
@sljvalk
24 February 2015 20:20
@olvinda #wemidwives yes Because essepcially with primips we need to know when progress is normal or abnormal
@JennytheM
24 February 2015 20:20
@CKuponiyi @DawnT_MW it's important to shrug of extrinsic factors - focus on intrinsic-go with your midwife's heart & instinct #WeMidwives
@jojolilley
24 February 2015 20:20
@CKuponiyi @DawnT_MW I think the media representation of two contractions then birth doesn't help. #wemidwives
@Gibson7CL
24 February 2015 20:20
@janet_t_55 @WeMidwives @MidwifeDiaries @DawnT_MW @JennytheM Let the woman's voice guide us #latentphase #wemidwives
@olvindaRM
24 February 2015 20:20
@sljvalk @WeMidwives challenge for caregivers is how to provide psychological support right from start. #moremidwives would help #wemidwives
@JennytheM
24 February 2015 20:20
RT @CKuponiyi: @janet_t_55 @WeMidwives @MidwifeDiaries @DawnT_MW @JennytheM Let the woman's voice guide us #latentphase #wemidwives
@jojolilley
24 February 2015 20:21
@CKuponiyi @DawnT_MW women don't see women labour and birth, it's all a big secret so no truth of what is 'normal' #wemidwives
@sljvalk
24 February 2015 20:21
@MidwifeDiaries #wemidwives yes, but if they are not in labour they need other help. A false start shoud not be treated at the labor ward
@WeMidwives
24 February 2015 20:21
@CKuponiyi @DawnT_MW This is part of it, surely? If most women com into hospital for birth, then they must perceive it as safer? #WeMidwives
@SagefemmeSB
24 February 2015 20:21
@sljvalk @WeMidwives @olvinda that's the difference with Dutch system...makes it easier to confirm labour & support women #wemidwives
@JennytheM
24 February 2015 20:21
Relevant to explain The physiology of what's happening to woman AND family #WeMidwives I show my breathing blog
@Gibson7CL
24 February 2015 20:22
RT @jojolilley: @CKuponiyi @DawnT_MW I think the media representation of two contractions then birth doesn't help. #wemidwives
@WeMidwives
24 February 2015 20:22
Do women attending a birth centre experience different #latentphase care, if admission to AN ward not an option? #wemidwives
@SagefemmeSB
24 February 2015 20:22
RT @sljvalk: @olvinda #wemidwives yes Because essepcially with primips we need to know when progress is normal or abnormal
@WeMidwives
24 February 2015 20:22
RT @sljvalk: @MidwifeDiaries #wemidwives yes, but if they are not in labour they need other help. A false start shoud not be treated at the…
@WeMidwives
24 February 2015 20:22
RT @CKuponiyi: @janet_t_55 @WeMidwives @MidwifeDiaries @DawnT_MW @JennytheM Let the woman's voice guide us #latentphase #wemidwives
@WeMidwives
24 February 2015 20:22
RT @jojolilley: @CKuponiyi @DawnT_MW I think the media representation of two contractions then birth doesn't help. #wemidwives
@HealthUKTD
24 February 2015 20:22
RT @DawnT_MW: GOOD EVENING #wemidwives - lets get this chat started! The latent phase is a challenge for women AND midwives; agree?
@YourComforter
24 February 2015 20:23
RT @CKuponiyi: @DawnT_MW in my experience home assessments can empower women to be at home in #latentphase #wemidwives
@Gibson7CL
24 February 2015 20:23
@jojolilley @DawnT_MW The classic 'movie birth' perception, waters go, then mad dash to hospital and baby arrives! #wemidwives
@WeMidwives
24 February 2015 20:23
@Annette_Anders Absolutely! Language is key. #wemidwives
@sljvalk
24 February 2015 20:23
#wemidwives if you use a partogram when do you start keeping it?
@MidwifeDiaries
24 February 2015 20:23
@sljvalk I agree, labour ward usually not helpful for latent labour.It's where some women really want to stay though. Difficult. #wemidwives
@SagefemmeSB
24 February 2015 20:23
@CardiffSANDS @jojolilley @DawnT_MW @WeMidwives @sljvalk and that is a big issue for most UK mothers, fear of that happening...#wemidwives
@JennytheM
24 February 2015 20:24
I've printed off My breathing blog for lots of women https://t.co/H39vlxKq9R https://t.co/H39vlxKq9R had positive feedback #wemidwives
@katybeale
24 February 2015 20:24
#wemidwives @WeMidwives we need a new role - NHS doulas - who can help women in the 'latent phase'
@janet_t_55
24 February 2015 20:24
@sljvalk @WeMidwives #wemidwives #latentphase but that's not always possible with most NHS midwifery care...
@WeMidwives
24 February 2015 20:25
@sljvalk Usually either when cervical dilitation >4cm or when using syntocinon. #wemidwives
@JennytheM
24 February 2015 20:26
Also emphasise that going home maintains connection with the midwife it does not break it #WeMidwives
@DawnT_89
24 February 2015 20:26
RT @CKuponiyi: @DawnT_MW Definitely! I think for some they doubt themselves and are scared they will make the wrong call #wemidwives
@DawnT_89
24 February 2015 20:26
RT @jojolilley: @CKuponiyi @DawnT_MW I think the media representation of two contractions then birth doesn't help. #wemidwives
@JennytheM
24 February 2015 20:26
RT @olvinda: @DawnT_MW @WeMidwives yes, women can get so exhausted before labour even begins in earnest #latentphase #wemidwives
@Li33ieBee
24 February 2015 20:27
I'm watching with interest. I find "latent phase" a difficult concept and a difficult time to give my support. Education +++ 1/2 #wemidwives
@DawnT_89
24 February 2015 20:27
@sljvalk @jojolilley @SagefemmeSB @WeMidwives What do you mean by this? #wemidwives
@DawnT_89
24 February 2015 20:27
@FWmaternitykhft @WeMidwives Were halfway through! Happy you made it! #wemidwives
@olvindaRM
24 February 2015 20:27
@YourComforter @WeMidwives @sljvalk absolutely #wemidwives
@JennytheM
24 February 2015 20:27
50-80 Kcals an hour latent phase - #wemidwives 150kcal per hour active - stress that energy in influences energy out
@Gibson7CL
24 February 2015 20:28
RT @DawnT_MW: What then do you tell women experiencing irregular but painful uterine contractions and some cervical change <4cm? #wemidwives
@JennytheM
24 February 2015 20:28
RT @WeMidwives: Do women attending a birth centre experience different #latentphase care, if admission to AN ward not an option? #wemidwives
@Li33ieBee
24 February 2015 20:28
Explaining physiology from 32+ weeks vital Knowledge = power Hate to use term but have to as women will encounter everywhere 2/2 #wemidwives
@JennytheM
24 February 2015 20:29
@WeMidwives more input explaining and being fed ? #weMidwives
@MidwifeDiaries
24 February 2015 20:29
Chelmlow ('93) found association between long #latentphase and labour abnorms/need for cs. what's people's experience on this? #wemidwives
@Gibson7CL
24 February 2015 20:29
RT @JennytheM: Also emphasise that going home maintains connection with the midwife it does not break it #WeMidwives
@olvindaRM
24 February 2015 20:29
@YourComforter @WeMidwives @sljvalk Is it just me who's never liked 'niggles'/she's niggling? Downplays it, sounds disrespectful #wemidwives
@JennytheM
24 February 2015 20:29
Going Home in latent phase I say to women "I'm still holding your hand from here " #wemidwives
@WeMidwives
24 February 2015 20:30
@sljvalk @katybeale But resources are limited - we can barely provide 1:1 care to those already in established labour #WeMidwives
@castrocloud
24 February 2015 20:30
RT @katybeale: #wemidwives @WeMidwives we need a new role - NHS doulas - who can help women in the 'latent phase'
@DawnT_89
24 February 2015 20:30
@WeMidwives sljvalk @katybeale It's not us or them, can work together collaboratively #wemidwives
@Li33ieBee
24 February 2015 20:31
I like the idea of NHS doulas but can see litigation fear if early labourers in their "care" on NHS premises. #wemidwives
@WeMidwives
24 February 2015 20:31
RT @JennytheM: Going Home in latent phase I say to women "I'm still holding your hand from here " #wemidwives
@sljvalk
24 February 2015 20:31
@MidwifeDiaries #wemidwives that is true. Long katent phase leads to protracted labour and more cs
@EmmaJaneSas
24 February 2015 20:31
RT @DawnT_MW: Have looked after many women admitted during latent phase for support - busy ward means this often doesn't happen #wemidwives…
@annette_anders
24 February 2015 20:31
@Dottymom @WeMidwives - Yes exactly! And also explain that their body is working well and that they have done well #WeMidwives
@Li33ieBee
24 February 2015 20:32
Oh does anyone have any great recipes/suggestions for nutrition in early labour? I suggest oats bananas honey carbs #wemidwives
@DawnT_89
24 February 2015 20:32
@MidwifeDiaries YES! This has been recent experience with inpatient latent phase on AN ward. MW's keen to intervene IMO #wemidwives
@WeMidwives
24 February 2015 20:32
RT @DawnT_MW: @WeMidwives sljvalk @katybeale It's not us or them, can work together collaboratively #wemidwives
@EmmaJaneSas
24 February 2015 20:33
@DawnT_MW important help women to trust in then selfs and bodies to birth http://t.co/nSSoWbRd35 #wemidwives
@EmmaJaneSas
24 February 2015 20:33
RT @CKuponiyi: @DawnT_MW Is it the view that hospital is safer/best? Do we indirectly reinforce this view? #wemidwives
@olvindaRM
24 February 2015 20:33
@YourComforter @sljvalk I hear you. But I like the idea of pain>power. Can't deny it's pain, but opportunities for triumph #wemidwives
@MidwifeDiaries
24 February 2015 20:33
RT @jojolilley: @CKuponiyi @DawnT_MW I think the media representation of two contractions then birth doesn't help. #wemidwives
@WeMidwives
24 February 2015 20:33
@sljvalk @DawnT_MW @jojolilley @SagefemmeSB But must give words for that challenging part of labour, no? #wemidwives
@FWmaternity
24 February 2015 20:33
“@DawnT_MW: @FWmaternitykhft @WeMidwives Were halfway through! Happy you made it! #wemidwives”
@WeMidwives
24 February 2015 20:33
RT @JennytheM: @WeMidwives more input explaining and being fed ? #weMidwives
@Li33ieBee
24 February 2015 20:34
@DawnT_MW @MidwifeDiaries have heard "well she's here now anyway so we might as well get on with her" ARGH!?&$*=,/? #wemidwives
@WeMidwives
24 February 2015 20:34
RT @olvinda: @YourComforter @WeMidwives @sljvalk absolutely #wemidwives
@WeMidwives
24 February 2015 20:34
RT @DawnT_MW: @FWmaternitykhft @WeMidwives Were halfway through! Happy you made it! #wemidwives
@WeMidwives
24 February 2015 20:34
RT @DawnT_MW: @sljvalk @jojolilley @SagefemmeSB @WeMidwives What do you mean by this? #wemidwives
@doulauk
24 February 2015 20:34
RT @DawnT_MW: GOOD EVENING #wemidwives - lets get this chat started! The latent phase is a challenge for women AND midwives; agree?
@EmmaJaneSas
24 February 2015 20:34
@CKuponiyi @DawnT_MW is it because women unsure of what is happening to them fear of birth lack understanding of what body #wemidwives
@EmmaJaneSas
24 February 2015 20:35
RT @sljvalk: #wemidwives I think we should invest more in education. Women should be more familiar with normal prodromal signs
@olvindaRM
24 February 2015 20:35
@YourComforter #WeMidwives @sljvalk transformation, positive pain, working with it not calling something else. Love Nicky Leap's wrk on pain
@WeMidwives
24 February 2015 20:35
RT @FWmaternitykhft: “@DawnT_MW: @FWmaternitykhft @WeMidwives Were halfway through! Happy you made it! #wemidwives”
@WeMidwives
24 February 2015 20:35
@olvinda @YourComforter @sljvalk Beautiful ideology Oli #wemidwives
@annette_anders
24 February 2015 20:35
@katybeale @Dottymom @WeMidwives to forget other signs which indicate labour is progressing #wemidwives
@FWmaternity
24 February 2015 20:35
RT @WhoseShoes: Hope to see some of you at #TwitterNHS tomorrow ?????? @WeMidwives @DawnT_MW #wemidwives #latentphase
@FWmaternity
24 February 2015 20:35
RT @olvinda: @DawnT_MW @WeMidwives yes, women can get so exhausted before labour even begins in earnest #latentphase #wemidwives
@WeMidwives
24 February 2015 20:35
Some trusts have 'nest' for early labourers - does this work? #wemidwives
@EmmaJaneSas
24 February 2015 20:36
RT @JennytheM: Latent phase -different for every woman #weMidwives - important not to focus on what the main percentage of women experience…
@doulauk
24 February 2015 20:36
RT @katybeale: #wemidwives @WeMidwives we need a new role - NHS doulas - who can help women in the 'latent phase'
@WeMidwives
24 February 2015 20:36
Perhaps a national awareness drive on early labour would be beneficial #wemidwives
@FWmaternity
24 February 2015 20:36
RT @WhoseShoes: Hi @WeMidwives. Thanks for amazing support and community building in #MatExp campaign. Have a great #wemidwives #latentphas…
@WeMidwives
24 February 2015 20:36
RT @Annette_Anders: @katybeale @Dottymom @WeMidwives to forget other signs which indicate labour is progressing #wemidwives
@WeMidwives
24 February 2015 20:36
@Annette_Anders @katybeale @Dottymom like purple line ? #wemidwives
@EmmaJaneSas
24 February 2015 20:36
RT @WeMidwives: Perhaps a national awareness drive on early labour would be beneficial #wemidwives
@doulauk
24 February 2015 20:37
@katybeale @WeMidwives Happens at Chelsea & West NEST! NHS paid doulas for early labour support. #wemidwives
@katybeale
24 February 2015 20:37
@Annette_Anders @Dottymom @WeMidwives and expectation of dilation = progression can be a great let down #wemidwives
@MidwifeDiaries
24 February 2015 20:37
@Li33ieBee @DawnT_MW gosh that's so true, have heard it before in those words! #wemidwives
@EmmaJaneSas
24 February 2015 20:37
RT @JennytheM: Going Home in latent phase I say to women "I'm still holding your hand from here " #wemidwives
@beetrooter
24 February 2015 20:37
@Li33ieBee agree with slow release carbs but also just whatever she wants when she wants. Woman full chicken dinner&was happy! #wemidwives
@beetrooter
24 February 2015 20:38
RT @WeMidwives: Perhaps a national awareness drive on early labour would be beneficial #wemidwives
@katybeale
24 February 2015 20:38
@WeMidwives @Annette_Anders @Dottymom noises, looseness of jaw, etc #wemidwives
@doulauk
24 February 2015 20:38
@sljvalk @katybeale @WeMidwives Might have been grandmother, aunties, etc in past. Experienced women. Now doulas fill that role #WeMidwives
@WeMidwives
24 February 2015 20:38
RT @doulauk: @katybeale @WeMidwives Happens at Chelsea & West NEST! NHS paid doulas for early labour support. #wemidwives
@WeMidwives
24 February 2015 20:38
RT @katybeale: @Annette_Anders @Dottymom @WeMidwives and expectation of dilation = progression can be a great let down #wemidwives
@EmmaJaneSas
24 February 2015 20:38
RT @JennytheM: Also emphasise that going home maintains connection with the midwife it does not break it #WeMidwives
@WeMidwives
24 February 2015 20:38
RT @MidwifeDiaries: @Li33ieBee @DawnT_MW gosh that's so true, have heard it before in those words! #wemidwives
@MidwifeDiaries
24 February 2015 20:38
Distraction techniques? One woman watched all LOTR films while latent, by the time ring in fire of doom, 4cm, then nvd :) #wemidwives
@EmmaJaneSas
24 February 2015 20:38
RT @katybeale: #wemidwives @WeMidwives we need a new role - NHS doulas - who can help women in the 'latent phase'
@katybeale
24 February 2015 20:38
@doulauk @WeMidwives oh yes! My midwife friend there says it works very well #wemidwives
@every_bodyMW
24 February 2015 20:39
RT @JennytheM: 50-80 Kcals an hour latent phase - #wemidwives 150kcal per hour active - stress that energy in influences energy out
@beetrooter
24 February 2015 20:39
@WeMidwives is this a institution purpose as women travel far/busy traffic to et to unit? So geographical problem? #wemidwives
@MidwifeDiaries
24 February 2015 20:39
@DawnT_MW how do midwives interfere? ARM, etc? #wemidwives
@EmmaJaneSas
24 February 2015 20:39
RT @doulauk: @katybeale @WeMidwives Happens at Chelsea & West NEST! NHS paid doulas for early labour support. #wemidwives
@olvindaRM
24 February 2015 20:39
“@JennytheM: Going Home in latent phase I say to women "I'm still holding your hand from here " #wemidwives” sweeet
@doulauk
24 February 2015 20:39
@YourComforter @olvinda @WeMidwives @sljvalk What if woman doesn't find them painful? Can still be strong! #WeMidwives
@doulauk
24 February 2015 20:39
RT @katybeale: @doulauk @WeMidwives oh yes! My midwife friend there says it works very well #wemidwives
@WeMidwives
24 February 2015 20:40
@sljvalk Would struggle to empower women as labour is linear, move through phases #wemidwives
@beetrooter
24 February 2015 20:40
@Li33ieBee @DawnT_MW @MidwifeDiaries ahhhhh!!!! Nooooo!!! #wemidwives
@doulauk
24 February 2015 20:40
RT @JennytheM: Going Home in latent phase I say to women "I'm still holding your hand from here " #wemidwives
@annette_anders
24 February 2015 20:40
@Dottymom @katybeale @WeMidwives - Yes true but how many ask how many cm? #Wemidwives
@WeMidwives
24 February 2015 20:40
RT @katybeale: @doulauk @WeMidwives oh yes! My midwife friend there says it works very well #wemidwives
@Li33ieBee
24 February 2015 20:40
@FWmaternitykhft @MidwifeDiaries @DawnT_MW yes Flo and to be fair some women are asking for IOL after protracted early phase. #wemidwives
@doulauk
24 February 2015 20:40
RT @katybeale: @Annette_Anders @Dottymom @WeMidwives and expectation of dilation = progression can be a great let down #wemidwives
@doulauk
24 February 2015 20:40
RT @WeMidwives: Perhaps a national awareness drive on early labour would be beneficial #wemidwives
@WeMidwives
24 February 2015 20:40
RT @doulauk: @YourComforter @olvinda @WeMidwives @sljvalk What if woman doesn't find them painful? Can still be strong! #WeMidwives
@SagefemmeSB
24 February 2015 20:40
@sljvalk @WeMidwives @DawnT_MW @jojolilley don't forget #WeMidwives Simone!
@beetrooter
24 February 2015 20:40
RT @olvinda: “@JennytheM: Going Home in latent phase I say to women "I'm still holding your hand from here " #wemidwives” sweeet
@katybeale
24 February 2015 20:41
@Annette_Anders @Dottymom @WeMidwives it will take work and education to get out of this way of thinking #wemidwives
@WeMidwives
24 February 2015 20:41
Don't forget the # tweeters! #wemidwives
@katybeale
24 February 2015 20:41
RT @WeMidwives: Perhaps a national awareness drive on early labour would be beneficial #wemidwives
@beetrooter
24 February 2015 20:41
@olvinda @JennytheM oh lovely!!! #wemidwives
@FWmaternity
24 February 2015 20:41
“@CKuponiyi: @jojolilley @DawnT_MW The classic 'movie birth' perception, waters go, then mad dash to hospital and baby arrives! #wemidwives”
@katybeale
24 February 2015 20:41
RT @JennytheM: Going Home in latent phase I say to women "I'm still holding your hand from here " #wemidwives
@Li33ieBee
24 February 2015 20:41
RT @doulauk: @katybeale @WeMidwives Happens at Chelsea & West NEST! NHS paid doulas for early labour support. #wemidwives
@Li33ieBee
24 February 2015 20:41
@doulauk @katybeale @WeMidwives Yes this is what I was trying to remember. Great scheme. #wemidwives
@EmmaJaneSas
24 February 2015 20:41
RT @katybeale: @Annette_Anders @Dottymom @WeMidwives it will take work and education to get out of this way of thinking #wemidwives
@annette_anders
24 February 2015 20:42
@katybeale @Dottymom @WeMidwives - Also important to have these discussions over the phone when women phone in for advice #wemidwives
@DawnT_89
24 February 2015 20:42
@Li33ieBee @MidwifeDiaries Yep have heard this! "She's here for a reason..." #wemidwives
@SagefemmeSB
24 February 2015 20:42
@doulauk @sljvalk @katybeale @WeMidwives and midwives! Every woman has a midwife #WeMidwives
@newburydoula
24 February 2015 20:43
@MidwifeDiaries Is anyone supporting thm emotionally & w OFP techniques? Old midwifery skills may help #WeMidwives
@Li33ieBee
24 February 2015 20:43
@FWmaternitykhft @MidwifeDiaries @DawnT_MW more continuity of carer (MW) might help us to determine which applies. #wemidwives
@WeMidwives
24 February 2015 20:43
RT @SagefemmeSB: @doulauk @sljvalk @katybeale @WeMidwives and midwives! Every woman has a midwife #WeMidwives
@olvindaRM
24 February 2015 20:43
Excited about Childbirth:All or Nothing. Tonight BBC1 at 10.45 http://t.co/O68TrxLzlR #wemidwives
@beetrooter
24 February 2015 20:44
@Li33ieBee @FWmaternitykhft @MidwifeDiaries @DawnT_MW agree. Do ant ed w doll&pelvis, leaflets etc2stay postive but is hard #wemidwives
@Li33ieBee
24 February 2015 20:44
RT @olvinda: Excited about Childbirth:All or Nothing. Tonight BBC1 at 10.45 http://t.co/O68TrxLzlR #wemidwives
@WeMidwives
24 February 2015 20:44
RT @newburydoula: @MidwifeDiaries Is anyone supporting thm emotionally & w OFP techniques? Old midwifery skills may help #WeMidwives
@WeMidwives
24 February 2015 20:44
RT @DawnT_MW: @Li33ieBee @MidwifeDiaries Yep have heard this! "She's here for a reason..." #wemidwives
@SagefemmeSB
24 February 2015 20:44
@sljvalk @doulauk @katybeale @WeMidwives and one who is present and trusted-preferably known. Think you have in Holland #wemidwives
@jojolilley
24 February 2015 20:45
When did we start to diagnose #latentphase ? Was it once just known it was early stages? #WeMidwives
@WeMidwives
24 February 2015 20:45
RT @MidwifeDiaries: @DawnT_MW how do midwives interfere? ARM, etc? #wemidwives
@newburydoula
24 February 2015 20:45
@MidwifeDiaries IME actually long latent phase is assoc w fast established! But clients supported at home, using OFP for comfort #WeMidwives
@SagefemmeSB
24 February 2015 20:45
@sljvalk @doulauk @katybeale @WeMidwives add #WeMidwives hashtag Simone or we will miss your tweets!
@SagefemmeSB
24 February 2015 20:45
RT @olvinda: Excited about Childbirth:All or Nothing. Tonight BBC1 at 10.45 http://t.co/O68TrxLzlR #wemidwives
@jayhey65
24 February 2015 20:46
RT @SagefemmeSB: @doulauk @sljvalk @katybeale @WeMidwives and midwives! Every woman has a midwife #WeMidwives
@Li33ieBee
24 February 2015 20:46
@newburydoula @MidwifeDiaries yes I have seen this too. #wemidwives
@EmmaJaneSas
24 February 2015 20:46
@Li33ieBee @FWmaternitykhft @MidwifeDiaries @DawnT_MW maybe it's just women are seeking reassurance that her and baby are ok MW #wemidwives
@DawnT_89
24 February 2015 20:46
@MidwifeDiaries No, but CTG when not indicated, regular VE's, offering pethidine #wemidwives
@sljvalk
24 February 2015 20:46
#wemidwives education and communication are why I developed the http://t.co/EI7ZxNxcVl website
@every_bodyMW
24 February 2015 20:46
RT @JennytheM: Relevant to explain The physiology of what's happening to woman AND family #WeMidwives I show my breathing blog
@WeMidwives
24 February 2015 20:46
RT @jojolilley: When did we start to diagnose #latentphase ? Was it once just known it was early stages? #WeMidwives
@Gibson7CL
24 February 2015 20:46
@WeMidwives @DawnT_MW How do we support women who want interventions in #LatentPhase such as regional analgesia? #wemidwives
@sljvalk
24 February 2015 20:46
@SagefemmeSB #wemidwives I am adding it ??
@johnwalsh88
24 February 2015 20:46
RT @JennytheM: Going Home in latent phase I say to women "I'm still holding your hand from here " #wemidwives
@newburydoula
24 February 2015 20:46
@Li33ieBee @FWmaternitykhft @MidwifeDiaries @DawnT_MW Surely if malpositioning a factor, augmenting is wrong tactic? #WeMidwives
@SagefemmeSB
24 February 2015 20:47
@FWmaternitykhft @MidwifeDiaries @Li33ieBee @DawnT_MW Flo add #wemidwives hash tag or we'll miss your tweets! Lovely to have you here!
@MidwifeDiaries
24 February 2015 20:47
@jojolilley excellent question #wemidwives is it helpful to give it a medicalised name? Are we medicalising and causing issues?
@newburydoula
24 February 2015 20:47
@Li33ieBee @FWmaternitykhft @MidwifeDiaries @DawnT_MW If something is stuck tight, do you push harder or wriggle it free??? #WeMidwives
@Li33ieBee
24 February 2015 20:47
Cat amongst the pigeons... Prim, long latent, "not coping" Diamorph given Sleeps Wakes up in transition. SVB follows. Thoughts? #wemidwives
@WeMidwives
24 February 2015 20:48
RT @CKuponiyi: @WeMidwives @DawnT_MW How do we support women who want interventions in #LatentPhase such as regional analgesia? #wemidwives
@beetrooter
24 February 2015 20:48
@Li33ieBee @FWmaternitykhft @MidwifeDiaries @DawnT_MW yes, returners in latent try& c same women. Continuity keeps family +VE #wemidwives
@sljvalk
24 February 2015 20:48
@newburydoula #wemidwives malpositioning only plays a role after 6-7 cm
@aimeehumphreys
24 February 2015 20:49
RT @WeMidwives: Perhaps a national awareness drive on early labour would be beneficial #wemidwives
@newburydoula
24 February 2015 20:49
RT @jojolilley: When did we start to diagnose #latentphase ? Was it once just known it was early stages? #WeMidwives
@Li33ieBee
24 February 2015 20:49
@newburydoula @FWmaternitykhft @MidwifeDiaries @DawnT_MW obstetric solution often to augment. Synt IVI to improve conts& pos #wemidwives
@JennytheM
24 February 2015 20:49
@quiltpaperlight perhaps thus should be discussed with SoM #weMidwives we are all learning as @SagefemmeSB says
@annette_anders
24 February 2015 20:49
@jayhey65 @Dottymom @WeMidwives - Just like describing VE findings to mentor and mothers as a student midwives #WeMidwives
@DawnT_89
24 February 2015 20:49
@FWmaternitykhft @WeMidwives @beetrooter Have a lot of women on AN ward in latent phase... So interested in other units! #wemidwives
@EmmaJaneSas
24 February 2015 20:49
@CKuponiyi @WeMidwives @DawnT_MW encourage non medical ways of managing such as breathing keeping active relaxation reassurance #Wemidwives
@EmmaJaneSas
24 February 2015 20:49
RT @CKuponiyi: @WeMidwives @DawnT_MW How do we support women who want interventions in #LatentPhase such as regional analgesia? #wemidwives
@WeMidwives
24 February 2015 20:49
RT @MidwifeDiaries: @jojolilley excellent question #wemidwives is it helpful to give it a medicalised name? Are we medicalising and causing…
@FWmaternity
24 February 2015 20:49
@SagefemmeSB @MidwifeDiaries @Li33ieBee @DawnT_MW oops sorry thought it was #latentphase #wemidwives still not good at tweet chats
@newburydoula
24 February 2015 20:49
RT @SagefemmeSB: @doulauk @sljvalk @katybeale @WeMidwives and midwives! Every woman has a midwife #WeMidwives
@SagefemmeSB
24 February 2015 20:49
@sljvalk @doulauk @katybeale @WeMidwives and a doula if possible! #WeMidwives
@EmmaJaneSas
24 February 2015 20:49
RT @MidwifeDiaries: @jojolilley excellent question #wemidwives is it helpful to give it a medicalised name? Are we medicalising and causing…
@WeMidwives
24 February 2015 20:50
@newburydoula @SagefemmeSB @JennytheM @DawnT_MW This should be a future chat topic! #wemidwives
@beetrooter
24 February 2015 20:50
@FWmaternitykhft @DawnT_MW women so diverse all have diff needs, have they done an ed? 1st time? Prev trauma? So many variants #wemidwives
@WeMidwives
24 February 2015 20:50
Home ? The best place for latent phase ? #weMidwives unless malpresentation http://t.co/GZiuHGjVgi
@SagefemmeSB
24 February 2015 20:50
RT @JennytheM: @quiltpaperlight perhaps thus should be discussed with SoM #weMidwives we are all learning as @SagefemmeSB says
@FWmaternity
24 February 2015 20:50
@newburydoula @Li33ieBee @MidwifeDiaries @DawnT_MW what would you do instead when woman exhausted & asking for intervention #wemidwives !
@annette_anders
24 February 2015 20:51
@katybeale @Dottymom @WeMidwives - What has your experience been? #Wemidwives
@beetrooter
24 February 2015 20:51
@FWmaternitykhft @DawnT_MW priority is hearing what's happening & giving best care for HER #wemidwives
@newburydoula
24 February 2015 20:51
@sljvalk Really? Midwives saying e.g. OP might be factor in long latent phase. #WeMidwives
@katybeale
24 February 2015 20:51
@SagefemmeSB @sljvalk @doulauk @WeMidwives or home birth teams - in Hackney we have 5 midwives so u can meet them all b4 labour #wemidwives
@janet_t_55
24 February 2015 20:51
RT:@olvinda: Excited about Childbirth:All or Nothing. Tonight BBC1 at 10.45 http://t.co/E7MMWMsVJl #wemidwives”
@SagefemmeSB
24 February 2015 20:52
@quiltpaperlight @JennytheM and this is why @DawnT_MW wanted chat in first place...sad #wemidwives
@newburydoula
24 February 2015 20:52
RT @beetrooter: @FWmaternitykhft @DawnT_MW priority is hearing what's happening & giving best care for HER #wemidwives
@DawnT_89
24 February 2015 20:52
@FWmaternitykhft @SagefemmeSB @MidwifeDiaries @Li33ieBee You're doing great! Lovely to have you! #wemidwives
@DawnT_89
24 February 2015 20:52
@beetrooter @FWmaternitykhft V good point Jude. Prev experience v relevant to how handles current labour #wemidwives
@Li33ieBee
24 February 2015 20:53
What about more education for midwives about pain. I don't remember being taught anything about pain at uni. It's a huuuuge area #wemidwives
@DawnT_89
24 February 2015 20:53
RT @beetrooter: @FWmaternitykhft @DawnT_MW priority is hearing what's happening & giving best care for HER #wemidwives
@beetrooter
24 February 2015 20:53
@olvinda yes!!! V excited #WeMidwives
@SagefemmeSB
24 February 2015 20:53
@katybeale @sljvalk @doulauk @WeMidwives what about all other women using your service though Katy? Think HB is different/better #wemidwives
@DawnT_89
24 February 2015 20:53
RT @SagefemmeSB: @quiltpaperlight @JennytheM and this is why @DawnT_MW wanted chat in first place...sad #wemidwives
@SagefemmeSB
24 February 2015 20:53
RT @DawnT_MW: @FWmaternitykhft @SagefemmeSB @MidwifeDiaries @Li33ieBee You're doing great! Lovely to have you! #wemidwives
@Li33ieBee
24 February 2015 20:53
RT @DawnT_MW: @beetrooter @FWmaternitykhft V good point Jude. Prev experience v relevant to how handles current labour #wemidwives
@sljvalk
24 February 2015 20:53
@newburydoula #WeMidwives I don't believe in that. If a woman is not progressing she has ineffective cx http://t.co/hQOXNHRUZZ
@SagefemmeSB
24 February 2015 20:54
RT @FWmaternitykhft: @SagefemmeSB @MidwifeDiaries @Li33ieBee @DawnT_MW oops sorry thought it was #latentphase #wemidwives still not good at…
@newburydoula
24 February 2015 20:54
@FWmaternitykhft Was that at me? Twitter chat confusing! Side walking, pelvic stretches, inversions??? Make mum comfy to rest? #WeMidwives
@EmmaJaneSas
24 February 2015 20:54
RT @DawnT_MW: @beetrooter @FWmaternitykhft V good point Jude. Prev experience v relevant to how handles current labour #wemidwives
@annette_anders
24 February 2015 20:54
@parkinsonsdis @WeMidwives - Hope all were ok, Its such a unique, and fascinating process how the body responds #wemidwives
@Li33ieBee
24 February 2015 20:54
@DawnT_MW @beetrooter @FWmaternitykhft again improve continuity of carer. Caseloading win! #wemidwives
@SagefemmeSB
24 February 2015 20:54
@FWmaternitykhft @MidwifeDiaries @Li33ieBee @DawnT_MW we ?? you #FabFlo #WeMidwives
@FWmaternity
24 February 2015 20:54
@DawnT_MW @beetrooter I find more common problem for primips #Wemidwives less frequent in multips except VBAC
@WeMidwives
24 February 2015 20:55
RT @Li33ieBee: @DawnT_MW @beetrooter @FWmaternitykhft again improve continuity of carer. Caseloading win! #wemidwives
@SagefemmeSB
24 February 2015 20:55
RT @WeMidwives: @sljvalk @DawnT_MW @jojolilley @SagefemmeSB But must give words for that challenging part of labour, no? #wemidwives
@WeMidwives
24 February 2015 20:55
RT @SagefemmeSB: @sljvalk @doulauk @katybeale @WeMidwives and a doula if possible! #WeMidwives
@FWmaternity
24 February 2015 20:55
“@DawnT_MW: @beetrooter @FWmaternitykhft V good point Jude. Prev experience v relevant to how handles current labour #wemidwives” true
@EmmaJaneSas
24 February 2015 20:55
RT @SagefemmeSB: @FWmaternitykhft @MidwifeDiaries @Li33ieBee @DawnT_MW we ?? you #FabFlo #WeMidwives
@Li33ieBee
24 February 2015 20:55
I can't believe that @DawnT_MW is tweet chatting from her holibobs! #wemidwives
@WeMidwives
24 February 2015 20:55
RT @SagefemmeSB: @FWmaternitykhft @MidwifeDiaries @Li33ieBee @DawnT_MW we ?? you #FabFlo #WeMidwives
@WeMidwives
24 February 2015 20:55
RT @FWmaternitykhft: @DawnT_MW @beetrooter I find more common problem for primips #Wemidwives less frequent in multips except VBAC
@newburydoula
24 February 2015 20:55
@sljvalk Will have to agree to disagree then! #WeMidwives
@WeMidwives
24 February 2015 20:55
RT @DawnT_MW: @beetrooter @FWmaternitykhft V good point Jude. Prev experience v relevant to how handles current labour #wemidwives
@jayhey65
24 February 2015 20:55
@beetrooter @Li33ieBee @FWmaternitykhft @MidwifeDiaries @DawnT_MW explain latent stage can be slo/stop. Frustrating but normal #WeMidwives
@WeMidwives
24 February 2015 20:56
RT @newburydoula: @sljvalk Really? Midwives saying e.g. OP might be factor in long latent phase. #WeMidwives
@WeMidwives
24 February 2015 20:56
RT @Annette_Anders: @katybeale @Dottymom @WeMidwives - What has your experience been? #Wemidwives
@SagefemmeSB
24 February 2015 20:56
@sljvalk @katybeale @WeMidwives lovely to have you chatting @doulauk ! #wemidwives
@beetrooter
24 February 2015 20:56
@FWmaternitykhft @newburydoula @Li33ieBee @MidwifeDiaries @DawnT_MW always listen but look at other options. Bath?Walking?Food? #WeMidwives
@FWmaternity
24 February 2015 20:56
@newburydoula yes it was I'm interested to know & also if it works in those situations when women exhausted & desperate ? #wemidwives
@sljvalk
24 February 2015 20:56
@FWmaternitykhft #wemidwives primips and multips are totally different in this respect. Multips generally birth efficiently
@DawnT_89
24 February 2015 20:57
@beetrooter @FWmaternitykhft @newburydoula @Li33ieBee @MidwifeDiaries Massage? Birth ball? Cup o tea? #WeMidwives
@DawnT_89
24 February 2015 20:57
RT @Li33ieBee: @DawnT_MW @beetrooter @FWmaternitykhft again improve continuity of carer. Caseloading win! #wemidwives
@beetrooter
24 February 2015 20:57
@Li33ieBee @DawnT_MW @FWmaternitykhft caseload ALWAYS wins #WeMidwives
@DawnT_89
24 February 2015 20:57
@Li33ieBee @beetrooter @FWmaternitykhft THIS! Over and over! #wemidwives
@SagefemmeSB
24 February 2015 20:57
RT @CKuponiyi: @WeMidwives @DawnT_MW How do we support women who want interventions in #LatentPhase such as regional analgesia? #wemidwives
@FWmaternity
24 February 2015 20:57
@SagefemmeSB @MidwifeDiaries @Li33ieBee @DawnT_MW in #WeMidwives tweet chat & sep #MatExp conv on surveys ?????? confusing
@WeMidwives
24 February 2015 20:57
3 mins to go #weMidwives sum up your thoughts ??
@Li33ieBee
24 February 2015 20:58
@DawnT_MW @beetrooter @FWmaternitykhft @newburydoula @MidwifeDiaries Rebozo? A cuddle? Ask if anything particularly troubling #wemidwives
@SagefemmeSB
24 February 2015 20:58
RT @WeMidwives: Perhaps a national awareness drive on early labour would be beneficial #wemidwives
@DawnT_89
24 February 2015 20:58
@Li33ieBee I ?? #wemidwives - never truly on holiday!
@EmmaJaneSas
24 February 2015 20:58
If previous labour traumatic or if not had vb or perv stillbirth woman may be very anxious needs support of staff #wemidwives #WeMidwives
@DawnT_89
24 February 2015 20:58
RT @beetrooter: @Li33ieBee @DawnT_MW @FWmaternitykhft caseload ALWAYS wins #WeMidwives
@DawnT_89
24 February 2015 20:58
RT @FWmaternitykhft: @SagefemmeSB @MidwifeDiaries @Li33ieBee @DawnT_MW in #WeMidwives tweet chat & sep #MatExp conv on surveys ?????? confusi…
@Li33ieBee
24 February 2015 20:58
RT @beetrooter: @Li33ieBee @DawnT_MW @FWmaternitykhft caseload ALWAYS wins #WeMidwives
@beetrooter
24 February 2015 20:58
@sljvalk @FWmaternitykhft have experienced women w Prev instrumental births who hit wall of fear& need lots of latent care #WeMidwives
@Gibson7CL
24 February 2015 20:58
RT @WeMidwives: Perhaps a national awareness drive on early labour would be beneficial #wemidwives
@newburydoula
24 February 2015 20:58
@FWmaternitykhft Usually women are desperate for sleep! If can get comfortable enough to sleep, they can often handle far longer #WeMidwives
@annette_anders
24 February 2015 20:58
@parkinsonsdis @WeMidwives That's lovely. Hope all goes well. Let us know how everything goes #wemidwives
@WeMidwives
24 February 2015 20:59
RT @SagefemmeSB: @sljvalk @katybeale @WeMidwives lovely to have you chatting @doulauk ! #wemidwives
@jayhey65
24 February 2015 20:59
@beetrooter @Li33ieBee @FWmaternitykhft @MidwifeDiaries @DawnT_MW encouraging movement through contractions,rest,massage,hugs! #wemidwives
@DawnT_89
24 February 2015 20:59
@Li33ieBee @beetrooter @FWmaternitykhft @newburydoula @MidwifeDiaries A cuddle - gosh yes. So many women just need loving touch. #WeMidwives
@WeMidwives
24 February 2015 20:59
RT @katybeale: #wemidwives @WeMidwives we need a new role - NHS doulas - who can help women in the 'latent phase'
@olvindaRM
24 February 2015 20:59
@katybeale @SagefemmeSB @sljvalk @doulauk #WeMidwives think home easier for latent phase as never have to make the decision re 'going in'
@SagefemmeSB
24 February 2015 20:59
@katybeale @sljvalk @doulauk @WeMidwives agree Katy! #WeMidwives
@beetrooter
24 February 2015 20:59
@jayhey65 @Li33ieBee @FWmaternitykhft @MidwifeDiaries @DawnT_MW yes! Hearing u are not alone is vital message for women! #WeMidwives
@newburydoula
24 February 2015 20:59
@FWmaternitykhft And diff btn clients/not. I wld always want to be supporting b4 'desperate' point & will have done AN prep #WeMidwives
@WeMidwives
24 February 2015 20:59
RT @Annette_Anders: @parkinsonsdis @WeMidwives That's lovely. Hope all goes well. Let us know how everything goes #wemidwives
@SagefemmeSB
24 February 2015 20:59
RT @FWmaternitykhft: @SagefemmeSB @MidwifeDiaries @Li33ieBee @DawnT_MW in #WeMidwives tweet chat & sep #MatExp conv on surveys ?????? confusi…




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