I went to the information session today and learnt a little more. Not a lot but at least more than I knew yesterday. It looks at this stage as though I am the only external midwifery student going and that most of the others are internals or nursing students, not an issue but it would have been nice to go away to a strange place at least with someone familiar!! It is most certainly going to be an opportunity for me to work on my confidence in myself as well as the nervousness that I still experience.
This trip will take place over 3 weeks, one of those will be spent at the university over there, learning about the culture and the current medical and midwifery system they have. As far as I can gather, it is very old English style midwifery and nursing as they still wear the full kit and hat. It looks very professional but says nothing about their practice at face value.
Labour suites consist of one room separated by a curtain with as many as 6 beds. Privacy is obviously minimal. The smaller of the two hospitals in Sarawak is Miri (where we will be doing our placement) and they have anywhere between 10-20 births a day. When I asked about postnatal, the response was 'there is no such thing as postnatal!' They women stay for 2 hours after they birth and are then sent home.
So 2 of the 3 weeks will be spent at this hospital which should be a culture shock for me and a true realisation of how accustomed I have come to care here in Australia. In many ways I think that maybe they have it right in a sense, in that they have minimal equpiment and send women home. Maybe the hospitals here could take note!
I am eager to see what the the birth numbers are like and I guess the numbers of sections and assisted births, if they even do them! This obviously initiates a heap of quesitons in relation to induction, augmentation, pain relief, etc etc. Is it an option over there and if it isn't, what are the statistics for birth outcomes? Obviously the health system is not as developed but maybe on the midwifery side of things, that is a good thing. All of these things I eager to learn because I do believe that knowledge (in a sense), precaution, equipment and intervention in midwifery cause more problems than they fix.
Labels: Malaysia Trip