Webinar # 6: Wahine and Pepi – Obstetric emergencies in rural places

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Webinar now up on YouTube if you want to watch (and didn’t make it to the session.)

Celia’s Slides

Brendan’s Slides

 

Audio only version is also available on podcast player of your choice.

Available on iTunes or any other podcast apps


 

There was an additional question that has been subsequently been answered:

Can you ask Celia/Brendan for advice about navigating responsibilities with midwives in acute situations? Who’s responsible for what?

From Brendan:

It’s a very good question and I suspect trickier in the acute situation in rural areas.

In larger units the team is called and in essence a ‘referrla of care’ has happened at that point and thus the obstetric team has ‘taken responsibility and lead the team.

I think this is how to interpret s88 and the specific NZ legislation (which has some very specific provisions that guide when care is handed over to an ‘obstetrician’). I know this provision fairly well as we’ve sort clarity (and with Celia’s help) have this extended to include Extended scope docs like Alan and myself.

What is less clear to me is exactly the scenario described where there isn’t an obs doctor. I’d have thought therefore that the primary responsibility remains with the LMC.

BUT this is a slightly different question to “who’s responsible for what” – and a bit like a trauma I suspect that the colleges would advocate for good communication and team based care. I think it’s a tricky as we’re used to being the point of referral and normally if we’re asked to be involved we’ve assumed that we are the team lead. I guess the problem becomes if the outcome is sub-optimal then how will the HDC view it??

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