Ten O'Clock News

What's that? Well, light's on there. We really talk about how we decide what we have which is important and what we need to do. Oh, you said it doesn't matter. I mean, I can say this very hard. Follow. Just follow it here. Anyone who should speak at this moment, you can come to the party. Okay, I know.

I think it's like, do you think I could just try to thank you for having me with them. Then I'll ask that China's world. Thank you. Thank you. Thank you. That's a problem. I feel like China's gonna have that shot in the hand for applause. I was thinking about doing all these calls... You're going to have wear and tear if you drive a car at the time to get worn out. Yeah, so wear and tear is a lot slower on a car you leave parking in the garage.

No, I want to get in a place where there's a petrol. Oh, we're going to stand up. I can't from love letting you know. So we should have twice as many as we need. I think if you get monogamous, the reporters give monogamous those mic sustained. Yeah, well, I'll get down. Who else uses them all the time? Roger has been short one of the long time. I know. My only defense is, you know, like to go to one shotgun stuff. There are smaller Sony mics as an ECM-16.

You see the thing with the dancer mic, which is the 50's on her, said they've got a battery in. Just like the old shotgun, instead of batteries. Which means they could push out more gain, extra gain. Where's these though? They're dynamic. There's no extra amplification. So here's the old center switch. What do you do for a light? The roll-in.

So we're now on shape, huh? Okay. Is this your first baby? Yes, it is. How did you come to decide on a nurse midwife? Well, I actually didn't decide on a nurse midwife. They decided for me. Because when you come to the clinic here, you're assigned to a doctor and a midwife. And you go throughout the pregnancy with the same midwife and doctor. That's how I came to decide. Have you decided for delivery? Well, I've talked to Virginia Kendall, who is my midwife. She said that they probably wouldn't be starting quite yet when I delivered.

As far as deliveries go. I'll probably wait till the second baby if I have one to decide. But I would prefer to have her deliver my baby. Is it... Did you feel sort of... Were you put off at first when you were confronted with a midwife who came in here to the clinic? No, I think even if you go to a regular doctor's office, there's always a nurse or a nurse's aide there or somebody to talk with you most of the time. I really enjoyed it and I have enjoyed it so far because I get to know more and she spends more time with you than the doctor does. If someone were to ask you someone who could expect a normal delivery, of course they should follow, what would you recommend and why? If somebody asked me... If they should go to a conventional obstetrician or come to a nurse's midwife. Someone who would appear likely to have a normal delivery.

Which would you recommend and why? Well, for myself, I like the midwife, but some people are very... They are put off by the midwife, because they're used to hearing bad obstetricians all the time. You know, I would say to them that the nurse usually spends more time with you and gives you a lot more... and she also has a lot of times had children in self and she can relate her experiences to you. But some people still would not go near a midwife. They would much prefer the doctor. Because otherwise, they would do next to it. That's actually... I wouldn't really recommend it and see what they wanted to do. Okay, thank you. Oh, sorry. That's good. Oh, sorry.

You don't like this chair, do it? You won't just talk back and forth. Great. The chair is like the talk. Well, they might be certified, you know, by the time your baby is due. I heard June 17th in there. They might be... They might have the Board of Registration. All right, this first question may seem a bit intemperate, but I don't think so. Because Massachusetts was held out and held out and held out about not letting midwives deliver. And people said it was because abstractions didn't want to see their business cut into it. Why do you, as an abstraction, feel so comfortable about working with midwives? Well, mainly because of my training,

I was trained in the British system of obstetrics and gynecology with a midwife certainly formed an integral part of our system. And I personally found it would find it very difficult to manage a labour without the help of midwives. A well-trained midwife certainly is worth the weight in gold. And I see no reason whatsoever why these people who are well-trained, well-educated should not carry on a natural process of events. You look off the patient throughout the anti-nital period, the pre-nital period, and then comes the labour, and certainly they excluded from the whole natural conclusion of the event. And there's no reason why this should not take place, provided everything is normal, and no medical intervention is necessary. Is it true that the hard part of a normal labour and delivery is the labour and not the delivery? It depends what you mean by hard. Hard from, you know, don't quite understand the meaning good, hard. Well, the difficult portion, the kind that's hard to manage. Well, let me turn it around this way. Some of the people who are into, quote, natural child,

will say that obstetricians will unnecessarily speed up labour with pathosin because they don't want to be around, they pay all that attention and so on and so forth. So what I'm asking you is the nurse midwives expertise in that she's able to stay with the patient throughout labour. Sure, right. She is going the confidence of the patient, as one hopes a doctor as well, during the pre-nital period, she's got to know the patient who likes her, dislikes her, whims her fancies, and once a provider gets to know her patient well, or he's patient well, it's much easier to manage these patients. Therefore, my personal experience is that these patients in require less medication, and they tolerate the labour's better. And then, as far as the actual delivery is concerned, by and large, there's not a difficult process. Provided everything is normal. It's a natural event. It's just an extension of what has been going on nine months before. And it seems that this is just a natural extension of a provider taking place of a normal, taking her part in a normal physiologic state of affairs and process. So there's less of an aid for medication like the pathosin and so on and so forth?

Right. Provided everything is normal. There's medical indications for the pathosin and for epidurals and for anesthesia and ulgesia. But these are remain medical indications and are not psychological indications on the part of the patient. Okay. And what about... Those midwives, do they perform the episiotomy if it's necessary? Sure. If it's necessary, then the midwife is trained, can well perform the episiotomy. And in addition, there's no reason why she can't suture it. Under the supervision of a trained doctor, she's self and where I come from, as I said, where we were brought up, the midwives actually went one stage further and taught other midwives on deliveries, normal techniques, and in addition, in the teaching hospitals, actually taught medical students. And most of us learned how deliveries from midwives. Okay. So one other question. How you've been able to manage since last September without them? Not with ease. Sure one can do without midwives. It's not of doing the delivery yourself.

But somehow, no, that's not the same natural extension of a normal event with the patients not having the midwife there, but rather the drama of the doctor and the all of the labour ward with all the instruments and so on. And it tends to lose the natural spontaneity of the normal labour act. It's perfect. Good interview. Thank you. On Beacon Hill. She will sit, I'll give you a phone number if you want to. So, let's see, you should be talking now. Nothing of consequence, if you like. You can tell me what it's like upon the 8th floor. I've been there once from my wife. We have a seasack. Did you live over here? Yeah. Mostly talked about the baseball game at our home. Well, did you present during the Siserin section, actually in the operating room? Yeah, were you a trained father? I think we're always talking about trained mothers, what about training fathers?

And this is another function of the midwives. Well, the team is not to speak about midwives specifically. They speak about midwives as part of a team consisting of obstetricians, midwives, or everyone else that you see working in an office set up like this, and in the labour ward itself, the labour ward nurses. The operating room nurses should have been necessary, the needs theologists, the pediatricians. It's all part of one big team with the end result, one hopes a healthy mother and a healthy baby, and this is usually the case. And I think the father of the child is also part of a team, and he should also be trained. And if you've got a well-trained mother and a well-trained father, that goes a long way. I mean, do the same thing, but for a little bit. Oh, okay. It goes a long way towards giving a healthy psychological healthy pregnancy. I'm sorry, this way. Ah, okay. All right. Let the pull it down. Onstance theory.

Okay. This is take one. Five, four, three, two, one. Midwives. Four out of five babies in the world are delivered by them. In many places that have better... We got to take two. Five, four, three, two, one. Midwives. Four out of five babies in the world are delivered by them. In many places that have better rates of infant mortality than the United States. Many people are inclined to think of midwives as untrained, perhaps toothless old grannies. But the truth is, in the United States, our trained as registered nurses with additional advanced training in normal obstetrics. Are you ready, David? Okay.

Take three. It is five, four, three, two, one. Midwives. Four out of five babies in the world are delivered by them, including some of the countries that have the best infant mortality rates in the world. But many people here are inclined to think of midwives as untrained, perhaps old toothless grannies. But in fact, in the 47 states in the United States that now allow midwives, their registered nurses with advanced training in obstetrics. I think we'll work either. I think we'll take two. I think we'll work either.