E 'on Monday. hairdressers and restaurants are closed, there were few people. Could have been worse on a Saturday or Sunday because then the room is filled with drunks, accidents, medium and large traumatized. The restaurants are open, parruchcieri well. But also clubs and social centers. E il pronto soccorso il fine settimana si riempie come il Billionaire a ferragosto.
Il pronto soccorso! In tutto l'ospedale c'è solo un altro luogo che gli somiglia. Imprevedibile, a volte affollato altre vuoto. E' la sala parto.
Quante saranno le neomamme questa notte? Dipende dalla luna, dipende dal caso, dipende da quante donne la carta dei servizi è riuscita ad attirare.
Quante neomamme ha diplomato quest'ospedale nel 2010? 300? 500? 1000? 3000? E quante in media in un giorno?
Ecco, la media. Difficile dirlo. Come al pronto soccorso. Dipende dalla partita e da chi gioca, dalla tifoseria e dal servizio d'ordine. Se c'è il derby Roma-Lazio son dolori. So the emergency room can have an entire curve or just a patch and mend scottaura to fix.
So the small hospital that you have chosen precisely because small, could have two mothers in labor, or none, or ten. It depends on the derby.
But how? I came here to give birth to my chick just because you do share, because support is more "human" time "respectful" of the physiology of labor and you doing? I attached the bag of oxytocin, leave me alone glued to the track? Midwives peek occasionally to see if everything "goes" and then leave. So what?
I go home, disappointed and angry. I studied a lot: Leboyer, Odent, Scropetta and Malvern. On natural childbirth, awareness (mine and my body) I knew everything. In your course of prepartum I killed biofeedback and positive views and you doing? I fast-track delivery with oxytocin. I punctured the bag with the pin. I do not see either. Manco a massaggino, a cuddle.
And I come home and find that my neighbor gave birth between shiatsu and massage bathtubs full of water, walking over and rolled into a ball. In notisisma butcher midwife in my house!
What happened?
A DRG for a physiological birth is less than one arthroscopy. And now even a birth surgery will be worth less than a trivial knee surgery. The
ostericia not worth anything. In the market of the hospital delivery room is a blank to be missed.
And it is empty. There are few midwives, especially on Sundays when there is the Roma-Lazio derby. A few labor rooms. And on Sunday (also famous for the derby of the moon) can be filled to bursting: the screams and moans of women in labor, husbands and friends silent and embarrassed (I do? Obstetrics suffers give a Buscopan! O epidural .. .. if any).
And unfortunately it can happen as the emergency room. Sudden and unpredictable. Here comes the emergency. That may relate to one, but two people. It is a small, so small that he needs her doctor (neonatal) and an anesthesiologist who knows how to intubate a little thing so small. But the hospital holding
anesthesiologists are few and working on several fronts. The midwives at times can be counted on the fingertips of one hand. And the gynecologist is doing the counting on three pregnant women to complete dilatation: which make up the first ever?
The neonatologist? There is one in two chance that after 20 is back at home.
Childbirth you know, you can not plan. How come you can not predict how many women soffinado as bellows to the emergency room before being sorted in ostericia.
But the local health plan anyway. Like it's always Monday morning. As if the hair stylists, restaurants, nightclubs, community centers, liquor outlets and pushers were closed for holidays. As if in a hospital in 3000 shares arrived more than two years for women in labor at night. A misaligned labor: one to two centimeters of dilation and the other ten already ejected.
And the women who come have studied and read and have informed much. On all but a fundamental issue. On how a hospital really works. How they are spent (or not spent) the money of their taxes. They dream
massages, hot components, a delivery room pink and possibly empty, filled only by their vocalizations, vowels of Leboyer.
And when the stage falls, when things do not go as we dream, when he gets close to our dream and we start from the nightmare that we secretly hoped, then we get angry.
With the inns and gynecologists, with the anesthesiologist ghost that has not materialized, with the ACSA neonatologist remained with the hospital that is not the place to give birth. So we meditate revenge and the next time we do it at home the baby. Why not give us dreams, childbirth mometo is a magical and almost always unique in Italy (1.2 children per family) and so we must go there as we planned. And how
ASL plan spending cuts midwife to dreams and save money, we program on the basis of visions. Contact with the deepest part of ourselves hidden, deep-rooted awareness about serious and accredited nights of study guides and books for pregnant women, promises of empowerment.
And if the dreams of pregnant women sometimes are not compatible with a hospital, they are more with the visions of the ASL. Who dream of a free hospital finalemnte these women with the belly, which occupy too many beds, which require too personal, too many facilities and too many rallies.
no decision is taken to give birth all together and forcing hospitals to pay for midwives che si girano i pollici, anestesisti ostetrici che giocano a freccette con gli aghi della peridurale, ginecologi e neonatologi che si fanno un giro di scala quaranta. Perchè è lunedì, perchè non c'è Roma-Lazio, perchè la luna non è quella buona. Perchè il parto non si programma e un programma di spesa per il parto è sempre al ribasso.
Perchè investire tanto per un evento naturale, fisiologico e da demedicalizzare? Perchè puntare su concetti così allarmanti come sicurezza materna e neonatale?
Perchè rovinare i sogni di tante donne?
E se mai dovessimo deluderle, meglio indirizzare rabbia e frustrazione su chi in sala parto ci lavora. E non su chi ha la responsabilità di far lavorare i punti nascita, come se fosse sempre domenica. Come se ci fosse sempre il derby Roma-Lazio sotto una bella luna nuova.
0 comments:
Post a Comment