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WORKING AS A COORDINATOR MIDWIFE IN A TERTIARY ...

WORKING AS A COORDINATOR MIDWIFE IN A TERTIARY ...

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normal deliveries and nothing bad has happened or if it has, if there has been an<br />

emergency, its been dealt with well; that’s a good day.<br />

Everybody needs good days. In tertiary delivery suites every day is unpredictable. Irene<br />

spoke about the need to look at the positives and here, Alice describes the positives that<br />

help to make her feel good. Her description of good days is when there is normal birthing<br />

and she evokes a sense that babies have just ‘fallen out’ with ease in her workplace where<br />

women often require intervention and assistance for birthing. Her good days are when<br />

births are midwifery led in the absence of obstetric intervention, midwives and colleagues<br />

have time for each other, there is nurturing, caring, teamwork and fluidity in the day and<br />

an absence of undue tension.<br />

Coordinators can rejoice in the good days and need these days as their balance; however<br />

the stories in this study will reveal mostly the tensions and challenges of the job and the<br />

skills these coordinators bring to their roles as leaders.<br />

In the Eye of the Storm<br />

Coordinators know they are working in a high risk environment with the unexpected<br />

often revealing itself with no warning within their complex working environment. The<br />

analogy of being in the centre of a storm may conjure a variety of images to the reader.<br />

Storms are unavoidable parts of life experiences to which we each react differently. Some<br />

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