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"Lack of Birthing Pool Options"

About: Kununurra Hospital / Maternity Ward

(as the patient),

Why is a birthing pool not an option in Kununurra? I have birthed two babies at Kununurra District Hospital and having another in the near future. Being in such a regional/remote location I believe we are very limited on the models of care we can select. I feel continuity of care is very limited, and dare I say, I believe close to non existent with apparent staff turnovers. I understand women with the slightest "complication" are encourage to go to Perth or Darwin, I believe often resulting in weeks being away from home and family and not to mention the out of pocket expenses.

We do not have a Birth Centre, no access to a private Obstetrician (as far as I'm aware), there are no Home Birth Midwives in town, I feel expectant mothers have limited options. I understand that if you birth at Kununurra District Hospital you will be in one of two rooms which I feel are very clinical. Based on my experiences, I believe you have no idea who will be your midwife until you get to the hospital, and no matter how much you prepare to have one of the midwives on staff, I feel staff turnover often means it's very likely you will be arriving to an unfamiliar face and have to learn very fast what they will and will not "allow" you to do. I feel women then need to stand up for themselves, making the environment quite stressful.

I do not blame the midwives in Kununurra for this apparent lack of continuity. I feel they do the best they can with the resources they have. I was privileged to have two incredible midwives at the birth of my second child and cannot fault their care (the Obstetrician is a story for another day). I believe seeing the same midwife at each antenatal appointment helps create a rapport and I am very grateful for that. However, not knowing which doctor you will see from each appointment until they open the door, I feel creates another layer of anxiety with each having a seemingly different agenda and some being more patient focused than others.

Back to my main point. What is the reason behind not having access to a birthing pool? My births were very different from one another, the first being very traumatic after a cascade of interventions and the second being a very calm, physiological birth. The one consistent thing was that I wanted to be in water as I found that very calming. Thankfully for me my labours were relatively short and the shower sufficed for most of it. However, I feel there is ample space in the birthing suite and in the bathroom to have a birth pool and I cannot help but wonder how much more relaxed I would have been if I had been fully submerged in water. I have had acquaintances who I understand have been refused to even bring their own birth pool in.

Why are birthing women seemingly refused the one thing that I feel could help calm their bodies and minds? Submersion in water has so many benefits during labour and birth, and we learn about that at antenatal classes. I don't understand, why something seemingly so simple, is not offered, purely (in my opinion) based on our location. If someone could shed some light on this it would be muchly appreciated.

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Responses

Response from WACHS Kimberley last month
Submitted on 25/03/2024 at 2:08 PM
Published on Care Opinion at 2:33 PM


Good Morning falconknx7,

Thank you for your enquiry.

Unfortunately, the birth pool option has been something that has been up for discussion in Kununurra District Hospital for some time, due to many reasons the hospital does not support this option of pain relief at this time.

Our GP Obstetric team have been included in very recent discussion surrounding this topic as our community have been requesting a birthing pool, our Dr’s are not comfortable with this option at this present time. However, it is a subject that will be looked into further within the medical team.

I am aware the Kununurra Doula has birth pools she rents out, but my understanding is our hospital plumbing does not facilitate emptying of the pool in an emergency situation, neither do we have the ability to ensure the correct water temperature in the pool.

Despite Kununurra being limited for models of care, I do believe we provide a great service with the resources that we do have. We can offer “Meet the Midwives” in the month coming up to your due date so you can meet the midwives that are in Kununurra around your due date.

Also, for continuity of care perhaps you would consider having our very enthusiastic student midwife “Gen”. She offers a follow through continuity of care experience. Gen would be a familiar face antenatally and through your labour and advocate for your birth preferences at all times. If you would like to find out more about this, please call our maternity unit and we can talk to you about this program.

Our labour ward bathrooms a very roomy and there is plenty of room to sit on a fit ball under the shower during your labour. This is very effective to help with labour pain and very safe, as there is no water to empty in case of an emergency.

We completely understand your frustration regarding the lack of a birthing pool in Kununurra, we encourage the use of showers and warm water during labour to help with pain relief.

Please do not hesitate to call the midwifery unit if we can be of any help at all.

Many thanks for taking the time to contact us.

Clare Davies,

A/CNM Maternity Kununurra Hospital

9166 4222

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