This is about harmful institutional policies. . And about how my hands be tied behind them 😫 . . The MIC (hospital) must be committed to utilizing best practice, and best evidence along with the standardization of low risk care for low-risk people. All the time! Without being asked! Because it’s the right thing to do not because you’re able to cram more people in. Not because you are trying to schedule a normal process into a conveyer-like predictable system (spoiler- that $hït don’t work like that). Not because you are willing to acquiesce to evidence based labor and birth preferences, but only when someone asks you to or calls out your wack-@śš policies. . The best ingredients, and the best intentions don’t mean anything when the institution themselves continue to place their best interests into profits, power, and ego, above doing the right thing for the pregnant clients they serve. . No matter how nobel your intentions may be as a Midwife, you’re still bound by institutional policy which might not be reflective of midwifery philosophy, rather built to accommodate high volume and fast pace care as a priority. . I was always thinking 🤔 What exactly do you think I’m supposed to do make sure that patients are always getting the lowest intervention labor and birth experience when there isn’t anyone there (almost literally) fighting for it? . Shouldn’t everyone be following the same tenets of facilitation of normal physiologic birth? Patients have to know what to ask for, what to defer, what to decline. And that’s a shame. Because what happens when you don’t know the evidence? Trust and believe we’re gonna give you everything that in our best interests as a very well oiled machine (see interests mentioned ☝🏾). Policy shmolicy 🤗 . #hospitalmidwifery #laboranddelivery #pregnancyannouncement