>
>Hi all
>Does anyone know why the Senate Committee has been set up. it may help =
>with how we put it all together? Is the ACMI putting one together and =
>will members have an opportunity to contribute?
>
> The WA Legislative Assembly held a Select Committee on Intervention in =
>Childbirth (1996). It's pretty comprehensive and had some really good =
>stuff in it and recommendations some of which were related to private =
>practice and other forms of midwifery care. Jill Thompson and I think =
>that it may be worthwhile for people especially WA residents to use the =
>same recommendations and ask why most of these have never been =
>implemented!
>
>Some of the ones I really liked:
>a..  The Health Department of WA (HDWA) should conduct a campaign and =
>provide funding to selected consumer education groups to raise public =
>awareness of the different models of maternity care available to women =
>and to address community attitudes and expectations as a part of public =
>health;
>    a.. The Federal Government should provide Medicare rebates for women =
>who choose to be cared for by a midwife in private practice;
>    a.. Money from the State health budget which might be saved if the =
>caesarean section rate is reduced or if more women opt for early =
>discharge from hospital must be utilised to provide education programs, =
>postnatal domiciliary care programs and funding for the provision of =
>alternative birthing services
>    a.. Professionals working in the area of obstetrics must be familiar =
>with recommended best practice which is based on scientific evidence
>    a.. Research should be conducted into methods of reducing the =
>caesarean section rate in older women and there should be educational =
>material provided to these women to reassure them of the safety of the =
>methods
>    a.. More research should be done to determine  the relationship =
>between epidurals and short and long term side -effects.
>    a.. A special capital works program should be launched with State =
>and Federal Health departments and the Lotteries Commission of WA to =
>jointly fund the capital requirements to establish new programs of =
>models of maternity care which emphasise the role of the midwife and GP =
>in the management of low risk pregnancies .....
>    b.. Shared care between GPs and midwives with the midwife having the =
>lead role in low-risk deliveries should be practised more widely in WA. =
>This model facilitates continuity of care and reflects mutual =
>recognition of the skills of both midwives and GP obstetricians in the =
>provision of maternity services.
>    Carol
>
>------=_NextPart_000_00A1_01BECDE5.139E5120
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><HTML>
><HEAD>
>
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><DIV><FONT color=3D#000000 size=3D2>Hi all</FONT></DIV>
><DIV><FONT color=3D#000000 size=3D2>Does anyone know why the Senate =
>Committee has=20
>been set up. it may help with how we put it all together? Is the ACMI =
>putting=20
>one together and will members have an opportunity to =
>contribute?</FONT></DIV>
><DIV><FONT color=3D#000000 size=3D2></FONT>&nbsp;</DIV>
><DIV><FONT color=3D#000000 size=3D2>&nbsp;The WA Legislative Assembly =
>held a Select=20
>Committee on Intervention in Childbirth (1996). It's pretty =
>comprehensive and=20
>had some really good stuff in it and recommendations some of which were =
>related=20
>to private practice and other forms of midwifery care. Jill Thompson and =
>I think=20
>that it may be worthwhile for people especially WA residents to use the =
>same=20
>recommendations and ask why most of these have never been=20
>implemented!</FONT></DIV>
><DIV><FONT color=3D#000000 size=3D2></FONT>&nbsp;</DIV>
><DIV><FONT color=3D#000000 size=3D2>Some of the ones I really =
>liked:</FONT></DIV>
><UL>
>    <LI><FONT color=3D#000000 size=3D2>&nbsp;The Health Department of WA =
>(HDWA)=20
>    should conduct a campaign and provide funding to selected consumer =
>education=20
>    groups to raise public awareness of the different models of =
>maternity care=20
>    available to women and to address community attitudes and =
>expectations as a=20
>    part of public health;</FONT></LI></UL>
><UL>
>    <LI><FONT size=3D2>The Federal Government should provide Medicare =
>rebates for=20
>    women who choose to be cared for by a midwife in private=20
>    practice;</FONT></LI></UL>
><UL>
>    <LI><FONT size=3D2>Money from the State health budget which might be =
>saved if=20
>    the caesarean section rate is reduced or if more women opt for early =
>
>    discharge from hospital must be utilised to provide education =
>programs,=20
>    postnatal domiciliary care programs and funding for the provision of =
>
>    alternative birthing services</FONT></LI></UL>
><UL>
>    <LI><FONT size=3D2><FONT color=3D#000000>Professionals =
></FONT>working in the=20
>    area of obstetrics must be familiar with recommended best practice =
>which is=20
>    based on scientific evidence</FONT></LI></UL>
><UL>
>    <LI><FONT size=3D2>Research should be conducted into methods of =
>reducing the=20
>    caesarean section rate in older women and there should be =
>educational=20
>    material provided to these women to reassure them of the safety of =
>the=20
>    methods</FONT></LI></UL>
><UL>
>    <LI><FONT size=3D2>More research should be done to determine&nbsp; =
>the=20
>    relationship between epidurals and short and long term side=20
>    -effects.</FONT></LI></UL>
><UL>
>    <LI><FONT color=3D#000000 size=3D2>A special capital works program =
>should be=20
>    launched with State and Federal Health departments and the Lotteries =
>
>    Commission of WA to jointly fund the capital requirements to =
>establish new=20
>    programs of models of maternity care which emphasise the role of the =
>midwife=20
>    and GP in the management of low risk pregnancies .....</FONT></LI>
>    <LI><FONT color=3D#000000 size=3D2>Shared care between GPs and =
>midwives with the=20
>    midwife having the lead role in low-risk deliveries should be =
>practised more=20
>    widely in WA. This model facilitates continuity of care and reflects =
>mutual=20
>    recognition of the skills of both midwives and GP obstetricians in =
>the=20
>    provision of maternity services.</FONT></LI></UL>
><DIV><FONT color=3D#000000 size=3D2></FONT><FONT color=3D#000000=20
>size=3D2>Carol</FONT></DIV></BODY></HTML>
>
>------=_NextPart_000_00A1_01BECDE5.139E5120--
>
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