I agree with Elaine wholeheartedly. I have no desire to do general nursing 
and restrict my jobsearching to hospitals big enough to employ full time 
midwives.
One of the problems not mentioned also is the lack of doctors who can/will 
do obstetrics. Many women are forced to leave their families for long 
periods and travel far because there are no facilities for C/S and of 
course, there is no way you can have a baby if there are not the facilities 
to do an emergency C/S for whatever reason.
The number of social inductions that are done in my centre for the sole 
reason of letting a woman have her baby and get home to her family is 
shocking. I don't blame the OB, his heart goes out to them in their 
loneliness and he aquieses to their request. It is a system which places so 
much emphasis on the need to do an operative delivery which is at fault.
Judy


From: "Dietsch Family" <[EMAIL PROTECTED]>
Reply-To: <[EMAIL PROTECTED]>
To: "midwifery@ace" <[EMAIL PROTECTED]>
Subject: Direct entry
Date: Wed, 28 Jul 1999 20:24:13 +1000

While I agree that Direct Entry would be a wonderful opportunity for women
choosing to be midwives and for many birthing women. I do have a concern
that I would like to share with the list.

My concern is for women choosing to give birth in small country towns all
over Australia.  Rural (let alone remote) Australia is having incredible
difficulty recruiting midwives to practice and as a result maternity
services all over the country are being closed and women are being forced
to larger centres, often many hours away to give birth (A homebirth midwife
is only a  fantasy!). Direct entry may help in encouraging more women to
midwifery.  But, in these small towns the reality is that midwives also
double/triple as accident and emergnecy nurses, gerontology nurses, etc. As
an idealist, I agree that this is awful and plays a role in discouraging
qualified midwives from practising and the health service should realise
this and do something.  As a realist, I must admit (and nearly choke as I
do so) they are - they continue to close down birthing opportunities for
rural women - it makes great sense economically - it is a tragedy for
women, their babies and their families.

My concern is that birthing opportunities for rural women will be even
further reduced if Direct Entry were to be accepted and midwives cannot
also function as nurses in rural hospitals.



Elaine  Dietsch
11 Willow St
Leeton NSW 2705
02 69 533 272
[EMAIL PROTECTED]
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