Yes Joy I agree

Those 'midwives' that work in maternity settings offering fragmented 
care to women should have some type of restriction on their 
practices. They are not 'qualified to practise in any setting' as the 
international definition of a midwife states they are.

Those midwives working in birth centres and taking on their own 
caseload within a hospital or other community setting should be 
endorsed on their annual renewals as 'midwife practitioners' 
indicating that they run able to function as autonomous 
practictioners ( i.e. primary carers)

I would like to see the ACMI Accreditation program extend to these 
practitioners with the ultimate goal of having every midwife who is 
in clinical practice operate as Accredited IPMs with the College. 
(providing the College is able to provide adequate PI for it's 
accredited members)

The latest edition of Margaret Myles textbook devotes quiet a large 
slice of their definitions and descriptions to independent midwives 
as they have now had to acknowledge the midwives working within the 
European and the New Zealand maternity systems.

Jan
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  Jan Robinson                                  Phone/fax: 011+ 61+ 
2+ 9546 4350
  Independent Midwife Practitioner                      e-mail: 
<[EMAIL PROTECTED]>
  8 Robin Crescent                                      www: 
midwiferyeducation.com.au
  South Hurstville  NSW  2221                   National Coordinator, ASIM
__________________________________________________________________________
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