Dear Marilyn I understand DE midwives are best getting their initial registration in NSW and then using the national equality of registration to get registered as you say with the limit in other states as most/all Aust has a nurse registration with midwifery division. As you are going to NSW and in particular StGeorge I feel you will find out alot of interesting things about practice there and from the midwives of the NSW Midwives ass. I see from your email to Meaghan you are aware/in contact with people on the BMid program I presume this includes Nicky Leap as a DE midwife who works between states she probably has the most knowledge about this matter? Regarding practice I only know of WA - the hospitals do active management whilst the CMWA midwives do physiological but so far I am not aware of anyone tucking a woman up to sleep with the placenta in situ!
I will share this reply to the list that you may get some more info re Aust situations and also I would like to share your experiences with an Aust friend who is deep into what I see as out of control Obs in California!! Her stories make Aust hospital practice sound almost midwivfery except I have home experience to compare both by. Such that now I feel/know that for the majority of women to be as physiological as they can be they need to be in their own home and similarly for midwives to truly be with women on their (woman's) journey likewise!! And that is no ref;lection on any midwife or their practice!! Denise ----- Original Message ----- From: <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Thursday, December 06, 2001 1:34 AM Subject: Re: Birthing Stool Policy > By all means Denise, share it with the list. I am returning to the US briefly > after mid February, to take my final state exams and then to wait for my > daughter to graduate from nursing school. I plan to return to Australia > permanently towards the end of 2002. Since I am not an RN, I am not entirely > sure what this means in relation to practising midwifery in Australia. I have > received some information from the web that indicates I should apply to the > Nurses board for registration and may received a restricted nursing licence > to "only" practice midwifery. However, I am not totally sure that this will > apply to my US direct entry midwifery credential (CPM (certified professional > midwife and LM (licensed midwife) as I believe (perhaps erroneously) that > midwives who have received these restricted licenses in the past have been > either Canadian, New Zealand, or British and their training includes much > more hospital experience of which quite honestly, I have very little. If I > cannot qualify for the restricted license to practice midwifery I plan to > apply to the B. Mid program for 2003. > > Thanks so much for all the advice on body mechanics. I have been blessed much > of my life with a body that has accepted a fair bit of punishment in the > sense of lots of outdoor activity: hiking, camping etc. with little > preparation. I am aware I have to become more nuturing to myself. I am not > doing prolonged squats except with a primip with an enduring crowning, where > we tend to do a lot of perineal support as well as listening to heart tones. > I and the midwives I am precepting with, have read the literature on keeping > our hands off the perineum more, however our mom's seems to like the support > and in the event that they tear, feel that all was done that could be done to > prevent the tear. We don't use the stool at my current practice, but do get > into every imaginable position. The midwife I worked with in California took > it to every birth and probably 3/4 of the mom's there delivered on it. > However we got the mom's onto the bed ASAP for 3rd stage (which I found a > little strange). I am really looking forward to learning how midwives in > Australia handle third stage especially truly physiologic third stage. Here > we tend (I think) to rush the placenta despite being reluctant to use > pitocin. So, we do a considerable amount of cord traction, which I know is > unsupported in the literature, but seems to be the comfort level for midwives > here. In our hospital births, I feel even the docs are more calm about third > stage (though since we have usually transferred for augmentation, they do > already have pit on board). I am probably speaking (writing) out of naivette, > so I am really looking forward to seeing 3rd stage managed in a more > physiologic way (I hope). > > marilyn -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
