Dear Joy

Is it possible for you to also forward to me a copy of the draft of the
National Plan for Community Based Midwifery.

Thanks alot
Lorraine Sharpe
'Goldfields Birthplace'


----- Original Message -----
From: Johnston <[EMAIL PROTECTED]>
To: ozmidwifery <[EMAIL PROTECTED]>
Sent: Tuesday, January 22, 2002 5:56 AM
Subject: RE: activism


> Dear Macha
> It's music to an 'older' activist's ears to hear you say "I'd love to
start
> a natural birth and child care movement where I live!!!".  You have taken
> the first step.  Please keep going.  This group has the people and
> knowledge to help you do just that.
>
> It is truly reprehensible that small community hospitals are closing
> maternity services, and this has been happening for years.  It goes
against
> world standards for best practice:
> "The district is the basic unity for planning and implementing [maternity]
> care" (WHO 1994 Mother-Baby package.  Implementing safe motherhood in
> countries.)
>
> You are correct in suggesting that midwives should be able to provide the
> basic service for the majority of pregnant women throughout pregnancy and
> birth and thereafter. That's what midwives are supposed to do.  The women
> who develop medical or obstetric complications may need to be transferred
> to a bigger unit, and most of them will know that in advance of labour.
> Closing local maternity units means that ALL women are treated as if they
> have complications.  Inductions for reasons other than acceptable medical
> reasons become more common, often because distance of travel becomes an
> issue, and the cascade of interventions sets in.
>
> If you are serious about starting a natural birth and child care movement,
> see if you can find a couple of other women (consumers), a couple of
> midwives who know how to practise under their own responsibility, and
other
> interested people who bring useful skills, and get a little community
> action group going.  You need to develop a plan to establish a midwife
> managed unit, similar to a birth centre, with midwives taking caseloads.
> Get someone to manage media exposure. If there are supportive doctors,
they
> can help, but you don't need them necessarily.  (I'm sticking my neck way
> out, but I stand by that statement!)  Find support in the rural section of
> the Health dept, and in Community Services.  Make it a community issue.
>  Expect opposition, and plan ways to overcome it.  Use the term 'Community
> Based Midwifery', and get your community to own it.
>
> Link in with Maternity Coalition.  We can't do it for you, but we can
> support you.  You may have read on this list of the National Plan for
> Community Based Midwifery that is being developed - if you want to see the
> draft, please contact me, or Barb Vernon.
>
> My advice is, GO FOR IT!
> Joy Johnston
> 25 Eley Rd  Blackburn South Vic  3130
> Tel: 03 9808 9614
> Fax: 03 9808 3611
> M: 04111 90448
> www.aitex.com.au/joy.htm
>
> -----Original Message-----
> From: Macha McDonald [SMTP:[EMAIL PROTECTED]]
> Sent: Monday, January 21, 2002 8:15 PM
> To: ozmidwifery
> Subject: activism
>
>  << File: ATT00003.htm >> I'd love to start a natural birth and child care
> movement where I live!!!
> They may stop delivering at our local hospital (Cobram) because the obs
> cant
> afford the leap in insurance.  I wander if people resorted to our many
> midwifes, they could still deliver here.  The problem is information.  I
> liken my learning of birth options to picking subjects in my final years
of
> school.  "You have 10 minutes to submit your subject requests".
> Essentially, 10 minutes to decide what you want to do with the rest of
your
> life.  The GP said to me when I found out I was preg, "Which hospital will
> you deliver in".  Hold on.  I haven't even come to terms with being preg
> yet.  So, I picked the nearest womens and childrens.  And I regret it so
> much.  I wish I had said, I'll tell you in the next visit.  I thought I
was
> expected to  decide then and there.  Unfortunatly, this is how many women
> are learning about birth options.  Going through awful invasive
experiences
> before they learn that they have choices.
> Regards, Macha.
>
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