Dear Joy,
I would also love a copy of the draft of the National Plan for Community
Based Midwifery.

Cheers
Josie Greaves
Ceduna District Health Service
[EMAIL PROTECTED]
>-----Original Message-----
>From: [EMAIL PROTECTED]
>[mailto:[EMAIL PROTECTED]]On Behalf Of Darren and
>Lorraine
>Sent: Tuesday, 22 January 2002 9:31 AM
>To: [EMAIL PROTECTED]; ozmidwifery
>Subject: Re: activism
>
>
>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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