Jayne, the medicalisation of childbirth goes way back.
There were a couple of private hospitals that would give us visiting access 
for a variety of 'shared care' (the obstetrician was always in charge). 
 That is no longer available since the loss of insurance.  No public 
hospital that I know of has given a midwife visiting access, despite 
efforts over many years.  There is one hospital where midwives have a 
modified caseload/team (Wangaratta), and one public hospital with a Know 
Your Midwife (KYM) option (Box Hill).

Homebirth numbers fluctuate a little from year to year, but there are more 
BBAs (born before arrival at hospital) in Vic than planned homebirths.

Just a snippet for those who are statistically minded.  The Vic government 
data collection unit has been asking the question 'intended' and 'actual' 
place of birth, since 1999.  We have recently been given the figures for 
the planned homebirths that transferred care to hospital in 99 and 2000, 
and the outcomes are excellent.  Caesar rate of 4%; transfer to hospital 
rate of 18%; Two vaginal breech births took place in hospital, and three at 
home during the two-year period.  Primipara (first timers) constitute about 
41% of the total birthing population in Victoria, and approximately 30% of 
those who actually give birth at home. The full details of this report will 
be sent off for publication.  The facts need to be celebrated.
Joy Johnston

-----Original Message-----
From:   Jayne [SMTP:[EMAIL PROTECTED]]
Sent:   Tuesday, April 16, 2002 10:22 PM
To:     [EMAIL PROTECTED]
Subject:        Re: midwifery positions

Joy, is this the situation in Victoria since the insurance debacle?
Specifically concerning no visiting access to hospitals  and only 100
homebirths each year??  Or does it cover the period before the insurance 
was
pulled?

Jayne



>
> I can understand why a midwife would not choose to come to Victoria, 
where
> no midwife can get visiting access to hospitals; where there is no public
> funding for homebirth; where there are only 100 homebirths each year, out
> of 60,000;



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