Dear Rosalee and list,
My greatest concern working in the consumer support arena is the lack of monitoring that professionals have when making public statements.  The criticism that the program will place more women at risk of PPD is really quite extraordinary.  I fail to see how having home help, even if it is with someone who offers breast feeding advice, could decrease the likelihood of breast feeding!  It was just a weak link that was manipulated beyond reasonable truth to put down an innovative program.  Perhaps it was a means to retain South Australia's birthing community firmly within the medicalised doctor knows best (and all) era?  It certainly did nothing to dispel the belief that pregnancy, birth and the post partum period as being something that is natural, normal and within our capabilities!!!!
Some of the young women involved in this program are mothers themselves and could perhaps offer advice on breast feeding that is seen less like militant.  (I am pro-breast feeding so please don't send hate mail saying I not.  I am aware of a great deal of women who say that the varying advice and strong push towards establishing bf on the public post natal wards can cause more stress and sense of failure than intended.  I too had to go home and relax in order to get breast feeding up and happening). 
For another example: when my son was months old he stopped feeding and at am I rang the government funded parent help line and was told to take a Panadol and "bare the pain"!   It took a woman standing in the line at the shops to say, "try cabbage leaves": advice that worked far better and at less risk to myself.
I am sure that the women used in this service would be bringing it to the  midwives attention if the women was having problems with feeding.  Common sense.  Why are people so condescending towards those who dont hold a uni degree!  There are women who are involved with our volunteer support group who are more woman focused and aware of real issues than a number of professionals I have encountered.
We are very lucky to have such supportive, woman focused doctors such as Prof Dekker. 
My letter to Dr M is my way of saying "if you are going to criticise a potentially barrier breaking idea...then use an argument that is supported and RELEVANT to those involved "  I see very little being offered to women who don't have the luxuries that private insurance boasts to make the transition period after birth more supported and woman focused.  This project could have the potential to address a number of deep rooted social problems associated with motherhood. 
Off my soap box...and it is not even about vbac this time guys!!
Jo Bainbridge
founding member CARES SA
email: [EMAIL PROTECTED]
phone: 08 8365 7059
birth with trust, faith & love...

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