Dear Jen - we have just commenced our caseload practice at Selangor - we have called it the Care In Partnership program, and are very excited about it. We are a private hospital and have had some interesting issues to deal with along the way - still are feeling our way because of the way in which private maternity care is structured, but still determined to offer women choice in care in the childbearing year. No doubt we will have a lot of lumps and bumps along the way as we muddle through, but it's a start!! And we are a committed bunch of midwives, doctors and managers.
 
Where there is hope there is life....keep your faith in women and in midwives.
Warm regards, Lynne
----- Original Message -----
From: Jen Semple
Sent: Monday, September 29, 2003 11:02 AM
Subject: [ozmidwifery] caseload

I read Janet's story with tears in my eyes as well, but it's made me wonder about caseload too.
 
I'm a Bachelor of Midwifery student & from what we've learned at uni & from the experiences I've had on clinical placement in hospitals, if I have any choice in where & how I work when I graduate, caseload is the only model of care I would consider working in.  I know there are lots of other students who feel similarly.
 
Could any of you wise midwives or consumers explain why caseload models are being shut down (Janet's, the Angliss, etc) or not expanded when they're so popular (the KYM program @ Birralee)?  They sound like they've been successful & we all now that they can be economically sucessful.
 
Am I missing something?!  :o)
 
Cheers, Jen
2nd year BMid, Melbourne 

Jan Robinson <[EMAIL PROTECTED]> wrote:
Hi Janet

I shed a few tears too when I read your e-mail.
While smiling with happiness for the parents of this healthy little boy my tears were for YOU when I saw you signing yourself  �finished now as a caseload midwife�.

Aren�t there enough women around who have experienced the benefits of one-to-one midwifery care who will get up and fight for continuing this service?
Couldn�t the caseload midwives get together with the women and form a  branch of the Maternity Coalition and get this mysogynistic act into the newspapers?

Access the Maternity Coalition�s website now    www.maternitycoalition.org.au  and arrange for some support from them in setting up a group to lobby your state department of health.

All the best
Jan Robinson



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