Someone commented that the CMP & Albany outcomes could not be compared. I agree, but you should also know that the criteria for acceptance on the CMP does NOT exclude VBACs or some other higher risk women. These women and those with complicated pregnancies do not get transferred out of the umbrella of the CMP. The original plan for a homebirth is changed to a hospital birth with the CMP midwife continuing to give antenatal care, attending the labour and birth (as a birth companion) and continuing to give postnatal support while in hospital and care in the home after discharge. The main aim under these circumstances is continuity of care and care provider. It is especially valuable for those women who DO have problems. These are the women who need to have a trusted care providor. Under our present arrangement we are employed by the Health Dept of W.A and insured under the States "Risk Cover". All W.A. community groups are having their funding reviewed and this is an ongoing concern for us. Don't be deceived that the "Hospital based homebirth" programs will have problem free administration and funding. Doctors DO NOT approve of midwifery models of care, anywhere, hence the continual interference with the protocols and guidelines of Birth Centres and the closing of these centres all over the country, regardless of outcomes. MM
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