Mary stated: 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.
This is exactly the continuity of care model I thought/imagined was being put in place in the Sydney region. I totally agree that if women are/would be being transfered out of midwifery care because of complicated pregnancies without continued midwifery support (as indicated above) then well the concept is flawed and needs rethinking. However, I thought the guidelines were what is on Andrea'a website? Am I wrong? What are the guidelines for these programs in the Sydney Health Areas? If they are what is on Andreas' Web site, then I for one totally support them as they do give give internationally recognised best practice guidelines for midwifery care, if on the otherhand they are the obstetric guidelines that govern the many health service districts throughout the country (not just NSW) then I totally agree with everything Sue has said. It is a crying shame that while at least 80% of australian women should have normal vaginal births, so few actually do within the system as it is. marilyn ----- Original Message ----- From: "Mary Murphy" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Sunday, November 30, 2003 5:53 AM Subject: [ozmidwifery] CMP homebirth > 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 > > > -- > This mailing list is sponsored by ACE Graphics. > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
