Andrea wrote:  In constrast, the CMWA is working with a select group of women, who are
very unlikely to have the social risks that the Albany team work with  (homeless, poor, drug users, teenagers, non-English speaking etc). I agree that we do not have the high levels of social risk that the Albany group does, but that does not mean that we do not have any women in those categories. 
 " especially those who book into a Birth Centre because they want to avoid a medicalised birth and then discover along the way that  they could actually give birth at home quite safely." What happens is that along the way they discover some restrictive protocol that excludes them from the Birth Centre.  Our only BC in W.A. does not allow waterbirth and does not accept VBACs
"A hospital based service that offers either birth centre or home births could make this a reality for many women." I agree that this would be good if it was based upon midwifery principals and not obstetric ones.
"> Birth Centres are now "mainstream" health care".  The BC in W.A is not mainstream as doctors "forget" to tell women about them.  I have just had a client who requested BC care in June.  She was never referred there.  In Nov. she finally woke up and insisted.
>  At St George, the heads of both the midwifery services and the obstetric
> services are very supportive of home birth and are committed to evidence
> based care and woman-centred care"   Great!.  MM
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