I wonder how often Vrouw Schrader
monitored the fetal heart rate??
Denise
----- Original Message -----
From: "Larry & Megan" <[EMAIL PROTECTED]>
To: "ozmidwifery" <[EMAIL PROTECTED]>
Sent: Tuesday, December 02, 2003 8:22 PM
Subject: Re: [ozmidwifery] New models of midwifery care


> Dear all,
> my experience is that the only midwifery model in SA is that belonging to
> our independant midwives. We have some excellent midwives working within
the
> medical model and they are by no doubt being the best midwife they can be,
> but at the end of the day it is still the hospital and the doctors that
call
> the shots.
> One of our level 3 hospitals(we have 2) lost VBAC in the birth centre
purely
> because one consultant refused to support it. The VBAC rates have fallen
> drastically and this is accepted by those in control at the expense of
women
> and those wishing to support them, despite intense lobbying for its
return.
> I have to question how true midwifery care can work from a hospital
without
> the full support of doctors and midwives accepting this model.
> I am currently reading Ina May's "Guide to Childbirth" and it contains
some
> wonderfully staggering statistics of Midwifery care. Vrouw Schrader
> practiced in the Netherlands from 1693 until 1745 attending 3,017 births.
> Spontaneous birth took place in 94% of cases. There were just 14 maternal
> deaths for which she had direct responsibility (4.6 in one thousand
births).
> There were 10 cases of placenta previa, with only two maternal deaths.
> If this is what you can do without formal education and medical
intervention
> then she is a woman to be admired.
>
> Is a compromised model of care enough? Many women will be better off than
> whats on offer now, but it still isnt the very best that they can have.
>
> "Women are not dying because of disease we cannot treat. They are dying
> because societies have yet to make the decision that their lives are worth
> saving" - Mahmoud Fathalla
>
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