Hello Tracy
I know this is perhaps too late, but we are looking at allowing primips to once again birth here, a rural remote country town.  Our service was closed for 2 years and we implemented a midwifery model of care which suited our unique circumstances.  The only reason we initially didn't allow primips was to limit our birthing numbers due to the lack of midwives - it never was because they were high risk.  Primips generally have longer labours and didn't have staff to cover past 8 hours.
 
We do have inductions, and this hasn't seemed to pose a risk.  Our nearest Level 2 or 3 hospital is at least 400 kms away.  2 hour flight by RFDS.  We do not have obstetricians that manage the women only GP's.  If you want further details contact me offlist
Regards Wendy

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