Dear Trish,
How come there is not information in the ACMI newsletter of these units that
are effecting positive change?

The rest of the Australian midwifery workforce needs to know about them
To give midwives and consumers hope
To encourage others to cal for more!!
To offer a source of information to support change in other places!!

Do you know of staff in these units to ask them to write a report for the
ACMI newsletter and MC Birth Matters journal for the above reasons?
Denise Hynd

"Never believe that a few caring people can't change the world.  For,
indeed, they are the only ones who ever have."
Margaret Mead
----- Original Message ----- 
From: "Patricia David" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Wednesday, July 21, 2004 6:59 AM
Subject: Re: FW: Re: [ozmidwifery] Lobbying Update and Federal Election
Campaign


> Dear Carol, apologies for causing offence, at that stage I wasn't aware
his electorate contained Warragul, (have only voted in one federal election
in Vic and didn't quite take in all the boundaries) but we did have a
discussion about it and your initiatives and fabulous figures. I pointed him
also to Wonthaggi as an exception and the fact that they have halved their
CS rates to be around the 7-10% in one year. I also told him the bigger the
hospital the more likely there was to have intervention, but not necessarily
because of the increase in risk.
>
> He was very interested and is planning on fact finding around this issue
in his district. Your unit will be an example, and I expect he will make a
visit. The next step is to get him interested in federal incentives to have
your initiatives duplicated across his region. I also pointed him to WA and
publicly funded homebirths with midwife entry to hospitals (way outside his
electorate and a fantastic example of collaborative care, I reckon) and
their great figures, NZ and Holland.
>
> Trish
>
> Carol Van Lochem <[EMAIL PROTECTED]> wrote:Trish,
> > It is fabulous that you have been lobbying our local member, but I feel
that it is important that you give him the correct information lest you lose
credibility.
> > I work at West Gippsland Hospital in Warragul, which is in Christian
Zara's electorate and would like to point out the following:
> >
> > "rural birthing using midwife and collaborative models of care (he was
really stung when I told him the best example of this was NOT in his
electorate"
> > I am a member of a team of 5 midwives who provide collaborative&nbsp;
and case load care to women in this hospital. We recieved State funding for
this back in May and are in the early stages, providing collaborative care
to women having VBAC, history of difficult births, young mums and Koori
women. We are being provided with additional upskilling in the meantime, and
will then commence our caseload stream when competent in areas of
cannulation, suturing etc. This is the model of care the State Gov. wishes
to implement across Vic.
> > I have also been the KYM midwife for the past 2 years on the VBAC
program, providing 1-2-1 care throught the pregnancy continuum for these
women.
> >
> > "When I told him that every hospital in his electorate had double the
HWO recommended rate for LUSCS and instruments and were off the scale for
other interventions, he seemed knocked out."
> > West Gippsland Hosital figures for 2002 were as follows:
> > NVB&nbsp;&nbsp; 63%
> > vacuum extraction&nbsp;&nbsp;&nbsp;&nbsp; 10%
> > forceps&nbsp;&nbsp;&nbsp;&nbsp; 8%
> > Emergency C/S&nbsp; 11%
> > Elective C/S&nbsp;&nbsp; 7%
> > Intact perineum&nbsp;&nbsp;&nbsp; 66%
> > Perineal tears&nbsp;&nbsp; 29%
> > Episiotomy&nbsp;&nbsp;&nbsp; 3.7%
> > Episiotomy + tear 0.6%
> > VBAC attempts&nbsp;&nbsp; 80%
> > VBAC acheived&nbsp;&nbsp;&nbsp; 60%
> > I think these figures speak for themselves. Some of them are State
Benchmarks. Any wonder the poor man "seemed knocked out"
> > Yours in midwifery
> > Carol Van Lochem
> > &nbsp;
> >
> -- 
> Trish David FACM
> Senior Lecturer Midwifery and Nursing
> Monash University School of Nursing
> Gippsland Campus
> Northways Road
> Churchill 3842
> (03) 5122 6839
> 0418 994033
> --
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>


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