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I checked it out, great site :Friends of the Birth
Centre at Royal Womens Hospital Brisbane. Great birth centre but not a free
standing one.
marilyn
----- Original Message -----
Sent: Friday, September 17, 2004 2:40
AM
Subject: Re: [ozmidwifery] Free Standing
Birth Centres
I found this one....but not sure if it is considered a free
standing birth centre as such...
http://www.fbc.org.au/main.htm
Katrina
On
18/09/2004, at 11:41 AM, Marilyn Kleidon wrote:
So I got a little frustrated: I used quotes and
entered " free standing birth centres in Australia" and go nada,
nothing...so I changed Australia to USA and still got nothing, then i
removed the quotes and for the USA I got actual birth centres, go take a
look, for Australia I got research. so I don't think we have one?
marilyn
-----
Original Message -----
From:
Marilyn
Kleidon
To:
[EMAIL PROTECTED]
Sent:
Friday, September 17, 2004 6:22
PM
Subject:
Re: [ozmidwifery] Free Standing Birth Centres
Hi Kim and all:
I
too am interested in free-standing birth centres here in Australia as they
were very common in the state of Washington where I practiced bewfoire
moving back home. Because the system there is very different than NZ I will
explain sort of how it worked. A free standing birth centre is exactly that
a birth centre that is free from a hospital in every respect. It may be a
private home with bedrooms that are birth suites, or a couple of motel like
rooms in a building that also houses midwifery and other healthcare provider
offices. No matter what it physically looks like in the State of Washington
the building has to meet certain health and safety requirements set
out by the department of health (DOH). Also there has to be a currently
practicing MD on the board of directors and there are also some more
requirements about who has to be on this board (this requirement would
obviously vary with jurisdiction). There are also requirements for minimum
equipment such as suction and oxygen, stethoscopes etc. Yes it is all laid
out nail by nail. Midwives who attend births there have to apply and be
approved by the board. And, the state lays out the risk levels of
women who may birth there: no breeches or twins for example. Obviously this
varies by state because breeches and twins are the speciality at "The Farm"
but that is in Tenessee. So in essence the state has a whole lot of rules
and regs that apply to birth centre births but not homebirths because at
least in the USA the state can tell you what to do in a public building
(which a licensed birth centre becomes even though it is preivately owned)
but NOT in your own home. Yes the birth centre had to have insurance but so
did the midwives. You are right Kim, at least in Washington, if there was no
physician (OB and paed) to back you up then the hospital you would
transfer to was required to provide it, by law. Also by law you as a midwife
had to know this by noting the same on your license
application.
So,
that being said more or less as an example, does anyone know if there are
rules and regs for free-standing birth centres in any states or territories
of Australia. Margie I think said the ACT was in the process of developing a
free standing birth centre: do you mean the building or the rules and regs?
I
do remember from birthing my first 2 daughters here in the 1970's that there
were Maternity Centres in Qld, one at Corinda (where I went) and one at
Boothville but they have long been closed down in the 1980's I
believe: I guess they weren't modern enough. In any case does anyone
know how to access the laws that govern maternity centres or have they been
recinded. If they still exist could they apply to free standing birth
centres.
I
did a google search for "free standing birth centres, Australia" and
found on Andrea's website she has a section on choosing your
birth place and I copied this: "In some places, free standing Birth
Centres have been established to provide home-like births for those who wish
to pay for a private service. These units are usually staffed by independent
midwives, who have back up arrangements with local obstetricians and
hospitals. Ask for full details of the services they offer and the costs
involved. " but no info on where they are. Kathleen Fahy at Newcastle
Uni also supports them according to my search. The big question remains
where in Australia is a free standing birth centre?
In
Seattle midwives located them close to midwife and homebirth friendly
hospitals so that women from areas where the back-up hospital was hostile
could have a close to homebirth experience within safe distance to a
receptive hospital should transfer be necessary.
I
will search somemore
marilyn
-----
Original Message -----
From:
Kim Stead
To:
[EMAIL PROTECTED]
Sent:
Thursday, September 16, 2004 8:19
PM
Subject:
Re: [ozmidwifery] Free Standing Birth Centres
I don't think our
400 odd cows would enjoy QLD but I sure would!
-------Original
Message-------
From:
[EMAIL PROTECTED]
Date:
17/09/2004 10:54:52 a.m.
To:
[EMAIL PROTECTED]
Subject:
Re: [ozmidwifery] Free Standing Birth
Centres
Kim,
I'd
move down there to open one with you...just wait until i've finished my
training!!!
Or
I'd really like to move to QLD, so maybe we could move there????
Kirsten
~~~start
life with a midwife~~~
----- Original Message
-----
From:
Kim Stead
To:
[EMAIL PROTECTED]
Sent:
Friday, September 17, 2004 9:26
AM
Subject:
Re: [ozmidwifery] Free Standing Birth Centres
Excuse
my ignorance, but what's the deal with PI insurance and birth centres?
I know midwives can't obtain any but wouldn't a birth centre facility
actually own the insurance just like any other medical establishment?.
As for obstetric back-up, you just transfer to hospital if that is what is
required?? That is how it works in NZ. Run by midwives, no other
medical staff other than nurse aids and when women require medical
intervention or consultation, they transfer to hospital either by car or
ambulance. I am getting the same comments in independent practice "but
you don't have obstetric back-up". What do they think the hospital
is? Are they not going to treat the woman because she has been
foolish enough to chose safe and cost-effective maternity care to
optimise the chances of a normal birth? Seems so simple to me but of
course I am still a bit green! I would appreciate some enlightenment
and bringing back down to earth if need be. :-) I just
can't seem to understand why everyone wants to make it so complicated -
present company excluded.
Kim.
-------Original
Message-------
From:
[EMAIL PROTECTED]
Date:
17/09/2004 9:31:25 a.m.
To:
[EMAIL PROTECTED]
Subject:
Re: [ozmidwifery] Free Standing Birth
Centres
Hi
All,
I think the main issue is the
lack of PI insurance and obstetric backup.
Leanne.
>From:
Ceri & Katrina <[EMAIL PROTECTED]>
>Reply-To:
[EMAIL PROTECTED]
>To:
[EMAIL PROTECTED]
>Subject:
Re: [ozmidwifery] Free Standing Birth Centres
>Date: Fri, 17 Sep 2004
08:55:26 +1000
>
>Well
I'm going to actually finish my course first!! Then who knows!!!
>I live on the central
coast of NSW
>
>Katrina
:-)
>On 17/09/2004, at 7:05 AM,
Kim Stead wrote:
>
>>
>>Well
guys - what shall we do about it??? Where do you all live because of
>>course, I would love it
right on my own door-step! Maybe we can
franchise
>>it!! :-)
>>
>>Kim.
>>
>>-------Original
Message-------
>>
>>From:
[EMAIL PROTECTED]
>>Date:
17/09/2004 12:14:11
a.m.
>>To: [EMAIL PROTECTED]
>>Subject:
Re: [ozmidwifery] Free Standing Birth Centres
>>
>>Tania
& Laurie wrote:
>>
>>
> I'm another with the same dream!
>> > Tania
>> >
>>
> ----- Original Message -----
>>
> *From:* Ceri & Katrina <mailto:[EMAIL PROTECTED]>
>>
> *To:*
[EMAIL PROTECTED]
>>
>
<mailto:[EMAIL PROTECTED]>
>>
> *Sent:* Thursday, September 16, 2004 7:53 PM
>>
> *Subject:* Re: [ozmidwifery] Free Standing
Birth Centres
>> >
>>
>
Kim
>>
> You and I should talk, as I also have this same
dream!!! :-)
>> >
>>
> Katrina
>> >
>> >
>>
> On 16/09/2004, at 7:57 PM, Kim Stead wrote:
>> >
>> >
>> >
>>
> Good question
Abby! I have no idea but would like to
know
>>
> what the reason is....
apart from the standard line
"/not
>>
> enough
anesthetists"./ One of my dreams is to build one so I
>>
> will be keen to see if
anyone knows the answers!
>>
>
>>ME TOO!!
Anyone in Northern
Perth??
>>
>>Jo
;)
>>
>>--
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mailing list is sponsored by ACE Graphics.
>>Visit <http://www.acegraphics.com.au>
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>>
>><imstp_emo_en.gif>
Leanne
Wynne
Midwife in charge of "Women's
Business"
Mildura Aboriginal Health
Service Mob 0418
371862
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