Hi Jan,
In Victoria there is about to be an announcement of allocation of funding, tomorrow I think, to hospitals who have expressed interest in caseload midwifery. The funding is limited, but will be extended over the next 5-10 years. I think this round of funding will be allocated to one hospital per region. Small steps....
Nicole.
----- Original Message -----
Sent: Monday, March 14, 2005 3:31 PM
Subject: Re: [ozmidwifery] waterbirth

Hi Tina

I'm so upset to hear that this is how most of you wonderful B Mid women have ended up.
It seems like the Bachelor of Midwifery courses are turning out similar end-products to the old post-grad Diploma courses - i.e., swelling the numbers for the existing hospital work force.

The maternity administrators who are forward-thinking enough to bring in case load practice are not acting quickly enough to enroll potential midwifery graduates .
Administrators should already be in contact with those students planning to graduate this year, offering them the opportunity experience in a midwifery case load program before their B Mid studies are completed and they have to start to hunt around for 'shifts' in fragmented care programs.
I don't see many hospitals advertising that they are going to set up Community Midwifery Programs this year either.
Where is the leadership and vision amongst the rank and file? Perhaps some one can email ozmidwifery and tell me that I am dead wrong? I hope so.

ASIM will be offering a scholarship to final year UTS students when the current course gets towards it's end stage. That way the independent midwives and the home birth community will ensure that the most motivated midwifery students obtain valuable home birth experience during the last year of their course and will be able to work with independent practitioners when they graduate.

Jan

PS Please let the Society know if you ever intend to re-locate up into NSW Tina.
Jan
Jan Robinson Independent Midwife Practitioner
National Coordinator Australian Society of Independent Midwives
8 Robin Crescent South Hurstville NSW 2221 Phone/Fax: 02 9546 4350
e-mail address: <[EMAIL PROTECTED]> website: www.midwiferyeducation.com.au


On 14 Mar, 2005, at 14:42, [EMAIL PROTECTED] wrote:

In a message dated 3/14/2005 1:52:01 PM AUS Eastern Standard Time, [EMAIL PROTECTED] writes:



It concerns me that Australian midwives are so slow to see the
advantages in forming partnerships with women, listen to them and work
with them to provide the types of birth services women want. It is
difficult in many areas to convince midwives to even contemplate taking
on their own caseload.
Perhaps time will alleviate my concerns.  I hope I see all Australian
midwives working 'with women' before I die.

Jan



Hello Jan and everyone. Jan I couldn't agree more!!
As a recently graduated midwife, educated via a Bachelor of Midwifery (predicated on continuity and woman-centred care) I am now working fulltime shift-work across my scope of practice (rotating thu pregnancy, birth and after birth care) and I can't believe that midwives feel that full-time shift work is a wonderful way work!! Having just completed my midwifery studies with full time uni and a caseload of between 10-15 women a year across the 3 years of the B Mid...I was NO WHERE nearly as tired I am now with doing the full-time shift work.....it sucks big time!!!

Where I work is a large regional midwifery unit in Victoria, and the move is towards implementing one-to-one midwifery care for women, with a known midwife throughout their pregnancy, birthing and early parenting journey - caseload. However, this move is being met with strenuous opposition from many of the midwives who WILL NOT even contemplate that perhaps there is another way to be 'with woman' than the current fear based, institution focused, inflexible rostered based system of maternity care. So like Jennifairy, I too am also working with a MIPP to keep my skills up of supporting women in their on own power to birth at home on a partime basis where I am sharing a small caseload of women with another midwifery colleague, while continuing to work to educate midwives on  the benefits of one-one midwifery care with known women....whilst continuing to practice the bulk of my midwifery in what now seems like on planet Mars!!

Yours in reforming midwifery
Tina Pettigrew.

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