I am very keen to get on board with this. I have been lying low the last few years doing my PhD (I have just referenced you Kerreen!) but the end is in sight (!!!)and I have looked at the mfhi stuff before. I get regular info from WABA as well which has this type of work in mind and although a breastfeeding organization they are well aware of the influence of poor birthing practices etc Belinda [EMAIL PROTECTED] ----- Original Message ----- From: "Kerreen Reiger" <[EMAIL PROTECTED]> To: <[email protected]> Sent: Wednesday, March 23, 2005 1:30 PM Subject: RE: [ozmidwifery] Fw:Mother Friendly Childbirth Initiative
Hi all I have talked with Andrea over the years about the idea of Maternity Coalition taking up the Mother-Friendly Childbirth material. I discovered it independently in 1997 or so and we ran an MC workshop using it as a basis. In 1998 we also organised a lunchtime session at the Birth amongst Friends conference in Canberra at which anthropologist Robbie Davis-Floyd talked about the processes of dialogue which finally produced the CIMS (Coalition for improving maternity services)consensus statement that MFCI now is. Robbie had been closely involved in it all along and I have talked with her since then about its limited but important role in the US as a model for hospitals to aspire to. At that time, '98, though there seemed little interest from midwives, possibly for reasons to do with time and place. Andrea, I think rightly, pointed out to me that the dialogue about desirable goals needed to happen at the Australian level. I think NMAP and midwifery developments have now facilitated that, and I for one (not speaking for MC at all) would like to see us develop a similar 'steps' type program. What I think MFCI offers is a set of goals clearly spelt out that can be useful in a variety of settings, including private. It is women-focused rather than midwife/professional focused which is both philosophically important but also strategically useful with obs/managers. That it's used elsewhere can also be valuable, but yes, it needs local development. Who else thinks it useful as a basis and is interested in getting such a process going? Cheers Kerreen -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Denise Hynd Sent: Tuesday, 22 March 2005 8:38 PM To: [email protected] Subject: Re: [ozmidwifery] Fw:Mother Friendly Childbirth Initiative Dear Andrea It is on the national agenda for the NMAP document to be updated for example to cover hospital based 1-2-1 midwifery and the ACMI Giudelines for Referral Denise Hynd "Let us support one another, not just in philosophy but in action, for the sake of freedom for all women to choose exactly how and by whom, if by anyone, our bodies will be handled." - Linda Hes ----- Original Message ----- From: "Andrea Robertson" <[EMAIL PROTECTED]> To: <[email protected]> Sent: Tuesday, March 22, 2005 5:23 PM Subject: Re: [ozmidwifery] Fw:Mother Friendly Childbirth Initiative > Hi Helen, > > We circulated this document at the Future Birth event in 1996 when Marsden > Wagner was on the speaking team. It has been adapted in several countries > to reflect local conditions, the most recent one that I saw was for > Thailand where the Childbirth and Breastfeeding Foundation of Thailand > prepared a variation for use in Cambodia, where they were presenting > training workshops for maternity professionals (about 18 months ago now). > > The original version is specifically designed for the US scene (see the > point about circumcision, as an example) and so would need to be adapted > for use in OZ. Personally, I think that the NMAP takes its place here, > and because this document is aimed at strengthening midwifery practise, it > follows that the resultant care would be more mother friendly. > > Cheers > > Andrea > > > > At 05:36 PM 20/03/2005, you wrote: >>Found this online whilst surfing and wondered if Australia is looking to >>implement this kind of idea too (or an adaptation of same). I have only >>heard of the WHO/UNICEF Baby friendly Hospital Initiative which is very >>much in use in Australia. Can anyone fill me in? It sounds like a great >>idea to me and should give ammunition to those midwives working in >>hospitals striving to make improvements in their care/minimize >>interventions. Maybe maternity coalition may be able to formulate >>something similar or maybe they have already! - if so, excuse my >>ignorance... >>Helen Cahill >> >> >><http://www.motherfriendly.org/MFCI/steps/>http://www.motherfriendly.o rg/MFCI/steps/ >> >> >> >> >> >>The Mother-Friendly Childbirth Initiative >> >> >> >> >> >>Ten Steps of the Mother-Friendly Childbirth Initiative for Mother-Friendly >>Hospitals, Birth Centers, and Home Birth Services >> >> >> >>To receive CIMS designation as "mother-friendly," a hospital, >><http://www.motherfriendly.org/MFCI/glossary/#BCenter>birth center, or >>home birth service must carry out our philosophical principles by >>fulfilling the Ten Steps of Mother-Friendly Care: >> >>A mother-friendly hospital, birth center, or home birth service: >> * Offers all birthing mothers: >> * Unrestricted access to the birth companions of her choice, >> including fathers, partners, children, family members, and friends; >> * Unrestricted access to continuous emotional and physical support >> from a skilled woman-for example, a >> <http://www.motherfriendly.org/MFCI/glossary/#doula>doula or >> labor-support professional: >> * Access to professional midwifery care. >> (<http://www.motherfriendly.org/MFCI/references/1/>References) >> * Provides accurate descriptive and statistical information to the >> public about its practices and procedures for birth care, including >> measures of interventions and >> outcomes.(<http://www.motherfriendly.org/MFCI/references/2/>References) >> * Provides culturally competent care -- that is, care that is >> sensitive and responsive to the specific beliefs, values, and customs of >> the mother's ethnicity and >> religion.(<http://www.motherfriendly.org/MFCI/references/3/>References) >> * Provides the birthing woman with the freedom to walk, move about, >> and assume the positions of her choice during labor and birth (unless >> restriction is specifically required to correct a complication), and >> discourages the use of the lithotomy (flat on back with legs elevated) >> position.(<http://www.motherfriendly.org/MFCI/references/4/>References) >> * Has clearly defined policies and procedures for: >> * collaborating and consulting throughout the perinatal period >> with other maternity services, including communicating with the original >> caregiver when transfer from one birth site to another is necessary; >> * linking the mother and baby to appropriate community resources, >> including prenatal and post-discharge follow-up and breastfeeding >> support.(<http://www.motherfriendly.org/MFCI/references/5/>References) >> * Does not routinely employ practices and procedures that are >> unsupported by scientific evidence, including but not limited to the >> following: >> * shaving; >> * enemas; >> * IVs (intravenous drip); >> * withholding nourishment; >> * early >> <http://www.motherfriendly.org/MFCI/glossary/#Rupture>rupture of >> membranes; >> * electronic fetal monitoring; >> Other interventions are limited as follows: >> * Has an >> <http://www.motherfriendly.org/MFCI/glossary/#Induction>induction rate of >> 10% or less; >> * Has an >> <http://www.motherfriendly.org/MFCI/glossary/#Episiotomy>episiotomy rate >> of 20% or less, with a goal of 5% or less; >> * Has a total cesarean rate of 10% or less in community hospitals, >> and 15% or less in tertiary care (high-risk) hospitals; >> * Has a VBAC (vaginal birth after cesarean) rate of 60% or more >> with a goal of 75% or >> more.(<http://www.motherfriendly.org/MFCI/references/6/>References) >> * Educates staff in non-drug methods of pain relief and does not >> promote the use of analgesic or anesthetic drugs not specifically >> required to correct a complication. >> (<http://www.motherfriendly.org/MFCI/references/7/>References) >> * Encourages all mothers and families, including those with sick or >> premature newborns or infants with congenital problems, to touch, hold, >> breastfeed, and care for their babies to the extent compatible with their >> conditions.(<http://www.motherfriendly.org/MFCI/references/8/>References ) >> * Discourages non-religious circumcision of the >> newborn.(<http://www.motherfriendly.org/MFCI/references/9/>References) >> * Strives to achieve the WHO-UNICEF "Ten Steps of the Baby-Friendly >> Hospital Initiative" to promote successful breastfeeding: >> * Have a written breastfeeding policy that is routinely >> communicated to all health care staff; >> * Train all health care staff in skills necessary to implement >> this policy; >> * Inform all pregnant women about the benefits and management of >> breastfeeding; >> * Help mothers initiate breastfeeding within a half-hour of birth; >> * Show mothers how to breast feed and how to maintain lactation >> even if they should be separated from their infants; >> * Give newborn infants no food or drink other than breast milk >> unless medically indicated; >> * Practice rooming in: allow mothers and infants to remain >> together 24 hours a day; >> * Encourage breastfeeding on demand; >> * Give no artificial teat or pacifiers (also called dummies or >> soothers) to breastfeeding infants; >> * Foster the establishment of breastfeeding support groups and >> refer mothers to them on discharge from hospitals or clinics.(References) > > > ----- > Andrea Robertson > Birth International * ACE Graphics * Associates in Childbirth Education > > e-mail: [EMAIL PROTECTED] > web: www.birthinternational.com > > > -- > This mailing list is sponsored by ACE Graphics. > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
