This is certainly the sort of practice planning I hope for as a consumer. 
Obviously family and health emergencies happen and I would absolutely accept my 
midwife's referral to a trusted colleague if she had a funeral to attend 
interstate or some other genuine issue that is clearly more important than my 
plans to have her at my birth. I would not be nearly so agreeable about a 
spontaneous skiing trip, that sort of thing I DO expect birth professionals to 
book at least 9 months in advance so they can give you the choice to book with 
them or not.

Jo

At 7:45 AM -0700 17/8/05, [EMAIL PROTECTED] wrote:
>I guess I'm having difficulty with the terms.  "Informed them later" means they
>weren't told right at the time they started the contract with the mw, right?
>Surely it would not be difficult to book all holidays at least 9 mos ahead of
>time so that people know if you'll be in town or not?  I only take on 
>Conference
>speaking if I know at least one year ahead for that reason.  I agree that mws
>need to take very good care of themselves and rejuvenate body and soul, but I
>don't get why the client can't be told before the first visit "I'll be away 
>when
>you are due. I have someone I trust who will be covering my practice so if 
>you'd
>like to get your prenatal care with me, I'll introduce the covering mw to you 
>at
>the end of your pregnancy." That type of statement makes it clear from the
>beginning what the plan is.  I have the same impatience with drs who don't
>inform their clients long ahead of time that they work in a group practice of 
>10
>other doctors.  The woman doesn't stand a hope of getting the one that she sees
>regularly so why pretend?  Birthing women deserve to be informed of these 
>silent
>peculiarities so that they're not ambushed on the day the birth begins.
>Gloria
>
>Quoting brendamanning <[EMAIL PROTECTED]>:
>
>> Gloria,
>>
>> It is not 'lying' (definition: withholding or distorting truth) when a
>> professional tells you up front what their plans are ! There is no lack of
>> integrity in being honest. I know of 2 very prominent midwives who have done
>>
>> exactly what the OB mentioned in the original post did: went on hols after
>> booking the client & informed them later that they'd have to find their own
>> cover for the absent period!
>>
>> Once informed it's up to the client to decide whether she chooses to work
>> with that caregiver for her pregnancy. She has a choice if she understand
>> that the person she is dealing with has hols booked for the time she's due &
>>
>> she'll be cared for by the covering practitioner.
>> We all have to have a life outside of work, as long as we are honest with
>> our clients then it's up to them to make those decisions, that's what
>> 'informed choice' is all about. If we never took leave we'd burn out in no
>> time & as we are on call from 37 to 43 weeks for births, there is no time
>> when we can book a complete month off without actually taking the end of the
>>
>> month before & the beginning of the month after off.
>>
>> IOL is another issue altogether & the outrage is indeed warranted, yet there
>>
>> is always a percentage of women who still expect IOL on demand.
>>
>> BM
>> ----- Original Message -----
>> From: <[EMAIL PROTECTED]>
>> To: <[email protected]>
>> Sent: Wednesday, August 17, 2005 7:43 AM
>> Subject: Re: [ozmidwifery] another induction
>>
>>
>> > When professionals disappoint and defraud their clientele, they have only
>> > themselves to blame for the lack of respect and mistrust which arises in
>> > the
>> > public.
>> >
>> > Giving prenatal care to a woman when one is planning to be away at the
>> > time of
>> > her birth is simply lying.  This kind of lack of integrity has a great
>> > cost.
>> >
>> > Inducing for convenience of the practitioner is dangerous and unethical. I
>> > think the outrage is warranted.  Primum non nocere.
>> > Gloria
>> >
>> > Quoting brendamanning <[EMAIL PROTECTED]>:
>> >
>> >> Janet,
>> >>
>> >> This IOL for Drs going on holidays happens all the time ! I'm not saying
> > >> it's
>> >> right, just that it's very common.
>> >> It's also very common to book women knowing that the OB will be on leave
>> >> when
>> >> she's due & a colleague will cover, but they usually tell the woman that
>> >> this
>> >> is the case.
>> >> I'm not into defending Obs generally but they are entitled to a life. It
>> >> is
>> >> the usual routine & polite for them to schedule a meeting to introduce
>> >> the
>> >> covering OB to the woman so they've met at least once prior to the birth
>> >> though.
>> >>
>> >> Don't despair, midwives do it too................as a group we aren't
>> >> above
>> >> reproach !
>> >> Brenda
>> >>   ----- Original Message -----
>> >>   From: Janet Fraser
>> >>   To: [email protected]
>> >>   Sent: Tuesday, August 16, 2005 8:10 PM
>> >>   Subject: [ozmidwifery] another induction
>> >>
>> >>
>> >>   Hi all,
>> >>   a woman I know has been asked by her OB if she will consent to be
>> >> induced
>> >> at 39 weeks (ie right now) because he's going away. Yes, you read it
>> >> right.
>> >> He took on a client knowing he was going to be away when she came to the
>> >> end
>> >> of her pregnancy OR he decided to go away after taking her on - either is
>> >> appalling. I've sent her Henci Goer on induction along with my outrage
>> >> and
>> >> suggestion that she complain about him officially.
>> >>   I'm so enraged by it. I'm just livid! What other branch of medicine
>> >> would
>> >> this happen in???
>> >>   Sigh. Roll on the medicare stuff and proper care for women and babies.
>> >>   J < - almost despairing but not quite...
>> >>   Joyous Birth
>> >>   Home Birth Forum - a world first!
>> >>   http://www.joyousbirth.info/forums/
>> >>
>> >>   Accessing Artemis
>> >>   Birth Trauma Recovery
>> >>   http://health.groups.yahoo.com/group/accessingartemis
>> >>
>> >
>> >
>> > --
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>>
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>>
>
>
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-- 
Jo Bourne
Virtual Artists Pty Ltd
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