Once again, sent the last mail before it was finished, sorry.

"Obviously scary rubbish makes better news than
truthful lovely births."

I think you are SO right there.
It seems to me that viewing birth as a disaster just waiting to happen, even if 
it is a "normal" birth, is Dr Giltrap's problem. Plus, I'm still trying to 
understand what he meant by:
"Dr Giltrap claimed Australian midwives were not as well trained as their 
European counterparts and Australian standards were often higher than those in 
Europe."

There are a couple of directives by EU which address midwives, and I doubt that 
it is more than you have in Australia. Aah, but then "higher standards" come 
into effect, right? Anyway:

Directive 80/154/EEC concerning the mutual recognition of diplomas, 
certificates and other evidence of formal qualifications in midwifery and 
including measures to facilitate the effective exercise of the right of 
establishment and freedom to provide services 

Directive 80/155/EEC concerning the coordination of provisions laid down by 
Law, Regulation or Administrative Action relating to the taking up and pursuit 
of the activities of midwives 

Decision 80/156/EEC setting up an Advisory Committee on the Training of 
Midwives 

Directive 89/594/EEC amending Directives 75/362/EEC, 77/452/EEC, 78/686/EEC, 
78/1026/EEC and 80/154/EEC relating to the mutual recognition of diplomas, 
certificates and other evidence of formal qualifications as doctors, nurses 
responsible for general care, dental practitioners, veterinary surgeons and 
midwives, together with Directives 75/363/EEC, 78/1027/EEC and 80/155/EEC 
concerning the coordination of provisions laid down by Law, Regulation or 
Administrative Action relating to the activities of doctors, veterinary 
surgeons and midwives 

Directive 2001/19/EC amending Council Directives 77/452/EEC, 77/453/EEC, 
78/686/EEC, 78/687/EEC, 78/1026/EEC, 78/1027/EEC, 80/154/EEC, 80/155/EEC, 
85/384/EEC, 85/432/EEC, 85/433/EEC and 93/16/EEC

As for dr Pesce, even if midwife care did offer just minimal benefits, I'm sure 
women would like to make the choice for themselves. And comparing lacerations 
with episiotomies, where everything, skin, muscles, nerves are cut, left me 
with my mouth open. As did the statement that there is a higher risk of 
perinatal deaths in birth centres.

Vedrana

-----Original Message-----
From: Vedrana Valčić 
Sent: Tuesday, August 30, 2005 8:54 AM
To: '[email protected]'
Subject: RE: [ozmidwifery] Fw: 'Higher risk' in midwife deliveries 
(http://theaustralian.com.au report)

" Obviously scary rubbish makes better news than
truthful lovely births."

I think you are SO right there.
It seems to me that viewing birth as a disaster just waiting to happen, even if 
it is a "normal" birth, is Dr Giltrap's problem. Plus, I'm still trying to 
understand what he meant by:
"Dr Giltrap claimed Australian midwives were not as well trained as their 
European counterparts and Australian standards were often higher than those in 
Europe."

There is a resolution by EU which states how many hours of what midwives have 
to have, and I doubt that it is more than you have in Australia. 




-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Janet Fraser
Sent: Tuesday, August 30, 2005 6:22 AM
To: [email protected]
Subject: Re: [ozmidwifery] Fw: 'Higher risk' in midwife deliveries 
(http://theaustralian.com.au report)

Rachel (welcome btw!) I hear everything you're saying and I concur. It's so
transparently about a professional monopoly but their own brilliant
misinformation campaign is so entwined with our current cultural fears
around normal physiological birth that very little gets into the media to
contradict it. Of course what I really want is for them to have to answer
how all the guff they spout really stands up against the research but the
seven second soundbite only allows long enough for scare tactics, not
evidence. It's interesting to me that in many years of writing letters to
SMH and The Age, I have never had one published on birth issues. I've got
quite a track record on political issues of other kinds, but not even the
most benign letter on home birth or midwifery has made it into their
publications. Obs and midwives get published a bit but very rarely
consumers. I sent letters to every major paper plus regionals for Home Birth
Awareness Week last year, and not one was published. That's a lot of editors
making the same decision. Obviously scary rubbish makes better news than
truthful lovely births.
Food for thought!
J
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