Thank God there are some who support us, they are just not vocal enough. Without the support of the Cairns OB's Mareeba would be history. Cheers Judy
--- wump fish <[EMAIL PROTECTED]> wrote: > As a newcomer to Australia from the UK - it seems that the obs > are behaving > like threatened children. > > Firstly, their stats can flawed. Other developed countries > have also looked > at the evidence and concluded that midwife-led, > community-based care is > effective, efficient and safe. For example, the UK is moving > towards a > midwifery-led birth centre model based on research about what > women want and > what is safe. > > Secondly, even if midwifery-led birth is unsafe (which it is > not). Surely > women's right to choose this option should be maintained. > Women should be > able to access a wide range of birth options from independent > mws to > elective c-section. Interesting that a woman's right to opt > for an elective > c-section/induction is upheld by the obs despite the wealth of > research > demonstrating it is not the safest choice for mother or baby. > However, they > want to block a woman's right to choose midwifery-led care > based on safety > claims. Is this about safety or power? > > I am deeply disturbed by the amount of hostility directed at > mws by obs. We > should be working together - mw being the experts in > physiological birth, > and obs being the experts in complicated birth. > > Rachel > > > >From: "Sally-Anne Brown" <[EMAIL PROTECTED]> > >Reply-To: [email protected] > >To: <[email protected]> > >Subject: [ozmidwifery] Fw: 'Higher risk' in midwife > deliveries > >(http://theaustralian.com.au report) > >Date: Tue, 30 Aug 2005 08:23:49 +1000 > > > > > >----- Original Message ----- > >From: Sally > >To: Sally-Anne Brown > >Sent: Tuesday, August 30, 2005 8:11 AM > >Subject: 'Higher risk' in midwife deliveries > (http://theaustralian.com.au > >report) > > > > > > Sally ([EMAIL PROTECTED]) suggested you might be > interested in this > >http://theaustralian.com.au report. > > > > > > 'Higher risk' in midwife deliveries > > Adam Cresswell, Health editor > > 30 August 2005 > > > > THE safety of midwife-led birthing units has > been doubted and > >the most reliable evidence suggests babies born in such > centres are 85 per > >cent more likely to die during or shortly after birth, > compared with babies > >born in major hospitals. > > > > > > Leading obstetrician Andrew Pesce said yesterday > that a review > >by the international Cochrane Collaboration - considered the > best source of > >evidence for medical claims - found that home-like settings > for births were > >associated with "modest benefits". > > > > Dr Pesce said these benefits included higher > rates of > >breastfeeding, more satisfied mothers and slightly higher > rates of > >spontaneous vaginal childbirth (as opposed to surgical > deliveries). > > > > However, the Sydney-based Dr Pesce - who is also > secretary of > >the industrial lobby group the National Association of > Specialist > >Obstetricians and Gynaecologists - said the review, published > late last > >year, also found babies born in home-like settings such as > midwife-run > >centres ran an 85 per cent higher risk of death around the > time of > >childbirth. However, the overall rate is still very low - > about eight > >babies in 1000 live births in 2002, according to the > Australian Bureau of > >Statistics. > > > > Dr Pesce also said studies that midwives > sometimes used to > >back up their safety claims were scientifically inferior, > usually because > >their subjects were not randomised - an accepted technique to > remove bias. > > > > "Everybody says it's been shown to be safe - but > it's not. > >It's been shown to be reasonably safe, but without question > there's a worry > >about increased risk of perinatal mortality," he said. > > > > "There's a positive effect (of birthing > centres), but it's a > >lot lower than you would be led to believe by people who > advocate this > >model." > > > > Kathleen Fahy, professor of midwifery at the > University of > >Newcastle, said Dr Pesce was using the Cochrane deaths data > "to imply that > >something is significant when it isn't". > > > > "What's going on here is a desire to prevent > midwives from > >practising their profession, and using safety to do so," she > said. > > > > Sally Tracy, associate professor of midwifery > practice > >development at the University of Technology Sydney, said she > had recently > >finalised a study using data from more than 1million > Australian births, > >which would be published shortly in a major medical journal. > > > > Although prevented under medical journal > requirements from > >discussing the findings before publication, she said the > results were > >positive for midwife centres. > > > > In an article to be published next month in > NASOG's > >newsletter, Dr Pesce - who also represents obstetricians and > gynaecologists > >on the Australian Medical Association's federal council - > said the Cochrane > >review looked at the results of six different trials, > together involving > >8677 women. > > > > The review found birth centre care was > associated with > >"modest" reductions in some medical interventions, such as > episiotomies - > >where a cut is made in the perineum to assist birth and > prevent > >uncontrolled tearing. > > > > However, Dr Pesce wrote that the study found > higher perineal > >lacerations in midwife care, so the overall rate of injury in > that area was > >similar. > > > > "In summary, there is now good-quality evidence > of higher risk > >of perinatal death in birth centres, with only modest > reductions in some > >medical interventions," he wrote. > > > > > > Click here to sign > > up for daily headlines > > > > > > > > > > > > > > > >-------------------------------------------------------------------------------- > > > > > >Internal Virus Database is out-of-date. > >Checked by AVG Anti-Virus. > >Version: 7.0.338 / Virus Database: 267.10.14/79 - Release > Date: 22/08/2005 > > > >Internal Virus Database is out-of-date. > >Checked by AVG Anti-Virus. > >Version: 7.0.338 / Virus Database: 267.10.14/79 - Release > Date: 22/08/2005 > > _________________________________________________________________ > Be the first to hear what's new at MSN - sign up to our free > newsletters! > http://www.msn.co.uk/newsletters > > -- > This mailing list is sponsored by ACE Graphics. > Visit <http://www.acegraphics.com.au> to subscribe or > unsubscribe. > ____________________________________________________ Do you Yahoo!? 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