Title: Bericht
Hi Lieve
 
Have all of your other women been tested for Hep C and Hep B before you accept them for homebirth?  What I am getting at is that you/they have more than likely already (unknowingly) looked after other women who are Hep C or B positive.  Do they discriminate against these women? This is why people often fail to disclose their status - because of discrimination.   Also, they may have been negative at the time of their first antenatal blood tests and then contracted any of these diseases without us/them knowing. 
 
That is why we practice "standard precautions" for all clients as we can never be totally sure what we are dealing with.
 
Good luck
 
Helen
 
 
----- Original Message -----
Sent: Tuesday, September 06, 2005 12:26 AM
Subject: [ozmidwifery] hep C and homebirth

Hoi friends,
 
Last week I send the question about hep C and homebirth. Since then I got a lot of information and I could decide that homebirth was not a problem with some precautions to protect ourselves. But I have a problem with my colleagues. We have a practice of three midwives and the other two refuse to help the mother, saying that they think the risc is to much to take. She was also a drugaddict, but clean now for several years. She had recent a partner with unsafe sexual behaviour (several partners).
My colleagues say that she is responsible herself for what she got and take the consequences of it. I believe that everybody needs a second chance.
 
They say, considering our teamwork that I have to refuse her too. They are angry at me.
I feel that refusing her is some discimination.
How should you handle this in your practice?
 
warm greetings
Lieve
 
 
 
Lieve Huybrechts
vroedvrouw
0477/740853


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