Anne,

Scream away, good for releasing tension !

Not true that RANZCOG represents the views of all OBs. I spoke to 3 this week 
who stated their college does not express their views at all. However they felt 
that they possibly not probably (semantics) represented the views of the 
majority.
Defintion of low risk is fairly standard anywhere isn't it? Look at any birth 
centres critieria. Let's not reinvent that wheel ! There is no evidence to say 
midwife led care is unsafe, in fact there is plenty of data to prove otherwise, 
the onus is on the college to prove otherwise. It isn't up to ACMI to prove 
they are "safe", it is for RANZCOG to prove they aren't !

Why are RANZCOG the 'boss" of ACMI anyway ? Sounds like school yard games 
doesn't it ? Establish the pecking order, I'm the boss of you !

BM

> Anne Clarke <[EMAIL PROTECTED]> wrote:
> 
> Dear All,
> 
> We are still being beaten around the head about using the ACMI referral 
> guidelines.
> 
> Just today an obstetrician said 'well they (ACMI referral guidelines) 
> are not RANZCOG approved' and he added that 'ACMI does not represent the 
> vast majority of Midwives like RANZCOG represents all Obstetricians'. 
> 
> When the references were pointed out and the referral guidelines were 
> based securely in best practice, it was like water on a ducks back.  
> Can't see anything without the stamp of approval from RANZCOG nothing 
> else exists.
> 
> As you can tell from this the obstetricians want to use referral 
> guidelines based on their interpretation and not on a Midwifery best 
> practice model of care. You would think it should be the same for 
> Midwives and obstetricians.  With a mindset like this obstetricians want 
> complete control and veto and they hide this mindset behind the facade 
> of 'safety'.
> 
> Another issue is that they want a definition of 'low risk'.
> 
> I just want to scream!
> 
> Anne Clarke
> Birth Centre, Brisbane
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