Sorry Ken,
Point taken, all is not rosy anywhere in the world is it?
It's really a blessing that we area ll different.
I really set myself up for that comment didn't I ?
Thank you for being so polite & understanding.
It's not my usual style to "knock' anyone............. bad day,
verrrrrrrrrrry bad day .............
Fortunately a cause is not responsible for it's followers !
With kind regards
Brenda Manning
www.themidwife.com.au
----- Original Message -----
From: "Ken WArd" <[EMAIL PROTECTED]>
To: <[email protected]>
Sent: Monday, October 31, 2005 7:32 PM
Subject: RE: Re: [ozmidwifery] The Advertiser today...
I have worked with midwives from England who have a very medicalised view
of
birth. Also with a New Zealander who would just wander in, stocking
drawers
etc with a woman labouring in the room. I also met a Kiwi who had a C/S
for
CPD in NZ then went on to have a natural birth with the next baby who was
nearly 2lbs heavier. All is not rosy in England, nor NZ. Please don't
'knock' Australia, some of us resent it.
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of
[EMAIL PROTECTED]
Sent: Monday, 31 October 2005 12:23 AM
To: [email protected]
Subject: Re: Re: [ozmidwifery] The Advertiser today...
Hi Rachel,
It is difficult practicing in a new country no matter what you do,
culturally Aust & UK are so dissimilar it's even more frustrating.
I am a Kiwi & am used to the NZ system which is very different to here. I
find Aust women annoyingly passive & apathetic regarding midwifery &
pregnancy generally, they are very American in their attitudes & beliefs &
actually that drives me insane. In NZ we are much more "English", it took
me
ages to get my head around the 'user pays' system here. I still don't
believe women should have to pay to have a choice in their pregnancy care
or
place of birth, it is their right, not privilege (hence I don't make a
profit from my HB practice as I often don't charge women, I barter or
suggest share care with the local birth centre MW Clinic because it's free
&
they can see me for alternate visits, doesn't go down well with the
political midwives in Melbourne so I keep it quiet
I refuse to get tangled up in the 'insurance debacle", women will have the
choice of birthing at home regardless as far as I'm concerned.
I do practice with back-up, all women book into a hospital in case
transfer
is required, I have a great network of alternative practitioners who work
in
collaborative practice with me & I can refer at any given time to a lovely
OB, who is always available as an ear if I need him. I don't feel the need
for any other presence, but I do have an extremely competent apprentice
who
is nearly finished her direct entry mid & we work very well together. I
chose her because she sees Mid as a separate identity to nursing, has no
fear of birth & sees pregnancy/maternity care as a state of health &
wellbeing.
I have worked in a group/team practice before & whilst the guaranteed time
off O/C was good that was the only thing that worked in it for me. I
found
it just wasn't my style of mid. The politics gave me the irrits & there is
always the power & control crap that goes with groups that I have no time
for.
So you could practice perfectly well without the insurance, back up or
midwifery team because you'd build your own quite quickly once out of the
system. I do sympathise.
Don't go for the supermarket option just yet, it sounds like it'd be a
shame, their gain &midwiferiess' loss.
? look at NZ.(much nicer than Aust in every way!!) ......I am going home
tomorrow for 3 weeks as I do every year & will check things out as I do
every year ( but my children are here so my options are limited) . Would
you
like an update on what's happening there when I get back? Are you
contracted
to the hospital you are working for ?
Please don't stop your contributions to the ozmid, I enjoy your posts &
things will get better, it's early days !!
Kind regards
Brenda Manning
www.themidwife.com.au
wump fish <[EMAIL PROTECTED]> wrote:
Hi Brenda,
I know exactly what you mean about thinking in lines and circles! I
think
this is my big problem. I think in circles in the hospital setting which
does not go down too well.
As for why I am not attending homebirths. In the UK I attended
homebirths
funded by the NHS (medicare) and backed-up by the maternity system. I
worked
in a community team and we covered the on-call between 4 of us. I'm in
Queensland now and things are a bit different. If I want to do
homebirths I
would have to be an independent mw. I don't feel that I know the system
here
well enough after only 9 months. Also I would have to practise without
insurance or back-up or a midwifery team.
The hospital setting is very frustrating and I plan to escape within 2
years. Not sure where - research, education..... supermarket.
Rachel
>From: "brendamanning" <[EMAIL PROTECTED]>
>Reply-To: [email protected]
>To: <[email protected]>
>Subject: Re: [ozmidwifery] The Advertiser today...
>Date: Sun, 30 Oct 2005 14:11:25 +1100
>
>Rachel,
>
>Please don't 'shut up for now', as you know once you start 'not' saying
>things it becomes a habit that they never get said at all!
>Also I enjoy your posts !
>
>I wonder why you aren't attending homebirths here if you enjoy then so
much
>? There is no money in it (not the way I practice anyway LOL) but if
it's
>where your heart lies then you make do somehow.
>
>I work bank at the birth centre to feed the family & homebirths in the
>community to feed my soul !
>I totally agree with you, it requires a complete change of mindset when
I
>work for myself.
>Work in the unit, (and I work in a very lovely liberal unit if you
>strrrrrrrrrretch the boundaries of the prescriptive policies )requires
my
>brain to function in a straight line. Alot of it is damage control &
>treating the symptoms which the system often causes.
>However in my practice my brain works in a circle (if you can
understand
>the metaphor) & focuses largely on preventing the problem occurring in
the
>first place. !
>Not sure I can explain it but that's how it feels !
>
>With kind regards
>Brenda Manning
>www.themidwife.com.au
>
>----- Original Message ----- From: "wump fish" <[EMAIL PROTECTED]>
>To: <[email protected]>
>Sent: Sunday, October 30, 2005 12:45 PM
>Subject: RE: [ozmidwifery] The Advertiser today...
>
>
>>Tania - I didn't think you were having a go at all! In the UK I was
lucky
>>enough to gain experience of community based midwifery-led care
>>(homebirths etc) and midwifery-led care in a large regional referral
unit
>>(high risk heaven). It was interesting that I was perceived by
colleagues
>>as has having a higher level of skill and kudos when working in
hospital
>>on birth suite. Whereas, I felt I had to use a higher level of skill
in
>>the community setting.
>>
>>I think part of the problem in hospital based midwifery is where the
>>emphasis is placed in education and updates - for example, CTG
>>interpretation, resus, emergencies etc. There is kudo is being
competent
>>in the management of abnormal and emergencies. Unfortunately, there is
not
>>the same emphasis placed on the skills involved in facilitating
>>physiological birth and preventing those emergencies from occuring in
the
>>first place. Risk management strategies are also back-to-front and
result
>>concentrate on the symptoms ignoring the cause. Anyhow... I could rant
on
>>forever about risk management and education. So I will shut up for
now.
>>
>>Rachel x
>>
>>
>>
>>
>>>From: "Tania Smallwood" <[EMAIL PROTECTED]>
>>>Reply-To: [email protected]
>>>To: <[email protected]>
>>>Subject: RE: [ozmidwifery] The Advertiser today...
>>>Date: Sun, 30 Oct 2005 10:03:02 +1030
>>>
>>>Agree with all of that Rachel, and sorry if it seemed I was having a
go -
>>>not intended at all. What I feel is sad is that what you are talking
>>>about
>>>is not widely acknowledged, not by the midwives working in the
hospital
>>>system that I know anyway. They seem to hide behind this notion of
>>>needing
>>>to be upskilled rather than acknowledging that for many of them, the
>>>system
>>>they work in has resulted in them becoming deskilled and desensitized
to
>>>the
>>>realities of birth. I like the idea of rewiring! I think I'd need a
>>>total
>>>motherboard overhaul to work just one shift in a labour and delivery
>>>suite.
>>>Well done for being able to deliver care to the women who really need
it
>>>in
>>>the system, hats off to you!
>>>
>>>Tania
>>>xxx
>>>
>>>-----Original Message-----
>>>From: [EMAIL PROTECTED]
>>>[mailto:[EMAIL PROTECTED] On Behalf Of wump fish
>>>Sent: Sunday, 30 October 2005 9:38 AM
>>>To: [email protected]
>>>Subject: RE: [ozmidwifery] The Advertiser today...
>>>
>>>I think any midwife who has spent their career in a hospital setting
>>>would
>>>need 're-wiring' to attend homebirths. Hospital birth is so different
to
>>>homebirth, and the danger is that midwives bring the hospital and
it's
>>>guidelines to the home. I don't think it is a case of 'upskilling',
just
>>>a
>>>totally different way of working and hospital midwives have been
>>>oppressed
>>>and socialised into a particular way of practising. They often lack
>>>confidence in their own midwifery skills and women's ability to
birth.
>>>
>>>Rachel - trapped in a hospital with pinging machines and missing
>>>homebirth
>>>and midwifery.
>>>
>>>
>>> >From: "Tania Smallwood" <[EMAIL PROTECTED]>
>>> >Reply-To: [email protected]
>>> >To: <[email protected]>
>>> >Subject: RE: [ozmidwifery] The Advertiser today...
>>> >Date: Sat, 29 Oct 2005 21:06:12 +0930
>>> >
>>> >Love that term, Macdonaldisation! I also get concerned when I hear
of
>>> >midwives needing to be "upskilled" to attend 'normal' births, or to
>>>give
>>> >women care in water, etc. I think as a midwife we should all be
able
>>>to
>>> >handle the 'normal'. I personally would need upskilling to work in
a
>>> >tertiary institution with all those machines that go 'ping'!
>>> >
>>> >
>>> >Tania
>>> >
>>> >
>>> >-----Original Message-----
>>> >From: [EMAIL PROTECTED]
>>> >[mailto:[EMAIL PROTECTED] On Behalf Of Belinda
>>> >Sent: Sunday, 30 October 2005 1:57 PM
>>> >To: [email protected]
>>> >Subject: Re: [ozmidwifery] The Advertiser today...
>>> >
>>> >a big part of it is the multi skilling crap which is just a way of
>>> >getting constant work out an individual which i think is why so
many
>>> >places are against direct mid entry midwives, they cant be used
like
>>> >slaves to work everywhere anywhere anytime. it is an evolving
problem
>>> >and much to do with globalisation and utilising the human resources
to
>>> >the best benefit of corporation which hospitals are fast becoming.
The
>>> >macdonaldisation of society!!! It really worries me....
>>> >Belinda
>>> >
>>> >Tania Smallwood wrote:
>>> >
>>> > > Not just a question for Barb, but anyone who knows about it, I'm
>>> > > curious to know about the Midwife/nurse practitioner that you
refer
>>> > > to
>>> > > in Qld. What exactly do they do? How is this different to
working
>>> > > within the scope of a registered midwife? I'm aware that the
college
>>> > > is not supportive of the notion of midwives becoming NP's, but
I'm
>>> > > actually interested in what role they play in maternity care
over
>>>and
>>> > > above the general run of the mill midwife?
>>> > >
>>> > > Cheers,
>>> > >
>>> > > Tania
>>> > >
>>> >--
>>> >This mailing list is sponsored by ACE Graphics.
>>> >Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
>>> >
>>> >
>>> >
>>> >
>>> >--
>>> >This mailing list is sponsored by ACE Graphics.
>>> >Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
>>>
>>>_________________________________________________________________
>>>MSN Messenger 7.5 is now out. Download it for FREE here.
>>>http://messenger.msn.co.uk
>>>
>>>--
>>>This mailing list is sponsored by ACE Graphics.
>>>Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
>>>
>>>
>>>
>>>
>>>--
>>>This mailing list is sponsored by ACE Graphics.
>>>Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
>>
>>_________________________________________________________________
>>MSN Messenger 7.5 is now out. Download it for FREE here.
>>http://messenger.msn.co.uk
>>
>>--
>>This mailing list is sponsored by ACE Graphics.
>>Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
>
>--
>This mailing list is sponsored by ACE Graphics.
>Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
_________________________________________________________________
MSN Messenger 7.5 is now out. Download it for FREE here.
http://messenger.msn.co.uk
--
This mailing list is sponsored by ACE Graphics.
Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
--
This mailing list is sponsored by ACE Graphics.
Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
--
This mailing list is sponsored by ACE Graphics.
Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
--
This mailing list is sponsored by ACE Graphics.
Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
