Re: [ozmidwifery] question

[Justine Caines]

Title: Re: [ozmidwifery] question

Hi Mary and all

I am responding to a few on this thread!

Medical Boards seem to only be used in extreme cases as there is such a closed system of protectionism.

One of our Premiers told me once he totally believed what I was saying in relation to a broken maternity system as he knew of the huge protection offered by the 4 walls of a hospital (well for Drs, not midwives!).  But was he game enough to take it on?  No way.

The most tragic part is the lies women are told so they not only believe what happened was necessary but that the Dr saved them.  I don’t have an answer to that one.

The other insidious fact is that even when families sue the new civil liability laws now require what is called the “Bolam Test” and this means if an Ob can determine what they did was custom and practice as evidenced by other practitioners (not proven by best practice evidence) then that’s fine.  So to me we are stuffed on that count. Few people know this.

But yes caseload practice and a real scope of midwifery that determines a boundary that is not interferred with by medicos until a woman or babies condition is outside of it is the answer.

What can midwives do?  Say they want to work this way!!! UNITE. Despite all our hard work I see so many midwives clutching to the rostered fragmented way of work.  I am sick of hearing family responsibilities as the reason.  This is fear of change and a resistance to even try.  I am sure that caseloading on a part-time basis (with good back-up which is essential) is MORE family friendly.  And hey lobbying politicians and meeting the demands of journalists and travelling hundreds of Kms as a consumer advocate ain’t too family friendly!!

We are on the cusp and I reckon we can advance or slide at the moment.

Anyway I am going to shut up and try and have a baby or 2!

Justine

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