RE: funding for births
That's exactly what I'm looking for. Thanks Trish. Joy -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]] On Behalf Of Trish David Sent: Thursday, 9 September 1999 16:23 To: [EMAIL PROTECTED] Subject:funding for births Dear Joy, I haven't thought this through very well, but I would like to see all births funded through normal channels, but the choice of where to birth would be the woman's. How I see this happening might be that midwives are employed by government bodies (such as hospitals or health departments) to be the lead maternity carer regardless of place. S/he then follows the woman wherever she goes. The salary of the midwife thus is guaranteed, and the woman has a funded choice of either public, private, birth centre, home or the highway in between. Any extra above the medicare rebate is a matter for the woman and her private health insurer. An obstetrician is a separate entity, separately contracted by the woman after referral from the midwife. We will still need obstetricians for the pathological contingencies, and they should be remunerated accordingly. And after all, no matter who she goes to as a doctor, she will still need her midwife. A small pool of midwives are maintained on a shift work basis in hospitals for the obvious reasons, and antenatal care and the bulk of postnatal care takes place in the woman's home by her LMC midwife (and her partners). Does this make sense? This would then open the gates to either fully employed by agency midwives or privately practicing midwives to work in all sorts of ways but the woman chooses. What do you think? Thus we do away with the bulk of shiftwork, the bulk of infrasturcture costs, the bulk of on costs, etc. We put these midwives on a salary. Create a separate award, register and Act of Parliament. We put them into their own community to serve their neighbours within teams of midwives who integrate with other services and use their underused buildings (eg Family and child health clinics, gp offices, school buildings, etc) anything to get them out of the big centres and out to where the women are. Well, that's all probably more than you asked for. Cheers, Trish Trish -- 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.
checking for cord
I would like to add more to the cord cutting equation than simply the action. Firstly in answer to the question I do not look for cord and deal with each situation as it arises. 99.9% just need untangling. Secondly, think for a moment about how the woman, and those close to her feel when they hear the words " I'm just checking for cord around the baby's neck" ? How does it make her feel? I know how I would feel. Just food for thought. Regards Debbie. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
anf and direct entry
Dear list. As most of you may be aware the University of SA and Flinders University are collaboratively developing a three year undergraduate midwifery degree (Direct Entry) to be offered in 2001. We have appointed a project officer. One of our aims is to coordinate a national collaboration. We would be pleased to hear from any interested universities. This letter has been sent to the University of SA and Flinders University from the ANF SA Branch following a number of letters sent to them asking them to review their policy on direct entry when they had their annual state delegates conference in August. I QUOTE(I had great difficulty in writing this even though it is a quote - referring to midwifery as nursing!! ) "...delegates voted overwhelmingly to maintain ANF's curent policy position regarding midwifery including opposition to direct entry programs. The ANF has a national policy which oppose direct entry education programs for specialist areas of practice such as midwifery and mental health nursing. The basis for this is that we believe that it is necessary for nurses to undertake a broard-based undergraduate program and to specialise at postgraduate level. This is particularly relevent in the contemporary environment where clients' needs are so diverse and nurses must be able, more than ever before, to respond to the full range of needs. Further more, there continue to be chronic shortages of specialist nurses in rural and remote areas particularly of midwives and mental health nurses. Employers in these areas continue to assert that direct entry courses will not address these shortages. Consequently we wish to reiterate our concerns about the university's plans to introduce a direct entry midwifery program, as we do not believe it is in the best interests of the community or the nursing profession." END OF QUOTE There was some debate at the ACMI conference in Tassie around the issue of should we just ignore ANF. As ACMI does not have an industrial arm we have nowhere to go for industrial issues execpt ANF. In SA the professional officer is supportive of Direct Entry and understands midwifery is a separate profession, however we are up against a national policy. What does the list think about this issue? -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
