Fw: Professional Indemnity (PI) Insurance for midwives - for distribution

2001-07-14 Thread Denise Hynd


- Original Message -
From: Denise Hynd [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Cc: Bronwyn CMWA Keys [EMAIL PROTECTED]
Sent: Saturday, July 14, 2001 3:33 PM
Subject: Re: Professional Indemnity (PI) Insurance for midwives - for
distribution


 Dear All
 Feel free to adapt my letter as below
 Denise

 Mr Brian Benger
 National Manager
 Guild Insurance
 Locked Bag 7
 HAWTHORN VIC 3122

 12 July 2001

 Dear Mr Benger,
 I am writing to express my disappointment at the decision and manner in
 which Guild Insurance is to cease insuring independent midwives for the
 following reasons;
 Firstly I know that this arrangement with the Australian College of
Midwives
 was made in concert with the Australian College of Nursing and the
 Australian-New Zealand Mental Health Nurses Association, yet it appears to
 be only the midwives Guild Insurance is ceasing to insure!

 Secondly I understand that many of the midwives who are affected by this
 decision have heard news of it through either the media or their
colleagues
 and some through anxious clients being informed by the former!

 Thirdly because of your involvement with midwives and their professional
 organisation your company must be aware of the many of the professional
and
 social obstacles Australian midwives and families who choose to
 provide/access safe responsible homebirth have and continue to encounter,
 yet you gave them no notice of your intention to create another!

 Fourthly this decision not only restricts the future legal practice of 80+
 professionals but also places them at multiple risks should they continue
to
 meet their present agreements with pregnant women due to birth before an
 alternative insurer can be found.

 Fifthly your company should also be cognisant of the limited and
prohibitive
 options for midwives needing or wishing to stay insured but again you have
 taken this action with no notice.

 Sixthly you take an action which is contrary to the research substantiated
 social, health and therefore financial benefits of midwifery options of
 care, social capital benefits for all including the insurance industry!

 Finally I am disappointed that Guild has contributed to the general
 misinformation and scare campaign about birth being a highly litigious
area
 (your General Manager, Mr David Brown's statement in The Sydney Morning
 Herald) without substantiation and contrary to the findings of the
National
 Tito Report.

 Rather your company should be aware and promoting the reality that
whenever
 families have been able to equitably access midwifery options of care they
 have done so in numbers which usually exceed supply (eg Community
Midwifery
 Program WA, most Australian birth centres and midwifery team projects)!

 Additionally where such options are available universally (eg Netherlands
 and New Zealand) these nations have the lowest levels of mother and
newborn
 morbidity and mortality which are extras health cost savings to the
 accompanying lower levels of interventionist pregnancy and childbirth
care.

 It is a sad indication of the short sighted nature and management of the
 insurance industry and of your company in particular that you abandon
 insuring the most cost effective maternity care practitioners, as
recognised
 by international research and the WHO, because currently you are making
 insufficient profits from them!

 Thus I urge you to reconsider your decision and return to support the
right
 of birthing families to low intervention, women centred options of care.
 Yours sincerely


 Denise Hynd

 - Original Message -
 From: Johnston [EMAIL PROTECTED]
 To: ozmidwifery list (E-mail) [EMAIL PROTECTED]
 Sent: Saturday, July 14, 2001 11:55 AM
 Subject: Professional Indemnity (PI) Insurance for midwives - for
 distribution


  ***The person who sends this should add their own contact details if
they
  are prepared to speak to the politician or media or whoever it is sent
to.
  A joint statement by consumer and professional groups: The Maternity
  Coalition Inc, Australian Society of Independent Midwives, and the
  Association for Improvements in the Maternity Services.
  PRESS RELEASE
  14 July 2001
  Re: Professional Indemnity (PI) Insurance for midwives
  Midwifery practice and the options women have for birth have been thrown
  into chaos by the crisis caused by the withdrawal of Guild Insurance
from
  midwife PI Insurance policies.  This is an issue that will affect all
  midwifery.  The impact of this crisis will be to disadvantage women and
  their families across the country, as midwifery services will be
withdrawn
  and further marginalised.
 
  We seek immediate intervention from both federal and state governments,
to
  enable midwives to continue practising. Many concessions have been made
in
  recent months to obstetric models of care, encouraging pregnant women to
  give birth in private hospitals, and promising to reduce the gap in
 rebates
  for doctors' fees.  At the same time the basic option 

Re: Fw: Professional Indemnity (PI) Insurance for midwives - for distribution

2001-07-14 Thread TinaPettigrew

Fantastic letter Denise 

Yours in birth,
Tina Pettigrew
Birthworks
Independent CBE and aspiring B.Mid Midwife.
Convenor, Aust B. Mid Student Collective.

 As we trust the flowers to open to new life
   - So we can trust birth
Harriette Hartigan.
--- 
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Re: Research Critique??

2001-07-14 Thread Jackie Mawson

 I am concerned at this report in the BMJ it is contrary to so much other
 research and expereince of those who have done VBAC's
 Can anyone see how such contradictory findings can be disputed ??
 I have to go back to my files to relearn research critque analysis skills!!
 Denise
 
 http://bmj.com/cgi/content/full/323/7304/68
 Vaginal delivery after caesarean section triples risk of uterine rupture
 Deborah Josefson San Francisco

ICAN (International Caesarean Awareness Network) sent me this request. Any
response would be appreciated.

-- Forwarded Message
From: Connie Banack [EMAIL PROTECTED]
Date: Sun, 8 Jul 2001 21:06:21 -0600
To: Jackie Mawson [EMAIL PROTECTED],
Subject: VBAC-lash in the media

Hello ICAN Advisory Board members,
Most of you, especially in the US, have probably heard or even seen the New
England Journal of Medicine study just released on uterine rupture
statistics. The media has been, for the most part, portraying the great
risk of VBAC vs ERCS based on this study, while the true nature of it was
to prove the increased risk of induction with VBAC (which it did). We sent a
quick press release (if any of you have not received it, please let me know)
to the media last week outlining our stance on the subject.

I would be honoured if any of you could send me quotes, your own
articles/media releases, and/or thoughts on this study as we continue to
enlighten and educate regarding the safety of VBAC vs ERCS. Thank you each
and every one of you for your support of ICAN and it's work.

Warmly,
Connie Banack, president
International Cesarean Awareness Network, Inc. (ICAN)

-- End of Forwarded Message


Birthing Beautifully,
Jackie Mawson.

Convenor of Birthrites: Healing After Caesarean Inc.
Visit our Website at: http://www.birthrites.org
Email: [EMAIL PROTECTED]
Phone: 61 08 9418 8949

Please note I am not a Professional Healthcare Provider, and all opinions
given in this email are not to be taken as medical, or legal, advice. Please
seek such advice from the relevant professional service.

Email me your postal details for a FREE copy of our quarterly magazine, if
you live within Australia - Overseas postage costs are above budget, sorry!

Too many Gods;
so many creeds,
Too many paths
 that wind and
 wind,
When just the art
 of being kind
 Is all the sad
  world needs...
--


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Visit http://www.acegraphics.com.au to subscribe or unsubscribe.



assignment

2001-07-14 Thread Paul Tracy



Dear all on the list,

I am back again eagerly checking my E-mail and 
enjoying reading the letters that are posted on this list each day.I 
always leave my computer feeling proud to be a midwife and inspired to change 
the world after reading your fabulous words of wisdom.

I work as a clinical midwife in a country hospital 
in W.A..and plan to have my firstchild under the midwifery model, with the 
communitymidwives in Perth (when I decide to fall 
pregnant!!!)I, like many others out there, am so disappointed with 
the Guild insurance dilemma. What also upsets me is the fact that midwives I 
work with make comment that loosing this insuranceis a good thing and that 
it will finally put those "maverick midwives" out of practice. I guess I 
can accept some negative comments from the uninformed public but when coming 
from our own backyard I find itmore difficult and frustrating to 
handle. So, I have been printing off some of the articles you 
amazing people have written and pinning them up in our office to read, with the 
hope that it may open up some rather narrow minded attitudes around here. 
I sometimes wonder how we will ever achieve the system that we all dream of when 
many of our own kind are the greatest antagonists!

On another note, I am wondering if any of you 
scholars out there can help me with my next unit of study. I am a midwife 
completing my final unit of the Bachelor of Nursing (ECU) (I am converting my 
diploma into a degree). This unit is Role Application in 
Nursing NSP2211 and involves a self directed contract for the duration of the 
semester. I need tochoose a topic that theory can be applied to and 
that will help me develop further as a midwife. I then need to formulate a 
statement of intent, learning objectives and carry out the contract. Do 
any of you have any ideas that aren't too difficult but are relevant to 
midwifery?. I have written a breastfeeding policy for our ward 
and am wondering if I can incorporate that at all. I would greatly 
appreciate any input you may have.



Yours sincerely 

Tracy


For interest.

2001-07-14 Thread Jackie Mawson
Title: For interest.



For interest. From ABC Online ...
BB Jackie Mawson.
===
ABC Health-Updates, July 12, 2001
Health-Updates is a weekly alert about recent ABC health coverage now
available online. Information on how to subscribe can be found at:
http://www.abc.net.au/health/subscribe.htm


LOW-DOSE EPIDURALS BEST (Health News: 9/7/2001)
The use of traditional-style epidurals for pain relief during childbirth
may not be justified, according to a new report.
http://www.abc.net.au/science/news/health/HealthRepublish_324833.htm

=

SCIENTISTS DISCOVER NEW IVF TECHNIQUE (PM: 11/7/2001)
Scientists in Melbourne have discovered a way to make human eggs fertile
without the need for sperm. The technique could help infertile couples, and
lesbians who want to have children without the need for a father. But the
revolutionary procedure is not without its critics, and is still a long way
off guaranteeing the birth of live, genetically healthy babies.
http://www.abc.net.au/pm/s327461.htm
http://www.abc.net.au/lateline/s327678.htm



HIGH BLOOD PRESSURE IN YOUNG ADULTS AND WORKING PREGNANT WOMEN (The Health
Report: 9/7/2001)
Bad news for the under 40s who think they don't yet have to worry about
hypertension: a 25-year study in the US has found that higher than normal
blood pressure at this age has a big impact on the risk of heart disease.
And for young women who are pregnant, a Melbourne study shows that for most
women, paid work is not a problem - but those who already have high blood
pressure, and those who find their job stressful, could be at risk of
complications.
http://www.abc.net.au/rn/talks/8.30/helthrpt/stories/s326315.htm

===

VITAMIN A IN PREGNANCY (The Health Report: 9/7/2001)
One of the causes of kidney problems in children may be problems during
pregnancy with Vitamin A. Research in the US shows that even mild
deficiencies could lead to hidden abnormalities in the kidneys and
urogenital tract.
http://www.abc.net.au/rn/talks/8.30/helthrpt/stories/s326333.htm

==

NURSES: DOUBLE SHIFTS, DOUBLE DANGER (Background Briefing: 8/7/2001)
Why is the great caring vocation of nursing losing so many of its once
idealistic young recruits? Problems include impossible workloads, enormous
responsibility and the heartache of not having the time to meet patients'
needs. It's also dangerous, as last week's events tragically showed.
http://www.abc.net.au/rn/talks/bbing/stories/s326521.htm

===

Birthing Beautifully,
Jackie Mawson.

Convenor of Birthrites: Healing After Caesarean Inc.
Visit our Website at: http://www.birthrites.org
Email: [EMAIL PROTECTED]
Phone: 61 08 9418 8949

Please note I am not a Professional Healthcare Provider, and all opinions given in this email are not to be taken as medical, or legal, advice. Please seek such advice from the relevant professional service.

Email me your postal details for a FREE copy of our quarterly magazine, if you live within Australia - Overseas postage costs are above budget, sorry!

Too many Gods;
so many creeds,
Too many paths
that wind and
wind,
When just the art
of being kind
Is all the sad
world needs...
-- 







Fw: [BMidStudentCollective] Collective Housekeeping

2001-07-14 Thread Julie Clarke


-Original Message-
From: Denise love [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
[EMAIL PROTECTED]
Date: Saturday, 14 July 2001 8:39
Subject: Re: [BMidStudentCollective] Collective Housekeeping


Hello all,
Looking forward to tomorrow.  Baby naming cermony and the burying of the
placenta.  The baby is 5 months old, and Mum now feels she has an
understanding of some of the skills required to parent this delightful
little boy, and is capable of nurturing him herself, so it's time for the
ceremony to complete the pregnancy and birth, and move into the next phase.
I love conducting these gathering..so uplifting and joyous!

Time for the next Doula Training course for all the budding
midwives...26th July!!
Let me know if your interested.
Had a great meeting with the powers that be relating to the  NSW BMid.
There was some suggestions that the enrolments for Sydney are also huge!
Looking forward to meeting some of you at that course.   The course is also
available by correspondence, with  a 1 day workshop in MELB, BRISBANE. Let
me know if you are interested.  Denise Love
LifeOptions - Centre for Lifelong Learning
Doula Express   02 9386 5373
www.e-lifeoptions.com
Subscribe:  [EMAIL PROTECTED]





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To unsubscribe from this group, send an email to:
[EMAIL PROTECTED]



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Re: Caesareans don't prevent incontinence

2001-07-14 Thread Julie Clarke

Can you believe what his last words were ???
How silly !!!
Why no mention of pelvic floor exercises in the entire article ???
Goodness me!
-Original Message-
From: [EMAIL PROTECTED] [EMAIL PROTECTED]
To: [EMAIL PROTECTED] [EMAIL PROTECTED];
[EMAIL PROTECTED]
[EMAIL PROTECTED]
Date: Saturday, 14 July 2001 9:57
Subject: Caesareans don't prevent incontinence


Hi all, thought it may be of interest.

From Science news, Nonee Walsh ABC Science on-line

Yours in birth,
Tina Pettigrew
Birthworks
Independent CBE and aspiring B.Mid Midwife.
Convenor, Aust B. Mid Student Collective.

 As we trust the flowers to open to new life
   - So we can trust birth
Harriette Hartigan.
---
Caesarians don't prevent incontinence
Tuesday, 28 November  2000


 Caesarean birth. Pic: Adelaide Womens and Children's Hospital
The belief that vaginal childbirth is a major cause of urinary incontinence
has received a major blow, with a population study showing a woman's risk
of
urinary incontinence is not significantly reduced by electing to have a
Caesarean birth.

This study supports the probability that it is the hormones of pregnancy,
such as relaxin, which cause the damage said Associate Professor Alastair
MacLennan of Adelaide University Department of Obstetrics and Gynaecology.

That hormone relaxes the connective tissues during pregnancy, and never
quite puts them back to the virgin state. The damage has already happened,
its not just during the hours of labour he told ABC Science Online.

The prevalence of pelvic floor problems, such as stress or urge
incontinence,
or intra-vaginal prolapse was found to be 42% in women who had one or more
vaginal deliveries, as opposed to 35% prevalence in women who'd had
Caesarean
delivery.

Pelvic floor exercises and surgery can help, said Professor MacLennan,
but
unless mothers avoid giving birth, by means such as adoption, future pelvic
floor problems after pregnancy are very likely, he said.

The cross-sectional population survey was conducted through the South
Australian Department of Human Services annual epidemiological survey. It
involved more than 3,000 people and found that women in general suffer more
than men when it come to incontinence.

The study highlights the overall problem of incontinence for women. Even
those who have never had children are four times as likely as men to have
stress incontinence. Women have a 52% chance of stress incontinence after
the
age of 50.

The survey highlights the high prevalence and major social impact of
pelvic
floor prolapse and incontinence in our society, said MacLennan. It is a
silent epidemic, as those with the problem are often embarrassed to talk
about it, he said.

Urinary incontinence was found in 4% of men, but in 35% of women aged from
15
to 95, increasing to 50% among older women. More than 14% of women were
found
to suffer from rectal incontinence of flatus or faeces, while fewer than
10%
of men suffered from the same conditions.

Other health factors associated with pelvic floor disorders were found to
be
weight, coughing, osteoporosis, arthritis, and reduced quality of life.

The results of the study are being published this month in the British
Journal of Obstetrics and Gynaecology. It will also feature in the December
issue of Climacteric, the journal of the International Menopause Society.

McLennan says there are two associations with low incontinence rates, It's
better not to have a baby, and it's better to be a man.



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Trust Kits.

2001-07-14 Thread Jackie Mawson
Title: Trust Kits.



Hi Guys,

Just thought Id let you know about these. They are from NZ, has anyone heard of them before? They sound great, and the information about them was emailed to me from a woman in America! See below...

BB Jackie Mawson.


BTW have you heard of/seen the common knowledge trust kits out of Takaka, NZ? www.commonknowledgetrust.com http://www.commonknowledgetrust.com I just received one and they are very good... I am reading the book right now (book, video, audio in kit) and am SO excited about it!!



Birthing Beautifully,
Jackie Mawson.

Convenor of Birthrites: Healing After Caesarean Inc.
Visit our Website at: http://www.birthrites.org
Email: [EMAIL PROTECTED]
Phone: 61 08 9418 8949

Please note I am not a Professional Healthcare Provider, and all opinions given in this email are not to be taken as medical, or legal, advice. Please seek such advice from the relevant professional service.

Email me your postal details for a FREE copy of our quarterly magazine, if you live within Australia - Overseas postage costs are above budget, sorry!

Too many Gods;
so many creeds,
Too many paths
that wind and
wind,
When just the art
of being kind
Is all the sad
world needs...
-- 







Re: assignment

2001-07-14 Thread Denise Hynd



Dear Tracey
You are already on the way to that unit's 
completion
as "an agent of change"so why not look at and 
apply change theory to to your work environment??You are bringing your 
colleagues up to evidence not habit babsed theory in midwifery.
If CMWA is so maverick why has the state and 
federal govt backed them finacially??Ask the Admiinistrator for copies of 
the research findings and program annalysis to post in your work 
place.
wonderful to hear from you Denise


  - Original Message - 
  From: 
  Paul  Tracy 
  
  To: ozmidwifery 
  Sent: Saturday, July 14, 2001 4:54 
  PM
  Subject: assignment
  
  Dear all on the list,
  
  I am back again eagerly checking my E-mail and 
  enjoying reading the letters that are posted on this list each 
  day.I always leave my computer feeling proud to be a midwife and 
  inspired to change the world after reading your fabulous words of 
  wisdom.
  
  I work as a clinical midwife in a country 
  hospital in W.A..and plan to have my firstchild under the midwifery 
  model, with the communitymidwives in Perth (when I decide to fall 
  pregnant!!!)I, like many others out there, am so disappointed with 
  the Guild insurance dilemma. What also upsets me is the fact that midwives I 
  work with make comment that loosing this insuranceis a good thing and 
  that it will finally put those "maverick midwives" out of practice. I 
  guess I can accept some negative comments from the uninformed public but when 
  coming from our own backyard I find itmore difficult and frustrating to 
  handle. So, I have been printing off some of the articles you 
  amazing people have written and pinning them up in our office to read, with 
  the hope that it may open up some rather narrow minded attitudes around 
  here. I sometimes wonder how we will ever achieve the system that we all 
  dream of when many of our own kind are the greatest antagonists!
  
  On another note, I am wondering if any of you 
  scholars out there can help me with my next unit of study. I am a 
  midwife completing my final unit of the Bachelor of Nursing (ECU) (I am 
  converting my diploma into a degree). This unit is Role 
  Application in Nursing NSP2211 and involves a self directed contract for the 
  duration of the semester. I need tochoose a topic that theory can 
  be applied to and that will help me develop further as a midwife. I then 
  need to formulate a statement of intent, learning objectives and carry out the 
  contract. Do any of you have any ideas that aren't too difficult but are 
  relevant to midwifery?. I have written a breastfeeding policy 
  for our ward and am wondering if I can incorporate that at all. I would 
  greatly appreciate any input you may have.
  
  
  
  Yours sincerely 
  
  Tracy


Re: email listsNATIONALcapmaign!

2001-07-14 Thread Denise Hynd

Dear All
Time to make this a national election issue demand we have equity of access
to midwifery options as per NZ
Thank you for the tools to start this email campaign to complemeent what is
already happening.
alos I would like it to become a topic for 4 corners!
Denise


 Dear All,
 Roslyn Donnellan-Fernandez has kindly sent me these politicians email
 adresses to assist in sending messages of complaint re: midwifery
insurance.
 etc.
 I immediately thought everyone on the lists would be delighted to make
full
 use of them now during this election year.
 Won't they get a surprise when they all receive a thousand complaints from
 all of us :-)
 Thankyou Ros
 warm regards everyone
 Julie Clarke

 
  --Here's federal polies' email addresses by party - I'll get it up on
the
  Activist Handbook web page asap - in the meantime, see
  http://216.92.140.78/Action/Resources/federal_emails.htm for details of
 HOW
  TO USE THE LISTS
 
  REPS ALP
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Re: NZ Birthing Common KnowledgeTrust Kits by Wintergreen

2001-07-14 Thread Julie Clarke
Title: Trust Kits.




Hi 
Jackie,
Yes I purchased my own copy of the NZ Common Knowledge Trust Kit at 
the National Assocation of Childbirth Educators Conference in QLD earlier this 
year. It consists of book, video and cassette 
tape. I bought it as soon as I saw it was Wintergreen's. She 
had told me in the past that she was working with number of other wise 
women on a very special project designed to be beneficial for all who work in 
the field of birth.
I knew it would be 
great.
It's one of those things I just had  to 
have :-)
I had met Wintergreen and attended her 
talks and workshops previously at conferences and found her to be such a 
wonderful wise woman. I also had the good fortune to spend some time 
alone with her and another educator and she passed down some of her knowledge to 
us at the Byron Bay Homebirth Australia conference a while back. It was 
there that she told me of her special project. 
The kit is also very suitable for 
pregnant women and their partners to help them prepare for the birth of their 
baby. It is done with great clarity and 
sensitivity.
It is presented very professionally, and 
in the style that appeals to the broader community, it's non threatening, easy 
to understand, yet able to deal with difficult issues.
As soon as I saw her at the NACE 
conference I remembered her telling me about it, so I bought it straight away, 
without hesitation knowing it would be good and it is. :-)
She is such a wonderful 
inspiration. She is one of many very special people we have in our 
birthing community.
It has caused me to review some of the aspects of my 
teaching in childbirth education sessions. Just one example: on the audio 
tape Wintergreen describes peri massage really well - I have changed my 
description of it in my classes and feel more confident now that couples will 
understand it better.
See below in Jackie's 
message for the website address if you are interested.

Andrea I think it would be a good stock 
item for you to include too. 

Warm regards everyone,
Julie Clarke

-Original 
Message-From: Jackie Mawson [EMAIL PROTECTED]To: 
Ozmidwifery List [EMAIL PROTECTED]Date: 
Sunday, 15 July 2001 11:41Subject: Trust 
Kits.Hi Guys,Just 
thought Id let you know about these. They are from NZ, has anyone 
heard of them before? They sound great, and the information about them was 
emailed to me from a woman in America! See below...BB Jackie 
Mawson.BTW have you 
heard of/seen the common knowledge trust kits out of Takaka, NZ? www.commonknowledgetrust.com 
http://www.commonknowledgetrust.com I just received one 
and they are very good... I am reading the book right now (book, video, 
audio in kit) and am SO excited about 
it!!Birthing 
Beautifully,Jackie Mawson.Convenor of Birthrites: Healing After 
Caesarean Inc.Visit our Website at: http://www.birthrites.orgEmail: 
[EMAIL PROTECTED]Phone: 61 08 9418 8949Please note I am not 
a Professional Healthcare Provider, and all opinions given in this email are 
not to be taken as medical, or legal, advice. Please seek such advice from 
the relevant professional service.Email me your postal details for a 
FREE copy of our quarterly magazine, if you live within Australia - Overseas 
postage costs are above budget, sorry!Too many 
Gods;so 
many 
creeds,Too 
many 
pathsthat 
wind 
andwind,When 
just the 
artof 
being 
kindIs 
all the 
sadworld 
needs...-- 



midwives' insurance - lobby tally

2001-07-14 Thread Johnston

To everyone who is sending letters and press releases, please keep 
ozmidwyfery informed of who has received information.
I will copy the wording of the press release that is being sent jointly by 
Maternity Coalition, ASIM and AIMS at the end of this message.
The current tally that I know about stands at:

* Sydney Channel 7
* ACT TV stations
* Guild Insurance


Press Release Faxed or emailed to
* Health  Aged Care (commonwealth)
* ACMI
* DHS (Vic) - Nurse Practitioner committee
* Nurses Board of Vic
* Nursing Review
* Radio National
* The Age (vic)
* Herald Sun (vic)
* Health Dept magazine (vic)

Melbourne TV and radio stations (I have a list which I am about to work on 
now)
A joint statement by consumer and professional groups: The Maternity 
Coalition Inc, Australian Society of Independent Midwives, and the 
Association for Improvements in the Maternity Services.
PRESS RELEASE
14 July 2001
Re: Professional Indemnity (PI) Insurance for midwives

Midwifery practice and the options women have for birth have been thrown 
into chaos by the crisis caused by the withdrawal of Guild Insurance from 
midwife PI Insurance policies.  This is an issue that will affect all 
midwifery.  The impact of this crisis will be to disadvantage women and 
their families across the country, as midwifery services will be withdrawn 
and further marginalised.

We seek immediate intervention from both federal and state governments, to 
enable midwives to continue practising. Many concessions have been made in 
recent months to obstetric models of care, encouraging pregnant women to 
give birth in private hospitals, and promising to reduce the gap in rebates 
for doctors' fees.  At the same time the basic option of continuity of care 
from a known midwife - THE model that is strongly supported by research 
evidence - is being withdrawn.  This is totally unacceptable.  It defies 
logic, removes the midwife's livelihood, is not in the interests of the 
consumer, and is causing great distress to women who have made plans to 
give birth in the care of a midwife.

Signed by
Joy Johnston, a midwife representing the Maternity Coalition Inc [Tel: 03 
9808 9614]
Robin Payne, a consumer representing the Maternity Coalition Inc [Tel:03 
9380 2863]
Jan Robinson, a midwife representing Australian Society of Independent 
Midwives [Tel: 02 9546 4350]
Toni Cannard, a consumer representing Association for Improvements in the 
Maternity Services [Tel: 03 3265 4137]



Fact sheet:
* Birth is not an illness.  Internationally accepted best practice 
standards for optimal maternity services promote care by a known midwife 
during pregnancy, birth, and early parenting.  This is fundamental to the 
definition of a midwife: one who provides primary care for women throughout 
the pregnancy and birth, and who collaborates with other practitioners 
(such as obstetric specialists) when a woman requires specialist or 
secondary levels of care.
* The focus of the midwife's care is the woman, as an individual.  The 
wellbeing and safety of the woman and her baby are paramount, and data from 
Australian and international reporting support midwifery care as protecting 
the safety of the woman and child.
* Australian women have very limited access to the optimal standard of 
care.  This is due to many social and professional factors, including the 
progressive medicalisation of pregnancy and birth over many years, together 
with the government funding monopoly that supports medical primary care and 
excludes most midwifery options of care.
* A recent Australian Society of Independent Midwives (ASIM) survey of 
members revealed most of the membership was insured with Guild; two have 
been without insurance since their policies expired recently, and the rest 
will gradually become uninsured as their policies expire.  A small 
proportion of ASIM midwives are insured with ANF (Australian Nursing 
Federation) Victoria and so far they are unaffected.  There were five 
members who carried no professional insurance whatsoever.
WHAT HAPPENS WHEN INSURANCE RUNS OUT?
For those midwives no longer insured, there are two alternatives;
* cease their private clinical practice, thereby requiring the women booked 
with them to make other arrangements, as well as the midwives losing their 
livelihood.
* continue to practice without PI insurance ...
this will mean that midwives who did have visiting/admitting rights in 
hospitals will no longer be able to attend their clients in hospitals and 
therefore reduce women's choice of birth venues to homebirth only.
If an Independently Practising Midwife (IPM) always acts as a reasonable 
midwife would in any situation then they are unlikely to face a malpractice 
suit. However, the person who ultimately suffers when there are adverse 
outcomes is the woman who has a damaged baby and if there is no insurance 
the woman has little hope of any financial assistance for the rest of her 
baby's life.
* We seek immediate action to address this 

Fw: National Injustice and Travesty

2001-07-14 Thread Denise Hynd

Joy
I have sent this to all federal polies as per the list from CarolT
Denise

- Original Message -
From: Denise Hynd [EMAIL PROTECTED]
To: [EMAIL PROTECTED]; [EMAIL PROTECTED];
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Sent: Sunday, July 15, 2001 1:36 PM
Subject: Natioanl Injustice and Travesty


 14 July 2001
 173 Wilding St,
 Doubleview WA 6018
 phone (08) 9446 1917/ 041 793 2570

 Dear Federal Politician,
 On the eve of another federal election I am writing to ask all federal
 politicians to introduce policies which will have compounding national
 benefits. I do this in response to the recent decision of Guild Insurance
is
 to cease insuring independent midwives as this is part of a national
history
 of inequity and travesty for the following reasons;

 Firstly this insurance arrangement with the Australian College of Midwives
 was made in concert with the Australian College of Nursing and the
 Australian-New Zealand Mental Health Nurses Association, yet it appears to
 be only the midwives Guild Insurance is ceasing to insure which is
 discriminatory on many levels! This decision not only restricts the future
 legal practice of 80+ professionals but also places them at multiple risks
 should they continue to meet their present agreements with pregnant women
 due to birth before an alternative insurer can be found.

 Secondly this decision has consequences for the ongoing development of
 midwifery services, profession and more importantly on the standards and
 outcomes of Australian childbirth practices! For this episode is just the
 latest in a history of professional, social and financial obstacles for
 midwives and families to provide accessible, safe, responsible low
 intervention pregnancy and birth care for Australian families. This
history
 of obstacles  has been explored in many national and state reviews of
 childbirthing in Australia, all of which have recommended means toward
their
 universal their alleviation but to little avail!
 However whenever Australian families have been able to access midwifery
 options of care they have done so in numbers which usually exceed supply
as
 exemplified with the Community Midwifery Program WA, most Australian birth
 centres and midwifery team projects!


 Meanwhile obstacles to the equitable and universal Australian access to
 midwifery options of care also continue regardless of copious national and
 international research which substantiates the social, health and
therefore
 financial benefits of midwifery options of care. For example in
 Netherlands and New Zealand where universal access is part of the national
 health agenda, these nations have the lowest levels of mother and newborn
 morbidity and mortality as well as the extras health cost savings due to
the
 accompanying lower levels of interventionist pregnancy and childbirth
care.

 It is a sad indication of the short sighted nature and management of not
 only the insurance industry but our health services that the most cost
 effective maternity care practitioners, are not insured nor universally
 accessible to all Australian families because of misconceptions,
 misinformation and entrenched systems!
 Thus I urge you and your party to act consistent with the proven example
of
 our Tasman neighbours social capital policies and introduce;
 1) universal no fault insurance,
 2) equitable and universal access to midwifery 

Re: midwives' insurance - lobby tally

2001-07-14 Thread Elizabeth McAlpine

Joy,
Its not clear, should everyone be sending the press release to whoever they
choose??
Has it been sent to Senator Crowley who thinks that birth issues are a
national concern or Michael Wooldridge??
Please clarify.
Liz McAlpine   [EMAIL PROTECTED]


--
This mailing list is sponsored by ACE Graphics.
Visit http://www.acegraphics.com.au to subscribe or unsubscribe.



Fw: Natioanl Injustice and Travesty

2001-07-14 Thread Denise Hynd


- Original Message -
From: Denise Hynd [EMAIL PROTECTED]
To: [EMAIL PROTECTED]; [EMAIL PROTECTED];
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[EMAIL PROTECTED]; [EMAIL PROTECTED]
Sent: Sunday, July 15, 2001 2:16 PM
Subject: Natioanl Injustice and Travesty


 14 July 2001
 173 Wilding St,
 Doubleview WA 6018
 phone (08) 9446 1917/ 041 793 2570

 Dear Federal Politician,
 On the eve of another federal election I am writing to ask all federal
 politicians to introduce policies which will have compounding national
 benefits. I do this in response to the recent decision of Guild Insurance
is
 to cease insuring independent midwives as this is part of a national
history
 of inequity and travesty for the following reasons;

 Firstly this insurance arrangement with the Australian College of Midwives
 was made in concert with the Australian College of Nursing and the
 Australian-New Zealand Mental Health Nurses Association, yet it appears to
 be only the midwives Guild Insurance is ceasing to insure which is
 discriminatory on many levels! This decision not only restricts the future
 legal practice of 80+ professionals but also places them at multiple risks
 should they continue to meet their present agreements with pregnant women
 due to birth before an alternative insurer can be found.

 Secondly this decision has consequences for the ongoing development of
 midwifery services, profession and more importantly on the standards and
 outcomes of Australian childbirth practices! For this episode is just the
 latest in a history of professional, social and financial obstacles for
 midwives and families to provide accessible, safe, responsible low
 intervention pregnancy and birth care for Australian families. This
history
 of obstacles  has been explored in many national and state reviews of
 childbirthing in Australia, all of which have recommended means toward
their
 universal their alleviation but to little avail!
 However whenever Australian families have been able to access midwifery
 options of care they have done so in numbers which usually exceed supply
as
 exemplified with the Community Midwifery Program WA, most Australian birth
 centres and midwifery team projects!


 Meanwhile obstacles to the equitable and universal Australian access to
 midwifery options of care also continue regardless of copious national and
 international research which substantiates the social, health and
therefore
 financial benefits of midwifery options of care. For example in
 Netherlands and New Zealand where universal access is part of the national
 health agenda, these nations have the lowest levels of mother and newborn
 morbidity and mortality as well as the extras health cost savings due to
the
 accompanying lower levels of interventionist pregnancy and childbirth
care.

 It is a sad indication of the short sighted nature and management of not
 only the insurance industry but our health services that the most cost
 effective maternity care practitioners, are not insured nor universally
 accessible to all Australian families because of misconceptions,
 misinformation and entrenched systems!