ACMI response to CT Article.

2002-01-21 Thread TinaPettigrew
Hi all,

below I have pasted a copy of the ACMI response to the Canberra Times (CT) Article 'Obstetrician fed up with the hostility' (12/01/02) published in today's CT. 
Yours in birth,

Tina Pettigrew
Birthworks
Independent CBE and aspiring B.Mid Midwife.
Convenor, Aust B. Mid Student Collective.
http://groups.yahoo.com/group/BMidStudentCollective
[EMAIL PROTECTED]

" As we trust the flowers to open to new life
 - So we can trust birth"
Harriette Hartigan.
--- 

Midwives will be well taught 
RE: "OBSTETRICIAN fed up with the hostility" (CT, 12 January, p.3). There are many reasons why professionals choose to retire and I expect that the doctor has her own reasons, but to leave in such a public way, and to make a passing comment about midwifery education, begs a response from the Australian College of Midwives.
The college supported the introduction of the Bachelor of Midwifery, which will commence in Australia this year. There are eight universities in three states that will be providing this choice of entry to midwifery. We celebrate this advance in midwifery education and invite all potential midwives to explore this option. 
The college is very aware of the need to establish national standards of midwifery education and this will ensure that consumers of maternity services will receive midwifery care from adequately prepared midwives. The standards are currently being developed in collaboration with midwifery regulatory boards and hopefully will be adopted by all education providers.
ALANA STREET
R.M., F.A.C.M.
Executive Officer, Australian College of Midwives Inc
Melbourne








activism

2002-01-21 Thread Macha McDonald
Title: Re: Calculating savings from midwife led care








Id
love to start a natural birth and child care movement where I live!!! They may stop delivering at our local
hospital (Cobram) because the obs cant afford the leap in insurance. I wander if people resorted to our many
midwifes, they could still deliver here.
The problem is information.
I liken my learning of birth options to picking subjects in my final
years of school. You have 10
minutes to submit your subject requests.
Essentially, 10 minutes to decide what you want to do with the rest of
your life. The GP said to me when
I found out I was preg, Which hospital will you deliver in. Hold on. I havent even come to terms with being preg yet. So, I picked the nearest womens and
childrens. And I regret it so
much. I wish I had said, Ill tell
you in the next visit. I thought I
was expected to decide then and
there. Unfortunatly, this is how
many women are learning about birth options. Going through awful invasive experiences before they learn
that they have choices.

Regards, Macha.








Re: Second Midwife Role

2002-01-21 Thread Jan Robinson
Title: Re: Second Midwife Role



On 20/1/02 8:34 PM, Mary Murphy [EMAIL PROTECTED] wrote:

In the 2nd last line I meant DEBRIEF not bebrief.. MM
- Original Message - 
From: Mary Murphy mailto:[EMAIL PROTECTED] 
To: Andrea Bilcliff mailto:[EMAIL PROTECTED] ; Ozmidwifery Mailing List mailto:[EMAIL PROTECTED] 
Sent: Sunday, January 20, 2002 4:21 PM
Subject: Re: Second Midwife Role

Dear Andrea, the role of second midwife in our practice here in W.A. is to be a stand -in for the primary midwife at anytime that she is unavailable to the woman. If we attend a birth as 2nd M/W it is because the Primary M/W has needed support for some reason... fatigue, intuition saying have another M/W here just in case... The Back-up visit we do to the woman's home at about 33 weeks helps the woman feel comfortable with the 2nd m/w in her home space  also allows her the opportunity to ask for another m/w if the vibes aren't right. 
After the birth the 2nd M/w helps clean up and do some paper-work.. maybe even drives the Primary M/W home if she's exhausted. P/N She does visits to the woman's house if the Primary M/W gets too caught up with other things. It is also useful to have someone to be-brief with and reflect on the birth events. Hope that helps ..Cheers, MM
- Original Message - 
From: Andrea Bilcliff mailto:[EMAIL PROTECTED] 
To: Ozmidwifery Mailing List mailto:[EMAIL PROTECTED] 
Sent: Sunday, January 20, 2002 9:50 AM
Subject: Second Midwife Role

Hello again,
 
I was also wondering if anyone would be willing to share with me or the list what they see as the role of the second midwife during the pregnancy, labour, birth and postnatally.
 
Thanks again,
 
Andrea Bilcliff.


Dear Andrea
Like Mary, I have the back-up midwife meet with the woman and her support people by doing a visit around 36-37 weeks. There is no intention to have her present at the birth; she visits just to get to know the woman so that if she needs to be called in during the labour, or to do a post-partal visit she is a familiar and acceptable presence.
I pay my back up midwife for any visits she carries out on my behalf, just as she pays me when I do one for her.
Cheers
Jan 





RE: activism

2002-01-21 Thread Johnston

Dear Macha
It's music to an 'older' activist's ears to hear you say I'd love to start 
a natural birth and child care movement where I live!!!.  You have taken 
the first step.  Please keep going.  This group has the people and 
knowledge to help you do just that.

It is truly reprehensible that small community hospitals are closing 
maternity services, and this has been happening for years.  It goes against 
world standards for best practice:
The district is the basic unity for planning and implementing [maternity] 
care (WHO 1994 Mother-Baby package.  Implementing safe motherhood in 
countries.)

You are correct in suggesting that midwives should be able to provide the 
basic service for the majority of pregnant women throughout pregnancy and 
birth and thereafter. That's what midwives are supposed to do.  The women 
who develop medical or obstetric complications may need to be transferred 
to a bigger unit, and most of them will know that in advance of labour.
Closing local maternity units means that ALL women are treated as if they 
have complications.  Inductions for reasons other than acceptable medical 
reasons become more common, often because distance of travel becomes an 
issue, and the cascade of interventions sets in.

If you are serious about starting a natural birth and child care movement, 
see if you can find a couple of other women (consumers), a couple of 
midwives who know how to practise under their own responsibility, and other 
interested people who bring useful skills, and get a little community 
action group going.  You need to develop a plan to establish a midwife 
managed unit, similar to a birth centre, with midwives taking caseloads. 
Get someone to manage media exposure. If there are supportive doctors, they 
can help, but you don't need them necessarily.  (I'm sticking my neck way 
out, but I stand by that statement!)  Find support in the rural section of 
the Health dept, and in Community Services.  Make it a community issue. 
 Expect opposition, and plan ways to overcome it.  Use the term 'Community 
Based Midwifery', and get your community to own it.

Link in with Maternity Coalition.  We can't do it for you, but we can 
support you.  You may have read on this list of the National Plan for 
Community Based Midwifery that is being developed - if you want to see the 
draft, please contact me, or Barb Vernon.

My advice is, GO FOR IT!
Joy Johnston
25 Eley Rd  Blackburn South Vic  3130
Tel:03 9808 9614
Fax:03 9808 3611
M:  04111 90448
www.aitex.com.au/joy.htm

-Original Message-
From:   Macha McDonald [SMTP:[EMAIL PROTECTED]]
Sent:   Monday, January 21, 2002 8:15 PM
To: ozmidwifery
Subject:activism

  File: ATT3.htm  I'd love to start a natural birth and child care 
movement where I live!!!
They may stop delivering at our local hospital (Cobram) because the obs 
cant
afford the leap in insurance.  I wander if people resorted to our many
midwifes, they could still deliver here.  The problem is information.  I
liken my learning of birth options to picking subjects in my final years of
school.  You have 10 minutes to submit your subject requests.
Essentially, 10 minutes to decide what you want to do with the rest of your
life.  The GP said to me when I found out I was preg, Which hospital will
you deliver in.  Hold on.  I haven't even come to terms with being preg
yet.  So, I picked the nearest womens and childrens.  And I regret it so
much.  I wish I had said, I'll tell you in the next visit.  I thought I was
expected to  decide then and there.  Unfortunatly, this is how many women
are learning about birth options.  Going through awful invasive experiences
before they learn that they have choices.
Regards, Macha.

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Fw: trade (joke)

2002-01-21 Thread Denise Hynd









Subject: Fwd: trade 

 
 
  
  A saleswoman is driving through an Indian 
  Reservation toward home when she 
  sees an Indian woman thumbing for a ride on the side 
  of the road. 
  
  As the trip had been long and quiet, she stops the 
  car and the Indian 
  woman gets in. 
  
  After a bit of small talk, the Indian woman notices 
  a brown bag on the 
  front seat. 
  
  "What's in the bag?" asks the Indian woman. 
  
  "It's a bottle of wine. I got it for my husband," 
  says the saleswoman. 
  
  The Indian lady is silent for a moment then says, 
  "Good trade." 
  
  
 
http://my.yahoo.com.au - My Yahoo! 
- It's My Yahoo! Get your own! 


Send and receive Hotmail on your mobile device: Click Here


Re: Re cost of C/S

2002-01-21 Thread Denise Hynd

Dear Jan and others
Life matters was talking about the backgroung to the HIH fiasco and with
that and Sept 11 I feel sure there never will be PI again for midwives and
this is only part of the ongoing consequences insurance costs fo so many
things will be unaffordable!!
The govt is going to have to look at the NZ example of universal no fault
cover for all health professionals !!

Meanwhile women and midwives are going to have to demand that Medibank and
any others not use this as an excuse not to give midwifery rebates!!
It is not part of their position and it is discriminatory!
Do they check that all doctors physios etc whom they rebate have current
paid insurance cover??
No HBF the largest fund in WA is rebating midwifery care irrelevant of the
PI situation as it is not relevant to their service!!

So demand that Medibank stop this excuse,

I suspect that like MBF Medibank have vested interests in not supporting
midwifery rebates and this is just a Furphy!!

Check it out with ACC it may constitute a Restriction on Practice if they do
not listen to reason??
Denise
- Original Message -
From: Jan Robinson [EMAIL PROTECTED]
To: Ozmidwifery [EMAIL PROTECTED]
Sent: Tuesday, January 22, 2002 12:16 PM
Subject: Re cost of C/S


 Dear Justine, Barb, Tina, Jo et al

 Well done wonderful women ... if the ACT goes with your proposal it will
 lead the way for other states to follow.

 You are correct in saying your costing of C/S is an under- estimate.
 Their are all the on-going costs that, according to medibank private, are
 difficult  to calculate  accurately. The private health insurers have so
 many additional bills presented after most C/S undergone by their
members -
 bills from anaesthetists. Paediatricians,  GPs (wound infection)
 Pschyciatrists (post-partaldeptression) etc - they just keep on coming in
to
 Medibank Private long after the woman is discharged from hospital!

 This humungus C/S cost is the reason why medibank private is anxious to
 begin offering a NATURAL BIRTH package with a MIDWIFE to its members once
 the midwives have their own PI insurance.
 (Those midwives who are currently employed in hospitals and who say they
 don't want their own PI insurance obviously  can't see the potential for
 undertaking additional private births to supplement their wages.)

 Once the private health insurance companies start offering natural birth
 packages it will increase the number of natural births in the private
sector
 tremendously and decrease the number of surgical births as more Obs return
 to their lucrative gynae practices Until more women read Man-made
 woman maybe.

 Cheers
 Jan


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possible way to get the message across

2002-01-21 Thread Dean Jo Bainbridge



not that I want to admit that I watch the 
show...but as Neighbours just happened to be on last night...I noticed that 
there always needs to be some dramtic event that surrounds birth on tv soap 
drama. I know that there were babies born recently on home and away but I 
certainly dont watch that! So I am unaware of the dramas that were 
involved with these bubs 'births'...no doubt some dramatic birth with mum in the 
'beetle' position (thanks Jackie) screaming and doctors running around 
etc.
SO...
why dont we write to the soaps and ask them to 
consider the next bubby being born calmly withot drama at home or at least with 
a midwife providing care? If we are trying to get it through to the 
adverage 'Jane'...then why not use this sort of medium? Always run the 
risk of it being made into a life threatening event though. At least we 
could stress how damaging it is to society to perpetuate the myth of childbirth 
being shrouded in danger and trauma that cant be done without 
doctors?
just a thought...
going back to hog tie my children. Just 
kidding...only the two year old.
cheers Jo
Jo Bainbridgefounding member CARES SAemail: 
[EMAIL PROTECTED]phone: 
08 8365 7059birth with trust, faith  love...