Re: [ozmidwifery] independent midwifery

2006-11-30 Thread Sue Cookson

Hi Rachael,
I'd say the same as Robyn.
I can provide whatever she needs and assuming that I am familiar with 
the local hospital's protocols etc I can provide the woman  and the 
hospital with appropriate documents


Sue
northern rivers nsw








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Re: [ozmidwifery] independent midwifery

2006-11-30 Thread [EMAIL PROTECTED]
No , have never been asked to do this.
Any woman I have booked have wanted me for the whole deal, preganancy, birth
and postnatal care.

With the new state wide handheld notes documentation would be easyI have
to ask...why would one chose this model of care?




- Original Message -
From: wump fish [EMAIL PROTECTED]
To: ozmidwifery@acegraphics.com.au
Sent: Thursday, November 30, 2006 6:42 PM
Subject: [ozmidwifery] independent midwifery


 Do any of you provide private antenatal / postnatal care for women booked
to
 birth in a public hospital? How does this work with the hospital
 systems/paperwork etc. I would be really interested to know if and how
this
 model of care works.
 Thanks
 Rachel

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Re: [ozmidwifery] independent midwifery

2006-11-30 Thread Janet Fraser
I have
 to ask...why would one chose this model of care?

It puzzles me too. Why choose an evidence based carer and then take them
somewhere they can't provide you with it? Most of the women I've seen do it
are basically too chicken to stand up to their families or partners and
demand what they really want - a homebirth. It seems a waste of skills to me
but if a woman had a genuine medical need to be in a hospital it might be a
better option than the luck of the draw she'd normally get. Otherwise, hire
the MW and STAY HOME, I reckon ; )
J

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Re: [ozmidwifery] independent midwifery

2006-11-30 Thread Andrea Quanchi
I have been with women plenty of times who have chosen for whatever  
reason to birth in hospital. My view is that it is their choice not  
mine. and I am happy to go with them wherever they choose.  I have  
only once had a woman whose birth I have not attended but this was  
because she chose a hospital in Melbourne for her own reasons and it  
was not realistic for me to attend.
I have never been asked to provide ante natal care for a woman who  
did not want me at her birth ( the reality is that by the time you  
have shared the pregnancy with them they always want you there for  
their birth. I have been asked to attend births for women who want  
to  have their antenatal care from sources where it is cheeper/free  
but I decline  this invitation usually. I do however get asked to do  
post natal and MCH care for women who I  have not met antenatally  
and I am fine with this as it is paid advertising to potential future  
clients.


Andrea

On 30/11/2006, at 7:55 PM, [EMAIL PROTECTED] wrote:


No , have never been asked to do this.
Any woman I have booked have wanted me for the whole deal,  
preganancy, birth

and postnatal care.

With the new state wide handheld notes documentation would be  
easyI have

to ask...why would one chose this model of care?




- Original Message -
From: wump fish [EMAIL PROTECTED]
To: ozmidwifery@acegraphics.com.au
Sent: Thursday, November 30, 2006 6:42 PM
Subject: [ozmidwifery] independent midwifery


Do any of you provide private antenatal / postnatal care for women  
booked

to

birth in a public hospital? How does this work with the hospital
systems/paperwork etc. I would be really interested to know if and  
how

this

model of care works.
Thanks
Rachel

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Windows LiveT Messenger has arrived. Click here to download it for  
free!

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Re: [ozmidwifery] independent midwifery

2006-11-30 Thread Jo Bourne
It puzzles me too. Why choose an evidence based carer and then take  
them

somewhere they can't provide you with it?


Because if you know you have a higher than average change of NEEDING  
a hospital if might be nice to have someone who knows you, cares  
about you and will actually give you evidence based advice while you  
are there. Women in this situation need an ipm MORE not less if you  
ask me... Even my midwife confessed (after the magical homebirth)  
that she had expected me to end up in hospital with a medical  
extravaganza given my health issues.  Without my midwife not only  
would there not have been the option of homebirth if I made it to  
term healthy, there probably would have been almost no chance of even  
a remotely natural birth in hospital, for a whole host of reasons I  
haven't time to explain right now. Planning a home birth should not  
be a requirement of hiring an IPM.

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RE: [ozmidwifery] independent midwifery

2006-11-30 Thread sharon
I am an hospital based midwife and I believe that I do give evidence based
care, the hospital that I work for is working on a homebirth standard
presently and the group practice will soon be able to offer women homebirths
provided the individual midwife is confortable to offer this service. The
individual midwives in the DE are quick to develop rapport with their women
and they also are good at getting to know the women and their needs. I
dislike people on this list who  consitantly run down hospital based
midwives and the care that they provide can people please remember that IMP
is not for everyone although it is a good way to develop and maintain your
skills.   cheers

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Jo Bourne
Sent: Friday, 1 December 2006 8:28 AM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] independent midwifery

 It puzzles me too. Why choose an evidence based carer and then take  
 them
 somewhere they can't provide you with it?

Because if you know you have a higher than average change of NEEDING  
a hospital if might be nice to have someone who knows you, cares  
about you and will actually give you evidence based advice while you  
are there. Women in this situation need an ipm MORE not less if you  
ask me... Even my midwife confessed (after the magical homebirth)  
that she had expected me to end up in hospital with a medical  
extravaganza given my health issues.  Without my midwife not only  
would there not have been the option of homebirth if I made it to  
term healthy, there probably would have been almost no chance of even  
a remotely natural birth in hospital, for a whole host of reasons I  
haven't time to explain right now. Planning a home birth should not  
be a requirement of hiring an IPM.
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Re: [ozmidwifery] independent midwifery

2006-11-30 Thread Jo Bourne
I am sorry, I should have added that there were no one-to-one options  
available to me at a hospital practical to my location and none of  
the women I know who have recently birthed at the hospital I was  
booked to have received any sort of personalised care. The care might  
possibly be evidenced based but certainly there is no rapport or  
getting to know women as individuals. If I wanted the care I  
described I needed and IMP in my current location. I also wanted the  
choice of a homebirth if I made it to term healthy enough, but that  
was a big if at the start of my pregnancy, which is why I was booked  
into a hospital too, and had a private OB to manage my medications,  
monitoring, and other specialist care.


Our first daughter was born in a fabulous hospital in Adelaide and  
the care provide to us by the midwives could not be faulted. If that  
hospital were still an option for us we might have made some  
different choices, though it's highly unlikely I would have qualified  
for midwife care in the public hospital system given my high risk  
status.




On 01/12/2006, at 11:45 AM, sharon wrote:

I am an hospital based midwife and I believe that I do give  
evidence based

care, the hospital that I work for is working on a homebirth standard
presently and the group practice will soon be able to offer women  
homebirths
provided the individual midwife is confortable to offer this  
service. The
individual midwives in the DE are quick to develop rapport with  
their women

and they also are good at getting to know the women and their needs. I
dislike people on this list who  consitantly run down hospital based
midwives and the care that they provide can people please remember  
that IMP
is not for everyone although it is a good way to develop and  
maintain your

skills.   cheers

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Jo Bourne
Sent: Friday, 1 December 2006 8:28 AM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] independent midwifery


It puzzles me too. Why choose an evidence based carer and then take
them
somewhere they can't provide you with it?


Because if you know you have a higher than average change of NEEDING
a hospital if might be nice to have someone who knows you, cares
about you and will actually give you evidence based advice while you
are there. Women in this situation need an ipm MORE not less if you
ask me... Even my midwife confessed (after the magical homebirth)
that she had expected me to end up in hospital with a medical
extravaganza given my health issues.  Without my midwife not only
would there not have been the option of homebirth if I made it to
term healthy, there probably would have been almost no chance of even
a remotely natural birth in hospital, for a whole host of reasons I
haven't time to explain right now. Planning a home birth should not
be a requirement of hiring an IPM.
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30/11/2006



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RE: [ozmidwifery] independent midwifery

2006-11-30 Thread Melissa
Dear Sharon,

I'm curious to know where you work?

Melissa.

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of sharon
Sent: Friday, 1 December 2006 11:46
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] independent midwifery

I am an hospital based midwife and I believe that I do give evidence based
care, the hospital that I work for is working on a homebirth standard
presently and the group practice will soon be able to offer women homebirths
provided the individual midwife is confortable to offer this service. The
individual midwives in the DE are quick to develop rapport with their women
and they also are good at getting to know the women and their needs. I
dislike people on this list who  consitantly run down hospital based
midwives and the care that they provide can people please remember that IMP
is not for everyone although it is a good way to develop and maintain your
skills.   cheers

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Jo Bourne
Sent: Friday, 1 December 2006 8:28 AM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] independent midwifery

 It puzzles me too. Why choose an evidence based carer and then take  
 them
 somewhere they can't provide you with it?

Because if you know you have a higher than average change of NEEDING  
a hospital if might be nice to have someone who knows you, cares  
about you and will actually give you evidence based advice while you  
are there. Women in this situation need an ipm MORE not less if you  
ask me... Even my midwife confessed (after the magical homebirth)  
that she had expected me to end up in hospital with a medical  
extravaganza given my health issues.  Without my midwife not only  
would there not have been the option of homebirth if I made it to  
term healthy, there probably would have been almost no chance of even  
a remotely natural birth in hospital, for a whole host of reasons I  
haven't time to explain right now. Planning a home birth should not  
be a requirement of hiring an IPM.
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RE: [ozmidwifery] independent midwifery

2006-11-30 Thread sharon
Hi Melissa. I work in a large tertiary based hospital in sa. 

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Melissa
Sent: Friday, 1 December 2006 3:10 PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] independent midwifery

Dear Sharon,

I'm curious to know where you work?

Melissa.

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of sharon
Sent: Friday, 1 December 2006 11:46
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] independent midwifery

I am an hospital based midwife and I believe that I do give evidence based
care, the hospital that I work for is working on a homebirth standard
presently and the group practice will soon be able to offer women homebirths
provided the individual midwife is confortable to offer this service. The
individual midwives in the DE are quick to develop rapport with their women
and they also are good at getting to know the women and their needs. I
dislike people on this list who  consitantly run down hospital based
midwives and the care that they provide can people please remember that IMP
is not for everyone although it is a good way to develop and maintain your
skills.   cheers

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Jo Bourne
Sent: Friday, 1 December 2006 8:28 AM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] independent midwifery

 It puzzles me too. Why choose an evidence based carer and then take  
 them
 somewhere they can't provide you with it?

Because if you know you have a higher than average change of NEEDING  
a hospital if might be nice to have someone who knows you, cares  
about you and will actually give you evidence based advice while you  
are there. Women in this situation need an ipm MORE not less if you  
ask me... Even my midwife confessed (after the magical homebirth)  
that she had expected me to end up in hospital with a medical  
extravaganza given my health issues.  Without my midwife not only  
would there not have been the option of homebirth if I made it to  
term healthy, there probably would have been almost no chance of even  
a remotely natural birth in hospital, for a whole host of reasons I  
haven't time to explain right now. Planning a home birth should not  
be a requirement of hiring an IPM.
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RE: [ozmidwifery] independent midwifery

2006-11-30 Thread Tania Smallwood
Absolutely agree Jo that it is the women who are perhaps at higher risk
that would most benefit from the continuity of care from a known midwife,
the outcomes at the Women's and Children's in Adelaide have clearly shown
that the women who are in high risk groups going through the MGP are having
better outcomes, less intervention and more normal births, than the low risk
women going through the medical model of care.  Definitely food for
thought...goes to show that the research is indeed right.

I feel that it's the right place here to put in my 2c worth too, about IPM's
and homebirth.  Please remember that IPM's, while at times appearing to be
superhuman - and I say that from my experience as a consumer of IPM care,
they are also human.  Building up a rapport with a woman over the space of a
shift is indeed an art, and something I am amazed that my colleagues can do,
day in day out.  Really knowing a woman, having a relationship with her and
her whole family that spans months, and sometimes years, having an emotional
investment in helping her to achieve the best birth possible, is something
that simply can't be compared with working on a shift by shift basis. 

If you have never stood by, and watched a woman be lied to, or coerced with
untruths, or half truths, if you have never been treated appallingly by
those who are your equals, but feel you are beneath them, if you have never
seen the look of defeat in a woman's face as all the positive energy leaves
the room and someone calls her stupid and naïve for trying to have her baby
without intervention, then you have no idea about the pain that is felt, and
the helplessness, and even the feeling of betrayal you feel because you can
no longer protect or hold the space, for that woman.  I have been in these
situations, and I can really understand why some midwives prefer not to
provide care to women choosing to birth in the hospital system.  There is an
element of self preservation about it too, let's not forget that.
Sometimes, it's just too painful to go willingly and knowingly into a
situation that you know is not going to go the way the woman wants.
Transferring in for an obstetric need is of course, something completely
different...  

And that's not to say that the care you provide Sharon, in the hospital in
which you work, is not the best you can do, with the circumstances you have.
What we all know is that it is not the best thing for all women, and
according to the research, it's actually not the best thing for most
women...just because it's all that's on offer doesn't mean we shouldn’t be
looking to improve it, and one midwife one woman care is just the
beginning...

Tania



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Re: [ozmidwifery] independent midwifery

2006-11-30 Thread cath nolan

where do you work ? It sounds terriffic. Can you clone such a place? Cath
- Original Message - 
From: sharon [EMAIL PROTECTED]

To: ozmidwifery@acegraphics.com.au
Sent: Friday, December 01, 2006 11:45 AM
Subject: RE: [ozmidwifery] independent midwifery



I am an hospital based midwife and I believe that I do give evidence based
care, the hospital that I work for is working on a homebirth standard
presently and the group practice will soon be able to offer women 
homebirths

provided the individual midwife is confortable to offer this service. The
individual midwives in the DE are quick to develop rapport with their 
women

and they also are good at getting to know the women and their needs. I
dislike people on this list who  consitantly run down hospital based
midwives and the care that they provide can people please remember that 
IMP

is not for everyone although it is a good way to develop and maintain your
skills.   cheers

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Jo Bourne
Sent: Friday, 1 December 2006 8:28 AM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] independent midwifery


It puzzles me too. Why choose an evidence based carer and then take
them
somewhere they can't provide you with it?


Because if you know you have a higher than average change of NEEDING
a hospital if might be nice to have someone who knows you, cares
about you and will actually give you evidence based advice while you
are there. Women in this situation need an ipm MORE not less if you
ask me... Even my midwife confessed (after the magical homebirth)
that she had expected me to end up in hospital with a medical
extravaganza given my health issues.  Without my midwife not only
would there not have been the option of homebirth if I made it to
term healthy, there probably would have been almost no chance of even
a remotely natural birth in hospital, for a whole host of reasons I
haven't time to explain right now. Planning a home birth should not
be a requirement of hiring an IPM.
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