Re: [ozmidwifery] ICM conference

[Patricia David]

Andrea, could we all get together for a champers? I still owe you one for the 
homebirth confernece in Noosa 2000. Lieve,  would love to meet you. Trish



ID & AC Quanchi <[EMAIL PROTECTED]> wrote:
> Lieve,
> Any chance you can come to the ICM conference in Brisbane next year and
> we
> would all be ableto meet you 
> 
> Andrea Quanchi
> --
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-- 
Trish David FACM
Senior Lecturer Midwifery and Nursing
Monash University School of Nursing
Gippsland Campus
Northways Road
Churchill 3842
(03) 5122 6839
0418 994033
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Re: FW: Re: [ozmidwifery] Lobbying Update and Federal Election Campaign

[Patricia David]

Dear Carol, apologies for causing offence, at that stage I wasn't aware his electorate 
contained Warragul, (have only voted in one federal election in Vic and didn't quite 
take in all the boundaries) but we did have a discussion about it and your initiatives 
and fabulous figures. I pointed him also to Wonthaggi as an exception and the fact 
that they have halved their CS rates to be around the 7-10% in one year. I also told 
him the bigger the hospital the more likely there was to have intervention, but not 
necessarily because of the increase in risk.

He was very interested and is planning on fact finding around this issue in his 
district. Your unit will be an example, and I expect he will make a visit. The next 
step is to get him interested in federal incentives to have your initiatives 
duplicated across his region. I also pointed him to WA and publicly funded homebirths 
with midwife entry to hospitals (way outside his electorate and a fantastic example of 
collaborative care, I reckon) and their great figures, NZ and Holland.

Trish

Carol Van Lochem <[EMAIL PROTECTED]> wrote:Trish,
> It is fabulous that you have been lobbying our local member, but I feel that it is 
> important that you give him the correct information lest you lose credibility.
> I work at West Gippsland Hospital in Warragul, which is in Christian Zara's 
> electorate and would like to point out the following:
> 
> "rural birthing using midwife and collaborative models of care (he was really stung 
> when I told him the best example of this was NOT in his electorate"
> I am a member of a team of 5 midwives who provide collaborative  and case load 
> care to women in this hospital. We recieved State funding for this back in May and 
> are in the early stages, providing collaborative care to women having VBAC, history 
> of difficult births, young mums and Koori women. We are being provided with 
> additional upskilling in the meantime, and will then commence our caseload stream 
> when competent in areas of cannulation, suturing etc. This is the model of care the 
> State Gov. wishes to implement across Vic.
> I have also been the KYM midwife for the past 2 years on the VBAC program, providing 
> 1-2-1 care throught the pregnancy continuum for these women.
> 
> "When I told him that every hospital in his electorate had double the HWO 
> recommended rate for LUSCS and instruments and were off the scale for other 
> interventions, he seemed knocked out."
> West Gippsland Hosital figures for 2002 were as follows:
> NVB   63%
> vacuum extraction 10%
> forceps 8%
> Emergency C/S  11%
> Elective C/S   7%
> Intact perineum    66%
> Perineal tears   29%
> Episiotomy    3.7%
> Episiotomy + tear 0.6%
> VBAC attempts   80%
> VBAC acheived    60%
> I think these figures speak for themselves. Some of them are State Benchmarks. Any 
> wonder the poor man "seemed knocked out"
> Yours in midwifery
> Carol Van Lochem
>  
> 
-- 
Trish David FACM
Senior Lecturer Midwifery and Nursing
Monash University School of Nursing
Gippsland Campus
Northways Road
Churchill 3842
(03) 5122 6839
0418 994033
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Re: [ozmidwifery] Lobbying Update and Federal Election Campaign

[Patricia David]

Yes, he is federal, so I will give him an earful on that as well. I can't beleive in 
her rudeness, did she understand you would lose your money? Trish

Justine Caines <[EMAIL PROTECTED]> wrote:
> Hi Trish
> 
> 
> Great work, and so refreshing to brief someone who knows/gets it!!
> 
> I take it the member is your local federal member?
> 
> If so perhaps you can inform him that Julia Gillard (shadow health
> Minister)
> has now cancelled on a contingent from MC and ACMI twice. I was meant to
> be
> in Melb today (and we lost our money on the flight as I had already
> booked
> it)
> 
> Happy to talk on the phone if in fact he is federal labor as he needs to
> talk to his health minister about listening to us!
> 
> JC
> Xx
> 
> 
> 
> Justine Caines
> National President  Maternity Coalition Inc
> PO Box 105
> MERRIWA  NSW  2329
> Ph: (02) 65482248
> Fax: (02)65482902
> Mob: 0408 210273
> E-Mail: [EMAIL PROTECTED]
> 
> 
> --
> This mailing list is sponsored by ACE Graphics.
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-- 
Trish David FACM
Senior Lecturer Midwifery and Nursing
Monash University School of Nursing
Gippsland Campus
Northways Road
Churchill 3842
(03) 5122 6839
0418 994033
--
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Re: [ozmidwifery] Lobbying Update and Federal Election Campaign

[Patricia David]

Justine, this is great! I have had success with local Labor Member Christian Zara who 
put out a letter to all constituents asking us to call him with issues of concern, 
etc. Well he did open the door! 90 minutes after we started our phone call he has 
invited me to meet with him to discuss such issues of national policy as: rural 
birthing using midwife and collaborative models of care (he was really stung when I 
told him the best example of this was NOT in his electorate), professional indemnity 
(favouring a national govt insurance scheme for all health professionals with a 
three-tiered review process that is truly multi-disciplinary and non-adversarial), 
care of all babies and families who sustain birth injury, not just those who 
successfully sue, increased numbers of staff specialists with incentives for private 
obs/GPs who can prove true collaborative models in practice, extra funding and 
assistance for rural midwifery education aimed at clinical experience support both in 
rural and metro centres (just like the med students get), equity between medical and 
nursing and midwifery in terms of support in education such as living away from home 
allowances, travel and meals, nationalisation of health so that we can enforce 
midwifery representation on M&M committees, as well as have a more direct 
reimbursement for midwifery services, more accurate measures of costing maternity 
services and perhaps a commitment to enforce some sort of reimbursement from private 
doctors who use midwifery services that are publicly paid for but which prop up their 
incomes!

Poor guy got an earful, but he spoke beautifully about women giving birth, midwives 
assisting, babies being born, etc rather than being delivered, midwives doing 
deliveries... he even knew very well the difference between midwife and nurse! I 
complimented him on this and he said he was surrounded by empowered women who didn't 
want intervention. When I told him that every hospital in his electorate had double 
the HWO recommended rate for LUSCS and instruments and were off the scale for other 
interventions, he seemed knocked out.

So, his office has contacted me twice looking to set up a meeting so he can gather 
advice on all these issues. If you know your stuff, they will listen. Go for it! Ring 
them, especially if they open the door for you to do so. Ring their office and make a 
meeting! Bring paperwork with you, even if it's just a summary of the main points you 
want to talk about with some suggestions for finding further information.

Trish

Justine Caines <[EMAIL PROTECTED]> wrote:
> 
> Lobbying Update and Federal Election Campaign
> 
> 
> Dear All
> 
> Sorry I have not updated you  all sooner.  
> 
> Last Tuesday I met with Deputy PM, Leader of the National Party and my local Federal 
> member, John Anderson.
> 
> I was cheeky and did pre-emptive media and before we actually met I had done 6 radio 
> slots and he had done 2!!  This was then followed up with 2 further slots on 
> Thursday (10 minutes each duration) on ABC Southern NSW and Nth West NSW.
> 
> John was reasonably responsive and my entire pitch was based on rural issues (this 
> being his responsibility and interest).  He without saying showed concern about 
> the procreation plans of  families on welfare (I am in no way simplifying this 
> but there has been a buzz around my local area across shopping centres and amongst 
> those hanging around the courts etc.  So I decided to use its currency to lead 
> in to the need for support etc for women and families and outline how one to one 
> midwifery would provide this.
> 
> I also said that in rural areas midwifery had the capacity to also fill the gaps 
> with women’s health and early childhood (if midwives wanted to do the 
> additional training etc).
> 
> He made a murmur at a $3,000 birth package being a fair bit more than the Medicare 
> Benefit Schedule (I don’t know how I didn’t leap out of the chair!) but 
> with figurative stock whip I lashed him with some fact.
> 
> He asked how we would see it operating. I said either as tied grants to the states 
> to establish community midwifery programs or Medicare provider numbers and quickly 
> said I was terribly tired of hearing that extending Medicare to midwives had 
> implications for Dentists (although they are now using Dentists to a limited 
> capacity!!)and Chiropractors. I said Midwives provide the exact service that Obs do 
> (when birth is normal) and that the birth numbers would not necessarily change. I 
> know some are against Medicare provider numbers (with the argument that it limits 
> antenatal visits  etc.  But now that Abbott has given the green light for 
> Obs to package their care it may just be the way to go.
> 
> 
> I left him saying I would follow up shortly and he promised to read NMAP as he was 
> being driven to his next appointment (his electorate is HUGE).
> 
> I think we need to lobby the coalition pretty hard.  If anyone has a nati

Re: [ozmidwifery] FW: [leftq-notice] FW: Letter US Congress PBS & USFTA

[Patricia David]

Why did we get this? Trish

B & G <[EMAIL PROTECTED]> wrote:
> 
> 
> Message
> 
> 
> 
>  
> 
> -Original Message-From: Abbott, Sarah (Sen C. Moore) 
> [/email/[EMAIL PROTECTED] Sent: Monday, 7 June 2004 11:11 
> AMTo: [EMAIL PROTECTED]: [leftq-notice] 
> FW: Letter US Congress PBS & 
> USFTA-Original Message-From: Tracy 
> Schrader [/email/[EMAIL PROTECTED] Sent: Monday, 7 June 2004 
> 10:56 AMTo: Jeffcoat, Heather (Sen J. Cherry); Abbott, Sarah (Sen C. 
> Moore);Andrew duigood; Andrew Waterfall; Beth Mohle; Brian Frost; Doug 
> Welch;Fay; Geoff Edwards; Jesse; Joan Shears; Jodie Jansen; John Morris; 
> RossHoward; Terrie Templeton; Victor SirlSubject: Letter US Congress PBS 
> & USFTAHi all,After groups to endorse the attached 
> letter. There are committee hearings in the US starting 15 & 16 June on 
> the Australia-US FTA so need to send soon. Could people let me know and 
> send to other organisations who may also be 
> interested.ThanksTracy
> 
>   
>   
> Yahoo! Groups 
>   Sponsor
>   
> 
>   
> 
> 
>   ADVERTISEMENTImage: click here
>   
> Image: 
> 
> Yahoo! Groups Links
> 
>   To visit your group on the web, go 
> to:http://groups.yahoo.com/group/leftq-notice/ ; 
> 
>   To unsubscribe from this group, send an email to:[EMAIL PROTECTED]  
> 
>   Your use of Yahoo! Groups is subject to the Yahoo! Terms of Service. 
> 
> ---
> 
> Attachment: Letter to Congress AUSFTA&PBS.doc 
> MIME Type: application/msword
> Size: 31530 bytes
-- 
Trish David FACM
Senior Lecturer Midwifery and Nursing
Monash University School of Nursing
Gippsland Campus
Northways Road
Churchill 3842
(03) 5122 6839
0418 994033
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Re: [ozmidwifery] Ann Peacock defends Liz & Tracey

[Patricia David]

Here is my letter to the editor. Wonder if it will get a viewing. Trish


Dear Editor

In response to Anne Peacock's defense of Tracy Curro's and Liz Hayes' assertions on 
childbirth and mothering in the story recently aired on 60 Minutes, may I make the 
following comments.

Childbirth and mothering are such emotive, personal, self-defining processes that I 
think it is near impossible for journalists (and experts such as midwives and medical 
people) to maintain a standard of objectivity and ethical distance when talking in 
generalities. What I mean is, journalists have an obligation to the public to declare 
an interest where it might possibly conflict with informing the public on an issue. We 
as midwives have an ethical obligation to centre our practice on the woman and her 
choices without our own experiences clouding our objectivity. But with childbearing 
and mothering it seems (as these affect every person on the planet) everyone has the 
notion that what they did/chose/believed in is what should be the case for everyone.

This generalising of a moral position is fine for the lay person. But journalists 
should be held to account for this, I believe. They are not allowed to comment on (for 
example) Qantas or a bank favourably if they are receiving benefits from those 
companies without declaring their interest (viz cash for comment). When women 
journalists set a standard based on what they chose, they should declare that they 
chose one way, that there are many other ways of giving birth, but they should be very 
mindful of the ethical issue of their ability to influence. I don't believe they are 
playing by the rules with this ethic.

They should also be held to account on issues of fact as well. Overwhelming amounts of 
literature from psychology, sociology and even anatomy and physiology tells us that 
mothering begins in the womb with how you are mothered. It is part of a social and 
biological milieu in which social practices and mores and biology are irreducible. 

In pregnancy (and before) women fantasise about the baby, create an identity for the 
baby, and this identity is influenced by her wishes, desires and cultural 
understandings of what is acceptable from her as a mother and from the baby as a 
gendered individual (hence if it's a boy inside it kicks like a footballer, and if 
it's a girl, it kicks like a ballerina as an example). This in turn, I believe from 
reading and research into this issue as part of my own PhD studies, creates a 
dialectic between woman and fantasy/biological baby that shapes her own maternal 
identity in response.

Clearly, mothering begins earlier than after the birth. In fact, I believe based on 
reading, research, conversations with mothers, long years of observation in a 
professional capacity, and finally my own experience, that what happens after the 
birth is nowhere near as influencial in creating a mother as what happens before. And, 
may I say, the day of birth is a profound marker, no matter how the birth itself is 
conducted. The evidence on this is incontrovertable.

Using the argument put forward by Anne Peacock and Tracy Curro is, I contend, mere 
rationalisation of the choices they made, rather than a considered journalistic 
statement. As such, they should not be taken any more seriously than a letter to the 
editor from a lay public citizen. The problem is, they will be because of the 
journalists authority, and as such their journalistic integrity should be called into 
question.


Yours sincerely
Trish David
Senior Lecturer Midwifery
Monash University Gippsland.

Cheryl LHK <[EMAIL PROTECTED]> wrote:
> Reading my paper over breakfast, we find a half page spread from Ann
> Peacock
> (Herald Sun - Melbourne, p 118) giving full credit to 60 mins and co. And
> from her personal experience having had a emergency LUSCS for her first
> child, naturally with the safety of No 2 baby in mind, booked straight in
> for another LUSCS! Her quote "Mothering happens after the birth, in case
> no
> one has noticed."
> 
> You can contact her on
> 
> [EMAIL PROTECTED]
> 
> Cheryl
> 
> _
> Get a Virgin Credit Card and win an adventure:   
> 
> http://ad.doubleclick.net/clk;8661322;9498324;s?http://www.promo.com.au/virgincreditcard/firstbirthday/track.cfm?source=N92
> 
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-- 
Trish David FACM
Senior Lecturer Midwifery and Nursing
Monash University School of Nursing
Gippsland Campus
Northways Road
Churchill 3842
(03) 5122 6839
0418 994033
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Re: [ozmidwifery] 60 mins letter

[Patricia David]

I love this letter, Megan. It has just the right punch and number of words to get 
read, too, I reckon. Good luck with the birth. Trish

Larry & Megan <[EMAIL PROTECTED]> wrote:
> I was also lost for words on what to write to them, but ended with a
> short
> and shiny,
> 
> Dear 60 minutes,
> 
> I came away from watching your segment on childbirth believing that it
> was
> nothing more than a promotion of medical birth.
> 
> My belly is overflowing with our fourth baby due any day, which we have
> chosen to birth at home, where we feel safe and loved, supported by our
> very
> capable midwife.
> 
> Your promotion of caesarean birth as a harmless and “chosen” way to birth
> a
> baby has only contributed to the difficulties women face wanting a
> natural
> vaginal birth.
> 
> True informed choice can only come from true information, something 60
> minutes failed to provide.
> 
> Disappointed
> 
> Megan Resch
> 
> --
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-- 
Trish David FACM
Senior Lecturer Midwifery and Nursing
Monash University School of Nursing
Gippsland Campus
Northways Road
Churchill 3842
(03) 5122 6839
0418 994033
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[ozmidwifery] interesting book

[Patricia David]

Pursuant to the fascinating discussion on midwives, obstetric nurses and the 
micropolitics of the professions vis a vis obstetricians and other doctors involved in 
childbirth I have just finished my easter read: Misconceptions by Terry McGee, an 
obstetrician and first-time author from Sydney. It's a fascinating read for the story 
alone, which is a fictional tale of a female obstetrician who is sued for negligence 
after the birth of a brain-injured child. It is a real insight into the medico-legal 
process, but also a sensitive portrayal of family life and the stresses and strains 
that obstetric practice places upon it. Particularly for a woman, I might add. It 
certainly paints a less black/white:right/wrong picture of 'defensive medicine'. I 
read the whole 462 pages in two days so the narrative was compelling, but I am 
considering offering it for summer reads to my students between semesters, along with 
Chris Bojahlian's Midwives and Gay Coultier's A Midwife's Tale, etc.

It's published by Pan 2003 if you're interested. If anyone else has read it, let me 
know what you thought.

Trish
-- 
Trish David FACM
Senior Lecturer Midwifery and Nursing
Monash University School of Nursing
Gippsland Campus
Northways Road
Churchill 3842
(03) 5122 6839
0418 994033
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Re: [ozmidwifery] Eating In Labour- evidence!

[Patricia David]

One of the more interesting diets in labour that I witnessed was from a much villified 
sub-cultural group in our society who ate fried potatoes dusted with a wide variety of 
seasonings washed down with a foul black sticky liquid which they swore was the only 
food they could keep down.

(Teenagers just love BBQ chips and coke, and even in labour found it a source of ready 
calories!)


Trish

=?iso-8859-1?q?Jen=20Semple?= <[EMAIL PROTECTED]> wrote:Wow, it's interesting that 
women are even restricted from eating solid foods while they're labouring... the 
Cochrane folks, Enkin et al. (2000) Guide to Effective Care in Pregnancy & Childbirth. 
(3rd ed, Oxford University Press) have a whole section on nutrition in labour (pp. 
259- 263).  It can be downloaded from http://maternitywise.org/pdfs/gecpc3ch29.pdf
>  
> The gist is "...except for women at high risk of needing general anaesthesia, the 
> benefits of nourishment in accordance with women's wishes far outweigh the possible 
> benefits of more restrictive policies." (p. 259).
>  
> In the two hospitals I've done my clinical placements, women have been encouraged to 
> drink to thirst & eat to hunger (lightly).
>  
> Here's to evidence-based practice!
>  
> Jen
> 3rd year BMid student, MelbourneJoFromOz <[EMAIL PROTECTED]> wrote:
> 
> 
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> 
> 
> Women are allowed water, black tea, that kind of thing.  Whether epidural or 
> not. Inductions are more strict though, water only.  I had to beg a doc to let 
> my labouring woman have a barley sugar...
>  
> Jo
> Find local movie times and trailers on Yahoo! Movies.
-- 
Trish David FACM
Senior Lecturer Midwifery and Nursing
Monash University School of Nursing
Gippsland Campus
Northways Road
Churchill 3842
(03) 5122 6839
0418 994033
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[ozmidwifery] Hi everyone long time no see

[Patricia David]

Dear List. It's over a year since I was on the list and am making a return now that 
life has settled down for me a little bit. I have been really busy with the first year 
of Monash Bachelor of Midwifery, and our ever growing Graduate Diploma of Midwifery 
amongst other things. 

It's good to see the list is still active and vital. I have copied the concept for my 
students and they have lively debate thoughout their courses.

Best wishes to you all, especially the long-timers I haven't been in contact with for 
a while. Nice to have met up with some of you in Darwin, and hope to see lots of 
you at Congress in Brisbane next July.

Trish
-- 
Trish David FACM
Senior Lecturer Midwifery and Nursing
Monash University School of Nursing
Gippsland Campus
Northways Road
Churchill 3842
(03) 5122 6839
0418 994033
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