Re: [ozmidwifery] who is really there for women ? long

2003-10-14 Thread Alesa Koziol




Yeah for some form of enforcing the accountability of 
professional practice. Start by linking this to the ACMI professional 
accountability expectations of at least 40 hours worth of accrued ongoing 
professional development per year. Until this is enforced by linking to 
registration, Midwives will continue to be apathetic regarding their 
professional accountabilty because their paycheks will continue to arrive. 
Enforcing professional accountability will open the politicaleyes of most 
of the quiet 7000(Tina's figure). This is where the wave of activism will 
come from so that Midwifery models of care will become the norm in this 
nation
Alesa

Alesa 
KoziolClinical Midwifery EducatorMelbourne

  - Original Message - 
  From: 
  [EMAIL PROTECTED] 
  To: [EMAIL PROTECTED] 
  
  Sent: Tuesday, October 14, 2003 10:34 
  AM
  Subject: Re: [ozmidwifery] who is really 
  there for women ? long
  In a 
  message dated 13/10/03 11:02:18 PM AUS Eastern Standard Time, [EMAIL PROTECTED] 
  writes:
  I agree with you Tina wholeheartedly! However I ask How do we 
muster the collective wisdom of those midwives into action in their 
individual workplaces and motivate them to unite to change? I see time and 
time again the excuse of increased workloads and lack of support from 
management as fixed obstacles preventing such organized action.Late night reflections. 
Cheers LouiseHI Louise...all the more reasons to unite to change I 
  would suggest.However, the trick as to all political action is in the 
  collective numbers of the membersMidwifery here has made many advances 
  over the last few yearsparticularly in its efforts to firmly establish its 
  own sense of self identity and self determinisim, standards and scope of 
  practiceThe ACMI has enjoyed strong leadership that has driven many of 
  these changes, but the College is only as good and as strong as its membership 
  base, which for a National organisation, has the potential to be 
  representative of some 1 registered and/or endorsed midwives (Tracey et al 
  2000).However, given the apathy that Barb speaks about within the 
  profession and the oppressed nature of midwifery, I think the College can only 
  boast about 3000 members Nationally (about 30% of practising midwives in this 
  country)...now this is a disgrace and even more so given we will be the 
  hosts of the ICM Conference in Brisbaine in 2005! Midwives 
  have a professional responsibility to ensure that their practice is evidenced 
  based and to ensure that their level of practice "mirrors the professional 
  standard"...Perhaps one way we could "muster the collective wisdom of those 
  midwives into action in their individual workplaces and motivate them to unite 
  to change" would be to link their right to practice midwifery (reregistration) 
  to competency as in accordance with the ACMI Competency Standards for 
  Midwives, which clearly endorses the ICM definition of a midwife! My 
  understanding is that Tasmania is currently the only State/Territory in which 
  this applies. As a profession why should we accept any less for all midwives, 
  why should women??Yours in reforming midwiferyTina Pettigrew.B 
  Mid Student ACU 
  Melbhttp://groups.yahoo.com/group/BMidStudentCollective/" As 
  we trust the flowers to open to new 
  life 
  - So we can trust birth"Harriette Hartigan.--- 
  



RE: [ozmidwifery] who is really there for women ? long

2003-10-14 Thread B G
Title: Message



Ditto, 
well put Joy.
We must always remember that all women have the right to choose. 
High risk women have much reduced choices but lets ensure that these women can 
also be attended to by midwives educated and mindful of the risk factors. Many 
women are delaying birth so often have pre-existing medical needs due to age. 

A 
respectful midwife, who can make a difference, in collaboration with 
medicalstaff that has clearly defined roles and reporting responsibilities 
outlined should be able to care for a so called high risk woman in the safest 
environment. Or are we saying they should have obstetric nurses as some often 
refer to hospital midwives as.

I have 
been there for a woman in an ICU in a previous life. She was 35 weeks ventilated 
due to severe asthma attack. Although she was not aware of the birth, sad, at 
least she had a midwife who was able to tell her of the birth at a later stage. 
We luckily had a Polaroid to take photo's as this birth was totally 
unexpected!!
Lets 
not forget some midwives would notbe comfortableto be isolated in a 
free standing birthing centre, is she a bad midwife for saying 
so
Cheers 
Barb.

  
  -Original Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED] On Behalf Of Jen 
  SempleSent: Tuesday, 14 October 2003 4:32 PMTo: 
  [EMAIL PROTECTED]Subject: [ozmidwifery] who is really 
  there for women ? long
  From Joy Johnston [EMAIL PROTECTED] :
  
  I think we all need to 
  seeJan's caseas an extreme case. This is bullying, and 
  unfortunately it will always occur. Even midwives can be bullies. 
  Its a human trait to want to dominate and control. The doctor in this 
  case may have been dreadfully upset about the loss of a baby the previous 
  day. Hopefully he was. But his use of the experience to coerce the 
  labouring woman and her partner into submission appears totally 
  unfair.
  
  Access to one to one midwifery  
  even NMAP  will not change the system overnight. The woman in the story had 
  Jan with her, and Jans a very good midwife. Women in Australia will continue 
  to seek out the care of specialist obstetricians as long as the system biases 
  the care in that direction. In NZ you have to pay extra to see an ob 
  without clinical indication  but there are still women who choose that 
  option. 
  
  Justines reference to NZ is an 
  example of how vastly different the options are in NZ to here. However I 
  have to disagree with Justines conclusion that we 
  cant settle for midwifery programs under the acute setting AT 
  ALL!
  The acute setting has a monopoly 
  of funding for ALL births in this country, and there is no sign that thats 
  about to change. The hospitals can offer homebirth now if they want 
  to. In the light of all the evidence (and NMAP has put it out there for 
  all to see) its only reasonable that hospitals will see the homebirth option 
  as attractive for the service as well as the women.
  
  Maternity Coalition is about 
  mothers and midwives working together for better maternity care (thats a long 
  way from the ideal, but its pointing in the right direction). We 
  support womens choice and access. Choice of model of care and provider 
  of that care, and access to midwifery models of care and birth in the home or 
  hospital. In supporting choice, we also support a womans right to 
  choose the fully medical models of care. Australian maternity services 
  need total reform, and thats what we are trying to bring about. Until 
  that reform has been achieved we really cant afford to be idealistic about 
  demanding that all midwifery be offered outside the acute (hospital) setting, 
  when thats where the money goes, thats where the bulk of the workforce is, 
  and thats where the woman look for their care.
  
  Joy Johnston
  
  
  Yahoo! Search- Looking for more? Try the new 
  Yahoo! Search



Re: [ozmidwifery] who is really there for women ? long

2003-10-14 Thread Justine Caines
Title: Re: [ozmidwifery] who is really there for women ? long



Dear Barb and all

Somehow Joy has not understood what I meant.

I was talking about new programs and the fact that midwifery must have its own scope of practice. Yes women must have access to a full range of choice. No one EVER suggested taking choice away. Currently less than 1% of women can access best practice care, that of a known midwife and yet a woman has no trouble accessing a C/S with no medical indication. So my comment was about a full continuum of choice. Why should a woman seeking best practice have her rights denied, while a woman accessing unnecessary specialist care is well catered for (via the public purse!). This sad irony is that while healthy women access specialist care unnecessarily, there is the risk that those in real need can be compromised. I believe this to be a real issue in regional referral units, esp with the reduction in practitioners.

The majority of women are not high risk, but best practice would allow for what you describe, the great support of midwifery in concert with other care, women in high risk situations would greatly benefit from the relationship of a known midwife, as would healthy women.

When I say stand alone. I mean midwives being responsible for a full scope of practice. ie being able to care for a healthy woman throughout the episode in any setting. Naturally when there is indication of complication etc a collaborative approach is necessary. What we have now is Obstetrics determining the normal. This is against best practice and is unsafe. As I understand a midwife is trained to care for a healthy woman throughout the episode in a variety of settings, but due to medical domination the majority work in a highly fragmented system.

Hope this makes more sense. 

Justine


Ditto, well put Joy.
We must always remember that all women have the right to choose. High risk women have much reduced choices but lets ensure that these women can also be attended to by midwives educated and mindful of the risk factors. Many women are delaying birth so often have pre-existing medical needs due to age. 
A respectful midwife, who can make a difference, in collaboration with medical staff that has clearly defined roles and reporting responsibilities outlined should be able to care for a so called high risk woman in the safest environment. Or are we saying they should have obstetric nurses as some often refer to hospital midwives as.

I have been there for a woman in an ICU in a previous life. She was 35 weeks ventilated due to severe asthma attack. Although she was not aware of the birth, sad, at least she had a midwife who was able to tell her of the birth at a later stage. We luckily had a Polaroid to take photo's as this birth was totally unexpected!!
Lets not forget some midwives would not be comfortable to be isolated in a free standing birthing centre, is she a bad midwife for saying so
Cheers Barb.
-Original Message-
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jen Semple
Sent: Tuesday, 14 October 2003 4:32 PM
To: [EMAIL PROTECTED]
Subject: [ozmidwifery] who is really there for women ? long


>From Joy Johnston [EMAIL PROTECTED] :



I think we all need to see Jan's case as an extreme case. This is bullying, and unfortunately it will always occur. Even midwives can be bullies. Its a human trait to want to dominate and control. The doctor in this case may have been dreadfully upset about the loss of a baby the previous day. Hopefully he was. But his use of the experience to coerce the labouring woman and her partner into submission appears totally unfair.



Access to one to one midwifery  even NMAP  will not change the system overnight. The woman in the story had Jan with her, and Jans a very good midwife. Women in Australia will continue to seek out the care of specialist obstetricians as long as the system biases the care in that direction. In NZ you have to pay extra to see an ob without clinical indication  but there are still women who choose that option. 



Justines reference to NZ is an example of how vastly different the options are in NZ to here. However I have to disagree with Justines conclusion that we cant settle for midwifery programs under the acute setting AT ALL!

The acute setting has a monopoly of funding for ALL births in this country, and there is no sign that thats about to change. The hospitals can offer homebirth now if they want to. In the light of all the evidence (and NMAP has put it out there for all to see) its only reasonable that hospitals will see the homebirth option as attractive for the service as well as the women.



Maternity Coalition is about mothers and midwives working together for better maternity care (thats a long way from the ideal, but its pointing in the right direction). We support womens choice and access. Choice of model of care and provider of that care, and access to midwifery models of care and birth in the h

RE: [ozmidwifery] who is really there for women ? long

2003-10-14 Thread B G
Title: Message



Justine,
I 
agree with you on what you have put here. I'd love to be able to attend healthy 
women which most are but even healthy women can run into difficulties. It is 
then a 'good' midwife who would consult and refer with the woman's best 
interests in mind.
An 
adverse outcome scars all, sometimes that's for life.
Nice 
to see someone else up late.
Cheers 
Barb

  
  -Original Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED] On Behalf Of Justine 
  CainesSent: Tuesday, 14 October 2003 10:43 PMTo: OzMid 
  ListSubject: Re: [ozmidwifery] who is really there for women ? 
  long
  Dear Barb and 
allSomehow Joy has not understood what I meant.I was talking 
about new programs and the fact that midwifery must have its own scope of 
practice. Yes women must have access to a full range of choice. 
No one EVER suggested taking choice away. Currently less than 1% 
of women can access best practice care, that of a known midwife and yet a 
woman has no trouble accessing a C/S with no medical indication. So my 
comment was about a full continuum of choice. Why should a woman 
seeking best practice have her rights denied, while a woman accessing 
unnecessary specialist care is well catered for (via the public purse!). 
This sad irony is that while healthy women access specialist care 
unnecessarily, there is the risk that those in real need can be compromised. 
I believe this to be a real issue in regional referral units, esp with 
the reduction in practitioners.The majority of women are not high 
risk, but best practice would allow for what you describe, the great support 
of midwifery in concert with other care, women in high risk situations would 
greatly benefit from the relationship of a known midwife, as would healthy 
women.When I say stand alone. I mean midwives being 
responsible for a full scope of practice. ie being able to care for a 
healthy woman throughout the episode in any setting. Naturally when 
there is indication of complication etc a collaborative approach is 
necessary. What we have now is Obstetrics determining the normal. 
This is against best practice and is unsafe. As I understand a 
midwife is trained to care for a healthy woman throughout the episode in a 
variety of settings, but due to medical domination the majority work in a 
highly fragmented system.Hope this makes more sense. 
JustineDitto, well put 
Joy.We must always remember that all women have the right to 
choose. High risk women have much reduced choices but lets ensure that these 
women can also be attended to by midwives educated and mindful of the risk 
factors. Many women are delaying birth so often have pre-existing medical 
needs due to age. A respectful midwife, who can make a difference, in 
collaboration with medical staff that has clearly defined roles and 
reporting responsibilities outlined should be able to care for a so called 
high risk woman in the safest environment. Or are we saying they should have 
obstetric nurses as some often refer to hospital midwives as.I 
have been there for a woman in an ICU in a previous life. She was 35 weeks 
ventilated due to severe asthma attack. Although she was not aware of the 
birth, sad, at least she had a midwife who was able to tell her of the birth 
at a later stage. We luckily had a Polaroid to take photo's as this birth 
was totally unexpected!!Lets not forget some midwives would not be 
comfortable to be isolated in a free standing birthing centre, is she a bad 
midwife for saying soCheers Barb.
-Original 
  Message-From: [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED] On Behalf Of Jen 
  SempleSent: Tuesday, 14 October 2003 4:32 PMTo: 
  [EMAIL PROTECTED]Subject: [ozmidwifery] who is 
  really there for women ? longFrom Joy Johnston [EMAIL PROTECTED] 
  :I think we all need to see Jan's case as an extreme 
  case. This is bullying, and unfortunately it will always occur. 
  Even midwives can be bullies. Its a human trait to want to 
  dominate and control. The doctor in this case may have been 
  dreadfully upset about the loss of a baby the previous day. 
  Hopefully he was. But his use of the experience to coerce the 
  labouring woman and her partner into submission appears totally 
  unfair.Access to one to one midwifery  even NMAP  
  will not change the system overnight. The woman in the story had Jan with 
  her, and Jans a very good midwife. Women in Australia will continue to 
  seek out the care of specialist obstetricians as long as the system biases 
  the care in that direction. In NZ you have to pay extra to see an ob 
  without clinical indication  but there are still women who choose that 
  option. Justines reference to NZ is an example of 
  how vastly

Re: [ozmidwifery] who is really there for women ? long

2003-10-13 Thread Marilyn Kleidon
Title: Re: [ozmidwifery] who is really there for women ? long



So sorry, hit the wrong key and sent it off without 
salutation. So, if you wont transfer for meconium, you simply don't write 
it as a reason you would do so. Of course you need to be able to defend 
your position should the situation ever arise. Also these documents must be 
available to your clients as it gives them an insight as to your comfort zone of 
practice. I know, from being on this list, that many independent midwives here 
hold dearly to the concept of discussing this individually with each woman and 
trusting the woman to make these decisions in concert with yourself of course. I 
am truly impressed by and honour this, and there must be a way of writing 
this in a document(s) so that you don't have other peoples guidelines etc.. 
imposed upon you.

Just my opinion

marilyn

  - Original Message - 
  From: 
  Justine Caines 
  To: OzMid List 
  Sent: Sunday, October 12, 2003 7:30 
  PM
  Subject: Re: [ozmidwifery] who is really 
  there for women ? long
  
  Hi Julie and allI totally agree. 
Collaboration is the way forward but medical control of midwifery is 
not collaboration, collaboration is a 2 way street not something dictated by 
Obstetrics. Midwives must have an scope of practice in their own 
right (and this is what the Dutch do). We need to acknowledge that 
midwives are experts in the normal and that when conditions change they 
collaborate and refer to other providers. This is what the ACMI 
national guidelines for referral and transfer are going to be used 
for.As for independent homebirth practitioners, we legally don’t 
have them (this is the choice women are most unable to access) there is no 
respect for the professionalism of midwifery outside the system (by 
Government) as they have not only refused to assist with indemnity but in 
NSW and VIC have made it illegal for any health practitioner to 
practice without insurance.Public funded homebirth is a very 
important choice as it will allow so many more to access it. It will 
no longer be an elite private service. However there is no evidence 
for and significant evidence against a homebirth program being managed in 
the acute setting. Obstetricians are not trained in normal birth. 
The safety and success of homebirth is in the relationship and trust 
between midwife and woman (not obstetric protocol).Birth Centre 
transfer statistics and protocols speak volumes. Once again obstetric 
control “allows” a little bit of midwifery and then reins in where it sees 
fit (often against evidence and not in the best interests of women). 
With the current ‘obstetric crisis’ we have the best opportunity to 
develop stand alone midwifery programs. We do not need to accept a 
re-hash of what we have now. The UK now has 70 odd freestanding birth 
centres and some very positive work on providing all women who want 
homebirth with it and providing women with the real facts on C/S risk. 
So no we don’t need to ‘speak’ Dutch!! JustineActing 
National President Maternity CoalitionNational Co-ordinator, Homebirth 
AustraliaMum of 3 and a halfDear 
JustineWe all know there are better models of care for example in 
Holland but to transplant that model here, rapidly would be about as 
difficult / impossible as trying to change our culture to the extent of 
making Australian’s speak the Dutch language.If we have birth 
centres, midwifery group practice, hospital based homebirth models and 
independent homebirth practitioners – then women have a range of options 
from which to choose.If we prevent one of these then we are limiting 
women’s choices.In solidarity, we need to be working together, to 
strengthen ALL options, which empower women and midwives to work 
together.For credibility, it needs to be evidenced based and collaborative 
in approach. The Dutch collaborate.Warmest 
regards,JulieJulie Clarke 
CBEChildbirth and Parenting EducatorACE Grad-Dip 
SupervisorNACE Advanced Educator and 
TrainerTransition into Parenthood9 Withybrook 
PlSylvania NSW 2224.T. (02) 9544 6441F. (02) 9544 
9257Mobile 0401 2655 30email: [EMAIL PROTECTED]www.transitionintoparenthood.com.au-Original Message-From: 
[EMAIL PROTECTED] 
[mailto:[EMAIL PROTECTED] On Behalf Of Justine 
CainesSent: Saturday, 11 October 2003 7:39 PMTo: OzMid 
ListSubject: Re: [ozmidwifery] who is really there for women ? 
long
No Jan not just one to one midwifery, but 
  stand alone midwifery where midwives and women decide what is best and 
  when they need medical assistance. To me Birth Centres continue to 
  set women up while ever they are under medical control. A penny for 
  every time I’ve heard I went to the BC and wanted natural but I just 
  couldn’t etc etc!NZ with it’s

Re: [ozmidwifery] who is really there for women ? long

2003-10-13 Thread TinaPettigrew
In a message dated 13/10/03 11:02:18 PM AUS Eastern Standard Time, [EMAIL PROTECTED] writes:


I agree with you Tina wholeheartedly! However I ask How do we muster the collective wisdom of those midwives into action in their individual workplaces and motivate them to unite to change? I see time and time again the excuse of increased workloads and lack of support from management as fixed obstacles preventing such organized action.
Late night reflections. Cheers Louise


HI Louise...all the more reasons to unite to change I would suggest.However, the trick as to all political action is in the collective numbers of the membersMidwifery here has made many advances over the last few yearsparticularly in its efforts to firmly establish its own sense of self identity and self determinisim, standards and scope of practiceThe ACMI has enjoyed strong leadership that has driven many of these changes, but the College is only as good and as strong as its membership base, which for a National organisation, has the potential to be representative of some 1 registered and/or endorsed midwives (Tracey et al 2000).However, given the apathy that Barb speaks about within the profession and the oppressed nature of midwifery, I think the College can only boast about 3000 members Nationally (about 30% of practising midwives in this country)...now this is a disgrace and even more so given we will be the hosts of the ICM Conference in Brisbaine in 2005! 

Midwives have a professional responsibility to ensure that their practice is evidenced based and to ensure that their level of practice "mirrors the professional standard"...Perhaps one way we could "muster the collective wisdom of those midwives into action in their individual workplaces and motivate them to unite to change" would be to link their right to practice midwifery (reregistration) to competency as in accordance with the ACMI Competency Standards for Midwives, which clearly endorses the ICM definition of a midwife! My understanding is that Tasmania is currently the only State/Territory in which this applies. As a profession why should we accept any less for all midwives, why should women??

Yours in reforming midwifery
Tina Pettigrew.
B Mid Student ACU Melb
http://groups.yahoo.com/group/BMidStudentCollective/

" As we trust the flowers to open to new life

 - So we can trust birth"
Harriette Hartigan.
--- 


Re: [ozmidwifery] who is really there for women ? long

2003-10-11 Thread altrewern



Jan that is absolutely appalling!!! What was the 
outcome? What are you and the family going to do about it. 
 
Linda Trewern




  - Original Message - 
  From: 
  [EMAIL PROTECTED] 
  To: [EMAIL PROTECTED] 
  
  Cc: [EMAIL PROTECTED] 
  
  Sent: Saturday, October 11, 2003 7:46 
  PM
  Subject: [ozmidwifery] who is really 
  there for women ? long 
  
  THEY ARE A HEALTHY HAPPY, WELL PREPARED AND 
  CONFIDENT COUPLE BOOKED INTO BIRTH CENTRE AN TAKING MW ALONG 
  
  1ST BABE TERM PLUS 5 DAYS srom SMIDGEN OF 
  MEC CTG PERFECT 2hrs later and she is in good labour standing with 
  monitor on working happily adjusted well with transfer and then the 
  grand pooh barr arrives 
  minimal intro of self no intro of others [4 
  others in total] up on bed umm get the portable U/S and see what the PP part 
  is.
  Oh its head first she says he glares at her they 
  rush to his command TO GET THE U/S MACHINE 
  
  I introduce myself he nods I ask if he knows I am 
  an independent midwife he tells me he knows EVERY THINGignores me and 
  turns to woman glumly he says 
  
  I am sorryu have meconium do u know what 
  that means?
  
  yes she said that is why I am here the baby has 
  done a pooh and thetas probablynormal but I will need to adjust my 
  birthing plans to include the monitor 
  
  meconium is serious HE SAYS yesterday a baby died 
  because of meconium all nod 
  
  the young dad to be bravely said but our baby 
  looks great on monitor 
  
  nothing to do with it this baby was on monitor 
  and by the time we got to theatreit was dead sigh meconium
  
  we could do a c/Ds now and hope for best 
  
  
  she looked defeated he cried in fear 
  
  and
  
  they all stood behind him looking grave 
  and nodding and I thought wow is this for real?
  
  This is why one to one midwifery care from a 
  known midwife must happen to stop this abuse
  Jan 
  


Re: [ozmidwifery] who is really there for women ? long

2003-10-11 Thread Justine Caines
Title: Re: [ozmidwifery] who is really there for women ? long




No Jan not just one to one midwifery, but stand alone midwifery where midwives and women decide what is best and when they need medical assistance. To me Birth Centres continue to set women up while ever they are under medical control. A penny for every time Ive heard I went to the BC and wanted natural but I just couldnt etc etc!

NZ with its radically better system has not seen the outcomes it should have and the Kiwis say this is because of the medical protocols underpinning the system. This is why we cant settle for midwifery programs under the acute setting AT ALL! and this is what NMAP says. I think some forget this periodically, but I DONT!!

In solidarity

Justine



Jan that is absolutely appalling!!! What was the outcome? What are you and the family going to do about it. 
Linda Trewern
 


- Original Message - 
From: [EMAIL PROTECTED] 
To: [EMAIL PROTECTED] 
Cc: [EMAIL PROTECTED] 
Sent: Saturday, October 11, 2003 7:46 PM
Subject: [ozmidwifery] who is really there for women ? long 

THEY ARE A HEALTHY HAPPY, WELL PREPARED AND CONFIDENT COUPLE BOOKED INTO BIRTH CENTRE AN TAKING MW ALONG 
 
1ST BABE TERM PLUS 5 DAYS srom SMIDGEN OF MEC CTG PERFECT 2hrs later and she is in good labour standing with monitor on working happily adjusted well with transfer and then the grand pooh barr arrives 
minimal intro of self no intro of others [4 others in total] up on bed umm get the portable U/S and see what the PP part is.
Oh its head first she says he glares at her they rush to his command TO GET THE U/S MACHINE 
 
I introduce myself he nods I ask if he knows I am an independent midwife he tells me he knows EVERY THING ignores me and turns to woman glumly he says 
 
I am sorry u have meconium do u know what that means?
 
yes she said that is why I am here the baby has done a pooh and thetas probably normal but I will need to adjust my birthing plans to include the monitor 
 
meconium is serious HE SAYS yesterday a baby died because of meconium all nod 
 
the young dad to be bravely said but our baby looks great on monitor 
 
nothing to do with it this baby was on monitor and by the time we got to theatre it was dead sigh meconium
 
we could do a c/Ds now and hope for best 
 
she looked defeated he cried in fear  
and
 
 they all stood behind him looking grave and nodding and I thought wow is this for real?
 
This is why one to one midwifery care from a known midwife must happen to stop this abuse
Jan 








Re: [ozmidwifery] who is really there for women ? long

2003-10-11 Thread M T Holroyd



Jan,

This brought tears to my eyes.How dare this 
woman  her partner (baby) be treated this way.

Tina H.

  - Original Message - 
  From: 
  [EMAIL PROTECTED] 
  To: [EMAIL PROTECTED] 
  
  Cc: [EMAIL PROTECTED] 
  
  Sent: Saturday, October 11, 2003 7:46 
  PM
  Subject: [ozmidwifery] who is really 
  there for women ? long 
  
  THEY ARE A HEALTHY HAPPY, WELL PREPARED AND 
  CONFIDENT COUPLE BOOKED INTO BIRTH CENTRE AN TAKING MW ALONG 
  
  1ST BABE TERM PLUS 5 DAYS srom SMIDGEN OF 
  MEC CTG PERFECT 2hrs later and she is in good labour standing with 
  monitor on working happily adjusted well with transfer and then the 
  grand pooh barr arrives 
  minimal intro of self no intro of others [4 
  others in total] up on bed umm get the portable U/S and see what the PP part 
  is.
  Oh its head first she says he glares at her they 
  rush to his command TO GET THE U/S MACHINE 
  
  I introduce myself he nods I ask if he knows I am 
  an independent midwife he tells me he knows EVERY THINGignores me and 
  turns to woman glumly he says 
  
  I am sorryu have meconium do u know what 
  that means?
  
  yes she said that is why I am here the baby has 
  done a pooh and thetas probablynormal but I will need to adjust my 
  birthing plans to include the monitor 
  
  meconium is serious HE SAYS yesterday a baby died 
  because of meconium all nod 
  
  the young dad to be bravely said but our baby 
  looks great on monitor 
  
  nothing to do with it this baby was on monitor 
  and by the time we got to theatreit was dead sigh meconium
  
  we could do a c/Ds now and hope for best 
  
  
  she looked defeated he cried in fear 
  
  and
  
  they all stood behind him looking grave 
  and nodding and I thought wow is this for real?
  
  This is why one to one midwifery care from a 
  known midwife must happen to stop this abuse
  Jan 
  


RE: [ozmidwifery] who is really there for women ? long

2003-10-11 Thread Wayne and Caroline McCullough
Title: Message



OMG. That is 
disgusting. I agree with Justine. Free standing birth centres are a must. They 
may have cont. of care in NZ but they still have high intervention rates. In the 
Netherlands however, they have birthing hotels for women who don't want to birth 
at their home and their C-section rate is only 12 per cent (as of 2000 
data).

I'm thinking next 
baby I will go and book myself into the Sheraton : ).

So sorry you and 
your clients had that horrible experience Jan. When are these obs going to 
learn? We had one ob up here suggest that women's rights should be overalled if 
they refuse a C-sect. The suggestion is appalling, not least because it goes against 
basic human rights but because if a woman refuses intervention when it is 
needed(as sometimes it is)it is an indication that there is a lack 
of support and trust...the very things we are fighting to establish with 
NMAP.

Soldier 
on...

cheers,

Cas.