Re: [ozmidwifery] waterbirth

2005-10-29 Thread brendamanning




Hi Sharon,

Yes, we will do a workshop in Adelaide on: "Waterbirths 
minus the Mystery", a 'how to' for you !

I'm happy to respond, this is my area of 
speciality.I assume you aren't just after general knowledge as there is 
plenty of that available by googling on the net.

You are in Adelaide  if you'd like to get together 
a group of students or colleagues I could run a workshop for you on waterbirth.
Perhaps if you do some homework re nice venues (ie 
roomy  good energy) get an idea of numbers of your 
colleagues/peers interested ( 8 - 10 minimum) we could then fix a definite date. 
Some suggestions: Community house, approach local hospital, local clinic, your 
own or a friendshome, you just need a roomy lounge.

They aregood fun  we do a lot of hands on 
role play which is a great  very effective way to learn . We do tend to 
remember things we've seen acted out as well as retain the info. Plus it gives 
you a chance to trouble-shoot regarding your particular situation. Also we find 
it helps to visualise problems  how to overcome them retools, 
props,scenes, settings, emergencies etc.

Look forward to hearing from you.

With kind regardsBrenda Manning www.themidwife.com.au

  - Original Message - 
  From: 
  sharon 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Saturday, October 29, 2005 1:26 
  PM
  Subject: [ozmidwifery] waterbirth
  
  can anyone direct me where i can attend a class 
  which teaches midwives about waterbirth. iam interested to offer women who i 
  care for this service but i feel that i need to attend a study day or seminar 
  so i can be more proficient in the care of women who want a 
  waterbirth.
  thankyou
  sharon 
  p.s. preferably in 
adelaide.


RE: [ozmidwifery] waterbirth

2005-10-29 Thread Tania Smallwood








Hi Brenda,



Not sure if you are aware, but SA is in
the throes of releasing a government directed waterbirth policy for all public
hospitals, it might be a great time for you to approach the maternity heads and
offer to do some education along those lines, now that there is (nearly) an official
policy on it. Just thought Id give you the heads up if no-one else had,
your workshop sounds great, Id love to attend myself!



Tania



PS what are the costs involved? 











From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of brendamanning
Sent: Saturday, 29 October 2005
5:15 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery]
waterbirth









Hi Sharon,











Yes, we will do a workshop in Adelaide on:
Waterbirths minus the Mystery, a 'how to' for you !







I'm happy to respond, this is my
area of speciality.I assume you aren't just after general knowledge as
there is plenty of that available by googling on the net.











You are in Adelaide  if you'd like to get together
a group of students or colleagues I could run a workshop for you on waterbirth.




Perhaps if you do some homework re nice
venues (ie roomy  good energy) get an idea of numbers of your
colleagues/peers interested ( 8 - 10 minimum) we could then fix a definite
date. Some suggestions: Community house, approach local hospital, local clinic,
your own or a friendshome, you just need a roomy lounge.













They aregood fun  we do a lot
of hands on role play which is a great  very effective way to learn . We
do tend to remember things we've seen acted out as well as retain the info.
Plus it gives you a chance to trouble-shoot regarding your particular
situation. Also we find it helps to visualise problems  how to overcome
them retools, props,scenes, settings, emergencies etc.













Look forward to hearing from you.













With kind regards
Brenda Manning 
www.themidwife.com.au







- Original Message - 





From: sharon






To: ozmidwifery@acegraphics.com.au 





Sent: Saturday, October
29, 2005 1:26 PM





Subject: [ozmidwifery]
waterbirth











can anyone direct me where i can attend a class which
teaches midwives about waterbirth. iam interested to offer women who i care for
this service but i feel that i need to attend a study day or seminar so i can
be more proficient in the care of women who want a waterbirth.





thankyou





sharon 





p.s. preferably in adelaide.












Re: [ozmidwifery] waterbirth

2005-10-29 Thread Kate /or Nick



Some students would definitely be 
interested - cost permitting.

Kate

  - Original Message - 
  From: 
  brendamanning 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Saturday, October 29, 2005 5:14 
  PM
  Subject: Re: [ozmidwifery] 
  waterbirth
  
  
  Hi Sharon,
  
  Yes, we will do a workshop in Adelaide on: 
  "Waterbirths minus the Mystery", a 'how to' for you !
  
  I'm happy to respond, this is my area of 
  speciality.I assume you aren't just after general knowledge as there is 
  plenty of that available by googling on the net.
  
  You are in Adelaide  if you'd like to get 
  together a group of students or colleagues I could run a workshop for you on 
  waterbirth. 
  Perhaps if you do some homework re nice venues (ie 
  roomy  good energy) get an idea of numbers of your 
  colleagues/peers interested ( 8 - 10 minimum) we could then fix a definite 
  date. Some suggestions: Community house, approach local hospital, local 
  clinic, your own or a friendshome, you just need a roomy 
  lounge.
  
  They aregood fun  we do a lot of hands on 
  role play which is a great  very effective way to learn . We do tend to 
  remember things we've seen acted out as well as retain the info. Plus it gives 
  you a chance to trouble-shoot regarding your particular situation. Also we 
  find it helps to visualise problems  how to overcome them retools, 
  props,scenes, settings, emergencies etc.
  
  Look forward to hearing from you.
  
  With kind regardsBrenda Manning www.themidwife.com.au
  
- Original Message - 
From: 
sharon 
To: ozmidwifery@acegraphics.com.au 

Sent: Saturday, October 29, 2005 1:26 
PM
Subject: [ozmidwifery] waterbirth

can anyone direct me where i can attend a class 
which teaches midwives about waterbirth. iam interested to offer women who i 
care for this service but i feel that i need to attend a study day or 
seminar so i can be more proficient in the care of women who want a 
waterbirth.
thankyou
sharon 
p.s. preferably in 
  adelaide.


RE: [ozmidwifery] waterbirth

2005-10-29 Thread Dean Jo
Title: Message



The 
ACMI SA education sessions often address water birth. I know there will be a 
session on waterbirth at next April's Port Pirie information 
weekend. Perhaps contactACMI SA and ask if there is something 
closer.
cheers
Jo

  
  -Original Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED] On Behalf Of 
  sharonSent: Saturday, October 29, 2005 12:57 PMTo: 
  ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] 
  waterbirth
  can anyone direct me where i can attend a class 
  which teaches midwives about waterbirth. iam interested to offer women who i 
  care for this service but i feel that i need to attend a study day or seminar 
  so i can be more proficient in the care of women who want a 
  waterbirth.
  thankyou
  sharon 
  p.s. preferably in adelaide.
  --No virus found in this incoming message.Checked by 
  AVG Anti-Virus.Version: 7.0.344 / Virus Database: 267.12.5/149 - Release 
  Date: 10/25/2005


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RE: [ozmidwifery] The Advertiser today...

2005-10-29 Thread B G
Title: Message



So 
inaccurate about what NP are going to be doing in Qld! Trials are in various 
areas- ED, Palliative Care, Rural and in Cairns Midwife. There are clear defined 
protocol and endorsed processes 'within' hospital frameworks. Scope of practice 
is clearly defined. Another example of AMA scaremongering and throwing a tantrum 
because they cannot get their own way. Check out the Queensland Nursing Council 
web site for info on NP.
Cheers 
Barb

  
  -Original Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED] On Behalf Of Tania 
  SmallwoodSent: Saturday, 29 October 2005 8:06 AMTo: 
  ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] The Advertiser 
  today...
  
  
  Could this be the thin edge of the 
  wedgedo they see this as a way of banning independent midwifery too, or am I 
  just being paranoid?
  
  
  Tania
  (who is aware that thankfully, we 
  dont have to train as nurses any more to become a midwife, but the reality is 
  that many of us are)
  
  http://www.theadvertiser.news.com.au/common/story_page/0,5936,17070060%255E2682,00.html
  
  Nursing back-up under 
  attackKARA PHILLIPS, Health 
  Reporter29oct05 
  
  INDEPENDENT nurse practitioners, who are 
  not made to report to doctors, should not be able to work in South Australia, the 
  Australian Medical Association says.AMA state president Chris Cain said yesterday 
  there was "growing concern" about nurse practitioners who did not have the 
  full back-up support of a medical team. 
  The comments come 
  just days after The Advertiser 
  reported the chronic GP shortage has reached crisis point in the city's outer 
  suburbs, with doctors claiming GP patient ratios at 1:5521 in the Woodcroft 
  area in the south and 1:7596 around Williamstown in the north. 
  
  Interstate, 
  particularly in Queensland where doctor shortages are severe, there has been 
  extensive debate about whether to introduce independent nurse practitioners 
  allowed to treat some patients without answering to a doctor or hospital 
  medical team to ease the strain on the system. 
  "We would strongly 
  oppose that move here in SA," Dr Cain said. 
  

  

  


  

  








  


  


  

  "If there are doctor 
  shortages, train more doctors  don't put people with fewers skills into those 
  positions." 
  Dr Cain stressed the 
  state's existing nurse practitioners, including the state's first paediatric 
  palliative nurse practitioner Sara Fleming  who started in her new role this 
  week  were not a problem. 
  "There are doctors 
  and audit processes to protect the health of patients." 
  
  Ms Fleming, a 
  Women's and Children's Hospital nurse, said her role would help cut treatment 
  time and hospital stays for seriously ill children. 
  
  


RE: [ozmidwifery] The Advertiser today...

2005-10-29 Thread Tania Smallwood
Title: Message










Not just a question for Barb, but anyone
who knows about it, Im curious to know about the Midwife/nurse
practitioner that you refer to in Qld. What exactly do they do? How
is this different to working within the scope of a registered midwife? Im
aware that the college is not supportive of the notion of midwives becoming NPs,
but Im actually interested in what role they play in maternity care over
and above the general run of the mill midwife?



Cheers, 



Tania








Re: [ozmidwifery] The Advertiser today...

2005-10-29 Thread Belinda
a big part of it is the multi skilling crap which is just a way of 
getting constant work out an individual which i think is why so many 
places are against direct mid entry midwives, they cant be used like 
slaves to work everywhere anywhere anytime. it is an evolving problem 
and much to do with globalisation and utilising the human resources to 
the best benefit of corporation which hospitals are fast becoming. The 
macdonaldisation of society!!! It really worries me

Belinda

Tania Smallwood wrote:

Not just a question for Barb, but anyone who knows about it, I’m 
curious to know about the Midwife/nurse practitioner that you refer to 
in Qld. What exactly do they do? How is this different to working 
within the scope of a registered midwife? I’m aware that the college 
is not supportive of the notion of midwives becoming NP’s, but I’m 
actually interested in what role they play in maternity care over and 
above the general run of the mill midwife?


Cheers,

Tania


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RE: [ozmidwifery] The Advertiser today...

2005-10-29 Thread Tania Smallwood
Love that term, Macdonaldisation!  I also get concerned when I hear of
midwives needing to be upskilled to attend 'normal' births, or to give
women care in water, etc.  I think as a midwife we should all be able to
handle the 'normal'.  I personally would need upskilling to work in a
tertiary institution with all those machines that go 'ping'!


Tania
 

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Belinda
Sent: Sunday, 30 October 2005 1:57 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] The Advertiser today...

a big part of it is the multi skilling crap which is just a way of 
getting constant work out an individual which i think is why so many 
places are against direct mid entry midwives, they cant be used like 
slaves to work everywhere anywhere anytime. it is an evolving problem 
and much to do with globalisation and utilising the human resources to 
the best benefit of corporation which hospitals are fast becoming. The 
macdonaldisation of society!!! It really worries me
Belinda

Tania Smallwood wrote:

 Not just a question for Barb, but anyone who knows about it, I'm 
 curious to know about the Midwife/nurse practitioner that you refer to 
 in Qld. What exactly do they do? How is this different to working 
 within the scope of a registered midwife? I'm aware that the college 
 is not supportive of the notion of midwives becoming NP's, but I'm 
 actually interested in what role they play in maternity care over and 
 above the general run of the mill midwife?

 Cheers,

 Tania

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




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[ozmidwifery] The value of online forums/lists

2005-10-29 Thread Helen and Graham



I have been thinking about the value of online 
lists/forums lately ( having been a lurker both on ozmidwifery andC-Aware 
for a few years now), and wondering how many midwives routinely give out a list 
ofavailableforum websites to the women in their care. I think 
it would be extremely valuable to them and much more empowering than a lot of 
the other educational material (pamphlets etc)we dish out routinely at 
antenatal visits and classes. For those of you who already do, 
could you tell me which ones you think arethe best to recommend both for 
general pregnancy/birth education as well as the more situation specific ones 
such as C-Aware. C-Aware for those that don't know is a great resource for 
all those women trying to achieve VBAC and promotes general discussion on 
caesarian birth.

Obviously not all women will feel the need to 
access such forums/lists but I believeit would be valued by enough women 
to at least give theminformation to decide for themselves. 


Also wondering how thepowers that be would 
handle it, given the unreliable nature of so many of thee-medicine 
websites around.So if any of you working in a hospitalcurrently do, 
then have you met with obstacles from management e.g. it being considered 
inappropriate??? 

In addition, logging on to forums such as 
C-Aware should be mandatoryfor all student midwives and trainee 
obstetriciansas has been suggested by that list recently and is apparently 
already being implemented by a few of the universities (for student midwives 
anyway I think).

Interested in your thoughts on this 
topic..

Helen Cahill



Re: [ozmidwifery] The value of online forums/lists

2005-10-29 Thread Janet Fraser



Helen, I think these 
communities are invaluable. For many women they're the only place they receive 
support for normal physiological birth or after trauma. There are 
oceans of groups, small and large, run by consumers on yahoo 
and other email lists. Off the top of my head, I've been to groups 
for
uterine rupture
PPH recovery
emergency hysterectomy 
support
HBAC
VBAC
and so many for empowered 
birth, freebirth, birth after trauma, I can't begin to list them all. Surely 
something is wrong in our system if it requires this much attention to recover 
from it?

I always hope that 
every home birth midwife gives their clients the details of the 
Joyous Birth forums (and upcoming website!) because it's one of the best places 
for real, genuine, evidence-based birth information in Australia and so many hb 
groups have details of their meetings up there. It's also the only home birth 
based forum in the world and totally run by consumers.
Not that I'm biassed ; 
) But it is!
: 
)
J

Joyous Birth Home Birth 
Forum - a world first!http://www.joyousbirth.info/forums/

Accessing Artemis Birth 
Trauma Recoveryhttp://health.groups.yahoo.com/group/accessingartemis


[ozmidwifery] addresses

2005-10-29 Thread Jan Ireland



please help 
r u there or can you help need to contact 

angela hooper tina pettigrew
lyn from family bc geelong thankyou jan 



Re: [ozmidwifery] The Advertiser today...

2005-10-29 Thread wump fish
Belinda, you are right. I am the first direct entry midwife at the hospital 
I work at. There were concerns about my competency - I pointed out that I 
had done the equivalent of a 4yr degree in midwifery (UK) and had plenty of 
post grad experience of midwifery-led care. But, the main concern was that I 
would not be able to be moved into other areas of the hospital if needed or 
look after medical boarders. I'm a level 2, so probably would not have to 
move anyhow, but I wonder if they would have given me a level 1 job?


Rachel



From: Belinda [EMAIL PROTECTED]
Reply-To: ozmidwifery@acegraphics.com.au
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] The Advertiser today...
Date: Sat, 29 Oct 2005 20:26:43 -0700

a big part of it is the multi skilling crap which is just a way of getting 
constant work out an individual which i think is why so many places are 
against direct mid entry midwives, they cant be used like slaves to work 
everywhere anywhere anytime. it is an evolving problem and much to do with 
globalisation and utilising the human resources to the best benefit of 
corporation which hospitals are fast becoming. The macdonaldisation of 
society!!! It really worries me

Belinda

Tania Smallwood wrote:

Not just a question for Barb, but anyone who knows about it, I’m curious 
to know about the Midwife/nurse practitioner that you refer to in Qld. 
What exactly do they do? How is this different to working within the scope 
of a registered midwife? I’m aware that the college is not supportive of 
the notion of midwives becoming NP’s, but I’m actually interested in what 
role they play in maternity care over and above the general run of the 
mill midwife?


Cheers,

Tania


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Re: [ozmidwifery] waterbirth

2005-10-29 Thread sharon



thanks tania.


  - Original Message - 
  From: 
  Tania 
  Smallwood 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Saturday, October 29, 2005 5:17 
  PM
  Subject: RE: [ozmidwifery] 
  waterbirth
  
  
  You could always come 
  along to a homebirth network meeting, there are always lots of women who have 
  laboured and birthed in water there, and believe me, you’ll learn more from 
  them than you will from any class or seminar! There are usually a couple 
  of homebirth midwives there too, Wendy and I make it a date not to miss unless 
  we’re at a birth. Next meeting is next Fri, 10-12 at the Eastwood 
  community centre…contact me if you need any further 
  info
  
  Tania
  xx
  
  
  
  
  
  From: 
  owner-ozmidwifery@acegraphics.com.au 
  [mailto:owner-ozmidwifery@acegraphics.com.au] 
  On Behalf Of sharonSent: Saturday, 29 October 2005 12:57 
  PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] 
  waterbirth
  
  
  can anyone direct me where i can 
  attend a class which teaches midwives about waterbirth. iam interested to 
  offer women who i care for this service but i feel that i need to attend a 
  study day or seminar so i can be more proficient in the care of women who want 
  a waterbirth.
  
  thankyou
  
  sharon 
  
  
  p.s. preferably in adelaide.


RE: [ozmidwifery] The Advertiser today...

2005-10-29 Thread wump fish
I think any midwife who has spent their career in a hospital setting would 
need 're-wiring' to attend homebirths. Hospital birth is so different to 
homebirth, and the danger is that midwives bring the hospital and it's 
guidelines to the home. I don't think it is a case of 'upskilling', just a 
totally different way of working and hospital midwives have been oppressed 
and socialised into a particular way of practising. They often lack 
confidence in their own midwifery skills and women's ability to birth.


Rachel - trapped in a hospital with pinging machines and missing homebirth 
and midwifery.




From: Tania Smallwood [EMAIL PROTECTED]
Reply-To: ozmidwifery@acegraphics.com.au
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] The Advertiser today...
Date: Sat, 29 Oct 2005 21:06:12 +0930

Love that term, Macdonaldisation!  I also get concerned when I hear of
midwives needing to be upskilled to attend 'normal' births, or to give
women care in water, etc.  I think as a midwife we should all be able to
handle the 'normal'.  I personally would need upskilling to work in a
tertiary institution with all those machines that go 'ping'!


Tania


-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Belinda
Sent: Sunday, 30 October 2005 1:57 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] The Advertiser today...

a big part of it is the multi skilling crap which is just a way of
getting constant work out an individual which i think is why so many
places are against direct mid entry midwives, they cant be used like
slaves to work everywhere anywhere anytime. it is an evolving problem
and much to do with globalisation and utilising the human resources to
the best benefit of corporation which hospitals are fast becoming. The
macdonaldisation of society!!! It really worries me
Belinda

Tania Smallwood wrote:

 Not just a question for Barb, but anyone who knows about it, I'm
 curious to know about the Midwife/nurse practitioner that you refer to
 in Qld. What exactly do they do? How is this different to working
 within the scope of a registered midwife? I'm aware that the college
 is not supportive of the notion of midwives becoming NP's, but I'm
 actually interested in what role they play in maternity care over and
 above the general run of the mill midwife?

 Cheers,

 Tania

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




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RE: [ozmidwifery] The Advertiser today...

2005-10-29 Thread Tania Smallwood
Agree with all of that Rachel, and sorry if it seemed I was having a go -
not intended at all.  What I feel is sad is that what you are talking about
is not widely acknowledged, not by the midwives working in the hospital
system that I know anyway.  They seem to hide behind this notion of needing
to be upskilled rather than acknowledging that for many of them, the system
they work in has resulted in them becoming deskilled and desensitized to the
realities of birth.  I like the idea of rewiring!  I think I'd need a total
motherboard overhaul to work just one shift in a labour and delivery suite.
Well done for being able to deliver care to the women who really need it in
the system, hats off to you!

Tania
xxx

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of wump fish
Sent: Sunday, 30 October 2005 9:38 AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] The Advertiser today...

I think any midwife who has spent their career in a hospital setting would 
need 're-wiring' to attend homebirths. Hospital birth is so different to 
homebirth, and the danger is that midwives bring the hospital and it's 
guidelines to the home. I don't think it is a case of 'upskilling', just a 
totally different way of working and hospital midwives have been oppressed 
and socialised into a particular way of practising. They often lack 
confidence in their own midwifery skills and women's ability to birth.

Rachel - trapped in a hospital with pinging machines and missing homebirth 
and midwifery.


From: Tania Smallwood [EMAIL PROTECTED]
Reply-To: ozmidwifery@acegraphics.com.au
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] The Advertiser today...
Date: Sat, 29 Oct 2005 21:06:12 +0930

Love that term, Macdonaldisation!  I also get concerned when I hear of
midwives needing to be upskilled to attend 'normal' births, or to give
women care in water, etc.  I think as a midwife we should all be able to
handle the 'normal'.  I personally would need upskilling to work in a
tertiary institution with all those machines that go 'ping'!


Tania


-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Belinda
Sent: Sunday, 30 October 2005 1:57 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] The Advertiser today...

a big part of it is the multi skilling crap which is just a way of
getting constant work out an individual which i think is why so many
places are against direct mid entry midwives, they cant be used like
slaves to work everywhere anywhere anytime. it is an evolving problem
and much to do with globalisation and utilising the human resources to
the best benefit of corporation which hospitals are fast becoming. The
macdonaldisation of society!!! It really worries me
Belinda

Tania Smallwood wrote:

  Not just a question for Barb, but anyone who knows about it, I'm
  curious to know about the Midwife/nurse practitioner that you refer to
  in Qld. What exactly do they do? How is this different to working
  within the scope of a registered midwife? I'm aware that the college
  is not supportive of the notion of midwives becoming NP's, but I'm
  actually interested in what role they play in maternity care over and
  above the general run of the mill midwife?
 
  Cheers,
 
  Tania
 
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Re: [ozmidwifery] The Advertiser today...

2005-10-29 Thread Denise Hynd



I love the accepted arrogance that people get the 
best treatments from medical doctoors 
Time there was a seriens on 
Iatrogenisis
Denise Hynd

"Let us support one another, not just in philosophy 
but in action, for the sake of freedom for all women to choose exactly how and 
by whom, if by anyone, our bodies will be handled."

— Linda Hes

  - Original Message - 
  From: 
  Tania 
  Smallwood 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Saturday, October 29, 2005 6:05 
  AM
  Subject: [ozmidwifery] The Advertiser 
  today...
  
  
  
  Could this be the thin edge of the 
  wedge…do they see this as a way of banning independent midwifery too, or am I 
  just being paranoid?
  
  
  Tania
  (who is aware that thankfully, we 
  don’t have to train as nurses any more to become a midwife, but the reality is 
  that many of us are…)
  
  http://www.theadvertiser.news.com.au/common/story_page/0,5936,17070060%255E2682,00.html
  
  Nursing back-up under 
  attackKARA PHILLIPS, Health 
  Reporter29oct05 
  
  INDEPENDENT nurse practitioners, who are 
  not made to report to doctors, should not be able to work in South Australia, the 
  Australian Medical Association says.AMA state president Chris Cain said yesterday 
  there was "growing concern" about nurse practitioners who did not have the 
  full back-up support of a medical team. 
  The comments come 
  just days after The Advertiser 
  reported the chronic GP shortage has reached crisis point in the city's outer 
  suburbs, with doctors claiming GP patient ratios at 1:5521 in the Woodcroft 
  area in the south and 1:7596 around Williamstown in the north. 
  
  Interstate, 
  particularly in Queensland where doctor shortages are severe, there has been 
  extensive debate about whether to introduce independent nurse practitioners 
  allowed to treat some patients without answering to a doctor or hospital 
  medical team to ease the strain on the system. 
  "We would strongly 
  oppose that move here in SA," Dr Cain said. 
  

  

  


  

  








  


  


  

  "If there are doctor 
  shortages, train more doctors – don't put people with fewers skills into those 
  positions." 
  Dr Cain stressed the 
  state's existing nurse practitioners, including the state's first paediatric 
  palliative nurse practitioner Sara Fleming – who started in her new role this 
  week – were not a problem. 
  "There are doctors 
  and audit processes to protect the health of patients." 
  
  Ms Fleming, a 
  Women's and Children's Hospital nurse, said her role would help cut treatment 
  time and hospital stays for seriously ill children. 
  
  
  
  

  No virus found in this incoming message.Checked by AVG Free 
  Edition.Version: 7.1.362 / Virus Database: 267.12.5/150 - Release Date: 
  27/10/2005


[ozmidwifery] FW: Thought you might be interested

2005-10-29 Thread Denise Hynd
Title: Message




From: Wayne McCullough 
[mailto:[EMAIL PROTECTED] Sent: Friday, 28 October 2005 11:54 
AMTo: HomeSubject: Thought you might be 
interested



Thought you might be interested in 
the second paragraph of this story about ALP tax which 
says..



Opposition frontbenchers met corporate leaders yesterday 
to also signal the ALP's support for competition reform, including moves to 
break open the doctors' "closed shop" by allowing a greater role for midwives 
and nurses. 



http://www.news.com.au/story/0,10117,17057849-2,00.html




RE: [ozmidwifery] The Advertiser today...

2005-10-29 Thread wump fish
Tania - I didn't think you were having a go at all! In the UK I was lucky 
enough to gain experience of community based midwifery-led care (homebirths 
etc) and midwifery-led care in a large regional referral unit (high risk 
heaven). It was interesting that I was perceived by colleagues as has having 
a higher level of skill and kudos when working in hospital on birth suite. 
Whereas, I felt I had to use a higher level of skill in the community 
setting.


I think part of the problem in hospital based midwifery is where the 
emphasis is placed in education and updates - for example, CTG 
interpretation, resus, emergencies etc. There is kudo is being competent in 
the management of abnormal and emergencies. Unfortunately, there is not the 
same emphasis placed on the skills involved in facilitating physiological 
birth and preventing those emergencies from occuring in the first place.  
Risk management strategies are also back-to-front and result concentrate on 
the symptoms ignoring the cause. Anyhow... I could rant on forever about 
risk management and education. So I will shut up for now.


Rachel x





From: Tania Smallwood [EMAIL PROTECTED]
Reply-To: ozmidwifery@acegraphics.com.au
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] The Advertiser today...
Date: Sun, 30 Oct 2005 10:03:02 +1030

Agree with all of that Rachel, and sorry if it seemed I was having a go -
not intended at all.  What I feel is sad is that what you are talking about
is not widely acknowledged, not by the midwives working in the hospital
system that I know anyway.  They seem to hide behind this notion of needing
to be upskilled rather than acknowledging that for many of them, the system
they work in has resulted in them becoming deskilled and desensitized to 
the

realities of birth.  I like the idea of rewiring!  I think I'd need a total
motherboard overhaul to work just one shift in a labour and delivery suite.
Well done for being able to deliver care to the women who really need it in
the system, hats off to you!

Tania
xxx

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of wump fish
Sent: Sunday, 30 October 2005 9:38 AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] The Advertiser today...

I think any midwife who has spent their career in a hospital setting would
need 're-wiring' to attend homebirths. Hospital birth is so different to
homebirth, and the danger is that midwives bring the hospital and it's
guidelines to the home. I don't think it is a case of 'upskilling', just a
totally different way of working and hospital midwives have been oppressed
and socialised into a particular way of practising. They often lack
confidence in their own midwifery skills and women's ability to birth.

Rachel - trapped in a hospital with pinging machines and missing homebirth
and midwifery.


From: Tania Smallwood [EMAIL PROTECTED]
Reply-To: ozmidwifery@acegraphics.com.au
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] The Advertiser today...
Date: Sat, 29 Oct 2005 21:06:12 +0930

Love that term, Macdonaldisation!  I also get concerned when I hear of
midwives needing to be upskilled to attend 'normal' births, or to give
women care in water, etc.  I think as a midwife we should all be able to
handle the 'normal'.  I personally would need upskilling to work in a
tertiary institution with all those machines that go 'ping'!


Tania


-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Belinda
Sent: Sunday, 30 October 2005 1:57 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] The Advertiser today...

a big part of it is the multi skilling crap which is just a way of
getting constant work out an individual which i think is why so many
places are against direct mid entry midwives, they cant be used like
slaves to work everywhere anywhere anytime. it is an evolving problem
and much to do with globalisation and utilising the human resources to
the best benefit of corporation which hospitals are fast becoming. The
macdonaldisation of society!!! It really worries me
Belinda

Tania Smallwood wrote:

  Not just a question for Barb, but anyone who knows about it, I'm
  curious to know about the Midwife/nurse practitioner that you refer to
  in Qld. What exactly do they do? How is this different to working
  within the scope of a registered midwife? I'm aware that the college
  is not supportive of the notion of midwives becoming NP's, but I'm
  actually interested in what role they play in maternity care over and
  above the general run of the mill midwife?
 
  Cheers,
 
  Tania
 
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RE: [ozmidwifery] The Advertiser today...

2005-10-29 Thread Mary Murphy
Rachel, working in homebirths makes me very interested in risk management
and education.  I would appreciate hearing what you have to say, so rave
on.  Mary M

There is kudo is being competent in 
the management of abnormal and emergencies. Unfortunately, there is not the 
same emphasis placed on the skills involved in facilitating physiological 
birth and preventing those emergencies from occuring in the first place.  
Risk management strategies are also back-to-front and result concentrate on 
the symptoms ignoring the cause. Anyhow... I could rant on forever about 
risk management and education. So I will shut up for now.

Rachel x




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Re: [ozmidwifery] The Advertiser today...

2005-10-29 Thread brendamanning

Rachel,

Please don't 'shut up for now', as you know once you start 'not' saying 
things it becomes a habit that they never get said at all!

Also I enjoy your posts !

I wonder why you aren't attending homebirths here if you enjoy then so much 
?  There is no money in it (not the way I practice anyway LOL) but if it's 
where your heart lies then you make do somehow.


I work bank at the birth centre to feed the family  homebirths in the 
community to feed my soul !
I totally agree with you, it requires a complete change of mindset when I 
work for myself.
Work in the unit, (and I work in a very lovely liberal unit if you 
strretch the boundaries of the prescriptive policies )requires my 
brain to function in a straight line. Alot of it is damage control  
treating the symptoms which the system often causes.
However in my practice my brain works in a circle (if you can understand the 
metaphor)   focuses largely on preventing the problem occurring in the 
first place. !

Not sure I can explain it but that's how it feels !

With kind regards
Brenda Manning
www.themidwife.com.au

- Original Message - 
From: wump fish [EMAIL PROTECTED]

To: ozmidwifery@acegraphics.com.au
Sent: Sunday, October 30, 2005 12:45 PM
Subject: RE: [ozmidwifery] The Advertiser today...


Tania - I didn't think you were having a go at all! In the UK I was lucky 
enough to gain experience of community based midwifery-led care 
(homebirths etc) and midwifery-led care in a large regional referral unit 
(high risk heaven). It was interesting that I was perceived by colleagues 
as has having a higher level of skill and kudos when working in hospital 
on birth suite. Whereas, I felt I had to use a higher level of skill in 
the community setting.


I think part of the problem in hospital based midwifery is where the 
emphasis is placed in education and updates - for example, CTG 
interpretation, resus, emergencies etc. There is kudo is being competent 
in the management of abnormal and emergencies. Unfortunately, there is not 
the same emphasis placed on the skills involved in facilitating 
physiological birth and preventing those emergencies from occuring in the 
first place.  Risk management strategies are also back-to-front and result 
concentrate on the symptoms ignoring the cause. Anyhow... I could rant on 
forever about risk management and education. So I will shut up for now.


Rachel x





From: Tania Smallwood [EMAIL PROTECTED]
Reply-To: ozmidwifery@acegraphics.com.au
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] The Advertiser today...
Date: Sun, 30 Oct 2005 10:03:02 +1030

Agree with all of that Rachel, and sorry if it seemed I was having a go -
not intended at all.  What I feel is sad is that what you are talking 
about

is not widely acknowledged, not by the midwives working in the hospital
system that I know anyway.  They seem to hide behind this notion of 
needing
to be upskilled rather than acknowledging that for many of them, the 
system
they work in has resulted in them becoming deskilled and desensitized to 
the
realities of birth.  I like the idea of rewiring!  I think I'd need a 
total
motherboard overhaul to work just one shift in a labour and delivery 
suite.
Well done for being able to deliver care to the women who really need it 
in

the system, hats off to you!

Tania
xxx

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of wump fish
Sent: Sunday, 30 October 2005 9:38 AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] The Advertiser today...

I think any midwife who has spent their career in a hospital setting would
need 're-wiring' to attend homebirths. Hospital birth is so different to
homebirth, and the danger is that midwives bring the hospital and it's
guidelines to the home. I don't think it is a case of 'upskilling', just a
totally different way of working and hospital midwives have been oppressed
and socialised into a particular way of practising. They often lack
confidence in their own midwifery skills and women's ability to birth.

Rachel - trapped in a hospital with pinging machines and missing homebirth
and midwifery.


From: Tania Smallwood [EMAIL PROTECTED]
Reply-To: ozmidwifery@acegraphics.com.au
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] The Advertiser today...
Date: Sat, 29 Oct 2005 21:06:12 +0930

Love that term, Macdonaldisation!  I also get concerned when I hear of
midwives needing to be upskilled to attend 'normal' births, or to give
women care in water, etc.  I think as a midwife we should all be able to
handle the 'normal'.  I personally would need upskilling to work in a
tertiary institution with all those machines that go 'ping'!


Tania


-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Belinda
Sent: Sunday, 30 October 2005 1:57 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] The Advertiser today...

a big part of it is the multi 

Re: [ozmidwifery] The Advertiser today...

2005-10-29 Thread brendamanning

I'm with you on this MM !!
Tell us more Rachel.
The thoughts are often the same you know, they just come out of our mouths, 
brains or fingers differently !


With kind regards
Brenda Manning
www.themidwife.com.au

- Original Message - 
From: Mary Murphy [EMAIL PROTECTED]

To: ozmidwifery@acegraphics.com.au
Sent: Sunday, October 30, 2005 1:26 PM
Subject: RE: [ozmidwifery] The Advertiser today...



Rachel, working in homebirths makes me very interested in risk management
and education.  I would appreciate hearing what you have to say, so rave
on.  Mary M

There is kudo is being competent in
the management of abnormal and emergencies. Unfortunately, there is not 
the

same emphasis placed on the skills involved in facilitating physiological
birth and preventing those emergencies from occuring in the first place.
Risk management strategies are also back-to-front and result concentrate 
on

the symptoms ignoring the cause. Anyhow... I could rant on forever about
risk management and education. So I will shut up for now.

Rachel x




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


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Re: [ozmidwifery] waterbirth

2005-10-29 Thread brendamanning



Tania,

I replied to you off line 
about this but I'm not sure the email at the birth centre is working 
well.

Would you email me off 
line about it ? I would like to ask some questions.

I usually charge per head 
 cover travel costs.

Thanks.
With kind regardsBrenda Manning www.themidwife.com.au

  - Original Message - 
  From: 
  Tania 
  Smallwood 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Saturday, October 29, 2005 7:12 
  PM
  Subject: RE: [ozmidwifery] 
  waterbirth
  
  
  Hi 
  Brenda,
  
  Not sure if you are 
  aware, but SA is in the throes of releasing a government directed waterbirth 
  policy for all public hospitals, it might be a great time for you to approach 
  the maternity heads and offer to do some education along those lines, now that 
  there is (nearly) an official policy on it. Just thought I’d give you 
  the heads up if no-one else had, your workshop sounds great, I’d love to 
  attend myself!
  
  Tania
  
  PS what are the costs 
  involved? 
  
  
  
  
  
  From: 
  owner-ozmidwifery@acegraphics.com.au 
  [mailto:owner-ozmidwifery@acegraphics.com.au] 
  On Behalf Of 
  brendamanningSent: Saturday, 29 October 2005 5:15 
  PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] 
  waterbirth
  
  
  
  Hi 
  Sharon,
  
  
  
  Yes, we will do a workshop in Adelaide on: 
  "Waterbirths minus the Mystery", a 'how to' for you 
  !
  
  
  I'm happy to respond, this is my 
  area of speciality.I assume you aren't just after general knowledge as 
  there is plenty of that available by googling on the 
  net.
  
  
  
  You are in Adelaide  if you'd 
  like to get together a group of students or colleagues I could run a workshop 
  for you on waterbirth. 
  
  Perhaps if you do some homework re nice 
  venues (ie roomy  good energy) get an idea of numbers of your 
  colleagues/peers interested ( 8 - 10 minimum) we could then fix a definite 
  date. Some suggestions: Community house, approach local hospital, local 
  clinic, your own or a friendshome, you just need a roomy 
  lounge.
  
  
  
  They aregood fun  we do a lot 
  of hands on role play which is a great  very effective way to learn . We 
  do tend to remember things we've seen acted out as well as retain the info. 
  Plus it gives you a chance to trouble-shoot regarding your particular 
  situation. Also we find it helps to visualise problems  how to overcome 
  them retools, props,scenes, settings, emergencies 
  etc.
  
  
  
  Look forward to hearing from 
  you.
  
  
  
  With kind regardsBrenda Manning www.themidwife.com.au
  

- Original Message - 


From: sharon 


To: ozmidwifery@acegraphics.com.au 


Sent: 
Saturday, October 29, 2005 1:26 PM

Subject: 
[ozmidwifery] waterbirth



can anyone direct me where i can 
attend a class which teaches midwives about waterbirth. iam interested to 
offer women who i care for this service but i feel that i need to attend a 
study day or seminar so i can be more proficient in the care of women who 
want a waterbirth.

thankyou

sharon 


p.s. preferably in adelaide.


RE: [ozmidwifery] risk management

2005-10-29 Thread wump fish
I just think that the there are a number of problems generated by applying 
the current risk management strategies in health care to midwifery care.


The strategies centred around adverse events analysis claim to be focussed 
on systems and not individuals. However, this is often not how they are 
perceived by those involved in the events. In the UK we had 'risk management 
meetings' every morning to discuss the events in the last 24hrs. Everyone 
was invited, but of course most midwives were busy caring for women and 
couldn't get to them. Instead management and the drs sat around and used the 
notes to discuss care (no names but everyone knew who was involved), the 
risk of litigation and improvements etc. This was very intimidating for the 
midwives and was referred to as 'the lynch mob' or the 'witch hunt'.


These meetings often totally missed the point because they were focussed on 
what the participants thought was important - not the women. For example, 
one of the women I cared for postnatally had had an emergency c-section for 
fetal distress. The baby ended up with a cut on his face and the meeting 
discussed the cut. The mother did not give a stuff about the cut on her 
baby's face, but I spent many hours at her house due to the psychological 
effects of her experience during an unneccesary fetal blood sampling (flash 
backs, nightmares, anxiety attacks etc). They would analyse and discuss a 
poor forceps birth and how to improve the technique - but would not discuss 
and analyse how this OP baby could have been encouraged to rotate during 
labour so that the forceps did not need to be used in the first place. I 
became quite famous at these meeting for my opinionated and arsey 
contributions - it was almost fun throwing spanners (and research) in the 
works.



Re-focusing risk managment onto optimal outcomes rather than adverse 
outcomes my be more appropriate and lead to improvements in women's birth 
experiences. There is a good chapter in Normal Childbirth: evidence and 
debate (ed Soo Downe) about risk, safety etc. If our aim was to improve 
outcomes - ie. women's satisfaction with their birth experiences, increasing 
the normal birth rate etc, we may find the system starts to change in our 
favour. Looking at why things go well rather than why they go wrong. 
Education could focus on facilitating physiological birth and improving the 
birth experience and very importantly - information giving. Obviously 
midwives still need education in dealing with emergencies, but preventing 
emergencies should be given equal weighting.


Ok, end of my opinionated and arsey contribution ; )

Rachel



From: Mary Murphy [EMAIL PROTECTED]
Reply-To: ozmidwifery@acegraphics.com.au
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] The Advertiser today...
Date: Sun, 30 Oct 2005 10:26:53 +0800

Rachel, working in homebirths makes me very interested in risk management
and education.  I would appreciate hearing what you have to say, so rave
on.  Mary M

There is kudo is being competent in
the management of abnormal and emergencies. Unfortunately, there is not the
same emphasis placed on the skills involved in facilitating physiological
birth and preventing those emergencies from occuring in the first place.
Risk management strategies are also back-to-front and result concentrate on
the symptoms ignoring the cause. Anyhow... I could rant on forever about
risk management and education. So I will shut up for now.

Rachel x




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


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Re: [ozmidwifery] The Advertiser today...

2005-10-29 Thread wump fish

Hi Brenda,

I know exactly what you mean about thinking in lines and circles! I think 
this is my big problem. I think in circles in the hospital setting which 
does not go down too well.


As for why I am not attending homebirths. In the UK I attended homebirths 
funded by the NHS (medicare) and backed-up by the maternity system. I worked 
in a community team and we covered the on-call between 4 of us. I'm in 
Queensland now and things are a bit different. If I want to do homebirths I 
would have to be an independent mw. I don't feel that I know the system here 
well enough after only 9 months. Also I would have to practise without 
insurance or back-up or a midwifery team.


The hospital setting is very frustrating and I plan to escape within 2 
years. Not sure where - research, education. supermarket.


Rachel



From: brendamanning [EMAIL PROTECTED]
Reply-To: ozmidwifery@acegraphics.com.au
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] The Advertiser today...
Date: Sun, 30 Oct 2005 14:11:25 +1100

Rachel,

Please don't 'shut up for now', as you know once you start 'not' saying 
things it becomes a habit that they never get said at all!

Also I enjoy your posts !

I wonder why you aren't attending homebirths here if you enjoy then so much 
?  There is no money in it (not the way I practice anyway LOL) but if it's 
where your heart lies then you make do somehow.


I work bank at the birth centre to feed the family  homebirths in the 
community to feed my soul !
I totally agree with you, it requires a complete change of mindset when I 
work for myself.
Work in the unit, (and I work in a very lovely liberal unit if you 
strretch the boundaries of the prescriptive policies )requires my 
brain to function in a straight line. Alot of it is damage control  
treating the symptoms which the system often causes.
However in my practice my brain works in a circle (if you can understand 
the metaphor)   focuses largely on preventing the problem occurring in the 
first place. !

Not sure I can explain it but that's how it feels !

With kind regards
Brenda Manning
www.themidwife.com.au

- Original Message - From: wump fish [EMAIL PROTECTED]
To: ozmidwifery@acegraphics.com.au
Sent: Sunday, October 30, 2005 12:45 PM
Subject: RE: [ozmidwifery] The Advertiser today...


Tania - I didn't think you were having a go at all! In the UK I was lucky 
enough to gain experience of community based midwifery-led care 
(homebirths etc) and midwifery-led care in a large regional referral unit 
(high risk heaven). It was interesting that I was perceived by colleagues 
as has having a higher level of skill and kudos when working in hospital 
on birth suite. Whereas, I felt I had to use a higher level of skill in 
the community setting.


I think part of the problem in hospital based midwifery is where the 
emphasis is placed in education and updates - for example, CTG 
interpretation, resus, emergencies etc. There is kudo is being competent 
in the management of abnormal and emergencies. Unfortunately, there is not 
the same emphasis placed on the skills involved in facilitating 
physiological birth and preventing those emergencies from occuring in the 
first place.  Risk management strategies are also back-to-front and result 
concentrate on the symptoms ignoring the cause. Anyhow... I could rant on 
forever about risk management and education. So I will shut up for now.


Rachel x





From: Tania Smallwood [EMAIL PROTECTED]
Reply-To: ozmidwifery@acegraphics.com.au
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] The Advertiser today...
Date: Sun, 30 Oct 2005 10:03:02 +1030

Agree with all of that Rachel, and sorry if it seemed I was having a go -
not intended at all.  What I feel is sad is that what you are talking 
about

is not widely acknowledged, not by the midwives working in the hospital
system that I know anyway.  They seem to hide behind this notion of 
needing
to be upskilled rather than acknowledging that for many of them, the 
system
they work in has resulted in them becoming deskilled and desensitized to 
the
realities of birth.  I like the idea of rewiring!  I think I'd need a 
total
motherboard overhaul to work just one shift in a labour and delivery 
suite.
Well done for being able to deliver care to the women who really need it 
in

the system, hats off to you!

Tania
xxx

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of wump fish
Sent: Sunday, 30 October 2005 9:38 AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] The Advertiser today...

I think any midwife who has spent their career in a hospital setting 
would

need 're-wiring' to attend homebirths. Hospital birth is so different to
homebirth, and the danger is that midwives bring the hospital and it's
guidelines to the home. I don't think it is a case of 'upskilling', just 
a
totally different way of working and hospital midwives have been 
oppressed

and 

[ozmidwifery] direct entry legislation

2005-10-29 Thread wump fish
I'm about to start an assignment and need pointing in the right direction. 
People keep telling that there is some legislation change about to happen in 
Queensland which will result in unis being able to run direct entry mw 
courses. Does anyone know what this legislation is, or how I can access it?


Rachel

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