tag:blogger.com,1999:blog-4297301321247868053.post1783331477038843924..comments2023-05-30T23:27:57.848+08:00Comments on Infomidwife: The Homebirth debate!InfoMidwifehttp://www.blogger.com/profile/00843289052323073178noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-4297301321247868053.post-85999868275622488372009-10-02T21:25:11.655+08:002009-10-02T21:25:11.655+08:00http://www.healthnetworks.health.wa.gov.au/publica...http://www.healthnetworks.health.wa.gov.au/publications/docs/11284_HOMEBIRTH.pdf<br />very relevant documentAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4297301321247868053.post-43968402544546696402009-07-14T12:12:03.250+08:002009-07-14T12:12:03.250+08:00The changes to legislation for Midwifery are excit...The changes to legislation for Midwifery are exciting and long overdue<br />However midwives in Australia also need to be ready for the realisation that with "rights" bear :<br />delegated responsibility ,accountability for decision making, clinical supervision ,peer review, appropriate referral in cases of deviation from the norm<br />This is an critical area for midwives and midwifery students who have been trained in a system where midwifery care is secondary to obstetric care and therefore accountability seems to rest with obstetricians.<br />In countries such as UK, Holland and NZ midwifery accountability is the accepted norm.<br />Midwives in these countries have not needed to “battle with obstetricians to keep birth normal (well not as much!)<br />The challenge now is for Australian midwifery to keep birth normal but equally accept the responsibility of firm guidelines and processes that support women and midwives in every settingAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4297301321247868053.post-85892035771764936562009-07-06T10:49:02.203+08:002009-07-06T10:49:02.203+08:00Best wishes in your struggles in this area - Sarah...Best wishes in your struggles in this area - Sarah, midwife, New ZealandSarah Stewarthttps://www.blogger.com/profile/00480597227427423793noreply@blogger.comtag:blogger.com,1999:blog-4297301321247868053.post-82895520895389020112009-07-06T09:09:36.565+08:002009-07-06T09:09:36.565+08:00Went to a talk by Paul Keating this week - interes...Went to a talk by Paul Keating this week - interesting. He talked about "BIG picture" thinking, he related it to his governments initiatives around APEC. I felt it related to us and what is happening now.<br />It seems to me that women (and midwives) need to consider what they want for maternity care in 5 - 10 years time. Nothing happens quickly - in this state (WA) it took us 12 years of lobbying towards a clear "big picture" goal to get a change in legislations that meant we could provide a direct entry route midwifery course. This didn't come without some pain.<br />I can't help but think that this is what is needed now - "big picture" thinking. We need to develop a strategy in which homebirth becomes an option that is offered by mainstream maternity services - like in many other countries. If that means a little pain in the short term, particularly around the impact of the indemnity requirements for national registration on private practice - well that meay be the short term price we need to pay. As long as we keep our eyes on the "big picture" I feel we can weather the storm.<br />We need to grasp the medicare provider numbers and lobby STRONGLY - for homebirth and other models of midwifery care to be part of mainstream maternity services. One we have more runs on the board (yes I know the evidence is there already - but we are asking the majority of Australians to make a significant shift in their beliefs) - in terms of outcomes ....... then we launch our insurance offensive.<br />I think we need to acknopwledge that these are interesting political times for women and the midwifery profession - and we need to focus our energies in battles we can win - and then when things are progressing launch our next offensive.<br />My dream is that my sons and their partners will have greater access to a range of maternity models in which to birth their babies.<br />JennieAnonymousnoreply@blogger.com