Showing posts with label maternity coalition. Show all posts
Showing posts with label maternity coalition. Show all posts

Tuesday, April 20, 2010

Who is the 'eligible midwife' - jumping through hoops


Well here it is the Nursing and Midwifery Board of Australia has released a draft of what 'eligible midwife' may look like.....

The Key points are as follows;
1. Current general registration as a midwife in Australia with no restrictions on practice - having as it does all the requirements for eligibility for registration under the Act.

2. Practice for at least three years across the continuum of midwifery care (ante-natal care, intrapartum care and post-partum care of women and their infants), within the previous 5 years.

3. participation in an additional 20 hours per year of continuing professional development relevant to the continuum of midwifery care.

4. successful completion of a NMBA approved professional midwifery practice review program for midwives working across the continuum of midwifery care.

5. compliance with the collaboration requirements for eligible midwives- that is the requirements for midwives to work collaboratively with other health professionals as outlined in regulation and national health policy instruments.

6. successful completion of an accredited and approved program of study determined by the Board to develop midwives' knowledge and skills in prescribing, or a program that is substantially equivalent to such an approved program of study (at midwifery post graduate level and designed around the flour components of prescribing - information gathering, clinical decision making, generation of medication order and monitoring the review.

As the model of care for eligible midwives is across the continuum of maternity care, eligibility is contingent upon all requirements being met..... therefore once a midwife has been endorsed as an eligible midwife; and authorised and provided with the necessary provider number by Medicare Australia: READ the full document Guidelines & Assessment framework for the recognition & endorsement of eligible midwives

2 Endorsement to practice as an eligible midwife (to read the full document click the hyperlink)

To be entitled to endorsement under section 98 of the National Law an applicant wishing to be identified as an eligible midwife must be able to meet all the requirements including being a currently registered midwife in Australia; being able to demonstrate through professional review of practice at least 3 years experience across the continuum of midwifery care within the 5 year period preceding the application, comply with the collaboration requirements for eligible midwives; and have an approved qualification to administer, obtain, possess, prescribe and supply scheduled medicines required for practice across that
continuum of midwifery care.

Wording to appear on the register
Endorsed as an eligible midwife working across the continuum of midwifery care and qualified to provide the associated services, order diagnostic investigations and administer, obtain, possess, prescribe and supply schedule 2,3,4 & 8 medicines in
accordance with relevant State and Territory legislation, required for midwifery practice.

If you wish to provide comments on this paper, please lodge a written submission in electronic form by email to natboards@dhs.vic.gov.au by close of business on Wednesday 27 April 2010.

My point of view is that a Midwife is a Midwife....and a Midwife should work across the continuum of maternity care....this in its self will make you an eligible midwife... but not according to the Government... we have to jump through all these hoops to be able to claim MBS & PBS..... in order to be a eligible midwife we have to be insured and complete everything stated above......

I will be putting in a submission to say that a midwife is a midwife once you have completed your course....no other country puts extra constraints on a midwife to make them so called 'eligible'..... if anything I could concede a year post registration... a graduate year before a midwife chooses to work in the community.... please anyone using maternity services can submit a comment to the NMBA... be proactive and have your say.....

lets see what transpires.......watch this space.......

Tuesday, November 4, 2008

RANZCOG - the need to support Midwifery- Led Care - give women informed choice!

It is the 21st century and whenever we discuss midwifery, nursing and medicine it is usually in relation to evidenced based practice - the latest research - how to move forward within the professions looking at the research. I do find it ironic that when Obstetricians have good evidence to show that homebirths have a place in Maternity Care they fail to acknowledge this.

I came across this site called 6 minutes.com.au - and there was an article written by Michael Woodhead - click on the link to find the full article.

Doctors 'in denial' about safe home births The medical profession has been accused of encouraging the trend for dangerous unattended ‘freebirths’ by failing to support safe homebirths.

Obstetricians and state bureaucracies are reluctant to acknowledge that there is good evidence to support the safety of planned attended homebirths for low risk women, says a public health researcher and member of the Australian Maternity Coalition.

.... in this month’s Australia and New Zealand Journal of Obstetrics and Gynaecology (48: 450-52) she says the Royal Australian and New Zealand College of Obstetrics and Gynaecology opposes home birth, even though the balance of evidence shows that planned home births for low risk women have no greater mortality or morbidity than hospital births if attended by a qualified health professional.


This is a tragedy for women and midwives: why are obstetricians so opposed to midwifery led care? in the face of good evidence. One has to ask, what is the point of research if we do not use it?
In recent years there appears to have been an increase in popularity in freebirth, I wonder why?

The professions need to be working in collaboration with each other, respecting the knowledge, skills and ability to care for women and refer to obstetricians when we need to. Let midwives look after low risk women, that is what we do best.

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