Hi Marilyn,
The secret to our success is the fact that my manager didn't put any restrictions on my practice. He merely said: "You're the midwife. Go and do what you gotta do." I work with an Aborigianl Health worker who is part of the local community so we had the contacts within the Aboriginal community and because I had worked at the Mildura Base for 5 years prior I had the contacts at the hospital. The midwives at the Base Hospital are a very pro-active lot who have been a terific support when I have come up against the frequent obstetric opposition. I have no job description at all and that suits me just fine as I function within the Midwives Code of Practice. We have 2 GP's here at the Health Service who bulk-bill and they support me as far as signing pathology requests and ultrasound referrals. I am investigating the possibility of attaining Nurse Practitoner status so that I can refer and prescribe within my own area of expertise.
So that's all there is to it really.
All the best. Leanne.

From: "Marilyn Kleidon" <[EMAIL PROTECTED]>
Reply-To: [EMAIL PROTECTED]
To: <[EMAIL PROTECTED]>
Subject: Re: [ozmidwifery] Obstetric Perception - Your thoughts?
Date: Fri, 8 Nov 2002 09:36:37 -0800

Leanne : how did you get this up and running?? It sounds amazing and needs
to be duplicated (multiplicated). marilyn
----- Original Message -----
From: "leanne wynne" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Thursday, November 07, 2002 2:39 PM
Subject: RE: [ozmidwifery] Obstetric Perception - Your thoughts?


Hi Vicki,
Yes, I'm still here battling the archaic controlling attitudes of
obstetricians and hospital beaurocracy. Because of the insurance debacle the
local independent midwives can no longer practice so they are refering women
to me as I am the only person able to provide free woman-centred pregnancy
care. As a result about 20% of our clients are non-indigenous and these
include professional women such as midwives, registered nurses and a
naturopath. It's rather ironic I think that the lowest socio-economic group
in the state, that is aboriginal women, are the only ones receiving the best
evidence based care.
All the best, Leanne.


>From: "Vicki Chan" <[EMAIL PROTECTED]>
>Reply-To: [EMAIL PROTECTED]
>To: <[EMAIL PROTECTED]>
>Subject: RE: [ozmidwifery] Obstetric Perception - Your thoughts?
>Date: Thu, 7 Nov 2002 21:17:44 +1000
>
>I went to visit Leanne in my past life as 'the travelling midwife'
>wonderful work going on!
>Hi Leanne and glad to 'see'you here! Vicki
>
>-----Original Message-----
>From: [EMAIL PROTECTED]
>[mailto:owner-ozmidwifery@;acegraphics.com.au] On Behalf Of leanne wynne
>Sent: Wednesday, November 06, 2002 11:17 AM
>To: [EMAIL PROTECTED]
>Subject: Re: [ozmidwifery] Obstetric Perception - Your thoughts?
>
>
>Hi All,
>I run a Maternity and Women's Health Service within an Aboriginal
>Community
>Controlled Health Service in rural Victoria. I have a terrific manager
>who
>allows me to work autonomously so long as I keep him informed. An
>Aboriginal
>Maternal Health worker and I work as a team and we provide 24hour/day on
>
>call for those in labour, (or any other crisis) antenatal care, either
>in
>the client's own home or in the Health Service, labour support at home
>and/or in the local hospital (the local midwives are wonderfully
>supportive
>of our service) and postnatal care. We work whatever hours our women
>need
>us. We dont get paid for 'on-call' or 'overtime' but are able to take
>'time-off-in-lieu' when things are quiet.
>In my opinion if midwives aim to provide continuity of care then 8 hour
>shifts are not an option.
>Leanne.
>
>
> >From: "Debby M" <[EMAIL PROTECTED]>
> >Reply-To: [EMAIL PROTECTED]
> >To: [EMAIL PROTECTED]
> >Subject: [ozmidwifery] Obstetric Perception - Your thoughts?
> >Date: Thu, 31 Oct 2002 07:06:24 +0000
> >
>
>
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