Fabulous!  Thanks for sharing.

Jen

 --- Tania Smallwood <[EMAIL PROTECTED]> wrote: 
> Ahhh, god love him,  John Svigos says that midwives
> can't do caesareans...
> 
>
http://www.theadvertiser.news.com.au/common/story_page/0,5936,11369843%255E2682,00.html
> 
> 
> 
> Midwives deliver what mums need most
> By LISA ALLISON and MIA HANDSHIN
> 13nov04 
> EXPECTANT mothers are turning to midwives to deliver
> their babies, driven by spiralling obstetric fees
> and dwindling birthing services.
> 
> Limited birthing options might even be turning more
> women towards home births but doctors are worried
> they are not safe. 
> 
> At Mount Barker, only 400 of the 1600 pregnant women
> are using the district hospital's maternity services
> while hundreds of women are waiting at Adelaide's
> Women's and Children's Hospital for midwife
> services. 
> 
> Co-head of the Midwifery Group Practice Anne Nixon
> said there were 200 women on the waiting list for
> the unit, which offered continuity of care. Women
> are cared for by a main midwife and a back-up so
> they will know the person who helps deliver their
> baby. 
> 
> The unit has 13 full-time equivalent midwives but is
> set to expand by another six, doubling the unit's
> capacity to 1000 births over the next year. 
> 
> That is still unlikely to meet demand, given the
> unit only takes in women from a 20km radius around
> the hospital. 
> 
> Ms Nixon said women often chose midwifery because
> private obstetrics could increase the amount of
> medical intervention during birth. 
> 
> Her colleague and co-unit director Roz
> Donnellan-Fernandez said the continuity of care the
> unit provided led to impressive results when
> compared to the hospital's other maternity services.
> 
> 
> The unit's vaginal birthrate is 24 per cent higher
> and epidural rate 24 per cent lower – a saving of up
> to $1500 a woman. 
> 
> Adelaide obstetrician Dr John Svigos, who practices
> privately and at the Women's and Children's,
> however, disagreed doctors "intervened"; they
> "assisted" women to have children. He acknowledged,
> however, many women did prefer midwives. He said
> midwives and doctors should always work together.
> The doctor needed to be there as back-up. 
> 
> "Midwives are not trained to do caesareans," Dr
> Svigos said. "I don't pretend that we can give the
> same care as a midwife but, if there is a problem, I
> can deal with it." 
> 
> He pointed out many women were happy with hospital
> births, using "all the technology they can lay their
> hands on". 
> 
> Adelaide midwife of 12 years, Wendy Thornton, 44,
> lives in Hahndorf and delivers between 30 and 40
> babies a year. 
> 
> She says in her experience, women were increasingly
> opting for midwives because they don't want their
> birth to be over-medicalised. The high cost of
> private obstetricians also was a problem for some. 
> 
> "Obstetricians can charge a gap between $1200 and
> $2000 and it does effect some people," Ms Thomas
> said. 

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