I personally detest the very phrase's "low risk" and "high risk". I much prefer health pregnancy & a pregnancy with complications. After all I am "at risk" when I cross the road & as I live under a flight path my very presence in my home has me "at risk", this is life, nothing is guaranteed. I dont see anyone jumping up & down to save me from those very real risks. I guess there is not the motivation of money & power in it. I would rather not be labelled as anything except "women centred". Just my 2c.
Cheers
Philippa Scott
Doula
Birth Buddies
Supporting Women ~ Creating Life
President - Friends of the Birth Centre Townsville
----- Original Message -----
Sent: Friday, September 09, 2005 10:26 PM
Subject: Re: [ozmidwifery] ACMI referral guidelines

I'm so sorry, Anne. I deeply sympathise with you and I wish I could do something to help.
I think it's time that those of us with actual real evidence went on the offensive and stopped allowing Obs to dictate the terms of this discourse. They need to be asked to demonstrate their fitness to practice according to evidence based guidelines not that mulch that they fluff up for the media.
Sending you strength and support from Melbourne. For the record, in ob terms, isn't a "low risk" woman one who isn't pregnant? ; )
Janet
----- Original Message -----
Sent: Friday, September 09, 2005 10:05 PM
Subject: [ozmidwifery] ACMI referral guidelines

Dear All,
 
We are still being beaten around the head about using the ACMI referral guidelines.
 
Just today an obstetrician said 'well they (ACMI referral guidelines) are not RANZCOG approved' and he added that 'ACMI does not represent the vast majority of Midwives like RANZCOG represents all Obstetricians'.
 
When the references were pointed out and the referral guidelines were based securely in best practice, it was like water on a ducks back.  Can't see anything without the stamp of approval from RANZCOG nothing else exists.
 
As you can tell from this the obstetricians want to use referral guidelines based on their interpretation and not on a Midwifery best practice model of care. You would think it should be the same for Midwives and obstetricians.  With a mindset like this obstetricians want complete control and veto and they hide this mindset behind the facade of 'safety'.
 
Another issue is that they want a definition of 'low risk'.
 
I just want to scream!

Anne Clarke
Birth Centre, Brisbane

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