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Sorry Sally...she said struglling for breath!!!! I
have a really bad cough at the moment and when I saw "RANCIDCOG" I nearly died
coughing from laughing!
Huge :-) while still spluttering......(oh
dear it doesn't tkae much to amuse me nowadays)
----- Original Message -----
Sent: Friday, September 16, 2005 10:49
AM
Subject: [Norton AntiSpam] Re:
[ozmidwifery] perinatal stats
Dear all
Jan has summed it up in a
nutshell - both the discrepancies and the reasons why many home births
go unreported...... we did a 'run' with the national data a couple
of months ago - and we were surprised to find an even greater difference
than this one you report Jan. The most difficult thing is to reconcile the
BD&M data with the perinatal data - because there is such a long
lead time between when the baby is born and when parents have to register the
birth (ie five years).
I agree with many of the midwives who do not risk
disclosure........until we are convinced there will be no burning at the
stake.......everyone is much safer staying silent.
There is SUCH a need
for genuine recognition for what midwives do. We are too
vulnerable at present to risk being noticed in many ways....... look at
the flak we have received from RANCIDCOG and the AMA for example when we've
tried to offer an evidence based midwifery service. We continue to jump
through every conceivable hoop - but the power is with the money , and
until we have legislative rights , and more importantly , until WOMEN have
rights to seek the sort of care they believe to be best for them and their
babies, we will have to remian silent (and strong!)
Sally T.
Jan Robinson wrote:
Hi Andrea
Yes it is a huge discrepancy but the law only
relates to births attended by registered doctors or midwives. Registered
health professionals have an obligation to report the details of each birth
they attend whether they occur at home or in a hospital. They have to
provide the NOTIFICATION OF BIRTH to BD&M and submit the perinatal data
to the appropriate department of their Dept of Health. It is the parents
responsibility to register the birth of their child.
I assume
that MOST of the unreported home births are that way because lay people
would be unaware of their state laws.
Individuals who are aware of the
laws also understand that if they DO report any births that they attend also
run the risk of "holding themselves out to be a midwife" and that is
PUNISHABLE by law.
It would be interesting for midwives to approach
their own state/territory Dept of BD&M as to the number of babies
registered as being born at their home address and then get the figures from
the perinatal data collections to compare.
Anyone want to get cracking
in their state? I'd love to get data from around the country. I have some
Tasmanian figures and I have some from Victoria but they are not as easy to
interpret as the NSW data.
At the moment we are using the NSW
figures to try and convince the Health Minister to publicly fund the home
births and therefore provide a legitimate choice of skilled home birth
practitioner for ALL women wanting a home birth.
Cheers
Jan
Jan Robinson Independent
Midwife Practitioner
National Coordinator Australian Society of
Independent Midwives
8 Robin Crescent South Hurstville NSW 2221
Phone/Fax: 02 9546 4350
e-mail address: <[EMAIL PROTECTED]>
website: www.midwiferyeducation.com.au
On 15 Sep, 2005, at 08:23, Andrea Quanchi wrote:
Jan that is a huge discrepancy, How many of these ones not
reported to Data Collection are attended by registered midwives do you
think? Surely the data collection could approach these people not
reporting, through the births deaths and marriages, through the families
that they are attending to cover the privacy issues, informing them of
their duty to report and where they can access the data collection
material. You wont get all of them but you might get some more. Are they
scared of being identified if they are not registered? Maybe it needs to
be free from this issue if you want the data
Andrea
On
15/09/2005, at 7:58 AM, Jan Robinson wrote:
Hi Andrea, Denise et al
I have just been in touch
with our Dept of Births Deaths and Marriages again for an update on
babies registered as being born at home. The numbers change each year as
there are some people who don't register their child until they need to
go to school so I get updates for each year.
So far what we have in
NSW is
actual number of home births registered number of PLANNED
HOME BIRTHS reported to perinatal data collection (NSW Midwives Data
Collection)
1999 493 139
2000 394 108
2001 388 144
2002
322 99
2003 383 109
2004 359 don't have the 2004 figures from
NSWMD collection yet - hope to have them soon - the BD&M are much
more organised with data collection but I guess that is because they
have motivated providers of their data (the parents). Even though there
has been a law since the 1990s that states all doctors and midwives who
attend home births must submit their data - the NSWMD knows a lot of
health professionals fail to report. There is no law that states
unattended home births have to be reported to the NSWMDC.
2005 to
date 197
You can see there is quiet a difference in the records
I'd love some budding Master's student to get busy on this one
as I won't have time for it until I retire and that won't be until we
get the home births publicly funded across the country.
I feel sure
that if primary care midwives had the medicare provider number a lot of
those unattended women would have a registered midwife with them for the
birth.
Cheers
Jan
Jan
Robinson Independent Midwife Practitioner
National Coordinator
Australian Society of Independent Midwives
8 Robin Crescent South
Hurstville NSW 2221 Phone/Fax: 02 9546 4350
e-mail address: <[EMAIL PROTECTED]>
website: www.midwiferyeducation.com.au
On 14 Sep, 2005, at 22:35, Andrea Quanchi wrote:
it doesnt say but they would be able to tell you. They are
quite forethcoming with info or you may be able to get it from their
website as a lot of the past documents are on there. I havent got time
tonight to look
Andrea Q
On 14/09/2005, at 6:35 PM, Denise
Hynd wrote:
Dear Andrea
Have these BBA births in Vic increased
since the loss of MIPP insurance and some midwives withdrawing from
practice??
Jan Robinson said there was an increased in these
births there possibly some more un assisted hombirths in NSW over
this period!!
She found this by comparing the midwife and
birth notification figures because the latter would include women
who birthed at home and did not go to hospital
Denise Hynd
"Let us support one another, not just in philosophy but in
action, for the sake of freedom for all women to choose exactly how
and by whom, if by anyone, our bodies will be handled."
-
Linda Hes
----- Original Message ----- From: "Andrea
Quanchi" <[EMAIL PROTECTED]>
To: <ozmidwifery@acegraphics.com.au>
Sent: Wednesday, September 14, 2005 4:17 PM
Subject: Re:
[ozmidwifery] perinatal stats
Unplanned out of hospital births (BBA) were 254
Andrea
On 14/09/2005, at 5:29 PM, Tania Smallwood
wrote:
Just out of interest Andrea, what is the number of
bba's in comparison?
Someone recently pointed out to me that
if the women here in SA who had a
quick labour and then
didn't make it to the hospital, had had access to a
midwife
who could have come to their home, the number of 'homebirths'
would
have been nearly doubled. Funny how those women are
seen as 'lucky' and yet
the one's planning a birth at home
attended by a midwife are 'stupid'!
Cheers
Tania
x
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]
On Behalf Of Andrea Quanchi
Sent: Wednesday, 14 September
2005 4:41 PM
To: Maternity Coalition; ozmidwifery
Subject: [ozmidwifery] perinatal stats
I received my
2004 homebirths profile from VPDCU in the mail today and
was
happy to see that the number of planned homebirths for 2004 was
181 up from 154 the year before and from 132 in 1999 so keep
up the
good work everyone
Andrea Quanchi
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