Excellent letter Justine, I only hope she is open to listening. 
Cheers
Judy

--- Justine Caines <[EMAIL PROTECTED]> wrote:

> Dear All
> 
> My response to Miranda.
> 
> JC
> xx
> 
> 
> Dear Miranda
> 
> Your headline today was perfect.  It is unfortunate that the
> story did not
> follow.
> 
> I am a Mother of 4, with twins due in November (yes I know
> what
> contraception is!).
> 
> I live in rural NSW and have been without a maternity service
> for 15 years
> (long before I had my babies).
> 
> We have no specialist Obstetrician nor a GP with obstetric
> training and
> probably never will.
> 
> We do however have 3 local midwives who would provide care to
> low risk women
> in our local hospital.
> 
> Currently I travel 150 kms to receive antenatal care.  I have
> no choice in
> this care, and the conditions of the nearest unit are
> pre-historic.
> 
> Miranda I read some time ago about your experiences and
> understand (correct
> me if I am wrong) that you chose caesarean section.  I respect
> that you made
> that choice.  Do you believe that as a woman I too should have
> choice?
> Because currently like 50% of rural women I have none.
> 
> Do you believe that the safety of both myself and baby is
> important? (From
> your story it would seem so)
> 
> If you do a little more research on what is happening in the
> majority of
> rural units and even some on metropolitan fringes then you
> would  understand
> that I (as a healthy woman) would be much safer in my local
> community with
> midwifery care (even without on site medical care).  My
> ³choice² now is to
> dodge Kangaroos in labour (no doubt in the middle of the
> night) in an area
> with no mobile coverage, or risk an ambulance ride if it is
> all too quick.
> Why do I say Œrisk¹ well our Ambo¹s who are amazing people are
> not equipped
> for a post partum haemorrhage (they do not carry syntocinon
> which stops
> bleeding, a drug midwives are trained to use and carry). So if
> I have the
> baby enroute and have a big bleed after they simply become
> good drivers.
> Most women do not know this and when we are often talking 2
> hour (road)
> transfers (and then some!) this is very important. If I was in
> my local
> community in a midwifery unit a midwife would have the drug
> and the required
> knowledge to stop the bleeding.
> 
> My 3rd baby was a 50 minute labour from one small pain to a
> baby in arms.  I
> know I am much safer with midwives caring for me in a system
> that already
> has safe transfer arrangements for all other conditions (we
> live and drive
> cars and work on farms and have accidents in the country that
> require
> transfer).
> 
> By the way where I live is by no means remote, It is in the
> Upper Hunter
> Valley, 2 and a half hours north west of Newcastle.
> 
> Women and babies deserve better.  Midwifery clinics can offer
> a choice to
> women that are patently unsafe now.  Midwifery clinics are not
> just better
> than birth on the side of the road, they can safely assist the
> majority of
> women with healthy pregnancies and refer the minority of women
> needing
> medical assistance.  At the moment none of this happens.
> 
> I would be happy to talk with you should you be open to
> hearing stories of
> rural women in this situation.
> 
> Kind regards
> 
> Justine Caines
> 
> Phone (02) 65482248
> 
> 
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