Re: [ozmidwifery] bach of mid
They're all in suburbs of Melbourne. VU is Victoria University, in St. Albans campus , ACU is Australian Catholic University in Fitzroy (they call it the St. Patrick's campus, I think), Monash Uni in Frankston (they call in the Penninsual campus, I think). Jo mentioned LaTrobe Uni offering it as well... as far as I know, LaTrobe offers the Grad. Dip. /or Masters, but isn't offering the BMid. Someone correct me if I'm wrong! There should be info about it on the various unis websites (I know there is for VU). Jen - Original Message - From: Jayne [EMAIL PROTECTED] Date: Friday, November 1, 2002 6:42 pm Subject: Re: [ozmidwifery] bach of mid Thanks Jen. Can you tell me their full names like I gather VU is VictoriaUniversity? But not so sure about ACU. Also, where they are. Regards, Jayne -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] axa
I have often thought that those who want elective cs for no medical reasoning then it should be considered 'cosmetic' and should be treated like cosmetic surgeryYOU pay! Perhaps the cover should be more costly for those who elect surgery? The argument that cases of FTP and CPD would increase: but that would be obvious and the medicos would have allot of explaining to do to justify it. There will always be loop holes for women and doctors to get their sections, but it could be a deterrent. Elective CS cost insurance companies thousands of possibly unnecessary dollars. It should be structured like car insurance: those who live in high crime areas have to pay more- therefore those who elect unnecessary surgery should pay more. There should be a strict criteria which allows emergency cs as exempt from charges. As I said before the chances are the 'emerg' cases will increase but they are leaving themselves open for close scrutiny. What concerns me about insurance companies power over care is that there are reports that doctors who are 'allowing' vbac will be facing higher insurance costs due to the increase risks.call me biased but THAT IS CAUSE FOR CONCERN! well, there is my 5c worth (about all I have got!) Jo Bainbridgefounding member CARES SAemail: [EMAIL PROTECTED]phone: 08 8388 6918birth with trust, faith love...
Re: [ozmidwifery] AXA insurance drops cover for caesars
In a message dated 11/3/02 3:58:20 AM W. Australia Standard Time, [EMAIL PROTECTED] writes: All this will do is have people change their health insurance. Frankly , if I was paying for health insurance and they weren't going to cover the cost of a c/birth then I would change insurance providers. I think there are more effective ways to change to c/birth rate than to financially penalise women who have medically indicated c/births It is also worth remembering that the private health insurance market is small (as a percentage of the general population) in the UK. Most people in the UK do not have any private healthcare - unless it is provided as a "perk" as part of your employment. Even where people do have private medical insurance, most people will still use the state system (the good old NHS) for maternity and childbirth services, preferring to use private healthcare for non-emergency situations where NHS waiting lists are long (e.g. hip replacments, knee surgery, grommets etc). I - personally - know of no friends who have ever used anything other than the NHS for pregnancy/ birth, and have had maybe one or two clients go privately, although I have some good friends using independent midwives (without having health insurance) where it has been difficult to get support, for example, for homebirth VBAC's. Often, even when people begin by using a private health insurer, if they find that their pregnancy/ birth is complicated - they will find themselves transferred into the NHS - as that is where the skills lie. I think it is difficult to necessarily transfer what has happened in the UK to Australia - as the system is quite different. Having said that, I do believe that the private health funds will be crucial to implementation of NMAP - just as the UK government has been crucial in trying to reverse the trend in sections in the UK (as major financial stakeholders). Debbie Slater Perth, WA
[ozmidwifery] Re Young Parents Program
Dear Sue and list, This is my début on this list, though I have been a reader of great enthusiasm for months now, probably a year or more. The unit I haveworked in for the last 7 years has had a couple of different approaches in that time , All of which Ihave rotated through for a time. Currently I and another very enthusiastic midwife share the program. Since we took over (2-3 months) there have been approximately 30 odd pregnant teens known to us at any one time. As of 1 month ago we now have the whole of Thursday ( up on half the day) to devote to these youngwomen and their support people. Morningsare spent :-followingup on new clients bookedin since last week, or making contact with those we get to hear about via the grape vine. -phoning or visiting mums and their babies ( up to about 2-3 weeks ). This is to ensure that they are OK and are beingfollowed upand for those who need it, referral to a child and family health nurse who will usually have met the women during their pregnancy and who has the roll of caring for these young families from then on. Many of the olderteens go through the mainstream system as seen appropriate, i.e.. good support etc. - where necessary wevisit at home during the pregnancy if we can't reach them any other way or even drive them to have their varioustests done at pathology if transport is an issue. - visiting thoseadolescence that choose touse the main antenatal clinic, (we dotry to encourage them to attend our clinic.) We do target the client who go to the obs. privatelyand invite them to our education sessions especially if they have declined the regular classes. - liaising with other community support services - Preparing for an education session of about half an hour for the afternoon midwives clinic (held in the community) - preparing for the midwife clinic where the other midwife and I (on alternate weeks) look after the pregnancy care of the young women. - and book work, stats etc. (THE ETERNAL BUG BEAR) The afternoon is spent at the clinic ( 3 midwives , me, the aboriginal midwife and the main stream midwife. there is a obstetrician there but he is fairly midwife friendlyjust does first visits or deals with any high risk problemsbut does not take over care , he sees it as his afternoon off.) This is when we try to get the girls together for education but also to hopefully develop a peer support group. Previous to "us" the YPG (young parents group) had lacked a little enthusiasm by the previous midwife. It is hard and the rewards sometimes need to be looked for in the form of just getting to see aclient. So we are having fun getting up to speed and would love any suggestions that those on the list might have. Some of our girls have done really well ... I get a little possessive. When we work on days other than Thursday we both try to care for any YPG clients in. We hope to catch them in labour and for those girls with very difficult circumstances we put a note on their notes for the staffto call us (if not on duty) if the client wishes. Sue feel free to email me privately if you wish. Wow that waslong(months worth I guess). Katy.
[ozmidwifery] FTP
Tina, FAILURE TO PROGRESS the old 1cm per hour thing. As the OB that sectioned me for FTP for stalling at 8cm for 2 hours with an OP baby after they made me lay on my back for monitoring 'just in case' , bc baby may go into distress (and of course it was MY failure to progress not their poorly timed ARM or time restrictions, or the enforced standard beetle pose, or the OB desire to show the medical students how he can 'save' me from the perilous dangers of labour oops! was I being facetious again? Ungrateful personI am. FTP often mistaken for FTW Failure to Wait! Jo Bainbridgefounding member CARES SAemail: [EMAIL PROTECTED]phone: 08 8388 6918birth with trust, faith love...
[ozmidwifery] video
Thanks Vicki, it is a glorious photo. Nic rang and told me last night, too. To all the list, I've been reading with interest as always, however I am probably going to be silent for a while as I have about 11 000 words in total of assignments due in by the end of the year, and I have no idea how I will do that. Jo, I was so very nearly at that meeting. I emailed Cheryl and explained why I couldn't be there (totally hell week with sick kids, essay due in, car trouble and friend in crisis) andmy 'juggling'prioritised the meeting at the bottom of the list at that time. Still, we keep on with it as we can. I just can't wait for this year to be over, when I can finally STOP WRITING ASSIGNMENTS! On another note, I was blown away by the CARES birth stories book I bought. The strength, honesty andraw emotiontook my breath away. It's a wonderful resource, Thank you. It has been interesting listening to the discussion on independent practice etc. I have been in a quandary lately as I have applied for a graduate midwifery program in a hospital (don't know if I have it yet) but I truly do not know if I can work in that environment. I also do not know if I can practice independently without any 'experience', though I do have a friend who is an independent midwife (who was my midwife also) who says she can be there for me if I choose to do this. Does anyone have any thoughts for this nearly registered midwife. I love to hear (read?) all the discussions going on on this list, and would probably respond more often if I didn't have to jump up, run to the kitchen,unplug the phone and plug in the computer every time I want to send an email. Aviva, you're gorgeous - I love your positive responses and empathy. love to all you wonderful midwives and others, Liz.
[ozmidwifery] nmap reference
Thanks Jen, Liz.
Re: [ozmidwifery] AXA insurance drops cover for caesars
Dear All It is the questioning which is important and which has made my day. Sadly I do not really believe the doctors and their associations will let this stand but will have to account for the C/s rate that is what has made my day! If AXA did hold to it the other companies will fill the gap initially and as it is in the private system in other general medical conditions the women who need C/s can be transferred and have their C/S in the Public hospitals which are generally down the road! How many country or non metro areas have a private hospital with out a public hospital! Meanwhile the debate has been driven by the reality of the exorbitant costs, the unfetter use of C/S and its cascade of costs (social and financial) will be brought out by stronger voices than the women and midwives who see the suffering! So I am not seeing this as denying women who need a Caesar from decision to incision can be about 45mins in a tertiary maternity unit that is enough time for transfer from a private hospital if this move was to be held and taken on by al l insurers. Perhaps in this debate the safety and cost effectiveness of midwifery care will get an airing, so I see all sorts of angles to this news Denise Hynd - Original Message - From: Denise Hynd [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Sunday, November 03, 2002 9:53 AM Subject: Re: [ozmidwifery] AXA insurance drops cover for caesars Dear Andrea Your news hasmade my day Now we need to get rid of FTP as amedical indication!! This turn in costings can also be used in pushing the Denise Hynd - Original Message - From: Andrea Robertson [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Sunday, November 03, 2002 5:10 AM Subject: [ozmidwifery] AXA insurance drops cover for caesars Hi Listers, I have just heard a very exciting report on the BBC news tonight. This may be helpful for putting pressure on private insurance companies in OZ what do you think we can do? I've already written about it on my Diary - http://www.birthinternational.com/diary/archives/68.html Please read about it there as it saves me having to write it all out again Look forward to your responses. Andrea - Andrea Robertson Birth International * ACE Graphics * Associates in Childbirth Education e-mail: [EMAIL PROTECTED] web: www.birthinternational.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Re: Axa drops insurance cover for C/S
Hi All I have been lurking on the list for a few months now. As an Aussie midwife now residing in the UK and working in the NHS, I totally agree with Deb. The women I care for in the community are mostly the sort of women that would almost definitely have private insurance and have their babies in private hospitals if they lived in Australia, yet they all use the NHS. This is fortunate for those women who choose homebirth or domino birth who then receive continuity of midwifery care from their community midwife. Unfortunately the women who choose to deliver in the hospital are subject to the many interventions and defensive practise that I read about on the list as still happening in Australian hospitals. Women who choose c/s and go privately in this country will either change insurance company or pay for the procedure themselves. However I believe the best thing to come from this announcement is that it has thrown the fact that most c/s are not necessary out into the public domain. I am sure it will be one of the biggest subjects of discussion amongst pregnant couples and midwives in the coming weeks. I will certainly be using it to highlight unnecessary interventions in my parentcraft classes! For those interested the article is available at this site. http://www.sky.com/skynews/article/0,,30700-12158037,00.html Cheers Jenni -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Love of midwifery
Hello Rose, The film In Union from Vicki Chan or Nic Edmonstone. [EMAIL PROTECTED] 0402140769 [EMAIL PROTECTED] 0412020836 Enjoy, Liz Mc - Original Message - From: roseandpeter [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Sunday, November 03, 2002 10:24 AM Subject: RE: [ozmidwifery] Love of midwifery Could someone tell me how I could get a copy of Nic Vicki's video? It sounds too good to miss out on! Rose -Original Message- From: elizabeth mcalpine [SMTP:[EMAIL PROTECTED]] Sent: Monday, 28 October 2002 21:22 To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] Love of midwifery Love of midwiferyI understand completely. I came home crying tonight because some film festival organizer wouldn't come to see Nic Vicki's video about humanized birth, which should be diseminated around Australia. (working on that!) And work?? Working on that. Yep. Beating one's head against a brick wall is tough. But when the going gets tough.the tough get going. Keep your spirits up. Humanized birth is a human right!!! Liz Mc - Original Message - From: Smith, Anne To: [EMAIL PROTECTED] Sent: Monday, October 28, 2002 8:34 PM Subject: [ozmidwifery] Love of midwifery Dear list, I am a midwife who is very passionate and very for woman centred care. I love being a midwife and can not imagine not being a midwife, but l have become so dissolusioned with the system that it is breaking my heart. I have been a midwife for 5 years and feel that the system (especially where l work in a large country city) which is medical based has not changed. It has actually become worse. Despite being a strong advocate for evidence based practice and presenting this evidence to doctors and management, l have been walked all over, some midwives have been yelled at, 'put in their places' by RESIDENTS and we have basically have our hands tied. The amount of autonomy we have is decreasing, which makes me feel sometimes that all the hospital wants are obstetric nurses. They do not want midwives because they cause too much trouble. Who cares about the women? Management want to make the doctors happy and stuff the midwives. One example, i am really against the use of CTG's in normal pregnancy and labour. Because of one bad outcome, management wants to introduce admission CTGs for all women who present in labour. I produced for them so much evidence based material which actually states that this is not a good idea, but they introduced it anyway. I dont know why l try because nothing worse. I dont know what to do and all my collegues feel like this as well. We need different models of care, we need to take over the care of women in normal pregnancy and birth. I fully endorse NMAP but will it have an effect in my workplace. Will it really change the obnoxious doctors we work with and management who only care about beds and money? Midwives have tried to get a midwives clinic in this town for 11 years, but has been blocked by the doctors (one in particular). We have no free antenatal care except for one midwife who works with aboriginal women (who we also refer white women to). If women only knew what was going on and they care they get from their doctors is less than substandard. I hate feeling like this. Women are being ripped off, assulted, and their rights violated, and there is only so much l can do. I do the best l can for these women but l feel that it is no where near enough. It makes me feel like l have a hollow pit in my stomach thinking of coming to work. But l love midwifery, and l know that what ever happens, l need to go on... sorry, but l really needed to get this off my chest. MIdwife trying to make a difference Fiona Dunmore NOTICE: CONFIDENTIAL COMMUNICATION This e-mail message and any accompanying files may contain information that is confidential and subject to privilege. If you are not the intended recipient, and have received the e-mail in error, you are notified that any use, dissemination, distribution, forwarding, printing or copying of the message and any attached files is strictly prohibited. If you have received this e-mail message in error please immediately advise the sender by return e-mail, or telephone, listed below. You must destroy the original transmission and its contents. Any views expressed within this communication are those of the individual sender, except where the sender specifically states them to be the views of Ramsay Health Care. This communication should not be copied or disseminated without permission. Mildura Base Hospital a member of Ramsay Health Care Telephone: 61 3 5022 Facsimile: 61 3 5022 3234 File: ATT00082.htm -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe
Re: [ozmidwifery] axa
Title: Re: [ozmidwifery] axa Hey Jo Love reading your posts, you have the right idea!! Why would VBAC be seen as riskier? I would think a 1% chance of uterine rupture would be preferable risk to a c/s anyway? Then again evidence doesnt play much of a role does it! Take care Justine I have often thought that those who want elective cs for no medical reasoning then it should be considered 'cosmetic' and should be treated like cosmetic surgeryYOU pay! Perhaps the cover should be more costly for those who elect surgery? The argument that cases of FTP and CPD would increase: but that would be obvious and the medicos would have allot of explaining to do to justify it. There will always be loop holes for women and doctors to get their sections, but it could be a deterrent. Elective CS cost insurance companies thousands of possibly unnecessary dollars. It should be structured like car insurance: those who live in high crime areas have to pay more- therefore those who elect unnecessary surgery should pay more. There should be a strict criteria which allows emergency cs as exempt from charges. As I said before the chances are the 'emerg' cases will increase but they are leaving themselves open for close scrutiny. What concerns me about insurance companies power over care is that there are reports that doctors who are 'allowing' vbac will be facing higher insurance costs due to the increase risks.call me biased but THAT IS CAUSE FOR CONCERN! well, there is my 5c worth (about all I have got!) Jo Bainbridge founding member CARES SA email: [EMAIL PROTECTED] phone: 08 8388 6918 birth with trust, faith love...
Re: [ozmidwifery] FTP
Hi Jo, I thought that they would say that to me at some stage - after 24 hours of arguing (in labour) and them saying I was still only 1cm dilated which I still do not believe. I was waiting for'FTP'to come up in the course of conversation but I think they were too frazzled to think of it. He gotstarted with the'you may not be in labour anyway" and then came up with a revalation of "we can't rupture your membrane so you wont deliver and will get a dead baby" and then when that did not work he had to really think and said"I could rupture your membrane but wont!" WHY? because of"CPD" which he seemed to be able to miraculously measure my pelvis at less than 1cm dilation and when I questioned that he finished his insults with thefamous "you're just wasting my time." So, I guess we are all ungrateful Jo - they have spent many years learning how to completely bamboozle a woman in labour and get her to agree to whatever they desire but when it doesn't work first time then my goodness it becomes hard work.And we become the enemy! If we really look at all these terms they seem to be aimed at completely undermining a womans ability and self confidence in her body and are all general terms which are hard to prove either way as to if they are true or false. So you can not sue because there can never be any real proof they were wrong. It all comes back to CYA (cover your ass). Guess I am facetious and ungrateful too. *grin* Regards Rhonda ---Original Message--- From: [EMAIL PROTECTED] Date: Sunday, November 03, 2002 22:26:40 To: [EMAIL PROTECTED] Subject: [ozmidwifery] FTP Tina, FAILURE TO PROGRESS the old 1cm per hour thing. As the OB that sectioned me for FTP for stalling at 8cm for 2 hours with an OP baby after they made me lay on my back for monitoring 'just in case' , bc baby may go into distress (and of course it was MY failure to progress not their poorly timed ARM or time restrictions, or the enforced standard beetle pose, or the OB desire to show the medical students how he can 'save' me from the perilous dangers of labour oops! was I being facetious again? Ungrateful personI am. FTP often mistaken for FTW Failure to Wait! Jo Bainbridgefounding member CARES SAemail: [EMAIL PROTECTED]phone: 08 8388 6918birth with trust, faith love... IncrediMail - Email has finally evolved - Click Here
Re: [ozmidwifery] bach of mid
Oh yeah... Sorry! You're right... it was the 4 year combined course I was thinking of. My appologies again. Jo -- Babies are Born... Pizzas are Delivered. - Original Message - From: Andrea Bilcliff [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Sunday, November 03, 2002 2:54 PM Subject: Re: [ozmidwifery] bach of mid I could be wrong but I thought La Trobe Uni only offered the Postgraduate Diploma in Midwifery for registered nurses, or a combined undergraduate nursing midwifery degree...not the straight Bachelor of Midwifery. Andrea -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] A very inspirational story!
What a great story, Rhonda! and perfect timing too! ¸..· ´¨¨)) -:¦:- ¸.·´ .·´¨¨)) ((¸¸.·´ ..·´ -:¦:-Blessings, -:¦:- ((¸¸.·´* Aron Whenever I feel blue, I start breathing again. Choose an Internet access plan right for you -- try MSN! Click Here -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
Re: [ozmidwifery] Obstetric Perception - Your thoughts?
I have been a single Mum since my daughter was 2 months old - she is now 12. I have been attending Homebirths for 6 yrs now and holding down a part time nursing job. I certainly coulkn't have done it without my Mum being close by and numerous friends but I still have a life. As someone else said you fit life around work and not the other way round. We certainly are our own worse enemies sometimes. Leigh - Original Message - From: Andrea Bilcliff [EMAIL PROTECTED] To: Ozmidwifery Mailing List [EMAIL PROTECTED] Sent: Sunday, November 03, 2002 1:47 PM Subject: Re: [ozmidwifery] Obstetric Perception - Your thoughts? Just wanted to add my experience to the responses... I became a 'single mum' last year and just one of the many, many reasons (!) that I left the hospital system for independent practice at that time, was because I couldn't work the shifts that were required. My ex rarely sees the children and my mum works fulltime, so childcare was a big problem. While I admit my practice is very small at this stage, I have greater flexibility over my hours and I spend much more time at home. Like Sally, I am usually able to arrange antenatal postnatal visits during school hours. If not, I only have to find childcare for a couple of hours (much easier than for a full 8 or 10 hour shift leaving home at 6am or getting back at 11pm). Ideally I would like 2 births a month until the children are older. That's only 2 nights a month (and not all births are at night). I'm lucky that I can call my mum to come and sleepover if that happens. Like Tania, I can stress a bit about the 'on call' period but it always seems to work out. As the children get older that wont be such an issue. I have to be honest...my income has dropped dramatically since last year. I just about survive on parenting payment and child support from the ex. What little I earn from private practice at the moment is negated by the cost of setting up, travelling and the usual 'professional deductions'. It's a struggle financially at the moment but the benefits far outweigh the negatives! Andrea -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] ARM
Hi Jo, after reading your e-mail it makes me realise something about my first birth. It was suggested by my Ob at 9cm to have waters broken, I was nearly there and if left longer the waters will come out with pressure and mess every where. He did say it might speed things up a bit. Ignorantly I agreed but fortunately my baby was coming out, his help or not. This would be another of those informed consent things I suppose. Interestingly my waters did not break until just before head crowned with my next two babies, strange how my private midwife was NOT AT ALL fussed with this? Then again it was my house I was making the mess in! Megan. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] video
Hi Liz, Nice to hear you're still with us, and good luck with all those assignments, sounds like you're onto it! As we've spoken before, you know I did the devious thing and opted not to do a grad programme, something many hospital midwives have a strong opinion about, but something I also felt really strongly about, and was willing to take the chance with. As it stands, I would never have been at the conference where I met Wendy, the midwife I work with, had I been doing shifts at the local hospital, so I think things all happen for a reason. I'm priviledged to be working with a midwife who trusts me, and who I feel is an excellent mentor, it's a wonderful way of starting my midwifery career, and if you have that offer from a friend, I'd seriously think of taking it up. Having said that, setting up for independent practice is expensive, and I haven't had to do much of that, as Wendy has done the most of it. There are also grad programmes and grad programmes, some are much more interested in bettering your experiences as a young midwife than others - this I hear from the women I did my mid with, who went to various settings after we graduated. So good luck! My ramblings have probably made things clear as mud, but just wanted to let you know how things have gone for me so far. take care, and love to catch up sometime Tania xx - Original Message - From: ec newnham To: [EMAIL PROTECTED] Sent: Sunday, November 03, 2002 9:37 PM Subject: [ozmidwifery] video Thanks Vicki, it is a glorious photo. Nic rang and told me last night, too. To all the list, I've been reading with interest as always, however I am probably going to be silent for a while as I have about 11 000 words in total of assignments due in by the end of the year, and I have no idea how I will do that. Jo, I was so very nearly at that meeting. I emailed Cheryl and explained why I couldn't be there (totally hell week with sick kids, essay due in, car trouble and friend in crisis) andmy 'juggling'prioritised the meeting at the bottom of the list at that time. Still, we keep on with it as we can. I just can't wait for this year to be over, when I can finally STOP WRITING ASSIGNMENTS! On another note, I was blown away by the CARES birth stories book I bought. The strength, honesty andraw emotiontook my breath away. It's a wonderful resource, Thank you. It has been interesting listening to the discussion on independent practice etc. I have been in a quandary lately as I have applied for a graduate midwifery program in a hospital (don't know if I have it yet) but I truly do not know if I can work in that environment. I also do not know if I can practice independently without any 'experience', though I do have a friend who is an independent midwife (who was my midwife also) who says she can be there for me if I choose to do this. Does anyone have any thoughts for this nearly registered midwife. I love to hear (read?) all the discussions going on on this list, and would probably respond more often if I didn't have to jump up, run to the kitchen,unplug the phone and plug in the computer every time I want to send an email. Aviva, you're gorgeous - I love your positive responses and empathy. love to all you wonderful midwives and others, Liz.
Re: [ozmidwifery] Obstetric Perception - Your thoughts?
I would love the chance to do one-to-one Midwifery care and feel confident that it could be intergrated into one's life. For me though having only worked in the Hospital system it would be a matter of feeling confident/educated to be able to do so, but I am working on this. The long shifts are great, I used to do 12 1/2 hour shifts in California 13 years ago in a small Obstetric Unit and you just get used to them. There were plenty of women who I worked with who managed their families, it's all a matter what one is used to. I also did 10 hour night shifts back in 1983 in W.A. The free time off seemed longer and better quality somehow. I agree a lot of Midwives may find it hard to adjust to life outside the 8 hour shift, but with time and the satisfaction from one-to-one Midwifery care, hopefully things will change. Thank you to all of the wonderful dedicated Midwives and upcoming B Mid Midwives who keep me inspired on this list, in a system difficult at times to cope with. Tonight I'm off to hear Denise speak in Brisbane. Cheers, Joanne. - Original Message - From: Dawn Worgan [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Friday, November 01, 2002 9:22 AM Subject: Re: [ozmidwifery] Obstetric Perception - Your thoughts? Debby M wrote: I have recently been corresponding with a friend of mine who is an obstetrician. He supports midwifery models of care, particularly those that offer integrated choice so that midwives and obstetricians can work together. He did state to me however that he believes one of the great obstacles to such models is the reluctance of most midwives to work other than an 8 hour shift, and to possibly have to do away with family time and holidays and to be called out at odd hours to attend births. I am sure there are probably some out there that do like the straight forwardness of shifts however I would be interested to hear the opinion of you ladies (and gentlemen) about your experience of the dedication of midwives when they are expected to provide ongoing antenatal, birth and postnatal support - outside the normal 8 hour shift, as my gut feeling is that the majority of midwives would love the opportunity to be able to fully use their skills in the support and care of pregnant and birthing women without unnecessary guidance or interferrence. Debby Protect your PC - Click here http://g.msn.com/8HMREN/2024 for McAfee.com VirusScan Online -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe. I work in a caseload model of care which means on call plus all the things you mentioned, and personally I love it (most of the time) but when we are looking for other midwives to replace us for long service leave or whatever, we cant get midwives interested and we often have comments like I dont know how you do it! or I have a life outside work (so do I is my reply I fit work in around my life not the other way around) but its a long standing culture we need to work at changing my hope lies in the new direct entry midwives who believe what I do is the norm !So though I wish it wasn't the case I think your friend is right. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Fw: [ozmidwifery] Obstetric Perception - Your thoughts?
I forgot to thank all the other hard working and dedicated women who contribute to this list, without you we are nothing. Hope I'm forgiven. Cheers, Joanne. - Original Message - From: Mrs joanne m fisher [EMAIL PROTECTED] To: Ozmidwifery [EMAIL PROTECTED] Sent: Monday, November 04, 2002 8:46 AM Subject: Re: [ozmidwifery] Obstetric Perception - Your thoughts? I would love the chance to do one-to-one Midwifery care and feel confident that it could be intergrated into one's life. For me though having only worked in the Hospital system it would be a matter of feeling confident/educated to be able to do so, but I am working on this. The long shifts are great, I used to do 12 1/2 hour shifts in California 13 years ago in a small Obstetric Unit and you just get used to them. There were plenty of women who I worked with who managed their families, it's all a matter what one is used to. I also did 10 hour night shifts back in 1983 in W.A. The free time off seemed longer and better quality somehow. I agree a lot of Midwives may find it hard to adjust to life outside the 8 hour shift, but with time and the satisfaction from one-to-one Midwifery care, hopefully things will change. Thank you to all of the wonderful dedicated Midwives and upcoming B Mid Midwives who keep me inspired on this list, in a system difficult at times to cope with. Tonight I'm off to hear Denise speak in Brisbane. Cheers, Joanne. - Original Message - From: Dawn Worgan [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Friday, November 01, 2002 9:22 AM Subject: Re: [ozmidwifery] Obstetric Perception - Your thoughts? Debby M wrote: I have recently been corresponding with a friend of mine who is an obstetrician. He supports midwifery models of care, particularly those that offer integrated choice so that midwives and obstetricians can work together. He did state to me however that he believes one of the great obstacles to such models is the reluctance of most midwives to work other than an 8 hour shift, and to possibly have to do away with family time and holidays and to be called out at odd hours to attend births. I am sure there are probably some out there that do like the straight forwardness of shifts however I would be interested to hear the opinion of you ladies (and gentlemen) about your experience of the dedication of midwives when they are expected to provide ongoing antenatal, birth and postnatal support - outside the normal 8 hour shift, as my gut feeling is that the majority of midwives would love the opportunity to be able to fully use their skills in the support and care of pregnant and birthing women without unnecessary guidance or interferrence. Debby Protect your PC - Click here http://g.msn.com/8HMREN/2024 for McAfee.com VirusScan Online -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe. I work in a caseload model of care which means on call plus all the things you mentioned, and personally I love it (most of the time) but when we are looking for other midwives to replace us for long service leave or whatever, we cant get midwives interested and we often have comments like I dont know how you do it! or I have a life outside work (so do I is my reply I fit work in around my life not the other way around) but its a long standing culture we need to work at changing my hope lies in the new direct entry midwives who believe what I do is the norm !So though I wish it wasn't the case I think your friend is right. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] accreditation
Hi, I am currently undertaking my Masters in Mid, tackling the subject of accreditation/credentialling of independent midwives. In the light of current PI issues, and the NMAP push, I felt that all efforts at improving the 'professional image' would be positive. But, I am having great difficulty finding appropriate references. I am aware of the ACMI guidelines and work for the Community Midwifery Program of WA but need to know what 'accreditation/credentialling is available for other MWs particularly in other states,but also othercountries. Also thanks Rhonda for the ant story... I am also trying that approach of 'God I know these references are out there, please help me find them'. I have noticed a distinct lack of ants in the Library though where I spend much time so maybe I need to take up rock climbing. Thanks, all help is appreciated,Laraine.
Re: [ozmidwifery] Birth ads
Congratulations, Pinky -- on all counts!!! Hugs, Aviva - Original Message - From: Pinky McKay To: [EMAIL PROTECTED] Sent: Sunday, November 03, 2002 11:57 AM Subject: Re: [ozmidwifery] Birth ads Hi Liz, I have just got Sarah home from hospital - James got gastro friday!! I am in "recovery" and also have work deadlines to catch up on now so am about to start work on those (not how I would like to be spending my weekend!) But I promise within the next week I will contact Berts producer re an interview. By the way - I opened yesterdays Herald Sun HOME magazine at 1am this morning as I hopped into bed and there among the fashion statement household goods were cover shots of both my books with a heading "Parental Guidance" (They were the only books on the page so it wasnt a parenting feature). The Fushcia covers must have coordinated with the other goodies - or just perhaps??? The writer enjoyed them and really thinks they could enhance household harmony (Feng Shui in the nursery!). By the way I have an article 'Karma Kids' in Vogue Kids - about Spiritual Parenting - its amazing what we can gently "slip in sideways" - one of my interviewees was midwife Jane Myers. Pinky
Re: [ozmidwifery] ARM
Mess?! considering how much mess -- not just in one room, but on the planet -- all babies/children/adolescents/adults make from conception to decomposition, what's a bit of amniotic fluid once every so many years??? A beautiful flowing indeed. Aviva - Original Message - From: Larry Megan To: ozmidwifery Sent: Monday, November 04, 2002 8:08 AM Subject: [ozmidwifery] ARM Hi Jo, after reading your e-mail it makes me realise something about myfirst birth. It was suggested by my Ob at 9cm to have waters broken, I wasnearly there and if left longer the waters will come out with pressure andmess every where. He did say it might speed things up a bit. Ignorantly Iagreed but fortunately my baby was coming out, his help or not. This wouldbe another of those informed consent things I suppose. Interestingly mywaters did not break until just before head crowned with my next two babies,strange how my private midwife was NOT AT ALL fussed with this? Thenagain it was my house I was making the mess in!Megan.
Re: [ozmidwifery] axa
While I am passionate about women giving birth, vaginally and without intervention (and particularly at home), I've got lots of very mixed feelings about elective caesareans. On the one hand I see them as the ultimate in intervention and therefore anathema to my ordinary stance. Also as something which our community is 'selling' to women. That women often take the elective Caesaean as a poorly informed choice. That these women are sadly missing out on something wonderful and sacred. That it is an unfair use of resources. That we are not given colostomy bags because we can't be bothered pooing. That it should not be there as a choice. That it would be better if women were supported through there worries and fears about giving birth. That it would be wonderful if women stopped wanting/needing all that time managed 'control' which is cited as a reason for choosing an elective casarean. On the other hand given the general lack of one to one midwifery care and emotional/psychological support available to women and the routine scare-mongering way in which vaginal births are 'managed', women are not, in the main, well supported to give birth to their babies. I wonder about links between previous sexual abuse and elective choice. About sexually transmitted diseases (which are still socially taboo) yet very prevalent. About family stories which go back generations and inculcate fear. If I have been abused letting go and trusting my body may be difficult. If I have genital herpes would I want the uncertainty of a lesion at birth time and the need to explain to everyone why my vaginal birth plans didn't happen. If I grew up on stories of grandmother's death in child birth and mother's 'need' for caesarean and aunty's haemorrhage would I doubt the birth process. As a doula I meet women with all these dilemmas. And my should(n't) mentality about elective caesareans gets all waffly and unclear. It is not just in birth that things are awry and each woman faces things the way she sees best for her. Some people face amazing challenges and over come fears while others choose not to put themselves way way out of ordinary comfort zones. I can only say for me what is my way forward. I can also recognise these kinds of issues and respect, love and support women: to be clear about what they want, to challenge themselves (if they want to) and to be non-judgemental about different ways of being. What I think SHOULD be the case is that women have midwives, doulas, friends and services to support them and encourage them in their own personal birth journey. Perhaps then we might begin to tackle some of the broader issues which birth puts us in contact with. Not sure I've put all this very clearly - I keep seeing the grey while still veering from black and white. Margie At Sun, 3 Nov 2002 17:22:19 +1030, Jo Dean Bainbridge ([EMAIL PROTECTED]) wrote: I have often thought that those who want elective cs for no medical reasoning then it should be considered 'cosmetic' and should be treated like cosmetic surgeryYOU pay! Perhaps the cover should be more costly for those who elect surgery? The argument that cases of FTP and CPD would increase: but that would be obvious and the medicos would have allot of explaining to do to justify it. There will always be loop holes for women and doctors to get their sections, but it could be a deterrent. Elective CS cost insurance companies thousands of possibly unnecessary dollars. It should be structured like car insurance: those who live in high crime areas have to pay more- therefore those who elect unnecessary surgery should pay more. There should be a strict criteria which allows emergency cs as exempt from charges. As I said before the chances are the 'emerg' cases will increase but they are leaving themselves open for close scrutiny. What concerns me about insurance companies power over care is that there are reports that doctors who are 'allowing' vbac will be facing higher insurance costs due to the increase risks.call me biased but THAT IS CAUSE FOR CONCERN! well, there is my 5c worth (about all I have got!) Jo Bainbridge founding member CARES SA email: [EMAIL PROTECTED] phone: 08 8388 6918 birth with trust, faith love...erns+me+about+insurance+companies+power+over+care Looking for a free email account? Get one now at http://www.freemail.com.au/
[ozmidwifery] Christmas Pageant
hi all you Adelaide birth people, Sunday 9th November is our Christmas Pageant and we have printed up some flyers to be given out to anyone who wants one. so can people who are interested in helping please contact me at [EMAIL PROTECTED] to arrange getting them to you or we could meet there on the day, hope to hear from you soon, Megan. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Christmas Pageant
sorry, it helps if I say what is on the flyers I suppose. Its basically to support NMAP and midwifery care. Cheers Megan. -Original Message- From: [EMAIL PROTECTED] [mailto:owner-ozmidwifery;acegraphics.com.au]On Behalf Of Larry Megan Sent: Monday, 4 November 2002 11:36 To: ozmidwifery Subject: [ozmidwifery] Christmas Pageant hi all you Adelaide birth people, Sunday 9th November is our Christmas Pageant and we have printed up some flyers to be given out to anyone who wants one. so can people who are interested in helping please contact me at [EMAIL PROTECTED] to arrange getting them to you or we could meet there on the day, hope to hear from you soon, Megan. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Birth ads
Thanks Pinky - Original Message - From: Aviva Sheb'a To: [EMAIL PROTECTED] Sent: Monday, November 04, 2002 10:40 AM Subject: Re: [ozmidwifery] Birth ads Congratulations, Pinky -- on all counts!!! Hugs, Aviva - Original Message - From: Pinky McKay To: [EMAIL PROTECTED] Sent: Sunday, November 03, 2002 11:57 AM Subject: Re: [ozmidwifery] Birth ads Hi Liz, I have just got Sarah home from hospital - James got gastro friday!! I am in "recovery" and also have work deadlines to catch up on now so am about to start work on those (not how I would like to be spending my weekend!) But I promise within the next week I will contact Berts producer re an interview. By the way - I opened yesterdays Herald Sun HOME magazine at 1am this morning as I hopped into bed and there among the fashion statement household goods were cover shots of both my books with a heading "Parental Guidance" (They were the only books on the page so it wasnt a parenting feature). The Fushcia covers must have coordinated with the other goodies - or just perhaps??? The writer enjoyed them and really thinks they could enhance household harmony (Feng Shui in the nursery!). By the way I have an article 'Karma Kids' in Vogue Kids - about Spiritual Parenting - its amazing what we can gently "slip in sideways" - one of my interviewees was midwife Jane Myers. Pinky
Re: [ozmidwifery] axa
As one who constantly sees the grey (or perhaps a rainbow of possibilities) I don't think you could have said it better. Nothing to add. marilyn - Original Message - From: Margie Perkins [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Sunday, November 03, 2002 4:36 PM Subject: Re: [ozmidwifery] axa While I am passionate about women giving birth, vaginally and without intervention (and particularly at home), I've got lots of very mixed feelings about elective caesareans. On the one hand I see them as the ultimate in intervention and therefore anathema to my ordinary stance. Also as something which our community is 'selling' to women. That women often take the elective Caesaean as a poorly informed choice. That these women are sadly missing out on something wonderful and sacred. That it is an unfair use of resources. That we are not given colostomy bags because we can't be bothered pooing. That it should not be there as a choice. That it would be better if women were supported through there worries and fears about giving birth. That it would be wonderful if women stopped wanting/needing all that time managed 'control' which is cited as a reason for choosing an elective casarean. On the other hand given the general lack of one to one midwifery care and emotional/psychological support available to women and the routine scare-mongering way in which vaginal births are 'managed', women are not, in the main, well supported to give birth to their babies. I wonder about links between previous sexual abuse and elective choice. About sexually transmitted diseases (which are still socially taboo) yet very prevalent. About family stories which go back generations and inculcate fear. If I have been abused letting go and trusting my body may be difficult. If I have genital herpes would I want the uncertainty of a lesion at birth time and the need to explain to everyone why my vaginal birth plans didn't happen. If I grew up on stories of grandmother's death in child birth and mother's 'need' for caesarean and aunty's haemorrhage would I doubt the birth process. As a doula I meet women with all these dilemmas. And my should(n't) mentality about elective caesareans gets all waffly and unclear. It is not just in birth that things are awry and each woman faces things the way she sees best for her. Some people face amazing challenges and over come fears while others choose not to put themselves way way out of ordinary comfort zones. I can only say for me what is my way forward. I can also recognise these kinds of issues and respect, love and support women: to be clear about what they want, to challenge themselves (if they want to) and to be non-judgemental about different ways of being. What I think SHOULD be the case is that women have midwives, doulas, friends and services to support them and encourage them in their own personal birth journey. Perhaps then we might begin to tackle some of the broader issues which birth puts us in contact with. Not sure I've put all this very clearly - I keep seeing the grey while still veering from black and white. Margie At Sun, 3 Nov 2002 17:22:19 +1030, Jo Dean Bainbridge ([EMAIL PROTECTED]) wrote: I have often thought that those who want elective cs for no medical reasoning then it should be considered 'cosmetic' and should be treated like cosmetic surgeryYOU pay! Perhaps the cover should be more costly for those who elect surgery? The argument that cases of FTP and CPD would increase: but that would be obvious and the medicos would have allot of explaining to do to justify it. There will always be loop holes for women and doctors to get their sections, but it could be a deterrent. Elective CS cost insurance companies thousands of possibly unnecessary dollars. It should be structured like car insurance: those who live in high crime areas have to pay more- therefore those who elect unnecessary surgery should pay more. There should be a strict criteria which allows emergency cs as exempt from charges. As I said before the chances are the 'emerg' cases will increase but they are leaving themselves open for close scrutiny. What concerns me about insurance companies power over care is that there are reports that doctors who are 'allowing' vbac will be facing higher insurance costs due to the increase risks.call me biased but THAT IS CAUSE FOR CONCERN! well, there is my 5c worth (about all I have got!) Jo Bainbridge founding member CARES SA email: [EMAIL PROTECTED] phone: 08 8388 6918 birth with trust, faith love...erns+me+about+insurance+companies+power+over+care Looking for a free email account? Get one now at http://www.freemail.com.au/ -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or
Re: [ozmidwifery] ARM
Well said, so funny and so devastatingly true!! Tragi-comedy indeed! Liz Mc - Original Message - From: Aviva Sheb'a To: [EMAIL PROTECTED] Sent: Monday, November 04, 2002 10:56 AM Subject: Re: [ozmidwifery] ARM Mess?! considering how much mess -- not just in one room, but on the planet -- all babies/children/adolescents/adults make from conception to decomposition, what's a bit of amniotic fluid once every so many years??? A beautiful flowing indeed. Aviva - Original Message - From: Larry Megan To: ozmidwifery Sent: Monday, November 04, 2002 8:08 AM Subject: [ozmidwifery] ARM Hi Jo, after reading your e-mail it makes me realise something about myfirst birth. It was suggested by my Ob at 9cm to have waters broken, I wasnearly there and if left longer the waters will come out with pressure andmess every where. He did say it might speed things up a bit. Ignorantly Iagreed but fortunately my baby was coming out, his help or not. This wouldbe another of those informed consent things I suppose. Interestingly mywaters did not break until just before head crowned with my next two babies,strange how my private midwife was NOT AT ALL fussed with this? Thenagain it was my house I was making the mess in!Megan.
