Re: [ozmidwifery] Tramadol

[Kathleen Fahy]

I doubt very much if this drug has been tested and approved for pregnant 
women.
 
My daughter was precribed it for post op pain and experienced the following 
side effects (which are also described in manafacturer's leaflet;
 
feeling of fever
feeling weid and strage and restless
rash
nausea (quite bad).
 
She ended up only taking one dose.
 
Kathleen
 
--Kathleen 
FahyProfessor of MidwiferyHead of School of Nursing and 
MidwiferyFaculty of HealthThe University of NewcastleUniversity 
Drive,Callaghan, 2308
 
Ph 02 49215966
 
Fax 02 49216981>>> [EMAIL PROTECTED] 09/12/02 12:35pm 
>>>
Hi 
The anaesthetic dept. at the hospital where I work 
has asked the pharmacy to look at removing pethidine from the formulary for both 
general and maternity clients (mainly because of adverse side-effects). They 
suggest that tramadol is a safer alternative and that a "number of published 
studies"  have shown that; 

  it is safe and effective in labour and 
  birth
  it doesnt cause respiratory depression in mother 
  or baby
  it has no adverse effect on:
  
- length of labour
  
- incidence of instrumental birth
  
- neonatal outcome
 
I have not read these studies. I am interested in 
hearing a discussion around the use of this drug and where other hospitals 
around the country are at in terms of using both pethidine or tramadol in 
labour.
 
Lisa
 
 
 

Re: [ozmidwifery] Fetal Distress

[Kathleen Fahy]

Since the vena cava is on right the reason for choosing to turn onto the 
left side is to relieve any vena caval compression.  You were right.
 
KF
 
--Kathleen 
FahyProfessor of MidwiferyHead of School of Nursing and 
MidwiferyFaculty of HealthThe University of NewcastleUniversity 
Drive,Callaghan, 2308
 
Ph 02 49215966
 
Fax 02 49216981>>> [EMAIL PROTECTED] 09/17/02 
09:41pm >>>
A woman I was looking after last night came in at 
Term, contracting. Everything was pretty straight forward. I did a 'routine' 
admission CTG (because that's what I was told to do) and after 10 mins, there 
were decelerations to 60bpm lasting 4-5 mins!! I was about to ask her to roll 
onto her LEFT side because that is what I was taught but the other midwife (in 
charge) came in and told her to roll onto her right side.
Who was right? I thought placental perfusion was 
more effecient if the woman was lying on her left side.
 

Eliza

Re: [ozmidwifery] FW: National Maternity Action Plan

[Kathleen Fahy]

Dear Justine,
 
I have just read your posting to Ausfem, you are doing a great job.  I 
gather from your later comments it wasn't well received.  If we are failing 
to reach feminists then I am worried.  What were there issues or 
concerns?
 
Kathleen
 
--Kathleen 
FahyProfessor of MidwiferyHead of School of Nursing and 
MidwiferyFaculty of HealthThe University of NewcastleUniversity 
Drive,Callaghan, 2308
 
Ph 02 49215966
 
Fax 02 49216981>>> [EMAIL PROTECTED] 09/17/02 
10:16pm >>>
Hey Carolyn,Let me 
  know if I stirred up a hornet’s nest on Ausfem.  I am no longer a 
  subscriber.As for the “In Solidarity” I sincerely mean it, a left over 
  of the union movement, where most didn’t mean it!!! But don’t worry I won’t 
  call you Comrade!!  Look forward to catching up in Newcastle on the 
  12thJustineBrilliant Justine! What a 
  woman, Roll on 
  NMAP!in solidarity (I REALLY like this 
  sign off!)Carolyn Hastie 
  
  -Original 
Message-From: [EMAIL PROTECTED] 
[mailto:[EMAIL PROTECTED]]On Behalf Of Justine 
CainesSent: Monday, 16 September 2002 11:22 PMTo: 
OzMid ListSubject: [ozmidwifery] FW: National Maternity Action 
PlanDear Oz MiddersFYI, I 
posted the following reply on Ausfem-PolnetIn 
SolidarityJustine Caines
-- Forwarded MessageFrom: 
  Justine Caines <[EMAIL PROTECTED]>Date: Mon, 
  16 Sep 2002 23:20:07 +1000To: 
  <[EMAIL PROTECTED]>Subject: 
  National Maternity Action PlanDear Barbara and AllIt’s 
  pretty insulting to the great women across the country who have put many 
  months into the development of this document  to say you haven’t read 
  it and then launch in with uninformed comment.The National 
  Maternity Action Plan (NMAP) combines the plethora of evidence based 
  research that determines midwives as the most appropriate and cost 
  effective carers for the vast majority (80-85%) of women.  NMAP is 
  not about homebirth, NMAP is about all women being able to choose the care 
  of a known midwife regardless of where they give birth.Less than 
  1% of Australian women can access the care of a known midwife.  In NZ 
  where women are able to choose their carer (legislation entitles a 
  Midwife, GP and Obstetrician to be paid the same rate and women elect 
  their carer and are funded by a ‘birth payment’) they have seen a rise in 
  midwife care in 8 years from 14% to 72%.  Women In Australia 
  do not have equity of choice.  In fact if a woman chooses to pursue a 
  natural birth with a known midwife in the vast majority of cases she will 
  have to fund the care herself (via an independent midwife).  The cost 
  of an independent midwife for the entire care from early pregnancy to 6 
  weeks post-natally including 1 on 1 care during the birth is less than a 
  caesarean section alone.  Please don’t bandy choice when as a 
  childbearing woman I can access an elective caesarean tomorrow without any 
  medical indication that is considered 2-4 times more dangerous than a 
  normal vaginal birth but I am actively discriminated against if I choose 
  to access international best practice in maternity, the care of a known 
  midwife.I see the ‘choice’ of intervention for women in very safe 
  hands, the medical lobby is very powerful and continues to claim 
  interventionist practices as safer, despite an increase in the maternal 
  death rate by 70% (The  NH&MRC Report 
  revealed 46 direct maternal deaths showing an increase of 19 direct 
  maternal deaths when compared to the 27 recorded in the previous 
  triennium. This is the highest number of direct deaths reported since the 
  1979–81 triennium). http://www.nhmrc.gov.au/publications/pdf/wh32.pdfJustine CainesMum to Ruby, nearly 3, Clancy 18 
  months and Will 2 and a half monthsACT President – The Maternity 
  Coalition--- Barbara McGarity <[EMAIL PROTECTED]> wrote: > Ihave 
  not read the whole action plan, but I would> be concerned if it led 
  to an effort by government to> push women out of maternity 
  hospitals/wards because> it would be cheaper for the government. 
  Women should> have choice, and there are many women who 
  have> successful home births, but women should not be> 
  coerced. (Sometimes women are coerced also into> thinking there is 
  something wrong or unwomanly with> accepting pain reduction 
  measures, and feel guilty> when the birth comes and they need 
  them.) Sometimes> equipment is needed urgently when there is a 
  glitch> in the birth, and some women gain confidence from> 
  knowing that they have the hospital resources> immediately 
  available. Women need to be adequately> informed about all options 
  and risks before making a> decision.>> I well 
  remember when one grandchild 

[ozmidwifery] Re: [NMAPAustralia] ABC News - Lobby group pressesfornational midwifery program

[Kathleen Fahy]

Dear Justine,
 
You are doing a brillant job. So glad you followed up and clarifed.
 
Keep up the good work.
 
Best wishes,
 
Kathleen
 
--Kathleen 
FahyProfessor of MidwiferyHead of School of Nursing and 
MidwiferyFaculty of HealthThe University of NewcastleUniversity 
Drive,Callaghan, 2308
 
Ph 02 49215966
 
Fax 02 49216981>>> [EMAIL PROTECTED] 09/25/02 
03:36pm >>>
Hello Listers & NMAPersA few points 
  in relation to the ABC coverage of the NMAP launch yesterday (those on Oz Mid 
  see ABC posting below).I was quite disappointed in Auntie's coverage 
  of the NMAP launch, particularly the comment they reported from the NSW Health 
  Care Complaints Commissioner, Amanda Adrian.  I called her this morning. 
   She relayed what she said to the ABC and commented that she had been 
  totally misrepresented.She applauded a consumer plan for maternity 
  reform, she did say that focussing on one professional group was fatally 
  flawed, however, that if this plan looked across the continuum then it was a 
  positive step.  So the ABC just chopped off the however bit, how 
  convenient! She also quoted that complaints received by the commission 
  were largely from obstetric care, she backed up our claims for increased 
  midwife led care confirming their consistency with the NSW Sherman Report of 
  1989!!! and said that the argument against using midwives due to provider 
  numbers was unnecessary as this presented government with an opportunity to be 
  ‘creative with funding.’I am also concerned that as a national 
  consumer body asserting our rights to evidence based and cost effective 
  maternity care that we are branded with the negative ‘lobby group’ tag. 
   We are women and mother’s fighting for what we are totally entitled to 
  and it is a disgrace we are fighting at all!!!Yes we are lobbying, but 
  if we’re a lobby group, then the AMA is the most powerful union in the 
  country, constantly holding the government to ransom, often without 
  cause.I am going to approach Media Watch this afternoon.  I think 
  they may be interested in this.Discounting 12 months work and a 
  national campaign driven by women and mothers based on misrepresentation (and 
  the unhelpful comments of Jackie Kelly re Medicare Provider numbers) is not 
  on!Yours in the struggle and in solidarityJustine 
  CainesMaternity CoalitionPosted: Tue, 24 Sept 2002 7:59 
  ACSTLobby group presses for national midwifery 
  programAustralia is being urged to follow the lead of other 
  OECD countries, such as New Zealand and the United Kingdom, and implement a 
  national community midwifery service.The National Maternity Coalition 
  has spent 12 months investigating the benefits and costs of a national 
  community midwifery service.The program would give Australian women 
  access to one-on-one care by a midwife from early in pregnancy until their 
  baby is four to six weeks old.Coalition president Barbara Vernon says 
  a national scheme could be up and running within five years by using the 
  Western Australian Midwifery Program as a template."That's had two 
  independent evaluations and has excellent clinical outcomes and women are 
  highly satisfied with the care they receive," Dr Vernon said.However, 
  New South Wales Health Care Complaints Commissioner Amanda Adrian has warned 
  against focussing only on midwives."Any plan that focuses on 
  practitioner groups only is fundamentally flawed," Ms Adrian said. 
  

Re: [ozmidwifery] Vic Launch of NMAP

[Kathleen Fahy]

Joy,
 
 
Thank you for sharing this.  It sounds like a fantastic day. What a 
wonderful thing when we all work together for a common goal.
 
I want to acknowledge your unique contribution to the NMAP project.  
You are an outstanding leader in midwifery.
 
Kathleen
 
 
 
--Kathleen 
FahyProfessor of MidwiferyHead of School of Nursing and 
MidwiferyFaculty of HealthThe University of NewcastleUniversity 
Drive,Callaghan, 2308
 
Ph 02 49215966
 
Fax 02 49216981>>> [EMAIL PROTECTED] 09/25/02 
05:34pm >>>Report from Joy JohnstonThe launch at Women's 
Health Victoria was attended by the guest speakers,several politicians and 
political hopefuls, a group of mothers and beautifulnew babies, ACMI 
representatives and MC committee members, and Channel 9.Leslie Arnott did a 
wonderful job as the coordinator of the launch. Thelaunch was given a good 
report on Channel 9 evening news, and even includedsome segments from Vicki 
Chan and Nic Edmonstone's lovely video.Rhonda Galbally lead into the 
launch by reiterating some of the sentimentsshe expressed at the launch of 
Kerreen Reiger's new book, 'Our bodies, ourbabies'.  She highlighted 
the lack of activity by Australian feminists intaking a stand on how babies 
are born and nurtured, and the unacceptablelack of choice that Australian 
women have in birthing their babies, whencompared with other 
countries.Bobby Carroll spoke passionately about trust between a woman 
and her knownmidwife.  Prof Jeremy Oates supported the notion of women 
choosing theirmodel of care, and better use of midwifery skills.The 
Health Minister, Hon John Thwaites, sent an apology, and was representedby 
Bob Stensholt MP who is member for Burwood.  Bob informed the 
meetingthat the Minister is looking forward to meeting with us in the near 
future.This is a very positive step, and we will follow up on it - getting 
aninvitation is not easy.  Also Mary Draper from DHS was there, and I 
believeMary is very impressed by the level of consumer activity around NMAP. 
Mary'sacademic work was all about consumer participation in health policy 
andservice provision. Eyebrows were raised when Rhonda pointed out the stack 
ofsigned Petition forms on the table, representing the signatures of 
10,000people.The Greens candidate for Melbourne spoke very well in 
support of NMAP.There was good representation from rural Vic, with ACMI 
branch executivemembers from Mildura, Bendigo and Ballarat.  They were 
able to speak to theTV reporter about the support of rural communities for 
NMAP, and rural womengot a mention in the news report that went to 
air.The NMAP launch in the city was followed by a picnic at Wattle 
Park.  It wasvery well attended, with 60-70 people.  The local 
newspaper sent a cameraman.  The local MP, Bob Stensholt, showed up 
there too, and cuddled a lovelycalm home-born baby named Orana for the 
pictures.  Also the Liberalcandidate for the electorate came - she was 
very interested, having birthedher children in a Birth Centre.  Andrea 
Bilcliff and her 2 children Matthewand Claire did a great job organising the 
picnic, and it was wonderful thatso many people were able to come.I 
look forward to hearing reports on the other launches, and to tangibleaction 
being taken as a result of the marvellousgroundswell of activity that has 
come out of NMAP. I want to thankespecially Tracy and Barb for their 
excellent leadership, and everyone elsewho has contributed. I am proud to be 
one of the team.Joy Johnston--This 
mailing list is sponsored by ACE Graphics.Visit  to 
subscribe or unsubscribe.

[ozmidwifery] Community Midwifery Reminder

[Kathleen Fahy]

  
  

  ‘Achieving a Community Midwifery Program in the 
  Hunter’ workshop will be held on Saturday 12th October 2002 
  from 9.30am-4.30pm in the Richardson Wing at the University of Newcastle. 
  
  

   
  

  A workshop 
  will be held at the University of Newcastle this Saturday to discuss ways 
  to promote drug and surgery free natural birth.  
  Workshop 
  organiser, Professor Kathleen Fahy from the School of Nursing and 
  Midwifery, says childbirth is the only area of our health system where 
  most of the people cared for don’t have a medical problem. 
  
  “We would like 
  to see more emphasis on natural child birth process attended by trained 
  midwives, leaving specialist obstetricians to care for women who need 
  their expertise when a problem occurs,” said Dr Fahy.
  “For 
  more than 80% of women, pregnancy and childbirth are normal and straight 
  forward and midwives are the experts in normal pregnancy and 
  childbirth."
  “Research 
  shows the present system leads to a much greater incidence of surgical 
  births (forceps, vacuum extraction and caesarean section) often resulting 
  in damage to the woman’s body without any improvement in the outcomes for 
  the baby.”
  The workshop 
  will examine ways the community can provide additional services to mothers 
  including home births through the John Hunter Hospital.
  “The new 
  option that we’d like to discuss is the ‘midwifery continuity of care’ 
  model,” said Professor Fahy, “where the midwife meets the woman early in 
  the pregnancy and provides her with all her antenatal, labour, birth and 
  postnatal care up to six weeks after the birth.”
  “The benefit 
  is that most of this midwifery care can be provided in the woman’s own 
  home where she feels safe and in control. The continuing care allows the 
  midwife and the expectant mother to form a relationship of 
  trust.”
  “We have found 
  that women who give birth using the continuity of care model have the 
  lowest surgical birth rates and the highest rates of satisfaction with 
  carers without any increased risk.”
  Speakers at 
  the workshop include; Justine 
  Caines Maternity Coalition Activist; Dr Andrew Bisets Obstetrician and 
  Lecturer; Anne Saxton Service 
  Manager John Hunter Hospital; Denise Hynd Midwife Activist; Karen Arthur Hunter Homebirth 
  Group and Bruce Teakle Birth 
  Activist.  

 
 
--Kathleen 
FahyProfessor of MidwiferyHead of School of Nursing and 
MidwiferyFaculty of HealthThe University of NewcastleUniversity 
Drive,Callaghan, 2308
 
Ph 02 49215966
 
Fax 02 49216981

[ozmidwifery] Re:

[Kathleen Fahy]

Dear Elizabeth,
 
I can certainly understand your disappointment but you are not alone and we 
will not give up or give in.
 
I am interested in Humanized birth.  Is it a video sequence?  How 
do I get a copy?
 
Kathleen Fahy
 
--Kathleen 
FahyProfessor of MidwiferyHead of School of Nursing and 
MidwiferyFaculty of HealthThe University of NewcastleUniversity 
Drive,Callaghan, 2308
 
Ph 02 49215966
 
Fax 02 49216981>>> [EMAIL PROTECTED] 10/28/02 
09:47pm >>>
Dear Fellow Social Justice Seekers,
 
The appointment I had with a Sal Lintott in 
Melbourne, was to discuss the issue of women's choice in childbirth, of which 
they have none.   It is also an increasing global issue - 
particularly in developed countries, and recommended by the World Health 
Organization in 1985 as being of paramount importance.  
 Reference can be given if necessary.
 
Industrialized childbirth harms future generations, 
and leads to lack of respect for nature and the environment.   It is 
so important.
 
Sal did not turn up, and I left 50 minutes later, 
disappointed and heartbroken.   
 
Is anyone at the other venues interested in a 6 
minute segment of HUMANIZED BIRTH which needs no words to say what it is about 
except for future generations rights, as well as womens rights..   
ie.  the right to non violent birth.    It can be arranged 
that women will attend post screening to explain the situation to interested 
parties. 
 
sincerely,
 
Elizabeth McAlpine  

[ozmidwifery] Online version of KEMH report

[Kathleen Fahy]

Following the NSW state midwifery confernce I was asked to provide the web 
address where people can access the report into King Edward Hospital for 
free.
 
A hard copy can be purchased from State Law Publishing WA or an electronic 
copy can be obtained at the web address below. http://www.slp.wa.gov.au/publications/publications.nsf/inquiries+and+commissions?openpage 

 
best wishes,
 
Kathleen Fahy
 
--Kathleen 
FahyProfessor of MidwiferyHead of School of Nursing and 
MidwiferyFaculty of HealthThe University of NewcastleUniversity 
Drive,Callaghan, 2308
 
Ph 02 49215966
 
Fax 02 49216981

RE: [ozmidwifery] "training"

[Kathleen Fahy]

Dear All,
 
It is a real disappointment to me that the national ACMI competencies have 
not been adopted by NSW nurses registration board.  It deminishes midwifery 
as a profession when there is this division.
 
Kathleen Fahy
 
--Kathleen 
FahyProfessor of MidwiferyHead of School of Nursing and 
MidwiferyFaculty of HealthThe University of NewcastleUniversity 
Drive,Callaghan, 2308
 
Ph 02 49215966
 
Fax 02 49216981>>> [EMAIL PROTECTED] 11/07/02 
03:47pm >>>

Dear 
Liz
The ACMI competency 
standards have not been adopted by all registering authorities. For example the 
Nurses Registration Board of NSW has a set of seven competencies for midwives 
which bear little resemblance to the ACMI competencies.  They can be access 
at www.nursesreg.nsw.gov.au.
Part of my role is to 
assess overseas qualified midwives seeking authorisation to practice 
midwifery.  Happy to talk to you about that at anytime
Janet
 
-Original 
Message-From: 
[EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]] Sent: Tuesday, 5 November 2002 4:08 
PMTo: 
[EMAIL PROTECTED]Subject: Re: [ozmidwifery] 
"training"
 
In a message dated 5/11/02 3:15:31 
PM AUS Eastern Daylight Time, [EMAIL PROTECTED] 
writes:
Dear midwife 
students.I 
need to review a training program/strategy.Can 
anyone send me something, with competencies/objectives??Many 
thanksLiz 
McAlpine
Hi 
Liztry the ACMI webite at www.acmi.org.au...under the link of 
profssional documents you will find the ACMI Competency Standards for Midwives 
(2002). These standards are the minimum 'benchmarks' for midwifery 
practice.Cheers Tina P.

Re: [ozmidwifery] Homebirth Australia Journal

[Kathleen Fahy]

Congratulations but if you want it to fly you will need to set it up 
properly with an editorial board and formal links to library seaching systems 
(like CHINAL).
 
I can get you more info if requested privately.
 
Kathleen Fahy
 
--Kathleen 
FahyProfessor of MidwiferyHead of School of Nursing and 
MidwiferyFaculty of HealthThe University of NewcastleUniversity 
Drive,Callaghan, 2308
 
Ph 02 49215966
 
Fax 02 49216981>>> [EMAIL PROTECTED] 11/22/02 
11:44am >>>Hi everyoneJustine Caines and I are going to 
work on producing a Homebirth Australia Journal - next Monday.How much 
of a 'journa'l it is depends on contributions. We'd be delighted to 
receive  ideas, relevant articles, birth stories etc.Please email 
me privately  at margieperkins@ freemail.com.au with your contributions 
TIA  
MargieLooking 
for a free email account?Get one now at http://www.freemail.com.au/

Re: [ozmidwifery] Bumper stickers for ladies!

[Kathleen Fahy]

Dear Aviva,
 
I am one of those people who object to the term 'lady' and here is 
why.
 
Lady is a term that has a particular set of expected behaviours.  
Those behaviours are the traditional feminine and submissive ones.  Some 
women like behaving like ladies as it gains approval and assistance.  Other 
women don't like behaving in those ways, or at least not all the time.  In 
other words we don't want those expectations of behaviour put upon us by 
others.
 
Thus, I cringe when I hear women who are the clients of midwifery services 
referred to as 'ladies' instead of 'women'.  The concept of woman has not 
such behavioural expectations associated with it.
 
Best wishes,
 
Kathleen
 
--Kathleen 
FahyProfessor of MidwiferyHead of School of Nursing and 
MidwiferyFaculty of HealthThe University of NewcastleUniversity 
Drive,Callaghan, 2308
 
Ph 02 49215966
 
Fax 02 49216981>>> [EMAIL PROTECTED] 12/01/02 11:04am 
>>>
Hello, All,
 
I refer to myself as a human being, a woman, as a lady, but most 
importantly, as me. 
 
One of my definitions of Woman: Woe to any man who attempts to harness 
me!
 
A very dear male friend of mine defines a lady as a woman who has the 
patience to sit while the gentleman goes around to make her life just that 
little bit easier for a moment, by opening the car door and hold it open for 
her...to show his appreciation of her. After all, if she's wearing a dress, 
&/or high heels, OR is pregnant, mothering, menopausing, PMT-ing, or 
otherwise feeling in any way vulnerable, small acts like opening heavy doors 
etc., can make her life easier. Personally, I like that. It was only when I was 
pregnant with Leslie and found opening very heavy doors to public buildings, and 
standing in trams became an issue for me, that I realised being a lady DID NOT 
mean sitting with one's knees together, but meant allowing others to make my 
life pleasanter.
 
Enough of my prattling...I have some wonderful news! I'll put it in a 
separate email, so for those who have had no interest in the lady bit will still 
read it!
 
Love to all the women, ladies, gents etc. on the list,
 
Aviva
 
 
- Original Message - 
From: Denise 
Hynd 
To: [EMAIL PROTECTED] 

Sent: Thursday, November 28, 2002 8:38 PM
Subject: Re: [ozmidwifery] Bumper stickers for ladies!

 
Dear Pinky 
I enjoyed and then thought
about what the title we use for  ourselves 
means etymologically, overtly and co-vertly.
Do I refer to myself as a Woman, lady or 
girl??
Which do I prefer and why.
Possibly neither!Denise
 
---
 
Checked by AVG anti-virus system (http://www.grisoft.com).Version: 6.0.423 
/ Virus Database: 238 - Release Date: 25/11/02

Re: [ozmidwifery] Talipies (Leave)

[Kathleen Fahy]

I will be on leave until futher notice if you wish to speak to my Secretary with an 
urgent matter please contact her on extension 17873.


--
This mailing list is sponsored by ACE Graphics.
Visit  to subscribe or unsubscribe.

Re: [ozmidwifery] Professional Indemnity - Legal Opinion

[Kathleen Fahy]

Dear Robyn and Joy,
 
So glad you are fighting this.  I am not in Victoria but I can see the 
terrible implicaitons not just for you but for midwifery and homebirth in 
Australia.
 
I send my love and support,
 
Kathleen Fahy
 
--Kathleen 
FahyProfessor of MidwiferyHead of School of Nursing and 
MidwiferyFaculty of HealthThe University of NewcastleUniversity 
Drive,Callaghan, 2308
 
Ph 02 49215966
 
Fax 02 49216981>>> [EMAIL PROTECTED] 12/10/02 10:15pm 
>>>{\rtf1\ansi\ansicpg1252\deff0\deflang3081\deflangfe1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 
Arial;}{\f1\fswiss\fprq2\fcharset0 Tahoma;}{\f2\froman\fprq2\fcharset0 Times New 
Roman;}{\f3\fscript\fprq2\fcharset0 Comic Sans MS;}{\f4\fswiss\fprq2\fcharset0 
Arial Black;}{\f5\fswiss\fprq2\fcharset0 Berlin Sans FB 
Demi;}{\f6\fswiss\fcharset0 Arial;}{\f7\fnil\fcharset2 Symbol;}} {\colortbl 
;\red0\green0\blue128;\red255\green0\blue0;\red0\green128\blue0;\red0\green0\blue255;} 
\viewkind4\uc1\pard\cf1\f0\fs20 Robyn this is an excellent record of the 
discussions. I am happy for you to send it on further.\par Thanks\par Joy\par 
\par \pard\li720\cf0\lang1033\f1 -Original Message-\line\b From:\b0 
Robyn Thompson [mailto:[EMAIL PROTECTED]] \line\b Sent:\b0 Tuesday, 10 
December 2002 10:23 AM\line\b To:\b0 [EMAIL PROTECTED]\line\b Cc:\b0 Jan 
Robinson\line\b Subject:\b0 Meeting with Corporate Law Firm\lang3081\f2\fs24\par 
\par \lang1033\f0\fs20 Joy - you may like to add some further comments to this 
email before I post it on Yahoo \par \par Just a note to let MIPP members know 
that my appointment with Steve Dunne a Solicitor working in a Corporate Law Firm 
in Richmond was yesterday 9th December. Joy joined me for the consultation and 
gave Steve additional matters to think about. I was referred to Steve in 
particular because of his knowledge in Corporate Law.\par \par As mentioned in 
my previous notes I wanted to know\par 
\pard{\pntext\f7\'B7\tab}{\*\pn\pnlvlblt\pnf7\pnindent0{\pntxtb\'B7}}\fi-380\li1100 
where I stood as a midwife continuing to provide services without professional 
indemnity\par {\pntext\f7\'B7\tab}what recourse I would have if the Nurses Board 
follows through with the change to the Act\par {\pntext\f7\'B7\tab}what effect 
continuing to practice would have on my company and any personal assets it I was 
to be sued\par {\pntext\f7\'B7\tab}what recourse I would have if the Board 
closed my practice of 18 years\par {\pntext\f7\'B7\tab}what recourse we as 
MIPP's would have as a group of midwives if the Board follows through with 
deregistration\par {\pntext\f7\'B7\tab}what benefits there were for changing the 
name of MIPP based on the fear of being deregistered\par \pard\li720\par It was 
an interesting meeting and for me I expected the worst but received quite a 
surprise when he gave advice that felt comfortable with the logic part of my 
brain. He will reply in writing (before Xmas he said) and I will make sure you 
have access to a copy of his advice.\par \par In short he pointed out\par 
\pard{\pntext\f7\'B7\tab}{\*\pn\pnlvlblt\pnf7\pnindent0{\pntxtb\'B7}}\fi-380\li1100 
there was nothing in the Act that prevented me from continuing to practice at 
this time\par {\pntext\f7\'B7\tab}the Code of Practice is not a legally binding 
document\par {\pntext\f7\'B7\tab}if the Board and emphasised "Board", because 
the changes to Act do not mention the Minister for Health it only refers to the 
Board. The Board would not want to be sued or have any class action against 
it.\par {\pntext\f7\'B7\tab}If the Board deregisters me and removes my right to 
practice, that restricts my practice, removes my living and closes down an 
established business of 18 years.\par {\pntext\f7\'B7\tab}The Trades Practices 
Act can be invoked\par {\pntext\f7\'B7\tab}The other issue of discrimination was 
raised, this would involve Equal Opportunities.\par \pard\fi-380\li1100\par He 
believes we should in the meantime\par 
\pard{\pntext\f7\'B7\tab}{\*\pn\pnlvlblt\pnf7\pnindent0{\pntxtb\'B7}}\fi-380\li1100 
Make the media aware - prepare a media release\par {\pntext\f7\'B7\tab}Meet with 
the Board with our Lawyer present (my suggestion)\par 
{\pntext\f7\'B7\tab}Consult with the TPA\par {\pntext\f7\'B7\tab}Consult with 
Equal Opportunities\par {\pntext\f7\'B7\tab}There is no reason to change the 
name of the group MIPP just on the basis of the fear of being deregistered 
because we are in a group "In Private Practice"\par {\pntext\f7\'B7\tab}Pursue 
ANF for detail about Professional Indemnity \par \pard\fi-380\li1100\par At the 
moment he advises me to continue practising and not be afraid, I am not doing 
anything illegal, just doing what I have been doing for the past 18 years. I 
have no control of the Professional Indemnity situation at this point

Re: [ozmidwifery] NO CASE TO ANSWER! (Leave)

[Kathleen Fahy]

I will be on Leave until the 20th January, 2003.

Please direct all enquires to Isabel Higgins on 4921 6347.

Wishing you all a safe and Happy Christmas.

Regards,

Kathleen Fahy
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RE: Aust models of care

[Kathleen Fahy]

Dear Robin,
Thank you for this brief account of your caseload midwifery practice.  I
like the stream idea.  We are hoping to go this way here in Toowoomba
although we don't underestimate the resistance that we might face.  
 
We have an active but relatively small consumers group.
 
We are about to have an ACMI sponsored day to examine the possibility of a
midwifery model along the lines you mention, being implemented locally.
 
I would appreciate your advice about how to proceed.  I am particularly
interested to know your experience of beginning; what to do, what not to do
etc.  This kind of advice is like gold, if we make a political mistake we
could miss out because of it.
 

Dr. Kathleen Fahy 
Associate Professor 
Midwifery Co-ordinator 
University Southern Queensland 
07 46312377 
[EMAIL PROTECTED] 

 
 

-Original Message-
From: Robin A Sharp [mailto:[EMAIL PROTECTED]]
Sent: Friday, July 02, 1999 7:47
To: Denise Hynd
Cc: ozmidwifery
Subject: Re: Aust models of care


Dear Denise
An update for your request about the Australian models of care
The Midwife Care Project in Wangaratta did have ABS funding cease in October
98 and Susan Gumley is no longer with us (I note that this was relayed to
you in Joy Johnston's communication to the list). But we am happy to say
that the same model of care has continued for the women of Wangaratta since
1st November 1998.
 
Four midwives (2 EFT) offer continuity of care in the antenatal, intrapartum
and postnatal period as a modified caseload for up to 12 women per month.
Three streams - Midwife Care Only (MCO), Shared Care with Obstetrician (SCO)
and Obstetric Care Midwife Support (OCMS). We all order our own pathology
tests and ultrasounds, and all women are admitted to the hospital under our
own bedcard - Community Midwife Program (CMP). Community focus has been
extended to further outreach clinics in Yarrawonga and Mrytleford. Home
based antenatal care remains an option for women in remote areas.
 
We are still able to be contacted on (03) 57220256 or (03) 57220301 - Mid
ward
 
Janet Baker, Helen Haines, Janine Holland, Diana Marshall

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RE: Senate inquiry

[Kathleen Fahy]

I'm glad you posted this Sue, I was about to do the same.  I felt it was
really encouraging that the senate was looking at maternity services and
alternative models of care.  I will be writing a submission about the
safety, cost effectiveness and satisfaction of women who have a home or
birth centre birth.

I encourage each of you to write a submission.  It doesn't need to be large.
Maybe if you only address one of the specific issues.  If we don't write the
senate will conclude that there is not much support for alternative models
and not much evidence that things can be done better and more cheaply.  So
sharpen those pencils!

Dr. Kathleen Fahy
Associate Professor
Midwifery Co-ordinator
University Southern Queensland
07 46312377
[EMAIL PROTECTED]

-Original Message-
From: sue [mailto:[EMAIL PROTECTED]]
Sent: Sunday, July 04, 1999 7:21
To: [EMAIL PROTECTED]
Subject: Senate inquiry



Senate Community Affairs References Committee 

INQUIRY INTO CHILDBIRTH PROCEDURES

The Senate has referred the following matter to the
Senate Community
Affairs References Committee for inquiry and report by
30 December 1999. 

Childbirth procedures, with particular reference to:

(a) the range and provision of antenatal care services
to ascertain whether
interventions can be minimised through the development
of best practice in
antenatal screening standards;

(b) the variation in childbirth practices between
different hospitals and
different states particularly with respect to the
level of interventions
such as caesarean birth, episiotomy and epidural
anaesthetics;

(c) the variation in such procedures between public
and private patients;

(d) any variations in clinical outcomes associated
with the variation in
intervention rates, including peri-natal and maternal
mortality and
morbidity indicators;

(e) the best practices for safe and effective births
being demonstrated in
particular locations and models of care and the
desirability of more
general application;

(f) early discharge programs, to ensure their
appropriateness;

(g) the adequacy of access, choice, models of care and
clinical outcomes
for rural and remote Australians, for Aboriginal and
Torres Strait Islander
women and for women of non-English speaking
backgrounds;



(h) whether best practice guidelines are desirable,
and, if so, how they
should be developed and implemented;

(i) the adequacy of information provided to expectant
mothers and their
families in relation to the choices for safe practice
available to them;
and

(j) the impact of the new Medicare rebate provided for
complex births,
including the use of the term 'qualified and
unqualified neonates' for
funding purposes, and the impact that this has had on
improved patient care
and reduction of average gap payments.



Written submissions are invited and should be
addressed to:



The Secretary
Senate Community Affairs References Committee
Suite S1 59
Parliament House
Canberra ACT 2600



Closing date for the receipt of submissions is
6 August 1999.

For further details contact the Committee Secretary,
Phone: (02) 6277 3515,
Fax: (02) 6277 5829.

E-mail: [EMAIL PROTECTED]

Comments to: [EMAIL PROTECTED]
Last reviewed 30 June 1999
© Commonwealth of Australia

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RE: spirituality

[Kathleen Fahy]

Dear Trish,

I am a spiritual person but not a Christian.  I find your questions to be
very sensitive; one's spirituality is deeply private and deals with the most
vulnerable parts of self.

I'd be happy to talk to you about it Tassie in September.

kathleen fahy

-Original Message-
From: Trish David [mailto:[EMAIL PROTECTED]]
Sent: Monday, July 05, 1999 5:18
To: [EMAIL PROTECTED]
Subject: spirituality


Dear Listners, this is an interesting subject in a post-modern,
post-positivist world.  (apologies to those who think academics have too
much of a say, here.  I'm on a little exploring mission)

I've jsut been given a review copy of Jean Watson's (celebrated nursing
theorist) new book titled "Postmodern Nursing and Beyond"  1999 Churchill
Livingstone.  I've only had aflip through looking for material for third
year subject, Nursing as a Profession.  A particular quote caught my eye:
'Since the 19th Century, over 250 published empirical studies have appeared
in the epidemiological and medical literature in whihc one or more
indicators of spirituality or religiousness, variously defined, have been
satistically associated in some way with aprticular health outcomes'
(Levin, 1993 in Watson, 1999: 119).  This holds regardless of how
spirituality is defined or measured (bizarre thought!).  This put me in
mind of a question a colleague once asked me, how do you as an atheist
define spirituality.  I responded that my spiritual sense was well aroused
by the connectedness I feel with women, particularly while in the birhting
year, and within certain situations where connections are so strong due to
empathy and resonance, such as during times of trial and triumph.  I don't
know if it was satisfacoty to my colleague, who is a Christian.  But I
wonder what other midwives and wise women out there think.  Is it different
for us becuase we have such a connection with the life-continuum?  Or am I
romanticising/fantisizing?

What does spirituality mean when we have deconstructed and critiqued
god/goddesses out of existence?

All replies read with interest.

Cheers, Trish, oh and some other great stuff in Watson, too, but a bit 'new
age' for me just yet!
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RE: QLD midwives

[Kathleen Fahy]

Dear Marina,
This is yucky.  I never hear of witch hunts to track down medicos who are
derelict, negligent or abusive to women.  Who is behind this?  Is it the QNC
or are they responding to a complaint.  Who is making the complaint?  Aren't
complaints made against obstetricians or are they just kept quiet?

I don't expect you to have all the answers but I do want to know why this is
happening.

Kathleen Fahy
-Original Message-
From: HomeMidwifery Association [mailto:[EMAIL PROTECTED]]
Sent: Tuesday, July 06, 1999 1:18
To: [EMAIL PROTECTED]
Subject: Re: QLD midwives



Hello there all,

Here in sunny, forward thinking QLD (cough, splutter!), there is news of yet

another midwife going before the tribunal (QNC) in relation to a birth at 
which she assisted many years ago.

The primary care midwife at the birth has already been before the tribunal 
and retired rather than be subjected to restricted practice.

feeling very frustrated,

Marina

Original Message Follows
From: CATHY AND NIGEL BOCK AND DUNCAN <[EMAIL PROTECTED]>
To: Kathleen Fahy <[EMAIL PROTECTED]>,oz midwifery 
<[EMAIL PROTECTED]>
Subject: Re: direct entry
Date: Thu, 24 Jun 1999 07:25:46 -0700 (PDT)

I think the real trial in our sites has to be a Queensland Midwives
Council and all the rest will follow.  It is a terrible thing to have
ones profession governed by another largely unrelated and disinterested
profession.  A future for the ACMI if only it knew!
nigel again.


--- Kathleen Fahy <[EMAIL PROTECTED]> wrote:
 > I had a nice talk with Nicky Leap about the
 > possibility of developing direct
 > entry midwifery courses around Australia.
 >
 > In Queensland, who can become a midwife is
 > controlled by the Nursing Act
 > by-law.
 >
 > Entry to midwifery courses is restricted to
 > registered nurses. This is
 > section 23 Nursing By-law 1993.
 >
 > By-laws can be changed by the QNC council after
 > consultation; including with
 > workforce planning and with the government.
 >
 > I discussed this with Jim O'Dempsey (executive
 > officer) of QNC.  He suggests
 > that he believes that no state will go it alone and
 > that this is a national
 > issue.  He believes that no state will go it alone
 > and if they are
 > considering offering direct entry then they will
 > discuss it with other
 > states through the ANCI.
 >
 > Do you know what controls entry to midwifery
 > education in your state?
 >
 >
 > Dr. Kathleen Fahy
 > Associate Professor
 > Midwifery Co-ordinator
 > University Southern Queensland
 > 07 46312377
 > [EMAIL PROTECTED]
 >
 > --
 > This mailing list is sponsored by ACE Graphics.
 > Visit <http://www.acegraphics.com.au> to subscribe
 > or unsubscribe.
 >

===
>From Cathy Bock and Nigel Duncan.
 at
BIRTHING HANDS (Homebirth, ante/post natal care and hospital support)
[EMAIL PROTECTED]
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RE: Senate inquiry

[Kathleen Fahy]

When I have written my response I will post it on ozmidwifery.  I will do
this before sending it to the senate so I can benefit from your critique.
If there is a way we can improve or responses by being coordinated then I am
happy for that.

Dr. Kathleen Fahy
Associate Professor
Midwifery Co-ordinator
University Southern Queensland
07 46312377
[EMAIL PROTECTED]


-Original Message-
From: Heather Gulliver [mailto:[EMAIL PROTECTED]]
Sent: Monday, July 05, 1999 11:50
To: sue
Cc: [EMAIL PROTECTED]
Subject: Re: Senate inquiry


Hi All,
Please note my post today re this Senate Inquiry  was written a couple
of days ago and I couldn't get on line at the time to send it off. Hence
it will seem somewhat ignorant now the informative posts have been
written. Thanks to those who have followed through and given the info on
the areas to be investigated and how (to whom) to make submissions.
Is there some way we could co-ordinate our responses??? I'll try and see
that the word is passed around to some consumer groups and our local
homebirth and ACMI branch is aware.
Once again do recognise my prior post was intended for the list some
days ago.
Cheers,
Heather.


sue wrote:

> Senate Community Affairs References Committee
>
> INQUIRY INTO CHILDBIRTH PROCEDURES
>
> The Senate has referred the following matter to the
> Senate Community
> Affairs References Committee for inquiry and report by
> 30 December 1999.
>
> Childbirth procedures, with particular reference to:
>
> (a) the range and provision of antenatal care services
> to ascertain whether
> interventions can be minimised through the development
> of best practice in
> antenatal screening standards;
>
> (b) the variation in childbirth practices between
> different hospitals and
> different states particularly with respect to the
> level of interventions
> such as caesarean birth, episiotomy and epidural
> anaesthetics;
>
> (c) the variation in such procedures between public
> and private patients;
>
> (d) any variations in clinical outcomes associated
> with the variation in
> intervention rates, including peri-natal and maternal
> mortality and
> morbidity indicators;
>
> (e) the best practices for safe and effective births
> being demonstrated in
> particular locations and models of care and the
> desirability of more
> general application;
>
> (f) early discharge programs, to ensure their
> appropriateness;
>
> (g) the adequacy of access, choice, models of care and
> clinical outcomes
> for rural and remote Australians, for Aboriginal and
> Torres Strait Islander
> women and for women of non-English speaking
> backgrounds;
>
> (h) whether best practice guidelines are desirable,
> and, if so, how they
> should be developed and implemented;
>
> (i) the adequacy of information provided to expectant
> mothers and their
> families in relation to the choices for safe practice
> available to them;
> and
>
> (j) the impact of the new Medicare rebate provided for
> complex births,
> including the use of the term 'qualified and
> unqualified neonates' for
> funding purposes, and the impact that this has had on
> improved patient care
> and reduction of average gap payments.
>
> Written submissions are invited and should be
> addressed to:
>
> The Secretary
> Senate Community Affairs References Committee
> Suite S1 59
> Parliament House
> Canberra ACT 2600
>
> Closing date for the receipt of submissions is
> 6 August 1999.
>
> For further details contact the Committee Secretary,
> Phone: (02) 6277 3515,
> Fax: (02) 6277 5829.
>
> E-mail: [EMAIL PROTECTED]
>
> Comments to: [EMAIL PROTECTED]
> Last reviewed 30 June 1999
> © Commonwealth of Australia
>
> _
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> Get your free @yahoo.com address at http://mail.yahoo.com
>
> --
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RE: Senators on Reference Committee

[Kathleen Fahy]

Good on you Carolyn,

I have a good feeling about this one too. They are asking the right
questions!  We must be both proactive and positive.  Certainly not cynical
and defeatist.  I do not believe that politicians are bad people; in this
case they are not well informed, they know it and they are asking to be
informed.  It will take a lot to turn our culture around from supporting a
medical model of birth.  We shouldn't be surprised that so many politicians
support the medical model of birth when so many women (and nominal midwives)
do too.  We have to do the leg work and keep on doing it but I truly believe
change will come because the truth is what now happens is brutal and
inhumane to women and babies.

Kathleen Fahy

-Original Message-
From: Carolyn Hastie [mailto:[EMAIL PROTECTED]]
Sent: Monday, July 05, 1999 4:48
To: [EMAIL PROTECTED]
Subject: Senators on Reference Committee


Well troups, after much tooing and froing. this is the list of the
Community Affairs References Committee, shall we approach them state by
state, group by group, person by person?  I'll write a letter to each one of
them and get the Earthsave party to do the same asking them for their views
etc before they get the submissions.

Cheers, Carolyn :-)   fun doing this isn't it  I have a good feeling
about this inquiry.  Specially as it comes about because someone has noticed
the discrepency between the outcomes of private and public care :-)   guess
they don't 'buy' the idea that privately insured women are inherently more
physically defective than their public hospital attending sisters eh???
Maybe the wool is coming off the pollies eyes?  Yippee!  praise the Goddess
of birthing women for those bright and industrious souls whose research has
pushed the alarm bells in the corridors of power.

politically yours,  Carolyn

Now, read on to see where they have come from...

> >> >> Subject: Main members of the Community Affairs References Committee
> >> >>
> >> >>
> >> >> >Community Affairs References Committee
> >> >>  Senator Crowley (Chair),   Rosemary, Labor SA
>  >>  >>   Senator Knowles (Deputy Chair), Sue, Liberal [WA
> >> >> Senators Bartlett, Andrew, Democrats [QLD
> >> >>  >Evans, Chris, Labor [ WA >> >>
[Gibbs Brenda, Labor [  QLD >> >> and
[
>  Tierney John, Liberal [NSW
> >> >>
> >> >> >Senators  Eric Abetz, Liberal  TAS >> >> Brown, BOB,GREENS [ TAS >>
> >
>
> Winston Crane,  Liberal [ WA >> >
[
> Kay Denman,   Labor [TAS
> >> > John Faulkner,   Labor [NSW
> >> > David Brownhill,Liberal [  NSW
> >> > Mike Forshaw, Labor [NSW
> >> > Brian Harradine,  Independent [ TAS
> >> > Sue Mackay,  Labor [TAS
> >> > Kerry O'Brien  ,Labor [ TAS
> >> > John Quirke  Labor [SA
> >> > Sue West ,Labor [  NSW
> >> > You can write to them all C/o Parliament House, Canberra, ACT 2601
> >> >
> >> >


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RE: QLD midwives

[Kathleen Fahy]

Dear Kerry,

I have not heard of amalgamating the boards.  Are you saying this is Federal
Government Policy.  Based on recent discussions with Jim O'Dempsey it
doesn't seem to on their agenda.  I did discuss with him midwifery's desire
for a separate board and he said it would make little difference to QNC
because most midwives were also nurses. He went on to say that in Britain
their experience with direct entry midwifery was that the majority of
graduates go on to become registered nurses as well.

Kathleen

-Original Message-
From: Kerry McGovern [mailto:[EMAIL PROTECTED]]
Sent: Tuesday, July 06, 1999 11:09
To: Kathleen Fahy; [EMAIL PROTECTED]
Subject: RE: QLD midwives


Kathleen
Just a general comment!!!
The QNC has to, by law, investigate every complaint received. They have no
ability to ascertain whether a complaint is without substance unless they
investigate.
Along this linedo you know what's happening with the health
professionals registation boards? Is it true that they are all being
amalgamated into one??? Including Physios etc? I believe it's part of the
National Competition Policy review of health professional boards.
We do really need to keep up to speed with political and administrative and
legal developments. If this is so, then how will midwifery fare under such
a system??? What do midwives PLAN to do and how is their plan informed by
women's needs??
Just in case you had nought to think about!
Cheers!
Kerry

At 10:41 AM 7/6/99 +1000, you wrote:
>Dear Marina,
>This is yucky.  I never hear of witch hunts to track down medicos who are
>derelict, negligent or abusive to women.  Who is behind this?  Is it the
QNC
>or are they responding to a complaint.  Who is making the complaint?
Aren't
>complaints made against obstetricians or are they just kept quiet?
>
>I don't expect you to have all the answers but I do want to know why this
is
>happening.
>
>Kathleen Fahy
>-Original Message-
>From: HomeMidwifery Association [mailto:[EMAIL PROTECTED]]
>Sent: Tuesday, July 06, 1999 1:18
>To: [EMAIL PROTECTED]
>Subject: Re: QLD midwives
>
>
>
>Hello there all,
>
>Here in sunny, forward thinking QLD (cough, splutter!), there is news of
yet
>
>another midwife going before the tribunal (QNC) in relation to a birth at 
>which she assisted many years ago.
>
>The primary care midwife at the birth has already been before the tribunal 
>and retired rather than be subjected to restricted practice.
>
>feeling very frustrated,
>
>Marina
>
>Original Message Follows
>From: CATHY AND NIGEL BOCK AND DUNCAN <[EMAIL PROTECTED]>
>To: Kathleen Fahy <[EMAIL PROTECTED]>,oz midwifery 
><[EMAIL PROTECTED]>
>Subject: Re: direct entry
>Date: Thu, 24 Jun 1999 07:25:46 -0700 (PDT)
>
>I think the real trial in our sites has to be a Queensland Midwives
>Council and all the rest will follow.  It is a terrible thing to have
>ones profession governed by another largely unrelated and disinterested
>profession.  A future for the ACMI if only it knew!
>nigel again.
>
>
>--- Kathleen Fahy <[EMAIL PROTECTED]> wrote:
> > I had a nice talk with Nicky Leap about the
> > possibility of developing direct
> > entry midwifery courses around Australia.
> >
> > In Queensland, who can become a midwife is
> > controlled by the Nursing Act
> > by-law.
> >
> > Entry to midwifery courses is restricted to
> > registered nurses. This is
> > section 23 Nursing By-law 1993.
> >
> > By-laws can be changed by the QNC council after
> > consultation; including with
> > workforce planning and with the government.
> >
> > I discussed this with Jim O'Dempsey (executive
> > officer) of QNC.  He suggests
> > that he believes that no state will go it alone and
> > that this is a national
> > issue.  He believes that no state will go it alone
> > and if they are
> > considering offering direct entry then they will
> > discuss it with other
> > states through the ANCI.
> >
> > Do you know what controls entry to midwifery
> > education in your state?
> >
> >
> > Dr. Kathleen Fahy
> > Associate Professor
> > Midwifery Co-ordinator
> > University Southern Queensland
> > 07 46312377
> > [EMAIL PROTECTED]
> >
> > --
> > This mailing list is sponsored by ACE Graphics.
> > Visit <http://www.acegraphics.com.au> to subscribe
> > or unsubscribe.
> >
>
>===
>>From Cathy Bock and Nigel Duncan.
> at
>BIRTHING HANDS (Homebirth, ante/post natal care and hospital support)
>[EMAIL PROTECTED]
>_
>

RE: QLD midwives

[Kathleen Fahy]

No, I have not had independent confirmation.  Jim said he was talking to a
counterpart on the UK Board for Nursing and Midwifery (not sure of the
name).
KF

-Original Message-
From: Jenny Gamble [mailto:[EMAIL PROTECTED]]
Sent: Tuesday, July 06, 1999 8:52
To: Kathleen Fahy
Cc: [EMAIL PROTECTED]
Subject: Re: QLD midwives


Kathleen Fahy wrote:
> 
> Dear Kerry,
> 
> I have not heard of amalgamating the boards.  Are you saying this is
Federal
> Government Policy.  Based on recent discussions with Jim O'Dempsey it
> doesn't seem to on their agenda.  I did discuss with him midwifery's
desire
> for a separate board and he said it would make little difference to QNC
> because most midwives were also nurses. He went on to say that in Britain
> their experience with direct entry midwifery was that the majority of
> graduates go on to become registered nurses as well.
> 
> Kathleen
>
Do we have any verification that the majority of UK midwives go on to
become registered nurses as well from a UK source without a vested
interest? I have never read this anywhere - it may be true but should be
checked becasue it has major implications for direct entry policies I
think.
Jenny
-- 
Jenny Gamble50 Greenmount Avenue
Brisbane Independent Midwives   Holland Park 
Ph +61 (7) 3397 5624Brisbane, Australia Q4121
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Submission to Senate Inquiry into Childbirth Procedures

[Kathleen Fahy]

I have a first draft of a submission to the Senate Committee and I would
like to invite criticism and suggestions.  I do not want to put the
submission on ozmidwifery because we know it leaks like a sieve.

If you would like to help me refine and improve the submission I would be
happy to send a confidential copy to you on request.

I really do want some help so please let me know if you would like to do
that in order to improve the submission for the benefit of childbearing
woman.

Dr. Kathleen Fahy
Associate Professor
Midwifery Co-ordinator
University Southern Queensland
07 46312377
[EMAIL PROTECTED]

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RE: I hate the term "witch hunt"

[Kathleen Fahy]

Dear Kerry,

I understand why midwives hate to be associated with the term 'witch'.  I
also understand that the concept of a 'witch hunt' implies an organised
system of terror and oppression such as witch hunts in the middle ages which
is clearly not what is happening now.  So why use the concept of witch hunt
at all?

Because in today's world the forms of oppression and suppression are much
more covert and subtle.  They operate at the psychic level to engender fear,
silence and passivity.  Oppression against midwives and women operates
pervasively in our culture. This means that unless an individual has freed
themselves from all the misinformation about the dangers of birth and
midwifery then each of us, to a greater or lesser extent, participates in
the oppression and suppression of midwives and childbearing women; even when
this means we participate in our own oppression and we silence and terrify
ourselves and each other.

I think the concept of the witch hunt is still a useful concept because
(even without the proof) I KNOW that the practice of independent midwives is
much more scrutinised in ways of that lead to the attachment of blame when
things go wrong, than are obstetricians or midwives who work in
institutions.  When I see midwives in independent practice picked off
(however randomly) and made to answer charges, so that the pool of
independently practising midwives gets smaller and smaller I think the
concept of a witch hunt helps us to conceptualised what is going on because
we certainly can't SEE that oppression and suppression working and yet we
KNOW it is happening.

I'd be happy to drop the concept of a witch hunt if anyone can provide a
better concept to describe the cases against so many IP midwives and the
resultant fear in the remaining ones. If we, as midwives, deny that there is
anything sinister occurring this will lead inexorably, I believe, to
midwifery being practised in only in institutions, under medical protocols
and the demise of midwifery as an independent discipline. No midwife, I
believe, wants to see this but maybe I'm wrong?

Kathleen Fahy

-Original Message-
From: Kerry McGovern [mailto:[EMAIL PROTECTED]]
Sent: Friday, July 09, 1999 3:58
To: [EMAIL PROTECTED]
Subject: I hate the term "witch hunt"


Hi all!!
I'm a fairly "conservative" person when it comes to dealing with the
bureaucracy and seeing what needs to be done and understanding why things
are done. I can weave a good reasoning for most bureaucratic bungles.
And, in doing so, I hope I can lead us out of the mire.
But this one has me spitting chips.
I heard a TV announcement this afternoon that a doctor has been charged
with manslaughter for the death of a baby girl.
The cyncial bit of me says "Well. There you go. Finally a doctor is being
held accountable. Not before time. That proves the witch hunt thing is
rubbish. Great."
Then I heard the doctor's name.
Guess what??? A doctor supportive of women birthing at home.
Seems the witch hunt is alive and well
What do you reckon???
With reluctance
Kerry
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FW: Undeliverable mail

[Kathleen Fahy]

-Original Message-
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]] 
Sent: Monday, July 12, 1999 11:16
To: Kathleen Fahy
Subject: Undeliverable mail


This message was addressed to a user that does not exist at this address.
Please verify the name and domain in the original message that follows.
The message was addressed to: [EMAIL PROTECTED]

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Message-ID: <[EMAIL PROTECTED]>
From: Kathleen Fahy <[EMAIL PROTECTED]>
To: [EMAIL PROTECTED]
Subject: RE: I hate the term "witch hunt"
Date: Mon, 12 Jul 1999 10:41:00 +1000
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Dear Kerry,

I understand why midwives hate to be associated with the term 'witch'.  I
also understand that the concept of a 'witch hunt' implies an organised
system of terror and oppression such as witch hunts in the middle ages which
is clearly not what is happening now.  So why use the concept of witch hunt
at all?

Because in today's world the forms of oppression and suppression are much
more covert and subtle.  They operate at the psychic level to engender fear,
silence and passivity.  Oppression against midwives and women operates
pervasively in our culture. This means that unless an individual has freed
themselves from all the misinformation about the dangers of birth and
midwifery then each of us, to a greater or lesser extent, participates in
the oppression and suppression of midwives and childbearing women; even when
this means we participate in our own oppression and we silence and terrify
ourselves and each other.

I think the concept of the witch hunt is still a useful concept because
(even without the proof) I KNOW that the practice of independent midwives is
much more scrutinised in ways of that lead to the attachment of blame when
things go wrong, than are obstetricians or midwives who work in
institutions.  When I see midwives in independent practice picked off
(however randomly) and made to answer charges, so that the pool of
independently practising midwives gets smaller and smaller I think the
concept of a witch hunt helps us to conceptualised what is going on because
we certainly can't SEE that oppression and suppression working and yet we
KNOW it is happening.

I'd be happy to drop the concept of a witch hunt if anyone can provide a
better concept to describe the cases against so many IP midwives and the
resultant fear in the remaining ones. If we, as midwives, deny that there is
anything sinister occurring this will lead inexorably, I believe, to
midwifery being practised in only in institutions, under medical protocols
and the demise of midwifery as an independent discipline. No midwife, I
believe, wants to see this but maybe I'm wrong?

Kathleen Fahy

-Original Message-
From: Kerry McGovern [mailto:[EMAIL PROTECTED]]
Sent: Friday, July 09, 1999 3:58
To: [EMAIL PROTECTED]
Subject: I hate the term "witch hunt"


Hi all!!
I'm a fairly "conservative" person when it comes to dealing with the
bureaucracy and seeing what needs to be done and understanding why things
are done. I can weave a good reasoning for most bureaucratic bungles.
And, in doing so, I hope I can lead us out of the mire.
But this one has me spitting chips.
I heard a TV announcement this afternoon that a doctor has been charged
with manslaughter for the death of a baby girl.
The cyncial bit of me says "Well. There you go. Finally a doctor is being
held accountable. Not before time. That proves the witch hunt thing is
rubbish. Great."
Then I heard the doctor's name.
Guess what??? A doctor supportive of women birthing at home.
Seems the witch hunt is alive and well
What do you reckon???
With reluctance
Kerry
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RE: Senate Inquiry

[Kathleen Fahy]

Clearly we have to submit it BEFORE submission but I would like advice from
anyone (? Carolyn, ? Jenny) who thinks that this may be dangerous in some
way.

Regards,

Kathleen

-Original Message-
From: Heather Gulliver [mailto:[EMAIL PROTECTED]]
Sent: Thursday, July 15, 1999 12:45
To: Kerry McGovern
Cc: [EMAIL PROTECTED]
Subject: Re: Senate Enquiry


Kerry,
What a great idea! ...However does this not contravene point 8 in the
guidlines Carolyn has thankfully supplied"Once a submission has been
received by a committee it must not be published or disclosed to any other
person in that form without the committeess's authorisation. If its
publication is not authorised not only is it not protected by parliamentary
privilege but publication may also be a contempt of Parliament."
May sound simplistic but could the Minister of Health (or your local MP for
that matter) receive a copy BEFORE the one sent to the Senate Inquiry...as
long as some how this could be verified. It would be a shame if submissions
were discounted because they contravene correct process-let alone the
'contempt of parliament' business.
Happy to have this issue clarified from someone in the know...
Heather.

Kerry McGovern wrote:

> Hi all!!
> Just a thought, but it might be a sensible idea to ensure that all
> submissions to the Senate find their way to the State Minister for Health.
> That way s/he is kept informed of what's happening the in "state's house".
> Cheers!
> Kerry
> PS Kathleen - I've had a look at yours and will respond with comments,
> though they are mainly grammatical and not substantive. Perhaps a bit of
> shadow would make the light stand out. Give some "current position"
> statements and the impact on women. Cheers!
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RE: Humour from Lactnet

[Kathleen Fahy]

I hate sexist humour whether it be anti-male or, as in this case,
anti-female.

Kathleen Fahy

-Original Message-
From: Chris and Madeline Hall [mailto:[EMAIL PROTECTED]]
Sent: Wednesday, July 21, 1999 1:32
To: [EMAIL PROTECTED]
Cc: [EMAIL PROTECTED]
Subject: Humour from Lactnet


I guess it had to happen eventually, that the men would get back at the
women !
Regards,
Madeline Hall
[EMAIL PROTECTED]

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RE: Caesarean article

[Kathleen Fahy]

Dear Hannah,
What a great effort from you for childbearing women, babies and midwifery.
I love you letter to the editor.  Not wanting to put more onto you but an
article on Medicare was also published in the Focus section of The
Australian this weekend.  Maybe a modification of your magnificant letter
would be welled placed there too.

Yours in midwifery,

Kathleen Fahy

-Original Message-
From: h&m [mailto:[EMAIL PROTECTED]]
Sent: Sunday, July 25, 1999 4:43
To: Ann Grieve; Cathy Adams; [EMAIL PROTECTED]; Linda Jones; Marie
Heath; Moira Williamson; Pamela Mulholland; Pat Brodie; Vicki Wilde
Cc: [EMAIL PROTECTED]
Subject: Caesarean article


The interview I had with the Sun Herald on elective caesarean sections
was published today in the Tempo section page 18-19 and called 'Choice
Cut.' It was actually a fairly balanced article and they only misquoted
me a couple of times. A special thanks to Andrea Robertson who gave the
journalist Liz Jones (film maker) number.

Also I have sent the following letter to the SMH in response to the
Medicare article in Saturdays SMH. Now to the Senate submission!!

Cheers Hannah


Medicare runs out of life belts

As I watch the Medicare riot build to a crescendo I am reminded of the
analogy where well meaning people work to exhaustion to pull body after
body from a river, never having time go up stream to discover why people
are in that river in the first place. As the State leaders call for a
Productivity Commission into a health system "under unsustainable
stress" (SMH, July 24th) let us finally ensure they go upstream and
really ask 'why', not down stream once again just to see 'how.' It is
primary health care and the basics of health promotion and preventative
health that have saved more lives historically than any other  form of
health care. But what money is there to be made from preventing health
problems? Technological and pharmaceutical companies would fold and the
medical profession would halve. We over intervene where we shouldn't and
under intervene where we should. Even childbirth, the most normal and
healthy of our health system's responsibilities, has been turned into an
interventive, medicalised marathon. Almost the same amount of money is
spent each year on unproven, routine prenatal ultrasound as is spent on
care of all childbearing women in Australia. We could save millions if
we stopped doing unnecessary caesarean sections and performing invalid
tests on pregnant women. We need to start funding models of care that
focus more on normality and health rather than predominately on
pathology and cure. As Medicare runs out of life belts let's hope the
Government realises that buying more won't simply solve the problem.

Hannah Dahlen, Epping
NSW Midwives Association

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FW: Urge to push

[Kathleen Fahy]

I asked our biological scientist who is associated with the midwifery course
to check this out.  Here is his answer.

Dr. Kathleen Fahy
Associate Professor
Midwifery Co-ordinator
University Southern Queensland
07 46312377
[EMAIL PROTECTED]


> -Original Message-
> From: Ron Atkinson 
> Sent: Monday, July 26, 1999 1:51
> To:   Kathleen Fahy
> Subject:  RE: Urge to push
> 
> Kathleen,
> 
> No, I don't know the answer with any certainty, and neither do the authors
> of any of the books in my library. It seems to me that everyone follows
> Sir Joh's "Don't you worry about that!" philosophy. However, my guess is
> that the urge to bear down is a reflex not unlike the urge we all have to
> move "restless" legs. It is not uncommon for people to over-exert their
> leg muscles to the point of causing microscopic injuries within the
> muscles and associated supporting tissues. These injuries then initiate
> pain input to the brain and spinal cord to which we react almost
> subconsciously by feeling the desire to move our legs to a more
> comfortable position. I suspect similar sorts of reflexes also occur
> during labour as the birth canal is stretched. The urge to push might
> therefore be nothing more than an attempt to obtain a more comfortable
> status. If this suggestion is correct, it might explain why it can occur
> with variable amounts of cervical dialatation and with different
> presentations in particular individuals.
> 
> Ron Atkinson.
> 
> -Original Message-
> From: Kathleen Fahy 
> Sent: Monday, 26 July 1999 12:19
> To:   Ron Atkinson
> Subject:  FW: Urge to push
> 
> Do you know the answer to this Ron?
> 
> Thanks,
> 
> KF
> 
> -Original Message-
> From: Pier_Leone Malavisi [mailto:[EMAIL PROTECTED]] 
> Sent: Saturday, July 24, 1999 12:06
> To: [EMAIL PROTECTED]
> Subject: Urge to push
> 
> 
> Dear all,  I have a query, I am interested in the viewpoints midwives on 
> this matter.  What is it that actually stimulates the urge to push and why
> 
> does if occur at different times ie; different dilatations of the cervix
> as 
> well as different stations for the presenting part.
> 
> Look forward to getting your replies.
> 
> Pete Malavisi. Midwife.
> 
> 
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RE: University education

[Kathleen Fahy]

Dear Karen,

What a ringing endorsement for you education at Monash!  What great
experiences you have had.  Where are you now?  Are you passing on you
knowledge and skills?
Kathleen

Dr. Kathleen Fahy
Associate Professor
Midwifery Co-ordinator
University Southern Queensland
07 46312377
[EMAIL PROTECTED]


-Original Message-
From: Karen coffield [mailto:[EMAIL PROTECTED]]
Sent: Tuesday, July 27, 1999 8:07
To: [EMAIL PROTECTED]
Subject: Re: University education


Dear All,

Megan'sletter has prompted me to add my story, as a personal contribution.

I did my Midwifery Grad. Dip. at Monash Uni, finishing in 1996. It was a
well planned and structured course, well supported by excellent lecturers
and clinical teachers. I felt I learnt a lot about the art and science of
midwifery in balanced proportions. After my course many things fell into
place and my family and I were placed as Australian Volunteers Abroad in
India. I worked in a Primary Health Care Centre, training and supporting
village health workers, who do all the ante-natal and post natal care for
rural women. I felt challenged, but well prepared by my course to do this
work with confidence, I felt the study I had completed prepared me well.

I also cared for women in an international community where home birthing is
normal and preferred. It was challenging and exciting and a priviledge to be
part of. I was nervous ofcourse, and at my first home birth was praying for
it to be safe and have a good outcome for all. It was ofcourse better than
that, a beautiful experience to be part of. I learnt to rely on my skills
and develop my intuitive knowldege. But my confidence in my ability and
skills I owe to the training I was part of. I am not a brash and
over-confident person, but a I am aware of what I know and the skills that I
learnt, and ultimately I have faith in birthing as a natural and normal
event in a woman's life. I felt confident it would become clear to me if it
was not, and on occasion when there were complications it was clear. I had
confidence in my knowldege base. I acknowledge the work of the lecturers and
tutors and knowthat it was an excellent learning environment. That knowledge
and those skills can work anywhere, not just in hospital and in Australia,

with best wishes, Karen Coffield.

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RE: Alfalfa

[Kathleen Fahy]

Marianne Idel, hombirth midwife and nutritionist would support this.
Contact me and I'll give you her phone number.  I think she has the
references.

Dr. Kathleen Fahy
Associate Professor
Midwifery Co-ordinator
University Southern Queensland
07 46312377
[EMAIL PROTECTED]


-Original Message-
From: Susan Kay [mailto:[EMAIL PROTECTED]]
Sent: Saturday, July 31, 1999 5:34
To: ozmidwifery
Subject: Alfalfa


Does anyone have any references to back up a claim by on of our clients that
if she takes alfalfa in 3rd trimester, her baby does not need Vitamin K?
Also, would be interested in dosages etc.
Many thanks
Susan
[EMAIL PROTECTED]

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RE: Direct entry

[Kathleen Fahy]

I hear you concern about rural women and agree that more rural women should
have the option to birth in their home town but I don't think that this
means that midwives who are not nurses cannot work in rural hospitals.

Eg If 120 women birth per year in a rural hospital it may take 12
nurse-midwives to cover all shifts + holidays but if caseload midwifery was
used then 3 full time midwives could provide all the care for the same
number of women.

Dr. Kathleen Fahy
Associate Professor
Midwifery Co-ordinator
University Southern Queensland
07 46312377
[EMAIL PROTECTED]


-Original Message-
From: Judy Chapman [mailto:[EMAIL PROTECTED]]
Sent: Tuesday, August 03, 1999 11:02
To: [EMAIL PROTECTED]
Subject: Re: Direct entry


I agree with Elaine wholeheartedly. I have no desire to do general nursing 
and restrict my jobsearching to hospitals big enough to employ full time 
midwives.
One of the problems not mentioned also is the lack of doctors who can/will 
do obstetrics. Many women are forced to leave their families for long 
periods and travel far because there are no facilities for C/S and of 
course, there is no way you can have a baby if there are not the facilities 
to do an emergency C/S for whatever reason.
The number of social inductions that are done in my centre for the sole 
reason of letting a woman have her baby and get home to her family is 
shocking. I don't blame the OB, his heart goes out to them in their 
loneliness and he aquieses to their request. It is a system which places so 
much emphasis on the need to do an operative delivery which is at fault.
Judy


From: "Dietsch Family" <[EMAIL PROTECTED]>
Reply-To: <[EMAIL PROTECTED]>
To: "midwifery@ace" <[EMAIL PROTECTED]>
Subject: Direct entry
Date: Wed, 28 Jul 1999 20:24:13 +1000

While I agree that Direct Entry would be a wonderful opportunity for women
choosing to be midwives and for many birthing women. I do have a concern
that I would like to share with the list.

My concern is for women choosing to give birth in small country towns all
over Australia.  Rural (let alone remote) Australia is having incredible
difficulty recruiting midwives to practice and as a result maternity
services all over the country are being closed and women are being forced
to larger centres, often many hours away to give birth (A homebirth midwife
is only a  fantasy!). Direct entry may help in encouraging more women to
midwifery.  But, in these small towns the reality is that midwives also
double/triple as accident and emergnecy nurses, gerontology nurses, etc. As
an idealist, I agree that this is awful and plays a role in discouraging
qualified midwives from practising and the health service should realise
this and do something.  As a realist, I must admit (and nearly choke as I
do so) they are - they continue to close down birthing opportunities for
rural women - it makes great sense economically - it is a tragedy for
women, their babies and their families.

My concern is that birthing opportunities for rural women will be even
further reduced if Direct Entry were to be accepted and midwives cannot
also function as nurses in rural hospitals.



Elaine  Dietsch
11 Willow St
Leeton NSW 2705
02 69 533 272
[EMAIL PROTECTED]
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RE: Response: Hunter Midwives

[Kathleen Fahy]

What a weird and defensive letter.  Is she saying that somehow the midwifery
model of care causes increases in Workers Compensation or that increases in
worker's compensation have to be paid for and rather than limit the medical
involvement in normal birth and thus save heaps of money we will take away a
service to women which is absolutely unrelated to the financial problem.

Kathleen Fahy

-Original Message-
From: Felicity Croker [mailto:[EMAIL PROTECTED]]
Sent: Thursday, August 12, 1999 1:36
To: [EMAIL PROTECTED]
Subject: Response: Hunter Midwives


This is the response I received from Prof Katherine McGrath.
Must be a standard response sent to all us who wrote letters?
What do the Hunter Midwives think about the "facts"?
Cheers
Felicity


Katherine McGrath PRIVATE   
To: DOH_HUB:"[EMAIL PROTECTED]"@DOH_HUB.SMTP
Date:   Thu, Aug 12, 1999 12:20 PM
Subject:Re: Newcastle Midwives Team
 Dear e-mailer
A few facts before casting serious aspertions on my  and the Area's
reputation.

Firstly, this was NOT my or the Area team's decision, it was recommended by
the Division of O&G and has the full support of the DON of that service who
personally supported it to me.

Secondly, it is not a decision that anyone wanted to make.  It was forced
by the problem with the growing cost of workers compensation.  The unit was
asked to identify alternatives and was unable to do so.  I am sure that
they would be delighted if your unit could identify $180,000 to pay for
their WC insurance.

Thirdly, only 10% on deliveries at JHH use this servie.  The majority of
mothers prefer other alternatives and have happy experiences with happy
healthy babies.  Midwives are and will remain a crucial part of the O&G
service and many births will be delivered by midwives.

Fourthly, the majority of midwives choose NOT to work as part of the team
midwife service because of the disruption to the personal time.

Fifthly, where is your evidence that the other approaches to pregnancy and
delivery result in worse outcomes.

Sixthly, what are you doing as a senior and inflkuential staff member to
prevent workplace injury and so avoid the cost of WC insurance   AND the
destruction of our staff's health.   !!!
Katherine

__
"Never doubt that a small group of thoughtful, committed citizens can
change the  world. Indeed it is the only thing that ever has"   
 Margaret Mead


  _--_|\,-- From Townsville ** Felicity Croker   
 /\  in sunny ** Psychology &  Sociology &
 \_.--._/North Queensland  ** Centre for Women's Studies
v   ** James Cook University   
   ** TOWNSVILLE, QUEENSLAND 4811
AUSTRALIA
  
PH: (07) 4781 4909
INTERNATIONAL: 61747814909
FAX: 61 7 4781 5117



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Negative Effects of Being a Caseload Midwife

[Kathleen Fahy]

Here in Toowoomba we are working towards a submission for caseload midwifery
within the mainstream health services. 

We expect about 10% of women to take up the offer of MMC (I know, we are
still going to move ahead in spite of what has happened at John Hunter).

The midwives on the unit have asked me to ask midwives who have made the
switch from traditional shift work to caseload to describe what the
transition was like and particularly focus on the perceived negatives of
being on-call and maybe spending long hours at some labours.  

I would appreciate your responses which I will then share with interested
midwives.

Thanks,

Kathleen

Dr. Kathleen Fahy
Associate Professor
Midwifery Co-ordinator
University Southern Queensland
07 46312377
[EMAIL PROTECTED]

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FW: Afghanistan women

[Kathleen Fahy]

 
-Original Message-
From: Debbie O'Reilly 
Sent: Wednesday, August 11, 1999 9:43
To: Mary Pye; Bernie Lang; Cheryl Perrin; Roslyn Reilly; Kathleen Fahy;
Nicchia Schutt
Subject: FW: Afghanistan women


 
-Original Message-
From: Kaye Fry 
Sent: Wednesday, 11 August 1999 9:10
To: Gayle Gilligan; Janelle Martin; Karen Smith; Debbie O'Reilly
Subject: FW: Afghanistan women


 
-Original Message-
From: Ellen Gibson 
Sent: Wednesday, 11 August 1999 9:05 AM
To: Kaye Fry
Subject: FW: Afghanistan women




This is really sad indeed. Please take note of the instructions at the
bottom of the petition.
 
Please spare a minute to read this mail. Thank you.

The government of Afghanistan is waging a war upon women. The situation is 
getting so bad that one person in an editorial of the Times compared the 
treatment of women there to the treatment of Jews in pre-Holocaust Poland. 
Since the Taliban took power in 1996, women have had to wear burqua and have

been beaten and stoned in public for not having the proper attire, even if 
this  means simply not having the mesh covering in front of their eyes.  One

woman was beaten to DEATH by an angry mob of fundamentalists  for 
accidentally exposing her arm while she was driving.  Another was stoned to 
death for trying to leave the country with a man that was not a relative.

Women are not allowed to work or even go out in public without a male
relative; professional women such as professors,translators,doctors, 
lawyers, artists and writers have  been forced from their jobs and stuffed 
into their homes, so that depression is becoming so widespread that it has 
reached emergency levels.  There is no way in such an extreme Islamic
society 
to know the suicide rate with certainty, but relief workers are estimating 
that the suicide rate  among women, who cannot find proper  medication and 
treatment
for severe depression and would rather take their lives than live in such 
conditions,has increased significantly.  Homes where a woman is present must

have their windows painted so that she can never be seen by outsiders. They 
must wear silent shoes so that they are never heard. Women live in fear of 
their lives for the slightest misbehaviour.  Because they cannot work, those

without male relatives or husbands are  either starving to death or begging 
on the street, even if they hold Ph.D.'s.

There are almost no medical facilities available for women, and relief
workers have mostly left the country. At one of the rare hospitals for
women,a reporter found still, nearly lifeless bodies lying motionless  on 
top of beds, wrapped in their burqua, unwilling to speak, eat, or do 
anything, but slowly wasting away. Others have gone mad and were seen 
crouched in corners,rocking or crying, most of them in fear.  One doctor is 
considering, when what little medication that is left finally runs out, 
leaving these women in front of the president's residence as a form of 
peaceful protest.

It is at the point where the term 'human right violations' has become an 
understatement. Husbands have the power of life and death over their women 
relatives, especially their wives, but an angry mob has just as much right 
to stone or beat a woman, often to death, for exposing an inch of flesh or 
offending them in the slightest way. David Cornwell has said that those in 
the West should not judge the Afghan people for such treatment because it is

a 'cultural thing', but this is not even true. Women enjoyed relative 
freedom, to work, dress generally as they wanted, and drive and appear in 
public alone until only 1996 -- the rapidity of this transition is the main 
reason for the depression and suicide; women who were once educators or 
doctors or simply used to basic human freedoms are now severely restricted 
and treated as sub-human in the name of right-wing fundamentalist Islam. It 
is not their tradition or 'culture',but is alien to them, and it is extreme 
even for those cultures where fundamentalism is the rule.  Besides, if we 
could excuse everything on cultural grounds, then we should not be appalled 
that the Carthaginians sacrificed their infant children, that little girls 
are circumcised in parts of Africa, that blacks in the US deep south in the 
1930's were lynched,prohibited from voting, and forced to submit to unjust 
Jim Crow laws.  Everyone has a right to a tolerable human existence, even if

they are women in a Muslim country in a part of the world that Westerners 
may not understand. If we can threaten military force in Kosovo in the name 
of human rights for the sake of ethnic Albanians, then NATO and the West can

certainly express peaceful outrage at the oppression,murder and injustice 
committed against women by the Taliban.

*
STATEMENT: In signing this, we agree that the current treatment of women in 
Afghanistan is completely UNACCEPTABL

RE: Letter to John Hunter

[Kathleen Fahy]

This is a great letter Robin; I wonder whether they will answer your
questions or just send you the form response which completely ignores the
real issues.
 
Kathleen Fahy

-Original Message-
From: Tony Payne [mailto:[EMAIL PROTECTED]]
Sent: Thursday, August 12, 1999 9:30
To: Ozmidwifery
Subject: 



Dear all on the list.   Sent this in regard to John Hunter - what a
travesty!!
 
Choices for Childbirth
Robin Payne
84 Heller Street
West Brunswick 3055
 
12.8.99
 
 
Professor W. Walters
Chairman, Division of Obstetrics & Gynaecology
John Hunter Hospital
Locked Bag no1
Hunter Region Mail Centre
NSW 2301


Dear Professor Walters
 
I run a consumer information group enabling women to make informed choices
about their care during pregnancy and labor. I am also a member of the
Maternity Coalition Inc. I have enclosed some material outlining the
activities of both of these organisations. Whilst we are Victorian based, we
continually look Australia-wide towards evidence of best practice in
maternity care to which others may aspire.
I was deeply shocked to hear of the intended suspension of the Hunter Team
Midwifery Program. 
It was encouraging to know that Hunter Health had obviously heeded the
research that shows that midwifery models of care are safer, more effective
and offer greater satisfaction to women than other obstetrically led models
of care. The Hospital is to be applauded in having taken the great step
forward in providing such a valuable model of care to women. 
How can the intended suspension of the program possibly be justified? It
cannot be justified on the grounds of safety as midwifery models of care
have been shown through volumes of research to be the safest models of care.

It cannot be justified on the grounds of economic efficiency because
midwifery care based on a wellness approach to pregnancy and labor have been
shown to be cheaper without compromising effective care or safety. 
It cannot be on the grounds of women's dissatisfaction because midwifery
models of care have been shown to provide the greatest satisfaction with
care by pregnant and labouring women. 
 
On what grounds then is the intended suspension of the Team Midwifery
program based? One must remain cynical about the suspension being only until
finances improve as any model of care that will operate in its place is
likely to be more costly and less efficient than the one its replacing!
I look forward to hearing from you. Please acknowledge receipt of my letter.
Yours sincerely
 
 
Robin Payne 
Choices for Childbirth

 
 
 
 

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RE: Occupational Health & On call

[Kathleen Fahy]

This is a generous sharing of your research summaries Felicity.  I wonder if
there is different research for those who work a full shift and then are
on-call vs caseload midwifery where there is no requirement to work shifts
and one has more control over when one does ones work?

kathleen Fahy

-Original Message-
From: Felicity Croker [mailto:[EMAIL PROTECTED]]
Sent: Friday, August 13, 1999 10:20
To: [EMAIL PROTECTED]
Subject: Re: Occupational Health & On call


Hello Trish, 
Not specifically articles about nurses "on call" but:
 1) Australian Safety News Dec 1998. Article by Steve Rotheram on the
stress generated by demands on nurses & doctors. P.28 talks briefly about
on call keeping them perpetually tense, chronically fatigued, impairing
sleep even if no calls come through. The effects can lead to problems with
personal relationships, drugs & alcohol. In young drs is a cause of suicide.


2)  Journal of Occupational Health & safety (ANZ) vol.13, no.5, Oct 1997
was a special edition.
It looked at shiftwork, work-related fatigue, dynamic rosters, female
shiftworkers

Research emphasis is on the need for recovery time to avoid accumulative
effects of fatique.  If on-call means extra shifts, longer working hours,
working unusual hours, etc. fatigue is an issue. 
The research also indictes that equity needs to be considered. This does
not mean the same shifts/on call for all. Instead, employee preferences
need to be maximised.  Balancing demand, flexibility, & individual needs
when rostering on call/dynamic rosters is the challenge.  Achieving this
balance, being equitable/fair about 'bad times' should keep employees
satisfied according Panton & Eitzen (1997).

I like the statement from a SA consultant: "Do you treat shiftwork as
serioulsy as you woudl hazardous chemicals". Goes on to point out that it
is about as dangerous.

3) Occupational Health & safety news Feb 99, had a brief piece on
shiftworkers needing longer roster breaks.

Check with your OHS officer she/he probably has all these publications.

This may be useful
Cheers
Felicity 


At 11:24 AM 08/12/1999 +1000, you wrote:
>Dear Listners
>Does anyone have any information on research whcih has been ocnducted into
>the effects of being 'on-call' on midwives or nurses?  I have a friend
>doing a masters project looking at these effects on NNICU nurses doing NETS
>transports.  Your help would be of enourmous benefit.  Ta.  Trish
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__
"Never doubt that a small group of thoughtful, committed citizens can
change the  world. Indeed it is the only thing that ever has"   
 Margaret Mead


  _--_|\,-- From Townsville ** Felicity Croker   
 /\  in sunny ** Psychology &  Sociology &
 \_.--._/North Queensland  ** Centre for Women's Studies
v   ** James Cook University   
   ** TOWNSVILLE, QUEENSLAND 4811
AUSTRALIA
  
PH: (07) 4781 4909
INTERNATIONAL: 61747814909
FAX: 61 7 4781 5117



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FW: Negative Effects of Being a Caseload Midwife

[Kathleen Fahy]

-Original Message-
From: Robyn Thompson [mailto:[EMAIL PROTECTED]] 
Sent: Friday, August 13, 1999 5:27
To: Kathleen Fahy
Subject: RE: Negative Effects of Being a Caseload Midwife


Of course Kathleen, please post on ozmidwifery, I really should have
returned it via the List, but never mind, it would be good for all to read.

Robyn Thompson   *Independent Midwife
Melbourne Midwifery
Pregnancy, Birth & Breastfeeding Service

[EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]>

[EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]>
http://www.melbmidwifery.com.au <http://www.melbmidwifery.com.au>







-Original Message-----
From: Kathleen Fahy [mailto:[EMAIL PROTECTED]]
Sent: Friday, 13 August 1999 8:50
To: [EMAIL PROTECTED]
Subject: RE: Negative Effects of Being a Caseload Midwife


Beautiful Robyn.  This is just the kind of personal detail that the midwives
have been asking for. Would you mind if I put your response on ozmidwifery?
I've got about 6 emails today so I think there is probably broad interest.

Regards,

Kathleen

-Original Message-
From: Robyn Thompson [mailto:[EMAIL PROTECTED]]
Sent: Friday, August 13, 1999 8:02
To: Kathleen Fahy
Subject: RE: Negative Effects of Being a Caseload Midwife


Dear Kathleen
After 14 years of Independent Midwifery Practice I am starting to feel the
effects of "being on call" 24 hours, over 7 days.

When I started out on this venture I really didn't have any known major
effects.  I think I was so engrossed in what I was doing the on call and
sometimes long hours were ok.

The longest time I have been involved with a woman is 60 hours and that was
with some called in help, although I don't find it easy to back off much
when I am sharing responisbility with women.  This time included the
transfer to hospital and the woman's choice not to accept  LUSCS until she
felt it was absolutely necessary.  I admire women who want to make their own
decisions and support them to take themselves to the space and time it takes
to come to their decision (about anything really).  Of course the pressure
of the system often controls these factors of decision making.  This one is
a long story and I hope it will appear either on my Website or in my book.

I also drive long distances for women who want midwife care.  The negatives
balance out the positives.  When I am on my way home after a night out (stay
overnight sometimes) I usually have this wonderful feeling of fullfilment.
Of course I have had to review my charges from time to time, because in this
society I have to make a living.  I only take 2 bookings per month
generally, this is because of the time involved being with women.  I don't
seem to have much objection to fees, the women are usually very happy with
the personalised service they receive.

I think you questions relate very much to the individual midwife.  Her
personal responsibilities and the time she is available to provide her care.
I catch up after 2 nights of sleep when deprived a bit.  Usually sleep
really well these nights.  I tend to go with the flow and have become very
aware of my body and it's ability to cope.

Hope this helps a little.

Robyn Thompson   *Independent Midwife
Melbourne Midwifery
Pregnancy, Birth & Breastfeeding Service

[EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]>

[EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]>
http://www.melbmidwifery.com.au <http://www.melbmidwifery.com.au>







-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]On Behalf Of Kathleen Fahy
Sent: Thursday, 12 August 1999 14:49
To: Ozmidwifery
Subject: Negative Effects of Being a Caseload Midwife


Here in Toowoomba we are working towards a submission for caseload midwifery
within the mainstream health services.

We expect about 10% of women to take up the offer of MMC (I know, we are
still going to move ahead in spite of what has happened at John Hunter).

The midwives on the unit have asked me to ask midwives who have made the
switch from traditional shift work to caseload to describe what the
transition was like and particularly focus on the perceived negatives of
being on-call and maybe spending long hours at some labours.

I would appreciate your responses which I will then share with interested
midwives.

Thanks,

Kathleen

Dr. Kathleen Fahy
Associate Professor
Midwifery Co-ordinator
University Southern Queensland
07 46312377
[EMAIL PROTECTED]

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RE: let's get off the round about

[Kathleen Fahy]

Well said Carol. 
 
I believe that ACMI should have consumer members if it is to be true to it's
philosophy of PARTNERSHIP.  We could have a whole discussion about what a
PROFESSIONAL organisation is and I think we would find that PROFESSIONAL
models of care and PARTNERSHIP models of care are alternate choices.  If we
see ourselves primarily as in partnership with women this means equality.
Professionalism is about elitism and about having the power/knowledge with
the consumer at a disadvantage. 
 
 
Kathleen Fahy
 
 

-Original Message-
From: Carol Thorogood [mailto:[EMAIL PROTECTED]]
Sent: Wednesday, August 18, 1999 10:56
To: Midiwifery mailing list
Subject: let's get off the round about


Dear all
 
I'm trying to be quiet but...
I know that there is nothing about consumers in the ACMI or ICM
Constitution. Therefore it'll take a bit of pushing and shoving to move it.
NZ did it, stirred up all and sundry, and grossly offended some  but there
is nothing wrong with that surely? If those from the Long White Cloud can
think laterally why can't we? But, if the members want it (and we don't know
if they do, cause no-one has asked them), then please let's get on with the
negotiations. It will take some time and at this rate I'll be at the
crematorium and we will still be debating the rights and wrongs of it all,
not that those on the list seem to be arguing the wrongs much.  I think this
issue has been circulating since the ACMI was formed. I know that Jill
Thompson and I spent ages talking about it in the early to mid eighties.
And we are still being wishy washy about it!  It is either good for the
profession and we should get on with it or leave it be.  This indecision is
paralysing us.  Good people put up ideas, they get shelved and they get fed
up and go. The next generation have good ideas (often the same) and these
are shelved and they go as well  and this goes on ad infinitum.  
 
If the members want consumers in  the ACMI, then we must tell the Executive
to please do what we ask ASAP. But it has to come from us. I think actually
that it is on the agenda in Hobart.  What is more we should make sure that
our elected members represent the members' views. And there is only one way
to do that - tell 'em, cause they may not know. 
 
Now I'm going back into hibernation!
Carol

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SMILE

[Kathleen Fahy]

 



 
SMILES 

Smiling is infectious,   
   you catch it like the flu,



When someone smiled at me today,
I started smiling too.
 
   


I passed around the corner 




   and someone saw my grin   

When he smiled I realized



I'd passed it on to him . 
   
   


I thought about that smile

then I realized its worth, 




 A single smile, just like mine
could travel round the earth. 



   





So, if you feel a smile begin, 



don't leave it undetected

Let's start an epidemic quick, 




and get the world infected!
  
 






   



 



Keep the smile going by 
sending this on to a friend.
Everyone needs a smile!!!





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FW: SMILE

[Kathleen Fahy]

 


 
SMILES 

Smiling is infectious,   
   you catch it like the flu,


When someone smiled at me today,
I started smiling too.
 
   


I passed around the corner 



   and someone saw my grin   

When he smiled I realized


I'd passed it on to him . 
   
   


I thought about that smile

then I realized its worth, 



 A single smile, just like mine
could travel round the earth. 


   




So, if you feel a smile begin, 


don't leave it undetected

Let's start an epidemic quick, 



and get the world infected!
  
 





   


 



Keep the smile going by 
sending this on to a friend.
Everyone needs a smile!!!




 ATT56282.gif

Re: John Hunter Team Midwifery axed

[Kathleen Fahy]

I followed Chris's suggestion and looked up the web site re research in
relation to one-to-one midwifery care.

Here is a copy of what I downloaded.  Sorry, most of the formatting is lost.


 <> 

Kathleen Fahy

 CaseloadMidRes.rtf

FW: Evidence-based nurse-midwifery practice

[Kathleen Fahy]

Just for those of you who thought about following up the pamphlets on
Evidence-based Midwifery Practice from ACNM.  I got onto their website and
e-mailed for info about how to order.  Here is the reply.  I've decided to
wait unit I ge the resource catalogue in the mail because I don't understand
Fax on Demand.

Kathleen Fahy

-Original Message-
From: Marion McCartney [mailto:[EMAIL PROTECTED]] 
Sent: Thursday, August 26, 1999 3:47
To: Kathleen Fahy
Subject: Re: Evidence-based nurse-midwifery practice


The fastest way to order this pamphlet;
1. Dial Fax-on-Demand 202-728-9898 and you will be given instructions for
ordering items. 
2. Order the Resource Catalog # 5003. This contains most ACNM publications
and an order form. 
3. Evidence-Based Health Care is # 410, not yet in the directory, and the
cost is $10.00 for 15 pamphlets. There is a place for credit card payments
on the order form; it takes 4 weeks to process orders.
4. In case this does not work, I am also mailing you a copy of the Resource
Catalog.
I hope that this information is useful. Please let me know if I can be of
any further assistance to you. Best Wishes-


Marion McCartney, CNM
Director,Professional Services
American College of Nurse-Midwives
818 Connecticut Ave NW, Suite 900  
Washington, DC 20006
[EMAIL PROTECTED]
202/728-9868 - phone
202/728-9897 - fax
202-728-9860, ext. 855

>>> Kathleen Fahy <[EMAIL PROTECTED]> 08/24/99 08:04PM >>>
I would like to obtain some of these pamphlets but I live in Australia.
Is it possible to order via e-mail and pay via Visa Card?

Evidence-Based Health Care; Highlights of Research Regarding
Nurse-Midwifery Practice in the U.S."

Dr. Kathleen Fahy
Master of Midwifery Course Coordinator
Department of Nursing
University of Southern Queensland
PO Darling Heights, 4352
Australia

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Why can't we practise as midwives in hospitals?

[Kathleen Fahy]

This question may seem naive but I really can't get a clear answer?

What policy or legislation requires hospital midwives to follow medical
protocols?   For example:  where do midwives stand if they don't do regular
VEs, avoids using oxytocins or keep descriptive notes rather than use a
partogram? 

I can find no legislation in Qld (which doesn't mean it doesn't exist but it
is not in the nursing act and I'm told it is not in the health services
act).

A midwifery administrator tells me that the only way in which midwives are
required to follow medical protocols is that if they don't they will not be
covered by the hospital's vicarious liability insurance.

Does anyone know anymore?


Dr. Kathleen Fahy
Associate Professor
Midwifery Co-ordinator
University Southern Queensland
07 46312377
[EMAIL PROTECTED]

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FW: Why can't we practise as midwives in hospitals?

[Kathleen Fahy]

Mandy sent me this reply but couldn't send to the list so I'm forwarding it
on.

I find the differences between South Africa and Australia very interesting.
Thank you for taking the time to answer so fully.  I'll take up some of your
points more fully in the response I am making to Joy Johnson's posting re
this topic.

Kathleen Fahy

-Original Message-
From: Mandy O'Reilly [mailto:[EMAIL PROTECTED]] 
Sent: Friday, August 27, 1999 12:13
To: Kathleen Fahy
Subject: Why can't we practise as midwives in hospitals?


Dear Kathleen

Just to introduce myself, I currently read the list but for some or
other technical reason am unable to post to the list. I am a midwife who
has adopted Australia as home, even though I am currently living in
Jakarta, Indonesia.

I studied general nursing and then midwifery in South Africa which was
my birth country. I practised in Canberra for 2 years before moving up
here due to my husbands work.

What was very interesting for me was the difference in terminology  (and
I suppose perspective) regarding both nursing and especially midwifery
in Australia versus South Africa.

In South Africa one has the Nursing Act which is government legislature
that deals with the profession of nursing. Formulated by the profession,
it stipulates a scope of practice. The terminology of the act is very
broad and discusses the role of the nurse as being independent as well
as interdependent of doctors and other heath workers. The central theme
of the act is accountability and responsibility. In real terms this
means that the nurse is responsible for any acts or omissions and has no
legal place to hide if she does not maintain her skills or follows  an
incorrect doctors order.  Competence is inherent in the requirement of
accountability. The act clearly states that the nurse may do any
procedure within her (very broad) scope of practice. According to the
act a nurse may, in an emergency and the absence of medical back-up,
carry out any procedure or administer any drugs they feel necessary to
save the life of the patient. The proviso is that they accept
responsibility for their actions.

The act discusses, actions, omissions and negligence. There are well
defined disciplinary procedures in place. These include, temporary
suspension, losing registration and the requirement that any matter with
civil or criminal liability be reported to the judicial system.

Hospital policy is merely a guideline,  it protects the hospital form
vicarious liability. Accountability is the determining factor  that
nurses use to guide their practice.
(and needles to say evidence based practice)

South African was the first country in the world to register midwives
(yes they were home birth midwives and this did not restrict there
practice.)  I believe that was in about 1890. Until the mid 1940's
nurses, midwives, dentists and doctor were all on the same register.
They now have receprocity on the various boards. This does not give them
the right to veto but appears to make communications smoother.

The midwifery act is basically the same as the nursing act (midwives are
registered separately) but it very clearly defines the role of the
midwife as being responsible for normal pregnancy, birth and labour etc.
(Interestingly is requires that midwives promote breast feeding)  The
act allows for midwives to prescribe and administer certain drugs (peth,
synto etc.) in her independent role. Once again the act is very
encompassing and gives the midwife a fair amount of autonomy.

While I am sure there aspects of the act that are debatable. The broad
terms really allow midwives to practice in a manner that is women
centred.

Midwives have admission rights, they bring in their balls, have the
light low or what ever else they feel is optimum for their women. Health
Insurance companies pay.

This has been an evolving process and obviously there is still a lot of
growing to do.

After this background and in response to your question regarding
Australia what I think is:

Midwives are too bound by hospital policy in oz. The hospital governs
their practice because they do not have legal autonomy. I have seen this
credentialing thing being totally mis-used to restrict practice,  in
what the hospital believes is its own vicarious interest. Often the folk
doing the credentialling are not that experienced. In one particular
instance I had I was told by the educator, who had never sutured an epis
or tear herself that I had to be credentialled to do this. This was part
of my basic ed 20 years ago and part of the defined scope of practice of
a midwife as I know it. Please don't take this as a gripe about me, it
is an example of  hospital policy in this particular unit at that time.

I tried to introduce the use of a ball (love them) before they were
known in oz and was told it was not going to be passed by the safety
com. They actually thought I was crazy. They are now using balls.
Another example of 

[ozmidwifery] Senior Lecturer Newcastle

[Kathleen Fahy]

Dear Colleagues,
 
 
Great to be back on the list after a long break for the King Edward Inquiry 
when I felt I couldn't be involved because of my position as panel member.  

 
I seek your assistance now in advising anyone who may be qualified and 
interested in the position of Midwifery Course Coordinator at the Newcastle 
University of Newcastle.
 
The position was advertised in Saturday's Australian Newspaper and will be 
advertised in two New Zealand newspapers.  The details are available on 
Web
 
http://www.newcastle.edu.au/oldsite/employment/adv/a205_02.html
 
I would be pleased to talk with anyone who is considering applying.
 
 
 
 
 
--Kathleen 
FahyProfessor of MidwiferyHead of School of Nursing and 
MidwiferyFaculty of HealthThe University of NewcastleUniversity 
Drive,Callaghan, 2308
 
Ph 02 49215966
 
Fax 02 49216981

[ozmidwifery] Achieving Midwifery Models in Hunter

[Kathleen Fahy]

Dear All,
 
I am attaching a flyer advertising our workshop to find ways to bring about 
publically funded midwifery models (including homebirths) here in the Hunter 
Valley.  Anne Saxton (Midwife and Service Manager has a vision to 
reactivate and revitalise midwifery models for which the John 
Hunter Hospital was once famous). 
 
We will be coordinating our efforts in line with the National Maternity 
Action Plan.  The day will be facilitated by Justine Cain a 
mother of 3 under 3 and a birth activist with Maternity Coalition.  
 
If you would like to join us for the day your energy would be most 
welcome.  There is no cost (except if you want us to provide lunch and 
morning tea but you are free to bring your own).
 
Please RSVP to Nadyne Smith (my PA) 02 49217873
 
 
 
 
--Kathleen 
FahyProfessor of MidwiferyHead of School of Nursing and 
MidwiferyFaculty of HealthThe University of NewcastleUniversity 
Drive,Callaghan, 2308
 
Ph 02 49215966
 
Fax 02 49216981


MidModelFlyerozmidw.DOC
Description: MS-Word document

RE: [ozmidwifery] Senior Lecturer Newcastle

[Kathleen Fahy]

Dear Karen,
 
I am absolutely on to it.  You may know that I have been a member of 
the ACMI taskforce to develop standards for the BMid.  The big hold up is 
getting the Nurses Registration Board changed to the Nurses and Midwives 
Board.  Currently the NRB dictates that a student in midwifery must be an 
RN to be eligible.
 
Are you by any chance Karen Arthur of Hunter Home birth?  If so, I'd 
love to talk.
 
Kathleen
 
--Kathleen 
FahyProfessor of MidwiferyHead of School of Nursing and 
MidwiferyFaculty of HealthThe University of NewcastleUniversity 
Drive,Callaghan, 2308
 
Ph 02 49215966
 
Fax 02 49216981>>> [EMAIL PROTECTED] 08/12/02 
06:24pm >>>
Hi 
Kathleen
 
Just out 
of interest, how long will it be till Newcastle Uni runs the Bachelor of 
Midwifery (direct entry) course?
 
Kind 
regards
 
Karen

  -Original Message-From: Kathleen Fahy 
  [mailto:[EMAIL PROTECTED]]Sent: Monday, 12 August 2002 
  5:19 PMTo: [EMAIL PROTECTED]Subject: 
  [ozmidwifery] Senior Lecturer Newcastle
  Dear Colleagues,
   
   
  Great to be back on the list after a long break for the King Edward 
  Inquiry when I felt I couldn't be involved because of my position as panel 
  member.  
   
  I seek your assistance now in advising anyone who may be qualified and 
  interested in the position of Midwifery Course Coordinator at the Newcastle 
  University of Newcastle.
   
  The position was advertised in Saturday's Australian Newspaper and will 
  be advertised in two New Zealand newspapers.  The details are available 
  on Web
   
  http://www.newcastle.edu.au/oldsite/employment/adv/a205_02.html
   
  I would be pleased to talk with anyone who is considering applying.
   
   
   
   
   
  --Kathleen 
  FahyProfessor of MidwiferyHead of School of Nursing and 
  MidwiferyFaculty of HealthThe University of NewcastleUniversity 
  Drive,Callaghan, 2308
   
  Ph 02 49215966
   
  Fax 02 49216981

Re: [ozmidwifery] Achieving Midwifery Models in Hunter

[Kathleen Fahy]

Dear Terry,
 
I am sorry if you posting confused you.  I am taking responsibility 
for planning the day.  I have invited Justine as our guest to use her well 
know facilitation and activist skills to help the day move forward in a really 
dynamic way.
 
I did attach the details to the last e-mail as a flyer.  Do you have 
specifc questions?
 
Kathleen
 
--Kathleen 
FahyProfessor of MidwiferyHead of School of Nursing and 
MidwiferyFaculty of HealthThe University of NewcastleUniversity 
Drive,Callaghan, 2308
 
Ph 02 49215966
 
Fax 02 49216981>>> [EMAIL PROTECTED] 08/13/02 10:44am 
>>>

  Hi,
  Can Justin Caines email me re info that maybe of 
  help.
  Terry Stockdale
  [EMAIL PROTECTED]
   
  - Original Message - 
  From: 
  Kathleen Fahy 
  To: [EMAIL PROTECTED] 
  
  Cc: [EMAIL PROTECTED] ; [EMAIL PROTECTED] ; Anne Saxton 
  Sent: Monday, August 12, 2002 5:27 
  PM
  Subject: [ozmidwifery] Achieving 
  Midwifery Models in Hunter
  
  Dear All,
   
  I am attaching a flyer advertising our workshop to find ways to bring 
  about publically funded midwifery models (including homebirths) here in the 
  Hunter Valley.  Anne Saxton (Midwife and Service Manager has a 
  vision to reactivate and revitalise midwifery models for 
  which the John Hunter Hospital was once famous). 
   
  We will be coordinating our efforts in line with the National Maternity 
  Action Plan.  The day will be facilitated by Justine Cain a 
  mother of 3 under 3 and a birth activist with Maternity Coalition.  

   
  If you would like to join us for the day your energy would be most 
  welcome.  There is no cost (except if you want us to provide lunch and 
  morning tea but you are free to bring your own).
   
  Please RSVP to Nadyne Smith (my PA) 02 49217873
   
   
   
   
  --Kathleen 
  FahyProfessor of MidwiferyHead of School of Nursing and 
  MidwiferyFaculty of HealthThe University of NewcastleUniversity 
  Drive,Callaghan, 2308
   
  Ph 02 49215966
   
  Fax 02 49216981

[ozmidwifery] Re:

[Kathleen Fahy]

Dear Judy,
 
Your first step for info is the Maternity Coalition National Maternity 
Action Plan.
 
Contact [EMAIL PROTECTED]
 
Next step, inform consumers now so that they can respond to the media and 
politicians.
 
Finally, protect yourself.  Be aware that people monitor this list, 
print off your positng and give it to yor boss.
 
Best wishes,
 
Kathleen
 
--Kathleen 
FahyProfessor of MidwiferyHead of School of Nursing and 
MidwiferyFaculty of HealthThe University of NewcastleUniversity 
Drive,Callaghan, 2308
 
Ph 02 49215966
 
Fax 02 49216981>>> [EMAIL PROTECTED] 08/15/02 10:50am 
>>>Hi AllAssistance is needed urgently.We have 
a relatively new DON in Mackay and yesterday we were told by one of the 
nurse managers that she is not in favour of midwives. Apparently we all 
think ourselves too good and she wants us to be good little nursies and go 
back to doing what the doctors tell us to do.She has given our NPC 
(ex Birth Centre and homebirth midwife) till next Fricay to justify every 
position in the unit.Wants to get rid of midwife antenatal clinic, 7 day 
EMS, Antenatal classes etc. The Birth Centre has to justify its existance 
(thank God they have a strong consumer support group).I need 
references to easily obtained evidence to assist in our case.As well I 
need a leaflet to be able to give out to women and the community on the role 
and responsabilites of a midwfe. We need community support.Also need to 
find out the midwife:Client ratio in Birthing suites, especially Qld Health 
Facilities.Thanks in 
advanceJudy_MSN 
Photos is the easiest way to share and print your photos: http://photos.msn.com/support/worldwide.aspx--This 
mailing list is sponsored by ACE Graphics.Visit  to 
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Re: [ozmidwifery] Achieving Midwifery Models in Hunter

[Kathleen Fahy]

Dear Terry,
 
Thank you so much for this very useful piece of information.
 
I'll follow up.
 
Best wishes,
 
Kathleen
 
--Kathleen 
FahyProfessor of MidwiferyHead of School of Nursing and 
MidwiferyFaculty of HealthThe University of NewcastleUniversity 
Drive,Callaghan, 2308
 
Ph 02 49215966
 
Fax 02 49216981>>> [EMAIL PROTECTED] 08/15/02 10:56am 
>>>
Hi Kathleen,
Sorry for my mix-up, and good luck on the day, I hope you 
get lots of people with many ideas.
I presented one of our members with an idea, and she has 
taken it on board to write up a proposal for us.
Community midwifery care where by a group of midwives will 
take on a case load of women and birth them in the setting of their choice or 
appropriate to them. Home or hospital. This should be paid for by the health 
system, we are still working on the proposals to take to the numerous committees 
to be considered, may be your group can help us, as we may be able to help you. 

The name of the person writing up our proposal is 

Sonia Anderson Phone 03 
62636706
88 Tongatabu Rd
Dromedary 7030
Tasmania
 
Terry Stockdale Independent Midwife

  - Original Message ----- 
  From: 
  Kathleen Fahy 
  To: [EMAIL PROTECTED] 
  
  Cc: [EMAIL PROTECTED] 
  Sent: Tuesday, August 13, 2002 5:07 
  PM
  Subject: Re: [ozmidwifery] Achieving 
  Midwifery Models in Hunter
  
  Dear Terry,
   
  I am sorry if you posting confused you.  I am taking responsibility 
  for planning the day.  I have invited Justine as our guest to use her 
  well know facilitation and activist skills to help the day move forward in a 
  really dynamic way.
   
  I did attach the details to the last e-mail as a flyer.  Do you have 
  specifc questions?
   
  Kathleen
   
  --Kathleen 
  FahyProfessor of MidwiferyHead of School of Nursing and 
  MidwiferyFaculty of HealthThe University of NewcastleUniversity 
  Drive,Callaghan, 2308
   
  Ph 02 49215966
   
  Fax 02 49216981>>> [EMAIL PROTECTED] 08/13/02 
  10:44am >>>
  
Hi,
Can Justin Caines email me re info that maybe 
of help.
Terry Stockdale
[EMAIL PROTECTED]
 
- Original Message - 
From: 
Kathleen Fahy 
To: [EMAIL PROTECTED] 

Cc: [EMAIL PROTECTED] ; [EMAIL PROTECTED] ; Anne Saxton 
Sent: Monday, August 12, 2002 5:27 
PM
Subject: [ozmidwifery] Achieving 
Midwifery Models in Hunter

Dear All,
 
I am attaching a flyer advertising our workshop to find ways to bring 
about publically funded midwifery models (including homebirths) here in the 
Hunter Valley.  Anne Saxton (Midwife and Service Manager has a 
vision to reactivate and revitalise midwifery models for 
which the John Hunter Hospital was once famous). 
 
We will be coordinating our efforts in line with the National Maternity 
Action Plan.  The day will be facilitated by Justine Cain a 
mother of 3 under 3 and a birth activist with Maternity Coalition.  

 
If you would like to join us for the day your energy would be most 
welcome.  There is no cost (except if you want us to provide lunch and 
morning tea but you are free to bring your own).
 
Please RSVP to Nadyne Smith (my PA) 02 49217873
 
 
 
 
--Kathleen 
FahyProfessor of MidwiferyHead of School of Nursing and 
MidwiferyFaculty of HealthThe University of NewcastleUniversity 
Drive,Callaghan, 2308
 
Ph 02 49215966
 
Fax 02 49216981

Re: [ozmidwifery] Aust Midwfery

[Kathleen Fahy]

Dear Denise,
 
It may be that all the models that you have below use a midwifery 
philosophy to underpin the service.  It may be that active birth is 
encouraged in these models.  But if  you ask the questions which 
health services provide funded continuity of midwifery care, how many are you 
left with?
 
It is good to see the definition of a midwifery model of care which was 
developed by a working party of midwives for Qld Health.  It should read 
"The midwife provides continuity of care as the primary care provider.
 

I know not everyone agrees that continuity is important but for me it 
is.  
 
This means THE midwife (or a very small team of 2-4).  It cannot 
include large teams of 8-20 or more.  It is vrey difficult to form trusting 
relationships with strangers.  In large teams there can be no continuity of 
carer and lots of disjointed care where women have to meet lots of strangers and 
tell their story (sometimes including DV and sexual abuse, over and over).  

 
 
Kathleen
 
 
 
--Kathleen 
FahyProfessor of MidwiferyHead of School of Nursing and 
MidwiferyFaculty of HealthThe University of NewcastleUniversity 
Drive,Callaghan, 2308
 
Ph 02 49215966
 
Fax 02 49216981>>> [EMAIL PROTECTED] 08/21/02 
01:36am >>>
Dear All 
Below my latest summary list of models of funded 
midwifery care available in Australia at the moment
if you want it as an  attachment email me off 
list 
 
please notify me if you know of any other additions 
or deletions
 
Denise Hynd
 

FUNDED AUSTRALIAN MODELS OF MIDWIFERY CARE.
A MIDWIFERY MODEL OF CARE; is based on Primary Health Care Principles whereby 
the midwife provides continuity or the majority of care as the primary care 
provider through the antenatal, intrapartum and postpartum period. The midwife 
aims to work in partnership with the woman and collaboratively with other 
members of the health care team to provide a pattern of care within this 
framework. 
FUNDED; Operating costs are predominantly borne by sources other than the 
consumer or individual practitioner (as per most Midwife in Private Practice 
cases), either by government, private companies or health funds.
The following information was gathered from participants of the Ozmidwifery 
mailing list by Denise Hynd (updated 19/8/02).
QUEENSLAND 

  The Royal Women's Hospital, Brisbane Birth Centre has a waiting list 
  of upto 80 clients/month. 
  Selangor Private Hospital (Health Care of Aust) has no routines, 
  each woman is an individual. 
  Cairns Base Hospital uses a team basis for all midwifery care. 

  Mackay Birth Centre and Hospital had admission rights for 
  MIPPs.
  Mareeba Hospital offers a range of models of midwifery care, including 
  a Birth Centre. 
AUSTRALIAN CAPITAL TERRITORY

  The Canberra Hospital has a Birth Centre and Community Midwives 
  Caseload based program.
SOUTH AUSTRALIA 

  There are Birth Centres attached to The Women’s & Children’s, 
  Flinders, Lyell McEwan, and Queen Elizabeth public hospitals each with 
  different criteria including/excluding water birth and physiological third 
  stage options.
  A 'Team Midwifery Project' operates at The Queen Elizabeth Hospital 
  Woodville. 

  The Northern Women’s Community Midwfery program was ABS funded 
  since January 1989.
NEW SOUTH WALES 

  Team Midwifery projects operate at Westmead, King George v, Royal 
  Women’s, Hornsby, Gosford, Broken Hill, Canterbury, Royal North Shore and 
  Wyong hospitals.

  St George Hospital, (Kogarah) has a St George Outreach Midwifery 
  Programme (STOMP) and a RAP (Risk Associated Pregnancy) team providing 
  continuity of care for women who develop problems late in pregnancy. The women 
  maybe seen through a Day Assessment Unit (DAU). 
  John Hunter (Newcastle) Team Midwifery project closed.
  King George V, Hospital (Sydney) has a Birth Centre which holds 
  Prenatal clinics at weekends or evenings, has homeopathic and herbal remedies 
  on hand; they also have 100% support for their woman-focused natural birthing 
  policy from the staff specialist in Obstetrics. The accredited Visiting 
  Midwives scheme ceased, but KGv is working to develop other means so 
  private midwifery clients can use the birth centre and other facilities under 
  the care of their chosen midwife.
  Camden and Nepean birth centres have closed, 

  Birth centres operate at Blacktown, St George, John Hunter and Royal 
  Women's hospitals, 
  Royal Women's Birth Centre, has a 1% episiotomy rate, 70% intact 
  perineum rate, and has a 25% waterbirth rate and did offer accreditation of 
  MIPPs.

  Liverpool Hospital’s Primary Health Midwifery Practice has closed. 
  
VICTORIA

  Team Midwifery Programmes operate at Monash Medical Centre and Royal 
  Women’s (Melbourne), Williamstown, Angelis and Ballaratt hospitals.
  Birth Centres operate at the Royal Women's, Angelis and Monash 
  hospitals.
  Birralee Maternity Unit (Box Hill) has caseloadin

Re: [ozmidwifery] NMAP on the Hill

[Kathleen Fahy]

Fabulous news.  Well done Barb and others.
 
Kathleen
 
--Kathleen 
FahyProfessor of MidwiferyHead of School of Nursing and 
MidwiferyFaculty of HealthThe University of NewcastleUniversity 
Drive,Callaghan, 2308
 
Ph 02 49215966
 
Fax 02 49216981>>> [EMAIL PROTECTED] 08/26/02 09:53am 
Subject: NMAP on the Hill>From: Vernon at Stringybark 
<[EMAIL PROTECTED]>>To: ozmid 
<[EMAIL PROTECTED]>>>Dear 
List,>>-since I've been spectacularly unsuccessful in getting off 
the List, I'm still>here!  So thought you'd all be interested in 
this.>>last Wed 21 July, Justine Caines (and 5 wk old Wil), Sally 
Tracy and myself didthe>rounds at the federal Parliament House in 
Canberra introducing people to the>NMAP.>>We had meetings 
with:>>Stephen Smith, ALP Shadow Minister for Health>Meg 
Lees, Independent>Democrats advisors Lynne Grimsey and Sue 
Irvine>Staff from the office of Senator Kay Patterson, Minister for 
Health>>It is almost a year since we did the rounds last time, and 
it was>interesting to see how things have changed since then - people 
were>generally aware of the existence of the NMAP and were happy to be 
briefed>about its relevance to the indemnity crisis and its implications 
for the>Medicare budget.>>We also focused on the lack of 
access for IPMs to indemnity insurance and>sought urgent assistance in 
resolving this issue, arguing that midwives>provide the same service as 
doctors whom the government has seen fit to>assist with indemnity 
cover.>>There was generally strong interest in the NMAP and our 
arguments on why it>should be seriously considered, with the possible 
exception of Kay>Patterson's advisors.>>We will be making 
contact with people again in a few weeks time prior to the>launch of the 
NMAP.>>cheers Barb.>National President>Maternity 
Coalition--This mailing list is sponsored by ACE Graphics.Visit 
 to 
subscribe or unsubscribe.

Re: [ozmidwifery] ACMI National Education Forum

[Kathleen Fahy]

Please accept my apologies and receive my very best wishes,
 
Kathleen
 
--Kathleen 
FahyProfessor of MidwiferyHead of School of Nursing and 
MidwiferyFaculty of HealthThe University of NewcastleUniversity 
Drive,Callaghan, 2308
 
Ph 02 49215966
 
Fax 02 49216981>>> [EMAIL PROTECTED] 08/27/02 
01:35pm >>>Hi EveryoneJust a brief reminder re the ACMI 
National Education Forum to be held inAdelaide on September 27. The program 
looks excellent and is not just formidwifery educators and lecturers. There 
is a session from consumers on thelanguage we use, sessions on mentorship 
and the AMAP results will bepresented. The afternoon promises something for 
everyone with sessionsrelating to midwifery students, midwives in their 
first year of practice andmidwives pushing the boundaries in new models and 
challenging practice.Let's also not forget the ACMI AGM and cocktail party 
to follow!Early-bird rate closes this Friday so get your registration in 
ASAP. Go tothe ACMI National website at   www.acmi.org.au toregister on-line. 
Looking forward to seeing as many of you there aspossible. Adelaide in 
September is beautiful and the wineries aren't faraway.CheersBec 
SmithEducation CoordinatorACMISAClinical Learning 
CoordinatorsTrevor Cresp  
      (pager 4287)Michelle 
Unetta Green  (pager 4428)Andrea McLay    
      (pager 4304)--This 
mailing list is sponsored by ACE Graphics.Visit  to 
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Re: [ozmidwifery] good publicity!

[Kathleen Fahy]

Isn't that just great.
 
KF
 
--Kathleen 
FahyProfessor of MidwiferyHead of School of Nursing and 
MidwiferyFaculty of HealthThe University of NewcastleUniversity 
Drive,Callaghan, 2308
 
Ph 02 49215966
 
Fax 02 49216981>>> [EMAIL PROTECTED] 08/28/02 
12:32pm >>>
Hello list!
 
I just wanted to comment on two separate tv 
inncidents I have seen in the past 24hrs that I thought were 
wonderful!
 
On Rove[live] last night the first guest, a female 
comic [who's name I forget!] was telling Rove about one of her births, how 
it was a home water birth in a pool provided by her midwife, [thats 
right listeners - the word midwife was used on prime time tv!!] how she was 
walking naked about her backyard holding on to the clothes lines and 
groaning for all to see!! Rove's face was priceless! He asked if she had to get 
into the pool just before the baby was to be born [I think he was a little 
boggled by the logistics of the whole thing!!] And she replied no, that she got 
in when she felt liked it and stayed there!! How wonderful!!
 
Then this morning on ye old Bert Newton, they had 
Frankie J Holden on and his wife Kate has just had a beautiful baby girl, 
Georgia. Bert was talking to Frankie and they cut to Kate and the bub who where 
in the throws of breast feeding! Fancy that, on national 
television!!
 
I hope you are all well.
Take care.
Love 
Jessica.  

Re: [ozmidwifery] Presenting a united front

[Kathleen Fahy]

Dear Andrea,
 
I want to add my support to the notion of not bagging ACMI.  Power to 
midwifery and birthing women will never come from divisions and infighting - 
particularly if it is played out in public (see the Democrats just now).
 
Every midwife who wants to see midwifery progress as a profession should be 
a member of ACMI.  If you don't like the way we in ACMI are working don't 
just tell someone else, tell us and offer real suggestions which you are willing 
to work towards.  Don't sit back and expect others who are working unpaid 
to know what you want or to do everything.
 
Yours in solidarity,
 
Kathleen Fahy
 
--Kathleen 
FahyProfessor of MidwiferyHead of School of Nursing and 
MidwiferyFaculty of HealthThe University of NewcastleUniversity 
Drive,Callaghan, 2308
 
Ph 02 49215966
 
Fax 02 49216981>>> [EMAIL PROTECTED] 08/29/02 
11:20pm >>>I have just been shown the weekend paper that had an 
article about independent midwives in it.  Robyn Thompson put forward a 
confident picture of not being defeated by the withdrawal of insurance but 
what I found distressing was the need of another midwife to bag the ACMI in 
public.  (Personally I believe the executive have /are continuing to 
try and do every thing they can to negotiate insurance of behalf of members 
who are practicing independently) but even if you don't believe this 
then the place to take it up is surely with the executive rather than in 
the paper.  Members bagging our professional organisation in public 
must damage the organisations credibility in the eyes of the very people we 
need to influence if we are ever to make inroads on this front.I 
understand as well as anybody the frustration those practicing independently 
without insurance but lets vent our frustration together but present a 
united front to the public.Andrea Quanchi--This mailing list 
is sponsored by ACE Graphics.Visit <http://www.acegraphics.com.au> to 
subscribe or unsubscribe.

Re: [ozmidwifery] Presenting a united front

[Kathleen Fahy]

Dear Vanessa,
 
My kind thoughts are with you.
 
Kathleen
 
--Kathleen 
FahyProfessor of MidwiferyHead of School of Nursing and 
MidwiferyFaculty of HealthThe University of NewcastleUniversity 
Drive,Callaghan, 2308
 
Ph 02 49215966
 
Fax 02 49216981>>> [EMAIL PROTECTED] 08/30/02 
09:25am >>>Dear Andrea,Thanks for this - to suggest that I 
am devastated by this article is acomplete understatement, and Robyn is not 
even a member!!Anyway those are the breaks - we are still continuing to 
move forward withthe insurance and we had a big meeting a couple of weeks 
ago with theuniversities, nurses boards etc of Vic and SAWill keep 
you posted - (please do not distribute this 
email)CheersVanessa- Original Message -From: 
"Andrea Quanchi" <[EMAIL PROTECTED]>To: "ozmidwifery" 
<[EMAIL PROTECTED]>Sent: Thursday, August 29, 2002 11:20 
PMSubject: [ozmidwifery] Presenting a united front> I have 
just been shown the weekend paper that had an article about> independent 
midwives in it.  Robyn Thompson put forward a confident> picture of 
not being defeated by the withdrawal of insurance but what I> found 
distressing was the need of another midwife to bag the ACMI in> 
public.  (Personally I believe the executive have /are continuing to 
try> and do every thing they can to negotiate insurance of behalf of 
members> who are practicing independently) but even if you don't believe 
this> then the place to take it up is surely with the executive rather 
than in> the paper.  Members bagging our professional organisation 
in public must> damage the organisations credibility in the eyes of the 
very people we> need to influence if we are ever to make inroads on this 
front.>> I understand as well as anybody the frustration those 
practicing> independently without insurance but lets vent our frustration 
together> but present a united front to the public.>> 
Andrea Quanchi>> --> This mailing list is sponsored by ACE 
Graphics.> Visit  to 
subscribe or unsubscribe.--This mailing list is sponsored by ACE 
Graphics.Visit  to 
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