Re: [ozmidwifery] Aust Midwfery
Denise Thanks for all your efforts with this list - it will be invaluable as our HS is just about to appoint our first ever CMC ( actually the official title is Clinical NURSE Consultant - Maternity - interesting that politics even affect the name of the position! Talk about problems with language!)and parrt of the brief is getting mid models of care up running. Going to be a long hard slog as there is much resistance! Great to have evidence of what is happening elsewhere in Oz. Thanks Liz McCall - Original Message - From: Denise Hynd To: [EMAIL PROTECTED] Sent: Wednesday, August 21, 2002 1:36 AM Subject: [ozmidwifery] Aust Midwfery 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 Womens Childrens, Flinders, Lyell McEwan, andQueen 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 Womens Community Midwfery program was ABS funded since January 1989. NEW SOUTH WALES Team Midwifery projects operate at Westmead, King George v, Royal Womens, 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 Hospitals Primary Health Midwifery Practice has closed. VICTORIA Team Midwifery Programmes operate at Monash Medical Centre and Royal Womens (Melbourne), Williamstown, Angelis and Ballaratt hospitals. Birth Centres operate at the Royal Women's, Angelis and Monash hospitals. Birralee Maternity Unit (Box Hill) has caseloading programme with a midwives clinic. Midwife Care Project in Wangaratta originally ABS funded, offers 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). Each midwife can order pathology tests, ultrasounds and all women are admitted to the hospital under the midwives bedcard - Community Midwife
Re: [ozmidwifery] The future? The answer?
One of my maxims to live by is - Life shrinks or expands according to one's courage (Anais Nin). - Original Message - From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Friday, August 09, 2002 10:34 PM Subject: Re: [ozmidwifery] The future? The answer? In a message dated 9/08/02 10:15:20 PM AUS Eastern Standard Time, [EMAIL PROTECTED] writes: I recently saw this quote - Lewis Moris wrote- "Stand upright, speak thy thoughts, declare the truth thou hast, that all may share. Behold, proclaim it everywhere. They only live who dare." It appealed to me. cheers, Mary MurphyHi Marythank you...this is greatit appeals to me too! :-))Yours in birth,Tina PettigrewBirthworksBachelor of Midwifery Student and Independent CBE Convenor, Aust B. Mid Student Collective.http://groups.yahoo.com/group/BMidStudentCollective[EMAIL PROTECTED]" As we trust the flowers to open to new life - So we can trust birth"Harriette Hartigan.---
Re: [ozmidwifery] Review of Maternity Unit
Lisa, Could send you a copy of the Review data if you want - send me you slow mail address. I'm on the Far North coast of NSW - Byron Bay specifically. Small low risk unit here - however referral hospitals etc were reviewed as well. Reviewers requested submissions - I wrote one for our hospital for our sub branch of the NSWMA (ACMI). Anyone who wrote a submission got a personal interview. All health facilitiesproviding maternity services had a combined interview with relevant staff. Surveys were done of clients. The Reviwe Committee brief was wide ranging. Previous to that there had been a threat to our small low risk unit - however again I wrote a submission and got the community on side - petitions, meetings etc.- we were successful in our retention of maternity services. Our HS is one of the few that do not have a CMC position - however that is about to be redressed - interviews for a new CMC Area position are soon. The far North Coast Midwives were instrumental in pushing for the position and this was supported by the Review team's findings. So...get busy on a submission quoting all the relevant Gov. docs. etc and make sure all the midwives are aware of the issues. Good luck Liz McCall - Original Message - From: ljg To: [EMAIL PROTECTED] Sent: Tuesday, July 30, 2002 2:22 PM Subject: Re: [ozmidwifery] Review of Maternity Unit Liz Would love to hear more -our unit is being independently reviewed by a midwife and obs (love the consumer thing!) and is being done because of some downfalls in clinical indicators and an increase in client complaints. As midwives, we are viewing this as very positive becauseour unit has become more and more medically oriented much to the disillusionment of the midwifery staff. So we see this as an avenue for change ! We are told that we will be able to meet with the reviewers individually or as groups and that they will be looking at all aspects of maternity care. Which state are you in Liz, couldn't possibly be Qld, couldn't imagine our big wigs supporting consumer involvement (!) How did the midwives in your unit go about informing the reviewers of there views ? Would love to hear all about it, we need all the help we can get to make this work for our unit lisa - Original Message - From: Ms Elizabeth McCall To: [EMAIL PROTECTED] Sent: Tuesday, July 30, 2002 9:11 AM Subject: Re: [ozmidwifery] Review of Maternity Unit We had a review of all the maternity units in our HS as part of a maternity services review and subsequent design of a maternity services plan - yet to be implemented I might add. We had an independent review team - 1 midwife, 1 Ob/Gyn, 1 GP Ob/Gyn 1 consumer rep. Amazing results by the way all supporting increased involvement of midwives. Happy to share more info. if you want it. Liz McCall - Original Message - From: ljg To: [EMAIL PROTECTED] Sent: Tuesday, July 30, 2002 8:31 AM Subject: [ozmidwifery] Review of Maternity Unit Dear List Am keen to hear from anyone who has been through an external review of their maternity unit. Am looking for tips on the best way to deal with this and use it as an opportunity to get conerns across, as midwives. Feel free to email me offlist at [EMAIL PROTECTED] lisa g
Re: [ozmidwifery] Review of Maternity Unit
We had a review of all the maternity units in our HS as part of a maternity services review and subsequent design of a maternity services plan - yet to be implemented I might add. We had an independent review team - 1 midwife, 1 Ob/Gyn, 1 GP Ob/Gyn 1 consumer rep. Amazing results by the way all supporting increased involvement of midwives. Happy to share more info. if you want it. Liz McCall - Original Message - From: ljg To: [EMAIL PROTECTED] Sent: Tuesday, July 30, 2002 8:31 AM Subject: [ozmidwifery] Review of Maternity Unit Dear List Am keen to hear from anyone who has been through an external review of their maternity unit. Am looking for tips on the best way to deal with this and use it as an opportunity to get conerns across, as midwives. Feel free to email me offlist at [EMAIL PROTECTED] lisa g
[ozmidwifery] Breastfeeding reducing risk of breast cancer
I have just listened to the Life Matters report on significant research released in the UK regarding the relationship of breastfeeding the reduction of breast cancer risk. The research presented was extremely interesting. However I found it troubling that Geraldine proposed that women in developed countries could not be expected to breastfeed for the length of time that women in developing countries do to remain amenhorrhoeic thus reduce oestrogen secretion! This flies in the face of everything we know regarding the value of breastfeeding for both mother infant! What about the value for infants!! This is a public health issue needs to be accented when arguing for paid maternity leave for ALL women in Australia. Also, I found it concerning that Geraldine also suggested finding a synthetic substitute for those components of breast milk the process of breasrfeeding that would ameliorate the risk of breast cancer. It would seem that on this subject Geraldine has lost the plot! Breastfeeding the hormonal variables therein are much intricate than she imagines. Look at the HRT debarcle. What we need is a Governmental approach to the promotion of breastfeeding recommended by WHO as a public health initiative concommitant support information to assist women to breastfeed for at least twelve months. This needs to start with education in schools, good evidence based information ante natally ppost natally, recognition of and funding for midwives to teach breastfeeding skills effectively support for women that promotes breastfeeding lessens the need to return to paid employment before cessation of breastfeeding. Liz McCall - Original Message - From: ABC Radio - Life Matters To: Ms Elizabeth McCall Sent: Monday, July 22, 2002 10:00 AM Subject: Re: Midwifery issues in Australia - 16/7/02 Dear Life Matters Listener,Thanks for your e-mail, we do appreciate your response and input to our program. All letters are read and filed. Programs can be listened to again for one week after broadcast using the Real Audio Player.See our website for details.And for more information about the program don't forget the "Life Matters" website (http://www.abc.net.au/rn/talks/lm/) where you can search for your favourite programs by name/ alphabetically, by date/ chronologically, by subject or via our "Summary of Recent Stories" index. Keep listening. And spread the word!The Life Matters Team.PSYou can always have the latest information on Radio National programs bysubscribing to the Radio National Highlights mailing list. Join up and we'llsend you a weekly email detailing our featured programs so you'll never have tomiss what's coming up on Radio National. To subscribe to the Radio Nationalwebsite go to:http://abc.net.au/rn/mail/hlmail.htmAt 10:43 16/07/02 +1000, you wrote: Hi GeraldineYou are to be congratulated on your program this morning. Women in Australia desperately need to know the current situation regarding pregnancy birthing options as too often the vested interests of politics and professions provide ideological viewpoints as facts - mostly unsubstantiated and often incorrect to say the least. Women in Australia both desire deserve better maternity care options as is proven by a wealth of research!Thank youLiz McCallMidwife
Re: [ozmidwifery] Pls send feedback to Life Matters
Congratulations to all concerned re Life matters program today! I look forward to the TV program tonight. Liz McCall - Original Message - From: Vernon at Stringybark [EMAIL PROTECTED] To: ozmid [EMAIL PROTECTED] Sent: Monday, July 15, 2002 10:18 PM Subject: [ozmidwifery] Pls send feedback to Life Matters Dear all, I've been reliably informed that a positive way to encourage the Life Matters program to give further air time beyond tomorrow's program to midwifery and consumer issues is for there to be lots of feedback from listeners expressing interest in/opinions on the issues raised in a given program. Pls send emails to Life Matters [EMAIL PROTECTED] or write a letter after tomorrow's program and encourage others to do the same, especially pregnant women, mothers and midwives! cheers Barb. Dr Barbara Vernon National President The Maternity Coalition PO Box 269 LYNEHAM ACT 2602 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: question re menstruation
According to the LaLeche League the rule of thumb is - 1/2 of 1 per cent pregnancy rate if fully or nearly fully breastfeeding and amenorrhheic up to 6 months.More intensive breasrfeeding ia associated with with longer durations of amenorrhea. - Original Message - From: Macha McDonald [EMAIL PROTECTED] To: ozmidwifery [EMAIL PROTECTED] Sent: Saturday, June 08, 2002 9:31 PM Subject: question re menstruation Hiya. Happy long weekend! Just wondering if anybody can give me any information about lactational ammenhorea, and when women can expect their periods back. Whats the longest amount of time you've heard of women resuming menstruation after breastfeeding? Are there any disorders (ex. hormonal, premature menopause) that women can get postnatal/post breastfeeding that would cause menstruation to cease? Thanks! Regards, Macha. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: Nurse Practitioner Project
Some references for NPs - Taylor,K. The duties of advanced nursing practice - The Lamp, August 2000, p.17 Petty, D. Advancing the practice of nursing, Newsletter of the Rural Health Alliance - Partyline, December 2000, p.16 Oakes,W. Competence not a question, nursing.aust. - The Journal of the NSW College of Nursing,August 2000, 1,3, p.5 Oakes, W. Report supports nurses for rural health jobs. nursing. aust, March 2000, 1,1,p.1. Oakes, W. 40 Nurse Practitioners - far west leads the way, nursing. aust. November 1999, p.1 Moait, S. Editorial, The Lamp, June 2000, p.5 Mitchell, B. Rural remote nurses : third world practitioners or the saviours of the bush?, nursing.aust.,August, 2000, p.12 Harulow, S. Nurse practitioners: defining the achievements, Australian Nursing Journal, 7,7, February 2000, p.20 Hanna, L. Is bribing doctors rge only answers to rural health dilemma?, Nursing Review - Royal College of Nursing, April 2000, p.1 Clark, S. S. Prescribing poer and the power to prescribe, Alternative Law Journal, 25, 1, February 2000, p.29 Goldman, J. Rural remote nursing: in chaos or coping? nursing. aust., 2,3, November 2001, p.1 Wilken, Catherine, No choice for rural women, Midiwfery Matters, December 2001, p.22. Good luck - it's an interesting question. Also look at the NHMRC documents as they recommend that midwives need to have the authority to prescribe order routine path. radiology. This is the difference between where we are now and where we need to get to it's what authorised NPs can do. Otherwise we do not have true autonomy. Liz McCall - Original Message - From: Lisa Frahm To: [EMAIL PROTECTED] Sent: Monday, June 10, 2002 7:05 AM Subject: Nurse Practitioner Project Hello everyone, I'm after some midwife's thoughts on the Nurse Practitioner Projects. Do you believe that midwives are already advanced practitioners, and do they have a place in these projects?? I need to write an assignment on how midwives feel about this issue - both those who agree with it and those who oppose it. I believe that the ACMI (SA Branch) has pulled out of the Project in SA, and wonder how credentialing will be achieved without their support. I'd love to hear your views, and any references would be greatly appreciated. In anticipation Lisa Frahm
Re: Re: Breast feeding and diet.
I am not absolutely sure - however I think Ovaltine is owned by Nestle as well.It's a really important social advocacy public health issue internationally and I believe strongly that all mdiwves need to be politically aware social advocates for the whole world. Liz McCall - Original Message - From: Rhonda To: [EMAIL PROTECTED] Sent: Monday, June 03, 2002 1:31 PM Subject: Fw: Re: Breast feeding and diet. Hey! It was only an example - use Natural Cocoa and grind it yourselves if you like! What The message was that I found Coffee (whatever brand) to not help milk supply and cause the baby to be restless and the hospital wouldn't even give me a glass of straight milk. I had to get it brought in. Perhaps Diet is a problem because we are "starving the mothers" with food they wont eat and inappropriate food that doesn't help baby sleep - without telling them anything about their own diet. I had a mother say her baby was up all the time - she had about 8 cups of coffee a day and had not been told that it may go through her milk. She stopped the coffee (gradually as it is addictive) and baby slept better and gained weight better. Why isn't the education there at hospital level - she said, "But they gave me coffee in hospital!" So it must be OK. Sorry to cause such a stir with the milo issue! Rhonda. Subject: Re: Breast feeding and diet. *grin* - I actually prefer the Ovaltine Light break - high in Iron and Calcium - made with milk it is great for breast feeding mothers! Rhonda. ---Original Message--- From: Kirsten Blacker Date: Monday, June 03, 2002 00:23:23 To: Rhonda Subject: Re: Breast feeding and diet. The hospital food for maternity ward is not really breast milk friendly - women have a choice of generally tea or coffee - what about Milo? WIth NEstle being the manufacturer of Milo, how about Ovaltine? Kirsten. IncrediMail - Email has finally evolved - Click Here
Re: Breast feeding and diet.
As a midwife IBCLC I would recommend that if you are hanging out for chocolate that you don't go for Milo - the company is owned by Nestle, a large offender in formula disputes particularly in developing counrites. I personally try not to buy any products owned by the Nestle company. Liz McCall - Original Message - From: Rhonda To: [EMAIL PROTECTED] Sent: Monday, June 03, 2002 12:02 AM Subject: RE: Breast feeding and diet. I can agree with what you say here but I have another gripe about the hospital system that never seems to be adressed by anyone - FOOD! The hospital food for maternity ward is not really breast milk friendly - women have a choice of generally tea or coffee - what about Milo? I know different hospitals are different but from my experience the diet waslow fat - lots of salad and nice and spicy foods. For me I was craving chocolate milk and on day 4 my milk was not in. I asked a visitor to bring in a Big M and within an hour of drinking it my boobs were about to explode. I needed milk! All the meals had been so low fat that they didn't give me any fatto make milk with. Yes water makes milk but the body also needs some fat in the diet and I am sure that diet is a hugely important factor. I am sure that we are not looking closely enough at what the hospital is feeding women after the birth of their baby. This has a direct impact on the milk they produce. Just my thoughts! Regards Rhonda ---Original Message--- From: Macha McDonald Date: Sunday, June 02, 2002 23:35:54 To: ozmidwifery Subject: RE: Melbourne's Child article As a recent consumer, I can say that the (over) emphasis on technique andlatch, although it is important, is very confusing. When I had my daughter,in a baby friendly hospital, every midwife had a different idea about what Iwas meant to be doing. Confusion is not the word. My mind was in chaos!!!This baby friendly hospital recommended formula to me. So much for the 10steps!!! Also, their LCs were very limited in their advice. For lowsupply, I was told on more than 10 different occasions over 3 months to justkeep expressing. I agree with the baby friendly initiative, but seeing it1st hand, I dont think its working. Some staff are just not committedenough. Friends and family who are also recent consumers have sited thatthe MCHN and midwifes in hospital (rural VIC) told them their milk did nothave enough nutrients in it, and that it wasnt strong enough. I think thewhole situation is worse than we think, and I am surprised that anyone isbreastfeeding at all, considering the current climatein my humbleopinion!!!Regards, Macha.-Original Message-From: [EMAIL PROTECTED][mailto:[EMAIL PROTECTED]]On Behalf Of JohnstonSent: Sunday, 2 June 2002 8:04 PMTo: ozmidwiferySubject: RE: Melbourne's Child articleDear LizWhile I agree wholeheartedly with most of the discussion on this, and Ihave seen the article in question, I feel I need to make a comment aboutyour statement :The 'baby friendly initiative' I believe, was aimed at developing countrieswhose children were dying of diarrhoeal disease through contaminated water,incorrect formula and lack of hygiene. This is a not uncommon response, and it worries me greatly - I believe it'swrong. I was involved in both the Victorian and the national BFHI set-up.I am not actively involved in it now, but I support the underlyingprinciples wholeheartedly.I know of no reason why every maternity service in Australia should notimplement the '10 steps to successful breastfeeding', and seek externalassessment through the Baby Friendly Hospital accreditation process. Thishas very little to do with dirty water - babies die unnecessarily inAustralia too because they are not breastfed. The reasons for failure ofbreastfeeding (most are willing to initiate breastfeeding, but the drop-offrates are alarming) are many. There is reliable evidence that practiceswhich have for many years been common in maternity services across thedeveloped world, such as separation of mother and baby, timing of feeds,use of artificial supplements, use of dummies and teats, advertising ofalternatives to breastfeeding ... all contribute to early weaning. Theseare the issues that are dealt with in the global Baby Friendly HospitalInitiative.
Re: Conference
Anyone interested in attending the NSWMA Annual conference please contact the NSWMA in Sydney for details - ph.0292819522 Liz McCall - Original Message - From: Mrs joanne m fisher [EMAIL PROTECTED] To: Ozmidwifery [EMAIL PROTECTED]; Ms Elizabeth McCall [EMAIL PROTECTED] Sent: Saturday, May 25, 2002 10:20 AM Subject: Re: Conference Dear Liz, Do you have the programme and cost of the Byron Bay conference? Cheers, Joanne. - Original Message - From: Ms Elizabeth McCall [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Saturday, May 25, 2002 9:01 AM Subject: Re: Conference NSWMA Conference in Byron Bay 31/10/02,1-2/1102. Liz McCall - Original Message - From: Ms Elizabeth McCall [EMAIL PROTECTED] To: Sue Rose [EMAIL PROTECTED] Sent: Saturday, May 25, 2002 9:00 AM Subject: Re: Conference NSWMA Conference in Byron Bay 31/10/02,1-2/1102. Liz McCall - Original Message - From: Sue Rose [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Friday, May 24, 2002 11:09 AM Subject: re: Conference If you meant conferences, Belinda, perhaps the Evidence Based care one? it's in Melbourne in august. the other one Capers are doing is Noosa (Oct). got an update to say that speakers include Terri Shilling, Carolyn Hastie, Vicky Chan... Anyone else know of more in Melbourne? Sue At 10:14 22/05/2002, Belinda Maier wrote: Can people let me know if you have heard of any interesting conferences coming up this year?I heard there is a midwifery one coming up in Melbourne???Thanks Belinda __ Do You Yahoo!? LAUNCH - Your Yahoo! Music Experience http://launch.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: Conference
NSWMA Conference in Byron Bay 31/10/02,1-2/1102. Liz McCall - Original Message - From: Ms Elizabeth McCall [EMAIL PROTECTED] To: Sue Rose [EMAIL PROTECTED] Sent: Saturday, May 25, 2002 9:00 AM Subject: Re: Conference NSWMA Conference in Byron Bay 31/10/02,1-2/1102. Liz McCall - Original Message - From: Sue Rose [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Friday, May 24, 2002 11:09 AM Subject: re: Conference If you meant conferences, Belinda, perhaps the Evidence Based care one? it's in Melbourne in august. the other one Capers are doing is Noosa (Oct). got an update to say that speakers include Terri Shilling, Carolyn Hastie, Vicky Chan... Anyone else know of more in Melbourne? Sue At 10:14 22/05/2002, Belinda Maier wrote: Can people let me know if you have heard of any interesting conferences coming up this year?I heard there is a midwifery one coming up in Melbourne???Thanks Belinda __ Do You Yahoo!? LAUNCH - Your Yahoo! Music Experience http://launch.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: Birthing under trees!
Yes - I did see it. Horrendous stuff as it really engenders fear for a lot of the population who have absolutely no understanding of the politics behing the situation. When is someone going to clarify that we are talking private practice here!! It is alarming to think that there are some who believe that birthing options are with either a private obstetrician or under a tree! No other options and totatlly black white. Where is the responsibility of the media in all of this? Liz McCall - Original Message - From: Andrea Bilcliff [EMAIL PROTECTED] To: Ozmidwifery Mailing List [EMAIL PROTECTED] Cc: Capers Birth News [EMAIL PROTECTED] Sent: Friday, May 24, 2002 5:45 PM Subject: Birthing under trees! Aagghh! Did anyone just see the idiot on Melbourne's Channel Ten News? Apparently as a result of the collapse of the medical insurer UMP, women will no longer be able to have their babies delivered, unless they go off and give birth under a tree by themselves! I didn't realise obstetricians were the only attendees at births in Australia! (Sorry, just had to let off some steam. The kids didn't like me yelling at the TV!) Andrea -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: PhD research on the medicalization of pregnancy and childbirth
Title: Re: PhD research on the medicalization of pregnancy and childbirth Certainly my experience research on the far north coast of NSW is that many women want both - midwives MOs. Mostly, I believe, because of incorrect, ill informed hype that an MO is needed for birthing. We need to be really vigilant proactive in informing communities the mediaabout just what midwives can do autonomously! Especially as the time may well be ripe for change with the PI insurance issues that are occurring at the moment. Liz McCall - Original Message - From: Justine Caines To: OzMid List Sent: Friday, May 10, 2002 9:44 PM Subject: Re: PhD research on the medicalization of pregnancy and childbirth These are not necessarily ignorant women either, they are educated, articulate women.Monica and allI understand what you mean that women screaming the loudest for the epidural have high levels of education in a general sense (ie high school, uni etc). What is missing is unbiased information and support about birth.As we all know there has been a 70% increase in the number of preventable maternal deaths (with C/S a major factor). Yet still out there so very many women believe C/S to be the safer option (I know a woman who elected a C/S so as not to get burst facial capilaries from pushing!! - does this even happen??) and yet she went hysterical when her husband sprayed fly spray in an adjacent room when she was pregnant! Her education, post graduate level; her information education and support around birth, mainstream fear and control and down right lies about the safety of her choice.As a post graduate educated woman I am seemingly part of a very small (yet lovely) clique of women that believe in their bodies and babies to get on with it and birth beautifully. So until the truth gets out (and I know lots of us continue to put it there) women are NOT really educated or informed about their beautiful bodies and birth.In solidarityJustine Caines
Re: A Breaktrhough in the ACT
Great news well deserved for hard work commitment. I hope that your aims are achieved as it could mean a precedent for others of us working to cahnge our own maternity services. Please keep us informed good luck. Liz McCall - Original Message - From: Vernon at Stringybark [EMAIL PROTECTED] To: ozmid [EMAIL PROTECTED] Sent: Sunday, May 12, 2002 10:09 PM Subject: A Breaktrhough in the ACT Dear all, For those of you who have not already heard the news - a breakthrough in the ACT happened last Wed. Maternity Coalition has secured a meeting with the ACT Health minister to discuss development and implementation of this proposal, but for a few days at least, we're enjoying the fruits of 8 months of hard lobbying. regards Barb Vernon and Justine Caines. -- Forwarded Message From: [EMAIL PROTECTED] Date: Wed, 8 May 2002 17:23:11 +1000 To: [EMAIL PROTECTED] Subject: Government Looks To Expand Midwifery Program ACT Government's Ministerial Media Release Service The following media release has been supplied in a text only format. The full text of the release is provided below. Title : Government Looks To Expand Midwifery Program Minister : Mr Jon Stanhope GOVERNMENT LOOKS TO EXPAND MIDWIFERY PROGRAM The Government will pursue a plan to expand Canberra Hospital's midwifery program to help overcome insurance problems, Chief Minister, Jon Stanhope, said today. Mr Stanhope told the Legislative Assembly the Government was keen to help independent midwives find a solution to their insurance crisis. The current problems in the insurance industry have resulted in independent midwives simply being unable to obtain professional indemnity insurance, he said. This is unfair for the midwives. It seems to be totally unrelated to claims' experience, and solely related to the insurance industry's decision to withdraw from providing certain types of business. The Government tried to find insurance for midwives. My Department fully investigated the possibility but cannot find it for them in Australia at this time. At the same time, we know many women want access to birthing services outside the traditional hospital setting. I have asked my Department to work with the Canberra Midwifery Program at the Hospital on the development of proposals to extend the midwifery led care in that Program to include homebirth as an option. This is still in the planning stage, and there will need to be consultation with the community. But it is an exciting prospect, and one that will provide equality of access to homebirth for women who are public patients, Mr Stanhope said. Released: Wednesday 8 May 2002 Inquiries: Greg Friedewald: (02) 6205 0434(w)(02) 6231 0993 (h) 0408 680 471(m) ACT LEGISLATIVE ASSEMBLY ___ -- End of Forwarded Message -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: 'educated' women
Lynne Interesting that you cite the (I presume) MIDIRS Informed Choice leaflets. I Mavis Kirkham's attended presentationat the ICM Congress in Vienna regarding the analysis of the effectiveness of the leaflets. Very big study. From memory the results have been published in the BMJ . Unfortunately, once again the findings were not positive as the analysis indicated that women continue to believe the MO rather than evidence based leaflets. Mavis concludesthat auhtorative knowledge ( that is the dominant ideology) is all and thatdecisions are made in a climate ofblame manipulation and control fear. This is not to say don't use them, develop your own etc. Just to be aware that they are not necessarily going to be as influencing on decision making as we may think ( or hope)! Liz McCall - Original Message - From: Lynne Staff To: Debby M Cc: [EMAIL PROTECTED] Sent: Friday, May 14, 2010 8:53 AM Subject: Re: 'educated' women Dear Debbie - I was saddened to read your posting but also so pleased you turned your experience into a positive learning one for yourself and others, as you shared with this list. Some years ago I had to do an assignment for uniwhere we had to choose a group of disadvantaged women and prepare a resource package for them, to make available for them in order to "maximise" their chances of a good birth (that means so many things to different people doesn't it?). Anyway, I chose privately insured women as a disadvantaged group andbased my arguments on the high operative outcomes, that cannot be explained away by 'risk', and strengthened that argument using the way in which , and what information is provided to women by obstetricians (as women with Private Health insurance would get the majority of their information from their ob with that ever pervasive medical perspective). I would love to talk to you more about this if you would be willing. Also I do agree that we (in Oz) need, as you say, some leaflets like the informed choice leaflets thatare available in the UK. However, I was looking through them againh, the other day, and thinking that there are still some of the brochures which subtly (and some not-so-subtly) lead a woman 'that' way, and lead them away from listening to, believing in and acting on theirown bodily knowledgeand what it tells them at this time. Just my two cents worth - regards, Lynne - Original Message - From: Debby M To: [EMAIL PROTECTED] Sent: Sunday, May 12, 2002 7:32 PM Subject: Re: 'educated' women I consider myself an educated woman. Two degrees and post graduate studies would certainly indicate such however it is only since the birth of my first child that I came to realise how difficult it is for a medical lay person to obtain information that truely allows them to make an informed choice. My first birth was the classic cascade of intervention leading to a csec and I was led down that path by my obstetrician. It wasn't until some months after the birth and a lot of reading, that I discovered there were many many aspects of the decisions made by myself that were far from informed. On almost every aspect related to my "care" my obstetrician presented me with advice and information that could only lead me to conclude and agree that his advice for the recommended intervention was right. I later found there were a whole range of risks and options that I was not told about and on one piece of intervention he actually out and out lied to me. I can only presume that he thought he was doing the right thing, but I also get the feeling that often we, the woman, are only told what our carer wants us to hear. Whilst we may think we are informed at the time it is not until we get our noses into some good medical research papers and text books that we discover how much wider the risks and options are. This in itself presents a couple of problems. The first being time, and what do you teach women? There is obviously a lot to learn or obstetric and midwifery training wouldn't take so long. Some of the concepts I have read about I have had to bounce of my husband (a radiographer) to fully grasp what is being discussed and its implications, indicating that those with a lesser education than I may have even more difficulty in grasping some of the risks or benefits of different ideas related to labour management. I am very pro informing the woman. I think one of the best ways this could be done would be to have a series of little brochures that talk in simplified terms that most women could understand what the causes, treatments and consequences of the myriad of birth related problems and procedures are, eg. Understanding Fetal Distress
mentorship
Hi Kellie. I am a multi skilled rural midwife on the far north coast of NSW and I am very active in our sub branch of the ACMI. I haverecently completed my Masters in Ad. Midwifery and havegood skills with research, analysis and political activism to achieve change. I am off to Vienna in two weeks to present a paper at the ICM Conference. I would be happy to provide some mentorship to you if I'm not too far away as I believe that mentorship is sadly lacking in midwifery! Let me know if I can be of any assistance. Cheers Liz McCall
Re: rural shutdown
Hi Lyn In NSW the NSW Framework for Maternity Services (NSW DOH 2000) has a bibliography that might assist you. Also, in NSW there was a report Review of Obstetric Services in NSW: Country Consumers Respond (NSW DOH 1988) pre the Shearman Report. I must say that these rpeorts have not helped us much and, in the main, remain rhetoric. Liz McCall - Original Message - From: lyn kelson To: [EMAIL PROTECTED] Sent: Wednesday, February 27, 2002 11:20 PM Subject: rural shutdown Dear list, The topics of late hold great interest for me. I am currently researching why women in Central Victoriachoose to give birth in their own home. In doing the lit review for this research I found thatvery little is actually documented about the choices women make about where they give birth. I believe the closure of services in rural areas, or a lack of choice in the services provided, as well as the insurance issue further decreasing options for women, all play a part in the choices women make. I have found it difficult to find any documented evidence to either support or refute this belief. If anyone on the list knows of documents which detail the changes to services provided in any areas, either rural or metro, I would be glad to know about them, also if any one knows of any literature which covers women's choices for place of birth I would be grateful if they could give me references for these. Thanks Lyn.
Re: Apology
Hey Denise We are all human therefore not perfect! Your courage in acknowledging your frailty humanity is all. Come back! Liz McCall - Original Message - From: Joyce, Sally (nee Ferguson) To: 'Denise Hynd' ; [EMAIL PROTECTED] Sent: Thursday, January 31, 2002 8:53 AM Subject: RE: Apology Denise, I am mainly a listener on this list and have always appreciated your comments, concerns, constructive arguments and passion. Ibelieve that we all do and saythings that we occasionally regretsometime down the trackand we need to learn from this. You have made your apology and I for one have accepted it. I will truly miss your contribution. Sally. -Original Message-From: Denise Hynd [mailto:[EMAIL PROTECTED]]Sent: Wednesday, 30 January 2002 10:21To: [EMAIL PROTECTED]Subject: Apology Dear All I made some comments about the history oftrends in medical care on another list which have been taken as derogatory comments about all midwives and doctors in hospitals, which was not intended. I know there are many wonderful doctors and midwives maintaining "informed" care. Then to add to my lack of tact I accidentally forwarded a copy to this list!! I meant to forward another posting recieved from another ok source. Again I apologise and take this as a message that I need to withdraw and settle before use these fingers. So I am withdrawing from this list. Denise Hynd Denise DISCLAIMER The information contained in the above e-mail message or messages (which includes any attachments) is confidential and may be legally privileged. It is intended only for the use of the person or entity to which it is addressed. If you are not the addressee any form of disclosure, copying, modification, distribution or any action taken or omitted in reliance on the information is unauthorised. Opinions contained in the message(s) do not necessarily reflect the opinions of the Queensland Government and its authorities. If you received this communication in error, please notify the sender immediately and delete it from your computer system network.
Re: breastfeeding confidence booklet
I have checked the ABA catalogue I am unsure which of the leaflets you are referring to as there are none actually titled breastfeeding confidence booklet. Could you please clarify. Cheers Liz McCall - Original Message - From: Johnston [EMAIL PROTECTED] To: ozmidwifery list (E-mail) [EMAIL PROTECTED] Sent: Thursday, January 10, 2002 9:25 AM Subject: breastfeeding confidence booklet I would like to recommend (unsolicited) this new booklet that has been developed by the Aust Breastfeeding Association (NMAA) It is nicely presented, and written to the woman in a way that would be very likely to build 'breastfeeding confidence'. It is available in bulk at .44 cents per copy. I have purchased a batch of them, and am pleased to give them out to my clients. The web address given for ABA is www.breastfeeding.asn.au Joy Johnston -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: Mowee wowee
Hi Janine, Unfortunately the only research I have heard about is for anorexia/nausea related to palliative care - not anorexia nervosa - there have been some research trials intenationally - however I do not have references - I guess you could a search on the Net. Good luck Liz McCall - Original Message - From: Steve Janine Clark To: [EMAIL PROTECTED] Sent: Wednesday, December 05, 2001 10:10 PM Subject: Re: Mowee wowee Hi Elizabeth, I am not a member of ozmid, but access the archives every few days... I am about to begin the Bachelor of Midwifery at ACU - hence my interest in ozmid. I am very interested in your comments recently about marijuana. You mentioned something about it being used for anorexia. Do you know where I could find more info on this??? My younger sister, 18, has been ravaged by this mental illness for 2 years - she is currently seriously ill, weighing 28 kg's (if we're lucky). Recent bone density tests show degeneration similar to that of a woman more than 3 times her age. We are truly desperate. She has seen psychiatrists, counsellors, psychologists, hypnotherapists, paediatricians, GP's, spent time in hospital, etc, etc. Her anxiety levels are enormous, she is driven mad by the voices in her head, she runs 2 hours twice per day, is suicidal, and is now so thin she cannot sit or lie down or walk without being in agony. She is desperately fighting a losing battle, and is now close to death. My family is devastated. They will try anything. Could you forward this message to ozmid for me (I cannot post to them, not being a member). If anyone out there knows how I can access more info on marijuana and anorexia, any studies that have been done, etc, that would be fantastic. My email address is [EMAIL PROTECTED] Thanking you Janine
Re: NZ Birth Centres
Title: Re: NZ Birth Centres Laraine You could try Chris Hendry - Midwifery Project Manager - Postgarduate midwifery lecturer - Otago Polytechnic - Dunedin. Chris presented a great workshop at the ACMI conference in NZ on the organisation of maternity services by midwives in NZ rural areas - great analysis Cheers Liz McCall - Original Message - From: Jan Robinson To: Laraine Hood Cc: [EMAIL PROTECTED] Sent: Thursday, December 06, 2001 2:16 PM Subject: Re: NZ Birth Centres On 3/12/01 10:18 PM, "Laraine Hood" [EMAIL PROTECTED] wrote: I am an independent midwife currently working with the Community Midwifery Program in WA. I have been practising in the homebirth area for 12 months and am keen to expand my knowledge base. I am planning a trip to NZ around Easter 2002 and want to have a look at their home birth practices, birth centres etc. in the hope of bringing some good ideas back with me. Does anyone have any names of places, people I 'must see'??? I realise aggie Banks would be the top of many lists, but I suspect she is a very busy lady. The itinerary is fairly flexible at this stage and so it could include north and south islands. Thanks, LaraineDear LaraineIf you are a member of the ACMI you can obtain addresses of some New Zealand contacts through them ... If not, try contacting the New Zealand College of Midwives (Inc) yourself.Karen GuillilandNational DirectorGround floor906-908 Colombo StreetCHRISTCHURCHPO Box 21-106 Christchurch.Ph: 0011 64 03 377 2732Fax: 0015 64 03 377 5662Email: [EMAIL PROTECTED]Maggie Banks contact details are in her book, but all my copies are on loan at the moment.CheersJan Robinson
Re: Mowee wowee
There are significant detrimental effects documented re breastfeeding and neonatal development if marijuana is used in pregnancy or postnatally. A totally different scenario to use in palliative care for anorexia nausea.Theoretically a baby/child could sue the mother for harm incurred by the mum using marijuana (or indeed any harmful substance eg tobacco, alcohol etc) during pregnancy. Also if midwives know that mothers are using potentially harmful substances they do have a legal duty of care to provide all the information to the mother. Liz McCall - Original Message - From: Colin Larkin [EMAIL PROTECTED] To: Ozmidwifery@Acegraphics. Com. Au (E-mail) [EMAIL PROTECTED] Sent: Tuesday, November 27, 2001 4:10 PM Subject: Mowee wowee What are the detrimental effects of Marijuanna on the foetus? Has there been any news about penalties against pregnant woman smoking I know it was bantered about recently but I think other events have over taken this interesting idea. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: Re Hyperemesis -
Lynda - Marijuana also has significant detrimental effects to the foetus and in the neonatal period as well as holistically for the woman so I'd be thinking again before using it for hyperemesis. It is a completely different ball game when used for palliative care! Liz McCall - Original Message - From: lynda [EMAIL PROTECTED] To: ozmidwifery [EMAIL PROTECTED] Sent: Tuesday, November 27, 2001 11:32 AM Subject: Re: Re Hyperemesis - I recently heard someone comment that maijuana was the only thing that relieved her nausea in pregnancy and was told off the record by a doctor. As we know in some parts of the world marijuana is used to control nausea and and improve appetite and quality of life for some cancer patients. - Original Message - From: Toni Cannard [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Monday, November 05, 2001 8:16 AM Subject: Re: Re Hyperemesis - Blackmores Mineral Therapies Dear Jane Ozmidders, For morning sickness - Blackmores SSPC SCF mineral therapies - and yes, you need to get a script from a Naturopath before chemists will sell them. Usually SSPC before meals and SCF after. Please remember these mineral therapies are in minute dosages, hence, no issue with long term vitamin and mineral intake. Love, Toni - Original Message - From: cjknight To: [EMAIL PROTECTED] Sent: Wednesday, October 31, 2001 11:22 PM Subject: Re Hyperemesis Dear listers What is current research based evidence for the management of hyperemesis. I am currently caring for a 9/40 gestation G2 P1 for whom the main thrust of treatment seems to fluid replacement. The only thing that settles her protracted episodes of vomiting seems to be IV Maxalon which lasts about 4hrs plus oral pyridoxine 25mg BD. She is eating very small amounts. In her last pregnancy this lasted until 16 weeks. I have expressed concerns for long term vitamin and mineral intake but the GP seems unable to find out about any other treatment modalities. He has spoken to obs people at our tertiary hospital with no luck. Some time ago someone on the list wrote in regard to this suggesting a Blackmores product that is practitioner use only. I lost my references to this when my computer was changed over. If someone has access to this could they let me know what it was. Cheers Jane _ Get your FREE download of MSN Explorer at http://explorer.msn.com/intl.asp -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: 'Delivery' Trays
Hannah Dahlen's email contact is [EMAIL PROTECTED] Cheers, Liz McCall - Original Message - From: Clinical Learning Coordinator [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Monday, October 22, 2001 6:07 PM Subject: FW: 'Delivery' Trays Dear Amanda and List Does anyone have any contact details for Hannah Dahlen? Thanks Bec -- From: Amanda Gear Sent: Friday, 19 October 2001 17:53 To: Clinical Learning Coordinator Subject: Re: 'Delivery' Trays Hi Bec! Hannah Dahlen (Midwifery Consultant) from King George V (Sydney) has done lots of research on trays etc in birthing rooms. Cheers Amanda -Original Message- From: Clinical Learning Coordinator mailto:[EMAIL PROTECTED] [EMAIL PROTECTED] To: '[EMAIL PROTECTED]' mailto:[EMAIL PROTECTED] [EMAIL PROTECTED] Date: Friday, 19 October 2001 3:59 Subject: 'Delivery' Trays Dear all I hate to use the word 'delivery', but it sort of conveys the intent of what I am after! I know there was a discussion earlier this year about what people include in the trays/bundles opened at the time of birth. I recall that a number of people described what they include and that there was a general discussion about not including episiotomy scissors etc. However, now that our hospital is in the process of changing their content, I just wondered if anyone had any good references about what should be included and why. Have there been any research/audits on reducing episiotomy rates for example if scissors are not included on the trolley? I have got a copy of the recent article which describes the swabbing and draping ritual and how that was altered with audit and altering the content of the trays (done at King George I think), but was wondering if there was anything else that you know of out there? Any information greatly appreciated. Thanks Bec Clinical Learning Coordinators Trevor Cresp (pager 4287) Rebecca Smith (pager 4304) Michelle Unetta (pager 4428) -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: Good Reading (long)
I too appreciated the letter re rural midwives/nurses. I am a passionate, proactive midwife who also works as a multiskilled nurse in a small rural hospital. I find that my care encompasses a holistic cradle to the grave approach where I am honoured to care for women birthing, follow on to postnatal care and then care for the whole extended family if they require hospital care. Being a midwife and working in our ED also gives me the opportunity to assist women with a multitude of women's health issues including those related to pregnancy and birth. We also have a reasonably high mental health admission rate as we have an Acute Mental Health Service and the midwives are able to bring their expertise towomen admitted for postpartum depression/anxiety and care for them in a holistic way which supports them emotionally physically to continue breastfeeding and learn effective parenting skills. Also the varying ages of our client group means that older patients have interaction with mothers and babies and everyone is supportive and involved whenever a birth is imminent. Everyone loves seeing the new babies and it provides a very extended family approach to both birthing and other care.RE the future of midwife education I fully support the B.Mid program. It is my understanding that midwives who study in these programs will then be able to do their nusring education as an add on similar to the reverse of the current situation so that if a midwife needs the nursing qualification to obtain wotk in a rural/remote area will be possible. Liz McCall - Original Message - From: Cheryl LHK [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Friday, October 05, 2001 9:05 AM Subject: Good Reading (long) Just got my latest Australian Journal of Midwifery in the last fortnight. What an excellent issue. Congratulations to the editorial board who no doubt put a lot of hard work and effort into this mag. Two points: 1. The letter to the editor titled - 'Midwifery and Nursing - a Tension for rural area so neatly puts into a package what I think a lot of rural midwives/nurses feel. The single strand mid degree will leave little or no midwives able (or wanting) to work in county areas. Mind you, some of us really enjoy our nursing, and don't want to lose those skills, and it's a challenge in a shift looking after neonates, mums, and 90 year olds all in the same hospital. Some midwives probably couldn't think of anything worse??? 2. The article 'Antental Education classes in Vic: what the women said' I hope that every midwife involved in antenatal education reads. I do not teach classes, but see the ladies in the hospital setting. It was interesting that in the area of breastfeeding a number of variances was noted, some women feeling that not much discussion was encouraged, and I was interested one of the comments ...I found the information on breastfeeding was more like propoganda. Wow! Maybe we midwives have something to answer for? (The whole article is excellent, this area particularly struck me though...read the lot to get the whole story) I have always felt that if in the hospital setting, the women wants to suppress and bottle-feed that we should be then able to turn our attention to teaching her all the information regarding bottle-feeding without the subtle hints that they are picking 'second-rate feeding' and thus have failed. I know that a lot of midwives out there do this already, and I know many women are grateful for the lack of criticism but support, regardless of how we individually feel. And haven't I found this out the hard way. Having BF for 4.5 months with No 2 baby, constant discomfort and pain for 3.5 months, having gone to get various opinions, help etc, I finally suppressed and get as much EBM as possible then comp. And now that I have experienced both sorts of feeding, I can still highly recommend BF! The ONLY advantage with bottle-feeding is that for the first time in months I can get through the day with no pain, but the cost(!!!), time taken up sterilizing, making bottle etc, ... but now I have so much more understanding of why women suppress. Constant pain is mind-numbing, almost as bad as sleep deprivation. (OK, thanks for listening to the whinge). Get hold of Sept 2001 issue and start reading! Cheryl _ Get your FREE download of MSN Explorer at http://explorer.msn.com/intl.asp -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: ACMI PRESS RELEASE REGARDING PROFESSIONAL INDEMNITY INSURANCE
Yes, yes, yes! We need to be in everyone's faces ALL the time! Elitisim separatism at this point in time is just cutting off our noses to spite our faces. The personal is political. Liz McCall - Original Message - From: Trish David [EMAIL PROTECTED] To: Australian College of Midwives Incorporated [EMAIL PROTECTED] Cc: ozmidwifery [EMAIL PROTECTED] Sent: Friday, September 07, 2001 9:01 AM Subject: Re: ACMI PRESS RELEASE REGARDING PROFESSIONAL INDEMNITY INSURANCE Thankyou Alana and the very hardworking executive. I know what is going on behind the scenes, and can appreciate the effort that has won even such a minor concession. Andrea Q makes a good point. Run for office next time ANF has elections, Andrea. All you midwife members of ANF support her. Become members of both organisations by all means. And midwives who have more inclinations to policy and regulation, run for positions on NBVic. Only when we are cropping up in positions of power EVERYWHERE will we have real change. One focus is not enough, though the College is making a real difference on so many fronts. Perhaps those of us who cannot for whatever reason afford the time to get and hold such positions, but who have experience and expertise, could form an advisory or mentorship group, perhaps assist with research and argument, extend and create networks. I would be willing to act in this capacity. Are there others? Trish -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: ANF
I too support working from within to ensure that midwives have a voice in the formulation implementation of industrial policy. The NSWNA has recently established a Midwifery Reference Group and has frequent discussions with the NSWNA regarding midwifery issues. I believe that we will only progress midwifery issues if we use the clout support of the relevant industrial forum ( and the community)- ACMI numbers are too small to do otherwise. Using this avenue also ensures that nurses know where we are coming from and that our professions generally run parallel and sometimes actually intersect. Working in this way also ensures that all women will receive the benefit of any gains made as progress will be across the board and hopefully mean increased equity in the provision of maternity care ie. midwives providing the choice of homebirth from a health facility base, increased birth centres, increased staffing for pre post natal care etc, instead of the inequitable situation we have now. I implore midwives to become proactive in their relevant State union and to join support the ACMI. Liz McCall - Original Message - From: Christine Tony Holliday [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Monday, September 03, 2001 9:25 AM Subject: RE: ANF Katrina, I have to support what you say about needing industrial representation and I too do not see this as the job of the ACMI. We also need numbers for industrial representation to be effective and joining with (not being part of) the nurses is a way of gaining numbers. In SA we have a Midwifery Reference Group within the ANF, which is helping to make some changes (admittedly small so far) within the ANF. The only way to change organizations is to continually lobby from within as well as outside. Christine. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]On Behalf Of Katrina Vincent Sent: Sunday, 2 September 2001 8:43 PM To: [EMAIL PROTECTED] Cc: [EMAIL PROTECTED] Subject: Re: ANF Dear Anne, I am a midwife who at this stage of my life/career, choose to work within the hospital system. I am a member of ACMI, but also of ANF, because ANF provides industrial representation and insurance cover, while ACMI does not. The way I see it, ACMI is a professional association and ANF is basically a trade union. I, too, am horrified at the midwife/client ratio recently agreed to by ANF, and deplore ANF's refusal to recognise midwifery as separate from nursing. However, I have ANF to thank for my current rates of pay. On the insurance issue, I have had reason to be very grateful for the legal service provided by my ANF membership, at no additional cost to me, in the preparation of statements requested by my employer for submission to the Coroners Court. I don't have the confidence that my employer will back me in a court of law if they can use me as a scapegoat to save their own skin. I am a midwife, and I shouldn't have to belong to a nursing union, but until there is a viable alternative, I'll continue to be a member. In the meantime, I'll continue to write letters to anyone and everyone about the insurance issue for private practice midwives - (I have been a consumer of IP midwifery), I'll continue to talk to my hospital colleagues about the importance of belonging to and therefore strengthening ACMI, I'll continue to circulate the Maternity Coalition petition, I'll keep talking to my clients, the mums at my local school and kindergarten, my local MP's and anyone else who'll stand still for long enough about the benefits and safety of midwives as the lead carers in the provision of maternity care to healthy mothers and babies. So, thats why I choose to be a member of ANF. Best wishes, Katrina From: Anne Clarke [EMAIL PROTECTED] To: OZMIDWIFERY [EMAIL PROTECTED] Subject: ANF Date: Sun, 2 Sep 2001 12:55:19 +1000 Dear Andrea and all, That might be well and good that most Midwives are members of the ANF in Victoria, but do they realise that the ANF is taking a Nursing perspective not a Midwives perspective while so called 'representing' them to the Gov.? I would hope that ANF member Midwives are clued into this and get involved because it sounds that their membership to the ANF is not worth the money if the ANF is flushing their practice down the toilet! As far as the insurance cover, do they know that NO union covers their members for indemnity only legal? If the Nurses Union here in Queensland covered me for the indemnity part of insurance I too would be happy, but they don't, only limited legal cover. The hospital, if a staff member, covers for indemnity, that's if they don't drop you like a hot potato in court, beleive me if it means you or them, who do you think they would leave 'holding the proverbial bag'. The legal cover you may gain from the union may help to a point in court (hearing), but the person(s) taking the action can still take you to civil
Re: ANF
Barb Couldn't agree more. Iseem to have a similar position withing the NSWNA! Also empathise re Jill Iliffe the ANF position re midwifery. Still better to work at it than to acquiesce! Liz - Original Message - From: Greg Barb Cook [EMAIL PROTECTED] To: elizabeth mccall [EMAIL PROTECTED]; [EMAIL PROTECTED] Sent: Tuesday, September 04, 2001 1:18 PM Subject: Re: ANF Elizabeth, Some of us are already within and although may not have completely the same views as some on the list, are actively promoting midwifery in every debate. It gets a bit monotonous to be always getting up with amendments to motions to specifically put ... nurses AND MIDWIVES but at least it is done! I have been one of the few midwives (many are not ACMI members) who actually participate at the QNU conference as delegates. This year I was elected to the State's Industrial Policy Committee of the QNU and I will be further pushing midwives views there. Another midwife, Elizabeth retired from the Professional Policy committee now non-practicing midwives are there! Its hard being on so many committees and it would be nice if there were a few more midwives who will put up their hands to work with us in this area. I have two hats when in QNU meetings - QNU active member and also as a midwife (a ACMI member). Unfortunately (recently), QNU members at a major hospital in QLD got together to stop the introduction of team midwifery. They did not understand it and felt threatened. Even more sad was it was their democratic right to get the union involved to ensure their working conditions were not threatened. QNU did not see or know about the overall picture on how midwifery was changing its approach to client focused care in response to consumer demands. They were about looking after members. I got up Jill Illiffes nostril at the recent QNU State conference challenging her views of midwifery as her article in last years editorial in the ANF journal stated. She did not appear comfortable on stage answering my questions. My point at least had been raised in the appropriate forum and heard. Ask yourselves, how much more are you prepared to do? Come on out and help some midwives who are campaigning on your behalf and for the birthing women of this nation. Get involved, don't just sit there and moan. If a cause interests you enough you will make time!!! Barb - Original Message - From: elizabeth mccall [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Tuesday, September 04, 2001 9:05 AM Subject: Re: ANF I too support working from within to ensure that midwives have a voice in the formulation implementation of industrial policy. The NSWNA has recently established a Midwifery Reference Group and has frequent discussions with the NSWNA regarding midwifery issues. I believe that we will only progress midwifery issues if we use the clout support of the relevant industrial forum ( and the community)- ACMI numbers are too small to do otherwise. Using this avenue also ensures that nurses know where we are coming from and that our professions generally run parallel and sometimes actually intersect. Working in this way also ensures that all women will receive the benefit of any gains made as progress will be across the board and hopefully mean increased equity in the provision of maternity care ie. midwives providing the choice of homebirth from a health facility base, increased birth centres, increased staffing for pre post natal care etc, instead of the inequitable situation we have now. I implore midwives to become proactive in their relevant State union and to join support the ACMI. Liz McCall - Original Message - From: Christine Tony Holliday [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Monday, September 03, 2001 9:25 AM Subject: RE: ANF Katrina, I have to support what you say about needing industrial representation and I too do not see this as the job of the ACMI. We also need numbers for industrial representation to be effective and joining with (not being part of) the nurses is a way of gaining numbers. In SA we have a Midwifery Reference Group within the ANF, which is helping to make some changes (admittedly small so far) within the ANF. The only way to change organizations is to continually lobby from within as well as outside. Christine. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]On Behalf Of Katrina Vincent Sent: Sunday, 2 September 2001 8:43 PM To: [EMAIL PROTECTED] Cc: [EMAIL PROTECTED] Subject: Re: ANF Dear Anne, I am a midwife who at this stage of my life/career, choose to work within the hospital system. I am a member of ACMI, but also of ANF, because ANF provides industrial representation and insurance cover, while ACMI does not. The way I see it, ACMI is a professional association and ANF is basically
Re: Strategy meeting re: PI insurance for midwives
As a multi skilled passionate rural midwife nurse I am an active member of both the NSWNA NSWMA. I have just returned from the NSWNA Annual General Conference where I raised the issue of professional indemnity insurance. I was assured that the NSWNA is working closely with the NSWMA/ACMI to address this inequitable outrageous situation is seeking legal opinion on the best way forward. Keep up the struggle. Liz McCall - Original Message - From: Virginia Miltrup [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Wednesday, July 18, 2001 8:10 PM Subject: Strategy meeting re: PI insurance for midwives Sydney venue. Interested persons and groups are invited to a strategic planning session to discuss the midwives insurance issue. The meeting's objective is to consider possible solutions and to prioritise what actions are necessary to achieve them. A great deal of fantastic work has been done to date. It is hoped that by involving both consumer and midwifery groups in this session we can be even more effective by pooling our resources and working cooperatively to gain further momentum. Meeting outcomes will be posted to ozmidwifery to enable everyone to benefit and to add further comments where appropriate. The meeting will be held on Friday 27 July 2001 from 7pm to 9pm. Venue: Valhalla Room, Dundas Valley Rugby Union Football Club 35 Quarry Rd, Dundas Valley (02 9638 4589). Tea coffee available for $1.50. RSVP to [EMAIL PROTECTED] Meeting updates will be available on the news and events page at: www.homebirthaccesssydney.com.au This meeting is being sponsored by the Australian Society of Independent Midwives and Homebirth Access Sydney. Regards Virginia Miltrup Homebirth Access Sydney _ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
