RE: [ozmidwifery] Birth Centre submission
We are looking atlodging a submission/business case to establish a birth centre in the south west of WA, this will cater for a rural regional area, if anyone else had already had to do this in their area it would be extremely helpful to get an electronic copy so that we don't have to re invent the wheel. I would appreciate if anyone could contact me on [EMAIL PROTECTED] with any information. Yours in midwifery Pete Malavisi -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Birth Centre UK
Sally Tracy has emailed it to me so I dont need to bother you any more. Thanks, Sally. From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Mary Murphy Sent: Friday, 21 October 2005 9:50 AM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Birth Centre UK Could someone please send me off line (so the list, so it is not inundated) , the article about the U.K birth centres being closed because of high perinatal mortality rates? I must have deleted it. Thanks, Mary Murphy [EMAIL PROTECTED]
[ozmidwifery] Birth Centre UK
Could someone please send me off line (so the list, so it is not inundated) , the article about the U.K birth centres being closed because of high perinatal mortality rates? I must have deleted it. Thanks, Mary Murphy [EMAIL PROTECTED]
[ozmidwifery] Birth centre in the news
Title: Birth centre in the news The defence of the QLD birth centre against Dr Molloys comments has made it to www.news.com.au as breaking news. Good publicity fo rthem Cheers Megan
[ozmidwifery] Birth Centre in NSW
Dear All, Does anyone know if the Royal North Shore and/or Ryde hospitals in NSW have a Birth Centre? If so, what type of Midwifery care do they provide, teams, caseload -if caseload arewomen exclusively allocated to a Midiwfe for antenatal, birth and postnatal care? With thanks, Anne
RE: [ozmidwifery] Birth Centre in NSW
Hi Anne, There is a birth centre at Royal North Shore, with team midwifery. Ryde hospital has an excellent caseload model of midwifery care. I know some of the Ryde midwives working in the caseload model and they are wonderful midwives. Regards, Jeannie Minnis -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Anne Clarke Sent: Saturday, 12 February 2005 8:54 PM To: OZMIDWIFERY Subject: [ozmidwifery] Birth Centre in NSW Dear All, Does anyone know if the Royal North Shore and/or Ryde hospitals in NSW have a Birth Centre? If so, what type of Midwifery care do they provide, teams, caseload -if caseload arewomen exclusively allocated to a Midiwfe for antenatal, birth and postnatal care? With thanks, Anne
Re: [ozmidwifery] Birth Centre
home-like place to have your baby. * managed by midwives who are specialists in natural birth * for women who plan to have their baby naturally. * located in (or near) a public maternity hospital that facilitates medical referral if necessary The Bi! rth Centre midwives provide care for low-risk women throughout pregnancy, labour, birth and afterwards. The Birth Centre education program aims to empower women and their support people with a unique understanding of pregnancy and birth knowledge that facilitates participation in decision making related to the birth of their baby. I don't think any of the so called Birth Ce! ntres can say they adhere to all the above criteria. I would like to hear from any who think they do. I would like to see the development of Natural Birth Centres attached to each and every public hospital in the country. There would need to be a transfer of staff out into Community Midwifery programs ... The Community premises would become the Natural Birth Centres of the future and the focal point for women who wish to arrange for a home birth as well. Midwives who see t! heir career pathway as becoming specialist in natural births do not rotate through labour and delivery suites and commit themselves to community services and forming partnerships with women rather than be placed on the rotating roster within a maternity unit. This is something that needs discussion at national level - perhaps put on the ACMI executive agenda. Cheers Jan Jan Robinson Independent Midwife Practitioner National Coordinator Aus! tralian Society of Independent Midwives 8 Robin Crescent South Hurstville NSW 2221 Phone/Fax: 02 9546 4350 e-mail address:website: www.midwiferyeducation.com.au On 16 Jan, 2005, at 10:43, Ken WArd wrote: The birth centre where I work offers midwife care throughout antenatal, intrapartum and post natal. We encourage non-drug use in labour, but do have gas and morp! hine. These are NEVER offered, and not given on first ask. It is between the midwife the woman and her supports when drugs are used, the vast majority do not even think about it. Nitros does not affect her choice for a water birth, but morphine does, she can labour in water. Iv therapy can be given to rehydrate if necessary, and ceased once a litre has been given. We have research based policies, and are therefore more liberal than delivery suite. eg 48 hours RM! , 42 weeks before induction, trans. to DS. No CTGs. Physiological 3rd stage except for previous pph and 'at risk' such as prolonged second stage. We inundate our clients with info, pros and cons, and encourage them to do their own research. They are usually home in 24hrs. We are no longer doing VBACs, due to obest. intervention.. Maureen -Original Message- From:[EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Ofdiane Sent:Saturday, 15 January 2005 12:05 AM To:ozmidwifery@acegraphics.com.au Subject:[ozmidwifery] Birth Centre Ok, ive outed myself now, I have been lurking on this list, drawing upon the wisdom of all you beautiful, passionate women, for some time now and I finally have a question. What ! is the accepted Australian definition of a "Birth Centre"? Is there one? Our midwifery led, low risk unit offers team midwifery and hopefully soon, caseload care. Our brand new unit is linked closely to the maternity ward where we have only postnatal care. We have obstetricians available on call, and they have the ability to perform an emergency c/s if needed. We would love to call our new unit, with it's big baths in all three birthing rooms, a birth centre as this would help to demedicalise the concept and help us bring our midwifery services to the local women and the community. Any thoughts?Di. Find local movie times and trailers on Yahoo! Movies. Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] Birth Centre
rwards. The Birth Centre education program aims to empower women and their support people with a unique understanding of pregnancy and birth knowledge that facilitates participation in decision making related to the birth of their baby. I don't think any of the so called Birth Ce! ntres can say they adhere to all the above criteria. I would like to hear from any who think they do. I would like to see the development of Natural Birth Centres attached to each and every public hospital in the country. There would need to be a transfer of staff out into Community Midwifery programs ... The Community premises would become the Natural Birth Centres of the future and the focal point for women who wish to arrange for a home birth as well. Midwives who see their career pathway as becoming specialist in natural births do not rotate through labour and delivery suites and commit themselves to community services and forming partnerships with women rather than be placed on the rotating roster within a maternity unit. This is something that needs discussion at national level - perhaps put on the ACMI executive agenda. Cheers Jan Jan Robinson Independent Midwife Practitioner National Coordinator Aus! tralian Society of Independent Midwives 8 Robin Crescent South Hurstville NSW 2221 Phone/Fax: 02 9546 4350 e-mail address:website: www.midwiferyeducation.com.au On 16 Jan, 2005, at 10:43, Ken WArd wrote: > The birth centre where I work offers midwife care throughout > antenatal, intrapartum and post natal. We encourage non-drug use in > labour, but do have gas and morphine. These are NEVER offered, and > not given on first ask. It is between the midwife the woman and her > supports when drugs are used, the vast majority do not even think > about it. Nitros does not affect her choice for a water birth, but > morphine does, she can labour in water. Iv therapy can be given to > rehydrate if necessary, and ceased once a litre has been given. We > have research based policies, and are therefore more liberal than > delivery suite. eg 48 hours RM! , 42 weeks before induction, trans. to > DS. No CTGs. Physiological 3rd stage except for previous pph and 'at > risk' such as prolonged second stage. We inundate our clients with > info, pros and cons, and encourage them to do their own research. > They are usually home in 24hrs. We are no longer doing VBACs, due to > obest. intervention.. Maureen > -Original Message- > From:[EMAIL PROTECTED] > [mailto:[EMAIL PROTECTED] Behalf Ofdiane > Sent:Saturday, 15 January 2005 12:05 AM > To:ozmidwifery@acegraphics.com.au > Subject:[ozmidwifery] Birth Centre > > Ok, ive outed myself now, > I have been lurking on this list, drawing upon the wisdom of all you > beautiful, passionate women, for some time now and I finally have a > question. > What ! is the accepted Australian definition of a Birth Centre? Is > there one? > Our midwifery led, low risk unit offers team midwifery and hopefully > soon, caseload care. Our brand new unit is linked closely to the > maternity ward where we have only postnatal care. > We have obstetricians available on call, and they have the ability to > perform an emergency c/s if needed. > We would love to call our new unit, with it's big baths in all three > birthing rooms, a birth centre as this would help to demedicalise the > concept and help us bring our midwifery services to the local women > and the community. > Any thoughts? > > Di. Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] Birth Centre
ebsite: www.midwiferyeducation.com.auOn 16 Jan, 2005, at 10:43, Ken WArd wrote: The birth centre where I work offers midwife care throughout antenatal, intrapartum and post natal. We encourage non-drug use in labour, but do have gas and morphine. These are NEVER offered, and not given on first ask. It is between the midwife the woman and her supports when drugs are used, the vast majority do not even think about it. Nitros does not affect her choice for a water birth, but morphine does, she can labour in water. Iv therapy can be given to rehydrate if necessary, and ceased once a litre has been given. We have research based policies, and are therefore more liberal than delivery suite. eg 48 hours RM! , 42 weeks before induction, trans. to DS. No CTGs. Physiological 3rd stage except for previous pph and 'at risk' such as prolonged second stage. We inundate our clients with info, pros and cons, and encourage them to do their own research. They are usually home in 24hrs. We are no longer doing VBACs, due to obest. intervention.. Maureen -Original Message- From:[EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Ofdiane Sent:Saturday, 15 January 2005 12:05 AM To:ozmidwifery@acegraphics.com.au Subject:[ozmidwifery] Birth Centre Ok, ive outed myself now, I have been lurking on this list, drawing upon the wisdom of all you beautiful, passionate women, for some time now and I finally have a question. What ! is the accepted Australian definition of a "Birth Centre"? Is there one? Our midwifery led, low risk unit offers team midwifery and hopefully soon, caseload care. Our brand new unit is linked closely to the maternity ward where we have only postnatal care. We have obstetricians available on call, and they have the ability to perform an emergency c/s if needed. We would love to call our new unit, with it's big baths in all three birthing rooms, a birth centre as this would help to demedicalise the concept and help us bring our midwifery services to the local women and the community. Any thoughts? Di. Find local movie times and trailers on Yahoo! Movies.
RE: [ozmidwifery] Birth Centre
Well done in finding the reference to the College - thanks Alison. It's great o have you keeping an eye on ozmid for me. Really helpful. B Dr Barbara Vernon Executive Officer Australian College of Midwives Ph +61 2 6230 7333 Mob 0438 855 529 'Midwifery: Pathways to Healthy Nations' 27th Congress of the International Confederation of Midwives Brisbane Convention Centre, 24-28 July 2005 www.midwives2005.com/index.shtml _ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Sent: Tuesday, January 18, 2005 12:29 PM To: BARB at work Subject: Re: [ozmidwifery] Birth Centre Barb, A couple of oz midwifery emails for you attention. ACMI listed at the end of this Suggesting it an issue for acmi executive agenda. Alison Hi Jan and all: I'll go back to Andrea's issue with the gas and pethidine being on the menu why is this * A natural birth is encouraged with hot showers, baths and hot packs, but if you want there is the gas or needle for pain (hard to believe this one!) offered in a birth centre? marilyn - Original Message - From: Jan mailto:[EMAIL PROTECTED] Robinson To: ozmidwifery@acegraphics.com.au Sent: Sunday, January 16, 2005 3:39 AM Subject: Re: [ozmidwifery] Birth Centre Hi Di There was a Birth Centre Network NSW wholly funded by NSW Health a few years ago, but not sure that it is still functional. I can remember a concern of the network at the time that no women from disadvantaged groups ever used the existing birth centres so a lovely little pamphlet was designed and distributed (courtesy of NSW Health) that attempted to define the birth centre concept and explain the advantages to women who used them. cover page was titled ... Birthing Place for All Women pic of baby inserted here BIRTH CENTRES inside was What is a birth centre? *A place to have your baby away from Labour Ward but still part of the hospital *In a birth centre each room has a double bed, chair, curtains and nice furnishings *The midwives of the birth centre will see you right through your nate-natal care, labour and after birth *A doctor will be called if problems arise *Medicare covers costs for birth centre care Why use a birth centre? *You have your baby your way * It's a relaxed, friendly atmosphere * You can have your own support - whoever you want * A natural birth is encouraged with hot showers, baths and hot packs, but if you want there is the gas or needle for pain (hard to believe this one!) * Cultrural practices are respected and encouraged Who can use a birth centre? Almost all women can use a birth centre, but you may need to book in early Who will I see? Usually the midwives are female You may be able to have shared care with a general pracftitioner, obstetrician or private midiwfe People to talk to there followed the local birth centres and Social work department contact detaiils as well as aboriginal medical service. Lots of work went into developing this pamphlet and as far as I can remember no feedback data was ever collected or the success of it's dissemination evaluated. Shame about that. If you really want a good definition of a Natural BIrth Centre - here is the one I like best . A Natural Birth Centre is * a safe, home-like place to have your baby. * managed by midwives who are specialists in natural birth * for women who plan to have their baby naturally. * located in (or near) a public maternity hospital that facilitates medical referral if necessary The Birth Centre midwives provide care for low-risk women throughout pregnancy, labour, birth and afterwards. The Birth Centre education program aims to empower women and their support people with a unique understanding of pregnancy and birth knowledge that facilitates participation in decision making related to the birth of their baby. I don't think any of the so called Birth Centres can say they adhere to all the above criteria. I would like to hear from any who think they do. I would like to see the development of Natural Birth Centres attached to each and every public hospital in the country. There would need to be a transfer of staff out into Community Midwifery programs ... The Community premises would become the Natural Birth Centres of the future and the focal point for women who wish to arrange for a home birth as well. Midwives who see their career pathway as becoming specialist in natural births do not rotate through labour and delivery suites and commit themselves to community services and forming partnerships with women rather than be placed on the rotating roster within a maternity unit. This is something that needs discussion at national level - perhaps put on the ACMI executive agenda. Cheers Jan Jan Robinson Independent Midwife Practitioner National Coordinator Australian Society of Independent Midwives 8 Robin Crescent South Hurstville NSW 2221 Phone/Fax: 02 9546 4350 e-mail address: [EMAIL PROTECTED] website
Re: [ozmidwifery] Birth Centre
ery@acegraphics.com.au Subject:[ozmidwifery] Birth Centre Ok, ive outed myself now, I have been lurking on this list, drawing upon the wisdom of all you beautiful, passionate women, for some time now and I finally have a question. What is the accepted Australian definition of a Birth Centre? Is there one? Our midwifery led, low risk unit offers team midwifery and hopefully soon, caseload care. Our brand new unit is linked closely to the maternity ward where we have only postnatal care. We have obstetricians available on call, and they have the ability to perform an emergency c/s if needed. We would love to call our new unit, with it's big baths in all three birthing rooms, a birth centre as this would help to demedicalise the concept and help us bring our midwifery services to the local women and the community. Any thoughts? Di.
Re: [ozmidwifery] Birth Centre
Hi Jan and all: I'll go back to Andrea's issue with the gas and pethidine being on the menu why is this "* A natural birth is encouraged with hot showers, baths and hot packs, but if you want there is the gas or needle for pain (hard to believe this one!) offered in a birth centre? marilyn - Original Message - From: Jan Robinson To: ozmidwifery@acegraphics.com.au Sent: Sunday, January 16, 2005 3:39 AM Subject: Re: [ozmidwifery] Birth Centre Hi DiThere was a Birth Centre Network NSW wholly funded by NSW Health a few years ago, but not sure that it is still functional. I can remember a concern of the network at the time that no women from disadvantaged groups ever used the existing birth centres so a lovely little pamphlet was designed and distributed (courtesy of NSW Health) that attempted to define the birth centre concept and explain the advantages to women who used them.cover page was titled ...Birthing Place for All Womenpic of baby inserted hereBIRTH CENTRESinside was What is a birth centre?*A place to have your baby away from Labour Ward but still part of the hospital*In a birth centre each room has a double bed, chair, curtains and nice furnishings*The midwives of the birth centre will see you right through your nate-natal care, labour and after birth*A doctor will be called if problems arise*Medicare covers costs for birth centre careWhy use a birth centre?*You have your baby your way* It's a relaxed, friendly atmosphere* You can have your own support - whoever you want* A natural birth is encouraged with hot showers, baths and hot packs, but if you want there is the gas or needle for pain (hard to believe this one!)* Cultrural practices are respected and encouragedWho can use a birth centre?Almost all women can use a birth centre, but you may need to book in earlyWho will I see?Usually the midwives are femaleYou may be able to have shared care with a general pracftitioner, obstetrician or private midiwfe People to talk to there followed the local birth centres and Social work department contact detaiils as well as aboriginal medical service.Lots of work went into developing this pamphlet and as far as I can remember no feedback data was ever collected or the success of it's dissemination evaluated. Shame about that.If you really want a good definition of a Natural BIrth Centre - here is the one I like best .A Natural Birth Centre is* a safe, home-like place to have your baby.* managed by midwives who are specialists in natural birth* for women who plan to have their baby naturally.* located in (or near) a public maternity hospital that facilitates medical referral if necessaryThe Birth Centre midwives provide care for low-risk women throughout pregnancy, labour, birth and afterwards.The Birth Centre education program aims to empower women and their support people with a unique understanding of pregnancy and birth knowledge that facilitates participation in decision making related to the birth of their baby. I don't think any of the so called Birth Centres can say they adhere to all the above criteria. I would like to hear from any who think they do.I would like to see the development of Natural Birth Centres attached to each and every public hospital in the country. There would need to be a transfer of staff out into Community Midwifery programs ... The Community premises would become the Natural Birth Centres of the future and the focal point for women who wish to arrange for a home birth as well. Midwives who see their career pathway as becoming specialist in natural births do not rotate through labour and delivery suites and commit themselves to community services and forming partnerships with women rather than be placed on the rotating roster within a maternity unit.This is something that needs discussion at national level - perhaps put on the ACMI executive agenda. CheersJanJan Robinson Independent Midwife PractitionerNational Coordinator Australian Society of Independent Midwives8 Robin Crescent South Hurstville NSW 2221 Phone/Fax: 02 9546 4350e-mail address: [EMAIL PROTECTED] website: www.midwiferyeducation.com.auOn 16 Jan, 2005, at 10:43, Ken WArd wrote: The birth centre where I work offers midwife care throughout antenatal, intrapartum and post natal. We encourage non-drug use in labour, but do have gas and morphine. These are NEVER offered, and not given on first ask. It is between the midwife the woman and her supports when drugs are used, the vast majority do not even think about it. Nitros does not affect her choice for a water birth, but morphine does, she can labour in water. Iv therapy can be given to rehydrate if necessary, and ceased once a litre has been given. We have research based pol
RE: [ozmidwifery] Birth Centre
The birth centre where I work offers midwife care throughout antenatal, intrapartum and post natal. We encourage non-drug use in labour, but do have gas and morphine. These are NEVER offered, and not given on first ask. It is between the midwife the woman and her supports when drugs are used, the vast majority do not even think about it. Nitros does not affect her choice for a water birth, but morphine does, she can labour in water. Iv therapy can be given to rehydrate if necessary, and ceased once a litre has been given. We have research based policies, and are therefore more liberal than delivery suite. eg 48 hours RM, 42 weeks before induction, trans. to DS. No CTGs. Physiological 3rd stage except for previous pph and 'at risk' such as prolonged second stage. We inundate our clients with info, pros and cons, and encourage them to do their own research. They are usually home in 24hrs. We are no longer doing VBACs, due to obest. intervention.. Maureen -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of dianeSent: Saturday, 15 January 2005 12:05 AMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Birth Centre Ok, ive outed myself now, I have been lurking on this list, drawing upon the wisdom of all you beautiful, passionate women, for some time now and I finally have a question. What is the accepted Australian definition of a "Birth Centre"? Is there one? Our midwifery led, low risk unit offers team midwifery and hopefully soon, caseload care. Our brand new unit is linked closely to the maternity ward where we have only postnatal care. We have obstetricians available on call, and they have the ability to perform an emergency c/s if needed. We would love to call our new unit, with it's big baths in all three birthing rooms, a birth centre as this would help to demedicalise the concept and help us bring our midwifery services to the local women and the community. Any thoughts? Di.
[ozmidwifery] Birth Centre
Ok, ive outed myself now, I have been lurking on this list, drawing upon the wisdom of all you beautiful, passionate women, for some time now and I finally have a question. What is the accepted Australian definition of a "Birth Centre"? Is there one? Our midwifery led, low risk unit offers team midwifery and hopefully soon, caseload care. Our brand new unit is linked closely to the maternity ward where we have only postnatal care. We have obstetricians available on call, and they have the ability to perform an emergency c/s if needed. We would love to call our new unit, with it's big baths in all three birthing rooms, a birth centre as this would help to demedicalise the concept and help us bring our midwifery services to the local women and the community. Any thoughts? Di.
RE: [ozmidwifery] Birth Centre
I have heard of a few birth centres, that call themselves birth centres, that are FAR from what I as a consumer would consider a birth centre! I have had one birth centre midwife ask me why I bother having a VBACwhy not just have another csmuch easier! hmmmbirth centre philosophy bursting thru there!! -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of diane Sent: Friday, January 14, 2005 11:35 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Birth Centre Ok, ive outed myself now, I have been lurking on this list, drawing upon the wisdom of all you beautiful, passionate women, for some time now and I finally have a question. What is the accepted Australian definition of a Birth Centre? Is there one? Our midwifery led, low risk unit offers team midwifery and hopefully soon, caseload care. Our brand new unit is linked closely to the maternity ward where we have only postnatal care. We have obstetricians available on call, and they have the ability to perform an emergency c/s if needed. We would love to call our new unit, with it's big baths in all three birthing rooms, a birth centre as this would help to demedicalise the concept and help us bring our midwifery services to the local women and the community. Any thoughts? Di. --- Incoming mail is certified Virus Free. Checked by AVG anti-virus system (http://www.grisoft.com). Version: 6.0.825 / Virus Database: 563 - Release Date: 12/30/2004 --- Outgoing mail is certified Virus Free. Checked by AVG anti-virus system (http://www.grisoft.com). Version: 6.0.825 / Virus Database: 563 - Release Date: 12/30/2004
Re: [ozmidwifery] Birth Centre
I worked in one (for a brief time) which was moreobstetricly oriented than many obstetric units I had previously worked in Denise Hynd "Let us support one another, not just in philosophy but in action, for the sake of freedom for all women to choose exactly how and by whom, if by anyone, our bodies will be handled." Linda Hes - Original Message - From: Dean Jo To: ozmidwifery@acegraphics.com.au Sent: Saturday, January 15, 2005 7:54 AM Subject: RE: [ozmidwifery] Birth Centre I have heard of a few birth centres, that call themselves birth centres, that are FAR from what I as a consumer would consider a birth centre! I have had one birth centre midwife ask me why I bother having a VBACwhy not just have another csmuch easier! hmmmbirth centre philosophy bursting thru there!! -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of dianeSent: Friday, January 14, 2005 11:35 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Birth Centre Ok, ive outed myself now, I have been lurking on this list, drawing upon the wisdom of all you beautiful, passionate women, for some time now and I finally have a question. What is the accepted Australian definition of a "Birth Centre"? Is there one? Our midwifery led, low risk unit offers team midwifery and hopefully soon, caseload care. Our brand new unit is linked closely to the maternity ward where we have only postnatal care. We have obstetricians available on call, and they have the ability to perform an emergency c/s if needed. We would love to call our new unit, with it's big baths in all three birthing rooms, a birth centre as this would help to demedicalise the concept and help us bring our midwifery services to the local women and the community. Any thoughts? Di. ---Incoming mail is certified Virus Free.Checked by AVG anti-virus system (http://www.grisoft.com).Version: 6.0.825 / Virus Database: 563 - Release Date: 12/30/2004 ---Outgoing mail is certified Virus Free.Checked by AVG anti-virus system (http://www.grisoft.com).Version: 6.0.825 / Virus Database: 563 - Release Date: 12/30/2004
Re: [ozmidwifery] Birth Centre
Hi Di, Have to hoe in on this one. I have been very concerned about the definition of a Birth Centre for some time. In the UK, where I do tend to get about a bit each year, many hospitals are suddenly sporting Birth Centres. For example, I have a glossy brochure from the Birth Centre at Chelsea and Westminster Hospital in London (very up market, famous and fashionable) where they proudly state that at their Birth Centre you can have everything except and epidural. In practice this means you could be induced, have pethidine, certainly Entonox (nitrous oxide) and even electronic monitoring in their birth centre. There are water births there of course, and it claims to be midwifery led care, but it makes you wonder. At Guys and St Thomas' Hospital (the home of Florence Nightingale) in London, the Birth Centre' sign outside the main lift actually leads to the regular labour ward and it is the Home from Home Unit that tries to approximate the homelike atmosphere usually associated with birth centres (as long as you like wall to wall bright blue paint). Kings College Hospital in London has done the same thing - a real con for women who think they are going to a birth centre and then find they are having all the usual obstetric care found in big city teaching establishments. In the UK all the birth centres I have heard of offer drugs in labour and other invasive management techniques such as mandatory 15 minutely checks of the fetal heartrate during first stage and after every contraction in 2nd stage (although a NICE guideline, there is no evidence that supports this doctrine). To my mind, a birth centre is run by a select team of midwives (not midwives who are allocated on a needs basis from the regular labour ward) and the aim is to promote midwifery and natural birth. That means no drugs, monitors, drips or interventions. If a problem develops, the woman is transferred to labour ward where she can get the necessary and appropriate help. Water and other non pharmacological comfort aids are encouraged and a family atmosphere prevails, with the woman free to bring whomever she likes to the centre with her. Siblings as well, if desired. This was how the original birth centres operated when they opened in the early 80s. The concept seems to have become diluted over the years, which I think is a shame, for the women and for the midwives. A birth centre offers a midwife the chance to gain confidence in natural labour and birth, which will give her skills she may then decide to use in home settings. These days, midwives are under such pressure from management (euphemistically called risk management) that they feel obliged to carry out unnecessary observations and apply rigid criteria over every aspect of the admission to the program and the following care that they can hardly operate as autonomous practitioners. I remember well that the first birth centre at Crown Street was established as a means of stamping out home births, the thinking being that women would come to a nice cosy birth centre in a hospital if it was pretty enough and not risk a home birth. They were wrong of course! There is the argument that hospitals should be seen as birth centres because that is where babies are born and I can accept that as a valid argument. However, the birth reform movement created this term birth centre (an American idea) as a means of delineating midwifery care and natural birth from the standard hospital approach. I fear we are losing sight of these original goals. Sorry about the rave. I have written about this before, especially in Diary entries, but it keeps cropping up. I will be interested to see what others feed back to the discussion. Andrea At 12:05 AM 15/01/2005, you wrote: Ok, ive outed myself now, I have been lurking on this list, drawing upon the wisdom of all you beautiful, passionate women, for some time now and I finally have a question. What is the accepted Australian definition of a Birth Centre? Is there one? Our midwifery led, low risk unit offers team midwifery and hopefully soon, caseload care. Our brand new unit is linked closely to the maternity ward where we have only postnatal care. We have obstetricians available on call, and they have the ability to perform an emergency c/s if needed. We would love to call our new unit, with it's big baths in all three birthing rooms, a birth centre as this would help to demedicalise the concept and help us bring our midwifery services to the local women and the community. Any thoughts? Di. - Andrea Robertson Birth International * ACE Graphics * Associates in Childbirth Education e-mail: [EMAIL PROTECTED] web: www.birthinternational.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] birth centre Melbourne
Yes. We book 35 a month. Maureen -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Jen SempleSent: Monday, 24 May 2004 5:48 PMTo: [EMAIL PROTECTED]Subject: Re: [ozmidwifery] birth center Melbourne Does anyone know if birth centres in Melbourne get booked out the way they obviously do in Brissy (waiting lists, etc)? Cheers, Jen Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] Birth centre
Dear Maureen, I work in the birth centre at the Angliss and find it a great place to work. The 9 midwives that currently work there are a great bunch and we are a close knit group.We are very much women centered and worked hard initially in the setting up of the birth centre and used evidence effectively which see us doing vbacs, our exclusion policy is minimal, gestational diabetes does not result in transfer out. We do a fair number of waterbirths and physiological third stages. We currently book 30 women a month, more often than not a 50;50 split of primips and multis. We order our own tests and ultrasounds if women request them. We are working on getting our own prescribing rights. We run our own clinics ,have our own bedcard.,run our own classes and enjoy good relations with the 4 GP's who back us.Our stats are excellent and the powers that be would like to see us expand the program if we can show need. Hope this is helpful. Good luck with the interview. Regards clare lane - Original Message - From: Ken Ward [EMAIL PROTECTED] To: ozmidwifery [EMAIL PROTECTED] Sent: Monday, March 10, 2003 5:50 PM Subject: [ozmidwifery] Birth centre Am being interviewed for a position in the birth centre at the angliss Hospital, Ferntree Gully. Any-one have any info, good or bad? Maureen [EMAIL PROTECTED] -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Birth centre
they all read this list. Just be yourself jan - Original Message - From: Ken Ward [EMAIL PROTECTED] To: ozmidwifery [EMAIL PROTECTED] Sent: Monday, March 10, 2003 5:50 PM Subject: [ozmidwifery] Birth centre Am being interviewed for a position in the birth centre at the angliss Hospital, Ferntree Gully. Any-one have any info, good or bad? Maureen [EMAIL PROTECTED] -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Birth centre
Am being interviewed for a position in the birth centre at the angliss Hospital, Ferntree Gully. Any-one have any info, good or bad? Maureen [EMAIL PROTECTED] -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
