Dear Elaine,
Midwives working in country hospitals currently work as nurses as well as you state. They are usually oncall for labouring women and when a midwife isn't on duty nurses look after antenatal/postnatal women (well that has been my experience when i was a nurse working in a country hospital). The employer could change the way they provide services with the few midwives working in a caseload practice and employed to only look after the childbearing women and the nurses to care for the sick. The midwives where I have worked before were on call a lot and trying to work some shifts as well. There is the potential for great models of care in the country as often the midwives know the women anyway. Just some thoughts
Jackie Kitschke

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