The Face of Birth - A teaser

Come and join us at the Health Dept for the viewing of The face of birth..... lets make some changes.....see details on the previous post.

The Face of Birth - 20th March 2012

WA Branch of the ACM is hosting a showing of "The Face of Birth"

Calling all midwives and women who live in WA and would like to see this movie: The Face of Birth will be screened in the theatrette at the Dept of Health - Refreshments will be served prior to viewing.
"Scientific evidence shows that how we are born has a huge impact on our health and happiness - as babies, children and, for some of us - for the rest of our lives.
Home birth mothers believe that they are making the best and safest choice for themselves and their babies. Mainstream medicine in Australia, unlike the UK, thinks otherwise.
This is a film about families that choose to give birth at home, the midwives and health professionals who support them and a system that works against them".

DATE: 20 March 2012

TIME: 1800

COST: $20.00 pre-purchased tickets (internet details coming soon)

Door Tickets - $23.00

PLACE: WA Department of Health
189 Royal St, Perth, WA 6004

RSVP:to confirm attendance for catering and theatrette size please email acmwabranch@gmail.com

RANZCOG - Please give feedback - Collaborative agreement for midwives

RANZCOG has developed a template for Collaborative Maternity Care Agreement between Eligible Midwife and Specialist Obstetrician or General Practice Obstetrician for use by Specialist Obstetricians or GP Obstetricians and Eligible Midwives.

It is very important to give your Feedback.

It is acknowledged that the template agreement will not be suitable for all settings and that not all Obstetricians will wish to enter into a collaborative arrangement, but all comments will be considered.RANZCOG

Please send feedback to Rupert Sherwood by email to ganderson@ranzcog.edu.au or by fax to +61 3 9419 0672.

Sending your response is important, this is how your voice and numbers count, please be proactive, read the document in its entirety... and give your feedback.

ACM Homebirth (interim) Position Statement;

Dear Members,

Please take the time to read and comment on the ACM's interim Homebirth position statement and guidance for privately practicing midwives;

Interim Position Statement on Homebirth

Interim Guidance for privately practising midwives providing midwifery care for a planned homebirth

ACM has requested comment on both the interim position statement and the interim guidance for privately practising midwives by close of business 23rd September 2011.

Send submissions by email to info@midwives.org.au or by post to PO Box 87, Deakin West ACT 2600. Only submissions with identified senders and a return address will be considered.

Please comment on the Homebirth Policy for WA

The Women's and Newborns' Health Network is seeking comments on a draft Home Birth Policy and Guidance for Health Professionals, Health Services and Consumers. The Review of homebirths in Western Australia released in August 2008 made recommendations for conducting home births in WA which have been incorporated into this Policy.

The Policy will be applicable to qualified health professionals (i.e. registered midwives and/or medical practitioners) working in the Western Australian public health system when caring for women who make an informed choice to give birth at home.

Please send an email to healthpolicy@health.wa.gov.au to request a copy of the Policy and a Feedback Form. The deadline for comments is 31 March 2011. Date has been extended to Friday 8 April.... please send in your comments:

Kind regards

Dr Janet Hornbuckle and Assoc Prof Graeme Boardley
Co-Leads, Women's and Newborns' Health Network

WA Homebirth Policy open for public consultation... be pro-active: please review

Message for distribution via ACM WA blog:

Time to be pro active, have you say about how policies are written.... email healthpolicy@health.wa.gov.au for your copy of the Homebirth policy and give some feedback all feed back is welcome:


The Women's and Newborns' Health Network is seeking comments on a draft Home Birth Policy and Guidance for Health Professionals, Health Services and Consumers. The Review of homebirths in Western Australia released in August 2008 made recommendations for conducting home births in WA which have been incorporated into this Policy.

The Policy will be applicable to qualified health professionals (i.e. registered midwives and/or medical practitioners) working in the Western Australian public health system when caring for women who make an informed choice to give birth at home.

Please send an email to healthpolicy@health.wa.gov.au to request a copy of the Policy and a Feedback Form. The deadline for comments is 31 March 2011.

Kind regards

Dr Janet Hornbuckle and Assoc Prof Graeme Boardley
Co-Leads, Women's and Newborns' Health Network

Safety and Quality Framework for Privately Practising Midwives attending homebirths:

The Safety and Quality Framework for Privately Practising Midwives is up on the AHPRA website..... click her to read whole framework;

IMPORTANT CLAUSE:

284 Exemption from requirement for professional indemnity insurance arrangements for midwives practising private midwifery
(1) During the transition period, a midwife does not contravene section 129(1) merely because the midwife practises private midwifery if—
(a) the practise occurs in a participating jurisdiction in which, immediately before the participation day for that jurisdiction, a person was not prohibited from attending homebirths in the course of practising midwifery unless professional indemnity insurance arrangements were in place; and
(b) informed consent has been given by the woman in relation to whom the midwife is practising private midwifery; and
(c) the midwife complies with any requirements set out in a code or guideline approved by the National Board under section 39 about the practise of private midwifery, including—
(i) any requirement in a code or guideline about reports to be provided by midwives practising private midwifery; and
(ii) any requirement in a code or guideline relating to the safety and quality of the practise of private midwifery

(2) A midwife who practises private midwifery under this section is not required to include in an annual statement under section 109 a declaration required by subsection (1)(a)(iv) and (v) of that section in relation to the midwife’s practise of private midwifery during a period of registration that is within the transition period.
(3) For the purposes of this section, the transition period—
(a) starts on 1 July 2010; and
(b) ends on the prescribed day.

The framework is to ensure safe high quality of care of th woman and her baby when choosing homecare by a private practising midwife;
It is good to see that the ACM Consultation and Referral Guidelines and the prinicpoes and practices in the NHMRC document are also key elements in this framework.

Check out the Determination for Medicare Provider Numbers

Please have a look at the Health Insurance (Midwife and Nurse Practitioner)Determination 2010Health Insurance Act 1973
I, NICOLA ROXON, Minister for Health and Ageing, make this Determination under
section 3C of the Health Insurance Act 1973.
Dated 4 October 2010

This determination comes into force 1 November; Midwifery services and fees range from $31.10 - $724.00 and providing a service fee for 6 weeks postnatal period...

We have to remember that this does not cover homebirth and we need to continue to put pressure on the government to pass this midwifery services fee onto women who choose to have a homebirth.....

AMA Position on collaboration:

Here is the AMA document for collaboration; yes there are parts of it that make me cringe.... however it must be equally difficult for the AMA, not that any midwife wants to hear that; Click on the link to read the document;

Collaborative Arrangements what you need to know? the irony of this document has to make you laugh or cry:

"Working with other health professionals is an everyday feature of clinical practice for a modern medical practitioner. Effective teamwork can improve patient outcomes, create new opportunities for learning,and build a shared understanding of the skills that each person brings to the care of a patient."

If we do not embrace these changes, then pressure will mount on the Government to relax the requirement for collaborative arrangements to be in place. This would risk fragmentation of care to the detriment of patients.

This is the most telling statement of all.... this means the AMA is seriously concerned that if they the doctors do not collaborate then changes will be made......this is in our favour.

As always I am presenting you with the information and you can decide for yourselves; As i have stated before; My vision is that all women will have the choice of continuity of midwifery care with a midwife and the right to claim a Medicare Rebate for fee for services;
Whilst I do not like the wording in this Determination I can see that this is still a historic time for midwives and midwifery....

Reflections from a student midwife:

Student Midwife Reflection six months into her course:

Wow what an experience the past six months has been! I have spent the first half of this year on the maternity ward at Southwest Hospital and work with a fantastic team of midwives. I have loved every day of it and although it has not been easy at times, it has been worth every moment.

I have been extremely lucky in my experiences and have been a part of some awesome births and met some amazing women. I have been a part of three water births, a vaginal twin birth including one breech, hypnobirthing and a baby ‘born in the caul’, just to name a few highlights. My mentor Susan is a great midwife whose knowledge and commitment to women and the midwifery profession astounds me. Although I mostly work with her, I realise it is important to work with other midwives as everyone works differently and has different pieces of knowledge which I know will help me to become the best midwife I can be.

Every Friday we have a Midwives Clinic where women who have shared care with their doctors, come to us for a few visits during their pregnancy. This for me is a real highlight, I enjoy meeting these women antenatally, even if it’s only briefly and building a rapport with them as it is the closest form of continuity of care we have here at the moment.

Everyday is constant learning whether I’m working in labour suites, on the postnatal ward, or in the Midwives Clinic, I usually come home mentally exhausted from everything I have learned that day, I feel like a big sponge absorbing everything! I have become much more confident in CTG analysis and breastfeeding education, although I am not as confident with vaginal examinations as each one is so different, so I am endeavouring to improve on that skill!

The hardest part of becoming a midwife for me is the constant battle for ‘normal birth’. I see midwives everyday advocating for their women to allow for the birth that they want and some doctors just need to interfere. It seems that some of them feel the need to ‘rescue’ these women from that ‘horrible thing’ called labour, they don’t seem to realise that it is the most natural part of life. I’ve seen women coping beautifully with a labour that is progressing and a baby not distressed at all and a doctor walk in and insist on interfering in one way or another, which alters the woman’s ability to trust her body and it appears to be only for the reason of doctor convenience. It is frustrating and on going. The doctors are there for those women, who need assistance in the birth of their baby and in obstetric emergencies, and that’s when midwives then step aside and work with the doctors for the safest option of birth, whether it be an operative vaginal birth or caesarean section. It can be draining being an advocate for these women to get a ‘normal birth’, but worth every bit of it when you get a happy and healthy woman with a happy and healthy baby.

The most important lesson that I have learnt is to always listen to the woman. If she states she feels an urge to push, yet was only 2cm dilated half an hour ago, BELIEVE HER!!

So another six months to go until I am a fully fledged midwife, it is scary, yet exciting. I can’t wait to see what to future holds and look forward to the rest of the year!

Written by Aleisha (Student Midwife)

Welcome to Marg Phelan.........Go Girl Australia

Go Girl Australia - Marg Phelan, cycled into Fremantle around 12noon today, it was a beautiful sunny day and there were wonderful people to meet her.....I was so excited... in my time I have waited for lots of different occasions and I must say I was thrilled to meet this exceptional woman.... I would put Marg Phelan in my 10 best people I have met in my lifetime....she is an extraordinary woman, such passion, drive, commitment for her fellow human being.....a truly inspirational woman.

Marg will be here from the 3rd - 9th Sept before heading south to Mandurah.


You still have a chance to meet Marg Phelan on Monday at Point Walter 12 - 2pm...come and share some time to meet and greet this amazing woman; -
Sponsor Marg with donations of cash, fuel vouchers, cycling gear, bike parts, accommodation, food;
Advertise Go Girl Australia through your business or community group
if you wish to donate to the cause please bring some cash with you or go online to Go Girl Australia and sponsor;

Homebirth a matter of choice for Australian women

See this media release by the Greens

Australian Greens Health spokesperson, Senator Rachel Siewert has today announced the Greens’ policy for a National Homebirth reform package to provide women with greater choice at the time of their baby’s birth.

“We believe the choice to experience a safe and supported low-risk homebirth should be available in Australia,” Senator Siewert said today.
“The Australian Greens believe that women should have a range of birthing choices, including homebirths, in order to provide the best outcome for mother and child,” Senator Siewert said.

“There is no reason why homebirths should not be offered to women at low risk of complications, saying it may confer considerable benefits to them and their families,” said Senator Siewert.

“There is considerable international evidence showing that birthing at home increases a woman's likelihood of a birth that is satisfying and safe, with positive health implications for mother and baby alike.

“Our maternity care system should support parents to make informed choices and enable a smooth and timely transition to higher levels of care as the need arises.

“This allows for important aspects of birthing safety to be covered, providing women who wish to experience a homebirth the best of both worlds.

“We need to ensure we have a good understanding of the medical risk factors associated with childbirth and that women making this important choice have access to the best clinical care.

“At the same time we need to appreciate the impacts of stress on mother and child to ensure we look at the social and emotional factors that enable us to provide a safe and supportive
“Not only do the Greens think a more collaborative and integrated model of practice is possible – it is absolutely necessary,” concluded Senator Siewert.

Under the Australian Greens' proposal a National Homebirth Reform Plan would provide for:

a clear policy framework for midwifery care that defines the ‘collaborative’ relationship between midwifes and doctors
best practice within homebirth services built on fully supportive organisations' systems and structures
a shared philosophy that fosters a service culture of reciprocal valuing of all birth environments
comprehensive involvement by local multidisciplinary teams and users to underpin homebirth practices within a clinical governance framework
responsible and responsive practices maintained by effective clinical decision making

Insurance provision
An insurance product covering homebirth under the midwives’ own responsibility must be developed by the insurance industry or initiated by the Federal Government once the timeframe for the exemption for eligibility has passed.

ref:http://rachel-siewert.greensmps.org.au/

Collaborative Arrangements – What can you do?

Australian College of Midwives - E-Bulletin

Collaborative Arrangements – What can you do?

Dear Members and Consumers

As you would be aware a key component of the National Maternity Reform Package implemented by the current government was to give midwives and the women they care for access to Medicare rebates and to the Pharmaceutical Benefits Scheme (PBS). In September this year midwives will be able to begin applying for a Medicare provide number in preparation for the implementation of the legislated reforms on 1st November.

The most recent developments around the recent release of the Determination (or secondary regulations) that now define the detail of collaborative arrangements are concerning and will restrict the way midwives will be able to practice. The Determination was signed into law by the Governor General on 16th July and released just prior to the announcement of the election.

Despite the government¹s stated intention in March this year of not wanting to provide a right of veto over another health professional¹s practice it would appear that the Determination does just that.

You can view a copy of the determination by clinking on the link below http://www.comlaw.gov.au/ComLaw/Legislation/LegislativeInstrument1.nsf/all/whatsnew/6A0EF93573665149CA257762000BBDEE?OpenDocument

So what can you do about this?
We are encouraging you to phone, write, email or talk to your local federal member – especially when they are out campaigning -

• Let them know you live in their electorate and what your address is (they need this to prove you live there).

• Tell them you are very concerned that the recent determination - the National Health (Collaboration Arrangements for Midwives) Determination 2010 - will enable the medical profession to have veto over midwifery practice and prevent the success of the maternity reforms.

• Plan local activities to let all the candidates in your electorate know how you feel and involve consumers and local media if possible.

• You can also ring Nicola Roxon on 02 627777220 and let her know what you think!
You can find details of your electoral office on the following link http://apps.aec.gov.au/esearch/

Associate Professor Hannah Dahlen
President, Australian College of Midwives

Homebirths a GP's new dilemma

The medical Observer: read the full article by clicking this link;

10th Aug 2010: Leigh Parry all articles by this author

If your patient decides on a midwife-led home birth and asks for prescriptions, could you be legally liable if something goes wrong? A PREGNANT patient informs you she’s decided to employ a private midwife for a home birth and asks for a prescription for Syntocinon (oxytocin). Do you prescribe?

It is not a common request, but one that GPs are increasingly facing as the popularity of home births grows.

Midwives are able to legally administer Syntocinon but cannot prescribe it, until 1 November when changes to federal laws mean nurse practitioners will have limited access to the MBS and PBS.

Complicating the issue is the Federal Government’s new professional indemnity scheme for midwives, which came into effect on 1 July.

I have to ask the question; what is meaningful collaboration, if collaboration only means one way..... obstetrician to midwife? how legal is that?

Midwives work within a strict framework and adhere to the ACM Referral guidelines and the ANMC Codes... it is about time both the AMA and the government realise this....collaboration has to be a two way street.....

National Health (Collaborative arrangements for midwives) Determination 2010

The day has arrived we know what collaborative arrangements are: here is the document for you to read; I am still absorbing all the information: on the first read I was upset....however after digesting it there is room to move and I am more positive about the whole agreement. It is a difficult paper to read and understand and you have to read it several times to find the areas which we can use to our advantage.....so have a read and then lets discuss our options...click the link

National Health (Collaborative
arrangements for midwives) Determination
20101

4 Specified medical practitioners
For the definition of authorised midwife in subsection 84 (1) of the Act, the
following kinds of medical practitioner are specified:
(a) an obstetrician;
(b) a medical practitioner who provides obstetric services;
(c) a medical practitioner employed or engaged by a hospital authority and
authorised by the hospital authority to participate in a collaborative
arrangement.

5 Collaborative arrangements — general
(1) For the definition of authorised midwife in subsection 84 (1) of the Act,
each of the following is a kind of collaborative arrangement for an eligible
midwife:

(a) the midwife is employed or engaged by 1 or more obstetric specified
medical practitioners, or by an entity that employs or engages 1 or
more obstetric specified medical practitioners;
(b) a patient is referred, in writing, to the midwife for midwifery treatment
by a specified medical practitioner;
(c) an agreement mentioned in section 6 for the midwife;
(d) an arrangement mentioned in section 7 for the midwife.
(2) For subsection (1), the arrangement must provide for:
(a) consultation between the midwife and an obstetric specified medical
practitioner; and
(b) referral of a patient to a specified medical practitioner; and
(c) transfer of a patient’s care to an obstetric specified medical
practitioner.

(3) A collaborative arrangement, other than an arrangement mentioned in
section 7, may apply to more than 1 patient.

(4) However, an acknowledgement mentioned in paragraph 7 (1) (c) may apply
for more than 1 patient.

6 Agreement between eligible midwife and 1 or more specified
medical practitioners
(1) An agreement may be made between:
(a) an eligible midwife; and
(b) 1 or more specified medical practitioners.
(2) The agreement must be in writing and signed by the eligible midwife and
the other parties mentioned in paragraph (1) (b).

7 Arrangement — midwife’s written records
(1) An eligible midwife must record the following for a patient in the midwife’s
written records:
(a) the name of at least 1 specified medical practitioner who is, or will be,
collaborating with the midwife in the patient’s care (a named medical
practitioner);
(b) that the midwife has told the patient that the midwife will be providing
midwifery services to the patient in collaboration with 1 or more
specified medical practitioners in accordance with this section;
(c) acknowledgement by a named medical practitioner that the practitioner
will be collaborating in the patient’s care;
(d) plans for the circumstances in which the midwife will do any of the
following:
(i) consult with an obstetric specified medical practitioner;
(ii) refer the patient to a specified medical practitioner;
(iii) transfer the patient’s care to an obstetric specified medical
practitioner.
(2) The midwife must also record the following in the midwife’s written
records:
(a) any consultation or other communication between the midwife and an
obstetric specified medical practitioner about the patient’s care;
(b) any referral of the patient by the midwife to a specified medical
practitioner;
(c) any transfer by the midwife of the patient’s care to an obstetric
specified medical practitioner;
(d) when the midwife gives a copy of the hospital booking letter (however
described) for the patient to a named medical practitioner —
acknowledgement that the named medical practitioner has received the
copy;
(e) when the midwife gives a copy of the patient’s maternity care plan
prepared by the midwife to a named medical practitioner —
acknowledgement that the named medical practitioner has received the
copy;
(f) if the midwife requests diagnostic imaging or pathology services for
the patient — when the midwife gives the results of the services to a
named medical practitioner;
(g) that the midwife has given a discharge summary (however described)
at the end of the midwife’s care for the patient to:
(i) a named medical practitioner; and
(ii) the patient’s usual general practitioner.

All the above information is taken from the National Health Act 1953 (click the above link for the whole document)

Please feel free to ask any questions

RANZCOG won't come to the table......

New research suggests that doctors and midwives are poles apart....strangely enough I did not need research to tell me that....but in terms of putting into perspective research is the answer because it is now in black and white.....

Sue Kruske's work shows that....."a survey of 460 midwives, GP obstetricians and obstetricians found that over half of doctors thought they should have the final say in maternity care but only 4% of midwives agreed..... "
NOW THERE IS a surprise...(tongue in cheek)

"On the other hand, over 90% of midwives thought they should be the final decision maker, but only 30% of doctors agreed with this, according to the survey carried out at the Queensland Centre for Mothers and Babies and presented at a maternity services conference in Alice Springs."

“The results showed while there was a widespread [agreement] with the definition of collaboration, there were significant differences in the way this definition translated into practice,” says researcher Associate Professor Sue Kruske, a midwife and child and family health nurse."

"Both groups indicated that they thought the current system did not support collaboration between doctors and midwives. Nearly all doctors respected midwives, but this was not reciprocal, with only 75% of midwives saying they respected doctors.... I wonder if this is because mutual understanding of the role of the midwife is not agreed....doctors do not acknowledge that midwives are the experts in normal childbirth......."

The NHMRC is working as a go between to try to get RANZCOG and the College of Midwives to agree on the referral guidelines.

I see the major difference being that midwives focus on the 'woman' being at the centre of care....where doctors are paternalistic and think they know what is best, despite what the woman wants......

it is interesting to get RANZCOG at the table when they have a position statement that does not support homebirth....so it is clear that they are not willing to compromise......


From November, midwives will be able to access the MBS when working collaboratively.


Ref:No compromise in sight on maternity care
by Jared Reed

Free Study Session & Continuing Professional Development (CPD) Points

Are you ready for National Registration?
Free Session (2hrs)
Wednesday 23rd June 2010
Curtin University Staff Common Room 405:435

Program

18:15 Registration & Coffee

18:30 - 19:10 National Registration: Health Practitioner Regulation National Law Act 2009
– what this means to you as a midwife: Who is AHPRA? Come and find out!

19:10 – 1930 Supper
19:30 – 20:15 Workshop – MidPLUS; Portfolio; CPD; Midwifery Practice Review (MPR)
20:15 – 20:30 Close & feed back

Where: Curtin University: Bentley: Building 405: (School of Nursing & Midwifery)
Staff Common Room 435. Lots of free parking available car park number 24.

Please join us for a free session
Kindly sponsored by ACM Executive WA Branch
RSVP: email: acmwabranch@gmail.com

Please RSVP for catering purposes: Limited numbers first 60 places, confirmation will be via email.

Have your say on what the 'Eligible Midwife' will be

Well here it is the Nursing and Midwifery Board of Australia has released a draft of what 'eligible midwife' may look like.....

The Key points are as follows;
1. Current general registration as a midwife in Australia with no restrictions on practice - having as it does all the requirements for eligibility for registration under the Act.

2. Practice for at least three years across the continuum of midwifery care (ante-natal care, intrapartum care and post-partum care of women and their infants), within the previous 5 years.

3. participation in an additional 20 hours per year of continuing professional development relevant to the continuum of midwifery care.

4. successful completion of a NMBA approved professional midwifery practice review program for midwives working across the continuum of midwifery care.

5. compliance with the collaboration requirements for eligible midwives- that is the requirements for midwives to work collaboratively with other health professionals as outlined in regulation and national health policy instruments.

6. successful completion of an accredited and approved program of study determined by the Board to develop midwives' knowledge and skills in prescribing, or a program that is substantially equivalent to such an approved program of study (at midwifery post graduate level and designed around the flour components of prescribing - information gathering, clinical decision making, generation of medication order and monitoring the review.

As the model of care for eligible midwives is across the continuum of maternity care, eligibility is contingent upon all requirements being met..... therefore once a midwife has been endorsed as an eligible midwife; and authorised and provided with the necessary provider number by Medicare Australia: READ the full document Guidelines & Assessment framework for the recognition & endorsement of eligible midwives

2 Endorsement to practice as an eligible midwife (to read the full document click the hyperlink)

To be entitled to endorsement under section 98 of the National Law an applicant wishing to be identified as an eligible midwife must be able to meet all the requirements including being a currently registered midwife in Australia; being able to demonstrate through professional review of practice at least 3 years experience across the continuum of midwifery care within the 5 year period preceding the application, comply with the collaboration requirements for eligible midwives; and have an approved qualification to administer, obtain, possess, prescribe and supply scheduled medicines required for practice across that
continuum of midwifery care.

Wording to appear on the register
Endorsed as an eligible midwife working across the continuum of midwifery care and qualified to provide the associated services, order diagnostic investigations and administer, obtain, possess, prescribe and supply schedule 2,3,4 & 8 medicines in
accordance with relevant State and Territory legislation, required for midwifery practice.

If you wish to provide comments on this paper, please lodge a written submission in electronic form by email to natboards@dhs.vic.gov.au by close of business on Wednesday 27 April 2010.

PLEASE FORWARD COMMENTS....if you wish please respond to the blog and I will collate the comments for a submission, but you need to add your name to the comments, otherwise they will not be included....... Now is the time to have your say..... get women, mothers, consumers....anyone who is interested in birthing in Australia needs to have a say....this is the future of Homebirth and Private Practice in Australia.....there is a short consulation period so please do it now!

Cheers Pauline

Maternity Services Reforms: indemnity insurance - what is it going to cost?

Maternity Services Reforms
More choice for women – indemnity insurance for midwives
Indemnity insurance - protection for midwives

As you are all aware from July 1st 2010 National Registration starts: this means that Privately-practising, eligible midwives will be able to access Australian Government supported professional indemnity insurance from 1 July 2010. The Dept of Health and Aging has released this document; Maternity Services Reforms
More choice for women – indemnity insurance for midwives;

I am not so sure about the offer......The premium for a midwife in full time practice is expected to be around $7,500 per year, that is $144.23 per week. However this insurance will not cover the planned delivery of babies in the home – for which there is a two year exemption from the requirement under the National Registration and Accreditation Scheme for midwives to hold professional indemnity insurance. It should be noted that the exemption relates only to the actual homebirth.

I wonder how many hoops midwives have to jump through to be an eligible midwife? I would of thought that after completing the required course to become a midwife you would be qualified to work as a midwife..... but Alas this is not the case in Australia it seems that we have to do even more to obtain the new reforms proposed....they say that....Pregnant women and new mothers will have more choice in maternity care because the clients of eligible midwives with professional indemnity insurance will be able to access services subsidised by the Government through the Medicare Benefits Schedule (MBS) and Pharmaceutical Benefits Scheme (PBS).

I feel that women will have less choice because there will not be any 'eligible midwives', and I suppose that will suit the AMA.....what happened to fair play? and equal opportunities? Where is the ethics in all of this?.... it seems that ethical principles have gone out the window....

I ask at what price is this privilege coming and by privilege I mean MBS & PBS..... we are introducing another word, phrase, type, description of a midwife... the 'eligible midwife' who is currently the private practicing midwife or independent midwife.... how many of the current private practice midwives will be able to jump through the hoops...and we do not yet know what those hoops are???? if this offer of indemnity insurance is anything to go by... I suspect we are in trouble......

Definition of a Midwife

A midwife is a person who, having been regularly admitted to a midwifery educational programme, duly recognised in the country in which it is located, has successfully completed the prescribed course of studies in midwifery and has acquired the requisite qualifications to be registered and/or legally licensed to practise midwifery.
The midwife is recognised as a responsible and accountable professional who works in
partnership with women to give the necessary support, care and advice during pregnancy,labour and the postpartum period, to conduct births on the midwife’s own responsibility and to provide care for the newborn and the infant. This care includes preventative measures, the promotion of normal birth, the detection of complications in mother and child, the accessing of medical care or other appropriate assistance and the carrying out of emergency measures.
The midwife has an important task in health counselling and education, not only for the woman, but also within the family and the community. This work should involve antenatal education and preparation for parenthood and may extend to women’s health, sexual or reproductive health and child care.
A midwife may practise in any setting including the home, community, hospitals, clinics or health units.

Reference of definition: International Confederation of Midwives

National Day of Action

This is where it's happening in Perth....have any spare time please go along and have your say...... click on this link to find out more.... Our Bodies, Our Babies, Our Rights


Perth- Join Facebook Event Group
Outside office of Melissa Parke
Where: 62 Wray Avenue Fremantle WA 6160
When: Thursday, February 18 from 10:30 am to 11:30 am
contact: daniellesenini@hotmail.com

Cheers Pauline