I am writing to express my concern about the case currently under investigation regarding a West Australian midwife who accepted a homebirth client who had previously had a caesarean birth.
It is my understanding that the grounds for placing restrictions on her practice are that she put her client at risk by accepting her as a homebirth vaginal birth after caesarean (VBAC) client.
Homebirth after caesarean (known as HBAC) is an established part of private midwifery practice and has been so for many years in Australia. The midwife followed all of the requirements set out in the Australian College of Midwives’ (ACM) Guidelines regarding consultation and it was the woman’s informed choice to refuse obstetric care in hospital and birth at home.
I am extremely concerned that this case sets a dangerous precedent, whereby midwives will not be able to accept VBAC clients for fear of losing their registration. This leaves VBAC women, many of whom have experienced birth trauma, with no choice but to submit themselves to hospital practices they may not be comfortable with, or give birth at home without a registered midwife.
Perhaps more importantly, this would set a dangerous precedent for women’s rights as it seeks to deny fundamental choice and dictate terms to women simply because they are pregnant.
I am a woman who had a traumatic birth due to unnecessary medical interventions (dictated by our doctor and compounded by the ineffectual care of midwives we did not know), and subsequently went on to plan a homebirth with the Community Midwifery Program. Having experienced both models of care, I truly believe that continuity of care with a known midwife is the gold standard for birthing mothers. More than that, it is the woman’s right to choose where she wishes to birth, and with whom she chooses to care for her. Being pregnant should not strip a woman of her right to autonomy over her body, nor does it leave her unable to make the best choices for her baby. When we allow hospital administrators or politicians to make choices for mothers we presume that not only are they better able to act in the best interest of the mother and child, but we disregard a woman’s right to control what happens to her own body.
The investigation against this midwife appears politically motivated and baseless – particularly considering that the parents and baby concerned are well and happy. I ask that you reinstate the midwife immediately so that she can get back to her job of supporting women to birth safely at home.
Yours sincerely,
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