Would you give birth in a midwifery led unit?

[Trillian]

It would be nice if that were to ever happen, but for those of us living west of the blue mountains or in other rural areas around the country, we are flat getting enough midwives to staff a hospital roster let alone run a birthing unit. There is no other choice out here other than the hospital model of care and I can't see it ever changing.

[Smoke Jaguar]

Yet, if midwives in hospitals were experienced in homebirthing and allowed to practice either attached to a hospital or funded by the government to provide services to rural and regional women, this sensible option would make a lot of women very happy with their birthing experiences
Still, as long as the AMA is going to bully women into believing that doctors are the key to live babies, insurance companies and the government are also going to believe this

[Tobily]

Yet, if midwives in hospitals were experienced in homebirthing and allowed to practice either attached to a hospital or funded by the government to provide services to rural and regional women, this sensible option would make a lot of women very happy with their birthing experiences
Still, as long as the AMA is going to bully women into believing that doctors are the key to live babies, insurance companies and the government are also going to believe this

And I think that that's the fundamental problem we have here.

Australian midwives are not experienced in homebirth on the whole, they are trained, and work in hospitals. So they are subject to a very medicalised, obstetric view of birth much of the time.

In NZ there is no obstetric lobby group scaremongering women into hospitals. The AMA and the RANZCOG are very vocal, and very powerful here. And while ever that is the case, a NZ type model will remain a pipe dream.

[Smoke Jaguar]

EzAckly, Tobily! Still wondering where they put all those dead, deformed, disabled babies in NZ...It's not a very big place...

[Trillian]

But it wouldn't matter if there were enough midwives in a lot of cases because of the sheer distance some women are from a hospital, if something did happen to go wrong and further medical intervention was needed you are a minimum of 2hrs from a hospital that can do an emergency c/s. Like for my situation - I am 80km from the nearest hospital that has a functioning maternity unit. Due to that unit only being within a small district hospital women can only birth there at term (being 37-42wks - if you show up in labour earlier than that they ship you onto the next hospital up the line but naturally if there is no time for that then you birth there but there are no facilities available if baby is unwell at birth) and if an emergency c/s is needed it can be done (as are elective ones). BUT if the mother presents with twins, they cannot be birthed there - they have to go onto the next hospital, which is a larger base hospital and even then they can only handle births after 35wks gestation - anything earlier than that and you get a trip to Canberra.

Even when I had Alister last year, there was a huge dilemma when my Dr decided to leave town - he was the only anaethetist and one of two GP Obs in that town. Now if any women went there to birth and required and emergency c/s, she would have to be rushed to the Base hospital 1hr away in an ambulance - mothers and babies can die in an hr and if the situation was bad enough, that was a real possibility of happening.

I just don't think that those of you in metro areas fully appreciate the choices you do have. Even though some of you may find it hard to get into a birthing centre, you still have that choice, you have the choice of a homebirth, you have a choice of a public hospital birth, you have the choice of a private hospital birth. So compared to us, you are SPOILT for choice.

[richsaralex]

I agree mostly with whats been said so far... tho I should add that the reason midwifery care disappeared from view for a while was because their insurance premiums went through the roof!! They used to practice independently, but were forced into working in 'units' in hospitals etc so they could afford to still practice as midwives!

The other main problem though is the medical profession! They have this 'god' complex where they beleive that nobody other than a trained doctor could know what they are doing (I mean this in relation to EVERYTHING health related) If they just stopped their scare-mongering then alot of health issues could be so easily solved! There would be no need for all these drugs and sometimes even surgeries!
My midwives were very certain that alot of intervention in labour is so easily avoided through some very very simple techniques! Even just considering the power of thought - avoiding an induced labour or c-section through sorting out any emotional issues you might have about the birth of your baby! Its amazing stuff and I honestly beleive I would have ended up on a surgical table in my birth if not for my husband talking very strongly to me, and talking me round to accept that I really was capable of delivering my baby naturally.

Its incredible that there exists the number of natural therapies and techniques for any number of things, yet you will be hard pressed to find a doctor who has an open enough mind to support anything outside his/her immediate education.

Until the medical profession changes - and this wont happen until the people demand it - then of course we wont see change!! People need to educate themselves (the internet is an amazing resource & should be more utilised in making educated health decisions), make their own decisions and stand up and say "no" to the medical profession when its obvious there are other more viable alternatives.

[BellyBelly]

Has anyone seen this in the Daily Telegraph? Supposed to be in today but I cant see it online.... anyone got a copy?

[*bLuE*]

I have 5 children all of whom were birthed in a hospital environment due to circumstances out side of my control. But I would like to point out that not one doctor was present at any of my births. If I had the choice i would have had my children at a midwife run service, these women know mor3e about the mechanics of birth than all the OB's I've ever met.. I would love to see more mids out there and available to all of those who want them..

[Trillian]

The other main problem though is the medical profession! They have this 'god' complex where they beleive that nobody other than a trained doctor could know what they are doing (I mean this in relation to EVERYTHING health related) If they just stopped their scare-mongering then alot of health issues could be so easily solved! There would be no need for all these drugs and sometimes even surgeries!

Yes, there no doubt would be some that have this attitude, but I think the biggest reason for opposing it is self preservation - if they all went out and said "yeah sure, use midwives and have homebirths - we know that's the best standard of care" they may as well take their name off the door of their fancy rooms because they would do themselves out of a job. Over the decades Dr's have become so ingrained into the birth industry that they can't walk away from it now - careers have been built on it. So they have inadvertently put themselves in an ugly catch 22 situation, because if they sided with the midwives, then that undermines the perceived confidence of the women who would use them - like why would you use them if even they are saying that midwife led care is better? See what I mean?

[Phteven]

The other main problem though is the medical profession! They have this 'god' complex where they beleive that nobody other than a trained doctor could know what they are doing (I mean this in relation to EVERYTHING health related) If they just stopped their scare-mongering then alot of health issues could be so easily solved!

I really can't agree with such a sweeping generalisation. Yes, there are awful Drs just as there are awful midwives but I've worked for some wonderful Drs, been treated by a fab Dr who reccomended accupuncture and more time in the gym for stress related issues and recently I've befriended an ob who is finally qualifies after years of hard work. We haven't discussed birth much but one of the things that she has mentioned is how frustrated she is with patients who start asking for inductions at their 39 week appointment. She's all for midwife care for straightforward births because she's really into giving her all for the complex ones but her patients feel that since they've paid her for her expertise that she should hover around while they give birth.
TBH in the brief discussions that we've had I've come to realise how much of the stuff that we lay at obs feet is patient driven. An ob can warn a patient all they want about the side-effects of epidurals but if the patient insists that they get one then the ob would be remiss to refuse it.

[Ca Plane Pour Moi]

Hmmm. Pre-DS, Yes - and I was all ready to go to one but DH was REALLY pushing the hospital all through the pregnancy. Now... no.

I'd go there over a hospital, but I'm homebirthing next time, probably freebirthing. I had the world's worst midwife in the hospital (thankfully not for the birth) and I don't want to be around someone like that for a few days next time. I want to be in my own environment and not told what to do and when to do it all the time.

[BellyBelly]

There is actually a group here in Melbourne called Mini MIPPS, Joy Johnson who is a VERY experienced homebirth midwife 'mentors' midwives who want to become independent midwives. So they have help and experience on hand while they start their way... I wonder if this is happening anywhere else? Such a great idea.