They could always call the midwife...give this 'collaborative' stuff an actual try before deciding they can't collaborate with an IM.
The IM would know the dosage. Which they would cover in the letter. It might be easier for the doctor to see the IM, but I'm sure the IM has other things to do, not to mention the unnecessary cost to the mother for an extra consult? Perhaps Maya is right, and it really is a power thing - if my GP wrote a letter, my specialist wouldn't be saying 'hmm not sure I can verify the authenticity of this letter, can you bring him in to chat with me?'
Certainly easier access to the necessary drugs for IM's would make this whole thing a lot simpler and less discriminatory. As Trill says, planned freebirths are a whole different ball game, I'd be advocating a freebirther transfer with good advocacy/support in place if there were complications.
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