As far as I can see, another element to the problem is that many women are
unable to access their community midwife and if they can, the midwife
herself may advise them to go into labour ward.
Fear of being held responsible if there is a BBA (or a disaster) appears to
be one of the motivating factors in CMWs giving this advice; re-empowerment
of the individual practitioner, together with improved access to DAU
facilities and caseloading will make a sinificant difference I believe.
Lesley
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