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Hi, this last message prompts me to come up with a local Belgian question. In Belgium, women have the choice between staying on in the hospital after birth for 3 days or going back home and having midwives come for home visits. We have an on-going research project linked to the fact that we know that some women go back home fast, but elect not to have the home visits. Does this happen in the UK? And do you have an idea of the order of magnitude of the problem? Does anybody know if care in a community clinic might be more acceptable than a home visit for some disadvantaged women? Sophie Alexander MD, PhD PERU (Perinatal Epidemiology and Reproductive health Unit) Ecole de Santé Publique Universite Libre de Bruxelles 808 route de Lennik 1070 Brussels Belgium Tel +32 2555 4063 De : A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] De la part de Gillian Meldrum Envoyé : vendredi 1 février 2013 14:40 À : [log in to unmask] Objet : Re: UK choice framework A positive note is that the document specifies that women should have a choice of postnatal care at home or in a community clinic, so could be used to challenge those trusts where women have to attend postnatal clinics rather than have home visits. Gillian Meldrum On 1 February 2013 12:54, Carol Lambert <[log in to unmask]> wrote: As I type up my doctoral thesis, yet another policy doc (and reference) that exemplifies women have no choice rather than free choice in maternity care. Doctor dictatorial and very disappointing. Carol Lambert PhD Student University of Hull From: A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] On Behalf Of Message Center Sent: 01 February 2013 12:38 To: [log in to unmask] Subject: Re: UK choice framework Basically it's saying that it depends where women live and what the clinicians think as to what choice they have. Is that choice? No mention of contacting supervisors of midwives. Women to contact their 'local clinical commisioning groups' for advice (without an explanation about what these groups are)......which do not come into force from April. Disappointing. Ruth Hanna Registered Midwife Supervisor of Midwives Msc student _____ Date: Fri, 1 Feb 2013 12:27:21 +0100 From: [log in to unmask] Subject: Re: UK choice framework To: [log in to unmask] No but it nevertheless is of interest to anybody interested in standards of care. Sophie Alexander MD, PhD PERU (Perinatal Epidemiology and Reproductive health Unit) Ecole de Santé Publique Universite Libre de Bruxelles 808 route de Lennik 1070 Brussels Belgium Tel +32 2555 4063 <tel:%2B32%202555%204063> De : A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] De la part de Macfarlane, Alison Envoyé : vendredi 1 février 2013 11:06 À : [log in to unmask] Objet : Re: UK choice framework Dear all, This policy just applies to England where our National health Service is being dismantled. Wales, Scotland and Northern Ireland have their own policies and will continue to have a National Health Service. Alison Macfarlane From: Sandall, Jane [mailto:[log in to unmask]] Sent: 01 February 2013 09:36 To: [log in to unmask] Subject: UK choice framework Dear all Please see latest UK policy doc on choosing maternity services re provider and place of birth https://www.wp.dh.gov.uk/publications/files/2012/12/2013-14-Choice-Framework .pdf Jane Sandall Professor of Women's Health Division of Women’s Health, King’s College London Women’s Health Academic Centre King's Health Partners 10th Floor, North Wing, St. Thomas' Hospital, Westminster Bridge Road London SE1 7EH http://www.kcl.ac.uk/medicine/research/divisions/wh/index.aspx Tel: 020 7188 8149 Fax: 020 7620 1227 e-mail:[log in to unmask] <mailto:[log in to unmask]> Skype: jsandall http://www.kcl.ac.uk/campuslife/campuses/stthomas/StThomas.aspx PA [log in to unmask] Tel: 020 7188 3639