Dear Mona
There has been a survey done by the European Midwives Liaison Committee EMLC
(1996) Activities, responsibilities and independence of midwives within the
European Union, EMLC.
contact Marianne Mead at hertfordshire university UK
I think this data is currently being collected by the peristat project
http://europeristat.aphp.fr/index.html
bw
Jane Sandall
----- Original Message -----
From: "mona lydon-rochelle" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, June 09, 2004 8:34 PM
Subject: Re: Rate of Midwifery Attended Births in European Countries
> Dear Rachel and others,
> Thank you for the thoughtful response and the care taken in making the
> distinction as to "lead professional". The denominator is total country
> births, which will include all operative births as you noted and this
> lower the overall percentage of births by midwives.
>
> Much thanks,
> Mona
>
> On Wed, 9 Jun 2004, Rachel Myr wrote:
>
> > Mona, and others:
> > First, nice to see your name here. :-)
> > The only births in Norway NOT attended by a midwife are the ones that
are
> > not attended at all, because they occur unplanned at home or in cars on
the
> > way to a maternity unit. Occasionally there will be a birth in an
ambulance
> > without a midwife along too. All in all, they amount to about 0.1% of
> > births here (one per thousand).
> > The proportion of births at which midwives are the lead professionals is
> > lower. Midwives don't do CS or ventouse or forceps deliveries, they
assist
> > an obstetrician and are responsible for receiving the baby in such
cases.
> > Our national rates for CS and instrumental vaginal delivery are about
15%
> > and 6%, respectively, at last count. There are significant regional
> > variations, mainly between urban (higher intervention) and rural areas.
All
> > in all, that leaves about 80% of births as midwife only-attended. Since
99%
> > of births take place in hospital maternity wards and most of them are
now
> > led by obstetricians, with some notable exceptions where a midwife is in
> > charge, one can debate how much of the 'management' is actually
determined
> > by midwives, even when they are doing most of the care.
> > Rachel Myr
> > Kristiansand, Norway
> >
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