Sue WA is west Australia, and a dominoe birth is a
birth where a familiar midwife based in the community,
that has provided antenatal care is called in to
attend the lady at hospital upon arrival. Old
fashioned attempt to maintain continuity.
with love and peace.
NIGEl
--- Sue/Randy O'Connor <oconnors&[log in to unmask]>
wrote:
> Sorry...I'm going over some very old
> posts......WA....where is this. And
> someone else once asked what is a Domino Birth? I
> never saw the answer.
> Thanks, Sue
>
> ----------
> > From: Carol Thorogood <[log in to unmask]>
> > To: [log in to unmask]
> > Subject: Re: WA homebirth midwives reply
> > Date: Friday, July 23, 1999 12:49 AM
> >
> > Dear Yvonne et al
> >
> > The midwives in the ABSP study/project were all
> RNs and midwives. I think
> > they'd argue that they practice using a midwifery
> model. The two 'senior'
> > ones are British trained and also RNs/RMs. It's
> near impossible for
> direct
> > entry midwives to register or practice in
> Australia and there are no (as
> > yet) direct entry courses. There are only about
> 100 homebirths a year in
> WA
> > so unfortunately all student midwives do have to
> have
> institutionally-based
> > medically oriented education and training. Somehow
> they manage to escape
> the
> > propaganda and take the best from two worlds.
> Usually neophyte homebirth
> > midwives (already registered) apprentice
> themselves to an experienced
> > homebirth midwife until they are competent and
> confident to go out on
> their
> > own.
> >
> > In the WA project the other midwives, (about 11)
> are all RNs/RMs and
> since
> > it is based on a midwifery model of care they
> follow suit. The program
> > enables two midwives a year to work with a
> 'senior' midwife so that they
> can
> > adapt to community midwifery practice and become
> accredited with the
> College
> > of Midwives. The others are all experienced
> community practitioners and
> left
> > the medical model years ago!
> >
> > Our outcomes were very positive. But, of course
> the numbers are so small
> > (about 70 year) that it's really dificult to make
> really firm conclusions
> > about homebirth per se. We need a RCT and that'll
> be almost impossible to
> > design given the difficulties with sample size,
> selection criteriaetc!
> An
> > earlier study (1988) by Hazel Woodcock et al found
> that in WA home birth
> > outcomes for 'low risk' women were very positive.
> >
> > Because of the 'experimental' nature of this ABSP
> program the
> > selection/exclusion criteria etc were very strict
> and all women classed
> as
> > 'high risk birthed in hospital with their
> midwife. The midwives also did
> > 'domino' births. The risk criteria are 'medically
> oriented' and I share
> the
> > midwives' concens about this but the 'eyes' are
> upon us and I don't think
> we
> > have much choice - yet.
> >
> > I won't comment 'on air' about the article in the
> BMJ since it has been
> the
> > subject of threats of legal action. However, I
> believe that there were
> some
> > methodological flaws which we can discuss
> privately. In Western Australia
> > our outcomes for homebirths bear little
> resemblance to the findings in
> > Bastian and Keirse's (1998) study. The midwives in
> WA did not provide the
> > researchers with all their data so it was
> difficult for them to arrive
> at
> > firm conclusions. Having said that in Australia,
> when so-called
> 'high-risk'
> > births occur at home and only in some areas, the
> perinatal mortality
> is,
> > in comparison to other countries, unacceptably
> high. But, the samples
> are
> > small, the forms of practice so disparate and
> there is no systematic way
> to
> > collect the data, etc etc so who knows what is
> really going on.
> > Carol
> >
> >
>
=====
>From Cathy Bock and Nigel Duncan.
at
BIRTHING HANDS (Homebirth, ante/post natal care and hospital support)
[log in to unmask]
0414 886827 or 0414 554840
OR VISIT OUR WEBSITE ENTER FOLLOWING OR SEARCH FOR BIRTHING HANDS.
http://www.homestead.com/birthinghands/BIRTHINGHANDS1.html
__________________________________________________
Do You Yahoo!?
Bid and sell for free at http://auctions.yahoo.com
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|