Australian Private Midwives Association: Radical Midwifery in Holland

Saturday, June 23, 2012

Radical Midwifery in Holland

Rebekka Visser is a Dutch midwife who gave a presentation on 'Birth: a Human Rights issue?' at the Human Rights in Childbirth conference, convened a few weeks ago in The Hague.

Rebekka has posted the content of her presentation on Responsible Care (in English) at her blog.

It's worth a read! Rebekka explores why midwives seek to control birth.

Now should this mean that to my opinion all midwives must be willing to assist breech births at home? Or that all women must be willing to have their breech baby at home?
Definitely not!
We need to open the dialogue about our own fears, work with it, finding solutions.

This conference brought together midwives, ethicists, lawyers, obstetricians, mothers, and others for two days, to consider and debate human rights in childbirth. The event which drove the conference was the imprisonment of midwife Agnes Gereb, from Hungary, a signatory to the European Convention on Human Rights. Agnes was not present at the conference: she is under house arrest.

Australian midwifery is going through huge changes, and many midwives fear the escalation of authoritarian control over midwifery, and consequently, over women's rights in childbearing.

Regulation of midwifery can only be in the public interest when the system also promotes and protects the midwife's scope of practice professionally. It's a balance that our society must continue to work towards.

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WHO ARE WE?

The Australian Private Midwives Association represents midwives in private practice. The association is focused on the safety of women, the ability of women to access quality midwifery care across Australia and the partnerships between women and midwives. APMA supports women’s choice in maternity options within a framework of quality and safety and believes in women being able to access midwives in all settings. APMA unites all midwives seeking to provide continuity of care for women.

APMA strives to provide midwives in private practice with information relevant to their practice and advocacy in the political process.

Enquiries:
Joy Johnston joy@aitex.com.au
Marie Heath NSW and National 0407 266004
Clare Lane (Vic) 0416 130219

APMA POSITION STATEMENT on PLANNED HOME BIRTHS WITH A MIDWIFE

1. We support home birth with a midwife in attendance for women who have uncomplicated labours. 2. We support and adopt the International Confederation of Midwives’ (ICM) Definition of the Midwife (2011), which is foundational to all midwifery practice, including homebirth. 3. We support the right of every woman to access a midwife as the primary maternity caregiver who works in partnership with the woman throughout the episode of care, who is able to be the responsible professional in attendance at the birth either at home or hospital, and who is able to make appropriate referral and transfer of care when required. 4. We support the right of a midwife to practise privately in a fee-for-service or funded relationship with the client, or to take up employment. 5. We support only those regulatory restrictions that are able to pass the ‘public interest’ test: “How does this promote health and wellbeing in the mother and baby?” 6. We support an expectation of equity, including equal pay for equal work throughout a midwife’s scope of practice. Midwives who provide primary maternity care are entitled to the same public funding, the same opportunity to charge a fee-for-service, the same access to hospital referral, and publicly supported indemnity insurance, as medical practitioners providing the same maternity services. 7. We support processes by which midwives are able to gain experience and mentoring in order to commence and demonstrate competence in homebirth practice. 8. We support seamless and reliable processes by which midwives are able to make hospital bookings for women planning homebirth, and arrange transfer to the hospital in a timely way when needed.