The Australian Doctor

Here is an interesting article from The Australian Doctor.  This seems to sum up what the Doctors really think.  Hopefully those deemed to be at the top in the midwifery world and those in the health department will read this and UNDERSTAND.  For those women who want to birth quietly at home with their midwife.  These reforms are CRAP.

Midwives seek ‘ways around’ collaboration 12-Oct-2010

By Sarah Colyer

Midwives are seeking “ways around” the requirement that they sign
collaborative agreements with doctors before being able to provide services on
the MBS, amid claims doctors could attempt to veto their care.

From 1 November, patients of both midwives and nurse practitioners will be
able to claim MBS and PBS subsidies for the first time.

Under the move to open up Medicare, the Federal Government has laid down
requirements on how nurses must collaborate with doctors to prevent the
fragmentation of patient care.

While the Australian College of Nurse Practitioners has supported the
requirements, the Australian College of Midwives claimed they would give
doctors too much power over midwives’ care because doctors could refuse to
sign agreements.

College spokeswoman Associate Professor Hannah Dahlen said: “Unless we find
ways around the individual sign-off of the doctor, these laws are not going to
lead to any new maternity care options for women.”

Professor Dahlen said the college was encouraging state health departments to
consider allowing independent midwives to enter into collaborative care
agreements with hospitals, rather than with individual doctors.

NSW Health had already formed a committee to examine the option, known as
“clinical privileging”, she said, which existed in many hospitals before
2001, when insurers stopped indemnifying midwives.

Professor Dahlen said the midwife would have rights to admit a patient to the
hospital and use the facilities in the way a private obstetrician does.

“That’s the most collaborative care you are going to get, because midwives
are accessing not just doctors, but social workers, physiotherapists and

Each hospital would have its own policy, which could include provisions for
taking homebirth transfers, she said. Such a system would apply to midwives
not employed by a hospital, but wanting to access hospital services.

Here are the comments :   Maybe the government will understand soon exactly what they have done,  there again perhaps they know already.

Terrible, isn’t it, the way doctors keep getting in the way of health care.
Who do they think they are…?
Posted by David de la Hunty 12/10/2010 1:11:20 PM

“Australian College of Midwives claimed they would give doctors too much power
over midwives care because doctors could refuse to sign agreements”
Of course we could … we could also do many other things that we don’t do.
Simply because we “could” … is that a reason to attempt to exclude doctors
from the care team ?

I know doctors and independent midwives have had a long adversarial
relationship .. isn’t it time we started focussing on patient care, not
territorial rights ?
Posted by Dr John Drinkwater 12/10/2010 1:26:57 PM

Reply from me.  Yes Dr John it is time we started focussing on the care of women.

I thought the whole point of the exercise was for the government to find a way
to get cheap services while making sure individual doctors took all the
Letting midwives deal directly with hospitals won’t achieve that, unless of
course Midwives have to carry the same responsibility and insurance as O&G
Posted by Ray Taylor 12/10/2010 1:41:49 PM

Frankly this is a whole heap of baloney, if midwives ARE fit to practice
independently for those women who are happy to take the risk. And let everyone
else get on with life.
A gutless vacillating government and its health minister are singing the
midwives song but as they approach the nirvana of meaningful touchy feely
childbirth without us doctors (criminals one and all) the midwives are being
hog tied by their mates in Canberra.
My reply.  I agree why don’t you just let us get on with it.
Just do it. Most women will be fine, it is a natural and unevenful human
female function. Some women will die and some babies will perish or be
severely damaged, but that is the price of midwife independence.
Posted by Jim Wilkinson 12/10/2010 2:18:56 PM

My Reply,  Jim do you know how many mothers and babies have perished at the hospital compared to home?  No I didn’t think you did.

The Federal Government’s plans for independent midwifery prescribing through
the PBS next month will not come to pass in Victoria.
The Victorian legislation bringing national registration into effect did not
contain any provisions for midwifery prescribing. This is a significant win,
as it resists significant federal government pressure and means that
Australia’s most liberal prescribing regime does not see the merits at this
point in midwifery prescribing.

Midwives cannot legally prescribe, which means that the PBS access issue is
moot in this state.
Posted by Dr Harry Hemley, President AMA Victoria 12/10/2010 2:37:34 PM

This is very interesting.

3 responses to “The Australian Doctor”

  1. Gloria Lemay

    It’s akin to trying to change a Catholic into a Muslim. The arguments go in circles because the belief systems are firmly entrenched. What I understand from reading these doctors’ comments is that doctors feel victimized and bullied by government, patients, and midwives.

    Not likely that victims are going to relinquish their world view in a hurry. Too big a payoff.

  2. Tiffany Zimmermann

    If you have access to the Australian Dr, and search any articles about midwives, without fail the majority have some awful comment from Jim Wilkinson who, as I understand it, is/was an anaethetist not even an obstetrician! Clearly an expert in birth then hey (not!) lol

  3. SM

    I find this interesting. I know this happened almost a year ago, but I am wondering about getting an opinion about the ethics of the actions of the MJA editor in regards to the Kennare et al 2010 study on homebirth, its peer review process and the editorial on the piece.

    I am a scientist and member of an editorial board of a journal, and frankly I am unsure if this is a breach of the guidelines. It is really quite borderline and possibly a case of misconduct. There are several bodies such as the Council on Publication ethics that might be able to advise.