|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: women's birthing experiences in rural/remote areas (long)From: D.Macfarlane (D.Macfarlane@mailbox.uq.oz.au)Fri Mar 1 22:38:02 1996
>Because of fear of litigation & the cost of insurance, very few GP's in country areas will perform normal deliveries let alone operative ones. Women are commonly sent to a major centre 6 weeks before EDC There are particular cultural problems for various ethnic groups in particular Aboriginal women have been actively lobbying for birth centres on their own land where they can carry out specific birth rites. However, they invariably are classed as 'high risk' patients. Some rural/remote communties which have the good fortune to boast 2 doctors permit low-risk women to birth in a local hospital. Some of these women are so convinced of the hazards of childbirth that they still choose to go hundreds of kms to a major centre. >Midwives who wish to birth low risk women outside of major centres/hospitals are considered to be endangering women's lives.
>Felicity Croker <felicity.croker@jcu.edu.au>
>Australia I think that the replies Felicity has received have strayed from her original questions and concerns. She is not asking about the list's opinion on home births in cities with good access to hospitals and health care. The far north of Queensland and most of the centre of Australia is remote and isolated - distances are hundreds of kilometres between properties, in some cases 300-500km from the nearest base hospital. We are talking about a part of the country that DOES NOT have access to maternity hospitals, where GP's just don't have the facilities or experience to provide emergency care for a labouring woman. I work in a tertiary referral centre and we see quite a few women who have electively chosen to come to the big smoke (sometimes from 750km away) to deliver because of the fear that something may go wrong and their local doctors or hospital simply don't have the means/experience to assist them. In this part of the world I would say that a home birth attended by a midwife would be as safe as delivering in a small country hospital with one inexperienced doctor on call. What needs to be found is a way of keeping these women at home or in their local community and still provide them with medical back-up for emergencies. The Royal Flying Doctors service is trying to meet these needs but as always, staffing and finances never quite meet demand. Sure if this were a perfect world, but it isn't and sometimes we have to tailor medical care (and personal opinion) to suit the situation. Carol Portmann Training O&G registrar Mater Mothers Hospital Brisbane, Queensland Australia
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 05:17:47 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.