Sorry for the confusion Joy, too many late nights! The 'our lot' i referred to is our own assortment of Ob's here in NZ with whom we generally great collegial relationship. There have ben several artiles and 'exposes' in the media lately about how our 'bad' example of midwifery focussed care was being used in Aust as a reason for not supporting the adoption of a similar method of practice, or a similar freedom of choice, across the tasman. I agree that our scopes of practice are very different (midwives and ob's) but I personally feel in order for us to work together when needed we need to have a basic stand point of mutual respect, something i genuinely feel we have in our centre, and i feel this policy undermines that. We have an accepted set of referral guidelines which have been well thoughtout and are easy to work with already in place, thru the section of legisaltion we work under and the new guidelines at points contradict these at several points.
I am also working out of a frees tanding primary birthing unit and this is also not supported by the policies. It makes it more differcult when we reffer women for an appropriate review if we know that the person on the other end of things, IE the doc, isn't going to support her chioce to birth here, as women can be very open to what figures in authority tell them. At the moment we have a great set up and when we reffer women appropriately we know that unless there is a significant issue the woman's choice to birth here or at home wil be supported. I was even asked myself why i was not having a homebirth by some of the docs we work with. It would be a great disappointment if this were to fall to the wayside.
Our college CEO has written to the nz branch of the ANZCOG and it makes quite intereting reading (or maybe i just don't get out enough!) I'd be happy to forward it. I tried to link it but as it's aletter not a website, not sure how.
Any how, just my thoughts! I'd love to hear how midwifery works thru independent practice as i've only heard from collegues wo have been hospital based. Take care, megan