Defending the right of Mums to have a safe home birth

Defending the right of Mums to have a safe home birth

The two greatest experiences of my life occurred in a birthing suite.
 
The birth of a new baby is an exhilarating experience that produces emotions from deep within your soul.
 
Yet somehow I think the emotions that child birth produces in woman are even more significant. Obviously pregnancy causes massive physical change but less obvious is the enormous emotional change having a baby ushers in.
 
My wife and I were very lucky with both our babies. High quality medical advice mixed with relatively easy births (that comment is sure to get me into hot water) meant that our experience was everything we could have hoped for.
 
It was a very intense and private experience. 
 
That is why I was surprised when I saw the Federal Government’s reforms to maternity services, in particular I was very surprised by a small but concerning provision in the legislation that bans a range of medical professionals from delivering babies at home.
 
As it stands now, you are able to legally choose to have your baby at home, in fact there is quite a passionate group of parents who have chosen this option.
 
I have been speaking to some of these mothers recently, many who are outraged by the Government’s unwanted intervention.
 
They argue (with merit) that they should be able to choose to have their babies in their home with professional medical care.
 
Many have had horrific experiences in state run public hospitals and simply refuse to risk that experience again. 
 
The new Roxon plan will ban these women from having professional assistance during their home birth. It will not prevent the practice of home birthing, it just proposes to outlaw health professionals from assisting with the birth. It has the potential to make these home births much more dangerous.
 
It would seem to me that banning health professionals from assisting with home births is more likely to increase the danger by pushing the practice underground, where some parents will still want to have their babies at home but will not have trained professionals to assist. 
 
Now this is just crazy. The Government is not suggesting that birthing at home is dangerous, indeed there are Government funded programmes that operate home birthing services.
 
The evidence suggests that the health outcomes from home births have not led to increasingly dire outcomes, to the contrary it appears that many parents who have chosen to have home births have healthy babies and then recommend the experience to others. Does anyone seriously believe that parents would want to endanger their unborn child?
 
It appears that this provision may have been included to resolve an insurance difficulty not prevent a health problem.
 
If that is the case, it is policy written for the bureaucrats not the people.
 
In addition surely banning home births is going to put more pressure on our already stretched hospital system.
 
I support parents having a choice of maternity services with the best possible medical assistance they can access. 
 
Maybe if the Minister and her bureaucrats thought harder about how to resolve the insurance issues, this Bill would not sacrifice parental choice.
 
Home births are not for everyone; we did not choose this option nor will we in the future. But I don’t believe removing this choice will help ensure that the birthing experience should be as safe and special as it can be.
 
 

 




Comments

Clodia Porteous
# Clodia Porteous
Thursday, July 30, 2009 4:20 PM
As a home birthing woman / family within your electorate I am so pleased to see you supporting our right to choose where and with whom we will birth our babes. Thank you for speaking out on our behalf.

Home birth CAN be just as safe IF NOT SAFER than hospital birth for low risk women with appropriately qualified (midwife) support. Pushing homebirth underground, forcing those who would choose it to go unassisted, is a VERY backwards move, especially when you look at this issue on a global scale.

Homebirth WILL NOT go away as a desired choice for some birthing women, and the (incredibly experienced and Private Practice Midwives are an essential part of our current Maternity Services options. In my opinion, they are the gold standard in Private birthing care.
Grant Horsfall
Thursday, July 30, 2009 11:24 PM
Thanks Jamie for stepping up and providing this opportunity for community discussion of this issue. We are also within your electorate.

I think it is important to highlight what the vast majority, ie the hospital birthers, are loosing here.

For the Hospital Birthers:

Would you have liked to have a care provider personally follow you & your family through your whole pregnancy & postnatal period?

How about the same person, someone you hand picked for the position, interviewed even, who visited you (& your partner/family) in your own home?

How about if these visits were a relaxed (yet professional) 2 hours over a cuppa, where you could ask anything you wanted, and have it answered & discussed in as much depth as you wanted?

How many of these visits would you like, how about 14 home visits during the pregnancy then another 14 in the six weeks after birth? Wow! What sort of relationship do you think might develop over that time?

How about if you could also chat on the phone/email between visits whenever you wanted? How might that have helped with your confidence & stress levels during pregnancy and after birth as you navigated those first weeks of sleeping, feeding etc.

What if you could even have that same person do it all over again for your other pregnancies?

What if this same person could support you wherever you wanted to birth, even if you wanted to birth in a hospital?

You must be kidding right?

YES I am kidding, because this legislation will take that right away from you, a hospital birther. This legislation will make it illegal for a professional, qualified, experienced (currently registered) Independent Midwife to come to your home and provide prenatal and/or antenatal midwifery care for you.

Maybe you never thought of choosing to add this level of professional maternity care to your birth plan, maybe you didn’t even know it was available. This choice is being taken away from you & your daughters, just as it is being taken away from us.

We value this sort of care very highly!

We also like the option to have the birth at home too, unless indicated otherwise. If we go to hospital we know that our hand picked, professionally qualified & experienced Independent Midwife has invested many months, visits & hours getting to know us all very well so that we can be supported through whatever the hospital birth may entail. At hospital, and we get back home, there s/he will be, day after day, week after week as we get to know our baby & integrate the birthing experience.

ALL OF THIS will be taken away as a choice, not just attendance at the potential homebirth!
Rebecca Doble
# Rebecca Doble
Monday, August 03, 2009 1:07 PM
Thank you Jamie for listening, for researching this topic rather than just going with hearsay, assumptions and the status quo.

Thank you for representing the women in your electorate so valiantly.
Ana Navidad
# Ana Navidad
Tuesday, August 25, 2009 8:35 PM
As a Midwife in your electorate I fully support Homebirth as safe and rewarding choice for women and their families.

Thank you for being clear on the evidence and the issues.

I hope you will stand strong on our behalf, when this issue is discussed again.

It would be easy to rally a significant number of people together to meet with you on this issue or supply you with any more information you might require.

Please do your very best to ensure a womans choice to home birth in the care of supported Midwives are not left out of this very important picture. We fully supprt you in doing so.

Like you have said choice is a VERY important part of any womans wellbeing. Let us not go backwards on this one.
Lynn Shaw
# Lynn Shaw
Tuesday, August 25, 2009 9:50 PM
Thankyou for your support, All women deserve the right to make birth choices, and as a community, we need to facilitate this. Good to see our politicians supporting this issue
Deborah Furbank
# Deborah Furbank
Wednesday, August 26, 2009 8:36 AM
I have had 2 very successful homebirths. I live rurally and birth fast. For my husband to drive at 100km during kangaroo hour with a labouring woman in the car is incredibly dangerous. As our nearest hospital that accepts birthing is 200km away it is likely I would birth in the car. Home birth gave me a much safer option. I was able to travel no where and wait for a qualified, professional midwife to come to me.
We have had birthing services taken away from our local hospital and now another choice is being taken away.
I am absolutely gobsmacked that Labor is even considering such a backwards policy. Shame on you Labor! You wont be getting my vote.
Lesley White
# Lesley White
Wednesday, August 26, 2009 12:17 PM
As a member in your electorate Jamie I am pleased to see you open to this debate. It does not need to be medical care that women need during pregnancy, but medical and midwifery carers working together. Your electorate has a reasonable percentage of families that birth at home with independent midwives. This option that will not be available with planned legislation.
cheryl gosling
# cheryl gosling
Thursday, August 27, 2009 12:46 AM
I support midwives all the way. The changes proposed are ludicrous and seriously undermine the choice for women. Talk about going backwards!!!
Emily Daw
# Emily Daw
Friday, September 25, 2009 10:31 AM
Thankyou for your support on this issue Jamie.

Maternity care is a very important issue for our community and not all families are having their needs met in our current system. The option of continuity of care with a midwife is not available to all in our community (despite the overwhelming research to support its benefits) and women should have the right to hand-pick thier own midwife if they are willing to seek this out (just as some do with private obstetricians).

Women and families should choose the type of environment they want to birth ... often this is an environment where they feel supported, respected and able to be in control of the decisions that arise. One where they will be informed of what is happening by a trusted professional who will be there to protect the normal process of labour and the safety of the woman and baby, providing skilled support and referral when needed if complications arise. An environment that is private and intimate to facilitate their labour and birth, and one that will give them the magical experience that they could only hope for. Whether this location is at a hospital or at home should be the woman's choice.

Research shows that homebirth for low risk women with a skilled midwife has better outcomes than hospital birth with midwives or obstetricians so surely this is a choice that should be protected and promoted in our community, rather than outlawing these skilled midwives from attending homebirth and thus putting women and babies in danger.

This issue is an ongoing one. The bandaid fix that the labour government offered last month will end in 2011- it won't fix the problem and the problem (birthing women who want the option of homebirth with a private midwife) will not go away. So in a couple of years we will have to once again fight for the rights of families in our community to have access to a service that should be thier right. Keep up your support Jamie, this is one issue that is worth working for!
Chris March
# Chris March
Friday, September 25, 2009 2:49 PM
We had two very succesfull homebirths, couldnt imagine it any other way. Expert midwife assisting and a physically and mentaly prepared mother in her perfect surrounds, (no fluro lights) it is a womans right to choose.

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