Not addressing the root cause: An analysis of submissions made to the South Australian Government on a Proposal to Protect Midwifery Practice |
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| Institution: | 1. University of Western Sydney, School of Nursing and Midwifery, Locked Bag 1797, Penrith, NSW 2751, Australia;2. School of Nursing and Midwifery, Locked Bag 1797, Penrith, NSW 2751, Australia;1. The University of Queensland, School of Nursing, Midwifery and Social Work Level 3, Chamberlain Building (35), St Lucia, Qld 4072, Australia;2. University of the Sunshine Coast, Sippy Downs, Qld 4558, Australia;1. Midwifery Research Unit, Mater Research Institute, The University of Queensland, Mater Health Services, Level 1, Aubigny Place, Raymond Terrace, South Brisbane, Qld 4101, Australia;2. School of Nursing and Midwifery, The University of Queensland, Qld 4101, Australia;3. Midwifery Research Unit, Mater Research Institute, Australian Catholic University, 1100 Nudgee Road, Banyo, Qld 4014, Australia;4. Robinson Institute, The University of Adelaide, Australia;5. University Centre for Rural Health, The University of Sydney, Australia;1. School of Nursing and Midwifery, Edith Cowan University, Western Australia, Australia;2. School of Nursing and Midwifery, Curtin University, Australia;3. Department of Nursing and Midwifery Education and Research, King Edward Memorial Hospital, Subiaco, Western Australia, Australia;4. Adjunct Appointment School of Nursing and Midwifery, Curtin University, Australia;1. School of Nursing and Midwifery, Griffith University, Australia;2. Menzies Health Institute Queensland, School of Nursing & Midwifery, Griffith University, Australia;3. Clinical Chair, Gold Coast University Hospital, Australia;4. Menzies Health Institute Queensland, Griffith University, Australia;1. Maternal, Childand Adolescent Program, Burnet Institute, Victoria, Australia;2. The Ritchie Centre, Hudson Institute of Medical Research, Clayton, Victoria, Australia;3. Department of Obstetrics and Gynaecology, Monash University, Clayton, Victoria, Australia;4. School of Nursing and Midwifery, University of Western Sydney, New South Wales, Australia;5. Centre for Midwifery, Child and Family Health, School of Nursing and Midwifery, Faculty of Health, University of Technology Sydney, New South Wales, Australia |
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| Abstract: | BackgroundReports of unregulated birth workers attending birth at home, with no registered midwife in attendance (freebirth), have become more frequent in Australia in recent years. A Coronial Inquiry (2012) into the deaths of three babies born at home in South Australia resulted in a call for legislation to restrict the practice of midwifery to registered midwives. A Proposal to Protect Midwifery Practice in South Australia was issued as a consultation paper in January 2013.AimTo report the views of those making a submission to the Proposal to Protect Midwifery Practice in South Australia.MethodsThirty submissions to the South Australian Government were downloaded, read and thematically analysed.FindingsTwenty-five (81%) submissions supported the legislation, 5 (16%) opposed it and 2 (6%) were neither for nor against. Support for the proposed legislation was strong, however the underlying root causes that have led to the rise of UBWs attending homebirth in Australia were not addressed. Recommendations called for all stakeholders to work with women to develop a better framework of care that respected and met their needs and choices whilst safeguarding maternal and neonatal health.ConclusionsThe Proposal to Protect Midwifery Practice may promote greater protection of midwifery practice however, Private Indemnity Insurance (PII), collaborative agreements and power struggles associated with the medical domination of childbirth continue to marginalise homebirth and prevent women from accessing the care they want and need. These unresolved issues represent the root causes for UBWs attending homebirth; hence the proposal is only a partial solution. |
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| Keywords: | Midwives Home birth Unregulated birth workers Doulas Midwifery regulation |
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