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Six years of independent midwifery in London

By Coyle, A
on Tuesday, 01 Dec 1992 in New Zealand College of Midwives Journal - Volume: 7

Presented for the NZCOM Conference I feel very, very honoured to be invited to speak in New Zealand where you have in place the system of domiciliary midwifery which I would love to see in Great Britain. I assure you that we are way behind you in this department. A few weeks ago I had a phone call from a New Zealand midwife who was visiting London. She wanted to meet me to find out how the system worked there. When I learnt that she was a domiciliary midwife with 300 home births to her credit, I didn't get around to telling her much. I was too busy picking her brains!

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Te Awhi Whaanautanga

By Timutimu, W.M.
on Tuesday, 01 Dec 1992 in New Zealand College of Midwives Journal - Volume: 7

(Te Awhi Whānautanga) Maori culture, like any other, is dynamic and complex. These are some aspects of it that stand out for me. Dramatic: Firstly it is dramatic. people are encouraged to convey what they think and feel by their actions. You might not hear many Maori say, when a relative dies, "I'm sorry, please accept my condolences." They will embrace you and their tears say it all. Oral: Secondly it is oral. Many forms of oral communicatin have been developed within Maori culture. These include the Whaikorero or speeches, Karanga or calls of welcome, Poroporoaki or speeches of farewell, and Waiata koroua or traditional songs. Holistic: Finally, Maori culture is holistic. Within Maori culture, an individual's relationship with his or her family, the elements and spiritual forces are more important that the individual. Thus, to understand a Maori person it may be necessary to know their family, their tribal homeland or turangawaewae and their religious beliefs. The holistic nature of Maori culture, the oral nature of Maori culture and the dramatic nature of Maori culture are all important when we care for Maori mothers.

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Midwife to midwife: Midwives and cervical smears

By Martis, R
on Tuesday, 01 Dec 1992 in New Zealand College of Midwives Journal - Volume: 7

In New Zealand there have been significant developments towards the implementation of a National Cervical Screening Programme (NCSP). Overseas experience has shown that well organised, centrally coordinated programmes are the most efficient method for organising screening. Such a centrally organised programme was a recommendation of the Cartwright Inquiry (1988), consistent pressure from the women of New Zealand and publicity by the media.

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Editorial: Constitutional changes to College structure

By Guilliland, K
on Monday, 01 Jun 1992 in New Zealand College of Midwives Journal - Volume: 6

On February 14th 1992, a special General Meeting was called to make constitutional changes allowing the structure and function of the College to respond to both individual midwives, and the needs for a more effective service to its members. Since the College was founded, just two years ago, the demand for information, both regional and national consultation and support has reached a level where a voluntary structure could not maintain the activity required to function efficiently. It was obvious we needed a physical base and someone employed to co-ordinate and administer the College business. The decision to provide Professional Indemnity Insurance also require someone to administer the work associated with such a service.

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Education Workshop: New Zealand College of Midwives Code of Conduct/Ethics

By NZCOM
on Monday, 01 Jun 1992 in New Zealand College of Midwives Journal - Volume: 6

The following is part of the compilation produced at the NZCOM Education Workshops held at Victoria University on the 12-14th February 1992. There were 39 participants representing a wide cross section of midwifery and consumers of the maternity services. The workshops were founded in part by the Workforce Development Fund (Dept. of Health), the NZCOM and the generosity of the participants themselves. The impetus for such a gathering came from the changes to maternity services initiated by the Nurses Amendment Act 1990. It was seen as imperative that midwives take a proactive stance on the myriad of issues which have arisen as a result of midwifery independence.

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Diploma in Midwifery (3 year Direct Entry)

By Gunn, J, Pairman, S
on Monday, 01 Jun 1992 in New Zealand College of Midwives Journal - Volume: 6

Auckland: The direct entry midwifery programme at the Auckland Institute of Technology, School of Nursing & Midwifery, began on 10th Feburary 1992 with twenty students...We are excited and motivated to ensure the success of this programme. Otago: The first class of direct entry students commenced on 22nd March 1992. This is a group of 20 women, all of who are very committed to midwifery and will bring a great deal to the profession. They have been waiting to do midwifery for a long time and their enthusiasm is exciting and contagious...I believe this course will be successful and will produce the midwives we want for the future.

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College of Midwives Maternity Benefit Survey

By Virtue, C
on Monday, 01 Jun 1992 in New Zealand College of Midwives Journal - Volume: 6

Background: Initial discussions with the Department of Health following the Nurses Amendment Act, highlighted the need for information on what services midwives were providing and the payment they were receiving. Aim: To obtain accurate information on what services independent midwives in New Zealand provide, how much time is involved in each area of work and what costs are incurred by the midwives. Purpose: To set up a database on the work of independent midwives for use in benefit negotiations and to support the role of midwives in future maternity care provision.

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Forum report: Second national midwifery forum

By Smythe, L
on Monday, 01 Jun 1992 in New Zealand College of Midwives Journal - Volume: 6

"Issues in Midwifery Today", La Trobe University, Melbourne, 1991 What I learnt from this forum was that Australian issues in midwifery practice are not the same as New Zealand issues. My first glimmer of understanding came from the opening address given by a Director of Nursing. True, she was a midwife, and did talk about midwifery issues, but it all seemed to be under the umbrella of nursing. When she talked about the changes in the delivery of health care, and of how the community were being "aggressively consulted", it was all attributed to Government involvement. There was certainly no mention of midwives and women working together as the catalyst for change.

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Political comment: Direct entry midwifery (DEM)

By Donley, J
on Monday, 01 Jun 1992 in New Zealand College of Midwives Journal - Volume: 6

Recently I attended a luncheon at the Auckland Institute of Technology to meet the 20 DEM students - a number of whom had had home births and some of whom had been members of the DEM Task Force (TF). This develoment is the direct result of the work done by this TF and the good fortune to have a visionary Minister of Health, Helen Clark, who had the courage to make the necessary legislative changes. The TF evolved from the "Save the Midwives" (STM), which was formed by home birth women, led by Judy Larkin, to fight the Nurses Amendment Bill, 1983. STM declared its intention to "uphold the rights of parents and to support the midwifery profession". Not only did the Bill "erode" the rights of consumers, it spelled the beginning of the end of midwifery in New Zealand, since it allowed nurses, under medical supervision to carry out and supervise maternity care.

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Breastfeeding: Maintaining breastfeeding with a newborn baby who is reluctant to suck

By Bevan, T, Mulqueen, A
on Monday, 01 Jun 1992 in New Zealand College of Midwives Journal - Volume: 6

The normal newborn full term baby who is reluctant to suck during its first hours and days provides a challenge to its parents and caregivers. Despite this potentially distressing situation a satisfactory breastfeeding relationship should be achievable if the mother and baby receive appropriate and consistent information and support. WHO/UNICEF have stated that exclusive breastfeeding should be the norm and that mothers should initiate breastfeeding within half an hour of birth. However, the establishment of effective breastfeeding can take significantly longer.

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