Pauline C.

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Collaborative Maternity Care Agreement - give your feedback

Pauline C. posted an article on - Feb 8, 2012, 7:33 pm
RANZCOG has developed a template for Collaborative Maternity Care Agreement between Eligible Midwife and Specialist Obstetrician or General Practice Obstetrician for use by Specialist Obstetricians or GP Obstetricians and Eligible Midwives. It is very important to give your Feedback. It is acknowled...
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Born Alive Rule - is it time to rethink

Pauline C. posted an article on - Feb 8, 2012, 8:47 am
A few seconds after birth: There is much debate over recent months regarding this issue; traditionally in Australia and some other countries a fetus has no rights until “Born Alive”, otherwise considered the “Born Alive Rule”. This rule has been around since the 17th century, at this time vi...
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The art of listening and compromising with women

Pauline C. posted an article on - Jan 23, 2012, 8:39 am
As a midwife the art of listening is imperative, not only listening but hearing what the woman is saying and wanting. This in its self comes with its own inherent problems because as a midwife you know what a woman wants, however this can be like walking a tightrope as a midwife is bound by rules an...
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The challenge of collaboration:

Pauline C. posted an article on - Jan 18, 2012, 8:53 am
http://www.nhmrc.gov.au/guidelines/publications/cp124 I have written about collaboration in the past and it still seems elusive, however a few of my esteemed colleagues have managed to gain some sort of formal collaboration. The word ‘collaborate’ means ‘to work with another, cooperate’. ...
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What you need to do if you want to be a Private Practice Midwife in WA

Pauline C. posted an article on - Jan 18, 2012, 3:05 am
... need to register your intention to practice privately (independently).Therefore it is ... long after registration that you can practice privately(exemption until July 2013) ... the Health Dept (your intention to practice) Notification 7. Secure Insurance (VERO or MIGA) all private practice mi...
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No Collaborative Agreements: No equality or justice:

Pauline C. posted an article on - Nov 19, 2011, 9:11 am
12 months on and I still do not have access or a collaborative agreement: As a private practice midwife I have not been able to secure a written collaborative agreement or access to hospitals to facilitate the care of my private clients; Unfortunately for the women of WA, there is only one Tertiary...
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Head on the chopping block – HOMEBIRTH:

Pauline C. posted an article on - Oct 25, 2011, 10:18 am
Homebirth the hot topic: combine that with autonomy, women’s choice of place of birth no matter what the risk factor and you have an explosive cocktail and a subject that will divide a nation. There has been much written on this subject and sadly what is bringing it to the forefront again is term ...
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Inspired.....

Pauline C. posted an article on - Aug 28, 2011, 7:42 am
It's been a difficult week and I am sure next week the news will be all about Homebirth and midwives... so brace yourselves: Today I rekindled my passion, after a hard week. “Courage is going from failure to failure without losing enthusiasm.” – Winston Churchill I was delight...
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Confusion reigns.......

Pauline C. posted an article on - Aug 24, 2011, 6:02 am
A sad state of affairs: it seems that continuity of midwifery care is the last thing on anyone’s political mind: To say I am confused would be an understatement; two urgent issues: Insurance and the practice role of a midwife: for months I have been asking the question can a Midwife be...
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ACM Interim Homebirth Position Statement and Guidance for Private Practice Midwives

Pauline C. posted an article on - Aug 8, 2011, 8:54 am
It is long overdue, a position statement on Homebirth for Australia from the ACM, well done: since 1987 RANZCOG has had an endorsed position statement that opposes homebirth: Since 2007 there has been a joint statement from the RCM & RCOG supporting homebirth for low risk women: Now the A...
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Report concerns or risks......

Pauline C. posted an article on - Jul 26, 2011, 2:07 am
Mandatory reporting is not only in Australia.... the UK is calling for more health professionals to blow the whistle... NHS staff told to 'report concerns or risk investigation' Health regulators should warn nurses, doctors and midwives they may be investigated if they fail to report concerns about ...
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Fantastic new project: One World Birth

Pauline C. posted an article on - Jul 26, 2011, 1:41 am
Sign up to One World Birth with Sheila Kitzinger, Michel Odent, Ina May Gaskin, Elizabeth Davis, Cathy Warick and more....... One World Birth is also building a community of birth professionals to connect, inspire and to help deliver change, to make birth better and safer everywhere. Click on this l...
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Homebirth: A reminder July 2012 is looming

Pauline C. posted an article on - Jul 22, 2011, 8:12 pm
Following on from my previous blog which generated much discussion; lets remember the figures we are talking about: In Australia less than 1% of women homebirth: In the UK 10% of women homebirth and there is a call by doctors to increase that figure and have more 'low risk' birth centres and homebir...
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Challenging times for women and midwives (HBAC)

Pauline C. posted an article on - Jul 21, 2011, 11:24 am
Sad and disturbing times for both women and midwives: As a private practice midwife it is very important to understand the boundaries of my role as a midwife; some are outlined in my previous blog “government paying us lip service”. Many midwives are facing complex ethical dilemmas: As a UK trai...
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The government is paying us lip service:

Pauline C. posted an article on - Jun 29, 2011, 11:41 am
There are three burning issues for me currently: Mandatory reporting, women’s choice to birth where and how they want and ‘continuity of midwifery care’; each deserves a separate blog. I have refrained from blogging recently because things have been politically difficult and I have been trying...
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It's been a while since I blogged.... life in the fast lane

Pauline C. posted an article on - Jun 9, 2011, 11:25 am
Canberra - Autumn I have really missed blogging even felt guilty about not writing and sorry to my faithful readers for the lack of updates, but as usual the build up towards the end of semester (marking, studying, and meetings) takes its toll on my time to blog.... Let’s see where I got up to.......
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Understanding Collaborative arrangements for midwives

Pauline C. posted an article on - May 12, 2011, 10:42 am
Well as usual life has been extremely busy and I have quite a few blogs to catch up on... like our Good Friday grandchild Tayla.... birth experience coming soon...but first what has been consuming my time is trying to secure collaborative arrangements. Collaboration was always going to be problemati...
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Waiting patiently for grandchild no 8.....

Pauline C. posted an article on - Apr 20, 2011, 9:55 am
The art of patience I think is disappearing, we are always in a rush for things to happen or to be done, we want everything yesterday...sadly this is a reflection of the times. Pregnancy traditionally is anywhere from 37 - 42 weeks, which is nine months and one week. More than 90% of babies do not a...
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Lamenting about the lost art of nursing care:

Pauline C. posted an article on - Apr 7, 2011, 11:26 am
This is a plastic slipper-pan....mine was papermache...even more lightweight... I have recently been in hospital, nothing serious but none the less needing/requiring some nursing care: There is nothing like a bit of firsthand experience to relay to nursing and midwifery students the importance of a ...
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Privacy Act: patient consent to collect and disclose information:

Pauline C. posted an article on - Mar 30, 2011, 10:23 am
This is a gentle reminder for all privately practicing midwives to get patient / client consent to collect and disclose information, especially now that there are eligible midwives: something else we have to set up for the practice........ All organisations that provide a health service are covered ...
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What's in a name? Independent; Private Practice Midwife; Eligible Midwife

Pauline C. posted an article on - Mar 23, 2011, 11:43 am
As I ponder how to advertise myself on the Internet I look at the possible variables and it comes down to “independent midwife” or “private practice midwife”, so let’s have a look at what difference a name makes: What's in a name? That which we call a rose By any other name would smell as ...
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The lost art of letter writing: Etiquette:

Pauline C. posted an article on - Mar 23, 2011, 8:55 am
I come from an era of when someone sends you a letter, remembering that a letter is in place of the spoken word..... It is polite to respond particularly in business; it was accepted etiquette to respond and say thank you for your letter, we will respond shortly or whatever the reasons are.....this ...
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The art of being patient: Centred Midwifery Group Practice:

Pauline C. posted an article on - Mar 19, 2011, 10:04 am
The Centred Midwifery Group Practice....it's interesting for me,in my mind the vision of the practice is a complete success, it flows smoothly and seems easy.... however the reality is somewhat different there are so many other variables involved to which I have no control. Yes that might be naive o...
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Rules of engagement and Facebook:

Pauline C. posted an article on - Mar 18, 2011, 11:21 am
Firstly I want you to think about why do you engage in Facebook (FB)? What is your primary focus?...this question is very important as you will read further into this blog. For me it is about connecting with people, friends, associates, overseas family, local family, it’s about linking, networking...
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Busy, Busy, Busy, but loving it:

Pauline C. posted an article on - Mar 12, 2011, 9:01 am
Life is a wonderful journey with lots of lessons to learn... however I can't believe that I can still be so naive in terms of maternity reform. I have so many things to blog about its hard to know where to start: Friendship: my friend returns to the UK this evening ...yes I am sad because we have so...
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A Festschrift to celebrate the careers of two remarkable women:

Pauline C. posted an article on - Feb 19, 2011, 9:31 am
I was privileged today to find myself sitting amongst many wonderful people and some great academics, I heard many wonderful stories of two amazing women who have had diverse and awe-inspiring careers which has had tremendous impact on the midwifery profession and will do for many years to come, Pat...
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Homebirths in the news again....

Pauline C. posted an article on - Feb 9, 2011, 9:49 am
It is interesting that the debate is always around homebirth...is it safe or not.... however should we ban hospital births because babies die there as well. The language used "doctors divided" "the Health Dept" is allowing homebirth to continue... where is the choice factor here for women.. in fact ...
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Medicare and the Midwife

Pauline C. posted an article on - Feb 8, 2011, 7:55 am
The journey to obtaining Medicare Provider number has been an interesting one..... Now to learn all the things I need to know about what and how I can claim...... The Medicare provider number is a unique number issued by Medicare Australia to registered health professionals. They are also used to id...
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The question is do you use a partograph or not?

Pauline C. posted an article on - Jan 28, 2011, 9:36 am
The partograph or partogram graphically represents key events in labor and provides an early warning system for the health professional caring for the woman. Until recently I had not given this much thought, I just accepted as part of my practice. I would use a partograph as part of my normal care i...
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Insurance for Midwives:

Pauline C. posted an article on - Jan 23, 2011, 8:01 am
Now that I have a Medicare Provider number & eligibility it's time to consider my insurance; the options that midwives have are: A government supported insurance through MIGA (The Medical Insurance Group) or Mediprotect insurance; The question you have to ask is which insurance do you choose? here i...
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Writing My Memoir Journey:

Pauline C. posted an article on - Jan 21, 2011, 9:59 am
Ian and I have come down to Margaret River for a well earned break just for a few days; as usual we spent some time in the Margaret River bookshop...and I spotted this book “write your memoir – the soul work for telling your story” by Dr Allan G Hunter....what attracted me to this particular b...
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Medicare Provider Number:

Pauline C. posted an article on - Jan 21, 2011, 9:16 am
At last I have my Medicare Provider Number.... yeah...First eligibility,(see blog how to apply for eligibility) then Medicare Number and Insurance... all set to go.... website, business cards, flyers, something is missing.... yes the "women" wanting continuity of midwifery care.... I have booked my ...
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My Road to Meditation:

Pauline C. posted an article on - Jan 16, 2011, 11:11 am
I dabbled in meditation back in the nineties and met the Dalai Lama when he came to Perth…. I subsequently read his autobiography and thought that if I was to have my time over again I would be a Buddhist. I continued to be a part time practicing Catholic and turned more to being spiritual rather ...
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Ethical /moral points of view:

Pauline C. posted an article on - Jan 15, 2011, 9:12 am
I really enjoy teaching in Singapore the array of different cultures and ethical / moral points of view always make me reflect on life and consider another point of view: Ethics and morality are often interchanged…. Some people confuse ethics and think that it is ethical standards or a code of eth...
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My plans for 2011

Pauline C. posted an article on - Jan 1, 2011, 7:26 am
It would not be a New Year without setting some goals, writing them on your blog makes it harder to break and you are more accountable.... I find it very useful each year to reflect on the year gone by and plan for the following year... some of my goals are as a result of reflecting the year gone by...
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Photo reflection 2010

Pauline C. posted an article on - Dec 30, 2010, 3:05 am
 
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An extraordinary year:

Pauline C. posted an article on - Dec 29, 2010, 11:04 pm
As the end of the year sets and the New Year dawns we often think of the year gone by…at least I do…it seems to me that the years are getting busier and time is flying bye…this could be a reflection that I am getting older however I don’t feel older, but sure as hell my body keeps reminding ...
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Thank you for a wonderful Christmas

Pauline C. posted an article on - Dec 25, 2010, 11:13 am
I have not felt much like Christmas this year, partly I think it is that I have not had much lead up to Christmas: This is the first year I have not taken the grandchild to carols by candlelight.... something I really do enjoy: Midnight Mass was uneventful, the Church was not over flowing... usually...
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First Eligiable Midwife for WA:

Pauline C. posted an article on - Dec 23, 2010, 7:21 pm
At last on my return from Tanzania I received a letter from AHPRA (16th Dec) that they had met on the 2nd December and have approved my application: "An eligible midwife competent to provide pregnancy, labour, birth and post natal care and qualified to provide the associated services and order diag...
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Midwifery in Tanzania

Pauline C. posted an article on - Dec 22, 2010, 9:12 am
This is a snapshot of midwifery in Tanzania from my perspective, it does not refer to anyone specific, the judgements are made from my personal observations: Tanzania a country in which health resources are minimal and much help is required: the lack of staff, general caring and privacy being high o...
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Dreams; Dreaming:

Pauline C. posted an article on - Dec 19, 2010, 10:08 am
Last night I dreamt that I was swimming in the ocean, it was a beautiful clear ocean, I love the sea.....my husband was standing on the shore as he normally does..... I was a little afraid a healthy respect of the ocean, it was a nice sunny day and I just love to swim in the ocean, so continued to s...
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Nursing in Tanzania:

Pauline C. posted an article on - Dec 11, 2010, 10:45 pm
The airport: It is hard to know where to start with this blog... as there is so much to tell, therefore I think there will be several blogs relating to Tanzania; The main focus of the trip was to take 20 nursing students from five different universities to experience nursing in Tanzania. My first im...
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Back to my roots Africa:

Pauline C. posted an article on - Nov 28, 2010, 9:19 am
We have been in Africa Tanzania for a week now…. I will be blogging about the clinical experiences soon but just had to share this wonderful weekend with my friends and the world. Despite all the hardships that can clearly be seen in parts of Africa the country and its wildlife are absolutely magn...
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I'm feeling very relieved and excited:

Pauline C. posted an article on - Nov 19, 2010, 10:59 am
I am so grateful my life is filled with love, passion, abundance and excitement; I was so relieved that my exams are over for this semester, I had forgotten how you stress when you feel under pressure to perform in examinations... I do wonder the value of examinations.... for two hours I regurgitate...
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Centred Midwifery Group Practice Inc (CeMGP)

Pauline C. posted an article on - Nov 16, 2010, 9:23 pm
Wow it is official….this has been a dream of mine for some time and became a reality today when the Dept of Commerce called me today to confirm our application for incorporation was successful. We are the first private Midwifery Group Practice for WA this is a huge step. I am so proud this is a fa...
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Homebirth in the news again.......negative press: when will it stop?

Pauline C. posted an article on - Nov 16, 2010, 5:57 pm
Homebirth is never long out of the news: strangely enough it is usually in the negative; When will doctors learn that it is not an issue of HOMEBIRTH it is an issue of CHOICE; Choice for women not doctors; The Weekend West's headline was "Ban pleas on 'risky homebirths' now it is hard to openly disc...
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My feet are not touching the ground:

Pauline C. posted an article on - Nov 13, 2010, 7:31 am
This is usually a busy time of year....semester finishing, marking, getting ready for Christmas etc, etc, etc; However for me this is a particularly busy time.... semester is finishing and I have my usual marking....thankfully I love this assessment so it is easier to mark and the students also enjo...
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WE ARE FREE

Pauline C. posted an article on - Nov 11, 2010, 1:38 am
Today we are free but it is a day of mixed emotions a day of celebration and mourning a day of smiles and tears a day of joy and sorrow. On this day in 1945 We overcame the enemy our land became ours once more but the victory was not free we paid dearly for our freedom we paid with lives the lives o...
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Update for eligibility: still waiting!

Pauline C. posted an article on - Nov 10, 2010, 7:55 am
Update on my application; I thought that I was very meticulous with my application but alas this was not the case; there is particular certified list of people that are required and I used a university academic which is not allowed; the Certified List for AHPRA Justice of the Peace, Bail Justice, Re...
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A bottle of Red......frustration of midwifery;

Pauline C. posted an article on - Nov 9, 2010, 11:22 pm
I had a bottle of red...with my husband, I am trusting him to proof read this blog as I feel positively tipsy ; I have had a bad day....a meeting from hell ego’s present in the room; I feel disempowered in my current position... people not being honest with their intentions.... all it takes is ope...
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