+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Home birth and the National Australian Maternity Services Review: too hot to handle?

, : Home birth and the National Australian Maternity Services Review: too hot to handle?. Women and Birth 24(4): 148-155

In February 2009 the Improving Maternity Services in Australia - The Report of the Maternity Services Review (MSR) was released, with the personal stories of women making up 407 of the more than 900 submissions received. A significant proportion (53%) of the women were said to have had personal experience with homebirth. Little information is provided on what was said about homebirth in these submissions and the decision by the MSR not to include homebirth in the funding and insurance reforms being proposed is at odds with the apparent demand for this option of care. Data for this study comprised 832 submissions to the MSR that are publicly available on the Commonwealth of Australia Department of Health and Aging website. All 832 submissions were downloaded, coded and then entered into NVivo. Content analysis was used to analyse the data that related to homebirth. 450 of the submissions were from consumers of maternity services (54%). Four hundred and seventy (60%) of the submissions mentioned homebirth. Overall there were 715 references to home birth in the submissions. The submissions mentioning homebirth most commonly discussed the 'Benefits' and 'Barriers' in accessing this option of care. Benefits to the baby, mother and family were described, along with the benefits obtained from having a midwife at the birth, receiving continuity of care and having a good birth experience. Barriers were described as not having access to a midwife, no funding, no insurance and lack of clinical privileging for midwives. Many positive recommendations have come from the MSR, however the decision to exclude homebirth from these reforms is perplexing considering the large number of submissions describing the benefits of and barriers to homebirth in Australia. A concerning number of submissions discuss having had or having considered an unattended birth at home due to these barriers. Overall there is the belief that not enabling access to funded, insured homebirth in Australia is a violation of human rights. It appears that homebirth was considered by the MSR as 'too hot to handle' and by dismissing it as a minority issue the government sought to avoided dealing with homebirth as a 'sensitive and controversial issue.'


PMID: 21074508

DOI: 10.1016/j.wombi.2010.10.002

Other references

Gosliner T.M., 1976: The aeolid nudibranchs of the hawaiian islands usa. Western Society of Malacologists Annual Report 9: 38

Zhang, J.; Li, Y.; Li, G.; Ma, X.; Wang, H.; Goswami, N.; Hinghofer-Szalkay, H.; Chang, H.; Gao, Y., 2017: Identification of the optimal dose and calpain system regulation of tetramethylpyrazine on the prevention of skeletal muscle atrophy in hindlimb unloading rats. Previous studies in our lab have shown that tetramethylpyrazine (TMP) could effectively attenuate disuse induced muscle atrophy. In order to screening out the optimal dose of tetramethylpyrazine (TMP) for protection against disuse induced muscle a...

Lindström, S.; Wróbel, A., 2011: Feedforward and recurrent inhibitory receptive fields of principal cells in the cat's dorsal lateral geniculate nucleus. Principal cells in the dorsal lateral geniculate nucleus receive both feedforward and recurrent inhibition. Despite many years of study, the receptive field structure of these inhibitory mechanisms has not been determined. Here, we have used intra...

Nettersheim, D.; Jostes, S.; Sharma, R.; Schneider, S.; Hofmann, A.; Ferreira, H.J.; Hoffmann, P.; Kristiansen, G.; Esteller, M.B.; Schorle, H., 2016: BMP Inhibition in Seminomas Initiates Acquisition of Pluripotency via NODAL Signaling Resulting in Reprogramming to an Embryonal Carcinoma. Type II germ cell cancers (GCC) can be subdivided into seminomas and non-seminomas. Seminomas are similar to carcinoma in situ (CIS) cells, the common precursor of type II GCCs, with regard to epigenetics and expression, while embryonal carcinomas...

Hoque, E.D.the, W.T.sche, M.S.mbdner, G., 1983: Occurrence of abscisic acid and its beta-D-glucopyranosyl ester in shoot parts of Scots pine (Pinus sylvestris L.). Biochemie und Physiologie der Pflanzen78(4): 313-316

Huang, Y.X.; Zhang, X.; Lin, D.X.; Zhang, J.Y.; He, Z.Y.; Huang, L.K.; Wan, X.; He, H.F.; Zeng, G.Q., 1986: A study on yield components and differences of light transmittance in the canopy of cultivars of various rice types. In field trials with the typical dwarf rice cv. Zhenzhu'ai 11 and Chaoyangzao 18, the typical high tillering cv. Shuanggui 36 and the intermediate type cv. Guichao 2, yield and panicle number were highest (528 kg/mu and 263 300/mu, resp.) in...

Salunkhe, C.B.; Shimpale, V.B.; Sardesai, M.M.; Yadav, S.R., 2002: Some new records of Asteraceae for the state of Maharashtra. Journal of the Bombay Natural History Society 99(3): 555-557, December

Maurya, R.P., 1993: Knowledge of farmers on pest management in oilseed crops in eastern U.P. - their need for extension activities. A study was carried out in Uttar Pradesh, India, to assess the knowledge of local farmers of insect pests of fatty oil plants and their management. The level of knowledge was limited especially as far as pesticide application techniques were conce...

Keller, E.F.; Segel, L.A., 1971: Traveling bands of chemotactic bacteria: a theoretical analysis. Bands of motile Escherichia coli have been observed to travel at constant speed when the bacteria are placed in one end of a capillary tube containing oxygen and an energy source. Such bands are a consequence of a chemotatic mechanism which permit...

Guter, M.; Zusmer, N.R.; Serafini, A.N., 1977: Myocardial anatomy with T1-201. Journal of Nuclear Medicine 18(7): 748-749