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REPORT  BACK  ON  NZCOM  MEETING 11TH 
								JUNE  07
						
				
		
		
				
						Agenda: 
				
				
				
		
		Issues concerning midwives 
		
				13 midwives present (including1 student midwife)
		
		
				The meeting was chaired by Adrienne Dunlop And Judith McAra Couper 
				representing NZCOM.
		
		
				The aim of the meeting was to assess the three most burning issues min 
				midwives and present them to the NZCOM Committee for resolution.
		
		
				A group of ten midwives formed three syndicates to discuss a questionnaire 
				relating to midwifery issues. The questionnaire has been used to define 
				issues at other like meetings throughout New Zealand.
		
		
				
						
								(
								A) Partnership Model in the 21st Century
								 
						
				
				
				
		
		1. What is it about the partnership model that you think is serving 
		midwifery well?
		 
		
				
						Consensus: 
						‐ 
				
		
		It’s very ideal but it isn’t working
		
				2. In what ways might the partnership model be improved?
				 
				
						
								Consensus: 
								‐
								 
						
				
				Education.
				 
				Communication from facility eg. Feedback from referrals
				More postnatal beds at base hospital 
				More core midwives
				 
				
						Women’s choice taken into consideration (eg
						‐
						if would have liked to
				
				stay in hospital of choice but prevented because of bed situation)
				
				
		
		
				(B) The sustainability of the midwifery model according to
				Section 88
				 
				
				
		
		
				1. What are the advantages at the present model?  Consensus: Autonomy for midwives  2. Name any current expectations that you think are not reasonable norfeasible. Consensus: ‐Incapacity of facility to accommodate in all respects (antenatal,labour/delivery, and postnatal)   Equipment needed for care is often either missing or not working Needing the meet women with antenatal problems at 24‐37/40when they will be under secondary care when they reach hospital Women’ expectations / choices not always feasible (eg. length ofpostnatal stay)
		
				3. 
				
						What would you suggest that might make the midwifery model
						more sustainable?
				
		
		
				
						Consensus:
				
				 
				Recognition of Core staff
				 
				More flexibility in hours
				 
				Job sharing
				 
				Pay increases
		
		
				
						Education
				
		
		
				: ‐ 
				Increase postnatal beds at a base hospital
		
		
				
						
								(C) 
								Specific professional and practice issues 
								(eg. Isolation in
						
						practice; how midwives relate with each other, communication
						between midwives
				
		
		
				1. What are the main professional and practice issues you think women
				face in 2007?
		
		
				
						Consensus:
						 
				
		
		Complying to recertify
		midwifery 
		Shortage
		Survival and Burnout
		 
		Increased complexity of women