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The Politics of Midwifery in Australia
Tensions, debates and opportunities
Kerreen Reiger
La Trobe University, VIC
Abstract
The recent international resurgence of midwifery has involved the profession’s seeking to gain greater independence and the lessening of medical dominance. In such a context, issues currently facing Australian midwives are significant.
This paper outlines the development of research questions with regard to midwives’ professional consciousness, and considers the structural context of maternity services. It then explores changing political consciousness and dilemmas. In particular, the emergence of an autonomous professional identity for midwives as articulated by the Australian College of Midwives Incorporated (ACMI), has not been straightforward.
Unevenness of educational preparation and a projected shortage of midwives together with growing frustration at inadequate recognition of midwives’ distinctive knowledge and skills all pose challenges to policy moves to encourage a greater midwifery role in maternity care.
Keywords
birth, maternity care, midwifery, politics, professions
References
Australian College of Midwives (Victorian branch) (1999) Reforming midwifery: a discussion paper on the introduction of Bachelor of Midwifery Programs to Victoria Melbourne: ACMI (VIC).
Barclay Lesley (1985) Australian midwifery training and practice, Midwifery 1: 86-96.
Barclay Lesley (1995) The Education of midwives in Australia: current trends and future directions. In T Murphy-Black (ed) Issues in midwifery, Edinburgh: Churchill Livingstone.
Barclay Lesley and Jones Linda (1996) Where to now? Issues for Australian midwives. In LM Barclay and L Jones (eds) Midwifery: future directions. Melbourne: Churchill Livingstone.
Belenky Mary F, Clinchy Blythe Mc V, Goldberger Nancy R and Tarule Jill M (1987) Women's ways of knowing: the development of self, voice and mind, New York: Basic Books.
Benner Patricia and Tanner C (1987) How expert nurses use intuition, American Journal of Nursing Jan 87(1): 23-31.
Benoit Cecilia (1989) The professional socialisation of midwives: Balancing art and science, Canadian Review of Sociology and Anthropology 26: 633-649.
Biro Maryanne and Lumley Judith (1991) The Safety of team midwifery: The First decade of the Monash Birth Centre, Medical Journal of Australia 15(10): 478-80.
Bourgeault Ivy (1995) Delivering midwifery: An examination of the process and outcome of the incorporation of midwifery in Ontario. Unpublished PhD thesis, University of Toronto, 1996.
Bourgeault Ivy and Fynes Mary (1997) Integrating nurse- and lay midwives into the US and Canadian health care systems, Social Science and Medicine 44(7): 1051-63.
Centre for Economic Research (1997) The Westmead Hospital Project, Sydney: Westmead Hospital.
Cioffi J (1997) Heuristics, servants to intuition. In Clinical Decision-Making, Journal of Advanced Nursing 26 July 1: 203-8.
Commonwealth Department of Human Services and Health (1996) Australian midwives, practice domain - Final report prepared by MC Cullen and AC Martins, Canberra.
Commonwealth of Australia, Senate Community Affairs Reference Committee (1999) Rocking the cradle: A Report into childbirth procedures, Canberra: Senate Printing Unit.
Crichton Ann (1990) Slowly taking control? Australian governments and health care provision 1788-1988, Sydney: Allen & Unwin.
Daellenbach Rea (1999) The paradox of success and the challenge of change: Home birth associations of Aotearoa/New Zealand. Unpublished PhD thesis, Sociology, University of Canterbury, Christchurch.
Daniel Ann (1990) Medicine and the state, Sydney: Allen & Unwin.
Davis Alan and George Janet (1993) States of health: Health and illness in Australia 2nd edn. Artarmon, NSW: Harper Educational Publishers.
Davis-Floyd Robbie E (1998) The ups, downs, and interlinkages of nurse- and direct-entry midwifery: Status, practice and education. In Pathways to Becoming a Midwife: Getting an Education, Eugene, Oregon: Midwifery today.
Daviss B (1997) Heeding warnings ... from the canary, the whale and the Inuit, pt two, Midwifery Today and Childbirth Education, Summer 42: 45-7, 70-1.
Donnison Jean (1977) Midwives and medical men, London: Heinemann.
Doyal Lesley (1979) The Political Economy of Health, London: Pluto Press.
Guilliland Karen and Pairman Sally (1995) The Midwifery Partnership, Wellington: New Zealand College of Midwives.
Hunter Hilary, Bowman Sandra and Wotley Cate (1997) From job to real practice, Proceedings: Australian College of Midwives Incorporated 10th National Conference. ‘The truth, virtue and beauty of midwifery', Melbourne: Australian College of Midwives Incorporated.
King L and Appleton JV (1997) Intuition: a critical review of the research and rhetoric, Journal of Advanced Nursing July 26(1): 194-202.
Kitzinger Sheila (ed) (1988) The Midwife Challenge, London: Pandora Press.
Lane Karen (1997) Knowledges of childbirth. Unpublished paper, Women and labour Conference Waurn Ponds: Deakin University, November.
Lecky-Thompson Maggie (1995) Independent midwifery in Australia. In T Murphy-Black (ed) Issues in midwifery, Edinburgh: Churchill Livingstone.
Murphy-Black Tricia (ed) (1995) Issues in midwifery, Edinburgh: Churchill Livingstone.
National Health and Medical Research Council (1996) Options for Effective Care in Childbirth, Canberra: Australian Government Publishing Service.
Navarro Vicente (ed) (1982) Imperialism, health and medicine, London: Pluto.
New South Wales Department of Health, Sydney, Ministerial Task Force on Obstetric Services in New South Wales (1989) Maternity services in New South Wales, Sydney.
OzMidwifery@acegraphics.com.au; http://www.acegraphics.com.au [accessed March 2001].
Peters Margaret (1995) Unity in diversity: Oration, Australian College of Midwives Journal December 8-16.
Reiger Kerreen M (1985) The Disenchantment of the home: Modernizing the Australian family 1880-1940, Melbourne: Oxford University Press.
Reiger Kerreen (1999) Birthing in the postmodern moment, Australian Feminist Studies 14(30): 387-404.
Reiger Kerreen (2001) Our bodies, our babies: The Forgotten women's movement, Melbourne: Melbourne University Press.
Relman Arnold S (1980) The new medical industrial complex, New England Journal of Medicine 303: 963-70.
Roberts Christine, Tracy Sally and Peat Brian (2000) Rates for obstetric intervention among private and public patients in Australia: A Population based descriptive study, British Medical Journal 321: 137-41.
Rothman Barbara Katz (1989) Recreating motherhood: Ideology and technology in a patriarchal society, New York: WW Norton.
Rowley MJ, Hensley MJ, Brinsmead MW and Wlodarczyk J (1995) Continuity of care by a midwife team versus routine care during pregnancy and birth: A Randomised controlled trial of 1299 women, Medical Journal of Australia 163: 289-293.
Sandall Jane (1995) Choice, continuity and control: Changing midwifery, towards a sociological perspective, Midwifery 11: 201-9.
Sax Sydney (1984) A Strife of interests: Politics and policies in Australian health services, Sydney: Allen & Unwin.
Schofield Toni (1995) A Politics of childbirth: Public policy and childbirth in New South Wales, 1950-1990. Unpublished PhD thesis, University of Sydney.
Tew Marjorie (1990) Safer childbirth? A critical history of maternity care, London: Chapman and Hall.
Tracy Sally, Barclay Lesley and Brodie Pat (2000) Contemporary issues in the workforce and education of Australian midwives, Australian Health Review 23(4): 78-88.
Tully Elizabeth (1999) Doing professionalism 'differently': Negotiating midwifery autonomy in Aotearoa/New Zealand. Unpublished PhD thesis, Sociology, University of Canterbury, Christchurch.
Tyson Holliday (1991) Outcomes of 1001 midwife-attended home births in Toronto 1983- 88, Birth 18(1):14-9.
United Kingdom Department of Health (1993) Changing childbirth: Report of the expert maternity group, London: HMSO.
Victoria Department of Health (1990) Having a baby in Victoria: Final report of the Ministerial review of birthing services in Victoria, Melbourne: Department of Health, Victoria.
Wagner Marsden (1994) Pursuing the birth machine, Camperdown NSW: Ace Graphics.
Willis Evan (1989) Medical dominance 2nd edn. Sydney: Allen & Unwin.
Witz Anne (1992) Professions and patriarchy, Routledge: London.
World Health Organization, Regional Office for Europe (1985) Having a baby in Europe: Report on a study Public Health in Europe, 26 Copenhagen: World Health Organization, Regional Office for Europe.
Zadoroznyj Maria (2000) Midwife-led maternity services and consumer ‘choice' in an Australian metropolitan region, Midwifery 16: 177-85.

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