Stop Press

ISSN 0256-5004 (Print)

AIMS Journal, 2011, Vol 23 No 4

Jo Murphy-Lawless sends news on Ireland’s midwifery unit closures

Bleak news from Ireland became still more bleak last week. Following the downgrading and closure of two of our six midwifery-led initiatives to support women in good birthing, we learned that Cavan Midwifery-Led Unit was to be closed without any public discussion.

Cavan is one of only two MLUs in the Republic (the other is in Drogheda, also in the northeast of the country.) Cavan opened in 2005 after tremendous work by the Kinder Maternity Task Force, a pioneering effort to bring midwifery-led care into being.

Both MLUs were the subject of a full-scale randomised controlled trial commissioned by the Health Services Executive (HSE), the Mid U Study, which reported in 2009 with excellent data on the favourable outcomes for women using the MLUs. Even within the restrictive conditions governing these two MLUs, outcomes proved MLU care at least as safe for women as birth in the consultant-led units to which they are attached, with far fewer interventions, and they are, economically, more cost-efficient.

The HSE, now focused on ‘savings’, saw closure as a ‘cost-cutting measure’. Medical opponents to the unit saw it as their good chance. The Caesarean section rate in the consultant unit in Cavan currently stands at 28.3%, above even the national average in Ireland of 27%. There was not a whisper about savings to be made in that arena, but then that is the purview of much lucrative private obstetric practice.

The HSE argument was that the MLU was ‘underutilised’. What was left unsaid was that local GPs and obstetricians have consistently failed to support Cavan MLU or to refer women to the MLU. Its sister MLU in Drogheda, sixty miles away, has a waiting list of women anxious to receive evidence-based woman-centred care.

Feverish behind-the-scenes activity gained a temporary reprieve on 16 December 2011, with some tough targets to meet, but the questions remain: why are women in Cavan not being told what the women in Drogheda clearly know about genuine midwifery care? How can we keep this care from vanishing?

Jo Murphy-Lawless
December 2011

Latest Content

Journal

« »

Resolution – Moving forward from a…

To read or download this Journal in a magazine format on ISSUU, please click here AIMS Journal, 2019, Vol 31, No 3 By Emma Ashworth For years, AIMS produced a small book…

Read more

The AIMS Guide to Resolution: A new…

To read or download this Journal in a magazine format on ISSUU, please click here AIMS Journal, 2019, Vol 31, No 3 By Shane Ridley I’m very pleased to introduce a book, T…

Read more

Failures in Maternity System Regula…

To read or download this Journal in a magazine format on ISSUU, please click here AIMS Journal, 2019, Vol 31, No 3 By Beth Whitehead After a difficult birth, it is natura…

Read more

Events

« »

Midlands Maternity & Midwifery Fest…

The festival runs from 8am to 5pm on 23rd April 2020 and includes expert speakers, an exhibition, seminars and an awards ceremony. Speakers include: Mary Renfrew FRSE (Pr…

Read more

Perinatal Mental Health Maternity S…

8.30am - 5pm Study day, including networking breaks and lunch, with sessions on the following topics: Bipolar support in pregnancy and planning for the postnatal period M…

Read more

AIMS Volunteers Meeting

Details TBC

Read more

Latest Campaigns

« »

AIMS Response to NMC Consultation o…

The Nursing and Midwifery Council (NMC) plays a key role in the ongoing quality assurance and regulation of the maternity services and its staff. Effective and efficient…

Read more

AIMS Submission to the UN Special R…

Call for submissions: Mistreatment and violence against women during reproductive health care with a focus on childbirth The mandate of the United Nations Special Rapport…

Read more

The Future Midwife Project: An AIMS…

AIMS submitted our response to this consultation on 7 May 2019. The Nursing and Midwifery Council (NMC) plays a key role in the ongoing quality assurance and regulation o…

Read more