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johanna herbert's avatar

Spectacular writing Chris.

Jan Rivers's avatar

The analogies are interesting and as always it's never the same the second time around. I think you are correct. I've observed at close quarters the 'decolonisation' of midwifery. The Midwifery Council ran a Treaty informed process to develop a new Scope of Practice which was due to come into force next month. It is currently the subject of a multiple complaints to the Regulatory Review Select Committee. The Council has responded to a "please explain" request with an extensive document reiterating the process undertaken and reproducing the feedback that showed the extremely strong resistance to the approach that the Council had taken. See https://www.parliament.nz/resource/en-NZ/54SCREGR_EVI_99b32fd1-e4d4-4a2e-13b7-08dc8056d984_REGR1003/06331d20e086f9c072c7f9a01f88a71206f8ef6f

The Council had attempted to make the Scope gender neutral and changed the subjects of midwifery care to be the whanau rather than the pregnant woman. As such the new Scope is in direct conflict with the Health and Disability Commission code of patients rights which describe individuals i.e pregnant women, not multiples of people as the subject of midwifery care. At a single stroke the decolonising rationale for women having the words that describe them and their individual human rights is their own births is withdrawn on the basis that services will be improved. (No evidence was provided to support this stance.)

There is a second worrying aspect to all of this and it is deception. Better services to Maori and a treaty led model were the primary driver for the changes. However the only published article about the Scope made absolutely clear that embedding gender ideology into midwifery was an important purpose of this work. There was however not one reference to this objective in any of the written materials supplied to midwives and interested others by the Council as the development of the scope took place. (A number of submissions noted the likely intent of the removing the word woman was for this purpose and there were many objections (and a few supportive comments in the feedback). https://thespinoff.co.nz/society/01-03-2024/cutting-through-the-noise-why-whanau-centred-midwifery-is-not-erasing-women So apparently decolonisation also equates to gender theory's implementation by subterfuge.

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