NZ Herald
  • Home
  • Latest news
  • Video
  • New Zealand
  • Sport
  • World
  • Business
  • Entertainment
  • Podcasts
  • Quizzes
  • Opinion
  • Lifestyle
  • Travel
  • Viva
  • Weather forecasts

Subscriptions

  • Herald Premium
  • Viva Premium
  • The Listener
  • BusinessDesk

Sections

  • Latest news
  • New Zealand
    • All New Zealand
    • Crime
    • Politics
    • Education
    • Open Justice
    • Scam Update
    • The Great NZ Road Trip
  • On The Up
  • World
    • All World
    • Australia
    • Asia
    • UK
    • United States
    • Middle East
    • Europe
    • Pacific
  • Business
    • All Business
    • MarketsSharesCurrencyCommoditiesStock TakesCrypto
    • Markets with Madison
    • Media Insider
    • Business analysis
    • Personal financeKiwiSaverInterest ratesTaxInvestment
    • EconomyInflationGDPOfficial cash rateEmployment
    • Small business
    • Business reportsMood of the BoardroomProject AucklandSustainable business and financeCapital markets reportAgribusiness reportInfrastructure reportDynamic business
    • Deloitte Top 200 Awards
    • CompaniesAged CareAgribusinessAirlinesBanking and financeConstructionEnergyFreight and logisticsHealthcareManufacturingMedia and MarketingRetailTelecommunicationsTourism
  • Opinion
    • All Opinion
    • Analysis
    • Editorials
    • Business analysis
    • Premium opinion
    • Letters to the editor
  • Sport
    • All Sport
    • OlympicsParalympics
    • RugbySuper RugbyNPCAll BlacksBlack FernsRugby sevensSchool rugby
    • CricketBlack CapsWhite Ferns
    • Racing
    • NetballSilver Ferns
    • LeagueWarriorsNRL
    • FootballWellington PhoenixAuckland FCAll WhitesFootball FernsEnglish Premier League
    • GolfNZ Open
    • MotorsportFormula 1
    • Boxing
    • UFC
    • BasketballNBABreakersTall BlacksTall Ferns
    • Tennis
    • Cycling
    • Athletics
    • SailingAmerica's CupSailGP
    • Rowing
  • Lifestyle
    • All Lifestyle
    • Viva - Food, fashion & beauty
    • Society Insider
    • Royals
    • Sex & relationships
    • Food & drinkRecipesRecipe collectionsRestaurant reviewsRestaurant bookings
    • Health & wellbeing
    • Fashion & beauty
    • Pets & animals
    • The Selection - Shop the trendsShop fashionShop beautyShop entertainmentShop giftsShop home & living
    • Milford's Investing Place
  • Entertainment
    • All Entertainment
    • TV
    • MoviesMovie reviews
    • MusicMusic reviews
    • BooksBook reviews
    • Culture
    • ReviewsBook reviewsMovie reviewsMusic reviewsRestaurant reviews
  • Travel
    • All Travel
    • News
    • New ZealandNorthlandAucklandWellingtonCanterburyOtago / QueenstownNelson-TasmanBest NZ beaches
    • International travelAustraliaPacific IslandsEuropeUKUSAAfricaAsia
    • Rail holidays
    • Cruise holidays
    • Ski holidays
    • Luxury travel
    • Adventure travel
  • Kāhu Māori news
  • Environment
    • All Environment
    • Our Green Future
  • Talanoa Pacific news
  • Property
    • All Property
    • Property Insider
    • Interest rates tracker
    • Residential property listings
    • Commercial property listings
  • Health
  • Technology
    • All Technology
    • AI
    • Social media
  • Rural
    • All Rural
    • Dairy farming
    • Sheep & beef farming
    • Horticulture
    • Animal health
    • Rural business
    • Rural life
    • Rural technology
    • Opinion
    • Audio & podcasts
  • Weather forecasts
    • All Weather forecasts
    • Kaitaia
    • Whangārei
    • Dargaville
    • Auckland
    • Thames
    • Tauranga
    • Hamilton
    • Whakatāne
    • Rotorua
    • Tokoroa
    • Te Kuiti
    • Taumaranui
    • Taupō
    • Gisborne
    • New Plymouth
    • Napier
    • Hastings
    • Dannevirke
    • Whanganui
    • Palmerston North
    • Levin
    • Paraparaumu
    • Masterton
    • Wellington
    • Motueka
    • Nelson
    • Blenheim
    • Westport
    • Reefton
    • Kaikōura
    • Greymouth
    • Hokitika
    • Christchurch
    • Ashburton
    • Timaru
    • Wānaka
    • Oamaru
    • Queenstown
    • Dunedin
    • Gore
    • Invercargill
  • Meet the journalists
  • Promotions & competitions
  • OneRoof property listings
  • Driven car news

Puzzles & Quizzes

  • Puzzles
    • All Puzzles
    • Sudoku
    • Code Cracker
    • Crosswords
    • Cryptic crossword
    • Wordsearch
  • Quizzes
    • All Quizzes
    • Morning quiz
    • Afternoon quiz
    • Sports quiz

Regions

  • Northland
    • All Northland
    • Far North
    • Kaitaia
    • Kerikeri
    • Kaikohe
    • Bay of Islands
    • Whangarei
    • Dargaville
    • Kaipara
    • Mangawhai
  • Auckland
  • Waikato
    • All Waikato
    • Hamilton
    • Coromandel & Hauraki
    • Matamata & Piako
    • Cambridge
    • Te Awamutu
    • Tokoroa & South Waikato
    • Taupō & Tūrangi
  • Bay of Plenty
    • All Bay of Plenty
    • Katikati
    • Tauranga
    • Mount Maunganui
    • Pāpāmoa
    • Te Puke
    • Whakatāne
  • Rotorua
  • Hawke's Bay
    • All Hawke's Bay
    • Napier
    • Hastings
    • Havelock North
    • Central Hawke's Bay
    • Wairoa
  • Taranaki
    • All Taranaki
    • Stratford
    • New Plymouth
    • Hāwera
  • Manawatū - Whanganui
    • All Manawatū - Whanganui
    • Whanganui
    • Palmerston North
    • Manawatū
    • Tararua
    • Horowhenua
  • Wellington
    • All Wellington
    • Kapiti
    • Wairarapa
    • Upper Hutt
    • Lower Hutt
  • Nelson & Tasman
    • All Nelson & Tasman
    • Motueka
    • Nelson
    • Tasman
  • Marlborough
  • West Coast
  • Canterbury
    • All Canterbury
    • Kaikōura
    • Christchurch
    • Ashburton
    • Timaru
  • Otago
    • All Otago
    • Oamaru
    • Dunedin
    • Balclutha
    • Alexandra
    • Queenstown
    • Wanaka
  • Southland
    • All Southland
    • Invercargill
    • Gore
    • Stewart Island
  • Gisborne

Media

  • Video
    • All Video
    • NZ news video
    • Business news video
    • Politics news video
    • Sport video
    • World news video
    • Lifestyle video
    • Entertainment video
    • Travel video
    • Markets with Madison
    • Kea Kids news
  • Podcasts
    • All Podcasts
    • The Front Page
    • On the Tiles
    • Ask me Anything
    • The Little Things
    • Cooking the Books
  • Cartoons
  • Photo galleries
  • Today's Paper - E-editions
  • Photo sales
  • Classifieds

NZME Network

  • Advertise with NZME
  • OneRoof
  • Driven Car Guide
  • BusinessDesk
  • Newstalk ZB
  • What the Actual
  • Sunlive
  • ZM
  • The Hits
  • Coast
  • Radio Hauraki
  • The Alternative Commentary Collective
  • Gold
  • Flava
  • iHeart Radio
  • Hokonui
  • Radio Wanaka
  • iHeartCountry New Zealand
  • Restaurant Hub
  • NZME Events

SubscribeSign In
Advertisement
Advertise with NZME.
Home / New Zealand

Government ready to tighten controls on midwives

By Martin Johnston
Reporter·
5 Feb, 2006 11:16 AM4 mins to read

Subscribe to listen

Access to Herald Premium articles require a Premium subscription. Subscribe now to listen.
Already a subscriber?  Sign in here

Listening to articles is free for open-access content—explore other articles or learn more about text-to-speech.
‌
Save

    Share this article

The Government expects to tighten safety controls on private midwives after sharp criticism from an investigation into the traumatic birth of a baby who later died.

The boy died in November 2003, three days after he was born by an emergency caesarean operation at North Shore Hospital in Auckland.

He suffered brain injury from oxygen deprivation during birth.

After an investigation, Health and Disability Commissioner Ron Paterson said New Zealand's maternity service was failing patients on a crucial aspect of safety.

His report, foreshadowed in the Weekend Herald before its release yesterday, calls for maternity hospitals to be given greater control over private practitioners, mainly midwives and obstetricians.

He recommends allowing hospitals to check up on their skills and requiring them to follow hospital safety policies.

Health Minister Pete Hodgson said last night Mr Paterson's recommendations would be discussed in talks starting this week on maternity regulations and he could see no reason not to implement them.

But Mr Hodgson again rejected National health spokesman Tony Ryall's repeated calls for an independent review of maternity services.

Mr Ryall said the Government must act because "more and more frightening incidents" were being revealed and health practitioner groups were calling for change.

The parents of the dead baby told the Sunday Star-Times that staff at National Women's Hospital, to where their son, Charlie, had been transferred, told them he should never have died.

"Had we known a balls-up like this could happen in a hospital in New Zealand, we would have gone private," the father said.

The mother, now pregnant with her third baby, was 37 at the time of the birth of Charlie, her first child.

She said people should not assume health workers "know exactly what they are doing".

Mr Paterson found a lack of co-ordination of care and confusion about who was responsible - issues not confined to North Shore Hospital but "relevant to maternity services throughout New Zealand".

He said the independent midwife and the senior hospital registrar involved in the birth had a poor understanding of the fetus' deteriorating condition during the labour.

He said the drug Syntocinon was given to induce contractions in circumstances where it should not have been given for reasons including fetal distress. He also said the caesarean took too long to start.

Mr Paterson also highlighted what he considered a gap in the access agreement, which governs use of maternity hospitals by private midwives, obstetricians and GPs.

The agreement, prescribed in the Government's maternity services contract, prohibits hospitals from checking whether practitioners are clinically safe and competent.

Nor can hospitals compel them to comply with hospital policies.

"Indeed, the only 'safety' obligation imposed on the practitioner by the access agreement is to ensure the 'cultural safety' of the woman," Mr Paterson says.

"The current approach puts practitioner autonomy ahead of patient safety.

"It is artificial to think that midwives and other lead maternity carers [LMCs] who use public hospital maternity facilities to deliver babies can function (legally or practically) as 'independent' practitioners."

The access agreement's "blinkered approach" fails mothers and babies, Mr Paterson says. "Women in this country deserve better."

He notes the public-protection roles of the Health Practitioners Competency Assurance Act, the Midwifery Council and maternity regulations, but says more is needed.

Like the private-hospital system of "credentialling" surgeons and anaesthetists, district health boards should be permitted to require lead maternity carers to prove their competence.

"LMCs should be specifically credentialled to undertake particular procedures that carry greater risk."

A spokesman for the College of Obstetricians and Gynaecologists, Dr Bill Ridley, said a better definition of boundaries was needed when it came to transferring care of women in labour.

Midwives' "fear of medical intervention" led to access problems in hospitals.

- Additional reporting NZPA

Advertisement
Advertise with NZME.
Advertisement
Advertise with NZME.
Save

    Share this article

Latest from New Zealand

Kahu

Muttonbirding: ‘It’s a part of who we are’

10 May 09:35 AM
New Zealand

Do you know this woman? Police appeal for help to identify 'Mary'

10 May 08:58 AM
New Zealand

Lotto Powerball: $10 million draw not struck, two players win $500,000

10 May 08:02 AM

One tiny baby’s fight to survive

sponsored
Advertisement
Advertise with NZME.

Latest from New Zealand

Muttonbirding: ‘It’s a part of who we are’

Muttonbirding: ‘It’s a part of who we are’

10 May 09:35 AM

Daniel Tarrant is harvesting tītī on Rakiura's tītī islands.

Do you know this woman? Police appeal for help to identify 'Mary'

Do you know this woman? Police appeal for help to identify 'Mary'

10 May 08:58 AM
Lotto Powerball: $10 million draw not struck, two players win $500,000

Lotto Powerball: $10 million draw not struck, two players win $500,000

10 May 08:02 AM
Premium
Tickets please: 'You are not going for dinner, you're going for an experience'

Tickets please: 'You are not going for dinner, you're going for an experience'

10 May 06:01 AM
Connected workers are safer workers 
sponsored

Connected workers are safer workers 

NZ Herald
  • About NZ Herald
  • Meet the journalists
  • Newsletters
  • Classifieds
  • Help & support
  • Contact us
  • House rules
  • Privacy Policy
  • Terms of use
  • Competition terms & conditions
  • Our use of AI
Subscriber Services
  • NZ Herald e-editions
  • Daily puzzles & quizzes
  • Manage your digital subscription
  • Manage your print subscription
  • Subscribe to the NZ Herald newspaper
  • Subscribe to Herald Premium
  • Gift a subscription
  • Subscriber FAQs
  • Subscription terms & conditions
  • Promotions and subscriber benefits
NZME Network
  • The New Zealand Herald
  • The Northland Age
  • The Northern Advocate
  • Waikato Herald
  • Bay of Plenty Times
  • Rotorua Daily Post
  • Hawke's Bay Today
  • Whanganui Chronicle
  • Viva
  • NZ Listener
  • What the Actual
  • Newstalk ZB
  • BusinessDesk
  • OneRoof
  • Driven CarGuide
  • iHeart Radio
  • Restaurant Hub
NZME
  • About NZME
  • NZME careers
  • Advertise with NZME
  • Digital self-service advertising
  • Book your classified ad
  • Photo sales
  • NZME Events
  • © Copyright 2025 NZME Publishing Limited
TOP