There is 1 option for natural childbirth of twins and that is informed
decision making partnership of parents I have cared for such parents with
great outcomes so far not at home but in private and public hospitals with
all sorts of birth plans that were worked and worked from 20 weeks on and
respectfully followed.Policies and proceedures put on hold Drs and midwives
who felt they would not be a positive influence were asked to stay away and
those who felt they could support parents invited to attend. The second twin
has taken from 2 mins to 3 hrs none have been, 'man handled " iv bungs have
always been in sometimes synto has been used after an agreed time varies 30
mins -2hrs all presentationsof 2nd twin have been checked if time allows. S
OME epidural catheters are in [non medicated]most women have agreed to cord
cutting and active management of 3rd stage .
One memorial birth was MMC were the registar, resus cots all equip[just in
case was out side room] and myself and staff midwife supported the space for
a beautiful spont twin birth the 2nd being born 40 min after the first the
registar was so supportive that when the mw thought the 2nd twin was breech
he put up synto as arranged did a ve smiled broadly said head first and left
, the 3rd stage took an hr the babies went home from LW very happy parents
well supported by the hospital. the secret to sucess the parents met with
staff many times and negotiated a birth plan. loljan
----- Original Message -----
From: Toni Cannard <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Saturday, August 18, 2001 8:57 AM
Subject: Re: Twin policies.
> Hi everyone!
>
> I have just been told that at one of our Brisbane private hospitals they
> have a strict policy stating they allow only 10 mins between the birth of
> the first and second twin.
>
> I'm wondering how many other maternity units have a policy such as this?
>
> Love,
> Toni
>
> PS Good luck Robin - remember "speak the truth and fear no man" (or
woman) -
> a favourite quote of mine from Spiritual Midwifery.
>
>
> >From: "Rhonda" <[EMAIL PROTECTED]>
> >To: <[EMAIL PROTECTED]>, "Robin Moon"
<[EMAIL PROTECTED]>
> >Subject: Re: Twin policies.
> >Date: Sat, 18 Aug 2001 01:22:36 +1000
> >
> >Re: Twin policies.Robin,
> >
> >Good Luck!
> >
> >You are not only standing up for what you believe is right but for the
many
> >women who will surely suffer without your strength to protect them.
> >Best wishes to you and know that whatever the outcome you have done what
is
> >right.
> >You obviously have him worried as if his only come back is to attack you
> >personally then he is not being very professional. Try to point that
fact
> >out - if he had enough solid evidence then he would welcome challenge
and
> >defend it with facts.
> >
> >Rhonda.
> >
> >
> > ----- Original Message -----
> > From: Robin Moon
> > To: Jan Robinson
> > Cc: [EMAIL PROTECTED]
> > Sent: Friday, August 17, 2001 9:23 PM
> > Subject: Re: Twin policies.
> >
> >
> > Thank you Jan, for that input.
> >
> > Unfortunately, he is still pushing for it to be made policy. I pity
the
> >poor women of the North Shore when he becomes a VMO next year.
> >
> > Can I just clarify that this sentence; -
> >
> > 'No offsetting advantages in terms of decreased fetal or neonatal
> >morbidity or mortality were found."
> >
> > implies that whether the 2nd twin was delivered by emergency c/section
> >or by podalic version etc, there was no difference in the(neonatal)
> >outcome?( I dont have my hands on this book until Monday, which is when I
> >am mediating on the issue) This of course is the crux of his argument,
that
> >the 2nd twin is always in peril and intervention must be instigated ahead
> >of time to offset it. *sigh*. I wonder where the word 'skill' comes in?
> >
> > Sorry to keep on about this, but I feel so strongly for the women on
> >this issue.His indignant letter of complaint resulting from me
challenging
> >his actions contained so much slander about me that I feel it necessary
to
> >bring legal representation with me as support for mediation. I just want
> >to be sure of my facts before I face him.
> >
> > Robin
> >
> > ----- Original Message -----
> > From: Jan Robinson
> > To: Robin Moon
> > Cc: [EMAIL PROTECTED]
> > Sent: Monday, August 13, 2001 2:17 PM
> > Subject: Re: Twin policies.
> >
> >
> >
> >
> > Dear Robin
> >
> >
> > There are no teaching hospitals in Sydney that have such a policy
...
> > Women with multiple pregnancies and no obvious complications should
be
> >able to formulate birth plans which request minimal intervention ...
(that
> >does not include a trip to theatre for delivery!)
> > Most dizygotic twins births are perfectly staightforward as long as
> >the woman remains upright and is able to assist.
> >
> >
> >
> >
> > From 3rd Ed Guide to effective care in pregnancy and childbirth ...
> >p.146
> >
> >
> > "Virtually no data from controlled trails are available to help
> >determine the choice between vaginal birth and cesarean section for women
> >with multiple pregnancy. A single trial has assessed the effect of
cesarean
> >section for delivery when the second twin was in a non-vertex
presentation.
> >As would be expected, maternal febrile morbidity and need for general
> >anesthesia was increased with cesarean section. No offsetting advantages
in
> >terms of decreased fetal or neonatal morbidity or mortality were found."
> >
> >
> > Jan Robinson
> >
> >
> >
> >
> > --
> >
>
>__________________________________________________________________________
> > Jan Robinson Phone/fax: 011+
61+
> >2+ 9546 4350
> > Independent Midwife Practitioner e-mail:
> ><[EMAIL PROTECTED]>
> > 8 Robin Crescent www:
> >midwiferyeducation.com.au
> > South Hurstville NSW 2221 National
Coordinator,
> >ASIM
> >
>
>__________________________________________________________________________
>
>
> _________________________________________________________________
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