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No worries, I didn't think anything except that i
hadn't completely explained what i was thinking, probably too tired at the end
of a shift to complete the thought. It's a good topic and we all unearthed the
scarcity of actual evidence on it. Always interesting.
marilyn
----- Original Message -----
Sent: Monday, July 14, 2003 5:20 AM
Subject: Re: [ozmidwifery] sun baths for
jundice
Marilyn, I hope it was not taken the wrong
way that I used your email as an example.... I thought it was a good way
to open a topic that I am interested in. I personally still used
sunlight indirectly with my 3rd baby & especially my most recent (4th)
baby.... he was starting to become jaundiced before he was 24 hrs old
(he had a very puple face/head after birth so expected some form of jaundice),
but as I had been discharged from Birth Centre before this & he
was alert, awake often, feeding well (my milk was comming in when he was
1.5 days old... ample supply), weeing & pooing etc I never returned to
hospital & just went for quick walks outside & found a nice spot
inside while he slept. Yet, because of the way we were taught as
midwifery students I don't actually recommend this to women in hospital (there
are a few reasons why but unable to explain at this moment). Anyway,
sorry if it was taken the wrong way (just in case). BTW I love reading your
posts, along with everyone elses... I am learning so much from you all
& also learning to challenge my ways of thinking & doing things.
If it wasn't for this list I may never have sought out Birth Centre care,
known the joys of water birth & having my family involved etc, etc.
I owe this list for many things (positive).
Tina H. Brisbane.
----- Original Message -----
Sent: Saturday, July 12, 2003 5:26
PM
Subject: Re: [ozmidwifery] sun baths
for jundice
I was talking about Seattle, Washington where
the sunlight is very very different than here. A sun bath in Seattle is a
very different thing to a sunbath in Townsville, Cairns or probably anywhere
except Hobart in Australia. Neverhless i took it for granted it would be
indirect sun.
marilyn
----- Original Message -----
Sent: Friday, July 11, 2003 2:51
AM
Subject: [ozmidwifery] sun baths for
jundice
Hi, just aquick question after Marilyn talked
of sun baths for jaundice (below). What is the latest info on
this? When I had my daughter in Townsville 9+ years ago I was told
when she developed jaundice to sun her religously in am & pm for a few
days between SBR's. I was told this again when my second child was
born (7 years ago), but this time in sunlight filtered by window.
Then when he was 8 months old I started my midwifery education (in
Townsville) & we were taught that it was no longer safe & we were
not to advise parents to do this (due to high skin cancer rates in
N.Q). What is common practice regarding this. I have come
across midwives still recommeding to sun.
Tina H. Brisbane
----- Original Message -----
Sent: Saturday, July 12, 2003 1:00
AM
Subject: Re: [ozmidwifery] whats
happening ?
Hi Lynne: yes it is weird how transfers can
cluster sometimes. Exhausting. Regarding the Mg SO4 and >BP, one
young woman I worked with in Seattle developed high BP after we made the
hospital transfer(we transferred for maternal exhaustion, she had been
labouring hard for 2 days and was still 3cm, BP had been stable at home,
no other sx except that she had had heartburn/reflux throughout the
pregnancy and i have wondered since if this masked any epigastric pain)
anyway BP went from 120/70 at home to 138/88 on arrival at hospital, to
144/90 to finally 160/100, this was after the epidural but while we were
awaiting the stat liver function tests which the ob ordered "just in
case" actually apologising for ordering them as we all thought the
elevated BP wasdue to the stress of the transfer.She had HELLP syndrome,
so Mg SO4 and much careful monitoring, she went to complete in 2hrs and
pushed her baby out in between vomitting from the Mg SO4. There was
thick to mod mec liquor too, baby was 8lb and vigorous at birth. She
stayed in hospital 3 days on meds until her bloods were normal and BP
stable, baby very jaundiced really should have had phototherapy but
parents declined and went home. Mum also somewhat jaundiced (I guess the
hemolysis). Baby was under paediatric care, lost >10% in first week,
milk took a good 7 days to really come in once it did baby made a slow
but steady weight gain. WE, the midwives were somewhat anxious, but paed
was ok with it doing homevisits and sun baths for baby (trust me the UV
index in Seattle is not to be worried about). Long story, sorry. So yes
the milk did come in just later.
marilyn
----- Original Message -----
Sent: Thursday, July 10, 2003
2:14 PM
Subject: Re: [ozmidwifery] whats
happening ?
Hi Jan
Must be something in the water - I
had 3 t/f to hosp as well in the past 2 months. One - a
primigravida - C/B after BP shot through the roof antenatally and SROM
at 37 weeks. She did labour, but for whatever reason, her body did not
open, and her BP sneaking up higher and higher despite Mg So4 and
hydrallazine. Home now but lactation did not establish and she has
tried everything. Is anyone aware of MgSo4 or hydrallazine having an
impact on lactation?
Another had the most amazing labour - had
been labouring for quite some time before she called (as she and
partner had been happy working together). First baby. After some time
I asked if I could examine her - something wasn't right - she had the
most awful back pain and the babe was not OP - the head VERY deep in
the pelvis and had been for some weeks prior to birth. Head was +2 and
covered with lower segment. Looking for cervix and finally located it
very high and anterior behind the right obturator foramen. Pinhole in
size and the lower segment/cervix paper thin. No wonder she had this
dreadful backache. I began to massage the tine hole in her cervix very
gently - within 5 mins had opened to 3-4. Another 2 hrs later, still
awful backache (imagine the stretch on her posterior ligaments), and
still the same. Some more gentle massage and the cervix opened to 5-6.
Into bath, but backache absolutely unbearable after another hour.
Penney asked me to massage again, but my short little fingers could
only coax it to 8 where it stayed for the next hour. She decided to go
to hosp for some pain relief (!), and when we arrived I organised an
epidural for her. Asked to check her again before the anaesthetist
arrived, because it might change what she wanted to do - anterior lip,
backache gone and she pushed out her baby after I phoned the
anaesthetisit to say we wouldn't be requiring him after all. All of us
crying - one exhausted but oh so triumphant woman.
Third primigravida, who laboured
beautifully at home and the baby just did not come past caput on view
despite everything we tried. So decided to go to hosp, where she had a
reseonably difficult ventouse - no analgesia (her choice) - she just
wanted to have the baby. Hospital staff were wonderful in each case -
women and their partners treated with respect and each of the women
has come away feeling good about the transfer.
Whew! Sorry about the length of this
posting but needed to talk! Thanks for the opening, Jan.
From another very tired and continually
learing midwife - Lynne :-)
----- Original Message -----
Sent: Thursday, July 10, 2003
11:14 PM
Subject: [ozmidwifery] whats
happening ?
bad run?
unbelievable 5 births this month3 c/s
trans from homebirth 1 normal del priv hosp 1 normal del home what
is happening bewildered tired and yuk jan
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