Re: [ozmidwifery] casload practice

[Lynne Staff]

Hi Sharon Aren't you getting a birth centre on the Gold Coast? There's your caseoad! Regarding your friend. We use the Giudelines for Fetal Surveillance put out by RANZCOG, but have adapted it for our unit practice, which is woman-centred. The evidence does suggest that CFM will pick up fetal disress (in some studies, not all) as the first sign of uterine rupture. Women are given the information and they make the choice in consultation with their care providers - and they state that CFM is the best evidence for detecting the above, but that it does have implicationd for their labour, in that it is restrictive and they would be unable to use the tub. We do not have waterproof CFM!?! but do have Aquadops. Most opt for intermittent (1-2-1 midwifery care as well), and some ask for intermittent EFM at times during their labour. CFM used if epidural, mec liq - any concerne at all. Women are not excluded from using the bath for labour/birth. Our VBAC rate is 80% average with excellent outcomes for mother and infant. Low intervention rates for women, high breastfeeding rates, and high satisfaction reported back by women. Hope this helps. Regards, Lynne    ----- Original Message ----- From: Sharon Dalton To: [EMAIL PROTECTED] Sent: Thursday, September 16, 2004 1:46 PM Subject: RE: [ozmidwifery] casload practice Hi Lynne, I would love to but travel to your end from the Gold Coast is just too far. However could you possibly help me build an argument for a friend who is hoping for a VBAC without constant FM.  Maybe a copy of your VBAC policy?  We have everything else as far as supportive websites etc.go. I spoke to someone at Birthtalk the other night and she said it�s not an issue at Selangor, Many thanks Sharon   -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Lynne Staff Sent: Thursday, September 16, 2004 12:58 PM To: [EMAIL PROTECTED] Subject: [ozmidwifery] casload practice   Hello All, Are there any midwives out there interested in working in a caseload practice in a private hospital setting? (Sunshine Coast QLD) Looking forward to hearing from you Lynne