RE: [ozmidwifery] hep C

[Lieve Huybrechts]

Title: Bericht

thanks, that was just what I thought

 

Lieve

 

 

Lieve Huybrechts

vroedvrouw

0477/740853

-----Oorspronkelijk bericht-----
Van: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Namens Emily
Verzonden: maandag 29 augustus 2005 11:05
Aan: ozmidwifery@acegraphics.com.au
Onderwerp: RE: [ozmidwifery] hep C

hi

universal precautions would say to treat everyone as though theyre infected with blood borne viruses. i wouldnt hesitate to offer her a home birth purely because of the hep C. cover your cuts well, wear gloves and eye protection and try to avoid body fluid contact but remember the vast vast majority of hep C transmission is via IV drug use. even with sexual conact, only 1-2% of longt term partners become infected.

i dont even think you could refuse her on the basis of her carrier status it would be discrimination.

good luck :)

love emily

Lieve Huybrechts <[EMAIL PROTECTED]> wrote:

Hoi Emily,

 

thanks for your reply. I also found a lot of information on internet and talked to collegue midwives, but there was one question that remained unanswered:

How is the risk for the midwife to get infected, are there special things that we have to do to protect ourselves, would it be a contraindication for homebirth?

It is not that I am afraid, but I work in a practice with other colleagues and one of them is really scared to death and wants to refuse the mother. I want to have a lot of information to convince her that there is no problem and that we have to give the mother a chance to give birth at home.

 

Lieve

 

 

Lieve Huybrechts

vroedvrouw

0477/740853

-----Oorspronkelijk bericht-----
Van: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Namens Emily
Verzonden: maandag 29 augustus 2005 9:45
Aan: ozmidwifery@acegraphics.com.au
Onderwerp: Re: [ozmidwifery] hep C

hi Lieve

the risk of transmission to bub in utero and during birth is low, although it is increased if mum is also HIV-positive. it is safe to breastfeed with hep C unless there are cracked or bleeding nipples - at which time there is a risk of transmission. so if its just on one side, bub can feed of the other side until its healed. if both nipples are affected shed have to decide whether to artifically feed until healed or risk transmission.

hope that helps

emily

Lieve Huybrechts <[EMAIL PROTECTED]> wrote:

Hoi friends,

 

Can I ask a question to you knowledged wives

How do I have handle a woman who was infected with hep C and is pregnant now. She wants a homebirth. She has also a history of drugaddiction, but seems to be clean now.

What are the risks, do we have to take special care for her the baby and ourself?

 

 

By the way , the language in the breastfeeding video is Hebrew, it is made in Israël

 

warm greetings

Lieve

 

Lieve Huybrechts

vroedvrouw

0477/740853

 

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