RE: [ozmidwifery] hep C

Mon, 29 Aug 2005 05:14:38 -0700

Title: Bericht
Sorry Lieve,
I gave the impression that the baby should be bathed ASAP. I would not want to interfere with that first feed either. At my workplace we do bath babies of Hep C positive mothers earlier than other babies, who sometimes are not bathed for 24 hours or more. We handle the babies with gloves until after the first bath.
 I don't know about waterbirth with Hep C, I suppose it would be harder to know where the body fluids were, for your own protection. However, the risk would be minute. I would be interested to hear the responses of other midwives to this one.
Nicole. 
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Lieve Huybrechts
Sent: Monday, August 29, 2005 8:09 PM
To: [email protected]
Subject: RE: [ozmidwifery] hep C

Thanks Nicole,
 
Normally we dont bath the babys after birth. My knowledge is also to wait for interrupting mother-child contact toll after the first breastfeeding. Can we give the bath 2-3 hours after birth?
What about waterbirth with hep C pos?
 
Lieve
 
 
Lieve Huybrechts
vroedvrouw
0477/740853
-----Oorspronkelijk bericht-----
Van: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Namens Nicole Carver
Verzonden: maandag 29 augustus 2005 11:18
Aan: [email protected]
Onderwerp: RE: [ozmidwifery] hep C

Hi Lieve,
We should treat everyone the same ie all contact with body fluids is to be avoided, as we probably care for women who have HIV, or hepatitis and don't know it. Transmission is more likely if the mother has a high viral load, such as just after infection, or if she is particularly run down, but would still be fairly rare. Great care should be taken with needles. It is usually best not to resheath them but put them immediately into a sharps container. Some midwives like to wear a face shield for all births, and perhaps in this case it may be appropriate, if introduced tactfully to the family. The baby should be bathed to remove any secretions from the mother which may transmit the hep c to the baby. I would encourage the parents to do the bath (which is nicest anyway) to avoid the secretions for yourself, or wear gloves until after you have bathed the baby. The mother's health should be monitored during the pregnancy by her GP or gastroenterologist, but a midwife can care for the pregnancy and birth as far as I am aware.
Nicole.
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Lieve Huybrechts
Sent: Monday, August 29, 2005 6:17 PM
To: [email protected]
Subject: RE: [ozmidwifery] hep C

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: [email protected]
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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