Emily you're singing my song! I've never seen a study that says it works well. Expensive crap in hospitals when a good Mw with a doppler is infinitely superior!
: )
J
----- Original Message -----
From: Emily
Sent: Wednesday, September 28, 2005 2:00 PM
Subject: Re: [ozmidwifery] NYTimes.com: 'Mothering the Mother' During Childbirth, and After

hi everyone
CTGs are one of my biggest fury-builders !!
 
im not sure theres even evidence thats they are beneficial for high risk pregnancies ? ..
the only benefit i can find in the literature is that routine CTG decreases the risk of neonatal seizures. However it also increases the chance of caesarean and operative vaginal delivery and is not associated with any improvement in 1 minute apgars or decreases in admissions to NICU, perinatal deaths or cerebal palsy..... These results are from a study of over 18 000 women.
 
when you add in the movement limitation in labour, impossibility of water immersion for labour or birth, inconvenience, stress, increase in workload and less focus on the woman and her family, seems that a small decrease in neonatal seizures doesnt really cut it..
 
please correct me if im wrong but these are the only studies i could find
 
It is also interesting to look at the use of CTG in pregnancy. in a study of 1588 high and intermediate risk pregnancies, CTG was found to have no effect on fetal morbidity or mortality or maternal mortality when used during pregnancy. further, in this study, the CTG group had a HIGHER perinatal mortality rate !!!!!!!
 
 
 


brendamanning <[EMAIL PROTECTED]> wrote:
That is so true !
CTG technicians!!
Don't laugh, it'll probably happen.
Isn't that basically what the FDU at MMC do?
It is appropriate for high risk infants obviously but these things do have a tendency to spread to encompass the normal in my experience.
 
BM
----- Original Message -----
Sent: Wednesday, September 28, 2005 9:31 AM
Subject: Re: [ozmidwifery] NYTimes.com: 'Mothering the Mother' During Childbirth, and After

It's cynicism based on reality Brenda.  Midwives in hospital could often be called monitoring technicians based on my recent experience.  They should have someone else attend the monitors so the midwives can actually pay some attention to the birthing woman.  Oh how I hate those monitors!
 
Yvette
----- Original Message -----
Sent: Tuesday, September 27, 2005 9:40 PM
Subject: Re: [ozmidwifery] NYTimes.com: 'Mothering the Mother' During Childbirth, and After

 
I really see this as the future of midwifery/pregnancy care in Australia.
 
Midwives will be the technicians & Doulas the care-givers.
 
Or is that just pure cynicism?
 
BM
----- Original Message -----
Sent: Tuesday, September 27, 2005 8:18 PM
Subject: Re: [ozmidwifery] NYTimes.com: 'Mothering the Mother' During Childbirth, and After

The stories behind this need are to me  a sad reflection on the US health system which our federal govt is pushing us to immulate! !
 
Denise Hynd
 
"Let us support one another, not just in philosophy but in action, for the sake of freedom for all women to choose exactly how and by whom, if by anyone, our bodies will be handled."
 
— Linda Hes
----- Original Message -----
Sent: Monday, September 26, 2005 10:58 AM
Subject: [ozmidwifery] NYTimes.com: 'Mothering the Mother' During Childbirth, and After

The New York Times E-mail This
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Thought some might be interested in this

NATIONAL   | September 25, 2005
'Mothering the Mother' During Childbirth, and After
By JODI WILGOREN
Doulas - part mentors, part hand-holders - are increasingly offering their childbirth services to low-income teenagers.


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