Apologies for the long post and even more apologies if this 'FW:' infringes on normal list etiquette,but I am interested in what others think of the topic raised by Debby Gedal-Beer in the 'feedback' section. Personally I beleive this is something that is of interest to the globe which is my rationale for posting this copy of E Midwifery Today here Cheers Alesa
----- Original Message ----- From: "Midwifery Today" <[EMAIL PROTECTED]> To: "E-News Subscriber" Sent: Wednesday, May 24, 2006 9:44 AM Subject: E-News 8:11 - Postdates Pregnancies (May 24, 2006) > MIDWIFERY TODAY E-NEWS > A publication of Midwifery Today, Inc. > Volume 8, Issue 11, May 24, 2006 > Postdates Pregnancies > ~~~~ > This e-mail edition of E-News is shorter than the online edition. > ** Read the complete HTML edition of this issue online! ** > Go to http://www.midwiferytoday.com/enews/enews0811.asp > > Remember to share this newsletter. (Please see copyright notice for restrictions.) > To stop receiving E-News or to change your e-mail address: > http://www.midwiferytoday.com/redirect.asp?id=199 > > Promote your product or service to more than 13,000 E-News readers! To see E-News advertising details: > http://www.midwiferytoday.com/ads/enews.asp > > Subscribe to the Birth Products RSS feed for information about the products available from Midwifery Today. 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Be alerted when conference programs go online, new articles are posted and more. > http://feeds.feedburner.com/MidwiferyTodayUpdates > > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > In This Week's Issue > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > > ~ Quote of the Week > ~ The Art of Midwifery: Relieving Pain > ~ Midwifery Education: When do I call myself a midwife? > ~ Postdates Pregnancies > ~ Research to Remember: Mastitis > ~ Products for Birth Professionals > ~ Web Site Update > ~ Advertising Opportunities > ~ Forum Talk: Effects of Adrenaline > ~ Question of the Week: Informing the Public > ~ Question of the Week Responses: Urge to Push, VBAC with Vertical Cut > ~ Think about It: Postpartum Care by Community > ~ Feedback > ~ Classified Advertising > > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > E-News Advertisers > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > > ~ Mothering > ~ HypnoBirthing (R) - The Mongan Method > ~ Birth, The Play > ~ Babywearing Conference 2006 > > Look below for more info! > > ~~~~~~~~~~~~ > Offers are springing up all over! > > Check out our special coupon page and save up to $10 on your Midwifery Today order. Or, save $4 on a one- or two-year subscription to Midwifery Today magazine. You'll also find special offers from other birth-related businesses. > http://www.midwiferytoday.com/redirect.asp?id=1311 > > ~~~~~~~~~~~~ > Midwifery Today Online Store > > Home Birth: The Spirit, The Science and The Mother (DVD) > > Help dispel the misconceptions about homebirth and midwives and witness the joy of homebirth as two families share their exquisite birth experiences. This DVD, which features interviews with Marsden Wagner, MD, Jeanine Tgettis, DC, and Fred R. Duhart, DO, offers convincing evidence of the safety and wisdom of having a homebirth. > http://www.midwiferytoday.com/products/06VHB.htm > > > ~~~~~~~~~~~~ > Midwifery Today Conferences > > "Soaking up Midwifery Knowledge" > Come to our conference in Bad Wildbad, Germany, October 25-29, 2006 and learn from teachers such as: > ~ Barbara Harper > ~ Marina Alzugaray > ~ Michel Odent > ~ Elizabeth Davis > ~ Ina May Gaskin > ~ Marsden Wagner > http://www.midwiferytoday.com/redirect.asp?id=1218 > > > ~~~~~~~~~~~~ > Send submissions, inquiries and responses to newsletter items to: > [EMAIL PROTECTED] > > ~~~~ > Are you enjoying your copy of the Midwifery Today E-News? > Then show your support by making a donation of $3 or more. > http://www.midwiferytoday.com/redirect.asp?id=667 > > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > Quote of the Week > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > > "I have to make myself open for a woman to be open to me." > > ~ Mabel Dzata > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > The Art of Midwifery > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > > For all kinds of pain, including postpartum pains, using the index finger, tap firmly (not hard enough to leave marks/bruises) right on, around and under the cheek bone, going back and forth on each side of your face. Tap, tap, tap tap on the right side, then tap, tap, tap tap on the left, and back again. If you do this while nursing, the pain slides away. It's a cheap and easy remedy. All you need is a finger! > > ~ Anon. > Midwifery Today Forums > > ~~~~ > ALL BIRTH PRACTITIONERS: The techniques you've perfected over months and years of practice are valuable lessons for others to learn! Share them with E-News readers by sending them to: > [EMAIL PROTECTED] > > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > Midwifery Education > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > > When do I call myself a midwife? > > If you want to do homebirths you will probably want to be a direct entry midwife. So far in the US direct entry midwives have no opportunities for working in the hospital. Moreover, the philosophy of birth is generally different, as hospital practice is more medicalized. You can pursue training in a myriad of ways: self study, MEAC-accredited and non accredited schools, online programs and study groups. All of these need to be combined with apprenticeship. An emerging route of entry to midwifery is doula training and practice which has the advantage of yielding experience and knowledge before beginning midwifery training. Many women seem to do this to fit with family responsibilities while testing the waters for midwifery. Because there are so many excellent ways to become a midwife I'll talk about each one separately, as well as include some information on specific schools and programs in upcoming columns. > > One of the advantages of a school or program is that you have help in determining when you are a midwife, ready to take responsibility for a motherbaby. The eclectic way we became midwives thirty years ago had no milestone, such as graduation. Nowadays, getting your NARM certification provides that milestone. Here is what Jill and I said about this in Midwifery Today Issue 9, Spring 1989: > > The word midwife is a powerful one. I remember at the beginning of my practice calling myself a birth attendant - the word midwife was too overwhelming. Perhaps only God could call me a midwife. I was not alone in this feeling. My partners all felt the same way. Why? Was it the tremendous responsibility that goes with the title? Most of us felt we didn't quite deserve the title yet, but when would we? When do you know and understand enough? When is your experience adequate for this noble title? > > I found myself working with a woman who was really relying on me. I said, "But Jenny, I don't consider myself a midwife." She said, "But Jan, I consider you my midwife." Perhaps the title midwife is bestowed when someone considers you her midwife. After the first time it became easier to accept the title of midwife. Maybe it is when we think we've learned it all that the title should be taken away. ~ Jan Tritten, Midwife > > It is hard to be called midwife. The word evokes so many emotional and political responses. The word midwife refers to one who stands by, protects and watches over parents and child during birth. The word is simple in form, yet complex in practice. Who could possibly live up to this noble address? How can one ever live up to the standards it takes to be midwife? Over the years I managed to skirt the title midwife until I acquired the name through others I had attended. For the rest of my life I will be trying to meet the highest standards spiritually, technically, intuitively and with the grace that being midwife bestows on me. Midwifery is a school of thought brought to empowerment by the gentle touch of nature itself. A high honor for all of those who attend. ~ Jill Cohen, Midwife > > ~ love, Jan > Jan Tritten, Mother of Midwifery Today > > ~~~~ > To read all installments of Jan's column on midwifery education, go to our Better Birth and Babies Blog: > http://midwiferytoday.livejournal.com/tag/becomeamidwife > > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > Please Support Our Advertisers! > > SPECIAL OFFER TO Midwifery Today E-News Readers. Subscribe to Mothering magazine for only $17.95. > > That's $5 off our regular price of $22.95 for a one-year subscription! > > For 30 years, Mothering magazine has been the premier publication of the natural family living community. Every publication addresses contemporary, evidence-based issues focusing on pregnancy, birth options, breastfeeding, vaccinations, childhood illness, alternative health and education, nutrition and the deeper issues of parenting. For a discounted subscription, go to the address below, then choose New or Gift orders and enter the code A04MT. > > http://www.midwiferytoday.com/redirect.asp?id=1236 > > ~ Thank You! ~ > > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > Postdates Pregnancies > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > > Current medical protocol for postdatism combines fetal kick counts, non-stress testing (NST) [evaluating fluctuations in the baby's heart rate in response to its own movements], and evaluation of amniotic fluid volume with a few more obtained by ultrasound. In addition to amniotic fluid volume and fetal activity level, fetal breathing movements and muscle tone are evaluated, then combined with NST results to form the biophysical profile. With a scoring system similar to the Apgar assessment, zero, one, or two points are given for each of the five categories cited above, with ten the highest possible score. A total score of less than seven is considered an indication for induction of labor. > > Can the midwife's clinical assessments of postdatism provide enough information to substitute for the biophysical profile? In my opinion, the answer is yes. Although fetal breathing movements cannot be assessed directly, these may be presumed adequate on the basis of normal muscle tone, as demonstrated by kick counts. NST is easily accomplished with a standard fetascope. And even the most subtle changes in amniotic fluid volume are readily noted with continuity of care. > > For the truly postmature fetus, the most stressful time in labor is the onset. Uterine contractions are much stronger than are Braxton-Hicks, thus any degree of fetal compromise will show up almost immediately. Plan to attend the postdates labor from the very beginning, and take heart tones more frequently than usual. > > ~ Elizabeth Davis > excerpted from Heart & Hands: A Midwife's Guide to Pregnancy and Birth > Celestial Arts: Berkeley, CA > > ~~~~ > Read more article excerpts on the theme in the full online version of E-News at: http://www.midwiferytoday.com/enews/enews0811.asp > > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > Please Support Our Advertisers! > > HypnoBirthing (R) - The Mongan Method > Practitioner Training > October 12-15, 2006 > > 4-day Los Angeles training for Midwives, Doctors, Nurses, Doulas, and those interested in becoming a Certified HypnoBirthing (R) Practitioner. CEUs available to most for all 4 days. Please contact Teresa Van-Zeller at (818) 884-5156 or e-mail [EMAIL PROTECTED] . Visit http://www.hypno-birthing.com . Also available: Certified Hypnotherapist training. > > ~ Thank You! ~ > > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > Research to Remember > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > > A multisite study of 96 lactating women found that elevated breast milk sodium concentration is associated with an increase in levels of the immunological and inflammatory factors lactoferrin, secretory leukocyte protease inhibitor, interleukin-8, and regulated on activation normal T-cell expressed and secreted, also know an RANTES. In healthy women, sodium concentrations in breast milk are low because tight junctions between mammary alveolar cells keep milk separated from other fluids. However, inflammation causes the junctions to open, which allows intercellular fluid and plasma to enter the milk. The researchers concluded that elevated breast milk sodium concentrations are sensitive indicators of mastitis. > > ~ Clin Diagn Lab Immunol, Sep 1999 > > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > Products for Birth Professionals > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > > Show your father what he means to you. > > Give him the Father Spirit Clay Sculpture. This two-inch sculpture comes with a removable baby and celebrates nurturing fatherhood. > http://www.midwiferytoday.com/products/C525FS.htm > > Buy the Father Spirit Clay Sculpture and get Midwifery Today Issues 8 and 51, on fathers, for just $5 more! Or, buy just the two issues for the special low price of $10 for both. > For more information about gifts for father: > http://www.midwiferytoday.com/products/fathers.htm > > ~~~~ > Save $10 on Harriette Hartigan's "Into Being" 2006 Calendar. > Now clearance-priced at just $5 each. > > Each month of Harriette Hartigan's calendar, IntoBeing 2006, celebrates the beauty and joy of new life. Her heart-warming black and white photos make this calendar perfect for anyone who loves birth and babies! There are only a few left, so order yours now. > http://www.midwiferytoday.com/products/HHC06.htm > > ~~~~ > Learn about Physiology in Pregnancy and Childbirth > > A compilation of eight articles by Verena Schmid, an independent midwife from Italy, this book will give you a unique view of pregnancy, birth and related processes. Verena applies her nearly 30 years of midwifing homebirths to providing you with a deeper understanding of the complex biological processes that make up the perinatal period. This book is must reading for informed midwives and mothers-to-be. > http://www.midwiferytoday.com/products/APPC.htm > > ~~~~ > Concerned about breech birth, shoulder dystocia, VBAC and other complications? > > Then check out these audio tapes from Midwifery Today. You'll discover ways to avoid complications and prevent cesarean sections. You'll also learn how to deal with hemorrhage, malpresentations, newborn complications, twins, HIV, Herpes and more. Speakers include Ina May Gaskin, Anne Frye and Michel Odent. > http://www.midwiferytoday.com/products/prob.htm > > ~~~~ > What's black and white, read by birth professionals around the world, filled with informative articles and inspiring birth stories, and shows up in your postal mailbox four times a year? > MIDWIFERY TODAY! > http://www.midwiferytoday.com/redirect.asp?id=228 > > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > Web Site Update > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > > Read this article excerpt from the most recent issue of Midwifery Today newly-posted to our Web site: > Midwifery Model of CarePhase II: Midwife Lessons by Janice Marsh-Prelesnik > http://www.midwiferytoday.com/articles/phaseII_77.asp > > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > Please Support Our Advertisers! > > Birth, The Play > > Dare to be BOLD on Labor Day weekend 2006? People across America (and the world) will be organizing local readings of the play BIRTH, September 1-4, 2006 and encouraging their communities to seek Education, Truth and Action that supports mother-friendly childbirth. For more information go to: http://www.birththeplay.com > > ~ Thank You! ~ > > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > Advertising Opportunities > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > > Educational Opportunities Page > > UPCOMING: If you have a school, direct entry program, doula training workshop or other educational option, this is a great way to get the word out and bring those students in. For just $299, your ad will be on our special Education Opportunities coupon page for six months (June 1-Dec. 1, 2006). > > Germany Conference Advertising > > The advertising opportunities flyer is available for our conference in Germany in October 2006. Promote your services or wares to a target audience! Go to this page then click on "Advertise at the conference (opens a PDF)." > http://www.midwiferytoday.com/conferences/Germany2006/ > > Contact our Advertising Director today at: [EMAIL PROTECTED] > > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > Forum Talk > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > > I wonder about the effects of adrenaline after birth. I know in my two hospital births, while they immediately placed my babies on my chest, they also whisked them away after mere moments to "warm" them. There's stress involved in that, and I've read that adrenaline will inhibit the production of oxytocin. Do you think this can account for at least some instances of postpartum hemorrhage? > > ~ Sarah > > ~~~~ > To share your thoughts and experience about this topic, go to: > http://www.midwiferytoday.com/forums/topic.asp?TOPIC_ID=5379 > > **Please do NOT send your responses to E-News!** > > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > Please Support Our Advertisers! > > Babywearing Conference 2006 > > An educational and fun conference for parents, manufacturers, educators and retailers. > Location: Reed College, Portland, Oregon August 3-6, 2006 > > This conference was conceived in the burgeoning online communities of www.thebabywearer.com and the babywearing community at Yahoo! groups, where mothers, work-at-home moms, retailers, manufacturers and babywearing educators come together to share our common enthusiasm for everything sling. Visit www.babywearingconference.com . > > ~ Thank You! ~ > > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > Question of the Week > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > > Q. What can we do to have the art of midwifery be more in the consciousness of our culture? As we know, most of the youth in our society think, as many adults do, that "having a baby" means "going to the hospital." I have been pondering lately what changes might take place in our society if midwives made a point of visiting their local middle and high schools (private and public) to speak with the health/science teachers and volunteering to come into the classroom to give a workshop (or whatever term you wish to use) as a professional expert when the class is studying human reproduction. Wouldn't it be wonderful if natural birth was presented to the youth of our society so that it is thought of as a very normal thing when, later, they are adults preparing to have children? > > ~ Kathryn Balley > > ~~~~ > Send your response to [EMAIL PROTECTED] with "Question of the Week" in the subject line. Please indicate the topic of discussion *and the E-News issue number* in the message. > > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > Question of the Week Responses > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > > Q. Does anyone have tips to help a mom who never gets the urge to push during second stage? She is completely unable to push with the contractions even though she gets in great positions: kneeling, squatting, hands and knees, birth ball, birth pool, etc. Two babies have been born fine as mom allowed her uterus to do all the work while she breathes through contractions. Is it best to let the uterus do its work alone or is there something that can help an "urgeless" mom? > > ~ CLM, doula > > A. If "two babies have been born fine" without the mom having a recognizable urge to push, I don't understand why this mother would need help or tips - what is the problem that needs solving or avoiding here? Are her second stages hard on the baby or hard on her, or is she frustrated about how she has experienced second stage? If not, just because her sensations don't follow a more common pattern doesn't mean intervention is needed. Coming up with possible "solutions" and framing them as such could set her up for feeling like a failure if they don't lead to a noticeable pushing urge. > > ~~~~ > Q: I know that everyone says a VBAC should not be attempted if there has been a vertical cut or T-cut caesarean section done previously. Have there actually been any studies that show this to be of greater risk if there is no induction done? Or is it just by implication because of the length or location of the uterine scar? > > ~ Judy Jones > > A: The vertical cut is associated with an approximate 5% rate of uterine ruptures on subsequent pregnancies without induction. The 5% risk was the justification for the "once a cesarean, always a cesarean" protocol. The low transverse uterine cut is associated with a 0.5% uterine rupture rate, which allowed VBAC protocol to be initiated. > > ~ Judy S. > [from "The Many Ways to Sew Up a Uterus: 'Single-layer' vs. 'Double-layer' Cesarean Repair: What's Best?" Midwifery Today: 70:32-34. 2004] > > Midwifery Today Issue 70 > http://www.midwiferytoday.com/products/MT70.htm > > ~~~~ > Read more answers to these questions in the full online version of E-News at: > http://www.midwiferytoday.com/enews/enews0811.asp > > Responses to any Question of the Week may be sent to E-News at any time. Write to [EMAIL PROTECTED] Please indicate the topic of discussion *and the E-News issue number* in the subject line or in the message. > > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > Think about It > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > > In many cultures around the world, a new mother is cared for by a community of women who fulfill every detail of daily living for up to six weeks postpartum. She is able then to bond with her baby and allow her body to heal and balance. In India, China and Africa, for example, a mother may traditionally expect to have help for 42 days following the birth of her child. The belief that a woman is extremely vulnerable, being more open to outside forces than at any other time in her life, contributes to the practices of daily massage, child-care support and community preparation of hormone-balancing foods. The new mother thus can feel nurtured and supported, which affects how she will raise her child and give emotional support to her partner and family. > > In the United States, cultural pressure for a mother to return to work as well as "get her figure back" plays a role in postpartum stress. Usually a woman must return to her job after only six weeks of unpaid maternity leave or risk losing her job. This is in contrast to other countries such as Germany where the mother is given paid leave of six weeks prior to and up to eight weeks after the birth. Either parent is then allowed up to three years unpaid leave to take care of the child. > > ~ Adarsa Antares > excerpted from "Reducing the Risk of Postpartum Depression" > Midwifery Today Issue 76 > > Midwifery Today Issue 76 > http://www.midwiferytoday.com/products/MT76.htm > > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > Feedback > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > > Yes, finally, my feelings about birth that I could not put to words, expressed by an absolutely awesome midwife [Think about It, Issue 8:8]. Pamela was with our family during the birth of our last 3 of 10. She is what she says, no ego. It's not about her and that's the way it should be. I'm not trying to advertise for her. Midwives, if you aren't this, strive for it; moms, if you don't have this in a midwife, get a new one. > > ~ Laura > Mom and homebirth advocate > > ~~~~ > A high tech company called Barnev (www.barnev.co.il/) is currently manufacturing a product called a computerized labor monitoring system. This product works by placing two clips with electrodes on a laboring woman's cervix and a scalp electrode on the fetus and using ultrasound waves to measure cervical dilation and height (descent) of the fetal head. I am aware of this product because of clinical trials were held at the hospital with which I am affiliated. In spite of the midwives' opposition to using this mechanical device on women, we were not able to totally block its use (although some changes were made in the informed consent, and many women did not agree to participate due to midwives' explaining to them what was involved). The trials were moved to other hospitals where the midwives were not as vocal in their opposition, and now the company is promoting use in Europe and the US. I understand that they have received or will be receiving Food and Drug Administration (FDA) approval. The product is being promoted as a means to assess women's progress in labor without a manual vaginal examination. > > I believe that this product takes advantage of and potentially harms women and their babies in labor, all for the purpose of economically profiting a biotech company. I believe that steps need to be taken at a higher level regarding the ethical considerations. > > How do E-News readers suggest that I carry on from here? Can you offer any support/ideas? I feel that this issue is not only within the midwifery realm, but takes advantage of women's rights and of women's bodies for research purposes under the guise of medical treatment. You can contact me at: [EMAIL PROTECTED] > > Debby Gedal-Beer, CNM, MSc. > Coordinator of Women's Health and Midwifery Education > Sheba Academic School of Nursing > Tel Hashomer, Israel > > ~~~~ > Only letters sent to the E-News official e-mail address, [EMAIL PROTECTED], will be considered for inclusion. Letters sent to ANY OTHER e-mail addresses will not be considered. > > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > Classified Advertising > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > > Explore a ground-floor opportunity with The Body Shop At Home. Provide your mamas with superb products along with your vital service. Contact Diane Schaub at (775) 323-5851 or [EMAIL PROTECTED] > > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > Subscription Information > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > > Remember to share this newsletter. 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We invite your questions, comments and submissions. We'd love to hear from you! Write to us at: [EMAIL PROTECTED] . Please send submissions in the body of your message and not as attachments. > > All questions and comments submitted to Midwifery Today E-News become the property of Midwifery Today, Inc. They may be used either in full or as an excerpt, and will be archived on the Midwifery Today Web site. > > This publication is presented by Midwifery Today, Inc., for the sole purpose of disseminating general health information for public benefit. The information contained in or provided through this publication is intended for general consumer understanding and education only and is not intended to be, and is not provided as, a substitute for professional medical advice, diagnosis or treatment. > > This publication and any information provided are not intended to constitute the practice of, or furnishing of, medical, nursing or professional health care advice, diagnosis, consultation, treatment or services in any jurisdiction. Always seek the advice of your midwife, physician, nurse or other qualified health care provider before you undergo any treatment or for answers to any questions you may have regarding any medical condition. > > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > Copyright Notice > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > > The content of E-News is copyrighted by Midwifery Today, Inc., and, occasionally, other rights holders. You may forward E-News by e-mail an unlimited number of times, provided you do not alter the content in any way and that you include all applicable notices and disclaimers. You may print a single copy of each issue of E-News for your own personal, noncommercial use only, provided you include all applicable notices and disclaimers. Any other use of the content is strictly prohibited without the prior written permission of Midwifery Today, Inc., and any other applicable rights holders. > > (c) 2006 Midwifery Today, Inc. All Rights Reserved. > > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > Midwifery Today: Each One Teach One! > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > > > > -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
