Re: [ozmidwifery] degrees of high BP in preg

[Michelle Windsor]

I know the feeling of things changing from week to week! 

 

 One week we're were asked to start mag sulphate on a woman with diastolic creeping up (90 - 105) when going into good labour.  2 + protein in urine, mild edema, no increased BP antenatally, bloods all normal.  The next week a woman with increasing BP antenatally (90-105), 3+ protein in urine, no edema, normal bloods was sent home!!  Same doctor.

 

By the way.... with the first woman the doctor insisted that women can have eclamptic seizures even if their bloods are all normal.  Has anyone heard of this?  He did hold off on the mag sulphate when we were unhappy to give it (in view of normal bloods and BP settled with pain relief).  The woman birthed and had no further problems with BP.

 

Cheers

Michelle

brendamanning <[EMAIL PROTECTED]> wrote:

There is some variation here... but this week ..........a diastolic over /90 is watchable & anything over 100 treatable.

 

Could be different next week !!!!

 

With kind regards
Brenda Manning
www.themidwife.com.au

----- Original Message -----

From: Kristin Beckedahl

To: ozmidwifery@acegraphics.com.au

Sent: Thursday, June 01, 2006 8:41 PM

Subject: [ozmidwifery] degrees of high BP in preg

wise women...

At what point does high blood pressure become an issue in preg?  what is a 'normal' reading for a healthy preg woman?  What reading is considered 'high-risk' or requiring action (without proteinuria)...?

Big thanks

---

From: Andrea Quanchi <[EMAIL PROTECTED]>
Reply-To: ozmidwifery@acegraphics.com.au
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] students & learning
Date: Thu, 1 Jun 2006 19:57:06 +1000
>If the woman invites the student to be there and the MIPP is happy
>what prevents them from being there. Surely we are letting them know
> what the real world is like and the reality is that MIPP are
>working uninsured and having to cope with what that means in
>reality. This is no different from when I attend a hospital with a
>woman and the hospital says that they only recognise me as a
>support person. I could let that stop me from going there but I
>don't. If students want to be at hom births they will, they will
>learn heaps and if they cant write it down on paper for the uni
>then dont but dont let it stop them from attending because the
>experience is to valuable to waste.
>Andrea Quanchi
>On 01/06/2006, at 7:03 PM, Stephen & Felicity wrote:
>
>>I think perhaps you women are the "lucky" ones; I only recently had
>> an email from a student midwife in SA, lamenting that she is
>>unable to attend homebirths unless the midwife is "publicly
>>employed" (ie: not a MIPP). Since the only homebirth midwives
>>employed by the Government in SA are part of the Northern Women's
>>Community Midwifery Program, anyone not fortunate enough to be in
>>that region has zero opportunity to work "in all situations".
>>This is clearly an insurance issue as well as an educational
>>institution issue...but it's all one and the same at the end of
>>the day, isn't it? It's all just part of the overall climate for
>>midwifery and birthing women in our country.
>>
>>----- Original Message ----- From: "Kirsten Dobbs"
>><[EMAIL PROTECTED]>
>>To: <ozmidwifery@acegraphics.com.au>
>>Sent: Thursday, June 01, 2006 5:10 PM
>>Subject: RE: [ozmidwifery] students & learning
>>
>>
>>>I can back up Kate, (as we attend the same uni!)
>>>I have only ever been encouraged and supported to attend births
>>>with
>>>independent midwives by our uni.
>>>
>>>Kirsten
>>>
>>>-----Original Message-----
>>>From: [EMAIL PROTECTED]
>>>[mailto:[EMAIL PROTECTED] On Behalf Of Kate
>>>and/or Nick
>>>Sent: Thursday, June 01, 2006 9:57 AM
>>>To: ozmidwifery@acegraphics.com.au
>>>Subject: RE: [ozmidwifery] students & learning
>>>
>>>
>>>>>For fyi, student midwives here in SA are *forbidden* to seek
>>>>>experience
>>>of any kind with any independently practicing midwife, on threat
>>>of a
>>>fail grade for the clinical topic &/or expulsion from the course.
>>>
>>>
>>>While this is the case at one uni, it does not appear to be at the
>>> other
>>>uni. We have a lay midwife doing the Bmid who will be doing her
>>>practicum
>>>with an independent midwife. We believe we are able to participate
>>>in
>>>homebirths, and I am certainly hoping to do just that.
>>>
>>>Kate
>>>
>>>
>>>
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>>>This mailing list is sponsored by ACE Graphics.
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>>
>>--
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>
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