They were using syntometerine for all women except those with high BP, when synto was given, back in 1986 where I did mid in NSW, and we were considered pretty low intervention. I have noticed an increase in PPH, and a large increase in morbidity. More women are ending up in HDU. Not as many blood transfusions, but lower Hb's acceptable. It is scary. Maureen
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of jo Sent: Sunday, 11 June 2006 9:26 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] PPH levels soar Yeah, sucking on a piece of placenta is said to be a great way to stop bleeding. Even though I'm vegetarian I would have given it a go rather than go to hosp. Lost 1500mls after first baby's birth, after cord traction which ended with cord in registrars hand and placenta inside - manual removal, blood transfusion uuugghhhh would've eaten a horse to avoid that again! Jo -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jo Bourne Sent: Sunday, 11 June 2006 9:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] PPH levels soar I know that homeopaths believe that the same thing you give to fix a symptom can cause that symptom in a well person, or given in the wrong dose for the individual. This is how they "prove" a homeopathic treatment. I don't know if I have explained that very well... Here is a link about homeopathic proving http://www.hpathy.com/research/shere-proving-homeopathy.asp Jo At 6:49 PM +1000 11/6/06, Sue Cookson wrote: >Hi, >This article appeared in last week's Sydney Morning Herald. >I think it's amazing and it appears that some of the information is incorrect in that the article states that NSW Health implemented active thrid stage and early cord clamping in 2002. Surely syntometrine and syntocinon have been used for many more years than just the last four, in which case this study is a real eye-opener if you believe we are stopping women from bleeding by using drugs in third stage. > >What do you think? > >Sue > >Transfusions soar for women giving birth > >Julie Robotham Medical Editor >June 3, 2006 > >RECORD numbers of NSW women need transfusions to treat massive blood loss after giving birth, in an epidemic that doctors say is threatening new mothers' health and fertility and sometimes their lives. > >The number of women diagnosed with post-partum hemorrhage has rocketed by nearly 30 per cent, and almost one in nine births was affected in 2002, compared to one in 12 in 1994, University of Sydney research has shown. > >Of those, the proportion whose condition was severe enough to warrant a blood transfusion increased sixfold, from 2 per cent to 12 per cent. > >"It's extremely important," said Ken Clark, the president of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists. Bleeding was "still a very real cause of the death of women but also a great deal of [ill health] that has a tremendous impact on women and their families". > >In the worst cases mothers had to undergo emergency hysterectomies to save their lives, but even less dramatic surgery to clamp blood vessels or anaemia could be debilitating. > >"To have that on top of all the other stresses and strains of motherhood Š it's the last thing people need," Dr Clark said. > >The NSW findings are the first large-scale confirmation of the impression among individual doctors and hospitals across Australia that major bleeding is increasing. > >Carolyn Cameron, who led the statewide analysis, said neither the well-documented rise in caesarean section births nor the growing number of older mothers could explain the increase in hemorrhages. It was possible more borderline cases were being identified, but this alone was unlikely to account for the increase. > >"We have to search for something else. It's a mystery," said Ms Cameron, a research officer at the Centre for Perinatal Health Services Research. > >The group would now look at how many previous pregnancies women had and the length of their labours to see whether these offered clues to the reasons for hemorrhage - diagnosed when more than 500 millilitres of blood is lost after a vaginal birth, or more than 750 millilitres after a caesarean. > >Blood loss - usually from the site where the placenta detaches - is currently the single largest cause of pregnancy-related death in Australia. > >Between 1997 and 1999 - the most recent period for which figures are available - eight women died as a consequence, including two who refused transfusions for religious reasons. > >Ms Cameron's research, published in the Australian and New Zealand Journal of Public Health, was based on the medical records of more than 52,000 women who had a birth-related hemorrhage in NSW between 1994 and 2002. > >It is not yet clear whether the pattern has continued since 2002, when NSW Health recommended the use of drugs to expel the placenta and early clamping of the umbilical cord to limit bleeding. > >David Ellwood, professor of obstetrics and gynaecology at the Australian National University Medical School in Canberra, said: "All of the major hospitals around the country have been noticing an increase." > >Women who gave birth vaginally after a previous caesarean, or those carrying twins, might be at increased risk, he said. Rising birthweights might also contribute to the trend. > >Increasing transfusion numbers indicated that the severest bleeding was also rising, Professor Ellwood said - because doctors were reluctant to transfuse women with less serious hemorrhages. > >A group of maternity hospitals was researching women's recovery from birth hemorrhages to see whether they affected breastfeeding or triggered post-natal depression, he said. > ><http://www.smh.com.au/news/national/transfusions-soar-for-women-giving-bir th/2006/06/02/1148956546560.html>http://www.smh.com.au/news/national/transfu sions-soar-for-women-giving-birth/2006/06/02/1148956546560.html# -- Jo Bourne Virtual Artists Pty Ltd -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. 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