Hi Carolyn,

It is so good to hear that Belmont is doing well - what a great standard bearer for midwifery and women!

Can I ask you something about the sterile water injections? When I was in the Colac area earlier this year doing a workshop, I was told that although this method was brilliant at relieving the pain, especially with posterior labours, women were often reluctant to have the injections a second time, when the effects of the first round had worn off (it was suggested the effect would last for 2 -3 hours). I found this interesting, and speculated that the pain of the injections must have been bad, for women to think that a short lived sting would be worse than long painful contractions that often come with an OP labour.

What has been your experience with doing follow up injections, especially during a long labour?

I was also told that it was a good idea to have two midwives do the injections simultaneously - that way the pain was shorter (but presumably more intense with two injections being done at the same time). Can you shed any light on this aspect as well?

Many thanks,

Andrea

PS I would love a copy of your protocol as well, if you email it me.


At 02:00 AM 18/11/2006, you wrote:
Whilst I'm on the soapbox, I was thinking that you may be interested in the intradermal water injections and their efficacy.

We had Janice Deocampo come to Belmont and give a seminar on the use of this technique for women with excruciating back pain. Midwives came from Gosford, Maitland, John Hunter and Taree. Janice presented her information and we all practised on each other (OUCH). It feels like a wasp sting. One of the midwives had back pain which was cured for six hours with the injection she received that day!

It took us MONTHS to get the procedure through clinical governance. However, it is through.

We have used the injections for about eight women since only one was not completely successful. We have even found them fantastic for late first stage when the backache has stopped the woman from progessing and even second stage when women wouldn't push because the backache was too bad. After the injections, voila - baby!

John Hunter midwives are also now using this technique too with great success. Janice Deo Campo did a research project and the results are in the Birth Issues Journal from CAPERS.

It is a wonderful, effective tool which may just help someone avoid an epidural or even make birth much more manageable for those women with excrutiating backache.

If anyone wants the protocol and information sheet, please email me at work <mailto:[EMAIL PROTECTED]>[EMAIL PROTECTED] and I will send it to you.

warmly, Carolyn


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