Gold coast Midwives Attending ACMI conference
Is anyone driving to Brisbane daily for the conference that would be able to pick me up in Labrador? I am staying there and my family will need our car. I will be off line in 10 days time but can be contacted by phone on 0417 801 052 or 03 246 901. Thank you in anticipation. Heather Musgrove NOTICE: CONFIDENTIAL COMMUNICATION This e-mail message and any accompanying files may contain information that is confidential and subject to privilege. If you are not the intended recipient, and have received the e-mail in error, you are notified that any use, dissemination, distribution, forwarding, printing or copying of the message and any attached files is strictly prohibited. If you have received this e-mail message in error please immediately advise the sender by return e-mail, or telephone, listed below. You must destroy the original transmission and its contents. Any views expressed within this communication are those of the individual sender, except where the sender specifically states them to be the views of Ramsay Health Care. This communication should not be copied or disseminated without permission. Mildura Base Hospital a member of Ramsay Health Care Telephone: 61 3 5022 Facsimile: 61 3 5022 3234 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: SUPPORT MIDWIVES CARING FOR MOST WOMEN
Title: Re: SUPPORT MIDWIVES CARING FOR MOST WOMEN Dear Mr Beazley Thank you for acknowledging the importance of a midwifery option for Australian women in your recent press release. I hope that the Labour Party will promote more use of midwives and less of obstetricians when it comes to the care of HEALTHY PREGNANT WOMEN (i.e. 80% of total pregnancies). Dr Carmen Lawrence was working towards this safe, cost effective solution in restructuring maternity services when she was the Minister for Health and midwives would like to see this campaigne continue when labour regains power. Yours sincerely Jan Robinson Coordinator Australian Society for Independent Midwives -- __ Jan Robinson Phone/fax: 011+ 61+ 2+ 9546 4350 Independent Midwife Practitioner e-mail: [EMAIL PROTECTED] 8 Robin Crescent www: midwiferyeducation.com.au South Hurstville NSW 2221 National Coordinator, ASIM __
Re: the campaign
I agree wholeheartedly Joy - Vanessa was awesome this morning...SO difiicult to get some of the issues out there, much less MOST of them as she managed to do.. and yes - it's time we had the stats and data to sock it to the authorities... I also think we should be calling for evidence that demonstrtates the continued medical over care for all women ...cant you see the RCT we could devise??!!! S. Johnston wrote: Dear ozmid team I want to congratulate everyone who has been involved in the rallies, and the lobbying, and getting media coverage cc. I am proud to be one of us. Some of you may have heard Vanessa Owen (ACMI national president) on Radio National thismorning (Mon 6/8) at about 8.15 am. She spoke very well, insisting that the PI issue affects all of midwifery - not just independent midwives. The news from the ABC was that the matter of PII for midwives has been referred to the Health Ministers Working Party on Professional Indemnity, chaired by Penny Gregory. I think this is a good step. Whereas we need to get cover immediately to enable midwives to continue meeting their commitments, the same thing could happen again if there is another monopoly situation of only one insurance company for a small number of midwives. We still have a lot of work to do arguing the legitimacy of midwifery practice (without medical 'supervision') and the legitimacy of a woman's choice of place of birth. The perception that this is going to result in more harm (and therefore more claims on insurance) than the 'standard' model is a huge obstacle. We need published reports from community midwifery projects in WA and SA. We need Sate birth data for homebirths and birth centres. We need articulate consumers and midwives who will become well informed. We can't just be true believers - facts and strong arguments have to be relied upon. Joy Johnston 25 Eley Rd Blackburn South Vic 3130 Tel:03 9808 9614 Fax:03 9808 3611 M: 04111 90448 www.aitex.com.au/joy.htm -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- Sally K Tracy Australian Midwifery Action Project (AMAP) -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: EBAC (VBAC) exclusion criteria
I would love to hear from anyone who can help with this. Jackie, is there any info you can assist with here please. Oh boy, Tina, where to start??? I have been lobbying this issue, locally, for over a year and a half... With no joy. There are a few birthcentres over East that accept VBAC's. One even has the philosophy that their only guideline is That women who want to birth in their birthcentre MUST want a natural birth and that's it. That's their guideline. Wouldn't that be wonderful to have as the guideline for all birthcentres? I have the guidelines of many, many birthcentres here, at home, but I think you only need to focus on the ones that accept VBAC women, and ask how they managed to initiate the changes needed in their individual policies. There was a proposal prepared for Doctor C Fisher, at the Royal Hospital for Women, Paddington, NSW, by Sister Cate Price, assisted by Sr. Helen Ryder, in 1993. It would be good if someone on the list could organise a copy of this for you(?) As this proposal achieved change. I still continue the lobbying here... It all just takes so long. Sometimes I wonder why I'm doing this. Grumble, grumble, grumble Any break-throughs you make, could you send the ideas my way? Thanks Tina, take care, Birthing Beautifully, Jackie Mawson. Convenor of Birthrites: Healing After Caesarean Inc. Visit our Website at: http://www.birthrites.org Email: [EMAIL PROTECTED] Phone: 61 08 9418 8949 Please note I am not a Professional Healthcare Provider, and all opinions given in this email are not to be taken as medical, or legal, advice. Please seek such advice from the relevant professional service. Email me your postal details for a FREE copy of our quarterly magazine, if you live within Australia - Overseas postage costs are above budget, sorry! Too many Gods; so many creeds, Too many paths that wind and wind, When just the art of being kind Is all the sad world needs... -- -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: Midwives lose their professional indemnity insurance.
In a message dated 3/08/01 3:49:18 PM AUS Eastern Standard Time, [EMAIL PROTECTED] writes: Dear Ms Pettigrew I agreewith you wholeheartedly that midwifery presents a crucial option for Australian women. I hope you caught the release of our medical indemnity policy a few days ago in Adelaide - if not you can find it at our website at www.alp.org.au. Kind regards, Kim C Beazley Leader of The Opposition Parliament House Canberra ACT 2600 Dear Mr. Beazley, thank you for your reply to my communication Re: Midwives lose their professional indemnity cover. I took up your invitation to review Labour's policy on medical indemnity reform, and was delighted to see Labour's support for the rights of women to chose their place of birth and caregiver. This is very encouraging. Further to this issue I would like to request as a matter of urgency that the ALP further demonstrate its commitment to the midwifery profession and recognise midwives as autonomous practitioners who work for the public good and as such should have access to the same medical rebates and government/state funded professional indemnity schemes as medical providers of the same maternity service. I sincerely hope that the ALPs medical indemnity reform package and policies can and will see that equity of access for midwives to such medical rebates and government/state funded professional indemnity schemes will come to fruition, when Labour wins the next federal election! The women and midwives of Australia, together with support from the ALP could further build on the good work of the previous Labour government (Alternative Birthing Services Review and initiatives) in maternity care. Together we can further develop a woman-centered maternity service for all Australian women which recognises and supports midwives as the most appropriate and cost effective type of health care provider to be assigned to the care of normal pregnancy and normal birth, including risk assessment and the recognition of complications. Supporting the ALP to support Australian women and midwives. Yours in better birth, Tina Pettigrew. Independent Childbirth Educator Aspiring Bachelor of Midwifery Midwife Convenor, Aust. Bachelor of Midwifery Student Collective. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
midwifery campaign petition
Signatures are coming through via the online petition from www.maternitycoalition.org.au and are being recorded and added to the total tally (around 1500 at present) Most of the names are not familiar to me, meaning that people who access this information and sign the petition are outside the 'network' - this is good. For those who are not familiar with the Petition, which was launched in May this year, here it is: To the Ministers for Health (State and Federal). We the undersigned petition you to provide access for all women to choose a midwife as their primary caregiver during pregnancy and birth within the health system (public and private) whether in the community or hospital. This is the goal of the Australian Midwifery Campaign, with wide support of organisations and individuals in all Australian States and Territories. The current health funding system throughout Australia is anticompetitive towards midwives, and restricts the choice of women who seek the services of a known midwife. Changes similar to those made in New Zealand (Nurses Amendment Act 1990) to maternity service provision would not place extra demands on health funding, but would remove the current monopoly which supports medical management of pregnancy and birth, and unfairly disadvantages midwives and women who are attended by midwives. International evidence and best practice standards support midwives as primary caregivers throughout the childbearing continuum. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
No Subject
Jan, Sally and listers. Enkin et al, 2000, 'A guide to effective care in pregnancy and childbirth', believe that the onus of proof rests on those who advocate any intervention that interferes with either of these principles:- 1 "the only justification for practices that restrict a woman's autonomy, her freedom of choice, and her access to her baby, would be clear evidence that these restrictive practices do more good than harm". 2 "any interference with the natural process of pregnancy and childbirth should also be shown to do more good than harm". However, a compilation of studies and stats to follow.Liz-
RE underactive thyroid
Hi Joy, Having an underactive thyroid myself, I took keen interest in the effects of this on pregnancy and birth during my training. The information I obtained was as follows. When A person who has a functioning thyroid, which is only just managing to produce enough thyroxine for themselves, becomes pregnant, this is a sufficient drain on their levels to cause underactivity. The same responses to a non pregnant, underactive thyroid are experienced, but often pregnancy is blamed and not the thyroid. Being put on thyroxine is normally the option taken, and although small amounts of thyroxine do cross the placenta, it is usually not contra indicated in pregnancy, as the benefits far outweigh the detrimements. Babies should be observed for hyperthyroid initially, and a thyroid crisis in the first week after birth, as they may have slightly higher levels of thyroxine on board. Being hyperthyroid, they may be less settled more hungry and more wakeful and irritable. Their may be more weight loss than normal though due to the increased metabolism associated with hyperthyroid activity. The half life of thyroxine is about 5 days.(?dont quote me ) so the reduction is not usually dramatic, but rather is slow and therefore, generally they dont have a worry. Babies just need to be watched for residual hypothyroid activity a week or so after birth..ie excess sluggishness, not feeding, weight loss, consistent low temps. etc. as the body has not been required to produce as much thyroxine interutero as is required postnatally. ..Most babies pick up naturally over the first few days.. and i guess this is the only thing people should watch for. In regards to mums, thyroxine levels are normally lower in pregnancy and thus T4 and TSH (thyroid stimulating hormone) should be regularly monitored and doses adjustedusually after birth, the thyroxine level requirement goes back to prepregnant state.but if hypothyroidism is diagnosed in pregnancy.this may not be the case and the mother may require thyroxine for the rest of their life. The cause of the hypothyroidism, should always be investigated.there are several different causes of hypothyroidismthese range from autoimmune disorders to cancer. So investigations should always done to eliminate worst case scenarios If a mother has an underactive thyroid and is not being treated with thyroxinethere are some things to be aware of. . Primarily Hypothyroidism can cause a hypersensitivity to narcoticsand therefore, ( as my mother found out during her births) a woman can have dramatic reactions to the pethidine or morphine. ( 28 yrs ago, my mother , with an undiagnosed hypothyroidism, had a dramatic oversensitivity to morphine during labour and needed resussing!) apparently this is rare but does occasionally occur. Therefore it is not advisable for women refusing thyroxine, to have narcotics in labour. Unfortunately I cant give you any specific references, as I have just moved house, and dont know where any of my papers are. Plus alot of what Ive found has been over years, of just picking up tidbit's. I cant garantee that everything I just said is currently most correct, but its what i remember from various readings etc. I hope I have been of some assistance. Jodie H ( Midwife) -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
