Re: campaign
On ya Barb!!! - Original Message - From: Greg Barb Cook To: [EMAIL PROTECTED] Sent: Tuesday, August 07, 2001 1:38 PM Subject: campaign I tookLiz's motion to the local ALP branch meeting last night and itis to be passed to State QLD, Federal, Health shadow health ministers, attorney generals ( branch suggestion), local pollies and as a motion to the Oct QLD ALP women's conference. This will start the ball rolling from my local area. We need a standard background to this motion to attach when they are sent to these places?A background will explain the motion more eloquently and if it is the same it will be consistent. We should be seen to be organised and consistent. We have a local issue as well which I used last night in the debate. I work at the local maternity hospital just north of Brisbane about 40km away. We used to have 4 private OB's on the peninsula. Two have now stopped private obstetrics, leaving this to very aging obstetricians due to increased PI costs being a concern so I heard ( :- ). This has reduced women's access to private obstetric care but wait there is more! The local Private hospital has closed its maternity section. At a time when federal health policies have pushed families to private cover many women are now finding that now they are pregnant the closest private maternityunit is approx. 40km south-east orto Lynne's to the north (approx 90km away. Some choice if they chose private care! If they could access midwives as primary care givers that will provide them with another alternative! The debate was brisk and people were amazed. The support was strong. One experienced person (anti-nuke protester against a proposed local irradiation plant) asked why I couldn't go to the local media. I had to explain "Code of conduct" guidelines for public sector employees prevented me from doing so. Several people have now offered to write letters to pollies, editors and anything else needed. I felt pleased that the response was so positive. Cheers Barb
Re: centralised EFM.
Hi all Yes I am still around, just ever so quiet! Does anyone have any info or know where I can get it or does anyone have experience with centralised EFM in 'delivery' suites? I need to know about the sorts of EFM where there is a console in the office or somewhere to which all the fetal monitors are linked up. Apparently the monitor 'reads' the EFM and the screen goes red if the trace goes off. The mid students and I have done literature searches and can't find anything about its efficacy. Help, please. Carol PS That's a loverly mat coalition website Joy. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
guthrie at breast
Has anyone forwarded this question to Lactnet? They might have some interesting input on the effect of unpleasant tests whilst BF in the early days. Kirsten _ Get your FREE download of MSN Explorer at http://explorer.msn.com/intl.asp -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
not from me
Its the middle of the night and i've turned on to look up aclinical problem [potters syndrome]that is keeping me awake and this list tells me Ihave sent just now 4 e-mails 1 from spiritual midwifery another aabout primal theraphy and one about starting up a home business also an e-mail keeps reappearing that Isent days ago re guthrie what's going on . Also there are replies about the guthrie with attachments do not open as i am supicious Iam just going to update my virus check any ideas about whats happening lol jan
Re: centralised EFM.
Ho Carol - good to know you are still out there! Another reason not to be with or to touch the woman. There was a woman I was speaking to the other day and she was unhappy about the fact that when she went to her ob, he literally never laid his hands on her - Scanned her belly, did her BP and that was it. She wondered if he thought she had girl germs (as my sons would say). Regards, Lynne - Original Message - From: Carol Thorogood [EMAIL PROTECTED] To: Ozmidwifery List [EMAIL PROTECTED] Sent: Tuesday, August 07, 2001 9:45 PM Subject: Re: centralised EFM. Hi all Yes I am still around, just ever so quiet! Does anyone have any info or know where I can get it or does anyone have experience with centralised EFM in 'delivery' suites? I need to know about the sorts of EFM where there is a console in the office or somewhere to which all the fetal monitors are linked up. Apparently the monitor 'reads' the EFM and the screen goes red if the trace goes off. The mid students and I have done literature searches and can't find anything about its efficacy. Help, please. Carol PS That's a loverly mat coalition website Joy. -- 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.
Re: centralised EFM.
Hi Carol, Try contacting the private hospital maternity units. I know the Sydney Adventist Hospital and North Shore Private have the consoles where you can read a trace from another source. You could even set them up to read whilst up at the bedside of another patient. They were excellent at reducing the motivation to actually go into a labouring woman's room! Why bother? The legal system is busy telling us the ctg is 'neccesary' for quality patient care, so there we are... I would say efficacy is reduced, not increased. :-) Also , try Corometrics. I saw their display on a conference at the weekend and they were displaying exactly that, the multi system screen. Robin - Original Message - From: Carol Thorogood [EMAIL PROTECTED] To: Ozmidwifery List [EMAIL PROTECTED] Sent: Tuesday, August 07, 2001 9:45 PM Subject: Re: centralised EFM. Hi all Yes I am still around, just ever so quiet! Does anyone have any info or know where I can get it or does anyone have experience with centralised EFM in 'delivery' suites? I need to know about the sorts of EFM where there is a console in the office or somewhere to which all the fetal monitors are linked up. Apparently the monitor 'reads' the EFM and the screen goes red if the trace goes off. The mid students and I have done literature searches and can't find anything about its efficacy. Help, please. Carol PS That's a loverly mat coalition website Joy. -- 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.
Re: Twin policies.
I too have attended a twin birth at home. The mother is a midwife known to some on this list. The twins are about 5 years old now. The day before she went into labour the latest MIDIRS arrived with a summary of research or meta-analysis (can't quite remember) that reported the safety of waiting for the second twin. (must have been mid to late 1996). This wonderful woman (it was her 4th pregnancy) laboured for 6 hours before the first twin was born. That article spurred my confidence to be patient while (with healthy foetal heart, good position and healthy, confident mum) we waited 6 more hours for the labour to gradually build again. She gave birth to twin 2 through the water, catching her baby herself. Jenny Parratt Jenny Parratt Independent Midwife Consultant PO Mandurang Vic 3551 Australia 0409 393073 [EMAIL PROTECTED] - Original Message - From: Mary Murphy [EMAIL PROTECTED] To: Robin Moon [EMAIL PROTECTED]; [EMAIL PROTECTED] Sent: Monday, August 06, 2001 10:30 PM Subject: Re: Twin policies. Dear Robin, I can't help you with hospital policies as I am a homebirth midwife(at least up until 31 August). My mother was a midwife before she married and when I was going out to an isolated farm 15 yrs ago to be with a woman in labour whoom I suspected had twins, but no proof as no U/S available, My mum said.. don't worry Mary, just give the second baby time to come down.. it takes 20-30 minutes. DONT fiddle with the second one... it will be alright. I did as she said and the woman birthed both her twins in the hands and knees position.. with 20 minutes in between. I have been with mothers birthing twins since (in a hospital unit with supportive Obst. outside the door) and I have alsways followed her principles. In one of the cases, the second twin took 40 mins to arrive. I just kept intemittantly monitoring the second twin while the mother breast fed the first. Hope this helps, altho I KNOW he will want random controlled trial results. Cheers, Mary M -- 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.
Re: not from me
In a message dated 8/08/01 4:56:38 AM AUS Eastern Standard Time, [EMAIL PROTECTED] writes: Its the middle of the night and i've turned on to look up aclinical problem [potters syndrome]that is keeping me awake and this list tells me Ihave sent just now 4 e-mails 1 from spiritual midwifery another aabout primal theraphy and one about starting up a home business also an e-mail keeps reappearing that Isent days ago re guthrie what's going on . Also there are replies about the guthrie with attachments do not open as i am supicious Iam just going to update my virus check any ideas about whats happening lol jan HI Jan, I too have been getting some very obscure emails with attachments. They are virused. I have had a friend here all weekend sorting out my contaminated computer system, which fell victim to a virus last week. Nasty little bug - immediately it began working its way through my system and corrupting files. The way it works (in my limited understanding) is that the virus comes in form of an email with an attachment. It usually appears from someone Eg: list member who you will recognise - hence the temptation to open it. The way it sucks you in is it usually begins with some text you have sent off to someone else, then with the words Take a look to the attachment at the end. The virus propagates by corrupting your address book and copying the emails and sending them off to everyone in your address book. That's why you may be seeing emails that you did not send !! Clever isn't it!! I purchased some Norton antivirus 2001 software over the net (http://www.symantec.com/nav/nav_9xnt/) cost me $39-95 US - about $75- AUS. Cheap insurance for what it could potentially cost should these damn viruses trash your hard disk!!! It was a very easy process (If I can do it anyone can) and now this software reads and scans all my incoming email for viruses, isolates them if it finds some, and automatically runs live updates for current virus definitions from the net as I work on the Internet with interrupting me. When I'm off line it then goes to work scanning my hard disk for viruses with the recent definitions its just downloaded. I feel a little safer now. Yours in birth, Tina Pettigrew Birthworks Independent CBE and aspiring B.Mid Midwife. Convenor, Aust B. Mid Student Collective. As we trust the flowers to open to new life - So we can trust birth Harriette Hartigan. --- -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: Guthrie's at the breast
Title: Re: Guthrie's at the breast Hello all, Regarding Guthries at breast. I remember years ago a breastfeeding counsellor voicing her frustration to me about this practice which is usually done on day 5 the day of discharge from hospital and she explained that day 6 it's common for breastfeeding counsellors to receive a call from a mum saying my baby was feeding ok until we left hospital. She then went onto explain to me that after questioning the mums that this will often coincide with rough handling during the guthries with a very distressed baby at the breast. The counsellor suggested that to remedy the situation for mum and bub she would often recommend to have a bath with the baby getting the baby nice and warm and relaxed and offering it the breast for a recovery breastfeed. She claimed that this often worked. The baby has the opportunity to re-discover the breast under relaxed pleasant conditions at home in their own bathroom. I guess it depends on the midwife doing it - if its reasonably gentle and baby ok maybe breastfeeding at the same time would be ok - hug to all Julie -Original Message-From: Rhonda [EMAIL PROTECTED]To: [EMAIL PROTECTED] [EMAIL PROTECTED]; Jackie Mawson [EMAIL PROTECTED]Date: Tuesday, 7 August 2001 10:57Subject: Re: Guthrie's at the breast More useless but interesting information -- Just a note on the larynx point you made Jackie - the speach thing and choking is because at the age of about 18months to 2 years the human larynx drops about an inch and a half to two inches allowingthe development of speach and also allowing us to choke. This does not drop in monkeys (chimps etc etc) That is why they can't talk and we can. Therefore, speachbecomes more understandable at the age of 18months to 2 years and the voice becomes clearer. Have you noticed that at about 18months the words suddenly become clearer and the voice changes? - prior to this drop in position it is harder for an infant to vocalise with words and very hard to choke (not impossible but unlikely.) Also, anewborn also does not breath through the mouth this is to prevent aspiration of milk when learning to feed. Babies breath through their nose until at least a week old often older before they learn or are able to breath through their mouth. (That is what we were taught) Rhonda. - Original Message - From: Jackie Mawson To: Ozmidwifery List Sent: Tuesday, August 07, 2001 10:28 AM Subject: Re: Guthrie's at the breast Just wondering if anybody out there is aware of any information on performing guthries on the babies whilst they are at the breast.It is the best way, as far as Mother and child are concerned. As far as I know, babies are very unlikely to aspirate when they are newborn. It is only when they get older and start talking that aspiration becomes more of a problem Chimpanzees, gorillas, etc, never choke (even as infants) but they also never talk. The tendency for humans to choke has something to do with the ability we have to talk (larger larynx?) and we have a protective mechanism when very small to help avoid this happening thats why small children have tiny, high pitched voices, that develop as they grow.Anyway, I dont think aspiration is an issue. And doing Guthrie's while breastfeeding is just so much less traumatic for mother and baby (I know, I insisted on it for my 3rd child the other 2 I didnt know about it).Birthing Beautifully,Jackie Mawson.Convenor of Birthrites: Healing After Caesarean Inc.Visit our Website at: http://www.birthrites.orgEmail: [EMAIL PROTECTED]Phone: 61 08 9418 8949Please 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 pathsthat wind andwind,When just the artof being kindIs all the sadworld needs...--
common knowledge
can someone point me to where this video book is on the internet please. Sally -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Women And Birth Matters
Title: 29th May 2001 Roslyn Donnellan Fernandez 29th May 2001 Roslyn Donnellan Fernandez 7 Mulga Road Jenny Macklin HAWTHORNDENE 5051 Federal Shadow Health Minister ALP Dear Jenny WOMEN AND BIRTH MATTERS Please find enclosed some briefing materials on current maternity issues from groups such as: AMALG (Australian Midwives Act Lobby Group) Maternity Coalition (National Consumer Consortium) AMAP (Australian Midwifery Action Project) For your interest / information, I have also enclosed a recently published paper on my personal view and experience of midwifery practice in Australia. The woman and midwives of Australia are mobilising for change in the way maternity services are funded and organized in this country. The Federal Senate Inquiry Into Childbirth Procedures (Rocking The Cradle 1999) followed a decade of state and national reports recommending change in childbirth options for women in this country. These reports continue to gather dust on forgotten shelves, and outcomes and care options for indigenous women and babies remain a national disgrace. I would appreciate an outline of specific ALP initiatives, policy and action in relation to the issues of: * Reform to maternity funding that enables all Australian women access, equity and choice of midwifery led care in the public and private sectors; * Funding and legislative initiatives that address national midwifery education and labourforce requirements. (MIDWIFERY entails a discrete practice and is a profession recognized by the World Health Organization as providing the SAFEST, MOST COST EFFECTIVE CARE FOR THE MAJORITY of pregnant women and their babies. Inclusion and consideration of midwifery with nursing issues is confusing and inappropriate); * Childbirth outcomes, care options, and educational opportunities for persons of aboriginal and Torres Strait Island origin to undertake midwifery studies. Looking forward to your response and policy statements. Yours sincerely Roslyn Donnellan - Fernandez
Birth Rally / Lobbying / National Women's Organisations
Title: Good afternoon Good afternoon My name is Roz Donnellan Fernandez. I am a mother, and I vote. I have been a midwife and a birth activist for the past 8 years and I support womens choice in childbirth. As a self employed community midwife during this time I have provided continuity of midwifery care for many women and their families in South Australian homes, hospitals and community settings during pregnancy, birth and postnatally. I choose to work in this way because research shows that continuity of midwifery care is THE GOLD STANDARD, THE BLUE RIBBON STANDARD of care for ALL BIRTHING WOMEN AND THEIR BABIES. The World Health Organization states the midwife to be the safest, most cost effective provider for the majority of pregnant women and their babies, including assessment of risk status, and irregardless of place of birth. One of the few ways in which families can currently access continuity of midwife led care homebirth services is by contracting a self employed midwife. This occurs because successive governments in this state and this country have FAILED TO ACTION INTERNATIONALLY RECOGNIZED BEST PRACTICE IN MATERNITY CARE MIDWIFERY LED CARE, despite well over a decade of reports calling for major NATIONAL REFORM TO IMPLEMENT THESE SERVICES. Currently families pay from their own pockets to access midwifery led services. There is NO MEDICARE REBATE and private health insurance funds will not rebate midwives if professional indemnification arrangements are not in place. SO MUCH FOR CLOSING THE GAP ! Over the past 8 years, paying families in my solo midwifery practice have saved the public health system well in excess of $ 250, 000. This is a conservative estimate far in excess of my own renumeration. Last month the insurance company that managed indemnification for midwives nationally withdrew the option for them to renew their policies with two weeks notice. A replacement insurer has not been found. This action has left self employed midwives and the families they serve in crisis. It is an action that further diminishes Australian families birth options for midwife continuity of care, and an action that threatens to extinguish access to SAFE HOMEBIRTH. This is a national problem, as well as a problem for each state and territory. Last year the SA Department of Human Services provided a RECOMMENDATION AND ENDORSEMENT FOR MY MIDWIFERY PRACTICE IN ANY SOUTH AUSTRALIAN PUBLIC HOSPITAL subject to individual Board approvals. For midwives and nurses to access and utilize public hospital facilities it is a requirement that they carry appropriate professional indemnification. The Department and the Minister therefore have a SOCIAL RESPONSIBILITY to ensure that professional indemnification arrangements are accessible to ALL MIDWIVES AND NURSES. One way to tackle this issue in SA would be to offer indemnity arrangements for self employed midwives through SGIC. Without appropriate arrangements there are two alternatives: * Self employed midwives cease their clinical practices, (as a criterion of accreditation with the National Australian College of Midwives Inc is that they carry such cover), OR, * The midwives continue to practice without accreditation, and without professional indemnity insurance. This means they will not be able to birth women in hospital, access essential services, and more importantly, THAT FAMILIES WILL NOT BE RECOMPENSED IN THE EVENT OF AN ADVERSE OUTCOME. MATERNITY CARE IN AUSTRALIA IS IN CRISIS. The Australian Institute of Health Welfare identified shortages of midwives in all Australian States Territories in 1998. The crisis in premiums for obstetric care has also resulted in many obstetricians and GPs withdrawing their services in this area. In 1999 the Senate Community Affairs Committee produced a report entitled Rocking The Cradle, recommending changes in childbirth that have been IGNORED BY THE FEDERAL GOVERNMENT AS NOT A FEDERAL RESPONSIBILITY! WHOSE RESPONSIBILITY THEN IS IT ? This issue is not about place of birth. If it was then on the evidence PI insurance should be lowest for those midwives attending women with uncomplicated pregnancys births at home. This issue is not about safety, or evidence based practice. If it was then the majority of both obstetricians and midwives would be salaried through the public sector and midwifery led care would be the gold standard and the norm for quality maternity provision in this state and country. This issue is not about responsible governance, or equity and access to health for all Australian families. If it was, successive governments would have implemented a no fault liability scheme years ago. New Zealand has had one for 30 years ! This issue, like so many others that involve the health well being of women children is about MONEY AND POWER. It is about every womens right in Australia to access equity in
RE: centralised EFM.
Good to hear from you Carol. You're asking for efficacy of the monitor? It just means there doesn't have to be a midwife in the room with the woman, doesn't it? I saw the central monitor bank system in use in Michigan in about 95. Went back to visit the hospital where 3 of mine had been born (and where the birth activist was born, I think). The OB nurse told me that if a baby was about to be born, and the doctor was not present, no nurse would stay in the room with a woman - they couldn't take that sort of responsibility. I feel great sadness at that thought. We mustn't let that happen here. Joy -Original Message- From: Carol Thorogood [SMTP:[EMAIL PROTECTED]] Sent: Tuesday, August 07, 2001 9:45 PM To: Ozmidwifery List Subject:Re: centralised EFM. Hi all Yes I am still around, just ever so quiet! Does anyone have any info or know where I can get it or does anyone have experience with centralised EFM in 'delivery' suites? I need to know about the sorts of EFM where there is a console in the office or somewhere to which all the fetal monitors are linked up. Apparently the monitor 'reads' the EFM and the screen goes red if the trace goes off. The mid students and I have done literature searches and can't find anything about its efficacy. Help, please. Carol PS That's a loverly mat coalition website Joy. -- 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.
C/S rate to be proud of
Also in e-news: A great effort has been made to reduce cesarean section rates at Princess Basma Teaching Hospital in North Jordan. With an annual delivery rate of about 8250, the hospital has worked to decrease its cesarean section rate from 13.5% to 6.5%. The rate has been almost constant since then. In 1987, cephalopelvic disproportion and fetal distress were responsible for nearly 65% of cesarean section rates; this rate dropped to about 30% in 1990. This decrease is due to the change in the approach to management of the two conditions. The reduction in cesarean section rates in the four-year period was associated with a drop in the perinatal mortality rate, showing that cesarean section rates can be reduced without increasing the perinatal mortality rate. Ann Saudi Med 1995; 15(1):29-31 http://www.kfshrc.edu.sa/annals/151/93303.html for the entire study
What every midwife should know about VBAC
Go to http://www.midwiferytoday.com/articles/default.asp?t=acog to find out if you don't already know, Angela
