Re: Re Episiotomy competencies
Hi Jane, I can't help you formally Jane, except to say that I rarely perform episiotomies - about 6 or 7 in 12 years, but I KNOW that when the situation arises I feel PERFECTLY confident and able to perform the procedure with or without infiltration with local. I feel happy that those cuts I have made have been with maternal consent and with purpose. Surely we shouldn't be expected to do them just to prove we can!!?? P. S. I infiltrated prior to episiotomy on Wednesday, Multiparous woman, labouring well, head on view for about 25 mins, Just prior to infiltration, Fetal Heart on 94, staying there. progress of head on view had been very slow. Once filtration occurred, head born on next contraction!! I suspect women had been holding back due to pain and once the area was numbed she had the will to push through it. Babe's shoulders/body eventually born with difficulty , the most downward traction (woman on all fours on floor) , movement of legs thigh I've ever had to help with, but eventually born beautifully and with firm, consistent, downward force. Anyway, back to the original subject, even though I perform episiotomies infrequently, I don't think that I should have to perform a quota to prove I can do it. It is part of our basic training, much like coating the lips with lip balm, wiping the brow, listening to a fetal heart, education re: breastfeeding. Do we have to prove competancies of these. Our job is wide, exciting, varied and important. The term MIDWIFE encompases this and we should not have to prove such intracacies of our job. I love Midwifery! Christina. -Original Message-From: cjknight [EMAIL PROTECTED]To: [EMAIL PROTECTED] [EMAIL PROTECTED]Date: Tuesday, 16 October 2001 9:58Subject: Re Episiotomy competencies Dear Listers Can anyone help me with some statistics regarding how many student midwives complete their education without performing an episiotomy?I was unable to gain that competency during my education and there have been few opportunities to gain competency in my current practice despite being in my current position 7 years. I work inlow risk midwifery based in a rural hospital. My practice is being called into question over this matter so it is important that I get hold of some evidence to back up my assertion that this is not an uncommon situation. Thanks Jane
Re: Setting Up a National Maternity Consumers' body
Dear Barb, the move to a national Maternity Consumers Organization is very exciting and most timely. At the International College of Spiritual Midwifery (ICSM) we fully support it. It will be wonderful to harness the energy of the many wonderful groups that operate throughout Oz. We have recently joined Maternity Coalition recognizing the importance of solidarity and we have just collected one thousand signatures in support of the Australian Midwifery Campaign. We have a passionate membership.Our web site is www.vicnet.net.au/~icsm The structure that MC has for membership seems to work well., and I do think that it is a good title for an organization that's purpose is easily understood by the general public. AIMS seems to be very politically savvy and the British organization has been phenomenal over time.I don't know what Beverly Beech is doing these days but she would be worth talking to. AIMS is also a good name-very catchy. We may have to consider who the main office bearers will be. I've been an activist for over twenty-five years and it's good to feel the grassroots stiring again, Thank you for getting the ball rolling on this Warm regards, Rachana From: Vernon at Stringybark [EMAIL PROTECTED] Date: Fri, 19 Oct 2001 11:18:34 +1000 To: ozmid [EMAIL PROTECTED] Subject: FW: Setting Up a National Maternity Consumers' body Dear ozmiders, FYI this has been sent to a range of consumers and midwives for comment. -- From: Vernon at Stringybark [EMAIL PROTECTED] Date: Fri, 19 Oct 2001 11:13:24 +1000 To: National consumers, ozbirth [EMAIL PROTECTED] Cc: Nat consumers - midwives Subject: Setting Up a National Maternity Consumers' body Dear all, RE PROPOSAL TO CREATE A NATIONAL MATERNITY CONSUMERS ASSOCIATION In summary this email makes the following points: 1. there is widespread support for the idea of a national maternity consumers body to lobby on national issues 2. any such body should complement not replace existing groups 3. there is value in having legal protection afforded by incorporation 4. an efficient way to set up a national body is to link up with an existing organization 5. your group's views are sought on the prospect of joining either AIMS or Maternity Coalition with a view to forming a national body. INTRODUCTION There has been an overwhelmingly positive response to my email of 17 September inviting interest in the idea of forming a new national maternity consumers body of some sort. Enthusiastic support has come from all parts of Australia from Far North Qld round to WA. Thank you to all those who forwarded the 17 Sept email. Thanks also to all those who replied. I have appended the original message below for those of you who did not receive the 17 Sept email. On recommendation from midwives and other consumers I have extended the list of email recipients to try and cover as many consumer organizations as possible. If you are NOT interested in receiving any further emails on this topic please send me a reply and I will remove you from the list. If you know of a consumer or midwifery group not covered in the email list above but who may be interested in participating in a national maternity body please forward this message to them. I apologize for this being a lengthy email - please note the invitation under the heading of 4. YOUR GROUPS VIEWS ARE NOW SOUGHT... to comment on the issues raised here either as a REPLY ALL or to me by 31 October or ASAP thereafter. OVERVIEW 1. YOUR VIEWS TO DATECONSUMERS MIDWIVES VIEWS 2. POINTS OF CONSENSUS 3. SO WHERE TO FROM HERE? - PROFILES OF AIMS MATERNITY COALITION 4. YOUR GROUPS VIEWS ARE NOW SOUGHT... 5. BACKGROUND - ORIGINAL 17 SEPT EMAIL 1. YOUR VIEWS TO DATE The following are a sample of the comments received from people to date: FROM COMSUMERS I am delighted to have been forwarded your email. It sure looks as if the time is fertile for a national consumer body...(Brisbane) I am in Cairns, North Qld and would be happy to join in a coalition for midwives mothers. How can I contribute? Would be interested in joining up. I am currently an active member of the Maternity Coalition and run Choices after Caesarean: Empowering Women in Melbourne. This proposal seems to be an important one, and certainly one that consumer groups like ourselves should be involved in right now. I am part of Birthplace Support Group (in Perth) - our local birth choices network - and I am sure that we would be interested in being part of a national coalition of some sort. Creative Birth Options - recently formed info and support group - we're are tiny but we're very enthusiastic and took front page of 2 newspapers in the area today!!! Please let us know what we can do to help. FROM MIDWIVES I am most anxious to see a collaborative effort of all consumers and midwives to continue. There is still much
Midwive picnic update
A good blurb in the Geelong Advertiser today. MIDWIFE PICNIC Apicnic and rally in support of midwives will be held at Johnstone's Park on Sunday, October 28. The rally coinciding with National Homebirth Day, will feature live entertainment by The Stiff gins annd Sista Girl. The BYO Picnic also will feature children's entertainment and information stalls at 11am -3pm. Telephone Sally Westbury on 52683038 or Sally-Anne Brown 52377413.
Newcastle Homebirth Awareness Day
. Hunter Homebirth Support will be celebrating National Homebirth Awareness week (25-31 October) with a Homebirth Awareness Picnic Day Sunday 28 October 2001 Railway Common, Newcastle Foreshore 10.00am till 3.00pm The day will include: · 10.30 am Commemorative Photo of Homebirth babies/children · 11.00am Jill Hall (Federal MP for Shortland) to talk on what Govt is doing for homebirth and maternity services · 12.00pm Sausage sizzle · Informational Stalls · Lots More! Anyone interested in gentle, active birth, homebirth, or promoting choice in maternity services are all welcome. For additional information call: Karen Arthur: 49912531, [EMAIL PROTECTED] Stall space still available Sponsors: Natural Instinct Doula Service
RE: Admission CTG's
This is a great reference. Thanks for passing it on Bec. Joy -Original Message- From: Clinical Learning Coordinator [SMTP:[EMAIL PROTECTED]] Sent: Friday, October 19, 2001 10:39 AM To: '[EMAIL PROTECTED]' Subject:Admission CTG's Dear List There was a question posed a few weeks ago about routine admission CTG's and their effects. I've been trying to dig up the article on this and now I have it so I hope it is not too late for the midwife who was after the information. It is: Mires, G., Williams, F. Howie, P. (2001), Randomised controlled trial of Cardiotocography versus Doppler auscultation of fetal heart at admission in labour in low risk obstetric population, BMJ, 322: 1457-1462. The conclusion states: There were no significant differences in the incidence of metabolic acidosis or any other measure of neonatal outcome among women who remained at low risk when they were admitted in labour. However, compared with women who received doppler auscultation, women who had admission CTG were significantly more likely to have continuous fetal heart rate monitoring in labour, augmentation of labour, epidural analgesia, and operative delivery. Compared with doppler auscultation of the fetal heart, admission CTG does not benefit neonatal outcomes in low risk women. It's use results in increased obstetric intervention, including operative delivery. (p1457) Hope this is of some benefit. Cheers Bec Clinical Learning Coordinators Trevor Cresp (pager 4287) Rebecca Smith (pager 4304) Michelle Unetta (pager 4428) -- 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: The Algebra Of Infinite Justice
Dear Jo I agree that is why I posted it with the warning it was long. I gather the author is Indian. Denise - Original Message - From: Jo Slamen [EMAIL PROTECTED] To: Midwifery List [EMAIL PROTECTED] Sent: Friday, October 19, 2001 11:45 AM Subject: Re: The Algebra Of Infinite Justice Denise, I know this is way OT regarding the general list content, but... Thank you for providing me with an opportunity to read something sensible and illuminating on the circumstances of the politics of this atrocious conflict. Unlike much of what we read and hear, so much of what Roy says adds to my knowledge of the history behind this conflict and expands on some concerns that I have had as to what is being said and done in response to the terrorist attacks. And it is so markedly different from the sweeping generalisations and rash sentiment that is most often heard in justification for carrying out violence on such a feeble and crippled nation. Jo -- 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: Having A Baby (South Australia)
Dear Ros Thank you for your reply the site is unavailkable at the moment WA Health Dept will be putting the WA HOMebirth guideline on line shortly and having the Miister of health launch them When all this is up it might be another tool to increase public awarenes and increase public demand for equity of access. Denise - Original Message - From: Roslyn Donnellan - Fernandez To: Denise Hynd Sent: Friday, October 19, 2001 1:45 PM Subject: Re: "Having A Baby" (South Australia) Dear Denise Don't think its been put online yet, but you could check out the SA DHS Pregnancy Website (had nothing to do with the website content it definitely needs a review. We who participated in "the pamphlet" development experience have offered to provide commentfor the website review. Whether we'll be invited is another story !!) Anyway, the web address is: www.dhs.sa.au/pregnancy Regards Roz - Original Message - From: Denise Hynd To: Roslyn Donnellan - Fernandez ; [EMAIL PROTECTED] Sent: Wednesday, October 17, 2001 11:59 AM Subject: Re: "Having A Baby" (South Australia) Dear Ros Is this publication available on line??Denise - Original Message - From: Roslyn Donnellan - Fernandez To: [EMAIL PROTECTED] Sent: Tuesday, October 16, 2001 9:07 PM Subject: "Having A Baby" (South Australia) Dear All The South Australian Department of Human Services officially launched a new health promotion pamphlet last week entitled, "Having ABaby." This pamphlet endorses the option of midwife led care for women and their families, and homebirth in the list of 'places where you may choose to have your baby.' Subheadings include: Who can provide care for me and my baby ? Where can I have my baby ? What is important to me about the birth of my baby ? What are my rights and responsibilities ? How can I find out more ? The pamphlet encompasses definitions of various providers in pregnancy childbirth their roles, explanation re various settings, suggested questions of care providers, and a resource / phone list eg: Australian Breastfeeding Association, Australian College of Midwives Inc / SA, Birth Matters, CARES SA, Homebirth Network, Child Youth Health, Migrant Health Service, Nunkuwarrin Yunti, Parent Helpline, RACGP, RANZCOG, Womens Information Service. It has been printed in elevenlanguages, with culturally appropriate modification / illustration. (English, Chinese, Arabic, Bosnian, Serbian, Croation, Kurdish, Vietnamese, Cambodian [Khmer], Persian [Farsi], Turkish) The initiating vision, tenacity, resiliance perseverence of the consumers and consumer groups that contributed to seeing this project through to fruition has been an inspiring experience, and an affirmation that those commited to achieving change will effect it collectively. Copies of this pamphlet can be ordered from: Angela Princi Administration/Project Assistant Strategy Operations Service Statewide Division Dept of Human Services PO Box 287 Rundle Mall Adelaide SA 5000 Regards Roz Donnellan - Fernandez Self Employed Community Midwife (Adelaide)
Re: Setting Up a National Maternity Consumers' body
Dear Barb, I was on holidays when you're first message came thru, and then with virus problems I suspect it may have been deleted. However our little group, known as Goldfields Birthplace in Kalgoorlie WA, would be very interested in being part of a national body. We have close ties with our sisters in Perth, but can sometimes feel a little isolated from the rest of Australia. After reading through your well informed information, I personally feel that joining an existing body is possibly easier than reinventing the wheel (again). But how to decide which body to go with when they are both so supportive of consumers needs and rights? Would having an affiliation with both be too confusing? Can we compliment both groups whilst being known as the National Maternity Consumer Body (or association). I'm afraid I'm going to have to pass the buck and let others decide which way to go (don't you hate that). But you do have our support and passion and most of all our friendship in your vision to unite all us little groups all over this country to work together in our common cause. Education, knowledge, genuine choice, support and care for women everywhere. Regards Lorraine Sharpe -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
