RE: Birthing Stool Policy
A word of caution - nothing to do with birth stools (which I don't care much for), but the messages have been under this discussion. Please be careful about identifying people and places on this list. Even when a person's name is not mentioned, the reality is that if you give other information that points to an individual, it's as good as stating the name. I have seen people very distressed by unintended outcomes of seemingly innocent statements. Joy -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: looking for references on baby baths
In a message dated 3/12/01 2:46:05 PM AUS Eastern Daylight Time, [EMAIL PROTECTED] writes: hi all, I've just started working here in the USA on a postpartum unit. Current practice is not to do immersion baths on babies until their cord falls off, just a sponge bath. Some of the staff here are looking to change the policy and are searching for literature to support the practice of immersion bath from birth. Can anyone help me out with references or studies. Thanks Kirsten Blacker Minnesota USA Hi Kirsten, try the Miriad Midwifery Research database at: http://www.leeds.ac.uk/miru/miriad/keyword.htm Miriad has an index of studies on its database by keyword and its quick and fast to get some great references. Good luck, Yours in birth, Tina Pettigrew Birthworks Independent CBE and aspiring B.Mid Midwife. Convenor, Aust B. Mid Student Collective. http://groups.yahoo.com/group/BMidStudentCollective [EMAIL PROTECTED] 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.
NEJofMstudy on C/s
Dear Jackie and all Sun 25/1//01 in the WA Sundaty Times Dr Wright espoused the safety of once a c/s always a C/s based on a study form Washington Seattle published in last month's New England Journal of Medicine!Is this the study we have discussed on this list?If so what is the web adress of the critique of it that was published on the list??Does anyone know??Denise
NZmidwives
Dear All I can not raise the NZ College of midwives web siteDoes any one have a recent address??Denise
Fw: Midwifery contacts
- Original Message - From: Denise Hynd [EMAIL PROTECTED] To: Jane Palmer [EMAIL PROTECTED] Sent: Monday, December 03, 2001 10:44 PM Subject: Re: Midwifery contacts Dear Jane Congratulations on a well constructed clear and appealing site Denise - Original Message - From: Jane Palmer [EMAIL PROTECTED] To: 'Denise Hynd' [EMAIL PROTECTED] Sent: Monday, December 03, 2001 10:19 AM Subject: RE: Midwifery contacts Dear Denise Thanks for the information. I have a draft site up and running at http://midwife.server101.com Let me know what you think. I'll have your information on the site shortly. Cheers Jane Pregnancy, Birth and Beyond Caring, Professional Midwifery Services Sydney Visit http://www.pregnancy.com.au -Original Message- From: Denise Hynd [mailto:[EMAIL PROTECTED]] Sent: Sunday, 2 December 2001 9:24 PM To: Jane Palmer Subject: Re: Midwifery contacts Denise Hynd RN, RM, BApSc(NsgEd), IBCLC, MIDWIFE, Lactation Consultant. Offering research based information, personal support or care in pregnancy, childbirth, establishing breastfeeding and/or early parenting. 173 Wilding St Doubleview (Perth) WA 6018 Phone (08) 9446 1917 Mobile 041 793 2570 Email [EMAIL PROTECTED] Rebates are available from some health funds for my services. Other Lactation Consultant services available, phone for information or a leaflet. Also contactable through the Midwifery and Natural Childbirth Centre 336 Oxford St, Leederville (Perth) WA 6007. Phone (08) 9242-3330 As a Midwife I offer; . Support, care or information regarding all pregnancy, childbirth and early parenting options, . Antenatal consultations including; - physical assessment, - discussion of family history, personal health and expectations - personal preparation for childbirth. . Access to relevant resources such as; books, journals, databases or videos, . Introductions to other community based support groups and services. . Provision of equipment for birth, . Continuous attendance during active labour and I am on call prior to and after birth, as necessary. . Information and support to establish breastfeeding, . Taking of blood for newborn screening, . 5-7 post natal consultations, depending on the needs of mother and baby, . Provision of forms for birth registration and family allowances, If at any time transfer to hospital becomes necessary I will accompany you and remain with you until you are comfortable with the situation and care. Your doctor will provide the necessary medical care. When you are ready to return home, I will care for you and your baby as necessary. As a Lactation Consultant I offer; . Research based information, support and practical options to establish and/or maintain optimal infant nutrition, including consideration of advice from family members, friends or other health professionals, . Practical antenatal education about the importance of and how to successfully breastfeed, . Personal, office or home based post-natal consultations including; - mother and baby assessments, - discussion of personal expectations, experiences and options, . Ongoing over-the-phone, office or home-based follow-up where necessary, . Access to relevant resources such as; books, journals, databases or videos, . Introductions to other community based support groups or services, . Education presentations or updates on breastfeeding topics including; - The WHO Code on the Marketing of Infant Formula, - The Baby Friendly Hospital Initiative, - The Mother Friendly Workplace Initiative, - Kangaroo Care and Co-sleeping with babies, - Human Milk Banks. Cheers Jane Pregnancy, Birth and Beyond Caring, Professional Midwifery Services Sydney Visit http://www.pregnancy.com.au -Original Message- From: Denise Hynd [mailto:[EMAIL PROTECTED]] Sent: Tuesday, 27 November 2001 9:18 PM To: Jane Palmer Subject: Re: Midwifery contacts Dear Jane Yes thank you Denise Hynd - Original Message - From: Jane Palmer [EMAIL PROTECTED] To: 'Denise Hynd' [EMAIL PROTECTED] Sent: Monday, November 26, 2001 11:14 AM Subject: RE: Midwifery contacts Dear Denise I am going to add a link to the community midwifery site - but for those midwives who are interested I am going to list them individually. Would you like a listing? Cheers Jane Pregnancy, Birth and Beyond Caring, Professional Midwifery Services Sydney Visit http://www.pregnancy.com.au -Original Message- From: Denise Hynd [mailto:[EMAIL PROTECTED]] Sent: Saturday, 24 November 2001 11:21 AM To: Jane Palmer Cc: Mary Murphy; Lynda Tully; Lois Wattis; Laraine Hood; CMWA Subject: Re: Midwifery contacts Dear Jane Most of the
Re: NEJM study on C/s
Title: Re: NEJM study on C/s Sun 25/1//01 in the WA Sunday Times Dr Wright espoused the safety of once a c/s always a C/s based on a study form Washington Seattle published in last month's New England Journal of Medicine! Is this the study we have discussed on this list? If so what is the web address of the critique of it that was published on the list?? Does anyone know?? Upon searching the NEJM Online, I found this article I think its the one referred to. It has a very long address, so I would advise you copy and paste it onto your internet browser: Risk of Uterine Rupture during Labor among Women with a Prior Caesarean Delivery Lydon-Rochelle M., Holt V. L., Easterling T. R., Martin D. P. N Engl J Med 2001; 345:3-8, Jul 5, 2001. http://content.nejm.org/cgi/content/full/345/1/3?maxtoshow=HITS=20hits=20RESULTFORMAT=titleabstract=Caesarean%2C+cesarean%2C+c%2Fsection%2C+VBAC%2C+searchid=1007425220516_15130stored_search=FIRSTINDEX=0sortspec=PUBDATE_SORTDATE+desc+Score+descfdate=1/1/1990tdate=11/30/2001journalcode=nejm But you need to subscribe online to read the full text (which is the address above). I will paste the abstract below. Its address is: http://content.nejm.org/cgi/content/abstract/345/1/3?maxtoshow=HITS=20hits=20RESULTFORMAT=titleabstract=Caesarean%2C+cesarean%2C+c%2Fsection%2C+VBAC%2C+searchid=1007425220516_15130stored_search=FIRSTINDEX=0sortspec=PUBDATE_SORTDATE+desc+Score+descfdate=1/1/1990tdate=11/30/2001journalcode=nejm Basically it supports the findings that induced labour in VBAC women is riskier than a repeat c/section with no labour. There are studies that refute this, and I always try to encourage natural, physiological labour for any VBAC women who contact me. But the decision has always got to remain with the mother. She just needs to know the increased risks involved with induction/augmentation. Most women who contact our group choose natural VBAC labour, but if you must choose between continuuing a pregnancy that your child is not coping with, induction (with a chance of delivering vaginally) or an elective c/section, then I think the decision becomes too personal to trivialise. Dont you? BB Jackie Mawson. Volume 345:3-8 July 5, 2001 Number 1 Risk of Uterine Rupture during Labor among Women with a Prior Caesarean Delivery Mona Lydon-Rochelle, Ph.D., Victoria L. Holt, Ph.D., Thomas R. Easterling, M.D., and Diane P. Martin, Ph.D. Background Each year in the United States, approximately 60 percent of women with a prior caesarean delivery who become pregnant again attempt labor. Concern persists that a trial of labor may increase the risk of uterine rupture, an uncommon but serious obstetrical complication. Methods We conducted a population-based, retrospective cohort analysis using data from all primiparous women who gave birth to live singleton infants by caesarean section in civilian hospitals in Washington State from 1987 through 1996 and who delivered a second singleton child during the same period (a total of 20,095 women). We assessed the risk of uterine rupture for deliveries with spontaneous onset of labor, those with labor induced by prostaglandins, and those in which labor was induced by other means; these three groups of deliveries were compared with repeated caesarean delivery without labor. Results Uterine rupture occurred at a rate of 1.6 per 1000 among women with repeated caesarean delivery without labor (11 women), 5.2 per 1000 among women with spontaneous onset of labor (56 women), 7.7 per 1000 among women whose labor was induced without prostaglandins (15 women), and 24.5 per 1000 among women with prostaglandin-induced labor (9 women). As compared with the risk in women with repeated caesarean delivery without labor, uterine rupture was more likely among women with spontaneous onset of labor (relative risk, 3.3; 95 percent confidence interval, 1.8 to 6.0), induction of labor without prostaglandins (relative risk, 4.9; 95 percent confidence interval, 2.4 to 9.7), and induction with prostaglandins (relative risk, 15.6; 95 percent confidence interval, 8.1 to 30.0). Conclusions For women with one prior caesarean delivery, the risk of uterine rupture is higher among those whose labor is induced than among those with repeated caesarean delivery without labor. Labor induced with a prostaglandin confers the highest risk. Source Information From the Centre for Women's Health Research, Department of Family and Child Nursing, School of Nursing (M.L.-R.), the Department of Epidemiology, School of Public Health and Community Medicine (V.L.H.), the Department of Obstetrics and Gynaecology, School of Medicine (T.R.E.), and the Department of Health Services, School of Public Health and Community Medicine (M.L.-R., D.P.M.), University of Washington, Seattle. Address reprint requests to Dr. Lydon-Rochelle at the Centre for Women's Health Research, Mailstop 357262, University of Washington, Seattle, WA 98195-7262, or at [EMAIL PROTECTED].
RE: midwifery models
Hi there. So much of what goes on in the hospitals do my head in! Thank god I've only got 4 more weeks to go in the system before I return back to private practise!! I can't see any purpose in this practice of wee measuring but it does really just reinforce the idea that birth is not a normal process. I have not seen it done anywhere else that I have worked. And while I'm thinking about crazy hospitals I would like to say much I admire the midwives who work within the system for change. The constant advocacy and sometimes conflict I could not endure on a daily basis (6 months has nearly driven me crazy) so my hat is off to you. Midwives who work for change within the system are vital and your work is so valuable. For each woman who receives support from one midwife who really cares and struggles for best outcomes and works within a best practice model change comes and a difference is made for that woman, for that midwife and slowly (for it is surely that is the system) change is made. Peace and Joy sisters. Sally Westbury -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]On Behalf Of Denise Hynd Sent: Tuesday, 4 December 2001 6:29 PM To: Sadie Geraghty Cc: [EMAIL PROTECTED] Subject: Re: midwifery models Dear All Can you help Sadie out here Thank you Denise Dear Sadie I have passed your email onto the Ozmidwifery list I would feel the same as you. I never encountered this in my training in the UK but have in the past here in WA. Needless to say at home we just make sure the woman has voided and and all else is well before we go home after a birth. Denise - Original Message - From: Sadie Geraghty [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Monday, December 03, 2001 10:22 PM Subject: midwifery models Dear Denise, do you have any midwifery models/policies on passing urine after delivery? Where I am here in the UK, we have to get the women to measure and record their urine output for 24 hours after normal birth. It's doing my head in! Look forward to hearing from you, warm wishes, Sadie _ Get your FREE download of MSN Explorer at http://explorer.msn.com/intl.asp - Original Message - From: Sadie Geraghty [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Monday, December 03, 2001 10:22 PM Subject: midwifery models Dear Denise, do you have any midwifery models/policies on passing urine after delivery? Where I am here in the UK, we have to get the women to measure and record their urine output for 24 hours after normal birth. It's doing my head in! Look forward to hearing from you, warm wishes, Sadie _ 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. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
