Re: Guthries/breast feeding

2002-04-14 Thread Larry Megan

Adding to this discussion, when my new little man had his done we warmed his
heel first and he had just had a nice long feed and was off in that lovely
place babies go to. Still cuddling him, he barely flinched and was probably
more bothered by his brothers assisting us. This was done at home with a
MIPP, butI guess in the hospital it is not always easy timimg it so well.

Cheers
Megan Resch

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FW: consumer representation

2002-04-14 Thread Johnston

This message is from Robin Payne, who is a consumer activist 
extraordinaire, and runs the Choices for Childbirth work in Melbourne.

Dear friends

I have become the consumer rep. on the Royal Australian  New Zealand 
College of Obstetricians and Gynaecologist's (RANZCOG) curriculum 
development committee. Next Thursday (18th April)  I will participate in a 
full day workshop on the curriculum with 15 other committee members (all 
members of RANZCOG). I am keen to represent as broad a view as possible 
although feel there are some fundamental commonalities that all women would 
expect from the obstetrician as her carer. I would value any feedback and 
comments from anyone who wishes to comment as I have been asked to make a 
10 minute presentation at the study day on A Consumer View of What the 
Obstetrician and Gynaecologist Needs to be Like in 2020. As this is coming 
up fairly soon your comments would be appreciated asap. Even if you just 
jot down key points, I can then incorporate them into what I'm saying. I 
will also be providing feedback via the Maternity Coalition journal Birth 
Matters on my presentation for the day.
Please feel free to contact via email or on (03) 9380 2863 if you would 
like more info.
thanks, Robin Payne
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Re: consumer representation

2002-04-14 Thread Nikki Macfarlane

I wrote the following for another list I am on for doulas. This is my Gold
Standard:

What I would like to see, and aim for having established, in all
institutions and practices that support pregnant and
labouring women and new parents. The following is my gold standard. Perhaps
yours is different. perhaps we should each have our own if we have any hope
of effecting change.

The Gold Standard for All Birthing Women:

Antenatally:

No routine testing for fetal abnormality:
full explanations given of the false positive  negative rates, the benefits
and risks, the decisions that need to be considered when there is a positive
outcome to a test.

No routine ultrasound scanning except by maternal request

Full information provided on self help and dietary considerations for women
diagnosed with GBS, gestational diabetes, pre eclampsia, anaemia and high
blood pressure

Quality antenatal education available for all

Exercises taught to all women for encouraging a breech or posterior baby to
turn

ECV  moxibustion suggested and practiced wherever possible for breech
babies

All doctors taught the techniques  skills necessary for vaginal births of
breech babies

Consent forms for caesarean and epidural made available antenatally for
women to read, ask questions about and understand

Hospital policies and routines published and made available antenatally

Labour  Birth

The following not to occur unless there is a medical indication, which is
explained ot the mother with the benefits, risks, alternatives and possible
outcomes if nothing is done provided for her:

IV's  heplocks
episiotomy
electronic fetal monitoring
suctioning
eye drops
induction
pain relief
lying on the bed
stirrups
time limits
AROM
Vaginal examinations
restrictions on eating and drinking
stitching for first degree tears
cord traction fo rnatural third stage
drapes
enemas

The following made available in every birthing environment:

massage oil
mattress on the floor
dimmed lighting
adjustable temperature
water in the form of bath or shower
low lighting
heat packs
variety of seating (rocking chair, bean bag, birth ball etc)
perineal compresses
music

All babies to be with mother immeidately after delivery, unless there is a
medical need for baby to be separated

Baby to be weighed and measured in labour room and returned straight to
mother

No baby to be washed or cleaned except by maternal request

All mothers to be able to be upright and mobile if they wish to be,
encouraged by the staff to do this

Privacy available for all women, with all staff and attendants knocking
before entering her room

No pain relief to be offered by anyone in attendance, but available for any
woman who would like it

No limit on number of attendants that mother wishes to have around her

Vaginal examinations only by maternal request unless there is a complication
during labour

Postnatally

All mothers to be supported and encouraged to offer breastfeeding to baby
within one hour of delivery

No routine jaundice testing

No baby's in nursery unless requested by mother

No pacifiers or water to be offered

No artificial milk to be offered to breastfed babies unless there is a
medical indication

Full information on the risks and benefits of vaccination

Full information on the risks and benefits of circumcision

A room set aside in the special care baby unit for intensive care babies for
the parents to stay while their baby is in special care

Breastpump to be available to all women with babies in special care

All postnatal staff to be fully trained in breastfeeding techniques and
possible problems

All postnatal staff to be fully trained in recognising postnatal depression

Support groups available, and contacts given to all women, of groups to
support mothers with any problems or just to have support of other women
postnatally

That is what I am working towards. How do I do it? Empowerment of my
clients. Education of the doctors I work with. Speaking up if I see
something that I know is not supported by evidence and research. Don't sit
back and expect things to change. They won't unless we make it happen. Don't
blame doctors for being thoughtless, insensitive and not offering choice. If
we, and our clients, don't ask for it to be any different it never will be.
People do not change because everyone else is muttering to themselves about
how awful they are. They change because of pressure. Because they start to
hear of another way.

Nikki Macfarlane
- Original Message -
From: Johnston [EMAIL PROTECTED]
To: ozmidwifery list (E-mail) [EMAIL PROTECTED]
Cc: Robin Payne (E-mail) [EMAIL PROTECTED]
Sent: Sunday, April 14, 2002 5:07 PM
Subject: FW: consumer representation


 This message is from Robin Payne, who is a consumer activist
 extraordinaire, and runs the Choices for Childbirth work in Melbourne.

 Dear friends

 I have become the consumer rep. on the Royal Australian  New Zealand
 College of Obstetricians and Gynaecologist's (RANZCOG) curriculum
 development 

celebrating IMD - Australian Premiere - Singing the Bones

2002-04-14 Thread Sally Tracy


Dear List
to celebrate IMD in Sydney - the Valhalla theatre has been booked (and
300 seats up for grabs) for this FABULOUS moviebring along
midwives, daughters, mothers, friends, friends daughters..even
a bloke or two .and come to Glebe (Valhalla theatre ) on
The Australian Premiere of Singing the Bones
Sunday May 5th,
 3pm - 7pm
Valhalla theatre, Blebe Point rd , GLEBE
tickets (inc afternoon tea) $ 22
or
$170 for 10 from NSWMA tel: 0292819522
BLURB to follow
"The mystery, beauty and political turmoil surrounding what should be
nature's simplest gift, childbirth, are explored in this kaleidoscope
of
storytelling. SINGING THE BONES brings Canadian writer-performer
Caitlin Hicks' acclaimed one woman stage play beautifully to
film with
Hicks
Reprising her triple-threat performance.
As meg, a spirited Midwife practising illegally in rural Canada,
she
illuminates reasons why women "do not need to be saved by childbirth".
As
Nicole, a feisty young mother pregnant with twins, she howls
out the
sociological horrors and hilarity of he childbirth experience.
As Sara, an
ageing obstetrician, she embodies tragedy transformed into pure
survival.
In a deeply layered and visually arresting production by Gordon
Halloran,
employing his camera as almost another character in the drama, the
interlocking tales of the three women become a single narrative
that is
not just a woman's story, but an unforgettable window into the
human
experience"
D Quinones, Mill Valley Film Festival"



Learning Package for Midwives

2002-04-14 Thread NSW Midwives Association Inc



Hello to everyone on the List,

Please find below details of 'Learning Package for 
Midwives Call for Expression of Interest'

The NSW Midwives Association Inc. are seeking a 
skilled midwifery clinician/educator to write a self directed learning package 
for midwives wishing to refresh their clinical skills and knowledge. The 
primary audience for the package is midwives re-entering the workforce. 
Package contents will provide the latest evidence and support women-centred 
approaches to midwifery practice. If you feel you have the skills and 
experiences to write this package please send your application to our 
office. Applications from groups or organisations will be 
considered.

Applications of no more than 1500-2000 words, 
outlining a plan for the design of this package should include evidence 
of:

- Recent clinical midwifery 
experience in practice and /   
teaching
- Ability to write in an 
accessible professional style
- Ability to apply the principles 
of adult learning to teaching
- Ability to apply an 
evidence-based approach to teaching  and learning
- Capacity to meet agreed 
timeframes

Further information: 
 [EMAIL PROTECTED]
  

   Phone 02 9281 
9522

Applications close: 
 5pm Monday 6th May 2002

Forward applications to:Pat 
Brodie
  

   President 
NSWMA
 
PO BOX 62
 
GLEBE 2037
  

   OR [EMAIL PROTECTED]


I look forward to hearing from anyone on the list 
who may be interested.

Kind regards,

Pat Brodie
President
New South Wales Midwives Association 
Inc.