Re: [ozmidwifery] FW: births attended by midwives
A report by the Victorian Perinatal Data Collection Unit published in 1999 on Models of Antenatal Care Who Usually Delivers Whom and Where (WUDWAW) found that the person recorded as having their hands on at the time of birth (in Victoria over a 4 month period in 1998) was a hospital midwife in 37.6% of cases. Hope that helps a bit, Andrea Bilcliff - Original Message - From: Vernon at Stringybark [EMAIL PROTECTED] Dear List, Can anyone answer Heather's question? thanks Barb. From: haashe [EMAIL PROTECTED] Hello, I was hoping you could tell me the percentage of births in Australia that are delivered by midwives (both in the hospital and elswhere). I'm guessing about 20%. Thank you, Heather Haas -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
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Dear List, Is there a site I can go to, to compare Woman Friendly Language as opposed to "Obstetric terms" please? As an educator, it can be very trying to use correct terminology at times and for the benefit of my students, they also need to be aware of current appropriate language. Thank you in advance,Jenny Send and receive Hotmail on your mobile device: Click Here -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
Re: [ozmidwifery] Another VBAC
Hi Debbie Congratulations . It's wonderful to hear your happy birth story - on sept 11 Caesarean Awareness Day too- and especially after all the work you put into getting the best birth support for yourself. Margie Doula CBE Hi Ladies, Just to let you know my little daughter came into the world at 00.40am on 11th Sept 02. She was my 2nd VBAC. It was a wonderful experience. I had been niggly all day but just thought it was braxton hicks. I finally went into proper labour after putting my boys to bed at about 7.30 - 8.00 pm. We only just made it to the hospital, arriving at 11.45pm and it took me a good 10mins and 3 contractions to get from the car to the RWH Birth Centre Brisbane. She was a sort of water birth. Her head was born under water but then it was realised that her shoulder was stuck so I had to stand up to allow my wonderful midwife Marg to free her - and she did it with no episiotomy and only a tiny first degree tear. Claire was a little flat after her birth and needed some oxygen but picked up quickly and was fine by 10mins. We went home the same day at 7.30pm and she is a lovely content baby. The support I had from Marg, my wonderful husband Philip and my super doula Ann was just wonderful. I experienced this birth with no pain relief what so ever - it never really even occurred to me to have any. Despite the hiccup of the shoulder dystocia this was definitely my best birth. I have seen there has been some debate on doulas vs midwives - well a simple opinion from a woman who had both at her birth. There is a place for both. I had a good relationship with Marg and trusted her implicitly but she was my professional carer and this was her primary role necessitating her to potentially make decisions that required a degree of professional detachment for both my care and the baby's. Ann as my doula did not have to have any professional detachment at all. Even when Marg had to provide the medical attention to release Claire's shoulder Ann was able to provide for me a mothering role and advice to Philip and me that everything was ok and to keep applying supporting services, like the water being poured over my back and some strong shoulders to lean on and hold. I think it needs to be recognised that the trust relationship between the midwife and woman is very important and that there is no doubt the midwife a! ! s carer can provide valuable support and advice on support to the woman and her spouse - however sometimes there are hiccups and they must be her first priority and it is particularly at these times that the full value of the doula comes into play. Anyway just some food for thought. Debby Mum of Claire Elizabeth Margaret Miller Born: 11 Sept 02 Weight: 4080g (9lb) Length: 52cm Head: 34.7cm Features: Reddish blond hair, long fingers and absolutely beautiful. --- --- Join the world's largest e-mail service with MSN Hotmail. Click Here -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe. service with MSN Hotmail. Click Here -- This mailing list is sponsored by ACE Graphics. Visit to subscribe = or unsubscribe.=20 Looking for a free email account? Get one now at http://www.freemail.com.au/
RE: [ozmidwifery] FW: National Maternity Action Plan
Title: FW: National Maternity Action Plan Brilliant Justine! What a woman, Roll on NMAP! in solidarity (I REALLY like this sign off!) Carolyn Hastie -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]On Behalf Of Justine CainesSent: Monday, 16 September 2002 11:22 PMTo: OzMid ListSubject: [ozmidwifery] FW: National Maternity Action PlanDear Oz MiddersFYI, I posted the following reply on Ausfem-PolnetIn SolidarityJustine Caines -- Forwarded MessageFrom: Justine Caines [EMAIL PROTECTED]Date: Mon, 16 Sep 2002 23:20:07 +1000To: [EMAIL PROTECTED]Subject: National Maternity Action Plan Dear Barbara and AllIts pretty insulting to the great women across the country who have put many months into the development of this document to say you havent read it and then launch in with uninformed comment.The National Maternity Action Plan (NMAP) combines the plethora of evidence based research that determines midwives as the most appropriate and cost effective carers for the vast majority (80-85%) of women. NMAP is not about homebirth, NMAP is about all women being able to choose the care of a known midwife regardless of where they give birth.Less than 1% of Australian women can access the care of a known midwife. In NZ where women are able to choose their carer (legislation entitles a Midwife, GP and Obstetrician to be paid the same rate and women elect their carer and are funded by a birth payment) they have seen a rise in midwife care in 8 years from 14% to 72%. Women In Australia do not have equity of choice. In fact if a woman chooses to pursue a natural birth with a known midwife in the vast majority of cases she will have to fund the care herself (via an independent midwife). The cost of an independent midwife for the entire care from early pregnancy to 6 weeks post-natally including 1 on 1 care during the birth is less than a caesarean section alone. Please dont bandy choice when as a childbearing woman I can access an elective caesarean tomorrow without any medical indication that is considered 2-4 times more dangerous than a normal vaginal birth but I am actively discriminated against if I choose to access international best practice in maternity, the care of a known midwife.I see the choice of intervention for women in very safe hands, the medical lobby is very powerful and continues to claim interventionist practices as safer, despite an increase in the maternal death rate by 70% (The NHMRC Report revealed 46 direct maternal deaths showing an increase of 19 direct maternal deaths when compared to the 27 recorded in the previous triennium. This is the highest number of direct deaths reported since the 197981 triennium). http://www.nhmrc.gov.au/publications/pdf/wh32.pdfJustine CainesMum to Ruby, nearly 3, Clancy 18 months and Will 2 and a half monthsACT President The Maternity Coalition--- Barbara McGarity [EMAIL PROTECTED] wrote: Ihave not read the whole action plan, but I would be concerned if it led to an effort by government to push women out of maternity hospitals/wards because it would be cheaper for the government. Women should have choice, and there are many women who have successful home births, but women should not be coerced. (Sometimes women are coerced also into thinking there is something wrong or unwomanly with accepting pain reduction measures, and feel guilty when the birth comes and they need them.) Sometimes equipment is needed urgently when there is a glitch in the birth, and some women gain confidence from knowing that they have the hospital resources immediately available. Women need to be adequately informed about all options and risks before making a decision. I well remember when one grandchild was born and the mechanism that turns on babies' sugar absorption failed to kick in, which can result very quickly in death. Fortunately the doctor recognised the stress and put in a drip to save the baby (so quickly that he broke the baby's toe, which is better than a dead baby). I realise that this is not a very clinical description, but it was an emergency that needed the expertise and equipment very quickly. After a few days of the drip, the mechanism kicked in normally. Barbara -- End of Forwarded Message
Re: [ozmidwifery] FRIENDS birth!
For whatever reason the births on "Friends" have been intervention free: remember Phoebe had IVF triplets for her brother at term, drug free, all vaginal no problems at all, amazing concept. And yes, I have watched the show when I can, for years. marilyn ps better thanER where only drug addicts and street people are allowed to have somewhat normal births. - Original Message - From: James Stephanie Fairbairn To: [EMAIL PROTECTED] ; oz Sent: Monday, September 16, 2002 9:44 PM Subject: [ozmidwifery] "FRIENDS" birth! ANyone catch the last friends episode last night?? I suppose on the upside (considering most TV shows have appauling records of documenting birth!) - at least she: - was in labbour for more than 5 minutes - the birth was not dramatically inthe car/ corridor/ etc - appeared to have no pain relief or monitoring!!?? - was showing emotions in labour which are common eg:self doubt at the end - It was an undiagnosed breech - and was NOT rushed to theatre for a C/S! - OK it wasn't actually active birth but at least she wasn't flat on her back for the 2nd stage and appeared to be giving it some wellie!! (although would have probably had difficulty getting a breech out from that angle!) All very hilarious stuff - but am sure this has had a far more positive impact on the viewing public of how real births do happen than most of the media induced images. There was a MIDIRS review not so long ago (sorry can't remember) that examined media images of birth and breastfeeding and sure enough they came off pretty poorly as role models - Maybe influening the media/fictional type of imaging has more impact on the generl public than most campagins and rallies will ever have?! If pop stars (posh etc) have their births similarly scrutinised by fans - maybe manipulating media images with midwifery input / pressure can produce fictional role models with just as much clout as the real ones!! Just a thought! Steph.
Re: [ozmidwifery] FW: National Maternity Action Plan
Title: Re: [ozmidwifery] FW: National Maternity Action Plan Hi Marilyn You are right many of the cases the women had significant complications, and you would want to hope that it was women in severe distress that died, rather than healthy ones. The point the report very clearly makes is the link between c/s and post operative embolism. I still think we are within our rights to site the report as they warn of the link and increased risk and yet out there we still see it used consistently with none/little medical indication and in fact an increase reporting of c/s as the cosmetic and civilised way to give birth!! A little from the report During the triennium, there were approximately 150,000 Caesarean sections with four instances where the death was attributed primarily to the operation or to the anaesthetic. Although not taking into account any consideration of morbidity, the rate of one death per 37,500 cases is a useful index of the safety of Caesarean section in modern obstetric care. The known association between Caesarean section and postoperative thromboembolism should direct clinicians to assessing whether a patient undergoing Caesarean section is at increased risk, and in such circumstances to consider thromboprophylaxis. The 46 direct maternal deaths shows an increase of 19 direct maternal deaths when compared to the 27 recorded in the previous triennium. This is the highest number of direct deaths reported since the 197981 triennium. The reason for this increase is not clear and requires further investigation. The leading principal causes of direct maternal deaths remained pulmonary embolism (8; 17.4%), amniotic fluid embolism (8; 17.4%) and pre-eclampsia (6; 13.0%) (Table 8). There was one direct maternal death associated with a homebirth. Justine xx Hi Justine and all: Excellent reply Justine, go NMAP, I couldn't believe their response, it left me tongue tied and then you untied it. I do have a question on the maternal mortality stats: despite an increase in the maternal death rate by 70% (The NHMRC Report revealed 46 direct maternal deaths showing an increase of 19 direct maternal deaths when compared to the 27 recorded in the previous triennium. This is the highest number of direct deaths reported since the 197981 triennium). http://www.nhmrc.gov.au/publications/pdf/wh32.pdf I didn't access these just now, but I did read through them a month or so ago, and someone please correct me if I am wrong, but these women who died most if not all seemed really sick women, in other words pregnancy and childbirth compounded their illnesses and interventions didn't help but they all seemed very necessary. Desperate situations most if not all of them. I guess what I am saying is, that I really don't think increased interventions or obstetric care led to this increase in maternal deaths. Maybe there was an increase in severely ill women becoming pregnant, I don't know, it is being studied. I do not believe any of these women would have been candidates for midwifery led care unless the midwives were specialists in high risk obstetrics. I would really like to see another opinion on this as reading the cases quite honestly freaked me out. marilyn - Original Message - From: Justine Caines mailto:[EMAIL PROTECTED] To: OzMid List mailto:[EMAIL PROTECTED] Sent: Monday, September 16, 2002 6:22 AM Subject: [ozmidwifery] FW: National Maternity Action Plan Dear Oz Midders FYI, I posted the following reply on Ausfem-Polnet In Solidarity Justine Caines -- Forwarded Message From: Justine Caines [EMAIL PROTECTED] Date: Mon, 16 Sep 2002 23:20:07 +1000 To: [EMAIL PROTECTED] Subject: National Maternity Action Plan Dear Barbara and All Its pretty insulting to the great women across the country who have put many months into the development of this document to say you havent read it and then launch in with uninformed comment. The National Maternity Action Plan (NMAP) combines the plethora of evidence based research that determines midwives as the most appropriate and cost effective carers for the vast majority (80-85%) of women. NMAP is not about homebirth, NMAP is about all women being able to choose the care of a known midwife regardless of where they give birth. Less than 1% of Australian women can access the care of a known midwife. In NZ where women are able to choose their carer (legislation entitles a Midwife, GP and Obstetrician to be paid the same rate and women elect their carer and are funded by a birth payment) they have seen a rise in midwife care in 8 years from 14% to 72%. Women In Australia do not have equity of choice. In fact if a woman chooses to pursue a natural birth with a known midwife in the vast majority of cases she will have to fund the care herself (via an independent midwife). The cost of an independent midwife for the entire care from early pregnancy to 6 weeks post-natally including 1 on 1 care during the birth is less than a caesarean section
[ozmidwifery] Severe Nausea
Does anyone on the list have any more suggestions for a friend who has severe morning sickness is now 9+ weeks pregant? SShe has tried acupuncture chinese herbs as well as being admitted for IV rehydration being given Maxalon, Vit B6 even dexamethasone. I thought I'd consult the list for any more ideas. Thanks in anticipation. Rose -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] FRIENDS birth!
Yes, I saw the "Friends" birth. I thought it was amazing to see a baby born without an umbilical cord or placenta! Isn't it just incredible what superstars can do!! Seriously, why do they bother having a birth scene if they are going to be so ridiculously unrealistic? And of course she was on her back being coached when to push... I despair!!! Lois - Original Message - From: James Stephanie Fairbairn To: [EMAIL PROTECTED] ; oz Sent: Tuesday, September 17, 2002 12:44 PM Subject: [ozmidwifery] "FRIENDS" birth! ANyone catch the last friends episode last night?? I suppose on the upside (considering most TV shows have appauling records of documenting birth!) - at least she: - was in labbour for more than 5 minutes - the birth was not dramatically inthe car/ corridor/ etc - appeared to have no pain relief or monitoring!!?? - was showing emotions in labour which are common eg:self doubt at the end - It was an undiagnosed breech - and was NOT rushed to theatre for a C/S! - OK it wasn't actually active birth but at least she wasn't flat on her back for the 2nd stage and appeared to be giving it some wellie!! (although would have probably had difficulty getting a breech out from that angle!) All very hilarious stuff - but am sure this has had a far more positive impact on the viewing public of how real births do happen than most of the media induced images. There was a MIDIRS review not so long ago (sorry can't remember) that examined media images of birth and breastfeeding and sure enough they came off pretty poorly as role models - Maybe influening the media/fictional type of imaging has more impact on the generl public than most campagins and rallies will ever have?! If pop stars (posh etc) have their births similarly scrutinised by fans - maybe manipulating media images with midwifery input / pressure can produce fictional role models with just as much clout as the real ones!! Just a thought! Steph.
RE: [ozmidwifery] FW: ausfem-polnet Launch of National Maternity Action Plan
Hey...what about this poor kids toe? Owch! -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]] On Behalf Of Heartlogic Sent: Monday, September 16, 2002 7:18 PM To: Ozmidwifery Subject: [ozmidwifery] FW: ausfem-polnet Launch of National Maternity Action Plan Hi all, thought you may be interested in this message. I sent the information about NMAP to the Australian feminists political network. These are the only two responses. Shows what some people think... The launch couldn't be at a better time to help change the flow... Roll on NMAP! warmly, Carolyn Hastie -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]On Behalf Of Tammy Wolffs Sent: Monday, 16 September 2002 12:50 PM To: [EMAIL PROTECTED] Subject: Re: ausfem-polnet Launch of National Maternity Action Plan I agree, Barbara. While all choices should be available, they need to be informed choices. Pregnant women (or those considering pregnancy) are not always given adequate information about the risks, etc. Choice should also extend to the other end of the spectrum, so that women are given information and publicly funded access to elective interventionist methods, such as caesarian sections. --- Barbara McGarity [EMAIL PROTECTED] wrote: I have not read the whole action plan, but I would be concerned if it led to an effort by government to push women out of maternity hospitals/wards because it would be cheaper for the government. Women should have choice, and there are many women who have successful home births, but women should not be coerced. (Sometimes women are coerced also into thinking there is something wrong or unwomanly with accepting pain reduction measures, and feel guilty when the birth comes and they need them.) Sometimes equipment is needed urgently when there is a glitch in the birth, and some women gain confidence from knowing that they have the hospital resources immediately available. Women need to be adequately informed about all options and risks before making a decision. I well remember when one grandchild was born and the mechanism that turns on babies' sugar absorption failed to kick in, which can result very quickly in death. Fortunately the doctor recognised the stress and put in a drip to save the baby (so quickly that he broke the baby's toe, which is better than a dead baby). I realise that this is not a very clinical description, but it was an emergency that needed the expertise and equipment very quickly. After a few days of the drip, the mechanism kicked in normally. Barbara From: Annie Goldflam To: [EMAIL PROTECTED] Sent: Saturday, September 14, 2002 10:38 PM Subject: Re: ausfem-polnet Launch of National Maternity Action Plan I hereby endorse the National Maternity Action Plan Annie Goldflam 14 Vine Street North Perth WA 6006 - Original Message - From: Heartlogic To: [EMAIL PROTECTED] Sent: Saturday, September 14, 2002 7:56 AM Subject: ausfem-polnet Launch of National Maternity Action Plan Hello everyone, I'm writing to ask those of you who are interested in mother's issues and birthing rights tol endorse the National Maternity Action Plan and support it's launch September 24th 2002. NMAP details can be found at www.maternitycoalition.org.au/nmap.html The National Maternty Action Plan is a document which calls for government bodies to facilitate substantial change to the way in which maternity services are provided, by making available to all women the choice of community midwifery care, publicly funded. This model promotes continuity of care from ante natal, through labour and birth, and for post natal care. My feminism threw mothering out with the bathwater (I know I did, thinking that going out to work would make me equal - buying into the patriarchal model of what was important - and totally discounting the importance and value of mothering as a career path and how I could have been working to improve the lot of mothers and mothering). So now it's time to redress the imbalance and support women's choices in birth (and mothering), as well as in childcare options. Maternity Coalition et al are collecting endorsements from all sectors, letting our politicians know exactly how important this issue is to the community and how urgent action needs to be taken. NMAP will be officially launched in NSW at Parliament House on Tuesday September 24, other dates for other states Deb Slater is coordinating the NMAP endorsements and would love to hear from you. Her email address is: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]] we will be finalising the list by the end of next week in time for the launch - although I'm sure will be updating the list after that. If any of you want to endorse it, just paste the following statement into an email, and email it to Deb, with your
RE: [ozmidwifery] FW: National Maternity Action Plan
Title: Re: [ozmidwifery] FW: National Maternity Action Plan Hmm, my desire that it would... stir up the nest that is...sadly, I think all the hornets have left. :-) My idea of a joke. Actually, I think a lot of things people carry on about are a joke when the serious deep things of life like how mothers are treated in our society are left to flounder and i sure don't mean providing you beaut child care, although kibbutz style living would be a great idea! Our society is constantly getting things by the wrong end of the stick... anyway Kristy Ruddick has done us all proud hasn't she? As for in solidarity, I REALLY like it and I was a radical pinko once, theoretically that is, never joined the communist party, but certainly in my radical youth was a top far left socialist (still am :-) still a pure care for each other sort of person, but now, with insight on self responsibility but with the understanding that ignorance of universal laws leaves people incredibly disadvantaged. Ignorance is not bliss and hording the worlds wealth is not kind and imprisoning refugees is not just, so we keep the vision and keep on in solidarity :-) I won't be at Newcastle on the 12th. I'm off to NZ :-) I'm sorry to miss you. I admire you heaps. love, Carolyn -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]On Behalf Of Justine CainesSent: Tuesday, 17 September 2002 10:16 PMTo: OzMid ListSubject: Re: [ozmidwifery] FW: National Maternity Action Plan Hey Carolyn,Let me know if I stirred up a hornets nest on Ausfem. I am no longer a subscriber.As for the In Solidarity I sincerely mean it, a left over of the union movement, where most didnt mean it!!! But dont worry I wont call you Comrade!! Look forward to catching up in Newcastle on the 12thJustineBrilliant Justine! What a woman, Roll on NMAP!in solidarity (I REALLY like this sign off!)Carolyn Hastie -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]On Behalf Of Justine CainesSent: Monday, 16 September 2002 11:22 PMTo: OzMid ListSubject: [ozmidwifery] FW: National Maternity Action PlanDear Oz MiddersFYI, I posted the following reply on Ausfem-PolnetIn SolidarityJustine Caines -- Forwarded MessageFrom: Justine Caines [EMAIL PROTECTED]Date: Mon, 16 Sep 2002 23:20:07 +1000To: [EMAIL PROTECTED]Subject: National Maternity Action PlanDear Barbara and AllIts pretty insulting to the great women across the country who have put many months into the development of this document to say you havent read it and then launch in with uninformed comment.The National Maternity Action Plan (NMAP) combines the plethora of evidence based research that determines midwives as the most appropriate and cost effective carers for the vast majority (80-85%) of women. NMAP is not about homebirth, NMAP is about all women being able to choose the care of a known midwife regardless of where they give birth.Less than 1% of Australian women can access the care of a known midwife. In NZ where women are able to choose their carer (legislation entitles a Midwife, GP and Obstetrician to be paid the same rate and women elect their carer and are funded by a birth payment) they have seen a rise in midwife care in 8 years from 14% to 72%. Women In Australia do not have equity of choice. In fact if a woman chooses to pursue a natural birth with a known midwife in the vast majority of cases she will have to fund the care herself (via an independent midwife). The cost of an independent midwife for the entire care from early pregnancy to 6 weeks post-natally including 1 on 1 care during the birth is less than a caesarean section alone. Please dont bandy choice when as a childbearing woman I can access an elective caesarean tomorrow without any medical indication that is considered 2-4 times more dangerous than a normal vaginal birth but I am actively discriminated against if I choose to access international best practice in maternity, the care of a known midwife.I see the choice of intervention for women in very safe hands, the medical lobby is very powerful and continues to claim interventionist practices as safer, despite an increase in the maternal death rate by 70% (The NHMRC Report revealed 46 direct maternal deaths showing an increase of 19 direct maternal deaths when compared to the 27 recorded in the previous triennium. This is the highest number of direct deaths reported since the 197981 triennium). http://www.nhmrc.gov.au/publications/pdf/wh32.pdfJustine CainesMum to
Re: [ozmidwifery] Fetal Distress
Since the vena cava is on right the reason for choosing to turn onto the left side is to relieve any vena caval compression. You were right. KF --Kathleen FahyProfessor of MidwiferyHead of School of Nursing and MidwiferyFaculty of HealthThe University of NewcastleUniversity Drive,Callaghan, 2308 Ph 02 49215966 Fax 02 49216981 [EMAIL PROTECTED] 09/17/02 09:41pm A woman I was looking after last night came in at Term, contracting. Everything was pretty straight forward. I did a 'routine' admission CTG (because that's what I was told to do) and after 10 mins, there were decelerations to 60bpm lasting 4-5 mins!! I was about to ask her to roll onto her LEFT side because that is what I was taught but the other midwife (in charge) came in and told her to roll onto her right side. Who was right? I thought placental perfusion was more effecient if the woman was lying on her left side. Eliza
Re: [ozmidwifery] FW: National Maternity Action Plan
Dear Justine, I have just read your posting to Ausfem, you are doing a great job. I gather from your later comments it wasn't well received. If we are failing to reach feminists then I am worried. What were there issues or concerns? Kathleen --Kathleen FahyProfessor of MidwiferyHead of School of Nursing and MidwiferyFaculty of HealthThe University of NewcastleUniversity Drive,Callaghan, 2308 Ph 02 49215966 Fax 02 49216981 [EMAIL PROTECTED] 09/17/02 10:16pm Hey Carolyn,Let me know if I stirred up a hornets nest on Ausfem. I am no longer a subscriber.As for the In Solidarity I sincerely mean it, a left over of the union movement, where most didnt mean it!!! But dont worry I wont call you Comrade!! Look forward to catching up in Newcastle on the 12thJustineBrilliant Justine! What a woman, Roll on NMAP!in solidarity (I REALLY like this sign off!)Carolyn Hastie -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]On Behalf Of Justine CainesSent: Monday, 16 September 2002 11:22 PMTo: OzMid ListSubject: [ozmidwifery] FW: National Maternity Action PlanDear Oz MiddersFYI, I posted the following reply on Ausfem-PolnetIn SolidarityJustine Caines -- Forwarded MessageFrom: Justine Caines [EMAIL PROTECTED]Date: Mon, 16 Sep 2002 23:20:07 +1000To: [EMAIL PROTECTED]Subject: National Maternity Action PlanDear Barbara and AllIts pretty insulting to the great women across the country who have put many months into the development of this document to say you havent read it and then launch in with uninformed comment.The National Maternity Action Plan (NMAP) combines the plethora of evidence based research that determines midwives as the most appropriate and cost effective carers for the vast majority (80-85%) of women. NMAP is not about homebirth, NMAP is about all women being able to choose the care of a known midwife regardless of where they give birth.Less than 1% of Australian women can access the care of a known midwife. In NZ where women are able to choose their carer (legislation entitles a Midwife, GP and Obstetrician to be paid the same rate and women elect their carer and are funded by a birth payment) they have seen a rise in midwife care in 8 years from 14% to 72%. Women In Australia do not have equity of choice. In fact if a woman chooses to pursue a natural birth with a known midwife in the vast majority of cases she will have to fund the care herself (via an independent midwife). The cost of an independent midwife for the entire care from early pregnancy to 6 weeks post-natally including 1 on 1 care during the birth is less than a caesarean section alone. Please dont bandy choice when as a childbearing woman I can access an elective caesarean tomorrow without any medical indication that is considered 2-4 times more dangerous than a normal vaginal birth but I am actively discriminated against if I choose to access international best practice in maternity, the care of a known midwife.I see the choice of intervention for women in very safe hands, the medical lobby is very powerful and continues to claim interventionist practices as safer, despite an increase in the maternal death rate by 70% (The NHMRC Report revealed 46 direct maternal deaths showing an increase of 19 direct maternal deaths when compared to the 27 recorded in the previous triennium. This is the highest number of direct deaths reported since the 197981 triennium). http://www.nhmrc.gov.au/publications/pdf/wh32.pdfJustine CainesMum to Ruby, nearly 3, Clancy 18 months and Will 2 and a half monthsACT President The Maternity Coalition--- Barbara McGarity [EMAIL PROTECTED] wrote: Ihave not read the whole action plan, but I would be concerned if it led to an effort by government to push women out of maternity hospitals/wards because it would be cheaper for the government. Women should have choice, and there are many women who have successful home births, but women should not be coerced. (Sometimes women are coerced also into thinking there is something wrong or unwomanly with accepting pain reduction measures, and feel guilty when the birth comes and they need them.) Sometimes equipment is needed urgently when there is a glitch in the birth, and some women gain confidence from knowing that they have the hospital resources immediately available. Women need to be adequately informed about all options and risks before making a decision. I well remember when one grandchild was born and the mechanism that turns on
Re: [ozmidwifery] FW: births attended by midwives
Is that all? Under 40%? :( Jo -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Severe Nausea
Hi, no ideas how to fix severe nausea but it is important to keep up the fluids. I was recommended water with fresh lemon juice and found it easier to keep down than plain water. Hiope this helps, Cheers, Julia M. Does anyone on the list have any more suggestions for a friend who has severe morning sickness is now 9+ weeks pregant? SShe has tried acupuncture chinese herbs as well as being admitted for IV rehydration being given Maxalon, Vit B6 even dexamethasone. I thought I'd consult the list for any more ideas. Thanks in anticipation. Rose -- 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: [ozmidwifery] FW: National Maternity Action Plan
Title: FW: National Maternity Action Plan Dear Justine, This is a great response. I am sitting here listening to Radio National as they read out letters from listners. You should send them this in the hope they will read it out. Jackie - Original Message - From: Justine Caines To: OzMid List Sent: Monday, September 16, 2002 10:52 PM Subject: [ozmidwifery] FW: National Maternity Action Plan Dear Oz MiddersFYI, I posted the following reply on Ausfem-PolnetIn SolidarityJustine Caines -- Forwarded MessageFrom: Justine Caines [EMAIL PROTECTED]Date: Mon, 16 Sep 2002 23:20:07 +1000To: [EMAIL PROTECTED]Subject: National Maternity Action Plan Dear Barbara and AllIts pretty insulting to the great women across the country who have put many months into the development of this document to say you havent read it and then launch in with uninformed comment.The National Maternity Action Plan (NMAP) combines the plethora of evidence based research that determines midwives as the most appropriate and cost effective carers for the vast majority (80-85%) of women. NMAP is not about homebirth, NMAP is about all women being able to choose the care of a known midwife regardless of where they give birth.Less than 1% of Australian women can access the care of a known midwife. In NZ where women are able to choose their carer (legislation entitles a Midwife, GP and Obstetrician to be paid the same rate and women elect their carer and are funded by a birth payment) they have seen a rise in midwife care in 8 years from 14% to 72%. Women In Australia do not have equity of choice. In fact if a woman chooses to pursue a natural birth with a known midwife in the vast majority of cases she will have to fund the care herself (via an independent midwife). The cost of an independent midwife for the entire care from early pregnancy to 6 weeks post-natally including 1 on 1 care during the birth is less than a caesarean section alone. Please dont bandy choice when as a childbearing woman I can access an elective caesarean tomorrow without any medical indication that is considered 2-4 times more dangerous than a normal vaginal birth but I am actively discriminated against if I choose to access international best practice in maternity, the care of a known midwife.I see the choice of intervention for women in very safe hands, the medical lobby is very powerful and continues to claim interventionist practices as safer, despite an increase in the maternal death rate by 70% (The NHMRC Report revealed 46 direct maternal deaths showing an increase of 19 direct maternal deaths when compared to the 27 recorded in the previous triennium. This is the highest number of direct deaths reported since the 197981 triennium). http://www.nhmrc.gov.au/publications/pdf/wh32.pdfJustine CainesMum to Ruby, nearly 3, Clancy 18 months and Will 2 and a half monthsACT President The Maternity Coalition--- Barbara McGarity [EMAIL PROTECTED] wrote: Ihave not read the whole action plan, but I would be concerned if it led to an effort by government to push women out of maternity hospitals/wards because it would be cheaper for the government. Women should have choice, and there are many women who have successful home births, but women should not be coerced. (Sometimes women are coerced also into thinking there is something wrong or unwomanly with accepting pain reduction measures, and feel guilty when the birth comes and they need them.) Sometimes equipment is needed urgently when there is a glitch in the birth, and some women gain confidence from knowing that they have the hospital resources immediately available. Women need to be adequately informed about all options and risks before making a decision. I well remember when one grandchild was born and the mechanism that turns on babies' sugar absorption failed to kick in, which can result very quickly in death. Fortunately the doctor recognised the stress and put in a drip to save the baby (so quickly that he broke the baby's toe, which is better than a dead baby). I realise that this is not a very clinical description, but it was an emergency that needed the expertise and equipment very quickly. After a few days of the drip, the mechanism kicked in normally. Barbara -- End of Forwarded Message
[ozmidwifery] Forceps
My mum only told me in the last few years that I was "delivered" (well pulled out) by forceps. No wonder I'm so cranky about so much and particularly about birth. I can't find the dents yet though!! Jackie
[ozmidwifery] Modesty
My 5 years working in Muslim countries cemented my desire not to expose women unnecessarily even during examinations and birth. If she throws off that covers that I have put on it is her business but most appreciate the thought. Spoke with a women in the unit the other day about it and she compared our Muslim director of OB to another personand how she and her husband felt about the covered/uncovered examinations, covered won hands down. Husband was offended by a stranger groping around in his wifes genitals with no attempt at retaining modesty and dignity. Judy From: "Leanne Meddemmen" <[EMAIL PROTECTED]> Reply-To: [EMAIL PROTECTED] To: <[EMAIL PROTECTED]> Subject: Re: [ozmidwifery] RE: language Date: Tue, 17 Sep 2002 09:24:17 +1000 Beautifully put Edwina and I also cover women with a sheet,blanket and always give them privacy to prepare for same even on all fours, although I sometimes slip up too even after 15 years. Veronica and Rowena continue learning and observing from all around you (women,midwives,Drs) use what empowers, to be with women and never forget what you see that disempowers. Keep using women empowering/friendly language it will become first nature (rather than second) and remember we are all human and sometimes we ALL slip up. You are already beautiful Midwives. Leanne ;o ) - Original Message - From: Vance Edwina To: [EMAIL PROTECTED] Sent: Monday, September 16, 2002 5:58 PM Subject: RE: [ozmidwifery] RE: language Dear Veronica I would like you to know that the birth you wrote about touched me so much I have printed off a copy to hang up at work (hospital!). I would like to encourage you and Rowena in your studies and let you know that many of us use disempowering language without deliberate intent but because we have not learned any other way as yet. I slip up frequently! Please don't be offended by our colleagues on this list, their replies to you illustrate that they too sometimes use disempowering language without thought - we are all human after all. When I was a student midwife I remember being in a room with an experienced midwife who was about to do a VE. I placed a towel over the woman's lap as was (and still is) my habit to do as I believe this reduces visual exposure and helps maintain "dignity" (if that is possible with VEs!!). The midwife removed the towel - I replaced it! The midwife asked me what I was doing, I replied that I was trying to maintain some dignity for the woman. The midwife laughed, turned to the woman and said "Don't worry about her- she's a student!" A few years down the track I was employed as a midwife at this hospital (and still am) - no-one now questions use of the towel, or blanket etc and at least one of the doctors now places a towel over the women before she examines them! Continue to teach by example, continue to learn by observation and experience, there is always more to learn and someone to pass knowledge onto. Cheers J Edwina (midwife and mother, SA) Join the worlds largest e-mail service with MSN Hotmail. Click Here -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
Re: [ozmidwifery] Severe Nausea
Has she tried all the usual peppermint tea or ginger? I think fernergan is also used for nausea Jo -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Rant and possible policy change...
I'm sure you guys will be sick of me by now, but bad stuff just keeps happening when I'm around... A large baby was born: 4.590kg. Policy says the baby should have a BSL done because he was 'at risk' due to his size. BSL came back at 1.7mmol. Anything under 2.5 is unacceptable, and must be follwed by a TBG (True Blood Glucose) which is sent to the pathology lab for an accurate result. This often requires the baby to be prickedtwice, as the BSLmachine is just the same as those adult finger prick ones, and not enough blood for a TBG can usually be extracted. So if the BSL result comes back too low,a larger lancet (same as for a NST) is used to geta small vial of blood. Policy also says that you are not to wait for the TBG result before acting on the BSL result. So, this exclusively breast fed baby was given formula. Mum was consulted (after I told the midwife from SCNthat of course you have to ask her first!) and reluctantly said, "If he has to then I guess he has to... but can I still breast feed him?" So the baby was given formula. (NO idea why not breast... I think because 'he is such a big boy and colostrum isn't enough for him'.) A little while after the formula was given, the result of the TBG came back as 3.6mmol. I couldn't believe it... this baby was given formula FOR NOTHING. The BSL is known to be inaccurate, especially when results come back under 3.0, which is why the TBGs are done. What I didn't get is why the TBG isn't done in the first place, skipping the BSL all together? My answer was that the TBG result takes too long to come back from the lab, and if the sugar is too lowand the baby needs feeding now, there could be a bad outcome (brain damage, etc). I understand this, but this baby was showing NO sign of hypoglycaemia (and he wasn't hypo... he had a TBG of 3.6) and he could have quite safely waited for the TBG result... So, I put this to the manager of the SCN... She agrees that too many babies recieve formula unnecessarily, and agrees that a TBG should be the first line of glucose testing (especially for these once-off 'at risk' baby testing), but the response time for results need to be looked at. So that is what she is working out now, finding out if the TBG results, when marked URGENT can be returned sooner, so that there is not a too long waiting time. Hopefully this can happen and a known inaccurate peice of machinery can be removed! I hope this works out :) Jo Babies are Born... Pizzas are Delivered.
RE: [ozmidwifery] Severe Nausea
Dear Rose, The jasmine is flowering right now and it is taking all my strength to restrain myself from ripping it out by the roots...It was in full bloom at the height of my 'morning sickness'during my second last pregnancy... The smell of it still invokes such vivid memories of endless vomiting...I have to hold on to something as my body goes limp and I start to heave, even now. I had severe vomiting with all my pregnancies but the first two were managable... I vomited 30 -40 times a day (just ask my neighbours :)but I managed to stay healthy and sane. Not so for the next. I too went through the works in the quest for relief...nothing could touch it! I was not popular with acupuncturists and the like who had never failed to fix it! before. Interestingly it was a trip to a spiritual healer that changed things for me during that pregnancy. I cannot even begin to tell you what happened that day but suffice to say I (literally) crawled in to his room... bucket in hand, filling it as I went...and walked out a new person. There is a lot more going on in our psyches than we can ever imagine...our cells remember what our mind chooses to forget! Feeling a bit smug that I had conquered the beast...I went on to have a fourth babe and nearly expired during the experience! I didn't know where my healer man was and was too sick to look. I got to know even deeper aspects of myself during that dark dark time. For all the challenges, I did survive and my pregnancies lead to amazing births of the most beautiful children and I am truly blessed! I'm also glad none of my clients have ever been as sick ... It is truly demoralizing for those around to feel so helpless...I'm fine now but my mother and my chiropractor are still recovering. I think my midwife is ok...Lynne? LYNNE! Now...(she thinks back to why she wrote in the first place) I did read in the PRACTICING MIDWIFE of a product that claims great success with I believe over 90% of women with severe nausa and vomiting. I was almost tempted to have another baby! I think this may be it at Andreas web site.. Worth checking it out.. http://www.acegraphics.com.au/product/equip/be013.html Anyone have any experience of this product? My love to your friend! Vicki -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]] On Behalf Of roseandpeter Sent: Tuesday, September 17, 2002 10:38 PM To: Ozmidwifery Mailing List Subject: [ozmidwifery] Severe Nausea Does anyone on the list have any more suggestions for a friend who has severe morning sickness is now 9+ weeks pregant? SShe has tried acupuncture chinese herbs as well as being admitted for IV rehydration being given Maxalon, Vit B6 even dexamethasone. I thought I'd consult the list for any more ideas. Thanks in anticipation. Rose -- 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: [ozmidwifery] Another VBAC
Dear Debby, Thank you for sharing your beautiful birth story with us and many congrats to you and your family. Let us hope with NMAP, stories like this will be commonplace in the future. Maybe we will see you next week at King George Square on Sept. 24th. Cheers Joanne. - Original Message - From: Debby M To: [EMAIL PROTECTED] Cc: [EMAIL PROTECTED] Sent: Tuesday, September 17, 2002 7:25 AM Subject: [ozmidwifery] Another VBAC Hi Ladies, Just to let you know my little daughter came into the world at 00.40am on 11th Sept 02. She was my 2nd VBAC. It was a wonderful experience. I had been "niggly" all day but just thought it was braxton hicks. I finally went into proper labour after putting my boys to bed at about 7.30 - 8.00 pm. We only just made it to the hospital, arriving at 11.45pm and it took me a good 10mins and 3 contractions to get from the car to the RWH Birth Centre Brisbane. She was a "sort of" water birth. Her head was born under water but then it was realised that her shoulder was stuck so I had to stand up to allow my wonderful midwife Marg to free her - and she did it with no episiotomy and only a tiny first degree tear.Claire was a little flat after her birth and needed some oxygen but picked up quickly and was fine by 10mins. We wenthome the same day at 7.30pm and sheisa lovely content baby. The support I had from Marg, my wonderful husband Philip and my super doula Ann was just wonderful. I experienced this birth with no pain relief what so ever - it never really even occurred to me to have any. Despite the hiccup of the shoulder dystocia this was definitely my best birth. I have seen there has been some debate on doulas vs midwives - well a simple opinion from a woman who had both at her birth. There is a place for both. I had a good relationship with Marg and trusted her implicitly but she was my professional carer and this was her primary role necessitating her to potentially make decisions that required a degree of professional detachment for both my care and the baby's. Ann as my doula did not have to have any professional detachment at all. Even when Marg had to provide the "medical" attention to release Claire's shoulder Ann was able to provide for me a mothering role and advice to Philip and methat everything was ok and to keep applying supporting services, like the water being poured over my back and some strong shoulders to lean on and hold. I think it needs to be recognised that the trust relationship between the midwife and woman is very important and that there is no doubt the midwife a! s carer can provide valuable support and advice on support to the woman and her spouse - however sometimes there are "hiccups" and they must be her first priority and it is particularly at these times that the full value of the doula comes into play. Anyway just some food for thought. Debby Mum of Claire Elizabeth Margaret Miller Born: 11 Sept 02 Weight: 4080g (9lb) Length: 52cm Head: 34.7cm Features: Reddish blond hair, long fingers and absolutely beautiful. Join the worlds largest e-mail service with MSN Hotmail. Click Here-- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
Re: [ozmidwifery] Severe Nausea
I believe that WCH did a trial on ginger (still going on?), which proved to be very effective in controlling nausea. A good friend of mine is just going through the worst nausea of all her pregnancies and she has been taking ginger tablets, as she hates ginger. It seemed to be help her enormously. I dont know the quanitities recommended though. She is still dog tired at 14 weeks, maybe its because its the third bubs. Carolyn Julia Monaghan wrote: Hi, no ideas how to fix severe nausea but it is important to keep up the fluids. I was recommended water with fresh lemon juice and found it easier to keep down than plain water. Hiope this helps, Cheers, Julia M. Does anyone on the list have any more suggestions for a friend who has severe morning sickness is now 9+ weeks pregant? SShe has tried acupuncture chinese herbs as well as being admitted for IV rehydration being given Maxalon, Vit B6 even dexamethasone. I thought I'd consult the list for any more ideas. Thanks in anticipation. Rose -- 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. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Another VBAC
Dear Debby What a wonderful birth, congratulations. I am sure you are completely over the moon after your struggle for your right to birth in your choice of environment. Lets hope you have paved the way for more women to have vbac's in birth centres. Thanks for managing to birth her on the National Caesarean Awareness Day, can we make her an honorary Vbacker Wacker? That's what we call our cherubs :-D . I concur with what you said about doula's, dont like that term much though. The role of doula is not associated with the role of a midwife, a doula is an independent person not working for the hospital and therefore has no responsibilities for the hospital. Each one has their own speciality and need. Research has also shown, that the benefits experienced by having a doula, were actually due to the fact that she was only acting to support the woman emotionally and physically. And for a VBAC woman, a doula is in my opinion - essential! Along with continuity of midwifery care, of course - but that is an obvious fact. Continuity and known carers are the key. Enjoy your 'little' bundle of joy, hope she sleeps and breastfeeds like a dream. Carolynx Debby M wrote: Hi Ladies, Just to let you know my little daughter came into the world at 00.40am on 11th Sept 02. She was my 2nd VBAC. It was a wonderful experience. I had been "niggly" all day but just thought it was braxton hicks. I finally went into proper labour after putting my boys to bed at about 7.30 - 8.00 pm. We only just made it to the hospital, arriving at 11.45pm and it took me a good 10mins and 3 contractions to get from the car to the RWH Birth Centre Brisbane. She was a "sort of" water birth. Her head was born under water but then it was realised that her shoulder was stuck so I had to stand up to allow my wonderful midwife Marg to free her - and she did it with no episiotomy and only a tiny first degree tear.Claire was a little flat after her birth and needed some oxygen but picked up quickly and was fine by 10mins. We wenthome the same day at 7.30pm and sheisa lovely content baby. The support I had from Marg, my wonderful husband Philip and my super doula Ann was just wonderful. I experienced this birth with no pain relief what so ever - it never really even occurred to me to have any. Despite the hiccup of the shoulder dystocia this was definitely my best birth. I have seen there has been some debate on doulas vs midwives - well a simple opinion from a woman who had both at her birth. There is a place for both. I had a good relationship with Marg and trusted her implicitly but she was my professional carer and this was her primary role necessitating her to potentially make decisions that required a degree of professional detachment for both my care and the baby's. Ann as my doula did not have to have any professional detachment at all. Even when Marg had to provide the "medical" attention to release Claire's shoulder Ann was able to provide for me a mothering role and advice to Philip and methat everything was ok and to keep applying supporting services, like the water being poured over my back and some strong shoulders to lean on and hold. I think it needs to be recognised that the trust relationship between the midwife and woman is very important and that there is no doubt the midwife! a! ! s carer can provide valuable support and advice on support to the woman and her spouse - however sometimes there are "hiccups" and they must be her first priority and it is particularly at these times that the full value of the doula comes into play. Anyway just some food for thought. Debby Mum of Claire Elizabeth Margaret Miller Born: 11 Sept 02 Weight: 4080g (9lb) Length: 52cm Head: 34.7cm Features: Reddish blond hair, long fingers and absolutely beautiful. Join the worlds largest e-mail service with MSN Hotmail. Click Here -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
Re: [ozmidwifery] language
Hi Sue Your program is truly positive, it is unfortunately quite unique. I wish it was otherwise. There are some really dedicated people here in Adelaide plugging away at the 'system'. We live in hope of enlightening others about vbac and caesarean issues. We have one private hospital here who offer a vbac education class, but the demand is so low that she does it on a one on one basis now. Motivation and encouragement is an ongoing need, I agree. But is gets me fired up when I hear this type of thing (veronica's incident), as women are very influenced by passing comments made by midwives and obstetricians, and will often take them at face value. Thank you for all the wonderful work you do, it is fantastic. Carolyn Sue Crosby wrote: Carolyn, On a more positive note, I was at work today and asked by one of my midwife colleagues could I please talk to two of our women who had had caesarean births about out vbac program. On introducing myself and the information I had for one of the women before I had even mentioned our vbac program she said a friend of hers had already spoken to her about vbac's and told her about our program. Our unit is a small unit in rural Victoria. Please keep up with your motivation because it does start to diffuse. Take care everyone, Regards, Sue Crosby, Midwife From: Carolyn Donaghey [EMAIL PROTECTED] Reply-To: [EMAIL PROTECTED] To: [EMAIL PROTECTED] [EMAIL PROTECTED] Subject: [ozmidwifery] language Date: Mon, 16 Sep 2002 11:15:09 +0930 The other day at handover I said a woman had had a VBAC instead of Trial of scar. And 3 of the 4 midwives said What do you mean?, what is that? and I tried to explain that trial of scar was disempowering to women and that it was setting them up for failure. The 4th midwife who knew what it meant said It's one of those new words they learn out at Uniand they basically laughed at me. Go Veronica! What is really scary is that VBAC women would be cared for by these dinosaurs who probably still think that once a caesarean always a caesarean is the 'safest way'. We are actually constantly amazed that a term such a vbac which was coined in the early 70's should be unknown by midwives. Carolyn _ MSN Photos is the easiest way to share and print your photos: http://photos.msn.com/support/worldwide.aspx -- 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.
[ozmidwifery] more VBAC NMAP
Dear Joanne and others The launch of NMAP wil be irrelevant unless each and every one of you go to your state and federal politician and tell them you want them to implement it. Those of you who live in NSW and want the issues and demands to present and discuss with you polies in less than 45 pages email me (off list below) and i will send you a copy ofMC's Issues/strategy document (3 pages). Denise [EMAIL PROTECTED] - Original Message - From: Mrs joanne m fisher To: [EMAIL PROTECTED] Sent: Wednesday, September 18, 2002 12:23 PM Subject: Re: [ozmidwifery] Another VBAC Dear Debby, Thank you for sharing your beautiful birth story with us and many congrats to you and your family. Let us hope with NMAP, stories like this will be commonplace in the future. Maybe we will see you next week at King George Square on Sept. 24th. Cheers Joanne. - Original Message - From: Debby M To: [EMAIL PROTECTED] Cc: [EMAIL PROTECTED] Sent: Tuesday, September 17, 2002 7:25 AM Subject: [ozmidwifery] Another VBAC Hi Ladies, Just to let you know my little daughter came into the world at 00.40am on 11th Sept 02. She was my 2nd VBAC. It was a wonderful experience. I had been "niggly" all day but just thought it was braxton hicks. I finally went into proper labour after putting my boys to bed at about 7.30 - 8.00 pm. We only just made it to the hospital, arriving at 11.45pm and it took me a good 10mins and 3 contractions to get from the car to the RWH Birth Centre Brisbane. She was a "sort of" water birth. Her head was born under water but then it was realised that her shoulder was stuck so I had to stand up to allow my wonderful midwife Marg to free her - and she did it with no episiotomy and only a tiny first degree tear.Claire was a little flat after her birth and needed some oxygen but picked up quickly and was fine by 10mins. We wenthome the same day at 7.30pm and sheisa lovely content baby. The support I had from Marg, my wonderful husband Philip and my super doula Ann was just wonderful. I experienced this birth with no pain relief what so ever - it never really even occurred to me to have any. Despite the hiccup of the shoulder dystocia this was definitely my best birth. I have seen there has been some debate on doulas vs midwives - well a simple opinion from a woman who had both at her birth. There is a place for both. I had a good relationship with Marg and trusted her implicitly but she was my professional carer and this was her primary role necessitating her to potentially make decisions that required a degree of professional detachment for both my care and the baby's. Ann as my doula did not have to have any professional detachment at all. Even when Marg had to provide the "medical" attention to release Claire's shoulder Ann was able to provide for me a mothering role and advice to Philip and methat everything was ok and to keep applying supporting services, like the water being poured over my back and some strong shoulders to lean on and hold. I think it needs to be recognised that the trust relationship between the midwife and woman is very important and that there is no doubt the midwife a! s carer can provide valuable support and advice on support to the woman and her spouse - however sometimes there are "hiccups" and they must be her first priority and it is particularly at these times that the full value of the doula comes into play. Anyway just some food for thought. Debby Mum of Claire Elizabeth Margaret Miller Born: 11 Sept 02 Weight: 4080g (9lb) Length: 52cm Head: 34.7cm Features: Reddish blond hair, long fingers and absolutely beautiful. Join the worlds largest e-mail service with MSN Hotmail. Click Here-- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
Re: [ozmidwifery] Rant and possible policy change...
Sadly not an unusual scenario in WA and NSW hospitals I have worked in When you know the impact of 1 formula feed on the gut flora it should not happen or maybe a mother will sue a hospital one day?? Denise - Original Message - From: JoFromOz To: [EMAIL PROTECTED] Sent: Wednesday, September 18, 2002 11:54 AM Subject: [ozmidwifery] Rant and possible policy change... I'm sure you guys will be sick of me by now, but bad stuff just keeps happening when I'm around... A large baby was born: 4.590kg. Policy says the baby should have a BSL done because he was 'at risk' due to his size. BSL came back at 1.7mmol. Anything under 2.5 is unacceptable, and must be follwed by a TBG (True Blood Glucose) which is sent to the pathology lab for an accurate result. This often requires the baby to be prickedtwice, as the BSLmachine is just the same as those adult finger prick ones, and not enough blood for a TBG can usually be extracted. So if the BSL result comes back too low,a larger lancet (same as for a NST) is used to geta small vial of blood. Policy also says that you are not to wait for the TBG result before acting on the BSL result. So, this exclusively breast fed baby was given formula. Mum was consulted (after I told the midwife from SCNthat of course you have to ask her first!) and reluctantly said, "If he has to then I guess he has to... but can I still breast feed him?" So the baby was given formula. (NO idea why not breast... I think because 'he is such a big boy and colostrum isn't enough for him'.) A little while after the formula was given, the result of the TBG came back as 3.6mmol. I couldn't believe it... this baby was given formula FOR NOTHING. The BSL is known to be inaccurate, especially when results come back under 3.0, which is why the TBGs are done. What I didn't get is why the TBG isn't done in the first place, skipping the BSL all together? My answer was that the TBG result takes too long to come back from the lab, and if the sugar is too lowand the baby needs feeding now, there could be a bad outcome (brain damage, etc). I understand this, but this baby was showing NO sign of hypoglycaemia (and he wasn't hypo... he had a TBG of 3.6) and he could have quite safely waited for the TBG result... So, I put this to the manager of the SCN... She agrees that too many babies recieve formula unnecessarily, and agrees that a TBG should be the first line of glucose testing (especially for these once-off 'at risk' baby testing), but the response time for results need to be looked at. So that is what she is working out now, finding out if the TBG results, when marked URGENT can be returned sooner, so that there is not a too long waiting time. Hopefully this can happen and a known inaccurate peice of machinery can be removed! I hope this works out :) Jo Babies are Born... Pizzas are Delivered.
Re: [ozmidwifery] Rant and possible policy change...
Speaking of Breastfeeding.
Today I had the most wonderful, memorable tutorial with students in third
year. They were giving a presentation on how contemporary OZ women can be
helped to BF. One of the students, mother of 4 from Guana (?sp), spoke
eloquently about various social and cultural issues. She had on her
national dress (beautiful colourful dress) with a doll (white with blonde
hair!) attached to her back as they do there. At the end, she did a 'role
play' - you guessed it - a 'demo' breastfeed for the dolly ('baby') and
then asked the class how they felt about her taking out her breast in
public, to illustrate the variety of reactions. What a priceless enthusiasm
for the topic. (She also wore her black maternity bra to illustrate this
too). She was so proud to tell me how she had fed 4 babies. A couple of
students were slightly taken-aback - the rest just took it all in their
stride as they would breastfeeding in public, but what a great illustration
of the issues she was trying to get across. I am continually learning from
my students. (Don't think I'll be doing a 'demo' though.)
Penny.
Penelope A. Barrett RN, CM, PhD, BEd(Nurs.), FRCNA, FCN(NSW), MACM
Lecturer (Midwifery)
Faculty of Nursing (M 02)
The University of Sydney
NSW Australia 2006
Ph 61 2 9351 0619
Mobile 04 1230 2264
...let me ask you as I close, to lift your eyes beyond the dangers of
today, to
the hopes of tomorrow, beyond the freedom merely of this city of Berlin,...to
the advance of freedom everywhere, beyond the wall to the day of peace with
justice, beyond yourselves and ourselves to all (hu)mankind.
Freedom is indivisible, and when one (hu)man is enslaved, all are not free.
Remarks in the Rudolph Wilde Platz
President John F. Kennedy
West Berlin
June 26, 1963
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[ozmidwifery] EPI-NO consumer comments
Hi listers I thought Id forward on an email that was sent to me recently by a woman from my hospital classes. I thought with the recent discussion about the epi-no product there may be some interest in what a consumer has to say. Warm regards, Julie Dear Julie, Thank you for organising the postnatal reunion on 7 Sept. It was really good to catch up! Anyway, do you remember we were talking about Epi-No that day. With this e-mail I thought I'd give you some more detailed info about my birth experience. I had a very long induced labour, which started with the insertion of prostin gel, after which my membranes were ruptured, an oxytocin drip was set up as well as an epidural. Despite all this I managed to push my baby out myself within an hour,without ANY stitches, with an intact perineum apart from a tiny internal tear. I believe my positive experience must be due to the training with Epi No during the last few weeks of my pregnancy. I only managed to reach a diameter of 8.5cm (of the max. 10cm recommended)in the last few days before the delivery but I do have to admit, my baby was quite small (2.78kg, 33cm head circumference). The advantages of Epi-No, I think, are as follows: - Obviously, the slow stretching of the perineum prevents tears and episiotomy. - Even with the use of the epidural, one can still have a natural birth without the use of forceps (I was a forceps baby myself although my mum didn't have an epidural) as the training helps stretch the birth canal. - The pushing stage is considerably shorter as the birth canal is more stretchable, which has a positive effect on the health of baby (Apgar scores). - You gain a feeling of accomplishment as the Epi No is one of the few things that can physically prepare you for the delivery. And you feel even better when you get surprised reactions on informing peoplethat you didn't need any stitches! - The recovery process is much faster. I am convinced that without the Epi No training I would have ended up with an episiotomy, and possibly a forceps delivery. So I wanted to thank you for introducing me to this wonderful product. By the way, I forgot to mention that I used another product you recommended in the class - the pregnancy rocker. At some stage I was convinced the baby was posterior (heartbeat on right hand side, kicking to front), and I decided to rent the rocker. After using it for a few days, the baby turned to the other side, just as predicted on the accompanying leaflet. Whether it's due to the pregnancy rocker or not, the baby was in a perfect position for birth, and I did not have to go through the problems associated with a posterior baby. Again, Julie,thank you very much for introducing the rocker in the class. A final thank you for conducting the classes. As you can read from the above, they have been very helpful. Wishing you all the best with your current and future classes, Viv
