Re: [ozmidwifery] blood glucose testing
Hi Jo, Have you seen the WHO paper Hypoglycemia of the Newborn ? (I think that is the name of it and I think can be found on the WHO website). Very helpful for establishing guidelines around blood glucose testing and treatment. Meaghan Moon Brandon, Manitoba, Canada At 11:54 AM 9/18/02 +1000, you wrote: 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 pricked twice, as the BSL machine 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 get a 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 SCN that 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 low and 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. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] A mans point of view.
Mary M, thanks so much for sending this item. The following is a response I sent to Lifematters. In solidarity, Carolyn Hastie Oh dear! I read this man Sean Kelly's story with a deep sense of sorrow. How sad his experience is for himself and for his children and his partner. Humour is great isn't it? It relieves stress and is a great coping strategy. It also allows us to see under the surface and is a powerful social commentary. Leunig's wonderful cartoons bear testimony to that. Alas, it demonstrates in this situation, how the birth of a baby can be less than optimum for the child's wellbeing. Current brain and behavioural research shows how important it is that children are wanted and are welcomed with caring loving arms and hearts. This man's story also shows how fathers can feel alienated and dismissed. It is becoming more and more obvious that the environment around and within a mother influences the foundations of the sense of self of the infant. The early foundation sets the matrix for the emergence of the adult. The situation this man, Sean Kelly describes sounds typical of one where the couple have not had the opportunity to explore their feelings about parenting, nor have they been able to explore the realities of childbirth and develop effective self management strategies for pregnancy, birth, relationships or parenting. It is also clear that the couple did not know the midwives who were caring for them and therefore there was no rapport and no inclusion of the father in the transformative and extraordinary process of giving birth to a new, precious human being. What a tragedy. The good news is that it can be so different. Couples who have access to one to one midwifery care are enabled to explore their feelings, develop self management strategies and understand the process. One to one midwifery care also enables the father to become and feel valued and part of the whole process. To help him feel included, vitally important, unlike the way this man, Sean Kelly apparently felt, totally out of what was going on, being sent to get vases rather than allowed to be over-awed at the amazing journey of the human spirit and the sacredness of the process. A group called Materntiy Coaltion, consisting of various women's groups, mothers, midwives and others who care about birth and what happens to our babies at birth have consulted across Australia and have written a National Maternity Action Plan (NMAP) 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, their partners and their families, the choice of publically funded community midwifery care. This model promotes continuity of care from ante natal, through labour and birth, and for post natal care. The National Maternity Action Plan is being launched across Australia on the 24th September. People are gathering in every major city at the respective Parliament houses to launch NMAP. For more details, please call me, Carolyn Hastie, 0418 428 430. warmly, Carolyn Hastie "True self worth, success and wealth can only come about from responsible love, caring and compassionate thoughts and actions." Ty Metsker Child Development, Family and Individual Counselor
Re: [ozmidwifery] progestrone implants
Hello Ann, Your Gyno, which sounds more like a Rhino, is suggesting that you change from six to half a dozen! I am a gynecologist in Brazil and recently published a book on natural menopause and healthy living, bringing some light into this hormone imposition debate. (I am currently translating this book into english and aiming to publish it soon) It has surprised me over the years how much interventionizim this technocratic world has imposed on women´s reproductive cycles. Just take a look at the quality of debates on childbirth that we have on this list. I am sorry to inform you that no one needs hormonal implants, and specially you with your migranes will certainly not benefit at all with progesterone implanted into you. Every woman should be an informed of her options and whether or not they are willing to submit themselves to the hazardous effects of such chemistry implanted into their body. I strongly suggest you seek non-hormonal methods of birth control Have you tried diafragm? Hope to have helped you, Sincerely Maria Helena - Original Message - From: Ann green [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Friday, September 20, 2002 11:13 PM Subject: [ozmidwifery] progestrone implants Dear List, The gyno. has suggested that I may need a progestrone implant.Does anyone have any advice on this.About 20 years ago I stopped taking the pill due to the increase of intensity and frequency of migraines.I used to get 5 migraines per week.Would this be the case with an implant?Ann --- p.s.she is suggesting that it is just hormonal,tests have been done-no results yet __ Do You Yahoo!? Everything you'll ever need on one web page from News and Sport to Email and Music Charts http://uk.my.yahoo.com -- 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] RE: language
Dear Carolyn, Tried to open the site you sent me for the article on language but only got a site trying to promote and sell something. Not sure if I was doing something wrong or what. Really want to reasd the article sp could you guide me to it again. Thanks Rowena - Original Message - From: Heartlogic To: [EMAIL PROTECTED] Sent: Sunday, September 15, 2002 11:52 PM Subject: RE: [ozmidwifery] RE: language Hey Rowena and Veronica, you two are amazing! So wonderful to see such courage and willingness to learn, explore and stand up for women's psychological and emotional space! I agree, it is daunting to post to the list. I always wonder how what I say will be interpreted. Woman friendly language is a challenge. For the more senior midwives from the old school (and I'm one of them) it is a big deal to shift from saying 'deliver' and 'delivery' to "helping/assisting" and "birth", To change our language is a paradigm and power shift as well as a shift in terminology and we all know what creatures of habit we humans are! Doesn't it also show you Veronica, how arrogant we humans can become when we don't think we need to read and update ourselves on what's going on in the big wide world? The fact that three out of the four said what's that? about VBAC says something. And thelaughing indicates their discomfortat not knowing. The important thing in life is to be a continual learner, to always know there is more to learn and each woman teaches us something different, something new. Our colleagues do too, each one teaches us something, even if it is how not to be :-) It's interesting how people dismiss the idea of language being important, but whole worlds of ideology, philosphy and ethics are bound in words... Some ideas on language, for example... Calling women 'girls' diminishes women, think about the stereotype of what a 'girl' is, and you get the idea. Calling women 'ladies' - ladies wear pearls and twinsets and sit with their legs together, don't yell and are polite at all times. Ladies can't give birth. Birth is wild and naked and raw, it is on the sexual continuum and is out of control :-) not ladylike at all.( Wild gutsy ) Women give birth. Saying "I had a delivery or I had a birth or I had three babies last night etc" is power based language...who has the power here? WHO gave birth?? I could go on... I have some great references for you if you want, I wrote a paper on language and I can email it to you, let me know your email address and I will send it. Thank you both for contributing and letting us know what you are learning/experiencing and being willing to ride the waves of a changing system. We need you. warmly, Carolyn Hastie -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]On Behalf Of Veronica HerbertSent: Sunday, 15 September 2002 10:53 PMTo: [EMAIL PROTECTED]Subject: Re: [ozmidwifery] RE: language Dear Carol, Thank you so much. What you say is so true. I have a great passion for midwifery and I learn a lot from the discussions on here. My lecturers at my Uni are always making sure we are using 'womanly language' and we are always getting picked up on what we say (isn't that right Kerry!!!). But, when we go into our clinical setting it is a different matter. The other day at handover I said a woman had had a "VBAC" instead of "Trial of scar". And3 of the4 midwives said "What do you mean?, what is that?" and I tried to explain thattrial of scarwas 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 Uni"and they basically laughed at me. It does take alot of courage to stand up and voice your opinion or even try to explain something when you are still learning and don't have a big knowledge base.For me, I only did my graduate year of nursing last year, I started Midwifery in February and I will be finished (hopefully) somewhere around the end of October. I have had 8 months of learning a whole new profession. from Veronica Herbert (Midwifery Student, University of Ballarat). - Original Message - From: Carol Thorogood To: [EMAIL PROTECTED] ; [EMAIL PROTECTED] Sent: Sunday, September 15, 2002 7:33 PM Subject: [ozmidwifery] RE: language Dear allI know how important it is to use 'womanly language' and how using terms such as deliveries and LUSCs to describe women can be disempowering. But, please can I also suggest that when we 'correct' others' mistakes especially if they are inadvertently made by midwifery students that we do it
Re: [ozmidwifery] A mans point of view.
Brilliant - Original Message - From: Heartlogic To: [EMAIL PROTECTED] Sent: Saturday, September 21, 2002 7:05 PM Subject: RE: [ozmidwifery] A mans point of view. Mary M, thanks so much for sending this item. The following is a response I sent to Lifematters. In solidarity, Carolyn Hastie Oh dear! I read this man Sean Kelly's story with a deep sense of sorrow. How sad his experience is for himself and for his children and his partner. Humour is great isn't it? It relieves stress and is a great coping strategy. It also allows us to see under the surface and is a powerful social commentary. Leunig's wonderful cartoons bear testimony to that. Alas, it demonstrates in this situation, how the birth of a baby can be less than optimum for the child's wellbeing. Current brain and behavioural research shows how important it is that children are wanted and are welcomed with caring loving arms and hearts. This man's story also shows how fathers can feel alienated and dismissed. It is becoming more and more obvious that the environment around and within a mother influences the foundations of the sense of self of the infant. The early foundation sets the matrix for the emergence of the adult. The situation this man, Sean Kelly describes sounds typical of one where the couple have not had the opportunity to explore their feelings about parenting, nor have they been able to explore the realities of childbirth and develop effective self management strategies for pregnancy, birth, relationships or parenting. It is also clear that the couple did not know the midwives who were caring for them and therefore there was no rapport and no inclusion of the father in the transformative and extraordinary process of giving birth to a new, precious human being. What a tragedy. The good news is that it can be so different. Couples who have access to one to one midwifery care are enabled to explore their feelings, develop self management strategies and understand the process. One to one midwifery care also enables the father to become and feel valued and part of the whole process. To help him feel included, vitally important, unlike the way this man, Sean Kelly apparently felt, totally out of what was going on, being sent to get vases rather than allowed to be over-awed at the amazing journey of the human spirit and the sacredness of the process. A group called Materntiy Coaltion, consisting of various women's groups, mothers, midwives and others who care about birth and what happens to our babies at birth have consulted across Australia and have written a National Maternity Action Plan (NMAP) 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, their partners and their families, the choice of publically funded community midwifery care. This model promotes continuity of care from ante natal, through labour and birth, and for post natal care. The National Maternity Action Plan is being launched across Australia on the 24th September. People are gathering in every major city at the respective Parliament houses to launch NMAP. For more details, please call me, Carolyn Hastie, 0418 428 430. warmly, Carolyn Hastie "True self worth, success and wealth can only come about from responsible love, caring and compassionate thoughts and actions." Ty Metsker Child Development, Family and Individual Counselor
RE: [ozmidwifery] RE: language
Hi Rowena, can you please send me your email address again and I'll send the articleto you. I am sending it by attachment, it is not on a site. My email address is [EMAIL PROTECTED] I can't access your email address from the list, warmly, Carolyn -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]On Behalf Of Rowena WoolnoughSent: Sunday, 22 September 2002 2:49 PMTo: [EMAIL PROTECTED]Subject: Re: [ozmidwifery] RE: language Dear Carolyn, Tried to open the site you sent me for the article on language but only got a site trying to promote and sell something. Not sure if I was doing something wrong or what. Really want to reasd the article sp could you guide me to it again. Thanks Rowena - Original Message - From: Heartlogic To: [EMAIL PROTECTED] Sent: Sunday, September 15, 2002 11:52 PM Subject: RE: [ozmidwifery] RE: language Hey Rowena and Veronica, you two are amazing! So wonderful to see such courage and willingness to learn, explore and stand up for women's psychological and emotional space! I agree, it is daunting to post to the list. I always wonder how what I say will be interpreted. Woman friendly language is a challenge. For the more senior midwives from the old school (and I'm one of them) it is a big deal to shift from saying 'deliver' and 'delivery' to "helping/assisting" and "birth", To change our language is a paradigm and power shift as well as a shift in terminology and we all know what creatures of habit we humans are! Doesn't it also show you Veronica, how arrogant we humans can become when we don't think we need to read and update ourselves on what's going on in the big wide world? The fact that three out of the four said what's that? about VBAC says something. And thelaughing indicates their discomfortat not knowing. The important thing in life is to be a continual learner, to always know there is more to learn and each woman teaches us something different, something new. Our colleagues do too, each one teaches us something, even if it is how not to be :-) It's interesting how people dismiss the idea of language being important, but whole worlds of ideology, philosphy and ethics are bound in words... Some ideas on language, for example... Calling women 'girls' diminishes women, think about the stereotype of what a 'girl' is, and you get the idea. Calling women 'ladies' - ladies wear pearls and twinsets and sit with their legs together, don't yell and are polite at all times. Ladies can't give birth. Birth is wild and naked and raw, it is on the sexual continuum and is out of control :-) not ladylike at all.( Wild gutsy ) Women give birth. Saying "I had a delivery or I had a birth or I had three babies last night etc" is power based language...who has the power here? WHO gave birth?? I could go on... I have some great references for you if you want, I wrote a paper on language and I can email it to you, let me know your email address and I will send it. Thank you both for contributing and letting us know what you are learning/experiencing and being willing to ride the waves of a changing system. We need you. warmly, Carolyn Hastie -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]On Behalf Of Veronica HerbertSent: Sunday, 15 September 2002 10:53 PMTo: [EMAIL PROTECTED]Subject: Re: [ozmidwifery] RE: language Dear Carol, Thank you so much. What you say is so true. I have a great passion for midwifery and I learn a lot from the discussions on here. My lecturers at my Uni are always making sure we are using 'womanly language' and we are always getting picked up on what we say (isn't that right Kerry!!!). But, when we go into our clinical setting it is a different matter. The other day at handover I said a woman had had a "VBAC" instead of "Trial of scar". And3 of the4 midwives said "What do you mean?, what is that?" and I tried to explain thattrial of scarwas 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 Uni"and they basically laughed at me. It does take alot of courage to stand up and voice your opinion or even try to explain something when you are still learning and don't have a big knowledge base.For me, I only did my graduate year of nursing last year, I started Midwifery in February and I will be finished (hopefully) somewhere around the end of October. I have had 8 months of learning a
[ozmidwifery] Reduced fee for Intuitive Midwifery
Title: Message Dear All We are now offering a reduced fee for students and those struggling to pay the full fee for the Ïntuitive Midwifery Workshop. It is on this Saturday in Adelaide and we just want more women to share in this wonderful day... The concession fee for the day is $250.00 (those who have already paidplease contact me if they feel they qualify) Please email asap vicki@womenof spirit.com.au or call me on 0402 140 769 Vicki
[ozmidwifery] test
Title: Message I just realized I havn't got any ozmid for a week, so just testing if others are getting my messages... can someone send me a message at [EMAIL PROTECTED] to confirm. ta. Vicki -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]] On Behalf Of Marilyn KleidonSent: Saturday, September 21, 2002 10:02 AMTo: [EMAIL PROTECTED]Subject: Re: [ozmidwifery] BMJ Stories Mg Sulphate is routinely used in Hospitals at least in Washington state and California in the USA for PE. It is one of the drugs I was licensed to carry in case of PE. I don't know of any midwife who ever used it but we all carried it. We did have one mum who we transferred for exhaustion and prolonged labour who ended up with HELLP syndrome a couple of hours after admission. She had Mag sulphate IV and went on to have a spontaneous vaginal birth and the mag suphate made her feel yucky but really managed the complication well. marilyn ps with hindsight, we were very glad we had all decided to make the transfer, she had no signs of rising BP until we got to the hospital, and still it wasn't bad, the OB on call just did some liver function tests to be sure (and apologised for doing them) and was very surprised with the results. - Original Message - From: Mary Murphy To: list Sent: Thursday, September 19, 2002 11:34 PM Subject: [ozmidwifery] BMJ Stories The first story is about treatment by Magnesium sulphate for women with severe P.E.The conclusion is about why such a cheap effective treatment isn't being used. FASCINATING! http://bmj.com/cgi/content/full/325/7365/609 The second is about the spin media put on medical research.. "The operation was a success!" (but the patients died)http://bmj.com/cgi/content/full/325/7365/664
RE: [ozmidwifery] Test
Title: Message Ok...thanks to all...I'm definitely on line... Vicki
RE: [ozmidwifery] Refusing the breast
Hi Sheena, If position is part of the problem, then an Osteopath with expertise in cranium work could rule out discomfort to the baby. Also good for all aspects of the body, including reflux. Worth a try Megan. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] A mans point of view.
Scary - nowhere near enough tongue in that cheek for me... - Original Message - From: Mary Murphy To: list ; Tracy Reibel Sent: Friday, September 20, 2002 4:41 PM Subject: [ozmidwifery] A mans point of view. I think I've lost my sense of humour. This raised my hackles. MM PREGO: A READING BY SEAN KELLY (Life Matters: 12/9/2002)Life Matters' Man About The House gives his response to the mysterious,terrifying, wonderful world of childbirth.http://abc.net.au/rn/talks/lm/stories/s668218.htm
[ozmidwifery] POSTER
Dear all... There are a few people who emailed asking for posters but haven't replied to the request for snail mail...anyone who still wants the poster (it can now be seen at http://www.maternitycoalition.org.au/nmap.html ) do write again to me personally at [EMAIL PROTECTED] We are managing to send the smaller orders of 10 or so just fine so order away! Cheers, Vicki -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] A mans point of view.
Title: Re: [ozmidwifery] A mans point of view. As one of my colleagues said when we were trying to get things going during the action research project that comprised most of my doctoral project, and there were various stakeholders and gatekeepers with whom we had to negotiate to set up a group for women to talk with each other, Send them love (with a northern English accent so the love is pronounced in a special way that makes it more memorable and interesting. It worked. Im sure Seans comments were meant to be humorous but sometimes terribly sad and negative stereotypes can be reinforced like they are in this instance. This was a great and wise response, Carolyn. Penny B. On 21/9/02 7:05 PM, Heartlogic [EMAIL PROTECTED] wrote: Mary M, thanks so much for sending this item. The following is a response I sent to Lifematters. In solidarity, Carolyn Hastie
