RE: [ozmidwifery] suctioning mec
Recent case scenio in aust. College of Midwives mag. tells of a 6 day old baby presenting with increasing respiratory distress. Examination revealed dried mec in his nostrils, adhering to the mucosa. Ref. Anderson, AK. 2002 Images in neonatal medicine. Archives of Diseases in Childhood. vol 86:1.pF64. author does state that a review of the literature showed no other recent cases presenting this late after delivery. I wonder how often it occurs earlier. Maureen. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Sally WestburySent: Wednesday, March 05, 2003 11:35 PMTo: [EMAIL PROTECTED]Subject: RE: [ozmidwifery] suctioning mec No Benefit Seen With Suctioning During Birth of Meconium-Stained Neonates By Roberta Friedman, PhD SAN FRANCISCO (Reuters Health) Feb 11 - Suctioning during delivery of infants who present with meconium staining apparently does not prevent meconium aspiration syndrome. These findings, presented at the meeting of the Society for Maternal-Fetal Medicine, contradict current practice guidelines. Lead study author Dr. Edgardo Szyld, of the Hospital Diego Paroissien in Buenos Aires, Argentina, believes that "we should consider revising the current recommendations" of suctioning these infants during delivery. A total of 2514 infants with meconium-stained amniotic fluid were randomized to oro- and nasopharynx suctioning or to no suctioning just before delivery of the shoulders. Of those infants suctioned, 3.5% developed meconium aspiration syndrome (MAS), as did 3.6% of those not suctioned. Five newborns died in the suctioned group, and three in the group not suctioned. No differences between the two groups were observed in the frequency of thick meconium, C-sections or need for resuscitation. A single study back in the 1970s was the foundation for the recommendation of suctioning when meconium staining is evident, Dr. Szyld said. Recommendations to suction, set forth by the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists (ACOG) makes the practice "widespread--and it's done around the world." However, he said, the current study shows that suctioning before the shoulders are delivered does not prevent meconium aspiration or its complications. "The data presented by Dr. Szyld's team provides convincing evidence that suctioning probably does not" alter outcomes, Dr. Laura E. Riley, chair of ACOG's Committee on Obstetric Practice, told Reuters Health. "Because suctioning has been beaten into clinicians for so many years, I'm not sure the current findings are really going to change clinical practice," Dr. Riley said. "Still, I think the findings may provide some reassurance to clinicians that when meconium aspiration syndrome occurs it probably didn't have anything to do with how adequately the infant was suctioned." While Dr. Riley believes that the researchers succeeded in showing that suctioning is probably unnecessary, she said they didn't address "whether suctioning may actually have harmful effects, such as causing facial trauma." Sally Westbury Homebirth Midwife Birth is as safe as life gets. --Harriett Hartigan
[ozmidwifery] Birth Stool
Our unit is considering getting a birth stool and we would appreciate informtion on the styles available, where to get them from and the pro's and con's of their use. I am aware of the one available on the acegraphics site and have used one of those for many good births but would love to know what else is on the market. Thanks Judy ** This e-mail, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost if you receive it and you are not the intended recipient(s), or if it is transmitted/ received in error. Any unauthorised use, alteration, disclosure, distribution or review of this e-mail is prohibited. It may be subject to a statutory duty of confidentiality if it relates to health service matters. If you are not the intended recipient(s), or if you have received this e-mail in error, you are asked to immediately notify the sender by telephone or by return e-mail. You should also delete this e-mail message and destroy any hard copies produced. ** -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Birth Stool
Judy: I worked with women on the de Buy birthing stool when working with a midwife in California. You should see photos of it in any copies of Midwifery Today. It is basically metal pipes that form the base and the seat with a seat cushion over the seat pipes. The beauty of the de Buy over the plastic ones i've seen here is that it is basically open all the way around below the seat so you are not restricted to being in front to catch the baby. You will also see an example in the video Gentle Birth Choices which has a Santa Cruz midiwife's client birthing on one. I don't know if they are available here. I'm not as sold on birth stools as the midwife I was working with in california. I do think they are a bit restrictive and difficult for the woman, herself to receive the baby as it is being born. Also, I think, you spend a lot of time with your hands poised as the baby can come flying out. Have seen a dutch video where they suspended a large drape/towel from the seat to catch the baby, I guess. Still I think they are a great option. Yelana (CA midwife) would arrive at a birth wearing the de Buy stool, birth bag in one hand and oxygen in the other... quite a sight. marilyn - Original Message - From: Maternity Ward Mareeba Hospital [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Thursday, March 06, 2003 10:02 AM Subject: [ozmidwifery] Birth Stool Our unit is considering getting a birth stool and we would appreciate informtion on the styles available, where to get them from and the pro's and con's of their use. I am aware of the one available on the acegraphics site and have used one of those for many good births but would love to know what else is on the market. Thanks Judy ** This e-mail, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost if you receive it and you are not the intended recipient(s), or if it is transmitted/ received in error. Any unauthorised use, alteration, disclosure, distribution or review of this e-mail is prohibited. It may be subject to a statutory duty of confidentiality if it relates to health service matters. If you are not the intended recipient(s), or if you have received this e-mail in error, you are asked to immediately notify the sender by telephone or by return e-mail. You should also delete this e-mail message and destroy any hard copies produced. ** -- 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] preparing and supporting child sexual abusesurvivors for chilbdrith
Title: Re: [ozmidwifery] preparing and supporting child sexual abuse survivors for chilbdrith I have prepared a lecture on CSA in particular relation to breastfeeding, but have a lot of resources on pregnancy, childbirth and CSA Jo Perks - Original Message - From: Jan Robinson To: [EMAIL PROTECTED] Sent: Thursday, March 06, 2003 12:04 PM Subject: Re: [ozmidwifery] preparing and supporting child sexual abusesurvivors for chilbdrith Dear JulieThere is a great book available called The Courage to Heal Workbook For Women and Men Survivors of Child Sexual Abuse. It is written by aura Davis coauthor of The Courage to Heal. HarperPerennial Book.It is a great workbook for anyone who has not had adequate counselling in the past. Working through the book gives survivors the courage to seek professional help if they decide it is necessary.Jan Robinson__Jan Robinson Phone/fax: 011+ 61+ 2+ 9546 4350Independent Midwife Practitioner e-mail: [EMAIL PROTECTED]8 Robin Crescent www: midwiferyeducation.com.auSouth Hurstville NSW 2221 National Coordinator, ASIM__ At 05:37 PM 27/02/2003 +1100, you wrote: Hi everyone,I would like to gather some insights into preparing and supporting child sexual abuse survivors for childbirth.I have had a small number of sexual abuse survivors throughout the years confide in me and ask for my support throughout their childbirth experience.I have responded sensitively to them and tried to follow my intuition when helping them, but wished I had more insights.Can you help me??With regard to fear of the pain And any other aspects of the issue you can highlight for me?hugJulie ClarkeChildbirth and Parenting Educator
Re: [ozmidwifery] Reduced Amniotic Fluid volume
Very interesting Denise - Original Message - From: Mary Murphy To: list Sent: Wednesday, March 05, 2003 3:59 AM Subject: [ozmidwifery] Reduced Amniotic Fluid volume Saw this in "Midwifery Today": Simple maternal hydration can increase amniotic fluid volume, a study has shown. A search of the Cochrane Pregnancy and Childbirth Group trials register and the Cochrane Controlled Trials Register were searched to compare maternal hydration with no hydration in pregnant women with reduced or normal amniotic fluid volume. In two studies, 77 women were asked to drink two liters of water before having a repeat ultrasound examination. Maternal hydration in women with and without oligohydramnios was associated with an increase in amniotic volume (weighted mean difference for women with oligohydramnios 2.01, 95% confidence interval 1.43 to 2.56; and weighted mean difference for women with normal amniotic fluid volume 4.5, 95% confidence interval 2.92 to 6.08). Intravenous hypotonic hydration in women with oligohydramnios was associated with an increase in amniotic fluid volume (weighted mean difference 2.3, 95% confidence interval 1.36 to 3.24). Isotonic intravenous hydration had no measurable effect. Controlled trials are needed to assess the clinical benefits and possible risks of maternal hydration for specific clinical purposes. - Cochrane Database Syst Rev. 2002;(1):CD000134
Re: [ozmidwifery] request for help
Alphia, would you like some cs and vbac mums? If so I can link you up with some with a range of experiences. How old are bubs meant to be? Jo Bainbridge founding member CARES SA www.cares-sa.org.au [EMAIL PROTECTED] phone: 08 8388 6918 birth with trust, faith love... - Original Message - From: Alphia Garrety [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Thursday, March 06, 2003 2:45 PM Subject: [ozmidwifery] request for help Hi everyone, Another request for assistance. I am still in the middle of my field work. I have almost the full amount of private hospital birthing women and homebirth moms. However, I need public hospital Moms - my only criteria is that the mother is Australian born and the baby born relatively recently. If anyone can help I would greatly appreciate it. I conduct an interview that lasts approximately 60 minutes - over the phone or face to face. Discussing expectations and experiences of pregnancy, care and birth. Thank you Alphia Alphia Possamai-Inesedy Ba (Hons.) PhD. Candidate School of Applied and Human Sciences Bankstown Campus, University of Western Sydney UWS Locked Bag 1797 South Penrith Distribution Centre NSW 1797 Australia Phone: 02 97726628 Fax: 02 97726584 -- 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] RE: Maggie B
Dear List Thankyou for all your assistance. I had a chat with Maggie this afternoon. Cheers Alesa Alesa KoziolClinical Midwifery EducatorMelbourne
