RE: [ozmidwifery] KEMH (baby under the light)
Great! I will read it, Debbie, thanks :) Jackie -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Debbie Slater Sent: Tuesday, 10 June 2003 7:08 AM To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] KEMH (baby under the light) As you say, Maggie, parents are often given information which they do not - indeed cannot - take in because of the stresses of the situation. From my experience of working with parents in SCBU - parents often need this information to be reiterated several times - once is often not enough. Unfortunately - the stresses of working in neonatal units/ shift patterns and so on - often mean that it is very difficult to do this. This is where supporters/ advocates who have experience of this situation can be of great help. One common communication problem is the issue of feeding and when babies can go home. Many mothers receive mixed messages/ perceive information about establishing feeding, and when their babies can go home that they get terribly anxious and can cause all sorts of misunderstandings - through no fault of anyone in particular - just the dynamics of the situation. There is a wonderful book - Crucial Decisions at the Beginning of Life by Hazel McHaffie. It makes harrowing reading at times, and although it is about the impact of making decisions for treatment withdrawal from young babies, many of the issues it raises, and suggestions it makes, are relevent for babies in neonatal units - whether or not they are very ill. Communication is one issue that is particularly highlighted. This book won the Medical Book of the Year for 2002 from the British Medical Association. It is available from ACE Graphics/ Birthinternational - and there is a review (done by me :-))on the web site http://www.acegraphics.com.au/product/book/bk697-review.html Debbie Slater Perth, WA -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] KEMH (baby under the light)
Thanks very much for your reply, Maggie and Kirsten and Debbie and Bethany and everyone I'd say this mum is happy regardless, and I certanly didn't change her mind. She had been on the drip during labour to have contractions and still thinks she had a natural birth. She has been told lots of things, I just question the fact that she is passive in it all, and perhaps not informed of all sides of the decision making process. Last night she told me her baby is now in her room and sometime this week they'll be able to go home, so that is really great news :) Interestingly, in Brazil it is used a quite romantic term to define this phototherapy, we say the baby is having a bath of light (banho de luz) and comes back to mum illuminated or full of light ;) Jackie -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Sadie Geraghty Sent: Monday, 9 June 2003 3:13 PM To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] KEMH (baby under the light) Hi Jaqueline, I work at KEMH, and I although I am unable to discuss the case you have highlighted, I have to say that interpreters are always used for women whose first language is not english. Unfortunately, women do not always hear what is being said at the time - often because the interpretation does not strictly explain situations like isoimmunisation, or they are overwhelmed or stressed by the situation which is perfectly understandable. Many times I have discussed things with women of all cultures, only to go into the room the next day and be told that no-one has told me. It sounds as if your friend was originally quite happy with the explanations given - until she spoke to you? Regards, Maggie. -- 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] Episiotomy - when to cut?
Hi all fellow midwives and students and all :) Looking after a woman last night who was a primigravida, term, induction for SROM, not in labour. RMO needed birth experience, so he did the catching. He did not cut an episiotomy, and nor would I have, but this woman ended up with horrible tears, in all directions, almost to the clitoris on both sides. We were 'scolded' by the consultant for not doing an episiotomy. Any comments? Am happy to clarify things off list if it would be easier to comment. Thanks I had a nightmare about it, needed to debrief! Jo --Babies are Born... Pizzas are delivered.
Re: [ozmidwifery] Episiotomy - when to cut?
Jo, What a frustrating situation for you, her other caregivers and of course the woman herself. Can I ask what position she was in when she was pushing. Also,how she was pushing - following her own urge with everyone following her pace or with counting, held breath and purple pushing? Nikki MacfarlaneChildbirth Internationalwww.childbirthinternational.com [EMAIL PROTECTED] Distance training for the world's childbirth educators and doulas - Original Message - From: JoFromOz To: [EMAIL PROTECTED] Sent: Tuesday, June 10, 2003 7:59 PM Subject: [ozmidwifery] Episiotomy - when to cut? Hi all fellow midwives and students and all :) Looking after a woman last night who was a primigravida, term, induction for SROM, not in labour. RMO needed birth experience, so he did the catching. He did not cut an episiotomy, and nor would I have, but this woman ended up with horrible tears, in all directions, almost to the clitoris on both sides. We were 'scolded' by the consultant for not doing an episiotomy.
Re: [ozmidwifery] Episiotomy - when to cut?
Hi Nikki. As most women are where I work, she was semi-sitting; she was "chin on your chest, big breath, PUSH, quick breath and push again!" style pushing; and she was not following her own urges - that would have taken too long! 3 big long pushes per contraction. Anyone pushing more than 1 hour needs intervention... Jo - Original Message - From: Nikki Macfarlane To: [EMAIL PROTECTED] Sent: Tuesday, June 10, 2003 8:29 PM Subject: Re: [ozmidwifery] Episiotomy - when to cut? Jo, What a frustrating situation for you, her other caregivers and of course the woman herself. Can I ask what position she was in when she was pushing. Also,how she was pushing - following her own urge with everyone following her pace or with counting, held breath and purple pushing? Nikki MacfarlaneChildbirth Internationalwww.childbirthinternational.com [EMAIL PROTECTED] Distance training for the world's childbirth educators and doulas - Original Message - From: JoFromOz To: [EMAIL PROTECTED] Sent: Tuesday, June 10, 2003 7:59 PM Subject: [ozmidwifery] Episiotomy - when to cut? Hi all fellow midwives and students and all :) Looking after a woman last night who was a primigravida, term, induction for SROM, not in labour. RMO needed birth experience, so he did the catching. He did not cut an episiotomy, and nor would I have, but this woman ended up with horrible tears, in all directions, almost to the clitoris on both sides. We were 'scolded' by the consultant for not doing an episiotomy.
[ozmidwifery] we love Lois :)
We all love you around here, Lois!
We are not taking cyber hugs from you ;)
We want to hug in person, let us know when you are in the area, ok?
{ Lois }
Love from Jackie, Peter, Daniel Susanna Joy
-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Lois Wattis
Sent: Tuesday, 10 June 2003 6:45 PM
To: [EMAIL PROTECTED]
Subject: Re: [ozmidwifery] KEMH (baby under the light)
Hi Jackie - just an opportunity to say Hello and send you a cyber-hug!
Great to hear you are helping to guide your friends in the midwifery path,
as you were guided. Hope you, Pete and littlies are well. Love Lois
--
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Re: [ozmidwifery] Episiotomy - when to cut?
oh, arent protocols cruel everything is wrong for her there, Jo. As Nikki says, pushingat her own pace and in a position that allowed gravity to help all help.IN the position you describe, she's actually pushing uphill, with the coccyxbeing sat on which reduces available space and her body and lungs are all compressed. I guess the protocols also dictated that she must start pushing from the minute 2nd stage begins? So she's dead exhausted when the head finally hits the peri? And has no energyto actually slow the head down during it's exit? I have found that slowing the head down even just by a contraction or two helps enormously. It allows the surrounding tissues to accomodate this sudden insult. Let the head spend more time stretching the perineum, and let the head bejust breathed out, rather than pushed will go a long way toachieving a gentle exit. If we're exercising we dont achieve maximum stretch the first time we try the splits. We get better with each little effort. In a compact way this is the same with the peri. If the women are told ( both during labour and very gently and encouragingly at the time) they understand that it will be beneficial to them afterwards and usually are very keen to help themselves. Heat applied to the peri and birthing in water also help this scenario. The stranded beetle position you describe Jo, will be ingrained on you forever as you learn first hand the horrible effects it has on women. I cant think of one good thing about it. Robin - Original Message - From: JoFromOz To: [EMAIL PROTECTED] Sent: Wednesday, June 11, 2003 12:55 AM Subject: Re: [ozmidwifery] Episiotomy - when to cut? Hi Nikki. As most women are where I work, she was semi-sitting; she was "chin on your chest, big breath, PUSH, quick breath and push again!" style pushing; and she was not following her own urges - that would have taken too long! 3 big long pushes per contraction. Anyone pushing more than 1 hour needs intervention... Jo - Original Message - From: Nikki Macfarlane To: [EMAIL PROTECTED] Sent: Tuesday, June 10, 2003 8:29 PM Subject: Re: [ozmidwifery] Episiotomy - when to cut? Jo, What a frustrating situation for you, her other caregivers and of course the woman herself. Can I ask what position she was in when she was pushing. Also,how she was pushing - following her own urge with everyone following her pace or with counting, held breath and purple pushing? Nikki MacfarlaneChildbirth Internationalwww.childbirthinternational.com [EMAIL PROTECTED] Distance training for the world's childbirth educators and doulas - Original Message - From: JoFromOz To: [EMAIL PROTECTED] Sent: Tuesday, June 10, 2003 7:59 PM Subject: [ozmidwifery] Episiotomy - when to cut? Hi all fellow midwives and students and all :) Looking after a woman last night who was a primigravida, term, induction for SROM, not in labour. RMO needed birth experience, so he did the catching. He did not cut an episiotomy, and nor would I have, but this woman ended up with horrible tears, in all directions, almost to the clitoris on both sides. We were 'scolded' by the consultant for not doing an episiotomy.
[ozmidwifery] National Women's Media Centre
Hello everyone, is it gorgeous weather all over Australia at the moment? It is stunning here on the beautiful Central Coast of NSW. I thought you may be interested in another avenue for promoting NMAP and that is through joining the National Women's Media Centre. It's $30 a year for an individual (more for organisations). Here is the link for the Electronic Archive at NLA for the NWMC site http://pandora.nla.gov.au/pan/22170/20011022/www.nwmc.org.au/index.html It's worth having a look and seeing what is available there. I've just come across this group and am joining to day. It asks on the form what areas of interest one has and what activites would the new member like the group to be involved in. Perfect, I thought. If all of us join and promote resolution of birthing women's issues AKA NMAP; creches, childcare at work; adequate pay for mothers chosing to stay home with their children (diverting some of the defence spending for example $8.3 billion!) and supportive structures for at home mothers (at home help with housework/meals/other child care etc/time out support etc), collectively, what a difference we can make. warmly, Carolyn Hastie Only one week left to vote in the NSW Nurses Association election. Vote for the RealNurses(and midwives)team. Let's ensure nurses and midwives have the working conditions, resources and numbers to provide the kind of care we believe is right and to feel happy and ethically congruent at work. www.realnurses.net for a how to vote card The world is wide and I will not waste my life in friction when it could be turned into momentum. Frances Willard Heartlogic Consultancy The Bully Busters - creating positive workcultures through improving emotional intelligence Phone +61 2 4389 3919 Fax +61 2 4388 6819 Mobile 0418 428 430 Email [EMAIL PROTECTED] PO Box 5405 Chittaway Bay NSW 2261 Australia -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Message from Lynne Staff: Side-by-Side Conference
Hi Lynne, The Side By Side conference sounds fantastic. Unfortunately I am out of the country and cannot attend but definitely would if I was there. If there are any tapes of videos made of this conference would you please let us know on this list. Congratualtions on the great work you do, Lyle - Original Message - From: Andrea Robertson [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Thursday, May 29, 2003 11:00 PM Subject: [ozmidwifery] Message from Lynne Staff: Side-by-Side Conference Hi Everybody A quick note to remind you that the Side By Side conference is on at the Noosa Lakes resort on June 31st. This conference is a day-long one, with co-presentations by midwives and obstetricians about working together with and for women. Topics and themes include: Collaborative Care, two perspectives Lynne Staff and Ted Weaver What Is Normal Birth? James Moir What should be the Correct Caesarean Rate? George Bogiatzis(I can hear you all telling me the answers to that one already!!!) Aligning Birth Centre Care within the Medicolegal system - James Orford Antenatal Education, Women, Midwives and Obstetricians Sharing, Making a Difference - Donna Thompson Working With Women Beyond the Birth Andrea Cornthwaite Waterbirth - obstetric and paediatric experiences Andrew Davidson and Tom Hurley The Care In Partnership Program (Caseload in the private sector) Irene Kinmond. Please contact Irene Kinmond at Nambour Selangor Maternity Unit on 07 5450 4350 or email her on [EMAIL PROTECTED] Looking forward to seing as many of you who can come Regards, Lynne - Andrea Robertson Birth International * ACE Graphics * Associates in Childbirth Education e-mail: [EMAIL PROTECTED] web: www.birthinternational.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.
[ozmidwifery] Re: Isolated birth
Hi everyone, I am at present the sole medical person and midwife on an isolated island where the nearest medical help is seven days away by ship. All mothers over the past 10 years have gone to Auckland to have their babies. I am at present looking after a mother with her second pregnancy (to a new partner) who would like to have this baby on the island where she resides. She had a fairly easy first delivery and thispregnancy has progressed well (she is 24 weeks) with no complications. I am reasonably happy to continue looking after her and delivering on island butI am wondering what other midwives etc. would recommend. Any feedback on this would be great. Thanks, Lyle
