Re: [ozmidwifery] Reducing C/S rates

[Mary Murphy]

Thanks Deb, I actually have never seen this email.  It is a 
really practical list of things that could be done by midwives in any hospital 
anywhere, including the Ventouse training.  When I was in Papua New Guinea 
in the 70's, the indiginous midwives were being trained in Ventouse 
extraction.  We are a long way behind our under developed countries aren't 
we? Cheers, MM

[ozmidwifery] not midwifery topic

[Jo & Dean Bainbridge]

Hi all,
I was just wondering if anyone would like to 
explore an option this Christmas...
Dean and I are going to Bendigo for Christmas and I 
was just wondering if anyone would like to 'house swap' over the Christmas 
period?  We have a four bedroom house in the Adelaide hills which is a 20 
minute drive from Adelaide city.  I was just trying to work out 
accommodation and was stunned at how much even caravan parks charge these 
days!  It got me thinking that SO many people I talk to, in my alternate 
life of working in a shop, that how many people in Adelaide have friends 
and family who have moved to central Vic...and thought maybe someone else might 
like to come to Adelaide for Christmas but cant afford it.  We have three 
children but currently I don't really have any reserves about where we are or 
how big the place is (remember I was considering a caravan!!  ARG!)  
Ideally we will be spending our trip in the Central Vic area (Bendigo, 
Daylesford, Maldon, Castlemaine etc); but we are going to be going to Melbourne 
too.
On the topic, if there is anyone who would like to 
catch up for a coffee when I am over there let me know!
Sorry that this is not a midwifery topic, just 
thought I would abuse the list for my own selfish reasons!!
cheers
Jo Bainbridgefounding member CARES SAwww.cares-sa.org.au[EMAIL PROTECTED]phone: 08 8388 
6918birth with trust, faith & love...

Re: [ozmidwifery] OP & ARM

[Jo & Dean Bainbridge]

Anne, 
I have looked at this topic in the past and am 
trying to find the studies I used.  There was one thread that was common 
that an AROM in a OP labour caused fetal distress as the cushioning effect of 
membranes which allowed baby to rotate was removed and put pressure on bubs head 
and made rotating harderI will get back to you on this one.  I have a 
found a number of articles looking at AROM with increased rates of cs but they 
don't specify if the baby was OP.
Jo Bainbridgefounding member CARES SAwww.cares-sa.org.au[EMAIL PROTECTED]phone: 08 8388 
6918birth with trust, faith & love...

  - Original Message - 
  From: 
  Anne Clarke 
  
  To: OZMIDWIFERY 
  Sent: Thursday, July 31, 2003 8:33 
  AM
  Subject: [ozmidwifery] OP & ARM
  
  Dear All,
   
  I have been trying to find any reference about OP positions in labour and 
  the benefit of NOT doing ARM's.  Unless there is evidence to promote ARM 
  in OP labours.
   
  I have found articles in Midwifery Today and some comments but they did 
  not have any references. 
   
  I would appreciate some help with this issue.
   
  With thanks,
  Anne
   
   

RE: [ozmidwifery] Reducing C/S rates

[Larry & Megan]

Thankyou everyone, this is the one I had in mind. 
Megan

  -Original Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED]On Behalf Of Debbie 
  SlaterSent: Thursday, 31 July 2003 1:16To: 
  [EMAIL PROTECTED]Subject: Re: [ozmidwifery] Reducing 
  C/S rates
  Mary/ MeganThis was the one I was thinking of, which was posted 
  about 6 months or so ago:"The North Hampshire Hospital, 
  Basingstoke, has halved its caesarean section rate!>The Head of 
  the Labour Ward (Carol) is behind it, supported by the Lead Obstetrician 
  (Claire). Carol was at the last Rising Caesarean Rate Conference in 
  January and expressed her frustration that it was all very well but what 
  *exactly* had to happen to get the rate down.>> The Maternity 
  Forum met last week, and since we have just lost our administrative 
  support goodness knows when we'll get any minutes so what follows is from 
  my memory:>> The graph showed that the csr peaked in Dec/Jan at 
  around 28-30%. There was lots of talk about how they could get the rate 
  down. From May there has been a steady decline in the rate reaching 15% in 
  October, and 13% over the first couple of weeks in November. They are 
  hoping to be able to maintain this. They are really excited by their 
  success, but it was clear they wanted to maintain it for a few more months 
  before they feel confident to start shouting about it. The year end csr 
  won't show the dramatic improvement although they are expecting it to end 
  up at around 20% overall as opposed to 25% last year.>> So, 
  how have they done it. Well it is multifactorial.>> 1. Feb/March 
  saw the annual change of registrars. Two female registrars joined who are 
  very pro vaginal birth.> 2. VBAC - women with a history of caesarean 
  section are encouraged to labour.> 3. Breech - Despite results of 
  the Term Breech Trial, they are still supporting those women who wish to 
  give birth vaginally to breech presenting babies to do so. In 1991 3% of 
  breech babies were born vaginally, currently 15% of breech babies are born 
  vaginally.> 4. CTG training package - Last year they had a doctor who 
  was very interested in this and who put together a very good training 
  package for the midwives resulting in better interpretation of EFM 
  traces.> 5. Carol was given a small amount of money to spend on 
  improving things for women. She decided the beds in the labour rooms 
  looked very clinical and spent the money on nice duvet covers and pillow 
  cases (no, wait, keep reading). She then moved the beds so they are along 
  the wall, with a chair in front of bed. Male partners are encouraged to 
  sit on bed with the labouring woman using the chair. Women then generally 
  stand up and move for contractions, the more upright position being better 
  for labour. She has had to fight to keep those beds along the walls. 
  Auxillary staff keep moving them back to the middle and it sounded like 
  she has had a bit of a set to with them. Her and Claire have had to be 
  very persistent in moving the beds back! But she has won.> 6. 
  Induction - There has been a change of induction procedure. Epidurals are 
  no longer fitted before induction but are available afterwards if and when 
  needed. Women are finding that they can cope with induced labour and 
  midwives are gaining confidence that women can cope. More inductions are 
  being carried out since it is now policy to induce at 10 days (due to NICE 
  guidelines) rather than 12 days as previously, but more are resulting in 
  spontaneous vaginal deliveries.> 7. Midwife ventouse practitioners 
  - Basingstoke now have four midwives trained to do ventouse deliveries. In 
  55% of cases where a midwife is called to carry out a ventouse delivery, a 
  spontaneous vaginal birth is achieved. But more important are the 
  opportunities this gives for experienced midwives to pass on their skills 
  to less experienced midwives.>> What these measures have 
  succeeded in doing is changing the attitude ofthe unit as a whole. It is 
  early days yet, but they have high hopes of being able to sustain the 
  change. They have recently taken on a new obs and Carol says she made it 
  very clear to him at their first meeting that this is how things are going 
  to be run and that he will have to fit in.>> There was another 
  graph too. Just in case anyone thinks they are doing less cs and more 
  forceps/ventouse that is not the case. The forceps/ventouse deliveries 
  have remained unchanged. The number of caesareans has gone down and the 
  number of svd's has gone up.>> I am so please this has happened 
  anywhere, but for it to happen on my patch> is great - although I can 
  claim absolutely no credit whatsoever!"Whatever, it shows that 
  some UK hospitals are taking the issue to heart and trying to do something 
  about it.Debbie 
   

[ozmidwifery] OP & ARM

[Anne Clarke]

Dear All,
 
I have been trying to find any reference about OP positions in labour and 
the benefit of NOT doing ARM's.  Unless there is evidence to promote ARM in 
OP labours.
 
I have found articles in Midwifery Today and some comments but they did not 
have any references. 
 
I would appreciate some help with this issue.
 
With thanks,
Anne
 
 

Re: [ozmidwifery] Reducing C/S rates

[Debbie Slater]

Mary/ Megan

This was the one I was thinking of, which was posted about 6 months or so
ago:

"The North Hampshire Hospital, Basingstoke, has halved its caesarean
section 
 rate!
 >
 The Head of the Labour Ward (Carol) is behind it, supported by the Lead

 Obstetrician (Claire).  Carol was at the last Rising Caesarean Rate 
 Conference in January and expressed her frustration that it was all very
well 
 but what *exactly* had to happen to get the rate down.
 >
 > The Maternity Forum met last week, and since we have just lost our

 administrative support goodness knows when we'll get any minutes so what

 follows is from my memory:
 >
 > The graph showed that the csr peaked in Dec/Jan at around 28-30%. 
There 
 was lots of talk about how they could get the rate down.  From May there
has 
 been a steady decline in the rate reaching 15% in October, and 13% over
the 
 first couple of weeks in November.  They are hoping to be able to maintain

 this.  They are really excited by their success, but it was clear they wanted

 to maintain it for a few more months before they feel confident to start

 shouting about it.  The year end csr won't show the dramatic improvement

 although they are expecting it to end up at around 20% overall as opposed
to 
 25% last year.
 >
 > So, how have they done it.  Well it is multifactorial.
 >
 > 1. Feb/March saw the annual change of registrars. Two female registrars

 joined who are very pro vaginal birth.
 > 2. VBAC - women with a history of caesarean section are encouraged
to 
 labour.
 > 3. Breech - Despite results of the Term Breech Trial, they are still

 supporting those women who wish to give birth vaginally to breech presenting

 babies to do so.  In 1991 3% of breech babies were born vaginally, currently

 15% of breech babies are born vaginally.
 > 4. CTG training package - Last year they had a doctor who was very

 interested in this and who put together a very good training package for
the 
 midwives resulting in better interpretation of EFM traces.
 > 5. Carol was given a small amount of money to spend on improving things
for 
  women.  She decided the beds in the labour rooms looked very clinical and

 spent the money on nice duvet covers and pillow cases (no, wait, keep 
 reading).  She then moved the beds so they are along the wall, with a chair

 in front of bed.  Male partners are encouraged to sit on bed with the 
 labouring woman using the chair.  Women then generally stand up and move
for 
 contractions, the more upright position being better for labour.  She has
had 
 to fight to keep those beds along the walls.  Auxillary staff keep moving

 them back to the middle and it sounded like she has had a bit of a set to

 with them.  Her and Claire have had to be very persistent in moving the
beds 
 back!  But she has won.
 > 6. Induction - There has been a change of induction procedure.  Epidurals

 are no longer fitted before induction but are available afterwards if and

 when needed.  Women are finding that they can cope with induced labour and

 midwives are gaining  confidence that women can cope.  More inductions are

 being carried out since it is now policy to induce at 10 days (due to NICE

 guidelines) rather than 12 days as previously, but more are resulting in

 spontaneous vaginal deliveries.
 > 7. Midwife ventouse practitioners - Basingstoke now have four midwives

 trained to do ventouse deliveries.  In 55% of cases where a midwife is called

 to carry out a ventouse delivery, a spontaneous vaginal birth is achieved.
 
 But more important are the opportunities this gives for experienced midwives

 to pass on their skills to less experienced midwives.
 >
 > What these measures have succeeded in doing is changing the attitude
of
 the unit as a whole.  It is early days yet, but they have high hopes of
being 
 able to sustain the change.  They have recently taken on a new obs and Carol

 says she made it very clear to him at their first meeting that this is how

 things are going to be run and that he will have to fit in.
 >
 > There was another graph too.  Just in case anyone thinks they are doing

 less cs and more forceps/ventouse that is not the case.  The forceps/ventouse

 deliveries have remained unchanged.  The number of caesareans has gone down

 and the number of svd's has gone up.
 >
 > I am so please this has happened anywhere, but for it to happen on
my patch
 > is great - although I can claim absolutely no credit whatsoever!"

Whatever, it shows that some UK hospitals are taking the issue to heart and
trying to do something about it.

Debbie

Mary Murphy wrote:
 
 
  
 
  
 

  Megan, is this the one you wanted??cheers, MM
 
   
 
  'Thought you all might be interested in a recent posting on an NCT
list  that I am on.  The hospital they are talking about is St George's in
 Tooting, London.  Yet another example of how a different approach to  childbirth
can make a difference.
"I think Gail posted a message a while ago  saying how 

[ozmidwifery] blue mountains postnatal group

[Trudie de keijzer]

 NEXT POSTNATAL GROUP get together on the first Thursday of each month

Please note that the next postnatal group will be on 7th of August 2003 at Jane's place 38 Hill street Wentworth Falls.

Time 1030 am until 2 pm
The subject will be 1-2-3 MAGIC session 2
all about positive reinforcement with toddler discipline
Please bring lunch to share and $4 donation

Please rsvp  / email Jane[EMAIL PROTECTED]  if you wish to attend as it helps to have some idea of numbers asap or at least before wednesday the 6th August 
If you wish to bring a friend and baby  please do.

Postnatal group for September will be on 4/9/2003
No venue yet decided, if any one would like to offer the use of their lounge or rumpus space, please let me know.

If anyone has any ideas on different subjects they would like to have discussed at the group please also let me know


Trudie de Keijzer
phone  02 47572337
mobile 0438 572337
http://www.homebirthservices.com.au
52a Fletcher street 
Wentworth Falls
NSW 2782
Australia

Re: [ozmidwifery] doula needed!

[jo hunter]

Thanks Denise.
Jo

  - Original Message - 
  From: 
  Denise 
  Love 
  To: [EMAIL PROTECTED] 
  
  Sent: Wednesday, July 30, 2003 3:51 
  PM
  Subject: Re: [ozmidwifery] doula 
  needed!
  
  Jo, I am trying to get 
  Olivia's details...should have them in a couple of days!
  Sorry for the delay...I have 
  had to put a trail out!
  Denise
  
- Original Message - 
From: 
jo 
hunter 
To: [EMAIL PROTECTED] 

Sent: Monday, July 28, 2003 6:42 
PM
Subject: [ozmidwifery] doula 
needed!

Hi all,
Hoping that someone can help. I currently have 
a client who is moving from the Blue Mtns to Bellingen in a few weeks time. 
She has booked into the birthing room at Bellingen Hospital to have her baby 
(due in early Dec) and would like to employ a doula to assist her at the 
birth. Anyone know of a doula who works in this area?
Thanks in advance.
Jo Hunter
Homebirth mum to 4
HAS Coordinator
INNATE BIRTH CBE and 
  Doula

[ozmidwifery] woman power

[Trudie de keijzer]

Dear all
I wish to share this amazing birth story, which once again confirms my faith in women, esp.
after a recent spate of  3 Post partum haemorrhages.  
A woman (primip) who came to see me 2 months ago, wanting a homebirth, because the doctor at the hospital wanted to induce her at 32 weeks for growth retardation!!! progressed through a very normal healthy pregnancy giving birth vaginally with an intact perineum to a strong and healthy 3.3 kg baby at 41 weeks,  she is indeed very proud of herself and is feeling enormously empowered.  Her mother who accidentally attended the birth (another story) recognised my voice and name as being her midwife at the Crown street Birth centre 22 years ago.  How amazing to now be catching grandchildren!!!

Trudie de Keijzer
phone  02 47572337
mobile 0438 572337
http://www.homebirthservices.com.au
52a Fletcher street 
Wentworth Falls
NSW 2782
Australia

Re: [ozmidwifery] lowering caesarean rate

[Debbie Slater]

Megan

It was me that posted, but don't have the original posting, as I have 
since changed ISP.  What I will try and do is find the original posting 
that I received.

Debbie Slater
Perth, WA
Larry & Megan wrote:

did anyone file away the posting on the hospital in UK that lowered its C/S
rate by a dramatic amount just by making some changes such as relocating the
bed, updating education on reading monitors, etc, do you remember the one?
I have searched and can't find it, I wish to send it along with a letter to
a head of one of our hospitals in SA that has drastically reduced women's
VBAC rates by taking it out of the birth centre and into labour ward only. I
was hoping to inspire them to reconsider their decision, for what it is
worth.
thanks in advance
Megan
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Visit  to subscribe or unsubscribe.

[ozmidwifery] Meet PInky in Sydney/ Melbourne classes

[Pinky McKay]

  
  

  
 
 
 
 
 
Meet Pinky McKay in Sydney this 
weekend
Pinky McKay, 
author of “100 Ways to Calm the Crying” and “Parenting By Heart” is attending 
the International lactation Consultants Conference in Sydney at Darling harbour 
this weekend (1st to 3rd 
August).
 
On Friday 
night, she will be giving a talk for families and others - “Parenting By Heart - 
Nurturing With Confidence”, plus a discussion on Night Time Parenting - at 7 pm 
(Friday 1st August), at Brent St Performing Arts Centre, 723 Elizabeth St, 
Waterloo. $40 per couple - includes supper.
 
Enquiries/ 
bookings: Denise Love, Birth Central, 
Life Options (02) 9399 5854 
www.e-lifeoptions.com 
~*~*~*~*~*~*~*~*~*~*
Infant massage Classes
New dates for 
infant massage classes –Hawthorn Birth Centre, 
Melbourne.
Fridays – August 29, Sept 5, 12, 19. (11.30 – 
1pm)
 
Saturdays: (couples) – August 9, 15, 
23.
Or – Sept 6, 
13, 20.
Times: 11.30am – 1pm 
-
 
Cost:
$75 (for 
complete series – per family ie partner or grandparent, no extra charge) – 
includes oils and handouts.
 
Bookings:
Phone 
Sunderai  9818 1177 or 0401 626 
883
Or Pinky 
–98011997 – www.pinky-mychild.com
~*~*~*~*~*~*~*~*~*~*
Terrific Toddlers – a workshop for parents
Saturday 27th 
September , Station St. Fairfield, Melbourne. Bookings, contact Pinky: [EMAIL PROTECTED]  or Phone 
(03) 98011997.
~*~*~*~*~*~*~*~*~*~*
Listen to your child. Listen to your heart. Trust 
the connection between you. Love, laugh, enjoy. And remember, please be as 
gentle on yourself and your beloved as you are to your 
child.
 
Pinky
~*~*~*~*~*~*~*~*~*~*
Please feel 
free to pass this flier on to interested parents and 
professionals.
<><><>

[ozmidwifery] Reducing C/S rates

[Mary Murphy]

Megan, is this the one you wanted??cheers, MM
 
'Thought you all might be interested in a recent posting on an NCT list 
that I am on.  The hospital they are talking about is St George's in 
Tooting, London.  Yet another example of how a different approach to 
childbirth can make a difference."I think Gail posted a message a while ago 
saying how St George's have recently cut their CS rate dramatically (about 5%) 
through a variety of methods, but including abolishing the CTG admission trace, 
and because there is a consultant midwife, supported by the head of midwifery, 
who is promoting a culture of normal birth.80% of women at George's are 
booked with community teams.  All women are presumed to be low-risk and 
booked for midwifery-led care, and don't see a consultant at all, unless the 
midwives looking after them decide to make a referral, or transfer them for 
consultant-led care.  The midwives are keen to promote home births, 
and women having home births are made a priority so that women are not told to 
come in to the hospital at the last minute due to staff shortages.St 
Georges have just won the APPG (All Party Parliamentary Group) on Maternity 
award for the most increased normal birth rate."

[ozmidwifery] Logo: National Caesarean Awareness Day 2003

[Jo & Dean Bainbridge]

could you send me your email address or do I go to 
the life options web page?
Anyone else requiring the National Caesarean 
Awareness Day logo, philosophy and/or aims - please let me know.
cheers
Jo Bainbridgefounding member CARES SAwww.cares-sa.org.au[EMAIL PROTECTED]phone: 08 8388 
6918birth with trust, faith & love...

  - Original Message - 
  From: 
  Denise 
  Love 
  To: [EMAIL PROTECTED] 
  
  Sent: Thursday, July 31, 2003 4:57 
  PM
  Subject: Re: [ozmidwifery] National 
  Caesarean Awareness Day 2003
  
  Would love the Logo
  
- Original Message - 
From: 
Jo 
& Dean Bainbridge 
To: [EMAIL PROTECTED] 

Sent: Wednesday, July 30, 2003 4:37 
PM
Subject: Re: [ozmidwifery] National 
Caesarean Awareness Day 2003

WONDERFUL Denise!!!
 
So glad that you are willing to do this.  
It is all those small drops that make up the big wave.  The NCAD has a 
logo I can send you if you wanted to make up any flyers or such. Let me 
know.
cheers
Jo Bainbridgefounding member CARES SAwww.cares-sa.org.au[EMAIL PROTECTED]phone: 08 8388 
6918birth with trust, faith & love...

  - Original Message - 
  From: 
  Denise Love 
  To: [EMAIL PROTECTED] 
  
  Sent: Wednesday, July 30, 2003 3:06 
  PM
  Subject: Re: [ozmidwifery] National 
  Caesarean Awareness Day 2003
  
  Would love to do a 
  gathering for the week!  I have a few interested woman to share there 
  stories, and I would like to run a session on having the best Caesarean 
  ever!   As part of my birth classes I now spend time explaining 
  the many options available to still make lots of choices, and have the 
  experience you need!   Suggest the Friday!
  Let me know if you are 
  interested!  
   
  it will be held in 
  Waterloo Sydney!
  Denise LoveBirth 
  Central - 02 9399 5854LifeOptions - The Centre for LifeLong 
  LearningDoula Expresswww.e-lifeoptions.com
  
- Original Message - 
From: 
Jo & Dean Bainbridge 

To: [EMAIL PROTECTED] 

Sent: Sunday, July 27, 2003 10:00 
PM
Subject: [ozmidwifery] National 
Caesarean Awareness Day 2003

Is there anyone interested in doing 
anything for the National Caesarean Awareness Day this year?  As 
always, it can be as low key as getting together with mothers you have 
birthed with or holding a special talk at your place of employment about 
vbac or cs.  Or you can organise a full on conference with 
international guest speakers with entertainment by Kylie or 
something!  Perhaps not.
Anyway, if there is any interest in doing 
something for the day, an article is being written in the Natural 
Parenting Mag about NCAD and if you want a free plug for an event let me 
know ASAP (like tonight or tomorrow!  Not one for leaving things to 
the last minute...just the last second!)
cheers for now 
Jo Bainbridgefounding member CARES 
SAwww.cares-sa.org.au[EMAIL PROTECTED]phone: 08 
8388 6918birth with trust, faith & 
  love...

Re: [ozmidwifery] National Caesarean Awareness Day 2003

[Denise Love]

Would love the Logo

  - Original Message - 
  From: 
  Jo 
  & Dean Bainbridge 
  To: [EMAIL PROTECTED] 
  
  Sent: Wednesday, July 30, 2003 4:37 
  PM
  Subject: Re: [ozmidwifery] National 
  Caesarean Awareness Day 2003
  
  WONDERFUL Denise!!!
   
  So glad that you are willing to do this.  It 
  is all those small drops that make up the big wave.  The NCAD has a logo 
  I can send you if you wanted to make up any flyers or such. Let me 
  know.
  cheers
  Jo Bainbridgefounding member CARES SAwww.cares-sa.org.au[EMAIL PROTECTED]phone: 08 8388 
  6918birth with trust, faith & love...
  
- Original Message - 
From: 
Denise 
Love 
To: [EMAIL PROTECTED] 

Sent: Wednesday, July 30, 2003 3:06 
PM
Subject: Re: [ozmidwifery] National 
Caesarean Awareness Day 2003

Would love to do a gathering 
for the week!  I have a few interested woman to share there stories, 
and I would like to run a session on having the best Caesarean 
ever!   As part of my birth classes I now spend time explaining 
the many options available to still make lots of choices, and have the 
experience you need!   Suggest the Friday!
Let me know if you are 
interested!  
 
it will be held in Waterloo 
Sydney!
Denise LoveBirth Central 
- 02 9399 5854LifeOptions - The Centre for LifeLong LearningDoula 
Expresswww.e-lifeoptions.com

  - Original Message - 
  From: 
  Jo 
  & Dean Bainbridge 
  To: [EMAIL PROTECTED] 
  
  Sent: Sunday, July 27, 2003 10:00 
  PM
  Subject: [ozmidwifery] National 
  Caesarean Awareness Day 2003
  
  Is there anyone interested in doing anything 
  for the National Caesarean Awareness Day this year?  As always, it 
  can be as low key as getting together with mothers you have birthed with 
  or holding a special talk at your place of employment about vbac or 
  cs.  Or you can organise a full on conference with international 
  guest speakers with entertainment by Kylie or something!  
  Perhaps not.
  Anyway, if there is any interest in doing 
  something for the day, an article is being written in the Natural 
  Parenting Mag about NCAD and if you want a free plug for an event let me 
  know ASAP (like tonight or tomorrow!  Not one for leaving things to 
  the last minute...just the last second!)
  cheers for now 
  Jo Bainbridgefounding member CARES 
  SAwww.cares-sa.org.au[EMAIL PROTECTED]phone: 08 8388 
  6918birth with trust, faith & 
  love...