Re: [ozmidwifery] Polyhydramnios
I think that because polyhydramnios can be a symptom of serious disorders usually with the baby this is a good reason to investigate with scans and blood tests. Once this is done one can assume it is a normal variation (rather than deviation) of pregnancy. However, I do think,it is reasonable and important to try to rule out possible disorders/problems that may be able to be corrected when detected. One good reason for not doing ARM with polyhydramnios is possible cord prolapse especially if the head is not engagged. I have been quiet for a while due to my laptop getting infected with the blasterworm. So, I was able to get my emails but it would shut down really quickly plus I didn't want to risk sending it to anyone. My firewall is now supposed to be activated and my computer is dewormed and virus free. AGAIN!! Perhaps I should read those emails from microsoft and install updates!!! ummm!!! marilyn - Original Message - From: Rhonda To: [EMAIL PROTECTED] Sent: Wednesday, August 20, 2003 6:46 PM Subject: Re: [ozmidwifery] Polyhydramnios I had Polyhydramnious with my second - at 29 weeks was told that "false" pre term labour was caused by the fact that my uterus was already the size it should be at 40 weeks. At 36 weeks I was larger than a woman I knew who was 38 weeks with twins. ( both 6lb+ born!). By 42 weeks I was very uncomfrotable,one meter twenty five around my stomach, then and Dr's refused to do ARM- perhapsthey were worried they would be 'drowned'. LOL After subsequent c/s - apgars were 9 and 10 Never a problem with 8lb 10 oz baby. Then was told I may not have had Polyhydramnious anyway - maybe it was just a lot of fluid (clever ob.) Anyone know the difference? Hadmy first at 27 weeks due tosevere P.E. Good luck to her - maybe a sling to help with the muscles if her tummy gets heavy - something nobody told me about. Rhonda ---Original Message--- From: [EMAIL PROTECTED] Date: Thursday, August 21, 2003 01:50:14 To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] Polyhydramnios In my own personal experience of polyhydramnios there was problem with my baby (hydropic with pleural effusions and ascites). Intrauterine shunts corrected the problem and his was born at 36 weeks. The labour was completely without a hicup.DebbieSheena Johnson wrote:Does anyone have any experience with polyhydramnios in an otherwise normalpregnancy. All the scans and blood screens have come back negative. Thereare conflicting dates between 36 to 38 wks, measuring 37wks at midwivesclinic and 38 wks at GP/Obs surgery,challenge also negative. Mum has had aprevious 22wk induced abortion for severe spina bifida, but with a differentpartner and has one health child with this partner. Just wondering howcommon extra fluid is and how much is too much. 8 wk scan results beingchased up as taken interstate.Sheena JohnsonMidwifery Student--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.. IncrediMail - Email has finally evolved - Click Here image/gif
[ozmidwifery] Hair Loss
Hi, Last night I said I'd send the the reference regarding the Hair Loss Article. It is available on the ABA Subscribers Only website at www.breastfeeding.asn.au . It's called Unusual Effects Sometimes Attributed To Breastfeeding by Elisabeth Speller BA(Hons), IBCLC, Kate Mortensen Grad Dip(Counselling), IBCLC, ABA Counsellor, Kathryn Wood BSc. If you are a member of ABA, have a look at the fabulous members only site that was launched during World Breastfeeding Week. If you are not, it's simple and cheap to join. Of course, there's plenty of great free stuff on the ABA website, but some great extra for members. Love, Barb Barb Glare Mum of Zac, 10, Daniel 8 and Cassie, 5 ABA Counsellor, Warrnambool, Vic Poster and Calendar orders [EMAIL PROTECTED] -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] shiatsu and websites
Iapologise if you've already had this - it didn't show as being sent on my system. Sent it a while ago Thanks for all those useful links - I'll put them on my website.You might want to include that as well it iswww.wellmother.orgIt is about shiatsu, massage and exercise for maternity care.Shiatsu is great for all kinds of things and I've got various articles about it on the website as well as some self help things that parents can use themselves.I've found it's been very effective for midwives to use, without doing the full shiatsu training which is 3 years. We're just about to publish a midwife audit on the use of shiatsu for induction in our local hospital. I'll put that up on website once it's been published.Suzanne Yates
RE: [ozmidwifery] Polyhydramnios
Lots of experience, including own second pregnancy. One week difference in dates is neither here nor there, especially at this stage. If all screens NAD then I wouldn't be overly concerned. Main problem would be cord presentation, prolapse during labour, prem labour due to pressure of excess fluid, but not a problem now she's over 37 weeks. Eight week scan properly won't tell you anything. Don't worry, Maureen. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Sheena Johnson Sent: Wednesday, August 20, 2003 9:03 PM To: [EMAIL PROTECTED] Subject: [ozmidwifery] Polyhydramnios Does anyone have any experience with polyhydramnios in an otherwise normal pregnancy. All the scans and blood screens have come back negative. There are conflicting dates between 36 to 38 wks, measuring 37wks at midwives clinic and 38 wks at GP/Obs surgery,challenge also negative. Mum has had a previous 22wk induced abortion for severe spina bifida, but with a different partner and has one health child with this partner. Just wondering how common extra fluid is and how much is too much. 8 wk scan results being chased up as taken interstate. Sheena Johnson Midwifery Student -- 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] Polyhydramnios
Yes - cord prolaps - I was told that due to the excessfluid I could have my waters break at any time from 31 weeks.I was not kept in hospital and not told to take it easyat all, Not even toldat that stage of a risk of cord prolaps (not even told to check for it if my waters broke.)I worked, shopped etc etc - did all normal things - actually ran my own shop and worked at 40+ weeks. Walking to the hospital from work for a check up where the Ob. felt the head and said that they could break soon or they would do ARM next week. I left the hospital and walked back to shop - still had no warning of any possible cord prolaps. So when the Ob. decided she wanted to do a c/s due to the risk of prolasp it was my theorythat if the waters broke (as I had been told to expect) at work or in the supermarket - cord prolaps may be a real problem - but when I was asking to have ARM as an alternative to c/s in a hospital with the controlled environment and supposed knowledge supposed trained staff etc- then it should have been my choice to go with the risk of that - not them refusing. Three dr's said that they could and would but were not allowed to treat me - so the one I got wouldn't. I guess it is just another breach of womens rights - justified by red tape. Less risk involved with a c/s than the minimal risk of cord prolaps - now I was sure that there was some risk with a c/s?? Sorry - just feeling a bit sarcastic tonight. regardless of how anyone tries to justify the way I was treated - it still sucks! george will be 4 next month and somehow his birthday is a hard time for me. Most of the year I manage to forget but his birthday is a very sad time for me. Rhonda. ---Original Message--- From: [EMAIL PROTECTED] Date: Thursday, August 21, 2003 18:38:38 To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] Polyhydramnios I think that because polyhydramnios can be a symptom of serious disorders usually with the baby this is a good reason to investigate with scans and blood tests. Once this is done one can assume it is a normal variation (rather than deviation) of pregnancy. However, I do think,it is reasonable and important to try to rule out possible disorders/problems that may be able to be corrected when detected. One good reason for not doing ARM with polyhydramnios is possible cord prolapse especially if the head is not engagged. I have been quiet for a while due to my laptop getting infected with the blasterworm. So, I was able to get my emails but it would shut down really quickly plus I didn't want to risk sending it to anyone. My firewall is now supposed to be activated and my computer is dewormed and virus free. AGAIN!! Perhaps I should read those emails from microsoft and install updates!!! ummm!!! marilyn - Original Message - From: Rhonda To: [EMAIL PROTECTED] Sent: Wednesday, August 20, 2003 6:46 PM Subject: Re: [ozmidwifery] Polyhydramnios I had Polyhydramnious with my second - at 29 weeks was told that "false" pre term labour was caused by the fact that my uterus was already the size it should be at 40 weeks. At 36 weeks I was larger than a woman I knew who was 38 weeks with twins. ( both 6lb+ born!). By 42 weeks I was very uncomfrotable,one meter twenty five around my stomach, then and Dr's refused to do ARM- perhapsthey were worried they would be 'drowned'. LOL After subsequent c/s - apgars were 9 and 10 Never a problem with 8lb 10 oz baby. Then was told I may not have had Polyhydramnious anyway - maybe it was just a lot of fluid (clever ob.) Anyone know the difference? Hadmy first at 27 weeks due tosevere P.E. Good luck to her - maybe a sling to help with the muscles if her tummy gets heavy - something nobody told me about. Rhonda ---Original Message--- From: [EMAIL PROTECTED] Date: Thursday, August 21, 2003 01:50:14 To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] Polyhydramnios In my own personal experience of polyhydramnios there was problem with my baby (hydropic
Re: [ozmidwifery] Polyhydramnios
Rhonda Sorry to hear how you feel your son's birth was treated. I have suffered polyhydramnios twice, and both because of fetal hydrops. First time it was undiagnosed, but second time wasn't. First time, labour was quick, and no real idea there was a problem (apart from the fact that I was 30 weeks). Second time, it was 6 weeks between diagnosis and birth. In that case OB and paediatricain were both anxious for me to have a vaginal delivery. A CS was definately turned down. I had drugs to minimise the fluid build up, but cord prolopse was never mentioned. I had ARM at the end of 1st stage, - 2nd stage 8 minutes. In both cases, I had ARM - waters never broke (and yet for my first pregnancy, they broke before labour). Unfortunately, for the first case, my son did not survive ( because of the hydrops), the second is now nearly 9. Rhonda wrote: Yes - cord prolaps - I was told that due to the excessfluid Icould have my waters break at any time from 31 weeks.I was not keptin hospital and not told to take it easyat all, Not even toldat thatstage of a risk of cord prolaps (not even told to check for it if mywaters broke.)I worked, shopped etc etc - did all normal things -actually ran my own shop and worked at 40+ weeks. Walking to the hospital from work for a check up where the Ob. felt the head and saidthat they could break soon or they would do ARM next week. I leftthe hospital and walked back to shop - still had no warning of anypossible cord prolaps. So when the Ob. decided she wanted to do a c/s due to the risk ofprolasp it was my theorythat if the waters broke (as I had been toldto expect) at work or in the supermarket - cord prolaps may be a realproblem - but when I was asking to have ARM as an alternative to c/s in ahospital with the controlled environment and supposed knowledgesupposed trained staff etc- then it should have been my choiceto go with the risk of that - not them refusing. Three dr's said that they could and would but were not allowed to treat me - so theone I got wouldn't. I guess it is just another breach of womens rights - justified by red tape. Less risk involved with a c/s than the minimal risk of cord prolaps - now I was sure that there was some riskwith a c/s?? Sorry - just feeling a bit sarcastic tonight. regardless of how anyone tries to justify the way I was treated - it stillsucks! george will be 4 next month and somehow his birthday is ahard time for me. Most of the year I manage to forget but his birthday is a very sad time for me. Rhonda. ---Original Message--- From: [EMAIL PROTECTED] Date: Thursday, August21, 2003 18:38:38 To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] Polyhydramnios I think that because polyhydramnios can be a symptom of serious disorders usually with the baby this is a good reason to investigate withscans and blood tests. Once this is done one can assume it is a normalvariation (rather than deviation) of pregnancy. However, I dothink,it is reasonable and important to try to rule out possible disorders/problems that may be able to be corrected when detected. Onegood reason for not doing ARM with polyhydramnios is possible cordprolapse especially if the head is not engagged. I have been quiet for a while due to my laptop getting infected withthe blasterworm. So, I was able to get my emails but it would shut downreally quickly plus I didn't want to risk sending it to anyone. Myfirewall is now supposed to be activated and my computer is dewormed andvirus free. AGAIN!! Perhaps I should read those emails from microsoft andinstall updates!!! ummm!!! marilyn - Original Message - From: Rhonda To: [EMAIL PROTECTED] Sent: Wednesday, August 20, 2003 6:46 PM Subject: Re: [ozmidwifery] Polyhydramnios I had Polyhydramnious with my second - at 29 weeks was toldthat "false" pre term labour was caused by the fact that my uteruswas already the size it should be at 40 weeks. At 36 weeks I was larger than a
[ozmidwifery] I have typed up and pasted below an editorial comment in the August ANZJOG regarding breech birth. G
I have typed up and pasted below an editorial comment in the August ANZJOG regarding breech birth. Good comment from an obstetrician. What we have all been saying for years. Cheers Judy Australian and New Zealand Journal of Obstetrics and Gynaecology 2003; 43: 261 Editorial comment The current relentless drive for 'evidence-based care' in medicine has aims which must be applauded. However, the consequences are not always beneficial to all, with a clear tendency, at time, for the 'evidence' to be applied inappropriately. Two manuscripts in this issue address the increasingly difficult subject of breech presentation. 1, 2 The 'Term Breech' 3 study did show that Caesarean section birth is associated with a higher likelihood of a quality outcome for singleton term babies than vaginal breech birth. The short-term maternal outcomes reported appeared to show that the increased use of Caesarean section was not to the detriment of the mothers. However, it did not examine longer term issues arising from Caesarean section, such as puerperal depression after discharge from hospital, future changes in fertility, and increasing morbidity and mortality in subsequent pregnancies. Equally, it did not (and could not) examine the consequences of the study being applied to other breech situations, such as multiple birth and preterm breech birth, and the effect upon the training and experience of obstetricians who will, inevitably, be faced with clinical situations such as the unexpected rapidly progressing vaginal breech birth and the woman who exercises her autonomous right to make and informed decision to attempt a term vaginal breech birth. Kaushik and Gudgeon 2 rightly remind us tat, if we are to follow 'the evidence' and advise all women with breech presentations that Caesarean section is the preferred mode of delivery, we have a responsibility to temper this advice with explanation of alternatives, including external cephalic version where appropriate. By implication, methods of training obstetricians in the techniques of vaginal breech birth must be found, to replace the experiential model used in the past. Michael HUMPHREY MB BS, PhD, FRANZCOG, FRCOG References 1 Phipps H, Roberts CL, Nassar N, Raynes-Greenow CH, Peat B, Hutton EK. The management of breech pregnancies in Australia and New Zealand. Aust NZ J Obstet Gynaecol. 2003; 43: 294-297. 2 Kaushik V, Gudgeon G. Caesarean for breech: A paradigm shift? Aust NZ J Obstet Gynaecol. 2003; 43: 298-301. 3 Hannah ME, Hannah WJ, Hewson SA, Hodnett ED. Saigon S, Willan AR. Planned caesarean section versus planned vaginal birth for breech at term; a randomised multi-centre trial. Term Breech Trial Collaborative Group. Lancet. 2000; 356: 1375-1383. *** This email, including any attachments sent with it, is confidential and for the sole use of the intended recipients(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 email 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 recipients(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.
[ozmidwifery] Adelaide midwives
Calling midwives in Adelaide, I have a friend who has recently moved to the Port Adelaide area (formerly from Christchurch NZ) who is pregnant and would prefer midwife-led care. Could someone in Adelaide please advise me of her current options. I doubt that she could afford a private midwife. Thanks, Leanne. _ Hot chart ringtones and polyphonics. Go to http://ninemsn.com.au/mobilemania/default.asp -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] birth
Try Sexual Health clinics in your area or a web site entitled Australian Herpes Management Forum. Jo Perks - Original Message - From: Kelly Yates To: [EMAIL PROTECTED] Sent: Monday, July 07, 2003 12:05 AM Subject: [ozmidwifery] birth Hello all, I have a friend who is due sometime oin december and would love to have a natural birth. She has genital herpes and is concerned that shw may have to have a ceasarean. Does anyone out there know of some good information I can pass on to her about this? Cheers Kelly