Re: [ozmidwifery] Polyhydramnios

2003-08-21 Thread Marilyn Kleidon



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 
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 IncrediMail - Email has finally 
  evolved - Click 
  Here 
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[ozmidwifery] Hair Loss

2003-08-21 Thread barbara glare chris bright
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]


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[ozmidwifery] shiatsu and websites

2003-08-21 Thread Suzanne Yates



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

2003-08-21 Thread Ken Ward
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

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Re: [ozmidwifery] Polyhydramnios

2003-08-21 Thread Rhonda








  
  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

2003-08-21 Thread Debbie Slater




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

2003-08-21 Thread Maternity Ward Mareeba Hospital
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.






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[ozmidwifery] Adelaide midwives

2003-08-21 Thread leanne wynne
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

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Re: [ozmidwifery] birth

2003-08-21 Thread Jo Perks



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