Re: [ozmidwifery] waterbirth pictures

[Marilyn Kleidon]

I do know at least one baby died in 
Oregon about 10 years ago now(stayed under longer than 6 min but not sure 
how long), must have made a lot of people rethink the practice because not one 
parent in the waterbirths that I attended in USA even mentioned not bringing the 
baby up straight away. I did notice in California one midwife liked to bring the 
baby up with the head down ie the bum up first, in Seattle, I or the 
mum/dad brought the baby up face first. Actually with the babies I worked 
with it never made a difference but I felt more comfortable face 
first.
 
marilyn

  - Original Message - 
  From: 
  Mary 
  Murphy 
  To: [EMAIL PROTECTED] 
  
  Sent: Monday, November 17, 2003 5:29 
  PM
  Subject: Re: [ozmidwifery] waterbirth 
  pictures
  
  I have no idea what the rationale of leaving the baby underwater 
  is.  When I attended  my first waterbirth in 1987, the parents 
  left the baby under for 6 mins.  I wasn't happy, but the baby was and 
  still is, alright.  It seemed to be a "California" thing to make the 
  transition more "gentle", physiology doesn't support the practice.  The 
  only strp B pamphlets I have are the American ones.  The figures seem 
  massive because of their larger population.  I too would be interested in 
  an Australian one.  MM
  
- Original Message - 
From: 
Ross W Timbs 

To: [EMAIL PROTECTED] 

Sent: Monday, November 17, 2003 9:03 
PM
Subject: [ozmidwifery] waterbirth 
pictures

Can anyone enlighten me on the rationale / 
motivation for holding the baby under the water after it is 
born?
 
Also does anyone have any good client 
information pamphlets on group B strep that they would like to 
share?
 
Thanks in advance
 
Jacky

Re: [ozmidwifery] Waterbirth pictures.

[Tom, Tania and Sam Smallwood]

Hi there Caroline,

I used to live up there, and there is an independent midwife who runs
antenatal yoga classes - her name is Marianne Idle, you can contact her at
[EMAIL PROTECTED] assuming she is at the same address.

Hope this helps

Tania


From: "Wayne and Caroline McCullough" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Tuesday, November 18, 2003 11:30 AM
Subject: RE: [ozmidwifery] Waterbirth pictures.


> Got a woman in one of our support groups who has a pregnant sister who
> is petrified of needles. She has even had hypnosis treatment to
> alleviate her phobia but it didn't work. Anyway, she has birthed one
> baby fine but was in a great deal of pain and wants to avoid  the pain
> and is now saying she wants a caesarean. Her sister has tried to explain
> that a caesarean is far from pain free but she doesn't seem to get it.
>
> Anyway, in a desparate attempt to help her sister avoid a CS, this woman
> wants to know about other pain-free options in birthing (other than
> drugs). Her sister is in Cairns. Are there any Active Birth Yoga classes
> there or hypnobirthing professionals, birth support services up there
> that anyone knows of?
>
> Cheers,
>
> Cas.
>
> Cas McCullough
> [EMAIL PROTECTED]
> www.casmccullough.com
>
>
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Re: [ozmidwifery] Epidural

[jo hunter]

I have a friend also who had twins naturally both bubs head down and went
past her due date. I was 6lbs 7 and the other 7 lbs.
She's heavily involved in the local multiples association and would be happy
to talk. Let me know.
jo
- Original Message -
From: "Wayne and Caroline McCullough" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Monday, November 17, 2003 7:56 AM
Subject: RE: [ozmidwifery] Epidural


> A friend of mine recently had twins naturally. No epidural at all or
> drugs of any kind, baby 1 born in water, baby 2 flipped to transverse
> and the doctor reached in pulled baby around by leg into breech and
> delivered on the bed as a footling breech.
>
> Mother up and around within a few hours and went home two days later.
>
> Just goes to show that it can be done! If this woman wants to contact my
> friend please email me off list.
>
> Cheers,
>
> Cas.
>
> Cas McCullough
> [EMAIL PROTECTED]
> www.casmccullough.com
>
>
>
> -Original Message-
> From: [EMAIL PROTECTED]
> [mailto:[EMAIL PROTECTED] On Behalf Of Kirsten
> Blacker
> Sent: Sunday, 16 November 2003 6:30 PM
> To: [EMAIL PROTECTED]
> Subject: Re: [ozmidwifery] Epidural
>
>
> Some years ago I had an situation like this. The mother agreed to have
> the
> epidural inserted, have a small test dose, which then wore off, and left
> the
> epidural catheter in for the duration. A compromise that kept everyone
> happy Kirsten
>
>
> >From: "Diane Gardner" <[EMAIL PROTECTED]>
> >Reply-To: [EMAIL PROTECTED]
> >To: <[EMAIL PROTECTED]>
> >Subject: [ozmidwifery] Epidural
> >Date: Sun, 16 Nov 2003 18:13:26 +1100
> >
> >Hi all
> >
> >I have a client, 42 y.o first time mum who is expecting twins. Her
> >ob/gyn
> >has told her that he would like her to have and epidural anyway to
> prepare
> >her in case they have any trouble with the second twin being born. When
> she
> >asked the midwife at her antenatal class if they can just insert the
> needle
> >without giving her the actual medication she was told that it was
> either
> >give it or not prepare her for the epidural at all, no half way.
> >
> >In your opinions is this correct or can they do all the prep and then
> >administer the drug if complications occur?
> >
> >thanks in advance
> >Diane
> >
> >
> >
> >
>
> _
> Great deals on high-speed Internet access as low as $26.95.
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Re: [ozmidwifery] Waterbirth pictures.

[Diane Gardner]

Hi Cas

If you give Peter Jackson a call he will know if there are any HypnoBirthing
practitioners close by. Hi phone number is (02) 48621156.

warm regards
Diane



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[ozmidwifery] Amniotic studies

[Mary Murphy]

  
  
20031110-44 The usefulness of ultrasound 
  assessment of amniotic fluid in predicting adverse outcome in prolonged 
  pregnancy: a prospective blinded observational 
  study - BJOG: An 
  International Journal of Obstetrics and Gynaecology , vol 110, 
  no 11, November 2003, pp 989-994 Morris JM; Thompson K; Smithey J; et 
  al - (November 2003)
  
 
Objective: To determine whether a single ultrasound 
  scan at or beyond 40 weeks of gestation to detect a single deepest pool of 
  amniotic fluid <2 cm and amniotic fluid index (AFI) <5 cm is 
  clinically useful in the prediction of subsequent adverse pregnancy 
  outcome. Design: A prospective double blind cohort study. Setting: A 
  university teaching hospital delivering approximately 6000 women annually. 
  Population: One thousand and five hundred and eighty-four pregnant women 
  at or beyond 40 weeks of gestation. Methods: Ultrasound assessment of 
  liquor to detect the single deepest pool of amniotic fluid and derive the 
  AFI at or after 40 weeks of gestation. Main outcome measures: Perinatal 
  death, meconium aspiration, birth asphyxia, intervention in labour for 
  fetal distress, a cord arterial pH <7 and admission to the neonatal 
  unit. Results: An AFI <5 cm but not a single deepest pool <2 cm was 
  significantly associated with birth asphyxia or meconium aspiration. An 
  AFI <5 cm was also significantly associated with caesarean section for 
  fetal distress in labour, a cord arterial pH <7 at delivery and low 
  Apgar scores. Despite there being a statistically significant association 
  with adverse outcomes the sensitivity of AFI was low at 28.6%, 12% and 
  11.5% for major adverse outcome, fetal distress in labour or admission to 
  the neonatal unit, respectively. Conclusions: The AFI is superior to a 
  measure of the single deepest pool as an assessment of the fetus at or 
  after 40 weeks but has a poor sensitivity for adverse pregnancy outcome. 
  Routine use is likely to lead to increased obstetric intervention without 
  improvement in perinatal outcomes. (22 references) 
  (Author)

[ozmidwifery] Accuracy of NB tests

[Mary Murphy]

  
  

20031107-10# Beyond the complete blood 
  cell count and c-reactive protein - Archives 
  of Pediatrics and Adolescent Medicine , vol 157, no 6, June 
  2003, pp 511-516 Malik A; Hui CPS; Pennie RA; et al - (June 
  2003)
  
 
OBJECTIVE: To systematically review the accuracy of 
  modern laboratory tests for the diagnosis of serious bacterial infection 
  in newborns. METHODS: The MEDLINE, EMBASE, and Cochrane Library databases 
  were searched using the keywords newborn, infection, sepsis, and 
  diagnosis. We included studies published from 1995 through 2001 that 
  included infants younger than 90 days with proven bacterial growth in a 
  sample from a sterile site. Whenever possible, relevant data were 
  extracted to calculate likelihood ratios (LRs) for whether each test can 
  diagnose a serious bacterial infection. Two independent reviewers selected 
  and reviewed the articles (interobserver agreement, kappa = 0.80). All 
  disagreements were resolved by consensus. RESULTS: Of the 137 citations we 
  retrieved, 37 articles met the inclusion criteria; 17 studies, evaluating 
  11 different tests, met the highest methodological criteria. The most 
  commonly evaluated test was interleukin 6 (IL-6) level (n = 7 studies). 
  The remaining tests were each evaluated in no more than 3 studies. 
  Positive LRs ranged from 1.5 to infinity. Six individual tests examined in 
  8 studies had LRs of more than 10 (range, 12.5- infinity ). Combined tests 
  also had a wide range of LRs (3.4-9.9). All studies were performed in 
  single medical centers and had small sample sizes, making recommendations 
  according to gestational age criteria difficult. CONCLUSIONS: We found few 
  methodologically rigorous studies of the accuracy of laboratory tests for 
  the diagnosis of bacterial infection in newborns; in a significant 
  proportion of studies, the accuracy of the tests could not be 
  independently determined because of a lack of adequate data. There was 
  marked heterogeneity in sample selection and cutoff levels for diagnosis 
  of neonatal sepsis. A few tests showed promising accuracy, but there are 
  insufficient data to support their confident use as clinical tools. (33 
  references) (Author)

Re: [ozmidwifery] waterbirth pictures

[Mary Murphy]

I have no idea what the rationale of leaving the baby underwater is.  
When I attended  my first waterbirth in 1987, the parents left the 
baby under for 6 mins.  I wasn't happy, but the baby was and still is, 
alright.  It seemed to be a "California" thing to make the transition more 
"gentle", physiology doesn't support the practice.  The only strp B 
pamphlets I have are the American ones.  The figures seem massive because 
of their larger population.  I too would be interested in an Australian 
one.  MM

  - Original Message - 
  From: 
  Ross W Timbs 
  
  To: [EMAIL PROTECTED] 
  
  Sent: Monday, November 17, 2003 9:03 
  PM
  Subject: [ozmidwifery] waterbirth 
  pictures
  
  Can anyone enlighten me on the rationale / 
  motivation for holding the baby under the water after it is born?
   
  Also does anyone have any good client information 
  pamphlets on group B strep that they would like to share?
   
  Thanks in advance
   
  Jacky

RE: [ozmidwifery] Waterbirth pictures.

[Wayne and Caroline McCullough]

Got a woman in one of our support groups who has a pregnant sister who
is petrified of needles. She has even had hypnosis treatment to
alleviate her phobia but it didn't work. Anyway, she has birthed one
baby fine but was in a great deal of pain and wants to avoid  the pain
and is now saying she wants a caesarean. Her sister has tried to explain
that a caesarean is far from pain free but she doesn't seem to get it.

Anyway, in a desparate attempt to help her sister avoid a CS, this woman
wants to know about other pain-free options in birthing (other than
drugs). Her sister is in Cairns. Are there any Active Birth Yoga classes
there or hypnobirthing professionals, birth support services up there
that anyone knows of?

Cheers,

Cas.

Cas McCullough
[EMAIL PROTECTED]
www.casmccullough.com
 

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Re: [ozmidwifery] waterbirth pictures

[Jodie Miller]

On Monday 17 November 2003 23:03, Ross W Timbs wrote:
> Can anyone enlighten me on the rationale / motivation for holding the baby
> under the water after it is born?


This is a very common misconception people hold - that it is a more "gentle" 
birth if you bring baby up slowly.

I get shivers when people think this is a desirable thing to do - especially 
after handling the baby so much at the time of birth.  In the pictures, the 
baby obviously wants to breathe. 

Jodie


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[ozmidwifery] New models of midwifery care

[Andrea Robertson]

Hi everyone,

I've been getting exciting news about the new mdiwifery programs to be 
launched in Sydney in the next few months. If you want to know what's 
happening, I've written it up on my Diary:

http://www.birthinternational.com/diary/index.html

(Saves me writing it all out twice!).

If anyone has other news to share on this topic, let's hear it please!

Regards,

Andrea

-
Andrea Robertson
Birth International * ACE Graphics * Associates in Childbirth Education
e-mail: [EMAIL PROTECTED]
web: www.birthinternational.com
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Re: [ozmidwifery] Waterbirth pictures.

[jayne]

If I remember rightly, there were issues with how much weight the floor
would take.

This is Andrea's whole web site if anyone is interested:

http://www.nandu.hu/

Jayne



.


> Jodie wrote> "Strikes me tho' that the pool is not deep enough to take
true
> advantage of the water.  A psychological thing maybe?"
> I too thought that there could have been much more water in the pool.  we
> use a tub that is 60cm high and it is probably 55cm full - hot water
supply
> & speed of birth allowing. MM
>


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Re: [ozmidwifery] Epidural

[jayne]

Lucky day for that family!




> I did a great birth last week which showed the woman's strength and
> belief in her own body. 3rd pregnancy with twins. Usual IOL at 38 weeks
> but declined an epidural which was respected. History of precipitate
> births. 
> 
> I come onto Birth Suite at 2.30 with a new student who had only assisted
> at three births. It was busy. I assessed his mother and felt her labour
> was moving fast then the Registrar disappeared as anal dil was evident.
> This left me to supervise a student midwife to catch the first boy.
> Quick palp and VE then next boy followed, cephalic 4 minutes later also
> caught by the student midwife just as the Registrar arrived with the
> Director of O & G. The Director was called by my colleagues as they
> themselves could not find the Reg. I am sure questions would have been
> asked of the Reg and the Consultant who was supposed to be there. Twin
> birth with not a Medical Officer in sight and done by a student midwife
> supervised by a midwife!
> 
> The woman and her husband were just beaming and my mid student was
> stunned!! Birth happens and we are merely spectators to this wonderful
> event in a woman's life. This mother had faith in her body and her
> babies.
> Cheers Barb
> 
> 
> --
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> 
> 

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Re: [ozmidwifery] waterbirth pictures

[Marilyn Kleidon]

Can't help with the rationale jacky, though have 
wondered myself. Re the GBS info, when in the USA weused the info on the center 
for disease control web site(CDC), also MIDIRS, and I think the Royal College of 
Midwives has info.
 
marilyn

  - Original Message - 
  From: 
  Ross W Timbs 
  
  To: [EMAIL PROTECTED] 
  
  Sent: Monday, November 17, 2003 5:03 
  AM
  Subject: [ozmidwifery] waterbirth 
  pictures
  
  Can anyone enlighten me on the rationale / 
  motivation for holding the baby under the water after it is born?
   
  Also does anyone have any good client information 
  pamphlets on group B strep that they would like to share?
   
  Thanks in advance
   
  Jacky

[ozmidwifery] waterbirth pictures

[Ross W Timbs]

Can anyone enlighten me on the rationale / 
motivation for holding the baby under the water after it is born?
 
Also does anyone have any good client information 
pamphlets on group B strep that they would like to share?
 
Thanks in advance
 
Jacky

Re: [ozmidwifery] Epidural

[Diane Gardner]

Oh Barb how great. Congratulations on a job well done...The universe
works in mysterious ways.

I will pass this onto my mum. She sure will appreciate you guys. When my
mums go to an ob/gyn they hardly ever talk about the wonderful job that
midwives do. I make sure that I let all my mums in my classes know about you
guys.

warm regards
Diane




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RE: [ozmidwifery] Epidural

[B & G]

I did a great birth last week which showed the woman's strength and
belief in her own body. 3rd pregnancy with twins. Usual IOL at 38 weeks
but declined an epidural which was respected. History of precipitate
births. 

I come onto Birth Suite at 2.30 with a new student who had only assisted
at three births. It was busy. I assessed his mother and felt her labour
was moving fast then the Registrar disappeared as anal dil was evident.
This left me to supervise a student midwife to catch the first boy.
Quick palp and VE then next boy followed, cephalic 4 minutes later also
caught by the student midwife just as the Registrar arrived with the
Director of O & G. The Director was called by my colleagues as they
themselves could not find the Reg. I am sure questions would have been
asked of the Reg and the Consultant who was supposed to be there. Twin
birth with not a Medical Officer in sight and done by a student midwife
supervised by a midwife!

The woman and her husband were just beaming and my mid student was
stunned!! Birth happens and we are merely spectators to this wonderful
event in a woman's life. This mother had faith in her body and her
babies.
Cheers Barb


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Re: [ozmidwifery] Waterbirth pictures.

[JoFromOz]

Sally, I never thought I would do it 
with anyone else :)
 
Love Jo :)
 
 
 Original Message From: Sally WestburyTo: 
[EMAIL PROTECTED]Sent: Monday, November 17, 2003 2:14 
PMSubject: RE: [ozmidwifery] Waterbirth pictures.> Well Jo you will have to come the us at the Community 
Midwifery> Program as we are the only people actively supporting 
waterbirth in> Western Australia!!!  > > By the 
way..  strange dream….> > Love Sally> -- Babies are Born... Pizzas are 
delivered.