[ozmidwifery] Eating In Labour- evidence!
Wow, it's interesting that women are even restricted from eating solid foods while they're labouring... the Cochrane folks, Enkin et al. (2000) Guide to Effective Care in Pregnancy Childbirth. (3rd ed, Oxford University Press) have a whole section on nutrition in labour (pp. 259- 263). It can be downloaded from http://maternitywise.org/pdfs/gecpc3ch29.pdf The gist is "...except for women at high risk of needing general anaesthesia, the benefits of nourishment in accordance with women's wishes far outweigh the possible benefits of more restrictive policies." (p. 259). In the two hospitals I've done my clinical placements, women have been encouraged to drink to thirst eat to hunger (lightly). Here's to evidence-based practice! Jen 3rd year BMid student, MelbourneJoFromOz [EMAIL PROTECTED] wrote: Women are allowed water, black tea, that kind of thing. Whether epidural or not. Inductions are more strict though, water only. I had to beg a doc to let my labouring woman have a barley sugar... Jo Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] Urgent: Need Info on Eating In Labour Policies
Title: Re: [ozmidwifery] Urgent: Need Info on Eating In Labour Policies You could contact Michel Odent at [EMAIL PROTECTED] or [EMAIL PROTECTED] . He did some talks about eating in labour. Prevent the mother from eating gives adrenalines that counteract with oxytocine and endorfines and causes so prolonged labour. greetings Lieve Original Message From: ljg To: [EMAIL PROTECTED] Sent: Monday, March 01, 2004 10:13 AM Subject: [ozmidwifery] Urgent: Need Info on Eating In Labour Policies Hi all Need some information from hospital based midwives re: your units policies in regards to women eating in labour. Need this info by Wednesday our anaesthetic department have taken it upon themselves to direct midwives to keep women who have epidurals NBM, and Im sure there will be further in regards to women who dont have epidurals. If you could email me off list with what you policy says and where you are from I would greatly appreciate it! Ahh the battle goes on!! Lisa g [EMAIL PROTECTED]
Re: [ozmidwifery] Eating In Labour- evidence!
Yup, I have that exact same book :) And I agree with you :) Jo Original Message From: Jen SempleTo: [EMAIL PROTECTED]Sent: Monday, March 01, 2004 3:57 PMSubject: [ozmidwifery] Eating In Labour- evidence! Wow, it's interesting that women are even restricted from eating solid foods while they're labouring... the Cochrane folks, Enkin et al. (2000) Guide to Effective Care in Pregnancy Childbirth. (3rd ed, Oxford University Press) have a whole section on nutrition in labour (pp. 259- 263). It can be downloaded from http://maternitywise.org/pdfs/gecpc3ch29.pdf The gist is "...except for women at high risk of needing general anaesthesia, the benefits of nourishment in accordance with women's wishes far outweigh the possible benefits of more restrictive policies." (p. 259). In the two hospitals I've done my clinical placements, women have been encouraged to drink to thirst eat to hunger (lightly). Here's to evidence-based practice! Jen 3rd year BMid student, Melbourne JoFromOz [EMAIL PROTECTED] wrote: Women are allowed water, black tea, that kind of thing. Whether epidural or not. Inductions are more strict though, water only. I had to beg a doc to let my labouring woman have a barley sugar... Jo Find local movie times and trailers on Yahoo! Movies.-- Babies are Born... Pizzas are delivered.
Re: [ozmidwifery] Urgent: Need Info on Eating In Labour Policies
Title: Re: [ozmidwifery] Urgent: Need Info on Eating In Labour Policies Is it notalso logical that a starved body does not function as well as a nourished even without the one inquestion being in the middle of performing labour??Denise Hynd - Original Message - From: Lieve Huybrechts To: [EMAIL PROTECTED] Sent: Monday, March 01, 2004 4:19 PM Subject: Re: [ozmidwifery] Urgent: Need Info on Eating In Labour Policies You could contact Michel Odent at [EMAIL PROTECTED] or [EMAIL PROTECTED] . He did some talks about eating in labour. Prevent the mother from eating gives adrenalines that counteract with oxytocine and endorfines and causes so prolonged labour. greetingsLieve Original Message From: ljgTo: [EMAIL PROTECTED]Sent: Monday, March 01, 2004 10:13 AMSubject: [ozmidwifery] Urgent: Need Info on Eating In Labour Policies Hi all Need some information from hospital based midwives re: your units policies in regards to women eating in labour. Need this info by Wednesday our anaesthetic department have taken it upon themselves to direct midwives to keep women who have epidurals NBM, and Im sure there will be further in regards to women who dont have epidurals. If you could email me off list with what you policy says and where you are from I would greatly appreciate it! Ahh the battle goes on!! Lisa g [EMAIL PROTECTED]
Re: [ozmidwifery] The best news...!
As a consumer where is a letter best sent in support of this news? To Mary Chiarella? If so does any one have an address? thanks Jo At 3:37 +1100 1/3/04, Andrea Robertson wrote: From the Sydney Morning Herald today. --- Publicly funded home births for healthy women on agenda By Julie Robotham, Medical Editor March 1, 2004 http://www.smh.com.au/cgi-bin/common/popupPrintArticle.pl?path=/articles/2004/02/29/1077989435235.htmlPrint this article http://www.smh.com.au/cgi-bin/common/popupEmailArticle.pl?path=/articles/2004/02/29/1077989435235.htmlEmail to a friend Women would be able to give birth at home in the care of midwives employed by NSW Health under a radical proposal being considered by the department. The state's chief nursing officer, Mary Chiarella, confirmed that publicly funded home births for healthy women without medical complications were on the agenda. It would mark the first time NSW public maternity patients could have their babies outside hospital. At present, women who want to give birth at home have to employ a midwife privately, with no Medicare rebate - and most private midwives no longer carry insurance after last year's indemnity crisis. Only a handful of NSW women take this option. But Professor Chiarella said: There's no doubt there is a significant consumer drive for home birth. It's about understanding that birth can be a very healthy process. In New Zealand, home deliveries are routine - accounting for more than 10 per cent of births - while there are limited public home birth services in Western Australia and South Australia. In NSW, Professor Chiarella said, home birth midwives might be managed centrally by the department, or could be attached to hospitals or area health services. The possible arrangements would be outlined for public consultation later this year. Lesley Barclay, director of the Centre for Family Health and Midwifery at the University of Technology, Sydney, said a hospital was still the safest place to give birth when there was a known risk of a medical problem. But for healthy mothers, the risks of having their baby in hospital might outweigh the benefits. Professor Barclay said the move towards home births internationally was an acknowledgement not just of mothers' preferences, but of hospitals and health services that can no longer sustain the cost of high-intervention births when they're not necessary. There has been increasing pressure on birth services across NSW, especially in rural and regional areas where many specialist GPs and obstetricians have stopped delivering babies in response to rising insurance premiums and workloads. Professor Chiarella said working parties - including departmental managers and lawyers, doctors, midwives and consumer advocates - would examine how home births could be offered safely and equitably. This is the best news we have had for some time. Congratulations to everyone who has worked so hard on this! Regards Andrea - 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. -- Jo Bourne Virtual Artists Pty Ltd -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] The best news...!
I think the Sydney Morning Herald would be a good place to send a letter as it will reach more people. email: [EMAIL PROTECTED] All letters and emails must include the senders home address and day and evening phone numbers for verification as well as being no more than 200 words - Good luck. Jo - Original Message - From: Jo Bourne [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Monday, March 01, 2004 9:32 PM Subject: Re: [ozmidwifery] The best news...! As a consumer where is a letter best sent in support of this news? To Mary Chiarella? If so does any one have an address? thanks Jo At 3:37 +1100 1/3/04, Andrea Robertson wrote: From the Sydney Morning Herald today. --- Publicly funded home births for healthy women on agenda By Julie Robotham, Medical Editor March 1, 2004 http://www.smh.com.au/cgi-bin/common/popupPrintArticle.pl?path=/articles/2 004/02/29/1077989435235.htmlPrint this article http://www.smh.com.au/cgi-bin/common/popupEmailArticle.pl?path=/articles/2 004/02/29/1077989435235.htmlEmail to a friend Women would be able to give birth at home in the care of midwives employed by NSW Health under a radical proposal being considered by the department. The state's chief nursing officer, Mary Chiarella, confirmed that publicly funded home births for healthy women without medical complications were on the agenda. It would mark the first time NSW public maternity patients could have their babies outside hospital. At present, women who want to give birth at home have to employ a midwife privately, with no Medicare rebate - and most private midwives no longer carry insurance after last year's indemnity crisis. Only a handful of NSW women take this option. But Professor Chiarella said: There's no doubt there is a significant consumer drive for home birth. It's about understanding that birth can be a very healthy process. In New Zealand, home deliveries are routine - accounting for more than 10 per cent of births - while there are limited public home birth services in Western Australia and South Australia. In NSW, Professor Chiarella said, home birth midwives might be managed centrally by the department, or could be attached to hospitals or area health services. The possible arrangements would be outlined for public consultation later this year. Lesley Barclay, director of the Centre for Family Health and Midwifery at the University of Technology, Sydney, said a hospital was still the safest place to give birth when there was a known risk of a medical problem. But for healthy mothers, the risks of having their baby in hospital might outweigh the benefits. Professor Barclay said the move towards home births internationally was an acknowledgement not just of mothers' preferences, but of hospitals and health services that can no longer sustain the cost of high-intervention births when they're not necessary. There has been increasing pressure on birth services across NSW, especially in rural and regional areas where many specialist GPs and obstetricians have stopped delivering babies in response to rising insurance premiums and workloads. Professor Chiarella said working parties - including departmental managers and lawyers, doctors, midwives and consumer advocates - would examine how home births could be offered safely and equitably. This is the best news we have had for some time. Congratulations to everyone who has worked so hard on this! Regards Andrea - 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. -- Jo Bourne Virtual Artists Pty Ltd -- 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] BORN IN CAUL
Beautifully told Tina. Cheers, Joanne. - Original Message - From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Wednesday, February 25, 2004 5:37 PM Subject: Re: [ozmidwifery] BORN IN CAUL Hello fellow ozmiders.I have pasted below a birth story from my journal of a babe born in the caul.I have had three women in my time as a mid student, birth their babes in the caulthe first at home thru water.then this wonderful birth with 'Kirsty' in hospital on the shower floorand again recentlya wonderful hospital birth...again in the showerCheers Tina Pettigrew.3rd year B Mid Student ACU Melb-Home tonight from another day of birthing 'with woman'. I startedback on placement today - 2/days a week for the next couple of months.ON arriving this morning, the 'board' in birth suite was full withlabouring women and/or women who had recently birthed their babes...Iwas allocated to work with a young woman in 'early' labour. Labourcommenced at 2100hrs last night with irregular tightenings and alarge bloody show. Kirsty arrived at hospital at 0400hrs thismorning...today her EDB...healthy pregnancy.I met 18 yr old Kirsty (not her real name) her ex partner and theirlittle boy (16 month toddler). Kirsty was on the bed leaning over thebean bag. Ex partner, 24 yr old...father of both the children...waspresent to care for the toddler as they have noone else to supportthem. Both Kirsty's parents are in jail...her only local family anelderly grandmother...Ex partner also soon to be imprisoned in a fewweeks time...Instantly we connected.the partner was in and out of the roomwith the small childso she was all aloneshe was frightenedand in pain. Her labour with her first babe was 25 hours, epidural,ventouse and 2 degree tear...This labour was beginning to escalate when I arrived 0730 hrs. Ioffered her words of encouragement.massage for her low backpainand finally coaxed her into the shower on the mediball at0800.Kirsty was very tired...having been awake all night, andwith 16 month old toddler in tow who had not yet sleptLights dimed in the shower, hot water and rocking on medi ball,midwife student shoes off bear feet, pants rolled up to myknees...working with her, with 16 month toddler under my arm pitwondering what mum was doingtoddler on my knee now (trying tokeep him out of the water :-)) partner returns from outside and takestoddler for walk...Kirsty making heaps of birth noise, and needing torest...lays down on the mat in the shower...hot water running overher...its all quiet and dark, just the sound of running waterby0900...Kirsty really working hard now...says she's going todiewants the pain to stop...Partner returns...toddler intowKirsty 'freaks out' with him present now...fearful forhim "seeing me in pain" wants him to go. Really distressed and,crying, screaming for me to make it all stop...I stroke herforeheadtake her in my arms and cuddle on the shower floor...sheceases to cry...wants a VE to assess her progress before having anepidural. O/VE 6-7cmwon't have gas (says she'll die)decidesno epidural...and has 100mgs of IM pethide, tries some gas with somegreat words from the midwife who is alittle more assertive with herthan me, she eventually refocuses on birthing her babymembranesstill intact...RMO wanting to rupture themmidwife does some fancyfoot work with the doctor...no ARM :-))The next hour is s intense...Kirsty's labour is full onnow...still in the shower...sucking on the gas...leaning up over herpartner who is on the mediball...then at 1015 hours...that incrediblebirth roar came...a sensation new to Kirsty who felt none of her 2ndstage with babe no 1. with the epidural. Reassuring her "you aresafe" its "OK to go with what you are feeling"Kirsty begins thework of pushing her babe out...over a bean bag now (still in theshower and wasn't I popular with the Div 2 - a wet soggy bean bag!!!)I can see her babes head emergingas the babes begins tocrown...Kirsty instinctively reaches down to touch her babe andreassure herself that she was not "fucking splitting apart"andgently, ever so gently, she breathes her 3505gm daughter out and intomy hands at 1044 hrsbabe born in the caulmembranes stillintact that I gently peel away as I pass her thru Kirsty's legs andlay her down beneath her.she is euphoric...triumphant...!!!Active third stage...1ml IM syntometrine and CCT...EBL 150ml...Babe beautiful breastfeeder(Kirsty BF babe no. 1 for 11months)...Perineum intact...no other tears or grazes :-)) Midwifestudent delighted!!I continue to be amazed at the strengh of 'woman'...this youngwoman...with the odds stacked against hera long road ahead
[ozmidwifery] National seminar on improving maternity services
Dear ozmidders, Please find below information about this seminar being run by ARCHI - the Australian Resource Centre for Healthcare Innovations - in Melbourne in June 2004. It would be great to get as many presenters as possible on midwifery care and its benefits. Please forward this to your contacts and consider submitting an abstract. The seminar attracts a wide range of government and hospital managers, as well as a range of clinicians, and consumers. So it will provide an excellent forum for showcasing innovation in maternity care through the use of midwifery models of care. For more information visit the acmi website www.acmi.org.au the full brochure on the seminar, or the archi website (address at bottom of this message). Closing date for applications is 15 March 2004. regards Dr Barbara Vernon Executive Officer Australian College of Midwives Inc Level 1, 97 Northbourne Ave TURNER ACT 2612 Ph: 02 6230 7333 Fax: 02 6230 6033 www.acmi.org.au Call for abstracts Improving the Clinical Management of Maternity Services Thursday 24th Friday 25th June 2004 Sheraton Southbank . Melbourne VIC Aims of Seminar . To inform clinicians and clinical managers about strategic directions in clinical governance and the clinical management of maternity services . To share information about innovative approaches to workforce planning and the training and education of healthcare clinicians . To showcase innovative models of care or projects with demonstrated outcomes that have improved access to maternity services and optimised the quality, safety and efficiency of maternity care Audience . Academics and researchers . Clinical managers and clinicians including community nurses, endocrinologists, general practitioners, gynaecologists, midwives, nurse practitioners, obstetricians, paediatricians, . Consumers . Divisions of General Practice . Health consultants . Health recruitment organisations . Health service executives including Directors of Midwifery/Medical/Clinical Services/Nursing/Clinical Governance . Information technology professionals . Policy makers . Private health organisations . Program managers interested in quality and efficiency improvement . Risk and quality managers ARCHI, in partnership with the Australian College of Midwives Inc and Womens' Hospitals Australasia, invites participation in our next Toolkit Seminar, Improving the Clinical Management of Maternity Services by submitting an abstract to present at the seminar. Call for Papers Submissions are invited for abstracts that demonstrate innovative approaches to the clinical management of maternity services. Key topics include access for disadvantaged women and women from culturally diverse backgrounds, audit, benchmarking, clinical indicators, clinical practice/quality improvement, continuity of care/carer, caseload management, dealing with obstetric emergencies, clinician education and training, collaboration between training institutions and healthcare providers, evidence based practice, decision support, models of care delivery, monitoring and dealing with adverse outcomes, patient safety, risk management, medication management, outcomes, service delivery in rural/remote or small centres, support for women `at risk', team work, workforce challenges. Presentations should focus on process, implementation and outcomes of innovative projects including what worked well as well as what did not work well. Guidelines for Abstracts Abstracts should: . Be presented in Microsoft Word format . Include the title of the proposed paper, each author's name with the name of the presenting author underlined, position title, organisation and contact details ie telephone, email and mailing address . Focus on the practical implementation of a project/case study where the outcomes/results have led to changes . Be no more than 250 words in length. Presentation Format Abstracts accepted will be presented at the seminar as a PowerPoint presentation. In addition to the presentation, papers for accepted abstracts will also be welcomed. Presenters will be allocated a 20-minute timeslot, plus 5 minutes for discussion Important Dates 15 March 2004 - submission of abstracts 24 March 2004 - notification of acceptance 15 June 2004 - submission of PowerPoint presentation Presenting authors at the seminar will receive ONE complementary registration. Please note that flights/travel expenses to the seminar will be at the presenter's expense. For further information Telephone the ARCHI National Office on 02 4985 3165 OR email: [EMAIL PROTECTED] To find out more about ARCHI visit the website at www.archi.net.au -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] birthcentre vbacs
hello all! was wondering if anyone could help me out, im looking for articles, hospital policies, anything at all related to vbacs in birthing centres[if not bc, then hospitals in general is fine, and any homebirth info would also be useful!], why we cant have them/can/why we should etc! thanking you in advance! jess.
Re: [ozmidwifery] Eating In Labour- evidence!
The Midwifery Dilemma: to fast or feed the labouring woman makes a few
interesting comments that you might find helpful. Basically, it is believed
that the decline in the general anaethesia rate for obstetric patients and
the improvements in anaesthetic drugs and techniques over the past 50 years
have made an aspiration episode extremely rare. In 1946 Mendelson
recommended employing regional anaesthetic (epidural) rather than general
anaesthetic to help prevent morbidity and mortality from gastric aspiration
in labouring women.
It has been found that despite prolonged fasting time a majority of
patients had large gastric volumes prior to general anaesthetics. Guyton
(19860 found that 500 millilitres of gastric secretion per hour was produced
when associated with hunger. The stomach may produce 50 millilitres of
highly acidic fluid at times of stress and fasting. Phillips et al (1993)
stated that fasting only increased the amount of acid secretion in the
stomach, while food and fluid reduce the production and dilute the pH level
of the gastric contents.
Basically epidural rather than general anaesthetic is considered the most
effective way to minimise the risk of aspiration. An interesting finishing
quote in the article from Sleatel Golden (1999) comments when the risk of
death from aspiration is put into perspective, it can be seen that a woman
has a three times greater chance of dying from a lightening strike than
dying from aspiration during childbirth
I hope this helps.
kathy
- Original Message -
From: Jen Semple [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Monday, March 01, 2004 6:57 PM
Subject: [ozmidwifery] Eating In Labour- evidence!
Wow, it's interesting that women are even restricted from eating solid
foods while they're labouring... the Cochrane folks, Enkin et al. (2000)
Guide to Effective Care in Pregnancy Childbirth. (3rd ed, Oxford
University Press) have a whole section on nutrition in labour (pp. 259-
263). It can be downloaded from
http://maternitywise.org/pdfs/gecpc3ch29.pdf
The gist is ...except for women at high risk of needing general
anaesthesia, the benefits of nourishment in accordance with women's wishes
far outweigh the possible benefits of more restrictive policies. (p. 259).
In the two hospitals I've done my clinical placements, women have been
encouraged to drink to thirst eat to hunger (lightly).
Here's to evidence-based practice!
Jen
3rd year BMid student, Melbourne
JoFromOz [EMAIL PROTECTED] wrote:
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Arial}DIV.Section1 { page: Section1}Women are allowed water, black tea, that
kind of thing. Whether epidural or not. Inductions are more strict though,
water only. I had to beg a doc to let my labouring woman have a barley
sugar...
Jo
-
Find local movie times and trailers on Yahoo! Movies.
--
This mailing list is sponsored by ACE Graphics.
Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Eating In Labour- evidence!
One of the more interesting diets in labour that I witnessed was from a much villified
sub-cultural group in our society who ate fried potatoes dusted with a wide variety of
seasonings washed down with a foul black sticky liquid which they swore was the only
food they could keep down.
(Teenagers just love BBQ chips and coke, and even in labour found it a source of ready
calories!)
Trish
=?iso-8859-1?q?Jen=20Semple?= [EMAIL PROTECTED] wrote:Wow, it's interesting that
women are even restricted from eating solid foods while they're labouring... the
Cochrane folks, Enkin et al. (2000) Guide to Effective Care in Pregnancy Childbirth.
(3rd ed, Oxford University Press) have a whole section on nutrition in labour (pp.
259- 263).nbsp; It can be downloaded from http://maternitywise.org/pdfs/gecpc3ch29.pdf
nbsp;
The gist is ...except for women at high risk of needing general anaesthesia, the
benefits of nourishment in accordance with women's wishes far outweigh the possible
benefits of more restrictive policies. (p. 259).
nbsp;
In the two hospitals I've done my clinical placements, women have been encouraged to
drink to thirst eat to hunger (lightly).
nbsp;
Here's to evidence-based practice!
nbsp;
Jen
3rd year BMid student, MelbourneJoFromOz [EMAIL PROTECTED] wrote:
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Women are allowed water, black tea, that kind of thing.nbsp; Whether epidural or
not. Inductions are more strict though, water only.nbsp; I had to beg a doc to let
my labouring woman have a barley sugar...
nbsp;
Jo
Find local movie times and trailers on Yahoo! Movies.
--
Trish David FACM
Senior Lecturer Midwifery and Nursing
Monash University School of Nursing
Gippsland Campus
Northways Road
Churchill 3842
(03) 5122 6839
0418 994033
--
This mailing list is sponsored by ACE Graphics.
Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] The best news...!
Dear Jo for maximum effect Send a letter to the SMH editor and copy to Mary Chiarelli both have web sites so you should write the letter and can send via email [EMAIL PROTECTED] and or snail mail I have done the former Denise Hynd - Original Message - From: Jo Bourne [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Monday, March 01, 2004 6:32 PM Subject: Re: [ozmidwifery] The best news...! As a consumer where is a letter best sent in support of this news? To Mary Chiarella? If so does any one have an address? thanks Jo At 3:37 +1100 1/3/04, Andrea Robertson wrote: From the Sydney Morning Herald today. Dear Editor Congratulations to NSW health and the families of NSW for the future rebirth of publicly funded homebirths in NSW. My mother and all her cousins were born in the Wentworthville home of her grandmother in the 1920's with a Community Midwife, surrounded by family and love, not strangers in strange and clinical environment. Now I can hope the children of my son nephews, presently living in Winston Hills will have the same opportunity should they settle in NSW. Should Thomas come back to Perth he already has that option thanks to the Community Midwifery Program (CMP). Perth has had a government funded midwifery led homebirth option for the last 7 years. In terms of happy, healthy mothers and babies the outcomes of this program are better than any other service in Australia, 71% of CMP women have satisfying natural births at home following labours with-out artificial inductions or drugs. These women learn how to use powerful God given resources such as endorphins and working with their babies to give birth as and how they need, many in water! Meanwhile less than 14% women in NSW hospitals labour with-out drugs and more than 30% end with a surgical birth! Information and comments from users of the CMP can be found at http://www.communitymidwifery.iinet.net.au/testimonials.html This program has had 2 independent evaluations and is the template of the National Maternity Action Plan http://www.maternitycoalition.org.au/nmap.html . So NSW planners can save their money on another comiittee and give NSW families this option tomorrow following the the WA example! Denise Hynd Midwife Perth WA (08) 9446 11549 or 041 793 2570 mother of Thomas aunty of Liam Alex 3 Palmerston St Winston Hills (02) 9686 4213 Publicly funded home births for healthy women on agenda By Julie Robotham, Medical Editor March 1, 2004 http://www.smh.com.au/cgi-bin/common/popupPrintArticle.pl?path=/articles/2 004/02/29/1077989435235.htmlPrint this article http://www.smh.com.au/cgi-bin/common/popupEmailArticle.pl?path=/articles/2 004/02/29/1077989435235.htmlEmail to a friend Women would be able to give birth at home in the care of midwives employed by NSW Health under a radical proposal being considered by the department. The state's chief nursing officer, Mary Chiarella, confirmed that publicly funded home births for healthy women without medical complications were on the agenda. It would mark the first time NSW public maternity patients could have their babies outside hospital. At present, women who want to give birth at home have to employ a midwife privately, with no Medicare rebate - and most private midwives no longer carry insurance after last year's indemnity crisis. Only a handful of NSW women take this option. But Professor Chiarella said: There's no doubt there is a significant consumer drive for home birth. It's about understanding that birth can be a very healthy process. In New Zealand, home deliveries are routine - accounting for more than 10 per cent of births - while there are limited public home birth services in Western Australia and South Australia. In NSW, Professor Chiarella said, home birth midwives might be managed centrally by the department, or could be attached to hospitals or area health services. The possible arrangements would be outlined for public consultation later this year. Lesley Barclay, director of the Centre for Family Health and Midwifery at the University of Technology, Sydney, said a hospital was still the safest place to give birth when there was a known risk of a medical problem. But for healthy mothers, the risks of having their baby in hospital might outweigh the benefits. Professor Barclay said the move towards home births internationally was an acknowledgement not just of mothers' preferences, but of hospitals and health services that can no longer sustain the cost of high-intervention births when they're not necessary. There has been increasing pressure on birth services across NSW, especially in rural and regional areas where many specialist GPs and obstetricians have stopped delivering babies in response to rising insurance premiums and workloads. Professor Chiarella said working parties - including departmental managers and lawyers, doctors, midwives and consumer advocates - would examine how home births could be offered
Re: [ozmidwifery] BORN IN CAUL
In a message dated 2/03/04 9:45:08 AM AUS Eastern Daylight Time, [EMAIL PROTECTED] writes: Beautifully told Tina. Cheers, Joanne. Thanks Joanne, Regards Tina P.
Re: [ozmidwifery] Moving to Australia
Hi Wendy, My husband and Imoved to Australia last August, Its a different life, and different working also. I had worked in a medium maternity unit in England, and we wanted to move to Cairns area, I was offered a post in a small hospital with 240 births in the area, which I presumed was midwifery led, in fact was quite medicalised, the midwives not even able to perform speculums for SRM, I had to ask the Drs. before I could suture, and they even sent me to work on surgical, medical wards. So if you come beware, Apart from that the lifestyle is good, I have now moved to another hospital. Living, if you need to rent, get some references, otherwise they ask for even more deposit on top of your bond. Good Luck Anne [EMAIL PROTECTED] 27/02/2004 8:12:17 am Hello, my name is Wendy. I am a qualified midwife currently working in a low risk birthing centre in England. I, along with my partner and two children (12 9) are considering moving to Australia and I am interested in talking to anyone who has recently undertaken this huge move themselves who could give me more of an insight in to what may await us. My partner, having been to Australia before, is a keen scuba-diver and would like to consider Brisbane as the area of choice. Please contact me if you have any information that may be of help to us or if you know of anyone in the main hospitals who have current vacancies. Thanks Wendy Taberer. *** 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.
Re: [ozmidwifery] The best news...!
Is the [EMAIL PROTECTED] email for mary Chiarelli? Denise? Untitled Document www.Splitart.com - Original Message - From: Denise Hynd [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Tuesday, March 02, 2004 11:54 AM Subject: Re: [ozmidwifery] The best news...! Dear Jo for maximum effect Send a letter to the SMH editor and copy to Mary Chiarelli both have web sites so you should write the letter and can send via email [EMAIL PROTECTED] and or snail mail I have done the former Denise Hynd - Original Message - From: Jo Bourne [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Monday, March 01, 2004 6:32 PM Subject: Re: [ozmidwifery] The best news...! As a consumer where is a letter best sent in support of this news? To Mary Chiarella? If so does any one have an address? thanks Jo At 3:37 +1100 1/3/04, Andrea Robertson wrote: From the Sydney Morning Herald today. Dear Editor Congratulations to NSW health and the families of NSW for the future rebirth of publicly funded homebirths in NSW. My mother and all her cousins were born in the Wentworthville home of her grandmother in the 1920's with a Community Midwife, surrounded by family and love, not strangers in strange and clinical environment. Now I can hope the children of my son nephews, presently living in Winston Hills will have the same opportunity should they settle in NSW. Should Thomas come back to Perth he already has that option thanks to the Community Midwifery Program (CMP). Perth has had a government funded midwifery led homebirth option for the last 7 years. In terms of happy, healthy mothers and babies the outcomes of this program are better than any other service in Australia, 71% of CMP women have satisfying natural births at home following labours with-out artificial inductions or drugs. These women learn how to use powerful God given resources such as endorphins and working with their babies to give birth as and how they need, many in water! Meanwhile less than 14% women in NSW hospitals labour with-out drugs and more than 30% end with a surgical birth! Information and comments from users of the CMP can be found at http://www.communitymidwifery.iinet.net.au/testimonials.html This program has had 2 independent evaluations and is the template of the National Maternity Action Plan http://www.maternitycoalition.org.au/nmap.html . So NSW planners can save their money on another comiittee and give NSW families this option tomorrow following the the WA example! Denise Hynd Midwife Perth WA (08) 9446 11549 or 041 793 2570 mother of Thomas aunty of Liam Alex 3 Palmerston St Winston Hills (02) 9686 4213 Publicly funded home births for healthy women on agenda By Julie Robotham, Medical Editor March 1, 2004 http://www.smh.com.au/cgi-bin/common/popupPrintArticle.pl?path=/articles/2 004/02/29/1077989435235.htmlPrint this article http://www.smh.com.au/cgi-bin/common/popupEmailArticle.pl?path=/articles/2 004/02/29/1077989435235.htmlEmail to a friend Women would be able to give birth at home in the care of midwives employed by NSW Health under a radical proposal being considered by the department. The state's chief nursing officer, Mary Chiarella, confirmed that publicly funded home births for healthy women without medical complications were on the agenda. It would mark the first time NSW public maternity patients could have their babies outside hospital. At present, women who want to give birth at home have to employ a midwife privately, with no Medicare rebate - and most private midwives no longer carry insurance after last year's indemnity crisis. Only a handful of NSW women take this option. But Professor Chiarella said: There's no doubt there is a significant consumer drive for home birth. It's about understanding that birth can be a very healthy process. In New Zealand, home deliveries are routine - accounting for more than 10 per cent of births - while there are limited public home birth services in Western Australia and South Australia. In NSW, Professor Chiarella said, home birth midwives might be managed centrally by the department, or could be attached to hospitals or area health services. The possible arrangements would be outlined for public consultation later this year. Lesley Barclay, director of the Centre for Family Health and Midwifery at the University of Technology, Sydney, said a hospital was still the safest place to give birth when there was a known risk of a medical problem. But for healthy mothers, the risks of having their baby in hospital might outweigh the benefits. Professor Barclay said the move towards home births internationally was an acknowledgement not just of mothers' preferences, but of hospitals and health services that can no longer sustain the cost of high-intervention births when they're not necessary. There has been increasing pressure on
