Re: [ozmidwifery] Midwifery led birth centres
Jane Are you includiing information about NMAP and the case load ooptions in Oz and those in the pipeline?? Denise Hynd Never believe that a few caring people can't change the world. For, indeed, they are the only ones who ever have. Margaret Mead - Original Message - From: Jane Palmer [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Tuesday, July 13, 2004 8:12 PM Subject: [ozmidwifery] Midwifery led birth centres Hi It has been ages (probably a year or two) since I have contributed to this list. Rejoined a little while ago to get back in touch with midwifery and birthing. I was hoping that you could help me. I am currently revising the book 'Pregnancy For Dummies' Aust and NZ edition and I am very keen to have a greater midwifery focus to this edition. Have decided to put a list of current Midwifery Led Birth Centres both here in Australia and in New Zealand as well as their contact details. Any information on Birth Centres that you can send my way would be much appreciated. Cheers Jane Palmer Pregnancy, Birth and Beyond www.pregnancy.com.au -- 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] Midwifery led birth centres
Nor are they midwifery run I suspect? Denise Hynd Never believe that a few caring people can't change the world. For, indeed, they are the only ones who ever have. Margaret Mead - Original Message - From: Jane Palmer [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Wednesday, July 14, 2004 8:33 AM Subject: RE: [ozmidwifery] Midwifery led birth centres Dear Julie Thanks for the tip. The ACMI list a good starting point, though the list is not complete. It also appears to be an inclusive list, it lists hospitals that have midwifery run units that aren't necessarily 'Birth Centres'. Cheers Jane Pregnancy, Birth and Beyond www.pregnancy.com.au -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Julie Clarke Sent: Monday, 14 July 2003 9:09 AM To: [EMAIL PROTECTED] Subject: RE: [ozmidwifery] Midwifery led birth centres Hi Jane I recently saw a full listing of midwifery led birth centres on the acmi website. Hope this helps. Hug Julie Julie Clarke CBE Childbirth and Parenting Educator (Independent) ACE Grad-Dip Supervisor NACE Inc. Advanced Educator and Trainer Transition into Parenthood 9 Withybrook Pl Sylvania NSW 2224. T. (02) 9544 6441 F. (02) 9544 9257 Mobile 0401 2655 30 email: [EMAIL PROTECTED] www.transitionintoparenthood.com.au -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jane Palmer Sent: Tuesday, 13 July 2004 10:12 PM To: [EMAIL PROTECTED] Subject: [ozmidwifery] Midwifery led birth centres Hi It has been ages (probably a year or two) since I have contributed to this list. Rejoined a little while ago to get back in touch with midwifery and birthing. I was hoping that you could help me. I am currently revising the book 'Pregnancy For Dummies' Aust and NZ edition and I am very keen to have a greater midwifery focus to this edition. Have decided to put a list of current Midwifery Led Birth Centres both here in Australia and in New Zealand as well as their contact details. Any information on Birth Centres that you can send my way would be much appreciated. Cheers Jane Palmer Pregnancy, Birth and Beyond www.pregnancy.com.au -- 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. -- 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] Birth in Aust
Dear Andrea I will look at coming to Sydney for Maggie's workshop.. I am currently working a Nursing Home!! I have tried Private Practis and would again tomorrow if I could earn enough to pay my mortgage (which is low) and feed myself and put petrol in my car!! It takes a while to biuld up a practice! I tried all sorts of things for 2 years and had 5 clients!! So it takes more than confidence. That is why I have been busy with MC and NMAP. Also I have tried to get a program on ABC Australian Story and Reality Bites about 1-2-1 midwifery (something in piepline for GNT as a result tho). Even Perth women believe hospital and doctors are necessary for birth the demand beyond the CMP is insufficient to full employ those midwives and many of them also have a few private clients.. Australian women and midwives need to see Australian led midwifery birth on TV. Have I mised something was there any discussion of the Birthrites program ?? Denise Hynd Never believe that a few caring people can't change the world. For, indeed, they are the only ones who ever have. Margaret Mead - Original Message - From: Andrea Robertson [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Friday, July 16, 2004 8:36 AM Subject: Re: [ozmidwifery] Birth summary forms Hi Liz, I know that you are not the only midwife working within the system who would love to take the plunge and become and independent practitioner. Many have told me that what is stopping them is a lack of confidence. To help all these aspiring independent practitioners (and those who want to feel more authoritative within the system), we have asked Maggie Banks to present her highly acclaimed Midwifery Intensives workshop in Sydney in November. This 2 1/2 day course covers dealing with midwifery emergencies (a bit like the ALSO Course, but with a midwifery focus not a medical model approach) and is designed to instill confidence, improve practical skills, provide an evidence base for practice and encourage autonomy. The full details will be on the web site next week and in the catalogue that is coming out on 2 weeks. This might be just what you need, and lot closer to home. Warm regards, Andrea At 07:29 PM 14/07/2004, you wrote: Hi Jan, thanks so much for your post. I too would love to work outside the hospital system however being a recent graduate and having no-one to apprentice me, I lack the confidence to do so. I feel my only option is to work overseas for a while (an expensive option with 3 children and partner in tow). In the meantime I embrace the wise-woman knowledge I encounter on this list. I have another question too. The docs where I work have the fear that the cervix will close before the placenta can birth. I think this is their reasoning for manual removals if they are not out in the specified time frame. Is this because of the syntocinon given for medically managed third stage, or is this a realistic possibility also for physiological third stage? Once again, forgive my ignorance. blessings, Liz. - 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. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Anti D problems..
Lynne Sue there is a company called Livingstone international toll free phone 1300 780 078 www.livingstone.com.au (that has on office in sydney who have the most amazing catelogue on line. Its worth a look for anyone wanting to buy supplies. They set you up with an account, you can order by phone or on line, the stuff arrives within a day or so and you can pay by all the usual methods. the catelogue includes an amazing array of drugs. I haven't tried to by the narcotics even though they are all listed there but Syntocinon is on their list. I rang and asked whether one needed a script to order it and was told no they were quite happy to ship it, packed with coolers!! Ive never needed to use it but have it on hand Unfortunately Anti D has to come from Bloodbank so they dont have that Andrea Q On Friday, July 16, 2004, at 07:34 AM, Lynne Staff wrote: Hi Sue Even thought you posted mistakenly, can I just say in response to your final comment 'is this worth it?' Yes, it is. I had problems with some docs re anti D but found a supportive ob who said if ever I needed anti D orders, or supplies and was having trouble, he would organize it for me without any fuss. I didn't ever require his assistance again, as I liased with the local blood bank, where the hospitals obtain their supplies, and have never had a problem since - occasionally with an order for its administration (from GPs etc), but have always managed to talk them around. The synto is the one I had the most trouble with - GPs telling me their medical advisory committee told them not to write the prescription for a medication they were not going to personally administer!!! Have you ever heard such a load.der - they do that all day every day! Every time I came up against a brick wall about something, I always come away with more knowledge and strategies for the future! Warm regards, Lynne - Original Message - From: Sue Cookson [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Thursday, July 15, 2004 7:07 PM Subject: [ozmidwifery] Anti D problems.. Hi Jan, Seem to be hitting a few problems here, and am forever aware of my (il)legal status. Had a lovely slow primip birth on Sunday(46 hours - mostly prelabour but still needing support), Rh pos baby, so went to Mullum hospital armed with the baby's blood results (which I'd got from the receptioinsts at my back-up doctor's surgery). My back-up doctor had just left for a 2 week break, so I contacted his back-up doctor. This guy was off for the day, so I spoke with his boss who happened to be a personal friend(?). Well, all shit let loose cos this guy decided it was completely wrong for me to have access to the anti-Don the woman's behalf. He phoned Mullum hospital and told the nurse administrator (Jane Ackerman) I was a lay midwife and then all these people in the hospital came up to me telling me I was a lay midwife. Nightmare!! To cut the story short, I ended up having to take the women in to the hospital for her jab. I had called the mum and she had given me the name of a reg nurse friend who was happy to do injection but that seemed to become irrelevant. The hospital maintained they couldn't send out a midwife cos she wasn't under their care, and that they didn't have the right paperwork to make changes to any of that. I then dropped in and spoke with Jane Ackerman again today, and she seems very supportive saying that she was supporting women's right to choose whoever and that wasn't an issue, but that we just needed to sort out the systems so that the women's needs can be met. Do you happen to know Jane Ackerman? What do you do about anti-d? Yuk!! And my next two women are also rhesus neg... Boy Jan, is all this worth it?? Sue -- 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. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Birth summary forms
Thanks Tania, Lois and Marilyn, it all helps. Andrea, I would love to come to Sydney for Maggie's workshop (I've heard her talk at two futurebirth conferences, and she's wonderful). I just feel that I would like someone around for a while while I'm starting out. It's not only that I've been trained in the system, it's also because of my relative inexperience.That's why I'm thinking that a year in a caseload practice (not many in my area - none in fact) in NZ or UK wpuld give me the grounding I need. Denise, I totally sympathise. I too am workingon NMAP and MC stuff, and really don't know what to do next. Oh for a (big) fairy godmother. blessings to you all, Liz - Original Message - From: Marilyn Kleidon To: [EMAIL PROTECTED] Sent: Saturday, July 17, 2004 5:30 AM Subject: Re: [ozmidwifery] Birth summary forms Hi Tania: I don't think there is any research that indicates an increased risk of the cervix closing during a physiological third stage or expectant management of third stage. The risk of the cervix closing before the birth of the placenta is associated with active management of third stage that is it (the risk) increases after the oxytocic has been administered, hence the often or apparentlyaggressive delivery of the placenta in active management. There is increased risk of PPH with expectant mangement of third stage (note not true physiological management) as evidenced in the trials on the Cochrane data base. I have read discussions that argue that this increasedrisk of PPH may be due to provider/care giver error in how they manage expectant management ie how aggressive are they with placental delivery are they prepared to watvh and wait as jan has indicated? marilyn - Original Message - From: Tania Laurie To: [EMAIL PROTECTED] Sent: Wednesday, July 14, 2004 5:02 PM Subject: Re: [ozmidwifery] Birth summary forms Liz As a mid student, I have also wondered about the cervix closing before the placenta is birthed. With the birth of my third child (at home) we opted for a physiological third stage and have since done some research on the timing of cord clamping. It seems there is a lot of supportive literature for delayed cord clamping with one of the few factors against it being the fear of the cervix closing before birth of the placenta. Tania - Original Message - From: Liz Newnham To: [EMAIL PROTECTED] Sent: Wednesday, July 14, 2004 6:59 PM Subject: Re: [ozmidwifery] Birth summary forms Hi Jan, thanks so much for your post. I too would love to work outside the hospital system however being a recent graduate and having no-one to "apprentice" me, I lack the confidence to do so. I feel my only option is to work overseas for a while (an expensive option with 3 children and partner in tow). In the meantime I embrace the wise-woman knowledge I encounter on this list. I have another question too. The docs where I work have the fear that the cervix will close before the placenta can birth. I think this is their reasoning for manual removals if they are not out in the specified time frame. Is this because of the syntocinon given for medically managed third stage, or is this a realistic possibility also for physiological third stage? Once again, forgive my ignorance. blessings,Liz. - Original Message - From: Jan Robinson To: [EMAIL PROTECTED] Sent: Sunday, July 11, 2004 6:42 AM Subject: Re: [ozmidwifery] Birth summary forms Hi LizI'm lucky that I work outside the hospital system so the guidelines used are safety and the mother's wishes. While ever there is no bleeding I leave well enough alone. It is not good to meddle when conducting a physiologic third stage. Although emergency drugs are in the family fridge they are not used unless excessive bleeding necessitates it.In this particular case the woman had been vomiting towards the end of a very long first labour so she was exhausted after giving birth. After warm herbal tea for fluid replacement (and some home-made chocolate brownie to restore her blood sugar levels) she put her newborn son to the breast but after that she just wanted to close her eyes and sleep. As it was well past midnight, that was what I wanted as well, I tucked my client into her bed where she promptly fell asleep. I slept (very lightly) on the floor beside her. When she awoke in the early hours of the morning she emptied her bladder. I thought the placenta would
Re: [ozmidwifery] Anti D problems..
There is a legal problem with the Poison's Act about administering certain drugs (Schedule 4) without a doctors order. Often it is not the obtaining of the drug, but the authority to use it that can cause problems. Check your state's Poison's Act. MM there is a company called Livingstone international toll free phone 1300 780 078 www.livingstone.com.au (that has on office in sydney who have the most amazing catelogue on line. Its worth a look for anyone wanting to buy supplies. They set you up with an account, you can order by phone or on line, the stuff arrives within a day or so and you can pay by all the usual methods. the catelogue includes an amazing array of drugs. I haven't tried to by the narcotics even though they are all listed there but Syntocinon is on their list. I rang and asked whether one needed a script to order it and was told no they were quite happy to ship it, packed with coolers!! Ive never needed to use it but have it on hand Unfortunately Anti D has to come from Bloodbank so they dont have that Andrea Q On Friday, July 16, 2004, at 07:34 AM, Lynne Staff wrote: Hi Sue Even thought you posted mistakenly, can I just say in response to your final comment 'is this worth it?' Yes, it is. I had problems with some docs re anti D but found a supportive ob who said if ever I needed anti D orders, or supplies and was having trouble, he would organize it for me without any fuss. I didn't ever require his assistance again, as I liased with the local blood bank, where the hospitals obtain their supplies, and have never had a problem since - occasionally with an order for its administration (from GPs etc), but have always managed to talk them around. The synto is the one I had the most trouble with - GPs telling me their medical advisory committee told them not to write the prescription for a medication they were not going to personally administer!!! Have you ever heard such a load.der - they do that all day every day! Every time I came up against a brick wall about something, I always come away with more knowledge and strategies for the future! Warm regards, Lynne - Original Message - From: Sue Cookson [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Thursday, July 15, 2004 7:07 PM Subject: [ozmidwifery] Anti D problems.. Hi Jan, Seem to be hitting a few problems here, and am forever aware of my (il)legal status. Had a lovely slow primip birth on Sunday(46 hours - mostly prelabour but still needing support), Rh pos baby, so went to Mullum hospital armed with the baby's blood results (which I'd got from the receptioinsts at my back-up doctor's surgery). My back-up doctor had just left for a 2 week break, so I contacted his back-up doctor. This guy was off for the day, so I spoke with his boss who happened to be a personal friend(?). Well, all shit let loose cos this guy decided it was completely wrong for me to have access to the anti-Don the woman's behalf. He phoned Mullum hospital and told the nurse administrator (Jane Ackerman) I was a lay midwife and then all these people in the hospital came up to me telling me I was a lay midwife. Nightmare!! To cut the story short, I ended up having to take the women in to the hospital for her jab. I had called the mum and she had given me the name of a reg nurse friend who was happy to do injection but that seemed to become irrelevant. The hospital maintained they couldn't send out a midwife cos she wasn't under their care, and that they didn't have the right paperwork to make changes to any of that. I then dropped in and spoke with Jane Ackerman again today, and she seems very supportive saying that she was supporting women's right to choose whoever and that wasn't an issue, but that we just needed to sort out the systems so that the women's needs can be met. Do you happen to know Jane Ackerman? What do you do about anti-d? Yuk!! And my next two women are also rhesus neg... Boy Jan, is all this worth it?? Sue -- 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. -- 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] Birth in Aust
I totally agree Denise. As professional midwives we also need the authority to order our own drugs (and there would have to be a limitation on what that list includes) including the full list of emergency oxytocics, anti-D, vitamin K, and possibly but not necessarily relevant vaccinations: hep B, rubella etc.. There are overseas Health Department protocols/statutes/regulations for this, i am not reinventing the wheel. Along with this goes the authority to order our own lab tests from the path labs. I don't understand why in the 21st century we have to find a friendly doctor to get this done. As midwives in the country we are either qualified to practice independently or we are not. How would you feel if your dentist had to get a prescription from your GP before she gave you novacaine for a filling? And she didn't carry emergency drugs on her premises when she was treating you? As a licensed midwife in Washington State I had to carry the full complement of emergency oxytocics, plus mag suphate, plus epinephrine, and we were licensed to carry anti-D and the vaccinations in our premises. We had standing orders from an OB for intrapartum IV antibiotics. We had our own account with a pharmaceutical company. I don't know of anyone who ever used the mag suphate or epinephrine in the last 30 years of practice but the drug was there along with the procedure taped to our bag and the forms for notification of the health dept IF we ever did have to use either of these drugs. Getting oxygen cylinders filled up was a simple procedure. And the path labs picked up our samples from our collection boxes and faxed us the results. From what I have read the situation is similar in New Zealand and Canada, I have no idea about the UK. These basics of independent practice seem to be glossed over here perhaps because many of you who practice independently have had the good fortune of knowing sympathetic/empathetic docs. But for those of us starting out in a new place the issue around finding these basics can itself be formidable. Compound that with the insurance fiasco and the apparent acceptance of the status quo by most (not all) health care recipients (sorry but I do have a dreadfully hard time with the word consumer for just about everything but especially health care) and it does not surprise me that we have such an ever diminishing number of independent midwives. 4am and jet lagged marilyn - Original Message - From: Denise Hynd [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Friday, July 16, 2004 3:31 AM Subject: Re: [ozmidwifery] Birth in Aust Dear Andrea I will look at coming to Sydney for Maggie's workshop.. I am currently working a Nursing Home!! I have tried Private Practis and would again tomorrow if I could earn enough to pay my mortgage (which is low) and feed myself and put petrol in my car!! It takes a while to biuld up a practice! I tried all sorts of things for 2 years and had 5 clients!! So it takes more than confidence. That is why I have been busy with MC and NMAP. Also I have tried to get a program on ABC Australian Story and Reality Bites about 1-2-1 midwifery (something in piepline for GNT as a result tho). Even Perth women believe hospital and doctors are necessary for birth the demand beyond the CMP is insufficient to full employ those midwives and many of them also have a few private clients.. Australian women and midwives need to see Australian led midwifery birth on TV. Have I mised something was there any discussion of the Birthrites program ?? Denise Hynd Never believe that a few caring people can't change the world. For, indeed, they are the only ones who ever have. Margaret Mead - Original Message - From: Andrea Robertson [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Friday, July 16, 2004 8:36 AM Subject: Re: [ozmidwifery] Birth summary forms Hi Liz, I know that you are not the only midwife working within the system who would love to take the plunge and become and independent practitioner. Many have told me that what is stopping them is a lack of confidence. To help all these aspiring independent practitioners (and those who want to feel more authoritative within the system), we have asked Maggie Banks to present her highly acclaimed Midwifery Intensives workshop in Sydney in November. This 2 1/2 day course covers dealing with midwifery emergencies (a bit like the ALSO Course, but with a midwifery focus not a medical model approach) and is designed to instill confidence, improve practical skills, provide an evidence base for practice and encourage autonomy. The full details will be on the web site next week and in the catalogue that is coming out on 2 weeks. This might be just what you need, and lot closer to home. Warm regards, Andrea At 07:29 PM 14/07/2004, you wrote: Hi Jan, thanks so much for your post. I too would love to work outside the hospital system however being a
Re: [ozmidwifery] Anti D problems..
Hi mary: This is one of the reasons I haven't started to practice independently here: I don't know the drug laws. Coming from a state that had a Midwives Act which was written by and directed towards independent midwives this is a huge boulder of a stumbling block for me. In Washington we had this authority, infact we would have been breaking the law if we had attended a birth without emergency oxytocics and if we didn't have the knowledge about when to administer them emergently then we would never have been licensed. Certainly we threw out more than we ever used but that was just a basic practice cost and there is no point in carry drugs that have expired. Vent done. So if you need a doctors order can't this be covered by a standing order from the doc you consult or refer to? Would it have to be reissued for each woman you care for? Is there any university here that offers a Pharmaceutical Course and Legal issues for independant midwives? marilyn - Original Message - From: Mary Murphy [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Friday, July 16, 2004 5:13 AM Subject: Re: [ozmidwifery] Anti D problems.. There is a legal problem with the Poison's Act about administering certain drugs (Schedule 4) without a doctors order. Often it is not the obtaining of the drug, but the authority to use it that can cause problems. Check your state's Poison's Act. MM there is a company called Livingstone international toll free phone 1300 780 078 www.livingstone.com.au (that has on office in sydney who have the most amazing catelogue on line. Its worth a look for anyone wanting to buy supplies. They set you up with an account, you can order by phone or on line, the stuff arrives within a day or so and you can pay by all the usual methods. the catelogue includes an amazing array of drugs. I haven't tried to by the narcotics even though they are all listed there but Syntocinon is on their list. I rang and asked whether one needed a script to order it and was told no they were quite happy to ship it, packed with coolers!! Ive never needed to use it but have it on hand Unfortunately Anti D has to come from Bloodbank so they dont have that Andrea Q On Friday, July 16, 2004, at 07:34 AM, Lynne Staff wrote: Hi Sue Even thought you posted mistakenly, can I just say in response to your final comment 'is this worth it?' Yes, it is. I had problems with some docs re anti D but found a supportive ob who said if ever I needed anti D orders, or supplies and was having trouble, he would organize it for me without any fuss. I didn't ever require his assistance again, as I liased with the local blood bank, where the hospitals obtain their supplies, and have never had a problem since - occasionally with an order for its administration (from GPs etc), but have always managed to talk them around. The synto is the one I had the most trouble with - GPs telling me their medical advisory committee told them not to write the prescription for a medication they were not going to personally administer!!! Have you ever heard such a load.der - they do that all day every day! Every time I came up against a brick wall about something, I always come away with more knowledge and strategies for the future! Warm regards, Lynne - Original Message - From: Sue Cookson [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Thursday, July 15, 2004 7:07 PM Subject: [ozmidwifery] Anti D problems.. Hi Jan, Seem to be hitting a few problems here, and am forever aware of my (il)legal status. Had a lovely slow primip birth on Sunday(46 hours - mostly prelabour but still needing support), Rh pos baby, so went to Mullum hospital armed with the baby's blood results (which I'd got from the receptioinsts at my back-up doctor's surgery). My back-up doctor had just left for a 2 week break, so I contacted his back-up doctor. This guy was off for the day, so I spoke with his boss who happened to be a personal friend(?). Well, all shit let loose cos this guy decided it was completely wrong for me to have access to the anti-Don the woman's behalf. He phoned Mullum hospital and told the nurse administrator (Jane Ackerman) I was a lay midwife and then all these people in the hospital came up to me telling me I was a lay midwife. Nightmare!! To cut the story short, I ended up having to take the women in to the hospital for her jab. I had called the mum and she had given me the name of a reg nurse friend who was happy to do injection but that seemed to become irrelevant. The hospital maintained they couldn't send out a midwife cos she wasn't under their care, and that they didn't have the right paperwork to make changes to any of that. I then dropped in and spoke with Jane Ackerman again today, and she seems very supportive saying that
Re: [ozmidwifery] Anti D problems..
Hi Mary - did you receive the waterbirth information I sent you? Hope all is well - I am sure you are as busy as ever! Warm regards,Lynne - Original Message - From: Mary Murphy [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Friday, July 16, 2004 10:13 PM Subject: Re: [ozmidwifery] Anti D problems.. There is a legal problem with the Poison's Act about administering certain drugs (Schedule 4) without a doctors order. Often it is not the obtaining of the drug, but the authority to use it that can cause problems. Check your state's Poison's Act. MM there is a company called Livingstone international toll free phone 1300 780 078 www.livingstone.com.au (that has on office in sydney who have the most amazing catelogue on line. Its worth a look for anyone wanting to buy supplies. They set you up with an account, you can order by phone or on line, the stuff arrives within a day or so and you can pay by all the usual methods. the catelogue includes an amazing array of drugs. I haven't tried to by the narcotics even though they are all listed there but Syntocinon is on their list. I rang and asked whether one needed a script to order it and was told no they were quite happy to ship it, packed with coolers!! Ive never needed to use it but have it on hand Unfortunately Anti D has to come from Bloodbank so they dont have that Andrea Q On Friday, July 16, 2004, at 07:34 AM, Lynne Staff wrote: Hi Sue Even thought you posted mistakenly, can I just say in response to your final comment 'is this worth it?' Yes, it is. I had problems with some docs re anti D but found a supportive ob who said if ever I needed anti D orders, or supplies and was having trouble, he would organize it for me without any fuss. I didn't ever require his assistance again, as I liased with the local blood bank, where the hospitals obtain their supplies, and have never had a problem since - occasionally with an order for its administration (from GPs etc), but have always managed to talk them around. The synto is the one I had the most trouble with - GPs telling me their medical advisory committee told them not to write the prescription for a medication they were not going to personally administer!!! Have you ever heard such a load.der - they do that all day every day! Every time I came up against a brick wall about something, I always come away with more knowledge and strategies for the future! Warm regards, Lynne - Original Message - From: Sue Cookson [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Thursday, July 15, 2004 7:07 PM Subject: [ozmidwifery] Anti D problems.. Hi Jan, Seem to be hitting a few problems here, and am forever aware of my (il)legal status. Had a lovely slow primip birth on Sunday(46 hours - mostly prelabour but still needing support), Rh pos baby, so went to Mullum hospital armed with the baby's blood results (which I'd got from the receptioinsts at my back-up doctor's surgery). My back-up doctor had just left for a 2 week break, so I contacted his back-up doctor. This guy was off for the day, so I spoke with his boss who happened to be a personal friend(?). Well, all shit let loose cos this guy decided it was completely wrong for me to have access to the anti-Don the woman's behalf. He phoned Mullum hospital and told the nurse administrator (Jane Ackerman) I was a lay midwife and then all these people in the hospital came up to me telling me I was a lay midwife. Nightmare!! To cut the story short, I ended up having to take the women in to the hospital for her jab. I had called the mum and she had given me the name of a reg nurse friend who was happy to do injection but that seemed to become irrelevant. The hospital maintained they couldn't send out a midwife cos she wasn't under their care, and that they didn't have the right paperwork to make changes to any of that. I then dropped in and spoke with Jane Ackerman again today, and she seems very supportive saying that she was supporting women's right to choose whoever and that wasn't an issue, but that we just needed to sort out the systems so that the women's needs can be met. Do you happen to know Jane Ackerman? What do you do about anti-d? Yuk!! And my next two women are also rhesus neg... Boy Jan, is all this worth it?? Sue -- 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. -- 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
RE: [ozmidwifery] Midwifery led birth centres
Dear Denise I am only going to include Birth Centres that in operation (or that will be by December) Cheers Jane Pregnancy, Birth and Beyond www.pregnancy.com.au -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Denise Hynd Sent: Friday, 16 July 2004 7:40 PM To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] Midwifery led birth centres Jane Are you includiing information about NMAP and the case load ooptions in Oz and those in the pipeline?? Denise Hynd Never believe that a few caring people can't change the world. For, indeed, they are the only ones who ever have. Margaret Mead - Original Message - From: Jane Palmer [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Tuesday, July 13, 2004 8:12 PM Subject: [ozmidwifery] Midwifery led birth centres Hi It has been ages (probably a year or two) since I have contributed to this list. Rejoined a little while ago to get back in touch with midwifery and birthing. I was hoping that you could help me. I am currently revising the book 'Pregnancy For Dummies' Aust and NZ edition and I am very keen to have a greater midwifery focus to this edition. Have decided to put a list of current Midwifery Led Birth Centres both here in Australia and in New Zealand as well as their contact details. Any information on Birth Centres that you can send my way would be much appreciated. Cheers Jane Palmer Pregnancy, Birth and Beyond www.pregnancy.com.au -- 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. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Anti D problems..
Marilyn wrote: in fact we would have been breaking the law if we had attended a birth without emergency oxytocics and if we didn't have the knowledge about when to administer them emergently then we would never have been licensed.We would also be seen as and diciplined for being negligent..but it doesn't change the fact that we have no authority to give drugs, order simple blood work, Ultrasound, CTG etc.without the doctors written order. The Pilot of "The expandedrole of the midwife"is currently being tried in 3 hospital sites in W.A. The homebirth midwives on the Govt funded program and those in private practice, never got a look in. We are really the ones who get desperate for ways of supplying what we are expected to provide. Most G.P's hospital clinics refuse to give women prescriptions for their back-up drugs (Synto etc)because "they won't be present when it is being administered." It is certainly still a battle. So if you need a doctors order can't this be covered by a standing order from the doc you consult or refer to?No. "standing orders", even in hospital are not legal, that is why they are looking to introduce the "expanded role" in hospitals. Is there any university here that offers aPharmaceutical Course and Legal issues for independant midwives?Just doing a course won't make it legal. There is a course that goes along with the expanded role of the midwife program, but as I said, we are not included. MM
Re: [ozmidwifery] Anti D problems..
- Original Message - From: Lynne Staff [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Saturday, July 17, 2004 6:19 AM Subject: Re: [ozmidwifery] Anti D problems.. Hi Mary - did you receive the waterbirth information I sent you? Hope all is well - I am sure you are as busy as ever! Warm regards,Lynne - Original Message - From: Mary Murphy [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Friday, July 16, 2004 10:13 PM Subject: Re: [ozmidwifery] Anti D problems.. There is a legal problem with the Poison's Act about administering certain drugs (Schedule 4) without a doctors order. Often it is not the obtaining of the drug, but the authority to use it that can cause problems. Check your state's Poison's Act. MM there is a company called Livingstone international toll free phone 1300 780 078 www.livingstone.com.au (that has on office in sydney who have the most amazing catelogue on line. Its worth a look for anyone wanting to buy supplies. They set you up with an account, you can order by phone or on line, the stuff arrives within a day or so and you can pay by all the usual methods. the catelogue includes an amazing array of drugs. I haven't tried to by the narcotics even though they are all listed there but Syntocinon is on their list. I rang and asked whether one needed a script to order it and was told no they were quite happy to ship it, packed with coolers!! Ive never needed to use it but have it on hand Unfortunately Anti D has to come from Bloodbank so they dont have that Andrea Q On Friday, July 16, 2004, at 07:34 AM, Lynne Staff wrote: Hi Sue Even thought you posted mistakenly, can I just say in response to your final comment 'is this worth it?' Yes, it is. I had problems with some docs re anti D but found a supportive ob who said if ever I needed anti D orders, or supplies and was having trouble, he would organize it for me without any fuss. I didn't ever require his assistance again, as I liased with the local blood bank, where the hospitals obtain their supplies, and have never had a problem since - occasionally with an order for its administration (from GPs etc), but have always managed to talk them around. The synto is the one I had the most trouble with - GPs telling me their medical advisory committee told them not to write the prescription for a medication they were not going to personally administer!!! Have you ever heard such a load.der - they do that all day every day! Every time I came up against a brick wall about something, I always come away with more knowledge and strategies for the future! Warm regards, Lynne - Original Message - From: Sue Cookson [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Thursday, July 15, 2004 7:07 PM Subject: [ozmidwifery] Anti D problems.. Hi Jan, Seem to be hitting a few problems here, and am forever aware of my (il)legal status. Had a lovely slow primip birth on Sunday(46 hours - mostly prelabour but still needing support), Rh pos baby, so went to Mullum hospital armed with the baby's blood results (which I'd got from the receptioinsts at my back-up doctor's surgery). My back-up doctor had just left for a 2 week break, so I contacted his back-up doctor. This guy was off for the day, so I spoke with his boss who happened to be a personal friend(?). Well, all shit let loose cos this guy decided it was completely wrong for me to have access to the anti-Don the woman's behalf. He phoned Mullum hospital and told the nurse administrator (Jane Ackerman) I was a lay midwife and then all these people in the hospital came up to me telling me I was a lay midwife. Nightmare!! To cut the story short, I ended up having to take the women in to the hospital for her jab. I had called the mum and she had given me the name of a reg nurse friend who was happy to do injection but that seemed to become irrelevant. The hospital maintained they couldn't send out a midwife cos she wasn't under their care, and that they didn't have the right paperwork to make changes to any of that. I then dropped in and spoke with Jane Ackerman again today, and she seems very supportive saying that she was supporting women's right to choose whoever and that wasn't an issue, but that we just needed to sort out the systems so that the women's needs can be met. Do you happen to know Jane Ackerman? What do you do about anti-d? Yuk!! And my next two women are also rhesus neg... Boy Jan, is all this worth it?? Sue -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored
Re: [ozmidwifery] Midwifery led birth centres
Dear jane If you are presenting information on available birthing options in Oz surely that would include the Caseload options available and the efforts to increase these so clients in the future would have a lead on where they might find out about those in the pipeline??? Denise Hynd Never believe that a few caring people can't change the world. For, indeed, they are the only ones who ever have. Margaret Mead - Original Message - From: Jane Palmer [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Saturday, July 17, 2004 7:56 AM Subject: RE: [ozmidwifery] Midwifery led birth centres Dear Denise I am only going to include Birth Centres that in operation (or that will be by December) Cheers Jane Pregnancy, Birth and Beyond www.pregnancy.com.au -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Denise Hynd Sent: Friday, 16 July 2004 7:40 PM To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] Midwifery led birth centres Jane Are you includiing information about NMAP and the case load ooptions in Oz and those in the pipeline?? Denise Hynd Never believe that a few caring people can't change the world. For, indeed, they are the only ones who ever have. Margaret Mead - Original Message - From: Jane Palmer [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Tuesday, July 13, 2004 8:12 PM Subject: [ozmidwifery] Midwifery led birth centres Hi It has been ages (probably a year or two) since I have contributed to this list. Rejoined a little while ago to get back in touch with midwifery and birthing. I was hoping that you could help me. I am currently revising the book 'Pregnancy For Dummies' Aust and NZ edition and I am very keen to have a greater midwifery focus to this edition. Have decided to put a list of current Midwifery Led Birth Centres both here in Australia and in New Zealand as well as their contact details. Any information on Birth Centres that you can send my way would be much appreciated. Cheers Jane Palmer Pregnancy, Birth and Beyond www.pregnancy.com.au -- 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. -- 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.
