RE: [ozmidwifery] group B strep
In addition to Leanne's question re homebirth and Group B Strep, do Birth Centres in Aust (particularly Qld) routinely screen and treat as well. If yes and the women refuse are they denied birth centre care? Cheers Sharon -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of leanne wynne Sent: Tuesday, October 05, 2004 1:17 PM To: [EMAIL PROTECTED] Subject: [ozmidwifery] group B strep Hi All, I am interested to hear what those midwives who attend homebirths do in regard to group B strep. Do you screen for it or not? If you know a woman is GBS positive do you give A/Bs to the mother during labour or just observe the baby? Thanks, Leanne. Leanne Wynne Midwife in charge of Women's Business Mildura Aboriginal Health Service Mob 0418 371862 _ Click here for the latest chart ringtones: http://ringtones.com.au/ninemsn/control?page=/ninemsn/main.jsp -- 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] group B strep
Hoi Leanne, We have a good leaflet of the Netherlands that explains very well the problem with GBS. Their recommandations are not to screen routinaly, but just in cases: - premature rupture of membranes - rupture of membranes more than 24 hours before established labor - several urinary tract infections during this pregnancy, caused by GBS - fever during labor - previous child that suffered from an infection with GBS at birth. Also in those cases AB is not routinely given, but evaluated. The hospitals here are not giving these info, they nearly all do routine controle on GBS and when positive they give AB during labor, without asking the parents. They just state that it would kill the baby if not. We handle in all pregnancys and births the same: - no vaginal check ups unless a real reason - no rupturing of the membranes - birth at the tempo of the mothers body - undisturbed contact of baby and mother during at least 1,5 h after birth en so - undisturbed start of breastfeeding - not cutting the cord before the pulsations stopped - next days observation of the baby in his mothers arms I think that is a better prevention for illness than giving Ab and than have the right to not respect the birthing process. We explain all this to the parents during pregnancy and they can choose what they want, but I will not administre AB at home. greetings Lieve - Original Message - From: leanne wynne [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Tuesday, October 05, 2004 5:16 AM Subject: [ozmidwifery] group B strep Hi All, I am interested to hear what those midwives who attend homebirths do in regard to group B strep. Do you screen for it or not? If you know a woman is GBS positive do you give A/Bs to the mother during labour or just observe the baby? Thanks, Leanne. Leanne Wynne Midwife in charge of Women's Business Mildura Aboriginal Health Service Mob 0418 371862 _ Click here for the latest chart ringtones: http://ringtones.com.au/ninemsn/control?page=/ninemsn/main.jsp -- 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] Catty midwives
Hi Trish, I think we must be completely misunderstanding each other. As for the doula thing...well I think I made myself clear during the whole doula vs midwife conversation. I don't know how you see that what I was saying is in any way an attack on midwives, I am really sorry if it came across that way, as I said before, that was not my intent. I value midwives, appreciate midwives and have met some very amazing and inspiring midwives as also in the doulaing world. I know of no doula trainer that would be in it for the money. At the recent doula conference, alot of the trainers were there and I think everyone that was there would agree that the trainers were all in it for the women. I don't claim to be a professional anything nor do I hide behind just a mum I think you have misread what I was saying. I am not, by saying who I am, saying that nothing I say is valid, quite the contrary. I am really sorry Trish, that you see my disagreement with some opinions as pot shots. I actually see my opinion as valid as learned and as a consumer. I am unlearned against the training of a midwife, but am learned from what I have done through midwifery courses, doula training and self study. Though, most my learned opinions come from spending time with women, battered or not so battered, by the system. I'm sorry my comments came across as an attack. Please accept my apology, I had no malice toward midwives in my comments, I was stating my opinion and things I understood and had learned. Midwives (99.8% of them) are women, too. Many of them also identify as 'just a mum' (1/3 of my students are mothers in grad program, and about 1/2 in undergrad), and they would appreciate other mothers such as yourself standing with them.. I have to admit that I am not sure how I am not standing with them by disagreeing with the way the education system for midwives is? I believe, from reading your comments such as this one, that you are not understanding what I am saying. You could be a really useful pain in the for the slack and crappy care providers out there Oh Trish, if only you knew me in real life... (not supported by the evidence, however, as most women are happy with the care of midwives in whatever setting, so perhaps we need to tap into your samples, Abby). Could you direct me to the place where that evidence is Trish? As part of being a doula I have to get credit points each year and hand in reports, book reviews, attend workshops and we are encouraged research about everything we learn from all sides. ( I guess that answers your earlier thoughts) So i would love to read up on this evidence and write a report on it. I think it is fantastic that women are happy with services, how wonderful for those women. Unfortunately though, I get contacted mostly by the women that have had traumatic birth experiences, been treated badly etc etc. I also have friends that have had amazing experiences. Once again I will say that I think you have misunderstood my writings. I am not anti midwives, gosh not at all! I admit I am anti hospitals as an institution for birth, but that is a very personal choice for women and I respect that. I am sorry if I have said anything that offends you personally, really I am. I had no idea that speaking out about midwifery training in australia would be so offensive. The midwives and students I have spent time with felt the same way as I do, infact they opened my eyes to it. I hope your throat is feeling much better soon. Love Abby -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] primary accouchuer (aka catching or delivering the baby)
Can I comment from Jen's earlier email, particularly ACMI requirement is that we are the primary accouchuer (aka catching or delivering the baby) for 40 non-instrumental births. I am really troubled with this requirement. I understand the idea behind it but shouldn't the birthing woman decide who catches her baby. I have caught three of my babies, all water births at home and passionately defend my right to. With my last birth we were joined by a 3rd year BMid and I remember her asking about who would catch the baby, later it occured to me that she might not be able to tick me off her list of 40 catches as I was to catch my baby. My Ind Midwife didn't catch them either, but she was still the primary care giver. I would like to see a change of thinking on this requirement, I see it as disrespectful to the birthing woman and the role Midives have in birth. Feeling your own cervix dilate is amazing, but catching your own baby is bloody awsome! whats the discussion on this at the Uni's and ACMI? cheers Megan PS I am happy to put this in writing to the appropriate people (?) to give food for thought. This message was sent through MyMail http://www.mymail.com.au -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Re: uterine rupture 1998
I believe that you are coming from the right place in your heart, but sometimes we need to take a step back think about how others may perceive us if we want to be listened to at all. I am speaking as someone who has learnt this lesson skill recently. Your opinion is valued.Philippa ScottBirth Buddies Thanks for the advice Phillipa, I'll keep that in mind. lol! Funny how it seems that I don't already do that. It is hard with plain text. I'm sure it wouldn't of caused such a problem if I was talking IRL about it..or maybe it would because it does go against the grain, or maybe it would because I am not a midwife and haven't been there..who knows. I definitely didn't mean to cause any offense, I really was talking about the system. I will keep your advice in mind and keep on trying. Love Abby- always learning always standing corrected.
Re: [ozmidwifery] Students, training and other things was Re: uterine rupture 1998
You have both said it all very well i think. marilyn - Original Message - From: Jen Semple To: [EMAIL PROTECTED] Sent: Monday, October 04, 2004 6:33 PM Subject: Re: [ozmidwifery] Students, training and other things was Re: uterine rupture 1998 Yes, Kirsten. Well said. I was wondering how longit would take a student to write! :o) JenCallum Kirsten [EMAIL PROTECTED] wrote: Dear Abby, I couldn't close my mouth anymore, sorry! You give a poor impression of midwifery training in Australia. Coming from NZ, it's true its not the absolute greatest, BUT i can say that the universities here DO NOT teach a medicalised model of care. I am quite happy with my university and so far ALL my clinical experience has been with woman having homebirths and homebirth midwives, although in saying that, there are some wonderful midwives who i admire who also work in the public system! As for the debate on VE's etc, just because we learn something does not mean we will all go out and perform them every 5 minutes! There are many skills taught to us that could be seen as unnecessary interventions, why as Andrea Robertson in the Midwife Companion ( love this book!) says, talking unnecessarily to a woman in labour and distracting her can slow things down! Personally i would rather be confident and competent in these skills so if i have to do them i am gentle and cause as less harm and discomfort as i can to the woman. I would hate to be ignoarant and say " i don't need these interventionalist skills" and then have to perform a VE and not be able to do it carefully and gently. There are still many woman out there who request them, even if you don't think so. Again, my philosophies on birth will not change just because i have certain skills in my knowledge base, they don't change who i am or what kind of (student) midwife i am, or how i see things. Many of the skills we learn don't come from the uni itself, it's when we are on clinical placements and with our follow thru woman that we learn the most. I am forever indebited to the woman who have allowed me to be with them and to the amazing midwives who offer their advice and support. It is them all who i learn the most off, not textbooks, not the uni. Cheers, Kirsten Darwin. Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] Students, training and other things was Re: uterinerupture 1998
Wonderfully saod trish. Please don't give up. marilyn - Original Message - From: Trish David [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Monday, October 04, 2004 6:27 PM Subject: Re: [ozmidwifery] Students, training and other things was Re: uterinerupture 1998 Abby, if I didn't think I was trying to impart a degree of wisdom, and assist students to find their own wisdom, together with the women (heard of the follow-through experience???) and the lovely midwives in hospitals who assist them with onsite learning, and the VERY occassional homebirth midwife who can take a student... then I would give it up. With (diminishing) respect, evaluate a curriculum or two, enrol in a midwifery program, and don't generalise what you see in a workshop of 10 midwives to what is taught in every curriculum in Australia. Every curriculum I have evaluated has a focus on non-intervention for 'normal' childbearing and that includes programs from 4 states in Australia, both postgraduate and undergraduate. I have participated in curriculum development at undergraduate, grad dip and masters level midwifery and used programs from NZ, Holland, Scandinavia and UK and Canada for inspiration and international comparison. And I know many colleagues in other universities who have done the same. In addition, we now have Standards to which we are held that are based in international benchmarks for midwifery education, and there are moves now to develop more national benchmarks in what is offered in midwifery programs. Your criticisms are hollow in the face of this real work. Your rhetoric is empty of real examples. My students learn active birth, pelvic mapping, physiological processes, support for all of this and many have also been to 'workshops' with ten midwives and say they learned little new that wasn't offered in their program. hmmm. I encourage them to go, though, because they sometimes bring something new back for me, too. As to the third world, yes, I have seen the Birthrites video, too, it is wonderful, but only a very small sample of what is out there and certainly can't be generalised to the rest of the world. Through ICM/WHO documents etc as well as direct communication with women and midwives know that the problems in many countries cannot be fixed with a few herbs, no matter how good their public health and nutrition. Have a look at another fabulous video Celebrations about the role of midwives across cultures and contexts. Women die because they don't have access to a 'facility' that can offer them antibiotics, anaesthesia and operative birth. They die of tetanus and pnuemonia, of septicaemia and blood loss, of obstructed labour and AIDS. Planting crops and fixing plumbing is one aspect of what is needed here, but good nutrition and education take two-three generations to improve the health of a population. In the meantime these individual women are just trying to stay alive. Women in these contexts want good drugs, skilled users of instruments and operative procedures, immunisation and contraception, safe abortion, nutritional supplements and freedom from patriarchal, economic, religious and political oppression. They want TBAs with western as well as traditional learning, they want access to western trained doctors and midwives, nurses and dentists, etc. Midwifery cannot stand alone to deliver, we need to put aside a moral highground and work with all sectors of health and education, etc to achieve outcomes in thees contexts. Dare I say it, the same is true here. In many, many gov't reports women in Australia want an integrated maternity service that uses the best talents of all practitioners working together to offer choice (including all the unpalatable ones like epidural, induction and LUSCS on demand, all of which I would cringe at). Yes, midwives are 'trained' differently now. Now we have to learn how to be discerning consumers of research, to critique all forms of dogma, to understand the physiology, not just rote-learn something, we must also understand a rationale for actions and learn to be fully accountable for them, we must commit to lifelong learning, to participate in quality improvement of services, and to work in a multi-disciplinary environment with a wide variety of women. We no longer have the excuse of this is the way I was taught I believe we are coming to quite a good balance, though we are not there yet. I look forward to the day when there are enough homebirths for students to participate in, enough homebirth midwives for them to learn from, and enough midwife-led programs for them to work in whilst in hospitals. For now, we don't have that, but we sure teach students what that is about. Every program I have read has whole units devoted to political issues and professional issues in midwifery and maternity. The scope is much wider than ever before. And yes, we do give students survival skills and
[ozmidwifery] Labours commitment to PI insurance (X posted! sorry!)
Hi everyone, I just had a call from the Labour Candidate for Solomon, up here in the NT in reply to a letter i sent regarding Professional indemnity insurance for midwives in the NT. He ASSURES me that he has talked to several people regarding the issue, and that labour is COMMITTED (exact words) to taking the issue of PI insurance to the Health ministers State and Federal conference, when it next occurs. This will be done byJuila Gilliard and it will focused on providing solutions to thelack of PI insurance country wide, not just for the NT. He sounded sincere and i really think they will deliver for midwives. Kirsten Darwin. ~~~start life with a midwife~~~
Re: [ozmidwifery] group B strep
Hi Lieve I would love to hear more about your practices in the Netherlands. I am sure we could learn a lot!! Kiwi Kim ---Original Message--- From: [EMAIL PROTECTED] Date: 5/10/2004 6:41:06 p.m. To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] group B strep Hoi Leanne, We have a good leaflet of the Netherlands that explains very well the problem with GBS. Their recommandations are not to screen routinaly, but just incases: - premature rupture of membranes - rupture of membranes more than 24 hours before established labor - several urinary tract infections during this pregnancy, caused by GBS - fever during labor - previous child that suffered from an infection with GBS at birth. Also in those cases AB is not routinely given, but evaluated. The hospitals here are not giving these info, they nearly all do routine controle on GBS and when positive they give AB during labor, without asking the parents. They just state that it would kill the baby if not. We handle in all pregnancys and births the same: - no vaginal check ups unless a real reason - no rupturing of the membranes - birth at the tempo of the mothers body - undisturbed contact of baby and mother during at least 1,5 h after birth en so - undisturbed start of breastfeeding - not cutting the cord before the pulsations stopped - next days observation of the baby in his mothers arms I think that is a better prevention for illness than giving Ab and than have the right to not respect the birthing process. We explain all this to the parents during pregnancy and they can choose what they want, but I will not administre AB at home. greetings Lieve - Original Message - From: "leanne wynne" [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Tuesday, October 05, 2004 5:16 AM Subject: [ozmidwifery] group B strep Hi All, I am interested to hear what those midwives who attend homebirths do in regard to group B strep. Do you screen for it or not? If you know a woman is GBS positive do you give A/Bs to the mother during labour or just observe the baby? Thanks, Leanne. Leanne Wynne Midwife in charge of "Women's Business" Mildura Aboriginal Health ServiceMob 0418 371862 _ Click here for the latest chart ringtones: http://ringtones.com.au/ninemsn/control?page=/ninemsn/main.jsp -- 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] student placements
Hi Can a midwife who wants to brush up her 'midwifery model skills' join in Louise - Original Message - From: Birth Centre-MBH [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Tuesday, October 05, 2004 2:30 PM Subject: [ozmidwifery] student placements Midwifery students, looking for midwifery model experience? Try applying to the Mackay Birth Centre. PO Box 5580 Mackay Mail Centre, 4740. We offer limited student placements. Students must be prepared to come for 4 weeks and be on call during that time. We are a small Birth Centre booking 14-16 women a month. We are in a small house (overlooking the Pioneer River) on the grounds of the Mackay Base hospital. We haven't had any students in ages, where are they all??? Sue Marion *** This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(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 recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone or by return email. You should also delete this email and destroy any hard copies produced. *** -- 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] Labours commitment to PI insurance (X posted! sorry!)
This will be done byJuila Gilliard and it will focused on providing solutions to thelack of PI insurance country wide, not just for the NT. He sounded sincere and i really think they will deliver for midwives.Kirsten. Darwin. ~~~start life with a midwife~~~ That's excellent and inspiring news Kirsten! Love Abby
Re: [ozmidwifery] Question about Chickenpox
I was only about 5 days into my first week of midwifery training ( never had it as a child). Hope all goes well. Regards, Tina H. (Brisbane) Thanks Tina, we went to the docs today and it is not chickenpox. Her few spots on her arms and chest cleared up, she is prone to rashes, and she instead broke out in ulcers all through her mouth, about 15. My poor little girl, it must be so painful. The doc said it was some kind of viral mouth ulcer thing so we are just taking it easy, eating lots of soft bland food and I am washing my hands heaps. I got some great homeopathics from Brauer, one called Recovery for kids which seems to be helping amazingly. thanks again Love Abby -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] ve's
Hi Miriam - not about ve's, just hoping you received your birth photo's from me??? All the best Jo x -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Miriam Hannay Sent: Tuesday, 5 October 2004 1:45 PM To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] ve's Hi there list and especially megan, I also performed my own VE's in labour with my 2nd, 3rd and 4th sons. I was in the water and felt the need to have a tangible focus for my own progress. I told my midwife and she suggested I check for myself. I distinctly remember with Sam (no. 2) feeling a rush of exhilaration as I identified that my cervix was about 9 cm dilated and i could feel a fontanelle clearly pulsing under my middle finger. It was extraordinary, more women should be encouraged to become aware of their own bodies and the way they work. Also, while I support absolutely limiting the use of VE (listern to her NOISE, it will tell you), I feel much more confident as a mid student to perform a VE having done my own in labour! Miriam, Flinders uni Bmid. --- [EMAIL PROTECTED] wrote: One of my strongest memories from my fourth son's birth was doing a VE on myself whilst reclined on the toilet. I did it mainly because it was my last oppurtunity to feel a dilating cervix. WOW it was amazing, but it was mine to feel. My first son was born in hospital where I had a few VE's, I did then believe I needed to know how I was doing. Next 3 bubs born at home with same Ind Midwife, no VE's by her. I did have a feel with my third son, but by then his big beautiful head was working its way out. When I touched my cervix and felt the circle that was about 4 cm, so clearly and readable, it was amazing. How far dialted I was made no difference, I was an hour into labour and an hour later I was holding my baby boy, that was the measure of my progression. How we dilate has become such a focus for birthing women and maybe more so their carers, its become the yard stick of childbirth. I understand why women think they want/need them, especially when birthing in an environment of the unknown. Sadly most Midwives are not able to work (for lots of reasons) in a model of continuity and women are no doubt asking for Ve's as inspiration or perhaps used with time as the marker to have the intervention. I also see women being told that they don't need to have VEs, but then we expect them to birth with Mids/Obs who need to do them. It can get very confusing for the birthing woman. What do Midwives do in this circumstance and I assume that confidence in understanding the dilation process is an advantage? Which I think is was Stacey is asking? Its questions like this that spread the wisdom learnt, not one teacher but many, cheers Megan R This message was sent through MyMail http://www.mymail.com.au -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.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.
[ozmidwifery] Consumer groups in SA
Hello all, Just a quick reminder that both the Homebirth Network of SA and Birth Matters SA have their respective coffee mornings on next week, Thursday October 14th, from 10-12. For more information about both, email or call me on 8339 4074 and I'll be happy to pass on the details to you! Cheers Tania
Re: [ozmidwifery] group B strep
Thanks Belinda and Lieve for your replies. I will explain why I asked the question. In Victoria the 3Centres Consensus Guidelines recommend Penicillin 1.2g IV then 0.6g IV 4 hourly throughout labour for those women who are GBS positive. Over the weekend I was caring for a teenage primip who had been GBS positive on LVS at 38/40 gestation. She had been in early labour for 2 days before she established at about 1pm Sunday and she was content to labour at home for as long as possible. Later that evening she decided to stay home and birth, which we did - beautifully!! - 3.5kg girl with perineum intact!! Her membranes had ruptured spontaneously during transition. However at 5 hours of age the baby gagged on some mucous, became cyanotic and they rushed her to the local hospital. I met them in AE and the staff said that on arrival the baby was pink and well perfused - thank God!! They admitted the baby to SCN for observation for 24 hours and everything was normal. The parents later told me of the reactions from the medical staff, both obstetric and paediatric, when they learned that she was GBS+ but hadn't had A/Bs in labour. I was obviously viewed as negligent or incompetent or both! So I was just wondering what other midwives do. Thanks, Leanne. From: Lieve Huybrechts [EMAIL PROTECTED] Reply-To: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] group B strep Date: Tue, 5 Oct 2004 09:04:49 +0200 Hoi Leanne, We have a good leaflet of the Netherlands that explains very well the problem with GBS. Their recommandations are not to screen routinaly, but just in cases: - premature rupture of membranes - rupture of membranes more than 24 hours before established labor - several urinary tract infections during this pregnancy, caused by GBS - fever during labor - previous child that suffered from an infection with GBS at birth. Also in those cases AB is not routinely given, but evaluated. The hospitals here are not giving these info, they nearly all do routine controle on GBS and when positive they give AB during labor, without asking the parents. They just state that it would kill the baby if not. We handle in all pregnancys and births the same: - no vaginal check ups unless a real reason - no rupturing of the membranes - birth at the tempo of the mothers body - undisturbed contact of baby and mother during at least 1,5 h after birth en so - undisturbed start of breastfeeding - not cutting the cord before the pulsations stopped - next days observation of the baby in his mothers arms I think that is a better prevention for illness than giving Ab and than have the right to not respect the birthing process. We explain all this to the parents during pregnancy and they can choose what they want, but I will not administre AB at home. greetings Lieve - Original Message - From: leanne wynne [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Tuesday, October 05, 2004 5:16 AM Subject: [ozmidwifery] group B strep Hi All, I am interested to hear what those midwives who attend homebirths do in regard to group B strep. Do you screen for it or not? If you know a woman is GBS positive do you give A/Bs to the mother during labour or just observe the baby? Thanks, Leanne. Leanne Wynne Midwife in charge of Women's Business Mildura Aboriginal Health Service Mob 0418 371862 _ Click here for the latest chart ringtones: http://ringtones.com.au/ninemsn/control?page=/ninemsn/main.jsp -- 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. Leanne Wynne Midwife in charge of Women's Business Mildura Aboriginal Health Service Mob 0418 371862. _ Searching for that dream home? Try http://ninemsn.realestate.com.au for all your property needs. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Re: uterine rupture 1998
Hi All, Enkin et al cite the rate of uterine rupture (excluding asymptomatic scar dehiscence) as 0.09 - 0.8% for VBAC. It is worth noting that 2% of elective C/S after previous C/S have asymptomatic scar dehiscence without having laboured. Leanne. From: axelbys [EMAIL PROTECTED] Reply-To: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Subject: RE: [ozmidwifery] Re: uterine rupture 1998 Date: Tue, 5 Oct 2004 14:22:46 +1000 To be honest, I would be very worrisome about an independent midwife whose clients have a 12% rupture rate. Hi Abby, I am sorry I wasn't very clear - I didn't mean the independent midwife had that rate, rather that is the rate she mentioned to me that she has heard of. Often you will hear of rates that are very low, but that is not always the case. I guess it depends on a lot of factors as to how accurate the rates are. Leanne Wynne Midwife in charge of Women's Business Mildura Aboriginal Health Service Mob 0418 371862e _ Discover how everyone everything in our world's connected: http://www.onebigvillage.com.au?obv1=hotmail -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] primary accouchuer (aka catching or delivering the baby)
Unfortunately, ACMI Guidelines and now the various Nurses Boards who have adopted them don't see it this way. Previously in Victoria it seemed ok to be the person having the responsibility for oversight of the labour and after care, even if the birth ended in a last minute instrumental birth, and it can still be interpreted this way for Grad Dip Mid but none of us would, so BMid students are definitely being held to a different standard. But you make a valid point, Megan, and you could write to ANEST at ACMI or the Nurses Board in your state. Trish [EMAIL PROTECTED] wrote: Can I comment from Jen's earlier email, particularly ACMI requirement is that we are the primary accouchuer (aka catching or delivering the baby) for 40 non-instrumental births. I am really troubled with this requirement. I understand the idea behind it but shouldn't the birthing woman decide who catches her baby. I have caught three of my babies, all water births at home and passionately defend my right to. With my last birth we were joined by a 3rd year BMid and I remember her asking about who would catch the baby, later it occured to me that she might not be able to tick me off her list of 40 catches as I was to catch my baby. My Ind Midwife didn't catch them either, but she was still the primary care giver. I would like to see a change of thinking on this requirement, I see it as disrespectful to the birthing woman and the role Midives have in birth. Feeling your own cervix dilate is amazing, but catching your own baby is bloody awsome! whats the discussion on this at the Uni's and ACMI? cheers Megan PS I am happy to put this in writing to the appropriate people (?) to give food for thought. This message was sent through MyMail http://www.mymail.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] Catty midwives
Apology accepted Abby, and I meant pain in the as a true compliment. Trish -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Catty midwives
Apology accepted Abby, and I meant pain in the as a true compliment. Trish Thanks Trish! I hope our paths cross one day. Love Abby -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
