[ozmidwifery] Breast reduction
Hi, does anyone have protocols at their place of work for working with mothers who have had breast reduction surgery and wish to breastfeed? Some mothers have reported that the staff have had very negative opinions of the mother's ability to breastfeed after a breast reduction, and have been happy to share those opinions with the mother. The mothers, whilst realising it may not be easy or possible to exclusively breastfeed are reporting that these opinions have left them feeling very discouraged, and have really knocked their confidence. They feel their attemps are not valued or appreciated. Any suggestions?
Re: [ozmidwifery] Breast reduction
Hi Barb, I think unfortunately this is a case of staff not having enough knowledge or experience of working with women who are breast feeding after breast surgery. Is there a lactation consultant at the hospital where these women had their babies? Were they involved in the women's care? As you seem to know, depending on the techniques used in the surgery, women can often breast feed successfully after breast reduction,although somedo have to comp feed a little. The management of the hospital concerned might be prepared to do an education session for their staff. Perhaps the women could be assisted to contact the Unit Manager to discuss the matter, which would help them feel at least this would not happen to another woman, and the staff would benefit from some education. Kind regards, Nicole Carver, IBCLC. - Original Message - From: Barb Glare To: ozmidwifery@acegraphics.com.au Sent: Monday, January 17, 2005 10:44 PM Subject: [ozmidwifery] Breast reduction Hi, does anyone have protocols at their place of work for working with mothers who have had breast reduction surgery and wish to breastfeed? Some mothers have reported that the staff have had very negative opinions of the mother's ability to breastfeed after a breast reduction, and have been happy to share those opinions with the mother. The mothers, whilst realising it may not be easy or possible to exclusively breastfeed are reporting that these opinions have left them feeling very discouraged, and have really knocked their confidence. They feel their attemps are not valued or appreciated. Any suggestions?
Re: [ozmidwifery] Breast reduction
We have had quite a few women on the ward that I work on that have had breast reductions. Whilst most have been keen to breast feed, many have not been all that successful, especially if they have had there nipples 'taken off' and replaced. Often the surgeons give these women un realistic expectations, saying that the surgery will not impede their ability to breast feed at all. Often, too, the woman's nipples are very sensitive making it very uncomfortable for the woman to breastfeed directly or to express. In most cases we have been as supportive as we can encouraging the woman to do what feels right for her, but at the same time not expecting the success of a woman who hasn't had a reduction. Sally - Original Message - From: Nicole Carver To: ozmidwifery@acegraphics.com.au Sent: Monday, January 17, 2005 11:08 PM Subject: Re: [ozmidwifery] Breast reduction Hi Barb, I think unfortunately this is a case of staff not having enough knowledge or experience of working with women who are breast feeding after breast surgery. Is there a lactation consultant at the hospital where these women had their babies? Were they involved in the women's care? As you seem to know, depending on the techniques used in the surgery, women can often breast feed successfully after breast reduction,although somedo have to comp feed a little. The management of the hospital concerned might be prepared to do an education session for their staff. Perhaps the women could be assisted to contact the Unit Manager to discuss the matter, which would help them feel at least this would not happen to another woman, and the staff would benefit from some education. Kind regards, Nicole Carver, IBCLC. - Original Message - From: Barb Glare To: ozmidwifery@acegraphics.com.au Sent: Monday, January 17, 2005 10:44 PM Subject: [ozmidwifery] Breast reduction Hi, does anyone have protocols at their place of work for working with mothers who have had breast reduction surgery and wish to breastfeed? Some mothers have reported that the staff have had very negative opinions of the mother's ability to breastfeed after a breast reduction, and have been happy to share those opinions with the mother. The mothers, whilst realising it may not be easy or possible to exclusively breastfeed are reporting that these opinions have left them feeling very discouraged, and have really knocked their confidence. They feel their attemps are not valued or appreciated. Any suggestions?
Re: [ozmidwifery] Breast reduction
Dear Barb: What I have found is that the women themselves who have had breast reduction surgery when they come back for a second baby often don't want to repeat what happened the first time and so many choose to bottle feed. I think many do have unrealistic expectations and with early discharge even with follow up at home it isn't long enough to get a good supply established. I think we need to consider that at the very least breast physiology has been disrupted and this may lead to to a delay in the milk coming inand getting out which is the critical issue. I do know of one woman I worked with in California who went onto successfully fully breastfeed for at least 18 months, however it took 3 weeks for her milk to flow (it came in as usual but she was really engorged as the milk had no way at first to get out and baby was literally starving) and 6 weeks before she could stop comping, after the initial drama the baby thrived. This woman had 2 homebirth midwives plus a cattilion of lactation consultants in Santa Cruz looking out for her and she was incredibly zealous and dedicated in her endeavours. Finally the milk ducts re-grew/reconnected in any case her milk was able to flow. What I believe would have helped (hindsight is so cool)is: 1. Antenatal breast preparation: antenatal _expression_ of colostrum if possible: if this happenes I think your away, however I don't know if anyone has done this with this group of women. 2. If you don't want to feed formula then have your own supply (collected from friends?)of donor breast milk to feed baby until your supply is established, otherwise accept that baby will need formula feeds. 3. Have a support group of informed lactation consultants/ABA counsellors who will help you through the hurdles. 4. Accept that except for really rare instances (I personally don't know of any) your supply will not be established in the first week or even first 2 weeks. I hope this helps. Probably we need some protocols worked up I will check if our Lactation group have any. cheers marilyn - Original Message - From: Barb Glare To: ozmidwifery@acegraphics.com.au Sent: Monday, January 17, 2005 3:44 AM Subject: [ozmidwifery] Breast reduction Hi, does anyone have protocols at their place of work for working with mothers who have had breast reduction surgery and wish to breastfeed? Some mothers have reported that the staff have had very negative opinions of the mother's ability to breastfeed after a breast reduction, and have been happy to share those opinions with the mother. The mothers, whilst realising it may not be easy or possible to exclusively breastfeed are reporting that these opinions have left them feeling very discouraged, and have really knocked their confidence. They feel their attemps are not valued or appreciated. Any suggestions?
Re: [ozmidwifery] Breast reduction
There is a great website for women with breast reductions who wish to BF. www.bfar.org Cheers Di - Original Message - From: Marilyn Kleidon To: ozmidwifery@acegraphics.com.au Sent: Wednesday, January 19, 2005 12:47 AM Subject: Re: [ozmidwifery] Breast reduction Dear Barb: What I have found is that the women themselves who have had breast reduction surgery when they come back for a second baby often don't want to repeat what happened the first time and so many choose to bottle feed. I think many do have unrealistic expectations and with early discharge even with follow up at home it isn't long enough to get a good supply established. I think we need to consider that at the very least breast physiology has been disrupted and this may lead to to a delay in the milk coming inand getting out which is the critical issue. I do know of one woman I worked with in California who went onto successfully fully breastfeed for at least 18 months, however it took 3 weeks for her milk to flow (it came in as usual but she was really engorged as the milk had no way at first to get out and baby was literally starving) and 6 weeks before she could stop comping, after the initial drama the baby thrived. This woman had 2 homebirth midwives plus a cattilion of lactation consultants in Santa Cruz looking out for her and she was incredibly zealous and dedicated in her endeavours. Finally the milk ducts re-grew/reconnected in any case her milk was able to flow. What I believe would have helped (hindsight is so cool)is: 1. Antenatal breast preparation: antenatal _expression_ of colostrum if possible: if this happenes I think your away, however I don't know if anyone has done this with this group of women. 2. If you don't want to feed formula then have your own supply (collected from friends?)of donor breast milk to feed baby until your supply is established, otherwise accept that baby will need formula feeds. 3. Have a support group of informed lactation consultants/ABA counsellors who will help you through the hurdles. 4. Accept that except for really rare instances (I personally don't know of any) your supply will not be established in the first week or even first 2 weeks. I hope this helps. Probably we need some protocols worked up I will check if our Lactation group have any. cheers marilyn - Original Message - From: Barb Glare To: ozmidwifery@acegraphics.com.au Sent: Monday, January 17, 2005 3:44 AM Subject: [ozmidwifery] Breast reduction Hi, does anyone have protocols at their place of work for working with mothers who have had breast reduction surgery and wish to breastfeed? Some mothers have reported that the staff have had very negative opinions of the mother's ability to breastfeed after a breast reduction, and have been happy to share those opinions with the mother. The mothers, whilst realising it may not be easy or possible to exclusively breastfeed are reporting that these opinions have left them feeling very discouraged, and have really knocked their confidence. They feel their attemps are not valued or appreciated. Any suggestions?
RE: [ozmidwifery] pill for Thai women
Thanks Megan, I am working on getting the name. It is very difficult with such broken English but I will let you know when I find out. Thanks for your help so far Dierdre -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Megan and Larry Sent: Monday, 17 January 2005 9:37 AM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] pill for Thai women Hi Diedre, if you can find out what the Thai name of this pill is, get correct spelling etc, I can pass it on to my girlfriend living in Thailand. She is married to a local and can do the research to relay back in English what it is. I have asked her already and she says there is lots of pills and potions available over there for that purpose, but which one? You can email me on [EMAIL PROTECTED] if you like, cheers Megan -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Dierdre Bowman Sent: Tuesday, 1 January 2002 4:10 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Triumphant birth for Caroline (Cas) McCullough!! Yes it is great news about Caroline! I new you could do it! Love and best wishes Dierdre Also have another query. I have a sister in law who ventures from Thailand and she has in her broken English been asking me about a pill that women can take to cleanse their woman areas. She says that she takes about once a month and helps with cleansing after menstral period. She tells me it decreases any odurs that may come from her womanly areas and is desperate to find out how to get it here in Australia. If anyone has any idea what this might be could you please fill me in as I have no idea what to suggest to her. Dierdre B -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Marilyn Kleidon Sent: Sunday, 16 January 2005 10:32 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Triumphant birth for Caroline (Cas) McCullough!! fantastic news, congratulations to Cas and her baby, Wayne and Lynne and Vicki. much love marilyn - Original Message - From: Jodie Miller [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, January 13, 2005 2:21 PM Subject: [ozmidwifery] Triumphant birth for Caroline (Cas) McCullough!! This is a quick note to all Cas's friends in birth reform. At 5.45 this am, Adam Samuel McCullough was roared into this world with the love and perseverence of mum Caroline and dad Wayne at Selangor Private Hospital near Maleny (Qld) with midwives Lynne and Vicki. After a lng pregnancy and a lng pre-labour he only took a rapid 5 hours (or so) to greet his parents. Naturally Cas and Wayne are ecstatic to have achieved a totally natural vaginal birth after two prior caesareans!! Please send your congratulations and support to: [EMAIL PROTECTED] Please feel free to pass on the news! -- 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. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] VBACs
Thanks Jo , Do you have a contact email etc for her. I would appreciate it greatly. Thanks Dierdre -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Dean Jo Sent: Sunday, 16 January 2005 6:47 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] VBACs Deirdre, I would also suggest contacting Nicky Leap as she told me that a hospital in Sydney is actually offering midwifery run vbac clinic. May not be a birth centre but a specific vbac clinic is a good stepI assume that it is vbac friendly as Nicky sounded excited about it so it must be good. Please anyone on list, correct me if I am wrong. Cheers Jo -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jane Palmer Sent: Sunday, January 16, 2005 4:43 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] VBACs Dear Deirdre The Birth Centre at Royal Prince Alfred Hospital does definitely accept VBACs and I'm reasonably sure that the Royal Women's Birth Centre does as well. Cheers Jane Pregnancy, Birth and Beyond www.pregnancy.com.au -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Dierdre Bowman Sent: Tuesday, 1 January 2002 4:33 AM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] VBACs Hi all, I was hoping that I could get feed back from any of you about what low risk centres in Australia permit VBACs. Someone told me that there is a birth centre in Sydney that does but I was after some confirmation. If any one works in a Low risk centre and VBAC is still an option there could you please let me know. Thanks Dierdre B. --- Incoming mail is certified Virus Free. Checked by AVG anti-virus system (http://www.grisoft.com). Version: 6.0.825 / Virus Database: 563 - Release Date: 12/30/2004 --- Outgoing mail is certified Virus Free. Checked by AVG anti-virus system (http://www.grisoft.com). Version: 6.0.825 / Virus Database: 563 - Release Date: 12/30/2004
RE: [ozmidwifery] VBACs
Dear Deirdre Yes both are Sydney Hospitals Cheers Jane Pregnancy, Birth and Beyond www.pregnancy.com.au -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Dierdre BowmanSent: Wednesday, 2 January 2002 9:54 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] VBACs Excuse my Ignorance, are these both Sydney. Dierdre -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jane PalmerSent: Sunday, 16 January 2005 4:13 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] VBACs Dear Deirdre The Birth Centre at Royal Prince Alfred Hospital does definitely accept VBACs and I'm reasonably sure that the Royal Women's Birth Centre does as well. Cheers Jane Pregnancy, Birth and Beyond www.pregnancy.com.au -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Dierdre BowmanSent: Tuesday, 1 January 2002 4:33 AMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] VBACs Hi all, I was hoping that I could get feed back from any of you about what low risk centres in Australia permit VBACs. Someone told me that there is a birth centre in Sydney that does but I was after some confirmation. If any one works in a Low risk centre and VBAC is still an option there could you please let me know. Thanks Dierdre B.
Re: [ozmidwifery] Midwifery Lead Care
Alan, You may be interested in contacting Jan Smith on 0740 929 367 for policies as we also work in a rural setting with midwifery lead care. Megan - Original Message - From: Alan Rooney To: ozmidwifery@acegraphics.com.au Sent: Sunday, January 16, 2005 8:53 PM Subject: [ozmidwifery] Midwifery Lead Care Hi List I have just started work in a small country hospital. This hospital has decided to change their current practice ofdoctor lead care to midwifery lead care. WOO HOO What I need is some policies. We have one Dr who is against this move and wants to see some policies and procedures before he will commit to the change. Can anyone help me? Thanks Alan [EMAIL PROTECTED] tech.gif
RE: [ozmidwifery] Birth Centre
Well done in finding the reference to the College - thanks Alison. It's great o have you keeping an eye on ozmid for me. Really helpful. B Dr Barbara Vernon Executive Officer Australian College of Midwives Ph +61 2 6230 7333 Mob 0438 855 529 'Midwifery: Pathways to Healthy Nations' 27th Congress of the International Confederation of Midwives Brisbane Convention Centre, 24-28 July 2005 www.midwives2005.com/index.shtml _ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Sent: Tuesday, January 18, 2005 12:29 PM To: BARB at work Subject: Re: [ozmidwifery] Birth Centre Barb, A couple of oz midwifery emails for you attention. ACMI listed at the end of this Suggesting it an issue for acmi executive agenda. Alison Hi Jan and all: I'll go back to Andrea's issue with the gas and pethidine being on the menu why is this * A natural birth is encouraged with hot showers, baths and hot packs, but if you want there is the gas or needle for pain (hard to believe this one!) offered in a birth centre? marilyn - Original Message - From: Jan mailto:[EMAIL PROTECTED] Robinson To: ozmidwifery@acegraphics.com.au Sent: Sunday, January 16, 2005 3:39 AM Subject: Re: [ozmidwifery] Birth Centre Hi Di There was a Birth Centre Network NSW wholly funded by NSW Health a few years ago, but not sure that it is still functional. I can remember a concern of the network at the time that no women from disadvantaged groups ever used the existing birth centres so a lovely little pamphlet was designed and distributed (courtesy of NSW Health) that attempted to define the birth centre concept and explain the advantages to women who used them. cover page was titled ... Birthing Place for All Women pic of baby inserted here BIRTH CENTRES inside was What is a birth centre? *A place to have your baby away from Labour Ward but still part of the hospital *In a birth centre each room has a double bed, chair, curtains and nice furnishings *The midwives of the birth centre will see you right through your nate-natal care, labour and after birth *A doctor will be called if problems arise *Medicare covers costs for birth centre care Why use a birth centre? *You have your baby your way * It's a relaxed, friendly atmosphere * You can have your own support - whoever you want * A natural birth is encouraged with hot showers, baths and hot packs, but if you want there is the gas or needle for pain (hard to believe this one!) * Cultrural practices are respected and encouraged Who can use a birth centre? Almost all women can use a birth centre, but you may need to book in early Who will I see? Usually the midwives are female You may be able to have shared care with a general pracftitioner, obstetrician or private midiwfe People to talk to there followed the local birth centres and Social work department contact detaiils as well as aboriginal medical service. Lots of work went into developing this pamphlet and as far as I can remember no feedback data was ever collected or the success of it's dissemination evaluated. Shame about that. If you really want a good definition of a Natural BIrth Centre - here is the one I like best . A Natural Birth Centre is * a safe, home-like place to have your baby. * managed by midwives who are specialists in natural birth * for women who plan to have their baby naturally. * located in (or near) a public maternity hospital that facilitates medical referral if necessary The Birth Centre midwives provide care for low-risk women throughout pregnancy, labour, birth and afterwards. The Birth Centre education program aims to empower women and their support people with a unique understanding of pregnancy and birth knowledge that facilitates participation in decision making related to the birth of their baby. I don't think any of the so called Birth Centres can say they adhere to all the above criteria. I would like to hear from any who think they do. I would like to see the development of Natural Birth Centres attached to each and every public hospital in the country. There would need to be a transfer of staff out into Community Midwifery programs ... The Community premises would become the Natural Birth Centres of the future and the focal point for women who wish to arrange for a home birth as well. Midwives who see their career pathway as becoming specialist in natural births do not rotate through labour and delivery suites and commit themselves to community services and forming partnerships with women rather than be placed on the rotating roster within a maternity unit. This is something that needs discussion at national level - perhaps put on the ACMI executive agenda. Cheers Jan Jan Robinson Independent Midwife Practitioner National Coordinator Australian Society of Independent Midwives 8 Robin Crescent South Hurstville NSW 2221 Phone/Fax: 02 9546 4350 e-mail address: [EMAIL PROTECTED] website:
Re: [ozmidwifery] Midwifery Lead Care
Title: Re: [ozmidwifery] Midwifery Lead Care Hi Megan Where is this and what model? Justine
