Re: [ozmidwifery] GMP's in Brisbane
I can't help, but what is a GMP? MM -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] GMP's in Brisbane
Hi Mary GMP - Graduate Midwifery Program. My assumption was that these are offered Australia wide, but perhaps it's just a South Australian thing? Cheers Tania - Original Message - From: Mary Murphy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, March 21, 2005 9:33 PM Subject: Re: [ozmidwifery] GMP's in Brisbane I can't help, but what is a GMP? MM -- 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] GMP's in Brisbane
We have a Graduate Midwifery Programme at King Edward in Perth. Sadie - Original Message - From: Mary Murphy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, March 21, 2005 10:03 PM Subject: Re: [ozmidwifery] GMP's in Brisbane I can't help, but what is a GMP? MM -- 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] GMP's in Brisbane
We have a Graduate Midwifery Programme at King Edward in Perth. I am just not used to speaking in abbreviations and whilst I know what it is when it is spelt out, I don't recognise the shorthand. Thanks, MM -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: Re: [ozmidwifery] First birth
HI mary I agree, I am currently on suspension because I tried to shortcut the system one by seeing a woman and organising her ante natal required testing outside of the clinic and two by telling her she had a choice, if she wants to have her baby in the hospital it must be done by their protocols, her fears, expectations and wishes don't count. It is just so frustrating donna Mary Murphy [EMAIL PROTECTED] wrote: Lindsay wrote women tell me that going to an Obstetrician means that they don't have to wait up at the hospital clinics for hours, and at least they see the same person each visit. I understand where they are coming from, it just seems that, 'one person' they see, should be a Midwife. Why is it that women have to wait so long at public clinics? All the women I ask to attend a pub clinic for homebirth backup booking tell me the same. sometimes it is a factor in them not going for the visit and refusing to return at a later date. The Obs has his receptionist and ? one other? why do we have so much support staff in hospital clinics and yet it can take all morning waiting for an appointment . It makes women feel as tho they are 2nd class citizens. Is there an efficiency expert out there that could fix this? MM -- 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] c/s article- interesting!
FYI Kirsten http://www2.eobgynnews.com/scripts/om.dll/serve?article=aqo05040601c#tqo05040601c01
[ozmidwifery] The child abuse angle - the next assault
Dear all, It would appear that the trend for health professionals to attempt to use child abuse allegations upon women who seek out appropriate midwifery care or wish to complain about their care is spreading far and wide. This link is to a media release cited on the Association for Improvements in the Maternity Services (AIMS- UK) website. http://www.aims.org.uk/pressReleaseSAhmed.htm Kind Regards Sally-Anne Brown No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.7.4 - Release Date: 18/03/2005
Re: [ozmidwifery] c/s article- interesting!
From that study.."The central conclusion of this study is that the number of intended pregnancies should be factored into consideration of primary elective caesarean delivery or attempted vaginal birth after caesarean, said Dr. Silver of the University of Utah, Salt Lake City. In addition, the study suggests that physicians should give serious thought to a trial of labour in women who are candidates for a first caesarean delivery and who are planning to have several children. This can only be good news and ammunition to inform women about the true implications of having that first ELECTIVE C/S. Regards Fiona Rumble - Original Message - From: Callum Kirsten Sent: Tuesday, March 22, 2005 8:03 AM Subject: [ozmidwifery] c/s article- interesting! FYI Kirsten http://www2.eobgynnews.com/scripts/om.dll/serve?article=aqo05040601c#tqo05040601c01
[ozmidwifery] Re: suspension
Donna, Have you considered or are you able to get the woman involved to contact the ombudsman and the minister's office of the state or territory you are in ? If you are in NSW this method of discipline towards you and control over a womans rite to choose her primary caregiver is in complete contrast to the NSW govts maternity policy and future directions docs. Perhaps the woman invloved can get support from the Maternity Coalition, as well as yourself. Perhaps consider organising with your local MC branch and the women to have a rally, media support etc.. It is essentially a move to discredit the woman's choice to have you as her caregiver. Not to mention implementing the oppressive angle of 'forced removal' of a midwife who is providing informed choice What evidence has the health service provided that they wont insisit on her abiding by their regimes/protocols etc. Have they advised her what model is actually on offer . and that she can accept or decline what is on offer ? You must be such a threat to the management to be suspended over this !! I thought it would be over a real threat like mot providing appropraite midwifery care .. Keep the faith Donna, Sally-Anne (Brown) - Original Message - From: [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, March 22, 2005 8:13 AM Subject: Re: Re: [ozmidwifery] First birth HI mary I agree, I am currently on suspension because I tried to shortcut the system one by seeing a woman and organising her ante natal required testing outside of the clinic and two by telling her she had a choice, if she wants to have her baby in the hospital it must be done by their protocols, her fears, expectations and wishes don't count. It is just so frustrating donna Mary Murphy [EMAIL PROTECTED] wrote: Lindsay wrote women tell me that going to an Obstetrician means that they don't have to wait up at the hospital clinics for hours, and at least they see the same person each visit. I understand where they are coming from, it just seems that, 'one person' they see, should be a Midwife. Why is it that women have to wait so long at public clinics? All the women I ask to attend a pub clinic for homebirth backup booking tell me the same. sometimes it is a factor in them not going for the visit and refusing to return at a later date. The Obs has his receptionist and ? one other? why do we have so much support staff in hospital clinics and yet it can take all morning waiting for an appointment . It makes women feel as tho they are 2nd class citizens. Is there an efficiency expert out there that could fix this? MM -- 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. -- No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.7.4 - Release Date: 18/03/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.8.0 - Release Date: 21/03/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: Re: [ozmidwifery] First birth
Public hospitals are there to serve the public. Hospital administrators can set all the policies and protocols they like but ultimately it is the woman's choice (as long as she is informed) to select her care. It is up to practitioners to document their recommendations and if the woman chooses not to follow these she does so at her own risk. It all hinges on informed consent. Public hospitals cannot throw people out or force them along a certain pathway. I know it is stressful and takes courage on the part of the midwife the woman but the system can be 'beaten'. I have been told I am not to fit to practise by an Obs because I stood with a woman supported her choice. So be it, I know differently. I have no regrets about my part of the decision making. Keep up with the latest evidence and stay strong. Cheers Jenny Jennifer Cameron FRCNA FACM PO Box 1465 Howard Springs NT 0835 0419 528 717 - Original Message - From: [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, March 22, 2005 6:43 AM Subject: Re: Re: [ozmidwifery] First birth HI mary I agree, I am currently on suspension because I tried to shortcut the system one by seeing a woman and organising her ante natal required testing outside of the clinic and two by telling her she had a choice, if she wants to have her baby in the hospital it must be done by their protocols, her fears, expectations and wishes don't count. It is just so frustrating donna Mary Murphy [EMAIL PROTECTED] wrote: Lindsay wrote women tell me that going to an Obstetrician means that they don't have to wait up at the hospital clinics for hours, and at least they see the same person each visit. I understand where they are coming from, it just seems that, 'one person' they see, should be a Midwife. Why is it that women have to wait so long at public clinics? All the women I ask to attend a pub clinic for homebirth backup booking tell me the same. sometimes it is a factor in them not going for the visit and refusing to return at a later date. The Obs has his receptionist and ? one other? why do we have so much support staff in hospital clinics and yet it can take all morning waiting for an appointment . It makes women feel as tho they are 2nd class citizens. Is there an efficiency expert out there that could fix this? MM -- 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] Julie's latest birth support experience - such a contrast -
Julie who was the midwife I kept telling you they work in fear !!! Such a different bunch of midwives there !! -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] a midwife a midwife??
This comment always gets people riled up but from a consumer's perspective it would be great if we could divide midwives in to midwives -those who practice as to their full scope of practice; and OB nurses-who only wish to act upon doctor's orders -no initiative, no accountability, no autonomy. It is so hard when we ask women to support our push for midwifery care when they themselves have only experienced the later and found the experience unfulfilling. It would be good to define the two. Perhaps those who dont wish to practice as a midwife should take on the title of OB nurse... Perhaps this might need to happen WHEN we get the Medicare provider number access for midwives? I say when because that is what I am putting my consumer volunteer energy in for this year. Wish me luck!! Cheers Jo -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.7.4 - Release Date: 3/18/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
FW: [ozmidwifery] PPH
Title: Message Some quick research Article discussing definition of PPH as problematic http://www.emedicine.com/med/byname/postpartum-hemorrhage.htm Williams Obstetrics (2001) p.636. according to this medical text - Half of all women who give birth vaginally will loose 500mls or more if measured quantitatively (as opposed tosubjective measurement techniques). It is normal for a C/S to have a blood loss on average of 1000mls (although fluid replacement occurs no transfusion is used to replace lost RBC). Elective C/S with hysterectomy average blood loss is 1400ml and in an emergency situation 3-3.5L. If a women has a normal hypervolaemia in pregnancy (not seen in women with PIH etc) then there blood volume increases by 30-60% which is approximately 1-2 litres. Apparently this enables that woman to tolerate a blood loss at delivery that approaches the volume of blood she added during pregnancy. A mean post partum hematocrit decline ranged from 2.6 to 4.3 volume percent. A third of women had no decline or even showed an increase in hematocrit! Women undergoing C/S had a mean drop of 4.2 volume percent with 20% not having any decline at all. This text also identifies anything under 11 g/dl as anaemic. My interpretation - it seems as long aswomen are well and healthy then they are designed physiologically to withstand at least a litre blood loss. Unfortunately it is not easy in practice toaccurately or reliably identify a 500ml loss as compared to a litre loss. Research shows that clinicians tend tounderestimate blood loss 300mls and overestimate blood losses 300mls. Jackie Doolan -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Denise HyndSent: Saturday, March 19, 2005 8:34 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] PPH What about the relevance ofstored iron or ferritin levels?? Denise Hynd "Let us support one another, not just in philosophy but in action, for the sake of freedom for all women to choose exactly how and by whom, if by anyone, our bodies will be handled." Linda Hes - Original Message - From: Jenny Cameron To: ozmidwifery@acegraphics.com.au Sent: Saturday, March 19, 2005 2:18 PM Subject: Re: [ozmidwifery] PPH Hello Monica As far as I know WHO call 500ml a PPH. They acknowledge that 1000mls is probably manageable physiologically in a healthy woman but their policy statements are global and the 500 mls is to take into account the many anaemic women in the world. Brucker (2001) states that the average woman loses 500 mls in third stage. My own experience would agree with this. 1000 mls is a considerable amount to lose, even for a healthy woman. It is a matter of knowing the woman's Hb prior to birth and if she is healthy and of average height and weight with a good Hb; 12 or above, she probably can withstand up to a litre, certainly 800 mls without going into shock. O.K. she won't go into shock but a big fluid loss could mean she will be slow to establish a good breastmilk supply or she may take a while to recover postbirth. A few thoughts. Hope it is helpful. Brucker, M. 2001. Management of the third stage of labour: an evidence-based approach, Journal of Midwifery and Women's Health. Vol 46:6. Jenny Jennifer Cameron FRCNA FACMPO Box 1465Howard Springs NT 0835 0419 528 717 - Original Message - From: Michelle Windsor To: ozmidwifery@acegraphics.com.au Sent: Saturday, March 19, 2005 3:01 PM Subject: Re: [ozmidwifery] PPH Hi Monica, In the WHO guide to care in childbirth it says is that up to 1000 ml blood lossmay be physiological in healthy populations. This WHO guide was published in 1997 I think, and I haven't yet seen a more recent edition. You can purchase it through Birth International (www.birthinternational.com.au ) Hope this helps. Cheers Michellemh [EMAIL PROTECTED] wrote: Hi all,I sent this yesterday but it didn't come through to me at least so apologies if it's a repeat.There were some references a while ago about the WHO defininition of a PPH as being over 1000 mls. As we are now being required to go the most extreme lengths to treat "PPHs" of 500mls or more, even if not causing any symptoms and bleeding is settling, I would love some evidence to suggest this is overkill. Can anyone point me to the WHO document?Thanks,Monica--This mailing list is sponsored by ACE Graphics.Visit to subscribe or unsubscribe. Find local movie times and trailers on Yahoo! Movies.
[ozmidwifery] implanon and breastfeeding
Does anyone have any information about whether the contraceptive Implanon has any effect on breastfeeding? Baby is 4 weeks old and feeding well. Jackie
Re: [ozmidwifery] implanon and breastfeeding
Hi Jackie All the progesterone-only contraceptives are safe to use while breastfeeding; ie the breastfeeding baby will apparently not be adversely affected. However, some mothers are more sensitive to progesterone than others, and these mothers may find they have a small to marked decrease in milk supply. All of the progesterone-only contraceptives, to the best of my knowledge, categorically say that they should not be started before 6 weeks postpartum. I know that many doctors will start them earlier, but this does put breastmilk supply at greater risk of being affected. I personally think that starting breastfeeding mothers on a contraceptive so early (ie before leaving hospital most of the time) is very paternalistic .. ie. She can't be trusted to return at 6 weeks to get her contraception sorted out. I'll have to fix her up now! And the fall in progesterone that happens when the placenta is delivered is what is essential for lactogenesis II to occur. With early discharge and the big imperative to do everything before she leaves I wonder how often breastfeeding is actually being adversely affected. Implanon probably isn't too bad because it can be removed fairly simply if this mother does find her supply is diminished. Injectables such as Depo provera are a big problem though, because there's no going back. The best advice is to start on the mini-pill. If there is no diminished supply from that after a couple of months, then go to the slow-release contraceptives. With exclusive breastfeeding and no return of menses the risk of getting pregnant while using no other form of contraception during the first 6 months post partum is exactly the same as it is when using the progesterone-only pill. BTW is implanon now approved in Australia for breastfeeding mothers?? At 02:09 AM 22/03/2005 +1030, you wrote: Does anyone have any information about whether the contraceptive Implanon has any effect on breastfeeding? Baby is 4 weeks old and feeding well. Jackie *** Denise Fisher Health e-Learning http://www.health-e-learning.com [EMAIL PROTECTED]
Re: [ozmidwifery] implanon and breastfeeding
BTW is implanon now approved in Australia for breastfeeding mothers?? I was told it was. It didn't affect my milk supply. I had it inserted at 8 weeks, and removed after a year (due to intolerable side-effects!) Kate
RE: [ozmidwifery] implanon and breastfeeding
Hi Jackie, It is quite safe to use Implanon when breastfeeding because it is Progesterone only - the same as the mini pill and Depo Provera. Oestrogen is the hormone in the combined oral contraceptive pill that is contraindicated when breastfeeding. Interestingly the progesterone acts on prolactin to a certain degree and some women actually notice an increase in their milk supply. Leanne. From: Jackie Kitschke [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] implanon and breastfeeding Date: Tue, 22 Mar 2005 02:09:48 +1030 Does anyone have any information about whether the contraceptive Implanon has any effect on breastfeeding? Baby is 4 weeks old and feeding well. Jackie Leanne Wynne Midwife in charge of Women's Business Mildura Aboriginal Health Service Mob 0418 371862 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] implanon and breastfeeding
Just out of curiosity Is implanon theone you get inserted in your arm? What is it's recommended life? Has this replaced the Mireana (IUD)? Kiwi Kim ---Original Message--- From: ozmidwifery@acegraphics.com.au Date: 03/22/05 15:55:09 To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] implanon and breastfeeding BTW is implanon now approved in Australia for breastfeeding mothers?? I was told it was. It didn't affect my milk supply. I had it inserted at 8 weeks, and removed after a year (due to intolerable side-effects!) Kate
Re: [ozmidwifery] implanon and breastfeeding
Yes, Kim it is the one that gets inserted into the arm. Here's a link to some info about it. http://www.fpahealth.org.au/sex-matters/factsheets/28.html Cheers Denise At 04:20 PM 22/03/2005 +1100, you wrote: Just out of curiosity Is implanon the one you get inserted in your arm? What is it's recommended life? Has this replaced the Mireana (IUD)? Kiwi Kim *** Denise Fisher Health e-Learning http://www.health-e-learning.com [EMAIL PROTECTED]
Re: [ozmidwifery] implanon and breastfeeding
Yes it was in my arm. LIfe is 3 years. I gave it a year before I decided to have it removed due to side effects (very long, frequent,heavy menses. I washaving a 10-12 day period, a 3 day gap, andother 10-12 day perioda 5 day gap and then the cycle began again. Certainly very effective contraception!) In my case, once it was removed, the Mirena was recommended. But my gyn gave me a 10% risk of uterine puncture, which made me decide against it. Oral contraceptives are not an option for me, which is serously narrowing the choices. That vasectomy is looking good! Kate - Original Message - From: Kim Stead To: ozmidwifery@acegraphics.com.au Sent: Tuesday, March 22, 2005 3:50 PM Subject: Re: [ozmidwifery] implanon and breastfeeding Just out of curiosity Is implanon theone you get inserted in your arm? What is it's recommended life? Has this replaced the Mireana (IUD)? Kiwi Kim ---Original Message--- From: ozmidwifery@acegraphics.com.au Date: 03/22/05 15:55:09 To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] implanon and breastfeeding BTW is implanon now approved in Australia for breastfeeding mothers?? I was told it was. It didn't affect my milk supply. I had it inserted at 8 weeks, and removed after a year (due to intolerable side-effects!) Kate
[ozmidwifery] Re: implanon and breastfeeding
Is there reallya 10% risk of uterine puncture? I've not seen that stat yet ( or did I have my eyes shut? LOL). As for the vasectomy - nothing is fool proof and I personally know 2 people who had failed vasectomies where they magically regrew back together (the body is very clever!). Hugs,Larissa the Mirena was recommended. But my gyn gave me a 10% risk of uterine puncture, which made me decide against it. Oral contraceptives are not an option for me, which is serously narrowing the choices. That vasectomy is looking good! Kate
[ozmidwifery] conception after vasectomy
Hey guys! Dean is absolutely PARANOID about me getting pregnant again despite his vasectomy! A vbac client/friend gave me a gorgeous pendant with a primitive birthing woman figurine. She is in fact a fertility symbol and he is sure that with my desires for a home water birth and the fertility symbol around my neck we will end up going another round. HA! With Sam just weeks away from kindy (can you believe that!!), there is no chance of me having another baby! Ah! Poor Deano! Hope you are both well and studying really hard! Jo -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Larissa Inns Sent: Tuesday, March 22, 2005 4:19 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Re: implanon and breastfeeding Is there reallya 10% risk of uterine puncture? I've not seen that stat yet ( or did I have my eyes shut? LOL). As for the vasectomy - nothing is fool proof and I personally know 2 people who had failed vasectomies where they magically regrew back together (the body is very clever!). Hugs,Larissa the Mirena was recommended. But my gyn gave me a 10% risk of uterine puncture, which made me decide against it. Oral contraceptives are not an option for me, which is serously narrowing the choices. That vasectomy is looking good! Kate -- No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.7.4 - Release Date: 3/18/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.7.4 - Release Date: 3/18/2005
