Re: [ozmidwifery] Foetal positioning
Hi all, I also took that last bit as being positive, but I've still yet to hear real stories of women in hospitals pushing for longer than a few hours in most cases, at least in my area. Also just to keep adding to our own stories, I have yet to see an OP birth with the women I have given care to in over 22 years- fully believe in giving them good information about best positions etc for birth, and as for those asynclitic/deflexed heads, the external lifting technique works more often than not. The indicator is the head not well applied to the cervix at full dilatation, particularly after good pushing. The technique is simple, pain free and I believe safe, though obviously no research has been done, (only anecdotal I'm afraid, but one would think it to be safer than heading off for a c/section). Technique done between ctxs, woman lying down (works well in bath, pool too), locate shoulders and gently lift up out of pelvis rotating leading shoulder to anterior. The lift is often no more than say an inch, but you'll usually feel a rotation occur. I was taught to attempt it a few times, and if no success, then keep thinking of other techniques - like high stepping or asynclitic positions through ctxs etc etc. Sue What I thought was interesting about this article is the following statement Guidelines that propose norms for expected labour duration should take into consideration position of the foetal head at full dilatation and the strategy of pushing, conclude the researchers. I took this in the positive.. eternally the optimist, that we should be allowing longer for women who have babies positioned in interesting positions. **Sally Westbury** **Homebirth Midwife** It takes courage to remain a true advocate for women, challenging authority and sacrificing social and professional acceptance. It takes courage for a woman to choose a caregiver who will truly advocate for and empower her. -Judy Slome Cohain -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Re: mexican sling
Title: Bericht It is called the Rebozzo. Naoli Vinaver is verygood with it. She has marvellous workshops at the Mdwiery Today conferences. greetings Lieve Lieve Huybrechts vroedvrouw 0477/740853 -Oorspronkelijk bericht-Van: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Namens Sally-Anne BrownVerzonden: maandag 11 april 2005 7:47Aan: ozmidwifery@acegraphics.com.auOnderwerp: [ozmidwifery] Re: mexican sling What a great story Andrea - and the wonderand joy this birth has been for the whole family - with the reclamation ofthis sacred space. Hopefully for many generations to come for this family ! Re the mexican ? sling - (this was the name given as I recall) Susanne Houd did the demo in sydney. it never ceases to amaze me howfantastica woman's body is - and given the right environment - will do what is neededanyway. perhaps more than we ever know or realise at the time. well done on seeing it and recognising it first hand - another wonderful gift for this women and her family. sally-anne - Original Message - From: Andrea Quanchi To: ozmidwifery@acegraphics.com.au Sent: Thursday, April 14, 2005 10:28 AM Subject: Re: [ozmidwifery] Foetal positioning Had an interesting situation the other day. Came on the PM shift to be with a woman who had been induced with prostin the evening before spontaneous ROM two hours later then nothing and so synt in the AM. Noted on admission by midwives that baby OP and mother resisted co operating in any suggestions to turn it because her GP had told her that the baby was all ready to go. When I came on she was lying down complaining and resisting to move because her back was hurting to much!I sat and watched for a couple of contractions and then said in a confidant manner oh thats easy to fix I'll run the bath. Which I did and in she got with her sister dragging along behind reminding me that she would not be able to get out again. I reassured her that I had never had a woman who had remained in the bath for ever so it would be OK.Once in she proceeded to relax and after a very short time began swaying with the contractions, still on her back but almost flat with her head in the water and feet apart but flat on the bottom.Then she began thrusting her pelvis skyward with each contraction and it reminded me of the mexican shawl thing that we were shown at the Andrea Robertson study day recently. What was it called Andrea Anyway shortly afterwards she opened her eyes and said I'll need to push soon. Which she did and went on to have her baby with a very moulded head. Despite her resistance to all suggestions to rotatet her baby she instinctively did it her self once in the water which was deep enough to enable her to float freely.When we were talking about it afterwards she told me that her GP had told her that there was an 80% chance she would have to have a LUSCS because her mother had had all difficult forcep births and her sister had had two LUSCS. So she had convinced herself that she just had to endure whatever until he decided to do the LUSCS??How sad is that and talk about sabotage.There were four generations of women in that room as the baby arrived and the three elder ones were dumb struck at the beauty of it and the was she had been encouraged to labour. We had a discussion above the little listening ears of the 4 5 year old nieces who came in minutes after the baby arrived but had sat around all day waiting because their Mum was supporting their aunty about how they could empower those girls by the language they use to talk about birth now that they had seen how it could be done. At least those girls might have a chance.All in all a satisfying result. but my message was really how she had used the thrusting motions in the bath to turn the OPAndrea QuanchiOn 13/04/2005, at 8:29 PM, Sally Westbury wrote: Foetal malposition lengthens labour and poses maternal risksSource:Obstetrics Gynaecology 2005; 105: 763-72 Assessing the impact of foetal position at full dilatation on labour duration and indicators of maternal morbidity. Pregnant women with occiput posterior or transverse position at full dilatation are at increased risk of a prolonged second stage of labour and of maternal morbidity, research shows."Since Mauriceau's classical work was published in 1681, the occiput posterior and transverse malpositions have remained an obstetric challenge," write Julie Senecal (Laval University, Canada) and colleagues.For the current study, the team assessed the effect of such foetal positions on the duration of the second stage of labour and on
Re: [ozmidwifery] Tricia Anderson's Holistic Midwifery
Hi Tanya I said Townsville to Birth international but Cairns will do me!! Philippa Scott Birth Buddies Supporting Women ~ Creating Life - Original Message - From: Tanya Fleming [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, April 15, 2005 5:31 AM Subject: Re: [ozmidwifery] Tricia Anderson's Holistic Midwifery Hi ANdreaI am very interested in this workshop...it sounds fantastic. Howeveris she going to do one in Brisbane? I looked at this earlier in the Birth INternational catalogue and decided it was too far away (Adelaide isn't it?) I would love to go if there would be a workshop closer to Far North Queensland.How about Sunny Cairns I would jump at the chancei am sure i could lobby around to get more midwives to attend too! CheersTanya Fleming - Original Message - From: Andrea Robertson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, April 13, 2005 3:56 AM Subject: [ozmidwifery] Tricia Anderson's Holistic Midwifery Hi Listers, We've just run a highly successful Conference in the UK for childbirth educators and midwives. One of the star turns was Tricia Anderson who did a fabulous workshop session on using music, dance and other art forms in classes. Participants were blown away by the fun and usefulness of what she presented. Tricia is a highly qualified midwife - independent practitioner, ALSO trainer, Lecturer in Midwifery At Bournemouth University, past Associate Editor of both MIDIRS and The Practising Midwife. She is coming to Australia for the ICM and has offered to present some workshops for midwives in early August. For those of you who want to explore midwifery in a new and exciting way, I would thoroughly recommend it - you'll get something completely different and have a wonderful time to boot. Check it out here: http://www.acegraphics.com.au/workshop/holistic.html Please pass on this message to your colleagues Regards, Andrea - Andrea Robertson Birth International * ACE Graphics * Associates in Childbirth Education e-mail: [EMAIL PROTECTED] web: www.birthinternational.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- 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] midwife costings
Dear Sonja Ask Pat Brodie or another exec at NSW Midwives asn at [EMAIL PROTECTED] 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: Barry Sonja To: ozmidwifery@acegraphics.com.au Sent: Thursday, April 14, 2005 8:46 AM Subject: [ozmidwifery] midwife costings Dear all, Wondering if anyone would know the current AN-DRG costs for a spontaneous vaginal birth in NSW or where I would be able to obtain it. (not sure if they are different in each state). Thanks Sonja
Re: [ozmidwifery] midwife costings
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: www.midwiferyeducation.com.au On 14 Apr, 2005, at 10:46, Barry Sonja wrote: Dear all, Wondering if anyone would know the current AN-DRG costs for a spontaneous vaginal birth in NSW or where I would be able to obtain it. (not sure if they are different in each state). Thanks Sonja
[ozmidwifery] Contemporary midwifery critique
Hi all, Am in the midst of an assignment which includes a critical analysis of contemporary midwifery. I need some references to validate what I'm saying - fragmented care vs continuity of care, educational methods, medical dominance, socially constructed health care systems, mechanistic view vs humanistic etc etc. I'm hoping there's lots of good references amongst all of you, Many thanks, Sue -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] research register?
Hi List As an academic, I hate to say that it is quite 'normal' for there to be no coherent collection of research being done etc. It's also a dreadful problem! However midwifery is no different to any other field. Mostly one only knows about things through professional conferences and associations or personal networks. Last June's ARCHI conference for example was a terrific opportunity for finding out about developments across Australia and networking. Maybe ACMI has taken up collecting information but it would still be reliant on people letting them know what researchers, including postgrad students are doing. For anyone's interest, I am working on staff working relationships in maternity care settings. Three projects are at various stages : 1. a pilot study based on interviews across a few public units with managers and senior obstetricians- interesting stuff on the impact of organisational restructuring on midwifery cultures 2. I've now completed an analysis of the working relationships amongst staff involved in the introduction of new team midwifery model in a small rural maternity unit ie team members, other ward-based staff and managers, and local GPs- 3. Study of complex issues in a large tertiary unit undergoing major organisational change: issues of mid/ob knowledge, professional boundary tensions, role of ob trainees, emotional dimensions. etc. A paper from this work will be given at ICM in July. I'm always interested in feedback on the above issues. I will also return later this year to work I started on the historical development of ACMI - it's been on hold for want of funding! Maybe others can post details of other work in progress and a thread can be then available? cheers Kerreen Kerreen Reiger Associate Professor Sociology Program School of Social Sciences La Trobe University Australia 3086 Ph: 61 3 9479 1040 Fax: 613 94792705 E: [EMAIL PROTECTED] From: [EMAIL PROTECTED] on behalf of Dean Jo Sent: Fri 15/04/2005 9:37 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] research register? So would this be an indicator that there is no such collation of information other than doing a search on the topic and seeing who has done what? Surely if this is the case there would be double ups and wasted resources!! Is there any academics on list that can comment on this please? Jo -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jackie Doolan Sent: Friday, April 15, 2005 8:47 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] research register? I think this would be a great idea. Would help people to network with others who share the same areas of interest. Jackie Doolan -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Dean Jo Sent: Thursday, April 14, 2005 6:12 PM To: ozmidwifery@acegraphics.com.au Cc: [EMAIL PROTECTED] Subject: [ozmidwifery] research register? Is there a kind of register of what topics are being researched in midwifery circles? Just interested. ;o) Jo -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.9.7 - Release Date: 4/12/2005 -- No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.9.7 - Release Date: 4/12/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.9.7 - Release Date: 4/12/2005 winmail.dat
RE: [ozmidwifery] research register?
Thanks Kereen, I am aware that this would be an issue across the board with other professions. I am astonished how there is so much research relevant to maternity that is being done by midwives, doctors, mental health, etc. I am going to make inquiries to the NHMRC to see hat information they have. Cheers Jo -Original Message- From: Kerreen Reiger [mailto:[EMAIL PROTECTED] On Behalf Of Kerreen Reiger Sent: Friday, April 15, 2005 9:48 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] research register? Hi List As an academic, I hate to say that it is quite 'normal' for there to be no coherent collection of research being done etc. It's also a dreadful problem! However midwifery is no different to any other field. Mostly one only knows about things through professional conferences and associations or personal networks. Last June's ARCHI conference for example was a terrific opportunity for finding out about developments across Australia and networking. Maybe ACMI has taken up collecting information but it would still be reliant on people letting them know what researchers, including postgrad students are doing. For anyone's interest, I am working on staff working relationships in maternity care settings. Three projects are at various stages : 1. a pilot study based on interviews across a few public units with managers and senior obstetricians- interesting stuff on the impact of organisational restructuring on midwifery cultures 2. I've now completed an analysis of the working relationships amongst staff involved in the introduction of new team midwifery model in a small rural maternity unit ie team members, other ward-based staff and managers, and local GPs- 3. Study of complex issues in a large tertiary unit undergoing major organisational change: issues of mid/ob knowledge, professional boundary tensions, role of ob trainees, emotional dimensions. etc. A paper from this work will be given at ICM in July. I'm always interested in feedback on the above issues. I will also return later this year to work I started on the historical development of ACMI - it's been on hold for want of funding! Maybe others can post details of other work in progress and a thread can be then available? cheers Kerreen Kerreen Reiger Associate Professor Sociology Program School of Social Sciences La Trobe University Australia 3086 Ph: 61 3 9479 1040 Fax: 613 94792705 E: HYPERLINK mailto:[EMAIL PROTECTED][EMAIL PROTECTED] _ From: [EMAIL PROTECTED] on behalf of Dean Jo Sent: Fri 15/04/2005 9:37 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] research register? So would this be an indicator that there is no such collation of information other than doing a search on the topic and seeing who has done what? Surely if this is the case there would be double ups and wasted resources!! Is there any academics on list that can comment on this please? Jo -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jackie Doolan Sent: Friday, April 15, 2005 8:47 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] research register? I think this would be a great idea. Would help people to network with others who share the same areas of interest. Jackie Doolan -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Dean Jo Sent: Thursday, April 14, 2005 6:12 PM To: ozmidwifery@acegraphics.com.au Cc: [EMAIL PROTECTED] Subject: [ozmidwifery] research register? Is there a kind of register of what topics are being researched in midwifery circles? Just interested. ;o) Jo -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.9.7 - Release Date: 4/12/2005 -- No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.9.7 - Release Date: 4/12/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.9.7 - Release Date: 4/12/2005 -- No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.9.7 - Release Date: 4/12/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.9.7 - Release Date: 4/12/2005 attachment: winmail.dat
RE: [ozmidwifery] research register?
BTW Kereen your topic sounds fascinating! -Original Message- From: Kerreen Reiger [mailto:[EMAIL PROTECTED] On Behalf Of Kerreen Reiger Sent: Friday, April 15, 2005 9:48 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] research register? Hi List As an academic, I hate to say that it is quite 'normal' for there to be no coherent collection of research being done etc. It's also a dreadful problem! However midwifery is no different to any other field. Mostly one only knows about things through professional conferences and associations or personal networks. Last June's ARCHI conference for example was a terrific opportunity for finding out about developments across Australia and networking. Maybe ACMI has taken up collecting information but it would still be reliant on people letting them know what researchers, including postgrad students are doing. For anyone's interest, I am working on staff working relationships in maternity care settings. Three projects are at various stages : 1. a pilot study based on interviews across a few public units with managers and senior obstetricians- interesting stuff on the impact of organisational restructuring on midwifery cultures 2. I've now completed an analysis of the working relationships amongst staff involved in the introduction of new team midwifery model in a small rural maternity unit ie team members, other ward-based staff and managers, and local GPs- 3. Study of complex issues in a large tertiary unit undergoing major organisational change: issues of mid/ob knowledge, professional boundary tensions, role of ob trainees, emotional dimensions. etc. A paper from this work will be given at ICM in July. I'm always interested in feedback on the above issues. I will also return later this year to work I started on the historical development of ACMI - it's been on hold for want of funding! Maybe others can post details of other work in progress and a thread can be then available? cheers Kerreen Kerreen Reiger Associate Professor Sociology Program School of Social Sciences La Trobe University Australia 3086 Ph: 61 3 9479 1040 Fax: 613 94792705 E: HYPERLINK mailto:[EMAIL PROTECTED][EMAIL PROTECTED] _ From: [EMAIL PROTECTED] on behalf of Dean Jo Sent: Fri 15/04/2005 9:37 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] research register? So would this be an indicator that there is no such collation of information other than doing a search on the topic and seeing who has done what? Surely if this is the case there would be double ups and wasted resources!! Is there any academics on list that can comment on this please? Jo -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jackie Doolan Sent: Friday, April 15, 2005 8:47 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] research register? I think this would be a great idea. Would help people to network with others who share the same areas of interest. Jackie Doolan -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Dean Jo Sent: Thursday, April 14, 2005 6:12 PM To: ozmidwifery@acegraphics.com.au Cc: [EMAIL PROTECTED] Subject: [ozmidwifery] research register? Is there a kind of register of what topics are being researched in midwifery circles? Just interested. ;o) Jo -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.9.7 - Release Date: 4/12/2005 -- No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.9.7 - Release Date: 4/12/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.9.7 - Release Date: 4/12/2005 -- No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.9.7 - Release Date: 4/12/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.9.7 - Release Date: 4/12/2005 attachment: winmail.dat
RE: [ozmidwifery] research register?
Title: Message Interesting and will be very relevant to al ot of maternity units which are in the process of adding midwifery models to their practice settings. Jackie Doolan -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kerreen ReigerSent: Friday, April 15, 2005 10:18 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] research register? Hi List As an academic,I hate to say that itis quite 'normal' for there to be no coherent collection of research being done etc. It's also a dreadful problem! However midwifery is no different to any other field. Mostly one only knows about things through professional conferences and associations or personal networks. Last June's ARCHI conference for example was a terrific opportunity for finding out about developments across Australia and networking. Maybe ACMI has taken up collecting information but it would still be reliant on people letting them know what researchers, including postgradstudents are doing. For anyone's interest, I am working onstaff workingrelationships in maternity care settings. Three projects areat various stages : 1. a pilot study based on interviews across a fewpublic units with managers and senior obstetricians- interesting stuff on the impact of organisational restructuring on midwifery cultures 2. I've now completed an analysis of the working relationships amongst staffinvolved in the introduction ofnew team midwifery model in a small rural maternity unit ie team members, other ward-based staff and managers, and local GPs- 3. Study of complex issues in a large tertiary unit undergoing major organisational change: issues of mid/ob knowledge, professional boundary tensions, role of ob trainees, emotional dimensions. etc. A paper from this work will be given at ICM in July. I'm always interested in feedback on the above issues. I will also return later this year to work I started on the historical development of ACMI - it's been on hold for want of funding! Maybe others can post details of other work in progress and a thread can be then available? cheers Kerreen Kerreen Reiger Associate Professor Sociology Program School of Social Sciences La Trobe University Australia 3086 Ph: 61 3 9479 1040 Fax: 613 94792705 E: [EMAIL PROTECTED] From: [EMAIL PROTECTED] on behalf of Dean JoSent: Fri 15/04/2005 9:37 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] research register? So would this be an indicator that there is no such collation of information other than doing a search on the topic and seeing who has done what? Surely if this is the case there would be double ups and wasted resources!! Is there any academics on list that can comment on this please? Jo -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jackie DoolanSent: Friday, April 15, 2005 8:47 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] research register? I think this would be a great idea. Would help people to network with others who share the same areas of interest. Jackie Doolan -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Dean JoSent: Thursday, April 14, 2005 6:12 PMTo: ozmidwifery@acegraphics.com.auCc: [EMAIL PROTECTED]Subject: [ozmidwifery] research register? Is there a kind of register of what topics are being researched in midwifery circles? Just interested. ;o) Jo --No virus found in this outgoing message.Checked by AVG Anti-Virus.Version: 7.0.308 / Virus Database: 266.9.7 - Release Date: 4/12/2005 --No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.308 / Virus Database: 266.9.7 - Release Date: 4/12/2005 --No virus found in this outgoing message.Checked by AVG Anti-Virus.Version: 7.0.308 / Virus Database: 266.9.7 - Release Date: 4/12/2005
Re: [ozmidwifery] Foetal positioning
Hello all These researchers would be better spending their research dollars on a copy of 'optimal fetal positioning' or 'the labour progress handbook'. It is the most redundant and wasteful piece of research I have seen. If it such an obstetric challenge then why not do some investigation into the effect of different positions in labour. There is a large study around that demonstrates that most posterior presentations happen during labour and not before. The title of their research should read 'Obstetric disposition and maternal malposition lengthens labour and .sorrycouldn't help it! Still believing one day common sense will prevail.. Jenny Jennifer Cameron FRCNA FACMPO Box 1465Howard Springs NT 0835 0419 528 717 - Original Message - From: Sally Westbury To: ozmidwifery@acegraphics.com.au Sent: Wednesday, April 13, 2005 7:59 PM Subject: [ozmidwifery] Foetal positioning Foetal malposition lengthens labour and poses maternal risksSource:Obstetrics Gynaecology 2005; 105: 763-72 Assessing the impact of foetal position at full dilatation on labour duration and indicators of maternal morbidity. Pregnant women with occiput posterior or transverse position at full dilatation are at increased risk of a prolonged second stage of labour and of maternal morbidity, research shows. "Since Mauriceau's classical work was published in 1681, the occiput posterior and transverse malpositions have remained an obstetric challenge," write Julie Senecal (Laval University, Canada) and colleagues. For the current study, the team assessed the effect of such foetal positions on the duration of the second stage of labour and on indicators of maternal morbidity, using retrospective data for 210 women whose foetus was in the posterior position, 200 with it in a transverse position, and 1198 with an anteriorly positioned foetus. This revealed that foetal malposition at full dilatation was associated with significant maternal morbidity, including increased risks of instrumental delivery, caesarean delivery, oxytocin administration, episiotomy, and blood loss exceeding 500 ml. In addition, the duration of the second stage of labour with early or delayed pushing was higher for transverse (3.6 hours and 2.5 hours, respectively) and posterior (3.8 hours and 3.0 hours, respectively) positions than for the anteriorly positioned group (3.1 hours and 2.2 hours, respectively). "Guidelines that propose norms for expected labour duration should take into consideration position of the foetal head at full dilatation and the strategy of pushing," conclude the researchers. Posted: 12 April 2005 Sally Westbury Homebirth Midwife "It takes courage to remain a true advocate for women, challenging authority and sacrificing social and professional acceptance. It takes courage for a woman to choose a caregiver who will truly advocate for and empower her." -Judy Slome Cohain No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.308 / Virus Database: 266.9.9 - Release Date: 13/04/2005
Re: [ozmidwifery] research register?
Sounds like something ACMI could administer. Jennifer Cameron FRCNA FACMPO Box 1465Howard Springs NT 0835 0419 528 717 - Original Message - From: Dean Jo To: ozmidwifery@acegraphics.com.au Cc: [EMAIL PROTECTED] Sent: Thursday, April 14, 2005 5:41 PM Subject: [ozmidwifery] research register? Is there a kind of register of what topics are being researched in midwifery circles? Just interested. ;o) Jo --No virus found in this outgoing message.Checked by AVG Anti-Virus.Version: 7.0.308 / Virus Database: 266.9.7 - Release Date: 4/12/2005 No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.308 / Virus Database: 266.9.9 - Release Date: 13/04/2005
Re: [ozmidwifery] Contemporary midwifery critique
um, thats a really broad reference list! What exactly are you needing - justification for caseload midwifery models (from economic/consumer/midwives points of view?); justification for 'direct entry' midwifery education?; medical dominance of midwifery from an historical/present point of view?; 'primary health care' / 'community' systems of maternity care? All of the above (how many words is this assignment?!)? I can send you literally hundreds of references but I think to save you trawling through them all, it might be useful to be more specific re what you are looking for :) jennifairy Sue Cookson wrote: Hi all, Am in the midst of an assignment which includes a critical analysis of contemporary midwifery. I need some references to validate what I'm saying - fragmented care vs continuity of care, educational methods, medical dominance, socially constructed health care systems, mechanistic view vs humanistic etc etc. I'm hoping there's lots of good references amongst all of you, Many thanks, Sue -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.9.11 - Release Date: 14/04/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Contemporary midwifery critique
For ease of process, I can send you reference lists from the assignments Ive done or been involved with so there might be some doubling up... but anyway, heres the 1st one to hand. It was for a literature review evaluating caseload/continuity of carer midwifery care: (sorry about the double spacing, its a cut'n'paste jobbie straight from assignment) Benjamin, Y., Walsh, D. Taub, N., 2001, A comparison of partnership caseload midwifery care with conventional team midwifery care: labour and birth outcomes, /Midwifery/, vol. 17, p. 234-240. Brown, S. Lumley, J., 1994, Satisfaction with care in labour and birth: a survey of 790 Australian women, /Birth/, vol.21, no. 1, pp. 4-13 Cornwall, C., 2001 /Proposal for Midwifery Caseload Practice (MCP) at WCH,/ Womens and Childrens Hospital, Adelaide Cornwall, C., 2004, Midwifery Group Practice is born at WCH in Adelaide, /Australian Midwifery News,/ Australian College of Midwives, Toorak, Victoria Coyle, K., Hauck, Y., Percival, P. Kristjanson, L., 2001, Normality and collaboration: mothers perceptions of birth centre versus hospital care, /Midwifery/, vol. 17, p.182-193 Donnellan Fernandez, R., 2000, Autonomous Private Midwifery Practice: A Retrospective 1994-2000, /Promaco Conventions: Childbirth in Isolation, Proceedings for the ACMI Goldfields Sub-branch Conference/, Kalgoorlie, 3-4 October. Fenwick, N., 1998, Continuity of carer: the experiences of midwives, in /Psychological/ /Perspectives on Pregnancy Childbirth/, ed. S. Clement, Churchill Livingstone, Edinburgh, UK. Flint, C. 1994, Getting to Know Your Client, /Modern Midwife, /April 1994, Vol. 4 Garcia, J., 1995, Continuity of carer in context: what matters to women? in /Effective/ /Group Practice in Midwifery: Working with Women/, ed. L. Page, Blackwell Science, Oxford, UK. Green, JM., Coupland, VA. Kitzinger, JV., 1990, Expectations, experiences, and psychological outcomes of childbirth: a prospective study of 825 women, /Birth/, vol.17, no. 1, pp15-23 Green JM., Renfrew, MJ. Curtis, PA., 2000, Continuity of carer: what matters to women? A Review of the evidence, /Midwifery/, vol. 16, pp186-196. Hodnett E., 2001, Caregiver support for women during childbirth /Cochrane Review in the Cochrane Library/, Issue 2, Update Software, Oxford. Homer, C., Davis, G. Brodie, P., 2000, What do women feel about community-based antenatal care?, /Australian New Zealand Journal of Public Health/, vol.24, no. 6, pp590-595. Homer, C., Brodie P. Leap, N., 2001, /Establishing models of continuity of midwifery care in Australia: A resource for midwives and managers/, Centre for Family Health and Midwifery, Faculty of Nursing, Midwifery and Health at the University of Technology Sydney. Homer, C., Davis, G., Brodie, P., Sheehan, A., Barclay, L., Wills, J. Chapman, M., 2001b, Collaboration in maternity care: a randomised controlled trial comparing cimmunity-based continuity of care with standard hospital care, /British Journal of/ /Obstetrics and Gynaecology/, vol.108, pp.16-22 Homer, CS., Matha, DV., Jordan, L., Wills, J. Davis, GK., 2001c, Community-based continuity of midwifery care versus standard hospital care: a cost analysis, Australian Health Review, vol.24, no. 1, pp. 85-93. Hundley, V., Cruiksank, F., Milne, J., Glazener, C., Lang, G., Turner, M., Blyth, D. Mollison, J., 1995, Satisfaction and continuity of care: staff views of care in a midwifery-managed delivery unit, /Midwifery,/ vol. 11. pp 163-173 Leap, N. 1997, Caseload Practice that works, /MIDIRS Midwifery Digest,/ vol. 7, no. 4, pp 416-418 Magerey, A., 2004, Evaluation in primary health care, lecture notes distributed in the topic Managing Midwifery Practice 2, (MIDW 3005) at Flinders University of South Australia, Bedford Park on 25 March Maternity Coalition, Australian Society of Independent Midwives and Community Midwifery WA Inc., 2002, National Maternity Action Plan, /Birth Matters/, vol. 6 no. 3 Sept, p. 18-19, also avail. at _www.maternitycoalition.org.au/nmap.html_ Mc Court, A., Page, L., Hewison, J. Vail, A., 1998a_,_ Evaluation of one-to-one midwifery: Womens responses to care, /Birth/, vol.25, no. 2, June, pp.73-80 McCourt, C. 1998b, Working Patterns of Caseload Midwives: A Diary Analysis, /MIDIRS Midwifery Digest, /Mar 1999, 9:1. NHMRC 1996, /National Health Medical Research Council Options for Effective Care in Childbirth/, Australian Government Printing Service, Canberra NHMRC 1998, /Review of Services Offered by Midwives/, Australian Government Printing Service, Canberra Oakley, A., Hickey, D. Rajan, L., 1996, Social support in pregnancy: does it have long-term effects?, /Journal of Reproductive and Infant Psychology/, vol.14, pp. 7-22. Page, L., McCourt, C., Beake, S. Hewison, J., 1999, Clinical interventions and outcomes of one-to-one midwifery practice, /Journal of Public Health Medicine,/ vol. 21, no. 3, pp 243-248. Page, L. 2000, /The New
RE: [ozmidwifery] Contemporary midwifery critique
Very much appreciated Cheers jackie -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jennifairy Sent: Friday, April 15, 2005 12:57 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Contemporary midwifery critique For ease of process, I can send you reference lists from the assignments Ive done or been involved with so there might be some doubling up... but anyway, heres the 1st one to hand. It was for a literature review evaluating caseload/continuity of carer midwifery care: (sorry about the double spacing, its a cut'n'paste jobbie straight from assignment) Benjamin, Y., Walsh, D. Taub, N., 2001, 'A comparison of partnership caseload midwifery care with conventional team midwifery care: labour and birth outcomes', /Midwifery/, vol. 17, p. 234-240. Brown, S. Lumley, J., 1994, 'Satisfaction with care in labour and birth: a survey of 790 Australian women', /Birth/, vol.21, no. 1, pp. 4-13 Cornwall, C., 2001 /Proposal for Midwifery Caseload Practice (MCP) at WCH,/ Women's and Children's Hospital, Adelaide Cornwall, C., 2004, 'Midwifery Group Practice is born at WCH in Adelaide', /Australian Midwifery News,/ Australian College of Midwives, Toorak, Victoria Coyle, K., Hauck, Y., Percival, P. Kristjanson, L., 2001, 'Normality and collaboration: mothers' perceptions of birth centre versus hospital care', /Midwifery/, vol. 17, p.182-193 Donnellan - Fernandez, R., 2000, 'Autonomous Private Midwifery Practice: A Retrospective 1994-2000', /Promaco Conventions: Childbirth in Isolation, Proceedings for the ACMI Goldfields Sub-branch Conference/, Kalgoorlie, 3-4 October. Fenwick, N., 1998, 'Continuity of carer: the experiences of midwives', in /Psychological/ /Perspectives on Pregnancy Childbirth/, ed. S. Clement, Churchill Livingstone, Edinburgh, UK. Flint, C. 1994, 'Getting to Know Your Client', /Modern Midwife, /April 1994, Vol. 4 Garcia, J., 1995, 'Continuity of carer in context: what matters to women?' in /Effective/ /Group Practice in Midwifery: Working with Women/, ed. L. Page, Blackwell Science, Oxford, UK. Green, JM., Coupland, VA. Kitzinger, JV., 1990, Expectations, experiences, and psychological outcomes of childbirth: a prospective study of 825 women', /Birth/, vol.17, no. 1, pp15-23 Green JM., Renfrew, MJ. Curtis, PA., 2000, 'Continuity of carer: what matters to women? A Review of the evidence', /Midwifery/, vol. 16, pp186-196. Hodnett E., 2001, 'Caregiver support for women during childbirth' /Cochrane Review in the Cochrane Library/, Issue 2, Update Software, Oxford. Homer, C., Davis, G. Brodie, P., 2000, ' What do women feel about community-based antenatal care?', /Australian New Zealand Journal of Public Health/, vol.24, no. 6, pp590-595. Homer, C., Brodie P. Leap, N., 2001, '/Establishing models of continuity of midwifery care in Australia: A resource for midwives and managers'/, Centre for Family Health and Midwifery, Faculty of Nursing, Midwifery and Health at the University of Technology Sydney. Homer, C., Davis, G., Brodie, P., Sheehan, A., Barclay, L., Wills, J. Chapman, M., 2001b, 'Collaboration in maternity care: a randomised controlled trial comparing cimmunity-based continuity of care with standard hospital care', /British Journal of/ /Obstetrics and Gynaecology/, vol.108, pp.16-22 Homer, CS., Matha, DV., Jordan, L., Wills, J. Davis, GK., 2001c, 'Community-based continuity of midwifery care versus standard hospital care: a cost analysis', Australian Health Review, vol.24, no. 1, pp. 85-93. Hundley, V., Cruiksank, F., Milne, J., Glazener, C., Lang, G., Turner, M., Blyth, D. Mollison, J., 1995, 'Satisfaction and continuity of care: staff views of care in a midwifery-managed delivery unit', /Midwifery,/ vol. 11. pp 163-173 Leap, N. 1997, 'Caseload Practice that works', /MIDIRS Midwifery Digest,/ vol. 7, no. 4, pp 416-418 Magerey, A., 2004, 'Evaluation in primary health care', lecture notes distributed in the topic Managing Midwifery Practice 2, (MIDW 3005) at Flinders University of South Australia, Bedford Park on 25 March Maternity Coalition, Australian Society of Independent Midwives and Community Midwifery WA Inc., 2002, 'National Maternity Action Plan, /Birth Matters/, vol. 6 no. 3 Sept, p. 18-19, also avail. at _www.maternitycoalition.org.au/nmap.html_ Mc Court, A., Page, L., Hewison, J. Vail, A., 1998a_,_ 'Evaluation of one-to-one midwifery: Women's responses to care', /Birth/, vol.25, no. 2, June, pp.73-80 McCourt, C. 1998b, 'Working Patterns of Caseload Midwives: A Diary Analysis', /MIDIRS Midwifery Digest, /Mar 1999, 9:1. NHMRC 1996, /National Health Medical Research Council Options for Effective Care in Childbirth/, Australian Government Printing Service, Canberra NHMRC 1998, /Review of Services Offered by Midwives/, Australian Government Printing Service, Canberra Oakley, A., Hickey, D. Rajan, L., 1996, 'Social support in
Re: [ozmidwifery] Foetal positioning
Curiosity at hand...Was the mexican sling a side to side movement of the woman with the shawl or an up and down movement of the woman's pelvis? I too saw this at the conference but can't rememberThanks DEbbie - Original Message - From: Andrea Quanchi To: ozmidwifery@acegraphics.com.au Sent: Thursday, April 14, 2005 10:28 AM Subject: Re: [ozmidwifery] Foetal positioning Had an interesting situation the other day. Came on the PM shift to be with a woman who had been induced with prostin the evening before spontaneous ROM two hours later then nothing and so synt in the AM. Noted on admission by midwives that baby OP and mother resisted co operating in any suggestions to turn it because her GP had told her that the baby was all ready to go. When I came on she was lying down complaining and resisting to move because her back was hurting to much!I sat and watched for a couple of contractions and then said in a confidant manner oh thats easy to fix I'll run the bath. Which I did and in she got with her sister dragging along behind reminding me that she would not be able to get out again. I reassured her that I had never had a woman who had remained in the bath for ever so it would be OK.Once in she proceeded to relax and after a very short time began swaying with the contractions, still on her back but almost flat with her head in the water and feet apart but flat on the bottom.Then she began thrusting her pelvis skyward with each contraction and it reminded me of the mexican shawl thing that we were shown at the Andrea Robertson study day recently. What was it called Andrea Anyway shortly afterwards she opened her eyes and said I'll need to push soon. Which she did and went on to have her baby with a very moulded head. Despite her resistance to all suggestions to rotatet her baby she instinctively did it her self once in the water which was deep enough to enable her to float freely.When we were talking about it afterwards she told me that her GP had told her that there was an 80% chance she would have to have a LUSCS because her mother had had all difficult forcep births and her sister had had two LUSCS. So she had convinced herself that she just had to endure whatever until he decided to do the LUSCS??How sad is that and talk about sabotage.There were four generations of women in that room as the baby arrived and the three elder ones were dumb struck at the beauty of it and the was she had been encouraged to labour. We had a discussion above the little listening ears of the 4 5 year old nieces who came in minutes after the baby arrived but had sat around all day waiting because their Mum was supporting their aunty about how they could empower those girls by the language they use to talk about birth now that they had seen how it could be done. At least those girls might have a chance.All in all a satisfying result. but my message was really how she had used the thrusting motions in the bath to turn the OPAndrea QuanchiOn 13/04/2005, at 8:29 PM, Sally Westbury wrote: Foetal malposition lengthens labour and poses maternal risksSource:Obstetrics Gynaecology 2005; 105: 763-72 Assessing the impact of foetal position at full dilatation on labour duration and indicators of maternal morbidity. Pregnant women with occiput posterior or transverse position at full dilatation are at increased risk of a prolonged second stage of labour and of maternal morbidity, research shows."Since Mauriceau's classical work was published in 1681, the occiput posterior and transverse malpositions have remained an obstetric challenge," write Julie Senecal (Laval University, Canada) and colleagues.For the current study, the team assessed the effect of such foetal positions on the duration of the second stage of labour and on indicators of maternal morbidity, using retrospective data for 210 women whose foetus was in the posterior position, 200 with it in a transverse position, and 1198 with an anteriorly positioned foetus.This revealed that foetal malposition at full dilatation was associated with significant maternal morbidity, including increased risks of instrumental delivery, caesarean delivery, oxytocin administration, episiotomy, and blood loss exceeding 500 ml.In addition, the duration of the second stage of labour with early or delayed pushing was higher for transverse (3.6 hours and 2.5 hours, respectively) and posterior (3.8 hours and 3.0 hours, respectively) positions than for the anteriorly positioned group (3.1 hours and 2.2 hours, respectively)."Guidelines that propose norms for expected labour duration should take into consideration position of the foetal head at full dilatation and the strategy of pushing," conclude
Re: [ozmidwifery] Tricia Anderson's Holistic Midwifery
Hi Tanya, Yes, it is a fantastic program but we are limited by various factors: the ICM is in Brisbane and will saturate the locals with workshops etc. Tricia wanted to go elsewhere, so we chose places where people who couldn't perhaps get to the ICM could at least get a taste of some of the great speakers who will be in the country. Perhaps, another time Warm regards, Andrea At 05:31 AM 15/04/2005, you wrote: Hi ANdreaI am very interested in this workshop...it sounds fantastic. Howeveris she going to do one in Brisbane? I looked at this earlier in the Birth INternational catalogue and decided it was too far away (Adelaide isn't it?) I would love to go if there would be a workshop closer to Far North Queensland.How about Sunny Cairns I would jump at the chancei am sure i could lobby around to get more midwives to attend too! CheersTanya Fleming - Original Message - From: Andrea Robertson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, April 13, 2005 3:56 AM Subject: [ozmidwifery] Tricia Anderson's Holistic Midwifery Hi Listers, We've just run a highly successful Conference in the UK for childbirth educators and midwives. One of the star turns was Tricia Anderson who did a fabulous workshop session on using music, dance and other art forms in classes. Participants were blown away by the fun and usefulness of what she presented. Tricia is a highly qualified midwife - independent practitioner, ALSO trainer, Lecturer in Midwifery At Bournemouth University, past Associate Editor of both MIDIRS and The Practising Midwife. She is coming to Australia for the ICM and has offered to present some workshops for midwives in early August. For those of you who want to explore midwifery in a new and exciting way, I would thoroughly recommend it - you'll get something completely different and have a wonderful time to boot. Check it out here: http://www.acegraphics.com.au/workshop/holistic.html Please pass on this message to your colleagues Regards, Andrea - Andrea Robertson Birth International * ACE Graphics * Associates in Childbirth Education e-mail: [EMAIL PROTECTED] web: www.birthinternational.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. - 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.
