Re: [ozmidwifery] midwife in NZ
Hi Tania There is a list like OzMid called NZ Midwives. I can put in a post for you or you could join the list. What would you prefer?? Kiwi Kim. ---Original Message--- From: ozmidwifery@acegraphics.com.au Date: 04/29/05 14:55:01 To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] midwife in NZ Is there a NZ midwifery list where I could put a call out for a midwife for a friend living in West Auckland? Thanks Tania -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] midwife in NZ
Hi Kim If you could post for me, that would be great, we're in the middle of a computer upgrade and the last thing I need is to belong to any more lists at the moment! This woman is having baby #1, is about 10 weeks pregnant,and looking to birth at home, with an independent midwife, not keen on the group practices. She lives in West Auckland Many thanks TAnia - Original Message - From: Kim Stead [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, April 29, 2005 5:27 PM Subject: Re: [ozmidwifery] midwife in NZ Hi Tania There is a list like OzMid called NZ Midwives. I can put in a post for you or you could join the list. What would you prefer?? Kiwi Kim. ---Original Message--- From: ozmidwifery@acegraphics.com.au Date: 04/29/05 14:55:01 To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] midwife in NZ Is there a NZ midwifery list where I could put a call out for a midwife for a friend living in West Auckland? Thanks Tania -- 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 in NZ
Hi Tania I can do that no problem. I know what you mean about joining MORE lists. What do you mean by group practices?? Most midwives work in a collective in order to support one another etc and have back-up should it be required but take on their own individual caseloads. ---Original Message--- From: ozmidwifery@acegraphics.com.au Date: 04/29/05 17:39:15 To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] midwife in NZ Hi Kim If you could post for me, that would be great, we're in the middle of a computer upgrade and the last thing I need is to belong to any more lists at the moment! This woman is having baby #1, is about 10 weeks pregnant,and looking to birth at home, with an independent midwife, not keen on the group practices. She lives in West Auckland Many thanks TAnia - Original Message - From: Kim Stead [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, April 29, 2005 5:27 PM Subject: Re: [ozmidwifery] midwife in NZ Hi Tania There is a list like OzMid called NZ Midwives. I can put in a post for you or you could join the list. What would you prefer?? Kiwi Kim. ---Original Message--- From: ozmidwifery@acegraphics.com.au Date: 04/29/05 14:55:01 To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] midwife in NZ Is there a NZ midwifery list where I could put a call out for a midwife for a friend living in West Auckland? Thanks Tania -- 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 in NZ
I'm told by this woman that there is a great difference (and someone correct me if I'm wrong) between having your own independent midwife, who uses another as back up, and being allocated a midwife as part of a group of anything up to 8 midwives, with no guarantee that you will have someone you've met with you in labour. She really wants to birth at home, with a midwife she's built a relationship with, not in a birthing centre, with someone from the same practice as her midwife. Hope that helps! tania - Original Message - From: Kim Stead [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, April 29, 2005 5:44 PM Subject: Re: [ozmidwifery] midwife in NZ Hi Tania I can do that no problem. I know what you mean about joining MORE lists. What do you mean by group practices?? Most midwives work in a collective in order to support one another etc and have back-up should it be required but take on their own individual caseloads. ---Original Message--- From: ozmidwifery@acegraphics.com.au Date: 04/29/05 17:39:15 To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] midwife in NZ Hi Kim If you could post for me, that would be great, we're in the middle of a computer upgrade and the last thing I need is to belong to any more lists at the moment! This woman is having baby #1, is about 10 weeks pregnant,and looking to birth at home, with an independent midwife, not keen on the group practices. She lives in West Auckland Many thanks TAnia - Original Message - From: Kim Stead [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, April 29, 2005 5:27 PM Subject: Re: [ozmidwifery] midwife in NZ Hi Tania There is a list like OzMid called NZ Midwives. I can put in a post for you or you could join the list. What would you prefer?? Kiwi Kim. ---Original Message--- From: ozmidwifery@acegraphics.com.au Date: 04/29/05 14:55:01 To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] midwife in NZ Is there a NZ midwifery list where I could put a call out for a midwife for a friend living in West Auckland? Thanks Tania -- 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.
[ozmidwifery] Tania - midwife in NZ
I think I follow Tania. I'm thinking she is referring to a caseload midwife. When you have your own independent midwife, you are pretty much guaranteed to have her attend your birth, or else her partner whom she would have met on a few occasions. Depending on the credibility of the midwife of course. She needs to be pretty upfront and interview potential midwives - how many women do they take on, when is there rostered time off, their individual philosophies etc. It is common practice for women to interview approx 3 midwives before booking in with one of them. Most midwives offering homebirth are usually VERY woman centered. I'll post to the NZ Midwives site for you and let you know of any responses. Kim. ---Original Message--- From: ozmidwifery@acegraphics.com.au Date: 04/29/05 19:59:15 To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] midwife in NZ I'm told by this woman that there is a great difference (and someone correct me if I'm wrong) between having your own independent midwife, who uses another as back up, and being allocated a midwife as part of a group of anything up to 8 midwives, with no guarantee that you will have someone you've met with you in labour. She really wants to birth at home, with a midwife she's built a relationship with, not in a birthing centre, with someone from the same practice as her midwife. Hope that helps! tania - Original Message - From: Kim Stead [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, April 29, 2005 5:44 PM Subject: Re: [ozmidwifery] midwife in NZ Hi Tania I can do that no problem. I know what you mean about joining MORE lists. What do you mean by group practices?? Most midwives work in a collective in order to support one another etc and have back-up should it be required but take on their own individual caseloads. ---Original Message--- From: ozmidwifery@acegraphics.com.au Date: 04/29/05 17:39:15 To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] midwife in NZ Hi Kim If you could post for me, that would be great, we're in the middle of a computer upgrade and the last thing I need is to belong to any more lists at the moment! This woman is having baby #1, is about 10 weeks pregnant,and looking to birth at home, with an independent midwife, not keen on the group practices. She lives in West Auckland Many thanks TAnia - Original Message - From: Kim Stead [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, April 29, 2005 5:27 PM Subject: Re: [ozmidwifery] midwife in NZ Hi Tania There is a list like OzMid called NZ Midwives. I can put in a post for you or you could join the list. What would you prefer?? Kiwi Kim. ---Original Message--- From: ozmidwifery@acegraphics.com.au Date: 04/29/05 14:55:01 To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] midwife in NZ Is there a NZ midwifery list where I could put a call out for a midwife for a friend living in West Auckland? Thanks Tania -- 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.
[ozmidwifery] Antenatal Screening/Informed Choice Agreement. Vitamin D supps.
Hi All, Just hoping some of you wonderful Homebirth midwives out there can enlighten my ignorance regarding what "routine" antenatal investigations you order for or recommend to your clients, as part of your initial consultation. Is there a standard guideline that you must adhere to?(Apart from the "National Midwifery Guidelines for Consultation and Referral", that is). Or is it only up to the individual practitioner and his/her client to discuss and come to an agreement about what tests she will have and when she must go to hospital? My reason for asking is the vague responses to our enquiries we recently encountered when a planned homebirth client presented to hospital for delivery. There was no accompanying antenatal record so we thought it feasible to ask basic questions of the client and her midwife such as blood group, last Hb, etc because it was no longer a normal situation. Is it probable these tests weren't done, because she was hitherto a normal, healthy woman with the right to choose what invasive procedures she had? Sorry to sound stupid but I'm used to the Obstetrician/G.P. who orders every test the lab has ever done and then some, you know - like the questionable Hep C and HIV without prior counselling, but I won't go there! I've done a couple of Web searches re the evidence (and lack of), and cost-effectiveness of the regular antenatal screen blood tests (I think I read it cost Medicare some $48 million dollars back in 1997), but wanted to know what you guys are practicing out there. On another tack, I just read this gem in an excerpt from a policy statement by The American Academy of Paediatricians: "Vitamin D drops containing 200iu should be given to all breastfed infants starting in the first two months of life" Gartner LM et al "Breastfeeding and the use of Human Milk" Pediatrics 2005 Feb; 115: 496-506. Alaskans born in the middle of winter perhaps? I think our NICU give daily Pentavite from about Day 5, but surely, if there is some sun exposure this routine administration shouldn't be necessary? Do different skin colours absorb it from sunlight at different rates, such as black skin slower, perhaps? Any Lactation Consultants able to comment here please? Cheers, Gaye :)
Re: [ozmidwifery] Antenatal Screening/Informed Choice Agreement. Vitamin D supps.
Hi: I am not yet a lactation consultant but I am a midwife who lived in the USA until 2002. There are a number of factors involved here re the vitamin D drops. I am assuming this is in response to an increase in the prevalence of rickets in babies and young children. I will list them below. Yes it does seem like an overreaction but I think it fits into the public health mantra of treating all rather than missing some. Coming from Norwegian heritage I remember a childhood of drinking my daily dose of cod liver oil in sunny far north qld, yes I do have strong bones and teeth. Anyway theseare some ofthe possible reasons for this response that I can think of: 1. Increasing numbers of americans covering up completely to avoid sun exposure a strong belief that there is no "good" exposure. 2. asignificant group of americans who cover up for religious and social reasons. 3. the sun IS a lot weaker, trust me. 4. yes different skin pigmentations do let is more or less light: the fairer you are theless sun you need to make vit D (or get sun burned)and unless you are eating a diet rich in fatty deep ocean fish or ocean dwelling sea mammals (whales, sea lions, etc..) you will be deficient hence the scandanavian use of cod liver oil: an oldy but a goody. Eskimoes in Alaska would prolly be those least likely to need supplements unless of course they are living on Mc Donalds. 5. When it gets cold many people are reluctant to give baby a sun bath in direct sun and that far from the equator indirect sun is not that efficient...it can be cold 9 mnths of the year...the reverse of here! Because of this normal supermaket milk has been supplemented with vit D for decades as has baby formula. If a mother is confident of her diet and her sun exposure and her babies then no supplement would be necessary of course. I don't think there are supplement police...yet. marilyn - Original Message - From: [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, April 29, 2005 10:44 AM Subject: [ozmidwifery] Antenatal Screening/Informed Choice Agreement. Vitamin D supps. Hi All, Just hoping some of you wonderful Homebirth midwives out there can enlighten my ignorance regarding what "routine" antenatal investigations you order for or recommend to your clients, as part of your initial consultation. Is there a standard guideline that you must adhere to?(Apart from the "National Midwifery Guidelines for Consultation and Referral", that is). Or is it only up to the individual practitioner and his/her client to discuss and come to an agreement about what tests she will have and when she must go to hospital? My reason for asking is the vague responses to our enquiries we recently encountered when a planned homebirth client presented to hospital for delivery. There was no accompanying antenatal record so we thought it feasible to ask basic questions of the client and her midwife such as blood group, last Hb, etc because it was no longer a normal situation. Is it probable these tests weren't done, because she was hitherto a normal, healthy woman with the right to choose what invasive procedures she had? Sorry to sound stupid but I'm used to the Obstetrician/G.P. who orders every test the lab has ever done and then some, you know - like the questionable Hep C and HIV without prior counselling, but I won't go there! I've done a couple of Web searches re the evidence (and lack of), and cost-effectiveness of the regular antenatal screen blood tests (I think I read it cost Medicare some $48 million dollars back in 1997), but wanted to know what you guys are practicing out there. On another tack, I just read this gem in an excerpt from a policy statement by The American Academy of Paediatricians: "Vitamin D drops containing 200iu should be given to all breastfed infants starting in the first two months of life" Gartner LM et al "Breastfeeding and the use of Human Milk" Pediatrics 2005 Feb; 115: 496-506. Alaskans born in the middle of winter perhaps? I think our NICU give daily Pentavite from about Day 5, but surely, if there is some sun exposure this routine administration shouldn't be necessary? Do different skin colours absorb it from sunlight at different rates, such as black skin slower, perhaps? Any Lactation Consultants able to comment here please? Cheers, Gaye :)
RE: [ozmidwifery] Antenatal Screening/Informed Choice Agreement. Vitamin D supps.
Hi Gaye, It is an interesting question about antenatal testing. I ask all my clients are booked into a hospital as a backup. They are booked through antenatal clinics or GP/Obs or Obstetricians. There is a problem with getting this booking in done properly. As a midwife in WA I cannot order path tests, this is of course done by the doctors and it is their responsibility to provide results to the local hospital. I cannot book people into the hospital, this is the doctors responsibility also. Some of the doctors are great and provide copies of blood tests to me so that I can put them in my/clients antenatal records so that it is easy for hospital transfer situations. Other doctors are not so cooperative and will not provide them to me and make it difficult, even though the woman has a right to have copies, for the woman to have a copy. In these instances I trust what is passed on to me by the woman, hope the doctor follows up on anything abnormal and ask the woman to remind the doctor to provide copies for the hospitals records in case of transfer. Sometime the doctors do this, sometimes they dont. Sometimes the offical result documents are in some doctors surgery files only and not accessible in the middle of the night when a transfer has happened. Having said this I have had a client that declined all blood tests, due to her own personal belief systems. It is her right. I did speak with her about why these test are done and clearly documented in my antenatal notes the discussion and we both signed the notes. Um did that help clarify anything??? Sally Westbury Hi All, Just hoping some of you wonderful Homebirth midwives out there can enlighten my ignorance regarding what routine antenatal investigations you order for or recommend to your clients, as part of your initial consultation. Is there a standard guideline that you must adhere to?(Apart from the National Midwifery Guidelines for Consultation and Referral, that is). Or is it only up to the individual practitioner and his/her client to discuss and come to an agreement about what tests she will have and when she must go to hospital? My reason for asking is the vague responses to our enquiries we recently encountered when a planned homebirth client presented to hospital for delivery. There was no accompanying antenatal record so we thought it feasible to ask basic questions of the client and her midwife such as blood group, last Hb, etc because it was no longer a normal situation. Is it probable these tests weren't done, because she was hitherto a normal, healthy woman with the right to choose what invasive procedures she had? Sorry to sound stupid but I'm used to the Obstetrician/G.P. who orders every test the lab has ever done and then some, you know - like the questionable Hep C and HIV without prior counselling, but I won't go there! I've done a couple of Web searches re the evidence (and lack of), and cost-effectiveness of the regular antenatal screen blood tests (I think I read it cost Medicare some $48 million dollars back in 1997), but wanted to know what you guys are practicing out there. On another tack, I just read this gem in an excerpt from a policy statement by The American Academy of Paediatricians: Vitamin D drops containing 200iu should be given to all breastfed infants starting in the first two months of life Gartner LM et al Breastfeeding and the use of Human Milk Pediatrics 2005 Feb; 115: 496-506. Alaskans born in the middle of winter perhaps? I think our NICU give daily Pentavite from about Day 5, but surely, if there is some sun exposure this routine administration shouldn't be necessary? Do different skin colours absorb it from sunlight at different rates, such as black skin slower, perhaps? Any Lactation Consultants able to comment here please? Cheers, Gaye :)
