Re: [ozmidwifery] Risk of uterine rupture + CARES

2005-07-09 Thread Janet Fraser



Hooray for Jo!!! You're such 
an inspiration to me!
Janet
Joyous 
Birth


[ozmidwifery] Re:placenta accreta

2005-07-09 Thread Joy Cocks
Re the placenta accreta which was left to come out on it's own. I'm
wondering what the effect on lactation was?  Did this woman's milk come in
do you know, Jan?
Cheers,
Joy

Joy Cocks RN (Div 1) RM CBE IBCLC
BRIGHT Vic 3741
email:[EMAIL PROTECTED]


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Re: [ozmidwifery] Re:placenta accreta

2005-07-09 Thread Janet Ireland
not till late and once engorment gone very limited and she tried and tried
no one told her why her lactation was tardy and unsucessful and she was so
relieved when i explained to her today jan
- Original Message - 
From: Joy Cocks [EMAIL PROTECTED]
To: Ozmidwifery ozmidwifery@acegraphics.com.au
Sent: Saturday, July 09, 2005 5:36 PM
Subject: [ozmidwifery] Re:placenta accreta


 Re the placenta accreta which was left to come out on it's own. I'm
 wondering what the effect on lactation was?  Did this woman's milk come
in
 do you know, Jan?
 Cheers,
 Joy

 Joy Cocks RN (Div 1) RM CBE IBCLC
 BRIGHT Vic 3741
 email:[EMAIL PROTECTED]


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Re: [ozmidwifery] accreta

2005-07-09 Thread Andrea Quanchi
Jan,
True accreta that is adhered to the uterine wall cannot be removed and the only choice is to remove the placenta and uterus or leave the placenta in situ.  It will shrivel and be reabsorbed by the body or calcify and stay there without a problem.  The problem is when it is only partly accreted and there is bleeding behind the seperated part.  I have never heard of it copming away three months later but I guess part of it could.

Andrea Q
On 09/07/2005, at 1:35 PM, Janet Ireland wrote:

Love when i have never heard of this
has anyone had experience with accreta where the placenta is left to come away itself ie in this case 3 mths later , jan

[ozmidwifery] Re: accreta

2005-07-09 Thread Larissa Inns



Yes - this was the case at the hospital I am doing 
placement at. The woman's placenta was removed as much as possible but a small 
bit was left behind (obviously). Around 3 months later the remaining bit came 
away on it's own - it had calcified and was like a small rock. I don't know if 
she had any breastfeeding issues - will ask when I go back. The body is just so 
much cleverer than we are!
Hugs, Larissa
(3rd year B Mid FUSA)

  - Original Message - 
  From: 
  Andrea 
  Quanchi 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Saturday, July 09, 2005 9:32 
  PM
  Subject: Re: [ozmidwifery] accreta
  Jan,True accreta that is adhered to the uterine wall cannot 
  be removed and the only choice is to remove the placenta and uterus or leave 
  the placenta in situ. It will shrivel and be reabsorbed by the body or calcify 
  and stay there without a problem. The problem is when it is only partly 
  accreted and there is bleeding behind the seperated part. I have never heard 
  of it copming away three months later but I guess part of it 
  could.Andrea QOn 09/07/2005, at 1:35 PM, Janet Ireland 
  wrote:
  Love when i have never 
heard of thishas 
anyone hadexperience with accreta where the placenta is left to come 
away itself ie in this case 3 mths later , 
  jan


Re: [ozmidwifery] Re: accreta

2005-07-09 Thread Jennifairy
what are the implications re bleeding? Jan, are you talking about the 
whole placenta being left in, or just a part of it?

jennifairy

Larissa Inns wrote:

Yes - this was the case at the hospital I am doing placement at. The 
woman's placenta was removed as much as possible but a small bit was 
left behind (obviously). Around 3 months later the remaining bit came 
away on it's own - it had calcified and was like a small rock. I don't 
know if she had any breastfeeding issues - will ask when I go back. 
The body is just so much cleverer than we are!

Hugs, Larissa
(3rd year B Mid FUSA)

- Original Message -
*From:* Andrea Quanchi mailto:[EMAIL PROTECTED]
*To:* ozmidwifery@acegraphics.com.au
mailto:ozmidwifery@acegraphics.com.au
*Sent:* Saturday, July 09, 2005 9:32 PM
*Subject:* Re: [ozmidwifery] accreta

Jan,
True accreta that is adhered to the uterine wall cannot be removed
and the only choice is to remove the placenta and uterus or leave
the placenta in situ. It will shrivel and be reabsorbed by the
body or calcify and stay there without a problem. The problem is
when it is only partly accreted and there is bleeding behind the
seperated part. I have never heard of it copming away three months
later but I guess part of it could.

Andrea Q
On 09/07/2005, at 1:35 PM, Janet Ireland wrote:

Love when i have never heard of this
has anyone had experience with accreta where the placenta is
left to come away itself ie in this case 3 mths later , jan



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RE: [ozmidwifery] Risk of uterine rupture + CARES

2005-07-09 Thread Carol Van Lochem

I agree Jo,
We have a VBAc model here that provides known midwife care especially to women that have had a traumatic experience with their past birth. We also have a team model available (5 midwives... not all women are fussed about 1 particular carer). One ob doesn't refer many VBAC women to us, but all the ward midwives are comfortable  supportive of VBAC. As a result we have excellent outcomes (don't have the stats to hand) because each individual woman gets the midwife support SHE needs to achieve the birth she wants.From: "Dean  Jo" [EMAIL PROTECTED]Reply-To: ozmidwifery@acegraphics.com.auTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Risk of uterine rupture + CARESDate: Sat, 9 Jul 2005 14:42:28 +0930CARES SA web site is 
HYPERLINK"http://www.cares-sa.org.au/"www.cares-sa.org.auThe thing that we all have to keep in mind is that the research doneinto vbac is all done within the medical model with no known careproviders, inductions, augmentations and epidurals included and yetstill the actual rates of rupture is an ESTIMATED 0.2%Estimatedbecause the actual events are so rare, as quoted in the actual research.What women need to take into considerations the things that make VBACmore risky…not being educated about why she had the first section; whatinformation and support she has for this pregnancy and birth; whatconstraints they are wanting to impose on her; what risks they arewilling to impose on her (like the above listed); and also she needs toseriously consider the long term serious risks of 
repeat cs. Womenneed to know that by having someone who is experienced with supportingvbac and who do not impose their own fears upon her, and if she allowsherself to birth as naturally as possible the better her chances are.The research that is out there highlights that rupture rates areextremely low, but rupture is a serious situation…just like the risk ofcs are rare but serious.The research also needs to be addressed from the point of view that itdoes NOT take into consideration midwifery expertise and continuouscare.There is little to no research from midwifery with vbac and whatthere is says that women’s chances of success are as high as 90%.So ifthe conservative medical model can still have rates of rupture as low as0.2% with all the crap that 
they still do to vbacs and the success ratesfor vbac is still 70%then imagine how good it is with midwifery care!Even a doula with vbac experience (if it is personal experience evenbetter) can affect positive vbac outcomes.Women need to get educated or just go ahead with what doctor says.Iknow what type of person I am and it is not to just hand over my body,my baby and my potential mortality to someone who is only making choicesthat suit them – ie no REAL medical reason.Potential litigation andlaziness are not reasons to encourage women to go under the knife onceagain.The long term serious risks of repeat cs are only just comingout now and we should be taking them very seriously.Jo--No virus found in this incoming 
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Re: [ozmidwifery] Re: bathing babies

2005-07-09 Thread Janet Ireland
the woman had 2 bouts of infection both treated with abs iv she is now
pregnant and looking forward to no complications jan
- Original Message - 
From: sally [EMAIL PROTECTED]
To: ozmidwifery@acegraphics.com.au
Sent: Thursday, May 26, 2005 3:56 PM
Subject: [ozmidwifery] Re: bathing babies


 Pardon my ignorance, but what would be the risk of infection?
 I think as long as the babe's temp is ok and it hasn't been compromised in
 any way it doesn't really matter. As long as the parents are happy. I
 certainly wouldn't be bathing the baby if the parents were unable to
 participate, at any stage after the birth.
 A bath is a bath, I don't think we need guidelines or a rationale, surely?
 ( I seem to remember posts about this subject earlier in the year, am I
 right?)

 Sally
 - Original Message -
 From: Nicole Carver [EMAIL PROTECTED]
 To: ozmid ozmidwifery@acegraphics.com.au
 Sent: Thursday, May 26, 2005 1:50 PM


  Dear fellow list members,
 
  What is your practice regarding the timing of the first bath, in a
 hospital
  setting? One of my colleagues is re-examining our current practice of
  delaying the first bath until approx 24hrs, and after babe's temp is
  confirmed to be normal. We are keen to know the rationale for other
  midwives' practice, including it's impact on the infant's temperature
and
  risk of infection.
 
  Your input would be most appreciated.
 
  Nicole Carver.
 
 
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Re: [ozmidwifery] Re: bathing babies

2005-07-09 Thread Jennifairy

um, did I miss something?
Janet are you replying about the placenta accreta? or the timing of the 
1st bath?

Im confused!
Can you please include more detail on yr posts so I know what you are 
talking about?

cheers
Jennifairy

Janet Ireland wrote:


the woman had 2 bouts of infection both treated with abs iv she is now
pregnant and looking forward to no complications jan
- Original Message - 
From: sally [EMAIL PROTECTED]

To: ozmidwifery@acegraphics.com.au
Sent: Thursday, May 26, 2005 3:56 PM
Subject: [ozmidwifery] Re: bathing babies


 


Pardon my ignorance, but what would be the risk of infection?
I think as long as the babe's temp is ok and it hasn't been compromised in
any way it doesn't really matter. As long as the parents are happy. I
certainly wouldn't be bathing the baby if the parents were unable to
participate, at any stage after the birth.
A bath is a bath, I don't think we need guidelines or a rationale, surely?
( I seem to remember posts about this subject earlier in the year, am I
right?)

Sally
- Original Message -
From: Nicole Carver [EMAIL PROTECTED]
To: ozmid ozmidwifery@acegraphics.com.au
Sent: Thursday, May 26, 2005 1:50 PM


   


Dear fellow list members,

What is your practice regarding the timing of the first bath, in a
 


hospital
   


setting? One of my colleagues is re-examining our current practice of
delaying the first bath until approx 24hrs, and after babe's temp is
confirmed to be normal. We are keen to know the rationale for other
midwives' practice, including it's impact on the infant's temperature
 


and
 


risk of infection.

Your input would be most appreciated.

Nicole Carver.


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