Re: [ozmidwifery] Indigestion at breakfast....
Dear All My response to Miranda. JC xx Dear Miranda Your headline today was perfect. It is unfortunate that the story did not follow. I am a Mother of 4, with twins due in November (yes I know what contraception is!). I live in rural NSW and have been without a maternity service for 15 years (long before I had my babies). We have no specialist Obstetrician nor a GP with obstetric training and probably never will. We do however have 3 local midwives who would provide care to low risk women in our local hospital. Currently I travel 150 kms to receive antenatal care. I have no choice in this care, and the conditions of the nearest unit are pre-historic. Miranda I read some time ago about your experiences and understand (correct me if I am wrong) that you chose caesarean section. I respect that you made that choice. Do you believe that as a woman I too should have choice? Because currently like 50% of rural women I have none. Do you believe that the safety of both myself and baby is important? (From your story it would seem so) If you do a little more research on what is happening in the majority of rural units and even some on metropolitan fringes then you would understand that I (as a healthy woman) would be much safer in my local community with midwifery care (even without on site medical care). My ³choice² now is to dodge Kangaroos in labour (no doubt in the middle of the night) in an area with no mobile coverage, or risk an ambulance ride if it is all too quick. Why do I say risk¹ well our Ambo¹s who are amazing people are not equipped for a post partum haemorrhage (they do not carry syntocinon which stops bleeding, a drug midwives are trained to use and carry). So if I have the baby enroute and have a big bleed after they simply become good drivers. Most women do not know this and when we are often talking 2 hour (road) transfers (and then some!) this is very important. If I was in my local community in a midwifery unit a midwife would have the drug and the required knowledge to stop the bleeding. My 3rd baby was a 50 minute labour from one small pain to a baby in arms. I know I am much safer with midwives caring for me in a system that already has safe transfer arrangements for all other conditions (we live and drive cars and work on farms and have accidents in the country that require transfer). By the way where I live is by no means remote, It is in the Upper Hunter Valley, 2 and a half hours north west of Newcastle. Women and babies deserve better. Midwifery clinics can offer a choice to women that are patently unsafe now. Midwifery clinics are not just better than birth on the side of the road, they can safely assist the majority of women with healthy pregnancies and refer the minority of women needing medical assistance. At the moment none of this happens. I would be happy to talk with you should you be open to hearing stories of rural women in this situation. Kind regards Justine Caines Phone (02) 65482248 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Question
Sonja, I answered this question a few posts ago. I'll cut and paste it again for you .. In the two places I have worked over here: First = I could suture once the drs deemed me competent. It was private, so fair enough but I will not be assessed by a dr. Second is a public hospital and I have been told that currently I am not allowed to suture. They are waiting for the head obstrician to agree to midwives suturing. Then I will be required to complete a learning pack and pass competencies (the jr drs do not have to do this and have far less experience of suturing than me). Anyhow, I have said that I will suture if the women wants me to, and will suffer the consequences. However I am on the postnatal/antenatal ward for the forseeable future so can't test the system ; ) Rachel From: Sonja [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Question Date: Wed, 21 Sep 2005 21:09:46 +1000 what do you mean you are not allowed to suture in Australia, or do you mean within the hospital you work? Sonja - Original Message - From: wump fish [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, September 21, 2005 10:09 AM Subject: RE: [ozmidwifery] Question I wouldn't suture a 3rd or 4th degree tear at all - at home or in hospital for a number of reasons. A 3rd+ degree is not within my expertise and can lead to long term complications if not done properly. I would rather it was done by someone with expertise and experience in a well lit theatre. Also you would need really good analgesia (ie. a spinal block) to effectively suture without causing agony. There is no reason that partner and baby can't be in theatre with the woman during the suturing, and she can have skin to skin and breastfeed. Our hospital guidelines in the UK were that all 2nd degree tears should be sutured. This was based on the fact that there was no evidence to support not suturing, and that you would suture an arm or leg injury if it involved muscle. I have a few problems accepting this standpoint (too long to go into). In practice I leave it up to the woman do decide. I explain the guidelines and the theory behind them. Give her an explanation about her tear (and show her with a mirror if she wants). Explain any concerns I have - if a vessel is bleeding, or tissues are poorly aligned. Then ask her what she wants me to do. It was quite interesting to follow up these women in the community. Some who declined suturing (who I thought probably needed it) healed really well. A colleague had a woman who did not want to be sutured following an epis - her perineum healed perfectly. I caught her second baby at home and I would never have guessed she had had a previous epis (intact this time). My best friend declined my suturing at her homebirth even though she described her perineum as an exploded mattress (5th baby and bad tears + stitches with all). A year on and she still raves about how much better healed and less painful her perineum was unsutured. So, I guess what I am saying is that perhaps we suture too much. Perhaps the perineum is designed to tear and heal. Anyhow, I am not 'allowed' to suture here in Australia, so I will probably lose the skill anyway. Rachel From: Philippa Scott [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Question Date: Wed, 21 Sep 2005 07:59:02 +1000 This question/assumption was put forward on another list I wondered whether you wonderful women would be able to answer it for me as I have no idea really. What happens if the mother sustains a 3rd or 4th degree tear at a homebirth? Do they then have to travel to a hospital to get it all repaired? Surely this would increase the possibility of infections and post birth problems? I know there is NO WAY a midwife could stitch up that serious a tear so was just curious about what would happen in that situation (if anyone knows??) Cheers Philippa Scott Doula Birth Buddies Supporting Women ~ Creating Life President - Friends of the Birth Centre Townsville _ Be the first to hear what's new at MSN - sign up to our free newsletters! http://www.msn.co.uk/newsletters -- 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. _ The new MSN Search Toolbar now includes Desktop search! http://toolbar.msn.co.uk/ -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Indigestion at breakfast....
Beautiful JC...you are amazing with words ;o) Jo SA -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Justine Caines Sent: Thursday, September 22, 2005 2:05 PM To: OzMid List Subject: Re: [ozmidwifery] Indigestion at breakfast Dear All My response to Miranda. JC xx Dear Miranda Your headline today was perfect. It is unfortunate that the story did not follow. I am a Mother of 4, with twins due in November (yes I know what contraception is!). I live in rural NSW and have been without a maternity service for 15 years (long before I had my babies). We have no specialist Obstetrician nor a GP with obstetric training and probably never will. We do however have 3 local midwives who would provide care to low risk women in our local hospital. Currently I travel 150 kms to receive antenatal care. I have no choice in this care, and the conditions of the nearest unit are pre-historic. Miranda I read some time ago about your experiences and understand (correct me if I am wrong) that you chose caesarean section. I respect that you made that choice. Do you believe that as a woman I too should have choice? Because currently like 50% of rural women I have none. Do you believe that the safety of both myself and baby is important? (From your story it would seem so) If you do a little more research on what is happening in the majority of rural units and even some on metropolitan fringes then you would understand that I (as a healthy woman) would be much safer in my local community with midwifery care (even without on site medical care). My ³choice² now is to dodge Kangaroos in labour (no doubt in the middle of the night) in an area with no mobile coverage, or risk an ambulance ride if it is all too quick. Why do I say Œrisk¹ well our Ambo¹s who are amazing people are not equipped for a post partum haemorrhage (they do not carry syntocinon which stops bleeding, a drug midwives are trained to use and carry). So if I have the baby enroute and have a big bleed after they simply become good drivers. Most women do not know this and when we are often talking 2 hour (road) transfers (and then some!) this is very important. If I was in my local community in a midwifery unit a midwife would have the drug and the required knowledge to stop the bleeding. My 3rd baby was a 50 minute labour from one small pain to a baby in arms. I know I am much safer with midwives caring for me in a system that already has safe transfer arrangements for all other conditions (we live and drive cars and work on farms and have accidents in the country that require transfer). By the way where I live is by no means remote, It is in the Upper Hunter Valley, 2 and a half hours north west of Newcastle. Women and babies deserve better. Midwifery clinics can offer a choice to women that are patently unsafe now. Midwifery clinics are not just better than birth on the side of the road, they can safely assist the majority of women with healthy pregnancies and refer the minority of women needing medical assistance. At the moment none of this happens. I would be happy to talk with you should you be open to hearing stories of rural women in this situation. Kind regards Justine Caines Phone (02) 65482248 -- 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: 7.0.344 / Virus Database: 267.11.3/107 - Release Date: 9/20/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.344 / Virus Database: 267.11.3/107 - Release Date: 9/20/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] hair dye
Title: Message hello, can anyone help with this enquiry. A friend of mine is just pregnant. She dyes her hair about every 3 weeks as she has a lot of white hair. What is the viewpoint of hair dye and pregnancy? Thanks in advance. Sylvia Boutsalis Childbirth Educator Infant Massage Instructor Adelaide
RE: [ozmidwifery] hair dye
Title: Message Hi Sylvia I am unsure what the research says about this one, or if there has been any good quality research donebut I have a friend who is a hairdresser, specializes in colouring, and her advice to me, (and she took it herself when she had her first baby last year) was to avoid the permanent colours, particularly on the roots of the hair, for the first trimester, but that semi-permanent colours were fine. They simply coat the hair with a layer of colour, rather than penetrating into the hair shaft/follicle/potentially the skin. So perhaps your friend could use a semi for the time being, just to be on the safe side. I think there are some more natural hair colours out there too, not sure who makes them, and then there is always henna. Hope that helps Tania From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Sylvia Boutsalis Sent: Thursday, 22 September 2005 5:52 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] hair dye hello, can anyone help with this enquiry. A friend of mine is just pregnant. She dyes her hair about every 3 weeks as she has a lot of white hair. What is the viewpoint of hair dye and pregnancy? Thanks in advance. Sylvia Boutsalis Childbirth Educator Infant Massage Instructor Adelaide
RE: [ozmidwifery] Oral EPO dose for cervix?
I remember I was reading somewhere about how 40 weeks is not the mean duration of pregnancy, it is more, and it is different for first and subsequent pregnancies. I can't seem to find that article anywhere. This might be of interest to her, if I could just find it somewhere... It was pretty old, I think from the sixties last centry. Vedrana -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kelly @ BellyBelly Sent: Thursday, September 22, 2005 3:58 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Oral EPO dose for cervix? Thank-you so much for this, have forwarded it to her... She's still going at 40w3d with no signs of anything happening as yet, appointment with the high risk Ob tomorrow where I know there will be talk of induction / caesar... Can you please tell me more about this balloon induction - not heard of it before? Want to be armed with info for what's to come with the challenge tomorrow... Best Regards, Kelly Zantey Director, www.bellybelly.com.au www.toys4tikes.com.au Gentle Solutions For Conception, Pregnancy, Birth Baby Australian Little Tikes Specialists -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kathy McCarthy-Bushby Sent: Tuesday, 20 September 2005 5:49 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Oral EPO dose for cervix? Hi Kelly, The website www.birthrites.org has a page on natural induction including information on EPO doses either orally or vaginally, nipple stimulation, accupressure (4 fingers above the inner aspect of the ankle bone). EPO, is great for women planning a vbac for ripening the cervix, but if she doesn't get into labour naturally, EPO can make the cervix ripe for ARM and the balloon induction has been safely used for vbac women with an unripe cervix. kathy - Original Message - From: Kelly @ BellyBelly [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, September 19, 2005 12:05 PM Subject: [ozmidwifery] Oral EPO dose for cervix? Hello everyone, I know it's probably a bit late to try this, but I have a mum who's hoping for a VBAC, EDD today but in order to beat a caesar (they wont induce her of course) we're thinking of giving EPO a go to help with ripening her cervix. I have read somewhere that 500mg tid is often used - can anyone confirm or recommend dosage they have used? She'll ask a herbalist none the less, but often I find they aren't well versed on specifics for preg baby like this. Also her BP is creeping up a little, she had pre-eclampsia with the first but obviously done well with this pregnancy - will this still be okay with EPO or is there something else I could recommend? I think she's actually quite frightened having had a previous caesar hence the blood pressure (she's had a great BP otherwise) so I am going to meet with her tomorrow to hopefully relax her about a vaginal birth. She's told me in fewer words she's frightened but I think she's keeping it in - will have a big chat tomorrow. Best Regards, Kelly Zantey Director, www.bellybelly.com.au www.toys4tikes.com.au Gentle Solutions For Conception, Pregnancy, Birth Baby Australian Little Tikes Specialists -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.344 / Virus Database: 267.10.24/101 - Release Date: 13/09/2005 -- 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: 7.0.344 / Virus Database: 267.11.1/104 - Release Date: 16/09/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.344 / Virus Database: 267.11.3/107 - Release Date: 20/09/2005 -- 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] Indigestion at breakfast....
Excellent letter Justine, I only hope she is open to listening. Cheers Judy --- Justine Caines [EMAIL PROTECTED] wrote: Dear All My response to Miranda. JC xx Dear Miranda Your headline today was perfect. It is unfortunate that the story did not follow. I am a Mother of 4, with twins due in November (yes I know what contraception is!). I live in rural NSW and have been without a maternity service for 15 years (long before I had my babies). We have no specialist Obstetrician nor a GP with obstetric training and probably never will. We do however have 3 local midwives who would provide care to low risk women in our local hospital. Currently I travel 150 kms to receive antenatal care. I have no choice in this care, and the conditions of the nearest unit are pre-historic. Miranda I read some time ago about your experiences and understand (correct me if I am wrong) that you chose caesarean section. I respect that you made that choice. Do you believe that as a woman I too should have choice? Because currently like 50% of rural women I have none. Do you believe that the safety of both myself and baby is important? (From your story it would seem so) If you do a little more research on what is happening in the majority of rural units and even some on metropolitan fringes then you would understand that I (as a healthy woman) would be much safer in my local community with midwifery care (even without on site medical care). My ³choice² now is to dodge Kangaroos in labour (no doubt in the middle of the night) in an area with no mobile coverage, or risk an ambulance ride if it is all too quick. Why do I say risk¹ well our Ambo¹s who are amazing people are not equipped for a post partum haemorrhage (they do not carry syntocinon which stops bleeding, a drug midwives are trained to use and carry). So if I have the baby enroute and have a big bleed after they simply become good drivers. Most women do not know this and when we are often talking 2 hour (road) transfers (and then some!) this is very important. If I was in my local community in a midwifery unit a midwife would have the drug and the required knowledge to stop the bleeding. My 3rd baby was a 50 minute labour from one small pain to a baby in arms. I know I am much safer with midwives caring for me in a system that already has safe transfer arrangements for all other conditions (we live and drive cars and work on farms and have accidents in the country that require transfer). By the way where I live is by no means remote, It is in the Upper Hunter Valley, 2 and a half hours north west of Newcastle. Women and babies deserve better. Midwifery clinics can offer a choice to women that are patently unsafe now. Midwifery clinics are not just better than birth on the side of the road, they can safely assist the majority of women with healthy pregnancies and refer the minority of women needing medical assistance. At the moment none of this happens. I would be happy to talk with you should you be open to hearing stories of rural women in this situation. Kind regards Justine Caines Phone (02) 65482248 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. Do you Yahoo!? Yahoo! Photos: Now with unlimited storage http://au.photos.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Oral EPO dose for cervix?
Found it: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrievedb=PubMedlist_uids=2342739dopt=Citation Obstet Gynecol. 1990 Jun;75(6):929-32. Related Articles, Links Comment in: Obstet Gynecol. 1990 Oct;76(4):732-4. The length of uncomplicated human gestation. Mittendorf R, Williams MA, Berkey CS, Cotter PF. Department of Epidemiology, Harvard School of Public Health, Boston, Massachusetts. By retrospective exclusion of gestations with known obstetric complications, maternal diseases, or unreliable menstrual histories, we found that uncomplicated, spontaneous-labor pregnancy in private-care white mothers is longer than Naegele's rule predicts. For primiparas, the median duration of gestation from assumed ovulation to delivery was 274 days, significantly longer than the predicted 266 days (P = .0003). For multiparas, the median duration of pregnancy was 269 days, also significantly longer than the prediction (P = .019). Moreover, the median length of pregnancy in primiparas proved to be significantly longer than that for multiparas (P = .0032). Thus, this study suggests that when estimating a due date for private-care white patients, one should count back 3 months from the first day of the last menses, then add 15 days for primiparas or 10 days for multiparas, instead of using the common algorithm for Naegele's rule. MeSH Terms: Female Humans Parity Pregnancy* Private Practice Retrospective Studies Time Factors PMID: 2342739 [PubMed - indexed for MEDLINE] -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Vedrana Valčić Sent: Thursday, September 22, 2005 12:55 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Oral EPO dose for cervix? I remember I was reading somewhere about how 40 weeks is not the mean duration of pregnancy, it is more, and it is different for first and subsequent pregnancies. I can't seem to find that article anywhere. This might be of interest to her, if I could just find it somewhere... It was pretty old, I think from the sixties last centry. Vedrana -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kelly @ BellyBelly Sent: Thursday, September 22, 2005 3:58 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Oral EPO dose for cervix? Thank-you so much for this, have forwarded it to her... She's still going at 40w3d with no signs of anything happening as yet, appointment with the high risk Ob tomorrow where I know there will be talk of induction / caesar... Can you please tell me more about this balloon induction - not heard of it before? Want to be armed with info for what's to come with the challenge tomorrow... Best Regards, Kelly Zantey Director, www.bellybelly.com.au www.toys4tikes.com.au Gentle Solutions For Conception, Pregnancy, Birth Baby Australian Little Tikes Specialists -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kathy McCarthy-Bushby Sent: Tuesday, 20 September 2005 5:49 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Oral EPO dose for cervix? Hi Kelly, The website www.birthrites.org has a page on natural induction including information on EPO doses either orally or vaginally, nipple stimulation, accupressure (4 fingers above the inner aspect of the ankle bone). EPO, is great for women planning a vbac for ripening the cervix, but if she doesn't get into labour naturally, EPO can make the cervix ripe for ARM and the balloon induction has been safely used for vbac women with an unripe cervix. kathy - Original Message - From: Kelly @ BellyBelly [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, September 19, 2005 12:05 PM Subject: [ozmidwifery] Oral EPO dose for cervix? Hello everyone, I know it's probably a bit late to try this, but I have a mum who's hoping for a VBAC, EDD today but in order to beat a caesar (they wont induce her of course) we're thinking of giving EPO a go to help with ripening her cervix. I have read somewhere that 500mg tid is often used - can anyone confirm or recommend dosage they have used? She'll ask a herbalist none the less, but often I find they aren't well versed on specifics for preg baby like this. Also her BP is creeping up a little, she had pre-eclampsia with the first but obviously done well with this pregnancy - will this still be okay with EPO or is there something else I could recommend? I think she's actually quite frightened having had a previous caesar hence the blood pressure (she's had a great BP otherwise) so I am going to meet with her tomorrow to hopefully relax her about a vaginal birth. She's told me in fewer words she's frightened but I think she's keeping it in - will have a big chat tomorrow. Best Regards, Kelly Zantey Director, www.bellybelly.com.au www.toys4tikes.com.au Gentle Solutions For Conception, Pregnancy, Birth Baby Australian Little Tikes Specialists -- No
RE: [ozmidwifery] Indigestion at breakfast....
Justine What a fantastic response! I was considering composing one, but you said it all. It is not a matter of safety (although we all know that argument inside out). It is about women's choices, and supporting women's choices. Interesting how the system can support a woman choosing an 'unsafe' elective c-section, but does not support a woman who wants to birth her baby at home or in a birth centre. I was talking to two nurses today who work at a rural hospital staffed with only nurses (no doctors available except via phone). No one is complaining that nurses are incapable of caring for ill people and performing many of the duties normally carried out by drs. But, there is concern about midwives providing care for normal labouring women (which is in their scope of practice). Rachel From: Dean Jo [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Indigestion at breakfast Date: Thu, 22 Sep 2005 16:44:43 +0930 Beautiful JC...you are amazing with words ;o) Jo SA -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Justine Caines Sent: Thursday, September 22, 2005 2:05 PM To: OzMid List Subject: Re: [ozmidwifery] Indigestion at breakfast Dear All My response to Miranda. JC xx Dear Miranda Your headline today was perfect. It is unfortunate that the story did not follow. I am a Mother of 4, with twins due in November (yes I know what contraception is!). I live in rural NSW and have been without a maternity service for 15 years (long before I had my babies). We have no specialist Obstetrician nor a GP with obstetric training and probably never will. We do however have 3 local midwives who would provide care to low risk women in our local hospital. Currently I travel 150 kms to receive antenatal care. I have no choice in this care, and the conditions of the nearest unit are pre-historic. Miranda I read some time ago about your experiences and understand (correct me if I am wrong) that you chose caesarean section. I respect that you made that choice. Do you believe that as a woman I too should have choice? Because currently like 50% of rural women I have none. Do you believe that the safety of both myself and baby is important? (From your story it would seem so) If you do a little more research on what is happening in the majority of rural units and even some on metropolitan fringes then you would understand that I (as a healthy woman) would be much safer in my local community with midwifery care (even without on site medical care). My ³choice² now is to dodge Kangaroos in labour (no doubt in the middle of the night) in an area with no mobile coverage, or risk an ambulance ride if it is all too quick. Why do I say risk¹ well our Ambo¹s who are amazing people are not equipped for a post partum haemorrhage (they do not carry syntocinon which stops bleeding, a drug midwives are trained to use and carry). So if I have the baby enroute and have a big bleed after they simply become good drivers. Most women do not know this and when we are often talking 2 hour (road) transfers (and then some!) this is very important. If I was in my local community in a midwifery unit a midwife would have the drug and the required knowledge to stop the bleeding. My 3rd baby was a 50 minute labour from one small pain to a baby in arms. I know I am much safer with midwives caring for me in a system that already has safe transfer arrangements for all other conditions (we live and drive cars and work on farms and have accidents in the country that require transfer). By the way where I live is by no means remote, It is in the Upper Hunter Valley, 2 and a half hours north west of Newcastle. Women and babies deserve better. Midwifery clinics can offer a choice to women that are patently unsafe now. Midwifery clinics are not just better than birth on the side of the road, they can safely assist the majority of women with healthy pregnancies and refer the minority of women needing medical assistance. At the moment none of this happens. I would be happy to talk with you should you be open to hearing stories of rural women in this situation. Kind regards Justine Caines Phone (02) 65482248 -- 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: 7.0.344 / Virus Database: 267.11.3/107 - Release Date: 9/20/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.344 / Virus Database: 267.11.3/107 - Release Date: 9/20/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. _ Be the first to hear what's new at MSN - sign up to our free newsletters! http://www.msn.co.uk/newsletters --
RE: [ozmidwifery] Oral EPO dose for cervix?
This one? http://www.spontaneouscreation.org/index.htm Cheers Judy --- Vedrana Valèiæ [EMAIL PROTECTED] wrote: I remember I was reading somewhere about how 40 weeks is not the mean duration of pregnancy, it is more, and it is different for first and subsequent pregnancies. I can't seem to find that article anywhere. This might be of interest to her, if I could just find it somewhere... It was pretty old, I think from the sixties last centry. Vedrana -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kelly @ BellyBelly Sent: Thursday, September 22, 2005 3:58 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Oral EPO dose for cervix? Thank-you so much for this, have forwarded it to her... She's still going at 40w3d with no signs of anything happening as yet, appointment with the high risk Ob tomorrow where I know there will be talk of induction / caesar... Can you please tell me more about this balloon induction - not heard of it before? Want to be armed with info for what's to come with the challenge tomorrow... Best Regards, Kelly Zantey Director, www.bellybelly.com.au www.toys4tikes.com.au Gentle Solutions For Conception, Pregnancy, Birth Baby Australian Little Tikes Specialists -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kathy McCarthy-Bushby Sent: Tuesday, 20 September 2005 5:49 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Oral EPO dose for cervix? Hi Kelly, The website www.birthrites.org has a page on natural induction including information on EPO doses either orally or vaginally, nipple stimulation, accupressure (4 fingers above the inner aspect of the ankle bone). EPO, is great for women planning a vbac for ripening the cervix, but if she doesn't get into labour naturally, EPO can make the cervix ripe for ARM and the balloon induction has been safely used for vbac women with an unripe cervix. kathy - Original Message - From: Kelly @ BellyBelly [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, September 19, 2005 12:05 PM Subject: [ozmidwifery] Oral EPO dose for cervix? Hello everyone, I know it's probably a bit late to try this, but I have a mum who's hoping for a VBAC, EDD today but in order to beat a caesar (they wont induce her of course) we're thinking of giving EPO a go to help with ripening her cervix. I have read somewhere that 500mg tid is often used - can anyone confirm or recommend dosage they have used? She'll ask a herbalist none the less, but often I find they aren't well versed on specifics for preg baby like this. Also her BP is creeping up a little, she had pre-eclampsia with the first but obviously done well with this pregnancy - will this still be okay with EPO or is there something else I could recommend? I think she's actually quite frightened having had a previous caesar hence the blood pressure (she's had a great BP otherwise) so I am going to meet with her tomorrow to hopefully relax her about a vaginal birth. She's told me in fewer words she's frightened but I think she's keeping it in - will have a big chat tomorrow. Best Regards, Kelly Zantey Director, www.bellybelly.com.au www.toys4tikes.com.au Gentle Solutions For Conception, Pregnancy, Birth Baby Australian Little Tikes Specialists -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.344 / Virus Database: 267.10.24/101 - Release Date: 13/09/2005 -- 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: 7.0.344 / Virus Database: 267.11.1/104 - Release Date: 16/09/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.344 / Virus Database: 267.11.3/107 - Release Date: 20/09/2005 -- 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. Do you Yahoo!? The New Yahoo! Movies: Check out the Latest Trailers, Premiere Photos and full Actor Database. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Fw: [ozmidwifery] Oral EPO dose for cervix?
- Original Message - From: Kathy McCarthy-Bushby [EMAIL PROTECTED] To: Kelly @ BellyBelly [EMAIL PROTECTED] Sent: Thursday, September 22, 2005 9:29 PM Subject: Re: [ozmidwifery] Oral EPO dose for cervix? Hi Kelly, The balloon can be used for any primip or multip with an unripe cervix with baby in a cephalic position. The balloon seems to be far safer with far less side effects than the prostaglandin gel (which of course can not be used in vbac women). I have also seen the balloon used in women planning a vbac after 1 and 2 c/s with success. Ooops, i'd better clarify, the balloon is not used for women with a breech baby. what i meant to say that the woman I was talking about had previously had a c/s for a breech baby and achieved a vbac with the next baby in a head down position in the second pregnancy. The balloon has only been around in recent years and it may not exist in all hospitals, but it is worth looking into. We were initially all a bit sceptical in our unit when the balloon was introduced, but in hindsight, we can see that the balloon is a far safer option than the prostaglandin gel for both the mother and baby. Keep on reminding the woman that she can do this regards kathy - Original Message - From: Kelly @ BellyBelly [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Thursday, September 22, 2005 4:06 PM Subject: RE: [ozmidwifery] Oral EPO dose for cervix? Thank-you so much for this info Kathy - do they use this on other women too, apart from the vbac or breech women? I've just never heard of it before! Best Regards, Kelly Zantey Director, www.bellybelly.com.au www.toys4tikes.com.au Gentle Solutions For Conception, Pregnancy, Birth Baby Australian Little Tikes Specialists -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kathy McCarthy-Bushby Sent: Thursday, 22 September 2005 3:38 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Oral EPO dose for cervix? Hi Kelly, Kate has given you a great reply on balloon inductions which have been safely used with vbac induction. After insertion of the balloon, the woman may begin contracting and the balloon may fall out once the woman is dilated to 3-4cm, or if the balloon doesn't fall out overnight, then it is removed the next morning, followed by artificially rupturing the membranes. Some women experience period pain, back pain, difficulty urinating and early labour signs with the balloon in place and a very small percentage are unable to tolerate the balloon at all, so it is usually removed. I remember caring for a woman at 39 weeks with a history of elective c/s for a breech baby who was being induced for a particular reason for the 2nd pregnancy, she had the balloon inserted, it stayed in overnight, she had lots of contractions overnight, but not in established labour, next morning the balloon was removed, an ARM perforned at 10am, by 1.30 pm she had given birth vaginally to a beautiful girl. Your Client has options here, an induction should not be considered until she is post dates just like any other primip who hasn't laboured regardless of whether she has laboured or not in the past eg 41 weeks. Another woman I know was 10 days post dates when she went into spontaneous labour on the 11th day after starting EPO the day before and she gave birth vaginally to her baby as well (she now has had 2 successful vbacs). The plan was that she would see the Doctors on day 12 to discuss induction or c/s, but of course, it wasn't necessary. I have seen women successfully acheive a vbac following ARM and syntocinon induction, but of course, very close fetal monitoring is required and the woman's chances of acheiving a vbac drop to about 50%, but it is nonetheless possible. It can be helpful to consider natural alternatives following an ARM to avoid syntocinon infusion eg nipple stimulation, accupressure. Another opption to consider would be offering some sort of compromise to the Doctor eg more frequent assessment of the baby's well being can help the woman buy more time to await labour. Another way to deal with the Doctor is to ask why or use BRAN eg 'what are the benefits, risks, alternatives or options of doing nothing for vaginal birth, c/s or awaiting spontaneous labour, induction etc. Kathy - Original Message - From: Kelly @ BellyBelly [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, September 22, 2005 11:58 AM Subject: RE: [ozmidwifery] Oral EPO dose for cervix? Thank-you so much for this, have forwarded it to her... She's still going at 40w3d with no signs of anything happening as yet, appointment with the high risk Ob tomorrow where I know there will be talk of induction / caesar... Can you please tell me more about this balloon induction - not heard of it before? Want to be armed with info for what's to come with the challenge tomorrow... Best Regards,
Re: [ozmidwifery] Indigestion at breakfast....
Fantastic letter Justine. Let us know about the response you get. Cheers, Tanya. - Original Message - From: Justine Caines [EMAIL PROTECTED] To: OzMid List ozmidwifery@acegraphics.com.au Sent: Wednesday, September 21, 2005 9:34 PM Subject: Re: [ozmidwifery] Indigestion at breakfast Dear All My response to Miranda. JC xx Dear Miranda Your headline today was perfect. It is unfortunate that the story did not follow. I am a Mother of 4, with twins due in November (yes I know what contraception is!). I live in rural NSW and have been without a maternity service for 15 years (long before I had my babies). We have no specialist Obstetrician nor a GP with obstetric training and probably never will. We do however have 3 local midwives who would provide care to low risk women in our local hospital. Currently I travel 150 kms to receive antenatal care. I have no choice in this care, and the conditions of the nearest unit are pre-historic. Miranda I read some time ago about your experiences and understand (correct me if I am wrong) that you chose caesarean section. I respect that you made that choice. Do you believe that as a woman I too should have choice? Because currently like 50% of rural women I have none. Do you believe that the safety of both myself and baby is important? (From your story it would seem so) If you do a little more research on what is happening in the majority of rural units and even some on metropolitan fringes then you would understand that I (as a healthy woman) would be much safer in my local community with midwifery care (even without on site medical care). My ³choice² now is to dodge Kangaroos in labour (no doubt in the middle of the night) in an area with no mobile coverage, or risk an ambulance ride if it is all too quick. Why do I say Orisk¹ well our Ambo¹s who are amazing people are not equipped for a post partum haemorrhage (they do not carry syntocinon which stops bleeding, a drug midwives are trained to use and carry). So if I have the baby enroute and have a big bleed after they simply become good drivers. Most women do not know this and when we are often talking 2 hour (road) transfers (and then some!) this is very important. If I was in my local community in a midwifery unit a midwife would have the drug and the required knowledge to stop the bleeding. My 3rd baby was a 50 minute labour from one small pain to a baby in arms. I know I am much safer with midwives caring for me in a system that already has safe transfer arrangements for all other conditions (we live and drive cars and work on farms and have accidents in the country that require transfer). By the way where I live is by no means remote, It is in the Upper Hunter Valley, 2 and a half hours north west of Newcastle. Women and babies deserve better. Midwifery clinics can offer a choice to women that are patently unsafe now. Midwifery clinics are not just better than birth on the side of the road, they can safely assist the majority of women with healthy pregnancies and refer the minority of women needing medical assistance. At the moment none of this happens. I would be happy to talk with you should you be open to hearing stories of rural women in this situation. Kind regards Justine Caines Phone (02) 65482248 -- 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] SMH Letter - support of Devine
Hi there, This letter is in today's SMH: - The centre, not middle It would be a great tragedy if the tremendous advances Australia has achieved in maternal and infant survival and wellbeing in the past 50 years are being put at risk by moves to wind back the role medical skill and intervention has played in this achievement (Mum and baby are caught in the middle, Herald, September 22). Our family's recent experience at a midwife-led hospital birthing unit, where a third childbirth was unexpectedly fraught with life-threatening complications that could have been avoided with timely medical assessment and intervention, has left us traumatised and highly critical of the midwife-led model of childbirth. By all means give midwives the recognition and key role they have earned, but making childbirth a political and ideological battlefield where the aim seems to be to take as much of the field as possible, belies the stated aim, of putting the wellbeing of mother and infant at the centre. Patricia Gilchrist West Ryde -- Oh well, you can't win 'em all. 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.
Re: [ozmidwifery] SMH Letter - support of Devine
Andrea Robertson wrote: Hi there, This letter is in today's SMH: - /snip/ -- Oh well, you can't win 'em all. Andrea Yes, that's sad... but I've heard a hell of a lot more horror stories about hospital blood baths! Jo -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
