RE: [ozmidwifery] Induction and third stage labour
Yes Megan I saw it and I was shouting at the TV get her off the bed or at least get her on hands and knees. But yo are right. It was TV. Alan -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Megan Larry Sent: Wednesday, 5 October 2005 12:07 To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Induction and third stage labour My hospital born baby, induction by gels, 8hr labour, synto to birth placenta had jaundice. My 3 water births at home, 1 same length and 2 shorter labours, no intervention, placenta attached around 3 hours after birth, no jaundice. Too many variables to suggest its one cause. Off topic, did anyone see the birth on All Saints last night? Seen worse, but could have got her off the bed or at least on her front. Nice to hear the male nurse (ex-midwife?) use a calming voice and somewhat supporting to her needs, still TV loves to make it so exciting. Megan -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of lisa chalmers Sent: Wednesday, 5 October 2005 11:18 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Induction and third stage labour My experience of this, is that if the cords are not cut until they have finished pulsing, babies seem to develop jaundice for longer..(that the usual standards) . That makes complete sense to me, since they get more blood than babes that had cords clamped and cut quickley. I'm sure I read somewhere that babies are deprived of as much as 25% of their blood volume by cutting the cord. Nearly everyone I know that did not cut the cord, had babies that developed Jaundice. Nothing serious just yellowing. - Original Message - From: Andrea Quanchi [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, October 05, 2005 9:33 AM Subject: Re: [ozmidwifery] Induction and third stage labour There are many reasons that influence whether a baby gets jaundiced or not Two of these are 1. prematurity ( of the liver as well as dates, some babies livers take ages to be efficient enough to clear the jaundice. 2. Not passing mec soon after birth. The longer the mec stays inside the more bilirubin is reabsorbed increasing the workload of the immature system. This is usually influenced by how quickly the baby is able to feed. The thing about synt is that it is often used to augment labour in a woman who has been labouring for hours or to induce labour in a woman who is not yet ready to go into labour and the result is a tired mother and baby who often dont come together well to feed without good assistance. This is often not forthcoming in the hurry to get things cleaned up, the move to the postnatal ward and paper work to be done. Ask your friend and she will probably not have seen jaundice in a woman who has had synt but had a quick labour. Most women who birth in hospitals have synt in some form or other for 3rd stage and the level of jaundice in some settings is very low. I would suggest it may be in direct relationship to the length of time until feeding is established. I think the whole reason synt is being used is the concern rather than blaming the synt for jaundice alone. Andrea Q On 06/10/2005, at 2:03 AM, Belinda wrote: I have a friend who has been a ipm for many years and she believes that babies are more likely to get jaundiced when the mother has had synto, it makes sense of they get that extra unneccessary boost of blood. Belinda -- 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: 267.11.10/119 - Release Date: 4/10/2005 -- 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. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Induction and third stage labour
Here here Mary, I've also been doing physiological third stage for 22 years and have not seen any jaundice worth investigating. Cords are usually left for at least two hours, mostly longer... Placentas not held higher or lower ... no fuss. No synto and no 'milking ' of the cord. One significant jaundice was an ABO incompatibility... Sue Given that I have been doing physiological 3rd stage for 23 yrs, I feel I can add my bit to this theme. It has not been my observation that babies get more jaundiced if the cord is left unclamped. I rarely have a pathological jaundice and this is usually ABO and do not often have anything more than very mild physiological jaundice, mostly no jaundice at all. My long term interest in this are has led me to conclude that as well as the liver immaturity, the re-absorption of the bile in the mec. and the normal breakdown of excess foetal red blood cells, it may have to do with the ABO component and antibody formation in O pos mothers with A or B pos babies. Some are worse than others. A very interesting thread. Cheers. MM Nearly everyone I know that did not cut the cord, had babies that developed Jaundice. Nothing serious just yellowing. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 1.1240 (20051003) Information __ This message was checked by NOD32 antivirus system. http://www.nod32.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] repost without attachment!
sorry, this time Ive cut'n'pasted... cheers jfairy Ethiopian health and community project 2005-06 I am a student of midwifery in my final year at the Flinders University of South Australia. Over the summer period December 2004 – February 2005, I was involved in the initiation and development of a health post and education centre in the northern desert area of Ethiopia known as the Afar Region. Three friends and I initiated the project alongside a local Non-Government Organisation (NGO) called EMRDA (Ethiopian Muslim Relief Development Assn.), and completed it with the help of financial support through private donations and other small-scale fundraising activities. The Afar is a place of extreme need in all aspects of health and education. It was our hope to provide a place from where a women’s extension worker (WEW), and/or community health worker (CHW) could provide basic health care and education to the nomadic communities who live in the region. The health of Afar women is especially fragile. Female genital cutting (FGC) is performed on almost every young girl, causing her to suffer multifaceted implications for the rest of her life. The maternal and infant morbidity and mortality is devastating, with each woman facing an exceptionally high risk of dying in childbirth. These women predominantly birth in their villages accompanied by traditional birth attendants (TBAs) or relatives, and receive no or very little maternity care before and after the birth. An Australian midwife, Valerie Browning, has been working to improve the well-being of Afar women for many years. She has founded an NGO called Afar Pastoralist Development Assn. (APDA), which is instrumental in the development of health and education strategies for the Afar people, particularly through their work with women as a central aspect of functional and healthy communities. One important aspect of APDA’s work is the training of WEWs and TBAs from the community to enable them to take skills and travel with their nomadic families. In order to provide the birth attendants with an understanding of the birth processes, we would like to take 15-20 model foetal dolls and pelvises to Ethiopia to give to APDA for the purpose of enhancing their training programs. At present they have little if any educational tools with which to work. We will personally take this educational equipment with us, and work with APDA in its implementation. Using our skills as midwife, nurse and student nurse, we will work closely with the people and their communities in health and education. Our aim is to raise the money needed to purchase these dolls. Birth International have kindly provided us with a 25% discount for model pelvis foetal doll sets for the purpose of this cause. Each set will now cost AUS$130. If you feel inclined and able to offer any financial assistance to this project it would be appreciated widely. The educators of birth attendants, the attendants themselves, and birthing women of the Afar Region of Ethiopia will subsequently enjoy improved education, care and birthing outcomes as a result of these educational tools and opportunity. Donations on cheque can be made out to The Afar Project, or given by direct transfer to: The Afar Project Account # 5201531 BSB: 805-005 We are a small independent group and are presently unregistered under any governing body. Money donated to us for the purpose of this work will be used solely for the outlined project. Periodic reports, photographs and information about presentations of our work in the Afar will be sent out to email addresses provided. Kind Regards, Zeshi Fisher Project Coordinator 0413 405 051 [EMAIL PROTECTED] Yooren Cutukta Health Post, Afar Ethiopia -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Induction and third stage labour
I agree Sue, same, same. I have seen 1 severe jaundice in 25 years of H/Bs, breastmilk (she had it for both babies, lasted 6 months) . Otherwise nil. Brenda - Original Message - From: Sue Cookson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, October 05, 2005 6:18 PM Subject: Re: [ozmidwifery] Induction and third stage labour Here here Mary, I've also been doing physiological third stage for 22 years and have not seen any jaundice worth investigating. Cords are usually left for at least two hours, mostly longer... Placentas not held higher or lower ... no fuss. No synto and no 'milking ' of the cord. One significant jaundice was an ABO incompatibility... Sue Given that I have been doing physiological 3rd stage for 23 yrs, I feel I can add my bit to this theme. It has not been my observation that babies get more jaundiced if the cord is left unclamped. I rarely have a pathological jaundice and this is usually ABO and do not often have anything more than very mild physiological jaundice, mostly no jaundice at all. My long term interest in this are has led me to conclude that as well as the liver immaturity, the re-absorption of the bile in the mec. and the normal breakdown of excess foetal red blood cells, it may have to do with the ABO component and antibody formation in O pos mothers with A or B pos babies. Some are worse than others. A very interesting thread. Cheers. MM Nearly everyone I know that did not cut the cord, had babies that developed Jaundice. Nothing serious just yellowing. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 1.1240 (20051003) Information __ This message was checked by NOD32 antivirus system. http://www.nod32.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.
[ozmidwifery] CASELOADMIDWIFERY Digest - 2 Oct 2005 to 4 Oct 2005 (#2005-59)
Many Apologies for Cross Posting ** 1st Conference Announcement and Call for Papers Normal Labour and Birth: 3rd Research Conference The Grange Hotel Conference Centre, Grange Over Sands, English Lake District Wednesday 7 - Friday 9 June 2006 This is the thrid international conference focused on issues surrounding normality in birth. It will address social, cultural, physiological, psychological, emotional and spiritual aspects of labour and birth. It will examine new developments in the current evidence base on the nature of and cultures around birth, and on associated processes and outcomes of labour and birth. Papers will cover primary and secondary research, methodological debates, and new philosophies and constructs in this area. We are interested in submissions in any of the following areas: 1. Normal processes of labour and birth 2. The identification and examination of relevant outcomes relating to labour and birth 3. Social and cultural precursors and consequences 4. Psychological, emotional and spiritual aspects of labour and birthing 5. The practices of midwives and other carers in this area 6. Educational aspects 7. Philosophical and theoretical critiques and debates 8. Methodological innovations in this and associated areas The conference will provide the opportunity to develop and disseminate evidence in the area of normal labour and birth, to enhance clinical practice, education, management, supervision and policy, and to further research collaboration. For further information about the conference and the call for papers, please contact Liz Kelly [EMAIL PROTECTED] telephone +44 (0)1772 893809 -- End of CASELOADMIDWIFERY Digest - 2 Oct 2005 to 4 Oct 2005 (#2005-59) * -- No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.344 / Virus Database: 267.11.10/119 - Release Date: 4/10/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] How the medical establishment snubbed Australia's Nobel Prize winners
Good article to keep in our treasure trove of info to trot out to show people how the medical establishment deals with 'radicals'...who are right! From Crikey.com 2. How the medical establishment snubbed Australia's Nobel Prize winners A medical industry insider writes: As the media, politicians and the Australian medical research sector rush to congratulate our newest Nobel laureates - and to bask in their reflected glory - it is worth reflecting on the truth of the long and, at times, lonely journey Barry Marshall and Robin Warren have taken to reach this point. Rather than welcoming and supporting the work of local heroes, many Australian gastroenterologists were highly critical and disbelieving of Marshall and Warren's (ultimately) Nobel Prize-winning work, and continued for many years to stubbornly deny that Helicobacter pylori had much, or indeed any, role in the pathogenesis of ulcer disease. Barry Marshall was made to feel quite uncomfortable when he attended specialist conferences - he was regarded by many as a maverick and even a loony, especially when the story of his drinking swampwater in order to infect himself got around. Worse still, this lack of acceptance was often blamed on Marshall's personality (he has been described as brash) or justified as a response to him apparently seeking publicity and glory. It certainly didn't help that he was not a gastroenterologist by training. Given Marshall and Warren's pioneering work, Australia should have been the first place in the western world to accept the full H. pylori story. But, shamefully, it was not. Although a Working Party reported to the 1990 World Congress of Gastroenterology (which incidentally was held in Sydney) that H. pylori was definitely an important cause of ulcer disease, many prominent leaders of the gastroenterology specialty in Australia continued to deny its importance, or to claim that it was a cause of only a small minority of cases of ulcer disease, well into the mid-1990s. As examples: * In 1991, Parke Davis got scant support from local opinion leaders when it brought an international speaker (and member of the Working Party) to Australia to discuss H. pylori eradication as an approach to treating ulcer disease. * In a drug company-sponsored 4-page educational publication for GPs published in Australia in 1992, only the last two paragraphs mention H. pylori, and only in the context of how this company's anti-acid drug might one day have a role - in combination with antibiotics - in eradicating the bacterium. It was only 4-5 years later, when such combinations were shown to be effective in eradication, that education and promotion to GPs about the role of H. pylori in ulcer disease really started to pick up momentum. Marshall's work was much more readily accepted internationally than locally, and so he spent what may perhaps have been his most productive years as a researcher overseas. Medical journalist Melissa Sweet gave some of the back-story in this article in the SMH in 1997, as reproduced on Barry Marshall's personal website. __ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com Yahoo! Groups Links * To visit your group on the web, go to: http://au.groups.yahoo.com/group/MCMgtCte/ * To unsubscribe from this group, send an email to: [EMAIL PROTECTED] * Your use of Yahoo! Groups is subject to: http://au.docs.yahoo.com/info/terms/ -- No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.344 / Virus Database: 267.11.10/119 - Release Date: 4/10/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Fw: Here's to you
Title: FW: Here's to you HERE'S TO YOU !!! National Girlfriend and Sister's Week I am only as strong as the coffee I drink, the hairspray I use and the friends I have. To the cool women that have touched my life. Here's to you! National Girlfriends Day What would most of us do without our sisters, confidants and shopping, lunching, and travelling girls? Let's celebrate each other for each other's sake! TO MY GIRLFRIENDS! If you get this twice you know you have more than one girlfriend. Be Happy! PLEASE PASS THIS ON TO ALL OF YOUR GIRLFRIENDS AND RETURN IT TO THE FRIEND WHO SENT IT TO YOU! It is good to be a woman: 1. We got off the Titanic first. 2. We can scare male bosses with the mysterious gynecological disorder excuses. 3. Taxis stop for us. 4. We don't look like a frog in a blender when dancing. 5. No fashion faux pas we make, could ever rival the Speedo. 6. We don't have to pass gas to amuse ourselves. 7. If we forget to shave, no one has to know. 8. We have the ability to dress ourselves. 9. We can talk to the opposite sex without having to picture them naked. 10. If we marry someone 20 years younger, we are aware that we will look like an idiot. 11. We will never regret piercing our ears. 12. There are times when chocolate really can solve all your problems. 13. We can make comments about how silly men are in their presence because they aren't listening anyway. Send this to all the bright women you know and make their day! mailto:[EMAIL PROTECTED] -- End of Forwarded Message
Re: [ozmidwifery] Induction and third stage labour
Hi Jo, I totally agree with you. Sorry for not making it clearer. My 3 kids plus many women I have supported think its normal to NOT cut the cord. As a product of our experiences, I think yellowing of babes is misread as Jaundice or percieved as a problem.. Only my observation. :Lisa - Original Message - From: JoFromOz [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, October 05, 2005 6:20 PM Subject: Re: [ozmidwifery] Induction and third stage labour lisa chalmers wrote: Nearly everyone I know that did not cut the cord, had babies that developed Jaundice. Nothing serious just yellowing. I thought 85% of babies had jaundice to some degree anyway? Surely it's normal *not* to cut the cord ASAP after birth? Jo -- 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: 267.11.10/119 - Release Date: 4/10/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Fw: Here's to you
Title: FW: Here's to you Hm Not sure if I wanted to see this. L But it is good J Alan From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Denise Hynd Sent: Wednesday, 5 October 2005 20:58 To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Fw: Here's to you HERE'S TO YOU !!! National Girlfriend and Sister's Week I am only as strong as the coffee I drink, the hairspray I use and the friends I have. To the cool women that have touched my life. Here's to you! National Girlfriends Day What would most of us do without our sisters, confidants and shopping, lunching, and travelling girls? Let's celebrate each other for each other's sake! TO MY GIRLFRIENDS! If you get this twice you know you have more than one girlfriend. Be Happy! PLEASE PASS THIS ON TO ALL OF YOUR GIRLFRIENDS AND RETURN IT TO THE FRIEND WHO SENT IT TO YOU! It is good to be a woman: 1. We got off the Titanic first. 2. We can scare male bosses with the mysterious gynecological disorder excuses. 3. Taxis stop for us. 4. We don't look like a frog in a blender when dancing. 5. No fashion faux pas we make, could ever rival the Speedo. 6. We don't have to pass gas to amuse ourselves. 7. If we forget to shave, no one has to know. 8. We have the ability to dress ourselves. 9. We can talk to the opposite sex without having to picture them naked. 10. If we marry someone 20 years younger, we are aware that we will look like an idiot. 11. We will never regret piercing our ears. 12. There are times when chocolate really can solve all your problems. 13. We can make comments about how silly men are in their presence because they aren't listening anyway. Send this to all the bright women you know and make their day! mailto:[EMAIL PROTECTED] -- End of Forwarded Message
Re: [ozmidwifery] moving on
Dear Cath, I too have been dealing with similar circumstances over the last few years, but am not quite so remote as yourself. Its a shame you are leaving but this concern over the health of your mums and babies does burn you out and no-one can argue with that. I would as you suggest make a letter of constructive criticism to point put that in this situation, the safety of the women and babies is being compromised - it is a midwife's responsibility to provide safe care to her clients, and the hospital must support this fact. The board must made be aware that regular ongoing education and performance appraisal for midwives is an absolute necessity, and in the case of a disaster, the courts would make this very clear. Ongoing education is a matter of making sure that a budget is allocated for such a thing, and that could mean 1 or 2 midwives only, traveling to a course (such as the ALSO course- an excellent course held in places all over Australia and NZ) and then bringing back the info to share with all the others. Performance appraisals are essential for midwives, and competencyrequirements too are an issue that will be coming to the fore very soon.This also needs to be relayed to the board - if the midwives are not motivated to upskill then the directive must come from above to make them do so. Lastly the board must be aware that an unsafe midwife working in their hospital, is worse than no midwife at all. If staffing is a problem and they keep midwives on just because they can't get anyone else, then they should not becarrying outobstetrics at all! The hospital board is putting mothers and babies at risk by their negligence in this matter. In conclusion, a new model of care might be a suitable option for this hospital, in that some of the midwives may wish to retire out of midwifery, whilst some may be encouraged to take on a 'caseload' which means the full maternity care of a woman from the beginning to the end of the maternity episode. The midwife would be on-call for 'her' woman only and that would save trying to staff the hospital with a midwife for every shift. This effectively reduces the number of midwives, but upskills the ones who take on caseload care. It wheedles out the ones who may not be motivated to do the required upskilling and makes the remainder more motivatedsafer midwives. Good Luck in your new venture and I hope that your letter can make a change to your former workplace (for the sake of the mums and babies) Mary Doyle Alpine Health - Original Message - From: cath nolan To: ozmidwifery@acegraphics.com.au Sent: Monday, October 03, 2005 12:46 AM Subject: [ozmidwifery] moving on I am looking for some advice regarding the workplace I have just left. We have approx. 130 low risk births a year, in a high risk,remotepopulation. Quite a few women are sent between 1100-3000 kms away to birth, The roster hasbetween 8-10 midwives who work on most shifts with RN and ENs and cover the general ward/mid and ED. I have enjoyed the mid I have had as I get to do the antenatal clinic, classes and births mixed in with general patients.The doctors arevery happy to let midwives be the caregivers for pregnant/labouring women unless we feel there is a need for any intervention. 3 of the doctors are dutch and are very mid orientated. My concerns lie with ( and a big part of the reason that I am leaving) the fact that some of the midwives have very little recency of practise, one midwife has birthed two babies in 6 years with supervision, another has come from years of remote aboriginal community work. We all work most shifts as the only midwife onshift. Management don't have any concerns with this as if they are registered with the board that appears to be enough for them.There have been no performance appraissals of staff in the two years I have been here.I don't believe that the place is safe and there is not enough education to upskill or even to maintain skills unless personnaly motivated.The'near misses' are never reviewed.I could reel off quite a few, let alone some of the things that make my blood boil. I want to write a constructive ,objective exit letter expressing my concerns without shooting myself in the foot for references etc. Should I do that, would it have any use? Has anyone else felt they have been in a similar circumstance? We are moving to south west Vic and building a house in an idyllic settingso I have a lot to look forward to, but would like to leave knowing that something may change. Cath
[ozmidwifery] Re: VBAC and support groups
Dear Midwives, Could anyone help me with contact information for VBAC Support Groups in NSW? I did hear of a Central Coast group at a mid-conference a couple of years ago. Our unit, small rural hospital is organising a leaflet to give to mothers when booking in. Thankyou, Barbara Stokes, Parkes NSW
Re: [ozmidwifery] Re: VBAC and support groups
Hi Barbara, there are a few small consumer groups in rural places but maybe what your clients really need is the CARES Birth After Caesarean book? I'm sure Jo would share it with you! In the meantime I'll send you some group info. Best, J - Original Message - From: Barbara Stokes To: ozmidwifery@acegraphics.com.au Sent: Thursday, October 06, 2005 9:00 AM Subject: [ozmidwifery] Re: VBAC and support groups Dear Midwives, Could anyone help me with contact information for VBAC Support Groups in NSW? I did hear of a Central Coast group at a mid-conference a couple of years ago. Our unit, small rural hospital is organising a leaflet to give to mothers when booking in. Thankyou, Barbara Stokes, Parkes NSW
Re: [ozmidwifery] Induction and third stage labour
I have to admit I've never really understood the reasoning behind the baby supposedly receivinga bolus of blood if the cord is not clamped after synto. If the placenta is separating from the uterus how does that cause excessive blood to transfuse to the baby? Cheers Michelle Susan Cudlipp [EMAIL PROTECTED] wrote: The reason given for hasty cord clamping AFTER (not before) administering synto is not to prevent synto entering baby's circulation, but to prevent over tranfusion due to the excessive contraction thus produced 'pushing' too much blood into baby due to squeezing the placenta. Synto infusions are given all the time for induction and I have never heard of any concerns about it entering baby's circulation. The synto bolus injectionis justified as a means to prevent PPH, the baby's needs are not apparently considered important! I realise that IPM'sonly give synto if needed, and when cord has ceased pulsations, but the policies of most hospitals for ACTIVE management of 3rd stage says: 1). give oxytocic with anterior shoulder, 2). clamp and separate cord as soon as baby delivered, 3). commence controlled cord traction as soon as uterus felt to be contracted. I hasten to add that I do not agree with this, but have had reason to research it quite a bit lately and have found, like Karen, that the textbooks and policies are not crystal clear and many are very much opposed to each other. Case in point being Obstetric guidelines vs Midwifery guidelines both in circulation in the KEMH policy manuals. Sue "The only thing necessary for the triumph of evil is for good men to do nothing"Edmund Burke - Original Message - From: Tanya Fleming To: ozmidwifery@acegraphics.com.au Sent: Wednesday, October 05, 2005 11:03 AM Subject: Re: [ozmidwifery] Induction and third stage labour I am taken by surprised of this tooi teach the very same as you Karen. I also believe that the cord should be cut immediately before giving synto, to prevent passage of syntocinon into baby's circulationif cord is still pulsating, one would think this is possible as synto act quickly. I am interested to hear everyone elses beleifs and practices too! Cheers, Tanya Fleming - Original Message - From: karen shlegeris To: ozmidwifery@acegraphics.com.au Sent: Monday, October 03, 2005 6:21 PM Subject: [ozmidwifery] Induction and third stage labour Dear List, Im a birth educator and prenatal yoga teacher in Townsville. I hope these questions are appropriate for this list and would appreciate information from you: Induction. Andreas Preparing for Birth:Mothers book and the wall poster on cascade of intervention states that induction increases the risks of further intervention and ultimately caesarean, and thats what Ive always taught in my Active Birth classes. However, when challenged for statistics by a client in a recent workshop, I looked up Enkin, Kierse etc. who stated that induction does not increase the risk of caesareans, recommending that induction is recommended soon after a women passes her EDD. Can anyone clear this up for me? Third stage of labour. I was under the belief that if active management of third stage was chosen, the cord had to be clamped and cut quickly to avoid an over-transfusion of blood from the placenta into the baby. However, an OB recently told a client of mine that even if she had a Synto injection, the cord could be left until it stopped pulsing. Ive checked Myles textbook for midwives but its not clear on this. I appreciate your support. Best wishes, Karen Shlegeris in Townsville No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.344 / Virus Database: 267.11.9/116 - Release Date: 30/09/2005 Do you Yahoo!? Yahoo! Photos: Now with unlimited storage
RE: [ozmidwifery] Re: VBAC and support groups
Dear Janet, Thanks for your reply. Is the CARES Birth After Caesarean book the one being discussed ? put onto CD format? I have been away so have not background information on this. I did respond to Jo at [EMAIL PROTECTED] on one email Discussing this. Thankyou for your information. Barbara -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Janet Fraser Sent: Thursday, 6 October 2005 9:17 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Re: VBAC and support groups Hi Barbara, there are a few small consumer groups in rural places but maybe what your clients really need is the CARES Birth After Caesarean book? I'm sure Jo would share it with you! In the meantime I'll send you some group info. Best, J - Original Message - From: Barbara Stokes To: ozmidwifery@acegraphics.com.au Sent: Thursday, October 06, 2005 9:00 AM Subject: [ozmidwifery] Re: VBAC and support groups Dear Midwives, Could anyone help me with contact information for VBAC Support Groups in NSW? I did hear of a Central Coast group at a mid-conference a couple of years ago. Our unit, small rural hospital is organising a leaflet to give to mothers when booking in. Thankyou, Barbara Stokes, Parkes NSW
[ozmidwifery] Re: jaundice and synto
I thought a reason for jaundice with Syntocinon inductions was the result of inducing baby before really due. Regards, Barbara
