RE: [ozmidwifery] question
Title: Message Jenny, Are you referring to partial pressure gradients of O2 and CO2? Simultaneously - when there is no blood flow, placenta to baby cord has stopped pulsating therefore no pressure gradient to push oxygen transfer. Once the baby isexposed to room environment a breath is taken the heart beat of the infant now provides the 'pump' pressure gradient and then you have exchange across the alveolar/capillary membrane. There will always be a oxygen and CO2 level. This was always a very complicated process. Thankfully an understanding of physic principles helps. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of JoFromOzSent: Saturday, 19 November 2005 9:17 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] questionMary Murphy wrote: Jenny, could you give us the reference please? Thanks, MM , one study demonstrated zero oxygen, because there is no longer any utero-placental circulation. This is part of the stimulation for the baby to breathe, but the baby is receiving some circulatory volume. Jennifer Cameron FRCNA FACMEven if there is no oxygen, I am sure it is still beneficial for the baby to have that volume, though.Jo
RE: [ozmidwifery] Absolutely horrified!
Yes, she can turn up to any public hospital with midwifery services and not be turned away. Tell her to have a copy of antenatal paperwork she has (if she has it!!) and the midwives at the hospital can ring her orginal booking hospital and get any records/pathology faxed over - or at least that has happened to us in the past. This is the sort of obs who needs a complaint written about him!! But it will turn into a he said, she said situation. If she goes back to him, take another person with her!! Cheryl From: Kelly @ BellyBelly [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Absolutely horrified! Date: Sun, 20 Nov 2005 15:44:48 +1100 One of the girls in my forums here in Melbourne just posted this - no wonder she seemed upset when I saw her yesterday - I had no idea at the time: I have just had the worst night of my life, and its taken me 3 hours to stop crying uncontrollably. My Dr, who I've been seeing throughout my pg is on leave (bereavement), and since I'm at 41 weeks, the midwives I'm seeing sent me to see the OB who's filling in for him. So I go for my appt. First, he does a stretch sweep without asking me or any prior warning. Then he says he's booking me in to be induced tomorrow, which when I questioned it he tells me I'm going to kill my baby cos I'm past 41 weeks. The he goes on to say 'I'm not into any of that airy fairy [EMAIL PROTECTED] You'll deliver on the bed, on your back. I'm not a vet.' So I said I was planning an active birth, (which is what my Dr prefers) and he says I'll have to see someone else and good luck getting in to see anyone else at this stage of the game. So now I have no obstetrician, no doctor and I don't know what I'm going to do. I'm seriously thinkg about fronting up tomorrow at the Royal Womens to see if I can have my baby there instead of the hospital I'm booked in at - can they turn you away if its a public hospital? This is appalling - beyond belief. my blood is boiling it really is.. Best Regards, Kelly Zantey Director, http://www.bellybelly.com.au/ www.bellybelly.com.au http://www.toys4tikes.com.au/ www.toys4tikes.com.au Gentle Solutions For Conception, Pregnancy, Birth Baby Australian Little Tikes Specialists -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] rooming in
Just a query? What are the obst's complaints based on - the same 3 mothers complaints? No doubt they were tired and wanted a bit of rest!! Welcome to motherhood. From: islips [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] rooming in Date: Sun, 20 Nov 2005 14:56:48 +0800 I wonder if someone can help me put together some stats regarding 'rooming in' . I work at a large private hospital in Perth . We recently closed our night nursery and implemented a 'rooming in policy'. This has worked very well in enhancing BF , mothercrafting etc. However due to 3 mothers and 3 obs complaining it looks as though we will have to change the policy. we have a meeting on tuesday and i would like to present some current research to the medical profession regarding the benefits of rooming in. thanks zoe - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Saturday, November 19, 2005 7:28 AM Subject: RE: [ozmidwifery] question Jenny, could you give us the reference please? Thanks, MM -- , one study demonstrated zero oxygen, because there is no longer any utero-placental circulation. This is part of the stimulation for the baby to breathe, but the baby is receiving some circulatory volume. Jennifer Cameron FRCNA FACM -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Baby-Catching in OZ
Hello all...sorry to intrude on your local midwifery list, but I am wondering if any of you can help me. I am a midwife from Chicago and will be coming to Sydney for the week of Nov. 28 - Dec. 3.Does anyone work in a facility that might allow me to follow you for a few hours or a day to see howbaby-catching works in Oz? This is the hospital where I work (I hope this link works!)...just go under Health Care Providers to find me: www.rushcopley.com Thanks for all you kind help. Noreen Prokuski APN CNM
[ozmidwifery] Another blow for VBAC
This is in today's Sydney Morning Herald. No doubt this report will trigger furious debate (as it should) but let's try an get the focus on the first caesarean, not the possible risks with VBAC. These figures for first caesareans are shocking - higher that the USA! http://www.smh.com.au/news/health/caesareans-lift-risks-in-later-births--study/2005/11/20/1132421548464.html 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] Another blow for VBAC
Here is another version of the Sydney Morning Herald article which seems to have distorted some of the facts where it states New research published in the Medical Journal of Australia has found these women [first time mothers having a caesarian] are more vulnerable to uterine ruptures during birth, post-partum bleeding, infection and hysterectomies than women who go through natural labour for their first birth. Am I reading it incorrectly? It seems confusing at best and misleading at worst if that is the case! Helen Cahill Caesars pose risk for later deliveries From: By Amanda Hodge November 21, 2005 HOLLYWOOD mothers love it and lawyers want more of it, but a new Australian study warns that first-time mothers having a caesarean section face greater risk of problems if they choose to deliver naturally in later pregnancies. New research published in the Medical Journal of Australia has found these women are more vulnerable to uterine ruptures during birth, post-partum bleeding, infection and hysterectomies than women who go through natural labour for their first birth. But women who delivered their first and subsequent children by caesarean were at lower risk of haemorrhage and intensive care admissions than those who went through vaginal birth. With record numbers of women choosing to deliver by caesarean section for convenience rather than medical reasons, the study by the New South Wales Health Department warns women should think twice before going under the knife. Study co-author and professor of perinatal medicine David Henderson-Smart said the increased risk of complications arose because a caesarean section left a scar on the uterus which, in the worst cases, could rupture during vaginal birth. All the complications relate to how the afterbirth attaches to the side of the womb and whether the womb gets into trouble, Professor Henderson-Smart said. That doesn't mean you can't have a vaginal birth, but it has to be thought about carefully. The population-based study looked at 136,101 second-time mothers who gave birth between 1998 and 2002, 19 per cent of whom delivered their first child by caesarean section. While complications were uncommon, the study found 51 per cent of uterine ruptures, 19 per cent of hysterectomies and 32per cent of post-partum infections were a result of primary caesarean sections. Babies could also face greater problems - four per cent of premature births and five per cent of all neonatal intensive care admissions were attributable to primary caesarean section - but the study found no increased risk of neonatal death as a result. That contrasts with the findings of a Scottish study published in the New England Journal of Medicine last November that found an increased risk of stillbirths and brain injury in babies if mothers tried to go through natural labour after delivering by caesarean for their first birth. Obstetrician and former Australian Medical Association president David Molloy said the rise in caesarean sections - more than 20 per cent of all births and as high as 25 per cent in the private sector - was due to a combination of factors. Maternal requests are a very significant driver. It's also partly because older women are having babies (which often leads to greater complications) and partly because C-sections are the medico-legal gold standard, Dr Molloy said. All the big cases in court revolve around the fact you didn't do a caesar or didn't do one quickly enough. Dr Molloy said obstetricians were also seeing an increasing number of second-generation women having caesarean deliveries as a result of inheriting their mothers' small pelvises. The treatment for that years ago was to say no more children, but in the past 40 years we have hauled those people out of trouble with a caesar and so they're passing on their smaller pelvis to their daughters. The study found women who had caesarean deliveries tended to be older and wealthier, and were more likely to suffer obstetric complications. - Original Message - From: Andrea Robertson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, November 21, 2005 7:19 AM Subject: [ozmidwifery] Another blow for VBAC This is in today's Sydney Morning Herald. No doubt this report will trigger furious debate (as it should) but let's try an get the focus on the first caesarean, not the possible risks with VBAC. These figures for first caesareans are shocking - higher that the USA! http://www.smh.com.au/news/health/caesareans-lift-risks-in-later-births--study/2005/11/20/1132421548464.html 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. __ NOD32 1.1295 (20051120) Information
RE: [ozmidwifery] Another blow for VBAC
Hi All, The full article is available at: www.mja.com.au/public/issues/183_10_211105/tay10392_fm.html The important point is in their conclusion - Caesarean section in a first pregnancy confers additional risks on the second pregnancy, primarily associated with labour. These should be considered at the time caesarean section in the first pregnancy is being considered, particularly for elective caesarean section for non-medical reasons. This study just confirms what we already know - that unneccessary elective C/S's should be avoided! Leanne. Leanne Wynne Midwife in charge of Women's Business Mildura Aboriginal Health Service Mob 0418 371862 From: Andrea Robertson [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Another blow for VBAC Date: Mon, 21 Nov 2005 07:19:30 +1100 This is in today's Sydney Morning Herald. No doubt this report will trigger furious debate (as it should) but let's try an get the focus on the first caesarean, not the possible risks with VBAC. These figures for first caesareans are shocking - higher that the USA! http://www.smh.com.au/news/health/caesareans-lift-risks-in-later-births--study/2005/11/20/1132421548464.html Andrea - Andrea Robertson Birth International * ACE Graphics * Associates in Childbirth Education e-mail: [EMAIL PROTECTED] web: www.birthinternational.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] question - lodging complaints
Jo, You write really well with 3D perspective, Congratulations, few people have that vision, most see in 1D only ! Seeing everybody's perspective isn't easy it's all so subjective. Yet... you know; I am a MW of 25 years am about to give it all away because I feel that we are really in that damned if you do damned if you don't space. We facilitate a woman giving birth vaginally by giving her time to dilate, she feels she laboured too long we are wrong because we didn't leap in recommend a C/S . We recommend a C/S because we feel the labour is going nowhere we are wrong again because she didn't get time to dilate ! We try to give her every chance to achieve her goal we are wrong again because it wasn't as she'd planned. I feel I can't ever be right ! Packing shelves at Coles is looking good ! With kind regards Brenda Manning www.themidwife.com.au - Original Message - From: Dean Jo [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Sunday, November 20, 2005 2:42 PM Subject: RE: [ozmidwifery] question - lodging complaints This is an interesting thread that I must comment on again: With the consumer support I have been involved with for the many years I have and just in the year I have been a doula, the definition of a negative experience is so varied! What I would deem as a great natural vaginal birth with no tears etc have been described as hideous by a few women. I know women who have had a cs that were totally unwarranted but LOVED themwhat some think (rightly) as abuse can be accepted as others as normal. The point being, people writing in about the trauma they suffered during birth can encompass such a diversity of experiences. Who actually defines what a negative experience is? Is it the care given by the MW or OB or how they deliver that care? They could be a sweet as pie as they cut peris for no more than routine reasons resulting in long term incontinence issues. If the woman trusts them and likes them then is it abuse? What if an arrogant or just a forthright OB or MW comes in and demands a woman to get up off the bed and squat to birth which results in the woman having intense ctx and a baby? Is the way she was spoken to the determining factor or the fact that she was able to birth the baby without the need of any needless medical intervention? Or perhaps the birth I was at last night would be a good example: beautiful natural birth with a first time mum who had a small tear in the vaginal wall and external surface tearing. She required suturing which was done by the birth centre staff. Local was used but this woman was so scarred and traumatized she screamed for 20 minutes like I have never heard anyone scream before. Her pain was amplified by her fear and the gas she used. We were trying to do the right thing by her but never before have I felt like I had been involved with the assault on another human being. She was being told by the two (wonderful) midwives (so no insinuation of them being to blame for this as they were really wonderful women) and her poor husband what to do and so on which scared her and confused her more. I held her hand and let the tears run down my face as she sobbed my name. Did we abuse her? How do we define what is abuse on another? How does the people who we write to evaluate this? How do we define what is unacceptable to me but fine with the woman birthing in the other room? I don’t like any medical person telling me what to do: suggestions and advice is fine. But what about the woman who can not make decisions without firm guidance? Is it guidance or is it authorative? There are times when we all just want someone to make the decision for us as we can not or don’t know everything that we need to know to make the decision. I am not adverse to writing inn with a complaint of a care provider. I am in my eight year of letter writing and responding!! I KNOW that if people don’t write in a and say something then no changes can be made...but again I come back to the diversity of perceptions. How do I know the person reading my letters didn’t have a baby die because no one gave her a cs when needed? How is she going to respond to me bitching about getting a cs for no reason? Sorry, rambling! Still processing last night and also catching up on sleep. Another due last week so could go tonight! Love Jo (B) -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Justine Caines Sent: Sunday, November 20, 2005 1:19 PM To: OzMid List Subject: Re: [ozmidwifery] question - lodging complaints Hi Jo and All The disclaimer from what you have said was to indemnify the Ob from responsibility of a stuff up and it was as a response to refusal to c/s with that logic he has acted totally against the parents wishes by performing that episiotomy. I think having signed that form they have more to argue, ie they were making the decisions and taking responsibility.
Re: [ozmidwifery] Another blow for VBAC
* 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. __ NOD32 1.1295 (20051120) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] rooming in
What are they complaining about? The only ones who I think could complain are those very few women giving their baby up for adoption. Don't these women want their babies? I am very confused. I would also bet they are the ones begging for an induction from about 30weeks. However, Ithought all hospitals had rooming in these days. Sonja - Original Message - From: islips To: ozmidwifery@acegraphics.com.au Sent: Sunday, November 20, 2005 5:56 PM Subject: [ozmidwifery] rooming in I wonder if someone can help me put together some stats regarding 'rooming in' . I work at a large private hospital in Perth . We recently closed our night nursery and implemented a 'rooming in policy'. This has worked very well in enhancing BF , mothercrafting etc. However due to 3 mothers and 3 obs complaining it looks as though we will have to change the policy. we have a meeting on tuesday and i would like to present some current research to the medical profession regarding the benefits of rooming in. thanks zoe - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Saturday, November 19, 2005 7:28 AM Subject: RE: [ozmidwifery] question Jenny, could you give us the reference please? Thanks, MM , one study demonstrated zero oxygen, because there is no longer any utero-placental circulation. This is part of the stimulation for the baby to breathe, but the baby is receiving some circulatory volume. Jennifer Cameron FRCNA FACM
Re: [ozmidwifery] Another blow for VBAC
, not the possible risks with VBAC. These figures for first caesareans are shocking - higher that the USA! http://www.smh.com.au/news/health/caesareans-lift-risks-in-later-births--study/2005/11/20/1132421548464.html 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. __ NOD32 1.1295 (20051120) Information __ This message was checked by NOD32 antivirus system. http://www.eset.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.
Re: [ozmidwifery] rooming in
The obs dont like the idea of mucousy babies staying in the rooms with mums. However in most cases where the woman has had a c/s we get the fathers to stay the night to help out. There were other issues such as unwell mums etc. The women who complained were all multis and basic reason was that they were tierd. Last time i checked i was a midwife not a nanny Since we implemented the rooming in policy our primips are BF better and going home so much more confident. It will be a shame if it goes back. Zoe - Original Message - From: Cheryl LHK [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Sunday, November 20, 2005 10:29 PM Subject: RE: [ozmidwifery] rooming in Just a query? What are the obst's complaints based on - the same 3 mothers complaints? No doubt they were tired and wanted a bit of rest!! Welcome to motherhood. From: islips [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] rooming in Date: Sun, 20 Nov 2005 14:56:48 +0800 I wonder if someone can help me put together some stats regarding 'rooming in' . I work at a large private hospital in Perth . We recently closed our night nursery and implemented a 'rooming in policy'. This has worked very well in enhancing BF , mothercrafting etc. However due to 3 mothers and 3 obs complaining it looks as though we will have to change the policy. we have a meeting on tuesday and i would like to present some current research to the medical profession regarding the benefits of rooming in. thanks zoe - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Saturday, November 19, 2005 7:28 AM Subject: RE: [ozmidwifery] question Jenny, could you give us the reference please? Thanks, MM -- , one study demonstrated zero oxygen, because there is no longer any utero-placental circulation. This is part of the stimulation for the baby to breathe, but the baby is receiving some circulatory volume. Jennifer Cameron FRCNA FACM -- 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] ossification?
Hello Janet The babies head does not 'ossify'! Just ask any chiropractor...they are still soft and able to be manipulated for ages. I've never heard such a lot of rubbish. If you think about it, the fontanelles don't close for 6-18months, to allow for brain growth. I think this Ob, is using his position to disadvantage the woman. Robyn D - Original Message - From: Janet Fraser To: ozmidwifery@acegraphics.com.au Sent: 20 November, 2005 6:53 PM Subject: [ozmidwifery] ossification? Hi all, Are there actually any studies into when/if it occurs? I've seen an increasing number of women lately being told they *have* to have an ERC at 41 weeks or the baby will be too rigid to mold. Puh-lease! Any good sources I can share about this?TIA J Joyous Birth Home Birth Forum - a world first!http://www.joyousbirth.info/forums/ Accessing Artemis Birth Trauma Recoveryhttp://health.groups.yahoo.com/group/accessingartemis
RE: [ozmidwifery] question - lodging complaints
Re the previous messages: I totally agree with you that Seeing everybody's perspective isn't easy it's all so subjective. Birth is a continuum of the rest of our life is something I quote to many clients prenatally. I often think about the statistic that at least 1 in 4 girls have been sexually abused and ponder the rising caesarean rate. The vaginal experiences that women have are not just about birth. During physiological birth they are protected by their hormones to a certain extent. After the hormones wear off, the memory remains. Is it just the birth they are remembering or is it mixed up with other vaginal memories? We won't ever know, but lets not beat ourselves up about it. All community midwives have some clients who punish us for their birth experiences by refusing to pay our fee, bad mouthing us, or withdrawing abruptly from the midwife-woman relationship. Sometimes I can sympathize with the Obs for the rigid way they approach their work. At least it is consistent. Don't give up on your wonderful vocation. You are greatly treasured for your role in facilitating so many wonderful births. The babies thank you, MM We facilitate a woman giving birth vaginally by giving her time to dilate, she feels she laboured too long we are wrong because we didn't leap in recommend a C/S . We recommend a C/S because we feel the labour is going nowhere we are wrong again because she didn't get time to dilate ! We try to give her every chance to achieve her goal we are wrong again because it wasn't as she'd planned. I feel I can't ever be right ! This is an interesting thread that I must comment on again: With the consumer support I have been involved with for the many years I have and just in the year I have been a doula, the definition of a negative experience is so varied! What I would deem as a great natural vaginal birth with no tears etc have been described as hideous by a few women. I know women who have had a cs that were totally unwarranted but LOVED themwhat some think (rightly) as abuse can be accepted as others as normal. The point being, people writing in about the trauma they suffered during birth can encompass such a diversity of experiences. Who actually defines what a negative experience is? Is it the care given by the MW or OB or how they deliver that care? They could be a sweet as pie as they cut peris for no more than routine reasons resulting in long term incontinence issues. If the woman trusts them and likes them then is it abuse? What if an arrogant or just a forthright OB or MW comes in and demands a woman to get up off the bed and squat to birth which results in the woman having intense ctx and a baby? Is the way she was spoken to the determining factor or the fact that she was able to birth the baby without the need of any needless medical intervention? Or perhaps the birth I was at last night would be a good example: beautiful natural birth with a first time mum who had a small tear in the vaginal wall and external surface tearing. She required suturing which was done by the birth centre staff. Local was used but this woman was so scarred and traumatized she screamed for 20 minutes like I have never heard anyone scream before. Her pain was amplified by her fear and the gas she used. We were trying to do the right thing by her but never before have I felt like I had been involved with the assault on another human being. She was being told by the two (wonderful) midwives (so no insinuation of them being to blame for this as they were really wonderful women) and her poor husband what to do and so on which scared her and confused her more. I held her hand and let the tears run down my face as she sobbed my name. Did we abuse her? How do we define what is abuse on another? How does the people who we write to evaluate this? How do we define what is unacceptable to me but fine with the woman birthing in the other room? I don't like any medical person telling me what to do: suggestions and advice is fine. But what about the woman who can not make decisions without firm guidance? Is it guidance or is it authorative? There are times when we all just want someone to make the decision for us as we can not or don't know everything that we need to know to make the decision. I am not adverse to writing inn with a complaint of a care provider. I am in my eight year of letter writing and responding!! I KNOW that if people don't write in a and say something then no changes can be made...but again I come back to the diversity of perceptions. How do I know the person reading my letters didn't have a baby die because no one gave her a cs when needed? How is she going to respond to me bitching about getting a cs for no reason? Sorry, rambling! Still processing last night and also catching up on sleep. Another due last week so could go tonight! Love Jo (B) -Original Message- From: [EMAIL
Re: [ozmidwifery] rooming in
I work some night duty in a small unit if mothers ask me to 'mind' their babies take them back for feeds overnight then I do, willingly. I'm heavily into nurturing women, odd eh ?? The Mums know what they want, if they need to sleep, why would I say no ? I am being paid to stay awake care for women babies, that's what we do ! If they want us to mind their babies we do, it might be the only uninterrupted sleep they get for months. We don't ever 'take' the babies away, but always respond when asked unless we are flat out. Are we wrong to help out when requested ? When we take the babies back for feeds, we help with the nappy changing if needed, sit with the Mums,make them tea, provide analgesia or hotpacks give them something to eat after feeds. Isn't that just a huge basic part of 'caring for women' OR 'mothering the mother' ? Wouldn't our mothers do that for us if they were around for the feeds in the wee small hours ? Or would our support people shut the door say go for it, see you in the morning Welcome to motherhood ! How supportive is that ? Wrong again ??? With kind regards Brenda Manning www.themidwife.com.au - Original Message - From: islips [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, November 21, 2005 11:00 AM Subject: Re: [ozmidwifery] rooming in The obs dont like the idea of mucousy babies staying in the rooms with mums. However in most cases where the woman has had a c/s we get the fathers to stay the night to help out. There were other issues such as unwell mums etc. The women who complained were all multis and basic reason was that they were tierd. Last time i checked i was a midwife not a nanny Since we implemented the rooming in policy our primips are BF better and going home so much more confident. It will be a shame if it goes back. Zoe - Original Message - From: Cheryl LHK [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Sunday, November 20, 2005 10:29 PM Subject: RE: [ozmidwifery] rooming in Just a query? What are the obst's complaints based on - the same 3 mothers complaints? No doubt they were tired and wanted a bit of rest!! Welcome to motherhood. From: islips [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] rooming in Date: Sun, 20 Nov 2005 14:56:48 +0800 I wonder if someone can help me put together some stats regarding 'rooming in' . I work at a large private hospital in Perth . We recently closed our night nursery and implemented a 'rooming in policy'. This has worked very well in enhancing BF , mothercrafting etc. However due to 3 mothers and 3 obs complaining it looks as though we will have to change the policy. we have a meeting on tuesday and i would like to present some current research to the medical profession regarding the benefits of rooming in. thanks zoe - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Saturday, November 19, 2005 7:28 AM Subject: RE: [ozmidwifery] question Jenny, could you give us the reference please? Thanks, MM -- , one study demonstrated zero oxygen, because there is no longer any utero-placental circulation. This is part of the stimulation for the baby to breathe, but the baby is receiving some circulatory volume. Jennifer Cameron FRCNA FACM -- 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] ossification?
Robyn that's exactly what I think! But where is it written so it can be given as proof to mamas who don't know this stuff? I can't find anything : ( J - Original Message - From: Robyn Dempsey To: ozmidwifery@acegraphics.com.au Sent: Monday, November 21, 2005 11:17 AM Subject: Re: [ozmidwifery] ossification? Hello Janet The babies head does not 'ossify'! Just ask any chiropractor...they are still soft and able to be manipulated for ages. I've never heard such a lot of rubbish. If you think about it, the fontanelles don't close for 6-18months, to allow for brain growth. I think this Ob, is using his position to disadvantage the woman. Robyn D - Original Message - From: Janet Fraser To: ozmidwifery@acegraphics.com.au Sent: 20 November, 2005 6:53 PM Subject: [ozmidwifery] ossification? Hi all, Are there actually any studies into when/if it occurs? I've seen an increasing number of women lately being told they *have* to have an ERC at 41 weeks or the baby will be too rigid to mold. Puh-lease! Any good sources I can share about this?TIA J Joyous Birth Home Birth Forum - a world first!http://www.joyousbirth.info/forums/ Accessing Artemis Birth Trauma Recoveryhttp://health.groups.yahoo.com/group/accessingartemis
Re: [ozmidwifery] Another blow for VBAC
Tbh I don't really see this as another blow. VBAC is pretty much ruled out in most mainstream arenas so the only way is up from there ; ) It will happen, it just won't happen overnight LOL. J -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] question - lodging complaints
MM. You have a gift for going straight to the essence of the issue !! You say what I know to be true but think it's just me that's seeing it this way ! Thank you. Birth is a continuum of the rest of our life is something I quote to many clients prenatally. I often think about the statistic that at least 1 in 4 girls have been sexually abused and ponder the rising caesarean rate. The vaginal experiences that women have are not just about birth. During physiological birth they are protected by their hormones to a certain extent. After the hormones wear off, the memory remains. Is it just the birth they are remembering or is it mixed up with other vaginal memories? Sometimes I can sympathize with the Obs for the rigid way they approach their work. At least it is consistent. I think this is the real basic truth in alot of situations ! With kind regards Brenda Manning www.themidwife.com.au - Original Message - From: Mary Murphy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, November 21, 2005 11:18 AM Subject: RE: [ozmidwifery] question - lodging complaints Re the previous messages: I totally agree with you that Seeing everybody's perspective isn't easy it's all so subjective. Birth is a continuum of the rest of our life is something I quote to many clients prenatally. I often think about the statistic that at least 1 in 4 girls have been sexually abused and ponder the rising caesarean rate. The vaginal experiences that women have are not just about birth. During physiological birth they are protected by their hormones to a certain extent. After the hormones wear off, the memory remains. Is it just the birth they are remembering or is it mixed up with other vaginal memories? We won't ever know, but lets not beat ourselves up about it. All community midwives have some clients who punish us for their birth experiences by refusing to pay our fee, bad mouthing us, or withdrawing abruptly from the midwife-woman relationship. Sometimes I can sympathize with the Obs for the rigid way they approach their work. At least it is consistent. Don't give up on your wonderful vocation. You are greatly treasured for your role in facilitating so many wonderful births. The babies thank you, MM We facilitate a woman giving birth vaginally by giving her time to dilate, she feels she laboured too long we are wrong because we didn't leap in recommend a C/S . We recommend a C/S because we feel the labour is going nowhere we are wrong again because she didn't get time to dilate ! We try to give her every chance to achieve her goal we are wrong again because it wasn't as she'd planned. I feel I can't ever be right ! This is an interesting thread that I must comment on again: With the consumer support I have been involved with for the many years I have and just in the year I have been a doula, the definition of a negative experience is so varied! What I would deem as a great natural vaginal birth with no tears etc have been described as hideous by a few women. I know women who have had a cs that were totally unwarranted but LOVED themwhat some think (rightly) as abuse can be accepted as others as normal. The point being, people writing in about the trauma they suffered during birth can encompass such a diversity of experiences. Who actually defines what a negative experience is? Is it the care given by the MW or OB or how they deliver that care? They could be a sweet as pie as they cut peris for no more than routine reasons resulting in long term incontinence issues. If the woman trusts them and likes them then is it abuse? What if an arrogant or just a forthright OB or MW comes in and demands a woman to get up off the bed and squat to birth which results in the woman having intense ctx and a baby? Is the way she was spoken to the determining factor or the fact that she was able to birth the baby without the need of any needless medical intervention? Or perhaps the birth I was at last night would be a good example: beautiful natural birth with a first time mum who had a small tear in the vaginal wall and external surface tearing. She required suturing which was done by the birth centre staff. Local was used but this woman was so scarred and traumatized she screamed for 20 minutes like I have never heard anyone scream before. Her pain was amplified by her fear and the gas she used. We were trying to do the right thing by her but never before have I felt like I had been involved with the assault on another human being. She was being told by the two (wonderful) midwives (so no insinuation of them being to blame for this as they were really wonderful women) and her poor husband what to do and so on which scared her and confused her more. I held her hand and let the tears run down my face as she sobbed my name. Did we abuse her? How do we define what is abuse on another? How does the people who we write to evaluate this? How do we define
Re: [ozmidwifery] rooming in
Bit harsh Sonja...i dont believe the great and growing practice of rooming in should completely eclipse midwives taking care of the baby for a couple of hours while the woman gets some sleep. Many women have missed 2-3 nights sleep and have metaphorically walked up agiant mountain or run a marathon to birth their baby. Some women still believe in the myth that they will get some rest in hsp and choose to stay there 'cause they know once they are home their normal unpaid hard work will be expected to commence. i really believe its the least we can do for a women who chooses(or has) to be in hosp to help her get theroom dark and cosy, rock her unsettled baby for her and let her have a few hours uninterrupted sleep. (breast feeding access /issues aside - sometimes they just won't quieten down - we know...for lots of other (including mysterious) reasons and the woman would like a break). Isn't it about choice and shouldn't all women's voices be heard when those choices are being shaped - not just the loudest. I know you may not need a nursery room as such to be able to offer thewoman some relief - but i have witnessed many timesmidwives copping outof giving the woman thehelp she specifically wants citing "rooming-in policy". Women's well being and healing is strenghened by a block of decent sleep.If we don't have time to do our jobs properly and our ratiosin postnatal wards inadequate- we must keep fighting for fairer working conditions - not blaming women again. Im all for being at home or getting back there asap - but unfortunatly our social community supports are a long way from being universal, free and sufficient for all women to access this - yet. Suzi - Original Message - From: Sonja Barry To: ozmidwifery@acegraphics.com.au Sent: Monday, November 21, 2005 10:12 AM Subject: Re: [ozmidwifery] rooming in What are they complaining about? The only ones who I think could complain are those very few women giving their baby up for adoption. Don't these women want their babies? I am very confused. I would also bet they are the ones begging for an induction from about 30weeks. However, Ithought all hospitals had rooming in these days. Sonja - Original Message - From: islips To: ozmidwifery@acegraphics.com.au Sent: Sunday, November 20, 2005 5:56 PM Subject: [ozmidwifery] rooming in I wonder if someone can help me put together some stats regarding 'rooming in' . I work at a large private hospital in Perth . We recently closed our night nursery and implemented a 'rooming in policy'. This has worked very well in enhancing BF , mothercrafting etc. However due to 3 mothers and 3 obs complaining it looks as though we will have to change the policy. we have a meeting on tuesday and i would like to present some current research to the medical profession regarding the benefits of rooming in. thanks zoe - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Saturday, November 19, 2005 7:28 AM Subject: RE: [ozmidwifery] question Jenny, could you give us the reference please? Thanks, MM , one study demonstrated zero oxygen, because there is no longer any utero-placental circulation. This is part of the stimulation for the baby to breathe, but the baby is receiving some circulatory volume. Jennifer Cameron FRCNA FACM
Re: [ozmidwifery] rooming in
Speaking as an AP utopian, I'd love to see cosleeping in hospitals the norm with real beds not those "paddlepop on stilts" pretend beds. That way mamas could rest, keep their baby close, catch up on any skin-on-skin they've missed and actually learn valuable parenting skills and safe sleeping practices that will enhance their lives forever. J
RE: [ozmidwifery] Absolutely horrified!
Thanks everyone for your thoughts and replies, it was a huge shock to me but I guess, sadly, that many of you are well used to this. I haven't heard from the woman since Saturday so chances are she's gone into labour. I pray it all went as well as she hoped. 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 Cheryl LHK Sent: Monday, 21 November 2005 1:25 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Absolutely horrified! Yes, she can turn up to any public hospital with midwifery services and not be turned away. Tell her to have a copy of antenatal paperwork she has (if she has it!!) and the midwives at the hospital can ring her orginal booking hospital and get any records/pathology faxed over - or at least that has happened to us in the past. This is the sort of obs who needs a complaint written about him!! But it will turn into a he said, she said situation. If she goes back to him, take another person with her!! Cheryl From: Kelly @ BellyBelly [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Absolutely horrified! Date: Sun, 20 Nov 2005 15:44:48 +1100 One of the girls in my forums here in Melbourne just posted this - no wonder she seemed upset when I saw her yesterday - I had no idea at the time: I have just had the worst night of my life, and its taken me 3 hours to stop crying uncontrollably. My Dr, who I've been seeing throughout my pg is on leave (bereavement), and since I'm at 41 weeks, the midwives I'm seeing sent me to see the OB who's filling in for him. So I go for my appt. First, he does a stretch sweep without asking me or any prior warning. Then he says he's booking me in to be induced tomorrow, which when I questioned it he tells me I'm going to kill my baby cos I'm past 41 weeks. The he goes on to say 'I'm not into any of that airy fairy [EMAIL PROTECTED] You'll deliver on the bed, on your back. I'm not a vet.' So I said I was planning an active birth, (which is what my Dr prefers) and he says I'll have to see someone else and good luck getting in to see anyone else at this stage of the game. So now I have no obstetrician, no doctor and I don't know what I'm going to do. I'm seriously thinkg about fronting up tomorrow at the Royal Womens to see if I can have my baby there instead of the hospital I'm booked in at - can they turn you away if its a public hospital? This is appalling - beyond belief. my blood is boiling it really is.. Best Regards, Kelly Zantey Director, http://www.bellybelly.com.au/ www.bellybelly.com.au http://www.toys4tikes.com.au/ www.toys4tikes.com.au Gentle Solutions For Conception, Pregnancy, Birth Baby Australian Little Tikes Specialists -- 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] ossification?
My Mum was induced for 3 babies 40 years ago for that rubbish,(head won't mould, baby too big, blah, blah, blah)some things don't change. Contact the Osteopathic Association for some written proof, I'm sure they will have something for you. http://www.osteopathic.com.au/index.htm good luck Megan From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Janet FraserSent: Monday, 21 November 2005 10:59 AMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] ossification? Robyn that's exactly what I think! But where is it written so it can be given as proof to mamas who don't know this stuff? I can't find anything : ( J - Original Message - From: Robyn Dempsey To: ozmidwifery@acegraphics.com.au Sent: Monday, November 21, 2005 11:17 AM Subject: Re: [ozmidwifery] ossification? Hello Janet The babies head does not 'ossify'! Just ask any chiropractor...they are still soft and able to be manipulated for ages. I've never heard such a lot of rubbish. If you think about it, the fontanelles don't close for 6-18months, to allow for brain growth. I think this Ob, is using his position to disadvantage the woman. Robyn D - Original Message - From: Janet Fraser To: ozmidwifery@acegraphics.com.au Sent: 20 November, 2005 6:53 PM Subject: [ozmidwifery] ossification? Hi all, Are there actually any studies into when/if it occurs? I've seen an increasing number of women lately being told they *have* to have an ERC at 41 weeks or the baby will be too rigid to mold. Puh-lease! Any good sources I can share about this?TIA J Joyous Birth Home Birth Forum - a world first!http://www.joyousbirth.info/forums/ Accessing Artemis Birth Trauma Recoveryhttp://health.groups.yahoo.com/group/accessingartemis
Re: [ozmidwifery] rooming in
Brenda - I'm with you. We do very similar as you have described below and make every effort to support Mum as well as baby. A few solid hours can make all the difference. Yet, when I was an inpatient in the hosp where I work; I was the primep that let the others (all my workmates over the yrs) cuddle the baby for me whilst I slept because I knew I was going home to no family support and it was hubby and I and that's it. That baby screamed for months... I just craved sleep.But when I was a multi, just threw them in bed with me, shut the door and went home the next day. Cheryl (who has been settling one very fretful little one from 11pm-4am this morning at work) From: brendamanning [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] rooming in Date: Mon, 21 Nov 2005 11:27:03 +1100 I work some night duty in a small unit if mothers ask me to 'mind' their babies take them back for feeds overnight then I do, willingly. I'm heavily into nurturing women, odd eh ?? The Mums know what they want, if they need to sleep, why would I say no ? I am being paid to stay awake care for women babies, that's what we do ! If they want us to mind their babies we do, it might be the only uninterrupted sleep they get for months. We don't ever 'take' the babies away, but always respond when asked unless we are flat out. Are we wrong to help out when requested ? When we take the babies back for feeds, we help with the nappy changing if needed, sit with the Mums,make them tea, provide analgesia or hotpacks give them something to eat after feeds. Isn't that just a huge basic part of 'caring for women' OR 'mothering the mother' ? Wouldn't our mothers do that for us if they were around for the feeds in the wee small hours ? Or would our support people shut the door say go for it, see you in the morning Welcome to motherhood ! How supportive is that ? Wrong again ??? With kind regards Brenda Manning www.themidwife.com.au - Original Message - From: islips [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, November 21, 2005 11:00 AM Subject: Re: [ozmidwifery] rooming in The obs dont like the idea of mucousy babies staying in the rooms with mums. However in most cases where the woman has had a c/s we get the fathers to stay the night to help out. There were other issues such as unwell mums etc. The women who complained were all multis and basic reason was that they were tierd. Last time i checked i was a midwife not a nanny Since we implemented the rooming in policy our primips are BF better and going home so much more confident. It will be a shame if it goes back. Zoe - Original Message - From: Cheryl LHK [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Sunday, November 20, 2005 10:29 PM Subject: RE: [ozmidwifery] rooming in Just a query? What are the obst's complaints based on - the same 3 mothers complaints? No doubt they were tired and wanted a bit of rest!! Welcome to motherhood. From: islips [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] rooming in Date: Sun, 20 Nov 2005 14:56:48 +0800 I wonder if someone can help me put together some stats regarding 'rooming in' . I work at a large private hospital in Perth . We recently closed our night nursery and implemented a 'rooming in policy'. This has worked very well in enhancing BF , mothercrafting etc. However due to 3 mothers and 3 obs complaining it looks as though we will have to change the policy. we have a meeting on tuesday and i would like to present some current research to the medical profession regarding the benefits of rooming in. thanks zoe - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Saturday, November 19, 2005 7:28 AM Subject: RE: [ozmidwifery] question Jenny, could you give us the reference please? Thanks, MM -- , one study demonstrated zero oxygen, because there is no longer any utero-placental circulation. This is part of the stimulation for the baby to breathe, but the baby is receiving some circulatory volume. Jennifer Cameron FRCNA FACM -- 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.
Re: [ozmidwifery] rooming in
Good for you Brenda. Mums don't get enough nurturing. Jenny Jennifer Cameron FRCNA FACM President NT branch ACMI PO Box 1465 Howard Springs NT 0835 08 8983 1926 0419 528 717 - Original Message - From: brendamanning [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, November 21, 2005 9:57 AM Subject: Re: [ozmidwifery] rooming in I work some night duty in a small unit if mothers ask me to 'mind' their babies take them back for feeds overnight then I do, willingly. I'm heavily into nurturing women, odd eh ?? The Mums know what they want, if they need to sleep, why would I say no ? I am being paid to stay awake care for women babies, that's what we do ! If they want us to mind their babies we do, it might be the only uninterrupted sleep they get for months. We don't ever 'take' the babies away, but always respond when asked unless we are flat out. Are we wrong to help out when requested ? When we take the babies back for feeds, we help with the nappy changing if needed, sit with the Mums,make them tea, provide analgesia or hotpacks give them something to eat after feeds. Isn't that just a huge basic part of 'caring for women' OR 'mothering the mother' ? Wouldn't our mothers do that for us if they were around for the feeds in the wee small hours ? Or would our support people shut the door say go for it, see you in the morning Welcome to motherhood ! How supportive is that ? Wrong again ??? With kind regards Brenda Manning www.themidwife.com.au - Original Message - From: islips [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, November 21, 2005 11:00 AM Subject: Re: [ozmidwifery] rooming in The obs dont like the idea of mucousy babies staying in the rooms with mums. However in most cases where the woman has had a c/s we get the fathers to stay the night to help out. There were other issues such as unwell mums etc. The women who complained were all multis and basic reason was that they were tierd. Last time i checked i was a midwife not a nanny Since we implemented the rooming in policy our primips are BF better and going home so much more confident. It will be a shame if it goes back. Zoe - Original Message - From: Cheryl LHK [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Sunday, November 20, 2005 10:29 PM Subject: RE: [ozmidwifery] rooming in Just a query? What are the obst's complaints based on - the same 3 mothers complaints? No doubt they were tired and wanted a bit of rest!! Welcome to motherhood. From: islips [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] rooming in Date: Sun, 20 Nov 2005 14:56:48 +0800 I wonder if someone can help me put together some stats regarding 'rooming in' . I work at a large private hospital in Perth . We recently closed our night nursery and implemented a 'rooming in policy'. This has worked very well in enhancing BF , mothercrafting etc. However due to 3 mothers and 3 obs complaining it looks as though we will have to change the policy. we have a meeting on tuesday and i would like to present some current research to the medical profession regarding the benefits of rooming in. thanks zoe - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Saturday, November 19, 2005 7:28 AM Subject: RE: [ozmidwifery] question Jenny, could you give us the reference please? Thanks, MM -- , one study demonstrated zero oxygen, because there is no longer any utero-placental circulation. This is part of the stimulation for the baby to breathe, but the baby is receiving some circulatory volume. Jennifer Cameron FRCNA FACM -- 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. -- Internal Virus Database is out-of-date. Checked by AVG Anti-Virus. Version: 7.0.344 / Virus Database: 267.11.9/70 - Release Date: 29/09/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Westmead, Sydney
Does anyone know the current options for delivering at Westmead? I am rather frustrated with my brother's girlfriend's GP who seems to be handling her unexpected pregnancy rather haphazardly. She is only 21, and knows nothing, the baby being unplanned. He told her the 12 weeks NT u/s was compulsory. Then when she said she wanted to deliver at Blacktown, he told her she wasn't allowed to because she was closer geographically to Westmead. He gave her a general hospital enquiry number and told her to ring the hospital. She did and they told her they couldn't see her until March (she is due in May). She has no idea whether she spoke to an antenatal clinic or to the team midwife program (is that still running? I was booked in there when we lived in Sydney). They are planning to move up her (Central Coast) before the birth, so I suggested they just booked in up here to the community midwives, and just travel for appointments until they move, but the doctor told her again that she *had* to go to Westmead. She is worried about not seeing anyone until March (no wonder, first pregnancy and all) except this GP. But she won't listen to my suggestions and thinks she has to do exactly what her GP tells her. I wanted to at least clarify what the delivery options at Westmead are so I can have a talk with her about who she talked to who told her March, etc. Thoughts? Suggestions? Nicola Morley Trainee Doula -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
