[ozmidwifery] Wellington Point

2006-02-10 Thread wump fish
I've been contacted by a woman who has recently arrived in Wellington Point, 
Queensland. She is 12 wks pregnant and wants some info about what's 
available in her area re: maternity care. Do any of you have 
experience/advice. Are there any midwifery led birth centres?

Thanks
Rachel

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Re: [ozmidwifery] Resounding failure of "active labour management"

2006-02-10 Thread Gloria Lemay



In the "olden days", there used to be a guideline 
for FTP that worked very well. . . . "Never let the sun set twice on a woman 
in active labour".  So, from 4 cms there should not be two sunsets on that 
woman.  That's a good way to know that you're not dealing with an exhausted 
woman whose uterus is bagged out.  Of course, 99.9% of women will give 
birth in this time.   One of the cautions that I believe we should be 
telling more women is not to wake up their husbands and to stay dark, quiet and 
resting if the birth begins in the night.  I think that coming into a birth 
after working a "graveyard shift" means that the woman's endocrine system is out 
of sync.  It is very foolish to make a big dramatic deal out of early birth 
sensations.  Gloria

  - Original Message - 
  From: 
  Janet 
  Fraser 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Wednesday, February 01, 2006 3:09 
  PM
  Subject: Re: [ozmidwifery] Resounding 
  failure of "active labour management"
  
  I hear you, Helen! I know a 
  woman who dilated fully in 4 hours (yes, 4!) then had a rest and be thankful 
  stage of an hour during which it was decided she had "FTP" and she had a 
  repeat surgery. I spoke to another woman recently whose surgeon had just 
  told her that owing to her fairly short labour with her first child, she only 
  had 10 hours in which to birth the second or face surgery. Talk about 
  arbitrary! Marsden Wagner is right when he describes how much the timeline for 
  labour has shrunk over the last 20 years. I have a section on FTP, or as I 
  prefer to call it, Failure to Wait on my forums which provokes lively 
  conversation from many of the members who have scars on their bodies from this 
  particular myth. I have a great link to a hospy protocol on dxing FTP which 
  relies solely on machines to decide the appropriate strength of cx and then on 
  the clock to check for dilatation - woman stationary in the bed, of course, so 
  the machines can work. In the absence of "good enough" cx and time factors, 
  the woman is taken to theatre with absolutely no mention of how she or the 
  baby are going. Utter madness. We'll be like the US soon and our maternal 
  death rates will start to rise with the upping of initial unnecessary surgery 
  and then the refusal of VBAC.
  J
  
- Original Message - 
From: 
Helen and Graham 
To: ozmidwifery@acegraphics.com.au 

Sent: Thursday, February 02, 2006 9:49 
AM
Subject: Re: [ozmidwifery] Resounding 
failure of "active labour management"

I totally agree with all of your comments 
Janet.  My original bone of contention in this case however, is the 
"time line" approach where if the cervical dilatation is slower than 
everyone thinks is "normal" then the woman is whisked off for a 
caesar.  This seems to happen far too much still despite both mother 
and baby coping just fine.   I know what revelation it was to me 17 
years ago when my friend went to Boothville in Brisbane to have her first 
baby and was FULLY DILATED FOR 12 HOURS.  I had not long done mid in 
Darwin and couldn't imagine anyone being "allowed" to go that long with a 
good outcome.  Her daughter is very healthy!    17 years 
later, I still can't imagine that happening in any mainstream 
setting. 
 
Tragic
 
Helen Cahill
 
- Original Message - 

  From: 
  Janet 
  Fraser 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Wednesday, February 01, 2006 
  1:26 PM
  Subject: Re: [ozmidwifery] Resounding 
  failure of "active labour management"
  
  Rachel,
  I only hear this from 
  health professionals. I don't hear it from women, not even the most 
  mainstream hospy birthing mamas with whom I deal. It's a very small 
  percentage of women who embrace this technology, and an even smaller 
  number who knowingly embrace it. If you read mainstream birth stories they 
  usually start with "My baby was 10 days overdue so my hospital/surgeon 
  said I had to be induced." The women are generally scared, although normal 
  physiological birth scares them too, but have no idea of the massive risks 
  involved. When it all goes pearshaped, as it so often does, the 
  hospital/surgeon and those around them tell the woman she is defective and 
  can't birth "properly". It sometimes leads to ERC solely for fear as 
  women are so shocked by the assault of active management that they seek to 
  control the process in future by choosing surgery without the horror of 
  labour under these circumstances. Of course, the profiting surgeon is only 
  too happy to oblige.
   
  Apart from women 
  transferred from BCs to labour wards, the most traumatised women I see are 
  those who have had active management foisted on them by hospital policies 
  and the belief

RE: [ozmidwifery] Post cs support

2006-02-10 Thread B & G
Hi Pinky,
It is my cultural roots that has helped me get back in there. 
Besides I vowed that I would continue to fight for justice that no other
nurse or midwife will ever be caught in a situation like I was. The
greatest fight was with Work Cover, the Courts and the attempt to get
back to work. I had 10 months off work of which three months was spent
in hospital. I settled out of court for negligence having made my
statement within Queensland Health. 
I still have two pillows in my car that I look at now and then. They
were bright green (new hope) purple square in the middle (depression and
the sense of imprisonment) on one side bright orange the other to
represent the zest of life and energy. One was named Caroline and the
other Mark representing the DON and Medical super who were my chief
antagonists in conciliation meetings with the legal people. When work
would get tough I would belt the s... out of them and feel better. I
brought a new car with some of the monies and it had to be gold- gold
for a winner! So you see I created great symbols in my recovery.
However one can never control the physiological responses- teeth
grinding, flashbacks, nightmares. I merely recognise the triggers and
attempt to reduce the physiological responses. One day I will slow down.
Cheers Barb



-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of pinky mckay
Sent: Friday, 10 February 2006 9:41 AM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] Post cs support


Barb ,
I am in awe that you have been able to do so much great work after this 
trauma and the effects that it must have had on you,

Hugs
Pinky

- Original Message - 
From: "B & G" <[EMAIL PROTECTED]>
To: 
Sent: Sunday, February 05, 2006 11:45 AM
Subject: RE: [ozmidwifery] Post cs support


> There is no 'cure' for PTSD!! You just learn to manage the triggers 
> but even then the physiological responses sometimes get away from you.

> Some people wonder why you are so serious- so would you if you had 
> this constant mind battle to control triggers.
> Barb- chronic PTSD sufferer, 8 years after an assault and prolonged 
> torture by an unsupervised prisoner in an Intensive Care Unit.
>
>
> -Original Message-
> From: [EMAIL PROTECTED]
> [mailto:[EMAIL PROTECTED] On Behalf Of Jo Bourne
> Sent: Saturday, 4 February 2006 11:34 AM
> To: ozmidwifery@acegraphics.com.au
> Subject: Re: [ozmidwifery] Post cs support
>
>
> Talking therapies may be the only "cure", that certainly sounds right 
> to me. However I can't imagine having been raped, assaulted OR 
> traumatised by my birth experience and then wanting to do that talking

> in the place or with the people where it happened. Perhaps in the last

> stages of healing, as a final letting go/closure thing, but certainly 
> not in the very first days of the shock. I did not have a remotely 
> traumatic birth experience but have had other traumas in my life and 
> have had a lot of talking to do about them, I can't think of one 
> occasion I wanted to go back to the person/place that was the source 
> of the trauma.
>
> At 11:19 AM +1100 4/2/06, Janet Fraser wrote:
>>I remember it but I disagree with it entirely. It struck me as no more

>>logical and useful than the obstetric refusal to offer OFP because a 
>>study showing a crude, almost silly form of it didn't have the desired

>>effect. (10mins a day on hands and knees rather than the lifestyle 
>>operation that is true OFP) Talking therapies are pretty much the only

>>"cure" for PTSD and that's been well demonstrated over and over. The 
>>one study showing otherwise holds no weight. J
>>
>>- Original Message -
>>From: Mary Murphy
>>To: 
>>ozmidwifery@acegraphics.com.au
>>Sent: Saturday, February 04, 2006 10:58 AM
>>Subject: RE: [ozmidwifery] Post cs support
>>
>>I believe there is some research out there that looked at de-briefing 
>>women after birth, particularly traumatic births.  As I remember it,
> the research did not show that this debriefing had particularly 
> helpful outcomes.  Of course it is all in the Who, the When and the 
> How.  Does anyone remember it?  Mary Murphy
>>
>>
>>Andrea wrote:
>>Any suggestions. Should all women have a follow up appointment with 
>>the
>
>>midwife who was at her birth, is this appropriate as they may have 
>>been
> part of the problem, should all women have a follow up appointment but

> the woman be allowed to choose who she wants the appointment with, at 
> what stage would this be appropriate, 2 weeks, 8 weeks 3 months? How 
> does this fit with the M&CH nurses who are now involved in the woman's

> on going care? How does her doctor, be it her own GP, obst or the one 
> who attended (or not) her birth  be involved in this?
>>
>
>
> --
> Jo Bourne
> Virtual Artists Pty Ltd
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