RE: [ozmidwifery] Pelvic floor
I was happy to see this story posted here as it is one I have cited in the story. The wonderful Sarah Buckley showed it to me, cheers Kylie Carberry Freelance Journalist p: +61 2 42970115 m: +61 2 418220638 f: +61 2 42970747 From: "Mary Murphy" [EMAIL PROTECTED]Reply-To: ozmidwifery@acegraphics.com.auTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Pelvic floorDate: Mon, 6 Mar 2006 14:42:46 +0800 I recently read this article and found it very interesting. Worth a read and storing of the reference for those women asking about the risks of urinary and faecal incontinence following either mode of birth. MM Returning to the key point that we have made throughout this review -- at least some of the less desirable pelvic floor outcomes attributed in this review to VB will have been due to obstetric practices that are in need of improvement. Routine and overuse of episiotomy,[56] routine use of epidurals,[57] prolonged closed glottis pushing,[58] lithotomy and other nonphysiologic positions for birth[59,60] all will cause differential increases for VB in the very perineal and pelvic floor problems to which this review has been directed. If these and other obstetric practices were improved, the reported differences between VB and CS pelvic floor outcomes would likely narrow substantially. And It is striking that, even short term, severe UI is not different by mode of birth -- even coming from usual settings where VB is likely nonphysiologic. The occurrence of postpartum FI is very slightly increased after the experience of any birth, particularly related to the use of Instrumental Delivery. There is evidence that CS reduces the incidence of postpartum FI; however, this effect appears to be similar with respect to elective CS or CS performed during labor. Sexual dysfunction is common following any delivery; however, there is little evidence that CS reduces this risk long term. There is also some evidence that ID may have a greater impact on sexual dysfunction than either SVB or CS. -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
Re: [ozmidwifery] Birth Attendant / Doula - Hunter Valley Area
Title: Re: [ozmidwifery] Birth Attendant / Doula - Hunter Valley Area Kelly is she in contact with the local birth support group? It's pretty busy. No shes quite mainstream and only knows about birth attendants from what I have on my site since my good friend and site admin had her VBAC this weekend I think this has gotten her thinking about it more seriously as shes in her second trimester now so she is at the stages of asking stacks of those questions you always get will they take over from the husband, will I cope with a stranger etc so will take someone gentle to gain her confidence (personality wise and give her confidence in her body too) with a mainstream understanding. Shes a gorgeous person though, has been very supportive of my site for a long time. I am sure you didnt mean it Kelly but what does the above say? That women wanting/supporting gentle, natural birth are weirdos and that c/s and all the trauma associated with it (in many cases - esp the unnecessary ones) is mainstream and a less confronting option!?? What I understand about the mainstream is it is on the whole a very damaged and broken system. Whilst a woman must decide what is right and safe for her, any other reading of the current system is misleading. I know that some of us are considered pretty radical for our upfront choices and unwavering support of women to choose where and with whom they give birth. Those of us that choose the path less travelled often pay for it with our families, friends and acquaintances. It is really tiring to be labelled a freak. Although I have 6 delicious birth experiences that quickly remind me of the reality. I must say this pervading culture of women who would spend more time researching buying an electrical product than they would bringing another life into the world is really wearing. Women are constantly conned and often not supported, we all know that. While we work to change this I think we also need to bring the responsibility back to women, and in doing that more women need to at least be aware of women like me that work their but off (well it would be nice if I lost my but in the process!!) to enable a choice for them when the light bulb finally switches on... I salute you for what you are doing. But you are in a position to help the light switch on, give women the information, let them know groups like Maternity Coalition exist, you may be surprised with womens uptake toward the non-mainstream!!! In solidarity Justine
Re: [ozmidwifery] Birth Attendant / Doula - Hunter Valley Area
Home and Natural Birth Support Group Hunter Home and Natural Birth Supportnow meet at a hall on the second Friday of each month. 10am for business and 10.30 onwards is social/guest speaker/topicAddress is 122 Cardiff Rd, Elermore ValePlease bring a plate to share for morning tea/lunch. I can get you an email and ph if you like. J - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Monday, March 06, 2006 4:48 PM Subject: RE: [ozmidwifery] Birth Attendant / Doula - Hunter Valley Area No shes quite mainstream and only knows about birth attendants from what I have on my site since my good friend and site admin had her VBAC this weekend I think this has gotten her thinking about it more seriously as shes in her second trimester now so she is at the stages of asking stacks of those questions you always get will they take over from the husband, will I cope with a stranger etc so will take someone gentle to gain her confidence (personality wise and give her confidence in her body too) with a mainstream understanding. Shes a gorgeous person though, has been very supportive of my site for a long time. Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - Click Here From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Janet FraserSent: Monday, 6 March 2006 4:29 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Birth Attendant / Doula - Hunter Valley Area Kelly is she in contact with the local birth support group? It's pretty busy. J - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Monday, March 06, 2006 3:49 PM Subject: [ozmidwifery] Birth Attendant / Doula - Hunter Valley Area One of the women in my forum is after a caring Doula / Birth Attendant in the Hunter Valley area NSW I think shes considering a VBAC. If anyone has any recommendations or details please email them to me at [EMAIL PROTECTED] Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - Click Here
Re: [ozmidwifery] trials
Title: Message I worked with women as a mid student who were recruited into this trial - while oral seems more appealing than gels at first - I found waking up / disturbing women 2 hrly for the next oral dose was not conducive for the rest and relaxationrequired the night before birthing (and some of them were getting placebos anyway poor things). The skinny dividable hospital bed, no partner to snuggle up to, no foodetc etc.(common to all methods)...is not exactly the best way to prepare for a birth either. No wonder IOL have such a big failure rate. Although most failed IOL are recorded as FTP (blame the woman) or foetal distress so Enkin et al... says that IOL does not increase chance of c/s...When I queried the documentation of failed IOL -The CMC - with doctor concurring - said to me if she has 'some' contractions its not a failed IOL...hmmm. Suzi - Original Message - From: Dean Jo To: ozmidwifery@acegraphics.com.au Sent: Saturday, March 04, 2006 8:25 PM Subject: RE: [ozmidwifery] trials vaginal birth not achieved in 24 hours misoprostol 46.0% v dinoprostone 41.2% okay so if 46% did not birth vaginally and 22.7% had cs what happened to the other23.3% that didn't birth vaginally Also, are women going to be told that they havealmost a 50% chance of needing a cs with an induction?That inductions fail almost half the timegee I know, lets do what the prominent OB from Adelaide is suggesting and induce all women at 39 weeks andalmost double our cs rate! caesarean section 22.7% v 26.6% and we wonder why we have a national cs rate of over 25%!!! caesarean section for fetal distress 8.8% v 9.3% uterine hyper stimulation with changes in fetal heart rate 0.8% v 1.6% and yet the risk of rupture being an estimated 0.3% is too high to offer vbac as an optionlets give these women a drug that can hyper stimulate their uteri and increase the chance of serious morbidity or mortality and potentially leave them with a ruptured uterus despite not having a previous scar. *sigh* I seriously wonder sometimes how these academics get funded! Oh sorry, this was a drug company who will benefit from this study...not women. I have a suggestion: why doesn't someone get funding to do atrial into spontaneous non-interventative (minus the actual medical need)birthvs. active management and compare the outcomes? Lets actually see if natural noninvasive supported and educated birth is fraught with the dangers that we get thrown at us. grr grr grr Jo -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Mary MurphySent: Saturday, March 04, 2006 7:08 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] trials At least they asked the women’s preference. Guess what they chose? MM Oral misoprostol for induction of labour at term: randomised controlled trial-BMJ,vol 332, no 7540, 4 March 2006, pp 509-511Dodd JM; Crowther CA; Robinson JS-(2006)OBJECTIVE: To compare oral misoprostol solution with vaginal prostaglandin gel (dinoprostone) for induction of labour at term to determine whether misoprostol is superior. DESIGN: Randomized double blind placebo controlled trial. SETTING: Maternity departments in three hospitals in Australia.Population Pregnant women with a singleton cephalic presentation at /=36+6 weeks' gestation, with an indication for prostaglandin induction of labour. INTERVENTIONS: 20 microg oral misoprostol solution at two hourly intervals and placebo vaginal gel or vaginal dinoprostone gel at six hourly intervals and placebo oral solution. MAIN OUTCOME MEASURES: Vaginal birth within 24 hours; uterine hyperstimulation with associated changes in fetal heart rate; caesarean section (all); and caesarean section for fetal distress. RESULTS: 741 women were randomised, 365 to the misoprostol group and 376 to the vaginal dinoprostone group. There were no significant differences between the two treatment groups in the primary outcomes: vaginal birth not achieved in 24 hours (misoprostol 168/365 (46.0%) v dinoprostone 155/376 (41.2%); relative risk 1.12, 95% confidence interval 0.95 to 1.32; P=0.134), caesarean section (83/365 (22.7%) v 100/376 (26.6%); 0.82, 0.64 to 1.06; P=0.127), caesarean section for fetal distress (32/365 (8.8%) v 35/376 (9.3%); 0.91, 0.57 to 1.44; P=0.679), or uterine hyperstimulation with changes in fetal heart rate (3/365 (0.8%) v 6/376 (1.6%); 0.55, 0.14 to 2.21; P=0.401). Although there were differences in the process of labour induction, there were no significant differences in adverse maternal or neonatal outcomes. CONCLUSIONS: This trial shows no evidence that oral
RE: [ozmidwifery] Birth Attendant / Doula - Hunter Valley Area
Title: Re: [ozmidwifery] Birth Attendant / Doula - Hunter Valley Area Yep Justine, I meant what I said but it seems it has been misinterpreted by gentle I mean someone who is warm and compassionate and as for the mainstream bit, I personally feel she needs someone with her who has been in and understands the mainstream system (perhaps medical system a better word?) as she will be giving birth in hospital and not home. She wont birth at home and she has lost one of her twins already in the first trimester, second twin is fine, and given she is hoping to have a VBAC she needs someone who understands all the crap that goes with it and what pressure she will be put under in the medical system. She doesnt need someone angry about the system, fired up and driven rather someone focused who knows what to expect. Especially because most of the women I support have not had support before, so I see it as a very impressionable time, where they will establish an opinion on Birth Support, what they think of it and what they will tell others about it (especially on my own site which has around 3,000 unique visitors a day this is a big audience) so its important to me that I appeal to them on their level while empowering them with information which will not overwhelm but form questions and build confidence. Then this will facilitate the growth and high regard of birth support. Sure its huge in the homebirth arena but it has a LONG way to go in the medical system where they need our help to change things the most, where I want to help. Regardless, all of the women I have supported have felt empowered and were very satisfied with their births, so thats the main thing. I give them recommendations of all the best stuff to read (e.g. Janet Balaskas, Sheila Kitzinger, Henci Goer etc) and websites to check out but its their choice if they read that or not. I also have a sticky post in my forums (stuck to the top of the birth pages) for Choices for Childbirth workshops, recommend a private childbirth educator, Doulas etc and things like that I am a member of the Maternity Coalition but as a consumer in the mainstream I dont think they really see the true benefit or appeal of joining or really understand the huge things that the MC do and what it means for them and I hope this will be taken constructively. You can of course tell them and promote it etc, but they just dont realize what they are up against in the medical system until they have been there, or bothered to read about it. And being pregnant and wrapped up in babies, honestly, how many women do you think are dying to read about the medical system and what they are up against? Many just want to read about babies and they think their Obs will save them, do the right thing etc. They have NO confidence. Some of the women who trained when I did had not been into a hospital birth before. So when I took in the video of the twin vaginal birth I supported, some of them were completely horrified and gobsmacked with the environment and what went on. If a woman was supported in hospital by someone who was horrified and overwhelmed then this could be a problem you cant carry your own crap into a birth and you need to be there for THEM and the birth they want which is formed through pre-natal visits where you have the opportunity to educate. I did not mean to offend; I appreciate what you are doing and offering women and honour your wonderful births. I do feel there is a big gap between where we are and where the mainstream are - we need to bridge this, not make them jump. And in the words of Rachel Hunter while washing her hair, It wont happen overnight but it will happen. Some people are ignorant no matter what birth education they have had. A couple I spoke to who were doing one of Rhea Demspeys fantastic pain workshops were luckily in the WA program for homebirth and are having a waterbirth with a you-beaut pool they had a month or two to go. During a break, they asked me how the baby breathes under the water and other basic questions they should be well aware of at this stage of their journey. So you can give them the right classes to go to, the right information etc but what they choose to learn and take in is up to them. That is why you have to appeal to them at their level I used to work in sales Sales 101 is that you should first find out what someone wants before trying to sell something to them. If you go full on down a sales track of what they dont want, they are going to switch off, be unappreciative and ignore. So gently does it. Also Sales 101 is you have two ears and one mouth and they should be used in that ratio when dealing with a consumer. If you want the mainstream to understand you (and that you are not a freak in your words) then you need to understand them too including why they think we are freaks and what we can do to appeal more to them, what information they are fed and subjected to etc., their lack of confidence and
[ozmidwifery] International Breech Birth Conference, March 20 21 2006
Breech Birth Conference – International perspectives on the management of term breech pregnancies and birth http://www.breechbirthconference.com March 20th 21st 2006 Vancouver, BC, Canada There has been a radical change over the last few years in the approach to breech pregnancy. The publication of the term breech trial led to many centres across the world opting for management with caesarean section, resulting in the dramatic decrease in the number of vaginal births. In turn this has led to many obstetricians, midwives and family practitioners never having seen – much less managed - a planned vaginal breech birth. The skills of those who can provide experience are all too quickly disappearing, both from retirement and fear in a litigious environment. read more Aims and Objectives Aims of the Conference We aim to bring together practitioners and researchers from around the world to discuss issues such as research and safety, as well as techniques associated with breech birth. It is to be a multidisciplinary forum, and will contain discussions, presentations and interactive workshops. Objectives * Analyze research in this area, and hear of current work in the field * Participate in hand-on skills workshops for both vaginal breech birth and emergency skills, led by both doctors and midwives * Hear about some of the different approaches to breech birth around the world, including the rationale for selected use of oxytoxics in second stage, and the preferences for different birth positions Gloria Lemay [EMAIL PROTECTED] wrote: Breech birth conference coming up in Vancouver, B. C. Canada Hope you can make it. Details on the link below. Gloria Lemay, Vancouver, BC Canada http://www.breechbirthconference.com please pass info on to your groups -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Birth Attendant / Doula - Hunter Valley Area
Title: Re: [ozmidwifery] Birth Attendant / Doula - Hunter Valley Area I forgot to say that this woman was kneeling upright and leaning on an armchair. It paints a clearer picture. It is also the first time I have seen a real-time scan done in a kneeling on the floor position. From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Mary Murphy Sent: Tuesday, 7 March 2006 9:12 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Birth Attendant / Doula - Hunter Valley Area . Re twins in hospital. I recently attended a lovely multip twin birth at our large tertiary hospital. Twin 1 healthy, twin 2 fatal malformation. The woman had a very quick labour after 2 previous very long labours at home. She was on a mattress on the floor, leaning on an arm chair. The staff were very sensitive and facilitated her catching her babies. With a break in between twins a quick scan was done to ascertain position of 2nd twin by senior Ob, and the woman went on to catch baby 2. with the help of the hosp midwife. It was really lovely and peaceful, sad and joyful all at once. It can be done, but the mother has to be determined and also flexible, sensitive to the hospital needs and be helped to negotiate them. Give a little to reap a lot. Cheers, MM,
[ozmidwifery] perineal massage
Looking for an education pamphlet to give to antenatal clients that desciribes what it is and how to do it. would like to know where to purchase from rather than photocopy. thanks zoe
RE: [ozmidwifery] perineal massage
Birth International sells a pack of 6 birth preparation leaflets. Among them is one on perineal massage. The pack is $7.00 I dont know if they are available separately. Check with Andrea Robertsons web site. MM From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of islips Sent: Tuesday, 7 March 2006 1:43 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] perineal massage Looking for an education pamphlet to give to antenatal clients that desciribes what it is and how to do it. would like to know where to purchase from rather than photocopy. thanks zoe
