[ozmidwifery] Caesarean on demand website

2006-04-04 Thread Andrea Robertson

Hi,

This is a useful website that has issued a statement about the NIH 
Consensus Meeting on Cesarean on demand:


http://www.childbirthconnection.org/article.asp?ClickedLink=743ck=10375area=2

Cheers

Andrea

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Re: [ozmidwifery] Sunrise

2006-04-04 Thread Alexandra Gosden



I thought itwas disappointing that she used baby 
bottles to decorate the disappointinginformation!
Alexxx

  - Original Message - 
  From: 
  Jo Watson 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Tuesday, April 04, 2006 12:33 
  PM
  Subject: [ozmidwifery] Sunrise
  "The baby whisperer" was on Sunrise this morning - did anyone 
  see it?Touting strict day time routines to make your baby sleep all 
  night. "You *need* to do [this]" etc. No mention that every 
  baby is different.I'm sure there would be a transcript of it up 
  somewhere if anyone's interested. I haven't decided what to 
  write in my email to them yet ;)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 
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[ozmidwifery] Caesarean births on demand?

2006-04-04 Thread Andrea Robertson
This interesting article was sent to me today.  I am sure it will be 
same story in Oz



--


Mothers aren't behind a vogue for caesareans

By Gene Declercq and Judy Norsigian  |  April 3, 2006

''TOO POSH to push. The headline, which originated in British 
tabloids, has been used to capture what is claimed as a trend toward 
an increasing number of medically elective caesareans requested by 
upper-class mothers. A just concluded National Institutes of Health 
meeting on the topic of ''Maternal Request Caesareans, both by the 
mere title of the conference and its draft report, suggests such a 
trend exists and that it contributes to a record caesarean rate in 
the United States.



The problem is that there is no systematic evidence of such a trend. 
Although some studies do describe an increase in caesareans without 
any medical indication, this phenomenon may not represent real 
''maternal request at all. These studies, based on birth 
certificates or hospital billing records, have no way of documenting 
whether the caesarean was initially sought by the mother, whether it 
was based on physician advice, or whether there was simply poor record keeping.


Moreover, there has been only one representative national study, 
entitled ''Listening to Mothers, that directly surveyed mothers 
about their birth experience, including those who had a caesarean 
section. It found that far less than 1 percent of mothers who had a 
first caesarean had requested it. Thus, although there are 
undoubtedly some women who do seek elective caesareans, they are 
hardly enough to increase the number of caesareans by 400,000 
nationally since 1996. An NIH meeting that uses the title ''Caesarean 
Delivery on Maternal Request may unfortunately only reinforce a 
public perception that women are now seeking caesareans in large 
numbers, without good evidence that this is the case.


The emphasis on maternal request is easy to understand. With 
caesarean rates at an all-time high -- accounting for 1.2 million 
surgeries (29% of all births) in 2004 -- there is naturally interest 
in seeking new explanations, and ''patient choice caesareans makes 
for great media coverage. Such stories often include human interest 
elements, involve broader ethical issues, and briefly summarize a 
major social change. Notably, mothers with the highest caesarean 
rates in the United States -- African-American women over 35 -- are 
rarely featured in such coverage.


So what then is causing the increase in caesareans? Primarily changes 
in obstetrical practice. The world of obstetrics has changed 
considerably since the days when a single obstetrician handled a 
caseload of women to whom he or she made an extraordinary commitment 
-- to be at her birth no matter when that woman went into labor. Now, 
the overwhelming majority of obstetrical practices are group-based, 
substantially reducing that individual bond with a mother.


Another factor is the increasing concern about malpractice and the 
reality of lawsuits that may be brought even in instances when an 
obstetrician is not really to blame for a bad outcome. It is not 
surprising that in the gray area of clinical decision-making during 
labor, many obstetricians have substantially lowered the threshold 
for when they would perform a caesarean.


Caesareans, especially scheduled caesareans, allow obstetricians to 
exercise their surgical skills, appear to decrease the likelihood of 
malpractice suits, and provide more control over the scheduling of 
hospital and office hours. Advocates of medically-elective caesareans 
will also cite an array of health benefits for mothers and infants 
from caesareans, although the NIH conference made clear that solid 
evidence on the benefits of caesareans is not yet available.


Nonetheless, many women do hold erroneous assumptions about elective 
caesareans. For example, they may think of caesareans as reducing the 
pain that they will experience, and although regional anesthesia such 
as epidurals can reduce the experience of pain during childbirth, 
there is ample evidence of substantial pain after birth by caesarean.


There is much we still don't know about the impact of caesarean or 
vaginal birth on health outcomes. What is clear, however, is that the 
growth in caesareans -- which includes mothers of all ages, races and 
across all medical conditions -- is the result of a complicated shift 
in professional practice that deserves careful scrutiny. It is not 
primarily about mothers pressuring doctors for caesareans, as 
contemporary media coverage would have us believe.


Gene Declercq is assistant dean for doctoral education at the Boston 
University School of Public Health. Judy Norsigian is executive 
director of Our Bodies Ourselves.


-

Andrea

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Re: [ozmidwifery] any benefit to teaching women self examination?

2006-04-04 Thread Katy O'Neill



Maxine, A few years ago I cared for one of 
our teens in labour and on admission she stated that she had felt her own 
cervix, which I was confident about when she was able to give me a good 
description with only minor prompting from me. Mind you some women look at 
me strangely when I ask if they know what their cervix feels like. 
Katy

  - Original Message - 
  From: 
  Maxine 
  Wilson 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Tuesday, April 04, 2006 10:37 
  AM
  Subject: RE: [ozmidwifery] any benefit to 
  teaching women self examination?
  
  
  Megan – are you a 
  midwife? Did you have some knowledge already or was that the first time 
  you had felt a cervix in labour?
  
  
  Maxine 
  
  
  
  
  
  
  
  From: owner-ozmidwifery@acegraphics.com.au 
  [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Megan  
  LarrySent: Tuesday, 4 April 
  2006 10:18 AMTo: 
  ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] any benefit to 
  teaching women self examination?
  
  I checked my own 
  dialation with my fourth baby (waterbirth at home), it was short labour 
  anyway, but I just wanted to know where bubs was at. I was sitting on my 
  toilet, just leaned back and as clear as day was a ring/circle of about 5 cm. 
  I was impressed with how obvious it was, amazing.
  About an hour later I 
  was greeting my baby.
  
  With my third baby 
  (waterbirth at home)I also checked for progress and was surprised to 
  find a head about 3cm in, very inspiring to know that a hard, fast labour was 
  in fact a quick one too, only 3 hours in total. 
  
  I guess its up to the 
  individual, nothing wrong with offering the idea to women and then those who 
  are interested can seek more info on what to expect. Some women don't even 
  want to know they havea vagina, others embrace 
  it.
  
  cheers
  Megan.
  __ 
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  by NOD32 antivirus system.http://www.eset.com


Re: [ozmidwifery] Sunrise

2006-04-04 Thread Helen and Graham



Yes me too! It might have been Channel 7's 
idea thoeither way it is tragic!

Helen

  - Original Message - 
  From: 
  Alexandra 
  Gosden 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Tuesday, April 04, 2006 3:28 
  PM
  Subject: Re: [ozmidwifery] Sunrise
  
  I thought itwas disappointing that she used 
  baby bottles to decorate the disappointinginformation!
  Alexxx
  
- Original Message - 
From: 
Jo Watson 
To: ozmidwifery@acegraphics.com.au 

Sent: Tuesday, April 04, 2006 12:33 
PM
Subject: [ozmidwifery] Sunrise
"The baby whisperer" was on Sunrise this morning - did anyone 
see it?Touting strict day time routines to make your baby sleep all 
night. "You *need* to do [this]" etc. No mention that every 
baby is different.I'm sure there would be a transcript of it up 
somewhere if anyone's interested. I haven't decided what to 
write in my email to them yet ;)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 Free Edition.Version: 7.1.385 / 
Virus Database: 268.3.5/300 - Release Date: 
  3/04/2006__ NOD32 1.1468 (20060403) 
  Information __This message was checked by NOD32 antivirus 
  system.http://www.eset.com


Re: [ozmidwifery] tamworth

2006-04-04 Thread Katy O'Neill



Dear Di,
 I work at Tamworth Base. 
There are various options, classes broken into 2 parts, the first done on 
pregnancy etc at around 20 something weeks and the labour/birth at 30 
something weeks. BF is covered between.8 weeks in all of a 
Tuesday or Wednesday night. Refreshers are also available. Antenatal 
care is a main clinic with mostly Obs etc and not much continuity of care except 
for those who get picked up by a midwife called Robyn. Or 2 midwifes 
clinics, an adolescent clinic and an aboriginal clinic. We like to book 
women in ASAP as there are delays in getting an appointment this is done prior 
to women attending any clinic. Feel free to ring me for further info. 
0267669136 at home.

  - Original Message - 
  From: 
  diane 
  
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Tuesday, April 04, 2006 10:39 
  AM
  Subject: [ozmidwifery] tamworth
  
  Hi wise women,
  My nomadic step daughter who is now close to 28 
  weeks is booking in to Tamworth hospital today. Does anyone have any 
  suggestions about the birthing services there, antenatal classes, support 
  groups or any thing of the kind?
  
  At least she is close enough for me to get to if 
  she doesnt birth too quickly, only about 3 1/2 hours away!
  
  Thanks
  Di.__ NOD32 1.1468 
  (20060403) Information __This message was checked by NOD32 
  antivirus system.http://www.eset.com


Re: [ozmidwifery] tamworth

2006-04-04 Thread Barbara Glare Chris Bright



Hi,

there's a fabulous Australian Breastfeeding 
Association Group in Tamworth. she could get no better support on her 
parenting journey. To find your local group go to http://www.breastfeeding.asn.au/contact/groups.html
And don't forget, everyone who subscribes gets a 
free copy of "Breastfeeding Naturally" (usually $34.95) A gift 
subscription would be a fabulous thing

Regards,
Barb

  - Original Message - 
  From: 
  Katy 
  O'Neill 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Tuesday, April 04, 2006 5:08 
  PM
  Subject: Re: [ozmidwifery] tamworth
  
  Dear Di,
   I work at Tamworth Base. 
  There are various options, classes broken into 2 parts, the first done on 
  pregnancy etc at around 20 something weeks and the labour/birth at 30 
  something weeks. BF is covered between.8 weeks in all of a 
  Tuesday or Wednesday night. Refreshers are also available. 
  Antenatal care is a main clinic with mostly Obs etc and not much continuity of 
  care except for those who get picked up by a midwife called Robyn. Or 2 
  midwifes clinics, an adolescent clinic and an aboriginal clinic. We like 
  to book women in ASAP as there are delays in getting an appointment this is 
  done prior to women attending any clinic. Feel free to ring me for 
  further info. 0267669136 at home.
  
- Original Message - 
From: 
diane 

To: ozmidwifery@acegraphics.com.au 

Sent: Tuesday, April 04, 2006 10:39 
AM
Subject: [ozmidwifery] tamworth

Hi wise women,
My nomadic step daughter who is now close to 28 
weeks is booking in to Tamworth hospital today. Does anyone have any 
suggestions about the birthing services there, antenatal classes, support 
groups or any thing of the kind?

At least she is close enough for me to get to 
if she doesnt birth too quickly, only about 3 1/2 hours away!

Thanks
Di.__ NOD32 1.1468 
(20060403) Information __This message was checked by NOD32 
antivirus system.http://www.eset.com


[ozmidwifery] National Association of Childbirth Educators website

2006-04-04 Thread Julie Clarke








Hi fellow listers,



Just letting you know the National Association of Childbirth
and Parenting Educators has a website up and running again.

Membership details are available

Visit www.nace.org.au



Warm hug

Julie



Julie Clarke 

Independent Childbirth and Parenting Educator

HypnoBirthing (R) Practitioner

ACE Grad Dip Supervisor

NACE Advanced Educator and Trainer

NACE National Journal Editor

Transition into Parenthood Sessions

9 Withybrook Place

Sylvania NSW 2224

Telephone 9544 6441

Mobile: 0401 2655 30

email: [EMAIL PROTECTED]

visit Julie's website: www.transitionintoparenthood.com.au










Re: [ozmidwifery] managed versus physiological 3rd stage, was: after birth pains

2006-04-04 Thread Judy Chapman
I have done quite a few physiological third stages and, like labours, are all different. Have had a couple of women who have been in a lot of pain until the placenta delivered, then it was cured. They complained of back pain. Both eventually asked for synto to get the placenta out and stop the pain and both times it still took a while to come after the synto.   Cheers  JudyNikki Macfarlane [EMAIL PROTECTED] wrote:  When you were with the mother who had the physiological third stage Nicole, was there any touching, pulling or tugging on the umbilical cord? If a caregiver is not commonly
 practicing a physiological third stage they may be putting cord traction on the cord (pulling gently) anf this can cause the pain you spoke of. I have had four physiological third stages and none have been overtly painful. I have seen hundreds and the only time the woman has mentioned pain is when the caregiver is pulling on the cord or putting pressure on the top of the uterus.There is no reason why, if everything else is normal, you cannot decline synt until a time has been reached. A physiological third stage can take a lot longer - anything between a few minutes to 2 hours is still normal - although most hospitals would be uncomfortable waiting more than 30 minutes. There is no increased risk after 30 minutes - sadly, they are smply used to seeing a placenta come a lot quicker than that because managed care is the norm now. You can always choose to have the synt. 
   As with every other intervention, and with the option of expectant care, there are pros and cons and only you can now the acceptable option for you and your baby.Nikki Macfarlane  Childbirth International  www.childbirthinternational.com
		On Yahoo!7 
 
Messenger: Make free PC-to-PC calls to your friends overseas. 


Re: [ozmidwifery] Sunrise

2006-04-04 Thread pinky mckay
Tracy Hogg from the Uk ( who actually wrote The Baby Whisperer) did die last 
year BUT there are many people who claim to be baby whisperers - - usually 
childless themselves - not that that is always bad but how can you 
understand the hormonal mummy mindset that gears us up to respond to our 
babies when they are OUR OWN babies - so tug at OUR heartstrings?  It is 
easy to say let them protest/ cry/ wait when they are not YOUR baby and 
you dont have that exquisite connection.


Pinky


- Original Message - 
From: Jane Wines [EMAIL PROTECTED]

To: ozmidwifery@acegraphics.com.au
Sent: Tuesday, April 04, 2006 1:19 PM
Subject: RE: [ozmidwifery] Sunrise


I thought she had died last year? Is that the one from the UK - I'm sure 
she

had a heart attack!!
Jane

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Jo Watson
Sent: Monday, April 03, 2006 7:34 PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] Sunrise

The baby whisperer was on Sunrise this morning - did anyone see it?

Touting strict day time routines to make your baby sleep all night.
You *need* to do [this] etc. No mention that every baby is different.

I'm sure there would be a transcript of it up somewhere if anyone's
interested.  I haven't decided what to write in my email to them yet ;)

Jo

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Re: [ozmidwifery] Sunrise

2006-04-04 Thread Jo Watson
Oh I KNOW! I forgot to mention that in my email - perhaps you should!JoOn 04/04/2006, at 1:28 PM, Alexandra Gosden wrote:I thought it was disappointing that she used baby bottles to decorate the disappointing information!Alexxx 

RE: [ozmidwifery] Sunrise

2006-04-04 Thread Julie Clarke
Hi Pinky and fellow listers,
I find this aspect of broken connections quite disturbing, as I'm sure you
do too, from the point of view of pregnant couples in groups they often have
friends/acquaintances who have been to baby boot camp/ severe sleep school
as they call it, and their friends say it was miraculous and recommend it as
a definite YES!
What worries me of course from the baby's aspect is the broken bond with the
mum and dad - the lack of trust and connection - which we so need as parents
to get through the challenges of childhood and adolescence.
From the mother's point of view the broken connection, breaking the bond of
care and sensitivity towards her babe, reducing the mother's intuition,
reducing her nurturing role and her confidence can leave the relationship in
tatters, needing repairing.
In pre-natal groups (classes) there has evolved the need to explain the
damage to the infant who instead of learning/experiencing loving trusting
relationships as a newborn/young child learns to self settle and become
detached/isolated from a young age.
I will often ask my groups Do you know anyone as an adult who you cannot
possibly get close to... who is cold and detached... who you couldn't feel
comfortable reaching out to with a touch or to offer a hug?
They all seem to get it with that question. I see them nodding their heads,
thinking about it and often coming back with a variety of comments and
endorsements of loving caring families.
From a global perspective I wonder is it the lack of community that
contributes to the perceived need for controlled crying or does controlled
crying and rigid routines - creating detachment - lead towards the lack of
community as some people describe these days.
I feel very comfortable remaining with the notion of reading baby's signals
and meeting their needs in an environment of reasonable support and this is
a strong focus in my groups.

Warm hug,
Julie

Julie Clarke 
Independent Childbirth and Parenting Educator
HypnoBirthing (R) Practitioner
ACE Grad Dip Supervisor
NACE Advanced Educator and Trainer
NACE National Journal Editor
Transition into Parenthood Sessions
9 Withybrook Place
Sylvania NSW 2224
Telephone  9544 6441
Mobile: 0401 2655 30
email: [EMAIL PROTECTED]
visit Julie's website: www.transitionintoparenthood.com.au


-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of pinky mckay
Sent: Tuesday, 4 April 2006 3:12 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] Sunrise

Tracy Hogg from the Uk ( who actually wrote The Baby Whisperer) did die last

year BUT there are many people who claim to be baby whisperers - - usually 
childless themselves - not that that is always bad but how can you 
understand the hormonal mummy mindset that gears us up to respond to our 
babies when they are OUR OWN babies - so tug at OUR heartstrings?  It is 
easy to say let them protest/ cry/ wait when they are not YOUR baby and 
you dont have that exquisite connection.

Pinky


- Original Message - 
From: Jane Wines [EMAIL PROTECTED]
To: ozmidwifery@acegraphics.com.au
Sent: Tuesday, April 04, 2006 1:19 PM
Subject: RE: [ozmidwifery] Sunrise


I thought she had died last year? Is that the one from the UK - I'm sure 
she
 had a heart attack!!
 Jane

 -Original Message-
 From: [EMAIL PROTECTED]
 [mailto:[EMAIL PROTECTED] On Behalf Of Jo Watson
 Sent: Monday, April 03, 2006 7:34 PM
 To: ozmidwifery@acegraphics.com.au
 Subject: [ozmidwifery] Sunrise

 The baby whisperer was on Sunrise this morning - did anyone see it?

 Touting strict day time routines to make your baby sleep all night.
 You *need* to do [this] etc. No mention that every baby is different.

 I'm sure there would be a transcript of it up somewhere if anyone's
 interested.  I haven't decided what to write in my email to them yet ;)

 Jo

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 --
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 Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
 

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[ozmidwifery] homebirth

2006-04-04 Thread Julie Clarke

Thought this might be of interest:
http://www.nytimes.com/2006/04/03/us/03midwife.html?ex=1301716800en=ad90d0e
b1ccc33a9ei=5088partner=rssnytemc=rss



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RE: [ozmidwifery] managed versus physiological 3rd stage, was: after birth pains

2006-04-04 Thread Megan Larry
That's excellent, it describes exactly what I was able to feel. 
Its not rocket science is one of my favourite sayings, so I love this
article even more.

Cheers
Megan

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of jo
Sent: Tuesday, 4 April 2006 1:52 PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] managed versus physiological 3rd stage, was:
after birth pains

This is a small handout by Gloria Lemay (thanks Gloria) I give to clients
about self checking.

jo


Self-Checking of Dilation and Descent

From: Childbirth Quotes from Gloria Lemay 
http://www.birthlove.com/pages/gloria/quotes.html

 How to Check Your Own Cervix- it's not rocket science 



I think it's a good and empowering thing for a woman to check her own
cervix for dilation. This is not rocket science, and you hardly need a
medical degree or years of training to do it. Your vagina is a lot like your
nose- other people may do harm if they put fingers or instruments up there
but you have a greater sensitivity and will not do yourself any harm.

 The best way to do it when hugely pregnant is to sit on the toilet with
one foot on the floor and one up on the seat of the toilet. Put two fingers
in and go back towards your bum. The cervix in a pregnant woman feels like
your lips puckered up into a kiss. On a non-pregnant woman it feels like the
end of your nose. When it is dilating, one finger slips into the middle of
the cervix easily (just like you could slide your finger into your mouth
easily if you are puckered up for a kiss). As the dilation progresses the
inside of that hole becomes more like a taught elastic band and by 5 cms
dilated (5 fingerwidths) it is a perfect rubbery circle like one of those
Mason jar rings that you use for canning, and about that thick.

 What's in the centre of that opening space is the membranes (bag of
waters) that are covering the baby's head and feel like a latex balloon
filled with water. If you push on them a bit you'll feel the baby's head
like a hard ball (as in baseball). If the waters have released you'll feel
the babe's head directly.

 It is time for women to take back ownership of their bodies. 
-Gloria Lemay, Vancouver, BC http://www.glorialemay.com

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Julie Clarke
Sent: Tuesday, 4 April 2006 7:22 AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] managed versus physiological 3rd stage, was:
after birth pains

A bright lovely good morning to you all,

In all of my groups, after fully explaining informed choice, I explain that
there are three options for the women when choosing the way she would like
to birth her placenta:

1. medically managed with an injection given into the thigh which will
induce an artificially strong contraction to hasten the expulsion of the
placenta and reduce excessive blood loss and this would be very appropriate
for someone who is high risk for example; a smoker, a woman who drank
alcohol very regularly throughout the later part of pregnancy, an anemic
woman, those who have already had medical intervention such as an epidural,
induction, etc.
2. to decline the injection
3. to take the wait and see approach... explaining to the midwife at the
time (and write in the birth plan so partner understands... I would prefer
to avoid the injection as a routine injection, preferring instead to hold my
baby at my breast, to naturally stimulate oxytocin to expel my placenta, but
am prepared to receive the injection if it is medically necessary for a big
bleed

I also explain the normal blood loss is 300 to 500 mls of blood and an
excessive blood loss would be 600mls+ which would require an injection.
There are three injections which are available for a pph or big bleed and
they are Syntocinon, syntometrine and ergometrine, each one increasing in
intensity and side effects such as nausea.
I then simply explain that most women describe a normal physiological third
stage as mild period pain, however usually this pain will increase with each
subsequent baby and/or with medical intervention.

As for after pains over the next 24-48 hours I am always careful to point
out that this is normal and women are less likely to be overly concerned
about it when they are very familiar with the very positive fact that it is
the uterus returning back down to it's normal size... and that this is a
very good thing and it is what a woman wants.
It seems to me that with good strong positive reinforcement women recognise
the benefits of normality - and keeping birth as normal as possible.
I feel completely comfortable in emphasizing normality as the best, safest,
and worth striving towards compared to routine or encouraged by friends
(epidural), medical intervention.


Warm hug to all,
Julie

Julie Clarke
Independent Childbirth and Parenting Educator HypnoBirthing (R) Practitioner
ACE Grad Dip Supervisor NACE Advanced Educator and Trainer NACE National

RE: [ozmidwifery] Sunrise

2006-04-04 Thread A C Palmer
Hi Julie,
 I really like the way you have put this. I really believe that the damage
to our family units and the greater community, by being rigid with parenting
routines, makes for an unhealthy pattern of interpersonal relationships. We
ensure the psychological and relational health of future generations by
supporting women to birth well, love their babies well and rear grounded
children.
Thanks for articulating your thoughts so well.
Cath Palmer
(Midwife that lurks on ozmid and loves the discussions!! Especially loving
the physiological third stage one)

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Julie Clarke
Sent: Wednesday, April 05, 2006 8:52 AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] Sunrise

Hi Pinky and fellow listers,
I find this aspect of broken connections quite disturbing, as I'm sure you
do too, from the point of view of pregnant couples in groups they often have
friends/acquaintances who have been to baby boot camp/ severe sleep school
as they call it, and their friends say it was miraculous and recommend it as
a definite YES!
What worries me of course from the baby's aspect is the broken bond with the
mum and dad - the lack of trust and connection - which we so need as parents
to get through the challenges of childhood and adolescence.
From the mother's point of view the broken connection, breaking the bond of
care and sensitivity towards her babe, reducing the mother's intuition,
reducing her nurturing role and her confidence can leave the relationship in
tatters, needing repairing.
In pre-natal groups (classes) there has evolved the need to explain the
damage to the infant who instead of learning/experiencing loving trusting
relationships as a newborn/young child learns to self settle and become
detached/isolated from a young age.
I will often ask my groups Do you know anyone as an adult who you cannot
possibly get close to... who is cold and detached... who you couldn't feel
comfortable reaching out to with a touch or to offer a hug?
They all seem to get it with that question. I see them nodding their heads,
thinking about it and often coming back with a variety of comments and
endorsements of loving caring families.
From a global perspective I wonder is it the lack of community that
contributes to the perceived need for controlled crying or does controlled
crying and rigid routines - creating detachment - lead towards the lack of
community as some people describe these days.
I feel very comfortable remaining with the notion of reading baby's signals
and meeting their needs in an environment of reasonable support and this is
a strong focus in my groups.

Warm hug,
Julie

Julie Clarke 
Independent Childbirth and Parenting Educator
HypnoBirthing (R) Practitioner
ACE Grad Dip Supervisor
NACE Advanced Educator and Trainer
NACE National Journal Editor
Transition into Parenthood Sessions
9 Withybrook Place
Sylvania NSW 2224
Telephone  9544 6441
Mobile: 0401 2655 30
email: [EMAIL PROTECTED]
visit Julie's website: www.transitionintoparenthood.com.au


-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of pinky mckay
Sent: Tuesday, 4 April 2006 3:12 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] Sunrise

Tracy Hogg from the Uk ( who actually wrote The Baby Whisperer) did die last

year BUT there are many people who claim to be baby whisperers - - usually 
childless themselves - not that that is always bad but how can you 
understand the hormonal mummy mindset that gears us up to respond to our 
babies when they are OUR OWN babies - so tug at OUR heartstrings?  It is 
easy to say let them protest/ cry/ wait when they are not YOUR baby and 
you dont have that exquisite connection.

Pinky


- Original Message - 
From: Jane Wines [EMAIL PROTECTED]
To: ozmidwifery@acegraphics.com.au
Sent: Tuesday, April 04, 2006 1:19 PM
Subject: RE: [ozmidwifery] Sunrise


I thought she had died last year? Is that the one from the UK - I'm sure 
she
 had a heart attack!!
 Jane

 -Original Message-
 From: [EMAIL PROTECTED]
 [mailto:[EMAIL PROTECTED] On Behalf Of Jo Watson
 Sent: Monday, April 03, 2006 7:34 PM
 To: ozmidwifery@acegraphics.com.au
 Subject: [ozmidwifery] Sunrise

 The baby whisperer was on Sunrise this morning - did anyone see it?

 Touting strict day time routines to make your baby sleep all night.
 You *need* to do [this] etc. No mention that every baby is different.

 I'm sure there would be a transcript of it up somewhere if anyone's
 interested.  I haven't decided what to write in my email to them yet ;)

 Jo

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Re: [ozmidwifery] tamworth

2006-04-04 Thread Katy O'Neill



Dear Di, This is my second try, 
the first did not seam to get through. I work at Tamworth but it will take 
too long to write all the info down so feel free to ring me on 0267669136 or 
email on [EMAIL PROTECTED] 
Katy.

  - Original Message - 
  From: 
  diane 
  
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Tuesday, April 04, 2006 10:39 
  AM
  Subject: [ozmidwifery] tamworth
  
  Hi wise women,
  My nomadic step daughter who is now close to 28 
  weeks is booking in to Tamworth hospital today. Does anyone have any 
  suggestions about the birthing services there, antenatal classes, support 
  groups or any thing of the kind?
  
  At least she is close enough for me to get to if 
  she doesnt birth too quickly, only about 3 1/2 hours away!
  
  Thanks
  Di.__ NOD32 1.1468 
  (20060403) Information __This message was checked by NOD32 
  antivirus system.http://www.eset.com


RE: [ozmidwifery] managed versus physiological 3rd stage, was: after birth pains

2006-04-04 Thread A C Palmer
Again, Julie I like the way you have worded the options for 3rd stage.
Nicely put with no sense of swaying a mother from what she might really want
to have happen.

I was unaware at the time, but I was given the gift (by a fabulous and
supportive collegue) of a physiological 3rd stage with the birth of my
second child. It was no less painful or disruptive to the time with my
newborn and was quite empowering to remain an active participant to the end.


It also opened up in me an awareness of the possibility of a physiological
third stage and I have been able to 'pass it forward' so to speak. I was
also inspired by Michel Odent last year and his talk about 3rd stage
(hormones of love) and resolved even more to view physiological 3rd stage as
the norm (crazy I know) and the use of artificial hormones as the abnormal.

Cath Palmer
(Midwife and ozmid lurker)

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Julie Clarke
Sent: Tuesday, April 04, 2006 7:22 AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] managed versus physiological 3rd stage, was:
after birth pains

A bright lovely good morning to you all,

In all of my groups, after fully explaining informed choice, I explain that
there are three options for the women when choosing the way she would like
to birth her placenta:

1. medically managed with an injection given into the thigh which will
induce an artificially strong contraction to hasten the expulsion of the
placenta and reduce excessive blood loss and this would be very appropriate
for someone who is high risk for example; a smoker, a woman who drank
alcohol very regularly throughout the later part of pregnancy, an anemic
woman, those who have already had medical intervention such as an epidural,
induction, etc.
2. to decline the injection 
3. to take the wait and see approach... explaining to the midwife at the
time (and write in the birth plan so partner understands... I would prefer
to avoid the injection as a routine injection, preferring instead to hold my
baby at my breast, to naturally stimulate oxytocin to expel my placenta, but
am prepared to receive the injection if it is medically necessary for a big
bleed

I also explain the normal blood loss is 300 to 500 mls of blood and an
excessive blood loss would be 600mls+ which would require an injection.
There are three injections which are available for a pph or big bleed and
they are Syntocinon, syntometrine and ergometrine, each one increasing in
intensity and side effects such as nausea.
I then simply explain that most women describe a normal physiological third
stage as mild period pain, however usually this pain will increase with each
subsequent baby and/or with medical intervention.

As for after pains over the next 24-48 hours I am always careful to point
out that this is normal and women are less likely to be overly concerned
about it when they are very familiar with the very positive fact that it is
the uterus returning back down to it's normal size... and that this is a
very good thing and it is what a woman wants.
It seems to me that with good strong positive reinforcement women recognise
the benefits of normality - and keeping birth as normal as possible.
I feel completely comfortable in emphasizing normality as the best, safest,
and worth striving towards compared to routine or encouraged by friends
(epidural), medical intervention.


Warm hug to all,
Julie

Julie Clarke 
Independent Childbirth and Parenting Educator
HypnoBirthing (R) Practitioner
ACE Grad Dip Supervisor
NACE Advanced Educator and Trainer
NACE National Journal Editor
Transition into Parenthood Sessions
9 Withybrook Place
Sylvania NSW 2224
Telephone  9544 6441
Mobile: 0401 2655 30
email: [EMAIL PROTECTED]
visit Julie's website: www.transitionintoparenthood.com.au


-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Mike  Lindsay
Kennedy
Sent: Monday, 3 April 2006 6:15 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] managed versus physiological 3rd stage, was:
after birth pains

Just a couple of thoughts.

1 Despite a 30min limit they cannot give you treatment without your
consent. So as long as you arn't bleeding out you can take longer to
deliver your placenta. Logic dictates you arn't going to refuse
treatment if this becomes essential and you can always change to
active managment if this really become necessary.

2  Early breastfeeding is good for you and for your baby and will
probably help deliver your placenta sooner.


On 4/3/06, Mary Murphy [EMAIL PROTECTED] wrote:



 Physiological 3rd stage is usual in homebirths and I observe that pain is
 often when the placenta is separated and sitting in the cervix.  The
uterus
 is signaling, get it out. It is a sign for the woman to make efforts to
 expel it. This may be squat over a bucket, sit on the toilet or simply
bear
 down.  The pain goes when the placenta is expelled.  Afterbirth pains then
 take