[ozmidwifery] 24th HBA Conference Poster Presentations

[jo]

Hi
ozmidders,



Just
to let you know that the early bird rate for the Homebirth Conference finishes
on May 31st. We are only able to fit 200 in the Conference Centre
and spaces are filling up rapidly. If you are coming and have not yet
registered, it would be wise to do so quickly.



Below
is a call for abstracts for your interest



Jo
Hunter

HBA
National Convenor





Call for Abstracts : 













Poster Presentations
24th Homebirth Australia
Conference 

















Background:





Homebirth Australia
is holding the 24th HBA national conferenceJuly 1-2, 2006in Geelong,
Victoria.
The conference is titled Bringing birth back Home.
Central to the theme is that care





from a known midwife is a safe model of care and represents
the gold standard for care given 





to women through pregnancy,birth and postnatally. Many women
in regional and rural areas of Australia
are unable to access this model of care. International and Australian
speakers will share their ideas and plans to enable birth to be reclaimed by
women and bought home into their communities to improve the
outcomes for
Australian women and their families.

Submissions of
abstracts are warmly welcomed by conference
delegates of current research or midwifery projects to be displayed at the 24th
Homebirth Australia
conference.Thecriteria for submissions is as follows:











1) Abstracts of no more than 200 words are to be sent to the24th
Homebirth Australia Conference poster presentation selection committee by email
or hard copy outlining the name of the project, institution, authors and
content of poster presentationby COB May 31 2006.
Please include your name, address, phone and email details.











2) Priority will be given to current projects relevant to
the conference theme of bringing birth back home to local communities
for indigenous and non-indigenous women across remote and ruralAustralia.Relevant
research projects that identify or aim to improve access tohomebirth,
one-to-one midwifery care or relevant maternity issues will also be considered.






3) Priority will be given to researcherswho are alsoregistered as a
delegate at the conference.











All submissions will be considered and we aim to include as
many as possible.All applicants will be notified of the outcome of
theirsubmissionsby June 7, 2006. Please note the criteria for the
size of thefinal poster presentation is strictlyno bigger than
50 cms width x 75 cm length (poster size).











The poster presentations will provide an opportunity for
information exchange, exposurefor theresearcher/project and
generates the theme of 'continuation' and 'reclamation'.There will bean
opportunity for successful applicants tospeak withother delegates
about their poster presentationduring all meal breaks. In additiona
prize will be given for the best poster presentation as determined by
conference delegates.

Submission of abstracts are as follows
please:











1) Email: [EMAIL PROTECTED]with
'Submission of poster abstract for 24th HBA Conference' written in the subject
heading of the email please.











or






2)Mail postmarked
on or before May 31 2006 to the following address: 





24th Homebirth Australia
Conference poster presentation selection committee





c/- Penny Lalor,





16 Lawton Avenue





Geelong West VIC 3218



For more
information please contact Penny Lalor: (03) 52218375 or [EMAIL PROTECTED]

Information
about conference registration can be found at
http://www.homebirthaustralia.org/conference.html














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RE: [ozmidwifery] Birth Sexual Assault

[Kelly @ BellyBelly]

Okay, this woman I have been talking of is now ready to de-brief her birth,
I will be seeing her tomorrow and she wants to know why it went the way it
did (it has been troubling her). I can explain the complexities of a
posterior presentation, but I was wondering, into what detail would you go
into about the sexual assault and the blocking she experienced? She did not
like the sensation of the baby coming down at all. Do I explain how this can
affect things, and that it might be an idea to do some healing / groups
which can help her work through her trauma to better prepare her next time?
Or is it inappropriate?

Best Regards,

Kelly Zantey
Creator, BellyBelly.com.au 
Gentle Solutions From Conception to Parenthood
BellyBelly Birth Support - http://www.bellybelly.com.au/birth-support


-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Janet Fraser
Sent: Thursday, 13 April 2006 11:32 AM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] Birth  Sexual Assault

Yes yes yes! To what Abby said! My first experience of rape was from an
obstetrician and I'm so not alone with that.
J
- Original Message - 
From: [EMAIL PROTECTED]
To: ozmidwifery@acegraphics.com.au
Sent: Wednesday, April 12, 2006 12:18 AM
Subject: Re: [ozmidwifery] Birth  Sexual Assault


 Hi Kelly,

 You can contact Natalie Dash [EMAIL PROTECTED]

 Nat has supported quite a few women with an abusive history.

 I'm not sure if anyone has mentioned this, but it is important to
recognise that some women experience sexual abuse for the first time while
birthing. ie. an ob or midwife demands to do a VE while the woman is
adimantly opposed or an episiotomy is performed while a woman and her
partner are saying NO! or, as in with my first birth, being held down by a
midwife and ob while he shoved his hand inside me and made rude remarks how
I was not cooperating!

 More and more sexual assault is happening in birthing units and it needs t
be addressed. 'NO MEANS NO' no matter what your proffession. Just because
it's in a hospital or because it's an OB, doesn't mean it's okay.

 I would like to read more about this but am heading away for a week. I'll
look forward to catching up with others advice when I get back.
 Love Abby



  Kelly @ BellyBelly [EMAIL PROTECTED] wrote:
 
  Just wondering if anyone has any tips on working with women who have
  been
  involved with sexual assault? Loaded birth - she also lost her mother
  recently - so trying to get lots of tips and suggestions. she's feeling
  fearful of interventions and is due soon. The hospital recommended she
  get
  extra support so she contacted me.
 
  Best Regards,
 
  Kelly Zantey
  Creator,  http://www.bellybelly.com.au/ BellyBelly.com.au
  Gentle Solutions From Conception to Parenthood
   http://www.bellybelly.com.au/birth-support
  http://www.bellybelly.com.au/birth-support BellyBelly Birth Support -
  http://www.bellybelly.com.au/birth-support
 
 
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RE: [ozmidwifery] VBAC in Qld?

[Nicole Carver]

That's 
a great term! Thanks,
Nicole.

  -Original Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED]On Behalf Of Isis 
  CapleSent: Wednesday, May 17, 2006 2:25 PMTo: 
  ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] VBAC in 
  Qld?
  
  Empowered Birth After 
  Caesarean J
  
  
  
  
  
  From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED] On Behalf Of dianeSent: Wednesday, 17 May 2006 2:20 
  PMTo: 
  ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] VBAC in 
  Qld?
  
  
  Im glad you asked Nicole, thay way 
  more of us will know!! : )
  
  Di
  

- Original Message - 


From: Nicole 
Carver 

To: ozmidwifery@acegraphics.com.au 


Sent: 
Wednesday, May 17, 2006 1:55 PM

Subject: RE: 
[ozmidwifery] VBAC in Qld?



Forgive my 
ignorance, but what is an EBAC?

Thanks,Nicole.
-Original 
  Message-From: [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED]On Behalf Of Philippa 
  ScottSent: Wednesday, 
  May 17, 2006 12:57 PMTo: 
  ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] VBAC in 
  Qld?
  Hi,
  
  I am in 
  Townsville where we (Birth Buddies) have had a few clients have VBACS and 
  EBACs. The Townsville Hospital (public) is the best bet up 
  here. I have had a VBAC there to and am always pleased to help those 
  planning VBACs. I can be contacted if you like on 47734075 or 0407648349. 
  
  
  Cheers
  
  
  Philippa 
  ScottBirth Buddies - DoulaAssisting women and their families in 
  the preparation towards childbirth and labour.President of Friends of 
  the Birth Centre Townsville
  
  
  
  
  
  From: 
  owner-ozmidwifery@acegraphics.com.au 
  [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Lynne StaffSent: Wednesday, 17 May 2006 8:57 
  AMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] VBAC in 
  Qld?
  
  
  Hi Penny - she would be very 
  welcome at Selangor, but Nambour is a little far from Cairns! Regards, 
  
  
  Lynne
  

- Original Message - 


From: penny burrows 


To: ozmidwifery@acegraphics.com.au 


Sent: 
Tuesday, May 16, 2006 8:54 PM

Subject: 
[ozmidwifery] VBAC in Qld?




Hi 
everyone

I have some childbirth 
education clients that are planning a move to Qld - somewhere between 
Airlie Beach and Cairns. The mum had a previous 
caesarean as her baby was breech (arghhh!!) and she really wants to land 
somewhere where she will be supportend to birth vaginally this time. She 
is 27 weeks pregnant and planning to move next week so we are in a rush 
to find a destination!!



Anyone have any clues as to 
supportive obstetricians, doctors, midwives up that way? She doesn't 
want to birth at home so is looking for support in a hospital/ birth 
centreenvironment.



Thanks in anticipation, 


Penny 
Burrows

  
  - Original Message 
  - 
  
  From: 
  Mary Murphy 
  
  
  To: 
  ozmidwifery@acegraphics.com.au 
  
  
  Sent: 
  Tuesday, May 16, 2006 8:34 PM
  
  Subject: 
  [ozmidwifery] Stop me!. 
  
  
  Now Im on the thread I 
  cant seem to stop. MM
  
  Update of: 
  
Cochrane 
Database Syst Rev. 2000;(2):CD001056. 

  Periconceptional 
  supplementation with folate and/or multivitamins for preventing neural 
  tube defects.Lumley J, Watson L, Watson M, Bower C.Centre for 
  the Study of Mothers' and Children's Health, La Trobe University, 251 
  Faraday St, Carlton, Vic, Australia, 3053. 
  [EMAIL PROTECTED]BACKGROUND: Neural tube defects arise 
  during the development of the brain and spinal cord. OBJECTIVES: The 
  objective of this review was to assess the effects of increased 
  consumption of folate or multivitamins on the prevalence of neural 
  tube defects periconceptionally (that is before pregnancy and in the 
  first two months of pregnancy). SEARCH STRATEGY: We searched the 
  Cochrane Pregnancy and Childbirth Group trials register. Date of last 
  search: April 2001. SELECTION CRITERIA: Randomised and 
  quasi-randomised trials comparing periconceptional supplementation by 
  multivitamins with placebo, folate with 

RE: [ozmidwifery] perineal massage

[Ken Ward]

Nice 
slow stretching as the head descends. Good nutrition

  -Original Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED]On Behalf Of Päivi 
  LaukkanenSent: Wednesday, 17 May 2006 7:37 AMTo: 
  ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] perineal 
  massage
  Hi everyone,
  
  In my store we sell an organic oil by Weleda for 
  perineal massage. ( almond oil, wheat germ oil, natural essential oils.) 
  Many women seem to think, that if they simply apply this oil, it will prevent 
  tears. I am planning to add some info on perineal massage on our website and 
  also prepare a handout to give with the oil. I would appreciate any good links 
  on this subject and answers to these questions:
  
  What do you consider the main factors, when 
  preventing tears and episiotomies? (other than perineal massage)
  
  Where can I find research on this subject or 
  effectiveness of perineal massage?
  
  Päivi

RE: [ozmidwifery] VBAC in Qld?- Answer for Nicole

[Gail McKenzie]

Hi, Nicole,

VBAC stands for Vaginal Birth After Caesarian.  Not many hospitals will 
accommodate a woman wanting to give birth vaginally after a caesarian, 
quoting it too dangerous and that it could lead to uterine rupture, but the 
research literature supports VBAC and found it to be no more dangerous than 
normal birth.  Go to any of the childbirth websites to find out more. Hope 
this helps.


Gail



From: Nicole Carver [EMAIL PROTECTED]
Reply-To: ozmidwifery@acegraphics.com.au
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] VBAC in Qld?
Date: Wed, 17 May 2006 13:55:36 +1000

Forgive my ignorance, but what is an EBAC?
Thanks,
Nicole.
  -Original Message-
  From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Philippa Scott
  Sent: Wednesday, May 17, 2006 12:57 PM
  To: ozmidwifery@acegraphics.com.au
  Subject: RE: [ozmidwifery] VBAC in Qld?


  Hi,



  I am in Townsville where we (Birth Buddies) have had a few clients have
VBAC'S and EBAC's. The Townsville Hospital (public) is the best bet up 
here.
I have had a VBAC there to and am always pleased to help those planning 
VBAC

's. I can be contacted if you like on 47734075 or 0407648349.



  Cheers



  Philippa Scott
  Birth Buddies - Doula
  Assisting women and their families in the preparation towards childbirth
and labour.
  President of Friends of the Birth Centre Townsville





--

  From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Lynne Staff
  Sent: Wednesday, 17 May 2006 8:57 AM
  To: ozmidwifery@acegraphics.com.au
  Subject: Re: [ozmidwifery] VBAC in Qld?



  Hi Penny - she would be very welcome at Selangor, but Nambour is a 
little

far from Cairns! Regards,

  Lynne

- Original Message -

From: penny burrows

To: ozmidwifery@acegraphics.com.au

Sent: Tuesday, May 16, 2006 8:54 PM

Subject: [ozmidwifery] VBAC in Qld?



Hi everyone

I have some childbirth education clients that are planning a move to
Qld - somewhere between Airlie Beach and Cairns. The mum had a previous
caesarean as her baby was breech (arghhh!!) and she really wants to land
somewhere where she will be supportend to birth vaginally this time. She is
27 weeks pregnant and planning to move next week so we are in a rush to 
find

a destination!!



Anyone have any clues as to supportive obstetricians, doctors, 
midwives

up that way? She doesn't want to birth at home so is looking for support in
a hospital/ birth centre environment.



Thanks in anticipation,

Penny Burrows

  - Original Message -

  From: Mary Murphy

  To: ozmidwifery@acegraphics.com.au

  Sent: Tuesday, May 16, 2006 8:34 PM

  Subject: [ozmidwifery] Stop me!.



  Now I'm on the thread I cant seem to stop. MM



  Update of:

a.. Cochrane Database Syst Rev. 2000;(2):CD001056.

  Periconceptional supplementation with folate and/or multivitamins 
for

preventing neural tube defects.

  Lumley J, Watson L, Watson M, Bower C.

  Centre for the Study of Mothers' and Children's Health, La Trobe
University, 251 Faraday St, Carlton, Vic, Australia, 3053.
[EMAIL PROTECTED]

  BACKGROUND: Neural tube defects arise during the development of the
brain and spinal cord. OBJECTIVES: The objective of this review was to
assess the effects of increased consumption of folate or multivitamins on
the prevalence of neural tube defects periconceptionally (that is before
pregnancy and in the first two months of pregnancy). SEARCH STRATEGY: We
searched the Cochrane Pregnancy and Childbirth Group trials register. Date
of last search: April 2001. SELECTION CRITERIA: Randomised and
quasi-randomised trials comparing periconceptional supplementation by
multivitamins with placebo, folate with placebo, or multivitamins with
folate; different dosages of multivitamins or folate; prepregnancy dietary
advice and counselling in primary care settings to increase the consumption
of folate-rich foods, or folate-fortified foods, with standard care;
increased intensity of information provision with standard public health
dissemination. DATA COLLECTION AND ANALYSIS: Two reviewers assessed trial
quality and extracted data. MAIN RESULTS: Four trials of supplementation
involving 6425 women were included. The trials all addressed the question 
of

supplementation and they were of variable quality. Periconceptional folate
supplementation reduced the incidence of neural tube defects (relative risk
0.28, 95% confidence interval 0.13 to 0.58). Folate supplementation did not
significantly increase miscarriage, ectopic pregnancy or stillbirth,
although there was a possible increase in multiple gestation. Multivitamins
alone were not associated with prevention of neural tube defects and did 
not

produce additional preventive effects when given with folate. One
dissemination trial, a community randomised trial, was identified 

RE: [ozmidwifery] VBAC in Qld?- Answer for Nicole

[Emily]

i think she was asking about EBAC - empowered birth after caesarean  ie vaginal or caesarean but with the woman empowered to choose and direct and plan the experience in order to suit her Gail McKenzie [EMAIL PROTECTED] wrote:  Hi, Nicole,VBAC stands for Vaginal Birth After Caesarian. Not many hospitals will accommodate a woman wanting to give birth vaginally after a caesarian, quoting it too dangerous and that it could lead to uterine rupture, but the research literature supports VBAC and found it to be no more dangerous than normal birth. Go to any of the childbirth websites to find out more. Hope this helps.GailFrom: "Nicole Carver" <[EMAIL PROTECTED]>Reply-To: ozmidwifery@acegraphics.com.auTo:
 Subject: RE: [ozmidwifery] VBAC in Qld?Date: Wed, 17 May 2006 13:55:36 +1000Forgive my ignorance, but what is an EBAC?Thanks,Nicole. -Original Message- From: [EMAIL PROTECTED][mailto:[EMAIL PROTECTED] Behalf Of Philippa Scott Sent: Wednesday, May 17, 2006 12:57 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] VBAC in Qld? Hi, I am in Townsville where we (Birth Buddies) have had a few clients haveVBAC'S and EBAC's. The Townsville Hospital (public) is the best bet up here.I have had a VBAC there to and am always pleased to help those planning VBAC's. I can be contacted if you like on 47734075 or 0407648349. Cheers Philippa
 Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirthand labour. President of Friends of the Birth Centre Townsville-- From: [EMAIL PROTECTED][mailto:[EMAIL PROTECTED] On Behalf Of Lynne Staff Sent: Wednesday, 17 May 2006 8:57 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] VBAC in Qld? Hi Penny - she would be very welcome at Selangor, but Nambour is a littlefar from Cairns! Regards, Lynne - Original Message - From: penny burrows To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 16, 2006 8:54 PM Subject: [ozmidwifery]
 VBAC in Qld? Hi everyone I have some childbirth education clients that are planning a move toQld - somewhere between Airlie Beach and Cairns. The mum had a previouscaesarean as her baby was breech (arghhh!!) and she really wants to landsomewhere where she will be supportend to birth vaginally this time. She is27 weeks pregnant and planning to move next week so we are in a rush to finda destination!! Anyone have any clues as to supportive obstetricians, doctors, midwivesup that way? She doesn't want to birth at home so is looking for support ina hospital/ birth centre environment. Thanks in anticipation, Penny Burrows - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Tuesday,
 May 16, 2006 8:34 PM Subject: [ozmidwifery] Stop me!. Now I'm on the thread I cant seem to stop. MM Update of: a.. Cochrane Database Syst Rev. 2000;(2):CD001056. Periconceptional supplementation with folate and/or multivitamins forpreventing neural tube defects. Lumley J, Watson L, Watson M, Bower C. Centre for the Study of Mothers' and Children's Health, La TrobeUniversity, 251 Faraday St, Carlton, Vic, Australia, 3053.[EMAIL PROTECTED] BACKGROUND: Neural tube defects arise during the development of thebrain and spinal cord. OBJECTIVES: The objective of this review was toassess the effects of increased consumption of folate or multivitamins onthe prevalence of neural tube defects periconceptionally (that is beforepregnancy and in the first two
 months of pregnancy). SEARCH STRATEGY: Wesearched the Cochrane Pregnancy and Childbirth Group trials register. Dateof last search: April 2001. SELECTION CRITERIA: Randomised andquasi-randomised trials comparing periconceptional supplementation bymultivitamins with placebo, folate with placebo, or multivitamins withfolate; different dosages of multivitamins or folate; prepregnancy dietaryadvice and counselling in primary care settings to increase the consumptionof folate-rich foods, or folate-fortified foods, with standard care;increased intensity of information provision with standard public healthdissemination. DATA COLLECTION AND ANALYSIS: Two reviewers assessed trialquality and extracted data. MAIN RESULTS: Four trials of supplementationinvolving 6425 women were included. The trials all addressed the question ofsupplementation and they were of variable quality.
 Periconceptional folatesupplementation reduced the incidence of neural tube defects (relative risk0.28, 95% confidence interval 0.13 to 0.58). Folate supplementation did notsignificantly increase miscarriage, ectopic pregnancy or stillbirth,although there was a possible increase in multiple gestation. Multivitaminsalone were not associated with prevention of neural tube defects and did notproduce additional preventive effects when given with folate. Onedissemination trial, a community randomised trial, was identified involvingsix communities, matched in pairs, 

RE: [ozmidwifery] perineal massage

[Vedrana Valčić]

No fundal pressure, no lithotomy position,
no rushing.











From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Ken Ward
Sent: Wednesday, May 17, 2006
10:30 AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery]
perineal massage







Nice slow stretching as the head descends.
Good nutrition





-Original Message-
From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]On Behalf Of Päivi Laukkanen
Sent: Wednesday, 17 May 2006 7:37
AM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] perineal
massage



Hi everyone,











In my store we sell an organic oil by Weleda for perineal
massage. ( almond oil, wheat germ oil, natural essential oils.) Many
women seem to think, that if they simply apply this oil, it will prevent tears.
I am planning to add some info on perineal massage on our website and also
prepare a handout to give with the oil. I would appreciate any good links on
this subject and answers to these questions:











What do you consider the main factors, when preventing tears
and episiotomies? (other than perineal massage)











Where can I find research on this subject or effectiveness
of perineal massage?











Päivi

RE: [ozmidwifery] perineal massage

[jo]

As she feels the burning sensation on the
peri encourage her to stop pushing and pant ha ha ha haor blow to
allow the uterus to expel the baby without added her own force to it - usually
saying stop pushing isnt enough and can be confusing - so
to start panting or blowing yourself will give her the cue to follow.



jo











From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Ken Ward
Sent: Wednesday, 17 May 2006 6:30
PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery]
perineal massage







Nice slow stretching as the head descends.
Good nutrition





-Original Message-
From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]On Behalf Of Päivi Laukkanen
Sent: Wednesday, 17 May 2006 7:37
AM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] perineal
massage



Hi everyone,











In my store we sell an organic oil by Weleda for perineal
massage. ( almond oil, wheat germ oil, natural essential oils.) Many
women seem to think, that if they simply apply this oil, it will prevent tears.
I am planning to add some info on perineal massage on our website and also
prepare a handout to give with the oil. I would appreciate any good links on
this subject and answers to these questions:











What do you consider the main factors, when preventing tears
and episiotomies? (other than perineal massage)











Where can I find research on this subject or effectiveness
of perineal massage?











Päivi

[ozmidwifery] VBAC

[Mary Murphy]

Hi everyone, collective knowledge sought! Does anyone have
any information that would enlighten a woman who has had 2 vaginal births, then
twins by C/S and now wants a VBAC. Is she at increased risk because of the twin
C/S? Thanks, MM

RE: [ozmidwifery] VBAC

[Dean Jo]

Title: Message



VBAC success rate for someone who had birthed by cs for 
previous twin birth 79%



Effect of prior vaginal delivery or prior vaginal 
birth after caesarean delivery on obstetric outcomes in women undergoing trial 
of labor.
Obstet 
Gynecol. 2004 Aug;104(2):273-7
Hendler 
I, Bujold E.
OBJECTIVE: We 
sought to study the effects of prior vaginal delivery or prior vaginal birth 
after cesarean delivery (VBAC) on the success of a trial of labor after a 
cesarean delivery. METHODS: An observational study of patients who underwent a 
trial of labor after a single low-transverse cesarean delivery. Patients with a 
previous cesarean delivery and no vaginal birth were compared with patients with 
a single vaginal delivery before or after the previous cesarean delivery. The 
rates of successful VBAC, uterine rupture, and scar dehiscence were analyzed. 
Multivariable regression was performed to adjust for confounding variables. 
RESULTS: Of 2,204 patients, 1,685 (76.4%) had a previous cesarean delivery and 
no vaginal delivery, 198 (9.0%) had a vaginal delivery before the cesarean 
delivery, and 321 (14.6%) had a prior VBAC. The rate of successful trial of 
labor was 70.1%, 81.8%, and 93.1%, respectively (P .001). A prior VBAC was 
associated with fewer third- and fourth-degree lacerations (8.5% versus 2.5% 
versus 3.7%, P .001) and fewer operative vaginal deliveries (14.7% versus 
5.6% versus 1.9%, P .001) but not with uterine rupture (1.5% versus 0.5% 
versus 0.3%, P =.12). Patients with a prior VBAC had, in addition, a higher rate 
of uterine scar dehiscence (21.8%) compared with patients with a previous 
cesarean delivery and no vaginal delivery (5.3%; P =.001). CONCLUSION: A prior 
vaginal delivery and, particularly, a prior VBAC are associated with a higher 
rate of successful trial of labor compared with patients with no prior vaginal 
delivery. In addition, prior VBAC is associated with an increased rate of 
uterine scar dehiscence.

the emphasis on that last sentence 
is dehiscence...not rupture.

there are a few more studies that 
show women with a previous vagianl birth then a cs are more likely to havea 
successful vbac. Why would a twin cs be different to a 
singleton???

  
  -Original Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED] On Behalf Of Mary 
  MurphySent: Wednesday, May 17, 2006 7:21 PMTo: 
  ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] 
  VBAC
  
  Hi everyone, collective knowledge 
  sought! Does anyone have any information that would enlighten a woman 
  who has had 2 vaginal births, then twins by C/S and now wants a VBAC. Is 
  she at increased risk because of the twin C/S? Thanks, 
  MM
  --No virus found in this incoming message.Checked by 
  AVG Free Edition.Version: 7.1.385 / Virus Database: 268.5.6/337 - Release 
  Date: 5/11/2006


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Re: [ozmidwifery] VBAC

[Lynne Staff]

Absolutely not Mary. The things that increase risk 
are usually complications that occur as a result of CS, such as intrauterine 
infections following CS, haematoma formation in the uterine incision, extension 
of the uterine incision at CS,and not the fact that she has had a CS for a 
twin pregnancy. She is no more likely to have a CS than anyother 
multigravida. I wish her all the best for a wonderful birth.
Regards, Lynne

  - Original Message - 
  From: 
  Mary 
  Murphy 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Wednesday, May 17, 2006 7:51 
  PM
  Subject: [ozmidwifery] VBAC
  
  
  Hi everyone, collective knowledge 
  sought! Does anyone have any information that would enlighten a woman 
  who has had 2 vaginal births, then twins by C/S and now wants a VBAC. Is 
  she at increased risk because of the twin C/S? Thanks, 
  MM

RE: [ozmidwifery] perineal massage

[Vedrana Valčić]

As for research, I dont know if
this is still relevant:



http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrievedb=PubMedlist_uids=10076134dopt=Abstract



Am J
Obstet Gynecol. 1999 Mar;180(3 Pt 1):593-600. Related Articles, Links  



 

Randomized
controlled trial of prevention of perineal trauma by perineal massage during
pregnancy.



Labrecque
M, Eason E, Marcoux S, Lemieux F, Pinault JJ, Feldman P, Laperriere L.



Department
of Family Medicine, Laval University, Quebec City, Canada.



OBJECTIVE:
The aim of the study was to evaluate the effectiveness of perineal massage
during pregnancy for the prevention of perineal trauma at birth.Study Design:
Pregnant women with (n = 493) and without (n = 1034) a previous vaginal birth
from 5 hospitals in the province of Quebec, Canada, participated in this
single-blind, randomized, controlled trial. All participants received oral and
written information on the prevention of perineal trauma. Women in the
experimental groups were requested to perform a 10-minute perineal massage
daily from the 34th or 35th week of pregnancy until delivery. RESULTS: Among
participants without a previous vaginal birth, 24.3% (100/411) from the
perineal massage group and 15.1% (63/417) from the control group were delivered
vaginally with an intact perineum, for a 9.2% absolute difference (95%
confidence interval 3.8%-14.6%). The incidence of delivery with an intact
perineum increased with compliance with regular practice of perineal massage
(chi2 for trend 13.2, P = 0.0003). Among women with a previous vaginal birth,
34.9% (82/235) and 32.4% (78/241) in the massage and control groups,
respectively, were delivered with an intact perineum, for an absolute
difference of 2.5% (95% confidence interval -6.0% to 11.0%). There were no
differences between the groups in the frequency of sutured vulvar and vaginal
tears, women's sense of control, and satisfaction with the delivery experience.
CONCLUSION: Perineal massage is an effective approach to increasing the chance
of delivery with an intact perineum for women with a first vaginal delivery but
not for women with a previous vaginal birth.



Publication
Types: 

Clinical
Trial 

Multicenter
Study 

Randomized
Controlled Trial 



PMID:
10076134 [PubMed - indexed for MEDLINE]











From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of jo
Sent: Wednesday, May 17, 2006
11:48 AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery]
perineal massage





As she feels the burning sensation on the
peri encourage her to stop pushing and pant ha ha ha haor blow to
allow the uterus to expel the baby without added her own force to it - usually
saying stop pushing isnt enough and can be confusing - so
to start panting or blowing yourself will give her the cue to follow.



jo











From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Ken Ward
Sent: Wednesday, 17 May 2006 6:30
PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery]
perineal massage







Nice slow stretching as the head descends.
Good nutrition





-Original Message-
From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]On Behalf Of Päivi Laukkanen
Sent: Wednesday, 17 May 2006 7:37
AM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] perineal
massage



Hi everyone,











In my store we sell an organic oil by Weleda for perineal
massage. ( almond oil, wheat germ oil, natural essential oils.) Many
women seem to think, that if they simply apply this oil, it will prevent tears.
I am planning to add some info on perineal massage on our website and also
prepare a handout to give with the oil. I would appreciate any good links on
this subject and answers to these questions:











What do you consider the main factors, when preventing tears
and episiotomies? (other than perineal massage)











Where can I find research on this subject or effectiveness
of perineal massage?











Päivi

RE: [ozmidwifery] perineal massage

[Vedrana Valčić]

Then there are these:



http://www.update-software.com/Abstracts/AB005123.htm



http://www.pubmedcentral.gov/articlerender.fcgi?artid=1121301



http://www.childbirth.org/articles/massageref.html



http://www.intermid.co.uk/cgi-bin/go.pl/library/contents.html?uid=870journal_uid=12



Antenatal perineal massage: Part 1 (64kb) 

Clare Gomme , Mary Sheridan , Susan Bewley


British Journal of Midwifery, Vol. 11,
Iss. 12, 04 Dec 2003, pp 707 - 711 

Randomized controlled trials have provided
evidence that antenatal perineal massage is effective in reducing perineal
trauma. The provision of information on antenatal perineal massage was
introduced as a new service for women and a series of training sessions were
held to teach perineal massage to midwives working in antenatal clinics. This
article includes a literature review on perineal massage and an evaluation of
the massage training. Midwives views on perineal massage and the
training they received were obtained through questionnaires and focus group
discussions. The response to perineal massage was varied, with some midwives
actively promoting the service while others had no interest in the project and
did not give information on antenatal perineal massage 

to their women. Although just under half
of all eligible women received information on perineal massage, an audit of
perineal trauma rates found a 6% reduction in perineal trauma since the
introduction of the new service.



You can try Google and type in: perineal
massage trauma.











From: Vedrana Valčić 
Sent: Wednesday, May 17, 2006 3:13
PM
To: 'ozmidwifery@acegraphics.com.au'
Subject: RE: [ozmidwifery]
perineal massage





As for research, I dont know if
this is still relevant:



http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrievedb=PubMedlist_uids=10076134dopt=Abstract



Am J
Obstet Gynecol. 1999 Mar;180(3 Pt 1):593-600. Related Articles, Links 





Randomized
controlled trial of prevention of perineal trauma by perineal massage during
pregnancy.



Labrecque
M, Eason E, Marcoux S, Lemieux F, Pinault JJ, Feldman P, Laperriere L.



Department
of Family Medicine, Laval University, Quebec City, Canada.



OBJECTIVE:
The aim of the study was to evaluate the effectiveness of perineal massage
during pregnancy for the prevention of perineal trauma at birth.Study Design:
Pregnant women with (n = 493) and without (n = 1034) a previous vaginal birth
from 5 hospitals in the province of Quebec, Canada, participated in this
single-blind, randomized, controlled trial. All participants received oral and
written information on the prevention of perineal trauma. Women in the
experimental groups were requested to perform a 10-minute perineal massage
daily from the 34th or 35th week of pregnancy until delivery. RESULTS: Among
participants without a previous vaginal birth, 24.3% (100/411) from the
perineal massage group and 15.1% (63/417) from the control group were delivered
vaginally with an intact perineum, for a 9.2% absolute difference (95%
confidence interval 3.8%-14.6%). The incidence of delivery with an intact
perineum increased with compliance with regular practice of perineal massage
(chi2 for trend 13.2, P = 0.0003). Among women with a previous vaginal birth,
34.9% (82/235) and 32.4% (78/241) in the massage and control groups,
respectively, were delivered with an intact perineum, for an absolute
difference of 2.5% (95% confidence interval -6.0% to 11.0%). There were no
differences between the groups in the frequency of sutured vulvar and vaginal
tears, women's sense of control, and satisfaction with the delivery experience.
CONCLUSION: Perineal massage is an effective approach to increasing the chance
of delivery with an intact perineum for women with a first vaginal delivery but
not for women with a previous vaginal birth.



Publication
Types: 

Clinical
Trial 

Multicenter
Study 

Randomized
Controlled Trial 



PMID:
10076134 [PubMed - indexed for MEDLINE]











From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of jo
Sent: Wednesday, May 17, 2006
11:48 AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery]
perineal massage





As she feels the burning sensation on the
peri encourage her to stop pushing and pant ha ha ha haor blow to
allow the uterus to expel the baby without added her own force to it - usually
saying stop pushing isnt enough and can be confusing - so
to start panting or blowing yourself will give her the cue to follow.



jo











From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Ken Ward
Sent: Wednesday, 17 May 2006 6:30
PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery]
perineal massage







Nice slow stretching as the head descends.
Good nutrition





-Original Message-
From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]On Behalf Of Päivi Laukkanen
Sent: Wednesday, 17 May 

Re: [ozmidwifery] Birth Sexual Assault

[Diane Gardner]

This is exactly the reason why I became involved in HypnoBirthing and now 
the Australian calmbirth program. We teach women to stand their ground and 
also their partners to take charge too, supporting their partner. If the 
partners are really taking charge they WILL intervene because now they know 
they can. Ask questions and threaten if they lay a hand on you when you HAVE 
said no you will take legal action. The hospital authorities play the game 
so play the game back. It's sad to do that but that is what we are now 
facing in todays society.  The OB's are sneaky, they start to talk about 
risks to a baby's life and what parent to be wouldn't fold.


In the first class I tell the dad's that they are like the gorilla in the 
wild. A gorilla in the wild will run a perimeter around its mate giving 
birth because he knows they are so vulnerable and ANYTHING that comes within 
that perimeter will be killed ( no we don't tell them that includes midwives 
ha ha ha) It IS their baby too and they have rights as well.


BUT couples are still choosing to have their babies in hospitals with OB's 
and many smart ones are not ( I am having more and more in my classes having 
homebirths which is so wonderful), so the only thing you can do is to 
educate them about their rights and educate women about getting back in 
touch with their birthing instincts. It is still there, they have just 
forgotten. I have had MANY who stand up for those rights, no vag exams, 
waiting another hour, ignoring the purple pushing commands, delaying or 
cancelling inductions etc. Put them back in charge of their own birthing.


Sorry I am on my soapbox but I have had a gutful of all the inductions, 
caesarians and impatient interventions and what is worse women are handing 
over their bodies to people they think know more about their bodies than 
they do. I'm not stupid though, I know we can have special circumstances but 
gee they are a lot rarer than what is happening now.


Kelly, be careful about what you say in the de-brief. This HAS happened to 
this woman and it is far more important to listen to her and let her vent 
than giving her too much information. You don't want to create the hate for 
staff and Ob's because that's the road she chose, maybe she will choose 
differently next time because she DOES have choice. Give her more of an 
understanding of why some births happens the way they do and that can be 
simply explained and that maybe next time she will choose different options.


Unless you are a qualified therapist be very careful of not only what you 
say but how you handle it. She will be very raw and vulnerable and will take 
in everything you say. It would be far more beneficial to her to praise her 
for the good efforts she put in and build positive resources for her, 
otherwise you are leaving her with fearful memories of a bad birth 
experience instead of focusing on some positive aspects and this could 
affect any subsequent births. I have heard 60 year old women still trying to 
debrief their birth because they thought they had no resources.


Hope this helps and be strong tomorrow.
Birthing with calm
Diane Gardner
www.dianegardner.com.au



- Original Message - 
From: Kelly @ BellyBelly [EMAIL PROTECTED]

To: ozmidwifery@acegraphics.com.au
Sent: Wednesday, May 17, 2006 4:59 PM
Subject: RE: [ozmidwifery] Birth  Sexual Assault


Okay, this woman I have been talking of is now ready to de-brief her 
birth,

I will be seeing her tomorrow and she wants to know why it went the way it
did (it has been troubling her). I can explain the complexities of a
posterior presentation, but I was wondering, into what detail would you go
into about the sexual assault and the blocking she experienced? She did 
not
like the sensation of the baby coming down at all. Do I explain how this 
can

affect things, and that it might be an idea to do some healing / groups
which can help her work through her trauma to better prepare her next 
time?

Or is it inappropriate?

Best Regards,

Kelly Zantey



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This mailing list is sponsored by ACE Graphics.
Visit http://www.acegraphics.com.au to subscribe or unsubscribe.

Re: [ozmidwifery] Birth Sexual Assault

[Heartlogic]

Hello Kelly,

Diane said 

Kelly, be careful about what you say in the de-brief. ...  it is far more 
important to listen to her and let her vent
than giving her too much information. She will be very raw and vulnerable 
and will take in everything you say...


agree wholeheartedly with that.

Kindness, love and listening. Let her talk and cry if she needs to, ask open 
questions about how she feels and what she thinks...  meaning making is 
important after any event and particularly the birth of her precious, 
beautiful baby.


Being able to listen to the difficult parts with love and openness are 
critical, inviting her to talk about her feelings  how is that for you... 
how do you feel about that...


and being able to be with her through her pain without having to 'fix' it... 
it is important to know that she has the internal power and strength to find 
meaning and resolution


the biggest thing is being able to express what has happened in an open, 
trusting, trustworthy space and being heard... during the reflective process 
it is amazing what insights we come up with for ourselves. Pain expressed in 
the loving presence of someone who lets us do that, means the 
molecules/chemicals of emotion are liberated and are not mapped in our 
neurology as deeply as it would have been had it not been expressed.


It is great she has you to talk to!  What a blessing. So many women nurse 
their hurts to themselves and that hurt becomes woven into the fabric of who 
they are.


warmly, Carolyn Hastie 



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This mailing list is sponsored by ACE Graphics.
Visit http://www.acegraphics.com.au to subscribe or unsubscribe.

Re: [ozmidwifery] perineal massage

[suzi and brett]

Hi Paivi,

I did an extensive literature review and essay for 
uni in 2004 i can attach for you to yourdirect addressif you 
like. 

Breifly after many years of routine episi we were 
from the 90's able to assess the effects of Antenatal Peri massage on intact 
rates.and there have been several studies including a canadian study 
of 1500births. (see ref below). Forfirst vaginal 
birthsit nearly doubles your chances of intact peri - plus the more you do 
it the better it works. But little significant difference for multi vag 
births. However this study also rated womens sence of satisfaction and 
feeling of control which was higher for both groups. Women have a better 
understanding of the birth feelings and anantomy from exploring the sensations 
antenatally. 

This is not to be confused with Peri Masage IN 
LABOUR- which THERE IS NO EVIDENCE TO SUPPORT (Stamp, G., 
Kruzins, G.  Crowther, C. 2001, ‘Perineal 
massage in labour and prevention of perineal trauma: randomised controlled 
trial’, British Medical 
Journal,vol. 
322, no. 7297, pp. 1277-1280.)

let me know if 
you want the whole Lit review.

Suzi


Canadian 
study: 
Labrecque, M., Eason, E.,Marcoux, S., Lemieux, 
F., Pinault, J., Feldman, P.  Laperriere, L. 1999, 
‘Randomized controlled trial of prevention of perineal trauma by perineal 
massage during pregnancy’, American Journal of Obstetrics and 
Gynaecology, [Online], vol. 180, no.3, 
pp. 593-600, Available: Ovid/[EMAIL PROTECTED] 
[11 March 2004].

  - Original Message - 
  From: 
  Päivi Laukkanen 

  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Wednesday, May 17, 2006 7:37 
  AM
  Subject: [ozmidwifery] perineal 
  massage
  
  Hi everyone,
  
  In my store we sell an organic oil by Weleda for 
  perineal massage. ( almond oil, wheat germ oil, natural essential oils.) 
  Many women seem to think, that if they simply apply this oil, it will prevent 
  tears. I am planning to add some info on perineal massage on our website and 
  also prepare a handout to give with the oil. I would appreciate any good links 
  on this subject and answers to these questions:
  
  What do you consider the main factors, when 
  preventing tears and episiotomies? (other than perineal massage)
  
  Where can I find research on this subject or 
  effectiveness of perineal massage?
  
  Päivi

[ozmidwifery] tongue tie snip?

[Janet Fraser]

Hi all,
advice for a woman whose first 
baby had a severe tongue tie that was never diagnosed until way too late by 
which time bf had just not worked for her at all. She's pg again and looking for 
support just in case this one has TT as well but has been told she can't have it 
fixed straight after birth but has to go on a waiting list to get it done. This 
makes her pretty anxious after last time's hellish experience.
She's in western Sydney. Any 
ideas?
Much appreciated!
J
For home birth information go 
to:Joyous Birth Australian home birth network and forums.http://www.joyousbirth.info/Or 
email: [EMAIL PROTECTED]

Re: [ozmidwifery] tongue tie snip?

[Barbara Glare Chris Bright]

Hi,

The Australian Breastfeeding Association stocks a 
very fabulous and informative short video on tongue tie made by the Royal 
Women's Hospital in Melbourne.
http://www.lrc.asn.au/users/sales/category6_2.htm

With a bit of research, she should be able to get 
the help she needs.

Barb

  - Original Message - 
  From: 
  Janet 
  Fraser 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Thursday, May 18, 2006 1:46 
PM
  Subject: [ozmidwifery] tongue tie 
  snip?
  
  Hi all,
  advice for a woman whose 
  first baby had a severe tongue tie that was never diagnosed until way too late 
  by which time bf had just not worked for her at all. She's pg again and 
  looking for support just in case this one has TT as well but has been told she 
  can't have it fixed straight after birth but has to go on a waiting list to 
  get it done. This makes her pretty anxious after last time's hellish 
  experience.
  She's in western Sydney. Any 
  ideas?
  Much 
  appreciated!
  J
  For home birth information 
  go to:Joyous Birth Australian home birth network and forums.http://www.joyousbirth.info/Or 
  email: [EMAIL PROTECTED]

Re: [ozmidwifery] tongue tie snip?

[Natalie Dash]

Hi Janet,
There's a good paediatrician at Windsor who is very respectful  does snips... I can get the number if needed. Also if she would like breastfeeding support she's welcome to contact me(I'm an ABA counsellor), or I can give you numbers for her local ABA group. 400 women per month birth at Nepean, so waiting lists are very long!

Natalie Dash

Innate Birth
4757 2080
On 5/18/06, Janet Fraser [EMAIL PROTECTED] wrote:



Hi all,
advice for a woman whose first baby had a severe tongue tie that was never diagnosed until way too late by which time bf had just not worked for her at all. She's pg again and looking for support just in case this one has TT as well but has been told she can't have it fixed straight after birth but has to go on a waiting list to get it done. This makes her pretty anxious after last time's hellish experience.

She's in western Sydney. Any ideas?
Much appreciated!
J
For home birth information go to:Joyous Birth Australian home birth network and forums.
http://www.joyousbirth.info/Or email: [EMAIL PROTECTED]

Re: [ozmidwifery] tongue tie snip?

[Janet Fraser]

Thanks so much, Natalie and 
Barb! Passing it all on right now!
: )
J

  - Original Message - 
  From: 
  Natalie 
  Dash 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Thursday, May 18, 2006 2:33 
PM
  Subject: Re: [ozmidwifery] tongue tie 
  snip?
  
  Hi Janet,
  There's a good paediatrician at Windsor who is very respectful  does 
  snips... I can get the number if needed. Also if she would like breastfeeding 
  support she's welcome to contact me(I'm an ABA counsellor), or I can 
  give you numbers for her local ABA group. 400 women per month birth at Nepean, 
  so waiting lists are very long! 
  Natalie Dash
  
  Innate Birth
  4757 2080
  On 5/18/06, Janet 
  Fraser [EMAIL PROTECTED] 
  wrote: 
  


Hi all,
advice for a woman whose 
first baby had a severe tongue tie that was never diagnosed until way too 
late by which time bf had just not worked for her at all. She's pg again and 
looking for support just in case this one has TT as well but has been told 
she can't have it fixed straight after birth but has to go on a waiting list 
to get it done. This makes her pretty anxious after last time's hellish 
experience. 
She's in western Sydney. 
Any ideas?
Much 
appreciated!
J
For home birth information 
go to:Joyous Birth Australian home birth network and forums.http://www.joyousbirth.info/Or email: [EMAIL PROTECTED]

Re: [ozmidwifery] tongue tie snip?

[diane]

Hi janet,
We had a lady with a similar problem who saw a 
doctor in Sydney, may be the one in Windsor, with great results. I will see if i 
can find her details through a friend. Also a Dentist in Dural who does laser 
prodedure but not till about 3 months, which of course is too long for 
establishment of feeding.
Cheers Di

  - Original Message - 
  From: 
  Barbara 
  Glare  Chris Bright 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Thursday, May 18, 2006 2:31 
PM
  Subject: Re: [ozmidwifery] tongue tie 
  snip?
  
  Hi,
  
  The Australian Breastfeeding Association stocks a 
  very fabulous and informative short video on tongue tie made by the Royal 
  Women's Hospital in Melbourne.
  http://www.lrc.asn.au/users/sales/category6_2.htm
  
  With a bit of research, she should be able to get 
  the help she needs.
  
  Barb
  
- Original Message - 
From: 
Janet 
Fraser 
To: ozmidwifery@acegraphics.com.au 

Sent: Thursday, May 18, 2006 1:46 
PM
Subject: [ozmidwifery] tongue tie 
snip?

Hi all,
advice for a woman whose 
first baby had a severe tongue tie that was never diagnosed until way too 
late by which time bf had just not worked for her at all. She's pg again and 
looking for support just in case this one has TT as well but has been told 
she can't have it fixed straight after birth but has to go on a waiting list 
to get it done. This makes her pretty anxious after last time's hellish 
experience.
She's in western Sydney. 
Any ideas?
Much 
appreciated!
J
For home birth information 
go to:Joyous Birth Australian home birth network and forums.http://www.joyousbirth.info/Or 
email: [EMAIL PROTECTED]

[ozmidwifery] article FYI

[leanne wynne]

Hi All,
The full article was 8 pages long so I've just copied the abstract - but its 
worth reading ... although it only confirms what we already know...! You 
will find it at: www.medscape.com/viewarticle/530788_print


Factors Associated With the Rise in Primary Cesarean Births in the United 
States, 1991-2002


Eugene Declercq, PhD; Fay Menacker, DrPH; Marian MacDorman, PhD

Am J Public Health.  2006;96(5):867-872.  ©2006 American Public Health 
Association

Posted 05/08/2006

Abstract
Objectives: We examined factors contributing to shifts in primary cesarean 
rates in the United States between 1991 and 2002.


Methods: US national birth certificate data were used to assess changes in 
primary cesarean rates stratified according to maternal age, parity, and 
race/ethnicity. Trends in the occurrence of medical risk factors or 
complications of labor or delivery listed on birth certificates and the 
corresponding primary cesarean rates for such conditions were examined.


Results: More than half (53%) of the recent increase in overall cesarean 
rates resulted from rising primary cesarean rates. There was a steady 
decrease in the primary cesarean rate from 1991 to 1996, followed by a rapid 
increase from 1996 to 2002. In 2002, more than one fourth of first-time 
mothers delivered their infants via cesarean. Changing primary cesarean 
rates were not related to general shifts in mothers’ medical risk profiles. 
However, rates for virtually every condition listed on birth certificates 
shifted in the same pattern as with the overall rates.


Conclusions: Our results showed that shifts in primary cesarean rates during 
the study period were not related to shifts in maternal risk profiles.




Leanne Wynne
Midwife in charge of Women's Business
Mildura Aboriginal Health Service  Mob 0418 371862


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