Re: [ozmidwifery] Kath's story
Perfect oops! :) Congrats to you all! Jayne - Original Message - From: Andrea Quanchi [EMAIL PROTECTED] To: ozmidwifery ozmidwifery@acegraphics.com.au; Maternity Coalition [EMAIL PROTECTED] Sent: Sunday, June 18, 2006 12:10 AM Subject: [ozmidwifery] Kath's story I was 'with' a woman on thursday night when she birthed that left me on a real high Kath has been seeing me for her whole pregnancy and we had discussed birthing at home many times but she had decided that she wanted to go to the hospital to birth. perhaps if it was my second baby I might have it at home' she said. Despite this I kept picturing her birthing at home and was puzzled why because I don't try and change women's minds or convince them of one way or the other but point out the advantages and disadvantages. She let me know wednesday night that she had had a few niggles and on thursday morning that she was leaking. I visited after lunch and then left her to it. She rang at 7pm to say that the liquor was pink but that they were OK for now, At 9pm they rang and asked me to come. I arrived at 9:15 pm to find her leaning over her bed having strong contractions but she was able to chat to me easily between them. She did tell me they were pretty strong but she felt she had ages to go yet! We chatted, checked her BP FHR etc and I watched her to try and assess where she was up to. She went to the loo at 9:45 and as I listened to her she made a noise that got my attention. I asked her about it but she denied any urge to push and then told me she just needed to open her bowels! I asked her to have a feel in her vagina and she said she could feel something hard! because she had been so adament that she wanted to birth at the hospital I donned a glove and had a quick feel. I said well there's two choices we can have the baby here or you can have it in the car because there's no way your making it to the hospital. She looked at me with a grin and said well I'd rather stay here than do that. So we did and ten minutes and three pushes later James arrived much to his parents amazement and his midwives amusement. The whole thing was great, she sat up in bed an hour later and said well I'd do that again as she put her baby to the breast without any fuss. Three days later they are all loving every minute of their whole experience and I feel truely blessed to have been part of it. Andrea Q -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] How long before synto is used?
Interesting, Megan. The thing that is alarming to mein this scenario is not thepossiblecash motivation, but the fact that "scheduling" and "delaying" birth is considered to be something we as human beings have a right to do as a normal part of our birthing processes. Also the "tsk tsk for shame" in this article seems to be solely directed at the birthing women, and not the professionals willing to intervene in the birth process to suit a timetable. Women aren't doing their own Inductions and Caesareans. - Original Message - From: Megan Larry To: ozmidwifery@acegraphics.com.au Sent: Sunday, June 18, 2006 3:31 PM Subject: RE: [ozmidwifery] How long before synto is used? We talk about choices, but look what we will do for free cash ??? Megan (whose 4th was bornon histiming2 weeks before the magic date) Baby bonus creates hospital havoc18jun06 THE introduction of the baby bonus on July 1, 2004, caused more than 1000 scheduled births to be delayed, a new study shows.In its May 2004 Budget, the Federal Government announced a maternity payment $3,000 for every baby born on or after July 1. Research by Melbourne Business School economist Professor Joshua Gans and Australian National University economist Dr Andrew Leigh has shown there were more births on July 1, 2004, than on any other single date in the past 30 years. "We estimate that around 700 births were shifted from the last week of June 2004 into the first week of July 2004," Dr Leigh said. "But more troublingly, we found that around 300 births were moved by more than two weeks." The researchers also found that the share of births that were induced or delivered by caesarean section was high in July 2004. Dr Leigh said hospitals needed to plan for July 1 this year, when the bonus rises from $3,000 to $4,000. "Maternity hospitals should expect fewer babies in the last week of June and more in the first week of July," Dr Leigh said.
[ozmidwifery] CTG's
Story heard yesterday. Woman admitted with SROM, not in labour, CTG awful. Woman refused C/S because where she comes from women who have C/S rarely have another successful pregnancy. Signed herself out. Back in a couple of days in labour, awful CTG. Proceeded to a normal birth, intact peri and a lovely, healthy baby. Just goes to show. Ken Maureen Ward [EMAIL PROTECTED] attachment: winmail.dat
[ozmidwifery] Wil Anderson's Sunday Roast
Just been reading Wil Andersons Sunday Roast for this week and he goes on about Angelina Jolie and Brad Pitts new baby Shiloh. Towards the end he uses an image that I like despite having to be delivered by caesarean - does that make the doctor a Womb Raider? the baby is perfectly healthy Nicely put. Cath Palmer
[ozmidwifery] Re: Starting solids too early
Hi Kelly, Thought you might like this artickle. I picked it up from an AP-list, but who ever posted it couldn't remember where she had found it... Päivi Baby Led Weaning. What a sensible approach. You walk past the supermarket shelves of nappies, dummies, bottles, teats and formula quite happily but somehow at around four months you find yourself glancing at the baby rice and colourful jars and tins. You are not sure if these so called children's foods belong in a separate category along with turkey twizzlers but there seems to be a children's version of most products and they are hard to avoid. Everyone else is weaning but somehow it doesn't feel right for you and your baby? Stop! There is another way. A fantastically instinctive and intuitive approach to weaning has been developed by UNICEF and the world heath organisation WHO Baby led weaning basically is what it says - you do not even offer solid food until the baby shows signs of internal and external readiness (being able to sit up unaided, tongue thrust movement disappears, gut lining becomes less leaky between during the weeks between four and six months.) This generally happens somewhere around the middle of the babies first year. At this time at normal family meal times you simply sit the baby up at the table and offer them pieces of the raw or cooked ingredients from your family meal. E.g. - cucumber batons, banana chunks, cooked pasta shapes, avocado slices. Until the child's pincer movement develops further they are unlikely to be able to pick up pieces small enough to choke on and that is pretty much it! Over the time between 6 and 12 months on a very gradual basis they will move from being exclusively breast fed to taking about half of their calories from solid food. When you consider that almost 350g of cooked carrot contains the same amount of energy as 100g of breast milk it makes those entire big baby / small baby / weight gain arguments look pretty daft! The key seems to me that you are not feeding the child - so throw away those weaning spoons - Just as a breast fed baby has learnt to regulate their food intake for the first six months and you learn to adjust to the idea that you can't visualise how much milk they are taking this is simply a continuation of trusting your baby. Missing out the goo stage means you also miss out the fiddleyness of introducing one food at a time - babies who were videoed for the unicef study seemed to do this naturally. Weaning is an incredible gradual process on using this approach - A child needs the same amount of calories at 6 months, 1 year, 2 years and 3 years (as their growth rate slows) - it is simply the composition of these calories that is changing. The iron issue is often used to encourage mothers to wean early - breast milk is low is iron yes but this iron is easily and readily absorbed by the baby - the store built up at birth is usually running low between six and twelve months - you can offer iron rich foods from six months but you must trust that the baby that needs them will eat them and the baby that doesn't won't!! Health Visitors in the UK are only just beginning to be schooled in this new approach and it is unlikely to be rolled out until government plans to extend maternity leave are approved. (Just as the government weaning advice was changed in 2004 from four to six months when maternity leave rules were changed before.) Anecdotal evidence suggests most health visitors are ignoring this new advice anyway and still encouraging mothers to wean far to early. Weaning does seem to be occurring later in the west - some babies born in the sixties were often solids at three weeks, ten weeks seemed popular in the seventies - and so on - politics of our attitudes to food aside you could view this as the logical next stage! - Just because your four-month-old baby is watching you eat it doesn't mean they are ready for solids - they watch you do everything - that is just what four-month-old babies do. - Do not be tempted to spoon feed your baby - allow them to continue regulating there own food intake just as they have done already - a very useful skill and one that may help them avoid eating disorders in adult life. - You can introduce a spoon as their manual dexterity improves but it is for them to use it. - Present a selection of healthy foods in pieces they can manage - let them choose which to eat or explore with their mouths. Do not put foods in their mouths - this is where the choking danger comes from. - Babies given solids early do not sleep better - gram for gram in comparison to breast milk solids are very low in calories so will not fill them up contrary to what many people think. - Waiting for your baby to be ready means that preparing food is much easier (i.e. no hand blender etc needed) and food allergies are less likely. - Baby food manufacturers should no longer be labelling jars and packets with 16 weeks they have been told by the government to
[ozmidwifery] Starting solids too early
Does anyone have information about the research that says babies are anaemic at 4-6 months and therefore need iron rich foods? Surely the body has the correct amount of iron for the correct age group in healthy breast fed babies? MM The iron issue is often used to encourage mothers to wean early - breast milk is low is iron yes but this iron is easily and readily absorbed by the baby - the store built up at birth is usually running low between six and twelve months
[ozmidwifery] triplets
http://news.yahoo.com/s/ap/20060618/ap_on_re_mi_ea/darfur_hungry_babiesthis is a really sad story for a lot of reasons Yahoo! Sports Fantasy Football 06 - Go with the leader. Start your league today!
[ozmidwifery] Low iron and inability to breastfeed?
Yeah my jaw dropped too any advice for this mum?: I was wondering if anyone else has been told they would have trouble b/f as their iron levels are too low? I'm due any day now and have never leaked or had any signs that I will be able to produce milk... The midwife at the BC told me that as my iron levels were below 100 I would have trouble b/f... this has upset me greatly as I really want to be able to do this.. I was wondering if she could be wrong, or if anyone else has had a similar experience and what happened? Best Regards, Kelly Zantey Creator, BellyBelly.com.au Gentle Solutions From Conception to Parenthood BellyBelly Birth Support - http://www.bellybelly.com.au/birth-support
[ozmidwifery] RE: Low iron and inability to breastfeed?
Sorry forgot to include: They told me I would likely need a transfusion after the birth as well, and that I would be too weak to even stand after the birth and would need the oxytocin injection after birth to ensure I did not loose too much blood (I had asked for a natural third stage). I've been on supplements the whole time - in fact, the doctor has put me on twice the recommended level, but for some reason my body is not absorbing the iron. Best Regards, Kelly Zantey Creator, BellyBelly.com.au Gentle Solutions From Conception to Parenthood BellyBelly Birth Support - http://www.bellybelly.com.au/birth-support From: Kelly @ BellyBelly [mailto:[EMAIL PROTECTED] Sent: Monday, 19 June 2006 1:34 PM To: 'ozmidwifery@acegraphics.com.au' Subject: Low iron and inability to breastfeed? Yeah my jaw dropped too any advice for this mum?: I was wondering if anyone else has been told they would have trouble b/f as their iron levels are too low? I'm due any day now and have never leaked or had any signs that I will be able to produce milk... The midwife at the BC told me that as my iron levels were below 100 I would have trouble b/f... this has upset me greatly as I really want to be able to do this.. I was wondering if she could be wrong, or if anyone else has had a similar experience and what happened? Best Regards, Kelly Zantey Creator, BellyBelly.com.au Gentle Solutions From Conception to Parenthood BellyBelly Birth Support - http://www.bellybelly.com.au/birth-support
RE: [ozmidwifery] Low iron and inability to breastfeed?
Ignorance and arrogance are a bad combination!! ...in fact concentrations of 95-115 g/L with a normal mean corpuscular volume (84-99fL) should be regarded as optimal for fetal growth and well-being and are associated with the lowest risk of preterm labour. Steer PJ 2000 American Journal of Clinical Nutrition, Vol 71, No 5, May There is evidence to suggest that most doctors are too quick to promote iron supplementation in pregnancy. Leanne Leanne Wynne Midwife in charge of Women's Business Mildura Aboriginal Health Service Mob 0418 371862 From: Kelly @ BellyBelly [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Low iron and inability to breastfeed? Date: Mon, 19 Jun 2006 13:34:03 +1000 Yeah my jaw dropped too. any advice for this mum?: I was wondering if anyone else has been told they would have trouble b/f as their iron levels are too low? I'm due any day now and have never leaked or had any signs that I will be able to produce milk... The midwife at the BC told me that as my iron levels were below 100 I would have trouble b/f... this has upset me greatly as I really want to be able to do this.. I was wondering if she could be wrong, or if anyone else has had a similar experience and what happened? 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 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Starting solids too early
I'm sure that is right for normally birthed babies, but those born via c/s or who have their cords clamped early don't get their 'owed' blood volume, so their iron stores might not be as good as they should be.JoOn 19/06/2006, at 7:58 AM, Mary Murphy wrote:Does anyone have information about the research that says babies are anaemic at 4-6 months and therefore need iron rich foods? Surely the body has the correct amount of iron for the correct age group in healthy breast fed babies? MM "The "iron issue" is often used to encourage mothers towean early - breast milk is low is iron yes but thisiron is easily and readily absorbed by the baby - thestore built up at birth is usually running low betweensix and twelve months"
Re: [ozmidwifery] RE: Low iron and inability to breastfeed?
So she went to a BC expecting evidence based care, did she? What a rude awakening... J - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Monday, June 19, 2006 1:41 PM Subject: [ozmidwifery] RE: Low iron and inability to breastfeed? Sorry forgot to include: They told me I would likely need a transfusion after the birth as well, and that I would be too weak to even stand after the birth and would need the oxytocin injection after birth to ensure I did not loose too much blood (I had asked for a natural third stage). I've been on supplements the whole time - in fact, the doctor has put me on twice the recommended level, but for some reason my body is not absorbing the iron. Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support From: Kelly @ BellyBelly [mailto:[EMAIL PROTECTED] Sent: Monday, 19 June 2006 1:34 PMTo: 'ozmidwifery@acegraphics.com.au'Subject: Low iron and inability to breastfeed? Yeah my jaw dropped too any advice for this mum?: I was wondering if anyone else has been told they would have trouble b/f as their iron levels are too low? I'm due any day now and have never leaked or had any signs that I will be able to produce milk... The midwife at the BC told me that as my iron levels were below 100 I would have trouble b/f... this has upset me greatly as I really want to be able to do this.. I was wondering if she could be wrong, or if anyone else has had a similar experience and what happened? Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support
Re: Re: [ozmidwifery] ctg stuff
Well said, Sue. There are 2 sides to the face of the choice coin...we may not agree with some women's choices, but if they are adamant and they have been given all the pros and cons then, really, who are we to dictate to them about what they choose? Sally - Original Message - From: Susan Cudlipp To: ozmidwifery@acegraphics.com.au Sent: Saturday, June 17, 2006 2:20 PM Subject: Re: Re: [ozmidwifery] ctg stuff Choice is an interesting concept: if we trulysupport choice then surely even 'bad' choices should be respected? One of our obs has joked about having a sign made for the ANC saying 'please do not ask for an induction as a refusal often offends' because the request comes so often. However, the other obs will often agree to a woman's request without too much argument. I have seen instances where the Ob has told the woman - you are not ready to birth, there is no reason to induce and if we try you will have a lengthy and horrible labour. The reply was "I DONT CARE- I WANT TO BE INDUCED" How can the ob refuse in this instance? The reverse is not true - if a woman reaches T+10 she is booked for IOL - there is little 'choice' within our policy for anyone who wishes to wait longer - despite the evidence or the individual circumstances. Occasionally requests for'social' induction can be for very valid personal reasons and such instances should also be respected. I have discussed with some of our obsthe mentality of agreeing to elective C/S for no other reason than maternal request, given that we are a public hospital -should we bewasting taxpayers money on non-essential surgery etc etc. Again the question of choice. If a woman demands an elective C/S despite discussion of the pros and cons, the usual route is to go with her wishes - presumably for fear of litigation if the birth does not go well. I did challenge one ob who agreed without hesitation to a woman's request for repeat C/S and asked him what his attitude would have been if she had asked for VBAC - did not get much in the way of response! Not saying that I agree with this you understand but it does cause some tricky moral dilemmas. I feel the key issue is one of respect and honest discussion - ah but that is all too often missing within the medical model of care. That and education - women don't know that they have choices to challenge the usual practice of whoever their care provider happens to be, sadly those who do challenge are often seen as 'troublesome radicals' if their challenge is against 'routine' interventions. (Of course they are not seen the same way if their challenge is to request unecessary interventions! :-)) Sue - Original Message - From: Emily To: ozmidwifery@acegraphics.com.au Sent: Saturday, June 17, 2006 8:49 AM Subject: Re: Re: [ozmidwifery] ctg stuff hi all i have just finished the 'obstetrics' term of my course and over the 9 weeks i repetitively brought up my disgust with the use of CTGs against all the very high quality evidence that is out there against them, that noone refutes they just ignore. the wonderful obstetrician who was my supervisor (only one ive ever met that i like) agreed and said it is only collective inertia and fear that has led to everyone still using it. the fact that it has sneakily become the best practice standard. in the big cochrane review on the subject the only benefit seen was a reduction in neonatal seizures seen in the CTG group. this was used as evidence that it may reduce the incidence of cerebral palsy in this group also. actually, there was follow up studies done on all the studies included in the review some years later and it actually showed no difference in cerebral palsy rates in most studies. one study amazingly actually showed a higher rate of cerebral palsy in the CTG group !! this has been conveniently forgotten. CTGs are still sold to women as being a safety net to prevent cerebral palsy despite the fact that there is absolutely no evidence whatesoever of this being the caseall that remains to be the benefit of CTGs is for care providers. it makes many people feel safe to have a neat little print off documenting what has been happening. the other thing is that apparently in the court system, parents can only be 'compensated' if a no fault verdict is made and that requires a CTG. anyway i wrote a huge article about this titled 'the irony of obstetric risk analysis' and handed it in with my end of term work. i am waiting with bated breath to hear the feedback and whether i will fail for being so blatently anti-obstetrics to my obstetric supervisors!!! but i figured theres less
RE: [ozmidwifery] Episiotomy
Hi Suzi, I have several studies that show thiscan't think of them all off the top of my head, but will find them for you and send you the info. I'll have to dig out my thesis (I've been somewhat pretending it doesn't exist at the moment). As a start, I think the recent (2005) JAMA published study talks about it, as do Thacker and Banta (1983) and Woolley (1995). There's also one that compares mediolateral and midline episiotomies (Thacker, 2000 from the British Medical Journal). Hope this helps as a start...I'll try to see what else I can find and send to you. Alice From: suzi and brett [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Episiotomy Date: Mon, 19 Jun 2006 09:28:24 +1000 Can anyone point me in the right direction for good evidence that episiotomys have an increased risk of extending to 3 or 4 th degree? or am i remembering - interpreting incorrectly and the best evidence that we have only conclude generally that restrictive epis. has lowered morbidity because the women mostly doesnt end up with as much truama as anticipated. Little discussion i am having with one of our doctors - who says mediolateral cut is not at an increased risk of extending, only midline. My arguement was that only fetal distress with no time to wait for streaching ( or well informed maternal request?) is the only reasons for episiotomy. Im sure if it was a slice down the eye of a penis and the posibility of the man having painful sex and other morbidity for the next year - some doctors may think twice. Love Suz x _ New year, new job there's more than 100,00 jobs at SEEK http://a.ninemsn.com.au/b.aspx?URL=http%3A%2F%2Fninemsn%2Eseek%2Ecom%2Eau_t=752315885_r=Jan05_tagline_m=EXT -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Mother's Milk Bank on Life Matters 20th June
http://www.abc.net.au/rn * The Mothers Milk Bank - a special project for mothers to donate milk to babies missing out on breast milk. 9-10am. Best Regards, Kelly Zantey Creator, BellyBelly.com.au Gentle Solutions From Conception to Parenthood BellyBelly Birth Support - http://www.bellybelly.com.au/birth-support
