RE: [ozmidwifery] Perineal massage
I did it personally and didnt tear, and 3 couples I have worked with prenatally also did it and didnt tear. I always recommend it - from 36 weeks, 1-2 x day, 5x week, for 5minutes each time. I also let them know the others factors that prevent tearing too (position, pushing when body tells you too, hands off etc) hth.. From: "Helen and Graham" [EMAIL PROTECTED]Reply-To: ozmidwifery@acegraphics.com.auTo: "ozmidwifery" ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Perineal massageDate: Thu, 29 Jun 2006 13:57:01 +1000 Just wondering whether everyone is recommending perineal massage antenatally as a way of reducing the risk of tearing? I have read research to suggest it has been effective so I have just started to tell women about it. I also am careful to say that it may not work but there is no harm in trying. I remember it was bandied around years ago but there wasn't any research to support it's effectiveness back then. What are your thoughts Helen -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
[ozmidwifery] Fw: online journals
- Original Message - From: meg To: ozmidwifery@acegraphics.com.au Sent: Wednesday, June 28, 2006 4:57 PM Subject: online journals Can anyone tell me where they access online journals that are able to be downloaded or emailed. I have access to midirs but you can only get articles mailed out and they cost a fair bit. Megan
Re: [ozmidwifery] Fw: online journals
These are some that I use. J http://www.joyousbirth.info/resources.html - Original Message - From: meg To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 29, 2006 4:50 PM Subject: [ozmidwifery] Fw: online journals - Original Message - From: meg To: ozmidwifery@acegraphics.com.au Sent: Wednesday, June 28, 2006 4:57 PM Subject: online journals Can anyone tell me where they access online journals that are able to be downloaded or emailed. I have access to midirs but you can only get articles mailed out and they cost a fair bit. Megan
[ozmidwifery] VBAC in Perth
Hello everyone I am enquiring on behalf of a friend who is 33 wks pregnant with No 3. Previous 2 pregnancies ended in C-sec. She is seeking out any VBAC friendly doctors in Perth who can provide accurate information without all the emotive BS. She is still feeling very traumatized by first two births and it would be so wonderful for her to have a healing experience of birth this time aroundThis is her email to my sister Would you know where would be the best place to look if I am looking for medical journals to do my own research on C-sections etc etc? Tadzik said the Library at Sir Charles Gairdner. I do not want to ask doctors because they only repeat what they hear from each other. I want some truthful information - as accurate and up-to date as possible. Would Amy know anyone I can speak to? Even interstate? This Woman has been told that she has to have another C-sec or she faces a high chance of requiring a hysterectomy following vaginal birth. A statement which we all know is more emotive and threatening than factual She has also asked if I know of any midwives or doulas who might be able to provide information/support. Any ideasdirections please?? We are in Perth, Thanks, Amy
RE: [ozmidwifery] Perineal massage
Hi Helen, I believe that there is at least a 9% increase in the chance of a primi having an intact peri if they do 10 minutes of perineal massage daily for four weeks prior to birthing. Unfortunately only half the midwives in the study provided the info to the women attending them for antenatal care for a variety of reasons, including that they did think it was worthwhile themselves. Therefore you could reasonably extend that increase up to an 18% chance of having an intact perineum, over and above the roughly 20% chance of having an intact perineum regardless of perineal massage or any other measure. The multis in the study did not experience any benefit. I am sorry I don't have the reference any more. However, I am recommending perineal massage now, particularly to women who ride horses or do a lot of exercise, as from experience these women often have a thick peri. Interested to hear what others say. Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Helen and GrahamSent: Thursday, June 29, 2006 1:57 PMTo: ozmidwiferySubject: [ozmidwifery] Perineal massage Just wondering whether everyone is recommending perineal massage antenatally as a way of reducing the risk of tearing? I have read research to suggest it has been effective so I have just started to tell women about it. I also am careful to say that it may not work but there is no harm in trying. I remember it was bandied around years ago but there wasn't any research to support it's effectiveness back then. What are your thoughts Helen
Re: [ozmidwifery] Fw: online journals
This is always an issue unless you 1. are studying and thus have access through the uni. 2. are employed at a hospital Most hospitals have access through the library and a government website but I can never remember what it is. If you work at a hospital check with the IT department or library. 3. ANF members can access AJAN via ANF websiteI am yet to find a way to access some journals even with all of the above ( Birth, Practicing Midwife just two off the top of my head). Andrea QuanchiOn 29/06/2006, at 4:50 PM, meg wrote: - Original Message -From: megTo: ozmidwifery@acegraphics.com.auSent: Wednesday, June 28, 2006 4:57 PMSubject: online journalsCan anyone tell me where they access online journals that are able to be downloaded or emailed. I have access to midirs but you can only get articles mailed out and they cost a fair bit. Megan
Re: [ozmidwifery] Perineal massage
I've seen a great deal of discussion among birthing women on perineal massage and probably equal numbers who did it have torn and not torn. There are so many other factors at play - position, coached pushing, speed of birth - and one important one is a propensity to tearing. Some women tear, most don't under the best possible circumstances and some seem to always tear no matter what. I have seen it be very helpful to women with massive thickened scars from perineal trauma caused by episiotomy who have subsequently birthed over an intact peri. A JB mama had a baby with a compound arm in the RWH BC here in Melbourne - epis, 4th degree damage, surgery, 12 hours till she met her daughter, 2 years physical and emotional recovery. Second child recently birthed at home, also waving as she came out - intact peri! Obviously management was the key for her! J - Original Message - From: Helen and Graham To: ozmidwifery Sent: Thursday, June 29, 2006 1:57 PM Subject: [ozmidwifery] Perineal massage Just wondering whether everyone is recommending perineal massage antenatally as a way of reducing the risk of tearing? I have read research to suggest it has been effective so I have just started to tell women about it. I also am careful to say that it may not work but there is no harm in trying. I remember it was bandied around years ago but there wasn't any research to support it's effectiveness back then. What are your thoughts Helen
Re: [ozmidwifery] VBAC in Perth
BIRTHRITES!!! http://www.birthrites.org Perth-based c-sec info from a consumers' perspective. One member just had a VBA3C in a hospy with the support of a private MW. I have a HUGE c-sec resource list and the latest study on VBA2C showed no complications in birthing women but a heap in the women who had ERC. No surprises really! There's a MASSIVE amount of info on the net, start with the articles on my site where there's also a link to Birthrites. To get real info this woman needs to talk to midwives NOT surgeons for whom surgery is always seen as a good option. http://www.joyousbirth.info/ I'm happy to share my internet resource list so I'll send it to you off-list. It's been on here before : ) J - Original Message - From: adamnamy To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 29, 2006 5:44 PM Subject: [ozmidwifery] VBAC in Perth Hello everyone I am enquiring on behalf of a friend who is 33 wks pregnant with No 3. Previous 2 pregnancies ended in C-sec. She is seeking out any VBAC friendly doctors in Perth who can provide accurate information without all the emotive BS. She is still feeling very traumatized by first two births and it would be so wonderful for her to have a healing experience of birth this time around This is her email to my sister Would you know where would be the best place to look if I am looking for medical journals to do my own research on C-sections etc etc? Tadzik said the Library at Sir Charles Gairdner. I do not want to ask doctors because they only repeat what they hear from each other. I want some truthful information - as accurate and up-to date as possible. Would Amy know anyone I can speak to? Even interstate? This Woman has been told that she has to have another C-sec or she faces a high chance of requiring a hysterectomy following vaginal birth. A statement which we all know is more emotive and threatening than factual She has also asked if I know of any midwives or doulas who might be able to provide information/support. Any ideas directions please?? We are in Perth, Thanks, Amy
Re: [ozmidwifery] Perineal massage
Hello Helen, I have recommended perineal stretching/massage for a long time (over twenty years). Along with good nutrition (zinc!) for tissue integrity. From my point of view, perineal stretching/massage familiarizes women with their anatomy; helps them to conceptualise what needs to stretch and how it can stretch - helps women to really realise how stunningly amazing the whole area (aswell as all the body!) trulyis and the ability to stretch to accomodate anything from a tampon or finger, to a penis to a baby's head and return to normal - not a tunnel but a potential space. Perineal stretching also gives women feedback about the sensations they are most likely going to experience as their baby descends and stretches the perineum. The feedbackteaches them how they can consciously (with awareness)distend their perineum, welcoming the sensations, letting go of tensionand enable it to stretch gently and elastically as they move to adjust the pressure of the head on the perineal area. It has seemed like a very sensible self management strategy from what I have observed. My observation is that the self awareness gained from perineal stretching/massagecan help put the woman in the driver's seat of her own process and therefore is a good thing. I have just put together a perineal stretching information sheet for the women who come to our service. Suzi(thanks Suzi it's great!) shared with me some information and I have utilized that and the drawings in our information sheet. If anyone would like to utilize it, I'm happy to share it with you. Of course, it also includes discussion with the midwives about breath awareness, conscious letting go of tension, movement in labour/positioning to maximise stretchabilty, nutrition in pregnancy etc. If you want the information, email me at work [EMAIL PROTECTED] Also, Wintergreen's Pink Kit is a great resource for pelvic awareness. warmly, Carolyn - Original Message - From: Helen and Graham To: ozmidwifery Sent: Thursday, June 29, 2006 1:57 PM Subject: [ozmidwifery] Perineal massage Just wondering whether everyone is recommending perineal massage antenatally as a way of reducing the risk of tearing? I have read research to suggest it has been effective so I have just started to tell women about it. I also am careful to say that it may not work but there is no harm in trying. I remember it was bandied around years ago but there wasn't any research to support it's effectiveness back then. What are your thoughts Helen
Re: [ozmidwifery] caseload midwifery
Hello Nicole, Our team at Belmont Birthing Service has an annualised salary. It was negotiated with the NSWNA and the health service. The midwives are happy with the arrangement. If you want further details, please email me at work on [EMAIL PROTECTED] warmly, Carolyn - Original Message - From: Nicole Carver To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 29, 2006 9:12 AM Subject: [ozmidwifery] caseload midwifery Hi all, I am looking for some information from people working in caseload models. We are about to start work on a caseload model and need info about which method of payment is best. Some seem to think annualised salaries are best, but others think we might get short changed and arekeen to see us get paid for what we actually work, getting paid a base rate, with penalties paid in the following fortnight. What has been your experience? Warm regards, Nicole Carver.
[ozmidwifery] Fw: Well done! 78,000 of us help prevent detention law
for those of you who care about keeping families safe andout ofdetention - Original Message - From: GetUp To: [EMAIL PROTECTED] Sent: Thursday, June 29, 2006 1:42 PM Subject: Well done! 78,000 of us help prevent detention law Dear friends,Since last week, our GetUp petition to stop asylum seekers being detained offshore has surged from 33,000 to 78,000 signatures. To give you an idea, together we would now fill the Fritz Walter World Cup Stadium 1.6 times. Congratulations to GetUp members old and new who have once again worked together to make the people's voice heard inside Parliament. With your support behind them, courageous MPs and senators did not budge. The eleventh-hour attempt to pass new detention legislation, prior to the Prime Minister's visit to Indonesia, failed. Now we hold firm. In the next six weeks dissenting politicians will be under intense pressure to buckle and vote yes when Parliament reconvenes in August. We will therefore table this petition in Parliament again - with the full weight of each and every name added since - and continue our support for politicians from all parties who've expressed serious concerns about this law. If you haven't already signed, please click on the link below to help us reach our new, biggest ever target of 100,000! www.getup.org.au/campaign/NoChildInDetentionOnly two weeks ago, veteran political journalist Laurie Oaks said that anyone who argued against the proposed migration changes to the Senate Inquiry was "wasting their time". Now it's another story in the media. Instead of another rubber stamp for party politics, this is a fight for principle. Let's use the opportunity to grow this overwhelming message of public unity, and remind our elected representatives that we will continue to hold them accountable. To share the message with others, there's a note you can use below.Thank you for your tremendous efforts,The GetUp teamPS: There are a number of amendments currently on offer to push this law through when Parliament reconvenes; GetUp's blog outlines why they fail to address our concerns.Hi,I'm one of more than 78,000 Australians involved a national campaign to stop our migration laws from being changed for the worse - and we're succeeding. Last week, the Government planned to push legislation through Parliament to send all asylum seekers who arrive by boat, including children, into detention overseas. But with an incredible outpouring of public support, politicians from all the major parties opposed to this law chose to stand firm.Now we're aiming for target of 100,000 signatures, before Parliament resumes in six weeks and the Prime Minister tries to pass this law again. The stakes are high and dissenting MPs and senators are facing incredible pressure to buckle and vote yes. They've asked for our support to stay strong. Please join me in taking a stand, and sign the petition by clicking on the link below.www.getup.org.au/campaign/NoChildInDetentionMany thanks,---If you have trouble with any links in this email, please go directly to www.getup.org.au. GetUp is an independent, not-for-profit community campaigning group. We use new technology to empower Australians to have their say on important national issues.To unsubscribe from GetUp, please click here.
[ozmidwifery] online journals
Can anyone tell me where they access online journals that are able to be downloaded or emailed. I have access to midirs but you can only get articles mailed out and they cost a fair bit. Megan
Re: [ozmidwifery] Fw: online journals
Thanks Andrea, I was begining to think it was me! megan - Original Message - From: Andrea Quanchi To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 29, 2006 5:32 PM Subject: Re: [ozmidwifery] Fw: online journals This is always an issue unless you 1. are studying and thus have access through the uni. 2. are employed at a hospital Most hospitals have access through the library and a government website but I can never remember what it is. If you work at a hospital check with the IT department or library. 3. ANF members can access AJAN via ANF website I am yet to find a way to access some journals even with all of the above ( Birth, Practicing Midwife just two off the top of my head). Andrea Quanchi On 29/06/2006, at 4:50 PM, meg wrote: - Original Message - From: meg To: ozmidwifery@acegraphics.com.au Sent: Wednesday, June 28, 2006 4:57 PM Subject: online journals Can anyone tell me where they access online journals that are able to be downloaded or emailed. I have access to midirs but you can only get articles mailed out and they cost a fair bit. Megan
RE: [ozmidwifery] VBAC in Perth
Thank you Nicole and Janet, I appreciate your quick responses and I am sure she will too! I am so pleased to be offering her some useful resources. . Janet, those two word documents are an amazing source of info for womenthanks for sharing that with us all. Amy
[ozmidwifery] Perineal massage
Thanks for your replies on perineal massage. I realise it is just one of a host of hints for decreasing peri trauma but it's good to have some research to back this one up and to find that others are giving the same advice. Helen
Re: [ozmidwifery] Fw: online journals
Hi Megan,I am at Uni, so I have access through them but the Australian Health Review is free and you have access via there web site:http://www.aushealthreview.com.au/publications/articles/alsohttp://informit.com.au/index.asphas Australasian online journals as a trial but later to purchase, I am not sure of the prices.Journals such as Birth @ http://www.blackwell-synergy.com/toc/bir/33/2will sometime have free articles, you can have the 'table of contents' e-mailed.Another good one is the Cochrane Review @ http://www.mrw.interscience.wiley.com/cochrane/cochrane_clsysrev_crglist_fs.htmlHope these help.Cheers Rebecca Gaiewski[EMAIL PROTECTED] On 30/06/2006, at 7:48 AM, meg wrote:Thanks Andrea, I was begining to think it was me!megan- Original Message -From: Andrea QuanchiTo: ozmidwifery@acegraphics.com.auSent: Thursday, June 29, 2006 5:32 PMSubject: Re: [ozmidwifery] Fw: online journalsThis is always an issue unless you 1. are studying and thus have access through the uni. 2. are employed at a hospital Most hospitals have access through the library and a government website but I can never remember what it is. If you work at a hospital check with the IT department or library. 3. ANF members can access AJAN via ANF websiteI am yet to find a way to access some journals even with all of the above ( Birth, Practicing Midwife just two off the top of my head). Andrea QuanchiOn 29/06/2006, at 4:50 PM, meg wrote: - Original Message -From: megTo: ozmidwifery@acegraphics.com.auSent: Wednesday, June 28, 2006 4:57 PMSubject: online journalsCan anyone tell me where they access online journals that are able to be downloaded or emailed. I have access to midirs but you can only get articles mailed out and they cost a fair bit. Megan
