Re: [ozmidwifery] Blood pressure...
Dear Kelly, While this women does have an increase in her BP of some significants and protein ( the amount is not stated ), these things are symptoms not diagnostic and so yes she should be monitored and if necessary some meds to control her BP ( but not yet at only 130/80 ). But you say her bloods are OK. The 24hr urine will be helpful, but if her bloods stay unchanged with serial monitoring then I don't see the need to panic. Katy. - Original Message - From: Stephen Felicity [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, July 05, 2006 1:17 PM Subject: Re: [ozmidwifery] Blood pressure... A little bit of knowledge can be a dangerous thing. Heidi, I'm shocked by this statement. I can only assume I misunderstood your stance; could you expand on this statement? Being well-informed is not about being scared or doubtful of the Hospital (and a Doula doesn't put fear or doubt into their clients); it's a basic human right, particularly for a birthing woman and her baby. Knowledge is never dangerous (it's NOT being informed that carries the danger); and if knowledge leads a woman to feel fearful of a course of action that is proposed for her, that is a GOOD thing - it's her intuition telling her that she isn't ok with it happening, and pushing her to seek other options. Co-operation with a Hospital and her careprovider is not the ultimate goal for a birthing woman. It should be the other way around. Women are not infants and they have a right to any and all information, and to their emotions - even if they include fear. Fear is natural in birth and it's good support and good practice that gets us through it effectively; not avoiding the feeling altogether. Careproviders might not interfere with women and birth for fun (although I've seen and heard of Obs that indicate differently - and even, rarely, Midwives), but the rates of intervention compared to the rates indicated a s actually necessary show that they're not often intervening based on evidence, either. It's not the information and knowledge that scares women. It's the practices and the outcomes. To address the fear we don't need to withhold information so the women can birth in Hospital without fuss; we need to truly support women, foster open negotiation and respect, and keep pushing to change the practices that aren't evidence-based or in the best interests of women and their babies. - Original Message - From: Kelly @ BellyBelly [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, July 05, 2006 12:29 PM Subject: RE: [ozmidwifery] Blood pressure... Oh no no no, not at all!!! I have been as level headed with her as possible, encouraged her to ask questions, and forwarded some information which I found on the list in regards to how it all works - I am just more blunt on the list as I know I am not going to scare anyone who is informed, and I like honest questions and answers without having to worry about upsetting anyone! Of course I have encouraged her to do the regular check-ups with them, and if she wants to and all is well, ask if she can have more time or if they think it's important that she does go ahead with it, then that's fine. I often say more here than I do to the women, and make sure my role is support and not advice. If anything, she is paranoid about having a posterior baby which was fostered by a mum they brought into her ante-natal class who had a posterior bub as well, was induced and had an epidural - all of which she doesn't want. I have told her that having an OP bub now doesn't mean she will in labour, and if she did, we have tricks up our sleeve to work with that. 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 heidi crisp Sent: Wednesday, 5 July 2006 12:01 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Blood pressure... I am a student midwife in a tertiary hospital and this is from Myles textbook Generally, hypertension is regarded as 140/90, however if the individual has an increase of 30mg systolic or 15mg diastolic with presence of proteinurea then she should be monitored closely. The risk is of developing pre-eclampsia and then eclampsia, harm to baby and mother Your client has shown these symptoms and therefore the hospital has an obligation to care for her as best they know. My blood pressure throughout my pregnancy has been 100/60, but when it was tested Thursday/Friday last week it was 130/80... so not really high, just high for me. also she wrote I basically just said I would like the drip to start slowly and allow time for active labour to establish before increasing the dose,
RE: [ozmidwifery] Blood pressure...
Thank-you, that was most helpful :) 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 Katy O'Neill Sent: Wednesday, 5 July 2006 4:03 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Blood pressure... Dear Kelly, While this women does have an increase in her BP of some significants and protein ( the amount is not stated ), these things are symptoms not diagnostic and so yes she should be monitored and if necessary some meds to control her BP ( but not yet at only 130/80 ). But you say her bloods are OK. The 24hr urine will be helpful, but if her bloods stay unchanged with serial monitoring then I don't see the need to panic. Katy. - Original Message - From: Stephen Felicity [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, July 05, 2006 1:17 PM Subject: Re: [ozmidwifery] Blood pressure... A little bit of knowledge can be a dangerous thing. Heidi, I'm shocked by this statement. I can only assume I misunderstood your stance; could you expand on this statement? Being well-informed is not about being scared or doubtful of the Hospital (and a Doula doesn't put fear or doubt into their clients); it's a basic human right, particularly for a birthing woman and her baby. Knowledge is never dangerous (it's NOT being informed that carries the danger); and if knowledge leads a woman to feel fearful of a course of action that is proposed for her, that is a GOOD thing - it's her intuition telling her that she isn't ok with it happening, and pushing her to seek other options. Co-operation with a Hospital and her careprovider is not the ultimate goal for a birthing woman. It should be the other way around. Women are not infants and they have a right to any and all information, and to their emotions - even if they include fear. Fear is natural in birth and it's good support and good practice that gets us through it effectively; not avoiding the feeling altogether. Careproviders might not interfere with women and birth for fun (although I've seen and heard of Obs that indicate differently - and even, rarely, Midwives), but the rates of intervention compared to the rates indicated a s actually necessary show that they're not often intervening based on evidence, either. It's not the information and knowledge that scares women. It's the practices and the outcomes. To address the fear we don't need to withhold information so the women can birth in Hospital without fuss; we need to truly support women, foster open negotiation and respect, and keep pushing to change the practices that aren't evidence-based or in the best interests of women and their babies. - Original Message - From: Kelly @ BellyBelly [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, July 05, 2006 12:29 PM Subject: RE: [ozmidwifery] Blood pressure... Oh no no no, not at all!!! I have been as level headed with her as possible, encouraged her to ask questions, and forwarded some information which I found on the list in regards to how it all works - I am just more blunt on the list as I know I am not going to scare anyone who is informed, and I like honest questions and answers without having to worry about upsetting anyone! Of course I have encouraged her to do the regular check-ups with them, and if she wants to and all is well, ask if she can have more time or if they think it's important that she does go ahead with it, then that's fine. I often say more here than I do to the women, and make sure my role is support and not advice. If anything, she is paranoid about having a posterior baby which was fostered by a mum they brought into her ante-natal class who had a posterior bub as well, was induced and had an epidural - all of which she doesn't want. I have told her that having an OP bub now doesn't mean she will in labour, and if she did, we have tricks up our sleeve to work with that. 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 heidi crisp Sent: Wednesday, 5 July 2006 12:01 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Blood pressure... I am a student midwife in a tertiary hospital and this is from Myles textbook Generally, hypertension is regarded as 140/90, however if the individual has an increase of 30mg systolic or 15mg diastolic with presence of proteinurea then she should be monitored closely. The risk is of developing pre-eclampsia and then eclampsia, harm to baby and mother Your client has shown
Re: [ozmidwifery] Midwife in Inverell
Title: Re: [ozmidwifery] Midwife in Inverell Janet will e-mail you off list Justine Caines Secretary Homebirth Australia PO Box 625 SCONE NSW 2337 Ph: (02) 65453612 0408 21 02 73 E-Mail : [EMAIL PROTECTED] www.homebirthaustralia.org
[ozmidwifery] caseload midwifery - payment methods.
Hi Nicole, I have read everyone's reply to your teams concerns. and I don't really know the right answer, however having worked in a caseload arrangement for 2 years on an annualised salary it has not been without hiccups for some of our team. We have had some midwives go way over their hours and another who was always way down. This can be the result of just bad luck, eg. when on call overnight some nights one midwife may be called and on another night the on call midwife might not be required. Some women take a lot more time than others and this is difficult to assess on initial allocation to midwives prior booking in. As a caseload midwife you inevitably get very involved with the women and their families and put in 100%. Because you get to know the women and their families well, you are privvy to any problems or social issues they may have.You can be involved (often a key player or caseload manager) in assisting women with appropriate referrals etc. This impacts on the hours that are required to care for each individual woman allocated, and our group of midwives is well aware of this reflecting on our time cards. Each midwife also has her own personality and her way in which she works, some are able to streamline their work and appear very efficient, some are also able to come and go without getting caught up with other hospital business.-- Initially this inequality was of no great concern, because we always thought it would change around and everyone have their turn, but it seems that the same people appear to be well over, whilst others struggle to do their allocated hours. About twelve months ago, the concern about hours became a concern to everyone, with some midwives taking time in lieu (like extra holidays) and another midwife who is down in hours is constantly reminded about this and given extra tasks to endeavour to bring her hours up- The problem with this is risk of burn out for having to do extra work to make up the hours and feeling that she is never going to make them up whilst the problem with midwives taking extra time in lieu in the form of weeks holidays is that it can put strain on the rest of our small team of 5 by having to cover the extra call during their absence. I was not invoved in setting this caseload up and I believe that a model in South Australia was resourced. I have found the caseload work much morerewarding and can say I love my work..It is esssential to have a known salary each week to manage your life, your workplace needs to look at what they are putting in place for when these hours become so varied between individual midwives, to prevent it from getting out of hand. The other issue that you need to discuss is the issue of sick leave and how that will be documented as this appeared to be a problem amongst our group, as a result we are now writing our hours down for sick leave as though it were an eight hour shift. Nicole, good luck with your model andI hope you and your colleagues find the case load an enriching experience. Linda Original Message - From: Nicole Carver To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 29, 2006 9:12 AM Subject: Spam Alert: [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] Trial of Scar
Just wondering what guidelines exist for trial of scar a woman on my site said that she has been given until 41 weeks to give birth or shell be having another caesarean. Is this right? I am sure I have heard otherwise and seen otherwise 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] Compulsory vaccinations for health workers
Hi, This is a copy of an email sent by Meryl Dorey of the Australian Vaccination Network. Obviously relevant to all midwives and students. Very scary stuff... Sue Action needed urgently! We currently have two issues which will need your action both of them important both of them more than timely. The first one has been touched on in the last issue of Doing the Rounds. It is the fact that every single state and territory in Australia has instituted policies which require students studying in the health professions to be doctors, nurses, physiotherapists, etc, to be fully vaccinated before commencing or completing their practical work. Without these vaccines (and the list of required shots is extremely long with some of these poor souls receiving 8 vaccines at one time!), they will have to cease their education and or lose out on placings in hospital. In NSW, this new regulation is called Policy Directive 2005_338 and it states that, Compliance with this policy directive is mandatory. It basically says that starting this year, in 2006, all health students who are affiliated with the hospital system or with NSW Health, will be required to be vaccinated against Diphtheria, Tetanus, Whooping Cough (Pertussis), Hep A and Hep B, Chicken Pox (Varicella), Measles, Mumps and Rubella and Influenza. Starting next year, this requirement will be extended to include everyone doctors, nurses, orderlies, office staff even those who work for laundries that are contracted by the hospital! This is supposedly for the protection of patients though, if the various health departments across the country were truly concerned with patients health, they would require any staff member receiving a live virus vaccine (eg MMR (measles mumps and rubella), OPV (oral polio), Varicella (chicken pox) and Hep A to stay home for 90 days because they are carrying these viruses around and communicating them to those they are in contact with for up to that long a period of time. There are two ways to get out of this requirement. One is to have a valid medical exemption either because you have had a serious reaction (eg anaphylactic shock) after a dose of a certain vaccine in which case you will only be exempted from that particular vaccine) or to have a blood test showing you have high levels of antibodies to any of the diseases listed above. We have been contacted by several people who have had these vaccines with serious ill effects including being diagnosed with cancer shortly afterwards. We have also been in contact with people who have lost their placement due to their refusal to be vaccinated. This is a situation which we must not stand for! No matter your opinion on vaccination, every thinking person must agree that all medical procedures carry with them certain risks and it is unethical (and illegal under our current constitution) to require anyone to submit to medical procedure against their will. Today it is the health professionals of Australia tomorrow, it will be our children and ourselves if we allow this to happen. Where do you come in? There are three things we need here. 1 We need lawyers who are willing to take cases against the health departments of every state. We currently have a barrister in NSW who is investigating the best way to approach this issue. Read more about this in point 3 below. He will definitely need lawyers to assist him as this could end up being a huge and precedent-setting case so if you are a lawyer or know of one who is on side and does some public-advocacy work, please get in contact with me. 2- Are you a health professional? Are you a health student? Do you know someone who is? Chances are you do and chances are that either you (as the health professional or student) or they are unaware of these new rules. Please spread the word. Make copies of this part of the newslettersand distribute it to hospitals in your area or forward it by email to friends, family and other interested parties and ask them to do the same. Send to doctors surgeries and to schools that have a medical faculty. Make everyone aware of what is being done I dont believe that even the most pro-vaccination medico will be happy about being forced to be vaccinated or about vaccinating anyone without their express consent. We will also need financial support to keep this initiative going. If you know of people who should be members give them one of the attached membership forms and ask them to join the AVN and subscribe to Informed Voice. Tell them why it is so important. Also, please consider giving us a donation of $26 if every member donates this amount, a pittance when you think of it in the grand scheme of things we will be able to achieve our goals as stated in past issues of Doing the Rounds. 3- We need lobbyists in each state and territory. Currently, it looks like the only way in which we can fight this issue is by first going through the Anti-Discrimination Tribunals which may sound like a good thing buthere
[ozmidwifery] re book launch
Hi all, If any of you would like to come, the official launch of my new book "Sleeping Like a Baby" ( Penguin) is this Saturday. Babies MOST welcome. Feel free to pass this on to anybody who may be interested. See below for details. Pinky www.pinky-mychild.com When? Saturday 8 July 2006 @ 2pm Where? Borders, Chadstone, VIC Shop B16, Chadstone Shopping Centre 1341 Dandenong Road, Chadstone PLEASE RSVP by Thursday 6 July 2006 to Vicky Axiotis (03) 9811 2415 or email [EMAIL PROTECTED]
Re: [ozmidwifery] Trial of Scar
Kelly, I think it depends on the womans care-giver his personal stance. I have 4 women duethis monthwho are having VBACs they each have a different Dr who has a different set of guidelines. The one in hospital at the moment with PIH is being pressured to accept ARM as IOL (with an unripe Cx, now there is a recipe for 'failed IOL" if ever I saw one) because she is 40+4. If she chooses to wait ( her PIH doesn't worsen) she is booked for C/S regardless of condition at 41/40. If her PIH worsens she will consent to El C/S anytime but wants to wait if stable. She understands well that surgerycannot be performed without her consent. However, obviously she wants to do what's best for her baby. They are really under the pump aren't they ? It's not conducive to any 'hormonal release' that'sfor sure. With kind regardsBrenda Manning www.themidwife.com.au - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Thursday, July 06, 2006 8:25 AM Subject: [ozmidwifery] Trial of Scar Just wondering what guidelines exist for trial of scar a woman on my site said that she has been given until 41 weeks to give birth or shell be having another caesarean. Is this right? I am sure I have heard otherwise and seen otherwise Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support
Re: [ozmidwifery] Trial of Scar
What a bloody crock. Yes, that's a common protocol to wave at birthing women who'd be doing just fine with a bit of evidence based care. I've heard limits of 38 weeks (yes, really!) through to 41 weeks on the time a woman with previous surgery is told she's "allowed" to gestate before being forcibly sliced open. It depends on the hospital and whether or not she employs a private surgeon. Tell her to run for the hills if she wants to be safe. And don't get me started on the intrinsically offensive nature of that term... TOS - trial of service is what it really means! J - whose sister is currently labouring for her HBAC at 42+4 without ANY crap like that! - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Thursday, July 06, 2006 8:25 AM Subject: [ozmidwifery] Trial of Scar Just wondering what guidelines exist for trial of scar a woman on my site said that she has been given until 41 weeks to give birth or shell be having another caesarean. Is this right? I am sure I have heard otherwise and seen otherwise Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support
Fw: [ozmidwifery] Blood pressure...
Sending this to the list for the second time as it mysteriously disappeared. :o( - Original Message - From: Stephen Felicity [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, July 05, 2006 1:17 PM Subject: Re: [ozmidwifery] Blood pressure... A little bit of knowledge can be a dangerous thing. Heidi, I'm shocked by this statement. I can only assume I misunderstood your stance; could you expand on this statement? Being well-informed is not about being scared or doubtful of the Hospital (and a Doula doesn't put fear or doubt into their clients); it's a basic human right, particularly for a birthing woman and her baby. Knowledge is never dangerous (it's NOT being informed that carries the danger); and if knowledge leads a woman to feel fearful of a course of action that is proposed for her, that is a GOOD thing - it's her intuition telling her that she isn't ok with it happening, and pushing her to seek other options. Co-operation with a Hospital and her careprovider is not the ultimate goal for a birthing woman. It should be the other way around. Women are not infants and they have a right to any and all information, and to their emotions - even if they include fear. Fear is natural in birth and it's good support and good practice that gets us through it effectively; not avoiding the feeling altogether. Careproviders might not interfere with women and birth for fun (although I've seen and heard of Obs that indicate differently - and even, rarely, Midwives), but the rates of intervention compared to the rates indicated as actually necessary show that they're not often intervening based on evidence, either. It's not the information and knowledge that scares women. It's the practices and the outcomes. To address the fear we don't need to withhold information so the women can birth in Hospital without fuss; we need to truly support women, foster open negotiation and respect, and keep pushing to change the practices that aren't evidence-based or in the best interests of women and their babies. - Original Message - From: Kelly @ BellyBelly [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, July 05, 2006 12:29 PM Subject: RE: [ozmidwifery] Blood pressure... Oh no no no, not at all!!! I have been as level headed with her as possible, encouraged her to ask questions, and forwarded some information which I found on the list in regards to how it all works - I am just more blunt on the list as I know I am not going to scare anyone who is informed, and I like honest questions and answers without having to worry about upsetting anyone! Of course I have encouraged her to do the regular check-ups with them, and if she wants to and all is well, ask if she can have more time or if they think it's important that she does go ahead with it, then that's fine. I often say more here than I do to the women, and make sure my role is support and not advice. If anything, she is paranoid about having a posterior baby which was fostered by a mum they brought into her ante-natal class who had a posterior bub as well, was induced and had an epidural - all of which she doesn't want. I have told her that having an OP bub now doesn't mean she will in labour, and if she did, we have tricks up our sleeve to work with that. 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 heidi crisp Sent: Wednesday, 5 July 2006 12:01 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Blood pressure... I am a student midwife in a tertiary hospital and this is from Myles textbook Generally, hypertension is regarded as 140/90, however if the individual has an increase of 30mg systolic or 15mg diastolic with presence of proteinurea then she should be monitored closely. The risk is of developing pre-eclampsia and then eclampsia, harm to baby and mother Your client has shown these symptoms and therefore the hospital has an obligation to care for her as best they know. My blood pressure throughout my pregnancy has been 100/60, but when it was tested Thursday/Friday last week it was 130/80... so not really high, just high for me. also she wrote I basically just said I would like the drip to start slowly and allow time for active labour to establish before increasing the dose, and also said that even if induced I would like to avoid an epidural (if humanly possible!). When having an induction where I work- we do start very low and increase UNTIL established labour, then the dose stays the same. We don't do this to be horrible to women- there is no half way with having a baby, there is no point in doing an induction if you can't reach established labour because then she really will have doctors hanging about
[ozmidwifery] Cannabis use in pregnancy article
http://www.theaustralian.news.com.au/story/0,20867,19700277-23289,00.html Drug babies on rise July 06, 2006 CANNABIS smoking during pregnancy is a more dire problem in Australia than previously thought, and the effect on babies is severe, a world-first study has found. The problem is compounded by the fact that 90 per cent of drug-addicted expectant mothers smoke cigarettes, raising further the risk to their babies. The dramatic findings come from a large-scale University of NSW study, published in the British journal, Addiction, of more than 415,000 births in NSW between 1998 and 2002. Researchers at the UNSW's National Drug and Alcohol Research Centre examined the effect of opioids, stimulants and cannabis on the developing foetus, finding all had negative effects. Chief investigator Dr Lucy Burns said one in 150 babies was born to a woman who used drugs during pregnancy. The figures, from information collected during pregnancy check-ups, were "extremely conservative'' but still represented only a small but disadvantaged group of women. These users were younger than other mothers, mostly unmarried, had a higher number of previous pregnancies and almost universally lacked private insurance. Cannabis was used in more than 2100 pregnancies, a result Dr Burns said was both surprising and disturbing. Health statistics for these babies were not as dire as for those 2000 babies born to women addicted to opioids, like heroin, or the 550 born to users of stimulants, like methamphetamine. They were more likely to be premature, however, to have a low birth weight and require hospital intensive care than non-drug affected babies. "We've always regarded cannabis as a bit of a soft drug and we haven't put a lot of emphasis on use in pregnant women because it doesn't have the immediate dramatic effects you see with some of the other drugs," Dr Burns said. "It's been off the radar, but clearly we should have been paying much more attention." Compounding the problem was that about 90 per cent of drug-using women were also addicted to tobacco. "In particular, there's a potent combination when heavy smokers also use cannabis with tobacco," she said. "That combination of nicotine, tobacco and other chemicals and the cannabis hits babies hard." Dr Burns said she was mostly disturbed by the small group of severely disadvantaged women who used stimulants, particularly given that use of these drugs was on the rise. "Our stimulant group of mothers were the ones who were latest to access antenatal services, the most likely to turn up for delivery unbooked and the most likely to smoke heavily," Dr Burns said. "We don't have specialist services for these women, or a good handle on the best treatments for them, so they're slipping through the net." She said there was an urgent need to focus on new and innovative ways to assist drug-using women to reduce use of all such substances, including tobacco, in pregnancy. In particular, there needed to be more early engagement, better continuity of care and increased rates of screening for drug use during pregnancy, she said.
[ozmidwifery] Sonic shock birth trauma
http://www.smh.com.au/news/world/sonic-shock-birth-trauma/2006/07/05/1151779013619.html#Sonic boom attacks spread trauma across Gaza Ed O'Loughlin July 6, 2006 DOCTORS in Gaza say a combination of Israeli bombardment, sonic boom attacks and economic warfare is leading to a serious deterioration in public health, with children and pregnant women most vulnerable. At Gaza City's Shifa Hospital, obstetricians say there has been a rise in miscarriages, premature births and stillbirths since the capture of Corporal Gilad Shalit by Palestinian militants on June 25 led to an escalation in conflict. They believe the main cause is Israel's reintroduction of sonic boom attacks in recent days in a campaign to terrify Gaza's 1.4 million people and prevent them from sleeping. At various hours of the day and night the Israeli Air Force has sent its supersonic aircraft over Gaza to break the sound barrier. The sound is akin to that of a large bomb, and it can produce panic attacks, shock and nosebleeds. "The sonic booms, combined with all the other stress, have a bad effect on the health of pregnant women," said Dr Adnan Radi, a senior obstetrician. "The explosions can lead to premature contraction of the uterus and premature delivery of the baby. Whenever there is this booming, the next day we see a rise in the number of premature deliveries and miscarriages." At Shifa doctors say the number of women miscarrying or beginning premature labour has risen from two to four a day to as many as 10. In the past 10 days there have been three stillbirths, compared with one every six months, the doctors said. Israel began to use sonic booms against the people of Gaza last year, and security officials sought to portray the booms as a "non-lethal" and humane weapon designed to persuade the civilians of Gaza to force militants to stop firing missiles at neighbouring Israel and, more recently, to free Corporal Shalit. There was outrage last November when the air force inadvertently set off sonic booms over Israel itself, leading to widespread civilian panic. One Gaza resident, Areesh Bahja, said the booms were distressing for her three children. "They are very tired and very upset and they get sick and vomit very easily," she said. "They have lost a lot of their appetite. When they are watching TV ... and there is a sonic boom they jump up like they are on springs and they grab hold of me." Her five-year-old daughter, Layan, said: "When the sound isn't big, I'm not afraid. But when it's a big one, it scares me and gives me a pain in my head." As she spoke, an Israeli 155-millimetre shell dropped a kilometre or so away, close enough to make the walls of the house ring."That's the sound of a shell," Layan said disdainfully. "I'm not scared of that." Humanitarian aid has been reduced and hospital staff wages unpaid because of the West's decision to join Israel in boycotting the Hamas government in the Palestinian Authority. Last week Israeli aircraft knocked out Gaza's only power plant, disrupting supplies to most of the Strip. "We've had to halt all elective and non-emergency surgery," said the hospital's director of public relations, Dr Jumaa al-Saqqa. "There is also a noticeable increase in gastroenteritis-type symptoms because of poor food and because the power cuts mean that people can't refrigerate their food properly anymore." Copyright © 2006. The Sydney Morning Herald. Rebecca Gaiewski[EMAIL PROTECTED]
RE: [ozmidwifery] Trial of Scar
Oh yes we are having a big discussion about the wording after that post, and I told everyone I am going to write an article: Failure to Progress: Why Doctors Need to Move On LOL I will too ;) 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: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Janet Fraser Sent: Thursday, 6 July 2006 11:16 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Trial of Scar What a bloody crock. Yes, that's a common protocol to wave at birthing women who'd be doing just fine with a bit of evidence based care. I've heard limits of 38 weeks (yes, really!) through to 41 weeks on the time a woman with previous surgery is told she's allowed to gestate before being forcibly sliced open. It depends on the hospital and whether or not she employs a private surgeon. Tell her to run for the hills if she wants to be safe. And don't get me started on the intrinsically offensive nature of that term... TOS - trial of service is what it really means! J - whose sister is currently labouring for her HBAC at 42+4 without ANY crap like that! - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Thursday, July 06, 2006 8:25 AM Subject: [ozmidwifery] Trial of Scar Just wondering what guidelines exist for trial of scar a woman on my site said that she has been given until 41 weeks to give birth or shell be having another caesarean. Is this right? I am sure I have heard otherwise and seen otherwise 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] Trial of Scar
It's really "failure to wait" and "failure to stop poking about"... - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Thursday, July 06, 2006 1:19 PM Subject: RE: [ozmidwifery] Trial of Scar Oh yes we are having a big discussion about the wording after that post, and I told everyone I am going to write an article: Failure to Progress: Why Doctors Need to Move On LOL I will too ;) Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybellycom.au/birth-support From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Janet FraserSent: Thursday, 6 July 2006 11:16 AMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Trial of Scar What a bloody crock. Yes, that's a common protocol to wave at birthing women who'd be doing just fine with a bit of evidence based care. I've heard limits of 38 weeks (yes, really!) through to 41 weeks on the time a woman with previous surgery is told she's "allowed" to gestate before being forcibly sliced open. It depends on the hospital and whether or not she employs a private surgeon. Tell her to run for the hills if she wants to be safe. And don't get me started on the intrinsically offensive nature of that term... TOS - trial of service is what it really means! J - whose sister is currently labouring for her HBAC at 42+4 without ANY crap like that! - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Thursday, July 06, 2006 8:25 AM Subject: [ozmidwifery] Trial of Scar Just wondering what guidelines exist for trial of scar a woman on my site said that she has been given until 41 weeks to give birth or shell be having another caesarean. Is this right? I am sure I have heard otherwise and seen otherwise Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support
RE: [ozmidwifery] Trial of Scar
Id love to use all three but I will stick with the one that women know well most of the birth stories in our forum have that in it, unfortunately 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: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Janet Fraser Sent: Thursday, 6 July 2006 1:18 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Trial of Scar It's really failure to wait and failure to stop poking about... - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Thursday, July 06, 2006 1:19 PM Subject: RE: [ozmidwifery] Trial of Scar Oh yes we are having a big discussion about the wording after that post, and I told everyone I am going to write an article: Failure to Progress: Why Doctors Need to Move On LOL I will too ;) Best Regards, Kelly Zantey Creator, BellyBelly.com.au Gentle Solutions From Conception to Parenthood BellyBelly Birth Support - http://www.bellybellycom.au/birth-support From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Janet Fraser Sent: Thursday, 6 July 2006 11:16 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Trial of Scar What a bloody crock. Yes, that's a common protocol to wave at birthing women who'd be doing just fine with a bit of evidence based care. I've heard limits of 38 weeks (yes, really!) through to 41 weeks on the time a woman with previous surgery is told she's allowed to gestate before being forcibly sliced open. It depends on the hospital and whether or not she employs a private surgeon. Tell her to run for the hills if she wants to be safe. And don't get me started on the intrinsically offensive nature of that term... TOS - trial of service is what it really means! J - whose sister is currently labouring for her HBAC at 42+4 without ANY crap like that! - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Thursday, July 06, 2006 8:25 AM Subject: [ozmidwifery] Trial of Scar Just wondering what guidelines exist for trial of scar a woman on my site said that she has been given until 41 weeks to give birth or shell be having another caesarean. Is this right? I am sure I have heard otherwise and seen otherwise 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] Trial of Scar
There's a thread on JB called "FTP? FTW?" which has research on it and how FTP is, oddly enough ; ) not something normally recognised or "diagnosed" in midwifery. FTP is one of the main reasons in Australia for c-sec, the other two reasons being breech and previous surgery. Shocking. J - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Thursday, July 06, 2006 1:35 PM Subject: RE: [ozmidwifery] Trial of Scar Id love to use all three but I will stick with the one that women know well most of the birth stories in our forum have that in it, unfortunately Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybellycom.au/birth-support From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Janet FraserSent: Thursday, 6 July 2006 1:18 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Trial of Scar It's really "failure to wait" and "failure to stop poking about"... - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Thursday, July 06, 2006 1:19 PM Subject: RE: [ozmidwifery] Trial of Scar Oh yes we are having a big discussion about the wording after that post, and I told everyone I am going to write an article: Failure to Progress: Why Doctors Need to Move On LOL I will too ;) Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybellycom.au/birth-support From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Janet FraserSent: Thursday, 6 July 2006 11:16 AMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Trial of Scar What a bloody crock. Yes, that's a common protocol to wave at birthing women who'd be doing just fine with a bit of evidence based care. I've heard limits of 38 weeks (yes, really!) through to 41 weeks on the time a woman with previous surgery is told she's "allowed" to gestate before being forcibly sliced open. It depends on the hospital and whether or not she employs a private surgeon. Tell her to run for the hills if she wants to be safe. And don't get me started on the intrinsically offensive nature of that term... TOS - trial of service is what it really means! J - whose sister is currently labouring for her HBAC at 42+4 without ANY crap like that! - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Thursday, July 06, 2006 8:25 AM Subject: [ozmidwifery] Trial of Scar Just wondering what guidelines exist for trial of scar a woman on my site said that she has been given until 41 weeks to give birth or shell be having another caesarean. Is this right? I am sure I have heard otherwise and seen otherwise Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support
Re: [ozmidwifery] Trial of Scar
When women tell me they were C/Sd for FTP Ialways explain this to themas "your baby just couldn't come outbecause...??? I am looking for further information from them or imparting what I know of the situation which led to their surgery. I do NOT say: "you didn't dilate" ie it's your fault that your Cx 'failed' to open, or the baby to descend etc. Apportioningblame is not a productive exercise here. FTP is a 'blanket term' for heaps of things as Janet says. It would be much more helpful to the women in understanding what's happened to themif we isolated the problem specified it rather than put it all under 1 heading which by its very wording assumes the mother is somehow at fault ! With kind regardsBrenda Manning www.themidwife.com.au - Original Message - From: Janet Fraser To: ozmidwifery@acegraphics.com.au Sent: Thursday, July 06, 2006 1:36 PM Subject: Re: [ozmidwifery] Trial of Scar There's a thread on JB called "FTP? FTW?" which has research on it and how FTP is, oddly enough ; ) not something normally recognised or "diagnosed" in midwifery. FTP is one of the main reasons in Australia for c-sec, the other two reasons being breech and previous surgery. Shocking. J - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Thursday, July 06, 2006 1:35 PM Subject: RE: [ozmidwifery] Trial of Scar Id love to use all three but I will stick with the one that women know well most of the birth stories in our forum have that in it, unfortunately Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybellycom.au/birth-support From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Janet FraserSent: Thursday, 6 July 2006 1:18 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Trial of Scar It's really "failure to wait" and "failure to stop poking about"... - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Thursday, July 06, 2006 1:19 PM Subject: RE: [ozmidwifery] Trial of Scar Oh yes we are having a big discussion about the wording after that post, and I told everyone I am going to write an article: Failure to Progress: Why Doctors Need to Move On LOL I will too ;) Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybellycom.au/birth-support From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Janet FraserSent: Thursday, 6 July 2006 11:16 AMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Trial of Scar What a bloody crock. Yes, that's a common protocol to wave at birthing women who'd be doing just fine with a bit of evidence based care. I've heard limits of 38 weeks (yes, really!) through to 41 weeks on the time a woman with previous surgery is told she's "allowed" to gestate before being forcibly sliced open. It depends on the hospital and whether or not she employs a private surgeon. Tell her to run for the hills if she wants to be safe. And don't get me started on the intrinsically offensive nature of that term... TOS - trial of service is what it really means! J - whose sister is currently labouring for her HBAC at 42+4 without ANY crap like that! - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Thursday, July 06, 2006 8:25 AM Subject: [ozmidwifery] Trial of Scar Just wondering what guidelines exist for trial of scar a woman on my site said that she has been given until 41 weeks to give birth or shell be having another caesarean. Is this right? I am sure I have heard otherwise and seen otherwise Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support
Re: Fw: [ozmidwifery] Blood pressure...
I did get it the first time... maybe some emails get through to some people but not everyone? At 12:29 PM +1000 6/7/06, Stephen Felicity wrote: Sending this to the list for the second time as it mysteriously disappeared. :o( - Original Message - From: Stephen Felicity [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, July 05, 2006 1:17 PM Subject: Re: [ozmidwifery] Blood pressure... A little bit of knowledge can be a dangerous thing. Heidi, I'm shocked by this statement. I can only assume I misunderstood your stance; could you expand on this statement? Being well-informed is not about being scared or doubtful of the Hospital (and a Doula doesn't put fear or doubt into their clients); it's a basic human right, particularly for a birthing woman and her baby. Knowledge is never dangerous (it's NOT being informed that carries the danger); and if knowledge leads a woman to feel fearful of a course of action that is proposed for her, that is a GOOD thing - it's her intuition telling her that she isn't ok with it happening, and pushing her to seek other options. Co-operation with a Hospital and her careprovider is not the ultimate goal for a birthing woman. It should be the other way around. Women are not infants and they have a right to any and all information, and to their emotions - even if they include fear. Fear is natural in birth and it's good support and good practice that gets us through it effectively; not avoiding the feeling altogether. Careproviders might not interfere with women and birth for fun (although I've seen and heard of Obs that indicate differently - and even, rarely, Midwives), but the rates of intervention compared to the rates indicated as actually necessary show that they're not often intervening based on evidence, either. It's not the information and knowledge that scares women. It's the practices and the outcomes. To address the fear we don't need to withhold information so the women can birth in Hospital without fuss; we need to truly support women, foster open negotiation and respect, and keep pushing to change the practices that aren't evidence-based or in the best interests of women and their babies. -- Jo Bourne Virtual Artists Pty Ltd -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] homebirth childrens book
Just letting those involved in homebirth about a new childrens book about homebirth called "Welcome Home Jimi Jazz", written and illustrated by a HBAC woman in NSW called Chrissy Butler. The pictures are amazing and the story just beautiful, esp the one of the baby crowning !! www.chrissybutler.com.au K -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
