[ozmidwifery] subject headings of posts
Hi, would everyone mind thinking about how they write the subject of their postings and being more specific. I love to keep many of them for future reference but find it so hard to find what i am looking for later...too many say "article for your interest" "question from consumer" etc Thankyou Suzi. PS if anyone still has reference to the past posting a few months ago (?) re:study into using a shorter but more aggressive synto augmentation regimen to decrease c/s rates -(if i remember correctly) i'd love to see it again (note this posting may have had a spectacularly well worded title but my filing systemobviously needs more refining)
[ozmidwifery] Birthing in Wa
Study into public obstetric servicesThursday, 13 July 2006 PREGNANT women in Collie forced to have their babies in Bunbury due to a lack of obstetric services could soon be a thing of the past. The Legislative Council of Western Australia has selected a committee to inquire into public obstetric services in regional areas and are seeking concerns and opinions from Collie and other regional areas. In May this year, the Collie Mail reported a number of women in Collie had to have their babies in Bunbury due to a lack of qualified doctors. The main focus of the committee will be on the choices available to people having babies and community based midwifery. Wellington district manager Jaynie Kirkpatrick said there was only one doctor in Collie who was fully credited to deliver babies in low risk circumstances including caesarean births and the use of forceps and vacuum. Western Australian Rural Doctors Association president Doctor Rob Whitehead said the Federal and State Governments needed to work together to increase services in rural areas and the main concern should not be about saving funds but about encouraging more doctors to work in rural areas. "We need to train more young doctors in the advanced skills required in country areas including anaesthetics, delivering babies and some surgical procedures," he said. "Secondly there needs to be more incentives for doctors to continue their training and to deliver babies in rural areas. "Women living in country areas should have a right to deliver their babies in the town they live in. "A town like Collie that delivers about 100 babies a year needs more services and conditions to support the doctors already there." Legislative Committee chairperson MLC Helen Morton said public hearings would be held and encouraged people to express their views on this matter. "The committee recognises the special needs of people living in rural and remote communities and the issues they face when having a baby," she said. Copies of the committee's terms of reference are at www.parliament.wa.gov.au and submissions are to be received by 4pm on Friday, July 21. They can be sent to Committee Clerk Mark Warner a selected committees to Public Obstetric Services, Legislative Council, Parliament House, Perth.
Re: FW: [ozmidwifery] AFI perienatal outcomes
Lisa, Thanks for this and the other articles. Will keep me reading for a while, then I take them into work for distribution. Cheers Judy Do you Yahoo!? Check out gigs in your area on the comprehensive Yahoo! Music Gig Guide http://au.music.yahoo.com/gig-guide -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: Fw: [ozmidwifery] Interesting article
oops. I think this was a private message for me. Sorry it made it to the list Nikki posted a reply not realising that wasn't directly to me, obviously. I'm sure any personal stuff won't get forwarded any further. Thanks Lisa Barrett Thanks Lisa! I actually stumbled across another report on this same study this morning here: http://racoon.com/dcforum/DCForumID13/343.html This site is pretty good, along with http://www.ahmf.com.au/default.htm (both are good resources if you get other clients with herpes). I was doing some reading this morning on what to do about the script my doctor gave me on Monday, and worked out that she's put me on my pre-pregnancy dose of 500mg once a day of valtrex (valacyclovir). In the last month of Eleni's pregnancy I took 200mg three times a day of acyclovir. I found the recommended dose for valtrex as suppression therapy in the last month of pregnancy is actually 500mg *twice* a day, so I am going to double up the dose from what my Dr prescribed, and am much happier now. She put for 5 repeats on the script, so there's no way I'll run out - yay! Cheers Nikki -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] 'Lactation failure caused by lack of glandular development in the breast'
Hi Kelly, I've only just read your post, and I really dont know much about this subject, but I can tell you there is definitely information out there about it, and it is a real condition. I'm a first year Bmid student, and last semester in a lecture with a lactation consultant from the RHW Randwick (if you wanted to contact someone who really knows about it), this issue was discussed in some detail. It was only a short lecture and I dont have notes for it, but what I can recall is this: information and understanding about how the breasts work and produce milk is still being understood, in fact our understanding of the anatomy of the breast has recently been challanged! Lactation consultants would have the best and most up to date knowledge of this stuff, as it's their area of expertise if you like. Anyway, it was discussed that breasts of a particular shape are possibly anatomically different to others, in that the tissue inside the breasts which actually produces the milk concentrates in the area around the nipple, and does not extend very far back into the breast. In normal breast development, regardless of the size of the breast, the tissue extends right up to the armpit. We were shown photo's of breasts which possibly have this type of tissue development, and the features of them were: tubular in shape (whether small or large in size) and with a clear sort of seperation across the sternum, if that makes sense. There is a marked space between each breast. In many of the pictures it was possible to see that most of the fullness of the breast was around the nipple area. This is not to alarm anyone who has breasts of this shape who may be reading this, or to offend anyone by my dispassionate desription of breasts! This is all I can remember really, and this infrormation was given to us as future midwives as something to look out for, but obviously we would refer to a lactation consultent if there was a problem. Maybe this is new information , and the midwives involved with this woman were unaware?? Anyway, I hope this helps, Regards, Astra Quoting Kelly @ BellyBelly [EMAIL PROTECTED]: Does anyone have any experiences to share with this? A woman has posted on my site about her experience and I was wondering what everyone thought on the topic. http://bellybelly.com.au/forums/showthread.php?p=352746 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] Clinical assessment of amniotic fluid
Thanks for these articles and references Lisa, Cheers, Sadie - Original Message - From: Lisa Gierke [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, July 13, 2006 10:51 AM Subject: [ozmidwifery] Clinical assessment of amniotic fluid Ovid Technologies, Inc. Email Service -- Results: Clinical Obstetrics and Gynecology (C) Lippincott-Raven Publishers Volume 40(2), June 1997, pp 303-313 Clinical Assessment of Amniotic Fluid [Articles] MOORE, THOMAS R. MD Department of Reproductive Medicine, University of California San Diego Correspondence: Thomas R. Moore, MD, Mail Code 8433, 200 West Arbor Drive, San Diego, CA 92118. -- Outline Abstract Clinical Value of Amniotic Fluid Volume Assessment PREDICTION OF POOR PERINATAL OUTCOME DETECTION OF FETAL ANOMALIES IDENTIFICATION OF INTRAUTERINE GROWTH RESTRICTION AND PLACENTAL INSUFFICIENCY Factors Influencing Amniotic Fluid Volume AMNIOTIC FLUID PRODUCTION AMNIOTIC FLUID REMOVAL Gestational Age Influences on Amniotic Fluid Volume Techniques of Estimating Amniotic Fluid Volume INTERSERVER AND INTRAOBSERVER RELIABILITY TECHNICAL ASPECTS OF PERFORMING THE AMNIOTIC FLUID INDEX Indications for and Frequency of Amniotic Fluid Volume Assessment Summary References Graphics Fig. 1 Table 1 Table 2 Fig. 2 Table 3 Fig. 3 Abstract Appreciation of the importance of amniotic fluid volume as an indicator of fetal status is a relatively recent development.1 Before 1975, discussions of amniotic fluid volume in the obstetric literature were limited to observations of the quantity of fluid released after rupture of membranes. The occurrence of thick meconium and fetal distress in post dates pregnancy, for example, was attributed vaguely to placental insufficiency. More recently, progressive improvements in ultrasonographic imaging have taken the technology of fetal and amniotic fluid assessment from the stage of subjective impression to the present state in which relatively sophisticated judgments of fetal condition can be based on reproducible measurements. In present practice, semiquantitative amniotic fluid volume assessment during routine ultrasound (US) examination and antepartum testing has become the standard of care. However, the complicated relationships imposed by the placenta and complexly folded fetus within an irregularly ovoid uterus have impeded the development of a precise method of calculating amniotic fluid volume ultrasonographically. And although both subjective and semiquantitative methods of estimating amniotic volume are in use, the best technique remains controversial. In this article, the author reviews the relative precision of the various volume estimation techniques and clinical situations in which amniotic fluid volume assessment is helpful. -- Clinical Value of Amniotic Fluid Volume Assessment PREDICTION OF POOR PERINATAL OUTCOME Recognizing abnormal amniotic fluid volume before delivery may alert the clinician to situations of potentially high perinatal risk. Chamberlain et al.2 observed a perinatal mortality rate of 4.12/1,000 in pregnancies with polyhydramnios compared with a rate of 1.97/1,000 when the amniotic fluid was normal. The perinatal mortality rate was increased 13-fold more than normal when amniotic fluid volume was sonographically marginal, and increased 47-fold (187.5/1,000) if severe oligohydramnios was present. Pregnancies complicated by extremes of amniotic fluid volume also experience increased maternal and neonatal morbidity. During labor, polyhydramnios is associated with abnormal fetal lie, operative delivery, and abruptio placentae.3 Preterm delivery occurred in 11.1% in patients with polyhydramnios studied by Varma et al.4 compared with 6.7% in controls with normal fluid. Fetal distress, low Apgar scores, macrosomia, and intensive care nursery admission were significantly more frequent in the polyhydramnios group. With oligohydramnios, meconium, fetal heart rate abnormalities, and depressed Apgar scores are more frequent: neonatal (31.2%) and fetal (25.0%) acidosis rates were doubled compared with controls;5 fetal distress requiring operative intervention was tripled (64%) with oligohydramnios compared with 21% of normals (P = .005).6 Crowley et al.7 reported meconium staining in 29% and an emergency cesarean section rate of 11% with oligohydramnios in post-date patients but only 2% in normals. Maternal complications of oligohydramnios include increased incidence of hypertension (22.1%), second trimester bleeding (4.1%), and abruptio placentae (4.2%).8 DETECTION OF FETAL ANOMALIES Recognition of abnormal amniotic fluid volume may provide clues to congenital anomalies, which might otherwise be overlooked. The finding of polyhydramnios may lead to detection
Re: [ozmidwifery] 'Lactation failure caused by lack of glandular development in the breast'
Well for those who continue to say the list is working properly I have received this message bit have never seen another post on the subject from Kelly which I would be interested to read Andrea Q On 14/07/2006, at 8:44 AM, [EMAIL PROTECTED] wrote: Hi Kelly, I've only just read your post, and I really dont know much about this subject, but I can tell you there is definitely information out there about it, and it is a real condition. I'm a first year Bmid student, and last semester in a lecture with a lactation consultant from the RHW Randwick (if you wanted to contact someone who really knows about it), this issue was discussed in some detail. It was only a short lecture and I dont have notes for it, but what I can recall is this: information and understanding about how the breasts work and produce milk is still being understood, in fact our understanding of the anatomy of the breast has recently been challanged! Lactation consultants would have the best and most up to date knowledge of this stuff, as it's their area of expertise if you like. Anyway, it was discussed that breasts of a particular shape are possibly anatomically different to others, in that the tissue inside the breasts which actually produces the milk concentrates in the area around the nipple, and does not extend very far back into the breast. In normal breast development, regardless of the size of the breast, the tissue extends right up to the armpit. We were shown photo's of breasts which possibly have this type of tissue development, and the features of them were: tubular in shape (whether small or large in size) and with a clear sort of seperation across the sternum, if that makes sense. There is a marked space between each breast. In many of the pictures it was possible to see that most of the fullness of the breast was around the nipple area. This is not to alarm anyone who has breasts of this shape who may be reading this, or to offend anyone by my dispassionate desription of breasts! This is all I can remember really, and this infrormation was given to us as future midwives as something to look out for, but obviously we would refer to a lactation consultent if there was a problem. Maybe this is new information , and the midwives involved with this woman were unaware?? Anyway, I hope this helps, Regards, Astra Quoting Kelly @ BellyBelly [EMAIL PROTECTED]: Does anyone have any experiences to share with this? A woman has posted on my site about her experience and I was wondering what everyone thought on the topic. http://bellybelly.com.au/forums/showthread.php?p=352746 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. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] 'Lactation failure caused by lack of glandular development in the breast'
I would be fascinated to see these pictures as it sounds a lot like what my breasts looked like before breastfeeding for the first time - which started EXTREMELY badly and took a very long time to get sorted out (8 weeks to turn a corner and know it would eventually get better, 3 months to start really settling down). Evidently I had enough glandular tissue for adequate supply but our issues were in large part to do with the physiological shape/structure of my breasts. At 8:44 AM +1000 14/7/06, [EMAIL PROTECTED] wrote: Hi Kelly, I've only just read your post, and I really dont know much about this subject, but I can tell you there is definitely information out there about it, and it is a real condition. I'm a first year Bmid student, and last semester in a lecture with a lactation consultant from the RHW Randwick (if you wanted to contact someone who really knows about it), this issue was discussed in some detail. It was only a short lecture and I dont have notes for it, but what I can recall is this: information and understanding about how the breasts work and produce milk is still being understood, in fact our understanding of the anatomy of the breast has recently been challanged! Lactation consultants would have the best and most up to date knowledge of this stuff, as it's their area of expertise if you like. Anyway, it was discussed that breasts of a particular shape are possibly anatomically different to others, in that the tissue inside the breasts which actually produces the milk concentrates in the area around the nipple, and does not extend very far back into the breast. In normal breast development, regardless of the size of the breast, the tissue extends right up to the armpit. We were shown photo's of breasts which possibly have this type of tissue development, and the features of them were: tubular in shape (whether small or large in size) and with a clear sort of seperation across the sternum, if that makes sense. There is a marked space between each breast. In many of the pictures it was possible to see that most of the fullness of the breast was around the nipple area. This is not to alarm anyone who has breasts of this shape who may be reading this, or to offend anyone by my dispassionate desription of breasts! This is all I can remember really, and this infrormation was given to us as future midwives as something to look out for, but obviously we would refer to a lactation consultent if there was a problem. Maybe this is new information , and the midwives involved with this woman were unaware?? Anyway, I hope this helps, Regards, Astra Quoting Kelly @ BellyBelly [EMAIL PROTECTED]: Does anyone have any experiences to share with this? A woman has posted on my site about her experience and I was wondering what everyone thought on the topic. http://bellybelly.com.au/forums/showthread.php?p=352746 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. -- 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] MC members in VIC - I need your help! :)
Dear all, As you will likely know, Choices for Childbirth is currently run from Brunswick and South Yarra locations, with a new one starting up in Geelong shortly. For such a long time I hoped theyd return to the eastern suburbs (as they once were in Balwyn). Having gone to a Brunswick session last week, I decided to put it to everyone and see what they thought. So, in the theme of the moment, I have put my hand up to bring Choices back home hehehe! The problem is that I need two more members of the MC to assist me in facilitating these sessions so we can go ahead. This will be an additional location and not a replacement, with Balwyn being the perfect spot because I am located only a couple of minutes away! You may think that you are not skilled enough to help, but the fact is that no matter if your experience is having birthed a couple of babies, or that you are a student midwife, Doula or midwife, we need you!!! As long as you are an MC member, nothing else matters! You will not be required to give talks or expert commentary, but your hands and passion is what we need!As an MC member you have a chance to not only empowerthe 'consumer' out there but alsoour own members once youhave a chance to realise or explore your own potential J (borrowed that bit from Deb thanks!). Also, if that isnt up your alley, BaBs needs helpers too - facilitators, midwives and students to get more groups going email [EMAIL PROTECTED] if you are interested. There are a number of MC branches already set up, but there could be many more, once there is more help withdifferent areas - fundraising, grant writing, committee positions,mail outs, consumer reps forhospitals and health services and reviews, birth storiesneeding to be told, the list is endless. So even if you feel that you could only helpwith making cuppa's or telling your birth story, you never know what might be perhaps you may later find confidence in being a branch leader, part of the national team orend up making a huge difference to women bybeing the consumer rep at a local hospital. So, I look forward to your replies email me and lets get Balwyn going again! Heres to lots of women in the east getting some of the best birth preparation there is!!! [EMAIL PROTECTED] 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] 'Lactation failure caused by lack of glandulardevelopment in the breast'
Hi Jo and all, There is a breast gallery here http://www.007b.com/breast_gallery.php, scroll down, the picture in the middle of the second row is I believe what is being explained. Regards Bernadine I would be fascinated to see these pictures as it sounds a lot like what my breasts looked like before breastfeeding for the first time - which started EXTREMELY badly and took a very long time to get sorted out (8 weeks to turn a corner and know it would eventually get better, 3 months to start really settling down). Evidently I had enough glandular tissue for adequate supply but our issues were in large part to do with the physiological shape/structure of my breasts. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Clinical assessment of amniotic fluid
Thanks Lisa Those articles are fantastic. Penny -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
