Re: [ozmidwifery] from MIDIRS
Ha ha - absolutely Mary - and you ain't dumb!! Sadie - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Saturday, September 02, 2006 6:00 PM Subject: [ozmidwifery] from MIDIRS Predictors of cesarean section following elective post-dates induction of labor in nullipara with uncomplicated singleton vertex pregnancies-Saudi Medical Journal,vol 27, no 8, August 2006, pp 1167-1172Edris FE; von Dadelszen P; Ainsworth LM; et al-(2006)OBJECTIVE: Although post-dates is among the most common indications for induction of labor, no studies have identified the predictors of cesarean section (C/S) in that population. The high cesarean rate in our institution for this group of women triggered us to assess different induction practices to elicit potential causes. METHODS: We conducted a hospital-based retrospective cohort analysis using chart reviews of all nullipara women with induced labor at the Children's and Women's Health Centre of British Columbia, Vancouver, Canada, during the 2-year period, April 1998 to March 2000. The C/S rate was compared among 3 groups of women who were divided according to their induction method. RESULTS: Three hundred and thirty-nine women meeting the inclusion criteria were induced. Of the 25 women who received oxytocin ideally and the 111 women who did not, 7 (28%) and 53 (48%) were delivered by C/S, (x2=3.228 p=0.07; relative risks 0.59 [95% confidence interval 0.30, 1.13]). A significantly lower C/S rate (x2=21.9, p0.0005) was found among women induced with prostaglandin (PG) alone (19.4%) compared with those induced with PG and oxytocin, whether oxytocin was given ideally (38.3%) or not ideally (45.4%). Of women who received oxytocin, there was no difference in chorioamnionitis (x2=0.485, p=0.49) between those who had an early membrane rupture (with or pre-oxytocin, 22.4%) and those who had membrane rupture following a period of oxytocin infusion (18.5%). CONCLUSION: The need for oxytocin or less than 2 doses of PG is associated with increased risk of C/S. Whether oxytocin was given according to protocol (ideally) or not, made no difference to the C/S risk in this population. (Author) Am I dumb, or is it them? I would think that the question is is induction itself a predictor of C/S MM
Re: [ozmidwifery] OMG what next?
That is just awful! Shelly - Original Message - From: Päivi Laukkanen [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, September 01, 2006 8:39 PM Subject: Re: [ozmidwifery] OMG what next? What about this one? http://www.pregnancystore.com/pushpal_birthing_aid.htm Päivi - Original Message - From: Jo Watson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, September 01, 2006 5:30 PM Subject: [ozmidwifery] OMG what next? http://www.pregnancystore.com/zaky.htm I think this is actually a real product... Jo -- 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. -- Internal Virus Database is out-of-date. Checked by AVG Free Edition. Version: 7.1.375 / Virus Database: 268.6.1/344 - Release Date: 19/05/2006 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] OMG what next?
Mary, I'm a midwifery student I saw you at the Homebirth Australia Conference this year. I've been on this mailing list since the beginning of the year I've read it every day since I signed on. I have to say that you have an uncanny knack of saying things in such a way that I go Oh yeah, that's another way of looking at it. You should teach, if you don't already. Being able to break things down give people AHA moments is a real gift. I for one would be a very willing pupil. I love reading what you write. I love reading what everyone on this site writes. You girls rock LOL Gail :) From: Mary Murphy [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] OMG what next? Date: Sat, 2 Sep 2006 19:10:58 +0800 Just to play devils advocate, what is so terrible about something that helps women do what they are already being instructed to do?? Put your hands behind your knees, pull your legs up against your chest, put your chin on your chest, close your mouth and push as hard as you can down into your bottom. This guy has just made an aid to make all those instructions a little easier to follow. I think it is the perception of need for such an aid that is awful. MM That is just awful! Shelly -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] OMG what next?
Dont forget they have free postage and handling J From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Mary Murphy Sent: Saturday, 2 September 2006 21:11 To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] OMG what next? Just to play devils advocate, what is so terrible about something that helps women do what they are already being instructed to do?? Put your hands behind your knees, pull your legs up against your chest, put your chin on your chest, close your mouth and push as hard as you can down into your bottom. This guy has just made an aid to make all those instructions a little easier to follow. I think it is the perception of need for such an aid that is awful. MM That is just awful! Shelly
[ozmidwifery] Another OMG moment...
http://www.scarytoyclown.com/?p=44 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Maternity Coalition's activity
I hope this isn't a double up email - I have resent it as it didn't seem to get through. Just thought I'd send thison for anyone not aware of Maternity Coalition's latest campaign. I just visited the website and plan to join up as this is an issue close to my heart. Helen (there is a great flyer for people to put up in their local community about the new medicare item number available at the site - see below) Birthing women in rural and remote Australia Maternity Coalition is seriously concerned for the safety and health of expectant mothers and their babies living in rural and remote Australia if the Federal Government succeeds in pushing through changes about ante-natal care. What are the changes? The proposal by Health Minister Tony Abbott and his Department is to provide a new Medicare item 16400 so midwives, registered nurses and Aboriginal health workers can do ante-natal checks on behalf ofa GP or specialist obstetrician for women living in rural and remote Australia. The only positive from this proposal is that the Federal Government has finally acknowledged there is a problem accessing quality maternity care for women and families living in rural and remote Australia. But their solution to the problem is just a quick fix that gives women in the bush second-rate maternity care from unskilled workers. If anything, it will probably lead to more lives being put at risk in the bush. Why are the changes unsafe? Maternity Coalition is concerned about a range of issues that this proposal raises but our key concern is with the safety of care women will receive under this item: Regulatory bodies for nurses and midwives have developed national competency standards. Antenatal care is outside the educational background and scope of practice of all nurses. They have neither the qualifications nor the experience of providing antenatal care to pregnant women. It is dangerous for women to receive antenatal care from a nurse who is being pressured to provide care outside the nurses scope of practice. The competency standards for midwives include antenatal care. Midwives are educated for between 18 months and 3 years in all aspects of maternity care. They are registered or endorsed to provide antenatal care across Australia. Some Aboriginal Health Workers have also obtained an educational qualification in antenatal care. Many rural GPs do not themselves have formal education in the provision of antenatal care, except where they have obtained a Diploma in Obstetrics. They are therefore not well placed to assess the skills and competence of nurses who also lack education in this, let alone supervising nurses to provide this care. There is therefore no guarantee under this policy that rural/remote women will receive antenatal care from someone who is competent to provide it. Unskilled care is more dangerous than no care as women are likely to assume their health is being adequately checked and not seek care from an obstetrician or midwife. Why should women in rural Australia accept such care when were sure the Federal Government wouldn't suggest the idea for city dwellers? A tragic story Already in QLD we have seen the tragic consequences for a woman being cared for by a non-midwife. A nurse with no midwifery training, working on a post-natal ward, didn't understand the need for women to urinate after having a baby. Because of this, the woman, a first-time mother in her mid-20s had to undergo a complete hysterectomy because of this simple omission. The mother will never be able to have any more children naturally. If this proposal by the Federal Government gets through, we may see more tragic cases like this where pregnant women develop a pregnancy-related complication and the unskilled carer seeing them antenatally does not realise and does not refer them on to a midwife, GP or specialist obstetrician. Who is concerned? Maternity Coalition, a national maternity consumer group, is really concerned about this situation.Other professional bodies including the Australian College of Midwives also have major concerns about the safety for women if this change is adopted by the government. Many nursing organisations are concerned because they realise it will put nurses in difficult situations where they are practising beyond their competencies. What you can do Maternity Coalition and the Australian College of Midwives are preparing a massive media/lobbying campaign to draw attention to this proposal. But we need mothers and families from all over QLD/Australia to help. You can do a number of things: Volunteer to speak about this problem to your local and national media we can get you fully briefed on the issue so you feel prepared. Write a letter to your Federal MP and the Health Minister, Tony Abbott ([EMAIL PROTECTED]). Write letters to your states
RE: [ozmidwifery] OMG what next?
Thank You Gail. I do like teaching, but in a hands on way, not a formal classroom way. I am not likely to be in a position to do anything other than that as I just love being a community midwife. Cheers, MM Mary, I'm a midwifery student I saw you at the Homebirth Australia Conference this year. I've been on this mailing list since the beginning of the year I've read it every day since I signed on. I have to say that you have an uncanny knack of saying things in such a way that I go Oh yeah, that's another way of looking at it. You should teach, if you don't already. Being able to break things down give people AHA moments is a real gift. I for one would be a very willing pupil. I love reading what you write. I love reading what everyone on this site writes. You girls rockLOL Gail :)
Re: [ozmidwifery] OMG what next?
That is what I meant really. We live in a commercial world where many agencies have to make a buck. It has been created by an obstetricain with 30 years of experience, what a shame he/she has not learned anything from watching women labourin his/her 30 years. Shelly - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Saturday, September 02, 2006 12:10 PM Subject: RE: [ozmidwifery] OMG what next? Just to play devils advocate, what is so terrible about something that helps women do what they are already being instructed to do?? Put your hands behind your knees, pull your legs up against your chest, put your chin on your chest, close your mouth and push as hard as you can down into your bottom. This guy has just made an aid to make all those instructions a little easier to follow. I think it is the perception of need for such an aid that is awful. MM That is just awful! Shelly Internal Virus Database is out-of-date.Checked by AVG Free Edition.Version: 7.1.375 / Virus Database: 268.6.1/344 - Release Date: 19/05/2006
[ozmidwifery] midwifery exchange
Hi all, I am having preliminary thoughts about startingsome kind ofsponsorship program for midwifery exchange. Earlier this year I met a Finnish obstetrician, who only does gynegology and homebirths at the moment. ( Only 4-6 homebirths / year. We only have some 20 homebirths in our country..) Every year she travels to Holland to spend time with the local midwives. She said she needs this to boost her confidence and get inspiration for what she does.After this I have been wondering if I could start to sponsor (trough my maternity business) one midwife or midwifery studentevery year to travel somewherefor 2 weeks or 2 months to see how women labor and give birth in the non-medicaliced environment and care.This could be spending time with a homemidwife or maybe at a birthing centre or even both. If there happened to be some great homebirth conference around the time, wouldn't that be perfect for her. I think going to Holland the language might be bit of a problem, but US, UK or Australia would be great, since most people do speak good english. Has anyone heard of programs like this? Are there some legal issues, I should worry about? Do you think there would be homebirth midwives or birth centres in Australia, which would take exchangees like this? What would be a good length for the stay? Do you think the exchange midwife could stay at the hosting midwife's home or would she need an apartment? Would it be better if two midwives from same unit would go, so they could share their experience and maybe be stronger to change things once they return home? What kind of a payment you feel the hosting midwife would want for this time? Almost twenty years ago I spent a year in Adelaide as a Rotary Exchange student. I lived with the local families and attended high school. I must say it was one of the best years in my life and it had a huge impact on my later life. It was great to learn so much about a different culture by living with these families. I am still very close to the people I stayed with and consider them my family. Have been back five times since then =). I am just thinking how much this experinece could change one midwife's views and practise... Please share any thoughts you have about this. Regards, Päivi Laukkanen Childbirth Educator Finland
Re: [ozmidwifery] Another OMG moment...
Which sicko wrote the blurb for this? - Original Message - From: [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Saturday, September 02, 2006 10:07 PM Subject: [ozmidwifery] Another OMG moment... http://www.scarytoyclown.com/?p=44 -- 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] OMG what next?
what a shame he/she has not learned anything from watching women labourin his/her 30 years. I think that the point is: He hasnt watched them! He has come in intermittently and at the last part and told them what to do. No watching their body language or facial expressions, no learning. When there is no continuity throughout the labour, there is no understanding of the individual womans rhythm. This is also linked to the previous theme of assessing women in labour without internal VEs. MM
[ozmidwifery] Why I choose not to..
sent to me by a mum -substitute'breastfeeding' for "carseat" WHY I CHOOSE NOT TO USE A CAR SEAT Author unknown I refuse to feel guilty for making an educated choice to not put my baby in a car seat. There are so many militant car seat users in our society and I am tired of them pushing their beliefs on me. There are lots of reasons I have made this choice. First of all, I want my husband to be able to drive him around in his car. He can just sit him on his lap when they go for a ride. This will help him bond and be closer with our son. I don't want to be the only one that drives him around. It makes my husband, mother and friends feel special when they can take him for rides. I will be returning to work in 6 weeks and I don't want a big old car seat in the back of our luxury car. I never put my first son in a car seat and he is just fine. I was never in a car seat, neither was my mother and we are both as healthy as can be. On the other hand, my sister in law's cousin used a car seat and her child was seriously injured in a car wreck. My aunt tried to use a car seat and wasn't able to. She was never able to latch the baby in the seat properly. In fact, my car is too small for a car seat anyway. What matters most is that my baby is healthy and happy. When I left the hospital, they told me that I should try to use the car seat, but if it didn't work out that it was all right to not use it. In fact, in the diaper bag that I received from the hospital, it has some information for how to safely ride in the car with my son without a car seat. I tried for 1 week to use a car seat with my first son and it made both of us miserable. I told my pediatrician about it, and he said it would probably be best to not use a car seat anymore. Now he is happy and content sitting on my lap as we drive. Using a car seat is just so inconvenient! My privacy is also an issue. Do I want everyone to know when they see my car that I have a child??? Besides, my children need to learn how to ride in the car without being in the car seat. I don't want a 3 year old still wanting to get in his seat! \ I know that using a car seat has some benefits, but there are a lot of people out there who don't use them and their kids are just fine! There are people out there that cannot use a car seat (can't latch baby in properly, car is too small, doesn't match with the interior). Using a car seat is a personal choice and nobody's business. As a parent I have made the decision for what is best for my child. It works best for us and our child.and that is all that is important. It's my choice after all, isn't it??
Re: [ozmidwifery] Another OMG moment...
We've got one of those at uni!!! And no offense to poor Noelle, but she's as scary looking in real life as she is on the film! Haven't seen her give birth yet, but last semester we used her to learn abdomonal palpation, and finding the foetal heart rate. VE's this week... might be seeing a bit more of her!! Regards, Astra. Quoting [EMAIL PROTECTED] [EMAIL PROTECTED]: http://www.scarytoyclown.com/?p=44 -- 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] from MIDIRS
tut tut Mary. Why would you think that, if you think there is no other way to do 'the job' than to induce? (says she cynically) cheers Judy --- Mary Murphy [EMAIL PROTECTED] wrote: Predictors of cesarean section following elective post-dates induction of labor in nullipara with uncomplicated singleton vertex pregnancies - Saudi Medical Journal , vol 27, no 8, August 2006, pp 1167-1172 Edris FE; von Dadelszen P; Ainsworth LM; et al - (2006) OBJECTIVE: Although post-dates is among the most common indications for induction of labor, no studies have identified the predictors of cesarean section (C/S) in that population. The high cesarean rate in our institution for this group of women triggered us to assess different induction practices to elicit potential causes. METHODS: We conducted a hospital-based retrospective cohort analysis using chart reviews of all nullipara women with induced labor at the Children's and Women's Health Centre of British Columbia, Vancouver, Canada, during the 2-year period, April 1998 to March 2000. The C/S rate was compared among 3 groups of women who were divided according to their induction method. RESULTS: Three hundred and thirty-nine women meeting the inclusion criteria were induced. Of the 25 women who received oxytocin ideally and the 111 women who did not, 7 (28%) and 53 (48%) were delivered by C/S, (x2=3.228 p=0.07; relative risks 0.59 [95% confidence interval 0.30, 1.13]). A significantly lower C/S rate (x2=21.9, p0.0005) was found among women induced with prostaglandin (PG) alone (19.4%) compared with those induced with PG and oxytocin, whether oxytocin was given ideally (38.3%) or not ideally (45.4%). Of women who received oxytocin, there was no difference in chorioamnionitis (x2=0.485, p=0.49) between those who had an early membrane rupture (with or pre-oxytocin, 22.4%) and those who had membrane rupture following a period of oxytocin infusion (18.5%). CONCLUSION: The need for oxytocin or less than 2 doses of PG is associated with increased risk of C/S. Whether oxytocin was given according to protocol (ideally) or not, made no difference to the C/S risk in this population. (Author) Am I dumb, or is it them? I would think that the question is is induction itself a predictor of C/S MM On Yahoo!7 Check out PS Trixi - The hot new online adventure http://www.trixi.com.au -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] OMG what next?
Only in the US. The other item looked a bit expensive to get out here, the hands. Cheers Judy --- Melanie Sommeling [EMAIL PROTECTED] wrote: Don't forget they have free postage and handling :-) _ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Mary Murphy Sent: Saturday, 2 September 2006 21:11 To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] OMG what next? Just to play devils advocate, what is so terrible about something that helps women do what they are already being instructed to do?? Put your hands behind your knees, pull your legs up against your chest, put your chin on your chest, close your mouth and push as hard as you can down into your bottom. This guy has just made an aid to make all those instructions a little easier to follow. I think it is the perception of need for such an aid that is awful. MM That is just awful! Shelly Do you Yahoo!? Take part in Total Girls Ultimate Slumber Party and help break a world record http://www.totalgirl.com.au -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
