Re: [ozmidwifery] The Purple Line
That is such a good point because people who have never seen women upright are so surprised when you point it out to them Andrea On 03/09/2006, at 3:15 PM, Synnes wrote: H! Now that would be hard to see if you have the birthing mum restricted on her back on the bed, wouldn't it Amanda - Original Message - From: Nikki Macfarlane [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, September 01, 2006 12:57 PM Subject: Re: [ozmidwifery] The Purple Line As the baby's head descends Megan, the sacrum moves out and this results in the line appearing. It is something you statr to see, in most cases, when the woman is fully dilated, so is a great visual clue as to the stage of labour she is at. Occasionally you also see it earlier in labour if the baby is posterior and rotating past the sacrum. In this case though it does not tend ot be as long and disappears again as the baby rotates towards the mother's left hip. Nikki Macfarlane Childbirth International www.childbirthinternational.com - Original Message - From: Megan Larry [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, September 01, 2006 11:19 AM Subject: RE: [ozmidwifery] The Purple Line For us non-midwives, now that I've seen the photo and understand the purple line, what does this mean regarding the birthing woman? Megan -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.405 / Virus Database: 268.11.7/436 - Release Date: 9/1/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.405 / Virus Database: 268.11.7/436 - Release Date: 9/1/2006 -- 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?
I'm glad that I didn't put my money into that probably well-intentioned but extremely useless invention. Got the giggles though, was imagining women sending it back and asking for their money back because they didn't lie on their back the entire labour - thanks to their midwife!! And the sizing was even more hysterical. BUT what I loved the most was the L for left leg and R for right leg - REALLY??? Sorry about the sarcasm. What next?? Put it over your head? From: Päivi Laukkanen [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] OMG what next? Date: Fri, 1 Sep 2006 22:39:58 +0300 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. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Synto question
According to the box, Syntocinon and syntometrine should be stored at between 2-8 degrees C. Leaving it out of the fridge in room temperature for short periods of time should not affect it, but the best people to ask are the distributors, Look on the box for details. MM Just a quick question does anyone know how long Syntocinon can be out of refrigeration before it starts loosing its effectiveness? Where I am working at the moment there are an amazing number of PPH's, and also the common practice of drawing up the synto and having it ready often hours before the birth. Aside from all the other medical intervention which would contribute to PPH, if controlled cord traction is started after a dose of ineffective synto,it's probably contributing to the PPH's. Cheers Michelle On Yahoo!7 Photos: Unlimited free storage keep all your photos in one place!
Re: [ozmidwifery] Synto question
It can be out of the fridge for days so long as it is kept below a certain temp ( I think it was 25oC but dont quote that) which most hospitals which are air conditioned would be. At certain times I have experienced episodes in which we have had a number of 'failed' inductions which has made me question the 'toxicity' of the synt given that they are all with the same batch. We did report it to our pharmacy who contacted the manufacturers who of course said there was nothing wrong with it but replaced it and the problem went away. So draw your own conclusions.Drawing up the synt before birth is a dangerous practice and one in which I wouldn't be part of especially as the person who drew it up may not be the one who is giving it and dishes with drawn up syringes get moved and I have even seen one which was accidently moved out of the way onto the nearest flat surface which happened to be the resus cot which could have had fatal repurcussions should someone have given it to the baby by 'mistake'. The other advantage of not drawing it up is that it cant be given as quickly which is always an advantage when medddling people are in the room. I agree with the CCT with ineffective synt being a cause of PPH but you should still be waiting for signs for separation before attempting CCT anyway.Andrea QuanchiOn 03/09/2006, at 10:01 PM, Michelle Windsor wrote: Just a quick question does anyone know how long Syntocinon can be out of refrigeration before it starts loosing its effectiveness? Where I am working at the moment there are an amazing number of PPH's, and also the common practice of drawing up the synto and having it ready often hours before the birth. Aside from all the other medical intervention which would contribute to PPH, if controlled cord traction is started after a dose of ineffective synto, it's probably contributing to the PPH's. Cheers Michelle On Yahoo!7 Photos: Unlimited free storage – keep all your photos in one place!
Re: [ozmidwifery] Synto question
Not sure, we too have the synto out at least an hour or two before birth.We have stopped drawing up the synto until after the birth( not what you were askingI know) ever since synto was given accidently at a Victorian hospital prior to a baby's birth with terrible consequences. Helen - Original Message - From: Jo Watson To: ozmidwifery@acegraphics.com.au Sent: Sunday, September 03, 2006 10:14 PM Subject: Re: [ozmidwifery] Synto question A few years ago a batch of synto was recalled as it had been found less effective than normal, so I suppose the same thing would have happened there, CCT without proper active management drugs leading to more PPHs. Not sure about the out of fridge times tho. Jo On 03/09/2006, at 8:01 PM, Michelle Windsor wrote: Just a quick question does anyone know how long Syntocinon can be out of refrigeration before it starts loosing its effectiveness? Where I am working at the moment there are an amazing number of PPH's, and also the common practice of drawing up the synto and having it ready often hours before the birth. Aside from all the other medical intervention which would contribute to PPH, if controlled cord traction is started after a dose of ineffective synto,it's probably contributing to the PPH's. Cheers Michelle On Yahoo!7Photos: Unlimited free storage – keep all your photos in one place!__ NOD32 1.1737 (20060903) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
RE: [ozmidwifery] The Purple Line
Tania, could I please have a few more details? E.g. author and complete title of article? I am also puzzled by the (8681). I cant seem to access it with the details you provided. Thanks, MM Tania wrote: For anyone who's interested, the original piece of research was pubished in the Lancet 1997, 335(8681): 122 entitled Clinical Method for Evaluat
Re: [ozmidwifery] The Purple Line
Mary,the article is called, 'Clinical method for evaluating progress in the first stage of labour' Byrne DL, Edmonds DK. Lancet 1997; Volume 335(Issue 8681): pp-122hope this helps.cheersbec Rebecca Gaiewski[EMAIL PROTECTED] On 04/09/2006, at 8:26 AM, Mary Murphy wrote:Tania, could I please have a few more details? E.g. author and complete title of article? I am also puzzled by the (8681). I can’t seem to access it with the details you provided. Thanks, MM Tania wrote:For anyone who's interested, the original piece of research was pubished inthe Lancet 1997, 335(8681): 122 entitled Clinical Method for Evaluat
RE: [ozmidwifery] The Purple Line
Hi Mary, The reference from the article by Lesley Hobbs is the article that was initially published in the Lancethere is the complete reference from the Hobbs article Byrne DL, Edmonds DK. Clinical method for evaluating progress in the first stage of labour. Lancet 1997; 335(8681): 122 I havent actually seen the original study, just came across the Hobbs article when I was doing my Mid training in 1998. She was published in the Practising Midwife, in November 1998 Volume 1 Number 11 p 34-35. I have often thought how great it would be to have some more compelling evidence, in this age of having to justify everything with the research, but the idea of conducting a study, and comparing length of purple line to cervical dilatation on women throughout labour seems just unthinkable. So I think it will have to be one of those things that we see, and perhaps report on in a retrospective manner. Perhaps a national purple line databasejust thoughts! I think Heather Hancock from Uni SA was considering doing some research using photos and then looking at the time of the photo showing the elongated purple line, with the time of birth, and using that comparison to propose that it could be used as a complementary tool when assessing a womans progress in labour. Havent heard anything else about it though Tania xx From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Mary Murphy Sent: Monday, 4 September 2006 7:57 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] The Purple Line Tania, could I please have a few more details? E.g. author and complete title of article? I am also puzzled by the (8681). I cant seem to access it with the details you provided. Thanks, MM Tania wrote: For anyone who's interested, the original piece of research was pubished in the Lancet 1997, 335(8681): 122 entitled Clinical Method for Evaluat -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.405 / Virus Database: 268.11.7/436 - Release Date: 1/09/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.405 / Virus Database: 268.11.7/436 - Release Date: 1/09/2006
RE: [ozmidwifery] midwifery exchange
Hi, Paivi, I for one would be very interested in an exchange program. As a student we have very little access to any other form of midwifery other than that practised at the hospital we are placed with. It would be wonderful to be able to broaden one's knowledge with first-hand experience of other ways of doing. Regards, Gail From: Päivi Laukkanen [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] midwifery exchange Date: Sat, 2 Sep 2006 22:54:26 +0300 Hi all, I am having preliminary thoughts about starting some kind of sponsorship 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 student every year to travel somewhere for 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 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] The Purple Line
This is really interesting. As a student I have access to hundreds of databases. I went straight to Lancet to access the article. (Actually, it is 1990, 335(8681), not 1997. Anyway, guess what? While the article is listed in the contents page at the front, it cannot be accessed. I tried all the databases none of them will let me have it. Hmmm.Mayhaps one will have to dig out an actual copy of the magazine to find it. Tell me again...Who controls access to information? Should I expect a knock on the door anytime soon? From: Tania Smallwood [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] The Purple Line Date: Mon, 4 Sep 2006 08:25:08 +0930 Hi Mary, The reference from the article by Lesley Hobbs is the article that was initially published in the Lancet here is the complete reference from the Hobbs article Byrne DL, Edmonds DK. Clinical method for evaluating progress in the first stage of labour. Lancet 1997; 335(8681): 122 I havent actually seen the original study, just came across the Hobbs article when I was doing my Mid training in 1998. She was published in the Practising Midwife, in November 1998 Volume 1 Number 11 p 34-35. I have often thought how great it would be to have some more compelling evidence, in this age of having to justify everything with the research, but the idea of conducting a study, and comparing length of purple line to cervical dilatation on women throughout labour seems just unthinkable. So I think it will have to be one of those things that we see, and perhaps report on in a retrospective manner. Perhaps a national purple line database just thoughts! I think Heather Hancock from Uni SA was considering doing some research using photos and then looking at the time of the photo showing the elongated purple line, with the time of birth, and using that comparison to propose that it could be used as a complementary tool when assessing a womans progress in labour. Havent heard anything else about it though Tania xx _ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Mary Murphy Sent: Monday, 4 September 2006 7:57 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] The Purple Line Tania, could I please have a few more details? E.g. author and complete title of article? I am also puzzled by the (8681). I cant seem to access it with the details you provided. Thanks, MM Tania wrote: For anyone who's interested, the original piece of research was pubished in the Lancet 1997, 335(8681): 122 entitled Clinical Method for Evaluat -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.405 / Virus Database: 268.11.7/436 - Release Date: 1/09/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.405 / Virus Database: 268.11.7/436 - Release Date: 1/09/2006 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Synto question
Hospital pharmacys would be able to tell you and they are easy to contact. I am not sure where you are but the pharmacy at Womens and Childrens Hospital in Adelaide are very helpful. (08) 8161 7222 is the direct number for the Drugs in Pregnancy and Breastfeeding information that can be accessed by anyone. Christine -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Mary Murphy Sent: 04 September 2006 07:39 To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Synto question According to the box, Syntocinon and syntometrine should be stored at between 2-8 degrees C. Leaving it out of the fridge in room temperature for short periods of time should not affect it, but the best people to ask are the distributors, Look on the box for details. MM Just a quick question does anyone know how long Syntocinon can be out of refrigeration before it starts loosing its effectiveness? Where I am working at the moment there are an amazing number of PPH's, and also the common practice of drawing up the synto and having it ready often hours before the birth. Aside from all the other medical intervention which would contribute to PPH, if controlled cord traction is started after a dose of ineffective synto,it's probably contributing to the PPH's. Cheers Michelle On Yahoo!7 Photos: Unlimited free storage keep all your photos in one place!
