RE: [ozmidwifery] getting synto etc
Ok I need some more info I guess. I have had some midwives locally say that this is a better option to have at home for an emergency. This is my own birth I am talking about I am not a midwife, I am a doula and will be birthing unassisted due to the non-existence of MIPP up here, I am wanting something on hand for just in case. I have been told Misoprostol is very effective with few side effects. It will be for me a last resort whilst waiting for an ambo if things like shepherds purse and eating placenta do not work (if I have another PPH). Would anyone be able to tell me a bit more about the side effect and why you would/would not recommend it. I am due in a couple of months so want to start getting something organized and a decision made about which way to go. Thank you, Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Amanda W Sent: Wednesday, 15 November 2006 4:41 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc We use Misoprostol at the hospital where I work and it is kept in the fridge next to the syntocinon and syntometrine and the prostins etc. Why would you want to use it at your homebirth but. Syntocinon should be just fine. Misoprostol is a fairly heavy drug of choice with a fair few side effects and we only use it for large PPH's Amanda Ward Creative Memories Consultant Ph. (07) 3261 4354 Mob, 0417 009 648 Email. [EMAIL PROTECTED] From: Lisa Barrett [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Date: Wed, 15 Nov 2006 16:18:45 +1030 misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 3:55 PM Subject: RE: [ozmidwifery] getting synto etc I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey Sent: Wednesday, 15 November 2006 12:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Had a client recently who I sent to her GP for a script for synt. She got the script, went to the chemist to fill it found it was going to cost her around $80 to get it - they only sold it in the boxes of five vials. I ended up asking around my MIPP friends managed to find some that way (dint need it anyway so its still in my fridge). If you give me your postal address Im happy to post some to you - my understanding is that its ok to keep it out of the fridge for a time. cheers -- Jennifairy Gillett RM Midwife in Private Practice Women's Health Teaching Associate ITShare volunteer - Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- 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
Re: [ozmidwifery] getting synto etc
I work at a major tertiary hospital-we stock misoprostil and use it with pph's so I think it is licenced. Meg - Original Message - From: Lisa Barrett [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 4:48 PM Subject: Re: [ozmidwifery] getting synto etc misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 3:55 PM Subject: RE: [ozmidwifery] getting synto etc I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey Sent: Wednesday, 15 November 2006 12:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Had a client recently who I sent to her GP for a script for synt. She got the script, went to the chemist to fill it found it was going to cost her around $80 to get it - they only sold it in the boxes of five vials. I ended up asking around my MIPP friends managed to find some that way (dint need it anyway so its still in my fridge). If you give me your postal address Im happy to post some to you - my understanding is that its ok to keep it out of the fridge for a time. cheers -- Jennifairy Gillett RM Midwife in Private Practice Women's Health Teaching Associate ITShare volunteer - Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- 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. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 1866 (20061114) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
FW: [ozmidwifery] getting synto etc
We have it in our cupboard and regularly use it for pph (used pr) and it works well for this, I imagine this it what you would be having it on hand for Philippa? Because it's a tablet it doesn't need refrigeration. Most of our Tops are now done with it too. It is dispensed by our pharmacyalthough kept in the dd cupboard and counted in the same manner. If obs in the public system are using it freely then I can't see why a GP would object...or maybe a hospital doctor would write it up for you? - I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville - -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] hanging baby scales
Cath Mary, I purchased the hanging baby scales and sling from a company called "in his hands". they are based in Texas but they only took about 3-4 days to arrive. The scales are digital and about the size of a cigarette packet and weigh in both grams and kilos upto 30kg. They scales cost $35US and the sling cost $15US. Postage was another $10US. I love them and can't wait to weigh some babies!! Sonja
RE: [ozmidwifery] getting synto etc
We have it in our cupboard and regularly use it for pph (used pr) and it works well for this, I imagine this it what you would be having it on hand for Philippa? Because it's a tablet it doesn't need refrigeration. Most of our Tops are now done with it too. It is dispensed by our pharmacyalthough kept in the dd cupboard and counted in the same manner. If obs in the public system are using it freely then I can't see why a GP would object...or maybe a hospital doctor would write it up for you? - I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville - -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] getting synto etc
From what I've heard, it is a drug not licensed for use in obstetrics (but it is used, obviously) ... I can't remember it's primary function though. And I can't be bothered googling right now. Jo On 15/11/2006, at 5:02 PM, meg wrote: I work at a major tertiary hospital-we stock misoprostil and use it with pph's so I think it is licenced. Meg - Original Message - From: Lisa Barrett [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 4:48 PM Subject: Re: [ozmidwifery] getting synto etc misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 3:55 PM Subject: RE: [ozmidwifery] getting synto etc I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey Sent: Wednesday, 15 November 2006 12:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Had a client recently who I sent to her GP for a script for synt. She got the script, went to the chemist to fill it found it was going to cost her around $80 to get it - they only sold it in the boxes of five vials. I ended up asking around my MIPP friends managed to find some that way (dint need it anyway so its still in my fridge). If you give me your postal address Im happy to post some to you - my understanding is that its ok to keep it out of the fridge for a time. cheers -- Jennifairy Gillett RM Midwife in Private Practice Women's Health Teaching Associate ITShare volunteer - Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- 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. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 1866 (20061114) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- 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] getting synto etc
Lisa, Misoprostal for PPH is used on a regular basis at our tertiary hospital. I had a client who planned to go home 4hrs after the birth of twins and the staff gave her Miso about an hour after the birth..she was not hemorrhaging, it was given in case. It is also available to the CMP homebirth midwives if needed. It would only be used as an emergency drug during a transfer to hospital for a severe PPH. Not been needed so far thank goodness. It is used in hospitals much more extensively than one thinks. It is de-facto legal; frequent effective use in the same situation makes it so. Dont know what a court would make of it tho. MM misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett
RE: [ozmidwifery] getting synto etc
Used for gastirc ulcers? -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jo Watson Sent: Wednesday, 15 November 2006 7:33 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc From what I've heard, it is a drug not licensed for use in obstetrics (but it is used, obviously) ... I can't remember it's primary function though. And I can't be bothered googling right now. Jo On 15/11/2006, at 5:02 PM, meg wrote: I work at a major tertiary hospital-we stock misoprostil and use it with pph's so I think it is licenced. Meg - Original Message - From: Lisa Barrett [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 4:48 PM Subject: Re: [ozmidwifery] getting synto etc misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 3:55 PM Subject: RE: [ozmidwifery] getting synto etc I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey Sent: Wednesday, 15 November 2006 12:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Had a client recently who I sent to her GP for a script for synt. She got the script, went to the chemist to fill it found it was going to cost her around $80 to get it - they only sold it in the boxes of five vials. I ended up asking around my MIPP friends managed to find some that way (dint need it anyway so its still in my fridge). If you give me your postal address Im happy to post some to you - my understanding is that its ok to keep it out of the fridge for a time. cheers -- Jennifairy Gillett RM Midwife in Private Practice Women's Health Teaching Associate ITShare volunteer - Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- 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. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 1866 (20061114) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- 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] getting synto etc
Are you able to "acquire" it somehow - Original Message - From: cath nolan To: ozmidwifery@acegraphics.com.au Sent: Tuesday, November 14, 2006 9:13 PM Subject: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues.Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath
Re: [ozmidwifery] homebirth costs
Brenda's cost suggestions are a lot less than some MWs closer to the city where $3000-4000 is common. - Original Message - From: diane To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 5:20 PM Subject: [ozmidwifery] homebirth costs Wow thats a significant difference between NSW and Vic, what about elsewhere?? Cheers, Di
Re: [ozmidwifery] getting synto etc
I have seen and used misoprostil quite a lot in several hospitals, mostly for PPH and 2nd trimester TOPs.It is highly effective for PPH and can be given orally. We would get the woman to chew it, not pleasant but quicker action that way. It is fine given orally as long as narcotics have not been administered in the previous 4 hours as the narcotic decreases gut motility and therefore impairs the effects of the misoprostil.I found that especially when I was in Kununurra and needed to use it , it was a great drug to have on hand. Remembering that a large portion of that community were at less than optimal health and often had low hb, poor antenatal care and nutrition, grand multi etc. As far as I am aware it is ok to use for PPH and recognised as such even though it was manufactured as a drug to treat gastric ulcers. The problems surrounding its use and bad press are regarding use for induction of labour, another story altogether. Hope this helps, Cath - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 7:56 PM Subject: RE: [ozmidwifery] getting synto etc Ok I need some more info I guess. I have had some midwives locally say that this is a better option to have at home for an emergency. This is my own birth I am talking about I am not a midwife, I am a doula and will be birthing unassisted due to the non-existence of MIPP up here, I am wanting something on hand for just in case. I have been told Misoprostol is very effective with few side effects. It will be for me a last resort whilst waiting for an ambo if things like shepherds purse and eating placenta do not work (if I have another PPH). Would anyone be able to tell me a bit more about the side effect and why you would/would not recommend it. I am due in a couple of months so want to start getting something organized and a decision made about which way to go. Thank you, Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Amanda W Sent: Wednesday, 15 November 2006 4:41 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc We use Misoprostol at the hospital where I work and it is kept in the fridge next to the syntocinon and syntometrine and the prostins etc. Why would you want to use it at your homebirth but. Syntocinon should be just fine. Misoprostol is a fairly heavy drug of choice with a fair few side effects and we only use it for large PPH's Amanda Ward Creative Memories Consultant Ph. (07) 3261 4354 Mob, 0417 009 648 Email. [EMAIL PROTECTED] From: Lisa Barrett [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Date: Wed, 15 Nov 2006 16:18:45 +1030 misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 3:55 PM Subject: RE: [ozmidwifery] getting synto etc I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey Sent: Wednesday, 15 November 2006 12:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would
Re: [ozmidwifery] getting synto etc
Where are you that you cannot find a midwife? - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 7:56 PM Subject: RE: [ozmidwifery] getting synto etc Ok I need some more info I guess. I have had some midwives locally say that this is a better option to have at home for an emergency. This is my own birth I am talking about I am not a midwife, I am a doula and will be birthing unassisted due to the non-existence of MIPP up here, I am wanting something on hand for just in case. I have been told Misoprostol is very effective with few side effects. It will be for me a last resort whilst waiting for an ambo if things like shepherds purse and eating placenta do not work (if I have another PPH). Would anyone be able to tell me a bit more about the side effect and why you would/would not recommend it. I am due in a couple of months so want to start getting something organized and a decision made about which way to go. Thank you, Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Amanda W Sent: Wednesday, 15 November 2006 4:41 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc We use Misoprostol at the hospital where I work and it is kept in the fridge next to the syntocinon and syntometrine and the prostins etc. Why would you want to use it at your homebirth but. Syntocinon should be just fine. Misoprostol is a fairly heavy drug of choice with a fair few side effects and we only use it for large PPH's Amanda Ward Creative Memories Consultant Ph. (07) 3261 4354 Mob, 0417 009 648 Email. [EMAIL PROTECTED] From: Lisa Barrett [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Date: Wed, 15 Nov 2006 16:18:45 +1030 misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 3:55 PM Subject: RE: [ozmidwifery] getting synto etc I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey Sent: Wednesday, 15 November 2006 12:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Had a client recently who I sent to her GP for a script for synt. She got the script, went to the chemist to fill it found it was going to cost her around $80 to get it - they only sold it in the boxes of five vials. I ended up asking around my MIPP friends managed to find some that way (dint need it anyway so its still in my fridge). If you give me your postal address Im happy to post some to you - my understanding is that its ok to keep it out of the fridge for a time. cheers -- Jennifairy Gillett RM Midwife in Private Practice Women's Health Teaching Associate ITShare volunteer - Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- This mailing list is sponsored by ACE Graphics.
Re: [ozmidwifery] getting synto etc
Hi Jo, I think it is not licenced for use for induction of labour with live babies in australia. It's ok for stillbirth induction and pph. Melissa - Original Message - From: Jo Watson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 5:33 PM Subject: Re: [ozmidwifery] getting synto etc From what I've heard, it is a drug not licensed for use in obstetrics (but it is used, obviously) ... I can't remember it's primary function though. And I can't be bothered googling right now. Jo On 15/11/2006, at 5:02 PM, meg wrote: I work at a major tertiary hospital-we stock misoprostil and use it with pph's so I think it is licenced. Meg - Original Message - From: Lisa Barrett [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 4:48 PM Subject: Re: [ozmidwifery] getting synto etc misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 3:55 PM Subject: RE: [ozmidwifery] getting synto etc I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey Sent: Wednesday, 15 November 2006 12:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Had a client recently who I sent to her GP for a script for synt. She got the script, went to the chemist to fill it found it was going to cost her around $80 to get it - they only sold it in the boxes of five vials. I ended up asking around my MIPP friends managed to find some that way (dint need it anyway so its still in my fridge). If you give me your postal address Im happy to post some to you - my understanding is that its ok to keep it out of the fridge for a time. cheers -- Jennifairy Gillett RM Midwife in Private Practice Women's Health Teaching Associate ITShare volunteer - Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- 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. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 1866 (20061114) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- 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] getting synto etc
Yes, I have thought of that but would love to be above board with everthing that I could, Cath - Original Message - From: Sonja Barry To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 7:25 PM Subject: Re: [ozmidwifery] getting synto etc Are you able to "acquire" it somehow - Original Message - From: cath nolan To: ozmidwifery@acegraphics.com.au Sent: Tuesday, November 14, 2006 9:13 PM Subject: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues.Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath
Re: [ozmidwifery] getting synto etc
This is taken from the misoprostol website . I didn't say it didn't work, just that it was unlicenced. I still think it's not the sort of drug for a homebirth midwife to carry. Lisa Barrett Misoprostol is currently only approved by the Food and Drug Administration (FDA) for the prevention and treatment of gastric ulcers resulting from chronic administration of nonsteroidal anti-inflammatory drugs (NSAIDS). Ø Misoprostol has been extensively studied in reproductive health, and is widely recommended for the treatment of missed and incomplete miscarriages, the induction of abortion, and cervical preparation before uterine instrumentation, induction of labour and postpartum haemorrhage prophylaxis and treatment. Ø The use of drugs for off-label indications is legal, common practice, and not considered experimental if based on sound scientific evidence. Drug licensing is not proof of effectiveness and many drugs of proven efficacy are not licensed. Ø In all cases the evidence must be carefully considered and the benefit: risk ratio assessed before a drug is prescribed for an unlicensed indication. Ø Patients and their carers should be properly informed if a doctor prescribes a licensed drug for an unlicensed indication.
Re: [ozmidwifery] getting synto etc
Hi Mary. I realise that it is used. I know my experience was only in the Private system here and it's probably more widely used in the public service in an open way. I also know that Antenatal dexamethasone is not licensed either for lung maturity and it used all the time. The women's and children's did a study in 2004/5 on using for late termination and found bigger the dose the more side effects seen.. http://www.wch.sa.gov.au/research/publications/report/research03/files/research_advise.pdf I suppose like everything it's all according to what you believe to be right. There were 2 reported deaths from it in South Africa last year but they felt that it had been used incorrectly. Phillipa I suppose you just need to check it out a bit more before you decide if it's the right emergency drug for you. Lisa Barrett - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:04 PM Subject: RE: [ozmidwifery] getting synto etc Lisa, Misoprostal for PPH is used on a regular basis at our tertiary hospital. I had a client who planned to go home 4hrs after the birth of twins and the staff gave her Miso about an hour after the birth..she was not hemorrhaging, it was given in case. It is also available to the CMP homebirth midwives if needed. It would only be used as an emergency drug during a transfer to hospital for a severe PPH. Not been needed so far thank goodness. It is used in hospitals much more extensively than one thinks. It is de-facto legal; frequent effective use in the same situation makes it so. Dont know what a court would make of it tho. MM misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett
RE: [ozmidwifery] homebirth costs
Same in WA. MM Approx $2000-$2500 here in SA I think, from what I know anyway From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of diane Sent: Wednesday, 15 November 2006 4:51 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] homebirth costs Wow thats a significant difference between NSW and Vic, what about elsewhere?? Cheers, Di -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.409 / Virus Database: 268.14.5/534 - Release Date: 14/11/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.409 / Virus Database: 268.14.5/534 - Release Date: 14/11/2006
Re: [ozmidwifery] getting synto etc
Ah, ok. Thanks for clarifying. :) Jo On 15/11/2006, at 6:25 PM, Melissa Singer wrote: Hi Jo, I think it is not licenced for use for induction of labour with live babies in australia. It's ok for stillbirth induction and pph. Melissa - Original Message - From: Jo Watson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 5:33 PM Subject: Re: [ozmidwifery] getting synto etc From what I've heard, it is a drug not licensed for use in obstetrics (but it is used, obviously) ... I can't remember it's primary function though. And I can't be bothered googling right now. Jo On 15/11/2006, at 5:02 PM, meg wrote: I work at a major tertiary hospital-we stock misoprostil and use it with pph's so I think it is licenced. Meg - Original Message - From: Lisa Barrett [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 4:48 PM Subject: Re: [ozmidwifery] getting synto etc misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 3:55 PM Subject: RE: [ozmidwifery] getting synto etc I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey Sent: Wednesday, 15 November 2006 12:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Had a client recently who I sent to her GP for a script for synt. She got the script, went to the chemist to fill it found it was going to cost her around $80 to get it - they only sold it in the boxes of five vials. I ended up asking around my MIPP friends managed to find some that way (dint need it anyway so its still in my fridge). If you give me your postal address Im happy to post some to you - my understanding is that its ok to keep it out of the fridge for a time. cheers -- Jennifairy Gillett RM Midwife in Private Practice Women's Health Teaching Associate ITShare volunteer - Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- 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. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 1866 (20061114) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- 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. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] getting synto etc
Thank you for all the replies, what a wonderful resource you all are. Yes the idea is to use it if a PPH occurs. I was not aware it could be given orally. My history is a 700ml pph with c/s not much considering and a 1500ml pph with quick VBAC on birth stool. Stopped with synto and a oxy drip but before placenta came away. My hb level was 10+ after this so I was believe that I was just getting rid of the extra straight away with out any ill effects. Had a frantic 2nd too so that was not helpful to my adrenalin levels. I will have other forms of pph control there as previously mentioned but my husband particularly would feel more comfortable knowing that we had something around. Not having to inject appeals to me as no-one will be trained to do it, though I am sure I could figure it out. Will have to read that research Lisa thank you. I live in Townsville QLD where there are no MIPPS. I have tried to get someone there but it was not to be. Having said that I am very comfortable doing it unassisted but it means I need to do more of the work to be ready myself. Ps: what is pr and TOPs? Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] getting synto etc
I thought Tiff had mentioned a midwife around Townsville a while back, you out there Tiff?? When are you expecting your bub Philippa? Cheers, Di (now in Mackay) - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 6:56 PM Subject: RE: [ozmidwifery] getting synto etc Ok I need some more info I guess. I have had some midwives locally say that this is a better option to have at home for an emergency. This is my own birth I am talking about I am not a midwife, I am a doula and will be birthing unassisted due to the non-existence of MIPP up here, I am wanting something on hand for just in case. I have been told Misoprostol is very effective with few side effects. It will be for me a last resort whilst waiting for an ambo if things like shepherds purse and eating placenta do not work (if I have another PPH). Would anyone be able to tell me a bit more about the side effect and why you would/would not recommend it. I am due in a couple of months so want to start getting something organized and a decision made about which way to go. Thank you, Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Amanda W Sent: Wednesday, 15 November 2006 4:41 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc We use Misoprostol at the hospital where I work and it is kept in the fridge next to the syntocinon and syntometrine and the prostins etc. Why would you want to use it at your homebirth but. Syntocinon should be just fine. Misoprostol is a fairly heavy drug of choice with a fair few side effects and we only use it for large PPH's Amanda Ward Creative Memories Consultant Ph. (07) 3261 4354 Mob, 0417 009 648 Email. [EMAIL PROTECTED] From: Lisa Barrett [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Date: Wed, 15 Nov 2006 16:18:45 +1030 misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 3:55 PM Subject: RE: [ozmidwifery] getting synto etc I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey Sent: Wednesday, 15 November 2006 12:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Had a client recently who I sent to her GP for a script for synt. She got the script, went to the chemist to fill it found it was going to cost her around $80 to get it - they only sold it in the boxes of five vials. I ended up asking around my MIPP friends managed to find some that way (dint need it anyway so its still in my fridge). If you give me your postal address Im happy to post some to you - my understanding is that its ok to keep it out of the fridge for a time. cheers -- Jennifairy Gillett RM Midwife in Private Practice Women's Health Teaching Associate ITShare volunteer - Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals
RE: [ozmidwifery] getting synto etc
Early feb, bit some one would have told me if there was anyone here. I am supposed to know these things here. I will be cranky if I have missed something that big!! Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of diane Sent: Wednesday, 15 November 2006 9:46 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc I thought Tiff had mentioned a midwife around Townsville a while back, you out there Tiff?? When are you expecting your bub Philippa? Cheers, Di (now in Mackay) - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 6:56 PM Subject: RE: [ozmidwifery] getting synto etc Ok I need some more info I guess. I have had some midwives locally say that this is a better option to have at home for an emergency. This is my own birth I am talking about I am not a midwife, I am a doula and will be birthing unassisted due to the non-existence of MIPP up here, I am wanting something on hand for just in case. I have been told Misoprostol is very effective with few side effects. It will be for me a last resort whilst waiting for an ambo if things like shepherds purse and eating placenta do not work (if I have another PPH). Would anyone be able to tell me a bit more about the side effect and why you would/would not recommend it. I am due in a couple of months so want to start getting something organized and a decision made about which way to go. Thank you, Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Amanda W Sent: Wednesday, 15 November 2006 4:41 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc We use Misoprostol at the hospital where I work and it is kept in the fridge next to the syntocinon and syntometrine and the prostins etc. Why would you want to use it at your homebirth but. Syntocinon should be just fine. Misoprostol is a fairly heavy drug of choice with a fair few side effects and we only use it for large PPH's Amanda Ward Creative Memories Consultant Ph. (07) 3261 4354 Mob, 0417 009 648 Email. [EMAIL PROTECTED] From: Lisa Barrett [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Date: Wed, 15 Nov 2006 16:18:45 +1030 misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 3:55 PM Subject: RE: [ozmidwifery] getting synto etc I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey Sent: Wednesday, 15 November 2006 12:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Had a client recently who I sent to her GP for a script for synt. She got the script, went to the chemist to fill it found it was going to
Re: [ozmidwifery] getting synto etc
- Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 9:29 PM Subject: RE: [ozmidwifery] getting synto etc Ps: what is pr and TOPs? Cheers PR = Per RectumTOP= Termination of Pregnancy Sue -- 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: 7.5.430 / Virus Database: 268.14.5/534 - Release Date: 14/11/2006 3:58 PM -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] getting synto etc
Hi Di! Yes I'm here! Just got back from my honeymoon. The midwives I mentioned were in Mareeba about an hour west of Cairns on the Tablelands! Hope you find a midwife soon Phillipa! Tiff -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of diane Sent: Wednesday, 15 November 2006 9:46 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc I thought Tiff had mentioned a midwife around Townsville a while back, you out there Tiff?? When are you expecting your bub Philippa? Cheers, Di (now in Mackay) - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 6:56 PM Subject: RE: [ozmidwifery] getting synto etc Ok I need some more info I guess. I have had some midwives locally say that this is a better option to have at home for an emergency. This is my own birth I am talking about I am not a midwife, I am a doula and will be birthing unassisted due to the non-existence of MIPP up here, I am wanting something on hand for just in case. I have been told Misoprostol is very effective with few side effects. It will be for me a last resort whilst waiting for an ambo if things like shepherds purse and eating placenta do not work (if I have another PPH). Would anyone be able to tell me a bit more about the side effect and why you would/would not recommend it. I am due in a couple of months so want to start getting something organized and a decision made about which way to go. Thank you, Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Amanda W Sent: Wednesday, 15 November 2006 4:41 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc We use Misoprostol at the hospital where I work and it is kept in the fridge next to the syntocinon and syntometrine and the prostins etc. Why would you want to use it at your homebirth but. Syntocinon should be just fine. Misoprostol is a fairly heavy drug of choice with a fair few side effects and we only use it for large PPH's Amanda Ward Creative Memories Consultant Ph. (07) 3261 4354 Mob, 0417 009 648 Email. [EMAIL PROTECTED] From: Lisa Barrett [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Date: Wed, 15 Nov 2006 16:18:45 +1030 misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 3:55 PM Subject: RE: [ozmidwifery] getting synto etc I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey Sent: Wednesday, 15 November 2006 12:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Had a client recently who I sent to her GP for a script for synt. She got the script, went to the chemist to fill it found it was going to cost her around $80 to get it - they only sold it in the boxes of five vials. I ended up asking around my MIPP friends managed to find some that
[ozmidwifery] No Births
I have been away for a week haven't spoken to my colleagues about what's happened but will do it tomorrow then post the details. I don't think anyone here knew about the radio broadcast in Rosebud mentioned in the MCVic Digest. However as I say, I've been away a week maybe our lot requested it ! I will know more tomorrow. With kind regards Brenda Manning www.themidwife.com.au BEGIN:VCARD VERSION:2.1 N:;[EMAIL PROTECTED] FN:[EMAIL PROTECTED] ORG:themidwife TEL;HOME;VOICE:0359862535 TEL;CELL;VOICE:0409194623 TEL;HOME;FAX:0359862535 EMAIL;PREF;INTERNET:[EMAIL PROTECTED] REV:20061113T235327Z END:VCARD
[ozmidwifery] Fw: New Campaign- changing formula advertisiing.
http://www.geocities.com/action_against_formula/ -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: FW: [ozmidwifery] getting synto etc
Hi All, I did a little research recently concerning Misoprostil and discovered that the WHO has also been researching Misiprostil for the prevention of PPH. Like many of you have already mentiioned it is not recomended for use in obstetrics although it is widely used and it is easier to store as it doesnt require refridgeration and easier to administer as it is oral or PR not IMI. However the recent WHO Expert Commitee on the Selection and Use of Essential Medicines found that Syntocicnon is actually more effective than Misoprostil and due to a lack of evidence they decided not to include it in The Interagency List of Essential Medicines for Reproductive Health 2006. Both these documents are worth reading. So I have decided that I will continue to use Syntocinon 10 IU/mL, if required, for the management / prevention of PPH when I attend a homebirth. Leanne. Leanne Wynne Midwife in charge of Women's Business Mildura Aboriginal Health Service Mob 0418 371862 From: LJG [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: FW: [ozmidwifery] getting synto etc Date: Wed, 15 Nov 2006 19:09:57 +1000 We have it in our cupboard and regularly use it for pph (used pr) and it works well for this, I imagine this it what you would be having it on hand for Philippa? Because it's a tablet it doesn't need refrigeration. Most of our Tops are now done with it too. It is dispensed by our pharmacyalthough kept in the dd cupboard and counted in the same manner. If obs in the public system are using it freely then I can't see why a GP would object...or maybe a hospital doctor would write it up for you? - I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville - -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. _ Advertisement: House hunt online now! http://a.ninemsn.com.au/b.aspx?URL=http%3A%2F%2Fninemsn%2Erealestate%2Ecom%2Eau%2Fcgi%2Dbin%2Frsearch%3Fa%3Dbhp%26t%3Dres%26cu%3DMSN_t=758874163_r=HM_EndText_Nov06_m=EXT -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: FW: [ozmidwifery] getting synto etc
thanks Leanne, it islways good to hear latest research, Cath - Original Message - From: leanne wynne [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, November 16, 2006 9:32 AM Subject: RE: FW: [ozmidwifery] getting synto etc Hi All, I did a little research recently concerning Misoprostil and discovered that the WHO has also been researching Misiprostil for the prevention of PPH. Like many of you have already mentiioned it is not recomended for use in obstetrics although it is widely used and it is easier to store as it doesnt require refridgeration and easier to administer as it is oral or PR not IMI. However the recent WHO Expert Commitee on the Selection and Use of Essential Medicines found that Syntocicnon is actually more effective than Misoprostil and due to a lack of evidence they decided not to include it in The Interagency List of Essential Medicines for Reproductive Health 2006. Both these documents are worth reading. So I have decided that I will continue to use Syntocinon 10 IU/mL, if required, for the management / prevention of PPH when I attend a homebirth. Leanne. Leanne Wynne Midwife in charge of Women's Business Mildura Aboriginal Health Service Mob 0418 371862 From: LJG [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: FW: [ozmidwifery] getting synto etc Date: Wed, 15 Nov 2006 19:09:57 +1000 We have it in our cupboard and regularly use it for pph (used pr) and it works well for this, I imagine this it what you would be having it on hand for Philippa? Because it's a tablet it doesn't need refrigeration. Most of our Tops are now done with it too. It is dispensed by our pharmacyalthough kept in the dd cupboard and counted in the same manner. If obs in the public system are using it freely then I can't see why a GP would object...or maybe a hospital doctor would write it up for you? - I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville - -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. _ Advertisement: House hunt online now! http://a.ninemsn.com.au/b.aspx?URL=http%3A%2F%2Fninemsn%2Erealestate%2Ecom%2Eau%2Fcgi%2Dbin%2Frsearch%3Fa%3Dbhp%26t%3Dres%26cu%3DMSN_t=758874163_r=HM_EndText_Nov06_m=EXT -- 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] getting synto etc
I have had the woman go to her GP and get a script. Only one so far and that was ok, she also got a script for the Vit K. Re charges. As far as I know they vary very widely over the country. I have only just started up and the first couple were cheaper than the next one I have booked. I found that with the distances I am travelling and the cost of fuel anyone who books more that 50 km away from my home will need to add extra to the basic price. For all so far I have had a minumum of an hour's drive each way and that is exy. cheers Judy From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of cath nolan Sent: Tuesday, 14 November 2006 9:13 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Send instant messages to your online friends http://au.messenger.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] getting synto etc
Pip, Have you considered a partus-prep herbal tincture formula as well. Usually start at 34/40 at low dose and gradually increase over the weeks until labour. I give it to all keen mums-to-be. Typically I make it a mix ofof squaw vine, false unicorn root, raspberry leaves, chaste tree etc etc. The first bottle (from 34-38 weeks) is slightly different from 2nd bottle (38-40+). I put a few extra herbs in the 2nd bottle that are better to use closer to term. Combination of actions include uterine tonics, uterine astringents, hormonal support and working towards efficent cxns with minimal pp loss. Good levels of Vit C, Iron, and Zinc also indicated to reduce pph risk too... Cheers, Kristin (Naturopath/Herbalist)New Release XBOX 360 Games staring from $39... Find out now! -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
[ozmidwifery] Maternal Deaths 2000-2002
http://www.npsu.unsw.edu.au/MD2002_02%2017%20Oct%202006.pdf -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Maternal Deaths 2000-2002
Chilling stuff to read how many of the women who died having complications most likely related to their previous caesareans. Avoiding that first surgery is key to avoiding so much trauma. J - Original Message - From: LJG [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, November 16, 2006 12:58 PM Subject: [ozmidwifery] Maternal Deaths 2000-2002 http://www.npsu.unsw.edu.au/MD2002_02%2017%20Oct%202006.pdf -- 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] getting synto etc
My chemist charges $15 for the packet of vitamin K. That gives me 5 doses, so I have extras to 'start' the next woman who chooses to have it. Robyn Dempsey - Original Message - From: Judy Chapman [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, November 16, 2006 12:40 PM Subject: RE: [ozmidwifery] getting synto etc I have had the woman go to her GP and get a script. Only one so far and that was ok, she also got a script for the Vit K. Re charges. As far as I know they vary very widely over the country. I have only just started up and the first couple were cheaper than the next one I have booked. I found that with the distances I am travelling and the cost of fuel anyone who books more that 50 km away from my home will need to add extra to the basic price. For all so far I have had a minumum of an hour's drive each way and that is exy. cheers Judy From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of cath nolan Sent: Tuesday, 14 November 2006 9:13 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Send instant messages to your online friends http://au.messenger.yahoo.com -- 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.
[ozmidwifery] Our Planet AWESOME!!!!!
Not at all related to anything but worth a look Andrea Some really great shots of earth: What A Beautiful Blue Planet! scroll down after opening...
Re: [ozmidwifery] Our Planet AWESOME!!!!!
Makes our energy use look tiny in comparison, but per capita it is still not good! Andrea it is related, its all part of the same wonderous magic of nature that we see at a personal level at every birth we are priviledged to be part of. Di. - Original Message - From: Andrea Quanchi To: ozmidwifery Sent: Thursday, November 16, 2006 1:12 PM Subject: [ozmidwifery] Our Planet AWESOME! Not at all related to anything but worth a look Andrea Some really great shots of earth: What A Beautiful Blue Planet! scroll down after opening...
Re: [ozmidwifery] Delaying synto with active 3rd stage
Hi Sue, I have also read and heard of this practice in America of giving the synto after the placenta has been delivered. One of the obstetricians who used to work here went to a conference over there where they were discussing 3rd stage management. When she suggested giving the synto before the placenta was delivered, she was absolutely shot down in flames.. everyone knows that giving it before gives you retained placentas !!! Cheers Michelle - Original Message From: Sue Cookson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, 15 November, 2006 8:17:06 AM Subject: Re: [ozmidwifery] Delaying synto with active 3rd stage Hi Andrea, I am not aware of the practice you have mentioned in America. Have you any references for this? Any idea what occurs if the placenta takes longer to arrive than the 20 minutes or so?? Sue Hello Sue, The question of third stage management has a cultural aspect as well. In the US, as far as I know, the syntometrine is not given until after the placenta arrives. It is then given to prevent excessive bleeding. Interesting to speculate on how this major difference developed, and why it is acceptable to wait the 20 or so minutes for the placenta to come physiologically in the US when it is unacceptable in the UK/Australia. Another one of those examples of how habit/routine becomes standard practice and is not questioned. Regards, Andrea At 11:00 AM 14/11/2006, you wrote: Hi, I'm interested if there is any research on delaying synto for say up to 5 minutes in 'active 3rd stage'. Have been doing actively managed third stage throughout my clinical placements as a student (nearly finished!!) with some practitioners cutting the cord immediately, and most at about 10 - 20 seconds. I've just prepared a powerpoint presentation on delayed cord clamping but know I will get into a discussion around the seeming conflict between active 3rd stage and delaying the clamping. Obviously if you don't want the effects of synto's action - strong uterine contraction with excess blood being pumped into bub, then you need to delay the entire process of actively managed 3rd stage until the cord is clamped. Does anyone practice delaying the synto injection for those first few minutes? Any evidence of harm in doing this? Thanks, Sue -- 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. __ NOD32 1.1454 (20060321) Information __ This message was checked by NOD32 antivirus system. http://www.nod32.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. Send instant messages to your online friends http://au.messenger.yahoo.com
Re: [ozmidwifery] Delaying synto with active 3rd stage
HiSue, I can't quote scientific evidence on this, but as Michelle has also experienced, when talking to American midwives, this is what I have been told. I gather than some places have moved on to active managements of 3rd stage. When reading the literature the timing of the injection of Synto is not always mentioned, so it is hard to work out exactly when the procedure was undertaken. I have also come across the withholding of Synto until after the placenta in some other countries as well, probably because American ideas have been adopted (and perhaps not updated). In past years when I have visited the US (and I admit that its been a few years now) I felt that there was even less concern for evidence based care than there is here at times. With no strong midwifery profession (as distinct from nurse/midwives ) in hospital settings, there didn't seem to be much questioning of routines, which were largely determined by obstetricians habits and practises. Judging from reading the journals etc (Birth for one) the importance of using research evidence to underpin practise seems to have been taken on board much more and no doubt this will change some practises, as perhaps in this case with 3rd stage management. Regards, Andrea At 04:24 PM 16/11/2006, you wrote: Hi Sue, I have also read and heard of this practice in America of giving the synto after the placenta has been delivered. One of the obstetricians who used to work here went to a conference over there where they were discussing 3rd stage management. When she suggested giving the synto before the placenta was delivered, she was absolutely shot down in flames.. everyone knows that giving it before gives you retained placentas !!! Cheers Michelle - Original Message From: Sue Cookson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, 15 November, 2006 8:17:06 AM Subject: Re: [ozmidwifery] Delaying synto with active 3rd stage Hi Andrea, I am not aware of the practice you have mentioned in America. Have you any references for this? Any idea what occurs if the placenta takes longer to arrive than the 20 minutes or so?? Sue Hello Sue, The question of third stage management has a cultural aspect as well. In the US, as far as I know, the syntometrine is not given until after the placenta arrives. It is then given to prevent excessive bleeding. Interesting to speculate on how this major difference developed, and why it is acceptable to wait the 20 or so minutes for the placenta to come physiologically in the US when it is unacceptable in the UK/Australia. Another one of those examples of how habit/routine becomes standard practice and is not questioned. Regards, Andrea At 11:00 AM 14/11/2006, you wrote: Hi, I'm interested if there is any research on delaying synto for say up to 5 minutes in 'active 3rd stage'. Have been doing actively managed third stage throughout my clinical placements as a student (nearly finished!!) with some practitioners cutting the cord immediately, and most at about 10 - 20 seconds. I've just prepared a powerpoint presentation on delayed cord clamping but know I will get into a discussion around the seeming conflict between active 3rd stage and delaying the clamping. Obviously if you don't want the effects of synto's action - strong uterine contraction with excess blood being pumped into bub, then you need to delay the entire process of actively managed 3rd stage until the cord is clamped. Does anyone practice delaying the synto injection for those first few minutes? Any evidence of harm in doing this? Thanks, Sue -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au/http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au/http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 1.1454 (20060321) Information __ This message was checked by NOD32 antivirus system. http://www.nod32.com/http://www.nod32.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au/http://www.acegraphics.com.au to subscribe or unsubscribe. Send instant messages to your online friends http://au.messenger.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] getting synto etc
Hi Kristin, This sounds a lot like the Nature’s sunshine product called 5W that’s no longer available here in Australia. I’ve used it for the last year for heavy menstrual bleeding and it works a treat! Helps with cramps, soothes the belly, lightens the bleed, no clots…probably too much information, but I’ve seen great things postnatally with it too, wondering if that’s what you base your tincture on? Tania _ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kristin Beckedahl Sent: Thursday, 16 November 2006 12:20 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] getting synto etc Pip, Have you considered a partus-prep herbal tincture formula as well. Usually start at 34/40 at low dose and gradually increase over the weeks until labour. I give it to all keen mums-to-be. Typically I make it a mix of of squaw vine, false unicorn root, raspberry leaves, chaste tree etc etc. The first bottle (from 34-38 weeks) is slightly different from 2nd bottle (38-40+). I put a few extra herbs in the 2nd bottle that are better to use closer to term. Combination of actions include uterine tonics, uterine astringents, hormonal support and working towards efficent cxns with minimal pp loss. Good levels of Vit C, Iron, and Zinc also indicated to reduce pph risk too... Cheers, Kristin (Naturopath/Herbalist) _ New Release XBOX 360 Games staring from $39... HYPERLINK http://g.msn.com/8HMBENAU/2755??PS=47575Find out now! -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe. -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.409 / Virus Database: 268.14.6/535 - Release Date: 15/11/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.409 / Virus Database: 268.14.6/535 - Release Date: 15/11/2006
Re: [ozmidwifery] getting synto etc
Dear Kristin Can you tell me specifically where I can purchase this potion ? As a 42 year old primip , I need all the help I can get to keep the obstetric demons away from me, as I now don't have a lot choise when it comes to birthing places. I am confident that I will birth well with the help of my husband and great midwife/friend, supporting me but the birth now will probably be a hospital. Feel free to email me off list if you like, on [EMAIL PROTECTED] With Thanks Catherine - Original Message - From: Kristin Beckedahl To: ozmidwifery@acegraphics.com.au Sent: Thursday, November 16, 2006 11:49 AM Subject: RE: [ozmidwifery] getting synto etc Pip, Have you considered a partus-prep herbal tincture formula as well. Usually start at 34/40 at low dose and gradually increase over the weeks until labour. I give it to all keen mums-to-be. Typically I make it a mix of of squaw vine, false unicorn root, raspberry leaves, chaste tree etc etc. The first bottle (from 34-38 weeks) is slightly different from 2nd bottle (38-40+). I put a few extra herbs in the 2nd bottle that are better to use closer to term. Combination of actions include uterine tonics, uterine astringents, hormonal support and working towards efficent cxns with minimal pp loss. Good levels of Vit C, Iron, and Zinc also indicated to reduce pph risk too... Cheers, Kristin (Naturopath/Herbalist) -- New Release XBOX 360 Games staring from $39... Find out now! -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
Re: [ozmidwifery] Bubhub and Dr Brown's bottle promotions
pinky trying to get hold of you but couldn't get that ph# you emailed in sept., to do the trick...? ...are you aware your book and name also appear on a brochure over here featuring an untested baby 'sleeptime' product? warm rgds miriam - Original Message - From: Pinky McKay [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, November 09, 2006 7:48 PM Subject: Re: [ozmidwifery] Bubhub and Dr Brown's bottle promotions Sure will complain Lara - I hadnt seen it - I get the threads sent to me to answer - very displeased. Pinky - Original Message - From: Lara [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, November 09, 2006 5:35 PM Subject: [ozmidwifery] Bubhub and Dr Brown's bottle promotions I've just noticed that the Bubhub forums are featuring very prominent advertisements for a bottlefeeding product - even in the breastfeeding and advice from Pinky McKay section of the boards. This is a site that boasts about being supported by the Australian Lactation Consultants Association (ALCA). Example: http://www.bubhub.com.au/community/forums/showthread.php?t=41867 I find this disgusting and would invite everyone here to contact them to express your displeasure. Lara Hopkins -- 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] getting synto etc
I used to offer women the 5W capsules if they didnt want the liquid tincture (an acquired taste for some). The tincture formula can vary from woman to woman depending on any significant Hx and also her stress levels and general pregnancy health, but the basis is due to its uterine actions and overall pregnancy tonics. From: "Tania Smallwood" [EMAIL PROTECTED]Reply-To: ozmidwifery@acegraphics.com.auTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] getting synto etcDate: Thu, 16 Nov 2006 16:59:26 +1030 Hi Kristin, This sounds a lot like the Natures sunshine product called 5W thats no longer available here in Australia. Ive used it for the last year for heavy menstrual bleeding and it works a treat! Helps with cramps, soothes the belly, lightens the bleed, no clots probably too much information, but Ive seen great things postnatally with it too, wondering if thats what you base your tincture on? Tania From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kristin BeckedahlSent: Thursday, 16 November 2006 12:20 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] getting synto etc Pip, Have you considered a partus-prep herbal tincture formula as well. Usually start at 34/40 at low dose and gradually increase over the weeks until labour. I give it to all keen mums-to-be. Typically I make it a mix ofof squaw vine, false unicorn root, raspberry leaves, chaste tree etc etc. The first bottle (from 34-38 weeks) is slightly different from 2nd bottle (38-40+). I put a few extra herbs in the 2nd bottle that are better to use closer to term. Combination of actions include uterine tonics, uterine astringents, hormonal support and working towards efficent cxns with minimal pp loss. Good levels of Vit C, Iron, and Zinc also indicated to reduce pph risk too... Cheers, Kristin (Naturopath/Herbalist) New Release XBOX 360 Games staring from $39... Find out now! -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe. --No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.409 / Virus Database: 268.14.6/535 - Release Date: 15/11/2006 --No virus found in this outgoing message.Checked by AVG Free Edition.Version: 7.1.409 / Virus Database: 268.14.6/535 - Release Date: 15/11/2006Win a $40K private Lear Jet experience with Flight Sim X! -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
