Re: [ozmidwifery] Alternative GBS
Propolis tincture taken orally is supposed to be effective against GBS - again, little research in the alternate area perhaps because of the mega$$ pharmaceutical and diagnostic industries around childbirth. And the research really shows that although IV antibiotics decreases the number of babies with GBS, it also increases the number of babies with other blood borne infections that can also be dangerous (the ABs killoff the GBS but allow other bugs to gain resistance). And the babies whose mothers were given IV antibiotics in labour have an increased resistance to that antibiotic - obviosly more of an issue for premmie and sick babies... An interesting article by Christa Novelli 2003 which discusses the risk of the mother taking antibiotics as well: www.mothering.com/articles/pregnancy_birth/birth_preparation/group-b.html How great is the risk from antibiotics? The recommended antibiotic for treating GBS during labor is penicillin. Fewer bacteria currently show a resistance to penicillin than to other antibiotics used to treat GBS. The options are fewer for women known to be allergic to penicillin. Up to 29 percent of GBS strains have been shown to be resistant to non-penicillin antibiotics.46 For women not known to be allergic to penicillin, there is a one in ten risk of a mild allergic reaction to penicillin, such as a rash. Even for those women who have no prior experience of a penicillin allergy, there is a one in 10,000 chance of developing anaphylaxis, a life-threatening allergic reaction. We can compare this to CDC estimates that 0.5 percent of babies born to GBS-positive mothers with no treatment will develop a GBS infection, and that 6 percent of those who develop a GBS infection will die. Six percent of 0.5 percent means that three out of every 10,000 babies born to GBS-positive mothers given no antibiotics during labor will die from GBS infection. If the mother develops anaphylaxis during labor (one in 10,000 will), and it is untreated, it is likely that the infant, too, will die. So, by CDC estimates, we save the lives of two in 10,000 babies-0.02 percent-by administering antibiotics during labor to one third of all laboring women. We should also keep in mind that this figure does not take into account the infants that will die as a result of bacteria made antibiotic-resistant by the use of antibiotics during labor-infants who would not otherwise have become ill. When you take that into account, there may not be any lives saved by using antibiotics during labor. Nothing we do or take in life can be an absolute - and some of this stuff takes lots of sorting out. Where I have been doing my clinical placements, if a mother had GBS in her previous pregnancy (but not necessarily this one) she is still treated with IV antibiotics. Yet the research clearly states that a previous baby with GBS disease is an indicator for GBS treatment in subsequent pregnancies, not merely being GBS positive in the previous pregnancy. So midwives, women and the medical profession seem to be all over the place with different interpretations of research and policy directives. It must come down to individual's perception of risks and safety - and that there can be no assurances that treatment or non-treatment will work. As Novelli states, women with negative GBS cultures still have a 1:2000 risk of her newborn developing GBS disease. I guess all we can do is give the information and trust that the decision made by the parents will be one that they are happy with ... Sue -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: RE: RE: [ozmidwifery] homebirth costs
Hi Mary, If midwives actually ask for this larger payment, would women still want to have their services? I think women still want their services, but Sydney midwives are way out of some mamas price range. Women now have an income from the Government that would pay for the midwife, but many parents see this as a payment to relieve the mortgage, clear debt or buy a big TV. Or, some women use that money so they can stay at home longer with their new bub. For my sis, in sydney, it was a choice between having a very much wanted homebirth and only being able to stay at home with her bub for 6 weeks or birthing in a birth centre and being able to stay at home for 6 months. the money from the government, despite what some people may do with it, is a generous offer to help out with the costs of staying at home with a new baby. It seems that in Sydney, midwives prices have gone up whenever the baby bonus has gone up. I think it is really sad that women in Sydney have to pay more and use more of that money when women allover the rest of the country get to have a homebirth and also have the benefits of reduced stress levels because of the leftover baby bonus they receive. I think midwives are worth it if a woman so desires, but I don't see how come Sydney midwives are worth s much more?? Abby xo -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: Re: RE: [ozmidwifery] homebirth costs
Hi Barb, I think it's wonderful that you had such an amazing birth and wish for all women to have such an experience. From my understanding, many Sydney midwives ask their clients to come to them not vice versa. So a lot of their care is not midwifery care at home, rather it is out of their home until the final weeks. I'm not sure about all midwives, but this seems more common place now in Sydney. And, you get paid $4000 to have a child these days. Midwifery care at home? It's a bargain. I find it very interesting that people see you get paid to have a baby. I was under the impression that the baby bonus was given to help mums to be able to afford to stay home longer from work, or upgrade their car if they need more space, or buy car seats, slings, good food for nourishment while breastfeeding etc. The only women I know that can afford to spend that whole $4000 on midwifery care are the women that didn't need that money in the first place. The women that choose to spend the whole amount even though they can't afford it, because they have no other choice in Sydney, have no benefits from the baby bonus for living expenses with a newborn. There is no bargain if you can't afford it. I understand the value of midwives and continuity of care and midwifery care at home, but why should women in Sydney and NSW be paying that much more?? Nobody has answered that question. I'm not questioning the value of midwifery care, more why Sydney midwifery care is so much more 'valuable' in the dollars and sense kind of way? Love Abby xo -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] GBS
Yes, I know the literature, but our health service has made it a required screening. All women in our health service are 'offered' the screening. warmly, Carolyn - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Saturday, November 18, 2006 6:43 PM Subject: [ozmidwifery] GBS Journal of Obstetrics Gynaecology Publisher: Taylor Francis Issue: Volume 25, Number 5 / July 2005 Pages: 462 - 464 URL: Linking Options DOI: 10.1080/01443610500160261 Group B streptococcus disease in neonates: To screen or not to screen? O. Subair A1, P. Wagner , F. Omojole , H. Morgan A Department of Obstetrics and Gynaecology, Whittington Hospital, London, UK Abstract: Summary An audit was undertaken of the prevention of early-onset Group B streptococcus (EOGBS) disease in neonates. The prevention strategy in use involved offering Intra-partum Antibiotic Prophylaxis (IAP) to mothers with identified risk factors, which include maternal fever in labour gt; 38°C, previous baby with GBS disease, prolonged rupture of membranes gt; 18 h, pre-term labour, GBS urinary tract infection and known GBS carriage. The most common risk factor identified was GBS carriage (41%) which was known ante-partum but logistical problems prevented these mothers from receiving adequate prophylaxis 4 h before delivery and so were classified as at risk of GBS disease. We found an incidence of GBS in our unit of 0.55 per 1,000 births over the study period. One neonate developed EOGBS disease and the mother had no identifiable risk factor ante-partum/intra-partum. Recent recommendations from the Royal College of Obstetricians and Gynaecologists (RCOG) could reduce the number of babies having sepsis screens performed as the time interval from beginning IAP to delivery has been shortened to 2 h and routine surface cultures or blood cultures are not recommended in well newborns. The evidence is lacking at this point to recommend universal screening for GBS in all pregnant women but patients are increasingly aware of this option and may request anogenital swabs to assess GBS carriage.
Re: [ozmidwifery] homebirth costs
Speaking as a consumer who just paid sydney prices for a homebirth - the cost of living is higher here than most if not all other cities in Australia. It's one of those odd things that some careers are FAR better paid in Sydney than elsewhere, others are not. We, for example are far better off living in Sydney because my husband's pay is FAR better, my mother on the other hand (who recently moved here to be near us) was financially better off in Adelaide as her pay here the same (or less) but her costs are higher. I have no problem with someone who can set their own rate of pay doing so at a level that is proportional to their cost of living. My midwife came to me for all visits, she was with us for a magical birth at the end of a fairly awful pregnancy that could not possibly have ended so well without her care and the post natal care in our home was exceptional. She took care of things like having synto and vit k available should i need them, and everything else we might need. I believe she takes on a maximum of 24 clients a year, this year more like 10-12. Even with 24 clients, let alone 10-12, less costs I imagine it works out to an average wage at best. We should not have to pay for homebirth, but neither should midwives have to earn less than they are worth, so we can have the choice. On 18/11/2006, at 10:46 PM, [EMAIL PROTECTED] wrote: Hi Barb, I think it's wonderful that you had such an amazing birth and wish for all women to have such an experience. From my understanding, many Sydney midwives ask their clients to come to them not vice versa. So a lot of their care is not midwifery care at home, rather it is out of their home until the final weeks. I'm not sure about all midwives, but this seems more common place now in Sydney. And, you get paid $4000 to have a child these days. Midwifery care at home? It's a bargain. I find it very interesting that people see you get paid to have a baby. I was under the impression that the baby bonus was given to help mums to be able to afford to stay home longer from work, or upgrade their car if they need more space, or buy car seats, slings, good food for nourishment while breastfeeding etc. The only women I know that can afford to spend that whole $4000 on midwifery care are the women that didn't need that money in the first place. The women that choose to spend the whole amount even though they can't afford it, because they have no other choice in Sydney, have no benefits from the baby bonus for living expenses with a newborn. There is no bargain if you can't afford it. I understand the value of midwives and continuity of care and midwifery care at home, but why should women in Sydney and NSW be paying that much more?? Nobody has answered that question. I'm not questioning the value of midwifery care, more why Sydney midwifery care is so much more 'valuable' in the dollars and sense kind of way? Love Abby xo -- 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] birth pool
If any one is interested there is a la bassine birth pool advertised on ebay with a few days to go in the bidding it is only up to $80:00 so far Andrea Q -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Alternative GBS
A homebirth midwife friend of mine in the USA sent me the douch and garlic recipes a while ago. Here they are: regards Diane Gardner douche: three parts water one part hydrogen peroxide douche before bed four nights in a row having the morning of the fifth day the day of your 'test' (if person is taking the test this gets you a negative result, which is a real result as the h2O2 has killed off all the strep virons in the vagina so the woman is 'good to go' for her birth as well) OR: insert one raw garlic clove vaginally for six nights in a row. Scoring the cloves is best, however, the raw garlic juice can be strong and 'burny' in the vagina. Start with just one or two 'scores' or break surface of the clove with a knife point 2-3 times. See how that feels and go from there, the more scoring or pokes into the surface of the garlic, the more GBS killing takes place. The woman may taste garlic in her mouth after insertion. Some women are really worried and do both, the douche and then insert garlic--THAT combo would REALLY get all GBS microbes for sure!
RE: [ozmidwifery] homebirth costs
I don't think anyone really understands what the baby bonus is for! Not even the government... as is proven by the latest change in policy. _ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jennifairy Sent: Saturday, 18 November 2006 8:42 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] homebirth costs [EMAIL PROTECTED] wrote: Hi Barb, I think it's wonderful that you had such an amazing birth and wish for all women to have such an experience. From my understanding, many Sydney midwives ask their clients to come to them not vice versa. So a lot of their care is not midwifery care at home, rather it is out of their home until the final weeks. I'm not sure about all midwives, but this seems more common place now in Sydney. And, you get paid $4000 to have a child these days. Midwifery care at home? It's a bargain. I find it very interesting that people see you get paid to have a baby. I was under the impression that the baby bonus was given to help mums to be able to afford to stay home longer from work, or upgrade their car if they need more space, or buy car seats, slings, good food for nourishment while breastfeeding etc. The only women I know that can afford to spend that whole $4000 on midwifery care are the women that didn't need that money in the first place. The women that choose to spend the whole amount even though they can't afford it, because they have no other choice in Sydney, have no benefits from the baby bonus for living expenses with a newborn. There is no bargain if you can't afford it. I understand the value of midwives and continuity of care and midwifery care at home, but why should women in Sydney and NSW be paying that much more?? Nobody has answered that question. I'm not questioning the value of midwifery care, more why Sydney midwifery care is so much more 'valuable' in the dollars and sense kind of way? Love Abby xo -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au http://www.acegraphics.com.au to subscribe or unsubscribe. The real question as far as Im concerned ( yes I have a 'vested interest' as a midwife, which I guess is slightly different to the vested interest I had when I was a consumer of homebirth midwifery services) is why are women being made to pay out of their own pockets at all just because they choose to birth at home? If women had to pay up-front for obstetric services, ie they were not provided 'free' by the public health system nor were rebatable by the majority of private health insurance companies, then this conversation might have some balance to it. I think some of the answers to the question of differences in charges of homebirth midwifery services is more about supply and demand, cost of living in different geographical areas, the fact as Mary has stated that midwifery service is traditionally undervalued not just within the profession but by other health professionals and consumers alike.and we are meant to be seen as 'caring' and how caring can you be when you actually charge what your service is worth, when you want to provide care to women whether they can afford it or not, regardless of their financial situation, when the midwife in the next suburb or state charges significantly differently because she has different financial needs or different ways of practice or . Please just take into account that every single independently practising midwife I know has worked for no or very little pay, sometimes by choice because we dont want to turn away a woman desperate for a homebirth, or because we've had a client who either didnt pay or didnt pay the agreed amount. Please also take into account that every single homebirth a midwife attends is a major financial risk in terms of the lack of PI insurance - we can be sued by anyone at any time with no recourse to any sort of support, and yes we all want to believe this doesnt happen but it does actually, enough that a significant number of midwives stopped practicing independantly after the PII was no longer available. Rather than asking why are women in NSW paying more, the question should be why are women in other states paying less? And why are they being made to pay at all, when homebirth is provided free in some very specific areas and obstetric care is 'free' everywhere? -- 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
Re: [ozmidwifery] Alternative GBS
There is considerable literature on the dangers of antibiotics in labour not to mention the added difficulty to the women trying to labour with an IV hanging off them. Antibiotics can also cause thrush which when passed from mother to baby and back again can cause immense difficulties with breastfeeding. It's not as simple as antibiotics are easier than dying of GBS, nothing like it! http://www.joyousbirth.info/articles/gbsnaturalapproach.html - Original Message - From: Diane Gardner To: ozmidwifery@acegraphics.com.au Sent: Saturday, November 18, 2006 11:41 PM Subject: Re: [ozmidwifery] Alternative GBS A homebirth midwife friend of mine in the USA sent me the douch and garlic recipes a while ago. Here they are: regards Diane Gardner douche: three parts water one part hydrogen peroxide douche before bed four nights in a row having the morning of the fifth day the day of your 'test' (if person is taking the test this gets you a negative result, which is a real result as the h2O2 has killed off all the strep virons in the vagina so the woman is 'good to go' for her birth as well) OR: insert one raw garlic clove vaginally for six nights in a row. Scoring the cloves is best, however, the raw garlic juice can be strong and 'burny' in the vagina. Start with just one or two 'scores' or break surface of the clove with a knife point 2-3 times. See how that feels and go from there, the more scoring or pokes into the surface of the garlic, the more GBS killing takes place. The woman may taste garlic in her mouth after insertion. Some women are really worried and do both, the douche and then insert garlic--THAT combo would REALLY get all GBS microbes for sure!
Re: [ozmidwifery] Alternative GBS
Hi, Some more on the GBS line. Propolis tincture taken orally is supposed to be effective against GBS - again, little research in the alternate area perhaps because of the mega$$ pharmaceutical and diagnostic industries around childbirth. And the research really shows that although IV antibiotics decreases the number of babies with GBS, it also increases the number of babies with other blood borne infections that can also be dangerous (the ABs killoff the GBS but allow other bugs to gain resistance). And the babies whose mothers were given IV antibiotics in labour have an increased resistance to that antibiotic - obviosly more of an issue for premmie and sick babies... An interesting article by Christa Novelli 2003 which discusses the risk of the mother taking antibiotics as well: www.mothering.com/articles/pregnancy_birth/birth_preparation/group-b.html How great is the risk from antibiotics? The recommended antibiotic for treating GBS during labor is penicillin. Fewer bacteria currently show a resistance to penicillin than to other antibiotics used to treat GBS. The options are fewer for women known to be allergic to penicillin. Up to 29 percent of GBS strains have been shown to be resistant to non-penicillin antibiotics.46 For women not known to be allergic to penicillin, there is a one in ten risk of a mild allergic reaction to penicillin, such as a rash. Even for those women who have no prior experience of a penicillin allergy, there is a one in 10,000 chance of developing anaphylaxis, a life-threatening allergic reaction. We can compare this to CDC estimates that 0.5 percent of babies born to GBS-positive mothers with no treatment will develop a GBS infection, and that 6 percent of those who develop a GBS infection will die. Six percent of 0.5 percent means that three out of every 10,000 babies born to GBS-positive mothers given no antibiotics during labor will die from GBS infection. If the mother develops anaphylaxis during labor (one in 10,000 will), and it is untreated, it is likely that the infant, too, will die. So, by CDC estimates, we save the lives of two in 10,000 babies-0.02 percent-by administering antibiotics during labor to one third of all laboring women. We should also keep in mind that this figure does not take into account the infants that will die as a result of bacteria made antibiotic-resistant by the use of antibiotics during labor-infants who would not otherwise have become ill. When you take that into account, there may not be any lives saved by using antibiotics during labor. Nothing we do or take in life can be an absolute - and some of this stuff takes lots of sorting out. Where I have been doing my clinical placements, if a mother had GBS in her previous pregnancy (but not necessarily this one) she is still treated with IV antibiotics. Yet the research clearly states that a previous baby with GBS disease is an indicator for GBS treatment in subsequent pregnancies, not merely being GBS positive in the previous pregnancy. So midwives, women and the medical profession seem to be all over the place with different interpretations of research and policy directives. It must come down to individual's perception of risks and safety - and that there can be no assurances that treatment or non-treatment will work. As Novelli states, women with negative GBS cultures still have a 1:2000 risk of her newborn developing GBS disease. I guess all we can do is give the information and trust that the decision made by the parents will be one that they are happy with ... Sue
Re: [ozmidwifery] homebirth costs
Actually my out of pocket costs for my OB were pretty much equal to my out of pocket costs for my midwife. Even with private health insurance and the medicare safetynet private OBs are far more expensive in Sydney than elsewhere too. The real question as far as Im concerned ( yes I have a 'vested interest' as a midwife, which I guess is slightly different to the vested interest I had when I was a consumer of homebirth midwifery services) is why are women being made to pay out of their own pockets at all just because they choose to birth at home? If women had to pay up-front for obstetric services, ie they were not provided 'free' by the public health system nor were rebatable by the majority of private health insurance companies, then this conversation might have some balance to it. I think some of the answers to the question of differences in charges of homebirth midwifery services is more about supply and demand, cost of living in different geographical areas, the fact as Mary has stated that midwifery service is traditionally undervalued not just within the profession but by other health professionals and consumers alike.and we are meant to be seen as 'caring' and how caring can you be when you actually charge what your service is worth, when you want to provide care to women whether they can afford it or not, regardless of their financial situation, when the midwife in the next suburb or state charges significantly differently because she has different financial needs or different ways of practice or . Please just take into account that every single independently practising midwife I know has worked for no or very little pay, sometimes by choice because we dont want to turn away a woman desperate for a homebirth, or because we've had a client who either didnt pay or didnt pay the agreed amount. Please also take into account that every single homebirth a midwife attends is a major financial risk in terms of the lack of PI insurance - we can be sued by anyone at any time with no recourse to any sort of support, and yes we all want to believe this doesnt happen but it does actually, enough that a significant number of midwives stopped practicing independantly after the PII was no longer available. Rather than asking why are women in NSW paying more, the question should be why are women in other states paying less? And why are they being made to pay at all, when homebirth is provided free in some very specific areas and obstetric care is 'free' everywhere? -- 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
Re: [ozmidwifery] Alternative GBS
Small sample I know, but of two women who have used the garlic, one swabbed positive with heavy growth, the other negative... Cheers, Di - Original Message - From: Robyn Dempsey [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Saturday, November 18, 2006 5:29 PM Subject: Re: [ozmidwifery] Alternative GBS I'd consult with a herbalist. Echinacea tinctures/ douches etc can be mixed up. I also have heard that a clove of garlic inserted into the vagina ( peeled clove) for 3 nights in a row also aids in reducing GBS. Robyn D - Original Message - From: Melanie Sommeling [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, November 17, 2006 10:15 PM Subject: [ozmidwifery] Alternative GBS Hi wise women of the list, I am curious if anyone can enlighten me of any alternatives to Antibiotics in labour to decrease GBS transfer from mother to baby. I recollect some info about douching during labour, but the info was sketchy to say the least. I understand the risks of transfer are low and the risk or negative effects are even lower, but alternatively have witnessed a birth of a GBS positive mother where AB's were administered and the baby still developed respiratory distress with several hours of birth and question the validity of using AB'a at all. Any advice on the matter would be greatly appriciated. Melanie -- 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: RE: [ozmidwifery] homebirth costs
Abby, I think the cost differences may be partly due to a limited number of midwives available in NSW to be at homebirths. Those that do seem to need to travel far distances for some of the women. Most I know do antenatal and postnatal in the woman's home and if they are driving 80+kms each way would be quite expensive for petrol and wear tear on their cars. We also need to consider that women, of which I have met 2 recently, who have spent $8000- $1 out of their own money, because they did not have private health insurance, to employ a private obstetrician. For this they get to wait 2-3 hours at the doctor's rooms for a 10minute visit, no time to ask questions, no postnatal other than the 6 week checkup, an increased chance of an induction of labour, an epidural, leading onto the caesarean for failure to progress, maternal exhaustion etc, and in one case the ob did not even make the birth. I certainly would be more than happy to pay $4000 for a midwife to come to me and have my baby at home. I also understand that some of these midwives will accept full payment after the birth, and some women will choose to take up this option and use the baby bonus for this, whilst other women will pay amounts throughout their pregnancy and a balance after the baby is born. Sonja - Original Message - From: [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, November 16, 2006 2:19 PM Subject: Re: RE: [ozmidwifery] homebirth costs How come there is such a big difference? I mean, that is a really BIG difference!! Love Abby Mary Murphy [EMAIL PROTECTED] wrote: Same in WA. MM _ Approx $2000-$2500 here in SA I think, from what I know anyway. -- 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] Alternative GBS
I have a woman at the moment who has had threatened pre-term labour, they are hoping with everything she gets to 37 weeks... I know some doctors like to have ab's for prem labour - is this the case in most hospitals? Best Regards, Kelly Zantey Creator, BellyBelly.com.au Conception, Pregnancy, Birth and Baby BellyBelly Birth Support -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of diane Sent: Sunday, November 19, 2006 9:26 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Alternative GBS Small sample I know, but of two women who have used the garlic, one swabbed positive with heavy growth, the other negative... Cheers, Di - Original Message - From: Robyn Dempsey [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Saturday, November 18, 2006 5:29 PM Subject: Re: [ozmidwifery] Alternative GBS I'd consult with a herbalist. Echinacea tinctures/ douches etc can be mixed up. I also have heard that a clove of garlic inserted into the vagina ( peeled clove) for 3 nights in a row also aids in reducing GBS. Robyn D - Original Message - From: Melanie Sommeling [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, November 17, 2006 10:15 PM Subject: [ozmidwifery] Alternative GBS Hi wise women of the list, I am curious if anyone can enlighten me of any alternatives to Antibiotics in labour to decrease GBS transfer from mother to baby. I recollect some info about douching during labour, but the info was sketchy to say the least. I understand the risks of transfer are low and the risk or negative effects are even lower, but alternatively have witnessed a birth of a GBS positive mother where AB's were administered and the baby still developed respiratory distress with several hours of birth and question the validity of using AB'a at all. Any advice on the matter would be greatly appriciated. Melanie -- 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] birth pool
Does anyone have experience with this type of pool?? Can you get disposable liners ?? Cheers, Di - Original Message - From: Andrea Quanchi [EMAIL PROTECTED] To: ozmidwifery ozmidwifery@acegraphics.com.au Sent: Saturday, November 18, 2006 10:24 PM Subject: [ozmidwifery] birth pool If any one is interested there is a la bassine birth pool advertised on ebay with a few days to go in the bidding it is only up to $80:00 so far Andrea Q -- 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] homebirth costs.
I'm not questioning the value of midwifery care, more why Sydney midwifery care is so much more 'valuable' in the dollars and sense kind of way? Something that hasn't been mentioned is the lack of professional indemnity insurance for midwives. Midwives put their life and all their goods and chattels on the line every time they care for a woman. We are lucky in WA that the Gov. took heed of the continuous lobbying over about 10yrs and let us have a free homebirth program. We struggle to keep it. Midwives are indemnified by the Govt insurance, but at the cost of more bureaucracy and restricted options. I am not complaining, just pointing out some of the difficulties. MM
Re: [ozmidwifery] homebirth costs.
That restriction of practice really bothers me, and I can imagine it would bother midwives who want to provide evidence based care to their clients. Women with breech babies are in an unenviable position in Perth. J Midwives are indemnified by the Govt insurance, but at the cost of more bureaucracy and restricted options. I am not complaining, just pointing out some of the difficulties. MM
Re: [ozmidwifery] birth pool
We have one we rent out in JB and are hoping to get more. I haven't seen disposable liners but methylated spirits works to kill everything in labs so we use that. If it's washed by the previous family and the subsequent family and left in the home for a few weeks to load up with friendly normal household bacteria specific to that home it's pretty good. No one's complaining ; ) J - Original Message - From: diane [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Sunday, November 19, 2006 10:36 AM Subject: Re: [ozmidwifery] birth pool Does anyone have experience with this type of pool?? Can you get disposable liners ?? Cheers, Di - Original Message - From: Andrea Quanchi [EMAIL PROTECTED] To: ozmidwifery ozmidwifery@acegraphics.com.au Sent: Saturday, November 18, 2006 10:24 PM Subject: [ozmidwifery] birth pool If any one is interested there is a la bassine birth pool advertised on ebay with a few days to go in the bidding it is only up to $80:00 so far Andrea Q -- 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] homebirth costs.
I've not picked up lots of the mails in the past few days but can see the replies. I've just logged on to the digest to try and catch up so forgive me if this has been covered already. I understand that women should have the right to choose a homebirth and that the consensus is that homebirth as provided in Perth is the way to go. However as Mary said the restrictions are huge as are the policies protocols guidelines what ever you'd like to call them. And There are skilled midwives like Mary who could easily undertake briths with variation of normal but are restricted in doing so. The actual truth is most midwives working in the system wouldn't be comfortable with twin, breech, vbac at home. Midwives who carry that skill will always have to be employed separately, they are in Britain, Netherlands etc. I don't feel bad about charging for my skill. I give up family life, the women always come first. I travel miles I'm on call 24/7/ 7days a week. I don't take holiday's or sometimes even day's off if required. I constantly update, interface with others, provide free advice and counselling etc etc. I'm a little sad not to be in NSW :-) Who cares what the baby bonus is for. It has nothing to do with women employing me for my midwifery skill.I would be doing exactly the same thing if there were no baby bonus. Lisa Barrett
Re: Re: RE: [ozmidwifery] homebirth costs
Didn,t someone previously say that the cost of living in NSW is more expensive, well that also goes for the midwives not just the women birthing. Midwives have families/lives /mortages etc. Cath - Original Message - From: [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Saturday, November 18, 2006 10:46 PM Subject: Re: Re: RE: [ozmidwifery] homebirth costs Hi Barb, I think it's wonderful that you had such an amazing birth and wish for all women to have such an experience. From my understanding, many Sydney midwives ask their clients to come to them not vice versa. So a lot of their care is not midwifery care at home, rather it is out of their home until the final weeks. I'm not sure about all midwives, but this seems more common place now in Sydney. And, you get paid $4000 to have a child these days. Midwifery care at home? It's a bargain. I find it very interesting that people see you get paid to have a baby. I was under the impression that the baby bonus was given to help mums to be able to afford to stay home longer from work, or upgrade their car if they need more space, or buy car seats, slings, good food for nourishment while breastfeeding etc. The only women I know that can afford to spend that whole $4000 on midwifery care are the women that didn't need that money in the first place. The women that choose to spend the whole amount even though they can't afford it, because they have no other choice in Sydney, have no benefits from the baby bonus for living expenses with a newborn. There is no bargain if you can't afford it. I understand the value of midwives and continuity of care and midwifery care at home, but why should women in Sydney and NSW be paying that much more?? Nobody has answered that question. I'm not questioning the value of midwifery care, more why Sydney midwifery care is so much more 'valuable' in the dollars and sense kind of way? Love Abby xo -- 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: RE: [ozmidwifery] homebirth costs
As a result of all this information, I spoke with a woman who wants a second homebirth, her first she was charged the cost of fuel to get to her for visits etc. I mentioned $2500 and she was taken aback. She said to me , Ï understand you need to cover costs but truly I think she has no real idea of the true value. This woman lives a 11/2 hour drive from me and said she will shop around. I wished her luck. It is difficult asking for money, and difficult getting a response such as this where effectively they did not pay previously, Cath - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Saturday, November 18, 2006 1:42 PM Subject: RE: RE: [ozmidwifery] homebirth costs How come there is such a big difference? I mean, that is a really BIG difference!! Midwives have always worked altruistically and undervalued their services. It takes an enormous emotional step for midwives to believe they are worth it. If midwives actually ask for this larger payment, would women still want to have their services? And then again midwives want women to be able to afford their services. Women now have an income from the Government that would pay for the midwife, but many parents see this as a payment to relieve the mortgage, clear debt or buy a big TV. It is more complex than just putting up the fees. MM Approx $2000-$2500 here in SA I think, from what I know anyway. Same in WA. MM
Re: RE: [ozmidwifery] homebirth costs
I have found this topic quite an eye-opener, particularly as someone who hopes to practice independently after finishing my degree. It makes me feel sad that midwifery is so undervalued that midwives are only expected to be allowed to recoup costs and nothing else. Midwifery is a passion as well as a profession. Just because midwives feel passionate about their profession shouldn't mean that they have to operate a charity, nor should they be expected to. It is up to the government to pull up their socks and start offering better midwifery models and funding rather than midwives providing it at their own personal expense. Cheers, Sam. As a result of all this information, I spoke with a woman who wants a second homebirth, her first she was charged the cost of fuel to get to her for visits etc. I mentioned $2500 and she was taken aback. She said to me , Ï understand you need to cover costs but truly I think she has no real idea of the true value. This woman lives a 11/2 hour drive from me and said she will shop around. I wished her luck. It is difficult asking for money, and difficult getting a response such as this where effectively they did not pay previously, Cath - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Saturday, November 18, 2006 1:42 PM Subject: RE: RE: [ozmidwifery] homebirth costs How come there is such a big difference? I mean, that is a really BIG difference!! Midwives have always worked altruistically and undervalued their services. It takes an enormous emotional step for midwives to believe they are worth it. If midwives actually ask for this larger payment, would women still want to have their services? And then again midwives want women to be able to afford their services. Women now have an income from the Government that would pay for the midwife, but many parents see this as a payment to relieve the mortgage, clear debt or buy a big TV. It is more complex than just putting up the fees. MM Approx $2000-$2500 here in SA I think, from what I know anyway. Same in WA. MM -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] birth pool
I have used mine several times now and found it to be really good. Plenty of room for the women to move around and sides that re strong enough to lean on and a base that is inflated so soft to kneel on. The thick inflated sides keep the water warm enough to be able to keep the pool at the right temp with kettle top ups. The pool is all seamless plastic and so can be cleaned with chlorine solution between uses. I ask the women to do it both before and after use thus it is leaned twice between uses and I also sit it out in the sun before repacking it in its carry bag. Andrea On 19/11/2006, at 10:36 AM, diane wrote: Does anyone have experience with this type of pool?? Can you get disposable liners ?? Cheers, Di - Original Message - From: Andrea Quanchi [EMAIL PROTECTED] To: ozmidwifery ozmidwifery@acegraphics.com.au Sent: Saturday, November 18, 2006 10:24 PM Subject: [ozmidwifery] birth pool If any one is interested there is a la bassine birth pool advertised on ebay with a few days to go in the bidding it is only up to $80:00 so far Andrea Q -- 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] FYI news article
Well what do you know - that big email I sent out to the pollies recently spilling all my guts on the horrific things going on in birth, breastfeeding and MCHN's CC'ing training - I finally have a reply from my local labor candidate and he's given me his mobile number to call him: You have raised many important issues that no email can do it justice. Can you give me a call and we can discuss the points raised. My best number is my mobile Will be an interesting discussion, he seems rather caring and receptive :-) Now I wish I knew a hell of a lot more than I do so I can put forward the most intelligent arguments!!! This is where I would love your brain Justine and your ability to think on your feet, no matter what discussion you are thrust into! At least I got what I asked for - no standard office replies! If only I can get one back from the liberal member for my area - the state opposition!!! :-) Best Regards, Kelly Zantey _ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Justine Caines Sent: Wednesday, September 20, 2006 11:12 PM To: OzMid List Subject: Re: [ozmidwifery] FYI news article Hi Kelly I would really like to talk with you and perhaps Pinky off list to nut out some strategies on 'mainstreaming' 1-2-1 mid options and making our goals palatable 'out there'. I know you and Pinky have contact with some big players and I have often thought we need to maximise ay exposure (not saying you don't just would like to natter about it a bit!). Kind regards Justine
[ozmidwifery] setting up a website
Speaking of our independent services... My next adventure is setting up a website. Whose got one and can anyone give me a ballpark figure at how much this is going to cost me, and how long the process can take? Thanks. Kristin (CBE, Naturopath)Advertisement: Looking for the latest range of toys available? Go to www.tradingpost.com.au -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
Re: [ozmidwifery] birth pool
Just be careful that using chlorine, bleach, metho or the sun for sterilisation isn't ruining the plastic. Without knowing what kind of plastic it is, cleaning with those kinds of chemicals may cause the pool to perish much more quickly. Em -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
