[ozmidwifery] maternal temperature
What would be considered a pyrexia in a labouring woman? Sally - Original Message - From: leanne wynne [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, November 27, 2006 9:12 AM Subject: [ozmidwifery] article FYI - another example of technology that promises more than it delivers Fetal O2 Monitoring Doesn't Change Outcomes or Cesarean Rates By Neil Osterweil, MedPage Today Staff Writer Reviewed by Zalman S. Agus, MD; Emeritus Professor at the University of Pennsylvania School of Medicine. November 22, 2006 DALLAS, Nov. 22 -- Fetal oxygen saturation monitoring doesn't alter the rate of caesarean deliveries or improve outcomes for newborns, researchers in a large randomized study reported. When investigators monitored more than 5,300 women in first-time labor with fetal pulse oximetry, but randomly masked the data from half of the observers, there were no significant differences in outcomes or in Caesarean rates, reported Steven L. Bloom, M.D., of the University of Texas Southwestern Medical Center here, and colleagues elsewhere. The delivery teams equipped with fetal oxygen saturation data and those kept in the dark acted similarly, the investigators reported in the Nov. 23 issue of the New England Journal of Medicine. The findings suggest that fetal pulse oximetry may be another example of a technology that promises more than it delivers, they authors added. The widespread adoption of intrapartum electronic fetal monitoring in the early 1970s has been cited as an example of the incorporation of technology without proof of benefit, they wrote. The development of fetal oxygen saturation might improve understanding of fetal well-being during labor and thus reduce the rate of cesarean delivery for the indication of abnormal fetal heart rate, they continued. Our trial confirms the value of rigorous assessment of new forms of technology by showing that knowledge of fetal oxygen saturation does not lead to a significant reduction in cesarean births overall or for the indication of a nonreassuring fetal heart rate. In an accompanying editorial, Michael F. Greene, M.D, of the Massachusetts General Hospital in Boston agreed that those who seek a technological fix to the problem of fetal monitoring need to keep searching. The reduction in the rate of cesarean deliveries that were performed out of concern for intrapartum fetal asphyxia seen in previous studies was not observed in this trial, nor was there the enigmatic increase in cesarean deliveries for the indication of dystocia among women with non-reassuring fetal heart-rate patterns, Dr. Greene wrote. The performance of electronic fetal heart-rate monitoring as a screening test for fetal oxygen desaturation was poor. Neonatal outcomes were not significantly different between the groups. Although electronic fetal monitoring is used in about 85% of all live births in the United States, its benefits, if any are uncertain, and critics maintain that it may contribute to the surge in caesarean deliveries, the authors noted. Fetal pulse oximetry, approved conditionally by the FDA in 2000, was intended to provide continuous fetal oxygen saturation data when there is a non-reassuring fetal heart-rate pattern. The device involves a sensor placed through the mother's dilated cervix after her membranes have ruptured. The sensor is placed against the fetus' face, and measures the fetus oxygen saturation levels during labor. To determine whether knowledge of fetal oxygen saturation during labor would have an effect of clinical practice or fetal outcomes, the investigators conducted a multicenter study. A total of 5,341 women who had never before given birth were enrolled at 14 centers. All women were assigned to electronic fetal monitoring with fetal pulse oximetry, but in half of the cases the investigators were blinded to the pulse oximetry data, while in the other half the clinicians were allowed full access to the data. The investigators collected data on fetal heart-rate patterns before randomization, and used the information to stratify the study population into two groups: one with non-reassuring fetal heart-rate patterns, for whom fetal oximetry was primarily intended, and the other without fetal heart-rate abnormalities before the time of randomization. They defined a non-reassuring fetal heart-rate pattern, using criteria from an earlier trial of fetal oximetry, as: Severe variable decelerations (70 beats per minute for at least 60 seconds) Late decelerations Bradycardia (110 beats per minute) Tachycardia (160 beats per minute) Diminished heart-rate variability (5 beats per minute over a period of at least 30 minutes) One or more variable decelerations in two consecutive 30-minute windows Increased heart-rate variability (25 beats per minute over a period of 30 minutes) Baseline rate of at least 100 to 120 beats per minute without accelerations
Re: [ozmidwifery] ABC radio Broken Hill today...
- Original Message - From: Tania Smallwood To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 07, 2006 9:05 AM Subject: [ozmidwifery] ABC radio Broken Hill today... Hi there, I was contacted last night by the programmer of the morning show on ‘alternative’ stuff, and they are doing a segment this morning about waterbirth, on which I’ve been asked to speak! So if there is anyone on the list that lives in that area, tune in around 10.15am and pray for no stuff ups or tongue ties!! Tania -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.409 / Virus Database: 268.15.9/573 - Release Date: 5/12/2006 -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.409 / Virus Database: 268.15.9/573 - Release Date: 5/12/2006
[ozmidwifery] 'Dodging Bullets Catching Babies'
I have been on and off the list for several years, and was off it when the recent emails came through about Birth Kits for Third World Countries, so thought I would send some information about my experience in Dili this year and the on-going support that will be given there. I have a number of opportunities to speak about my experience in Dili in the new year, one of these will be the NSW Pregnancy, Birth and Early Pregnancy CoOrdinator's Network on March 21 and another, the Central Coast Midwives Association on March 28. If anyone would like more information please contact me - details below. Below is some information about my 2 trips to East Timor in 2005 2006. I will be returning in 2007. Dili, East Timor May 1 June 28, 2006 I first went to Dili East Timor in May 2005 for 16 days, after hearing that the mortality rate there was 100 times that of Australias. As a Midwife and Childbirth Educator, I was crazy enough to think that there might be something I can do to help! Some Facts about East Timor: ·East Timor is one of the most fertile nations of the world ·Only 10% of pregnant women in East Timor give birth with the assistance of a qualified Midwife ·The Maternal and Neonatal Mortality rate in East Timor is 100 times that of Australia, 860 deaths for every 100,000 live births. One of the reasons for such a high level of maternal problems is the low utilisation of skilled assistance for pre-natal care, birth and post-natal care. Peri-Natal Neonatal Mortality ·8-9 out of every 100 children born, die before their 1st birthday. ·3-4 out of every 100 children die before reaching age 5. · Risk of dying is markedly higher in rural than urban areas. ·Newborn babies die or are damaged because of birth asphyxia, trauma or infections. ·In highland / rural areas only about 12% of women had a trained attendant at their birth. ·In 2003 61% of births were assisted by relatives or friends During my visit in 2005, I was asked by a Dr in a clinic in Bairo Pite, Dili if I would provide some training for Midwives working at the clinic so that they could then provide training for women in remote villages that currently assist with births, but havent had any formal training. I was also asked to provide Birth Kits with resources for the Birth Attendants in these remote villages. I arrived in Dili on May 1, 2006 several days after demonstrations and rioting broke out in Dili resulting in deaths and injuries. On May 4, 20,000 people fled from Dili. I received regular text and e-mail updates from The Australian Embassy, there were opportunities to leave, but I declined these, preferring to work with the Midwives and complete the training that I had planned to do. I got used to the sound of gunfire in the early weeks it was great to have a noisy air-conditioner in my room to block the noise out at night! Despite the unrest in East Timor and the capital of Dili, I was able to continue to visit the clinic daily, with the exception of one day May 27, when I was advised not to leave my accommodation due to gunfire around the area of the clinic, there was also a lot of gunfire in the area I was staying. I contacted some friends that I had made the previous year to see if they were okay they were flat on the floor of their home, trying to avoid bullets, and told me that every home around them was on fire! I had to call the Embassy to get assistance for them to get out. This was the day that the Australian troops began to arrive I had never thought that the sound on an APC or Army chopper would bring me such comfort! It was great to have the troops there, and they eventually began to disarm those with weapons, however the gang activity of fires and destruction continued. One of the officers from the Australian Army that had been in East Timor in 1999, told me that when the Army arrived in 1999, the gang activity stopped, however this time it has continued. The Timorese that were still in Dili were beginning to move to refugee camps outside Embassies, in Churches and Clinics, the Hospital and at the Airport. One refugee camp a Church had 14,000 people in it! When I arrived at the Clinic on May 28, there had been about 500 refugees camped there overnight many of these people were still there when I left at the end of June. The Training During the 9 weeks I was in Dili I was able to complete the training I had planned to do, covering all aspects of pre-natal care, labour, birth and the post-natal period. I included training on Infection Control, Newborn Examinations, Postnatal checks on Mothers prior to discharge and 6-week Post-Natal Checkups, as well as Midwifery Emergencies. There were set times each morning we would do the training, and then I would work with them throughout the day and reinforce things on the job. It was challenging at times as all of the Midwives became refugees at the Clinic with their families,
[ozmidwifery] Breastfeeding - Parliamentary inquiry
# House of Representatives - Email alert service # Issued by: House of Representatives Liaison Projects Office, Wednesday 6 December 2006 Parliament launches new inquiry into breastfeeding Chairman of the House of Representatives Standing Committee on Health and Ageing, Alex Somlyay, today announced a new parliamentary inquiry into the health benefits of breastfeeding. Mr Somlyay said that the Committee will examine how the Australian government can take a lead role to improve the health of the population through support for breastfeeding. There is considerable evidence suggesting the health of the Australian population may be improved by increasing the rate of breastfeeding, Mr Somlyay said. The committee will be looking at the potential effects on the long term sustainability of Australia's health system. In 2001, approximately 54 per cent of babies were fully breastfed at 3 months of age or less, compared with around 32 per cent of infants by 6 months of age or less. Rates of breastfeeding vary between different population groups. It is worth noting that there is anecdotal evidence that new mothers are not being closely supported or greatly encouraged to persist with breastfeeding, Mr Somlyay said. The public perception is that breastfeeding is not necessarily accepted as the most desirable way of nourishing young babies or preventing long term health problems. The Committee invites public submissions by 28 February 2007 on: How the Commonwealth government can take a lead role to improve the health of the Australian population through support for breastfeeding, with particular consideration to: · The extent of the health benefits of breastfeeding; · Evaluate the impact of marketing of breast milk substitutes on breastfeeding rates and, in particular, in disadvantaged, Indigenous and remote communities; · The potential short and long term impact on the health of Australians of increasing the rate of breastfeeding; · Initiatives to encourage breastfeeding; · Examine the effectiveness of current measures to promote breastfeeding; and · The impact of breastfeeding on the long term sustainability of Australia's health system. For media interview with the Chairman: Please contact the Committee Secretary on 02 6277 4145. For a copy of the terms of reference and further information on making a submission: contact the Committee secretariat on (02) 6277 4145 or email [EMAIL PROTECTED] or visit the website at www.aph.gov.au/house/committee/haa Issued by: Andrew Dawson, media adviser, Liaison Projects Office, House of Representatives Tel: (02) 6277 2063 wk, 0401 143 724 mob. Have you got About the House magazine yet? Barb Glare Mum of Zac, 12, Daniel, 10, Cassie 7 Guan 3 Counsellor, Warrnambool Vic [EMAIL PROTECTED] ** Ph (03) 5565 8602 Director, Australian Breastfeeding Association Mothers Direct www.mothersdirect.com.au
Re: [ozmidwifery] 'Dodging Bullets Catching Babies'
What wonderful work you are doing Margaret! This report of your experiences is fantastic. Thanks so much for sharing it. You report the statistics from the Alola foundation. Are you also working with Kirsty Sword Gusmao, the first lady of the world's newest nation, East Timor? It would be great to join your inspirational efforts with hers. She is working hard for the welfare of women and children in East Timor and is very focussed on providing resources for midwives and birthing women. with great admiration, warmly, Carolyn - Original Message - From: Margaret Aggar [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 07, 2006 8:19 PM Subject: [ozmidwifery] 'Dodging Bullets Catching Babies' I have been on and off the list for several years, and was off it when the recent emails came through about Birth Kits for Third World Countries, so thought I would send some information about my experience in Dili this year and the on-going support that will be given there. I have a number of opportunities to speak about my experience in Dili in the new year, one of these will be the NSW Pregnancy, Birth and Early Pregnancy CoOrdinator's Network on March 21 and another, the Central Coast Midwives Association on March 28. If anyone would like more information please contact me - details below. Below is some information about my 2 trips to East Timor in 2005 2006. I will be returning in 2007. Dili, East Timor May 1 - June 28, 2006 I first went to Dili East Timor in May 2005 for 16 days, after hearing that the mortality rate there was 100 times that of Australia's. As a Midwife and Childbirth Educator, I was 'crazy' enough to think that there might be something I can do to help! Some Facts about East Timor: ·East Timor is one of the most fertile nations of the world ·Only 10% of pregnant women in East Timor give birth with the assistance of a qualified Midwife ·The Maternal and Neonatal Mortality rate in East Timor is 100 times that of Australia, 860 deaths for every 100,000 live births. One of the reasons for such a high level of maternal problems is the low utilisation of skilled assistance for pre-natal care, birth and post-natal care. Peri-Natal Neonatal Mortality ·8-9 out of every 100 children born, die before their 1st birthday. ·3-4 out of every 100 children die before reaching age 5. · Risk of dying is markedly higher in rural than urban areas. ·Newborn babies die or are damaged because of birth asphyxia, trauma or infections. ·In highland / rural areas only about 12% of women had a trained attendant at their birth. ·In 2003 61% of births were assisted by relatives or friends During my visit in 2005, I was asked by a Dr in a clinic in Bairo Pite, Dili if I would provide some training for Midwives working at the clinic so that they could then provide training for women in remote villages that currently assist with births, but haven't had any formal training. I was also asked to provide Birth Kits with resources for the Birth Attendants in these remote villages. I arrived in Dili on May 1, 2006 several days after demonstrations and rioting broke out in Dili resulting in deaths and injuries. On May 4, 20,000 people fled from Dili. I received regular text and e-mail updates from The Australian Embassy, there were opportunities to leave, but I declined these, preferring to work with the Midwives and complete the training that I had planned to do. I got used to the sound of gunfire in the early weeks - it was great to have a noisy air-conditioner in my room to block the noise out at night! Despite the unrest in East Timor and the capital of Dili, I was able to continue to visit the clinic daily, with the exception of one day May 27, when I was advised not to leave my accommodation due to gunfire around the area of the clinic, there was also a lot of gunfire in the area I was staying. I contacted some friends that I had made the previous year to see if they were okay - they were flat on the floor of their home, trying to avoid bullets, and told me that every home around them was on fire! I had to call the Embassy to get assistance for them to get out. This was the day that the Australian troops began to arrive - I had never thought that the sound on an APC or Army chopper would bring me such comfort! It was great to have the troops there, and they eventually began to disarm those with weapons, however the gang activity of fires and destruction continued. One of the officers from the Australian Army that had been in East Timor in 1999, told me that when the Army arrived in 1999, the gang activity stopped, however this time it has continued. The Timorese that were still in Dili were beginning to move to refugee camps outside Embassies, in Churches and Clinics, the Hospital and at the Airport. One refugee camp - a Church had 14,000 people in
RE: [ozmidwifery] Breastfeeding - Parliamentary inquiry
Dear Barb, This looks very promising below, what are you hoping will come of it? Warm hug Julie Julie Clarke Childbirth and Parenting Educator ACE Grad-Dip Supervisor NACE Advanced Educator and Trainer Transition into Parenthood 9 Withybrook Pl Sylvania NSW 2224. T. (02) 9544 6441 F. (02) 9544 9257 Mobile 0401 2655 30 email: [EMAIL PROTECTED] www.julieclarke.com.au _ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Barbara Glare Chris Bright Sent: Friday, 8 December 2006 6:44 AM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Breastfeeding - Parliamentary inquiry # House of Representatives - Email alert service # Issued by: House of Representatives Liaison Projects Office, Wednesday 6 December 2006 Parliament launches new inquiry into breastfeeding Chairman of the House of Representatives Standing Committee on Health and Ageing, Alex Somlyay, today announced a new parliamentary inquiry into the health benefits of breastfeeding. Mr Somlyay said that the Committee will examine how the Australian government can take a lead role to improve the health of the population through support for breastfeeding. There is considerable evidence suggesting the health of the Australian population may be improved by increasing the rate of breastfeeding, Mr Somlyay said. The committee will be looking at the potential effects on the long term sustainability of Australia's health system. In 2001, approximately 54 per cent of babies were fully breastfed at 3 months of age or less, compared with around 32 per cent of infants by 6 months of age or less. Rates of breastfeeding vary between different population groups. It is worth noting that there is anecdotal evidence that new mothers are not being closely supported or greatly encouraged to persist with breastfeeding, Mr Somlyay said. The public perception is that breastfeeding is not necessarily accepted as the most desirable way of nourishing young babies or preventing long term health problems. The Committee invites public submissions by 28 February 2007 on: How the Commonwealth government can take a lead role to improve the health of the Australian population through support for breastfeeding, with particular consideration to: * The extent of the health benefits of breastfeeding; * Evaluate the impact of marketing of breast milk substitutes on breastfeeding rates and, in particular, in disadvantaged, Indigenous and remote communities; * The potential short and long term impact on the health of Australians of increasing the rate of breastfeeding; * Initiatives to encourage breastfeeding; * Examine the effectiveness of current measures to promote breastfeeding; and * The impact of breastfeeding on the long term sustainability of Australia's health system. For media interview with the Chairman: Please contact the Committee Secretary on 02 6277 4145. For a copy of the terms of reference and further information on making a submission: contact the Committee secretariat on (02) 6277 4145 or email [EMAIL PROTECTED] or visit the website at http://www.aph.gov.au/house/committee/haa www.aph.gov.au/house/committee/haa Issued by: Andrew Dawson, media adviser, Liaison Projects Office, House of Representatives Tel: (02) 6277 2063 wk, 0401 143 724 mob. Have you got About the House magazine yet? Barb Glare Mum of Zac, 12, Daniel, 10, Cassie 7 Guan 3 Counsellor, Warrnambool Vic [EMAIL PROTECTED] ** Ph (03) 5565 8602 Director, Australian Breastfeeding Association Mothers Direct www.mothersdirect.com.au
Re: [ozmidwifery] 'Dodging Bullets Catching Babies'
Hi, I'd love to hear more about breastfeeding in East Timor Warm Regards. Barb -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] 'Dodging Bullets Catching Babies'
Dear Carolyn, Thanks for your email. Yes, i have had contacts with the Alola Foundation, however on this visit, due to the unrest in Dili, they were closed for a lot of the time I was there but I was able to make phone contact with some of the workers at the end of my time there. I receive regular updates from Kirsty and I look forward to catching up with them on my next visit. Regards, Margaret Margaret Aggar [EMAIL PROTECTED] 24 Eden Grove ERINA NSW 2250 Australia tel: (02) 4365-4037 mobile: 0409821773 Add me to your address book... Want a signature like this? -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.15.15/579 - Release Date: 7/12/2006 1:31 PM -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] 'Dodging Bullets Catching Babies'
Dear Barb, I'm not sure what the stats are on breastfeeding are in East Timor, but in the 9 weeks that I was there, I only witnessed breastfeeding and there were no problems - they just do it! One of the Midwives would emerge from the overnight room to do the morning round with the Dr, with her todler attached to the breast, the pharmacist of the clinic always seemed to her have her baby attached also. The Alola Foundation has done a lot to assist in the area of breastfeeding, you can visit their site at www.alolafoundation.org Not sure where you come from Barb, but I will be doing a presentation on my Dili Experience with a focus on breastfeeding at a local Breastfeeding Group, in the Gosford area in March (date to be confirmed) if you or others are interested. Just let me know. Regards, Margaret Margaret Aggar [EMAIL PROTECTED] 24 Eden Grove ERINA NSW 2250 Australia tel: (02) 4365-4037 mobile: 0409821773 Add me to your address book... Want a signature like this? -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.15.15/579 - Release Date: 7/12/2006 1:31 PM -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] paed burn cream
I'm trying to find out the name of the burn cream used in paed (and maybe others) wards for childrens burns - apparently been around for years and really helps to rapidly heal the wounds?? Any idea? Thanks, KristinAdvertisement: Fresh jobs daily. Stop waiting for the newspaper. Search Now! www.seek.com.au -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
