Re: [ozmidwifery] waterbirth
The Gold Coast Hospital Birth Centre in Southport Queensland also do waterbirth. Regards, Anne Clarke
Re: [ozmidwifery] waterbirth
Dear Mary, Yes, the Birth Centre at the Royal in Brisbane officially do waterbirth. Regard, Anne Clarke - Subject: [ozmidwifery] waterbirth Hi everyone, I know this question has been asked before, but I can't remember the answer. Do we have any maternity units, birth centres etc who officially do waterbirth? I know homebirthers do, but I want to know about institutions. Thanks, MM
[ozmidwifery] New Inventors birth seat
Dear All, Labouring womenin my practice, over 20 of them, tried this birth seat(although without the back part) and women have found it not so useful as they cannot lean forward ormove on it easily. Also ifa womanhas generous proportions theyfind it difficult to siton itand many womenfind it difficult to reach down to grasp the handles andit limits women where they want to grasp for support. Looking at the videofrom the New Inventors programthe back partappears to limit women's movement too - although I have not used it in association with the chair. As you all know some women lean far back (or forward) sometimes leaning forward with a contration and then far back in their supporters arms to rest inbetween contractions, andsometimes usinga different positionwith each contractionwith her supporter movingin unisonto accomodate, the back on the chair in the video does not look like it appears to be as accommodating. I am all for women choosing to use a birth stool/chair if they find it does not inhibit movement of choice but not one of my clients who have tried this chair wanted to continue to use it e.g. when offered a different type of chair/seat these werefoundto bemore accommodating. When quizzed at their postnatal debrief ALL of them said it was either uncomfortable - for various reasons - but what most of themcommented onwas that they could sit comfortably in it as they couldn't move around (forward/back). Soit appears ifyou want to sit back and straight to give birth it maybe not so useful to use. I am not the only one in the practice that have found women have not liked using this chair and therefore it is gathering dust in the store room. We do have 2 other types of birth stool/chairs and find women happier with these less 'technical' choices. Regards, Anne
Re: [ozmidwifery] Supports to prevent burnout
Dear Jo, I have access through the UQ library for full articles. Let me know specifics and I may be able to help. Regards, Anne Clarke - Original Message - From: Joanne and Steve Fisher To: Ozmidwifery Sent: Saturday, August 19, 2006 10:57 AM Subject: [ozmidwifery] Supports to prevent burnout Hi All, Just wondering if anyone has this article or could tell me where to find it. It is research by Jane Sandall, on burnout in midwives, which specifies the supports needed to prevent burnout. The only copies I can find are pay to view. Thanks. Cheers, Joanne.
Re: [ozmidwifery] Midwifery Strengths
Title: Midwifery Strengths Dear Helen, Yes, the Birth Centre and the RWH in Brisbane. We offer caseload i.e. 1-2-1. Regards, Anne Clarke - Original Message - From: Helen and Graham To: ozmidwifery@acegraphics.com.au Sent: Wednesday, May 31, 2006 10:18 PM Subject: Re: [ozmidwifery] Midwifery Strengths Just wondering if there are any midwifery models within a hospital settingin Australia offering 1-2-1 care, apart from"team midwifery" models where theremay bea primary midwife but a team approach to after hours on-call. Helen - Original Message - From: Justine Caines To: OzMid List Sent: Wednesday, May 03, 2006 9:30 PM Subject: [ozmidwifery] Midwifery Strengths Dear ReneeI will give a strength from the consumer perspective!The power of the relationship between a woman and a midwife. When it works there is nothing a woman cannot do. The impact of that trust and that belief in being with woman has the capacity to transform lives.Read Andrew Bissits afterward in Having a Great Birth in Australia He comments on the trust and the relationship women have with midwives providing 1-2-1 care. Something the vast majority of other carers (and midwives in fragmented models) cannot achieve.Gee I wish I was writing this essay (shame I dont want to be a MW!) I would approach the core of strength from the perspective of when midwives actually do as the word means be with womanSo to be with her one should know her, and put her as central to the process. To do this she comes first and Hospital protocols after and Drs timeframes after etc. I guess the real strength is when practice is optimal.Kind regardsJustine CainesHi all.I am a 1st year B.Mid student writing the obligatory essay on Midwifery in Australia. No easy feat really and I need to outline some strengths and weaknesses. Well there is plenty out there about what is wrong with Midwifery Services and what the threats are (New Idea anyone?) but not a lot talking about what is right with it, besides the inherent fact that it works!! So I thought I'd do a little bit of a survey and ask you all what you think are the strengths. What do you all see as being great about being a Midwife in Australia?? Your feedback would be most appreciated.Renee __ NOD32 1.1518 (20060503) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
Re: [ozmidwifery] Wellington Point
Dear Rachel, She can try Redlands hospital. This is also a BFHI accredited hospital. She can ring the Birth Centre at the RWH in Brisbane but she will be put on the waiting list and be told to book into a closer hospital until she is offered a place. Redlands, I think, still has a Midwifery model of care - she would have to ring them and ask them about their services. Redlands would be the closest hospital with this model of care. The only Birth Centre in her area is the RWH in Brisbane. Regards Anne Clarke Brisbane - Original Message - From: wump fish [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Saturday, February 11, 2006 9:00 AM Subject: [ozmidwifery] Wellington Point I've been contacted by a woman who has recently arrived in Wellington Point, Queensland. She is 12 wks pregnant and wants some info about what's available in her area re: maternity care. Do any of you have experience/advice. Are there any midwifery led birth centres? Thanks Rachel _ Are you using the latest version of MSN Messenger? Download MSN Messenger 7.5 today! http://messenger.msn.co.uk -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 1.1404 (20060211) 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.
Re: [ozmidwifery] prison birthing
Dear Amy, I looked after a woman that wasa prisoner postnatally and she was dropped off in labour by prison officers (obviously low risk,) as they did not stay butvisited her everyday, however, the mother signed herself out to goback to prison as she gave birth in the middle of January and in the old RWH hospital postnatal ward did not have air conditioning and she had to share a ward with 3 other women. She said that she had her own room, it was air conditioned and they had better food! The prison had facilities that women could keep their babies with them. RegardsAnne ClarkeQueensland - Original Message - From: adamnamy To: ozmidwifery@acegraphics.com.au Sent: Wednesday, February 08, 2006 12:21 PM Subject: [ozmidwifery] prison birthing Do any of you midwives out there know how birth happens for pregnant women in Australian prisons? Are they transferred to hospital or are they required to stay in the prison health service. I have been reading an Amnesty report of the abuses of pregnant and laboring women in the US (it is available through Sheila Kitzinger’s website for anyone who is interested). I am keen to know what similarities exist for Australian women. I thought fetal monitoring and a drip was bad enough-try giving birth being chained to a bed-not knowing how long you can cuddle your baby for before she is removed! That breaks my heart. Amy From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of EmilySent: Wednesday, February 08, 2006 8:10 AMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] yoga video hi everyone funny photo attached that shows what happens if your baby doesnt get enough food ! i found this while looking for photos for an infant nutrition seminar im doing for uni next week. does anyone still have that short movie of the yoga mum where the baby crawls up and has a feed while shes upside down?? id love to include that :) if anyone has it they can send it direct to me at [EMAIL PROTECTED] thanks emily Brings words and photos together (easily) withPhotoMail - it's free and works with Yahoo! Mail. --No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.375 / Virus Database: 267.15.2/252 - Release Date: 2/6/2006__ NOD32 1.1398 (20060207) Information __This message was checked by NOD32 antivirus system.http://www.eset.com --No virus found in this outgoing message.Checked by AVG Free Edition.Version: 7.1.375 / Virus Database: 267.15.2/253 - Release Date: 2/7/2006
Re: [ozmidwifery] Job in Brisbane?
Dear Di, The Birth Centre at the RWH in Brisbane is advertising at the moment. I am unsure if the applications have closed. You can contact Patricia Schneider for further details. Ring 07 36368111 and ask for her to be paged by switch. RegardsAnne Clarke - Original Message - From: diane To: ozmidwifery@acegraphics.com.au Sent: Friday, December 09, 2005 8:34 PM Subject: [ozmidwifery] Job in Brisbane? Hi everyone, Does any one know of any positions vacantin Brisbane, for an experienced team midwife? I have a colleague who's husband is being transfered to Brisbane. She has extensive experience in midwifery models of care, alternate therapies and is also a lactation consultant. Her ideal midwifery position would bein a caseload practice. If anyone has any suggestions to pass on to her it would be great. I think she is applying to the Redcliff hospital, are the services there woman centred? She is looking at living somewhere near there, maybe a new sub division called Mango Hill, I think. Thanks , Di__ NOD32 1.1318 (20051211) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
[ozmidwifery] Birth Centres
Dear All, Trying to find out how many Birth Centre's there are in each State and how long they have been operating for? Regards Anne Clarke Queensland -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Definition of a Birth Centre
Dear All, It has been asked 'what is a Birth Centre' (definition). If you look at the beaureau of stats or any State or the AIHW - they do not define a Birth Centre but do include their numbers BC stats. So is it possible if you call yourself a birth centre you are one, regardless of how you operate? Philisophically though, I hope not! Below are some of the definitions (albiet some are similar) of a birth centre. Definitions 1. An autonomous midwifery unit, offering midwifery care for low risk women (St. Thomas's hospital, London, 2002) 2. The birth centre is a homelike facility existing within a healthcare system with a program of care designed in the wellness model of pregnancy and birth. Birth centers are guided by principles of prevention, sensitivity, safety, appropriate medical intervention, and cost effectiveness. Birth centers provide family-centered care for healthy women before, during and after normal pregnancy, labour and birth. (Adopted by NACC Board of Directors - New York - October 1, 1995). 3. To provide the highest standards of midwifery care to our mothers and families, in accordance with the World Health Organisation's definition of midwifery practice (Monash BC, 2005). 4. A birth centre is an institution that offers care to women with a straightforward pregnancy and where midwives take primary professional responsibility for care. During labour and birth medical services, including obstetric, neonatal and anaesthetic care are available should they be needed, but they may be on a separate stie, or in a separate building, which may involve transfer by car or ambulance. (Structrued Review of Birth Centre, NPEU, July 2005, University of Oxford) this definition is also adopted by the Ryde Birth Centre, NSW. 5. Free standing birth centres are facilities which offer comprehensive maternity care including off site delivery to patients who meet low risk criteria for services. Generally, services are provided by registered nurses or certified nurse midwives with back up support by physicians/hospitals available in emergency situations. (North Carolina State Health Plan, 2005). 6. Public or private health facility not licenced as a hospital, that provided care during delivery or immediately after delivery for generally less than 24 hours. (Colorado Dept. Public Health and Environment, 1996). The above covers most other definitions provided. I prefer the National Assoc. of Childbearing Centres (NACC) and NPEU definitions. Asking what is 'low risk' well that's a whole new ball game. I would like to know when the first Birth Centre is Australia was opened? Regards Anne Clarke Chair - BFHI Queensland -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Mother friendly hospitals
Dear All, BFHI hospitals are NOT unfriendly to mothers EVER. BFHI accredited hospitals are by definition also mother friendly. If a hospital is BFHI accredited all mothers are assured of the information that mothers need. No mother is coerced into a decision otherwise. Mother 'unfriendliness' has never been the credo of BFHI and never will. Mothers informed choices in feeding their baby are and always will be supported through BFHI accredited facilities. Regards Anne Clarke Chair - BFHI Queensland - Original Message - From: Barbara Glare Chris Bright [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 23, 2005 5:03 AM Subject: Re: [ozmidwifery] Mother friendly hospitals Hi, I really disagree that baby friendly hospitals are OK for the baby but tough on the mother. And if your baby friendly hospital is tough on the mother, then you should be looking at why - because it shouldn't be that way. The newborn mother and baby are a unit. They both surely need to be cared for as though they were one. I think it's part of the problem of society that mothers and babies are pitted against each other almost from birth. Mothers and babies are both usually happier and calmer when together. If a mother is of the believe that she needs the baby away from her to rest, a common enough belief in our society, maybe all that needs to happen is a little empathy and good explanations from the staff I know you are tired, but what we find is that mothers and babies actually rest better when they rest together. Just like you would explain to a mum that she doesn't need to rush off straight away and have a shower - there'll be time for that later. Her baby needs to smell her familiar smell and get to know his mum (and breastfeed) Surely hospitals can be flexible enough for staff to take the baby for a while if needed - carrying in a sling is great modelling for the mum and keeps baby calm, or dad or grandma can help out. For every mother I hear when I'm assessing baby friendly hopitals who say they would have liked a nursery, I hear many, many more whom the staff told that they must be tired and they would take the baby so the mother could rest - the mothers lay unsleeping and rigid in their beds, worrying if that baby they could hear crying was their baby. Barb - Original Message - From: [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 23, 2005 12:27 AM Subject: Re: [ozmidwifery] Mother friendly hospitals Wouldn't it ? I always say baby - friendly is OK for the baby but often it's really tough on the mothers. We ought to be able to do service to both, compromise being the operative word. The old days of 'lying in convalescing' were good for mothers babies, I agree with the previous post about too much being expected of new mothers. Especially after a C/S which after all is major surgery. Yes, birth is a natural process but never the less it's exhausting, hard, manual mental labour. Women need to recover recuperate to cope with the demands of mothering, feeding running a household. The old 'lying in hospitals ' were not such a bad idea were they ? In fact I've often thought of the need for a private facility offering those services nowadays. Like an extended stay unit where women go post birth for 1 or 2 weeks get fed,nurtured, educated, assisted with feeding, shown postnatal exercises, encouraged to rest, have massages, see naturopaths re healing remedies if needed etc. In fact Wholistic Care !! What do you think ? Idealistic ?? Dean Jo [EMAIL PROTECTED] wrote: Ahhh! mother friendly hospitals...now that would be worth pursuing! -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.362 / Virus Database: 267.13.4/175 - Release Date: 11/18/2005 -- 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 1.1297 (20051122) 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.
Re: [ozmidwifery] question
Dear Susan, My understanding was with true shoulder dystocia (which is a bony problem not a soft tissue problem) the outcome of the babe was influenced by cord compression. This of course does vary depending on how long the cord compression lasts. I believe also that the acidocsis increases during the 2nd stage however well healthy babes a quite capable and have adequate reservesin coping. I also think that after the babes head is born there is a drop in ph (don't know the average rate though) as I remember reading about it somwhere. Maybe someone else can enlighten us. However,well, full termbabies have a remarkable store froma highhaemaglobinlevel that is saturated with oxygen - unless there has been an assault that has not revealed itself. Breech's are the same -it is usuallydue to cord compression, but they all seem to bounce back very quickly (breech/shoulder dystocia) inmy experience unless there has been that underlying problem that had notrevealed itself at any other time. I am sure that we all have a story that a baby was born without any obvious problem during labour and second stage but is flat as a tack when born and takes sometime to respond to resucitation. I remember an intensive care nurse saying to methat there may have been an assault, who knows days, weeks, months before and therefore this baby has been fine during labour and 2nd stage but when they have to do it all by themselves after birth they cannot cope, as the normal birth process has taken so much of their 'non' reserves due to a previous assault. RegardsAnne ClarkeQueensland - Original Message - From: Susan Cudlipp To: ozmidwifery@acegraphics.com.au Sent: Thursday, November 17, 2005 3:02 PM Subject: Re: [ozmidwifery] question Good point Anne! I did quite a thorough search last night and have printed off some good articles which I will pass on. However I could not find the answer to why EXACTLY babies die in shoulder dystocia. If it is asphyxia, then (obs point of view) this proves that the cord is not sustaining them.The ob said to me that if the cord WERE sustaining them there would be no urgency to deliver the body, also quoted from the ALSO course that the fetal Ph drops 0.04 (?) per minute after delivery of head therefor we should not be waiting for restitution but delivering body ASAP. (I didn't even go there!!) My feeling is that it is more to do with probable cord compression, (although I cannot picture why this should necessarily be so as the body and hence, presumably, the cord,would still be above the pelvic brim) and trauma to the neck usually caused by mis-management (panic) in trying to deliver the shoulders than asphyxia, but it is true that they become asphyxiated within a short time if truly stuck. Any answers on that one? Thanks Sue "The only thing necessary for the triumph of evil is for good men to do nothing"Edmund Burke - Original Message - From: Anne Clarke To: ozmidwifery@acegraphics.com.au Sent: Thursday, November 17, 2005 5:54 AM Subject: Re: [ozmidwifery] question Dear Susan, You could say to them if this is so why do they rely so much on cord ph's ? One would thinkwhen the baby was born and the pulsating cord was still not supplying the baby effectively the cord blood (venous and arterial) was null and void to providean estimation of oxygenation for the babe. RegardsAnne ClarkeQueensland - Original Message - From: Susan Cudlipp To: midwifery list Sent: Wednesday, November 16, 2005 9:30 PM Subject: [ozmidwifery] question I have a question for youwise ozmidders. I was having a discussion today with one of our obstetricians regarding cord clamping, and the benefits to the baby of delaying this until pulsations cease. When I mentioned the benefit of the baby recieving oxygenated blood via the pulsating cord which could assist it's transition to independent respiration particularly if it was compromised (etc etc) the obs was of the view that the pulsations could NOT be providing oxygenated blood because the uterus would have contracted down and the placenta could no longer be getting oxygen from mother's circulation. Now I know that I have read reams on this and this is stated to be one of the benefits, but I could not answer that particular question physiologically and convincingly. The point was also raised that in shoulder dystocia, babies die of asphyxiation, which (obs opinion) would not happen if they were recieving oxygen via the cord. I did print off George Morley's excellent papers for this Dr to read but would very much welcome anything that can
Re: [ozmidwifery] PPH risks
Dear Emily, I think the research does not quite say that it reduces PPH's but reduces the overall blood loss, especially if there is a PPH i.e. instead of loosing 1000mls you may only loose 700mls but an active third stageit does not prevent a PPH. RegardsAnne ClarkeQueensland - Original Message - From: Emily To: ozmidwifery@acegraphics.com.au Sent: Friday, November 18, 2005 8:56 AM Subject: [ozmidwifery] PPH risks hi everyonedoes anyone know of any evidence on the volume of PPHs averted by active management? the big studies 'show' (whether flawed or not) that active management decreases the risk of PPH, but id like to know how much of this decrease is in the minor PPH range 500mL-1000mL which isnt likely to be symptomatic or adversely affect the woman anyway. another thing i find amazing is that physiological management 'isnt allowed' because of the increased risk of PPH, yet an emergency caesarean is associated with a 9 times increased risk of PPH !! and elective caesarean with a 4 times increased risk. an episiotomy is associated with a 5 times increased risk. yet these are never used as reasons why we shouldnt use such interventions. it is just accepted as part of the process. but any risk associated with leaving things alone is seen as unacceptable(reference http://www.show.scot.nhs.uk/sign/guidelines/sogap/sogap4.html)! :(emily Yahoo! FareChase - Search multiple travel sites in one click.
Re: [ozmidwifery] question
Dear Susan, You could say to them if this is so why do they rely so much on cord ph's ? One would thinkwhen the baby was born and the pulsating cord was still not supplying the baby effectively the cord blood (venous and arterial) was null and void to providean estimation of oxygenation for the babe. RegardsAnne ClarkeQueensland - Original Message - From: Susan Cudlipp To: midwifery list Sent: Wednesday, November 16, 2005 9:30 PM Subject: [ozmidwifery] question I have a question for youwise ozmidders. I was having a discussion today with one of our obstetricians regarding cord clamping, and the benefits to the baby of delaying this until pulsations cease. When I mentioned the benefit of the baby recieving oxygenated blood via the pulsating cord which could assist it's transition to independent respiration particularly if it was compromised (etc etc) the obs was of the view that the pulsations could NOT be providing oxygenated blood because the uterus would have contracted down and the placenta could no longer be getting oxygen from mother's circulation. Now I know that I have read reams on this and this is stated to be one of the benefits, but I could not answer that particular question physiologically and convincingly. The point was also raised that in shoulder dystocia, babies die of asphyxiation, which (obs opinion) would not happen if they were recieving oxygen via the cord. I did print off George Morley's excellent papers for this Dr to read but would very much welcome anything that can show that the baby would still be receiving oxygenated blood post birth. TIA Sue "The only thing necessary for the triumph of evil is for good men to do nothing"Edmund Burke__ NOD32 1.1289 (20051116) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
Re: [ozmidwifery] Re: St John's Wort / Waratah
Dear All, I am not sure if this is OK, but my husband is a Bush Flower practitioner (certified) and makes up bush flower remedies (inc. Waratah). If you are interested please contact me privately on [EMAIL PROTECTED] Regards Anne Clarke Queensland - Original Message - From: Ceri Katrina [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 16, 2005 4:34 PM Subject: [ozmidwifery] Re: St John's Wort / Waratah On 16/11/2005, at 10:34 AM, Janet Fraser wrote: Waratah is the BEST for depression. Just wondering what do you do with it and where do you get it from???/ katrina :-) -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 1.1288 (20051115) 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.
Re: [ozmidwifery] mackay midwives
Dear Fiona, Where is Kirsten going? RegardsAnne Clarke - Original Message - From: FIONA AND CRAIG RUMBLE To: ozmidwifery Sent: Friday, November 04, 2005 6:20 AM Subject: [ozmidwifery] mackay midwives Did you know Kirsten Small (one of only two OBS)has resigned, leaving July? Great opportunity to highlight the need for more midwifery care and encouragement for the Birth Centre. I mentioned same to ABC reporter yesterday and a Doctor (my boss) poo hoo-ed me saying there were too many problems at the BC already. All the more reason to push forward Regards Fiona Rumble__ NOD32 1.1275 (20051103) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
Re: [ozmidwifery] birth centres in Australia
Dear Sally, You probably have this info. and as yet they (hosp.)haven't changed our model of care, but they are trying. Using the recommendations from the review and twisting them to theirown advantage, they just won't listen to us. Two of our most experienced Midwives have left and more are thinking of going, it's heartbreaking as we are being destroyed at the moment. I am in tears right now typing this :( Birth Centre (at least for now) RBWH Butterfield Street, Brisbane PH: 36368966 RegardsAnne Clarke
Re: [ozmidwifery] VBAC booklet
Dear Jo, I'm with Judy here a CD would be very handy. Regards Anne Clarke - Original Message - From: Judy Chapman [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, October 03, 2005 1:35 PM Subject: Re: [ozmidwifery] VBAC booklet Jo, I would prefer a CD and run off copies at work. That way we can catch all women who need it rather than just the ones who can afford it. Cheers Judy --- Dean Jo [EMAIL PROTECTED] wrote: Hi to everyone who has requested a copy of the booklet. I am waiting on Carolyn to come back from a well deserved holiday so we can confirm the cost for the booklet. Hard copies will be pricey due to the size of the booklet and postage, so I am investigating th option of burning it onto a CD which people can the use to run their own copies off. Would this be a more suitable option for people or would yu prefer hard copies? I have taken you names and such and will send an email out with all the confirmed details. Thanks for your support! Cheers Jo CARES SA -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.344 / Virus Database: 267.11.9/116 - Release Date: 9/30/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. Do you Yahoo!? The New Yahoo! Movies: Check out the Latest Trailers, Premiere Photos and full Actor Database. http://au.movies.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.
Re: [ozmidwifery] Fw: water bath preferences
Dear Jenny, Don't get the corner one's get a round one without spa as the reserviour is a cleaning nightmare. Ring the Birth Centre on Monday after 1 pm and talk to Marg Fien as she ordered the one's in the Birth Centre so she can give you the low down on manufacturers, priceetc RegardsAnne ClarkeMidwife Birth Centre, Brisbane - Original Message - From: Jennifer Price To: ozmidwifery@acegraphics.com.au Sent: Sunday, September 25, 2005 12:50 AM Subject: Re: [ozmidwifery] Fw: water bath preferences I was wanting some assistance to find out the best type of baths for our birthing suites. I am working in rural queensland and we do have severe water restrictions at present and have been hearing a lot about smaller corner baths. I would love some ideas on costs, manufacturers, and benefits from your experience with tubs.. thanks Jenni*This email, including any attachments sent with it, isconfidential and for the sole use of the intended recipient(s).This confidentiality is not waived or lost, if you receive it andyou are not the intended recipient(s), or if it is transmitted/received in error.Any unauthorised use, alteration, disclosure, distribution orreview of this email is strictly prohibited. The informationcontained in this email, including any attachment sent withit, may be subject to a statutory duty of confidentiality if itrelates to health service matters.If you are not the intended recipient(s), or if you havereceived this email in error, you are asked to immediatelynotify the sender by telephone collect on Australia+61 1800 198 175 or by return email. You should alsodelete this email, and any copies, from your computersystem network and destroy any hard copies produced.If not an intended recipient of this email, you must not copy,distribute or take any action(s) that relies on it; any form ofdisclosure, modification, distribution and/or publication of thisemail is also prohibited.Although Queensland Health takes all reasonable steps toensure this email does not contain malicious software,Queensland Health does not accept responsibility for theconsequences if any person?s computer inadvertently suffersany disruption to services, loss of information, harm or isinfected with a virus, other malicious computer programme orcode that may occur as a consequence of receiving thisemail.Unless stated otherwise, this email represents only the viewsof the sender and not the views of the Queensland Government.__ NOD32 1.1231 (20050923) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
Re: [ozmidwifery] Fw: water bath preferences
Dear All, I also forgot to mention that here in Queensland there is a Q health policy that you have to have access to at least 3 sides of the pool for labouring/birthing women. The baths in the birth suites in the RWH Brisbane have been vetoed for use because of thispolicy from Q health, however, because we use round, deeper pools in the Birth Centre we have a greater access than the corner baths and so they couldn't use this excuse when they banned the use of the pools in the birth suite. If anyone in Queensland hosptials are thinking of adding a birth pool please take this issue into consideration. Even if you opt for the corner baths remember to give at least a three side access and lets face it on a corner bath it all around. I also find the deep round pools we use are great for bouyancy as they are by description far deeper than the corner baths available to my knowledge. We have 2 steps and a large landing on one side for ease of access too. We had to provide a bed trolley that could lever to the edge and to thelevel of the bath so (if necessary) we could then get the mother out easily if she was unable to exit herself. To date there has never beena problem with a mother unable to exit the bath by herself. This was never a problem with any of the home births I have attended either, but it makes the health and safetypeople in the hospital happy. Mind you this is the lot that took 3 months and 12 people meetings for them to develop a policy on how how to justclean the bath after we had been cleaning it quite successfully for the previous 5 years with any infection problems. RegardsAnne Clarke Birth Centre, Brisbane - Original Message - From: brendamanning To: ozmidwifery@acegraphics.com.au Sent: Sunday, September 25, 2005 12:12 PM Subject: Re: [ozmidwifery] Fw: water bath preferences How interesting that we all have different views on the pool suitable for birthing ! Does this mean MW as a group are just a contrary bunch ? Everyone has their own set of experiences I guess. I do agree with Anne about the spas being an infection control nightmare with Mary about the not hitting heads on walls when leaning over the sides, plus space to spread knees, but with the larger inbuilt domestic spas seats ledges can be very restful. I too have noticed that the rectangular shape encourages women to lie down unless you actively promote hands knees lengthways in tub then there's not much room for her partner. At the homebirths I attend we use all sorts they all work well as long as the water is deep enough, warm enough roomy enough.Paddling pools are great. The concept of a bath/pool in the middle of a room exposed on 3 sides reminds me of being in a fish bowl, not somewhere cosy, dark, snug private to birth in, but open toview...yuk !! Unless the room was really small nesty (then it'd be an OHS problem)it's a bit like being on public display allfor the attendants benefit, not the clients. Remember those Russian videos of the waterbirths in a transparent tub where the OB "plays" with the baby under the water the mother is almost justan onlooker ? I get really angry every time I see that video even though I know they are demonstrating a point, I feel he takes over her birth 'owns her baby' ! Rant over !! I (can't recall seeing many mammals birthing in a 'public' arena now that Icome to think of it) ! Brenda - Original Message - From: Anne Clarke To: ozmidwifery@acegraphics.com.au Sent: Sunday, September 25, 2005 11:09 AM Subject: Re: [ozmidwifery] Fw: water bath preferences Dear Jenny, Don't get the corner one's get a round one without spa as the reserviour is a cleaning nightmare. Ring the Birth Centre on Monday after 1 pm and talk to Marg Fien as she ordered the one's in the Birth Centre so she can give you the low down on manufacturers, priceetc RegardsAnne ClarkeMidwife Birth Centre, Brisbane - Original Message - From: Jennifer Price To: ozmidwifery@acegraphics.com.au Sent: Sunday, September 25, 2005 12:50 AM Subject: Re: [ozmidwifery] Fw: water bath preferences I was wanting some assistance to find out the best type of baths for our birthing suites. I am working in rural queensland and we do have severe water restrictions at present and have been hearing a lot about smaller corner baths. I would love some ideas on costs, manufacturers, and benefits from your experience with tubs.. thanks Jenni*This email, including any attachments sent with it, isconfidential and for the sole use of the intended recipient(s).This confi
[ozmidwifery] ACMI referral guidelines
Dear All, We are still being beaten around the head about using the ACMI referral guidelines. Just today an obstetrician said 'well they (ACMI referral guidelines) are not RANZCOG approved' and he added that 'ACMI does not represent the vast majority of Midwives like RANZCOG represents all Obstetricians'. When the references were pointed out and the referral guidelines were based securely in best practice, it was like water on a ducks back. Can't see anything without the stamp of approval from RANZCOG nothing else exists. As you can tell from this the obstetricians want to usereferral guidelines based on their interpretationand not on a Midwifery best practice model of care. You would think it should be the same for Midwives and obstetricians. With a mindset like this obstetricians want complete control and veto and they hide this mindset behind the facade of 'safety'. Another issue is that they want a definition of 'low risk'. I just want to scream! Anne ClarkeBirth Centre, Brisbane
Re: [ozmidwifery] not weighing placentas
Dear Helen, Think laterally, get them to give you good evidence giving the reason thatthey weigh placentas, other than that they have been doing it forever - not a good reason. If they cannot give you evidence why it should continue it should be stopped, you start not weighing them and others will follow. If a particular doctor wishes the placentas to be weighed and they cannot give you evidence in the benefits then he/she does it themselves. Or Start a group to investigate same and look at the evidence, and present the literature search - it will turn out that there is no good evidence to weigh placentas you have a valid argument that weighing should stop. RegardsAnne ClarkeQueensland - Original Message - From: Helen and Graham To: ozmidwifery Sent: Monday, August 22, 2005 4:24 PM Subject: [ozmidwifery] not weighing placentas Does anyone have research to support the discontinuation of weighing placentas as a routine practice? I have worked in places that stopped doing it years ago and feel anecdotally that weighing placentas has no clinical benefit.However, I don't know if it has been discontinued as a result of any particular research study...My current work place continues to carry out this practice and Iwould like to be able to give them research based evidence to support mysuggestiontochange their policy. Thanks Helen__ NOD32 1.1198 (20050819) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
Re: [ozmidwifery] rh neg discussion
Dear Jan, Yes she does. RegardsAnne ClarkeChair - BFHI Queensland - Original Message - From: Janet Ireland To: ozmidwifery@acegraphics.com.au Sent: Monday, August 22, 2005 5:30 PM Subject: [ozmidwifery] rh neg discussion DISCUSSION PLEASE if a mother is rh neg and babe rh pos kliehauer neg and weak anti d present passive from last anti natal ante D does a mother still have to have anti D JAN__ NOD32 1.1198 (20050819) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
Re: [ozmidwifery] VBAC's and Midwifery led birth centres
Dear Honey, I think theRWH MelbourneBirth Centre has VBAC's they may be able to help. Tel: 03 9344 2388 or 9344 2389 Fax: 03 9344 2653 email: [EMAIL PROTECTED] RegardsAnne Clarke
Re: [ozmidwifery] Meeting other ozmiders at the ICM
Dear All, Also, to all coming to the ICM in Brisbane and to all of you who are involved with BFHI (at any level) or are interested in BFHI (at any level) I am planning to meet up with as many people as possible on the first day (morning tea). I will be the one with the carnation between my teeth so you can't miss me - no only kidding! but would love to meet with one and all for a cuppa on the first day. Let me know if you are initerested. BFHI will have a display that will be part of the ACMI National stand. Come and say hello. Regards Anne Clarke Chair - BFHI Queensland -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Mareeba, Birth Centre
Dear Judy, Wonderful news! On behalf of the Birth Centre Midwives, RWH Brisbane please give all the terrific Midwives in Mareeba our best. Regards, Anne Clarke Midwife, Birth Centre, RWH Brisbane - Original Message - From: Maternity Ward Mareeba Hospital To: ozmidwifery@acegraphics.com.au Sent: Saturday, June 11, 2005 10:52 AM Subject: [ozmidwifery] Success!!! It is now official as it is in todays Cairns Post and no doubt it will be on the news sometime. MAREEBA MATERNITY IS NOW TO BE A PILOT SITE IN QLD FOR A LOW RISK FREESTANDING BIRTH CENTRE. Thanks to the brilliant work done by the staff, the women, the community and MC, ACMI etc. Apparantly we can start 1 July. Policies are being madly written and all sort of paperwork produced as we will be under a microscope for a long time. Apart from that we have had 3 babies this week, multis who were in too good a labour to risk transferring, 3 very happy mums to birth in their own community. Cheers Judy***This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.Any unauthorised use, alteration, disclosure, distribution or review of this email is prohibited. It may be subject to a statutory duty of confidentiality if it relates to health service matters.If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone or by return email. You should also delete this email and destroy any hard copies produced.***__ NOD32 1.1135 (20050609) Information __This message was checked by NOD32 antivirus system.http://www.nod32.com
Re: [ozmidwifery] correction
Mary, What is the fullreference for this information? With thanks, Anne - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Wednesday, June 08, 2005 9:53 AM Subject: [ozmidwifery] correction Hi, the page number I gave for oxytocin/puerperal psychosis should be 171 not 71. MM__ NOD32 1.1134 (20050608) Information __This message was checked by NOD32 antivirus system.http://www.nod32.com
Re: [ozmidwifery] Fw: Friends of the Birth Centre Brisbane 10th Birthday Festival
Dear Holly, Penny (Buntine - yes you spelt it correctly) does not work in the Birth Centre anymore but still works at the RWH in the Phoenix Team Midwifery project. I am sure Penny would love to keep in touch. I think Penny's email for QHealth is: [EMAIL PROTECTED] If you get no joy with this email let me know and the next time I see Penny I will give her your contact. Regards, Anne Clarke - Original Message - From: [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Saturday, June 04, 2005 12:55 PM Subject: Re: [ozmidwifery] Fw: Friends of the Birth Centre Brisbane 10th Birthday Festival Hi Anne, I was wondering does Penny Buntine (I think that's her last name) still work there? She was with me when I birthed my 2nd daughter there 5 years ago now. Would love to touch base, get some midwifery tips!! Holly : ) Anne Clarke [EMAIL PROTECTED] wrote: THE BIRTH CENTRE BRISBANE10TH BIRTHDAY FESTIVAL YOU ARE INVITED! You may be aware the Birth Centre at Royal Women's Hospital Brisbane is approaching a 10 year milestone in June 2005. Friends of The Birth Centre Association do not want to let this achievement pass unrecognised. They are planning to hold a large family orientated festival on the Celebration Lawn at Roma Street Parklands on Saturday, 18th June 2005. They aim to generate public media interest with live entertainment, food, kids activities, interactive demonstrations and stalls to create a festival atmosphere. Please come one and all to offer your support particularly in the light of what has happened recently. Bring your family, friends and significant others to a day of fun and celebration. Hope to see you there, Anne Clarke Midwife Birth Centre -- 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 1.1127 (20050604) 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.
[ozmidwifery] Fw: Friends of the Birth Centre Brisbane 10th Birthday Festival
THE BIRTH CENTRE BRISBANE10TH BIRTHDAY FESTIVAL YOU ARE INVITED! You may be aware the Birth Centre at Royal Women's Hospital Brisbane is approaching a 10 year milestone in June 2005. Friends of The Birth Centre Association do not want to let this achievement pass unrecognised. They are planning to hold a large family orientated festival on the Celebration Lawn at Roma Street Parklands on Saturday, 18th June 2005. They aim to generate public media interest with live entertainment, food, kids activities, interactive demonstrations and stalls to create a festival atmosphere. Please come one and all to offer your support particularly in the light of what has happened recently. Bring your family, friends and significant others to a day of fun and celebration. Hope to see you there, Anne Clarke Midwife Birth Centre -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Evening primrose oil
Dear Joanne, The dose for evening primrose oil for overdue women as per Birth Centre Induction of Labour booklet! Take Evening Primrose oil (gel-caps 500mg) orally 3 times per day and insert 2 in the vagina at bedtime--you must stay laying down on your side or else the caps may fall out (only try this as long as the bag of waters is intact). It doesn't START labour, only prepares the cervix. You can buy Evening Primrose oil at just about any health food/vitamin/herbal type store or supermarket. You can start taking about 2 - 3 capsules orally daily at almost 38 weeks.
[ozmidwifery] Skin to skin with babe in Operating Theatre and Recovery
Dear All, HAPPY INTERNATIONAL DAY OF THE MIDWIFE to all my colleagues. Does anyone work in a hospital that has a policy that promotes skin to skin in OT and recovery? Would appreciate a copy. With thanks, Anne Clarke Brisbane
Re: [ozmidwifery] NUM Job in Brisbane
Dear Mary, A NUM is a Nurse Unit Manager. Regards, Anne - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Thursday, March 17, 2005 12:37 PM Subject: Re: [ozmidwifery] NUM Job in Brisbane I wont be applying for the job, but what is a NUM? The full timeNUM positionfor the Birth Centre in the RWH Brisbane has been advertised and is closing on Monday March 21st. __ NOD32 1.498 (20030901) Information __This message was checked by NOD32 Antivirus System.http://www.nod32.com
[ozmidwifery] Sally Tracey
Dear All, Does anyone have the contact email for Sally Tracey? With thanks, Anne
[ozmidwifery] NUM Job in Brisbane
Dear All, The full timeNUM positionfor the Birth Centre in the RWH Brisbane has been advertised and is closing on Monday March 21st. Is anyone interested? The initial appointment is for 4 months, so if you want a change with a possibility of staying longer or just want a change for a whileplease consider. Contact me for details and I can fax you the application package. Regards, Anne Clarke Birsbane
Re: [ozmidwifery] Attn: Anne - midwifery model network.
Dear Kim, My email is: [EMAIL PROTECTED] Looking forward to hear from you. Regards, Anne - Original Message - From: Kim Stead To: ozmidwifery@acegraphics.com.au Sent: Tuesday, March 15, 2005 3:58 PM Subject: [ozmidwifery] Attn: Anne - midwifery model network. Hi Anne What is your 'off-list' email contact? I would like to take this to myUnit Manager andkeep on the ball for this to happen in our hospital. I am sure united we can achieve a lot and like you say why reinvent the wheel! Regards Kiwi Kim, ---Original Message--- From: ozmidwifery@acegraphics.com.au Date: 03/15/05 07:53:50 To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] waterbirth Dear All, If anyone knows or would like to let a unit know that ishas aMidwifery model of care orwho would like their unitto be a Midiwfery model of care, I am going a little step further than Jo who is putting together a list of Midwifery led care. Since Midwifery is now starting to grow in some areas I am suggesting to put together a Newsletter and furthercommunication lines with Midwives that is a little different than the ozmid list of general discussion. I am happy to coordinate this initially. Of cours ozmid will still be a part of our lines of communication. The purpose is to let colleagues know of what types of Midwifery led care is out there, act as a mentor, listening post, exchange ideas, problems etc etc etc. on a one to one, unit to unit basis. It can be very useful when introducing this model of care (in its many forms) brainstorm problems, new ideas, and not reinvent the wheel if someone has already gone through the process. Get the idea? So it is up to you all to get back to me with: 1. names 2. locations 3. contact numbers 4. contact addresses 5. snail mail 6. email contact 7. Summary of your model of care I will put together a format - it will probably be through email __ NOD32 1.498 (20030901) Information __This message was checked by NOD32 Antivirus System.http://www.nod32.com
Re: [ozmidwifery] annes list of details
Dear Jo, No, we are not as you are gathering a list of contacts for everyone to (colleagues and clients) to be able to know what is available. Whereas I want to keep in touch with colleagues only at this time and write a newsletter and hopefully supply support from each other that work in a continuity of care model e.g. Birth Centre, team Midwifery etc. Regards, Anne - Original Message - From: Dean Jo To: ozmidwifery@acegraphics.com.au Sent: Tuesday, March 15, 2005 8:41 PM Subject: [ozmidwifery] annes list of details The information Anne requires is the same that I do are we doubling up here Anne? There is no point in both of us collecting the same info from everyone. Perhaps we can work together on collating the different information that we are advised exist. Can you email me off list to discuss this? [EMAIL PROTECTED] cheers Jo__ NOD32 1.498 (20030901) Information __This message was checked by NOD32 Antivirus System.http://www.nod32.com --No virus found in this outgoing message.Checked by AVG Anti-Virus.Version: 7.0.308 / Virus Database: 266.7.2 - Release Date: 3/11/2005
Re: [ozmidwifery] proposed list n'letter for caseload midwives
Dear Sally-Anne, I am proposing a newsletter/communication by phone, email etc to Midwives in particular that work in Birth Centres (but anyone who is interested). It is fairly specific and is not consumer focused but Midwife focused for collegues in a Birth Centre model of care. Regards, Anne
Re: [ozmidwifery] The Victorian Rural Maternity Initiative.
Dear Mary, Congrats! what great news for you and the women you care for. Anne Clarke Midwife, Birth Centre RWH Brisbane - Original Message - From: Mary Doyle To: ACE Graphics Sent: Monday, March 14, 2005 8:38 PM Subject: [ozmidwifery] The Victorian Rural Maternity Initiative. Dear List, Tomorrow the Victorian Health Minister will announce funding for the Rural Maternity Initiative which aims to promote midwifery continuity of care. My hospital organisation will be the happy receipient of some of this funding for a modified caseload model of care, and we are thrilled to bits. We are only a ruralMultiPurpose Service withlimited numbers of births across three small rural hospitals. (approx 50 per annum) We care for low risk women only and have often had our sustainability threatened by those who would say that a small service is not worth keeping. Many of our wonderful midwives have had to work hard physically and emotionally to give quality midwifery care as well as run the general ward, casuality dept, palliative care etc all at once. Our model of care will be shared with the GP's in a collaborative process. This was absolutely necessaryas werecognise that withoutGP support we would have no maternity service at all. In rural areas, we must work well together to give quality matenity care. For some this may seem like a disappointmentnot tohave 'exclusive' midwifery care, but for us it will be yet another small step forward. There is much work to be done in moving toward a new model of care. Flexibility is the key and I fear that 12months (the funding period) will pass too quickly. So, don't be disheartened if funding is not coming your way. Small steps are better than no steps at all! Cheers Mary Doyle Alpine Health __ NOD32 1.498 (20030901) Information __This message was checked by NOD32 Antivirus System.http://www.nod32.com
Re: [ozmidwifery] waterbirth
Dear All, If anyone knows or would like to let a unit know that ishas aMidwifery model of care orwho would like their unitto be a Midiwfery model of care, I am going a little step further than Jo who is putting together a list of Midwifery led care. Since Midwifery is now starting to grow in some areas I am suggesting to put together a Newsletter and furthercommunication lines with Midwives that is a little different than the ozmid list of general discussion. I am happy to coordinate this initially. Of cours ozmid will still be a part of our lines of communication. The purpose is to let colleagues know of what types of Midwifery led care is out there, act as a mentor, listening post, exchange ideas, problems etc etc etc. on a one to one, unit to unit basis. It can be very useful when introducing this model of care (in its many forms) brainstorm problems, new ideas, and not reinvent the wheel if someone has already gone through the process. Get the idea? So it is up to you all to get back to me with: 1. names 2. locations 3. contact numbers 4. contact addresses 5. snail mail 6. email contact 7. Summary of your model of care I will put together a format - it will probably be through email
Re: [ozmidwifery] Castor oil
Dear Katrina, It seems that almost everyone does suction at the peri with mec. liq. but the resarch does not support this routine procedure. Regards, Anne Clarke Brisbane - Original Message - From: Ceri Katrina To: ozmidwifery@acegraphics.com.au Sent: Thursday, February 17, 2005 3:23 PM Subject: Re: [ozmidwifery] Castor oil Hi AnneAre these articles on Cochrane? I had a lady the other day I was supporting and helping birth, and there was mec liquor, thin, but wen to thick right at the end, and the midwife I was working with suctioned at the peri, I had no idea it was not the thing to doThanksKatrinaOn 16/02/2005, at 3:13 PM, Anne Clarke wrote: Mec. liq. is not the end of the world, especially if the mother is overdue and there is no signs of fetal distress. Depending on your workplace the mother needs to negotiatefor intermittent electronic fetal monitoring (if you have to do it at all) and no suction of the baby at birth as the evidence does not support this procedure if done purelyto reduce mec. aspriation. If a baby is going to have mec. aspiration suctioning of the oro-nasal pharynx is not going to help and doesn't reduce the risk.
Re: [ozmidwifery] Castor oil
Dear Michelle, There is NO evidence that taking castor oil for induction increases the risk ofmec. liq. What is probably more likely is that since the mother is overdue the incidence of mec. liq. increases after 7-10+ days anyway rather than the taking of the castor oil. Mec. liq. is not the end of the world, especially if the mother is overdue and there is no signs of fetal distress. Depending on your workplace the mother needs to negotiatefor intermittent electronic fetal monitoring (if you have to do it at all) and no suction of the baby at birth as the evidence does not support this procedure if done purelyto reduce mec. aspriation. If a baby is going to have mec. aspiration suctioning of the oro-nasal pharynx is not going to help and doesn't reduce the risk. Hope this helps, Anne Clarke Brisbane - Original Message - From: Michelle Windsor To: ozmidwifery@acegraphics.com.au Sent: Tuesday, February 15, 2005 10:33 PM Subject: [ozmidwifery] Castor oil Hi, Just wondering if anyone has any info on side effects of women taking castor oil (in relation to the baby) to try and induce labour. A few of the midwives I work with have noticed that there seems to be a connection with taking castor oil and having mec liquor, ? it is affecting the baby as well. Thanks in advance Michelle Find local movie times and trailers on Yahoo! Movies.
[ozmidwifery] Birth Centre in NSW
Dear All, Does anyone know if the Royal North Shore and/or Ryde hospitals in NSW have a Birth Centre? If so, what type of Midwifery care do they provide, teams, caseload -if caseload arewomen exclusively allocated to a Midiwfe for antenatal, birth and postnatal care? With thanks, Anne
[ozmidwifery] feeds in 24 hrs?
Dear Alesa, The evidence I have is that for over 600 births in the Birth Centre per annum we weigh our babies at birth and we weigh them again at approx.10 days later at their postnatal check up and we have never had a problem. Our mums go home by 24 hrs too, unless they or their baby is unwell. I am not saying that babies are not having any problems but we pick them up sooner and deal with them immediately without the babies being compromised and we still don't weigh them we look at their feeding and their output - much better and it has kept us in good stead these almost 10 years. I do not have any memory of any of my clients babies loosing more than 10 per cent of their birth weight. Just letting you know what I do and the outcomes that's all. Regards, Anne - Original Message - From: Alesa Koziol [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Wednesday, December 15, 2004 8:42 PM Subject: Re: [ozmidwifery] feeds in 24 hrs? Dear Anne Fully endorse your practice as sound, safe and yet still covering bases for those infants that dont suckle direct. I would like to continue this discussion to the management of those babes who lose weight 10% on third day ...please don't inundate me with info on NOT weighing babes at all whilst in hospital, unless you have some great evidence I can use to challenge that practice:) Looking forward to the continuation of healthy dialogue Cheers Alesa Alesa Koziol Clinical Midwifery Educator Melbourne - Original Message - From: Anne Clarke [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Tuesday, December 14, 2004 6:43 PM Subject: [ozmidwifery] feeds in 24 hrs? Dear All, Regarding a (healthy, full term) baby feeding in the first 24 hrs. If the babe has had a feed soon after birth we do not worry for at least 12+ hrs. NEVER EVER take a BSL unless baby is symptomatic. This has never occurred though. If babe has not had a feed soon after birth we express mum and give via cup or syringe a couple of hours or so after birth. If babe is hungry and has not attached or whatever after the 12 hrs we show mum how to express and give via cup or syringe approximately 3-4 hrly until the baby attaches more often if the baby wants to feed more often of course. We send our mum's home with this plus we ring them at home or if they have any queries they can call us (with a backup to a LC of course or our breastfeeding clinic staffed by an LC) lots of skin to skin, babe near the breast all the time so not to miss an 'opportunity' to have a feed and it seems to work beautifully. You cruel lot doing a BSL - stop it!! The WHO recommendations say it is not necessary on a well, full term baby unless symptomatic. Babies do not become symptomatic if they feed regularly and if necessary by EBM, they will always swallow even if they won't suck. It is suprising how many 'wake up' and feed with a few mouthfuls of EBM. Anne Clarke Brisbane -- 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 1.950 (20041216) 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.
[ozmidwifery] Feeds in 24 hrs
Dear Helen, Interesting comment on the following of hospital policies - when I re-read the email the policies seem to be dependent on 'who the Midwife was on duty'. What about changing policy that is invasive, unnecessary and dear I say - not based on good evidence - there's that clichedstatement again. It's always easy to hide behind policy, good and not so good rather than fight to change an outdated and unnecessary procedureon these babies and making mothers feel more and more inadequate. If there isa policy that is 'slow to change' why aren't we telling the women what is best practice, what studies are out there, and so onand then let the mother decide, as I remember being one of our directives from our Code of Practice. In a court of law stating that you followed policy is not a defence if it is not based on good evidence and best practice. Yes Helen I agree to support colleagues, their right of comment and I would hope you would support my right to comment too. Anne Clarke Brisbane
[ozmidwifery] feeds in 24 hrs?
Dear All, Regarding a (healthy, full term) baby feeding in the first 24 hrs. If the babe has had a feed soon after birth we do not worry for at least 12+ hrs. NEVER EVER take a BSL unless baby is symptomatic. This has never occurred though. If babe has not had a feed soon after birth we express mum and give via cup or syringe a couple of hours or so after birth. If babe is hungry and has not attached or whatever after the 12 hrs we show mum how to express and give via cup or syringe approximately 3-4 hrly until the baby attaches more often if the baby wants to feed more often of course. We send our mum's home with this plus we ring them at home or if they have any queries they can call us (with a backup to a LC of course or our breastfeeding clinic staffed by an LC) lots of skin to skin, babe near the breast all the time so not to miss an 'opportunity' to have a feed and it seems to work beautifully. You cruel lot doing a BSL - stop it!! The WHO recommendations say it is not necessary on a well, full term baby unless symptomatic. Babies do not become symptomatic if they feed regularly and if necessary by EBM, they will always swallow even if they won't suck. It is suprising how many 'wake up' and feed with a few mouthfuls of EBM. Anne Clarke Brisbane -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Routine Observations in labour
Dear All, Talking about observations. Please take time to reply to this query. What observations - how often, what type of observations e.g. temp, pulse, BP, FHR, PV assessment etc.do you do routinely on a normally progressing singleton labour? With thanks, Anne Clarke
[ozmidwifery] Free email?
Dear All, I am not inferring that the people behind the free email offer have any ill intentions whatsoever. My son is a computer programmer and I asked him about the email offer and he LOUDLY said don't, don't don't! for many reasons too numerous to mention. Regards, Anne - Original Message - From: Elissa and David To: [EMAIL PROTECTED] Sent: Monday, November 29, 2004 7:59 PM Subject: Re: [ozmidwifery] Thats simply NOT fair? The time limit on the free offer was clearly stated in the original email entitled "Midwives FREE offer" . David - Original Message - From: Graham and Helen To: [EMAIL PROTECTED] Sent: Monday, November 29, 2004 8:10 PM Subject: Re: [ozmidwifery] Thats simply NOT fair? I am glad to hear that the offer was from the legitimate web sourcebut think it was misleading not to have made it clear before hand about the free email account being only "until Jan 2006 and then ..a small monthly fee". Helen Cahill - Original Message - From: your rules To: [EMAIL PROTECTED] Sent: Monday, November 29, 2004 6:50 PM Subject: [ozmidwifery] Thats simply NOT fair? Dear Andrea I am responding publically to your description of www.midwives.com.au (not.com) being a "Spammer". Firstly, I would like to refer you to your own rules and regulations regarding submitting commercial interests to your list. Your own rules clearly state that it must be of interest to your list,I would argue that a free midwives email account - is indeed of interest to midwives. Your attempts to stop me communicating with your list by unsubscribing us after our first posting, lead us to re-register using another email. You have simply branded us spammers, because of our persistance to communicate our services on you list. All we are doing is trying to create awarenessby offeringmidwives their own unique FREE email address until Jan 2006, then ifthey choose to continue using the service a small monthly fee of $1.75 is hardly a rip off is it? Maybe the real reason for your actions is the fear of competition? It seems a shame you couldn't talk to us directly, before labelling us spammers and rip off merchants? I'll let your list members draw their own conclusions. Don't worry - we won't be "spamming" you again, or should I say re-registering due to being unsubscribed, contrary to your own rules and regulations? Kind regards The team at www.midwives.com.au Find local movie times and trailers on Yahoo! Movies.__ NOD32 1.935 (20041126) Information __This message was checked by NOD32 antivirus system.http://www.nod32.com
[ozmidwifery] Caroline Flint
Dear All, Does anyone have Caroline Flint's email address? Regards, Anne Clarke
[ozmidwifery] Fw: Re - Public and private care in same area
- Original Message - From: carole [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Tuesday, September 21, 2004 8:09 PM Subject: Re - Public and private ladies Hello Anne, My name is Carole Dodd and I work as a Clinical Nurse / Midwife at a public hospital 40km north of Brisbane. This is Caboolture Hospital and about 12 and a bit months ago we started having ladies as private patients. There is a doctors clinic that they go to. They can share care if they like. There is always a midwife in clinics if they have queries etc. When it comes time for the birth, we care for the ladies just like any others. If the doc gets there he does, but they usually don't get too concerned. The Dr fees / hospital fees etc are dealt with by the finance team BUT - you could call the hospital on 07 5433 and ask to speak to Anne Clayton - NUM for birth suite and clinics. She will have the low down for you on all the details and direct you to the finance team if necessary. We were all worried about what would happen when it started but, really, it's still the same. We still do all the caring, call the doc with concerns / birth, we use drug standing orders - we just let them know whats happening, keep them informed and they're happy. Personally, I think that having an obstetrician who has a toddler (after a beautiful waterbirth) is rubbing off on those in the 'boys club'. We love our Lindsay. Anyway, hope this helps. If you call Anne tell her how you got her name. She does a lot of clinical therefore if she is busy with labouring ladies you may need to call back. Have fun. Carole -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] ACMI Wyeth/tommee tepee sponsorship
Dear All, I have beensent the following information: The Tweed Valley Midwives Branch (NSW Midwives Association) is organising a workshop in October and the sponsor is Wyeth.The program was faxedto the ACMI office, but how much more undermining of the WHO Code are we going to see. The complaints regarding Tommee Tippee were virtually ignored.This ACMI Branch (Tweed) knows it's going to cause a problem. The first listed speaker is an IBCLC! Apparently many think that it's ok to ignore the WHO Code, so long as theBaby Friendly Hospital Initiative ispromoted. Also: I heard some disturbing news a few days ago. The International Midwives Congress as you know isto be held next year in Brisbane -a sponsor is Tomee Tepee! The organising committee was made aware of the issues that the AustralianACMI had with this sponsor etc and they stated the old reason 'it's not contraveningtheir code of ethics'.Well it damn well should be! How embarassing is this issue, come on Midwives what are we about! Oh yes, let usrecognise in our International Conference next year the appaling conditions that Midwives face in many countries, but for the sake of the almighty dollar, ignore the problems of promoting products that undermine these sameMidwives roles and their care of mothers and babies! I think it is imperativethat more (ALL)of ACMI members need to attend a BFHI education session if this is a collective view. Does anyone know what is being done about Wyeth and whocanbecontacted regarding the ACMI Tweed Branch? What message are we (ACMI the governing body in Australia of BFHI)truly promoting here.We canlook like were saying the 'right' words anddoing the 'right' things but are we? Are we becoming the 'politicians' of the Midwifery world saying one thing and doing another? I was initially very angry but I am now quite sad and very disappointed with some of my colleagues behaviour. Regards, Anne Clarke Chair - BFHI Queensland
[ozmidwifery] CTG
Just a thought. If you did someting according to 'hospital policy' but you new that there was no evidence to support this and it was against your code of practice and someone took you to court. Your argument that it was 'hospital policy' would be blown out of the water this is NOT a defence! Think about it. If you are aware of a policy that is not evidence based then take it to taskto the appropriate hospitalcommittee. Or you can be a real 'pain' and write an incident report EVERY time you have to do a CTG that is not evidence based citing 'to cover yourself' just in case the client takes the issue to court for unnecessary treatment. I like the Andreas way of getting the medical officer to write the reason in the notesfor the CTG.You can also say - you do it if you want it done as there is no good evidence that I should waste my time or worry the woman - if the medical officer had to do this every time there was an admission they would change their tune. Regards, Anne Clarke
Re: [ozmidwifery] Info needed urgently
Dear Louise, The only one I am aware of is Selangor Private Hospital on the Sunshine Coast. You can contact Lynn Staff the CNC on [EMAIL PROTECTED] Regards, Anne Clarke - Original Message - From: Geoff Louise Wightman To: [EMAIL PROTECTED] Sent: Tuesday, September 21, 2004 7:42 AM Subject: [ozmidwifery] Info needed urgently Has any one got any information on a maternity services where a public and private service are co-located to form one maternity service? Or a private facility where midwives are utilising their skills fully? I need the "how to'' as I need the info to bring to a meeting to look at service restructure to try an attract midwives to work at our hospital. I have a sceptical CEO, manager Obstetrician all watching the $ signs. Any help would be greatly appreciated. Thanks Louise__ NOD32 1.852 (20040828) Information __This message was checked by NOD32 antivirus system.http://www.nod32.com
Re: [ozmidwifery] politics and research
Dear Kirsten, Or on the other side of the coin is when you do quote good US research (or any other non Australian research) and the answer is 'oh, but its not Australian research'! especially when they do not wantsome bestpracticeintroduced or anything changed for that matter. Regards,Anne Clarke
[ozmidwifery] Formula companies and sponsoring child health nurses lunches/conferences
Dear All, To say that you need to have the formula companies sponsor a conference to be able to learn about formula etc is like the anti cancer council asking Benson Hedges to sponsor their conference so they can learn more about cigarettes! Regards, Anne Clarke Chair - BFHI Queensland -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] FW: URGENT - Publcily funded Home Birth needs your support!!
Dear Julie, Would you havean email address for the NSW health minister? Regards,Anne Clarke
Re: [ozmidwifery] Search for 15% caesarian rates
Dear Helen, I believe our unit the Birth Centre RWH Brisbane has around an8-10% Caesarean section rate. Regards, Anne Clarke Midwife, Birth Centre RWH Brisbane - Original Message - From: Graham and Helen To: [EMAIL PROTECTED] Sent: Sunday, June 27, 2004 11:58 AM Subject: [ozmidwifery] Search for 15% caesarian rates Does anyone on the list know of a maternity unit in Australia that has a caesarian rate as low as 15% (top end of the WHO recommendations)or are all of them up over 20/25% now. And if so, what are you doing there tokeep the numbers down?? Just curious. Helen Cahill__ NOD32 1.778 (20040601) Information __This message was checked by NOD32 antivirus system.http://www.nod32.com
Re: [ozmidwifery] RBWH birth center brisbane
Dear Nicole, It is unfortunate you did not get to go to the Birth Centre. Like Jodie said you can visit us to have a look around and say hello, but this will not speed up your place on the waiting list. Regards, Anne Clarke Birth Centre RWH Brisbane -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] RBWH birth center brisbane
Dear Nicole, You have to ring the Birth Centre on 36368966 ASAP to put your name down for the ballot - we will be drawing the ballot for those women due in December on 15th May so ring soon. You have to be well, not on long term medication, not previous LUSCS, not PPH that needed a transfusion and if this is your second etc baby that your previous pregnancy and birth went well. Meantime you have to also book into the RWH when you ring the booking in clinic you will be given an appointment to come to the antenatal clinic to book in, at this appointment you would tell the Midwife that you have your name down for the Birth Centre and they will then book you in to see one of the consultant clinics to be passed for the Birth Centre. At this appointment (about 2-4 weeks after the initital booking in appointment) you MUST get the doctor to write in your notes that you have been passed to come to the Birth Centre, unless the doctors has a medical reason why you and/or your baby are unwell this should be OK. You do not have to have an USS to be passed to come to the Birth Centre if you do not wish to have one - most do. In the mean time we would have probably have done the ballot for December 04 and you would be receiving a letter - regardless whether you will be offered a place. Do not assume if you do not receive a letter you do not have a place - letters do go astray, and please let us (Birth Centre) know if any details change i.e. address, phone number, it is amazing how many women move and forget to tell us and miss out. If you get a letter offering a place it will be on proviso that you will be passed by the doctor - once you have been passed high tail it up to the fifth floor of the RWH follow the signs to the Birth Centre and say 'I have just been passed, and I have been offered a place, who is my Midwife' and they will tell you and book you in for your first appointment with her. If you get a letter saying that you have not got a place - don't dispair - go through the motions of booking in, getting passed, coming up to the Birth Centre and telling us that you have been passed. We have a waiting list of those who were initially unsuccessful and we pick up from this list when a space may become available. If you have been passed we write this next to your name and if we ring you and offer you a place at a later date, you then do not have to go back to clinic to be passed and it cuts a lot of red tape. In the mean time for those women on our waiting list there are some other options. 1. you can also get passed for the Phoenix/Pegasus projects. These are the same models of Midwifery care offered by the RWH. They are a team of four Midwives who care for you during your antenatal care, and if possible, one of them would be available to look after you during labour in birth suite and in the postnatal ward. 2. Share care with your GP Please ring the Birth Centre as soon as possible and a Midwife will be able to help you with any further information you may need. DO NOT wait until later. Most of our mothers know that they have to ring and put their name down AS SOON AS THEY KNOW THEY ARE PREGNANT. You do not have to book into the hospital prior to calling us. Hope to hear from you soon. Anne Clarke Midwife, Birth Centre RWH Brisbane -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Moving to Australia!
Dear Wendy, Welcome to Australia and a very beautiful part too - Brisbane. You can certainly contact me when you arrive and then I can put you in touch with organisations e.g. Australian College of Midwives etc. Best of luck. Regards, Anne Clarke email - [EMAIL PROTECTED] phone - 07 3351 6895 mobile 0415 373 182 - Original Message - From: Wendy Taberer To: [EMAIL PROTECTED] Sent: Friday, March 19, 2004 3:00 AM Subject: [ozmidwifery] Moving to Australia! Hi, I recently had replies from some very helpful midwives out there in Australia. Unfortunately, have had a problem with computer and lost all recent correspondence. Please, Please, can you all get back in touch with me. Looking to settle in Australia with partner and two children (12 9 yrs) maybe next year. Have been in touch with agency and waiting for vacancies around Brisbane area. Look forward to hearing from you again. Thanks Wendy Taberer Midwife - England__ NOD32 1.682 (20040319) Information __This message was checked by NOD32 antivirus system.http://www.nod32.com
Re: [ozmidwifery] Re birth stats
Dear Pinky, You can get on the Victorian Health Website and go to perinatal stats and they usually have this info. I would give you the link only my computer is playing up, you will have to use your search engine - sorry. Regards, Anne Clarke Brisbane - Original Message - From: Pinky McKay To: [EMAIL PROTECTED] Sent: Friday, March 19, 2004 12:31 PM Subject: [ozmidwifery] Re birth stats Hi, Can anyone tell me how many babies are born in private hospitals in melbourne each year? Where would I find this info? Thanks, Pinky__ NOD32 1.682 (20040319) Information __This message was checked by NOD32 antivirus system.http://www.nod32.com
[ozmidwifery] Measuring Mat
Dear All, Someone requested info. on a measuring mat. The measuring mat can be purchased through Medeleq. (look in phone book for contact) The ordering details are as follows: SECA 210 @ $120.00ea +GST. The company currently has one in stock. Regards, Anne Clarke
[ozmidwifery] propylthiouracil and breastfeeding
Dear Jill, Belowis what Thom Hale has in his 'medications and mother's milk' book please consider purchasing a copy (from CAPERS) it is worth that ALLMidwives should have the latest copy with them all the time. Regards, Anne Clarke Brisbane Propylthiouracil Trade name PTU, Propyl-Thyracil Uses - Antithyroid Approved by the American Academy of Paediatrics for use in breastfeeding mothers. Propylthiouracil reduces the production and secretion of thyroxine by the tyroid gland. Only small amounts are secreted into breastmilk. Reports thus far suggest that levels absorbed by infants are too low to produce side effects. In one study of nine patients given 400 mg doses, mean serum and milk levels were 7.7 mg/L and 0.7/L respectively, which correlated to only 0.025% of the maternal dose. No changes in infant thyroid have been reported. PTU is the best of antithyroid medicatins for use in lactating mothers. Monitor infant thyroid function (T4, TSH) carefully during therapy. Adult concerns: Hypothyroidism, liver toxicity, aplastic aneamia, anaemia Paediatric concerns: non reported, but observed closely for thyroid function. Drug interactions: activity of oral anticoagulants may be potentiated by PTU associated anti-vitamin K activity. References: 1. Cooper DS Antithyroid drugs: to breastfeed or not to breastfeed AM J Obstet Gynecol 157:234-235, 1987 2. Kampmann JP, et. al., Propylthiouracil in human milk, Lancet1:736-8, 1980
Re: [ozmidwifery] weighing babies on Day 3
Dear Jenny, Don't weigh them at all! If they are full term, feeding well have normal output of poo's and wee's DON'T weigh them, encourage free access to the breast at all times. DON'T put them near ANY nursery, closethe nurseryunless the baby is MEDICALLY unwell. We only weigh our babies at birth and that's it. We talk to the mother, look at what the baby is doing, encourage frequent feeding if baby is not feeding on demand. All our babies do very well. We pick up on problems early. Our mothers go home either 3 hours after birth or within 24 hrs if all is well and we do follow up by phone for 2-4 days depending on the mother and her needs. We bring our mothers and babies back by day 7 to 10 do the NNS if the mother gives permission and sometimes weigh the baby if the mother wishes to. Regards, Anne Clarke Birth Centre RWH Brisbane. - Original Message - From: jmsmyth To: [EMAIL PROTECTED] Sent: Thursday, August 07, 2003 2:01 AM Subject: [ozmidwifery] weighing babies on Day 3 I have been a subscriber for several years and love the list but this is my first email to all you wise people I am seeking your views to feedback to our LC and Unit Manager of the Post Natal Ward of my medium sized maternity unit; about 1500 births per year and a level 2 nursery. Babies born after mid-day are day 0 that day and are called Day 1 the next day if you get my drift! Weighed at birth and again on Day 3, but for some they are not 72 hours old when weighed on day 3. Then if they have lost more that 10% of birth weight there may be more intervention, i.e. refer to paed, test weigh and comp to quote. Comp to quote would be with EBM or formula if not sufficient ebm. Given usually with a nasogastric tube or a "finger feed" , rarely a bottle. We are looking into benchmarking what other Units/hospitals are doing about followup weighing of babies. Our visiting midwifery service cannot home visit all mothers who go home on day 3, 4 or 5 etc. only those with problems that need some followup. Others are asked to go to the child health clinic. All babies are weighed on discharge. Some mums do stay 4 or 5 days or longer if need be. What should we do about the traditonal day 3 bare weighs?? Looking forward to getting some help to clarify this issue. We do NST when the baby is over 48 hours old and it used to be day 3 this was done but now its earlier and some go home after this. What happens in your area. Thankyou for your replies to this. Much happinessto you. Jennifer Smyth__ NOD32 1.498 (20030901) Information __This message was checked by NOD32 Antivirus System.http://www.nod32.com
[ozmidwifery] Caesarean HSV brain inflammation
To All, FYI Regards, Anne Clarke Brisbane C-section has minor risk of maternal HSV-2 brain inflammationCesarean SectionOctober 2, 2003 2003 OCT 2 - (NewsRx.com NewsRx.net) -- Cesarean sections can have an HSV-2 meningitis or encephalitis risk for the mother. "Herpes simplex virus type 2 (HSV-2) encephalitis is rare, especially during pregnancy. In immunocompetent patients, HSV-2 meningitis (contrary to HSV-1 meningitis) is usually mild, without encephalitis," scientists writing in the Journal of Infection report. "We report a rare case of maternal, HSV-2 encephalitis following Cesarean section. The woman had no symptomatic genital lesion, and the infant was not infected," wrote C. Godet and colleagues. The researchers concluded: "The route of meningeal infection (neuronal or hematogenous) is discussed." Godet and colleagues published their study in Journal of Infection (Maternal Herpes simplex virus type 2 encephalitis following Cesarean section. J Infection, 2003;47(2):174-175). Additional information can be obtained by contacting R. Robert, Hop Jean Bernard, Instens Care Unit, BP 377, F-86021 Poitiers, France. The publisher of the Journal of Infection can be contacted at: W B Saunders Co. Ltd., 32 Jamestown Rd., London NW1 7BY, UK. The information in this article comes under the major subject areas of Cesarean Sections, Immunology, Infectious Disease, Obstetrics and Virology. This article was prepared by Women's Health Weekly editors from staff and other reports.
[ozmidwifery] OP ARM
Dear All, I have been trying to find any reference about OP positions in labour and the benefit of NOT doing ARM's. Unless there is evidence to promote ARM in OP labours. I have found articles in Midwifery Today and some comments but they did not have any references. I would appreciate some help with this issue. With thanks, Anne
[ozmidwifery] AVANZA
Dear All, I have a pregnant client on Avanza and antidepressant. She is responding well to this medication while pregnant and would prefer to continue to take this medication, however, she is concerned about breastfeeding. Has anyone else had experience with clients and Avanza use and breastfeeding? With thanks, Anne
Re: [ozmidwifery] Cervidil mailout
Dear Carol and all, True, the need for knowledge about the products we use and may use in our practice is essential no argument there, but the College continually puts info. pamphlets etc in the Journal as an 'add in' pamphlet why didn't they do this with cervidil? Did ACMI get the envelopes then add an address labels - time consuming and not cost effective for the computer time and labels etc? If they did give the labels to the company to put on envelopes then this would have breached our privacy as the company could have easily copied the information? How did they go about it. ACMI already runs full paged adds in the journal for cervidil so why did they find it necessary for a mailout? Cervidil is cheaper than prostiglandin gel and was originally used for termination of pregnancy not for labour induction. There are many issues about this product and a search in Chocrane and other data basis gives a more unbiased view. Has the ACMI done this research prior to accepting the add? if they did I am suprised that they had anyting to do with the product at all or at the very least written an unbiased article on the product or given references (not supplied by the drug company) so colleages would be able to access further information and not just through the company. I emailed the college with concerns of bias and requested that when using drug advertising to also insert an unbiased article to accompany drug endorsement to colleages. But that would not bring in the lolly would it! Heaven to bid if we where to go the way of medical journals and put anything in our journal for the almightly dollar - it is of great concern that this is the way we seem to be going and we as Midwives should put a stop to it. Concerned, Anne -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] JLY1 outcry!
Dear Denise, Yes, the AMA is obviously got a Nation wide campagin going on this matter. As far as the media is concerned (as well as the pollies) here in Brisbane - and in other States too - we write, call the media and local and State pollies, ask for meetings. The ACMI is certainly trying to bring to it to the attention at the National Level at least to the pollies and the media that Midwifery care is the cost effective go. The Maternity Coalition is doing all it can to maintain a profile with the media and government about this issue, and the inequity of choice for maternity care for women and that there is no need to 'rescue' obs from anything. Regards, Anne Clarke Brisbane Dear All The WA branch President of AMA was on the radio and TV (ABC) today trying togetthe govt to contribute to the increase in PI of priv Obs saying the women will have to pay and are already paying between $100 to $500 per pregnancy and will get higher!! Otherwise we wil not have enough doctors to deliver babies!! Mins of Health says the govt has covered the Obs in Public health and the country! Is this happening in all states? How do we get the media to acknowledge the savings of contracting private midwives for the government , health funds and community?? Denise Hynd
[ozmidwifery] Twilight Sleep
Dear All, Twilight Sleep is still used today - not for birthing - but the drugs usedwere scopolomine and omnopon with a mixture of morphine derivatives - rememberomnopon and scopolominewas given as a premed? However, there is a myriad of drugs used for the twilight sleep regime in anaesthetics including (I don't know its name) a drug used when one of my mothers had a retained placenta and was given a 'twilight sleep' type of drug that the anaethetist said would let her forget what was happening in OT. Anyway, the original twilight sleep came about when women in the US and UK demanded a pain free labour and found out about drugs that could be used during labour. These women wrote about them in popular magazines and women started to demand them during labour.Women were told in these magazine they they would goto sleep and wake up with the baby already birthed - so easy, but of course no information about the drugs and consequences. The majority of women were still giving birth at homeand becauseof the use of the drugs at home some of the women diedas they did not have the adequate care required when you are semi conscious. Some women died because of inahlation of vomit, overdose etc. and doctors then actually wrote that this was not beneficial to the mother and the baby, there were too many risks. The doctors wrote this in Medical Journals and not the popular magazines that women read and therefore the womendid not get the message. The popular press did not write about it, as pregnancy, birth etc was not a 'suitable subject' to write about. The women continued to demand twilight sleep. Therefore, the doctors said if they wish to have twilight sleep for labour and birth they had to move into the hospital for the procedure for their safety and the safety of the baby so correct care could be given by the medical team. This is one of the primary reasons for getting women to birth in hospital at this time - for educated, well heeled middle class women who could afford this care at the time. So doctorscried out (butused the wrong information channel-Medical journals) against drugs for twilight sleep and the need to move women into hospital forlabour and birth- interesting isn't it! The studies in Scandinavia about addiction and the use of twilight sleep drugs used by mothers during the 30's, 40's 50's for labour and birth is another consequence of these drugs used during labour and birth - but that's another story. Regards, Anne Clarke Brisbane
Re: [ozmidwifery] Interesting..
Dear Mary, The FLF is reabsorbed into the lung capillaries prior to and during labour (autonomic and hormonal response) this is why it can be recommended tosome women who are planning a caesareanbe given a choice to 'labour for a while' to signal to the baby to start absorbing lung fluid. This is why, unless an underlying cause e.g. fetal distress is present, babies that have a caesarean birth after the mother has laboured do better than those babies from a 'cold' caesarean, who are more likely to have the malabsorpiton problem. Regards, Anne Clarke - Original Message - From: Mary Murphy To: [EMAIL PROTECTED] Sent: Saturday, May 31, 2003 11:50 AM Subject: Re: [ozmidwifery] Interesting.. Re the squeeze.. If it is not the natural birth process which squeezes the FLF, then why is it that many C/S, especially those who do not labour, have fluid in their lungs and require extra care in Special Nursery? MM - Original Message - From: Gayle Rafferty To: [EMAIL PROTECTED] Sent: Friday, May 30, 2003 10:06 PM Subject: Re: [ozmidwifery] Interesting.. Thanks for your reply Marilyn. Your apneic baby could be the result of a placental insufficiency, cord compression, anaemia of the motherand generallyany condition that will lead to alack of oxygen to supply the baby through the placenta, including true or false knots in the cord.Respiration, oxygenation, nutrition, elimination occurs through the exchange of gases and waste products through the placenta. The closer to delivery, the more senile and non-functional the placenta becomes. Another possibility is an anemic baby, whose Hering Bruer reflex is initiated in response to hypoxia. Worthy of note is that fetal breathing movements are just that, movements - they are not breathing, per se. I verified this today with an ultrasonographer who regularly performs biophysical profiles. He stated that they do not, can not, inhale against a closed glottis. Try it for yourselves. The fetal lung fluid and amniotic fluid remain separate, as Anne Clark also pointed out. Must admit Anne, I was not aware that the squeeze doesn't clear the FLF. Thanks. Mary, I would really like to know a little more of the ante natal and intrapartum details of the MSL/MSA C/S baby. Also whether any organism was cultured from the baby's aspirate (if taken). Was there any ROM prior to delivery? Was mother anaemic, healthy, laboring prior to C/S? Febrile, negative GBS /other culture? Gayle ---Original Message--- From: [EMAIL PROTECTED] Date: Friday, 30 May 2003 10:31:34 PM To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] Interesting.. I thought so too Lesley, but this info was making me rethink that. But I think that is what happens. Without the gasp the mec liquor wont enter the lungs with normal fetal breathing and I guess from the other comments, if you have periodic late decels during labour and mec liquor then you have a potentially apneic baby, and a potential gasp, but you wont know unless you're looking. Interesting. marilyn - Original Message - From: Lesley Kuliukas To: [EMAIL PROTECTED] Sent: Thursday, May 29, 2003 5:50 PM Subject: Re: [ozmidwifery] Interesting.. I always believed it was secondary or terminal apnoea that caused the baby to gasp whether inside or outside of the uterus. Lesley - Original Message - From: Mary Murphy To: [EMAIL PROTECTED] Sent: Thursday, May 22, 2003 4:25 PM Subject: Re: [ozmidwifery] Interesting.. Marilyn wrote "Yet most babies with mec liquor don't present with MAS. And some (a very few) babies with very normal uncomplicated labours and births do develop MAS. Is it the gasp of a baby in distress (which may happen at any time and be undetected) or just a random gasp that carries the mec deep into the lungs ? Just curious" I'm curious too. I haven't read any studies about that. Maybe it hasn't bee
[ozmidwifery] Fetal Lung Fluid
Dear All, Here is a piece of news that will (may) knock your socks off. Fetal lung fluid in utero is completely different than amniotic fluid. That is, its Ph is similar to the very acidic stomach fluid. There is no mix of amniotic fluid and lung fluid even during fetal respirations in utero. Fetal respiration reduces and even stops prior to and during labour. Absorpiton of the fetal lung fluid then starts to begin. The lung fluid is not 'squeezed' out at birth, and you can tell mum's that during caesarean this is not necessary - are you all still with me! and the squeesing effect from a vaginal birth is not a necessary process for the expansion of the lungs. This is one of the factors that babies don't drown during a waterbirth. Absorption of the fetal lung fluidinto the capillaries is vital as this processis an important part of the expansion of the capillaries of the lung so blood can flow into the blood vessels of the lung so gas exchange can occur. The fluid is usuallyreabsorbed within a few hours after birth and it is the malabsorption or slow absorption of the lung fluid that is responsible for transient TTN not thatlung fluidis expelled from the lung.This is why TTN is transient and babies recover after a few hours. Regards, Anne Clarke Johnson, P (1996) Birth under water - to breathe or not to breathe, British Journal of Obstetrics and Gynaecology, Vo. 103, pp 202-208. Karlber, P et al (1962) alteration of the infant's thorax during vaginal delivery'. Acta Obstetrca Gynecol Scandavia. Vol.41, p 223.
Re: [ozmidwifery] Interesting..
- Original Message - From: Mary Murphy To: list Sent: Tuesday, May 27, 2003 7:49 PM Subject: [ozmidwifery] Interesting.. American Journal of Obstets Gynae. Vol 188. jan 2003 pgs 153-156 Defecation in utero: A physiologic fetal function C. López Ramón y Cajal MDa and R. Ocampo Martínez MDb From the Unit of Prenatal Diagnosis, Service of Obstetrics and Gynecology,a and the Service of Interne Medicine, Xeral Hospital.b Received 30 November 2001; revised 18 April 2002. Available online 7 February 2003. Abstract Objective: The objective of this study was to investigate the occurrence of in utero defecation as a normal function in the human fetus. Study Design: The anuses of 240 fetuses were studied sonographically between weeks 15 and 41 of gestation. Fetal defecation was defined as the expulsion of rectal contents through the anus into the amniotic fluid. The diameter and area of the anus were measured sonographically at times of maximum anal aperture. Results: One or more defecations were documented in all fetuses. The frequency of defecations was highest between week 28 and 34 of gestation. Conclusion: This study confirms that defecation in utero is a normal function and supports the view that the evacuation of rectal contents into the amniotic fluid is no departure from normal fetal physiologic behavior. (Am J Obstet Gynecol 2003;188:153-6.) .
Re: [ozmidwifery] failure to sleep through the night!!!
Dear Jackie, Why don't you write a response to the article to the editors of the ANF - give as many references as possible supporting your argument that the authors are just picking up on normal child behaviour and therefore it was incorrect of the authors to imply otherwise. Or take a more positive note that the you are grateful to the authors for picking up normal newborn behaviour and that unless newborns feed the stated frequency some mothers may find it difficult to keep their supply and the baby is going to wake frequently anyway because it will be hungry. If mothers do not feed frequently in this early period their level of prolactin can be inhibited and in some cases it can be difficult to increase this level down the lineleading to early weaning and increased risk of infection to babies and I have only just started... Regards, Anne Clarke Brisbane - Original Message - From: Jackie Kitschke To: [EMAIL PROTECTED] Sent: Friday, March 14, 2003 4:09 PM Subject: [ozmidwifery] "failure to sleep through the night"!!! I was just flicking through the latest ANF Journal before chucking it out when the title "Frequent feeding clue to disrupted infant sleep"!! It was published in the "Archives of Disease in Childhood" by M. Nikoloulou and I. St. James-Roberts. These researchers identified "at risk" infants during their first week of life which put them at risk of failing to sleep through the night at 12 weeks of age!! Talk about turn normal physiology into an abnormality. They say that babies that feed more than 11 times per day at 1 week were 2.7 times more likely not to sleep through. Duh, aren't they supposed to be feeding frequently. There is no mention of the failure to thrive rate between the "control" group and the"behaviour programgroup". This program included maximising the difference between day and night, avoinding feeding and cuddling at night and from the age of three weeks gradually delaying feeds when the baby awoke at night!! When will sense prevail. Those poor women out there, they must be so confused with nurses now taking that line. Just annoyed Jackie
Re: [ozmidwifery] infants friend
Dear All, Just be careful of the 'natural' products on sale for infant colic/wind. I don't know about 'infants friend' product, or what the ingredients are. However, some of the 'natural' products contain herbal extracts etc. Some of these products are imported and have 'wild grasses' included (a natural product occuring with the intended herbal mixture when harvesting) and some babies have the potential to be allergic to these grasses. Regards, Anne Clarke
Re: [ozmidwifery] crystal therapy
Dear Jennie, If the women wish to use the crytals that is their business not other Midwives or administrators. Just talk to them prior to labour about them and if you cannot do that you can inform your clients about them in early labour. It is then up to them if they wish to use them. You don't have to document or tell anyone else as it is the woman's decision to use them, you are not 'prescribing' them. You could argue if they challenged you again for them (midwives admin) to prove if they do harm tothe labouring woman and that it was the womans decision. You always state to the woman that there is no hard data on crystals but you can give them anecdotal evidence from the woman who stated that they were useful. Regards, Anne Clarke - Original Message - From: pjwant To: ozmidwifery Sent: Tuesday, March 11, 2003 10:56 PM Subject: [ozmidwifery] crystal therapy Dear List, I have recently been using crystals at work with some success. Several of my patients have said "they gave me something to focus on; they gave me something to hold on to; I felt protected; I think they really did work thankyou.However, the sceptics have engaged their will and notified the NPC that they feel this therapymakes us lookunprofessional, practicing witchcraft, there is no strong evidence to support their useetc ThusI am no longer able touse the crystalsin my work until I find some evidence to support their use. Therapies such as pethidine and epiduralsare sold to all women as "safe modalitiesfor pain relief" instead of being used appropriately torescue mothers in severe pathological pain states. It is a shame that my strong critics havenothing else to offer women, a sad reflection on our profession. These drugs are offered without any conscious recognition forthe evidence available that demonstratesan increased incidence of PND; decreased breastfeeding rates;etc or as Michel Odent predictsever increasing levels of violence in our society due to a generation of offspring who did not have access to the level of oxytocin that promotes bonding and a capacityto love:feelingnumb on the inside; not being able to complete tasks; disconnected fromsociety; increase in youth suicidedrug abuse.the list goes on. But "thats okits protocol so lets not concern ourselves with the evidence that suggests these therapies should be avoided in the majority of women" I need your supportto help me work towards achieving safer outcomes for women. I would appreciate any information or evidence any of you may havewhich mayhelp me develop a protocol for the use of complementary therapies such as crystals etc or send me a copy of a protocol you have developed in your working environment. Kind regards Jennie Want (RN.EM.BMid..Masters of Midwifery student)
Re: [ozmidwifery] Explaining the pelvis
Dear Tracy, It is a terrific activity. I teach this activity in all my classes. The activity (explanation) that you have requested is in Andrea's book 'Empowering Women' p75. Have you tried to contact Andrea for a copy of the activity? If you like I could type the explanation out and email it to you when I get some time to do it? Are you in a hurry to get this information? Regards, Anne Clarke - Original Message - From: PaulTracy To: ozmidwifery Sent: Saturday, March 08, 2003 11:51 AM Subject: [ozmidwifery] Explaining the pelvis Hi all. Wondering if anybody can help me. I went to an active birth course with Andrea Robertson and really liked the activity she does which explores the pelvis in simple language and basically demonstrates how the pelvis is designed to give birth. I will be ordering a video shortly from Birth International that explains this but if anybody has a written copy of the activity that I can get on line, I would most appreciate it. I am sure I had a copy of one from the course but have misplaced it somewhere. Thanks Tracy
Re: [ozmidwifery] Aussie Poll on war
Dear Deb, Yes, I am going to return mine unopened to: John Howard Prime Minister Government House Canberra ACT 2600 Even if I have to put it in an envelope and post it with 'just a short note' lettinglittle Johnnyknow how 'Macartherism' the Australian Gov. has become. Steve Liebman is a monster for doing these commercials of propaganda - snaps of Nazism, I wonder if Stevie boy will be 'brown shirting' instead of brown suiting in his next debacle of a comercial. Anne Clarke Brisbane - Original Message - From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Thursday, February 06, 2003 11:42 PM Subject: Re: [ozmidwifery] Aussie Poll on war In a message dated 2/6/03 8:09:54 PM W. Australia Standard Time, [EMAIL PROTECTED] writes: Can any one tell me what the best way will be to send back my "How to Spot aTerrorist" brochure? There isn't a return postal address and don't want towaste the oppurtunity and have Aus Post just bin it.Any suggestions welcome,thanksMegan.MeganI am going to send it back to my local MP (Liberal) and explain why, and suggest $15 million be better spent on things like NMAP and could she pass on the message.Debbie SlaterPerth, WA
Re: [ozmidwifery] Gyno?
Title: Re: [ozmidwifery] Gyno? Dear Darren, The two obstetricians in Brisbane that I know would support her decisions would be: Paul Bretz and Carol Portman Paul works on the southside, sorry don't have his contact but I am sure he is in the yellow pages. However, Carol is on the northside (if she wants a woman). Carol is not in the yellow pages but sees her private clients at her rooms in the Royal Women's Hospital. You need to contact the maternity outpatients she can ring 36368111 and ask for antenatal clinic and they will give her the information. Good luck, Anne Clarke - Original Message - From: Darren Sunn To: [EMAIL PROTECTED] Sent: Thursday, January 30, 2003 7:59 PM Subject: Re: [ozmidwifery] Gyno? Ok, in response I may have phrased my email in a misleading manner, for that I apologise. My friend has chosen to seek the services of a Gyno, and asked me if I could help. I didn't know of any as I am homebirth father who hails the assistance of traditional midwives. But I agreed to ask on her behalf. Of course I offered her information and books regarding the benefits of Midwives as primary caregivers (even a little hard sale tatics here and there). But at the end of the day it is her decision what she chooses and how she wants to birth not mine. I offer her my full support regardless. Darren
Re: [ozmidwifery] Gyno?
Dear Darren, If your friend wants to have a no unecessary intervention birth then don't send her to a obstetrician. Tell her to put her name down for the Birth Centre at the Royal Women's Hospital - phone 36368966. If she is so determined to have a no intervention birth then she should not have any qualms about going to the north side for this midwifery care. Anne Clarke - Original Message - From: Darren Sunn To: Ozmidwifery Sent: Tuesday, January 28, 2003 7:31 PM Subject: [ozmidwifery] Gyno? I would like to ask if anyone knows an Gyno in the Southside-Brisbane area that I could refer a close friend of mine to. She is pregnant with her first baby from IVF after having Two ectopic pregnancies. She tried so hard to get everything right for her previous pregnancies but that was not to be. She wants to have a no intervention birth and with a midwife is preferable, but due to her situation/history would like a sympathetic gyno to refer to. Any help would be appreciated. Darren
Re: [ozmidwifery] Calling for book reviewers
. If you are interested, please email me the following details: Name Anne Clarke Postal address 41 Kidman Pl, Keperra Q 4054 Phone number 07 33516895 Area of interest/expertise Midwife, Child, Adolescent and Family Health, Childbirth Educator, Lactation Consultant -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] NMAP on Natioanl TV
Dear Denise, I have already written to Dimensions program(on a few occasions too). Regards, Anne Clarke Brisbane - Original Message - From: Denise Hynd To: [EMAIL PROTECTED] Cc: [EMAIL PROTECTED] ; Community Midwifery WA Inc Sent: Wednesday, October 23, 2002 10:18 PM Subject: [ozmidwifery] NMAP on Natioanl TV Dear list and NMAP supporters As George did a reasonable job about the PI situation ( I had trouble with the reference back to a doctor and the medical PI situation) and his personal expereince of the value of midwfery care I feel he may do more justice to our need for NMAP publicity. So I ask you all to write to him and new sdimensions. My letter to him is below if you want to adapt it feel free Denise Hynd23rd October, 2002 New Dimensions ABC TV Dear George Negus, At the close of tonights New Dimensions you asked for innovative topics for further programs, my recommendation is to look at the history, structure, function and outcomes of the Community Midwifery Program WA (CMP-WA) in Perth. The reasons why this is innovative subjects are; This program was originally funded in 1996 under the Commonwealths Alternative Birthing Services (ABS), due to a collaborative application by the Fremantle based Birthplace Support group and UK experienced midwives. Unlike most other ABS funded projects this one has continued due to its community support and 2 independent assessments which have secured equal funding from the WA government. CMWA and the CMWA is the template of the National Maternity Action Plan (NMAP). NMAP has been prepared through collaboration by Maternity Coalition, Australian Society of Independent Midwives and Community Midwifery WA Inc. Maternity Coalition is an umbrella organisation of individuals and groups who share a commitment to improving the care of women in pregnancy, birth and the postnatal period. The NMAP campaign of Maternity Coalition calls on both Federal and State governments to introduce primary midwifery care within the public health system throughout urban and regional Australia as an answer to many of the problems within Australian maternity services (see attached NSW document). NMAP has been adopted part of the health policies of the Democrat and Greens parties in each state and nationally. CMWA offers each woman the choice of having her own midwife care for her throughout her pregnancy, birth and the first few weeks of her life with her new baby. This choice is available to women in the UK, Canada, the Netherlands and New Zealand. Evidence shows that adoption of CMWA/NMAP across Australia would make internationally recognized best practice available for all pregnant women, help solve the professional indemnity crisis in maternity services, reduce costs to the taxpayers and improve outcomes for mothers and babies. For these reasons and more, such as the positive experiences of the women, babies, families, community and midwives (even when there is a sad outcome!) who have access to the Community Midwifery Program WA, I would ask that your program share this information with the rest of Australia! You can contact the programs office in Perth on (08) 9339 0021. Yours sincerely, Denise Hynd RN, RM, BApSc(Nsg), IBCLC. PS I admit my personal interest in this story;, it is I have experienced the joy of working on CMWA and am now againexperiencing the too often sadness of hospital birth and pregnancy, whilst working for NMAP!
[ozmidwifery] Disappointed
Dear Judy, At the RWH Birth Centre we don't hand over our women when they need to be induced or go to Birth Suite for any reason. We still look after them until they birth (by whatever means). We also 'encourage' that induction, unless for a medical reason is not an option and 8 days (as you would agree) is not posterm. Induction is not talked about 'in full' until after 'at least' seven days. My clients understand this and if my client wishes to have a social induction that's fine, but bye bye out of the Birth Centre thank you. However, I discuss with my clients very early in the pregnancy,what aninduction is, pro's con's etc and that it is not offered unless there is a medical problem with themsleves or their babies. I also dicuss very early if they want a medicalised birth, that's fine but don't come to the Birth Centre. Judy, you will always have clients that will never be happy with whatever care you give, you know that! It's usually the ones that you have given 110% of your effort and it is still not enough. It's hurtful especially if they are ungracious about your effort. I find that these women or their supporters have never really been committed to the philosophy no matter how drooling about it at first. Also, some people never take responsiblity for their own actions and therefore, are quite happy to 'blame' someone else, it takes the pressure off themselves. Judy, obviously follow your client up to your normal postnatal duty of care, and let her and her issue go - literally. Regards, Anne Clarke Brisbane
Video
Dear All, The video 'Aiming for Natural Birth' is very good. I have had some of my parents view this video - some were a little hesitent with the opening song, they thought is was going to be a little 'too hippie/alternative' but they found that it was comprehensive and very useful. The video was well recieved by both parents. I recommend this video for your pregnant parents, and you cannot argue with the cost it is very reasonable as educational videos go. Regards, Anne Clarke Brisbane
Re: FHM
Dear Deb and all, Thank you for this information, but I was actually looking for why we monitor either by doppler or pinnards - the interval during labour to listen to the fetal heart not the electronic version of listening to the fetal heart. Why do we listen at all to the fetal hearte.g. hourly, 1/2 hrly etc and the interval that we listen to the fetal heart during second stage too e.g. after every contraction or every other contraction. Why and how where these intervals chosen, I for the life of me cannot find any references. Should we be listening less (remember I am not talking about electronic - CTG - monitoring) or more often than we a doing already. How often are you all listening to the fetal heart during the stages of labour and why? With thanks, Anne Clarke Brisbane
Michel Odent FHM
Dear All, Two things, 1. does anyone have the homepage address for Michel Odent? and 2. I cannot find any references for fetal heart monitoring (non electronic) and the frequency i.e. how often one should listen to the fetal heart. The WHO 'Care in Normal Birth: a practical guide' recommends 15min to half hourly during first stage then after every contraction during 2nd stage. However, it gives no reference that I can find 'why' that this time is recommended or how they came by this recommendation. I have searched Cochrane etc and of no use. I would appreciate anyone who can give me some references. With thanks, Anne Clarke
Midwife or Not?
Dear All, I am amazed that we as a profession have to 'protect' women from those who they wish to attend them at their birth. I have worked as a homebirth midwife (5yrs) and at every interview with each mother and their supporters (and believe me their could be many) to ask the myriad of questions, 'is it safe'? etc etc that a woman would choose another to be present at the birth of her child someone she could not trust. These women and their supporters would ask, do you smoke, are you insured, have you ever been in court, was I a Registered Midwife, where did I train, how long have I been a Midwife,do you drink alcohol, what would you do in an emergency (they would go through some senarios here) what is your transfer to hospital rate, etc etc. I wish that mothers would asktheir obstetricianthese questions. Most of these questions were standard, so mothers are not fools, they are veryastute, practical and sensible on who theywanted as their carer forthe birth of their baby. Mother's who choose to have a homebirth are very well read on the subject of pregnancy, birth and parenting and certainly more 'up to date' than some of the so called 'Registered Midwives' I know. If a mother wishes to have someone who is not a Registered Midwife and interviews this person, that would surely put them into the category of making an informed choice, wouldn't it? It is not for us to decide with whom, where, when and howa woman is to give birth, surely this is the right of the mother. If she wants to give birth with every machine that goes 'ping' or wants to be soloin the Amazon rainforest so be it, she is responsible for her decisions, we do not need to 'rescue' her in any way. Yes, if someone calls herself a Registered Midwife and is not, then I suppose we have a right to say something, but remember the word Midwife simply means 'with woman'. There are I believe Traditional Aboriginal Birth Attendents in WA and NT, that describe themselves to be 'with the woman' I am sure we don't need to prosecute or persecutethese women too? I believe women have been and will always be, quite capable to decide who and whatis right for themat the birth of their child regardless of whether we agreewith it or not, and if I am not mistaken the State Government supports this view too -- along the lines of 'women have the right to give birth and choose who attends them' (this is not verbatum - but it goes something like that). We should NEVER take it upon ourselves as Registered Midwives to decide for the mother. Consumers of ANY service must take responsiblity (and the consequences)for their choices. Pregnancy is one of the few times in a persons life that you generally have time to 'shop around', to ask questions, to do research into what you want from the experience. Unfortunately, many parents give far more time into looking into buying a new car or a home andless time of forethoughtabout their pregnancy care and where they want to give birth. Merry Christmas everyone, Anne Clarke Brisbane
Re: head lice treatment
Dear Trish, I went to the local chemist today and had a look at the ingredients, KP24 is a 'natural' sort of treatment for head lice and the chemist seemed ok with its contents and breastfeeding, its main component seemed to be a pyrethron based content. Regards, Anne Clarke Brisbane - Original Message - From: trish To: [EMAIL PROTECTED] Sent: Wednesday, November 28, 2001 8:01 AM Subject: head lice treatment Phone call from a woman breastfeeding a 3 week old.Her 3 year old had head lice and the whole family (mum too) were treated with KP24. She was worried about the effects of this pesticide on her baby via breastmilk. Someone told her she couldn't breastfeed. Any thoughts? Thanks, Trish
Re: Night Cramps
Dear Christine and All, Yes quinine is contraindicated in pregnancy for the use in Malaria. Quinine has a cumulative effect also. However, the absolute minute doses in tonic water and I did state a glass only per night to one glass alternate nights for the short period of the cramping. Regards, Anne Clarke Brisbane - Original Message - From: Christine Tony Holliday To: OZMIDWIFERY Sent: Wednesday, November 28, 2001 8:30 PM Subject: RE: Night Cramps Just a word of warning regarding quinine, last time I contacted our pharmacy department quinine is now contraindicated in pregnancy. Christine. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]On Behalf Of Anne ClarkeSent: Tuesday, 27 November 2001 12:39 PMTo: OZMIDWIFERYSubject: Night Cramps Dear Andrea, Increase her salt intake, I know this sounds silly but I bet if you did some ELFT's you would find her sodium low. Also increase zinc and potassium. Another sure fire remedy is to get her to buy some tonic water - the one with quinine in it - Schwepps has tonic water with quinine, it is also called 'Indian Tonic Water' usually in brackets on the bottle. It has to be this type of tonic water as it is the quinine that helps the cramps, it is a muscle relaxant. Reassure her that the amount of quinine in the tonic water is miniscule and she would have to drink lots and lots for the quinine to become a problem, as you probably know quinine is a drug used in Malaria. The dose is one average glass at night. It may take a couple of nights for its full effect. Some women find they do not have to take a glass every night but alternatively. She may however, find that she needs to take a glass a night initially then cut back to get the right effect. Regards, Anne Clarke Brisbane - Original Message - From: "Ian Andrea Quanchi" [EMAIL PROTECTED] To: "Oz Midwifery" [EMAIL PROTECTED] Sent: Monday, November 26, 2001 10:17 AM Subject: Leg cramps I have a question for the valued members of this list I have a client who is G4P3 at 25 weeks who is experiencing severe leg cramps during the night. They are totally relieved by hands and knees (she finds it difficult to sleep in this position) and they are constantly waking her up. Any suggestions. Andrea Quanchi -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Night Cramps
Dear Andrea, Increase her salt intake, I know this sounds silly but I bet if you did some ELFT's you would find her sodium low. Also increase zinc and potassium. Another sure fire remedy is to get her to buy some tonic water - the one with quinine in it - Schwepps has tonic water with quinine, it is also called 'Indian Tonic Water' usually in brackets on the bottle. It has to be this type of tonic water as it is the quinine that helps the cramps, it is a muscle relaxant. Reassure her that the amount of quinine in the tonic water is miniscule and she would have to drink lots and lots for the quinine to become a problem, as you probably know quinine is a drug used in Malaria. The dose is one average glass at night. It may take a couple of nights for its full effect. Some women find they do not have to take a glass every night but alternatively. She may however, find that she needs to take a glass a night initially then cut back to get the right effect. Regards, Anne Clarke Brisbane - Original Message - From: "Ian Andrea Quanchi" [EMAIL PROTECTED] To: "Oz Midwifery" [EMAIL PROTECTED] Sent: Monday, November 26, 2001 10:17 AM Subject: Leg cramps I have a question for the valued members of this list I have a client who is G4P3 at 25 weeks who is experiencing severe leg cramps during the night. They are totally relieved by hands and knees (she finds it difficult to sleep in this position) and they are constantly waking her up. Any suggestions. Andrea Quanchi -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
ANF MIDWIVES
Dear All, What the hell does the ANF in Victoria have to do with Midwifery and ratio to mother/midwife? Was ACMI consulted? Nursing does not have ANYTHING to do with Midwifery and when are we and the nursing profession and their exponents going to realise this. I am offended and angry that again, nurses and their associations etc are dictating to Midwives on their profession. I am sure they would not be happy if the decision was reversed, would they? Is this decision/endorsement for the mother/midwife ratio for Victoria alone or does ANF have a say nationally? We cannot let this happen. How dare they What can we do? I am well and truely p*d off about this. Anne Clarke Brisbane
ANF
Dear Andrea and all, That might be well and good that most Midwives are members of the ANF in Victoria, but do they realise that the ANF is taking a Nursing perspective not a Midwives perspective while so called 'representing' them to the Gov.? I would hope that ANF member Midwives are clued into this and get involved because it sounds that their membership to the ANF is not worth the money if the ANF is flushing their practice down the toilet! As far as the insurance cover, do they know that NO union covers their members for indemnity only legal? If the Nurses Union here in Queensland covered me for the indemnity part of insurance I too would be happy, but they don't, only limited legal cover. The hospital, if a staff member, covers for indemnity, that's if they don't drop you like a hot potato in court, beleive me if it means you or them, who do you think they would leave 'holding the proverbial bag'. The legal cover you may gain from the union may help to a point in court (hearing), but the person(s)taking the actioncan still take you to civil court. If the ANF have asked you to participate, I would hope that you would make them realise that they have members who are Midwives not Nurses and to have an arm of Midwives (that practice Midwifery mind you) that deal with members issues that pertain to Midwives. Midwives who are members of the ANF in Victoria should be up in arms about the ANF discussing Midwiferyissues that they (ANF)OBVIOUSLY do not understand or they wouldn't have negotiated or suggested such ludicrous mother/midwife ratio's. Put them right Andrea and our Victorian Colleagues NOW NOW NOW. Anne Clarke Brisbane
Sleep deprivation v's PND
Dear Mary and Colleagues, I will not understand those who believe that 'pushing mother's out too early' from hospital explains the reason for sleep deprivation during early motherhood. Going home from hospital early is definately not the reason and keeping mothers in hospital longer is definately not the answer. Support for mothers IN THE HOME is the answer. I believe that it is our present society and the pressures involved, including unrealistic expectations placed on new mothers and fathers that is the cause. We need to get our mothers out of hospital as soon as possible, not keep them in longer. Indeed, we as agroup should lobby educators to include parent education and its reality of family life (including sleep deprivation) into our high schools, hopefully well before most men and women start a family, not to scare our future parents but enable them to cope with becoming parents. It is indeed frustrating to involve politicians who do not consider motherhood worthy of the financial backing that it would take to include postnatal care ideallya similar model as in Holland, that is, a doula for a week or so at no cost to the mother. She wouldvisit mother's in their homenot only to help them with their new baby, breastfeeding etcbut with the household as well if needed. Of course prolonged sleep deprivation is a co factor in postnatal depression. It is well known that sleep deprivation is very effective during torture of course its going to depress you! However, keeping mothers in hospital is not going to help this. We as carers should encourage pregnant women and their families to recognise and put in place early, wellbefore the birth, strategies that will enable a new familiy overcome or at least reduce the stressors that accompany a new and demanding baby. As a childbirth educator, it still amazes me when speaking to pregnant and new mothers that they ask when will their baby be in some sort of routine, will it be by one or two weeks after birth? Becoming a new parent is always a bit of a shock to the system, but it saddens me how little prepared most new parents are. I do hope that Dr Anderson in 'realising' that sleep deprivation is prevalent in new parents (he only had to ask a new mother for that enlightenment surely) that he has also put in place a plan to support these mothers rather than 'manipulating' in some way the bahaviour of the infant that is so prevalent in doctors and in partcularly in men as how they 'solve problems' relating to mothers and women in general. Regards, Anne Clarke Brisbane
Rhonda
Dear Rhonda, Big hugs over the internet. So frustrating for you. You are a wonderful strong woman to do so much and achieve so much, yes you have. Those involved just maybe think twice before they abuse another woman like they have you Regards and lots of love, Anne Clarke Brisbane
