RE: [ozmidwifery] paed burn cream
Hi,
I have. Once a wound gets infected with Staph and unless the SSD was
covered really thickly overwhelming sepsis resulted. We actually
cultured MRSA from wound exudates with the SSD. Some people where
conscious of the cost of the tubs and would skimp the application. One
could say these people would have got sepsis anyway as they were in a
tertiary ICU and they were not little burns- most over 50% partial and
full thickness. It was hot and nasty work that often required two people
in an isolation room per 8 hour shift with heaters, ventilators and
infusion pumps everywhere. Dressings were changed each shift and it
would take a complete shift to do the lot!
Oh the pleasantness of midwifery is just ... So different.
Barb
-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Lyle Burgoyne
Sent: Friday, 8 December 2006 8:37 PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] paed burn cream
Hi Kristin ,
SSD is silver sulphadiazine or Silvazine is the trade name.It has been
used as the treatment for burns for more than 20 years it has good
antibiotic properties and encourages moist wound healing .Have not seen
any side effects from it in 30 years of nursing. Hope this helps Lyle
[EMAIL PROTECTED] 8/12/2006 9:22 pm
I'm not sure..what is SSD cream?
From: Rene and Tiffany [EMAIL PROTECTED]
Reply-To: ozmidwifery@acegraphics.com.au
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] paed burn cream
Date: Fri, 8 Dec 2006 19:55:04 +1000
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;font-style:normal;text-decoration:none none;[EMAIL PROTECTED]
Section1{size:612.0pt 792.0pt;margin:72.0pt 90.0pt 72.0pt
90.0pt;}div.Section1{page:Section1;}Are you referring to SSD cream?
René Tiff
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Kristin
Beckedahl
Sent: Friday, 8 December 2006 4:37 PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] paed burn cream
I'm trying to find out the name of the burn cream used in paed (and
maybe others) wards for childrens burns - apparently been around for
years and really helps to rapidly heal the wounds?? Any idea?
Thanks,Kristin
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RE: [ozmidwifery] re: goodbyes
Title: Message Tania, The easiest way to avoid conflict is to walk away. The bravest and strongest battle everyday, unfortunately people often don't see these battles and nobody pins a medal on their chest! Unfortunately, I personally feel this, those in management positions are put there by others to keep the waters still and they do generally turn their cheeks the other way in conflict. Midwives need to be supportive of each other, respect individuality and differing views and just keep moving forward in the hope one day we will all be working in an environment that supports our work. In the hope your daughter, grand daughter will have birth space respected.In achieving our goals don't forget family, they are important for grounding us and providing the shoulders we cry on. Sorry about you having to make that choice Tania but keep your dream. Cheers Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Tania SmallwoodSent: Sunday, 15 October 2006 10:52 AMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] re: goodbyes Id like to add to the current conversation about cord blood gases Ive been lurking just lately, as many of you know, Ive had to make a difficult decision to stop practicing independently due to family commitmentsand so, when the bloke Im married to is actually here, I dont spend as much time as I used to reading and contributing to Ozmid. Just yesterday I had a few moments to catch up, and when I read the thread on blood gases, I was sure that Id missed some mails (perhaps I have, there seems to be a few problems with mails doubling up, or getting temporarily lost in cyberspace!). Halfway through the mails, it seemed to go from a lively and informative debate, (something thats been missing from this list for a while IMHO) to a slinging match, with people getting upset that others are honest and up front about their views. Can I just say that I know Lisa B, and if there is a midwife who has walked in the shoes of every midwife torn between hospital policy, threat of losing her job, and whats best for the women, its Lisa. Shes worked in a position of authority for over 2 years at one of Adelaides esteemed private hospitals, and Im sure the conversations weve had about what she had to fight for there are only a small portion of what actually goes on. Shes well aware as we all are, of what a battle it can be in the system, and along with me, and all the IPMs I know, has utter respect and admiration for those attempting to change things one birth at a time. I also see Lisa as a straight talker, and sometimes even I find it confronting to hear what she has to say, and I know her better than most on this list! But that doesnt mean that I pack my bags and go away, I may not agree, or I might think hey, thats a bit blunt, but I also think that shes made me think about things that Id otherwise just go along merrily with, and not look at in a truly critical light. I actually think that along with everyone on this list, she has oodles of knowledge and skill, and heaps to contribute. I know I will never be a strong enough midwife to do what most of you do, go in every day and beat my head against that wall and hope to Goddess that a woman gets away with a good birth. But please, dont stop contributing because its hard. Being a midwife is a hard road, no matter where you decide to direct your skill and passion. Were a downtrodden minority group, with ideals about women that are not shared by most of the people in power. Refusing to keep the dialogue going is never going to be productive, all it will do is stagnate us where we are, and I think we all want midwifery and provision of evidence based maternity services to improve and become stronger in this country. Thats all from me for now, Tania x --No virus found in this outgoing message.Checked by AVG Free Edition.Version: 7.1.408 / Virus Database: 268.13.4/476 - Release Date: 14/10/2006
RE: [ozmidwifery] Goodbye
Title: Message I am saddened you are leaving the list Sadie. Your reasoning and experiences has been wonderful to read. I agree too many fronts to battle leaves one exposed in the rear. Your health is far more important. Keep up the great work in the high risk environment I support you 100% because these women need midwives more than the straight forward births. Take care Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of SadieSent: Saturday, 14 October 2006 9:17 AMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Goodbye The time has come for me to leave the ozmidwifery mailing list. I have been an active member for 7 years and have made some fabulous friends and have shared the views, advice friendship of some incredible women who are as passionate about midwifery as myself. Unfortunately the criticism and 'back-biting'constantly being hurledby some members of this list towards their colleagues has become unacceptable to me - I have enough to contend with on a daily basis at work, without continuing tofight the battleon my own computer in my home. I choose to work in a high-risk hospital environment because these women also deserve good midwifery care, I need to pick my battles carefully. There are far more important issues for me, in my circumstances, than trying to make a stand against a policy regarding blood gases, that is firmly entrenched. Seems to me that if we cannot nuture our colleagues - how on earth can we nuture the women we care for? As midwives we are all different, working in different environments but surely with the one aim?To emotionally and spiritually walk alongside women of all ages, races, classes and social status, as they travel the childbirth path. This holdsthe primary place inmy midwifery agenda. See ya, Sadie "Laughter is the brush that sweeps away the cobwebs of the heart."
RE: [ozmidwifery] No Contractions
Why only hanging around the door. I have had them come in and push me out to then tell the mother how to push and ''look I ''saved'' them! Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Lisa Gierke Sent: Friday, 6 October 2006 3:57 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] No Contractions In defence of Di...she obviously works in a hospital with registrar potentially hanging around the door..Sometimes 'best practice' may need to be modified to prevent the women from ending up with an instrumental birth..or synto...or an epidural ..or even a CS The lesser of two evils. The docs are not going to tolerate a 'rest be thankful' stage going on for hours espeically with decels in the fh!! (Yep even hospital midwives know about rest be thankful)So lets give her a break ...and walk in her shoes for abit heh! Does anyone think the contrations may have dropped of simply because she had a big baby and she was tired? Sounds like a more likely scenario to me than theories about overloading. Lisa Hi Di, Just a point on fluids in labour - if a woman is overloaded with fluid (via a drip) her system, vasopressin (antidiuretic hormone) will kick in to stop her body being flooded with fluid. This hormone is produced from the same source as oxytocin (posterior putuitary glad). Perhaps this was why the contractions dropped off. Why not let the woman herself dictate what she was drinking? As a rough guide, about 1 cup of fluid per hour is often suggested. The ketones in her urine (unless they are alarmingly high) are a sign that her body is working well and mobilising her fat stores to give her energy etc for labour. I agree that the rest and be thankful stage is often misunderstood - if a woman is lucky enough to get a break, especially in a strong labour, then she should not be robbed of it! I deliberately put this stage on the new Birth Day panels that I developed for teaching about second stage, because it is often glossed over in classes and women don't know about it. It is fantastic that you are seeking answers to these questions - that's the best way to learn - from experience! Warm regards, Andrea -- 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] No Contractions
Hi, Thanks for that point Andrea because I had the opposite where I had really encouraged oral fluids and dietary intake. I had a young primip T+3 who experienced spurious labour for 2 days, visiting BS each day 'just in case', on the beginning of her 3rd presentation she was admitted given Pethidine and temazepam to settle at 2030 primarily because she was tired on her feet and I suppose people felt sorry. Anyway I have a phone call at home 0100 she was up in BS labouring. On arrival- 2:10 mild/mod very excited and very awake with very heavy eyelids. I reassessed settled her again encouraging sleep etc but what really got me was the foetal heart. The rate was already sitting on 154 baseline. Thinking needing rehydration gave her a full jug of water and encouraged her to maintain her fluids, was given breakfast, an another jug after breakfast was given for her -no change in contractions pattern. Took her case to team review and I am sorry to say but I am the firm believer 3rd presentation to BS is a warning 'time for baby out', listening to that message with her permission a decision was made to augment and get her going. I again mentioned to the consultant the foetal heart baseline being high for post dates- why? To cut a long story short after these -ARM, epidural, IV fluids, synto, foetal HR now with baseline 162 and Cx 5 cm when I left for my fellow Team Midwife following me after 12 hours with her. She required Vaccum 3 1/2 hours later as the FH at rocketed up to 180 - 200 and she was fully. Indication Foetal Distress with a summation for the foetal tachy being she was dehydrated! I too am a believer that the women 'know' when to drink and eat and I really encourage this. Any suggestion why to this scenario? Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Andrea Robertson Sent: Friday, 6 October 2006 11:56 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] No Contractions Hi Di, Just a point on fluids in labour - if a woman is overloaded with fluid (via a drip) her system, vasopressin (antidiuretic hormone) will kick in to stop her body being flooded with fluid. This hormone is produced from the same source as oxytocin (posterior putuitary glad). Perhaps this was why the contractions dropped off. Why not let the woman herself dictate what she was drinking? As a rough guide, about 1 cup of fluid per hour is often suggested. The ketones in her urine (unless they are alarmingly high) are a sign that her body is working well and mobilising her fat stores to give her energy etc for labour. I agree that the rest and be thankful stage is often misunderstood - if a woman is lucky enough to get a break, especially in a strong labour, then she should not be robbed of it! I deliberately put this stage on the new Birth Day panels that I developed for teaching about second stage, because it is often glossed over in classes and women don't know about it. It is fantastic that you are seeking answers to these questions - that's the best way to learn - from experience! Warm regards, Andrea At 07:24 PM 5/10/2006, you wrote: Hi Wise women, Just want to throw this out there for comments/suggestions. Had a birth the other night that was a bit worrying at the time. Good outcome lovely 4200g baby girl. Mum (primip) had SROM at clinic visit at 830 am then went home and established at about 1630, came in contracting moderately at 1900hrs was 4-5cm , I took over her care at 2000hrs. Lovely very motivated mum, well read and attended classes, well supported by partner and mum and mum in law and sister. Ctx hotted up to 3-4 minutely and stronger, was drinking well but had a few small vomits, and next UA showed small ketones and SG 1.030, but was still drinking well and ctx remained strong and regular so didnt want to put in a cannula. VE at 1130 showed an anterior lip, still a bit thick. Wasnt able to wee again after that but head was well down. Was actively pushing with some ctx at 0100 with signs of full dilatation (nice purple line!) Contractions really started to drop off, became about 4minutely and only about 20secs of good strength. Mum getting quite tired at this stage but more focussed and excited than earlier. At this point I did put up some fluids as I thought with the ctx dropping off combined with her fatigue she might need some hydration. She pushed babe up to on view (birth stool) but made little more progress over next 20mins or so. Fluids running in flat out but no sign of increased ctx. Babes HR started to drop to around 80 which at first had good recovery , so I wasn't too worried but after a while were staying there for a minute or so each time before climbing back to 100. At this point with encouragement she managed to push bub up to almost crowning and that was the last of the contractions!!! Obviously not easy to get FH at this stage but was quite low and staying there. She had not much
RE: [ozmidwifery] Backward step
Title: Message Sonja, I agree having preceptored a newly graduated RN who was accepted to do her midwifery without any post grad work as a nurse. After her initial culture shock of not being one to one in the post natal ward which they have had as student nurses.She had an extreme learning curve in time management and to gain skills as a midwife. She was probably the most intuitive midwife when she finished that I have had the pleasure of nurturing. Nurses cannot handle pain they have to manage pain nor are they able to simply sit beside a woman without having a reason. Thanks Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Sonja BarrySent: Thursday, 5 October 2006 8:59 AMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Backward step I however have found that many midwives who have worked as an RN prior to being a midwife often see women as sick and need saving and intervention to birth their babies. I have found that most who go straight from their bachelor of nursing into midwifery without a year of two of nursing are more women centred. Just a generalisation of course. Sonja - Original Message - From: Mike Lindsay Kennedy To: ozmidwifery@acegraphics.com.au Sent: Thursday, October 05, 2006 8:18 AM Subject: Re: [ozmidwifery] Backward step I would like to reply to this one as a just about to finish Mid student with 6 years as an RN. There are two ways to become a midwife in Au, a one year (18 months) upgrade or a 3 year direct entry course. The upgrade course for RN's relies on the fact that you have some nursing experience WHY? From where I am now, I absolutely agree that an RN cannot do the full job of a midwife without formalised midwifery training. Before I began my course, I too thought that midwifery was really just another nursing specialisation like an ICU nurse or a Psyc Nurse. There are a lot of skills and practices that are common to both professions especially as most of us work in a hospital setting. Midwifery requires advanced people skills, time management skills and assessment skills as well as learning to work within the hospital system and learning to work with other health care professionals in an often autonomous role. Even after 3 years of training RN's need a new grad year to develop the basics of these skills and probably a further 2 or 3 years to become proficient. Obviously maturity, background and life experience all play a part in this transition. I have met a couple of new grad RN's who have gone straight into 1 year mid training and they appear to find it difficult as the upgrade program appears to expect a level of knowledge/experience not yet developed in a new grad RN. Not to say that experienced RN's find it a breeze, its not. It's hard work and can be bloody stressful ;) Obviously this is a generalisation and once again the maturity, background and life experience of the individual will apply. In NZ RN's were able to upgrade in a similar way. However those RN's felt that they were not receiving as adequate training as the direct entry Midwives. So now RN's complete the same course as the direct entry mids with a credit for a portion of the course based on their qualification/experiance. So that is why I feel as an RN almost midwife that RN's should have at least one year post grad experience prior to training. The better way would be to do the 3 year direct entry course if you want to be a midwife and not an RN as well. Some more thoughts on the original post. It feels like the proposal to train RN's to work in mid is not based on a concern for the patients or the RN's but a way of staffing the ward cheaply. They could offcourse pay for these RN's to do the Mid training which is available, as it is appropriate for mid students who happen to be RN's to work on the ward under midwife supervision. Assuming the RN's are willing to complete the appropriate assignment work etc. If they aren't they are they really the right ppl to be working on maternity in the first place. Most RN's would agree that it would be inappropriate to replace RN's with AIN's and train them to look after patients, take obs, change dressings, mobilise patents etc. Then have an RN be held responsible should the AIN make a mistake or fail to recognise a patient who had deteriorated or needed reviewing. That is the legal situation in Queensland if an RN works in a maternity unit. They work under the supervision of the midwife, so the midwife is the one held responsible for the practice of the RN should there be a problem. Remember an American obstetrics nurse is just that, not a midwife
RE: [ozmidwifery] Backward step
Title: Message Tiff, I understand University of Queensland starts theirs next year! Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of dianeSent: Monday, 2 October 2006 3:48 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Backward step Tiff, we have them in NSW too! Uni of Technology in Sydney. Di - Original Message - From: Rene and Tiffany To: ozmidwifery@acegraphics.com.au Sent: Monday, October 02, 2006 3:30 PM Subject: RE: [ozmidwifery] Backward step Ganesha! Victoria has direct mid courses too?!! Thats awesome I thought it was only south Australia that did. If I had a choice I would not have done nursing just midwifery. My family is all doctors and nurses and I NEVER wanted to be a nurse. Im in Queensland and we still have to do nursing first we are s behind! My goal has always been to one day be an independent midwife and I have been ridiculed and dismissed by some of the nurses in my family because of this. Once I complete my mid training I wont nurse again but I am kind of glad now I have that skill René (husband) is a doctor doing GP training and wants to go into rural practice so I might be more equip to help him out if he needs as well as get into those rural areas where there is a need for midwives. This forum has been great guys thankyou youre have really helped me broaden my understanding! Tiff J From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Ganesha RosatSent: Monday, 2 October 2006 2:39 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Backward step Hi again guys, where is the nursing care in midwifery is an interesting point. When I began my grad. last year it was stressed to me that it was important to do some work in the nursing wards to enhance my midwifery skills. I think it was because I went through doing my nursing and midwifery together as a double degree (maybe unsure of my skills because I had never been a nurse). Like rene and tiffany I only did nursing to become a midwife. The year after I began my course direct midwifery courses were introduced in my state vic. I would have loved to have gone through that way. If we want others to respect our skills as midwives as unique and a separate profession, we need to acknowledge that midwifery is not a specialist nursing field. Cheers ganesha From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Rene and TiffanySent: Monday, 2 October 2006 10:59 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Backward step It has been fantastic reading all the responses to the nurse/midwife question. As a nurse about to begin midwifery training, I look forward to learning and developing the specialist skills you wonderful women have described! My original response stemmed from the fact that I became a nurse ONLY to become a midwife (as there was no other way at the time), but found that, I was unable to get any exposure to such, as training nurses and RNs are generally unwelcome in maternity. I would have given anything to have the opportunity to work and help out in maternity whilst waiting to secure a student midwife place. Instead I went straight into Mental Health after I qualified as an RN, whilst waiting for one of the 6 midwifery training positions that are offered. Perhaps this does raise the issue about providing more training places for student midwives, and why is it that we have to work as NURSES for a minimum 12 months before we can train as midwives, when as many have pointed out where is the nursing care in midwifery? Thanks J From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of brendamanningSent: Monday, 2 October 2006 10:13 AMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Backward step Going back to the maternity nurse or Gen/ Obstetric nurse workingin Midwifery ishow NZ worked in the 70's 80's. It was unsatisfactory then would be the same now, despite the fact the we did 6 months obsin our general training we weren't midwives it showed. I worked in mid whilst attending homebirths, worked in birth suite, postnatal, taught pre-natal classesspent 3 yearsin charge of SCN as a RGON in the early 80's when I went to train as a midwife justlike Di MI too found it a revelation.
RE: [ozmidwifery] Question on Notice to Tony Abbott re antenatal item issue and rural doctors
Title: Message I have seen in a small country private hospital nurses doing sheep herding trick- one nurse puts a woman in one room while the Dr goes into the other room with a woman who has had her BP and urine checked by the nurse and is lying down 'ready' for Dr. After he has finished he goes to the next room and so on. It is the nurse who s left to guide the woman to get bloods or scans or answer her questions which she had heard Dr give advice before. It is also sad to say on one day in our ANC we have two midwives who also do the barn yard sorting. Some of midwives have tried to explain why that is not good practice with no luck. As for birth I would not be without the good EN who is able to attend the birth supporting me as the midwife which many a time was all I had in a small rural hospital. It did take a little time for them to get used to skin to skin and delayed cord clamping as they were so used to birth, cord cut and clamped and over to the resus unit! Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Melissa SingerSent: Tuesday, 12 September 2006 4:46 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Question on Notice to Tony Abbott re antenatal item issue and rural doctors Having previously spent many years as a rural and remote nurse and midwife I have NEVER seen a nurse provide antenatal care to women. We worked with a nurse or enrolled nurse to provide guided assistance to ward clients or as a second person attending a birth. Melissa - Original Message - From: D. Morgan To: ozmidwifery@acegraphics.com.au Sent: Tuesday, September 12, 2006 1:10 PM Subject: Re: [ozmidwifery] Question on Notice to Tony Abbott re antenatal item issue and rural doctors It'sscary stuff when people in those high places (parliament)making those decisions are not aware of all the facts. However as a Nurse and Midwife from the bush I don't think I have ever seen anynursewho is not a Midwife give antenatal care to women. Cheers Di
RE: [ozmidwifery] Fw: PI Insurance - urgent - more interested midwives needed
Title: Message Lisa, There is a word that describes those who are not members of an organisation/collective that declines to financially contribute to collective funds or provide input or energies yet expect to benefit or be rewarded bythe wins such as pay risesnegotiated by a collective group such as by a union. I will not say the word in such polite company but others will know a festering sore heals ever so slowly when constantly rubbed. I get rubbed by this all the time! However I would suggest Lisa you seriously consider why membership to your professional college would benefit you and especially to the woman you claim to 'care' for. We cannot take a Robinson Crusoe view and think midwives are on their own island when we have so many financial, political, professional, ethical and various codes of practice we are all expected to be accountable to. At the present time the College does not have the resources or funds to be able to provide legal or financial officers. They leave the industrial framework many midwives work in to the various unions in each state, howeverunfortunately named, the ANF. However some states with active midwives are working on the name change to be more inclusive of midwives. I can assure youthe ANF and Jill Iliffe are taking notice of midwives. Collectively we are strong and we can do anything in a way that respects all views. Can I urge you to get involved. Cheers Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Lisa BarrettSent: Wednesday, 6 September 2006 12:36 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Fw: PI Insurance - urgent - more interested midwives needed Hang on personalising this debate is very important to me if I have to sign up. Maybe that's the problem not personal enough!! My SAIMA South Australian Independent Midwives Association. Should surely have received some information affiliated to the college or not. Having Insurance doesn't hinge on belonging to the College of Midwives. I was at the same day as Tania, Not a mention of any Insurance issues then. I don't think for one minute I have confusion. I want to feel to be important enough to be in the loop and wanted opinion from others around Australia of what they actually thought about this not just the party line. what I have to say is as important as everyone else just because I want to be cautious doesn't mean I should shut up surely. I know there are people working hard out there to benefit the midwifery community but please don't belittle my opinion or that of My SAIMA. Doesn't anyone else think that getting your woman to pay them and then they take what is required and give you the rest may be an issue. Can we all start charging 30dollars and will that cover our insurance tax, commission etc. What if they are not happy with something and won't pay up. They could start making policies and if we don't follow what they think is correct procedure they don't pay up. Has this been covered with the company? Thanks everyone Lisa - Original Message - From: B G To: ozmidwifery@acegraphics.com.au Sent: Wednesday, September 06, 2006 8:57 AM Subject: RE: [ozmidwifery] Fw: PI Insurance - urgent - more interested midwives needed Lisa, Personalising debate is not wholesome. Its like NIMBY debates! An email went out via ACM update that people can subscribe to about PI to express an interest to the CEO at that stage. This was then relayed onto ozmidwifery. I do not think it has progressed beyond an _expression_ of interest from midwives to the college. I rely on the elected members from my state branchof the College to act on everyones best interest. Some things especially business related do have some confidential discussions. One thing the College is particularly keen to do is to ensure safe practice and safe care hence progression of the Midwifery Practice Review nationally. Your SAIMA are they affiliated to the College or participate in the College activities because this is probably where your confusion is coming from hearing things as you said 3rd hand? The college update is very informative and keeps you in the loop. Barb
RE: [ozmidwifery] Fw: PI Insurance - urgent - more interested midwives needed
Title: Message Justine you have so eloquently state the bleeding obvious. I am one hospital midwife who hopes and prays this insurance comes available. I plan to provide home care for birthing women but ethically and morally I will not do so until I know PI is there. To be truly recognised as a profession one must provide PI for clients. Even hubby has PI when he is Landscaping in case he takes out the SE telecommunications cable with one bobcat- don't laugh this did happen about 6 months ago to another operator. He is now financially ruined as businesses sued for loss of services! Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Justine CainesSent: Tuesday, 5 September 2006 7:19 PMTo: OzMid ListSubject: Re: [ozmidwifery] Fw: PI Insurance - urgent - more interested midwives needed Dear Lisa and AllI agree Lisa we need to dispel fear around HB but to do that it needs to be accessible.Your experience of BMid students attending HB is a 1 off. I dont believe any other BMid course enable students to work with IPMs doing HB.They also have trouble finding continuity models (and yes WC in Adelaide is again different!).But what I want to respond to is the idea that insurance is just for midwives. What about women? I have had 6 children at home and I have NO FEAR!!! 2 with insurance and 4 without. I understand the legal issues and I TAKE RESPONSIBILITY and would be very unlikely to sue, but this is not the point. I do however believe that HB women must have the same rights as those accessing GPs and Obs. Insurance is seen as a consumer safety mechanism just as it is seen as a professional protection for midwives.This policy to me is very worthwhile as it allows for coverage on a per birth basis. It will enable many more midwives wanting to dip their toe in to private practice that chance. It has the capacity to transform maternity services. We can use the flexibility of this policy (and the business arrangements they offer) to recruit midwives who are currently reluctant to step outside of the system. Private midwifery could actually be a mainstream option with women choosing where they give birth. With PI ,midwives could be granted admitting rights and could therefore offer the marketplace a service in the home or hospital.I have spent 6.5 years advocating for women and midwives and 5 fighting for PI insurance. I can safely say that politically midwives will get nowhere without PI.With 200 midwives we can sell 1-2-1 midwifery further than HB (although HB is my passion!!).Yesterday Manchester Unity refused to pay for a homebirth (even though they offer midwifery rebates) citing a lack of PI as the reason.HBA are also reconsidering and MBF has ceased paying out for HBs for the same reason.I have never had private health insurance and never will, but this is not about the few, again this is about reaching many more women. Private Health is well supported by the Fed Gov and it is a way to reach many more women. Fear can not be easily dispelled by something that is so poorly supported (ie by public or private funding).With an influx of private midwifery there is a much better chance that Medicare will flow on to midwives in their own right (rather than the current idea re Medicare item number 16400 that requires Drs overseeing midwives).Lisa you cannot liken the UK to here. Although I think team midwifery for homebirth is the pits, women in the UK have a legislative right to a public funded homebirth, even saying that in Australia would be considered reasonably outrageous. Unlike the UK, Independent midwifery is the only option for the vast majority of Aust women wanting a HB.Barb Vernon is one very busy person who is pushed and pulled in many directions but like us she is working hard to achieve this. She is recording every e-mail etc received in the hope we get to 200 soon.I hope you appreciate the benefits of this policy in both per birth coverage and business structure; and whilst I acknowledge some IPMs with established practices may have preferred that this was not a requirement I hope that they too can think with a world view as we consumers are.In solidarityJustine Caines Homebirth AustraliaMaternity CoalitionFor the homebirth movement to move forward here we need to dispel the fear that women have surrounding birth, no amount of insurance can do that.I don't think that because they are the only company offering insurance at the moment that is the main consideration at all. Would you buy rotten fruit if it was all that was on offer ( not comparing rotten fruit with the offer at all you understand).At the uni of SA student's can attend homebirths in
RE: [ozmidwifery] Fw: PI Insurance - urgent - more interested midwives needed
Title: Message Lisa, Personalising debate is not wholesome. Its like NIMBY debates! An email went out via ACM update that people can subscribe to about PI to express an interest to the CEO at that stage. This was then relayed onto ozmidwifery. I do not think it has progressed beyond an _expression_ of interest from midwives to the college. I rely on the elected members from my state branchof the College to act on everyones best interest. Some things especially business related do have some confidential discussions. One thing the College is particularly keen to do is to ensure safe practice and safe care hence progression of the Midwifery Practice Review nationally. Your SAIMA are they affiliated to the College or participate in the College activities because this is probably where your confusion is coming from hearing things as you said 3rd hand? The college update is very informative and keeps you in the loop. Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Lisa BarrettSent: Wednesday, 6 September 2006 8:53 AMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Fw: PI Insurance - urgent - more interested midwives needed I'm certainly not trying to shoot any offer of insurance down. I wanted discussion and opinion because I feel out of the loop. I am a member of the SAIMA but we have received nothing not even a note to say anything is on the table , it's all hear say and 3rd hand. As I said before I only practice independently and as It is my whole life, I don't do a bit on the side so to speak I wonder why nobody has bothered to inform the SAIMA what's happening, if there's a meeting we can attend etc etc. This is not a closed shop for whoever to negotiate my life without even my knowledge. If insurance is taken up I will be expected to get it. All You lovely women who are at the moment not homebirthing because there is no insurance your fine. I Homebirth every day of my life, I have recently done twins at home and have a very busy practice. you can all get on your high horse about this but it directly affects ME not you so I want to know what is going on before I sign on the dotted line. Justine, I appreciate that the women have the right to request cover, I don't not want insurance I just don't want any old thing and I feel uncomfortable about the way it would work. This open discussion is great. It's the best way to get the best deal.. I know that people have worked tirelessly on this but I work tirelessly birthing women at home so surely my opinion counts for something. Lisa - Original Message - From: Shaughn Leach To: ozmidwifery@acegraphics.com.au Sent: Tuesday, September 05, 2006 9:13 PM Subject: RE: [ozmidwifery] Fw: PI Insurance - urgent - more interested midwives needed I am a recently qualified midwife (July) and I have put my name down with ACMI as I understood this to be only an _expression_ of interest at this stage. I dont intend to work as an independent midwife however it seemed to me that there were other midwives who would appreciate being able to access this type of insurance. For a few years I did not hold professional indemnity insurance in my private practice as a Lactation Consultant and I personally found the situation very stressful (fearful!!). Eventually I found insurance with a company that provides PI insurance for complementary practitioners (AON Brokers) at a reasonable cost. As I continue to pay for this insurance despite working mostly in a hospital setting at present, I can appreciate the benefits of paying per case! Shaughn Leach
RE: [ozmidwifery] Fw: info required
Title: Message Congratulations Joy, you did so well for the woman. You were probably so discrete the woman may never have known you had to stand up for her rights and dignity so she could get into her birthing space.Take him on and just remind him that workplace bullying is not a good picture to get in. Take care Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Joy CocksSent: Thursday, 17 August 2006 10:51 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Fw: info required Pheewww..Peiter Mourik used to come to our hospital and give inservices when he held clinics there. I would back up Wendy's comments. He's very clever with words and is god's gift to women - always saving them! He believes that midwives canonly beindependant when they can do forceps/ventouse births! Sorry, negative comments after a bad evening when I stood up for a labouring woman who did not wish to have a VE when the GP ob wanted to do one as how else would he know whether she was progressing or not. He's writing an incident report about me for not supporting him.He asked how I planned to manage the labour and I told him that the woman was managing the labour and I would be worried if shebecame worried.The woman proceeded to birth without problem. Just feeling upset and hurt as he is my GP and we usually work well together, but probably most other women are not as strong in standing up for themselves. Joy Joy Cocks RN (Div 1) RM IBCLCBRIGHT Vic 3741 email:[EMAIL PROTECTED] - Original Message - From: cath nolan To: ozmidwifery@acegraphics.com.au Sent: Thursday, August 17, 2006 10:28 AM Subject: [ozmidwifery] Fw: info required - Original Message - From: cath nolan To: ozmidwifery@acegraphics.com.au Sent: Wednesday, August 16, 2006 8:37 PM Subject: info required I will be meeting with Peter Miourik(obstetrician) amongst others in an informal dinner setting on Friday night as the hospital that I work at is having a review of obstetric services . I believe this is a man who is quite against midwifery led services and I'm a bit puzzled as to why I have been asked to be one of the 2 midwifery reps at this dinner. But very pleased at the same time, and more than happy to be a part of this. Can anyone fill me in on what they know of this man? Cath.
RE: [ozmidwifery] Henci Goer's Article on GD
Title: Message I concur with you both.. I have noticed that even women with impaired glucose metabolism are now being treated as GDM 'just in case' same as most of these women are being subjected to endless two-three times a week CTG's from 34 weeks 'just in case'. After being exposed to this amount of subjective advertising of the medicalisation ofpregnancythey often jump at the chance to have a LSCS 'just in case'. They have been totally indoctrinated with medical science that 'saves' the day for them g... When will they be told the truth that well controlled GDM, diet alone have nohigher risks than anyone else and in fact it is those that have passed their GCTat 28 weeks, not told it is an imperfect test that cannot be replicated, who are often missed until much, much later either as LGA/polyhydraminous or when the very large baby is born who cannot maintain its own BGL's. We need midwives as diabetes educators to provide balance. Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Michelle WindsorSent: Saturday, 5 August 2006 8:51 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Henci Goer's Article on GD I agree. There seems to be a real misconception even amongst obstetricians that gestational diabetes has the same risks as pre-existing diabetes. A couple of years ago I did a bit of research on it for my masters and could find no evidence that this was so. And according to cochrane the OGT test is not reproducible 50-70% of the time. Cheers MichelleMary Murphy [EMAIL PROTECTED] wrote: The best way for those who disagree is to find the definitive studies that address all of Hencis points. If is such an important issue, those studies would be available for us all to read. There is harm being done to mothers and babies by the definition of Gestational diabetes. MM What are everyones thoughts on Henci Goers GD article? Its caused a bit of a stir in my GD forum: http://www.bellybelly.com.au/forums/showthread.php?p=382564 but I dont feel that I know enough about it to comment Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support Send instant messages to your online friends http://au.messenger.yahoo.com
RE: [ozmidwifery] Henci Goer's Article on GD
Title: Message Kelly, She has Type 1 diabetes and hyperosmolar ketoacidosis is very serious to them pregnant or not. It is not a common feature of Type 2 unless you have a serious infection going on or have a huge electrolyte imbalance. Now with pregnancy most mothers who develop GDM are purely pregnant who have developed diabetes, they are not pre-existing Type 1 or 2. The main feature with GDM is insulin resistance and placental hormonal influences. Hence the reason most women's baseline BGL in the morning is high as other hormones of repair such as cortisol have increased production overnight when the woman is asleep. Progesterone and oestrogen add to the insulin resistance of the blood vessels. women have circulating insulin often at high levels but the insulin cannot get through to the cell to be used. BGL's rise as a result. Some require extra insulin to keep BGL's within a normal range. If the woman has an added infection that can be cause of concern. This woman sounds like she is basing her anger around her own Type 1 diabetes. I have found these women usually do not listen to what you say, same as women who develop GDM who have family members who are non-compliant with their Type 2 diabetes . Their family member is the one who usually says 'oh 8.9 mmol/l is pretty good'' simply because they do not understand the high BGL does to the infant with switching on its insulin production. I know a person with T2 diabetes from a pituarity problem. Her endocrinologist has reassuredher whenher levels were elevated between 10-14 mmol/l it would require at least 6 months to cause long-term damage to ones circulation to feet, eyes and other organs. this person is now on 3 types of oral medication to control the diabetes to between 3.3-8 mmol/l. She recognises when the levels are elevated with extra fatigue and hunger. This person needs to see a good diabetes counsellor and an educator to remove her gross fear and terror of normal physiological processes. Like anything in medical science one treatment is not perfect but for her to rave on about GDM based on her T1 experience shows naivety and inexperience. Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kelly @ BellyBellySent: Saturday, 5 August 2006 9:22 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Henci Goer's Article on GD This is one angry mums reply any tips I can offer back? I am sorry but this article is very short sighted and misinformed. It totally ignores the symptomatic effects of any level of hyperglycaemia to the mother and the subsequent physical effects on bodily functioning. Regardless of what is happening to the baby here, there is also a mother involved who I am sure would like to maintain normal organ and metabolic functioning for the rest of her pregnancy and beyond. I will come back and post more when I have calmed down...this article has made me very angry!! (Then in a later post) It is far from an exact science Emilyespecially for us type ones who produce no insulin of all to back us up. I agree that there should be a series of tests done to confirm GD as you correctly point out fluctuations are normal and can just tip you over the edge. I also don't agree with unnecessary interventions such as induction ceaserean etc. I agree that bubs should be monitored for a time but the changing trend is for them to monitor the baby whilst in your care..that scenario is more a hospital protocol thing and as with most things re-education takes time to filter through. What I don't like about this article is that it totally ignores the mother and the effect that high sugars have short and long term on physiological systems. It appears to be advocating no treatment because the treatment doesn't affect outcomes...for the baby maybe, but definitely not for the mother. Even one trimester of hyperglycaemia will cause permanent damage to organs. It mentions a low carb diet as causing ketosis...true maybe in some cases but extended hyperglycaemia will lead to ketoacidosis which could kill both mother and baby in a matter of hours...which is worse? It also doesnt mention that hyperglycaemia can cause placental breakdown and spontaneous fetal death in utero. I couild go on but wont.I reiterate that I agree that intervention is an old school tool that needs revamping and in most larger hospitals this is happening...it again depends on the education of obs and hospital policies. But I am angry because I feel that this article, which is no more than a very biased literature review could lead to people who have less knowledge about hyperglycaemia getting the wrong idea that it is okay not to treat itIt is not okay to ignore high blood sugars at any time pregnant or not...at the very least they make you like a
RE: [ozmidwifery] article for my child magazine
Title: Message Hi Kylie, it seems strange that one cannot do both these days-children and continued with career. I had my first at 23yo newly graduated as a RGON and continued to work full-time and studying. Age 28 for the second and then I went part-time 4 days per week. Is there anything wrong with that? I could not have managed staying at home all the time, child care was a pain with very few that opened before 0800 so night shift often became the preferable shift picking the child up after work from where hubby worked who started work at 0600 hours, no family in Australia to help etc. Kids are now 24 and 20 and are fantastic young people. I am now enjoying the 'free time'' I have now. Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kylie CarberrySent: Thursday, 3 August 2006 10:10 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] article for my child magazine Hi Sazz, Your story sounds suitable but I will just check a few things as my editor is specific with who she'd like So she would like me to speak to someone around your age who has studied and began their career, however, instead of climbing the ladder they have decided to have a child - and like you say, defying the current social trend. She wants the story to help readers who are in the same positionand as it is aimed at middle to high income earners I think she is looking for someone in that demographic (gosh just writing that sounds really snobby, doesn't it, but hey that's what she wants...) She doesn't want the person to fit the typical stereotype - struggling, come from an uneducated background that type of thing that a lot of the stats show where young mothers are at - as opposed to the educated gals who put things off until older. Ok, I hope you get me drift, and if you think that suits you let me know, if not, that's cool, thanks for getting in touch, (and good luck with being a young mum!!) Kylie Carberry Freelance Journalist p: +61 2 42970115 m: +61 2 418220638 f: +61 2 42970747 From: Sazz Eaton [EMAIL PROTECTED]Reply-To: ozmidwifery@acegraphics.com.auTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] article for my child magazineDate: Wed, 2 Aug 2006 21:41:31 +1000 (EST)Hi allI'm brand new here on the list, but just wanted to say that I can share my story with you. My partner and I are 23 and we start TTC for our first child at the end of the year despite social views (and family members views!), you can email me if you think my situation might be relevant.CheersSazzKen Ward [EMAIL PROTECTED] wrote: I had my first baby at 22 and no. 4 at 43. I do not have the energy to keep up with no. 4, now 9 yrs. I am too often tired and reluctant to do much with her. Feel free to contact me Maureen -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Kylie CarberrySent: Wednesday, 2 August 2006 10:16 AMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] article for my child magazine Dear all, I am doing a story for My Child magazine on younger mothers (girls in the 20-25 demographic) who choose to start families early rather that the current social trend of later.It is mainly a personal view type piece but I also wanted toadd to it with a few of the advantages health wise of having a baby younger, as opposed to waiting until you older (more risk of miscarriage, chance of abnormalities with the baby, harder to become pregnant, and other things like just being more worn out when you're older). Is there anyone who would like to discuss this with me for the story - or who can suggest someone who might like to? Kind regards Kylie Carberry Freelance Journalist p: +61 2 42970115 m: +61 2 418220638 f: +61 2 42970747-- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe. Sazz EatonPhD Student Academic TutorMelbourne Journal of Politics EditorDepartment of Political ScienceUniversity of Melbourne+61 3 8344 9485http://www.sazz.rfk.id.auhttp://www.sazziesblog.blogspot.comhttp://www.linguisticsazziesblog.blogspot.com Send instant messages to your online friends http://au.messenger.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
RE: [ozmidwifery] Dr I Popov
Title: Message Hi I checked out the public access for Qld Medical registration Board. This should take you to the page. I will check out more as his listed address is c/- Caboolture Hospital. It is in the same district as me so I will do some asking around. Lots of trouble there at the moment. Cheers Barb http://www.healthregboards.qld.gov.au/PublicAccess -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of carobSent: Monday, 31 July 2006 4:47 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Dr I Popov Thank-you, but he is older than 43 which is what that dr popov would be. The Dr Im asking about looks to be in his 50s at least. carob From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Mary MurphySent: Monday, 31 July 2006 9:23 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Dr I Popov Found this on google. MM www.ncrc.ac.yu/onkoeng/cv/cv14.html From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of carobSent: Sunday, 30 July 2006 10:08 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Dr I Popov Dear List, I work in a Qld maternity unit and we have recently had Dr Ivan Popov employed here. I am wondering if anyone out there knows of his work history / experience etc. I have searched ++ and all I can find is that he is registered to practise OG in Qld. Needless to say he is difficult if not impossible to ask these questions of. I believe his medical training was in Belgrade. Any information is appreciated and will be treated with confidentiality. You can reply off list to [EMAIL PROTECTED]. Thank you in anticipation. carob
RE: [ozmidwifery] roadside birth
Title: Message Don't believe all you read from the media. It is sad a woman has had to go through this however when people are grieving they do make outrageous comments and want to put blame somewhere. I will not speak on this case specifically but you can read my comments of a general nature- 1. Emerald is about 2 and half hours - 3 hoursof driving to Rocky good road, but one cannot expect people to stop of at the shops before leaving. 2. Some peopleare already booked in at Rocky because of other high risk features 3. Ambulance- yes and partner travels behind later IF she was in labour!! If low priority may not get moved out for some 8-10 hours! or if there is bed block at the receiving hospital the attending hospital maybe asked to 'keep her until there is a bed that comes free'. I have seen relatively young 34yo woman leave in private car following a CVA to travel the 1000 km to Brisbane because her family had been told for 6 days no beds available in Brisbane for her! Would you wait for that long for a bed knowing the best care was 1000km away and if you make your own way to Brisbane with a letter and scans you would have to be admitted. That's the plan anyway! 4Aerial retrieval- IF in labour pre-term RFDS prioritise pick up or categorise depending on urgency again partner left to travel alone and if there is a bed available. 5. Emerald has been closed many times and now down graded to very low risk and are not able to do any risk births such as breeches. limited back up with blood products if needed. There is presentlya locum retired O G who came out of retirement to ensure some birthing for low risk women remained such as multi's. Unable to do primips. 6. Midwife a very experience English midwife has worked there for some years and a wonderful DON also a very special midwife. Birthing choices for rural women is at crisis point. We take for granted the many services we have on tap- 24 hour pathology, blood bank, x-ray/sonography, wardspersons and even cleaners to do the floors of birth suite. Staff there have been trying for some time to provide a service. Next towns with some birthing is Longreach (4.5 hours away), McKay (3 hours) and Gladstone (4 hours) after Rocky. If people are interested in assisting midwives in rural communities go out and work in secondment periods of varying lengths which is what I do when services are to be closed. I learn a lot from them too when I answer a SOS. I have done 3 periods of time at Emerald aver the past 3 years and recently did 3 weeks at Longreach. I admire all these wonderful midwives who also have to be so skilled as nurses including emergency nursing and juggling birth clients! Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Susan CudlippSent: Tuesday, 4 July 2006 2:26 PMTo: midwifery listSubject: [ozmidwifery] roadside birth Dear all In the West Australian Saturday edition was a short piece about the Qld government apologising and 'promising to improve its health services' following a woman delivering a 34 week stillborn baby en route to Rockhampton hosp on May 16th. The main points reported were: woman went to Emerald hosp with pain at 34 weeks obstetrician and midwife discovered baby had died woman referred to Rockhampton 270 kms away because "was at high risk of having a breech birth" sent in own car as "she was not displaying any signs of labour" went into labour 20 kms from Rockhampton and stillborn baby delivered by husband This sounds s crazy! Why could she not be cared for at Emerald hosp by the "midwife and obstetrician" who saw herthere? Why was she sent on a 3 hour drive away from her family at such a traumatic time? Why didan obstetrician feel unable to deliver a breech despite the fact that it was a 34 week baby who had very sadly died prior to labour - surely the medicalreasoning for NOT doing a vaginal breech birth is supposed to be about the baby's safety Or are they all now so fearful of babies coming bum first that they will not even allow a stillborn baby to arrive that way. According to the West the concern is about whether or not she should have been sent by ambulance. My concern is why it was deemed necessary to send this poor couple ANYWHERE in these circumstances. Can anyone shed some light on this? Following the "Bringing Birth back Home" theme of the weekend this story really saddened me. Sue
RE: [ozmidwifery] Update Belmont Birthing Service
Title: Message Congratulations Carolyn and midwives. So pleasing to hear of success and the strength of the politicians to remain loyal and faithful to what women are wanting. We have had small hiccoughs in the North Lakes model of care (Redcliffe-Caboolture) but we are resuming 17/7. Unfortunately not caseloading as we and womenwant but we are a trial of another sort from our world renown DON/midwife (joke)!! Ever tried rosters around providing midwifery with a known midwife. Yeah I know it doesn't work but who are we mere midwives!!! Life is mapped out so there must be a reason for all this. Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of HeartlogicSent: Sunday, 25 June 2006 3:01 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Update Belmont Birthing Service Hello Jo and Helen (and others who emailed privately) It is awesome news and fantastic! It has been a big year, lots of support, lots of opposition and wonderful women who wanta choice and choosethis sort of maternity care. The 'powers that be' have been wonderful. Held strong amidst much opposition. I have nothing but admiration for both our health service executives and the politicians. The Premier Mr Iemma and NSW health minister Mr Hatzistergos are to be congratulatedfor their ability to remained focussed on what is best for birthing women - that is, their right to choose and in providing options such as Ryde, Belmont and St George - despite the relentless negativity of a few unenlightened but nonetheless, formidable people. The midwives have provided comprehensive 1-2-1 care for 187 women since we started a year ago. We also have over a 100 women who are currently booked with our service. Many of the women who book with us were/are considered 'unsuitable' (ACMI Guidelines for referral and consultation) for birthing at Belmont, which is completely 'stand alone' in that there are no doctors on site and no core staff. If, according to the ACMI guidelines, the women are considered safer at the tertiary referral hospital for birth, the midwives provide all antenatal care with appropriate referral and consultation with the obstetricians at John Hunter and then accompany the women in labour to birth at JHH. The midwives then followed up those women at home for three weeks, just the same as if the birth had occured at Belmont. Education and information sharing is ongoing.Births through water are popular as the women love our big baths! All babies andmothersfor both groups of women arewell and healthy. Breastfeeding initiation and continuationrates are high. Skin to Skin for mothers and babies at birth and beyondis explained, promoted and encouraged. We have a weekly discussion group, weekly lullaby group, weekly parenting education sessions and breastfeeding information and education sessions every two months. The midwives don't see the third day blues (which is also really interesting), women are happy and babies are calm. Women are very satisfied with their experience and their care. We will release a full year of stats and information as soon as the year is up. If anyone wants our statistics when they are produced officially and to the decimal point, email me at [EMAIL PROTECTED] and I will include you in the mail out. In the interim, you may like to know that the stats are wonderful for both 'low risk' and 'high risk' women. Low low caesarian and instrumental delivery rate (10%), low low PPH rate ( 5%); three premature babies; One person with antenatal preeclampsia (which I think is really interesting). Testimony to women, birth and great midwives - the power of love. The team is fantastic. The families are wonderful too,very supportive. The fact that BBS exists is very much due to the power of Maternity Coaltion and the absolutely indefatigable efforts and energy of Carol Chapman and Justine Caines without whom none of this would have happened. warmly, Carolyn
RE: [ozmidwifery] Your thoughts on Birth Plans?
Fabulous comment Mary. The importance of space and privacy cannot be underestimated. Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Mary Murphy Sent: Thursday, 22 June 2006 9:32 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Your thoughts on Birth Plans? I have seen one which doesn't list the individual action desired (or not)but talks about quiet ambiance, privacy, being treated respectfully, having things explained in easily understood language, having a few minutes to digest the info and discuss it with partner/supporter, etc. Not very long, but covering the main points. This works no matter where the woman births and reminds midwives of the importance of undisturbed birthing principles and individual respect. -- 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] Your thoughts on Birth Plans?
Ye I would like to see that. Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kelly @ BellyBelly Sent: Thursday, 22 June 2006 9:23 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Your thoughts on Birth Plans? Oh dear emails are not coming through! I am sorry if I don't reply to everyone but I tend to lose quite a few emails from the list. I just have this one so far. If anyone else has posted anything else, please can you forward it to me at [EMAIL PROTECTED] Thank-you so much Zoe! I'll include that in the article for sure. One of the women I supported while I was still training had fabulously written birth preferences, I asked her if I could use it for a template for others and she was fine to share. All of the women I have supported since use it, they may edit one or two points but they love it, as do the midwives who read it. If anyone would be interested in reading it I will post it. It's short sharp and shiny and covers everything, so well written. Best Regards, Kelly Zantey Creator, BellyBelly.com.au Gentle Solutions From Conception to Parenthood BellyBelly Birth Support - http://www.bellybelly.com.au/birth-support -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Katy O'Neill Sent: Thursday, 22 June 2006 9:05 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Your thoughts on Birth Plans? Dear Zoe, I like your 3 step plan. Covers all bases. Katy. - Original Message - From: [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 22, 2006 12:47 AM Subject: Re: [ozmidwifery] Your thoughts on Birth Plans? Kelly, I wrote a 'birth Plan for both of my births. I had three - the 'ideal birth the if i need to transfer / intervention and the 'c/section' In each i put what my prefernces were ie ; if i had an epidural i did not want a routine IDC. Also my wishes if i had a c/section were that the drape be dropped so that we could watch the baby being born and discover the sex ourselves. I found it very useful to present to the birth centre and my private ob ( who would be my doctor if i transfered to the main hospital ). For me they both went the ideal birth way. As a midwife ( working in a private hospital ) I find that the birth plans that our women come through with are often difficult for the women to follow as they seem to not prepare themselves physically ( ie yoga etc ) or mentally for what labour is all about. They also expect that their partner will always be able to support this 'plan. i think that following through with the birth plan is difficult without an extra su! pport person ( doula etc). Good Luck zoe ( parent / midwife ) Kelly @ BellyBelly [EMAIL PROTECTED] wrote: I am writing an article as we speak on birth plans (I prefer to say birth intentions or birth preferences and hopefully everyone else will too one day!) and I was wondering if anyone would be happy to comment from a midwife perspective? I'd like to know: * What do you think of birth plans women are writing at the moment * What do you think about it being called birth preferences or intentions instead, * What you like and dislike when you read them - i.e. too long, too unrealistic or whatever springs to your mind I won't put your name to the comments so you can feel free to be open and honest about it, I would really love to add your perspectives if you are open to it. Thank-you in advance :-) Best Regards, Kelly Zantey Creator, http://www.bellybelly.com.au/ BellyBelly.com.au Gentle Solutions From Conception to Parenthood http://www.bellybelly.com.au/birth-support http://www.bellybelly.com.au/birth-support BellyBelly Birth Support - http://www.bellybelly.com.au/birth-support -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 1.1613 (20060621) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Manual rotation
Title: Message Hi Astra, If you read Pauline Scott's book Optimal Foetal Positioning you will see the technique described, at least that's where I think it is in. I have used this technique but you rely on an intact firm pelvic floor. Does not work as well when an epidural is insitu which is often the reason they are posterior.A firm pelvic floor allows the baby's headto rotate itself during a contractions as it has some resistance to turn on. Basically with consent I do a VE usually the woman is at 7-8 cm, place my fingers firmly on baby's head and maintain that firmness and with at least 3 contractions my fingers act as a foundation or resistance that the baby's head can swivel on to a more favourable position. I do no more than that but I have heard midwives say they move their fingers as well with the contraction. You must be very careful you do not trap or apply pressure to the cervix. Usually it works especially if you are unable to physically move the woman to a different position because of an epidural. I am sure you will hear some wonderful ways midwives 'work with' the uniqueness of the woman's body and using the power within. Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Astra JoyntSent: Tuesday, 20 June 2006 8:32 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Manual rotation Hi eveyone, I am a first year Bmid student who has recently joined the list, and have been getting a lot out of reading the posts on various subjects. Now I'm wanting to ask advice on an issue that I have been trying to resolve since early on in my clinical experience. Without going into the whole story, I witnessed a digital rotation, or manual rotation of the baby of a woman in late first stage of labour, and a cascade of issues followed. In debriefing with my lecturers at uni, I was told this is not good or safe practice at any time. I then witnessed the same midwife perform this procedure again a few weeks later. Debriefing with a clinical educater, I was told it is an 'old skill', and certain very experienced midwives still practice it. Then my clinical supervisor refuted this and said it is dangerous and has no place in midwifery practice.This is a very brief summary of these conversations, but I hope you get the gist. Anyway, I was happy with this, until I read in Mayes Midwifery the other day that this procedure can be used to help turn a posterior baby!! I am completely confused! Safe, or not? Evidence based, or not? I would really appreciate any light cast on this subject... and just in case no one knows what I mean by digital rotation (if this is not the common term for it) It is the midwife using her fingers internally to sort of hook the baby's head (cervix fully dilated I guess, or close to it) and turn it into a more optimal position, using her own strength and accompanied by the woman actively pushing. I just want to also say that I know this is not something that should be occuring in any normal straightforward birth, but what other information or experience to you have, warm regards, Astra
RE: [ozmidwifery] insulin dependant diabetics
Title: Message Hi, At Redcliffe I actually encourage IDDM/GDM's on insulin women to express prior to OT if I am OT list for the day. It may only be a few mils/drops but I have found that this usually satisfies the infant, no formula sups required generally.Essential that the mum's BGL were well controlled prior to OT if IV infusions are to be avoided in the infant. I first read about doing this on this list about 12 months ago, referenced from somewhere. cheers Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Philippa ScottSent: Thursday, 30 March 2006 8:52 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] insulin dependant diabetics I have heard Townsville Hospital recommend it. May be something there. Cheers Philippa ScottBirth Buddies - DoulaAssisting women and their families in the preparation towards childbirth and labour.President of Friends of the Birth Centre Townsville From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Maxine WilsonSent: Wednesday, 29 March 2006 10:12 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] insulin dependant diabetics Has anyone any information they can share regarding the management of newborns of insulin dependent diabetics? In particular I am looking for information regarding prenatal expressing of colostrum in order to feed it to the babe in place of formula. If anyone knows of any hospital that is doing this I would really appreciate some leads that I can follow up as I have a client in this situation who is trying to expand her options. Maxine
RE: [ozmidwifery] Water for BF babies
Title: Message Hi Judy, If you go onto QHEPS and look at Child Health there is a lovely section on breastfeeding where ittalks about boiled water. there is also a goodpublication put out by QAS recently on how to deal with heat stress in young babies and children that we gave to our mums during summer and boiled water is a no, no for breastfeeding mums. Sorry cant' think of anywhere else at the moment. Cheers Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Maternity Ward Mareeba HospitalSent: Thursday, 23 March 2006 2:52 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Water for BF babies Up north here we are beset by grandma's who are always telling mothers that the baby needs extra water to drink. I know that that is not the case but I need references to be able to quote from please. We can't get on the internet from this computer so full articles would be most helpful. Thanks Judy*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.
[ozmidwifery] But there is Dr delay to the story from NZ
Title: Message Just read the fuller details. Seems to me the midwives took her to hospital correctly but a huge delay in being seen by the Dr! Seems to me there is scaremongering going on. Love to know more about the Dr stats. Barb This article is owned by, or has been licensed to, the New Zealand Herald. You may not reproduce, publish, electronically archive or transmit this article in any manner without the prior written consent of the New Zealand Herald. To make a copyright clearance inquiry, please click here. Alan and Heather Phillips place flowers at the grave site of their baby daughter Tyla in Awhitu. Picture / Kenny Rodger Baby died after hospital errors 20.03.06By Martin Johnston Another baby has died after a series of mistakes partly blamed on midwife care. Tyla Phillips survived for only 7 hours after she was born at Middlemore Hospital in an emergency caesarean operation last August. A hospital specialist later told her parents, Heather and Alan Phillips, that if the operation had been performed three hours earlier she might have lived. The specialist said midwives misread a fetal heart rate monitor. The couple now want an inquiry into maternity and midwifery care because their case follows other newborn deaths with similar themes. Middlemore is saying little publicly about Tyla's birth until the Accident Compensation Corporation has reported its decision to the hospital and Health and Disability Commissioner Ron Paterson has investigated. The hospital says it may refer the case, which had devastated the staff involved, to the commissioner, or medical or midwifery bodies. However, hospital documents and a tape recording the Phillips have of one of their meetings with senior clinicians catalogue the mistakes that led to Tyla's death on August 18 and a follow-up internal review. A key failure was midwives' mis-reading of a fetal heart rate monitor, according to the obstetric consultant on call at the time, Dr Alec Ekeroma, on the tape. He also indicated that the fetal blood-acidity test which led to the caesarean decision - done after an obstetric registrar reviewed the heart monitoring - was unnecessary in the circumstances and wasted time. He said the 21-minute caesarean operation - Tyla was born at 5.53am - should have been done "probably two or three hours earlier". If it had been, this "may have changed the outcome". Mrs Phillips was several days overdue when she went to the Middlemore-allied Botany Downs Maternity Unit, which was managing her pregnancy. The unit's midwives had her transferred to Middlemore at 11.45pm on August 17. Her waters had broken around 9pm, containing what her medical file says was "moderate meconium" (faeces from the baby). Staff noticed thick meconium when she arrived at the hospital. The presence of meconium can indicate a distressed baby. Because of this, the Phillips expected a caesarean on arrival at Middlemore. Mrs Phillips said she was not fully assessed by an obstetric doctor until about 5am. Her medical file states a registrar was asked to see her after her arrival but was busy in theatre. At 5.32am the decision was made to deliver Tyla by caesarean after the blood-acid test - which had consumed 20 minutes, after one attempt at the test failed - confirmed her distress. A report on Tyla's post-mortem says her lungs had suffered "massive meconium inhalation" and extensive bleeding, and she had brain damage from oxygen deprivation. A Middlemore document describes the events surrounding the birth and poor follow-up with the parents as a "multi-system failure". A letter to ACC by clinical director of women's health Dr Keith Allenby lists 11 recommendations being considered to address some of the issues the case has highlighted. These include clarifying what should be done in response to abnormalities revealed by fetal heart rate monitoring; regular training, for all pregnancy-care staff, in interpreting the monitoring results; and clarifying the chain of contact "if obstetric registrar busy (as new tier of doctors now in place)". The Phillips have lost confidence in New Zealand's midwife-dominated maternity system. "If I could do it again," said 33-year-old Mrs Phillips, who had difficulty conceiving Tyla, "I wouldn't go the midwife way. I would go to a doctor, a specialist." Tyla's case follows criticism of
[ozmidwifery] Midwifery troubles in NZ
Title: Message FYI, just when we are hoping for reform here there is this tragic report from NZ. Barb This article is owned by, or has been licensed to, the New Zealand Herald. You may not reproduce, publish, electronically archive or transmit this article in any manner without the prior written consent of the New Zealand Herald. To make a copyright clearance inquiry, please click here. Pete Hodgson Hodgson argues against review of maternity services 20.03.06 4.20pm Health Minister Pete Hodgson says a review of maternity services would only delay improvements being made in the sector. National Party health spokesman Tony Royal today renewed his call for an independent audit of maternity services following a report of another baby's death being blamed on midwife care. The parents of the child born at Auckland's Middlemore Hospital in an emergency caesarean operation were reportedly told midwives had misread a fetal heart rate monitor. The child died seven hours after the caesarean. The case follows criticism of health workers following reports on the deaths of three other babies -- two by a coroner and one by Health and Disability Commissioner Ron Paterson. The child's parents -- Heather and Alan Phillips -- are now calling for an inquiry into maternity and midwifery care. Mr Ryall said the problem was not going to go away and Mr Hodgson needed to get the review started so problems could be fixed. "Every month there are more frightening incidents coming to light, and more professional groups calling for change." Mr Hodgson said a review of maternity services would delay improvements being developed by professionals. "It would be easy for all involved -- including me -- to call for a review and take some of the political heat out of the maternity issue," he said. "But while it would be easy it would also be counter-productive." The Health Ministry was talking with professional bodies in maternity service including midwives, doctors and nurses focusing on improving services through better coordination between Leader Maternity Care and hospital services. "The ministry and the maternity sector are taking this approach because they know action is needed now -- not after a drawn-out review process." Mr Hodgson pointed out that National MP Paul Hutchison had previously been reported saying he did not think a review was necessary. Dr Hutchison told NZPA that he agreed with Mr Ryall but wanted the Government to act on the 1999 maternity review which he said had been ignored. "Due to the increasing concerns about maternity care I would agree with Tony that a full review is undertaken now -- but great note should be taken of that report from 1999." The hospital involved in the latest case is waiting until the Accident Compensation Corporation has reported its decision before commenting. The New Zealand Herald newspaper reported key failures in the baby's death were midwives' miss-reading of a fetal heart rate monitor and a fetal blood-acidity test was unnecessary in the circumstances and wasted time. A hospital document described the events surrounding the birth and poor follow-up with the parents as a "multi-system failure". Other recent controversies involving midwife care included the death of a baby in February 2001 after an undiagnosed breech birth at home, another undiagnosed breech birth incident in February 2003 and a baby who died in November 2003 after emergency caesarean and mismanaged labour at North Shore Hospital. In Dunedin today a High Court jury was to be asked to decide whether midwife Jennifer Joan Crawshaw, 44, is guilty of the manslaughter of a first-pregnancy breech baby born on March 14, 2004. Meanwhile NZ First MP Barbara Stewart said she knew of another death but had been asked not to publicise it. She wanted to hear what solutions Mr Hodgson proposed and the latest case should ring alarm bells. - NZPA Copyright 2006, APN Holdings NZ Ltd Privacy Policy | Terms of Use
RE: [ozmidwifery] Recommendations?
Hi Julia, The time is ripe with major maternity services reform happening in this state at the moment. The Gold Coast Birth Centre is just awaiting (like other new models of care) for the new negotiated industrial award to be announced. I cannot tell you much more about that as negotiations are continuing. Going to Queensland Health home page -www.health.qld.gov.au would give you general information and contact details for the hospitals you mention. It is competitive and you really need to sell yourself but there is plenty of work. Read the Re-birthing report would give you a solid foundation for preparing for interviews. I am Redcliffe- ~ 1200 births/year and Caboolture does ~ 1800 births/year part of Redcliffe-Caboolture District. Our rates have increased by about 20% past the past year. Cheers Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Julia Haythornthwaite Sent: Monday, 20 March 2006 6:54 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Recommendations? Hi I am a little confused as to how this mailing list thing works, but ... here I am willing to give it a go! Just wondered if there was anyone out there who could help me with a couple of questions I have? I am currently a 3rd-year midwifery student in New Zealand. My family and I have made the big decision to leave New Zealand's shores and live on the Gold Coast in January 2007. I ultimately would love to work in a birthing centre, but I hear the competition is pretty fierce (maybe even more so for a new graduate!), so I was wondering if there are any particular hospitals that anyone could recommend in the Gold Coast/Brisbane area? I have been in correspondence with a contact at Mater Mother's Hospital and have been given good information on the new graduate programme offered there which is great, but haven't heard anything from any of the other hospitals I have contacted (namely Ipswich, Caboolture, Redland and Logan hospitals). Any thoughts/ideas? Thank you. Really looking forward to hearing from you. Julia -- 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] Re: N/A
Title: Message Oh to have nights like this. Most night shifts where I am it is rareto even get a chance for a toilet break let alone something to drink. We have been trying for years just to get somebody to provide meal relief shifts in all three areas of Mid - BS, SCN and the ward which also has general clients to care for. We only have two staff in each area so when one is out doing an emergency LSCS or having to do transfers to the tertiary we are told 'just manage'! No luck thus far. Take care on the trip home. make sure you have a plan when you are simply so tired you start have mini naps on the drive. Pull over and sleep for at least 20 minutes. I have lost several good friends to MVA's due to falling asleep at the wheel over the years and I have myself 'woken' to see a tree heading for me! Cheers Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Barbara H StokesSent: Friday, 17 March 2006 1:18 AMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Re: N/A Dear Tanya, Are you doing a 10 hour shift? On my shift, in a small rural hospital, where we have general patients as well, from 2245 to 0715. After handover, do rounds, settle everyone, pain relief , assist feedings, tuck babies into beds with mums, do the appropriate paper work. Usually have a coffee about 0030, then during night I take my normal mueslie breakfast, piece of fruit, tea / water remainder of night. Usually home by 8am, go straight to bed, have normal lunch when I get up about 1pm. Get busy with house work etc, try to see the outside, garden etc. Have dinner about 6.30pm to bed 7.30pm sleep (try) up at 10pm shower, good cup of coffee to work at 10.30pm. At work keep busy, check emergency equipment, learn something, take care with lots of reading as this can make you sleepy. If you are not busy, do some exercises every hour, if really sleepy: clean your teeth, wash your face etc. I take some needle work that I will do after 4am if not doing anything else. However these days, we have the baby's hearing tests to do! Two done tonight were a breeze. After being a midwife since 1972, I get very upset with staff putting their heads on desks/pillows sleeping. You have to keep alert, you are being paid to work. It's great having a labouring mum, even better to have a birth. Like good health on day work, eat a healthy diet, exercise and sleep. Where are you working? good luck with your midwifery, Barbara, Parkes -- Original Message --- From: Tanya McPhail [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thu, 16 Mar 2006 20:24:50 +1100 (EST) Subject: N/A Hi all,I am a newly graduated Midwife, who has her first lot of night shift (5 shifts) coming up.Does anyone have a tips for me? How to sleep best during the day, how to stay awake and alert during the night?Thanks On Yahoo!7 Messenger: Make free PC-to-PC calls to your friends overseas. --- End of Original Message ---
RE: [ozmidwifery] Re: diabetes incipidus and breastfeeding
Title: RE: [ozmidwifery] Re: diabetes incipidus and breastfeeding Hi Barb, I seem to remember something in my ICU days, another life. Sheenans Syndrome- necrosis of the anterior piturity lobe usually due to severe haemorrage. APL secretes TSH, ACTH, gonadotrophins, growth hormone, prolactin, lipotrophin and MSH. The posterior lobe of the piturity secretes vasopressin and oxytocin I have just read my ICU text (pg 451- 457 Intensive Care Manual 4th ed by T.E. Oh) and I will quote parts DI = results from a lack of ADH anti-diuretic hormone ADH = a nonapeptide is synthesised in neurones of the hypothalmus. It has some structural and some functional similarities to oxytocin. Actions of ADH = antidiuresis, vasoconstriction, coagulation, affects learning, memory and water permeability of the brain. The enlarged piturity that occurs with pregnancy maybe more vulnerable to vasospasm. The first sign of DI maybe an inability to lactate. You can have a transient DI of pregnancy = vasopressin-resistant caused by excessive placental-generated vasopressinase that metabolises ADH. Associated with acute fatty liver and liver failure. From a hazy memory as I only saw about 3 women post partum in my near decade in a Tertiary ICU I cannot recall them being able to lactate in acute stage. I do know with proper management sniffing vasopressin and other hormones their condition improves or stabilises. With males I mainly saw them have transphenoidal resection of the pituitary. Very rare, thanks for the question as it made me look at my books. Cheers Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]] On Behalf Of Nicole Carver Sent: Tuesday, 21 February 2006 5:09 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Re: diabetes incipidus and breastfeeding Hi Barb, I did do a quick search of the LRC site with no luck. However, I still think they are the best bet, as they will know 'who might know'! Kind regards, Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Barbara H Stokes Sent: Monday, February 20, 2006 8:26 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Re: diabetes incipidus and breastfeeding Dear Lactational Consultants, Can anyone help with lactation establishment for Gravida 2 Para 1 coming in for induction tomorrow. Has diabetes incipidus, did not lactate last time, takes demopressin nasal sprays? Thankyou, Barbara Stokes, Parkes -- 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] Post cs support
Hi Pinky, It is my cultural roots that has helped me get back in there. Besides I vowed that I would continue to fight for justice that no other nurse or midwife will ever be caught in a situation like I was. The greatest fight was with Work Cover, the Courts and the attempt to get back to work. I had 10 months off work of which three months was spent in hospital. I settled out of court for negligence having made my statement within Queensland Health. I still have two pillows in my car that I look at now and then. They were bright green (new hope) purple square in the middle (depression and the sense of imprisonment) on one side bright orange the other to represent the zest of life and energy. One was named Caroline and the other Mark representing the DON and Medical super who were my chief antagonists in conciliation meetings with the legal people. When work would get tough I would belt the s... out of them and feel better. I brought a new car with some of the monies and it had to be gold- gold for a winner! So you see I created great symbols in my recovery. However one can never control the physiological responses- teeth grinding, flashbacks, nightmares. I merely recognise the triggers and attempt to reduce the physiological responses. One day I will slow down. Cheers Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of pinky mckay Sent: Friday, 10 February 2006 9:41 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Post cs support Barb , I am in awe that you have been able to do so much great work after this trauma and the effects that it must have had on you, Hugs Pinky - Original Message - From: B G [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Sunday, February 05, 2006 11:45 AM Subject: RE: [ozmidwifery] Post cs support There is no 'cure' for PTSD!! You just learn to manage the triggers but even then the physiological responses sometimes get away from you. Some people wonder why you are so serious- so would you if you had this constant mind battle to control triggers. Barb- chronic PTSD sufferer, 8 years after an assault and prolonged torture by an unsupervised prisoner in an Intensive Care Unit. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jo Bourne Sent: Saturday, 4 February 2006 11:34 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Post cs support Talking therapies may be the only cure, that certainly sounds right to me. However I can't imagine having been raped, assaulted OR traumatised by my birth experience and then wanting to do that talking in the place or with the people where it happened. Perhaps in the last stages of healing, as a final letting go/closure thing, but certainly not in the very first days of the shock. I did not have a remotely traumatic birth experience but have had other traumas in my life and have had a lot of talking to do about them, I can't think of one occasion I wanted to go back to the person/place that was the source of the trauma. At 11:19 AM +1100 4/2/06, Janet Fraser wrote: I remember it but I disagree with it entirely. It struck me as no more logical and useful than the obstetric refusal to offer OFP because a study showing a crude, almost silly form of it didn't have the desired effect. (10mins a day on hands and knees rather than the lifestyle operation that is true OFP) Talking therapies are pretty much the only cure for PTSD and that's been well demonstrated over and over. The one study showing otherwise holds no weight. J - Original Message - From: mailto:[EMAIL PROTECTED]Mary Murphy To: mailto:ozmidwifery@acegraphics.com.auozmidwifery@acegraphics.com.au Sent: Saturday, February 04, 2006 10:58 AM Subject: RE: [ozmidwifery] Post cs support I believe there is some research out there that looked at de-briefing women after birth, particularly traumatic births. As I remember it, the research did not show that this debriefing had particularly helpful outcomes. Of course it is all in the Who, the When and the How. Does anyone remember it? Mary Murphy Andrea wrote: Any suggestions. Should all women have a follow up appointment with the midwife who was at her birth, is this appropriate as they may have been part of the problem, should all women have a follow up appointment but the woman be allowed to choose who she wants the appointment with, at what stage would this be appropriate, 2 weeks, 8 weeks 3 months? How does this fit with the MCH nurses who are now involved in the woman's on going care? How does her doctor, be it her own GP, obst or the one who attended (or not) her birth be involved in this? -- Jo Bourne Virtual Artists Pty Ltd -- 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
RE: [ozmidwifery] Post cs support
Thanks Judy, Its OK. I have moved on although the body keeps the score. I have a great family. There is also a PTSD newsgroup that is also very safe for PTSD sufferers. Post Forster and Davies review (Qld) I am smiling more these days although it isn't easy. One day I hope all midwives can work in an environment that is safe and fulfilling that meets our women's needs. We must maintain the fire to make it safer for these women, that is what a midwife must do. Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Judy Chapman Sent: Sunday, 5 February 2006 6:24 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Post cs support Barb, So sorry to hear you have had such a shocking time. I can offer no tips, not having been there myself but I pray that there will come a time that you can settle into more normal pre-trauma type of life. Cheers Judy --- B G [EMAIL PROTECTED] wrote: There is no 'cure' for PTSD!! You just learn to manage the triggers but even then the physiological responses sometimes get away from you. Some people wonder why you are so serious- so would you if you had this constant mind battle to control triggers. Barb- chronic PTSD sufferer, 8 years after an assault and prolonged torture by an unsupervised prisoner in an Intensive Care Unit. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jo Bourne Sent: Saturday, 4 February 2006 11:34 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Post cs support Talking therapies may be the only cure, that certainly sounds right to me. However I can't imagine having been raped, assaulted OR traumatised by my birth experience and then wanting to do that talking in the place or with the people where it happened. Perhaps in the last stages of healing, as a final letting go/closure thing, but certainly not in the very first days of the shock. I did not have a remotely traumatic birth experience but have had other traumas in my life and have had a lot of talking to do about them, I can't think of one occasion I wanted to go back to the person/place that was the source of the trauma. At 11:19 AM +1100 4/2/06, Janet Fraser wrote: I remember it but I disagree with it entirely. It struck me as no more logical and useful than the obstetric refusal to offer OFP because a study showing a crude, almost silly form of it didn't have the desired effect. (10mins a day on hands and knees rather than the lifestyle operation that is true OFP) Talking therapies are pretty much the only cure for PTSD and that's been well demonstrated over and over. The one study showing otherwise holds no weight. J - Original Message - From: mailto:[EMAIL PROTECTED]Mary Murphy To: mailto:ozmidwifery@acegraphics.com.auozmidwifery@acegraphics.com.au Sent: Saturday, February 04, 2006 10:58 AM Subject: RE: [ozmidwifery] Post cs support I believe there is some research out there that looked at de-briefing women after birth, particularly traumatic births. As I remember it, the research did not show that this debriefing had particularly helpful outcomes. Of course it is all in the Who, the When and the How. Does anyone remember it? Mary Murphy Andrea wrote: Any suggestions. Should all women have a follow up appointment with the midwife who was at her birth, is this appropriate as they may have been part of the problem, should all women have a follow up appointment but the woman be allowed to choose who she wants the appointment with, at what stage would this be appropriate, 2 weeks, 8 weeks 3 months? How does this fit with the MCH nurses who are now involved in the woman's on going care? How does her doctor, be it her own GP, obst or the one who attended (or not) her birth be involved in this? -- Jo Bourne Virtual Artists Pty Ltd -- 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. 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] Post cs support
There is no 'cure' for PTSD!! You just learn to manage the triggers but even then the physiological responses sometimes get away from you. Some people wonder why you are so serious- so would you if you had this constant mind battle to control triggers. Barb- chronic PTSD sufferer, 8 years after an assault and prolonged torture by an unsupervised prisoner in an Intensive Care Unit. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jo Bourne Sent: Saturday, 4 February 2006 11:34 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Post cs support Talking therapies may be the only cure, that certainly sounds right to me. However I can't imagine having been raped, assaulted OR traumatised by my birth experience and then wanting to do that talking in the place or with the people where it happened. Perhaps in the last stages of healing, as a final letting go/closure thing, but certainly not in the very first days of the shock. I did not have a remotely traumatic birth experience but have had other traumas in my life and have had a lot of talking to do about them, I can't think of one occasion I wanted to go back to the person/place that was the source of the trauma. At 11:19 AM +1100 4/2/06, Janet Fraser wrote: I remember it but I disagree with it entirely. It struck me as no more logical and useful than the obstetric refusal to offer OFP because a study showing a crude, almost silly form of it didn't have the desired effect. (10mins a day on hands and knees rather than the lifestyle operation that is true OFP) Talking therapies are pretty much the only cure for PTSD and that's been well demonstrated over and over. The one study showing otherwise holds no weight. J - Original Message - From: mailto:[EMAIL PROTECTED]Mary Murphy To: mailto:ozmidwifery@acegraphics.com.auozmidwifery@acegraphics.com.au Sent: Saturday, February 04, 2006 10:58 AM Subject: RE: [ozmidwifery] Post cs support I believe there is some research out there that looked at de-briefing women after birth, particularly traumatic births. As I remember it, the research did not show that this debriefing had particularly helpful outcomes. Of course it is all in the Who, the When and the How. Does anyone remember it? Mary Murphy Andrea wrote: Any suggestions. Should all women have a follow up appointment with the midwife who was at her birth, is this appropriate as they may have been part of the problem, should all women have a follow up appointment but the woman be allowed to choose who she wants the appointment with, at what stage would this be appropriate, 2 weeks, 8 weeks 3 months? How does this fit with the MCH nurses who are now involved in the woman's on going care? How does her doctor, be it her own GP, obst or the one who attended (or not) her birth be involved in this? -- Jo Bourne Virtual Artists Pty Ltd -- 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] Post cs support
Thanks Janet, I have looked into EFT but its about trusting it enough to lower your mental resistance. I have found if I lower my mental resistance such as having a lovely massage or by doing heavy physical work such as climbing Nourlangie Rock in the NT then I cannot have control over triggers. The re-runs or flash backs start again, the jaw grinding, hypervigilence and then the forgetfulness etc. It is a very hard one to balance. Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Janet Fraser Sent: Sunday, 5 February 2006 11:19 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Post cs support Dear Barb, what a truly shocking experience. I am so sorry. I completely agree with you though. Some women in Accessing Artemis have had great results with EFT - emotional freedom technique - which I haven't tried yet. I also found Boronia flower essence had an amazing and instant effect on the reruns in my head. Stopped them immediately I took the drops! Best wishes to you, J - Original Message - From: B G [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Sunday, February 05, 2006 11:45 AM Subject: RE: [ozmidwifery] Post cs support There is no 'cure' for PTSD!! You just learn to manage the triggers but even then the physiological responses sometimes get away from you. Some people wonder why you are so serious- so would you if you had this constant mind battle to control triggers. Barb- chronic PTSD sufferer, 8 years after an assault and prolonged torture by an unsupervised prisoner in an Intensive Care Unit. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jo Bourne Sent: Saturday, 4 February 2006 11:34 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Post cs support Talking therapies may be the only cure, that certainly sounds right to me. However I can't imagine having been raped, assaulted OR traumatised by my birth experience and then wanting to do that talking in the place or with the people where it happened. Perhaps in the last stages of healing, as a final letting go/closure thing, but certainly not in the very first days of the shock. I did not have a remotely traumatic birth experience but have had other traumas in my life and have had a lot of talking to do about them, I can't think of one occasion I wanted to go back to the person/place that was the source of the trauma. At 11:19 AM +1100 4/2/06, Janet Fraser wrote: I remember it but I disagree with it entirely. It struck me as no more logical and useful than the obstetric refusal to offer OFP because a study showing a crude, almost silly form of it didn't have the desired effect. (10mins a day on hands and knees rather than the lifestyle operation that is true OFP) Talking therapies are pretty much the only cure for PTSD and that's been well demonstrated over and over. The one study showing otherwise holds no weight. J - Original Message - From: mailto:[EMAIL PROTECTED]Mary Murphy To: mailto:ozmidwifery@acegraphics.com.auozmidwifery@acegraphics.com.au Sent: Saturday, February 04, 2006 10:58 AM Subject: RE: [ozmidwifery] Post cs support I believe there is some research out there that looked at de-briefing women after birth, particularly traumatic births. As I remember it, the research did not show that this debriefing had particularly helpful outcomes. Of course it is all in the Who, the When and the How. Does anyone remember it? Mary Murphy Andrea wrote: Any suggestions. Should all women have a follow up appointment with the midwife who was at her birth, is this appropriate as they may have been part of the problem, should all women have a follow up appointment but the woman be allowed to choose who she wants the appointment with, at what stage would this be appropriate, 2 weeks, 8 weeks 3 months? How does this fit with the MCH nurses who are now involved in the woman's on going care? How does her doctor, be it her own GP, obst or the one who attended (or not) her birth be involved in this? -- Jo Bourne Virtual Artists Pty Ltd -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Weight gain in pregnancy
Given that it is usually poor diet and lifestyle that cause the obesity...Hopefully this woman has learned to clean up her lifestyle on a permanent basis for hers and future children's benefit. OOOH Judgement statement!! We are very quick to lay blame. Many of these women are victims. Victims of the Metabolic Syndrome where they quickly gain weight especially centrally, have dyslipidemia, hyperinsulinaemia which causes insulin resistance, hirsuitsm which leads to poor self esteem and other terrible symptoms. Being obese doesn't mean they cannot participate in life changing experiences such as having a baby. Another cause are often that these women are victims of childhood sexual and physical abuse hence have psychological hang ups of appearing 'pretty'. Many women I see in ANC talk about the difficulties shopping in the supermarket - the trolley Nazi's. Family get together and as she wasn't working family - sisters- gave her a shopping list for a celebration. She was stopped in the aisles and unsolicited advice was given that she shouldn't buy that ... because that would put weight on. She was all of 28 weeks pregnant wore large clothes covering her belly and I am sure this person didn't even know she was pregnant. She weighed 110kg, walked 4 km every day and did gym work so never assume anything with these ladies. There are those that really do work hard and are very aware of their physical failings. As one woman said 'we are easy targets, we can't hide the cigarettes or the drugs like others. These do more harm than eating healthy and exercise'. The toxins people allude to are you referring to ketones? Barb -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] weight gain in pregnancy- another enlightened moment
Title: Message Found on a newsgroup a bit of lightening the load. Barb Q: I've heard that cardiovascular exercise can prolong life. Is this true?A: Your heart is only good for so many beats, and that's it...don't waste them on exercise. Everything wears out eventually. Speeding up your heart will not make you live longer; that's like saying you can extend the life ofyour car by driving it faster. Want to live longer? Take a nap.Q: Should I cut down on meat and eat more fruits and vegetables?A: You must grasp logistical efficiencies. What does a cow eat? Hay and corn. And what are these? Vegetables. So a steak is nothing more than an efficient mechanism of delivering vegetables to your system. Need grain? Eat chicken. Beef is also a good source of field grass (green leafy vegetable).And a pork chop can give you 100% of your recommended daily allowance of vegetable products.Q: Should I reduce my alcohol intake?A: No, not at all. Wine is made from fruit. Brandy is distilled wine, that means they take the water out of the fruity bit so you get even more of the goodness Beer is also made out of grain. Bottoms up!Q: How can I calculate my body/fat ratio?A: Well, if you have a body and you have body fat, your ratio is one to one. If you have two bodies, your ratio is two to one, etc.Q: What are some of the advantages of participating in a regular exercise program?A: Can't think of a single one, sorry. My philosophy is: No Pain...GoodQ: Aren't fried foods bad for you?A: YOU'RE NOT LISTENING!!!. Foods are fried these days in vegetable oil. they're permeated in it. How could getting more vegetables be bad for you?Q: Will sit-ups help prevent me from getting a little soft around the middle?A: Definitely not! When you exercise a muscle, it gets bigger. You should only be doing sit-ups if you want a bigger stomach.Q: Is chocolate bad for me?A: Are you crazy? HELLO . Cocoa beans .. another vegetable!!! It's the best feel-good food around!Q: Is swimming good for your figure?A: If swimming is good for your figure, explain whales to me ...Q: Is getting in-shape important for my lifestyle?A: Hey! 'Round' is a shape!Well, I hope this has cleared up any misconceptions you may have had about food and diets and remember: Life should NOT be a journey to the grave with the intention of arriving safely in an attractive and well preserved body, but rather to skid in sideways Chardonnay in one hand - strawberries(and/or chocolate!) in the other with a body thoroughly used up, totally worn out, and screaming - WOO HOO! What a ride!"Aussie Lurker
[ozmidwifery] Mercury thermometers with rectal Temperatures!!!
Hi all, Am I assume that they are using mercury glass thermometers? Mercury Thermometers have been banned for clinical use in hospitals in Australia for about 8 years now primarily due to the OH S concerns of the mercury and where to put the waste if one breaks, as they do. It was agreed (I am not sure if it was a Federal Govt thing or State)that mercury equipment would be replaced and not used in new buildings. Of course the same has been difficult to change with syphgmometers. Many Hg ones remain. The mercury once leaked gets caught in cracks on floors and walls and emit vapours for years. We have not used a mercury thermometer for more than 9 years in the unit I am at. Unfortunately many hospitals a very slow to remove these dreadful items and remain committed to exposing workers and clients exposed to mercury. Various articles are listed with the QNU/ANF featured in the Green left articles. I suggest you contact your WH S committees to see what they are doing about the use of mercury thermometers in this way. http://abcasiapacific.com/englishbites/stories/s505290.htm http://www.greenleft.org.au/back/1996/221/221p7.htm http://www.greenleft.org.au/back/1995/212/212p15.htm http://www.nursingworld.org/AJN/2001/sept/Health.htm http://www.nursingworld.org/ajn/1999/sep/heal099b.htm http://www.ranknfile-ue.org/h%26s0702.html http://www.securityworld.com/infocenter/the-dangers-of-mercury-fever-the rmometers/ http://www.nyhealth.gov/nysdoh/environ/hsees/mercury_brochures/hscommitt ee.htm Cheers Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of sharon Sent: Tuesday, 24 January 2006 8:03 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] IV Synto for 3rd stage at the hospital i work in the paediatrician/neonatologist inisit on all newborns have a rectal temp done for the first temp. i have been told when questioning this from the clinical learning co-ordinator that there once was a baby who had a imperferated anus and this was not picked up until too late and the baby became very sick so it is protocol. also i was told that there is a difference in temperature as when i looked this subject up for my own interest if you take a temp axilla there is also many other factors which come into play such as the air temp and if the thermometer is accurately placed. the references i cant remember but the evidence suggested that for a accurate reading we should be taking temperatures rectally for infants and orally for adults not axilla and certainly not be the fold at the back of the newborns neck. regards - Original Message - From: brendamanning [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, January 24, 2006 12:11 AM Subject: Re: [ozmidwifery] IV Synto for 3rd stage How amazing, rectal temps are so archaic ! I thought they went out with PR exams to assess dilation. Poor you ! Keep questioning, that's how change happenseventually. With kind regards Brenda Manning www.themidwife.com.au - Original Message - From: Kylie Holden [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, January 23, 2006 11:42 PM Subject: Re: [ozmidwifery] IV Synto for 3rd stage All debates regarding active v. physiological third stage aside, I was referring to women who have had a jelco put in for whatever reason (IV antibiotics in labour, epidurals, etc). I completely agree with you Brenda, that the number of women who didn't get their required dose of synto and who go on and have a (semi) physiological third stage are evidence in favour of safe, normal 3rd stage. Unfortuately this particular hospital doesn't take too kindly to students coming in and questioning their protocols! We learnt that the hard way when we (as students) tried not to take babies first temps rectally...a protocol was soon put in place that this MUST occur! Kylie From: brendamanning [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] IV Synto for 3rd stage Date: Mon, 23 Jan 2006 15:18:48 +1100 Kylie, We are presuming these are all high risk women you are dealing with as otherwise there would be no need for her to have a jelco in place ? I am including women who have epidurals in this category as this automatically makes them high risk once they've deviated from the 'body driven' course of labour. Otherwise... Why would a low risk woman : a. have a jelco in situ during labour ? b. need an oxytocic ? So assuming she is high risk you need to be very sure she gets the oxytocic, she really needs it as her body has had its input overridden by the initial intervention so it makes sense to flush the tubing ensure the accurate therapeutic dose is received. Maybe you might put some thought out there in your workplace about how all those women whose MW didn't flush they therefore didn't
RE: [ozmidwifery] Interesting article about rogue expert witnesses
Title: Message Interesting article. Further evidence we, as a group need to talk to governments to have legislation changed to ensure these hire guns are harnessed. Letting RANZCOG tutor experts will be dangerous and will continue the abuse. Hired guns- Medical officers that can be brought for their 'expert' opinion are so available. The problem is how can their views be discredited when the AMA and the Medical Registration Boards of all the states continue to allow them to be registered and to call themselves Dr's. Many of these 'experts' have removed themselves from hands on practice for many reasons - think about some of those as I cannot write it. Their 'evidence' or statements are considered to be protected and cannot be referred to the Health Rights Commission as it is collected for forensic cases i.e.. for the courts. I experienced a vicious assault and torture from a prisoner in an ICU resulting in chronic PTSD. I sued Work Cover, my employer's insurer for negligence. I settled out of court primarily because I kept on being sent to various hired guns for an assessment. When the insurer wasn't happy with what report they wrote they would then send me to another and so on. My own Dr would warn me prior of what this Dr would be like and he had reported their behaviour to his own professional college on numerous occasions prior to my case. Luckily I was warned about video surveillance that Work Cover also used, not that it mattered as my Dr said I had to stay 'with' people- safest place was the casino as it had security. Looked like I was having 'fun' at the clubs and casino yet I was so scared of been attacked again! The insurer just keeps getting away with this abominable behaviour, the courts continue to ignore blatant manipulation of their system meanwhile the injured continue to be subjected to horrific re-traumatising that if one did not have a strong sense of justice or sense of well being and of self worth would be left a complete mess. NZ no fault insurerACC system would remove all this and it is there for the injured when they need it most, lawyers don't get fat, investigators wouldn't have hours of 'evidence' collected to discredit victims and it removes hired guns. How can we address this? Cheers Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Helen and GrahamSent: Tuesday, 10 January 2006 7:35 AMTo: ozmidwiferySubject: [ozmidwifery] Interesting article about rogue expert witnesses http://www.theaustralian.news.com.au/common/story_page/0,5744,17776253%255E601,00.html Sin bin for rogue witnessesAdam Cresswell, Health editorJanuary 10, 2006 A SPORT-STYLE system of red and yellow cards is being considered to deal with rogue expert witnesses whose eccentric or irrational views are skewing medical negligence cases.Retired medical experts can earn tens of thousands of dollars each time they testify about whether other doctors' treatments were negligent. Their role has been mired in renewed controversy after an Australian study suggested last week that some obstetricians were being unfairly blamed for cases of cerebral palsy - a condition behind 60 per cent ofnegligence payouts in obstetric cases. The research found that some cases of cerebral palsy could be caused by a virus shortly before or after birth. Traditionally, oxygen starvation during birth was thought to be the main culprit. Alastair MacLennan, leader of the South Australian Cerebral Palsy Research Group, which published the findings in the British Medical Journal, blamed the courts' willingness to find doctors at fault for cerebral palsy partly on "hired-gun expert witnesses" prepared to make groundless claims that the injury could have been avoided. He has proposed the red-card scheme as a way to bring errant experts to heel. Under the plan, the Royal Australian and New Zealand College of Obstetricians and Gynaecologists would audit and train expert witnesses, and monitor their opinions for statements deemed impractical, dangerous or extreme. Those giving evidence without being registered, or giving opinions not backed by the college, would receive a warning, and a steeper penalty such as loss of college membership on a repeat offence. "Several of the American colleges have this red card, yellow card system, and anecdotally I am told this is reining in some of the more rogue expert witnesses," Professor MacLennan said. "In Australia at the moment, they can say what the hell they like, which is a real worry. It's fairly easy to fool a judge who's never judged a cerebral palsy case before." The chairman of the RANZCOG's medico-legal committee, Robert Lyneham, said the college was considering the plan, and was developing its own proposals to allow obstetricians to register as expert witnesses and receive training. Professor
RE: [ozmidwifery] Job in Brisbane?
Title: Message Hi Di, I work at Redcliffe. The district incorporates Caboolture Hospital so if one is casual can work between the 2 hospitals. Distance between is 32km's. Caboolture has about 1600 births per year and Redcliffe about 1200. These numbershave increased by about 20% in the past 12-18 months. Both have level 2 SCN and both send 34 weeks to the Tertiary hospitals RBWH or Mater. We are in the process of introducing a 12 month trial of 3 models of care across the district as part of the North Lakes Development - discussion and planning stage at present hopefully commencing early next year. The three are: small team caseload, group care based on an American project of developing a sense of community amongst the women so group AN care and education and the last is a GP-Midwife partnership model of care. At present we have2 midwife clinics each week with 2 Medical clinics where midwives also see women. these are primarily of higher risk or routine Dr'svisits at 21, 35-37 or 41 weeks. Caboolture also has Midwives clinics. Unfortunately althoughweare in the same district there is less 'interference' to midwives practice at Caboolture. We are able to self roster to work in all areas- one day BS next shift maybe post natal- Birth Suite, post natal, ante-natal, SCN or Home Maternity Service so we are able to keep skills up and hopefully keep the family happy. Night duty isn't an option we all do our share.It may take time to get to ANC or HMS due to the small numbers working there in comparison. There has traditionally been a low turnover of staff here. Queensland Healthencourages opportunities for country service- short term secondments as well. I recently declined going to Longreach for 6 weeks because of the new models of care being introduced. I have been out twice now to Emerald Hospital. Fabulous self and professional developmentto attend to women with no anaesthetic back up for epidurals, using all your midwifery skills supporting them through the birth and they are just so thankful. Of course there is RFDS back up for major problems. At both Caboolture and Redcliffe thereare very active midwives in the ACMI Qld branch and I am also on the QNU Executive. Caroline Weaver previous ICM President is presently Executive Director of Nursing so is very aware of contemporary midwifery practices. Redcliffe Hospital phone number is 07 883 and ask for Caroline if you wish to find out more. Job advertisements for midwives and specifically included DEM went out 2 weeks ago and close 19/12 primarily to expand our numbers to roll out the new models of care. Look on www.health.qld.gov.au for jobs listings as well. Like many hospitals in Queensland many midwives are on contract basis often month to month before a permanent position becomes available but there is plenty of work around. Selangor Private is about 40-60 minutes north and RBWH about the same southin peak hour. The Mater is just dreadful trying to drive south across the Brisbane river in peak hour- it used to take me one and a half hours to get there for a day shift. If one plans to work there you need to live much closer and on the south side. Mango Hill incorporates North Lakes (yet to be given separate designation) and it includes a Westfields North Lakes Shopping Centre. North Lakes has just won an international award for integrated planning. It has been developing for the past 7-8 years so all new fresh housing, private and state schools and child Care centres. I live behind this new development at Deception Bay. The Bay has had a bad rap many years ago but is expanding ++ in recent times. The waterfront is mangroves and tidal. Large parts of this foreshore includes the Maritime National park of the same name.Great foreshore for walking ones dog, setting the tinny on the water or fishing for whiting from the banks. I hope that has answered yours and others questions. I look forward to many midwives seeking a change to join us in this lovely part of Queensland. Cheers Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Anne PeterSent: Saturday, 10 December 2005 11:04 AMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Job in Brisbane? Dear Di, if you contact Diane Tamariki-Midwifery Team co-ordinator at the Mater Mothers Brisbane , we will be moving forword in the New Year with Midwifery Models. Regards Anne - 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
RE: [ozmidwifery] fetal path to obesity
Title: Message Isn't it sad to have to counsel a woman breastfeeding her 4 day old baby who expressed her worry that her baby will be too fat because of the frequent breast feeding when I did a home visit last Thursday! May I remind people we are who we are and genetics will be the major determinants of your features big, small or otherwise!!! Genetics also are a major influence on the development of T2 Diabetes no matter how 'clever' you may be in watching your diet and exercise balance. I envisage I will cringe when I see the Nazi Police at the checkout soon, if it isn't happening already. Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of islipsSent: Saturday, 3 December 2005 11:26 AMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] fetal path to obesity I agree totally with you Gloria. I managed to put on 16kg's with both my pregnancies and had GDM. I am very careful with what I feed my two children as I am very aware of their risk factors for developing type 2 diabetes later in life. My 2 1/2 year old loves vegetables and fruit. If we have a 'special treat' she will pick fruit juice over chocolates / lollies etc. Some of my friends are amazed that my 8 month olds favorite food is lentils!!! Some of my friends have only fed their children tinned food from the very beginning. it is unfortunate that buying organic is so expensive. zoe - Original Message - From: Gloria Lemay To: ozmidwifery@acegraphics.com.au Sent: Saturday, December 03, 2005 3:31 AM Subject: Re: [ozmidwifery] fetal path to obesity How much weight gain is irrelevant. All the work on this has been done and is reported in "What Every Pregnant Woman should Know About Diet and Drugs in Pregnancy". The question is always "What are you eating?" The quality of the diet is everything. Women can gain more than 16 kg and have healthy slim children, IF they are eating food. By food, I mean "as close to what Mother Nature put in the ground as possible". Americans can study pregnant women till they're blue in the face and it won't make a difference. Processed food, high carb pasta, and baked goods are all some women eat. Washed down with fruit juice and soft drinks---it's a recipe for putting on weight, high bp, and swollen extremities. Then, when the child is born, they feed it formula, canned baby food full of preservatives, and more fruit juice. So many women will say "my child doesn't eat vegetables". Vegetables are essential to good health. You don't get to not like them. I'm so alarmed when I see what young people have in their shopping carts here in N. America. My daughter is going to college and she has managed to change the dietary habits of many of her class mates because they're intrigued when she opens her lunch and starts eating salads, a boiled egg, beans/cheese/corn tortilla, and fresh fruit. She tells them "You just have to change your palate and then you'll like this stuff, too." Gloria - Original Message - From: Helen and Graham To: ozmidwifery Sent: Friday, December 02, 2005 2:19 AM Subject: [ozmidwifery] fetal path to obesity http://www.theaustralian.news.com.au/common/story_page/0,5744,17432980%255E23289,00.html Print this page Fetal path to adult obesityClara Pirani02dec05PREGNANT women who gain too much weight under the guise of "eating for two" may be guaranteeing their children have a lifelong battle with obesity.Two studies that will be published in next week's New Scientist journal found women who gain too much weight during pregnancy are far more likely to have overweight or obese children. One study, from a team at Harvard University in the US, found that even women who followed their doctor's advice and gained a "safe" amount of weight were still likely to have overweight children. The Harvard study divided 770 expectant mothers into three groups - those who gained an "inadequate", "adequate" and "excessive" amount of weight - based on the US Institute of Medicine's guidelines that women should gain between 12kg and 16kg. Children born to women who gained an adequate or excessive amount of weight were, on average, already overweight by the age of three. "Only the inadequate group - a weight gain of less than 11.5kg - gives a result that is where you want to be," Harvard University researcher
RE: [ozmidwifery] Newborn Examination question
Title: Message We do fundoscopic examination of the eyes which isn't easy, you have to be very patient for the open eyes. Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Andrea QuanchiSent: Thursday, 1 December 2005 6:38 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Newborn Examination questionI had never been aware of fundoscopy until I did my Maternal and child health when we were taught to do it as a part of newborn screening. With the exception of one GP who is from the US I have never seen anyone do it (GP or midwife) but now do it as a part of my routine newborn screening. For those not aware you are looking through the opthalmascope for the presence or absence of the red reflex which indicates that the light is hitting the retina and is therfore not obstructed by congenital cataracts. Easy to do but does require an opthalmascope and a relaxed baby who will let you look in their eyes. Andrea QOn 01/12/2005, at 6:28 PM, Helen and Graham wrote: Something happened to that last email of mine... but I wanted to say thanks to those who responded to my question. Interesting variation in responses with some workplaces requiring further accreditation for midwives to perform the newborn exam, some recommending the GP do it and some with the midwives doing it routinely themselves. For those of you who do the examination yourselves, could you please tell me if you perform fundoscopyi.e using an ophthalmoscope? And for those who require accreditation, could you tell me how this is obtained and what it consists of?Midwives do the newborn examination at my current workplace but we don't currently perform fundoscopy.Thanks again for your responses.Helen - Original Message -From: Helen and Graham To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 01, 2005 3:24 PMSubject: Re: [ozmidwifery] Newborn Examination questionT - Original Message -From: Judy Chapman To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 30, 2005 9:08 AMSubject: Re: [ozmidwifery] Newborn Examination questionWe do the newborn examination after birth but then recommend that they go for the 5 - 10 day well baby check with their GP. This is just since we have been working as a birth centre.CheersJudyHelen and Graham [EMAIL PROTECTED] wrote:Hi everyone I have a question regarding midwives performing the newborn examination postnatally prior to discharge.Having worked in several hospitals, I am used to this exam being performed by a doctor/paediatrician. The midwife does an initial check atbirthbut on about day 3 o! r 4, or at least prior to discharge, a thorough physical examination performed, including fundoscopy etc.by a doctor.Interested in your experiences and for those of you who do perform it, have you had any further education on the subject?CheersHelen CahillDo you Yahoo!?Find a local business fast with Yahoo! Local Search__ NOD32 1.1309 (20051130) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
RE: [ozmidwifery] question
Title: Message Jenny, Are you referring to partial pressure gradients of O2 and CO2? Simultaneously - when there is no blood flow, placenta to baby cord has stopped pulsating therefore no pressure gradient to push oxygen transfer. Once the baby isexposed to room environment a breath is taken the heart beat of the infant now provides the 'pump' pressure gradient and then you have exchange across the alveolar/capillary membrane. There will always be a oxygen and CO2 level. This was always a very complicated process. Thankfully an understanding of physic principles helps. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of JoFromOzSent: Saturday, 19 November 2005 9:17 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] questionMary Murphy wrote: Jenny, could you give us the reference please? Thanks, MM , one study demonstrated zero oxygen, because there is no longer any utero-placental circulation. This is part of the stimulation for the baby to breathe, but the baby is receiving some circulatory volume. Jennifer Cameron FRCNA FACMEven if there is no oxygen, I am sure it is still beneficial for the baby to have that volume, though.Jo
RE: [ozmidwifery] question
Title: Message We have an OB who does not wait for restitution, instead is now training the Registrars before even looking at the way the head has come out to pull downward on the head, put their hand beside the head in the vagina and sweep the anterior arm forward. I have seen a run of 4 # humerus and/or clavicles. I have made efforts to address this at staff meetings because I have been documenting what I see and specifically stating 'not shoulder dystocia' in the notes. The result from this and for commenting on the second twin we lost from the same SOTB OB was that I have experienced the most incredible medical bullying/harassment. I now do not work in Birth Suite and thankfully the bullying has stopped. This is due to the Morris/Davies Royal commission and Forster review. I had my private say on bullying. However why can't I get other midwives to stand up for what they see and the damage that is done? Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Tania SmallwoodSent: Thursday, 17 November 2005 3:41 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] question My goodness me not wait for restitution, strikes me as someone trying to redefine the mechanism of normal birth to suit their own fears and prejudices - Wow! So if in fact a baby needs to restitute to birth the shoulders comfortably and in the best position, and were going to cut that part of the birth out, are we not going to see a marked increase in the incidence of shoulder dystocia? Might be one to look out for with these hasty practitioners. I can only imagine how they would cope at the majority of water births Ive been at, where the head is fully crowned, and its usually a matter of minutes, sometimes up to 5 or 6 before the body follows. And then theres that tricky little stop at the hips that those water babies tend to do toosigh, why is there so much fear and ignorance surrounding what has been happening for so many years? Is it just an insane need to control everything, or am I just naïve in my belief that mother nature knows what shes doing? Tania From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Susan CudlippSent: Thursday, 17 November 2005 3:33 PMTo: ozmidwifery@acegraphics.com.auSubject: 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
RE: [ozmidwifery] question
Title: Message I had advicebut basically I was told that this not waiting for restitution is now a RANZCOG policy therefore midwife against OB practice.recently this OB just smiled at me and said 'this is where we disagree in the birth' as one of these mums is back for her second. A student midwife was asking him in ANCwhy he was suggesting a LSCS to which he said 'shoulder dystocia' to which I replied it was because of operator error by your inexperienced registrar rushing the birth, because I was there. So we cannot win against this SOTB. The only way is to bring in case loading let midwives do their bit and the Ob be there for the higher risk clients, hopefully there will still be midwives available to support those women. Probably experienced midwives who will be trapped into a lesser role with this move to Midwife Practitioner level of practice! There needs to be a fundamental review of managing births that is evidence based and without questions as active management of third stage is also now being rushed and fiddled with. The last 3 years I have never seen so many PPH's and shoulder dystocia's. We are now getting ACMI Guidelines on Referral and Consultation being reviewed by the Ob's because it isn't RANZCOG. Where are our Midwifery Leaders within management structures? Where are our academics supporting our practice in the clinical coalface. the other day I had a midwife say to me 'I feel I need to present my own CV to a midwifery student before they believe what I say'. Clinicians I have spoken to are feeling isolated and unsupported by both management and academics when they are trying to do the right things for clients in a changing environment. No wonder midwives are leaving or cutting down their hours! Frustration, think I will walk the beach now. Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Mary MurphySent: Friday, 18 November 2005 9:29 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] question Is there anywhere midwives can go for help in situations like this? ACMI? ANF? Or Clinical advisory committees? M/W s are scrutinized so harshly when anything goes wrong . where is the scrutinizing mechanism for the doctors? Any one know? MM How crazy it is that they ignore this in the hurry to 'get the baby out' I get so discouraged by the lack of simple wisdom and respect for the natural process of labour. Barb, it is so true that we are unable to speak out when we see such terrible mis-management, those of us that do are indeed subjected to incredible bullying. During my recent confrontation over some issues I was told " you are a good NURSE Sue, you care too much, that's the problem" !!! WE may avoid the bullying by not working in the area, but the women are still being bullied and babies still being damaged. We have an OB who does not wait for restitution, instead is now training the Registrars before even looking at the way the head has come out to pull downward on the head, put their hand beside the head in the vagina and sweep the anterior arm forward. I have seen a run of 4 # humerus and/or clavicles. I have made efforts to address this at staff meetings because I have been documenting what I see and specifically stating 'not shoulder dystocia' in the notes. The result from this and for commenting on the second twin we lost from the same SOTB OB was that I have experienced the most incredible medical bullying/harassment. I now do not work in Birth Suite and thankfully the bullying has stopped. This is due to the Morris/Davies Royal commission and Forster review. I had my private say on bullying. However why can't I get other midwives to stand up for what they see and the damage that is done? Barb My goodness me not wait for restitution, strikes me as someone trying to redefine the mechanism of normal birth to suit their own fears and prejudices - Wow! So if in fact a baby needs to restitute to birth the shoulders comfortably and in the best position, and were going to cut that part of the birth out, are we not going to see a marked increase in the incidence of shoulder dystocia? Might be one to look out for with these hasty practitioners. I can only imagine how they would cope at the majority of water births Ive been at, where the head is fully crowned, and its usually a matter of minutes, sometimes up to 5 or 6 before the body follows. And then theres that tricky little stop at the hips that those water babies tend to do toosigh, why is there so much fear and ignorance surrounding what has been happening for so many years? Is it just an insane need to control everything, or am I just naïve in my belief that
RE: [ozmidwifery] http://www.bayofplentytimes.co.nz/ Story - Help on way for hospital's discontented midwives
Title: Message Brenda, I think this is the article you were trying to send to the list. I tried to send it the other day as this is were I graduated as a General and Obstetric Nurses all those years ago. this is a good place to work.I repeated and did midwifery here in aussie in 1995. Barb Help on way for hospital's discontented midwives12.11.2005 By Rachel Tiffen Two new specialist positions in Tauranga Hospital's maternity ward are to be advertised - triggered by feelings of a lack of support, education and recognition among its midwives. The move comes as health services around the country report a "maternity crisis", or extreme shortage of midwives for expectant mothers. While Tauranga midwives say they are well staffed compared with other regions, they agree the profession as a whole is "in a crisis". It is understood the maternity ward plans to appoint a clinical midwife adviser soon, as well as a midwife educator. Tauranga midwives have expressed concern over a perceived lack of clinical leadership within the department, and want a greater emphasis on rotating staff around core divisions and upskilling. Many feel unsupported and undervalued as professionals. Hospital staff and midwives spoken to by the Bay of Plenty Times were unsure when the new positions would be advertised, but confirmed they were going ahead. "Basically there is just one person pushing all the bits of paper around at the moment," said one long-time midwife who wished to remain anonymous. Another said: "I know there is a great deal of concern expressed by hospital staff about management of the maternity unit." But she stressed mothers were not being put at risk. Midwifery unit manager Ann Sligo refused to comment. Director of obstetrics and gynaecology, Dr Richard Speed, knew the positions were on the cards but was not sure when they would be publicised. "I wasn't aware it was official but had heard rumours it was about to happen," he said. However, Dr Speed was aware of a feeling of discontent among midwives and said several issues raised were being addressed by the hospital. He said hospital midwives were often put under pressure, but that was part and parcel of the job. "It is not undue pressure but there are times they are expected to be at two places at one time. "That happens at any place and would occur in other departments." Health Board communications manager Michelle Gray said she was aware of the new positions but could not say when they would eventuate. In an anonymous email to the Bay Times, a woman claiming to be a former midwife called for an independent review of the unit. The woman said she was employed by the hospital earlier in the year but resigned owing to her "dissatisfaction with the clinical management and the risk this posed to midwifery practice". She claimed to know, through contact with midwives still working there, that the issues still existed. The woman strongly advocated the appointment of a head of department or clinical director, which may be addressed through the soon-to-be-advertised "clinical midwife adviser". The email called for a focus on retention of staff rather than recruitment. The women claimed a high turnover of staff in the hospital was putting undue pressure on long-serving employees. However, the key issue highlighted was a feeling among midwives of being undervalued and disregarded as professionals. "I am advised that current management does not value and treat the highly experienced hospital-based midwives as professionals," she wrote. The letter also said the hospital's post-natal unit relied too heavily on obstetric nurses and enrolled nurses, often placing undue pressure and responsibly on midwives consequently left in sole-charge of the maternity ward. It is understood this will be addressed through the hiring of more staff. Another midwife at the hospital, welcomed the new position but said it had to be accompanied by support and respect. "They need some way of supporting this person or there's no point in having the position. There's no point in just saying 'We will call you a midwife adviser' and not supporting it." Email story Print story -Original Message-From: brendamanning [mailto:[EMAIL PROTECTED] Sent: Friday, 18 November 2005 9:04 AMTo: [EMAIL PROTECTED]Subject: Re: [ozmidwifery] http://www.bayofplentytimes.co.nz/ Story - Help on way for hospital's
RE: [ozmidwifery] level 2 midwives
Title: Message Level 2 or Clinical Nurse (now known as Nursing Officer 2) midwives do not have to be shift coordinators. The position description (generic)primarily refers toa midwife (nurse) who isable to care for complex care clients. Unfortunately it is Queensland Health and managers who have added that aspect of co-ordinating shifts AND taking complex patient load AND having portfolio's as you describe. this is of course in your own time as there is never anytime allocated for off-line time to do these portfolio'sIf you look at the Nurses Award Qld and MX170 you will find full details of generic position descriptions. In our organisation NO1's co-ordinate as well even with a NO2 on the same shift. They actually get more money for it as it incorporates a 'in charge of shift allowance' NO2's don't get this. They also work in all areas you describe as these are not restricted to NO2's. I do not have on my name badge Clinical Nurse just Midwife. It is hoped with Peter Forster's review published30/9 this whole workload and off-line time will be reviewed. Midwives who work in BC have their salary averaged (all penalties) and are paid at NO2 -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Alese KoziolSent: Tuesday, 1 November 2005 5:20 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] level 2 midwives Thanks for the clarification Melissa, which state are you referring to? - Original Message - From: Melissa Singer To: ozmidwifery@acegraphics.com.au Sent: Tuesday, November 01, 2005 4:37 PM Subject: Re: [ozmidwifery] level 2 midwives Hi Alese, Level 2 midwife (in a ward hospital setting) is the senior midwife on that shift who is responsible for the co-ordination of the shift as well as being a resource person for level 1 midwives. There is usually at least one on per shift. They also have portfolio's such as clinical indicators, best practice, equip etc. Other level 2 midwives are usually early discharge home visiting midwives, staff development midwives, midwives responsible for the co-ordination of ANC, childbirth classes and such. Midwives who work independently in birth centers here are also level 2's. Hope that helps Melissa - Original Message - From: Alese Koziol To: ozmidwifery Sent: Tuesday, November 01, 2005 12:47 PM Subject: [ozmidwifery] level 2 midwives Dear list Amongst the discussions recently there was mention of a 'level 2 midwife'. Could someone please enlighten me... which state was this terminology used for and what exactly is a level 2 midwife? Have a medico trying to bully us into using a policy which he has obviously 'borrowed' which also uses this terminology. It is not used in Victoria. Many thanks in anticipation Alesa Alesa KoziolClinical Midwifery EducatorMelbourne
RE: [ozmidwifery] level 2 midwives
Me too, my clients come first. I rarely get time to do my portfolio's. However I also have an interesting time on the QNU Council and ACMI State Committee push midwives issues. Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of wump fish Sent: Tuesday, 1 November 2005 9:19 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] level 2 midwives You are right. For me being a level 2 means I have my usual client load and have to co-ordinate the ward/beds and deal with any crap that arises. Also have to manage two portfolios (both incredibly boring and tedious). All for a few cents more an hour, and I've never had any time 'off-line'. I have decided however, that I will not do stuff in my spare time so if it doesn't get done in work time - it doesn't get done. My priorities remain - the women I care for, the staff I work with, then all the other rubbish. Rachel From: B G [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] level 2 midwives Date: Tue, 1 Nov 2005 20:54:44 +1000 Level 2 or Clinical Nurse (now known as Nursing Officer 2) midwives do not have to be shift coordinators. The position description (generic) primarily refers to a midwife (nurse) who is able to care for complex care clients. Unfortunately it is Queensland Health and managers who have added that aspect of co-ordinating shifts AND taking complex patient load AND having portfolio's as you describe. this is of course in your own time as there is never anytime allocated for off-line time to do these portfolio's If you look at the Nurses Award Qld and MX170 you will find full details of generic position descriptions. In our organisation NO1's co-ordinate as well even with a NO2 on the same shift. They actually get more money for it as it incorporates a 'in charge of shift allowance' NO2's don't get this. They also work in all areas you describe as these are not restricted to NO2's. I do not have on my name badge Clinical Nurse just Midwife. It is hoped with Peter Forster's review published 30/9 this whole workload and off-line time will be reviewed. Midwives who work in BC have their salary averaged (all penalties) and are paid at NO2 -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Alese Koziol Sent: Tuesday, 1 November 2005 5:20 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] level 2 midwives Thanks for the clarification Melissa, which state are you referring to? - Original Message - From: Melissa Singer mailto:[EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, November 01, 2005 4:37 PM Subject: Re: [ozmidwifery] level 2 midwives Hi Alese, Level 2 midwife (in a ward hospital setting) is the senior midwife on that shift who is responsible for the co-ordination of the shift as well as being a resource person for level 1 midwives. There is usually at least one on per shift. They also have portfolio's such as clinical indicators, best practice, equip etc. Other level 2 midwives are usually early discharge home visiting midwives, staff development midwives, midwives responsible for the co-ordination of ANC, childbirth classes and such. Midwives who work independently in birth centers here are also level 2's. Hope that helps Melissa - Original Message - From: Alese mailto:[EMAIL PROTECTED] Koziol To: ozmidwifery mailto:ozmidwifery@acegraphics.com.au Sent: Tuesday, November 01, 2005 12:47 PM Subject: [ozmidwifery] level 2 midwives Dear list Amongst the discussions recently there was mention of a 'level 2 midwife'. Could someone please enlighten me... which state was this terminology used for and what exactly is a level 2 midwife? Have a medico trying to bully us into using a policy which he has obviously 'borrowed' which also uses this terminology. It is not used in Victoria. Many thanks in anticipation Alesa Alesa Koziol Clinical Midwifery Educator Melbourne _ Be the first to hear what's new at MSN - sign up to our free newsletters! http://www.msn.co.uk/newsletters -- 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] level 2 midwives
What I didn't say is in each NO1 there are 8 pay points, with NO2 there are 4 pay points, NO3 4 all the way up to NO 10 I think is the top of the perch. We are restricted by number of vacancies. Unfortunately the clinician does not get recognised in our structure with NO3's either being in education, management or research!! When this structure came out it was up to each DON to decide with the District Manager how many for each level. There are just so many inconsistencies!!! However the QNU is working on it especially with the new Nursing Interest Based Bargaining period in progress at the moment. QH culture seems to have been sweetened- new Director-General, a really sweet Health Minister (a fellow Leftie) and a clean out of objectionable honcho's -well at least some of them! Qld midwives who are in QH you will probably get your ballot end of the month if you wish to accept the short term 4% until end of March with negotiations continuing all the way through. QH is in disarray at the present time with major Forster recommendations to be implemented. Birthing reform as you are aware is continuing, more announcements yet to be made!! It's a tough ride but damn we are going to be doing it! Cheers Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Alese Koziol Sent: Tuesday, 1 November 2005 10:55 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] level 2 midwives this suggests that the nursing )midwife) officer 2 role is like the Victorian clinical nurse (midwife) specialist where the expert clincian is recognised for her/his expertise. There is no limit to the number of CNS within an organisation, maybe something for QNU to consider??? Alesa - Original Message - From: Judy Chapman [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, November 01, 2005 11:41 PM Subject: RE: [ozmidwifery] level 2 midwives As well, there are limited number of positions for NO2 so that many midwives who is able to care for complex care patients are restricted to NO1 positions purely because one does not get the position and hence pay, on ability but on the number of such positions avialable. Cheers Judy --- B G [EMAIL PROTECTED] wrote: Level 2 or Clinical Nurse (now known as Nursing Officer 2) midwives do not have to be shift coordinators. The position description (generic) primarily refers to a midwife (nurse) who is able to care for complex care clients. Unfortunately it is Queensland Health and managers who have added that aspect of co-ordinating shifts AND taking complex patient load AND having portfolio's as you describe. this is of course in your own time as there is never anytime allocated for off-line time to do these portfolio's If you look at the Nurses Award Qld and MX170 you will find full details of generic position descriptions. In our organisation NO1's co-ordinate as well even with a NO2 on the same shift. They actually get more money for it as it incorporates a 'in charge of shift allowance' NO2's don't get this. They also work in all areas you describe as these are not restricted to NO2's. I do not have on my name badge Clinical Nurse just Midwife. It is hoped with Peter Forster's review published 30/9 this whole workload and off-line time will be reviewed. Midwives who work in BC have their salary averaged (all penalties) and are paid at NO2 -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Alese Koziol Sent: Tuesday, 1 November 2005 5:20 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] level 2 midwives Thanks for the clarification Melissa, which state are you referring to? - Original Message - From: Melissa Singer mailto:[EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, November 01, 2005 4:37 PM Subject: Re: [ozmidwifery] level 2 midwives Hi Alese, Level 2 midwife (in a ward hospital setting) is the senior midwife on that shift who is responsible for the co-ordination of the shift as well as being a resource person for level 1 midwives. There is usually at least one on per shift. They also have portfolio's such as clinical indicators, best practice, equip etc. Other level 2 midwives are usually early discharge home visiting midwives, staff development midwives, midwives responsible for the co-ordination of ANC, childbirth classes and such. Midwives who work independently in birth centers here are also level 2's. Hope that helps Melissa - Original Message - From: Alese mailto:[EMAIL PROTECTED] Koziol To: ozmidwifery mailto:ozmidwifery@acegraphics.com.au Sent: Tuesday, November 01, 2005 12:47 PM Subject: [ozmidwifery] level 2 midwives Dear list Amongst the discussions recently there was mention of a 'level 2 midwife'. Could someone please enlighten me... which state was this terminology used for and what exactly is a level 2
RE: [ozmidwifery] The Advertiser today...
Sorry Tania, I must have this reply to my email. I have concerns with the thinning or another layer of midwifery with Midwife Practitioner. To me a midwife is a midwife and a midwife. OK we can all develop other competencies but basically we should be able to care for birth women and their families as per ACMI definition of a midwife. This practitioner notion concerns me as it is a spin off from nursing. A shortage of medical staff results in nurses plugging up the gap such as ordering tests, medications and pathology etc. Surely we could have these added to our core education as modules. Here in Qld there is this push that only those that have Masters can be practitioners. I know graduate midwives coming out of Uni's are beginning midwives. Contrast that with midwives with experience who now will never be be to be called a Practitioner. Cairns has been accepted by Qld Health for a trial of Midwife Practitioner primarily for remote areas such as Palm Island. It is felt being a remote location they would be better serviced by a midwife ... (I don't know the rest as I say a midwife is a midwife ). Best to contact them direct for more information. I was at the ANF Conference in Darwin last week. Victorian midwives I can understand your frustration of ANF Victoria. Cows, cows and cows behave better. Their views on midwives are so entrenched. Basically there is an enhanced acknowledgement and understanding of midwifery and midwives that I did not see last time in Hobart. The first and only midwives problem was encountered with the second motion- A2. Inclusion of midwife and midwifery in the policies of the ANF | ANF New South Wales Branch That the 2005 ANF Biennial National Delegates Conference requests the inclusion of the word 'midwife' or 'midwifery' in the body of all appropriate ANF policies, guidelines, and position statements, instead of it being just a footnote. Moved: Seconded: Background Information Currently, all ANF policies carry the following stem statement which appears directly below the title of the policy: Where the term 'nurse' is used it includes all licensed classifications including, but not limited to: registered nurse, midwife, enrolled nurse, nurse practitioner. It is evident that the needs to conciliation work to be done between the ANF branches in Victoria and ACT with the ACMI branches. Their reasoning for voting against this resolution was unreasonable and obviously there is great discomfort with midwives in general in those two states. NSW Branch state secretary Brett Holmes gave a powerful address about the need for midwives and nurses to be working together and supporting each other as there is a lot to be learnt from the midwives and they (midwives) do not have the industrial strength to do it alone. He quoted what had happened in NZ with the NZNO having to get an agreement from the NZ Midwives organisation before the government would sign off the new agreement. He said in NZ they found it unwieldy and difficult to be negotiating from two fronts. He did not want the midwives to go out and form their own union. ANF is to be considered inclusive and if we do not include midwives it would be to our (ANF) detriment - or words to that effect. I will cut and paste this onto a new thread for ozmidwifery people. Cheers Barb Tania Smallwood wrote: Not just a question for Barb, but anyone who knows about it, I'm curious to know about the Midwife/nurse practitioner that you refer to in Qld. What exactly do they do? How is this different to working within the scope of a registered midwife? I'm aware that the college is not supportive of the notion of midwives becoming NP's, but I'm actually interested in what role they play in maternity care over and above the general run of the mill midwife? Cheers, Tania -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] ANF Midwife report
Title: Message Hi all, I returned from the ANF Biannual Conferencelast week. There was a good representation of midwives there but unfortunately we did not have a chance to really network as midwives. Perhaps next time we should get together in a break. It was an interesting conference. Basically there is an enhanced acknowledgement and understanding of midwifery and midwives that I did not see last time in Hobart. The first and only midwives problem was encountered with the second motion- A2. Inclusion of midwife and midwifery in the policies of the ANF | ANF New South Wales Branch That the 2005 ANF Biennial National Delegates Conference requests the inclusion of the word 'midwife' or 'midwifery' in the body of all appropriate ANF policies, guidelines, and position statements, instead of it being just a footnote. Moved:Seconded: Background Information Currently, all ANF policies carry the following stem statement which appears directly below the title of the policy: Where the term 'nurse' is used it includes all licensed classifications including, but not limited to: registered nurse, midwife, enrolled nurse, nurse practitioner. It is evident that the needs to conciliation work to be donebetween the ANF branches in Victoria and ACT with the ACMI branches. Their reasoning for voting against this resolution was unreasonable and obviously there is great discomfort with midwives in general in those two states. NSW Branch state secretary Brett Holmes gave a powerful address about the need for midwives and nurses to be working together and supporting each other as there is a lot to be learnt from the midwives and they (midwives) do not have the industrial strength to do it alone. He quoted what had happened in NZ with the NZNO having to get an agreement from the NZ Midwives organisation before the government would sign off the new agreement. He said in NZ they found it unwieldy and difficult to be negotiating from two fronts. He did not want the midwives to go out and form their own union. ANF is to be considered inclusive and if we do not include midwives it would be to our (ANF) detriment - or words to that effect. Midwives are included and valued within QNU branch of the ANF. Sandra Eeles, midwife from Mareeba joined the QNU Council this year and I am also on the executive of QNU Council.Aside it is opportune timingas Sandra is involved in the Mareeba midwife led birthing unit and next yearI will be involved with the Redcliffe-Caboolture trials of differing models of care- small team, caseload and centreing models of care. Cheers Barb
RE: [ozmidwifery] FYI: News article for QLD maternity
Title: Message Fantastic there is our funding for North Lakes project!! We have been so pressured for several years in this Redcliffe-Caboolture district. Gold Coast Birth centre looks like it is now funded and even Beaudesert looks like it might have maternity services restored via Logan Hospital. Cheers Barb Extra $52m for maternity services From: AAP October 31, 2005 QUEENSLAND has announced an extra $52 million for maternity services in the state's public hospitals. Premier Peter Beattie said the Government would provide an extra $8.63 million for maternity services in 2005/06 and the same amount for each of the next five years to meet increasing demand. "On average about 100 babies are born in our public hospitals every day, which can also stretch maternity services in some areas," Mr Beattie said. "The $52 million funding boost starts immediately and is targeted to enable health districts to provide more maternity services and better access to them." The funding included recurrent allocations of $2.2 million a year to the Redcliffe-Caboolture district, $1.63 million to the Gold Coast, $1.5 million to the Bayside district based around Redcliffe hospital, and $1.5 million to the Logan-Beaudesert area.The money would provide additional beds, staff, equipment and support services.
RE: [ozmidwifery] The Advertiser today...
Title: Message So inaccurate about what NP are going to be doing in Qld! Trials are in various areas- ED, Palliative Care, Rural and in Cairns Midwife. There are clear defined protocol and endorsed processes 'within' hospital frameworks. Scope of practice is clearly defined. Another example of AMA scaremongering and throwing a tantrum because they cannot get their own way. Check out the Queensland Nursing Council web site for info on NP. Cheers Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Tania SmallwoodSent: Saturday, 29 October 2005 8:06 AMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] The Advertiser today... Could this be the thin edge of the wedgedo they see this as a way of banning independent midwifery too, or am I just being paranoid? Tania (who is aware that thankfully, we dont have to train as nurses any more to become a midwife, but the reality is that many of us are) http://www.theadvertiser.news.com.au/common/story_page/0,5936,17070060%255E2682,00.html Nursing back-up under attackKARA PHILLIPS, Health Reporter29oct05 INDEPENDENT nurse practitioners, who are not made to report to doctors, should not be able to work in South Australia, the Australian Medical Association says.AMA state president Chris Cain said yesterday there was "growing concern" about nurse practitioners who did not have the full back-up support of a medical team. The comments come just days after The Advertiser reported the chronic GP shortage has reached crisis point in the city's outer suburbs, with doctors claiming GP patient ratios at 1:5521 in the Woodcroft area in the south and 1:7596 around Williamstown in the north. Interstate, particularly in Queensland where doctor shortages are severe, there has been extensive debate about whether to introduce independent nurse practitioners allowed to treat some patients without answering to a doctor or hospital medical team to ease the strain on the system. "We would strongly oppose that move here in SA," Dr Cain said. "If there are doctor shortages, train more doctors don't put people with fewers skills into those positions." Dr Cain stressed the state's existing nurse practitioners, including the state's first paediatric palliative nurse practitioner Sara Fleming who started in her new role this week were not a problem. "There are doctors and audit processes to protect the health of patients." Ms Fleming, a Women's and Children's Hospital nurse, said her role would help cut treatment time and hospital stays for seriously ill children.
RE: [ozmidwifery] Women seeking midwives for homebirth in Queensland
I believe there is a midwife at Emerald who does home births. I will forward to colleagues there. Cheers Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Andrea Bilcliff Sent: Monday, 10 October 2005 8:51 PM To: Ozmidwifery Subject: [ozmidwifery] Women seeking midwives for homebirth in Queensland Forwarded with permission... - Original Message - From: Dan and Rachael Austin Hi There, I am from Central Queensland in a rural community called Theodore,approx 2 hours west from Rockhampton. Both my friend and I are trying for our second babies and we both are contemplating having a homebirth.I believe that having a homebirthwill be a life long satisfying experience for both my husband and myself. Do you have any names of independent practitioner midwives in the local district or surrounding districts perhaps from Rockhampton, Gladstone, Toowoomba, Emerald, who I could contact to assist in my birthing? Or perhaps you could direct me who to contact in QLD, the QLD homebirth association web site is currently down. Thankyou for you help, Kindest Regards, Rachael _ Dan and Rachael Austin 418 Austin's Road Gibber Gunyah Theodore, Qld, 4719 Ph: (07) 49 931 213 Fax: (07) 49 931 341 Rachael's Mobile: 0419 750 780 Dan's Mobile: 0409 896 285
RE: [ozmidwifery] FW: Too many c/s in Gawler
Title: Re: [ozmidwifery] FW: Too many c/s in Gawler Does anyone know where obstetrician Don Cave is going to in Brisbane? Hopefully not this Redcliffe- Caboolture district again. Cheers Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Justine Caines Sent: Friday, 30 September 2005 9:45 PM To: OzMid List Subject: Re: [ozmidwifery] FW: Too many c/s in Gawler Dear Tania and all I went to the Advertisers website to write a letter and noticed the lead story was allegations of blame re the deaths of 3 mental health patients due to a lack of funding etc. THIS MADE MY ALREADY HOT BLOOD BOIL!! So heres what I wrote. I can't help but compare two of your recent stories and find myself so frustrated that health bureaucrats and politicians refuse to act and provide health care based on need rather than greed. It is alleged that 3 mental health patients lost their lives due to a lack of resources (Lives Broken 29/9). On the same day a report from Gawler citing unsafe maternity practices with a soaring caesarean section rate (Too many c/s in Gawler). With caesarean rates 30% and above we know that healthy women without medical conditions are having unnecessary surgery. When there is no need this abuse of public funds is tantamount to fraud. Dr Annabelle Chans response in comparing statistics in other states was trite to say the least. There is considerable evidence that midwifery models of care reduce caesarean section, enhance womens experience, increase breastfeeding rates and save considerable amounts of money. In South Australia as in the rest of the country the majority of healthy women cannot choose primary midwifery care and are rather forced into medically dominated care, protected by huge vested interest. Remember that every health dollar wasted on a healthy patient is taken from a sick and needy one. JC xx
RE: [ozmidwifery] Shhhh dont tell
I agree. I see dependence is a mere transition phase as they start achieving and accomplishing what they want, they grow and take control of their own direction. I encourage their own decision making processes as a family unit, after all that's who they will remain connected for their lifespan, with information to make choices. You are lucky as you remain 'in touch' as a MCHN. I love it when they come and rebook their next pregnancy with toddler in tow, cuddles and catch up first before we move on to the business at hand. If only that special time could be measured and accepted as part of the business of midwifery. How many times do you hear a midwife being criticized for taking too much time with ... or being slow when they are merely engaging and caring. Love to see consistent case loading but I sigh with impatience. I am moving sideways in my career due to the intimidation/bullying and devaluing of clients in the business process. Its about time clients are the focus of care not the excuse for business of caring by indifferent midwives. Roll on you DEM I cannot wait for their breath of fresh air. Cheers Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Andrea Quanchi Sent: Monday, 8 August 2005 2:21 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] S dont tell Boy does that sound familiar. They, the midwives doing the complaining, should try it before they knock it. Until you have been with a woman with whom you have developed a relationship you cant possibly get how much professional and personal satisfaction you get, I would have said that I was personally and professionally satisfied before I took on a caseload but it was nothing compared to how I feel now. I see nothing wrong with the 'dependence' the women feel towards their known midwife and have taken steps to assist the women after they have birthed by encouraging them to continue to come to 'my' mothers group where they make lasting friendships with other women. I attend this group but in a background role as they move into a new phase of their lives. One of the advantages to also being a MCHN is that I get to see the periodically over the coming year or so. Andrea On 07/08/2005, at 10:33 PM, B G wrote: Our antenatal midwifery team was split up because the NUM decided the women were becoming too dependent on us when they came to birth and we were also caring for other women. Some midwives complained that they couldn't se why the woman want x..midwife to care for them when they were there too. Its about relationship building but then we have to deal with midwives who don't see the whole picture and a NUM who built a little kingdom around herself and control. Cheers Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Andrea Quanchi Sent: Sunday, 7 August 2005 8:52 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] S dont tell This has happened to me before to. I have had one client who needed to preceed to LUSCS but would only agree so long as I put her bung in, inserted her IDC and was able to accompany her to theatre. It was OK that day and no issue was made. I would presume of course that it was never recorded that this happened. The issue has never been with my colleagues, either midwives or doctors on the day but these issues are raised weeks later by people who were nit involved on the day. Andrea Quanchi On 07/08/2005, at 8:14 PM, Sally Westbury wrote: What is their problem?? As you are not a staff member you are not bound by their policy. I was once asked to answer to the DOM and a paed at a hospital and I told them just that. You are employed by the woman and may do anything she allows you. One wise midwife told me of a discussion at a hospital where the women would not allow any of the hospital staff to do a VE. The women would allow her independent midwife to do it. In the end she explained to the bemused staff. If this woman said I may put my fingers in her vagina then I can. If she said that you can't then you can't. If you want the information I'm happy to share it with you. Sally Westbury Homebirth Midwife Learn from mothers and babies; every one of them has a unique story to tell. Look for wisdom in the humblest places - that's usually where you'll find it. - Lois Wilson -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au
RE: [ozmidwifery] Shhhh dont tell
Andrea, Why do you feel you have to answer anything? Whilst it's difficult why do we seem to fall into the same trap of having to respond to bullying and in this case sheer intimidation from management. It's like 'my guns bigger than yours' stuff. Bluff them out. May I suggest take the patients charter of rights with you as well as a witness/support person who can withdraw you from engaging when they really try to pressure you into 'I did wrong' stuff. Good luck Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Andrea Quanchi Sent: Saturday, 6 August 2005 10:49 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] S dont tell Someone at the ICM conference gave a paper on all the stuff that goes on in midwifery that is not recorded accurately because it is easier to do it silently. her point was that until we come out and tackle it head on it will never change. The reality is that if everyone would do it it would be much easier but as a lone voice in a small place you will be hung out to dry or burnt at the stake. Even a small group can mange to manipulate a situation without detection but once it is detected watch many of them slink back into the shadows leaving one or two to face the music on their own. Still I'm up for the fight and have just spent all day drafting my reply to management without anger and I hope sounding professional and presenting the evidence supporting my practice and refuting the rubbish that they claim is best practice without any evidence to support it. They seem to think they can just say this is what we think should be and I will accept it. Slow learners obviously as I have been here for 16 years and haven't gone away yet. Andrea Quanchi On 06/08/2005, at 6:20 PM, Janet Fraser wrote: My understanding as a consumer is that hospitals will allow fathers to catch as long as all is going well but not on the record by your MIPP. Speaking as a consumer who had to transfer, part of how horrific it was (apart from general staff attitudes which created massive problems for us) was because my MW was ignored and treated with great disrespect. Considering I had been promised a seamless transfer by RWH, had a backup booking with the home birth liaison unit (which they later told me didn't actually exist in reality, just on paper, whatever that means!) and was a polite and co-operative consumer, it was stunningly atrocious. And all that despite how hard MIPPs try for it to be better. If you get staff who don't approve, you're stuffed. Trust me! Anyone who can make inroads into that system has my everlasting support and gratitude. J -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Shhhh dont tell
Tricky, but you have worked through the issues very professionally. No problem. I hope your colleagues are beside you on this. Good luck, remember you haven't done anything wrong merely supported women they want to be cared for. Cheers Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Andrea Quanchi Sent: Sunday, 7 August 2005 9:01 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] S dont tell The problem is that I work at this establishment as a midwife. Not responding to the letter would only aggrevate the situation. Part of the problem in innaction. Not recording things as they happen means the issues dont get addressed and I as I said before this may seem easier at the time but eventually it comes back to get you. I have been out on this limb for a while so the fact that its bending in the wind doesnt mean I have to get off but it means I need to be ready to hang on for the ride. I'm being philosophical today. Keep up the good wishes though because it helps. I have sought advice from many sources before responding to this as there are many issues here. Although the letter is addressed to me there are implications for other people who are friends and colleagues whose support I will need in the future. I have cried many tears last week and now have drafted a reply which I will be reviewing in the next few days with a solicitor and the ANF as I am a member before sending it in. It runs to many pages and discusses the issues as I see them. When it is finished I may post it depending on what my advice is. You have to remember that things from this list have a way of making their way back to people you don't think they will Andrea On 07/08/2005, at 7:56 PM, B G wrote: Andrea, Why do you feel you have to answer anything? Whilst it's difficult why do we seem to fall into the same trap of having to respond to bullying and in this case sheer intimidation from management. It's like 'my guns bigger than yours' stuff. Bluff them out. May I suggest take the patients charter of rights with you as well as a witness/support person who can withdraw you from engaging when they really try to pressure you into 'I did wrong' stuff. Good luck Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Andrea Quanchi Sent: Saturday, 6 August 2005 10:49 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] S dont tell Someone at the ICM conference gave a paper on all the stuff that goes on in midwifery that is not recorded accurately because it is easier to do it silently. her point was that until we come out and tackle it head on it will never change. The reality is that if everyone would do it it would be much easier but as a lone voice in a small place you will be hung out to dry or burnt at the stake. Even a small group can mange to manipulate a situation without detection but once it is detected watch many of them slink back into the shadows leaving one or two to face the music on their own. Still I'm up for the fight and have just spent all day drafting my reply to management without anger and I hope sounding professional and presenting the evidence supporting my practice and refuting the rubbish that they claim is best practice without any evidence to support it. They seem to think they can just say this is what we think should be and I will accept it. Slow learners obviously as I have been here for 16 years and haven't gone away yet. Andrea Quanchi On 06/08/2005, at 6:20 PM, Janet Fraser wrote: My understanding as a consumer is that hospitals will allow fathers to catch as long as all is going well but not on the record by your MIPP. Speaking as a consumer who had to transfer, part of how horrific it was (apart from general staff attitudes which created massive problems for us) was because my MW was ignored and treated with great disrespect. Considering I had been promised a seamless transfer by RWH, had a backup booking with the home birth liaison unit (which they later told me didn't actually exist in reality, just on paper, whatever that means!) and was a polite and co-operative consumer, it was stunningly atrocious. And all that despite how hard MIPPs try for it to be better. If you get staff who don't approve, you're stuffed. Trust me! Anyone who can make inroads into that system has my everlasting support and gratitude. J -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe
RE: [ozmidwifery] pregnancy counseling
Emily, I am not surprised with your examiner attitude. It sucks. I am surprised that you were not told you hadnt asked her address. You see we are creating snobs and we are getting confused to what really counts. Even where I work I witness midwives and Drs judging women by where they live! How do I know because I also live in this community they so badly judge. I cared for a woman who was exposed very early to rubella. She resisted quiet heavy medical and midwifery pressure to terminate. I was there for her birth and to this day I remember Tina not for her rubella baby but for her shaping my attitude. She cradled her baby in her arms and said all I wanted was to see you and love you She didnt care or see the problems. This was her baby and how dare we judge her any other way. I congratulate you for not confusing or distressing this woman any further by asking what her father thought. Putting guilt onto very vulnerable women is a lifetime curse. A very hard choice for any woman to be confronted with. For . sakes we are in 2005. We have gone far too materialistic. A bedroom drawer makes an interesting cot, a kitchen sink in a caravan makes a good bath and by exploring her options without bias is very sensible and safe. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Emily Sent: Monday, 27 June 2005 3:38 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] pregnancy counselling hi everyone im very sorry if this is too off topic, just ignore if it is!! i had an exam today with a pretend patient who came in for pregnancy test results. it was positive and she was very upset cying etc and probably wanted to have an abortion. i let her talk and found out how she felt and enquired about her partner's views, whether she was studying or working and what her main concerns where etc etc. as well as giving her unbiased info about her options the feedback i got from the examiner, i really disagree with. he said that i should have found out about her living conditions, how big her home was, who she lived with, whether her partner had a job... etc etc even what her dad would think about her having a baby and whether he was religious ! i feel that asking these questions of a distressed woman youre seeing for the 1st time is just fulfilling your own cur! iosity. it may help you make a value judgement of what you think she should do but does asking her these things (that she already knows the answers to) help her make the decision or just help you decide your own opinion ?? also wouldnt you asking those sort of questions express to her your opinion? ie if she answered she lived in a one bedroom bedsitter and didnt have a partner or job, then she may feel that youre saying these are reasons why she shouldnt have the bub. love to hear what your thoughts are because i might write a letter to the faculty about it because i definately lost marks thanks everyone - ahh exam stress hey? emily Discover Yahoo! Get on-the-go sports scores, stock quotes, news more. Check it out!
RE: [ozmidwifery] rates of pay
You need to check which award state or federal? Cheers Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jeannine Bradow Sent: Wednesday, 22 June 2005 10:23 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] rates of pay Jennifairy, try www.wagenet.gov.au it has Australian federal wages conditions of employment. Cheers Jeannine -- 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] rates of pay
You do not have to be a member of the ANF to get the rates of pay. Each state has a wageline or similar where people can access the rates. I will try and get the Qld hyperlink addy for you Cheers Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jennifairy Sent: Wednesday, 22 June 2005 2:01 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] rates of pay I have a question about rates of pay for midwives working in caseload-type models of care. I understand that each state has a different award rate (which I cant access as Im not a member of the ANF), but I also know that many institutions that have set up caseload models have got their own salary agreements, for midwives being on-call for recognition of working in a more 'autonomous' way so, for those working in these models, could you tell me what your hourly rate is? for those working in private practice, how have you decided what your fees for homebirths are? feel free to email me off-list... thanx in anticipation Jennifairy -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.7.10/25 - Release Date: 21/06/2005 -- 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.
RE: [ozmidwifery] rates of pay
Jennifairy, Yes Queensland Nurses Union annual conference is coming up soon and there is already a motion from Kirwan branch for the Queensland Nurses and Midwives Union. Thank you to those midwives. We are moving together with the nurses arm and arm primarily I feel with good will from both sides. I have heard in other states this co-operation isn't happening. Wageline is here http://www.wageline.qld.gov.au Cheers Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jennifairy Sent: Wednesday, 22 June 2005 6:05 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] rates of pay Thanx for that, but I emailed the ANF they replied they would not give me that info unless I was a member. I then called the Industrial Relations people, who were able to help me to a limited degree. I was told that a Level 3 Nurse award wage in the 1st year of practice is $44,645 per annum. By the 4th year it is $47,412. I then looked up the actual document that covers this award to get a formula for hourly rate - so $44,645 comes out to about $22.52 an hour - does that sound about right? I actually have no idea what level nurse you are when working as a midwife - anybody? As usual there is no mention anywhere that I can find about working as a 'midwife', instead of a 'nurse-midwife' - I guess it will take a while yet for the PTB's to catch up with the fact that there is now a growing number of midwives in the workforce who are not nurses. I suggested to the ANF that they think about changing their name to ANMF - I mean, theres no provision on their website even for joining up as a 'midwife' for gods sake! Whoever is in 'member recruitment' there has some work to do :)) cheers Jennifairy B G wrote: You do not have to be a member of the ANF to get the rates of pay. Each state has a wageline or similar where people can access the rates. I will try and get the Qld hyperlink addy for you Cheers Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jennifairy Sent: Wednesday, 22 June 2005 2:01 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] rates of pay I have a question about rates of pay for midwives working in caseload-type models of care. I understand that each state has a different award rate (which I cant access as Im not a member of the ANF), but I also know that many institutions that have set up caseload models have got their own salary agreements, for midwives being on-call for recognition of working in a more 'autonomous' way so, for those working in these models, could you tell me what your hourly rate is? for those working in private practice, how have you decided what your fees for homebirths are? feel free to email me off-list... thanx in anticipation Jennifairy -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.7.10/25 - Release Date: 21/06/2005 -- 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.
RE: [ozmidwifery] News article, woman refused care for being overweight.
Janet, What a fantastic web site. Thank you as this information will help the very many large ladies that I see in clinic. Their only crime being BMI 35. These women need midwifery care, just don't hand them over please. Cheers Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Janet Fraser Sent: Monday, 13 June 2005 6:38 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] News article, woman refused care for being overweight. I find this website very helpful for info on larger women and pregnancy. Cheers, J http://www.plus-size-pregnancy.org/ -- 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] Advice Please
Title: Message Hi Justine, Jan has answered it beautifully. Just another point at our hospital all mother to be of twins are pressured/bullied into a LSCS due to an (one) adverse outcome regardless of the type of twins. so now all have their day in theatre usually at 38 weeks, with all its associated problems. This adverse outcome was operator related i.e.. Consultant wanted to show off how a scan (new mobile machine in the Department) will pick up the lie ofTwin 2after the birth of twin 1. Midwifery staff and support person were pushed away with 4 medico's around the woman busy scanning her belly. One smart registrar "I cannot see the heart movement'. LSCS called 25 minutes after birth Twin 1! Sad to sayanother reason I don't work BS anymore. Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Justine CainesSent: Thursday, 21 April 2005 9:35 PMTo: OzMid ListSubject: [ozmidwifery] Advice PleaseDear AllIn my non-midwife capacity, I need help on this one please!!!This came to be via homebirth Australias websiteMany ThanksJustineI've just been told that the hospital does not ever attempt vaginal birth of monochorionic twins, and have rung another hospital and been told the same thing. We've been told that 'research shows' that it is too risky because of the risk of cord prolapse. I would imagine they would also be concerned about the placenta separating before the 2nd twin is born.I have not yet been able to find out what research they are referring to, and am in the process of looking for more info before giving up on the idea of trying for a vaginal birth. It came as quite a shock to me that it was seen as a foregone conclusion regardless of our health or the position of the babies. Obviously I wouldn't consider a home birth in this situation, but I thought your organization might be able to point me in the right direction re finding info/research/stats on this type of birth. If I'm going to go along with their recommendations I want to understand why and feel confident that it's the best thing to do.
[ozmidwifery] RE:
Title: Message I loved especially the bit about the penis, it made my hubby cringe and then laugh 'she won that point, ouch'. Well done Justine! cheers Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of sharonSent: Wednesday, 20 April 2005 7:40 PMTo: ozmidwifery@acegraphics.com.auSubject: hi just caught the program thought it was great. wonderful work in and ideal world it would be great for women to have the option of home birth covered by our medicare system. IF ONLY. congratulations for being so involved.
RE: [ozmidwifery] Midwife petition
Title: Message I agree whole heartily. Unfortunately there are some driving the agenda's that are pushing Midwife Practitioners entry are at a MASTERS level further devaluing the uniqueness levelling of midwives- we are all midwives, a midwife is a midwife. how can we possibly further the profession if we are unable to work to the full description of a midwife when we have people pushing another agenda - the practitioner level. Some Universities have beginning practitioner midwives graduating at Masters level!! In Qld we have gone through this with the qualification allowance. Initially experienced midwives were being paid less than the student graduate. those with a Masters level get an extra 5.5% those with plain midwifery 3.5% - fair not. Cheers Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Dean JoSent: Tuesday, 19 April 2005 7:46 PMTo: [EMAIL PROTECTED]Cc: [EMAIL PROTECTED]; ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Midwife petition I have had an interesting experience regarding the midwife insurance petition today that I was hoping can be passed on to those who are conducting it. There was a great opportunity for me to get quite a number of signatures today but the thing that was focused on was the wording of the document, in particular the reference to midwife Practioner. There is strong opposition to the term as it fragments the role/scope of practice of midwives. Midwives have a scope of practice which does not require the segmentation of the type of midwife. A fully trained midwife does not need to do further study or qualifications to them be a Midwife Practioner. It implies that one midwife is more qualified than another like the nurse and the nurse Practioner. The ACMI are working hard to get recognition for the role of a midwife and the scope of practiceall midwives are/should be able to do ante-natal, intrapartum and post natal including pathology and testing (despite the fact that the current system does not formally allow them to do so due to the issues with Medicare provider numbers) It was unfortunate that the wording was on the petition as no one would sign it on that ground. I know it sounds pedantic but it is a very serious issue for many midwives. Can this be passed on to those conducting the petition so they are aware of it? They can contact me if they wish to discuss it. Cheers Jo --No virus found in this outgoing message.Checked by AVG Anti-Virus.Version: 7.0.308 / Virus Database: 266.9.15 - Release Date: 4/16/2005
RE: [ozmidwifery] Contemporary midwifery critique
This is an awesome site. Can anyone help me with a midwifery/nurse theorist for these examples. Roys came to my mind when I was reading through. Thanks Lieve -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Lieve Huybrechts Sent: Friday, 15 April 2005 4:01 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Contemporary midwifery critique Hoi Sue, Robbie Davis-Floyd wrote some excellent articles about midwifery care and 'technocratic, humanistic and holistic' approach of care http://www.davis-floyd.com/art_index.html Succes Lieve Lieve Huybrechts vroedvrouw 0477/740853 -Oorspronkelijk bericht- Van: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Namens Sue Cookson Verzonden: vrijdag 15 april 2005 1:16 Aan: ozmidwifery@acegraphics.com.au Onderwerp: [ozmidwifery] Contemporary midwifery critique Hi all, Am in the midst of an assignment which includes a critical analysis of contemporary midwifery. I need some references to validate what I'm saying - fragmented care vs continuity of care, educational methods, medical dominance, socially constructed health care systems, mechanistic view vs humanistic etc etc. I'm hoping there's lots of good references amongst all of you, Many thanks, Sue -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.9.9 - Release Date: 13/04/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.9.9 - Release Date: 13/04/2005 -- 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.
RE: [ozmidwifery] caseload
We have a saying here the Union is YOU! Its not Anne Smith some faceless person, energies and information comes from ourselves. Here in Queensland QNU has a midwifery Reference group with very experienced midwives from all areas. Has NSW got that? ACMI and QNU are talking how we may progress hopefully an outcome of the maternity services review maybe case loading. Judy the Mackay model was Level 2 with an annualised salary component to accommodate the loss of shift work penalties etc. If you go to the QNU site or AIRC site look up the MX170 award which identified the specifics of the RWH Birth centre. Still not perfect but a good starting point. Cheers Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Nicole Carver Sent: Wednesday, 6 April 2005 11:08 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] caseload Hi all. I think all the stakeholders should work together for the common cause. Many midwives and nurses (working for the union) do not have the experience of continuity of care models, and are perhaps nervous about change. ACMI does not have experience of industrial matters. However, the ANF has some marvellous resources and experience advocating for the rights of health care workers. I know a bit of the background about the discussions between various stakeholders, having had discussions with Leslie, ACMI and also the ANF and there is definitely some scepticism there, and it seems that there needs to be a bit of work done on cultivating trust and good will. However, without everyone working together there is potential for power struggles to be used by the people who don't particularly want change to occur (for whatever reason). The reality is that the ANF will involve themselves, whether midwives and women invite them to or not and we must use their resources to our advantage. Kind regards to all, Nicole Carver. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Justine Caines Sent: Wednesday, April 06, 2005 10:02 AM To: OzMid List Subject: Re: [ozmidwifery] caseload I think it is important to keep ACMI central to this. When I said that the NSW Nurses Association would be interested I was sort of tongue in cheek. Nicole Leslie Arnott (MC Vic) and I met with ANF Victoria and it was a very unproductive meeting from a group of nurses who couldn't care less about the practice of true midwifery. I hope the situation has improved but what I know is the Vic Health Minister has come out with a stunning policy document and it is being resisted by several quarters! Sally I totally agree with you and hope that sop many more midwives can embrace this, as this was the fantastic care I received and most active MC members. I was really only commenting on the response we are getting from midwives and areas that have never experienced caseload. Across Australia there has been a huge resistance to employ independent midwives as mentors for caseload programs, something I constantly refer to and fight for, how can all these programs be developed by people who have no experience in them. Like asking midwives to develop a state of the art NICU!! I hope that consumers and the college can be the main support to caseload models, with midwifery representatives taking the model to the industrial body. Otherwise yet another opportunity will sit with those who have no experience of it. Hope this helps Justine -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] ACORN Standards
Title: Message Australian College of Operating Room Nurses www.acorn.org.au is the link Jo. Cheers Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Mrs Joanne M FisherSent: Friday, 1 April 2005 11:09 PMTo: OzmidwiferySubject: [ozmidwifery] ACORN Standards Can anyone point to where I can find the ACORN Standards and also what this acronym exactly stands for? Much appreciated. Cheers, Joanne.
RE: [ozmidwifery] Brisbane hospitals alleged discriminatory employment
Title: Message I trained there as Registered Nurse and dare I say it Obstetric Nurse. Before the authors of optimal foetal positioning was there I think.Small world. Cheers Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Callum KirstenSent: Thursday, 31 March 2005 5:58 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Brisbane hospitals alleged discriminatory employment I grew up in Tauranga! Kirsten ~~~start life with a midwife~~~ - Original Message - From: Pinky McKay To: ozmidwifery@acegraphics.com.au Sent: Friday, April 01, 2005 12:04 PM Subject: Re: [ozmidwifery] Brisbane hospitals alleged discriminatory employment Hi Barb, I grew up in Te Puke , did you? Pinky (nee schutt) - Original Message - From: Kim Stead To: ozmidwifery@acegraphics.com.au Sent: Thursday, March 31, 2005 12:08 PM Subject: RE: [ozmidwifery] Brisbane hospitals alleged discriminatory employment Barb - I now reside in Victoria and deeply miss midwifery 'over there'. ---Original Message--- From: ozmidwifery@acegraphics.com.au Date: 03/31/05 12:03:50 To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Brisbane hospitals alleged discriminatory employment I am interested in this alleged discrimination issue. As a QNU (not QNC) Councillor I would invite persons affected in Queensland to email me off list soI can take specifics, keeping people's identity out,to the next Council meeting. people can also contact QNU direct as well.I and others have heard of this particularly in regional rural areas so I would be disappointed if this is occurring in a very larger tertiary institution that hasa large number of existingstaff, including non DEM not to have an issue with deployment. A major health organisation still denies there is a shortage of nurses/midwives!! Unfortunately all staff in health areas are being devalued to the point to feeling they are only *tools* or a piece on a chess board that get moved around to plug up the gaps!! Workloads and its grievance format was introduced 2 years ago by the MX170 in Qld and yet we still have a major employer arguing how ones goes about closing beds- bunkum!! They do not want to know. How many midwives would be interested in joining the funded daily morning walk the DG has organised for their corporate staff? Yes this walk is funded! Wouldn't it be great to tell them how hard it is to deliver quality care at the coal face, how case loading will assist the recruitment and retention of midwives and how many Bl risk managers are frustrating the care given because you spend so much time crossing the t's and dotting the i each day! I am becoming impatient. The Health Amendment Bill 2004 is being held up at the moment for very good reasons which Qld President ACMI Jenny Gamble has written about in the journal. I won't go into that in any depth as its been done to death but at least it is being held up. I hope the bureaucrat's listens and amend the offensive parts! Kiwi Kim - isn't it great being a midwife over there.I have just come back from visiting family in Te Puke and it was inspiring to see shops/houses with these signs 'Midwifery-by-the Sea', 'Bay Midwives' and the respect people have of midwives especially the marginalised groups such as ethnics, Maori, islanders and rural communities. it is indeed a truly exciting time! Cheers Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Mrs Joanne M FisherSent: Thursday, 31 March 2005 10:00 AMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Brisbane hospitals alleged discriminatory employment I think this decision is a relatively new one by this particular hospitalandis yet to be tested by any new Australian DEM's. The Rego Board (called the QNC here) probably isn't even
RE: [ozmidwifery] Brisbane hospitals alleged discriminatory employment
Title: Message I am interested in this alleged discrimination issue. As a QNU (not QNC) Councillor I would invite persons affected in Queensland to email me off list soI can take specifics, keeping people's identity out,to the next Council meeting. people can also contact QNU direct as well.I and others have heard of this particularly in regional rural areas so I would be disappointed if this is occurring in a very larger tertiary institution that hasa large number of existingstaff, including non DEM not to have an issue with deployment. A major health organisation still denies there is a shortage of nurses/midwives!! Unfortunately all staff in health areas are being devalued to the point to feeling they are only *tools* or a piece on a chess board that get moved around to plug up the gaps!! Workloads and its grievance format was introduced 2 years ago by the MX170 in Qld and yet we still have a major employer arguing how ones goes about closing beds- bunkum!! They do not want to know. How many midwives would be interested in joining the funded daily morning walk the DG has organised for their corporate staff? Yes this walk is funded! Wouldn't it be great to tell them how hard it is to deliver quality care at the coal face, how case loading will assist the recruitment and retention of midwives and how many Bl risk managers are frustrating the care given because you spend so much time crossing the t's and dotting the i each day! I am becoming impatient. The Health Amendment Bill 2004 is being held up at the moment for very good reasons which Qld President ACMI Jenny Gamble has written about in the journal. I won't go into that in any depth as its been done to death but at least it is being held up. I hope the bureaucrat's listens and amend the offensive parts! Kiwi Kim - isn't it great being a midwife over there.I have just come back from visiting family in Te Puke and it was inspiring to see shops/houses with these signs 'Midwifery-by-the Sea', 'Bay Midwives' and the respect people have of midwives especially the marginalised groups such as ethnics, Maori, islanders and rural communities. it is indeed a truly exciting time! Cheers Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Mrs Joanne M FisherSent: Thursday, 31 March 2005 10:00 AMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Brisbane hospitals alleged discriminatory employment I think this decision is a relatively new one by this particular hospitalandis yet to be tested by any new Australian DEM's. The Rego Board (called the QNC here) probably isn't even aware of it. Another interesting point, the QNC also has to change one of it's by-laws 1st before QLD starts training their own DEM's asone of their by-laws still state thata midwife must 1st be a nurse! Theymay have already reviewed this by-law, but I have not heard about it yet, it's the only thing holding up starting DEM"s here. Your email is the only ozmid mail that comes with an attachment to me, but as you said,probably just part of your email. Cheers, Joanne. - Original Message - From: Sally-Anne Brown To: ozmidwifery@acegraphics.com.au Sent: Thursday, March 31, 2005 9:26 AM Subject: Re: [ozmidwifery] Brisbane hospitals alleged discriminatory employment Thanks for the update Joanne and the reminder re my anti virus update. Had been away for a few days and was updated yesterday around the same time I was on line. Apologies I did not realise it wasn't finnished when I sent the email through. Nearly all my ozmid mail appears to have an 'attachment' when it comes in but actually doesn't. It is the email itself that is the 'attachment' if you know what I mean. So the answer to your query is no I did not send an attachment my guess is it was the email itself. All the best for the campaign to have all midwives employed who wish to work at the Brisbane hosi's you mentioned will not employ DEM's. I think they would need to be very careful they are not setting themselves up for a discrimination claim/s as it is the registration board that determines whether the training requirements of all midwives (here and o/s) have been met to register as a midwife, and not the area health services. What does the QLD rego board think about the hospitals taking the Rego board's laws into their own hands ? One would think they might view this as the hospitals stepping over the line, as onewould imagine..!! Kind Regards Sally-Anne - Original Message - From: Mrs Joanne M Fisher To: ozmidwifery@acegraphics.com.au Sent: Wednesday, March 30, 2005 7:18 AM Subject: Re: [ozmidwifery] Re:
RE: [ozmidwifery] Brisbane hospitals alleged discriminatory employment
Title: Message Yes Pinky, I lived on a small dairy farm at Rotoehu or Pongakawa Valley -in the bush. I went to Te Puke High, nee Hastie part of the Pittar whanu as well (from Maketu). Where you one of the Paengaroa Schutt's? Would be interested to know, take care Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Pinky McKaySent: Friday, 1 April 2005 12:34 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Brisbane hospitals alleged discriminatory employment Hi Barb, I grew up in Te Puke , did you? Pinky (nee schutt) - Original Message - From: Kim Stead To: ozmidwifery@acegraphics.com.au Sent: Thursday, March 31, 2005 12:08 PM Subject: RE: [ozmidwifery] Brisbane hospitals alleged discriminatory employment Barb - I now reside in Victoria and deeply miss midwifery 'over there'. ---Original Message--- From: ozmidwifery@acegraphics.com.au Date: 03/31/05 12:03:50 To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Brisbane hospitals alleged discriminatory employment I am interested in this alleged discrimination issue. As a QNU (not QNC) Councillor I would invite persons affected in Queensland to email me off list soI can take specifics, keeping people's identity out,to the next Council meeting. people can also contact QNU direct as well.I and others have heard of this particularly in regional rural areas so I would be disappointed if this is occurring in a very larger tertiary institution that hasa large number of existingstaff, including non DEM not to have an issue with deployment. A major health organisation still denies there is a shortage of nurses/midwives!! Unfortunately all staff in health areas are being devalued to the point to feeling they are only *tools* or a piece on a chess board that get moved around to plug up the gaps!! Workloads and its grievance format was introduced 2 years ago by the MX170 in Qld and yet we still have a major employer arguing how ones goes about closing beds- bunkum!! They do not want to know. How many midwives would be interested in joining the funded daily morning walk the DG has organised for their corporate staff? Yes this walk is funded! Wouldn't it be great to tell them how hard it is to deliver quality care at the coal face, how case loading will assist the recruitment and retention of midwives and how many Bl risk managers are frustrating the care given because you spend so much time crossing the t's and dotting the i each day! I am becoming impatient. The Health Amendment Bill 2004 is being held up at the moment for very good reasons which Qld President ACMI Jenny Gamble has written about in the journal. I won't go into that in any depth as its been done to death but at least it is being held up. I hope the bureaucrat's listens and amend the offensive parts! Kiwi Kim - isn't it great being a midwife over there.I have just come back from visiting family in Te Puke and it was inspiring to see shops/houses with these signs 'Midwifery-by-the Sea', 'Bay Midwives' and the respect people have of midwives especially the marginalised groups such as ethnics, Maori, islanders and rural communities. it is indeed a truly exciting time! Cheers Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Mrs Joanne M FisherSent: Thursday, 31 March 2005 10:00 AMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Brisbane hospitals alleged discriminatory employment I think this decision is a relatively new one by this particular hospitalandis yet to be tested by any new Australian DEM's. The Rego Board (called the QNC here) probably isn't even aware of it. Another interesting point, the QNC also has to change one of it's by-laws 1st before QLD starts training their own DEM's asone of their by-laws still state thata midwife must 1st be a nurse! Theymay have already reviewed this by-law, but I have not heard about it yet, it's the only thing holding up starting DEM"s here. Your email is the only ozmid mail that comes
[ozmidwifery] Update contact shadow minister assisting leader for the status of women
Title: Message Please revise this detail in your contacts list Cheers Barb * NEW SHADOW MINISTER ASSISTING THE LEADER FOR THE STATUS OF WOMEN- TANYA PLIBERSEK Tanya Plibersek is the new Shadow Minister for Work, Family Community, Shadow Minister for Youth Early Childhood education and the Shadow Minister Assisting the Leader on the Status of Women. Born in born 1969, Tanya speaks English, Slovene and German. Her education includes a Master of Politics and Public Policy- Macquarie University and a Bachelor of Arts (Communications) (Honours) from the University of Technology, Sydney. Before entering parliament she was an adviser for Senator Bruce Childs and worked in the NSW Ministry for the Status Advancement of Women - Domestic Violence Unit and was a Womens Officer at the University of Technology, Sydney. Her areas of interest include: affordable housing in the inner city; local environment; a second Sydney airport, balancing work and family, accessible health care and education; an inclusive and cohesive society; a clean environment; affordable childcare aged care; republic; and reconciliation. Tanya can be contacted at: 422 Crown St, Surry Hills NSW 2010, Ph: 02 9357 6366, Fax: 02 9357 6466 or email mailto:[EMAIL PROTECTED] or visit http://www.tanyaplibersek.com/
RE: [ozmidwifery] niphedipine
There are two forms of nifedipine - one sub-lingual and the other 20mg for oral ingestion. We use the 20mg oral ingestion every 20 minutes by 5 doses only. but I do know some places use the S/l dose but only 10mg. One brand was the green gel capsule that one could aspirate the solution and pop under the tongue - I haven't seen that for some time. If using please warn the women the side effects which can be very uncomfortable - flushing, heat, headache and sweats are the ones that first come to mind. A very potent vasodilating agent that lowers end diastolic pressures quickly. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of ID AC Quanchi Sent: Sunday, 21 November 2004 4:32 PM To: [EMAIL PROTECTED] Subject: [ozmidwifery] niphedipine we often have cause to use niphedipine for prem labour while awaiting transfer to a tertiary centre and usually do so under advice from the obstetric people at the receiving hospital which will be either RWH, Monash or Mercy ( in Victoria). They usually ask that the women chew the first dose to break open the enteric cover on the medication and allow it to be absorbed quicker. (Because of the enteric coating even putting it under the tongue is low if you dont crush it first) A second dose can be swallowed at the same time which will be absorbed more slowly as the coating disolves in the GI tract. The subsequent doses are then swallowed. If time is not important then swallowing all doses will be OK but I figure that when a woman is suspected to be contracting then the aim is to stop it asap and time from ingestion to absorption needs to be hastened for the first dose. Hope this helps but pharmacy at the big centres is always ready to help if you want to call them Andrea Quanchi -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. --- Incoming mail is certified Virus Free. Checked by AVG anti-virus system (http://www.grisoft.com). Version: 6.0.799 / Virus Database: 543 - Release Date: 11/19/2004 --- Outgoing mail is certified Virus Free. Checked by AVG anti-virus system (http://www.grisoft.com). Version: 6.0.799 / Virus Database: 543 - Release Date: 11/19/2004 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Postnatal Observations
Are these healthy women actually woken up for obs during the night! That is ridiculous. We do daily T, P and only do the BP if elevated antenatally or in Birth Suite and then it may only be daily. If she required IOL for BP then she may be on TDS BP never at night. After the first 24 hours of a LSCS same obs. As for fundal heights we teach the women to monitor themselves and we record it daily, PV loss they tell us. If the woman expresses concern such as a sore peri we ask if they want us to look at it, if they do fine if they don't then that is fine too. After all these women are going home so soon they should know when they are well or unwell if they are empowered with some knowledge before they leave. Birth is not an illness! Cheers Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of shaz42 Sent: Wednesday, 17 November 2004 4:44 PM To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] Postnatal Observations Iam currently on the postnatal ward at the wch in adelaide and the postnatal obs they do there are 4/24 for the first 24 hours then bd then daily of tpr and bp followed by ususal postnatal checks of the woman. you can find the protocol under the s a governements protocol. - Original Message - From: Melanie Jane Dunstan [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Wednesday, November 17, 2004 4:02 PM Subject: [ozmidwifery] Postnatal Observations Hello Everyone Wondering If I can tap into your minds of wisdom. We are currently fighting with a registrar at work regarding post natal observations. At present if a woman has had a normal vaginal birth with no complications either antenatally or during the birth we do not routinely take BP, P or Temps. The registrar does not quite like this idea and is trying to change our practice as she feels that things might be missed and that birth has a huge impact on a woman's health. We have argued the point that these women are well women and that if they feel unwell we would then take observations. I guess I am wondering what the practice elsewhere is and if there is any evidence to support our practice Thanks Melanie Dunstan -- 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. --- Incoming mail is certified Virus Free. Checked by AVG anti-virus system (http://www.grisoft.com). Version: 6.0.784 / Virus Database: 530 - Release Date: 10/27/2004 --- Outgoing mail is certified Virus Free. Checked by AVG anti-virus system (http://www.grisoft.com). Version: 6.0.784 / Virus Database: 530 - Release Date: 10/27/2004 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Epidurals
Title: Message I have assisted a woman who had ITP with coags 40. Dr's were very reluctant to use an epidural and instead used a fentanyl PCA. This was very effective, she wasn't too drugged and as fentanyl has a very short half life seemed to work well with her, minmal effect on the infant at birth. Problem I had was with a senior midwife who got her pushing way too early when I was at lunch. No urge to push 'but your fully dilated love hold your breath and push'. All I could imagine was those very fragile alveoli/capillary vessels in the lungs rupturing and I would have pink frothy sputum or the cerebral blood vessel bursting causing a major cerebral event. I needed a good debrief after that one! Cheers Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of mhSent: Friday, 5 November 2004 1:19 PMTo: [EMAIL PROTECTED]Subject: Re: [ozmidwifery] Epidurals From a different perspective, we have used a PCA (Fentanyl) in labour when the mother has requested more painrelief than IM Morphine and an epidural is contraindicated, eg this week- fetal death in utero at 26 weeks, mother septic with bordeline then deteriorating coags. Labour induced with Cervagem over 36 hrs then further 24 hrs of Syntocinon. Mother could not cope with pain and circumstances any longer. This situation is infrequent. I have never seen them used with a viable baby. Monica - Original Message - From: sally To: [EMAIL PROTECTED] Sent: Thursday, November 04, 2004 9:32 PM Subject: Re: [ozmidwifery] Epidurals My Goodness!!! A PCA in labour, that's absolutely appalling. Sally - Original Message - From: Michelle Windsor To: [EMAIL PROTECTED] Sent: Thursday, November 04, 2004 9:29 PM Subject: [ozmidwifery] Epidurals While on the subject of epidurals I read an article recently about a study involving ewes which had epidurals during their labour. They wouldn't mother their young. A new term I learnt this year while doing a short contract in a private hospitalwas the "cold epidural" - the epidural you have put in prior to the start of your induction! Not sure how common this is in other places. Of course if there is any problem getting the epidural in you can always have a PCA of morphine. You can imagine the results of that - one very "stoned" mother totally uninterested in her narcotised baby. Sad but true. Cheers Michelle Find local movie times and trailers on Yahoo! Movies. ---Incoming mail is certified Virus Free.Checked by AVG anti-virus system (http://www.grisoft.com).Version: 6.0.784 / Virus Database: 530 - Release Date: 10/27/2004
RE: [ozmidwifery] Active Birth classes at Redcliffe south of Brisbane?
Redcliffe is just north of Brisbane so could you check which area you mean? -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Julie Clarke Sent: Tuesday, 12 October 2004 10:40 PM To: [EMAIL PROTECTED] Subject: [ozmidwifery] Active Birth classes at Redcliffe south of Brisbane? Hi everyone I am asking on behalf of a lovely woman who has come through my natural active birth classes here in Sydney (south) who is looking for the same type of class on offer in the south of Brisbane in the Redcliffe area for her sil. Can anyone help me out with a list of names, numbers, details of active birth classes etc for that area? Warm hug Julie Julie Clarke CBE Independent Childbirth and Parenting Educator HypnoBirthing (R) Practitioner ACE Grad Dip Supervisor NACE Advanced Educator and Trainer NACE National Journal Editor Transition into Parenthood Sessions 9 Withybrook Place Sylvania NSW 2224 Telephone 9544 6441 Mobile: 0401 2655 30 email: [EMAIL PROTECTED] visit Julie's website: www.transitionintoparenthood.com.au -- 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] Info needed urgently
Title: Message Anne Louise, Until our Obstetrician retired a few years ago we had private/public patients in the same ward cared for by the same midwives in BS and ward without any trouble what so ever. Sometimes the Obs got there late, no problems. The only issue was when they went home they couldn't access the home maternity service as the private health fund wouldn't pay the hospital. But they could access private services such as midwife, lactation consultant and the like. Cheers Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Anne ClarkeSent: Tuesday, 21 September 2004 8:53 AMTo: [EMAIL PROTECTED]Subject: 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] floradix
Title: Message I recommend it to clients especially if their haemoglobin levels are very low. Feed back is that the ladies tolerate it much better, less constipating and it really work quickly. Cheers Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Sally WestburySent: Saturday, 18 September 2004 11:18 AMTo: [EMAIL PROTECTED]Subject: RE: [ozmidwifery] floradix Many of the women I work with choose to take Floradix. It is one of several options I suggest to women who have low iron levels. I was introduced to if more than 10 years ago by one of the pregnant women I worked with. Sally Westbury Homebirth Midwife "It takes courage to remain a true advocate for women, challenging authority and sacrificing social and professional acceptance. It takes courage for a woman to choose a caregiver who will truly advocate for and empower her." -Judy Slome Cohain -Original Message-From: owner-[EMAIL PROTECTED] [mailto:owner-[EMAIL PROTECTED]] On Behalf Of Callum KirstenSent: Saturday, 18 September 2004 7:46 AMTo: [EMAIL PROTECTED]Subject: [ozmidwifery] floradix Hi all, On another list i'm on they are "discussing" Floradix. There are opinions that state its harmful because its a non regulated herbal medicine and should not be taken by pregnant or lactating woman. I had low iron levels in all my pregnancies and Floradix was recommended by mu midwife. It was fantastic andimproved my levels whereas Ferrogradumet did not. Does anyone here recommend it for their mums to be? And also what about 5W? It was common place in NZ to use it, but i haven't come across it here yet. Kirsten student midwife Darwin ~~~start life with a midwife~~~
RE: [ozmidwifery] admission ctg
Our director has made his decision on a risk assessment model of care. Litigation being the prime reason. Hence nothing to do with evidence based practice or clinical need. G... Don't you hate because if you go against the establishment policy/protocol and something happened you wont be supported by the hospital lawyers. Let there be a national insurance scheme like NZ ACC. Then we can all practise evidenced based care. Cheers Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of mh Sent: Saturday, 18 September 2004 5:18 PM To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] admission ctg Marilyn- Unfortunately, being enlightened in one area of practice doesn't guarantee enlightenment in others. This was his (very commendable) idiosyncracy; in other ways he was dismissive of others' points of view, paternalistic, inclined to do the opposite of whatever was suggested... it was a happy day for us to see a change of directors. I guess no one is all bad... or all good. We thought no one could be worse, to work with, I mean, but his successor, while easier to get along with, doesn't seem to have the same fire for reducing intervention. Oh well. The grass is always greener- Monica - Original Message - From: Marilyn Kleidon [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Saturday, September 18, 2004 11:23 PM Subject: Re: [ozmidwifery] admission ctg Monica: I think your Director needs to do a nationwide lecture tour on both admission ctg's and vbac. marilyn - Original Message - From: mh [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Friday, September 17, 2004 4:22 AM Subject: [ozmidwifery] admission ctg I work in a high risk 'Delivery Suite' in a tertiary hospital where we have frequent antenatal transfers for reasons of our own level 3 nursery. Also, because of our proximity to the state's primary Children's hospital we have antenatal transfers of care so women whose babies have particularly bad abnormalities which can be treated surgically can have their babies as close to this facility as possible. So our clientele is heavily skewed towards high risk pregnancies and extremely anxious mothers and partners. The decision was made, however, many years ago, to forgo routine admission traces in the Delivery Suite. There has to be a particular reason for doing a ctg trace on admission and they are audited frequently. I hold no brief for our long time director of Delivery Suite (now replaced) but one thing he consistently did was to try to limit the use of *routine* ctgs and also to push (very aggressively) VBAC in our hospital, so that we have a 70% success rate. It was sold to the other OG's that admission traces, per se, increased the likelihood of a C/S by I forget the rate, ?40%. We are so conservative in other areas of practice I had thought this must be the norm everywhere- is it not? How many places do routine admission traces? I would be very interested to see a cross section Monica -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] research question
Title: Message I have a dilemma. CTG's- we all know research has proven admission CTG's are of no benefit however when there has been a verbal workplace directive by the Director of O G as a litigation risk management that all admissions to Birth Suite have a routine baseline CTG and you have been diligent to carry out this with and made entry in the notes to the effect indication for CTG as per policy. I have since found out that a person doing her masters has been auditing clients charts to see how many CTG's there have been done and now wants to interview the clinicians/midwivesto discuss why we did the CTG? "To highlight the lack of clinical knowledge of midwives when they put everyone on a CTG" in Birth Suite she verbally informed me when questioned. I feel now that not only we cliniciansare in conflict with the Dr's over being told we have to do a CTG on admission, us clinician are now being treated as bloody mugs from a midwife researcher. It was only when I contacted the researcher for an explanation what her notice on the board that appeared today requesting us to write down the clients UR and our name on a piece of paper did I find out about this research. I feel abused, violated and to be honest so pissed off that a midwife has such little regard to midwives professional conduct and clinical care when we often have little control over medical directives. Another example is IVC for VBAC do we really need it. I have questioned many times why baseline CTG's to the point I was being ignored by registrars and they would go to other midwives to make sure an admission CTG be done. I capitulated asI was subjected to horizontal violence from medical staff and other midwives to the point I just do CTG's but always asking what the indication is and noting it in the notes. I do not believe this research is ethical and of no benefit to anyone other to show just how stupid we are in obeying medical directives. If we can have case loading with midwifery led care this question would not come up. Am I over reacting, any suggestion what I can do? I lock forward to your responses. Barb
RE: [ozmidwifery] Pelvic floor problems
I found the page as per link. Sunday, I downloaded the new Windows XP SP2 update that put up its own firewall as part of the package. I was unable to do anything including banking on line, yahoo games and opening links like these. I quickly removed this update as I have a good virus buster in VET. Could this be a problem for people in recent days? Just a thought. Cheers Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kirsten Wohlt Sent: Thursday, 9 September 2004 3:14 PM To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] Pelvic floor problems Hi Leanne, There doesn't seem to have been a link to the article..would be very interested to see it! Kirsten leanne wynne [EMAIL PROTECTED] wrote: Hi All, I thought this article may be of interest - it certainly supports Michle Odent's contention that if a woman cant push out her baby herself she should be given a C/S due to the damage that is done through instrumental deliveries. www.medscape.com/viewarticle/488178 Leanne Wynne Midwife in charge of Women's Business Mildura Aboriginal Health Service Mob 0418 371862 _ Click here for the latest chart ringtones: http://ringtones.com.au/ninemsn/control?page=/ninemsn/main.jsp -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Bumper stickers!
I accessed without problems but it does take time for the images to appear even with ADSL. As you said most of it is under construction. Is this part of Birth International? I thought it was a new concept. Cheers Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of leanne wynne Sent: Thursday, 9 September 2004 8:39 AM To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] Bumper stickers! Hi All, I accessed this web-site but parts of it are still under construction. Leanne. From: Mary Murphy [EMAIL PROTECTED] Reply-To: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] Bumper stickers! Date: Wed, 8 Sep 2004 14:17:34 +0800 I have not been able to connect with this website.. anyone else have any luck? MM Have a look www.midwives.com.au Leanne Wynne Midwife in charge of Women's Business Mildura Aboriginal Health Service Mob 0418 371862 _ Find love today with ninemsn personals. Click here: http://ninemsn.match.com?referrer=hotmailtagline -- 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] Request for information on current models of midwifery led care
Title: Message Helen, From my limited knowledge as an ex-kiwi there is no opportunity to sue. I hope others will correct me if I have got it wrong. If an adverse event occurs the injured person have the right to be supported or as long as it takes for recovery or for comfort by the ACC. This was set up in the early '70's people pay for this from their taxes. Effectively this is a universalinsurance scheme, no lawyers (boy did they scream loud then) and no fault access. Things were further refined about 5 years ago. I made a claim about 1978 when I was belted by a cow I was milking smashed glasses and crook back. I was paid ACC instead of a wage, had my glasses replaced and all was right. I can reactivate my claim if anything further happens although I think this aspect was changed recently. Cheers Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Graham and HelenSent: Monday, 2 August 2004 4:52 PMTo: ozmidwiferySubject: [ozmidwifery] Request for information on current models of midwifery led care Seekinga bit of information please... In the process ofMOs arguing againstmidwives working as primary carers in normal healthy low risk pregnancies, I have known them tocome out with comments such as: "What if they (the midwives)don't act on a problem and the doctor only becomes involved when the s...t hits the fanthen who's fault is it???" "Midwives aren't qualified to make the decision about when things are outside the normal" "Medical indemnity insurers will stop insuring hospitals if a doctor is not in charge" "The perinatal mortality rates would increase!" I know that midwives act as primary carers in NZ, Holland and even in WA. They are also primary care givers in various midwifery models throughout Australia. But I don't haveknowledge of the intricaciesabout truly midwifery-led models to use as ammunition. Ido know that midwives are quite able to distinguish between the normal and abnormal and if they don't refer someone on as necessary, they should be and areheld responsible as part of their registration requirements/code of ethical behaviour. When responding to such criticisms against midwives, I also like to make comparisons between GPs and Specialists. Just because a GP misses something or behaves negligently, we don't say "that's it" everyone has to go straight to see a specialist as GPs can't be trusted! But this seems to be the case when comparing midwives to doctors/specialists. For my own knowledge and to assistme in my future responses to such criticisms,can anyone tell me the following: 1. Medical indemnity status of midwives working in New Zealand - my understanding of it is that they work under the control of the health department and 2. If anyone gets sued it is the hospital/health service. Is this correct? 3. If the hospital is successfully sued, where does the money come from if a huge payout is granted. My understanding is that taxpayers all contribute somehow to a government fund for such purposes. 4. Do all the women see a doctor at the beginning of pregnancy to be screened as low or high risk or does the midwife screen them and refer them on if needed. 5. Do all women see a doctor in labour on admission or do the midwives totally provide the support/care with medicos only being called if there is a problem. 6. What are the comparisons between perinatal mortality and caesarian rates between countries with midwifery led care and Australia - I've heard they are lower but don't have any research to back my claims. I know I could search the net all day to find out the above answers but as we have so much combined knowledge on this list I decided to try here first. Thanks in advance Helen Cahill
[ozmidwifery] FW: [leftq-notice] FW: Letter US Congress PBS USFTA
Title: Message -Original Message-From: Abbott, Sarah (Sen C. Moore) [mailto:[EMAIL PROTECTED] Sent: Monday, 7 June 2004 11:11 AMTo: [EMAIL PROTECTED]Subject: [leftq-notice] FW: Letter US Congress PBS USFTA-Original Message-From: Tracy Schrader [mailto:[EMAIL PROTECTED] Sent: Monday, 7 June 2004 10:56 AMTo: Jeffcoat, Heather (Sen J. Cherry); Abbott, Sarah (Sen C. Moore);Andrew duigood; Andrew Waterfall; Beth Mohle; Brian Frost; Doug Welch;Fay; Geoff Edwards; Jesse; Joan Shears; Jodie Jansen; John Morris; RossHoward; Terrie Templeton; Victor SirlSubject: Letter US Congress PBS USFTAHi all,After groups to endorse the attached letter. There are committee hearings in the US starting 15 16 June on the Australia-US FTA so need to send soon. Could people let me know and send to other organisations who may also be interested.ThanksTracy Yahoo! Groups Sponsor ADVERTISEMENT Yahoo! Groups Links To visit your group on the web, go to:http://groups.yahoo.com/group/leftq-notice/ To unsubscribe from this group, send an email to:[EMAIL PROTECTED] Your use of Yahoo! Groups is subject to the Yahoo! Terms of Service. Letter to Congress AUSFTAPBS.doc Description: MS-Word document
[ozmidwifery] Information please
Title: Message To dear listers, Is there anyone on the list who worked with O G Dr Hassan Titiz in Melbourne? I think he was at Sunshine Hospital but cannot be sure. Cheers Barb
[ozmidwifery] Pinky's trip to Brisbane
Title: Message Last few days on the list Pinky advised us of her next visit to Brisbane. I remember it was at the Ester Centre but somehow your email has since disappeared. Is it possible for it to be resent as I have a had enquiries from people who want to attend. Thanks in anticipation Cheers Barb
RE: [ozmidwifery] Epidural
I did a great birth last week which showed the woman's strength and belief in her own body. 3rd pregnancy with twins. Usual IOL at 38 weeks but declined an epidural which was respected. History of precipitate births. I come onto Birth Suite at 2.30 with a new student who had only assisted at three births. It was busy. I assessed his mother and felt her labour was moving fast then the Registrar disappeared as anal dil was evident. This left me to supervise a student midwife to catch the first boy. Quick palp and VE then next boy followed, cephalic 4 minutes later also caught by the student midwife just as the Registrar arrived with the Director of O G. The Director was called by my colleagues as they themselves could not find the Reg. I am sure questions would have been asked of the Reg and the Consultant who was supposed to be there. Twin birth with not a Medical Officer in sight and done by a student midwife supervised by a midwife! The woman and her husband were just beaming and my mid student was stunned!! Birth happens and we are merely spectators to this wonderful event in a woman's life. This mother had faith in her body and her babies. Cheers Barb -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] who is really there for women ? long
Title: Message Ditto, well put Joy. We must always remember that all women have the right to choose. High risk women have much reduced choices but lets ensure that these women can also be attended to by midwives educated and mindful of the risk factors. Many women are delaying birth so often have pre-existing medical needs due to age. A respectful midwife, who can make a difference, in collaboration with medicalstaff that has clearly defined roles and reporting responsibilities outlined should be able to care for a so called high risk woman in the safest environment. Or are we saying they should have obstetric nurses as some often refer to hospital midwives as. I have been there for a woman in an ICU in a previous life. She was 35 weeks ventilated due to severe asthma attack. Although she was not aware of the birth, sad, at least she had a midwife who was able to tell her of the birth at a later stage. We luckily had a Polaroid to take photo's as this birth was totally unexpected!! Lets not forget some midwives would notbe comfortableto be isolated in a free standing birthing centre, is she a bad midwife for saying so Cheers Barb. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jen SempleSent: Tuesday, 14 October 2003 4:32 PMTo: [EMAIL PROTECTED]Subject: [ozmidwifery] who is really there for women ? long From Joy Johnston [EMAIL PROTECTED] : I think we all need to seeJan's caseas an extreme case. This is bullying, and unfortunately it will always occur. Even midwives can be bullies. Its a human trait to want to dominate and control. The doctor in this case may have been dreadfully upset about the loss of a baby the previous day. Hopefully he was. But his use of the experience to coerce the labouring woman and her partner into submission appears totally unfair. Access to one to one midwifery even NMAP will not change the system overnight. The woman in the story had Jan with her, and Jans a very good midwife. Women in Australia will continue to seek out the care of specialist obstetricians as long as the system biases the care in that direction. In NZ you have to pay extra to see an ob without clinical indication but there are still women who choose that option. Justines reference to NZ is an example of how vastly different the options are in NZ to here. However I have to disagree with Justines conclusion that we cant settle for midwifery programs under the acute setting AT ALL! The acute setting has a monopoly of funding for ALL births in this country, and there is no sign that thats about to change. The hospitals can offer homebirth now if they want to. In the light of all the evidence (and NMAP has put it out there for all to see) its only reasonable that hospitals will see the homebirth option as attractive for the service as well as the women. Maternity Coalition is about mothers and midwives working together for better maternity care (thats a long way from the ideal, but its pointing in the right direction). We support womens choice and access. Choice of model of care and provider of that care, and access to midwifery models of care and birth in the home or hospital. In supporting choice, we also support a womans right to choose the fully medical models of care. Australian maternity services need total reform, and thats what we are trying to bring about. Until that reform has been achieved we really cant afford to be idealistic about demanding that all midwifery be offered outside the acute (hospital) setting, when thats where the money goes, thats where the bulk of the workforce is, and thats where the woman look for their care. Joy Johnston Yahoo! Search- Looking for more? Try the new Yahoo! Search
RE: [ozmidwifery] who is really there for women ? long
Title: Message Justine, I agree with you on what you have put here. I'd love to be able to attend healthy women which most are but even healthy women can run into difficulties. It is then a 'good' midwife who would consult and refer with the woman's best interests in mind. An adverse outcome scars all, sometimes that's for life. Nice to see someone else up late. Cheers Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Justine CainesSent: Tuesday, 14 October 2003 10:43 PMTo: OzMid ListSubject: Re: [ozmidwifery] who is really there for women ? long Dear Barb and allSomehow Joy has not understood what I meant.I was talking about new programs and the fact that midwifery must have its own scope of practice. Yes women must have access to a full range of choice. No one EVER suggested taking choice away. Currently less than 1% of women can access best practice care, that of a known midwife and yet a woman has no trouble accessing a C/S with no medical indication. So my comment was about a full continuum of choice. Why should a woman seeking best practice have her rights denied, while a woman accessing unnecessary specialist care is well catered for (via the public purse!). This sad irony is that while healthy women access specialist care unnecessarily, there is the risk that those in real need can be compromised. I believe this to be a real issue in regional referral units, esp with the reduction in practitioners.The majority of women are not high risk, but best practice would allow for what you describe, the great support of midwifery in concert with other care, women in high risk situations would greatly benefit from the relationship of a known midwife, as would healthy women.When I say stand alone. I mean midwives being responsible for a full scope of practice. ie being able to care for a healthy woman throughout the episode in any setting. Naturally when there is indication of complication etc a collaborative approach is necessary. What we have now is Obstetrics determining the normal. This is against best practice and is unsafe. As I understand a midwife is trained to care for a healthy woman throughout the episode in a variety of settings, but due to medical domination the majority work in a highly fragmented system.Hope this makes more sense. JustineDitto, well put Joy.We must always remember that all women have the right to choose. High risk women have much reduced choices but lets ensure that these women can also be attended to by midwives educated and mindful of the risk factors. Many women are delaying birth so often have pre-existing medical needs due to age. A respectful midwife, who can make a difference, in collaboration with medical staff that has clearly defined roles and reporting responsibilities outlined should be able to care for a so called high risk woman in the safest environment. Or are we saying they should have obstetric nurses as some often refer to hospital midwives as.I have been there for a woman in an ICU in a previous life. She was 35 weeks ventilated due to severe asthma attack. Although she was not aware of the birth, sad, at least she had a midwife who was able to tell her of the birth at a later stage. We luckily had a Polaroid to take photo's as this birth was totally unexpected!!Lets not forget some midwives would not be comfortable to be isolated in a free standing birthing centre, is she a bad midwife for saying soCheers Barb. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jen SempleSent: Tuesday, 14 October 2003 4:32 PMTo: [EMAIL PROTECTED]Subject: [ozmidwifery] who is really there for women ? longFrom Joy Johnston [EMAIL PROTECTED] :I think we all need to see Jan's case as an extreme case. This is bullying, and unfortunately it will always occur. Even midwives can be bullies. Its a human trait to want to dominate and control. The doctor in this case may have been dreadfully upset about the loss of a baby the previous day. Hopefully he was. But his use of the experience to coerce the labouring woman and her partner into submission appears totally unfair.Access to one to one midwifery even NMAP will not change the system overnight. The woman in the story had Jan with her, and Jans a very good midwife. Women in Australia will continue to seek out the care of specialist obstetricians as long as the system biases the care in that direction. In NZ you have to pay extra to see an ob without clinical indication but there are still women who choose that option. Justines reference to NZ is an example of how vastly
RE: [ozmidwifery] Saturday Courier Mail double page spread
Title: Message Mez think- .the lucrative reproductive technology decent hours, more money, technically interesting but then they may go for ultrasounds, be at the cutting edge, develop emotionally charged super pictures of smiling babes for equally indulgent parents to be who know no different except they want their moneys worth for the private health insurance they pay. Some obstetrician are so good they then become state president of AMAQ and bellyache oops but then again that shows my bias. Cheers Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of jayne Sent: Sunday, 14 September 2003 10:06 PM To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] Saturday Courier Mail double page spread I wonder why they're doing obstetrics then How many years are they wasting training in obstetrics when they don't plan on working in this department? At least 25 per cent of doctors training in obstetrics said they did not plan to deliver babies when they graduated.
RE: [ozmidwifery] Back again...
Yep Cheers Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Wayne and Caroline McCullough Sent: Friday, 30 May 2003 11:39 PM To: [EMAIL PROTECTED] Subject: RE: [ozmidwifery] Back again... Are you refering to Jon Sullivan's wife? I used to work for the Festival when he was the Pollie. Cheers, Cas. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of B G Sent: Friday, 30 May 2003 7:29 PM To: [EMAIL PROTECTED] Subject: RE: [ozmidwifery] Back again... Congratulations on your birth. Enjoy your infant, they grow up too fast. One of the organisers of Woodford's festival wife is a supporter of NMAP and she is a pollie (and so was he at one stage) so good luck for Woodford. It is a magical festival. Keep up BAG - there is a need for the group. Cheers Barb -- 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] Back again...
Congratulations on your birth. Enjoy your infant, they grow up too fast. One of the organisers of Woodford's festival wife is a supporter of NMAP and she is a pollie (and so was he at one stage) so good luck for Woodford. It is a magical festival. Keep up BAG - there is a need for the group. Cheers Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Wayne and Caroline McCullough Sent: Friday, 30 May 2003 6:33 PM To: [EMAIL PROTECTED] Subject: [ozmidwifery] Back again... My little boy Daniel James McCullough was born on May 3 by (perceived necessary) Caesarean Section. We did up a homepage with some of the pictures from the birth and Dan's first few days if you want to take a look. The Birth story is on there too. http://members.ozemail.com.au/~iccoffee/daniel_homepage.html It has been a long hard journey for me these past 10 months but boy has it been educational and to all those on this list who told me not to go Private... You were absolutely right... That said... towards the end I was planning on homebirthing behind my obs back with the mw I hired for birth support but the forces of nature proved to be against me in the end. On the up side, I had excellent post natal care but I reckon the ward midwives had some interesting things to say about me especially since one of them found my placenta in the fridge in a plastic bag (hubby forgot to take it home... Oops! : )). If I do have another baby I will definitely be homebirthing as it seems impossible to have a positive VBA2C birth in hospitals here. I wish I was wrong about that. I doubt I'll have another anyway but will wait a couple of years before thinking about that. Anyway, I am looking forward to learning much from this list and also, just to let you know, I will be very busy in the coming months putting together and executing a media strategy to promote the NMAP here in Qld before the State Election which is due for late this year or early next year. If anyone wants any input to this and has some bright ideas or contacts please email me privately. Also, a group of us from the BAG (Birth Action Group) have put together a proposal to do a forum titled Birth in Australia-- Agony or Ecstasy at the Woodford Folk Festival this summer. We find out on August 31 if our gig has been accepted into the programme. Let's hope so. Better go and make dinner while Bub is asleep... Cheers Cas Mother to Liam born Feb 16, 2000, by emergency Caesarean after a cascade of unnecessary intervention. Mother to Daniel born by perceived necessary Caesarean May 3, 2003. -- 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] Bullying - doing something about it
Unfortunately AIRC gave us (Public sector) the Business Planning Framework as part of the interim or MX award not ratios. It is complex to describe but it seems to be working at Townsville Hospital. If you get onto their home page and look up the Red File it has the rostering project which uses the BPF. Townsville seems to be able to close beds depending on staffing levels. It amazes me. Qld members, would you believe that those first educated (L3,4,5) on the BPF had been using the abridged version leaving out getting service profiles and consultation process. How, one must ask. Please check with your delegates that the full version is used in training. We wait patiently for the final Commission decision. Homebirth midwives do have it tough but so too the hospital midwives. There have been many negative changes imposed onto midwives that have impacted on being able to provide midwifery care as it should be! Cheers Barb -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Bullying - doing something about it
Good luck Carolyn with the NSWNA elections. Andrea the conference looks good. Dearly love to go. I was recently elected to QNU Council as a member and also as the only practicing midwife. I will always speak up for midwifery practice and the families we support. Qld members please start formulating branch motions and send them in before mid May. If people feel their branch may be difficult send them to me here and I will put them through the Redcliffe branch. Give me background as well so I can speak on it. The next edition of the QNU journal highlights midwifery and the next one will have NMAP in it. Small achievements but some will see it as a negative as we are working within the Nursing Union! What you are saying about the work situation is correct? There are so many 'managers' that pay lip service to the stressors involved with care that they just turn a blind eye to everything. Near misses, keep your fingers crossed and hope or flying by your seat are common. It has to stop. If we unite and support each other can you imagine the strength. Unfortunately if one has a differing view at work they just get pushed to one side and considered nuisances. Everyone has the right to be heard and feel safe to be able to debate freely without feeling intimidated/bullied especially in a closed room. Unfortunately what I experienced at the Brisbane ACMI conference was completely the opposite. I opened my mouth with some searching questions too early at this conference and I was then treated really bad by some sections of the conference. I felt so isolated and suffered much stress. Don't think I will experience that environment again!! Mind you looking at Darwin's prices I would dearly to be one of those unwaged (one must assume) midwives. Debate in political circles at least ends with goodwill no matter what side you are on!! Cheers Barb -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Bullying - doing something about it
YES YES YES YES you can join QNU I have attempted to ensure QNU Councillors are aware/educated that there are midwives who are not nurses practicing in QLD. You are not the first midwife to do so and some have been practicing for years! QNU put out an alert recently to agency staff regarding their PI insurance. Some agencies are trying to be considered as contractors not employers thereby adjudicating their employers responsibilities. QNU does not provide PI to midwives working at home births or if midwives are self employed. Recently there were reports that some city councils are setting up Nurse Immunizers as contractors. These nurses tender for a position and then are expected to get PI. They are also unable to obtain PI in order to contract for the work and are presently working uncovered and unable to have QNU PI as they are self-employed. Cheers Barb -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Bullying - doing something about it
Sandra, What you have written is so true. People like to 'leave it to someone else' or 'I'm too busy' yet are so critical when things don't pan out the way they wish. I also feel some of that behaviour is indicative of repressed groups. Bullying behaviours are so rampant in health many people fail to see it as this, they think it is normal behaviour. Keep up your union activities up north Sandra. Good to see the media is picking up and reporting maternity service concerns. Cheers Barb -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
