Re: [ozmidwifery] midwives in Alice
Hi Astra, I have worked there about 4 years ago and have a midwife friend working there at the moment who says they are absolutely crying out for midwives. It is soley a mid unit so I don't think you would need dual qualifications. They do have student midwives there as well as midwives doing the grad program. As far as the work. there is alot of high risk as alot of the women who birth there are indigenous, and many have underlying health problems. You definitely get to see and learn new things. A doctor I was recently working with in Katherine (NT) from Zimbabwe said that the health of aboriginal people is worse than third world countries. So I guess in one sense it is great experience, but I have to admit I did miss just having normal straight forward births. Hope this helps. Cheers Michell e [EMAIL PROTECTED] 10/10/06 7:35 am Hi All,just a quick message to ask if any of you work in Alice Springs? If so, what'sit like to work there in midwifery, and would it be necessary to have dualqualifications to work there? Could direct entry midwives gain employment?Also, do you ever have students? Yours in anticipation,Astra.--This mailing list is sponsored by ACE Graphics.Visit http://www.acegraphics.com.au to subscribe or unsubscribe. * This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/ received in error. Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters. If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system 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 of disclosure, modification, distribution and/or publication of this email is also prohibited. Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person's computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email. Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
Re: [ozmidwifery] Resounding failure of active labour management
And apparently everyone was impressed with Dublin's low caesarean rate with active management (about 5% by memory).. pity that no one evernoticed that their caesarean rate was lower before active management was introduced. One thing that the Irish did have at this time (from what I've read) was a strong belief in women's ability to birth, plus one-to-one care while in labour. When many others around the world decided to take on active management they left these two vital things out. The thing that amazes me is that this originated in the 50's...time to move on to current evidence based practice! Cheers Michelle * This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/ received in error. Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters. If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system 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 of disclosure, modification, distribution and/or publication of this email is also prohibited. Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person's computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email. Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
Re: [ozmidwifery] Anaemia remedies
In the latest MIDIRS there is an article that says women in Kenya boil the leaves of avocardo trees and drink the juice to bring up their iron levels. Cheers Michelle * This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/ received in error. Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters. If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system 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 of disclosure, modification, distribution and/or publication of this email is also prohibited. Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person's computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email. Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
Re: [ozmidwifery] Birth Centres
Anne, You probably know our details, but just in case... Mackay Birth Centre opened in June 1994 Cheers Sue McPherson [EMAIL PROTECTED] 11/28/05 11:00am Dear All,Trying to find out how many Birth Centre's there are in each State and how long they have been operating for?RegardsAnne ClarkeQueensland --This mailing list is sponsored by ACE Graphics.Visit http://www.acegraphics.com.au to subscribe or unsubscribe. * This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/ received in error. Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters. If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system 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 of disclosure, modification, distribution and/or publication of this email is also prohibited. Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person's computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email. Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
RE: [ozmidwifery] NSW news
I too agree that a midwife should be fully qualified and capable of looking after normal pregnancy and birth. Having said that, I have to say that my university based training (grad dip)in no way prepared me to give complete holistic care.At 4 years post-grad I started working at the birth centre and I found it a huge learning curve, mostly in the antenatal care.Maybe this just reflects on my own training, but at the time it had more prac hours than any othermid coursein Aust. (or so they claimed). Cheers Michelle [EMAIL PROTECTED] 09/02/05 10:22am I tend to agree with you Sally!I would be interested to read the ACMI's ratiionale behind credentialling for midwives. I too believe that a qualified midwife should be fully capable and responsible to care for normal pregnancy and birth.I guess it comes back to old arguement: " A midwife is a midwife" or alternately: "When is a midwife not a midwife?"Leanne.From: "Sally Westbury" [EMAIL PROTECTED]Reply-To: ozmidwifery@acegraphics.com.auTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] NSW newsDate: Fri, 2 Sep 2005 08:04:50 +0800Sheesh..The old credentialing crap. Midwives do not need to be credentialed toprovide care for low risk women. That is what we are trained to do.Credentialing should be for things that are outside the scope of normalmidwifery care. Things like epidurals, interpreting electronic fetalmonitoring, induction of labour etc.This drives me crazySally WestburyHomebirth Midwife"Learn from mothers and babies; every one of them has a unique story totell. Look for wisdom in the humblest places - that's usually whereyou'll find it."- Lois Wilson--This mailing list is sponsored by ACE Graphics.Visit http://www.acegraphics.com.au to subscribe or unsubscribe.Leanne WynneMidwife in charge of "Women's Business"Mildura Aboriginal Health Service Mob 0418 371862--This mailing list is sponsored by ACE Graphics.Visit http://www.acegraphics.com.au to subscribe or unsubscribe. *** This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error. Any unauthorised use, alteration, disclosure, distribution or review of this email is prohibited. It may be subject to a statutory duty of confidentiality if it relates to health service matters. If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone or by return email. You should also delete this email and destroy any hard copies produced. ***
Re: [ozmidwifery] pelvic floor / incontinence
Strange how quick they are to blame women's incontinence on childbirth. What about incontinence in men Michelle [EMAIL PROTECTED] 08/30/05 12:23am Yeah, There are a lot of women out there who have never birthed vaginally who also have poor bladder control. Noticed that the gym/squash courts I go to (now owned by a nurse and hubby) has info on incontinence on the inside of the toilet doors. One good way to get the message out. Cheers Judy [EMAIL PROTECTED] 29/08/2005 10:51:13 pm Hi, this is just complete trivia, but a while ago one of the womens mags had an interview with Martina Navratalova (now I'm sure I completely masaquered that, but you know, the tennis player) At 48 she still plays international tennis, but has to go to the toilet btwn every set - no control. That can't be childbirth Barb ***This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.Any unauthorised use, alteration, disclosure, distribution or review of this email is prohibited. It may be subject to a statutory duty of confidentiality if it relates to health service matters.If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone or by return email. You should also delete this email and destroy any hard copies produced.***
RE: [ozmidwifery] if mother wants to be directed for pushing
Hi Emily, I don't think there is much evidence to support not doing VE's in labour at the moment. But I guess as most midwives will tell you that with experience you can learn to judge where the woman is at without invasive VE's all the time (of course there are always a few surprises!!) I find that the pigmentation which travels up their bottom crease as they dilate is a good indicator, as well as listening to their sounds, the things they say and their behaviour. If they were pushing and there were no signs of descent after a time then I probably would do a VE. I think the worst part of doing one to confirm that a woman is fully (apart from the discomfort to the woman) is that then the whole time factors comes into play. eg. in some hospitals they only "allow" 45 mins for a primip to push and 30 mins for a multi. So by avoiding VE's or putting them off you can buy some time for the woman. Cheers Michelle [EMAIL PROTECTED] 08/26/05 03:07pm great! thats what i was hoping. i would have hated tofind out that i needed to tell mums to ignore theirfeelings. do you know if theres any evidence to backthis up b/c where im at at the moment they always do aVE before 'allowing' mum to push haha how sadlove emily--- Michelle Windsor [EMAIL PROTECTED]wrote: I guess the big fear associated with pushing before the woman is fully is that the cervix will either swell up (and then take longer to dilate) or tear. About the only time I've seen swelling of the cervix is when women are directed to push by staff who have been mistaken in their VE (ie not fully dilated). I've never seen a problem with multi's who involuntarily push before being fully dilated. My sister had an ARM at 4 cm (induced) and began pushing almost straight after and 15 mins later had a baby! Where I work we rarely do VE's so I'm sure that lots of our mums are pushing prior to being fully and so far we haven't had any problems. Cheers Michelle Emily [EMAIL PROTECTED] wrote: i have been wondering lately about the other side of things. i was with a woman last week who was feeling strong urges to push and was pushing involuntarily at the peak of each contraction from about 4cm. she only had two VEs - 4cm and 6cm. about half an hour after the 6cm one everyone was still talking her through breathing through the contractions and trying not to push. she had been doing a lot of poo so i checked her to clean her up again and there i see half a little head sitting on her peri. the poor poor lady still trying not to push through that. i feel awful that she never got to go with her urges. so what is the alternative? should women go with what their body tells them to do if that means pushing way before they're fully? she sustained quite a bad posterior vaginal wall tear as well - would this be related at all to pushing before full dilation? love to hear your opinions because i really did feel bad for this poor lady having to fight her urges. she had so much faith in everyone.. ((anyway after all that she was very satisfied with her birth, had 8 of her family including her grandfather with her and a lovely baby girl.)) love emily --- jo wrote: InterestingI work with our local homebirth midwife as a doula and we had a client a few weeks back who never had the urge to push, baby was finally born about 51/2 hours after full dilation. The urge never came to her, she actively pushed towards the end - not directed by anyone...although not naturally occurring pushes.Jo Hunter -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Pivi Sent: Thursday, 25 August 2005 7:31 AM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] if mother wants to be directed for pushing Hi again,Like I told you earlier, I have just started a childbirth education program. One of my students just gave birth and had a quick and straight forward unmedicated 1st stage, but ended up pushing for 1.45minutes. She said she had no idea, what she had to do and told very clearly to the midwife to direct her for pushing. I had promised to be her doula if she felt she needed me, but since it all went so quickly, she never called me. I was justwondering how I would have reacted to the situation if I was there, since during the training we emphasized spontanious pushing, waiting for the urge to push and following your own feelings. I noticed there was discussion about pushing here a week ago and I read the wonderful artickle by Gloria Lemay too. But what if the mom wants to be directed? Do you ever direct a woman in 2nd stage and if so, how? The bag of waters was broken in the end of transition and water was green. She was also given syntocin 40 minutes after she started pushing, because the contractions were getting less powerful... She said she never felt a real urge to push. She was pushing on all-fours
Re: [ozmidwifery] Clinical experiences
I don't know all the details. it has come down from higher up (DON I think). Apparently we can have work experience students in the unit, as well as student nurses and medical students who are unpaid, but not student midwives. Supposedly it has got something to do withlitigation, insurance etc (???) We aren't happy about it as we feel that the birth centre has so much to offer in terms of students really seeing what normal birth is about. Like I said I don't know all the details but our NUM used to be a homebirth midwife as well as work here at the BC and I'm sure she is doing everything she can to change the situation. Cheers Michelle [EMAIL PROTECTED] 08/24/05 09:43pm Curious as to reasons Michelle, can you explain? - Original Message - From: Michelle Windsor To: ozmidwifery@acegraphics.com.au Sent: Wednesday, August 24, 2005 8:50 PM Subject: Re: [ozmidwifery] Clinical experiences Hi Lindsay, Sorry we can't offer you anything in Mackay at the birth centre. At present we are unable to have student midwivesin the BC or the maternity unit unless they are actually on staff and paid. Hope something works out for you somewhere else. Are there still some midwives doing homebirths in Cairns? Cheers MichelleLindsay Kennedy [EMAIL PROTECTED] wrote: HiFor my Diploma of midwifery I need to do some hours of 'alternativebirthing'. Originally I planned to go to Selangor in Nambour, but amworried about the cost and practicality of this. The other possibility isMareeba as it is closer... can anyone give me some input or ideas? I livein Townsville. Ideally I am looking to do 2 weeks in October as I haveleave booked.ThanksLindsay-- No virus found in this outgoing message.Checked by AVG Anti-Virus.Version: 7.0.338 / Virus Database: 267.10.10/73 - Release Date: 15/08/2005--This mailing list is sponsored by ACE Graphics.Visit to subscribe or unsubscribe. Do you Yahoo!?Messenger 7.0: Make free PC-to-PC calls to your friends overseas. You could win a holiday to see them! *** This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error. Any unauthorised use, alteration, disclosure, distribution or review of this email is prohibited. It may be subject to a statutory duty of confidentiality if it relates to health service matters. If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone or by return email. You should also delete this email and destroy any hard copies produced. ***
Re: [ozmidwifery] Clinical experiences
Sorry didn't make it quite clear what I was meaning we can have the other students (nurses, medical etc) in the maternity unit, not here in the BC. Michelle [EMAIL PROTECTED] 08/25/05 09:16am I don't know all the details. it has come down from higher up (DON I think). Apparently we can have work experience students in the unit, as well as student nurses and medical students who are unpaid, but not student midwives. Supposedly it has got something to do withlitigation, insurance etc (???) We aren't happy about it as we feel that the birth centre has so much to offer in terms of students really seeing what normal birth is about. Like I said I don't know all the details but our NUM used to be a homebirth midwife as well as work here at the BC and I'm sure she is doing everything she can to change the situation. Cheers Michelle [EMAIL PROTECTED] 08/24/05 09:43pm Curious as to reasons Michelle, can you explain? - Original Message - From: Michelle Windsor To: ozmidwifery@acegraphics.com.au Sent: Wednesday, August 24, 2005 8:50 PM Subject: Re: [ozmidwifery] Clinical experiences Hi Lindsay, Sorry we can't offer you anything in Mackay at the birth centre. At present we are unable to have student midwivesin the BC or the maternity unit unless they are actually on staff and paid. Hope something works out for you somewhere else. Are there still some midwives doing homebirths in Cairns? Cheers MichelleLindsay Kennedy [EMAIL PROTECTED] wrote: HiFor my Diploma of midwifery I need to do some hours of 'alternativebirthing'. Originally I planned to go to Selangor in Nambour, but amworried about the cost and practicality of this. The other possibility isMareeba as it is closer... can anyone give me some input or ideas? I livein Townsville. Ideally I am looking to do 2 weeks in October as I haveleave booked.ThanksLindsay-- No virus found in this outgoing message.Checked by AVG Anti-Virus.Version: 7.0.338 / Virus Database: 267.10.10/73 - Release Date: 15/08/2005--This mailing list is sponsored by ACE Graphics.Visit to subscribe or unsubscribe. Do you Yahoo!?Messenger 7.0: Make free PC-to-PC calls to your friends overseas. You could win a holiday to see them! ***This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.Any unauthorised use, alteration, disclosure, distribution or review of this email is prohibited. It may be subject to a statutory duty of confidentiality if it relates to health service matters.If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone or by return email. You should also delete this email and destroy any hard copies produced.***
Re: [ozmidwifery] Success!!!
CONGRATULATIONS Judy co. in Mareeba. Wishing you all the best. Let us know if we can be of any help. Sue, Rosie and Marion. [EMAIL PROTECTED] 06/11/05 10:52am It is now official as it is in todays Cairns Post and no doubt it will be on the news sometime. MAREEBA MATERNITY IS NOW TO BE A PILOT SITE IN QLD FOR A LOW RISK FREESTANDING BIRTH CENTRE. Thanks to the brilliant work done by the staff, the women, the community and MC, ACMI etc. Apparantly we can start 1 July. Policies are being madly written and all sort of paperwork produced as we will be under a microscope for a long time. Apart from that we have had 3 babies this week, multis who were in too good a labour to risk transferring, 3 very happy mums to birth in their own community. Cheers Judy***This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.Any unauthorised use, alteration, disclosure, distribution or review of this email is prohibited. It may be subject to a statutory duty of confidentiality if it relates to health service matters.If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone or by return email. You should also delete this email and destroy any hard copies produced.***
Re: [ozmidwifery] Fw: Friends of the Birth Centre Brisbane 10th Birthday Festival
CONGRATULATIONS to the RWH Brisbane Birth Centre. Having celebrated our 10 years last year, we know how exciting it is to celebrate such a milestone. It makes all the battles fought worthwhile, to still be offering QLD women a birthing option. We're (Midwives Friends of the Mackay Birth Centre) following your lastest battle in the media and want you to know you're in our thoughts. HAPPY BIRTHDAY Cheers Sue [EMAIL PROTECTED] 06/03/05 10:17am THE BIRTH CENTRE BRISBANE10TH BIRTHDAY FESTIVALYOU ARE INVITED!You may be aware the Birth Centre at Royal Women's Hospital Brisbane is approaching a 10 year milestone in June 2005.Friends of The Birth Centre Association do not want to let this achievement pass unrecognised. They are planning to hold a large family orientated festival on the Celebration Lawn at Roma Street Parklands on Saturday, 18th June 2005.They aim to generate public media interest with live entertainment, food, kids activities, interactive demonstrations and stalls to create a festival atmosphere.Please come one and all to offer your support particularly in the light of what has happened recently.Bring your family, friends and significant others to a day of fun and celebration.Hope to see you there,Anne ClarkeMidwifeBirth Centre--This mailing list is sponsored by ACE Graphics.Visit http://www.acegraphics.com.au to subscribe or unsubscribe. *** This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error. Any unauthorised use, alteration, disclosure, distribution or review of this email is prohibited. It may be subject to a statutory duty of confidentiality if it relates to health service matters. If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone or by return email. You should also delete this email and destroy any hard copies produced. ***
[ozmidwifery] Mackay Birth Centre student placements
Thanks to those who reponded. We have since discovered the reason no students are getting through to us is that our health service is worried about insurance and wont have suppernumery students. We are extremely disappointed with this decision. We are a group of midwives wanting to share our experience and keen for student midwives to experience a midwifery model. With a shortage of midwives one would think the health services would be keen to have help educate students!!! Those still interested let us know and we'll contact you if the situation changes. Sue and Marion *** This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error. Any unauthorised use, alteration, disclosure, distribution or review of this email is prohibited. It may be subject to a statutory duty of confidentiality if it relates to health service matters. If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone or by return email. You should also delete this email and destroy any hard copies produced. ***
[ozmidwifery] student placements
Midwifery students, looking for midwifery model experience? Try applying to the Mackay Birth Centre. PO Box 5580 Mackay Mail Centre, 4740. We offer limited student placements. Students must be prepared to come for 4 weeks and be on call during that time. We are a small Birth Centre booking 14-16 women a month. We are in a small house (overlooking the Pioneer River) on the grounds of the Mackay Base hospital. We haven't had any students in ages, where are they all??? Sue Marion *** This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error. Any unauthorised use, alteration, disclosure, distribution or review of this email is prohibited. It may be subject to a statutory duty of confidentiality if it relates to health service matters. If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone or by return email. You should also delete this email and destroy any hard copies produced. *** -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] student placements
We haven't had any BMid students yet. Cheers *** This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error. Any unauthorised use, alteration, disclosure, distribution or review of this email is prohibited. It may be subject to a statutory duty of confidentiality if it relates to health service matters. If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone or by return email. You should also delete this email and destroy any hard copies produced. *** -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] 10 years of Mackay Birth Centre
10 years ago today the Mackay Birth Centre was officially opened. We were Queenslands first Birth Centre still only one of 2 in the state. It's been a bumpy road at times, but with passionate midwives and passionate and active consumers we've made it. The Friends of the Mackay Birth Centre have planned a Birthday Party in the grounds of the BC on Sat. on Thursday 24th (Show day here) we're having a past present midwives lunch. Getting wonderful positive local press, too. So . Happy Birthday to us Sue, Marion, Rosie and Julie *** This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error. Any unauthorised use, alteration, disclosure, distribution or review of this email is prohibited. It may be subject to a statutory duty of confidentiality if it relates to health service matters. If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone or by return email. You should also delete this email and destroy any hard copies produced. *** -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Birth Centres in Australia
Morning, Mackay Nth Queensland has a birth Centre and is currently prepareing their 10th Annual report. Also our Friends of Mackay Birth Centre (FMBC) are currently organizing a web page and link up with the Brisbane Birth Centre. The ACMI Darwin conference our NPC Mackay Womens Health Unit will be attending. Please feel free to contact us for any information. Cheers Sue Coward *** This email, including any attachments sent with it, is confidential and for the sole use of the intended recipients(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error. Any unauthorised use, alteration, disclosure, distribution or review of this email is prohibited. It may be subject to a statutory duty of confidentiality if it relates to health service matters. If you are not the intended recipients(s), or if you have received this e-mail in error, you are asked to immediately notify the sender by telephone or by return e-mail. You should also delete this e-mail message and destroy any hard copies produced. *** -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] trying again-Darwin A.C.M.I.
It worked Hi, At present I am the manager of a Women's Unit at Mackay Health Service District,(1000 birth per year) which includes a birth centre. I have a clinical background as a tertiary centre birth suite midwife (Townsville), homebirth midwife, (Townsville and Mackay, for 10 years) as well as a birth centre midwife. (Mackay) Also having worked in rural and remote settings eg Congress Alukura, (Alice Springs). Since taking over the position as the unit manager, the unit has undergone yet another period of extreme change. Prior to my commencement a decision was made to close team midwifery and reverted back to a traditional model of care. Following this, the HPPD system (a workforce measuring tool) of staffing was introduced. This period of change has been challenging and I am now seeking your assistance to identify contemporary models of care for the Unit, linked to this must be a relationship to HPPD. At present this unit offers a continuum of midwifery care for low risk women. I would like to improve the care for 'High risk,' minority/disadvantaged women. So I am seeking a program that is midwifery lead for these women. I will be attending the A.C.M.I 13TH Biennial National Conference in Darwin in September and would like to take this opportunity to network with other midwives, and unit managers. Rymer Tabulo Nurse Practice Coordinator Women's Health Unit Mackay Health Service District Phone 0749686443 or 0749686000 pager8263 *** This email, including any attachments sent with it, is confidential and for the sole use of the intended recipients(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error. Any unauthorised use, alteration, disclosure, distribution or review of this email is prohibited. It may be subject to a statutory duty of confidentiality if it relates to health service matters. If you are not the intended recipients(s), or if you have received this e-mail in error, you are asked to immediately notify the sender by telephone or by return e-mail. You should also delete this e-mail message and destroy any hard copies produced. *** -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Fwd: Darwin A.C.M.I
pLEASE read attachment cheers Rymer *** This email, including any attachments sent with it, is confidential and for the sole use of the intended recipients(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error. Any unauthorised use, alteration, disclosure, distribution or review of this email is prohibited. It may be subject to a statutory duty of confidentiality if it relates to health service matters. If you are not the intended recipients(s), or if you have received this e-mail in error, you are asked to immediately notify the sender by telephone or by return e-mail. You should also delete this e-mail message and destroy any hard copies produced. *** ---BeginMessage--- Darwin.doc Description: MS-Word document ---End Message---
NNST
For those of you who may be interested! In an attempt to update information I offer to Families today I had a lenghty discussion with a chap from the Neonatal Screening Department in Brisbane. My intention was for some accurate statistics of the "routinely" tested metabolic disorders in Queensland. Responses of some questions asked. PKU- 1:12 5000 Hereditary- parents will have PKU or be carriers. 1:4 if a parent has PKU. Congenital hypothryroidism- 1:3 500 Hereditary or occurs naturally no known stats for individual occurrance. Clinical manisfestation of cretinism if newborn affected usually manifest 1-2 wks "may have irreviserable damage by then". Dept tells me they have notified parents by day 7 if NNST performed. Antithyroid drugs may induce congenital hypothyroidism. (? this factor grouped in natural occurance ?? no stats available) Cystic fibrosis- 1:3 000 Purely hereditary "most commonly affects newborns of caucasian desent". Both parents must be carriers if either parent is not affected by CF. No individual stats available for a parent affected or carrier transfer. Galactosaemia- 1:34 000 Hereditary. Females affected are usually infertile. A Woman may be a carrier, both parents must be carriers for a newborn to be affected. Most carriers or peoples affected experience intelluctual impairement (known suffers identifiable). Classical galactosaemia if untreated life expectance 2-3wks usually manifests as sepsis @ 1 week of age if diagnosed and diet modification "not expected to die" but degrees of intelluctual impairement expected also severe hepatic dysfunction and GI problems with life long diet modification. Nil differentiation between B/F and A/F. I am expecting some literature to be posted if anything remarkable will let you know. cheers Katrina -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Response for Mary
Dear Mary, Hi, I sent a response for you last week Wednesday ( I think). I'd love to share accommodation with yourself and Carol. Mary if you could please send a reply as now I'm not sure our e-mail is working as we've recently had major servicing. Cheers Katrina -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
GBS
For those interested GBS-Group B Streptococcus (Streptococcus agalactiae) is a bacterial organism that normally resides in the vagina or lower intestine of "up to one third of healty women". Many people carry GBS in their bodies but do not become ill ( they become carriers). Babies born whose Mothers have this organism have a risk of infection with this organism -risk factors indicate/suggest Pre Labour ROM is significant, however other factors compound this ie vaginal examinations length of pre labour ROM. Some suggest immediate IOL. There is a considerable amount of discussion re management strategies. The Obs at the Base here choose to perform HVS @ 36/40 and Women who were +ve (or evidence of +ve urine culture, previous history of GBS in other preganancy) were actively managed with IV antibiotics in labour and their Babies had septic screening. A positive culture may show at any time in a pregnancy, unnecessary wide spread use of prophylactic antibiotics is definately a worldwide problem and evidence based practice is essential. In conjunction with this knowledge and the new research project to be overseen by the Mater Mothers Hospital in Brisbane - our policy is under review. The main concern in the latest research is that Women who experience Pre Labour ROM are at greater risk of infection as are their Newborn babies. Here may be a good time to just look at the quoted stats on the previous e-mail. It is difficult to try to summerise so much information hence the abbrev. a good source of information may be the Corchrane data base. As with everything it becomes so very difficult to give Women accurate research so they are able to chose what best suits their Family care, desires and possible outcomes of these choices. Nobody wants to see comprimised Babies or Mothers but care strategies may also include options of greater risks becomming evident before active prophylactic management ie fever in labour, lenght of pre labour ROM, observing the Baby for resp dist or possible infection postnatally etc. Heather the abbrev- Intrapartal antibiotics if less than 35 weeks labour Caroline do the Women you care for often experience pre labour ROM or was this my misunderstanding? Hope this fills some voids cheers Katrina -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
response for Felicity
As previously mentioned this is written in an information sheet for Families- from the MMH ( Brisbane). Title- Information for women and their families on: Group B Streptococcal infection in pregnancy and Prelabour rupture of the membranes at or near term (TermPROM). (the quotes I chose to write on that particular e-mail where those which I question myself) . For those of you who may not know the MMH is the largest maternity hospital in the Southern hemisphere greater than 8000 births /year. Evidence Based Clinical Practice Guidelines I guess may be obtained from the MMH Perinatal Epidemiology Unit (these are referenced). Dr King is (I think) currently conducting numerous seminars on "management" Intriguing! cheers Katrina -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Response to Pete
The Mackay Birth Centre has recently celebrated a 5th Birthday! We are situated on hospital grounds- not within the hospital- our home has moved to a temporary location whilst we await the redevelopment of Mackay Base. The building itself was originally a 2 bedroom house where doctors lived. Women who choose to birth here choose between a variety of options- vast majority choose BC Midwifery care, minimal share care and a very small percentage choose to liase with a private obs. We provide Midwifery care at the BC any medical rx is elsewhere. 4 full-time Midwives currently work at the BC, on average we provide care for 14 families/mth with bookings spilling over to a waitlist for each mth. Guidelines prefer at least a 4hr stay-women are home within 24 hrs or alternatives are negotiated. On the whole Midwifery care continues at the family home. The Midwives work together as a team providing care for the family and also each other. Very important to add that we have exceptional support from our NPC Cathy. We are constantly evaluating and changing to optimally meet the needs of Women ourselves included. With the Base Hospital undertaking a unique Team Midwifery approach for all Women accessing the Base for Birth we now will endeavour to continue to provide care for Women requiring transfer to labour ward and the Womens Unit intrapartally. Up until now t/f involved the Midwives from the Womens Unit taking over the care of Women labouring and postnatal follow-up. 'Friends of the Birth Centre' are our wonderful consumer group who are dedicated to the growth and support of the BC. Hope this helps with your definition! Katrina -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
MARY MURPHY - THANKYOU
Would love to share accommodation! Are you travelling form Brisbane or do you know of any possible car pooling. Look forward to hearing from you. Thanks Katrina Corcoran -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Alfalfa response for Susan Kay
Hi Susan, In response to your request for a reference try ' Wise Woman Herbal For The Childbearing Year' by Susun Weed -Ash Tree Publishing'86. Discussions include -' Nettle or Alfalfa leaf infusion or tea taken throughout the pregnancy will increase available vitamin K and hemoglobin in the blood. ( mostly, recommendations/advice r/t optimal health and heamorrhage prevention in mother) "Vitamin K sources- Alfalfa, nettles, kelp. Depleters - frozen foods, rancid fats, air pollution, antibiotics, mineral oil" Section also on Herbal Pharmacy. Hope this is helpful, CHEERS Katrina Corcoran. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.