RE: [ozmidwifery] Homebirth in Dubai

2007-03-06 Thread Debbie Slater
Lisa

 

Thank you for that.  If you could get me your friend's details then that
would be great.  Many thanks   Debbie

 

  _  

From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of lisa chalmers
Sent: Monday, 5 March 2007 7:18 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] Homebirth in Dubai

 

Hi Debbie

I have a doula friend from the UK that goes between there and the Dubai. If
you want her details let me know and I'll pass them on. The doulas in the UK
also had a request recently, and several other options came up. I can get
those details too if you need them. From what I know, birthing women in
Dubai need a lot of support. Home birth is illegal as janet says, but it
still happens and theni its almost impossible to get a birth certifucate. 

Lisa

(australiandoulas)

- Original Message - 

From: Janet at home mailto:[EMAIL PROTECTED]  

To: ozmidwifery@acegraphics.com.au 

Sent: Monday, March 05, 2007 6:56 PM

Subject: RE: [ozmidwifery] Homebirth in Dubai

 

Hi

Homebirth is illegal in Dubai. Everyone births in hospital with their own
surgeon. A friend of mine came home from there to have a homebirth over
here. I can put you in touch with her, if you like.

J

 

From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Debbie Slater
Sent: Monday, 5 March 2007 5:13 PM
To: ozmidwifery@acegraphics.com.au; [EMAIL PROTECTED];
[EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: [ozmidwifery] Homebirth in Dubai

 

Does anyone know what the situation is in terms of getting a homebirth in
Dubai?   Failing that, does anyone know of any midwives/doulas in Dubai who
may have information?

 

Many thanks

 

Debbie Slater

Perth, WA

 



[ozmidwifery] Homebirth in Dubai

2007-03-04 Thread Debbie Slater
Does anyone know what the situation is in terms of getting a homebirth in
Dubai?   Failing that, does anyone know of any midwives/doulas in Dubai who
may have information?

 

Many thanks

 

Debbie Slater

Perth, WA

 



RE: [ozmidwifery] Re: Maternity coalition

2007-03-01 Thread Debbie Slater
What do I do as an MC member (actually WA State President, but that's
by-the-by)?  Well, for starters, I do the following (and more besides): 

I help out individual women with questions about maternity care in
WA.  Perhaps they want to know where they can get a waterbirth (answer:
virtually nowhere in WA public hospitals), so I can tell them what the
situation is.  I can point them in the right directions to independent
midwives, support groups etc.

I sit on a number of committees:  the Community Midwifery Programme
Steering Committee, the Exec Committee of the WA Branch of ACM, and a
Working Party for implementing a BMid at a local university.

I recently was part of a workshop canvassing comment on the new
draft consultation document on maternity services (Future Directions) and
submitted a written submission on the same document.  I also met with Dept
of Health personnel on the same subject.

I keep an eye on local and national newspapers and write comments
where I believe maternity services (and midwifery-led care in particular)
need a balanced comment.

Yes - I do lobby (sometimes), and I do advocate (sometimes), and a whole
load of things beside.  I may march on parliament if needs be, and we do
meet regularly with MP's.  What I do, do is to try and represent the women
and men who come to me, and call for midwifery-led care as the
normal/default model for maternity services.

Maternity Coalition also provides prenatal information sessions Choices for
Childbirth, although not in WA.

MC is much more than a lobbying organization (or an advocacy service).  We
represent consumers and are an umbrella organization for local groups.   For
those of you who know the National Childbirth Trust in the UK, there are
many similarities between MC and the NCT in their fledgling years 

MC are always looking for people to support their work - why not join?   Oh
- by the way - I'm the national membership secretary so all you need to do
is contact me :-)

Debbie Slater
Perth, Wa

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Lisa Barrett
Sent: Friday, 2 March 2007 6:13 AM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] Re: Maternity coalition

Like a said Jo, It's something I read and I wondered what it meant in terms 
of women.
I suppose the difference between the two definitions to me is that one is 
directly involved with the women on a individual basis to get their opinion 
noted and their needs addressed.

and the other is involved with changing political policy but doesn't involve

individuals and their difficulties but is trying over all to change for the 
common good.

I was just asking.  Can a woman come to the MC one an individual basis and 
get help from to address her individual difficulties with the system.  Which

is what consumer advocacy implies to me.  Or is it you take each case and 
put them together to lobby public opinion and government for change which is

totally different.  Or is it both.

I field calls from many people with problems in the system looking for help.

I do give strategies and advice but some woman aren't able to get what they 
want alone it would be nice to know that I could refer them on to a group 
that could get involved.  Often they don't actually want an independent 
midwife but just general help.  Although I do the best I can I'm one person.

I didn't think the maternity coalition did that sort of thing.  If they do 
I'll start suggesting women get in touch.
Lisa Barrett 

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RE: [ozmidwifery] Epidurals - entering the bloodstream

2006-12-12 Thread Debbie Slater
Kelly

 

There was some recent research reported yesterday (I think) in the press -
from Adelaide IIRC.   Evidence that the fentanyl component of epidural
effects babies and particularly their ability to breastfeed.

 

Can't get the ref to hand immediately, but it is recent research.

 

Debbie Slater

Perth, WA

 

  _  

From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Kelly Zantey
Sent: Tuesday, 12 December 2006 2:43 PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] Epidurals - entering the bloodstream

 

Hello,

 

Can anyone point me to a medical source or evidence which proves that
epidural anaesthesia enters the bloodstream? Someone in my forums has said
she has tried to find medical sources but can't find them anywhere.

 

Best Regards,

 

Kelly Zantey

 



RE: [ozmidwifery] Dancing in labour and pregnancy

2006-11-03 Thread Debbie Slater








Paivi





My understanding is (and I may well be
wrong, so please anyone tell me if I am), that belly dancing was originally
devised as a skill shown by women to women to assist them in labour  a sort
of pelvic rocking to movement.   Slow belly dancing movements are a good skill
for an active labour.



As someone who did ballet til her
mid-20s, I found that I had quite strong pelvic floor muscles, and found
it quite difficult to let go of my pelvic floor muscles during second stage.  
Ballet dancing does give you a good awareness of your pelvic floor  the instructions
of the ballet teacher to pull in and up is all about the pelvic floor and core
muscles.



Debbie Slater

Perth, WA











From:
owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Päivi
Sent: Saturday, 4 November 2006
5:26 AM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] Dancing in
labour and pregnancy







Hi all,











After being to the Midwifery conference in Germany last week
and attending a great latin american dance show last night I am inspired to
write an article about dancing and birth. I have a long history in dancing and
had easy births myself. I have talked to quite a few dancing friends lately and
all had natural labors and felt empowered by it. So if you have great stories
of women dancing trough labor or how dancing during pregnancy can help, please
share.Do you think, that dancing makes pelvic floor muscles stronger, and
that is what helps, or what other advantages can we find in dancing? How have
you seen women use rythm and movements? Does anyone know if there is difference
weather you dance ballet, ballroom,salsa or belly dance... (prenatally,
that is)











Päivi










RE: [ozmidwifery] medication question

2006-10-19 Thread Debbie Slater








I understood Thomas Hales Medication
and Mothers Milk was the bible when it came to meds
and breastfeeding .



Debbie Slater

Perth, WA











From:
owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Kate and/or Nick
Sent: Friday, 20 October 2006 4:49
AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery]
medication question





I am a final year mid
student.



This week we had the
chief pharmacist from the Adelaide WCH attend to discuss drugs in pregnancy
 breastfeeding. He said MIMS and drug company info is often unhelpful, and
misleading. They have a number anyone can call for information, and they
strongly encourage people (inc consumers, midwives, doctors) to call re meds
during pregnancy, breastfeeding and meds for children. He was awesomely
helpful, and Id give them a call. 



Service is Medicines and Drug Information Centre,
open M-F 9-5 (Adelaide
time), 08 8161 7222 



Kate











From:
owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Susan Cudlipp
Sent: Thursday, 19 October 2006
10:47 PM
To: midwifery list
Subject: [ozmidwifery] medication
question







Dear List-wives





I have a new mum who normally takes Dexamphetamine
for ADD (adult) and whose baby was quite growth retarded, probably as a result
but no-one is saying that for sure.





She has been off meds for a few weeks and is breast
feeding her little bub, really wants to continue but is not doing too well off
the meds and is getting quite scared of a repeat of PND that she had last time.





Mimms wasn't greatly helpful apart from discouraging
use in lactation and pregnancy - but as she had been using it in pregnancy
anyway





Do any of you have knowledge or experience of this
med and effects in B/F?





TIA





Sue
















[ozmidwifery] Gina Ford gagging uk discussion list

2006-08-07 Thread Debbie Slater








Apparently
GF has had her lawyers on to a UK
discussion board - Mumsnet - regarding comments made about her L







Debbie
Slater

Perth, WA












RE: [ozmidwifery] NICE Intrapartum care guidelines -draft

2006-07-10 Thread Debbie Slater
I've downloaded a copy, but at 600+ pages I haven't got around to reading it
yet:-)


Debbie Slater
Perth, WA
-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Lisa Gierke
Sent: Tuesday, 11 July 2006 10:28 AM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] NICE Intrapartum care guidelines -draft

 Has anyone read these?
Lisa


The message is ready to be sent with the following file or link attachments:

Shortcut to: http://www.nice.org.uk/page.aspx?o=333766


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RE: [ozmidwifery] List working properly???

2006-07-09 Thread Debbie Slater
One reason for outgoing mail not getting through is one's own AV software,
which can stop emails going out if they contain certain words.  That is the
case with mine.   

Debbie Slater
Perth, WA
-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Kelly @
BellyBelly
Sent: Monday, 10 July 2006 10:54 AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] List working properly???

I try really hard to be careful with my wording! But still, it seems to take
a while for replies to go through (sometimes if at all!). I do notice that
the yahoo groups go through so quickly, often instantly, perhaps you could
change to a Yahoo group instead, import all the email addresses in? It would
require less maintenance too perhaps? This appears to be a mailman list, I
used to use it and it was okay, but very fiddly.

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 Kim Hunter
Sent: Monday, 3 July 2006 5:29 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] List working properly???

Hi all,

I've looked into the problems that seem to be happening on
the list, in particularly, that not all emails are being received
by everyone.

There are two issues that could be causing this problem, the
first one is spam filters as already mentioned by Andrea.
Unfortunately, there is no perfect technology available to
make sure only real spam is filtered and all the email you
want or expect to receive actually arrive in your inbox.

This spam issue also affects some emails that are bouncing.
As I don't always have time to go through all my spam mail
to make sure I catch all bounces from the list.  Although I will
endeavour to be as thorough as I can, I do received over 100
spam emails a day (that's my problem though :-) ).

I am currently going through my spam mail to fish out any
bounces that aren't spam and will respond to anyone whose
mail has wrongly ended up in my spam inbox.

Some of the ways you can help to make sure all emails are
received:

* Have a think about the words you use in your email, spam filters
   are set up to catch key words. Some of these you may need to
   use due to the nature of your work but may also have a not spam
   typical description.

* Only send emails to the list only and not copy in other people

* Try not to use the special words in emails, like s*bscribe,
   uns*bscribe, j*in, c*ncel and h*lp (particularly in the subject heading).

* Try to remember that the list doesn't like attachments.

* When replying to messages try to only keep as much of the
   original message as is needed to make sense of your reply.  Emails
   bounce when they are too long.

* For those who view this list via the archives, unfortunately, you
   can only post emails to the list is you are a member.  There is
   no reason why you can't join to send an email and then take
   yourself off the list after your email has been sent.

I hope this is useful to you all.  Please don't hesitate to contact me
should you have any questions.

Regards
Kim




At 03:05 25/06/2006, you wrote:
Hi Everyone,

Can I first stress that this list is not moderated - no-one checks 
emails before they appear and no messages are filtered out.  This 
is one of the few email lists that are free and open in this way. 
Everyone is welcome here!

The list sometimes has problems, and we will investigate.  Sometimes 
I get messages that for some reason are redirected to my spam filter 
where I pick them up - you  could try checking there for missed 
emails. If the sender copies messages  to other email addresses at 
the same time, this seems to cause the problem for me.  For example, 
an email sent simultaneously to a string of private email address 
and/or several lists including this one, may get bounced as spam by your
ISP.

Try sending messages just to this list and don't copy to anyone else 
at the same time.

I'll ask our list manager Kim for more suggestions.

Regards

Andrea



At 09:41 AM 24/06/2006, you wrote:
The emails that I am aware of not getting through have often been 
involving the same group of people, and/or regarding birth trauma, 
the ethics of choice, and then there is also mine and Janet's 
recent emails on birthplans (I've had two emails not appear 
yesterday, one was a follow up to David's commentary on the ethics 
of choice, and one was a response to Kelly's further query about
Birthplans).

Are other people having the same difficulty, or are specific emails 
being singled out and removed? This is highly frustrating and needs 
to be remedied for the list to function fairly and 
effectively.  It's happening a lot right now but it's occurred 
multiple times historically too.

- Original Message - From: Jo Bourne [EMAIL PROTECTED]
To: ozmidwifery

RE: [ozmidwifery] NZ stats

2006-07-06 Thread Debbie Slater
Andrea

How do you define midwifery care for the UK?  As someone who had all her
children in the UK within the NHS where I was cared for by a midwife (except
in one instance where I needed intrauterine surgery and was therefore cared
for by an OB), I could not compare the over-servicing of women here in OZ,
compared to that provide in the UK. 

I wasn't quite sure what the stats you quoted were meant to imply.

The UK is far from perfect but I do believe that the choices for women in
the UK are better that currently available her (in WA anyway).


Debbie Slater
Perth, WA
-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Andrea Robertson
Sent: Thursday, 6 July 2006 10:15 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] NZ stats

Hi Pauline,

As I understand it, those that don't go to a midwife end up with a 
doctor (usually an obstetrician) and the NZ caesarean rate is over 
20%. It looks like you have either either a midwife or a caesarean in 
NZ.  Simple choice!

Regards

Andrea
currently in the UK where 68% of women have midwifery care and almost 
all the rest have a caesarean section  (the UK current stats are very 
similar to OZ, and yet they only have 3% private obstetric care 
compared to almost 40% in OZ. ?).


At 11:31 PM 6/07/2006, you wrote:
I'm a mid student and a kiwi.  At present in NZ 78% of women choose 
a midwife as their lead maternity carer.  It's nice to know that it 
is possible, when the choice is there.

Pauline Moore
WA

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RE: [ozmidwifery] How long before synto is used?

2006-06-14 Thread Debbie Slater








The UKs
NICE guidelines inherited from the UKs Royal College of Obs and
Gynea suggest that it is fine to leave pre-labour rupture of membranes up to 96
hours before induction of labour  see http://www.nice.org.uk/page.aspx?o=17381







Debbie Slater

Perth, WA











From:
owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Kelly @ BellyBelly
Sent: Wednesday, 14 June 2006 8:48
PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] How long
before synto is used?





For those who work in maternity units, I am just
wondering what the policy is in your unit in regards to how long a woman can
continue after her waters have broken before having synto put up? There seems
to be such pressure to put it up fairly quickly (after you ask to at least wait
at all!), with an average of about 1 hour before the woman gets the pressure to
speed things up.

Best Regards,

Kelly Zantey
Creator, BellyBelly.com.au 
Gentle Solutions From
Conception to Parenthood
BellyBelly Birth Support
- http://www.bellybelly.com.au/birth-support










RE: [ozmidwifery] MOY interview

2006-05-05 Thread Debbie Slater








Mary



Could you post what she said? I know
that you  the modest person that you are  would not blow
your own trumpet, but I would love to hear what she said about midwifery
skills.



Debbie





Debbie Slater

Perth, WA











From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]
On Behalf Of Mary Murphy
Sent: Saturday, 6 May 2006 6:51 AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] MOY
interview





Thanks Jan and everyone
else! I was thrilled that the essence of midwifery was being
celebrated. The woman who wrote the nomination was concise and eloquent
in her praise of midwifery skills. She captured the spirit of one to one
midwifery care in about 50 words. It is all I have strived to achieve
over the years. It is all that midwives can achieve if they are given the
right environment. MM








[ozmidwifery] Home birth in the UK

2006-03-24 Thread Debbie Slater








You
might be interested in this circular that has just come out of the Nursing and
Midwifery Council in the UK.



http://www.nmc-uk.org/aFrameDisplay.aspx?DocumentID=1446



There
are some lovely quotes:



Midwives are experts in normal birth and the NMC's
standards require them to be competent to support women to give birth normally
in a variety of settings including in the home.



Withdrawal
of a home birth service is no less significant than withdrawal of services for
hospital birth



Research
over the last couple of decades suggests that home birth is as least as safe as
hospital-based birth for healthy women with normal pregnancies.





Debbie
Slater

Perth, WA












Re: [ozmidwifery] Breastfeeding a premmie baby (very long)

2005-01-07 Thread Debbie Slater
These are my comments about feeding a premmie at 34 weeks.  DS2 was born at 
34 weeks, and fed my tube (both EBM and DBM - we had a milk bank) for the 
first 5 days or so.  At around day 5 I was there to breasfteed on demand but 
at least every 4 hours (baby woken to feed if this was the case).

I had a go at breastfeeding first and then baby was fed EBM/ DBM if that was 
felt not enough (there was weighing before and after feeds which I used to 
lie about :-)).

I needed lots of quiet time with my son - with no interuptions.  He was 
tired and suckled infrequently.  But the staff encouraged me to keep at it.

After about a week, he was feeding well, but basically I was there all the 
time to feed when he woke.  Special room to settle and feed - every 
encouragement to breastfeed.   Bottle feeding was a last resort and not 
offered as a first option.This was 10 years ago in the UK.

Breastfeeding premmies can be done, but what you need is the support of NICU 
staff and the right setting (we had a special room set aside with low 
lighting etc, to help us).

Baby went home before term, fully breasfted and never had a bottle :-)
I would be happy to talk more offlist.
Debbie Slater
Perth, WA
- Original Message - 
From: Miriam Hannay [EMAIL PROTECTED]
To: ozmidwifery@acegraphics.com.au
Sent: Friday, January 07, 2005 7:04 PM
Subject: Re: [ozmidwifery] Breastfeeding a premmie baby (very long)


Hi all, hope you can help me with advice for a follow
through woman (i am a commencing 2nd yr Bmid
student)who had her babe by emerg. LSCS at 35 weeks on
22nd December due to PROM + active labour, baby
footling breech. Babe was 2490 grams at birth but had
pretty bad RDS and spent a week in NICU requiring
heaps of oxygen support. All's well now, and mum has
marvellous milk supply which she would love to give
her baby, BUT!!
The woman has been expressing 8 times in 24 hours and
getting 60-100 mLs per session, babe is being gavage
fed in nursery and is constantly sleepy and not keen
to go on the breast. When the woman requested no dummy
and bottle and to be called when her babe woke to
start establishing demand feeding at breast, staff
immediately became VERY negative, refusing to speak
with her, ignoring requests for assistance etc. She
was told she was 'doing it the hard way' and that if
she refused to allow her baby to be given EBM by
bottle she would end up stuck in hospital for weeks.
She has allowed the baby to be given EBM by bottle and
does feel that breastfeeding is improving but feels
uncomfortable with staff and that she's not being
given the chance to give breastfeeding a good shot. I
have watched her feed and when alert the baby feeds
well, the woman's attachment technique is great and
they are a great unit. I have four of my own, all
extended breastfed so I feel confident in supporting
her breastfeeding but am lost with these nursery
protocols. One midwife told her that nipple confusion
was 'crap' and that without bottle feeding as
transition her baby would take much longer
'graduating' to the breast. Every core of my being
screams out that these people are WRONG but i'm not
sure where the best evidence lies. My Maye's Midwifery
supports the idea of demand feeding premmies and
avoiding nipple confusion but the info is a little
light for my liking. What do you all think? This woman
has been told to expect her baby to be in hospital
until she's term but she's desperate to get her home
ASAP. Any advice would be wonderful, regards, miriam
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Re: [ozmidwifery] helpful tip

2005-01-07 Thread Debbie Slater
It sounds very like one of the stretches that my personal trainer uses at 
the end of a training session :-)

Debbie
Perth, WA
- Original Message - 
From: Jen Semple [EMAIL PROTECTED]
To: ozmidwifery@acegraphics.com.au
Sent: Saturday, January 08, 2005 8:38 AM
Subject: Re: [ozmidwifery] helpful tip


I read this too in the Midwifery Today forum.  For the
life of me, I can't get a picture in my head of what
this manipulation might look like!  Have any of you
tried this or somethingsimilar before?
Jen
--- Mary Murphy [EMAIL PROTECTED] wrote:
The Art of Midwifery
To turn a posterior baby: Have the woman lie on her
left side with her left leg straight down and in
line with her body and her right leg raised and
brought up toward her face, head curled down toward
knee. [I am short so having her place her knee on my
shoulder is the right height and position.] During a
contraction, push down and back on bottom leg and up
and abducted with top leg. That seems to open pelvis
and allows baby to turn with the contraction. I
usually see a funny look on mom's face, and baby is
on perineum immediately.
- Claudia Toms
Midwifery Today Forums
www.midwiferytoday.com/forums/
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Re: [ozmidwifery] mw needed

2004-11-25 Thread Debbie Slater



Denise

Nikki Macfarlane is a Doula and CBE (trained with 
the NCT in the Uk before movoing to Singapore about 4 years ago). 
She may well be able to help.

Her details are:

Nikki MacfarlaneChildbirth Educator 
 Doula (Labour Supporter)Singaporehttp://www.parentlink.org 


Debbie

  - Original Message - 
  From: 
  Denise Hynd 
  To: [EMAIL PROTECTED] 
  
  Sent: Thursday, November 25, 2004 3:17 
  PM
  Subject: [ozmidwifery] mw needed
  
  
  
  
  
  any one know any thing about singapore birth 
  options or any midwives in private practise ?avalibility of home birth 
  jan
  
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Re: [ozmidwifery] KYM- Caroline Flint Query.

2004-11-16 Thread Debbie Slater
Caroline Flint's has some essays on her birthcentre website.
This essay includes a reference to a 1986 paper.
HTH
http://www.birthcentre.com/essays/the_know_your_midwife_scheme_2.htm
Debbie Slater
Perth, WA
- Original Message - 
From: Tania  Laurie [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Tuesday, November 16, 2004 5:26 PM
Subject: Re: [ozmidwifery] KYM- Caroline Flint Query.


A couple of references that may be helpful:
Flint C (1993). Continuity of care provided by a team of midwives - the 
Know
Your Midwife Scheme. In Midwives, Research and Childbirth, volume II. S
Robinson and A Thomson eds. Chapman  Hall, London, pp72-103.

Flint C (1993). Midwifery Teams  Caseloads. Butterworth-Heinemann, 
Oxford.

I'm sure there are more, but I just can't lay my hands on them at the
moment.
Tania
BMid UniSA
- Original Message - 
From: Graham  Wende Smith [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Tuesday, November 16, 2004 11:44 AM
Subject: [ozmidwifery] KYM- Caroline Flint Query.


A student midwife at our rural unit  needs info on the KYM scheme as
devised by Caroline Flint. Specifically related to events in 1987. She
doesn't know what event(s) in 1987 -  it is a date mentioned by her
lecturer. She doesn't have internet access at the moment so I
volunteered to ask for her.
She is receiving a well rounded education at the moment - depending on
one's point of view  of course!
 She and I watched over a primip's waterbirth last week of an OP baby
who took 3 hours of non-directed pushing to emerge. Sunday night  an
asymptomatic primip had a seizure with a head on view.  A week or so ago
there was an intervention free planned term vaginal twin birth and two
colleagues have had VBACS.! Night duty is definitely the time to
experience everything  midwifery practice can throw at you.
Thank you on her behalf for any info you can supply.
Wende  ( at the coal face since 1972 )
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[ozmidwifery] Home Birth Awareness Week

2004-10-26 Thread Debbie Slater



... and news out today of some new research showing 
that babies born by CS are more prone to stomach upsets etc. due to the fact 
that they are not exposed to natural bacteria during birth which stimulate the 
baby's immune response.

Debbie Slater
Perth, WA


Re: [ozmidwifery] admission ctg

2004-09-20 Thread Debbie Slater
The National Institute of Clinical Excellence (NICE) in the UK, and which is 
the statutory body the provides recommendations to the National Health 
Service.  Clinicians are supposed to follow these guidelines.

It has issued guidelines on fetal monitoring.
It recommends intermittent auscultation for women who are 'healthy and have 
a trouble-free pregnancy', and says that the evidence does not support the 
use of EFM (i.e. a ctg) on admission.

There are full guidelines, and summaries available - see
http://www.nice.org.uk/page.aspx?o=20051
Debbie Slater
Perth 

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Re: [ozmidwifery] wanting homebirth

2004-09-20 Thread Debbie Slater
Jo
Contact them now and they will send you the info.  They don't usually accept 
formally on to the programme until 12 weeks gestation but it is better to 
contact asap as it get booked up.

Regards
Debbie
Perth
- Original Message - 
From: JoFromOz [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Monday, September 20, 2004 9:11 AM
Subject: [ozmidwifery] wanting homebirth


If, for example, a midwife found out she was pregnant last night,  and 
wanted a home birth with the community midwifery program in WA how 
early should she contact them to book in, and does she need a GPs 
referral??

Thanks,
Jo ;)
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[ozmidwifery] Childbirth without Fear

2004-09-05 Thread Debbie Slater



I am cross-posting a message from an NCT list that 
I am on.

I gather that the book will be also be available 
from Capers and Birth International soon - but thought you might be interested 
in this.

Debbie

Dear 
All,You may remember that I wrote six months ago letting you know that 
mypartner and I bought the rights for 'Childbirth without Fear' by 
GrantlyDick-Read - well, it's published on Monday!We have chosen to 
publish the last version Grantly Dick-Read completed themonth of his death 
(there've been several heavily edited editions since).Michel Odent wrote the 
introduction and the book received wonderful supportfrom S. Kitzinger, J. 
Balaskas, Yehudi Gordon and Andrea Robertson.We also unearthed a 
documentary record of the birth of a baby delivered byGD-R from 
1956!You can get more info on our website at http://www.pinterandmartin.com, andthe book is also available from NCT Maternity 
Sales(http://www.nctms.co.uk).


Re: [ozmidwifery] Cheap community-based childbirth ed.

2004-08-10 Thread Debbie Slater
Sylvia

When I moved to the Australia and met up with fellow NCT ANT Mel Gregory, we
set about trying to set up our own independent classes here in Perth.  It
was jsut so difficult...

We had been so used to having more people wanting our classes than we could
deal with through the NCT, and thought the same need would be here.

Sadly most women just didn't see the need - I pay an obstetrician to tell
me what to do and how to go about it, why should I go to someone else for
information that he/ she will give me. is a common statement.

We have just done some classes through the Community Midwifery Programme
here, and it was a delight, but don't know how often we will get the chance.

Debbie Slater
Perth, WA
- Original Message - 
From: Sylvia Boutsalis [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Tuesday, August 10, 2004 4:58 PM
Subject: RE: [ozmidwifery] Cheap community-based childbirth ed.


 like zombies gone down the conveyer belt into the hospital
   closest to
   them (cause it has really nice decor...don't laugh I said the same
   thing with my first!), have gone into the mainstream clinics, and
   will be attending the child birth classes offered by the hospital. I

   have given tem Choices in Childbirth phone numbers, sent tem
 information
   about the workshops they do, sent them MC stuff, sent them stuff on
   the realities of cs I our society and so onbut blindly they
   still walk
  away.


 I'm a Childbirth Educator in Adelaide. I've recently returned from the
 UK (Husband's work) where I trained through the National Childbirth
 Trust.  I facilitate classes for 1st time couples which covers late
 pregnancy, labour, birth and early parenthood.  I extended my studies to
 include Infant Massage as well so that it could be an extension of the
 classes after all the babies were born to keep the group meeting.  I
 tried to throw myself into it when I returned but found little interest.
 It's a shame when I would love to give these couples information to
 enable them to go into labour with clear ideas of what THEY want for the
 birth of their child. I haven't given up!

 Sylvia Boutsalis
 Adelaide


 -Original Message-
 From: [EMAIL PROTECTED]
 [mailto:[EMAIL PROTECTED] On Behalf Of Honey Acharya
 Sent: Sunday, 8 August 2004 8:58 PM
 To: [EMAIL PROTECTED]
 Subject: Re: [ozmidwifery] Cheap community-based childbirth ed.



  I hope you don't mind me jumping in on this conversation.
 You wrote Does anyone run Birthing from Within classes anywhere in
 Australia? These
  classes feinetly have a structure but they also are designed from a
 women's
  way knowing perspective trying to draw out, expose if you will the
 woman's
  intuitive self.

 Birthing Rites Australia in Bondi Junction Sydney runs fantastic
 childbirth education classes, much more focused on learning to trust
 yourself and your body. Looking at the Feeling and emotional side to
 birth not just the physical. They are not Birthing from Within
 structured but they have their own special style as taught by Marie
 Burrows. They also have a wonderful Postnatal group that meets on
 Fridays, you can attend while pregnant also and learn lots of
 interesting info about breastfeeding, postnatal depression, parenting,
 connecting with other women etc I think it is a donation of $5 or $10
 which includes morning tea.

 I love Birthing From Within and have recently read it twice, should be
 on the recommended reading list for all Pregnant women.

 My experience is the majority of women/couples will still attend the
 hospital classes even if they go to something independent.

 I am in Townsville and the best informal pregnancy learning we have is
 the Prenatal Yoga run by Karen Shlegeris a childbirth educator. She
 teaches lots of really useful stuff in amongst the yoga. (I went to a
 Prenatal Yoga class in Sydney recently and it was just about the yoga,
 very disappointing
 really.) Women here also come back to tell their stories and lots of
 networking between women happens and many friendships are made. We have
 also set up a Healing Birth debriefing support group (which includes
 VBAC
 support) and another woman and I have just started working as Doulas
 (birth support people).

 We have 1 Public and 2 private hospitals here and no independent
 midwives. The c-sec rates are approx 25%, 40% and 60% and we hear many
 horror stories and talk to many traumatised parents (some in the extreme
 who won't have any more children because of their experiences in
 childbirth-maybe the politicians should think more about choices in
 childbirth when they are promoting and trying to increase the birth
 rates in Australia). Sorry I don't have any other figures of other
 medical interventions and these rates were told to me by the midwives
 from these hospitals so they are not official stats but they give you an
 idea. There are an increasing number of women in Townsville choosing
 unattended homebirths (most would employ a midwife

Re: [ozmidwifery] the UK unit that owered it's cs rate

2004-08-03 Thread Debbie Slater



Jo

It was the North Hants Hospital in 
Basingstoke. Below is the message that was sent to the NCT list that I 
amon which. The person who told us about it is a member of the 
Maternity services comittee there.

St George's in Tooting, London have also reduced 
their rate from 24 to 18 percent. 

Debbie

The North Hampshire Hospital, Basingstoke, 
has halved its caesarean sectionrate!The Head of the Labour Ward 
(Carol) is behind it, supported by the LeadObstetrician (Claire). Carol was 
at the last Rising Caesarean RateConference in January and expressed her 
frustration that it was all very wellbut what *exactly* had to happen to get 
the rate down. The Maternity Forum met last week, and since we 
have just lost ouradministrative support goodness knows when we'll get any 
minutes so whatfollows is from my memory: The graph showed 
that the csr peaked in Dec/Jan at around 28-30%. Therewas lots of talk about 
how they could get the rate down. From May there hasbeen a steady decline in 
the rate reaching 15% in October, and 13% over thefirst couple of weeks in 
November. They are hoping to be able to maintainthis. They are really 
excited by their success, but it was clear they wantedto maintain it for a 
few more months before they feel confident to startshouting about it. The 
year end csr won't show the dramatic improvementalthough they are expecting 
it to end up at around 20% overall as opposed to25% last 
year. So, how have they done it. Well it is 
multifactorial. 1. Feb/March saw the annual change of 
registrars. Two female registrarsjoined who are very pro vaginal 
birth. 2. VBAC - women with a history of caesarean section are 
encouraged tolabour. 3. Breech - Despite results of the Term Breech 
Trial, they are stillsupporting those women who wish to give birth vaginally 
to breech presentingbabies to do so. In 1991 3% of breech babies were born 
vaginally, currently15% of breech babies are born vaginally. 4. CTG 
training package - Last year they had a doctor who was veryinterested in 
this and who put together a very good training package for themidwives 
resulting in better interpretation of EFM traces. 5. Carol was given a 
small amount of money to spend on improving things forwomen. She decided the 
beds in the labour rooms looked very clinical andspent the money on nice 
duvet covers and pillow cases (no, wait, keepreading). She then moved the 
beds so they are along the wall, with a chairin front of bed. Male partners 
are encouraged to sit on bed with thelabouring woman using the chair. Women 
then generally stand up and move forcontractions, the more upright position 
being better for labour. She has hadto fight to keep those beds along the 
walls. Auxillary staff keep movingthem back to the middle and it sounded 
like she has had a bit of a set towith them. Her and Claire have had to be 
very persistent in moving the bedsback! But she has won. 6. 
Induction - There has been a change of induction procedure. Epiduralsare no 
longer fitted before induction but are available afterwards if andwhen 
needed. Women are finding that they can cope with induced labour andmidwives 
are gaining confidence that women can cope. More inductions arebeing carried 
out since it is now policy to induce at 10 days (due to NICEguidelines) 
rather than 12 days as previously, but more are resulting inspontaneous 
vaginal deliveries. 7. Midwife ventouse practitioners - Basingstoke now 
have four midwivestrained to do ventouse deliveries. In 55% of cases where a 
midwife is calledto carry out a ventouse delivery, a spontaneous vaginal 
birth is achieved.But more important are the opportunities this gives for 
experienced midwivesto pass on their skills to less experienced 
midwives. What these measures have succeeded in doing is 
changing the attitude ofthe unit as a whole. It is early days yet, but they 
have high hopes of beingable to sustain the change. They have recently taken 
on a new obs and Carolsays she made it very clear to him at their first 
meeting that this is howthings are going to be run and that he will have to 
fit in. There was another graph too. Just in case anyone thinks 
they are doingless cs and more forceps/ventouse that is not the case. The 
forceps/ventousedeliveries have remained unchanged. The number of caesareans 
has gone downand the number of svd's has gone up. I am so 
please this has happened anywhere, but for it to happen on my patch is 
great - although I can claim absolutely no credit whatsoever! 

- Original Message - 

  From: 
  Dean 
   Jo 
  To: [EMAIL PROTECTED] 
  
  Sent: Tuesday, August 03, 2004 7:15 
  PM
  Subject: [ozmidwifery] the UK unit that 
  owered it's cs rate
  
  Can anyone remember the details of the UK unit 
  that lowered their cs rate dramatically by putting in place a heap of fairly 
  basic yet effective measures...things like upskilling care providers on 
  monitor interpretation and so forth.
  
  It was posted on the list a few years 

[ozmidwifery] Book Review (question for Andrea or someone at Birth International)

2004-07-12 Thread Debbie Slater



Andrea 

I have a book review for you, but can't remember 
who I should email it to.

Can you email me offlist and let me know who I 
should send it to.

Thanks

Debbie Slater


Re: [ozmidwifery] birth documentary on Discovery channel

2004-06-19 Thread Debbie Slater



Discovery Health is a separate channel from 
Discovery (there's other Discovery Channels such as Discovery Science 
etc.). We have it on Foxtel Digital, but didn't have it on the original 
analogue service.

The programme that you refer to isn't on Discovery 
Health at the moment - just Birth Days showing generally high-tec, emotionally 
charged episodes full of the 'danger' and drama of birth - a la American TV 
experience.

Debbie
Perth

  - Original Message - 
  From: 
  A Menna 
  
  To: [EMAIL PROTECTED] 
  
  Sent: Saturday, June 19, 2004 2:00 
  PM
  Subject: Re: [ozmidwifery] birth 
  documentary on Discovery channel
  Nicole- are you in Australia? The broadcast times I had were 
  for the US on Discovery Health channel, with the last airing on June 13th. 
  Don't know if it was actually shown in Oz...maybe someone else 
  knows?AlexandraOn Jun 18, 2004, at 9:39 PM, Nicole 
  Christensen wrote:
  Hi all,a 
little while ago there was a post regarding a documentary on the Discovery 
channel on pay tv, this month.- I think it was titled 
'UnconventionalBirths' I. have asked my Mum to scour her tv 
programme (she has Fox - I don't!) and the only birth relatedprogramme 
- is this - (andis on tonight)"Maternity 
WardLife 
ChangesFollows 
the action in maternity wards around the country capturing both the medical 
and human drama of labour and delivery"which 
doesn't sound like the one originally talked 
about.can 
anyone else enlighten me??thanks 
all,Nicole


[ozmidwifery] 60 minutes

2004-05-31 Thread Debbie Slater



Dear All

Here is what I have sent to 60 
minutes:

Debbie

"Sirs I would like to comment on your recent story about 
the choice of caesarean section vs a natural birth. At a rate of nearly 
30%, the rate of caesarean sections in this country (as in many others) is way 
above the WHO recommended rate of 10 to 15%. The alarming rate of caesarean 
sections is being addressed in many countries, as it is being realised that it 
is a public health issue which affects both the health of its population and is 
a cost to the public purse. As an example, the National Institute of 
Clinical Excellence (NICE) in the UK - the body that provides guidance in 
clinical matters to their National Health Service recently produced guidelines 
with the aim of reducing unnecessary caesarean sections. It states 
(amongst other things), that maternal request "Is not on its own an indication 
for CS". It sets out only six conditions where a CS should be offered to 
women - in the main where the mother suffers from such conditions as HIV. 
The only obstetric conditions are where a baby is breech and cannot be 'turned'. 
Interestingly their Reference Guide summarises the effects of CS and 
natural birth. The list of possible increased effects are 15 in number - 
including hysterectomies, uterine rupture, not having any more children, 
maternal death, future stillbirths and breathing probelms for the baby. 
The list of effects reduced by a section comprise only 3 - less pain around the 
perineum, incontinence, and prolapse. I can empathise Vanessa Gorman's 
reasons for having a section - but her case is hardly 'normal'. You may be 
interested to know that I too have had a baby die, and I too was offered a 
section if I felt that I wanted it (because of my previous 
experience). However, in may case, I felt that it would be better to go 
for a natural birth. That was my choice, and so was hers. It is 
important that women are provided with the correct information to enable them to 
make informed choices, and it concerns me that this piece did not provide a 
truly unbiased view. Yours sinecerly Debbie Slater 12 
Goldfinch Avenue Churchlands WA 6018 Ph: 08 9287 1783 
"


Re: [ozmidwifery] beware

2004-05-12 Thread Debbie Slater



Pauline

I have now received this twice via the ozmid 
list. Both times, the 'sender' has a bigpond address.

Debbie
Perth, WA

  - Original Message - 
  From: 
  pauline 
  To: midwifery 
  Sent: Wednesday, May 12, 2004 3:04 
  PM
  Subject: [ozmidwifery] beware
  
  I have had a suspect email sent to me via ozmid, 
  it referred to a web site, and had something about drs. in the address 
  line. If any one else gets one like this don't open, it opens up a 
  pornographic website that is infected with three viruses!! Not pleasant 
  when i thought it was going to be something about drs and mid 
  stuff!! So be careful! Cheers, 
Pauline


[ozmidwifery] NICE guidlines for C Section published

2004-04-28 Thread Debbie Slater



The National Institute for Clinical Excellence 
(NICE) in the UK have just published their CS guidelines.

Haven't studied them in detail (it's about 60 odd 
pages), but here are summaries of some of the points I picked up (I 
think):


  CS should not be offered before 39 
  weeks;
  Women should be advised that a homebirth will 
  reduce their risk of a section, but using midwifery-led units doesn't 
  !!!
  Continous support in labour reduces risk of 
  CS;
  Induction should not be offered until after 41 
  weeks;
  Maternal request should not be a reason for a 
  section;
  Active managment and early amniotomy should not be 
  offered, but a four hour partogram should be used !!;
  EFM increases the likelihood of a CS;
  Breech presentation should be offered ECV before a 
  section is offered;
  Twin pregnancies should try vaginal birth if first 
  twin is cephalic;
  VBAC should be supported
Interestingly, it says there should be RCT's to 
compare vaginal birth and sections !!!

For the full guidelines - see http://www.nice.org.uk/Cat.asp?pn%20=publiccn=toplevelln=en

Debbie
Perth, WA


Re: [ozmidwifery] quiet birth

2004-04-21 Thread Debbie Slater



Jo

Yes it is the current edition (despite its name the 
women's weekly is actually monthly :-))

It's a very good piece - no she didn't actually 
birth at home, but transferred in after labouring for most of the time at 
home. But once in, she requested low lights etc..

Debbie

  - Original Message - 
  From: 
  jo 
  
  To: [EMAIL PROTECTED] 
  
  Sent: Wednesday, April 21, 2004 10:35 
  PM
  Subject: RE: [ozmidwifery] quiet 
  birth
  
  Hi Nic,
  I had a look on the stand when waiting in the shopping 
  centre queue today and couldn't find the Kate Ceberano interview. Was it this 
  weeks? Did she have a homebirth?
  How are those bubs of yours?
  Jo x
  
  
  From: [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED] On Behalf Of Nicole 
  ChristensenSent: Tuesday, April 20, 2004 1:47 PMTo: 
  [EMAIL PROTECTED]Subject: [ozmidwifery] quiet 
  birth
  
  I have just finished reading an article in the 
  Women's Weekly on 'Kate Cebrano's quiet birth'.which describes her 
  belief re. labour  birth, which they tie to her Scientology,
  that labour and birth be a gentle, peaceful, 
  quiet experience my first thoughts were quite positive... yet, I wonder 
  when she states "but you don't want to scream out to that effect at all" and 
  "screaming and yelling might be your primary urge, and completely natural, but 
  what your'e trying to avoid is any suggestion that there's trouble at 
  hand".
  Does this mean moaning and growling 
  too???
  Overall, I think the article is positive in the 
  fact that it highlights natural birth but just wonder what others think - 
  regarding her belief on women holding back from being noisy ?? 
  I don't think that being quiet whilst in labour 
  is a bad thing if mother decides this at time of labour but wonder about 
  pre-conceived ideals PRIOR to labour... which prevent her from groaning etc if 
  she would normally feel comfortable in doing so.
  look forward to your thoughts...
  cheers,
  Nicole
  ps. I quite like Kate Cebrano - so I'm not anti 
  her... AND I was quiet during the birth of my first baby - BUT this was after 
  a noisy 24 hour labour 4 hours of pushing and really due to complete 
  exhaustion.(and wasn't a premeditated thing). 



Re: [ozmidwifery] Fw: moving during labour

2004-04-17 Thread Debbie Slater



Sue

Yes - you're quite right. 

It is a Lennon and McCartney song, first released 
on the White Album in 1968 (not John Denver) - a real favourite of 
mine.

Debbie



  - Original Message - 
  From: 
  Susan 
  Cudlipp 
  To: [EMAIL PROTECTED] 
  
  Sent: Saturday, April 17, 2004 8:34 
  PM
  Subject: Re: [ozmidwifery] Fw: moving 
  during labour
  
  I thought it was the Paul McCartney version of 
  Mother Nature's Son from the White Album.
  It was very beautiful anyway - what a lovely way 
  to make a birth announcement, loved the music too
  Sue
  
  
- Original Message - 
From: 
jayne 

To: [EMAIL PROTECTED] 

Sent: Saturday, April 17, 2004 7:19 
PM
Subject: Re: [ozmidwifery] Fw: moving 
during labour

Megan,

If you are still interested in the music, 
(don't know ifthe momtold you) here you go:

First song:

Words and music by John Lennon and Paul McCartney John 
Denver version too.This song appears on two albums, and was first 
released on the Rocky Mountain High album, and has also been released on the 
An Evening With John Denver album as a live version.Born a poor 
young country boyMother Natures SonAll day long Im sitting singing 
songs for everyoneSit beside a mountain streamSee her waters 
riseListen to the sound of pretty music as she fliesFind me in 
my field of grassMother natures sonSwaying Daisies sing a lazy song 
beneath the sunAnd the 2nd song:"Do You Realize??" 
is one of the standout tracks from the Flaming Lips 2002 album, Yoshimi 
Battles the Pink Robots. Do a search for the Flaming Lips and you'll 
find the lyrics.

Regards

Jayne




  - Original Message - 
  From: 
  megan 
  davidson 
  To: [EMAIL PROTECTED] 
  
  Sent: Saturday, April 17, 2004 8:05 
  AM
  Subject: [ozmidwifery] Fw: moving 
  during labour
  
  
  - Original Message - 
  From: daniel fairbanks 
  To: megan davidson 
  Sent: Saturday, April 17, 2004 5:34 AM
  Subject: moving during labour
  Hi I am actually going to put up my birth story, I was 
  having "back" labour so I was trying every position I didn't really mean 
  to have the baby squatting because my babies come fast we were trying to 
  fix the cervical lip and then he just came in like three pushes he almost 
  came in one I wish I would have been side lying because I had a 3rd degree 
  tear, everything is healing and we love our little man..; ) Sonora mom to 
  jude and three other blessing On Apr 16, 2004, at 4:34 AM, megan 
  davidson wrote:
  I just wanted to say 
what a beautiful tribute to mother and child, your email /birth 
announcement was. I and many other women have been moved to tears by it.I 
was wondering if you could tell me the name and artist of the songs in 
the sound track?And 
this may seem like a silly question but some of the midwives on our 
email list had the impression that your partner did not move around much 
through the labour and spent alot of time on the bed. I realise that it 
is just a breif glipse of many moments and would appreciate being able 
to reassure them.I 
felt that the clip was a beautiful portrayel of a family welcoming a new 
member.Sincerly,Megan(midwife 
and mother)Daniel 
  Fairbanks ::: w e b s i t e  p r i n t d e s i g n :::3109 Stevely Ave. Long 
  Beach, CA 90808(t) 562.496.8208 (c) 562.841.1850 (fx) 
  831.300.3029(e) [EMAIL PROTECTED] (w) 
  http://www.danielfairbanks.com


[ozmidwifery] Maternity Stats in the UK

2004-03-31 Thread Debbie Slater



Here is news of the maternity stats from the UK 
published today. I got them from my NCT list from Miranda Dodwell who runs 
the BirthChoice web site.

While it may be a statistical blip, it is 
heartening to see that the Caesarean rate hasen't risen, and I would like to 
think that it is due to the concerted effort of everyone in maternity services 
to reduce the rate.

Debbie

Today the 
Department of Health has published maternity statistics for England for the year 
2002-03. These show that the caesarean rate is 22.0%, the same rate as 
last year. It is the first year in 20 years that the caesarean rate has 
not increased. It has shown a gradual year-on-year increase from 10.1% in 
1984. The ratio of elective (planned) caesareans and emergency 
caesareans has also remained the same. The caesarean rate varies around the 
country, with women in the East of England being most likely to have their 
baby by caesarean (24.2%) and women in the East Midlands being least likely to 
have a caesarean (19.8%).The proportion of women having their babies 
induced has gone down 1%, from 21.5% in 2001-02 to 20.5% in 2002-03. This 
is continuing the trend of falling rates of induction which peaked in 1999-2000 
at 21.8%. The induction rate also varies around the country, with women in the 
North-West being most likely to have their baby induced (22.2%) and women in 
London being least likely to have an induction (17.7%).Also included in 
the Department of Health's bulletin for the very first time is the "normal birth 
rate" for maternity units around England. This measures the proportion of 
women who gave birth without medical interventions such as induction, epidurals 
or other anaesthesia, instrumental deliveries or caesarean 
section.Normal birth rates have been available on the www.BirthChoiceUK website 
for the past two years, but following extensive liaison between BirthChoiceUK 
and the Department of Health they have now been included in official Government 
statistics.The normal birth rate for England has begun to rise after 
many years of decline. It now stands at 47% (compared to 45% in the 
previous year).The DH bulletin is available at www.publications.doh.gov.uk/public/sb0410.htm and the figures have been updated on the 
www.BirthChoiceUK.com 
website.Thank you to everyone in the NCT who supports the site. We 
really appreciate all your feedback and helpful 
comments.


Re: [ozmidwifery] Birth Head Start

2004-03-13 Thread Debbie Slater



Denise

Yes I did get it - thank you.

Debbie

  - Original Message - 
  From: 
  Denise Hynd 
  To: [EMAIL PROTECTED] 
  
  Sent: Saturday, March 13, 2004 2:09 
  AM
  Subject: Re: [ozmidwifery] Birth  
  Head Start
  
  Deb 
  Thank you
  Did you get Cohen under last weeks Sunday 
  paper??Denise
  
- Original Message - 
From: 
Debbie 
Slater 
To: [EMAIL PROTECTED] 

Sent: Saturday, March 13, 2004 9:33 
AM
Subject: Re: [ozmidwifery] Birth  
Head Start

Denise

Vivette gave me copies of some of papers 
several years ago, but don't know where I've put them.

Here is a list of some of her recent 
papers:

http://www.hammersmithresearch.com/researchers/publications.asp?resid=36


She works with Nick Fisk et al at Queen 
charlotte's in London.

Here are some more articles:

http://news.bbc.co.uk/1/hi/health/1517520.stm

http://www.findarticles.com/cf_0/m0999/7177_318/53744179/p1/article.jhtml

She has an email too - [EMAIL PROTECTED]

Debbie

  - Original Message - 
  From: 
  Denise Hynd 
  To: [EMAIL PROTECTED] 
  
  Sent: Thursday, March 11, 2004 6:49 
  PM
  Subject: Re: [ozmidwifery] Birth 
   Head Start
  
  Dear Deb Do you have a reference for this 
  research??Denise
  
- Original Message - 
From: 
Debbie Slater 
To: [EMAIL PROTECTED] 

Sent: Friday, March 12, 2004 9:21 
AM
Subject: Re: [ozmidwifery] Birth 
 Head Start

Denise and everyone

Did anyone see the final of Primal Instinct 
last night about fears and phobias?

They had a section on how stressed out 
mother rats give rise to stressed baby rats - not just through their 
genes, but through their 'parenting', as adopted baby rats with low 
cortisol levels became more stressed when raised by mum rats with high 
cortisol levels.

I know similar reserach has been done by 
Vivette Glover in London, and I know that she is of the belief that 
stressed out women have stressed babies too ...

Debbie

  - Original Message - 
  From: 
  Denise Hynd 
  To: list 
  Sent: Wednesday, March 10, 2004 
  9:39 PM
  Subject: [ozmidwifery] Birth 
   Head Start
  
  Dear All
  Can you write to Life Matters and 
  recommend consideration of 1-on-1 midwifery as Evidenced Based best 
  birthing services which should become part of the Head Start porgram 
  ??
  If you missed Life Matters yesterday 
  
  see
  http://www.abc.net.au/rn/talks/lm/stories/s1062277.htm
  
  Even though the ABC said 
  Over 
  the last few years, evidence has affirmed the importance of the 
  earliest months and years of life [even from conception, and earlier 
  in some cases] in influencing learning, and mental and physical health 
  throughout life.
  that again this programhas 
  not made the leap back to nurturing the mother. It appears to be a 
  another band-aiding/patching effort like the NSW Families First 
  program particualrly as it being headed by the same "Commissioner" 
  
  It seems Families First did not make that 
  link though Gillian Calvert addressed the NSW Midwives conference in 
  2002?Denise 
  Hynd


Re: [ozmidwifery] Birth Head Start

2004-03-12 Thread Debbie Slater



Denise

Vivette gave me copies of some of papers several 
years ago, but don't know where I've put them.

Here is a list of some of her recent 
papers:

http://www.hammersmithresearch.com/researchers/publications.asp?resid=36


She works with Nick Fisk et al at Queen charlotte's 
in London.

Here are some more articles:

http://news.bbc.co.uk/1/hi/health/1517520.stm

http://www.findarticles.com/cf_0/m0999/7177_318/53744179/p1/article.jhtml

She has an email too - [EMAIL PROTECTED]

Debbie

  - Original Message - 
  From: 
  Denise Hynd 
  To: [EMAIL PROTECTED] 
  
  Sent: Thursday, March 11, 2004 6:49 
  PM
  Subject: Re: [ozmidwifery] Birth  
  Head Start
  
  Dear Deb Do you have a reference for this 
  research??Denise
  
- Original Message - 
From: 
Debbie 
Slater 
To: [EMAIL PROTECTED] 

Sent: Friday, March 12, 2004 9:21 
AM
Subject: Re: [ozmidwifery] Birth  
Head Start

Denise and everyone

Did anyone see the final of Primal Instinct 
last night about fears and phobias?

They had a section on how stressed out mother 
rats give rise to stressed baby rats - not just through their genes, but 
through their 'parenting', as adopted baby rats with low cortisol levels 
became more stressed when raised by mum rats with high cortisol 
levels.

I know similar reserach has been done by 
Vivette Glover in London, and I know that she is of the belief that stressed 
out women have stressed babies too ...

Debbie

  - Original Message - 
  From: 
  Denise Hynd 
  To: list 
  Sent: Wednesday, March 10, 2004 9:39 
  PM
  Subject: [ozmidwifery] Birth  
  Head Start
  
  Dear All
  Can you write to Life Matters and recommend 
  consideration of 1-on-1 midwifery as Evidenced Based best birthing 
  services which should become part of the Head Start porgram 
??
  If you missed Life Matters yesterday 
  
  see
  http://www.abc.net.au/rn/talks/lm/stories/s1062277.htm
  
  Even though the ABC said 
  Over the 
  last few years, evidence has affirmed the importance of the earliest 
  months and years of life [even from conception, and earlier in some cases] 
  in influencing learning, and mental and physical health throughout 
  life.
  that again this programhas not 
  made the leap back to nurturing the mother. It appears to be a another 
  band-aiding/patching effort like the NSW Families First program 
  particualrly as it being headed by the same "Commissioner" 
  It seems Families First did not make that 
  link though Gillian Calvert addressed the NSW Midwives conference in 
  2002?Denise 
Hynd


Re: [ozmidwifery] Birth Head Start

2004-03-11 Thread Debbie Slater



Denise and everyone

Did anyone see the final of Primal Instinct last 
night about fears and phobias?

They had a section on how stressed out mother rats 
give rise to stressed baby rats - not just through their genes, but through 
their 'parenting', as adopted baby rats with low cortisol levels became more 
stressed when raised by mum rats with high cortisol levels.

I know similar reserach has been done by Vivette 
Glover in London, and I know that she is of the belief that stressed out women 
have stressed babies too ...

Debbie

  - Original Message - 
  From: 
  Denise Hynd 
  To: list 
  Sent: Wednesday, March 10, 2004 9:39 
  PM
  Subject: [ozmidwifery] Birth  Head 
  Start
  
  Dear All
  Can you write to Life Matters and recommend 
  consideration of 1-on-1 midwifery as Evidenced Based best birthing services 
  which should become part of the Head Start porgram ??
  If you missed Life Matters yesterday 

  see
  http://www.abc.net.au/rn/talks/lm/stories/s1062277.htm
  
  Even though the ABC said 
  Over the last 
  few years, evidence has affirmed the importance of the earliest months and 
  years of life [even from conception, and earlier in some cases] in influencing 
  learning, and mental and physical health throughout 
  life.
  that again this programhas not made 
  the leap back to nurturing the mother. It appears to be a another 
  band-aiding/patching effort like the NSW Families First program 
  particualrly as it being headed by the same "Commissioner" 
  It seems Families First did not make that link 
  though Gillian Calvert addressed the NSW Midwives conference in 
  2002?Denise Hynd


Re: Re: [ozmidwifery] Hypno birthing

2004-03-11 Thread Debbie Slater
For anyone who's interested ..

I have just heard from  fellow National Childbirth Trust antenatal teacher
in the UK that she and her partner (who run a small publishing firm) have
bought the rights to republish Childbirth Without Fear - it has been out
of print for some years.

Debbie Slater
Perth, WA
- Original Message - 
From: Diane Gardner [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Thursday, March 11, 2004 1:54 PM
Subject: Re: Re: [ozmidwifery] Hypno birthing


 Wow Andrea, what a biased approach. Sorry but I can't agree with you. You
 obviously haven't grasped the concept of HypnoBirthing at all.

 The modern interpretation of his work (Grantly Dick Read) has evolved
into
 hypnobirthing which attempts to use autosuggestion and relaxation
 techniques learned in the pregnancy as aids to a pain free labour.

 The body automatically slows itself down creating more hormones in its
 approach to birth and we are finding more and more that women are working
 against the body's natural ability, working longer and pushing against
this
 natural relaxation. Encouraging the body back into this relaxation puts it
 back at ease. At no time is it claimed with HypnoBirthing that birth WILL
be
 painfree although many times it is but certainly women are much more
 comfortable during their labours.

 There is no evidence that a pain free labour is a normal labour, and
indeed
 the essential and necessary feedback mechanism from the contractions
(often
 experienced or described as pain) is important for a safe, natural birth.

 There is no evidence either that pain is an absolute necessary for a safe
 natural birth and our women certainly know when to work with their
 contractions. They are not spaced out or unaware of what is going on
around
 them.

 It's such a shame that you couldn't talk with HypnoBirthing mothers to
 really find out THEIR truth rather than just writing it from an observers
 point of view. It's very sad that in our present environment Childbirth
 Education Classes run by many major hospitals (can only speak for
Melbourne)
 are not preparing women well  to give birth but doing their best with the
 liability restraints now out there. This is in no way bagging the people
who
 teach them only the rules they have to follow. Sorry I am not meaning to
 tread on any toes here.

 I know that so many women just do not know what giving birth is really
about
 and a lot is due to our present society demands and not having the peer
 support around them any more. I attended a class where 2 hours were spent
 discussing complications. If the couples weren't programmed when they went
 in, they certainly were when they walked out. Their faces told a a very
sad
 story.

 I do not take what I do lightly and can only speak with what I HAVE
 observed. Women deserve to have the birthing they want to have and if that
 is working towards being more comfortable during labour then it IS their
 choice. I and many others have made wonderful observations of birth over
the
 years and women learn HypnoBirthing because that's what THEY want to do
not
 because we force them to do it.

 I take pride in the fact that I DO have an open mind and I certainly am
not
 naive about birth.



 Diane Gardner



 - Original Message -
 From: Andrea Robertson [EMAIL PROTECTED]
 To: [EMAIL PROTECTED]
 Sent: Thursday, March 11, 2004 6:34 PM
 Subject: RE: Re: [ozmidwifery] Hypno birthing


  I've been having a long running discussion about hypnobirthing on my
 Diary.
  If you want to read the responses from the US contingent of
hypnobirthers
  check out the entries and comments that were added in February. I also
  wrote some follow up pieces on endorphins and midwifery care that
related
  to this issue.
 
  It is a hot issue for many people, but I still think that it is the type
 of
  care that these women seek out (midwives and often home birth) and the
  action of their own hormones (endorphins) that is enabling them to
labour
  well rather than any learned technique. IF they want to ascribe their
  success to a technique rather than their own innate abilities (and pay
for
  someone to convince them of this during their pregnancy) then that is
 their
  choice, of course.
 
  Regards,
 
  Andrea
 
 
 
  At 10:07 AM 11/03/2004, Judy Giesaitis wrote:
 
 
  This sounds interesting, is there a website for further information
  available please??  Judy Giesaitis.
  --
  This mailing list is sponsored by ACE Graphics.
  Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
 
 
  -
  Andrea Robertson
  Birth International * ACE Graphics * Associates in Childbirth Education
 
  e-mail: [EMAIL PROTECTED]
  web: www.birthinternational.com
 
 
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Re: [ozmidwifery] why?

2004-02-10 Thread Debbie Slater



Mary

The only thing I can think of is that if you are 
replying by hitting 'reply', then you may be selecting to 'reply to all' rather 
than 'reply to sender', and if any of the parts of the thread went to ozmid then 
your reply will go their too.

Debbie

  - Original Message - 
  From: 
  Mary 
  Murphy 
  To: list 
  Sent: Tuesday, February 10, 2004 2:34 
  AM
  Subject: [ozmidwifery] why?
  
  Could someone tell me why the messages that are being sent to other lists 
  by Denise  me are also going to Ozmid list? Or, ARE they turning up 
  on your inbox too? I have two boxes. one general inbox  
  one ozmid box. I am a little confused  my 10yr old grandson is not 
  visiting at the moment so my IT advisor is not here. 
MM


Re: [ozmidwifery] PushPal Birthing Aid - IS THIS FOR REAL

2003-12-21 Thread Debbie Slater



I have emailed this company telling them that I 
think the claims that they are making are misleading.

Wonder what they will say? (If 
anything?)

Interestingly, I tried to use the feedback form on 
their web site, but I was denied access ;-)

Debbie Slater
Perth, WA


Re: [ozmidwifery] sterile water injections

2003-12-17 Thread Debbie Slater
They are used in a few places in the UK, but is used more extensively in
continental Europe.

I have heard it can be very effective.

Debbie Slater
Perth, WA

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Re: [ozmidwifery] babies in recovery room

2003-12-03 Thread Debbie Slater



Is it me being just a bit cynical - or was it just 
coincidence that they had a baby born live on TV on the same day that 
Australia's population reached 20 million? Of course, had it being a 
natural birth then this wouldn't have been possible 

Only caught a small part of it this morning, but 
thought it all looked rather stage managed, but at least the dr did say that 
sections were not to be undertaken lightly.

Debbie Slater
Perth, WA


Re: [ozmidwifery] Re virus

2003-11-15 Thread Debbie Slater



Diane and all

Very often email virus work by sending out emails 
with the virus attached, using someone elses email address from the infected 
person's address book. 

So, while the email may have looked like it came 
from Diane, it will actually have comevia someone else who had Diane in 
his/ her address book. 

You may be able to find out the infected address by 
opening the email and where it says 'from' it will have the senders details and 
then the actual address of the infected person.

Debbie Slater
Perth, WA


Re: [ozmidwifery] ACOG and elective C/birth

2003-11-13 Thread Debbie Slater





Kirsten wrote:

"Hi All,
I'm back on the list now I've settled back into 
Perth."

Welcome back to Perth.

Maternity Coalition are getting geared up for 
making big noises to support the Community Midwifery program, as well as other 
things.

If you'd like to get involved with things please 
let me know.

Debbie


[ozmidwifery] Re: [MatCoWA] BBC article: Pregnancy care shake-up urged

2003-11-08 Thread Debbie Slater



Denise

Back in the UK I was a member of three local 
Maternity Services Liason Committees (MSLC's) where consumers and OB's midwives, 
Health vistors, and GP's meet to discuss local health service provision - this 
was a member of the NCT.

They worked well and it was interesting that 
evryone respected everyone's ideas - indeed I was often rung up by local OB's to 
help make representations from a consumer perspective (for example on the 
provision of homebirth services).

These were statutory bodies that came out of 
Changing Childbirth.

We suggested to Harry Cohen that WA could do with 
the same - don't know whether he will take us up on it :-)

Debbie




Re: [ozmidwifery] sydney morning herald

2003-10-17 Thread Debbie Slater
Oh my God - that is dreadful !!!

Debbie

Justine Caines wrote:
No Debbie

Even worse straight random controlled trial between caesarean and vaginal
birth (not VBAC).  They think the can cut open the world!
JC



Justine

Was this the ACTOBAC trial that they were talking about?

We have gone off the burner a bit with this one.  If this we need to
renew our efforts if there is some news coverage about the ACTOBAC trial.
Debbie

Justine Caines wrote:


Hi Claire and all

I was contacted at 6.48 am (and anyone who knows me knows that's dangerous!)
by ABC NSW to make comment.  I also called in on ABC Sydney 702.  I then
alerted Barb Vernon at ACMI who was able to secure a spot on the national
coverage of PM (just before 6pm tonight)
She was great and argued that a randomised control trial is just SO
unethical.  This may sound strange but sometimes the most repugnant stuff is
actually a blessing as it gets people questioning the former
unquestioned/able.
Letters to the SMH would be good

Address

[EMAIL PROTECTED]

Justine





Has anyone else read the article in the smh about the possible research into
vaginal versus caesarian, which is better?
The article is very anti the idea, but does anyone know more about it.  I
can't believe there are people with money who could give it for this, there
are so many more worthwhile things to research and I can't possibly
understand what previous research could justify this.  I am confused as to
how this possible tragedy to women could be about to happen.  Are we heading
for extinction of the human race?
I will type the article in if anyone wants to see it, it is pretty unreal.

Claire Saxby

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Re: [ozmidwifery] sydney morning herald

2003-10-16 Thread Debbie Slater
Justine

Was this the ACTOBAC trial that they were talking about?

We have gone off the burner a bit with this one.  If this we need to 
renew our efforts if there is some news coverage about the ACTOBAC trial.

Debbie

Justine Caines wrote:

Hi Claire and all

I was contacted at 6.48 am (and anyone who knows me knows that's dangerous!)
by ABC NSW to make comment.  I also called in on ABC Sydney 702.  I then
alerted Barb Vernon at ACMI who was able to secure a spot on the national
coverage of PM (just before 6pm tonight)
She was great and argued that a randomised control trial is just SO
unethical.  This may sound strange but sometimes the most repugnant stuff is
actually a blessing as it gets people questioning the former
unquestioned/able.
Letters to the SMH would be good

Address

[EMAIL PROTECTED]

Justine




Has anyone else read the article in the smh about the possible research into
vaginal versus caesarian, which is better?
The article is very anti the idea, but does anyone know more about it.  I
can't believe there are people with money who could give it for this, there
are so many more worthwhile things to research and I can't possibly
understand what previous research could justify this.  I am confused as to
how this possible tragedy to women could be about to happen.  Are we heading
for extinction of the human race?
I will type the article in if anyone wants to see it, it is pretty unreal.

Claire Saxby

_
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http://www.msn.co.uk/messenger
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Re: [ozmidwifery] Post Natal Depression / breastfeeding and one-on-one midwifery

2003-09-30 Thread Debbie Slater
Christina

The request originally was posted to the yahoogroup list for the WA 
branch of the Maternity Coalition.  We have a presentation planned for 
state politicians, and we are gathering information for this - hence the 
question.

If you are interested in joining that list please email me offlist and I 
will invite you on.  If you are in another state I believe that there 
are other Maternity Coalition yahoogroups for some of the states

Debbie

Christina  Damien wrote:

Denise,
I am interested in the other list, the one where this question was 
posted. I am just interested to know of  other  lists which are 
discussing such items.
Christina.
 
 
 
 
-Original Message-
From: Denise Hynd [EMAIL PROTECTED] 
mailto:[EMAIL PROTECTED]
To: [EMAIL PROTECTED] 
mailto:[EMAIL PROTECTED] [EMAIL PROTECTED] 
mailto:[EMAIL PROTECTED]
Date: Friday, 26 September 2003 2:39
Subject: [ozmidwifery] Post Natal Depression / breastfeeding and 
one-on-one midwifery

 
Dear Ozmid
I have  request from another list - which I have answered breifly  but 
thought others with more research expertise on Ozmid may have more
references regarding

Does anyone know of any research documenting the lower rate of pnd
and higher rate of breastfeeding oassociated with primary midwifery
care? Please reply asap!  Cheers - Amy
 
via Denise Hynd



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Re: [ozmidwifery] Homebirth support group in Wales?

2003-09-06 Thread Debbie Slater
She should contact her local branch of the NCT - as many branches have 
local homebirth support groups.  Their contact details are on the web 
site - nctpregnancyandbabycare.com

They will also be able to tell her about all the local options for her - 
 birth centres/ hospital/ midwives/ aand, as you say, she should have 
no problem with a homebirth in the NHS.

The NCT can also help her with antenatal classes, postnatal support and 
breastfeedinng support.

If she does come across any problems then she should contact the 
government minister who has been charged with making sure that women can 
access homebirths through the NHS - can't remember her name off hand - 
but the local nct will know.

There is an email yahoogroup for homebirths in the UK - 
[EMAIL PROTECTED]  to subscribe

I would also recommend joining the nct general chat group - 
[EMAIL PROTECTED]

There are plenty of members there in Wales who may be able to help her 
with all sorts of things and even make contact with her directly.  They 
are a really supportive and friendly group - I've been a member for 
nearly 5 years :-)

If I can help any further, please pass on my email to her and she can 
email me direct.

Debbie Slater
NCT member - now in Perth, WA
Andrea Robertson wrote:
Hi Jo,

In all my travels in Wales I haven't come across any community groups 
for homebirth such as HAS.  There are NCT (National Childbirth Trust) 
groups but they are broad based, not just focusing on home birth. BTW, 
if she wants a home birth while she is in Wales, she should be able to 
have one, without any problems, through the National Health Service. 
They have a new Welsh Government intitiative in place that is really 
supportive of midwifery and home birth, and the rate of homebirths is 
climbing rapidly in most areas. The Caerphilly Birth Centre is also an 
excellent mdiwifery unit (not far out of Cardiff). If your member wants 
any other ideas, she can email me and I will give her some contacts

Regards,
Andrea
At 07:34 PM 6/09/2003, jo hunter wrote:

Hi all,
I had one of our members contact me today, she explained that she and 
her family were moving to Wales at Christmas time and would like to 
link up with a group similar to H.A.S. in Wales. Does anyone know of 
such a group?
Thanks in advance.
Jo Hunter


-
Andrea Robertson
Birth International * ACE Graphics * Associates in Childbirth Education
e-mail: [EMAIL PROTECTED]
web: www.birthinternational.com
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Re: [ozmidwifery] Homebirth support group in Wales?

2003-09-06 Thread Debbie Slater
Jo

Have just seen your email.  I have NCT stuff here at home - I can post 
details to you.  Email me offlist.

Debbie Slater
Perth, WA
jo hunter wrote:
Excellent...thanks for that Andrea. Could you possibly post the contact
details of these groups for me? The woman seeking this info doesn't have
email, so I will be snail mailing it all to her.
Cheers Jo
- Original Message -
From: Andrea Robertson [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Saturday, September 06, 2003 8:13 PM
Subject: Re: [ozmidwifery] Homebirth support group in Wales?


Hi Jo,

In all my travels in Wales I haven't come across any community groups for
homebirth such as HAS.  There are NCT (National Childbirth Trust) groups
but they are broad based, not just focusing on home birth. BTW, if she
wants a home birth while she is in Wales, she should be able to have one,
without any problems, through the National Health Service. They have a new
Welsh Government intitiative in place that is really supportive of
midwifery and home birth, and the rate of homebirths is climbing rapidly
in

most areas. The Caerphilly Birth Centre is also an excellent mdiwifery
unit

(not far out of Cardiff). If your member wants any other ideas, she can
email me and I will give her some contacts
Regards,
Andrea
At 07:34 PM 6/09/2003, jo hunter wrote:

Hi all,
I had one of our members contact me today, she explained that she and her
family were moving to Wales at Christmas time and would like to link up
with a group similar to H.A.S. in Wales. Does anyone know of such a

group?

Thanks in advance.
Jo Hunter


-
Andrea Robertson
Birth International * ACE Graphics * Associates in Childbirth Education
e-mail: [EMAIL PROTECTED]
web: www.birthinternational.com
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Re: [ozmidwifery] Polyhydramnios

2003-08-21 Thread Debbie Slater




Rhonda

Sorry to hear how you feel your son's birth was treated.

I have suffered polyhydramnios twice, and both because of fetal hydrops.

First time it was undiagnosed, but second time wasn't. First time, labour
was quick, and no real idea there was a problem (apart from the fact that
I was 30 weeks). Second time, it was 6 weeks between diagnosis and birth.
In that case OB and paediatricain were both anxious for me to have a vaginal
delivery. A CS was definately turned down. I had drugs to minimise the
fluid build up, but cord prolopse was never mentioned. I had ARM at the
end of 1st stage, - 2nd stage 8 minutes. In both cases, I had ARM - waters
never broke (and yet for my first pregnancy, they broke before labour). Unfortunately,
for the first case, my son did not survive ( because of the hydrops), the
second is now nearly 9.

Rhonda wrote:

  
  
  
   
  
  
 
  
   
  

   
Yes - cord prolaps - I was told that due to the excessfluid
Icould have my waters break at any time from 31 weeks.I was not
keptin hospital and not told to take it easyat all, Not even toldat
thatstage of a risk of cord prolaps (not even told to check for it
if mywaters broke.)I worked, shopped etc etc - did all normal things
-actually ran my own shop and worked at 40+ weeks. Walking to  
 the hospital from work for a check up where the Ob. felt the head and
saidthat they could break soon or they would do ARM next week. I
leftthe hospital and walked back to shop - still had no warning of
anypossible cord prolaps.
   
So when the Ob. decided she wanted to do a c/s due to the risk
ofprolasp it was my theorythat if the waters broke (as I had been
toldto expect) at work or in the supermarket - cord prolaps may be
a realproblem - but when I was asking to have ARM as an alternative
to c/s in ahospital with the controlled environment and supposed
knowledgesupposed trained staff etc- then it should have been my
choiceto go with the risk of that - not them refusing. Three dr's
   said that they could and would but were not allowed to treat me -
so theone I got wouldn't. I guess it is just another breach of womens
   rights - justified by red tape. Less risk involved with a c/s than
   the minimal risk of cord prolaps - now I was sure that there was some
riskwith a c/s?? Sorry - just feeling a bit sarcastic tonight.
   regardless of how anyone tries to justify the way I was treated -
it stillsucks! george will be 4 next month and somehow his birthday
is ahard time for me. Most of the year I manage to forget but his
   birthday is a very sad time for me. 
   

   
Rhonda.
   

   

   
---Original Message---
   

   
   
From: [EMAIL PROTECTED]
   
Date: Thursday,
August21, 2003 18:38:38
   
To: [EMAIL PROTECTED]
   
Subject: Re:
   [ozmidwifery] Polyhydramnios

   

   
I think that because polyhydramnios can be a symptom of serious
   disorders usually with the baby this is a good reason to investigate
withscans and blood tests. Once this is done one can assume it is
a normalvariation (rather than deviation) of pregnancy. However,
I dothink,it is reasonable and important to try to rule out possible
   disorders/problems that may be able to be corrected when detected.
Onegood reason for not doing ARM with polyhydramnios is possible
cordprolapse especially if the head is not engagged.
   

   
I have been quiet for a while due to my laptop getting infected
withthe blasterworm. So, I was able to get my emails but it would
shut downreally quickly plus I didn't want to risk sending it to
anyone. Myfirewall is now supposed to be activated and my computer
is dewormed andvirus free. AGAIN!! Perhaps I should read those emails
from microsoft andinstall updates!!! ummm!!!
   

   
marilyn
   

   

   
 

  -
Original Message - 
 
  From:
 Rhonda 
 
  To:
  [EMAIL PROTECTED]
 
 
  Sent:
Wednesday, August 20, 2003  6:46 PM
 
  Subject:
Re: [ozmidwifery]  Polyhydramnios
 
  
  
 
  
  
  

I had Polyhydramnious with my second - at 29 weeks was
toldthat "false" pre term labour was caused by the fact that
my uteruswas already the size it should be at 40 weeks.
   
At 36 weeks I was larger than a 

Re: [ozmidwifery] Polyhydramnios

2003-08-20 Thread Debbie Slater
In my own personal experience of polyhydramnios there was problem with 
my baby (hydropic with pleural effusions and ascites).  Intrauterine 
shunts corrected the problem and his was born at 36 weeks.  The labour 
was completely without a hicup.

Debbie

Sheena Johnson wrote:

Does anyone have any experience with polyhydramnios in an otherwise normal
pregnancy. All the scans and blood screens have come back negative. There
are conflicting dates between 36 to 38 wks, measuring 37wks at midwives
clinic and 38 wks at GP/Obs surgery,challenge also negative. Mum has had a
previous 22wk induced abortion for severe spina bifida, but with a different
partner and has one health child with this partner. Just wondering how
common extra fluid is and how much is too much. 8 wk scan results being
chased up as taken interstate.
Sheena Johnson
Midwifery Student
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[ozmidwifery] Juliee Oakley

2003-08-17 Thread Debbie Slater
We had a recent conversation about her - mattress wrapping and SIDS.

She has been spammin the UK mid list too.

Patience there is running thin - but she has spammed there before.

Again, the message is - spam is not the way to get your message across.

Debbie Slater
Perth, WA
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Re: [ozmidwifery] lowering caesarean rate

2003-07-30 Thread Debbie Slater
Megan

It was me that posted, but don't have the original posting, as I have 
since changed ISP.  What I will try and do is find the original posting 
that I received.

Debbie Slater
Perth, WA
Larry  Megan wrote:

did anyone file away the posting on the hospital in UK that lowered its C/S
rate by a dramatic amount just by making some changes such as relocating the
bed, updating education on reading monitors, etc, do you remember the one?
I have searched and can't find it, I wish to send it along with a letter to
a head of one of our hospitals in SA that has drastically reduced women's
VBAC rates by taking it out of the birth centre and into labour ward only. I
was hoping to inspire them to reconsider their decision, for what it is
worth.
thanks in advance
Megan
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Re: [ozmidwifery] Reducing C/S rates

2003-07-30 Thread Debbie Slater




Mary/ Megan

This was the one I was thinking of, which was posted about 6 months or so
ago:

"The North Hampshire Hospital, Basingstoke, has halved its caesarean
section 
 rate!
 
 The Head of the Labour Ward (Carol) is behind it, supported by the Lead

 Obstetrician (Claire).  Carol was at the last Rising Caesarean Rate 
 Conference in January and expressed her frustration that it was all very
well 
 but what *exactly* had to happen to get the rate down.
 
  The Maternity Forum met last week, and since we have just lost our

 administrative support goodness knows when we'll get any minutes so what

 follows is from my memory:
 
  The graph showed that the csr peaked in Dec/Jan at around 28-30%. 
There 
 was lots of talk about how they could get the rate down.  From May there
has 
 been a steady decline in the rate reaching 15% in October, and 13% over
the 
 first couple of weeks in November.  They are hoping to be able to maintain

 this.  They are really excited by their success, but it was clear they wanted

 to maintain it for a few more months before they feel confident to start

 shouting about it.  The year end csr won't show the dramatic improvement

 although they are expecting it to end up at around 20% overall as opposed
to 
 25% last year.
 
  So, how have they done it.  Well it is multifactorial.
 
  1. Feb/March saw the annual change of registrars. Two female registrars

 joined who are very pro vaginal birth.
  2. VBAC - women with a history of caesarean section are encouraged
to 
 labour.
  3. Breech - Despite results of the Term Breech Trial, they are still

 supporting those women who wish to give birth vaginally to breech presenting

 babies to do so.  In 1991 3% of breech babies were born vaginally, currently

 15% of breech babies are born vaginally.
  4. CTG training package - Last year they had a doctor who was very

 interested in this and who put together a very good training package for
the 
 midwives resulting in better interpretation of EFM traces.
  5. Carol was given a small amount of money to spend on improving things
for 
  women.  She decided the beds in the labour rooms looked very clinical and

 spent the money on nice duvet covers and pillow cases (no, wait, keep 
 reading).  She then moved the beds so they are along the wall, with a chair

 in front of bed.  Male partners are encouraged to sit on bed with the 
 labouring woman using the chair.  Women then generally stand up and move
for 
 contractions, the more upright position being better for labour.  She has
had 
 to fight to keep those beds along the walls.  Auxillary staff keep moving

 them back to the middle and it sounded like she has had a bit of a set to

 with them.  Her and Claire have had to be very persistent in moving the
beds 
 back!  But she has won.
  6. Induction - There has been a change of induction procedure.  Epidurals

 are no longer fitted before induction but are available afterwards if and

 when needed.  Women are finding that they can cope with induced labour and

 midwives are gaining  confidence that women can cope.  More inductions are

 being carried out since it is now policy to induce at 10 days (due to NICE

 guidelines) rather than 12 days as previously, but more are resulting in

 spontaneous vaginal deliveries.
  7. Midwife ventouse practitioners - Basingstoke now have four midwives

 trained to do ventouse deliveries.  In 55% of cases where a midwife is called

 to carry out a ventouse delivery, a spontaneous vaginal birth is achieved.
 
 But more important are the opportunities this gives for experienced midwives

 to pass on their skills to less experienced midwives.
 
  What these measures have succeeded in doing is changing the attitude
of
 the unit as a whole.  It is early days yet, but they have high hopes of
being 
 able to sustain the change.  They have recently taken on a new obs and Carol

 says she made it very clear to him at their first meeting that this is how

 things are going to be run and that he will have to fit in.
 
  There was another graph too.  Just in case anyone thinks they are doing

 less cs and more forceps/ventouse that is not the case.  The forceps/ventouse

 deliveries have remained unchanged.  The number of caesareans has gone down

 and the number of svd's has gone up.
 
  I am so please this has happened anywhere, but for it to happen on
my patch
  is great - although I can claim absolutely no credit whatsoever!"

Whatever, it shows that some UK hospitals are taking the issue to heart and
trying to do something about it.

Debbie

Mary Murphy wrote:
 
 
  
 
  
 

  Megan, is this the one you wanted??cheers, MM
 
  
 
  'Thought you all might be interested in a recent posting on an NCT
list  that I am on. The hospital they are talking about is St George's in
 Tooting, London. Yet another example of how a different approach to  childbirth
can make a difference.
"I think Gail posted a message a while ago  saying how St George's have 

[ozmidwifery] Sun baths

2003-07-11 Thread Debbie Slater




  
Lois wrote:

Hi Tina, my understanding is that normal bright 'white'  daylight in a well
lit room is adequate to facilitate the conversion of  bilirubin in it's fat
soluble form stored in the tissue, to the water soluble  form, which is then
returned to the bloodstreamfor processing through the  GI system for excretion.


I was always told just to put babies in a well-lit room (and this was in
the lukewarm sunlight of the northern hemisphere - London to be exact).

This is just from a mother's perspective.

Debbie Slater





Re: [ozmidwifery] blank emails

2003-06-21 Thread Debbie Slater
Rita

That has been my experience too.  I thought it was probably me, but 
maybe it is not.  I am only experiencing the problem with birthnews, not 
with ozmid.  I emailed Jan about this, but she couldn't explain it.  At 
first, all the birthnews emails I received were blank.  Now, I receive 
some and not others.  There is no consistency between them - for 
example, I have received both blank and usual emails from the same people.

Debbie Slater
Perth, WA
Deliverywoman wrote:
Hello Listers,

I seem to be having a bit of difficulty with some of the e-mails that 
are posted to these lists and also birthnews.

Some e-mails come through totally blank, they are mainly from certain 
people.  I don't know if all these people are using the same ISP such as 
bigpond, optusnet or whatever.

I am looking into opening a new yahoo email account as I like to keep my 
'mid' things separately which is what this address was for, but am 
experiencing these blank emails.  I might point out that sometimes when 
a reply has been sent with the original message that appeared blank to 
me is then visible. 

I would just like to ask some of the main people that I receive the 
emails blank what e-mail they are sending with if you could reply to me 
off list that would be appreciated, if it is possible could you please 
send the reply to both address' below, so I can see if it is still blank 
when you e-mail me directly or if it just via the list that they appear 
blank.

The main listers that I receive the e-mails as blank are:

Julie Clarke
Marilyn Kleidon (although every now and again I do get ones to read)
Graham  Kelly
Larry  Megan
there are a few others, but had not written them down, if I am able to 
find out that it is the same e-mail program,  I might be able to fix the 
problem from my own ISP email account.  If not then I will set about 
creating a new email address via yahoo as I also had problems with the 
lists when I used my hotmail address.  That is what made me create this 
email primarily for mid related lists and yahoo groups.

The two emails I would like those mentioned above to email me their 
e-mail that they use to post are this one = deliverywoman @ dodo.com.au 
mailto:[EMAIL PROTECTED] and I would appreciate a cc going to 
deliverywoman_aus @ yahoo.com mailto:[EMAIL PROTECTED] ( I 
have added spaces only due to the fact that occassionally the email 
address is not printed out in full so the gaps will hopefully allow you 
to see the full address.

My current e-mail that I am using at dodo, so if someone might be able 
to suggest what the problem may be I would appreciate any input to help.

My apologies for this inconvenience but desperately want to be able to 
read the posts.

Thanking you in advance



--
Yours in Childbirth and with the Love of Friendship
Rita
VRWM
Mother of David  13, Haydie  11, Alysha  10 and Tyler - 1
Registered Nurse, Student Midwife (currently in hiatus  due to
injury), Birth Attendant/Doula/Montrice and aspiring CBE
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Re: [ozmidwifery] melbourne

2003-06-20 Thread Debbie Slater
Here in WA, Birthplace support group go into schools to talk about 
childbirth and parenting issues, but we only go in once a year (I 
recently did one for a Yr 10 class), and it is only one hour in the 
whole year (and probably school career).

I am currently studying to be a high school teacher (science and maths), 
and I would love to be able to use my childbirth education 
qualifications/ experience in whatever school I go to maybe develop 
something.  I am hoping to do my final 6 week prac in a school which has 
a program for teenage mums - in the hope that I can work in the program 
(as well as doing the science/ maths).

Luckily the new Curriculum Framework in WA is extremely flexible in 
terms of how curriculum can be delivered - so this should help.

Sally can fill me in when she gets back.

Debbie Slater
Perth - just back from teaching year 12's about Newton's Laws of Motion :-)
Lois Wattis wrote:
Hi Tracy!  We met in Noosa at the Birth Issues Conference - remember?
Glad to hear your Core of Life program is going so well.  Yes, the 
issues are the same in WA, and it would be WONDERFUL to have it running 
here somewhere (everywhere!).  The consumer support group for my local 
area, the Peel Region, called Pregnancy Resources  Midwifery Support 
Group (PRMS) have raised their concerns about the prevalence of teenage 
pregnancies.  We/they have started a general education program covering 
Labour  Birth, Spiritual birth  alternate therapies, breastfeeding, 
newborn care, and caesarean birth  VBAC in separate sessions.  It's 
already a fairly big program for a small group, but getting good 
'reviews', and numbers growing steadily.  (Have a look at my website 
www.birthjourney.com http://www.birthjourney.com and select the PRMS 
page to find out more).  I'm sure Core of Life would be an ideal 
program to address the teenage issues also.  Could you send me an info 
pack, particularly your requirements/advice about time required for 
presenters to prepare etc. so I can pass it on for consideration by 
PRMS.  We may need to apply for a grant to pay for the program, 
depending on the cost?
Say hello to Sally W. if you see her in her travels.  Best wishes, Lois
   

- Original Message -
From: mark day mailto:[EMAIL PROTECTED]
To: [EMAIL PROTECTED]
mailto:[EMAIL PROTECTED]
Sent: Friday, June 20, 2003 10:06 AM
Subject: Re: [ozmidwifery] melbourne
Hi Tina, We are midwives working on the Mornington Peninsula in
Melbourne and we have just seen this email. We have designed a
program which is now spreading statewide which educates adolescents
aboutthe realities of Pregnancy Birth and Early Parenting its called
the Core of Life. We have also started to have contacts from other
states. If  possible it would be great to catch up for a chat to see
if the issues are the same in WA and if you think there might be a
place for this form of education there.
Look forward to hearing
Tracy Smith
 

- Original Message -
From: [EMAIL PROTECTED] mailto:[EMAIL PROTECTED]
To: [EMAIL PROTECTED]
mailto:[EMAIL PROTECTED]
Sent: Monday, June 16, 2003 10:00 PM
Subject: Re: [ozmidwifery] melbourne
In a message dated 13/06/03 8:35:44 PM AUS Eastern Standard
Time, [EMAIL PROTECTED] mailto:[EMAIL PROTECTED] writes:

Hi Folks,

I'm going to be in melbourne for the next 3 weeks. If anyone
would like to
have a yarn about midwifery stuff with me while i'm over ease
let me know.
Any study/conference/networking opportunities over east please
also alert me
to.
Love Sally Westbury
Homebirth Midwife
Community Midwifery Program
Western Australia


Hi Sally,

would love to carch up when your here,
let me know if your coming home to Geelong
with love TinaXX 



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Re: [ozmidwifery] twilight delivery - or twilight baby?

2003-06-18 Thread Debbie Slater
Jo

But don't you think that - as in many things - if we don't understand 
something then it can fill us with horrors?  Many women see childbirth 
depicted so horribly and with nothing to compare it with - see those 
depictions as the reality.  It is not until we experience it - either 
through giving birth oureslves or coming into contact with the 
experience directly, e.g. by being with friends or relatives - that we 
can truly understand.

We still have the legacy too - of the 'days of yore' when childbirth 
could be truly horrible, and it did - in many cases - enslave women and 
disempower them.

Debbie



Jo  Dean Bainbridge wrote:
USA feminists at the  time actually campaigned for its use
 
I find the feminist stance on child birth to be really interesting - as 
I can not understand why they advocate the rights of women to subject 
themselves to major surgery to avoid the horrors of labour??  I say 
'horrors' as this was the term used when the first and last feminist 
argued with me against women's rights in child birth.
Does anyone have any idea as to why they just don't seem to get it??
Jo Bainbridge
founding member CARES SA
www.cares-sa.org.au http://www.cares-sa.org.au
[EMAIL PROTECTED] mailto:[EMAIL PROTECTED]
phone: 08 8388 6918
birth with trust, faith  love...

- Original Message -
From: Marilyn Kleidon mailto:[EMAIL PROTECTED]
To: [EMAIL PROTECTED]
mailto:[EMAIL PROTECTED]
Sent: Thursday, June 19, 2003 1:13 PM
Subject: Re: [ozmidwifery] twilight delivery - or twilight baby?
Hi Rhonda: yes exactly as Mary said a mixture of scopolamine and
morphine, quite commonly used in the USA from sometime around 1914
until 1940's-1950's when it became less popular. I have met women in
the USA in their fifties now who were administered twilight sleep
as it was called during their labours in the 1960's. So, it hung
around in some places for a while. I think it emerged at the turn of
the 20th century in Germany was promoted by some doctor there as
Mary said for painless labour and wealthy women from the USA and
presumably other countries would travel to his clinic for their
deliveries (which in fact they were). USA feminists at the  time
actually campaigned for its use and such advocates along with
innovative doctors were responsible for its introduction there. So
much for consumer demand. Scopolamine of course eliminates memory
and morphine, the pain. From all reports labour wards were
horrendous places to be when it was commonly used as women would be
screaming and were often restrained, although waking with no memory
of the nightmare. Some women however liked it. I had a neigbour in
Seattle: a lovely woman in her 80's who had had 3 of her 4 babies
from the 30's to 40's with twilight sleep and loved it. Others hated
it and some women and babies died because of it. Many of the babies
were born quite flat and needed resusc. Became quite normal at the
time. Weird heh?
 
marilyn

- Original Message -
From: Mary Murphy mailto:[EMAIL PROTECTED]
To: [EMAIL PROTECTED]
mailto:[EMAIL PROTECTED]
Sent: Wednesday, June 18, 2003 3:00 AM
Subject: Re: [ozmidwifery] twilight delivery - or twilight baby?
Hi, My 88yr old mother, a midwife in a previous life, tells me
that it was a mixture of morphine and scopolamine.  she was
injected with it it in 1950, against her protests,  for the
birth of my sister and nearly died with an anaphylactic shock
reaction. It was a common injection for painless labour.  It
was painless alright because women were unconcious and sometimes
couldn't remember giving birth MM
 - Original Message -
From: Rhonda mailto:[EMAIL PROTECTED]
To: [EMAIL PROTECTED]
mailto:[EMAIL PROTECTED]
Sent: Wednesday, June 18, 2003 5:19 PM
Subject: [ozmidwifery] twilight delivery - or twilight baby?
Hi, all of you knowledgable women,
 
I was talking to a friend today who said that her sister in
law who was born in the 1940's claims to be a twilight
baby?  Apparently her mother - who has passed away now and
cannot explain the reason - had her first child as a natural
delivery - the second was this weird delivery where she went
into hospital on her due day not in labour  - got put to
sleep and then woke up having delivered the baby vaginally
while asleep or in twilight! 
The next two were normal, natural births.
Does anyone know about this practice - obviously not done
now days - i presume!
 
She was curious about how it was done and why it may have
been done.
 
Any ideas?
 

Re: [ozmidwifery] Is this normal Hypnobirthing Philosophy?

2003-06-15 Thread Debbie Slater
Julie

My understanding is that the origins of the current Hypnobirthing is the 
work of Grantly Dick-Read.  Grantly Dick-Read was a UK obstetrician who 
wrote Childbirth Without Fear, and his work came about after he worked 
with women in the East End of London.  In particular, one young women is 
supposed to have said to him - about childbirth It didn't hurt. It 
wasn't meant to, was it, doctor?  He developed the theory that fear was 
the reason women found childbirth painful, and he developed the idea of 
relaxation for childbirth and so on.  So, yes, it is the 
fear-tension-pain cycle that you refer to.

The National Childbirth Trust (NCT) that I am a member of, and trained 
as a CBE with, began in 1956 - with Sheila Kitzinger and others - based 
on his work.  We look at it from the fear-tension-pain cycle viewpoint.

I found the following on a (US) website:

An increasingly popular group inspired by Dick-Read is HypnoBirthing 
Childbirth Education. The group, founded by hypnotherapist Marie Mongan, 
is based on the fear-tension-pain syndrome and how understanding leads 
to relaxation and a painless birth.

Hope this helps.

Debbie Slater
Perth, WA
Julie Clarke wrote:
Hi

I had a couple in one of my hospital classes, yesterday explain to me 
that they?d booked in to a hypnobirthing course in the Eastern suburbs 
which cost them several hundred dollars for 2 days.

The main thrust of the philosophy of the MAN conducting the course was 
(according to them):

?Birth is not normally supposed to be painful and it is only painful if 
the woman is scared?.

I expressed surprise and mild concern over the idea, I didn?t want to 
seem negative especially after all the money they?d spent, but my 
personal thought was what ridiculous bullshit!!!  It certainly pushed my 
buttons!!!

Has anyone else heard of this philosophy?  Is it accurate of all 
hypnobirthing courses?

I have wondered if this is simply a misinterpretation and /or 
exaggeration of the credible concept tension-fear-pain cycle.

What do you think?

Hug

Julie

 

 

Julie Clarke

Childbirth and Parenting Educator

Transition into Parenthood

9 Withybrook Pl

Sylvania NSW 2224.

T. (02) 9544 6441

Mobile 0401 2655 30

 



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Re: [ozmidwifery] KEMH (baby under the light)

2003-06-09 Thread Debbie Slater
As you say, Maggie, parents are often given information which they do 
not - indeed cannot - take in because of the stresses of the situation. 
   From my experience of working with parents in SCBU - parents often 
need this information to be reiterated several times - once is often not 
enough.  Unfortunately - the stresses of working in neonatal units/ 
shift patterns and so on - often mean that it is very difficult to do 
this.  This is where supporters/ advocates who have experience of this 
situation can be of great help.

One common communication problem is the issue of feeding and when babies 
can go home.  Many mothers receive mixed messages/ perceive information 
about establishing feeding, and when their babies can go home that they 
get terribly anxious and can cause all sorts of misunderstandings - 
through no fault of anyone in particular - just the dynamics of the 
situation.

There is a wonderful book - Crucial Decisions at the Beginning of Life 
by Hazel McHaffie.  It makes harrowing reading at times, and although it 
is about the impact of making decisions for treatment withdrawal from 
young babies, many of the issues it raises, and suggestions it makes, 
are relevent for babies in neonatal units - whether or not they are very 
ill.  Communication is one issue that is particularly highlighted.

This book won the Medical Book of the Year for 2002 from the British 
Medical Association.  It is available from ACE Graphics/ 
Birthinternational - and there is a review (done by me :-))on the web 
site http://www.acegraphics.com.au/product/book/bk697-review.html

Debbie Slater
Perth, WA
Sadie Geraghty wrote:
Hi Jaqueline,
I work at KEMH, and I although I am unable to discuss the case you have
highlighted, I have to say that interpreters are always used for women whose
first language is not english. Unfortunately, women do not always hear what
is being said at the time - often because the interpretation does not
strictly explain situations like isoimmunisation, or they are overwhelmed or
stressed by the situation which is perfectly understandable.
Many times I have discussed things with women of all cultures, only to go
into the room the next day and be told that no-one has told me.
It sounds as if your friend was originally quite happy with the explanations
given - until she spoke to you?
Regards,
Maggie.
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Re: [ozmidwifery] KEMH (baby under the light)

2003-06-08 Thread Debbie Slater
This is just an observation.  I can't comment on the case per se, but 
this thread has reminded me of a particular issue which is very dear to me.

When you have a baby in special care (and I have had) it is important to 
feel that you are included in decisions and informed, otherwise a 
difficult time can be made even harder.

In the UK, I helped run a support group for parents with babies in SCBU. 
 We would offer to listen to parents (as parents who had already been 
in similar situations), but also to help them in more practical ways - 
such as find interpreters, helping transport EBM from one hospital to 
another (something we had to do once when a lady had twins in different 
hospitals).  Staff in the unit would call us to help and we would visit 
the unit on a regular basis.  I think we really did help.

When I moved here nearly 3 years ago, I volunteered to set something 
similar at KEMH, but found that I wasn't able to get the OK from the 
powers that be (despite support from staff in the Nursery).

It is situations like this that cry out for someone to support/ advocate 
etc. - it may well be that everything that is being done is appropriate, 
 but this lady needs someone to be with her at a time that can be very 
bewildering.  I am not having a go at the staff at all - it is very 
difficult for them to provide this 'extra' support - which is why we 
were called upon often by the staff at the JR in the UK.

I hope everything goes well for her.

Debbie Slater
Perth, WA
Neretlis, Bethany wrote:
kemh has a special care nursery on ground floor and if her baby is on
another floor, then this is where her baby is.  it sounds very like the babe
is issoimmunised, and it sounds as if babe is recieving standard treatment.
as to the doing great part, i would guess the babe is behaving appropriatly
with regards to its medical condition.
tell your friend all the wards have a telephone interpreter phone which is
an excellent although slow way of being able to explain and question what is
happening.  your friend just needs to ask to use this free service.
regard bethany

-Original Message-
From: Jaqueline Marwick [mailto:[EMAIL PROTECTED]
Sent: Monday, 9 June 2003 00:46
To: [EMAIL PROTECTED]
Subject: [ozmidwifery] KEMH (baby under the light)
Hi Kirsten and everyone :)
Since you mentioned KEMH
May I ask... do you work at KEMH btw?
Or does anyone here work at KEMH?
I have a friend who is there at the moment, she is Brazilian and hardly
speaks any English, especially these obstetric terms... anyway, she has a RH
negative blood and having her second child , was asked to be induced on the
3rd of June (last TUESDAY), when her baby was due on the 21st of June.
When I asked her why the doctor decided to induce her so early she simpy
said she didn't quite understand much of what they say anyway, but she
trusts they know what they are doing *sigh*
She then told me that even babies who are born very prematurely and as
little as 750 grams in weight all have their lives saved by this hospital.
During her labour, which was to be induced with the gel  the staff told
her she had to have the drip on in order to have contractions and so she
promptly agreed.
Well, today is Sunday and her baby has been under the light non-stop for
having jaundice since the day she was born, last tuesday.
Her baby was not allowed to even feed at her breast because they claim she
needs to be under the light continuously, so mum is pumping milk onto a
bottle and the nurses are feeding her baby who is on another floor
The doctor who assisted her at birth has not been back, and the midwives
tell her that her baby is doing great
Would anyone know why a baby who is doing great is kept away from her mother
for so many days?
It sounds to me as if she is not being fully informed.
Thanks very much
Jackie
-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Kirsten
Blacker
Sent: Saturday, 7 June 2003 10:58 PM
To: [EMAIL PROTECTED]
Subject: Re: [ozmidwifery] midwifery in India
I know some years back one of the midwives I worked with at KEMH used to
volunteer at Mother Teresa's hospital in Calcutta. I have no idea how you
would go about organising that - maybe contact Internation Red Cross?
Kirsten


From: Julie Garratt [EMAIL PROTECTED]
Reply-To: [EMAIL PROTECTED]
To: Ozmid [EMAIL PROTECTED],Bmid
[EMAIL PROTECTED]
Subject: [ozmidwifery] midwifery in India
Date: Sat, 7 Jun 2003 20:57:02 +0930
Hello wise people:)
  A few of the Bmid students and I are planing a
trip to India this Christmas to experience midwifery in another culture.
What we're wondering is have any of you been over there and had any birth
experiences with Indian women.
Do you think we could volenteer at a hospital or midwifery clinic?
Does anyone have any contacts?
Were only in the planning stages at the moment and your imput would be
great.
Cheers, Julie

Re: [ozmidwifery] Interesting..

2003-05-29 Thread Debbie Slater




It is well known that babies 'wee' in utero - so why not 'the other'?

Debbie

Anne Clarke wrote:
  
  
 
  
 

  
 
   
  
-
Original Message - 
   
From:
   Mary
   Murphy 
   
To:
list 
   
Sent:
Tuesday, May 27, 2003 7:49 PM
   
Subject:
[ozmidwifery]  Interesting..
   


   
   
   
American Journal of Obstets  Gynae. Vol 188. jan 2003 pgs  
 153-156
   
   
Defecation in utero: A physiologic fetal function 

   
C. Lpez Ramn y Cajal MDa and R. Ocampo Martnez MDb
   

>From the Unit of Prenatal Diagnosis, Service of Obstetrics andGynecology,a
and the Service of Interne Medicine, XeralHospital.b 

Received 30 November 2001; revised 18April 2002. Available online 7
February 2003. 



   
   
Abstract
   
Objective: The objective of this study was to investigate the occurrence
ofin utero defecation as a normal function in the human fetus. Study
Design: Theanuses of 240 fetuses were studied sonographically between
weeks 15 and 41 ofgestation. Fetal defecation was defined as the expulsion
of rectal contentsthrough the anus into the amniotic fluid. The diameter
and area of the anuswere measured sonographically at times of maximum
anal aperture. Results: Oneor more defecations were documented in all
fetuses. The frequency ofdefecations was highest between week 28 and
34 of gestation. Conclusion: Thisstudy confirms that defecation in utero
is a normal function and supports theview that the evacuation of rectal
contents into the amniotic fluid is nodeparture from normal fetal physiologic
behavior. (Am J Obstet Gynecol2003;188:153-6.) 


   
   

. 





  






Re: [ozmidwifery] Breastmilk and vitamin D supplements

2003-05-29 Thread Debbie Slater




A recent piece on TV here in Oz suggested that many Australian women are
now Vit D deficient for the same reason .

Judy Chapman wrote:

  
   
  
Saw a documentary some time ago on the increased Vit D deficiency in the
women of groups who cover completely like many Muslims do. One of the points
they made is that in their own country the houses often had an inside courtyard
so that the women could get some sun but that is not part of the Australian
style of building so these women are covered all of the time and miss out
on the sun. Hence an increase in rickets in women of this group.
 
  Cheers
 
  Judy
 
  From: "Marilyn Kleidon" 
  
 Reply-To: [EMAIL PROTECTED]  To:  Subject: Re: [ozmidwifery] Breastmilk
and vitamin D supplements  Date: Wed, 28 May 2003 14:53:08 -0700   I think
the gist of the article is that covering up your skin either with clothes
or with sunblock reduces exposure to the sun and hence our natural source
of vitamin D. There IS an increased incidence of rickets in the USA. I thought
is was mainly due to the increased covering up and the increased consumption
of junk food softdrinks juices etc that would not be supplemented (like milk
is there) with Vitamin D. Do remeber that sun exposure in cold climates is
just NOT like sun exposure here. I don't think breast milk is particularly
high in Vit D, nature assuming that we (humans) would be exposed to the sun
for the minimal times it takes to make the Vitamin. Also, indigenous people
that thrived in these climates used a lot of fish oil in their diet if not
as supplements (I would be interesting to know the level of Vit D in the
breast milk of such women). Maybe I am terribly wrong but I don't think the
small amount of time required for the sun to stimulate Vit D prod! ! uction
would cause skin cancer, but by the way some folks cover up you would think
so.   marilyn  - Original Message -  From: Graham  Helen  To:
[EMAIL PROTECTED]  Sent: Tuesday, May 27, 2003 8:48 PM  Subject:
[ozmidwifery] Breastmilk and vitamin D supplementsCheck out this recent
BBC article claiming that breastfed babies should be given vitamin D supplements.I
find it a bit hard to "swallow"   http://news.bbc.co.uk/2/hi/health/2924471.stm
  Helen Cahill  
  
  ninemsn Extra Storage is now available. 30MB of storage on ninemsn
Groups - great for sharing photos and documents.  Sign up now. -- This mailing
list is sponsored by ACE Graphics. Visit  to subscribe or unsubscribe. 
 





Re: [ozmidwifery] Doula in Melbourne (Debbie)

2003-05-29 Thread Debbie Slater




Lesia

This was a general reply to a message that Lois Wattis posted regarding the
role of a postnatal doula.

HTH

Debbie

[EMAIL PROTECTED] wrote:
Sorry Debbie,
 
 Was this a reply to me or did I miss an email (again).
 
 Cheers Lesia
 
 In a message dated 26/05/2003 15:46:01 GMT Daylight Time, [EMAIL PROTECTED]
writes:
 
 
 
  Lois
 
 It is my - limited - experience that postnatal doulas help new mums by 
 doing things for them so that the mother can spend most/ all of their 
 time concentrating on the mothering and nurturing - rather than 
 maternity nurses, or what have you, that take over the care of the baby

 to allow the mum to rest :-) What they do can vary from doula to doula

 - but can include things like cooking, looking after other kids etc.
 
  
 
 





Re: [ozmidwifery] Interesting..

2003-05-29 Thread Debbie Slater




Yes - I suppose what I was trying to say was that it is considered normal
for babies to wee 'in utero', so why shouldn't it be normal to pass meconium.
When Jamie had his problems and I had the polyhydramnios, I was given Indomethacine
to control Jamie's urine output and so reduce the amount of amniotic fluid.

Debbie

Mary Murphy wrote:

  
  
  
 
  
 
  
 
   
  
Debbie wrote: "It is well known that babies 'wee' in utero - so
whynot 'the other'?"
   

   
Deb, it is not so much that they do it, but how we interpret it.
Wehave for years been told that meconium in the liqour is a sign of "Fetal
   Distress" There have been many unnecessary operative procedures carried
   out on women and babies because it was concluded that slowed Fetal Heart
Rate(mostly normal head compression dips) and meconium stained liqour
meantdistressed baby. Then Voila! Apgars of 9  10 at birth or
   C/S. Midwives, women and doctors too have taken the blame for all sorts
   of things that happen to babies. (Not denying some negligence claims
aretrue.) It has been known by midwives gor generations that women past
   their "due date" frequently have meconioum stained liqour.If ispresent...panic!
Now we also know that the symptoms of meconiumpneumonia and "meconium
aspiration" are mostly present in the lungs beforebirth because babies
do these marvelous "breathing actions" that we didn'tknow about before
U.S studies told us so. It is very complicated.So, this piece of research
is a very helpful piece of the jig-saw.cheers, MM


   
 

  
 

  
 
   
  


   
   
. 





  


  






Re: [ozmidwifery] KEMH report.

2003-05-28 Thread Debbie Slater






Mary Murphy wrote:
 
 
  
 
  
 

  Thanks to those who forwarded advice and/or the file. I have read
it  all and it makes fascinating reading for us West Australians. Cheers,
 MM

Mary

Are you being judicious in your choice of words? :-)

I have only skimmed through parts, but what I have read seemed quite scary.
How much could be due to the fact that it is a tertiary centre - with a
disproportionate number of 'high-risk' pregnancies?

Debbie