[ozmidwifery] Getting off this list
I too have followed the right pathway and failed to be removed from the list. I am going away on leave and wanted to avoide-mail filling up while gone. Help would be great. Cheers Jacqueline Doolan
RE: [ozmidwifery] Getting off this list
Thanks Honey this is the process I followed. Cheers J From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Honey AcharyaSent: Saturday, March 18, 2006 3:17 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Getting off this list Have you followed these steps? Leaving the list Send a message to: [EMAIL PROTECTED] with a single line in the body of the message: unsubscribe ozmidwifery If you are unsubscribing an email address other than the address you are sending your message from, include the email address in the body of the message: unsubscribe ozmidwifery [email address] Getting Help To reach the owner of the mailing list, please send a message to: [EMAIL PROTECTED] - Original Message - From: Jackie Doolan To: Oz midwifery Sent: Saturday, March 18, 2006 2:32 PM Subject: [ozmidwifery] Getting off this list I too have followed the right pathway and failed to be removed from the list. I am going away on leave and wanted to avoide-mail filling up while gone. Help would be great. Cheers Jacqueline Doolan
[ozmidwifery] FW: Majordomo results
Andrea, Having problems getting off this list sent as directed and this message came back some time later. I am still on list. Jackie -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Sent: Friday, March 17, 2006 10:30 AM To: Jackie Doolan Subject: Majordomo results -- This is a multi-part message in MIME format. Command 'this' not recognized. --_=_NextPart_001_01C64959.D56A Command '--_=_nextpart_001_01c64959.d56a' not recognized. Content-Type: text/plain; Command 'content-type:' not recognized. charset=us-ascii Command 'charset=us-ascii' not recognized. Content-Transfer-Encoding: quoted-printable Command 'content-transfer-encoding:' not recognized. unsubsc*ibe ozmidwifery Command 'unsubsc*ibe' not recognized. =20 Command '=20' not recognized. --_=_NextPart_001_01C64959.D56A Command '--_=_nextpart_001_01c64959.d56a' not recognized. Content-Type: text/html; Command 'content-type:' not recognized. charset=us-ascii Command 'charset=us-ascii' not recognized. Content-Transfer-Encoding: quoted-printable Command 'content-transfer-encoding:' not recognized. !DOCTYPE HTML PUBLIC -//W3C//DTD HTML 4.0 Transitional//EN Command '!doctype' not recognized. HTMLHEAD Command 'htmlhead' not recognized. META http-equiv=3DContent-Type content=3Dtext/html; = Command 'meta' not recognized. charset=3Dus-ascii Command 'charset=3dus-ascii' not recognized. META content=3DMSHTML 6.00.2800.1528 name=3DGENERATOR/HEAD Command 'meta' not recognized. BODY Command 'body' not recognized. DIVFONT face=3DComic Sans MS color=3D#008080FONT size=3D3 Command 'divfont' not recognized. Punsubsc*ibe ozmidwifery/P/FONT/FONT/DIV Command 'punsubsc*ibe' not recognized. DIVnbsp;/DIV/BODY/HTML Command 'divnbsp;/div/body/html' not recognized. --_=_NextPart_001_01C64959.D56A-- Command '--_=_nextpart_001_01c64959.d56a--' not recognized. No valid commands found. Commands must be in message BODY, not in HEADER. Help for [EMAIL PROTECTED]: This help message is being sent to you from the Majordomo mailing list management system at [EMAIL PROTECTED] This is version 1.94.3 of Majordomo. If you're familiar with mail servers, an advanced user's summary of Majordomo's commands appears at the end of this message. Majordomo is an automated system which allows users to subscribe and unsubscribe to mailing lists, and to retrieve files from list archives. You can interact with the Majordomo software by sending it commands in the body of mail messages addressed to [EMAIL PROTECTED]. Please do not put your commands on the subject line; Majordomo does not process commands in the subject line. You may put multiple Majordomo commands in the same mail message. Put each command on a line by itself. If you use a signature block at the end of your mail, Majordomo may mistakenly believe each line of your message is a command; you will then receive spurious error messages. To keep this from happening, either put a line starting with a hyphen (-) before your signature, or put a line with just the word end on it in the same place. This will stop the Majordomo software from processing your signature as bad commands. Here are some of the things you can do using Majordomo: I. FINDING OUT WHICH LISTS ARE ON THIS SYSTEM To get a list of publicly-available mailing lists on this system, put the following line in the body of your mail message to [EMAIL PROTECTED]: lists Each line will contain the name of a mailing list and a brief description of the list. To get more information about a particular list, use the info command, supplying the name of the list. For example, if the name of the list about which you wish information is demo-list, you would put the line info demo-list in the body of the mail message. II. SUBSCRIBING TO A LIST Once you've determined that you wish to subscribe to one or more lists on this system, you can send commands to Majordomo to have it add you to the list, so you can begin receiving mailings. To receive list mail at the address from which you're sending your mail, simply say subscribe followed by the list's name: subscribe demo-list If for some reason you wish to have the mailings go to a different address (a friend's address, a specific other system on which you have an account, or an address which is more correct than the one that automatically appears in the From: header on the mail you send), you would add that address to the command. For instance, if you're sending a request from your work account, but wish to receive demo-list mail at your personal account (for which we will use [EMAIL PROTECTED] as an example), you'd put the line subscribe demo-list [EMAIL PROTECTED] in the mail message body. Based on configuration decisions made by the list
[ozmidwifery] Please remove my name from this list
Ms Jacqueline DoolanMaster of Midwifery Program CoordinatorDepartment of Nursing and MidwiferyUniversity of Southern QueenslandEmail: [EMAIL PROTECTED]Phone: 07 4631 1644 USQ CRICOS No. 00244B ~~Confidentiality and Privilege Notice~~ This email is intended only to be read or used by the addressee. It is confidential and may contain legally privileged information. If you are not the addressee indicated in this message (or responsible for delivery of the message to such person), you may not copy or deliver this message to anyone, and you should destroy this message and kindly notify the sender by reply mail. Confidentiality and legal privilege are not waived or lost by reason of mistaken delivery to you. ~~Confidentiality and Privilege Notice~~
RE: [ozmidwifery] Lotus Birth
Anne, I wish you every success and after an extensive search not surprisingly found little level one or two research on this. You have been given all the sources I know - Perhaps the WHO Care of the Umbilical Cord: a review of the evidence may be helpful? If it should come to pass that women are informed that lotus birth will not be performed and women seeking this should birth elsewhere I am very concerned at how the new Qld child safety laws could be (mis)used after this point. Fortunately this legislation has no jurisdiction over the unborn baby but when a lotus birth is demanded by a woman in a hospital that does not 'allow' it, will this then lead hospital management to threaten to envoke this legislation, using the argument that the woman is unnecessarily putting the child at risk of infection or salt absorption? I see this mandating of what women can and can not choose as the beginning of adverserial relationships between women and health care professionals (reminiscent of Qld woman refusing C/S and finding other hospital to access VBAC). In Queensland we desparately need the legal debate between woman's rights versus neonatal rights (basis of child safety law) to be played out. Jackie -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Anne Peter Moore Sent: Wednesday, October 19, 2005 8:58 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Lotus Birth Thankyou everyone I will gather all the information etc and present this in the forum.The priority is the woman and her right to choose, I have attended women at a home LB with no problems, but unfortunatly in my position and this environment I need to make sure that they have no reason to implement unacceplble guidelines on the women, Many Thanks, Anne - Original Message - From: Kathy McCarthy-Bushby [EMAIL PROTECTED] To: Ozmidwifery ozmidwifery@acegraphics.com.au Sent: Wednesday, October 19, 2005 4:55 PM Subject: Fw: [ozmidwifery] Lotus Birth Hi Anne, There is a book on lotus birth called Lotus Birth compiled by Shivam Rachana, Greenwood Press, Steeds Creek, Australia, 2000. I think i got my copy from acegraphics. The book covers some information on medical evidence with articles by Dr. Sarah Buckley Leaving well alone. A natural approach to the third stage of labour as well as some story telling by women who chose lotus birth and that's what i call women's evidence. Both forms of evidence as just as valid as each other. cheers kathy - Original Message - From: jo [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, October 18, 2005 9:46 PM Subject: RE: [ozmidwifery] Lotus Birth Hi Anne, I coordinate Homebirth Access Sydney and our last issue of Birthings magazine focused on Lotus Birth. It has a few birth stories in it and other information regarding the practice, how to care for the placenta, the reasons why women choose this option etc. I do have a few copies left so if you would like me to send you one just email me your address and I'll pop it in the post. You may also like to try www.womenofspirit.asn.au/docs/sb_ http://www.womenofspirit.asn.au/docs/sb_lotus_birth.pdf lotus_birth.pdf www.humantransformation.com.au http://www.humantransformation.com.au/ Good luck Jo _ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Anne Peter Moore Sent: Tuesday, 18 October 2005 8:30 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Lotus Birth There has been discussion on a committee I am involved with regarding the practice of Lotus Birth and whether women should be allowed this, I am familiar with this practice but a couple of issues were raised : What evidence is available to support this practice ? Why do women choose to do this? Is there an increased risk of infection etc ? When will the cord/placenta separate? I believe in informed choice and I am keen to present this in an evidenced based manner to allow women the choice.I have my own experience and thoughts but additional research/ evidence would be appreciated. Many Thanks Anne Brisbane. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] FW: Making a difference
Title: Message Another letter to Ms Devine. Dear Ms Devine, I find it hard to write to you in fear of being branded with some derogatory label. No one seems to be aware thatthere are many obstetricians that support this move towards evidenced based practice i.e., midwifery-led primary health care in normal childbirth.Would these doctors belabelled as 'natural childbirth zealots'? It appears you trust most the advise given by medical practitioners -perhaps you could make a few phone calls and speak to the doctors that support birth centres and midwifery models of care across Australia and see if their views differ from those ofDr Mourik. I encourage you to do this because it may help you to add some balance, not to mention depth, to the debate so far. As it standsreaders have a picture ofa 'band' (small group) of midwifery 'zealots' or 'nutters', who are irrationally anti-doctor intent on leading the NSW Government and women astray.The NSW governmentis portrayed asinherently evil or stupid or both because they are blinded to issues of women's and babies' safety by the promise ofcost savings. Meanwhilewe areactively encouraged to believethatthemedical practitionersalways provides safe and satisfying care to childbearing women. And it is without question that obstetricians are purelyinterested in women's safety and haveabsolutely noself-serving interest in this debate.The overall paternalistic message here is that...'It is for their own good that women be stopped from accessing the independent care of inadequately-trained midwivesand be offered onlythose skills provided bythe superiorly-trainedobstetricians'. The irony that the21st centurymessage is the sameas the one used by doctors in the 18-19th century to wrest awaychildbirth care from midwives,is not lost on many debate observers. It also seems we wastedthe 1960's in trying to stop female stereotyping - I, for one, still believewomen are capable of making intelligentchoices. Ms Devinethus far don't you think this debate is a little too simplistic and superficial - even by journalistic standards? Your eagerness to report the derogatoryadjectives used to describe midwives in contrast to thepaucity used in reference to doctors leads me to wonder ifthis is an exercise in midwife-bashing? I am hoping that you can do better than this. Regards, Ms Jacqueline Doolan Senior Lecturer (Midwifery) University of Southern Queensland Phone: 07 4631 1644 E-mail: [EMAIL PROTECTED]
RE: [ozmidwifery] Re-learning how to do breech births
Very interested in attending Brisbane one. J -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Andrea Robertson Sent: Monday, September 05, 2005 9:26 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Re-learning how to do breech births Hi Linda, OK, we'll see what we can arrange. There seems to be a lot of interest... Will keep you posted. Regards, Andrea At 09:31 PM 4/09/2005, you wrote: Andrea, I'd like to add my voice to Judys and say yes we would be interested in North Queensland for a breech workshop. Either Townsville or Cairns. I think it would appeal to remote area midwives too Linda Trewern - Original Message - From: Andrea Robertson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, September 02, 2005 10:43 AM Subject: [ozmidwifery] Re-learning how to do breech births Hello listers, Yesterday I was talking to Maggie Banks about scheduling some more of her wonderful Birthspirit Intensive workshops for 2006. We hope to take in Adelaide and Brisbane as well as Sydney and Melbourne next year, given their enormous popularity (still a few places left in the December program: http://www.birthinternational.com/event/intensives2005/index.html Anyway, she mentioned that she now has a program designed to teach midwives how to manage breech births, that is in the process of being fully credentialled through the NZ College of Midwifery. She is now touring NZ offering this program so that midwives feel confident in facilitating this kind of birth, if it happens. Would there be enough interest in Australia for me to approach her to present some of these workshops here? It would make a very good alternative to the ALSO program, and is completely midwifery based. As far as I know, it is a one day program too. There has been quite a lot of discussion about breech births on the list and the loss of skills as a result of the swing towards C/Sec. This might be one way to help halt the slide. Please email me if you are interested. My email address is [EMAIL PROTECTED] Regards, - Andrea Robertson Birth International * ACE Graphics * Associates in Childbirth Education e-mail: [EMAIL PROTECTED] web: www.birthinternational.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. - Andrea Robertson Birth International * ACE Graphics * Associates in Childbirth Education e-mail: [EMAIL PROTECTED] web: www.birthinternational.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Success!!!
Title: Message Congratulations Mareeba -inspirational: ) Jackie Doolan -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Birth Centre-MBHSent: Tuesday, June 14, 2005 2:01 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Success!!! CONGRATULATIONS Judy co. in Mareeba. Wishing you all the best. Let us know if we can be of any help. Sue, Rosie and Marion. [EMAIL PROTECTED] 06/11/05 10:52am It is now official as it is in todays Cairns Post and no doubt it will be on the news sometime. MAREEBA MATERNITY IS NOW TO BE A PILOT SITE IN QLD FOR A LOW RISK FREESTANDING BIRTH CENTRE. Thanks to the brilliant work done by the staff, the women, the community and MC, ACMI etc. Apparantly we can start 1 July. Policies are being madly written and all sort of paperwork produced as we will be under a microscope for a long time. Apart from that we have had 3 babies this week, multis who were in too good a labour to risk transferring, 3 very happy mums to birth in their own community. Cheers Judy***This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.Any unauthorised use, alteration, disclosure, distribution or review of this email is prohibited. It may be subject to a statutory duty of confidentiality if it relates to health service matters.If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone or by return email. You should also delete this email and destroy any hard copies produced.***
RE: [ozmidwifery] Problems With new Models
Title: Message Carol, I am wondering how feasiblea caseload is60 women? This seems like a large number and may be one of the reasons why staff are not feeling up to the task. Would 40 primary womenand 40 shared women not be a more doable workload? I know this hasfinancial implications but down-sizing the model may increase its longevity.Additionally UK literature states that greater autonomy leads to greater job satisfaction. So I agree with Andrea's posting - which basicallytranslates tomidwives having greater control over their practice and time allocation. Warragul model has been a great motivator for many of us watching and planning new model development. I hope this works out for you. Jackie Doolan -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Carol Van LochemSent: Sunday, June 12, 2005 5:39 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Problems With new Models Hi all, I have posted here from time to time, but mostly I'm a lurker. I work in a team midwifery model at Warragul, where we have lots of midwives who believe in continuity of care, support the women as central to the whole prossess and have a supportive obstetrician to back us up. Our problem is in recruiting midwives to work in our model. Nobody wants to do "all that on call".They "want to have a life". After all these years of fighting for this type of thing it seems there are not enough of us around to fill this role. Many support the model in principal, but don't see how they can fit it into their own lives. Our team started just 12 months ago. It is a modified case load, with 1 night per week on call, and 1 weekend a month. We are "available" for our "own" women during the day. We provide midwife led care for up to 60 low risk women per year, and shared care for up to a further 60 "high risk" women who benefit most from having a known midwife with them in labour. We are meant to be 5, but have recently lost one, who would have rather worked as a team only, with no case load. To my knowledge there have been no applications for this position from with in existing staff, nor has there been a response to newspaper ads. It saddens me to think that this type of model will not be sustainable in the long term. Here we are in the position of having active finacial support from DHS after many years of lobbying for it, only to risk losing it all through lack of willing staff. This problem must be coming up for others in Victoria as caseload models are put forward in other regions. Any thoughts, suggestions, simmilar experiences? I am truely at my wits end. Sigh :( Thanks for listening Carol-- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
RE: [ozmidwifery] research register?
Title: Message Interesting and will be very relevant to al ot of maternity units which are in the process of adding midwifery models to their practice settings. Jackie Doolan -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kerreen ReigerSent: Friday, April 15, 2005 10:18 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] research register? Hi List As an academic,I hate to say that itis quite 'normal' for there to be no coherent collection of research being done etc. It's also a dreadful problem! However midwifery is no different to any other field. Mostly one only knows about things through professional conferences and associations or personal networks. Last June's ARCHI conference for example was a terrific opportunity for finding out about developments across Australia and networking. Maybe ACMI has taken up collecting information but it would still be reliant on people letting them know what researchers, including postgradstudents are doing. For anyone's interest, I am working onstaff workingrelationships in maternity care settings. Three projects areat various stages : 1. a pilot study based on interviews across a fewpublic units with managers and senior obstetricians- interesting stuff on the impact of organisational restructuring on midwifery cultures 2. I've now completed an analysis of the working relationships amongst staffinvolved in the introduction ofnew team midwifery model in a small rural maternity unit ie team members, other ward-based staff and managers, and local GPs- 3. Study of complex issues in a large tertiary unit undergoing major organisational change: issues of mid/ob knowledge, professional boundary tensions, role of ob trainees, emotional dimensions. etc. A paper from this work will be given at ICM in July. I'm always interested in feedback on the above issues. I will also return later this year to work I started on the historical development of ACMI - it's been on hold for want of funding! Maybe others can post details of other work in progress and a thread can be then available? cheers Kerreen Kerreen Reiger Associate Professor Sociology Program School of Social Sciences La Trobe University Australia 3086 Ph: 61 3 9479 1040 Fax: 613 94792705 E: [EMAIL PROTECTED] From: [EMAIL PROTECTED] on behalf of Dean JoSent: Fri 15/04/2005 9:37 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] research register? So would this be an indicator that there is no such collation of information other than doing a search on the topic and seeing who has done what? Surely if this is the case there would be double ups and wasted resources!! Is there any academics on list that can comment on this please? Jo -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jackie DoolanSent: Friday, April 15, 2005 8:47 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] research register? I think this would be a great idea. Would help people to network with others who share the same areas of interest. Jackie Doolan -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Dean JoSent: Thursday, April 14, 2005 6:12 PMTo: ozmidwifery@acegraphics.com.auCc: [EMAIL PROTECTED]Subject: [ozmidwifery] research register? Is there a kind of register of what topics are being researched in midwifery circles? Just interested. ;o) Jo --No virus found in this outgoing message.Checked by AVG Anti-Virus.Version: 7.0.308 / Virus Database: 266.9.7 - Release Date: 4/12/2005 --No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.308 / Virus Database: 266.9.7 - Release Date: 4/12/2005 --No virus found in this outgoing message.Checked by AVG Anti-Virus.Version: 7.0.308 / Virus Database: 266.9.7 - Release Date: 4/12/2005
RE: [ozmidwifery] Contemporary midwifery critique
: does it have long-term effects?', /Journal of Reproductive and Infant Psychology/, vol.14, pp. 7-22. Page, L., McCourt, C., Beake, S. Hewison, J., 1999, 'Clinical interventions and outcomes of one-to-one midwifery practice', /Journal of Public Health Medicine,/ vol. 21, no. 3, pp 243-248. Page, L. 2000, /The New Midwifery - Science and Sensitivity in Practice, /Churchill Livingstone, Edinburgh. * * Pairman, S. 1999, 'Women-centred midwifery: partnerships or professional friendships?' MIDIRS Midwifery Digest, vol.9, no. 3, p. 386. Passant, L., Homer, C. Wills, J., 2003, 'From student to midwife: the experiences of newly graduated midwives working in an innovative model of midwifery care', /Australian Midwifery,/ Dec. 2003, Vol. 16, No. 4, pp 18-21. Rooks, J., 1999, 'The midwifery model of care', /Journal of Nurse-Midwifery/, vol. 44, no. 4, July/August, p.370-374. Rouf, K., 2003, 'Child sexual abuse and pregnancy: a personal account', in /Midwifery Best/ /Practice/ ed. S Wickham, Books for Midwives, Philadelphia, USA. Rowley, M., Hensley, M., Brinsmead, M. Wlodarczyk, J. 1995, 'Continuity of care by a midwife team versus routine care during pregnancy and birth: a randomised trial', /Medical Journal of Australia, /vol. 163, Sept, pp. 289- 293. Sandall, J., 1995, 'Choice, continuity and control: changing midwifery towards a sociological perspective', /Midwifery/, vol.11, pp. 201-207. Sandall, J., 1996, 'Moving towards caseload practice: what evidence do we have?', / British Journal of Midwifery/, vol.4, no. 12, pp. 620-621. Sandall, J. 1999, 'Team midwifery and burnout in midwives in the UK: practical lessons from a national study, /MIDIRS Midwifery Digest/, 9, 2:147-151. Senate Community Affairs Reference Committee 1999, /Rocking the Cradle. A Report into Childbirth Practices/, Commonwealth of Australia, Canberra. _ _ Shields, N., Holmes, A., Cheyne, H., McGinley, M., Young, D., Harper Gilmour, W., Turnbull, D. Reid, M., 1999, 'Knowing your midwife during labour', /British Journal/ /of Midwifery/, vol. 7, no.8, pp 504-510. South Australian Health Commission 1995/, Report of the South Australian Models of/ /Care Working Party/, Adelaide. Spurgeon, P., Hicks, C. Barwell, F., 2001, 'Antenatal, deliver and postnatal comparisons of maternal satisfaction with two pilot Changing Childbirth schemes compared with a traditional model of care', /Midwifery/, vol.17, pp 123-132. Teate, A., 2000, 'Community midwives programme in Adelaide's Northern suburbs',/Midwives Muse/, Spring, p.5 Tinkler, A. Quinney, D., 1998, 'Team midwifery: the influence of the midwife-woman relationship on women's experiences and perceptions of maternity care', Journal of /Advanced Nursing/, vol.28, no.1, pp 31-35._ _ Tracy, SK. Tracy, MB., 2003, 'Costing the cascade: estimating the cost of increased obstetric intervention in childbirth using population data', /British Journal of Obstetrics/ /and/ /Gynaecology,/ vol. 110, pp 717-724. Tracy, S., Barclay, L.B. Brodie, P., 2000, 'Contemporary issues in workforce and education of Australian midwives', /Australian Health Review,/ Vol. 23, No. 4, pp 78-88 Turnbull, D., McGinley, M., Fyvie, H., Johnstone, I., Holmes, A., Shields, N., Cheyne, H. MacLennan, B., 1995, 'Implementation and evaluation of a midwifery development unit', /British Journal of Midwifery/, vol.3, no. 9, pp. 465-468. Waldenstrom U. Nilsson CA., 1997, 'A randomized controlled study of birth centre versus standard maternity care: effects on women's health', /Birth/, vol. 24, no. 1, pp. 17-26. Waldenstrom, U., 1998, 'Continuity of carer and satisfaction', /Midwifery/, vol.14, pp207-213. Waldenstrom, U. Turnbull, D., 1998, 'A systematic review comparing continuity of midwifery care with standard maternity services', /British Journal of Obstetrics and Gynaecology/, vol. 105, pp. 1160-70. Walsh, D., 1996, 'Evaluating new maternity services: some pointers and pitfalls',/ British/ /Journal of Midwfery,/ vol.4, no. 11, pp 598-600. * *Walsh D. 1999, 'An ethnographic study of women's experience of partnership caseload midwifery practice: the professional as friend', /Midwifery,/ vol. 15, no. 3, Sept 1999 Warwick, C., 1995, 'Small group practices: the manager's perspective', /Modern Midwife/, October, p 22-23. Webber, A., 1998, 'Mothers with Midwives - A South Australian Experience of Caseload Midwifery', /New Models of Maternity Service Provision: Australian Midwifery Perspectives Conference,/ Adelaide, 5-6 November. cheers Jennifairy Jackie Doolan wrote: Would love your braod reference list. If you can send it would be very much appreciated to [EMAIL PROTECTED] Jackie Doolan -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jennifairy Sent: Friday, April 15, 2005 11:48 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Contemporary midwifery critique um, thats a really broad reference list
FW: [ozmidwifery] PPH
Title: Message Some quick research Article discussing definition of PPH as problematic http://www.emedicine.com/med/byname/postpartum-hemorrhage.htm Williams Obstetrics (2001) p.636. according to this medical text - Half of all women who give birth vaginally will loose 500mls or more if measured quantitatively (as opposed tosubjective measurement techniques). It is normal for a C/S to have a blood loss on average of 1000mls (although fluid replacement occurs no transfusion is used to replace lost RBC). Elective C/S with hysterectomy average blood loss is 1400ml and in an emergency situation 3-3.5L. If a women has a normal hypervolaemia in pregnancy (not seen in women with PIH etc) then there blood volume increases by 30-60% which is approximately 1-2 litres. Apparently this enables that woman to tolerate a blood loss at delivery that approaches the volume of blood she added during pregnancy. A mean post partum hematocrit decline ranged from 2.6 to 4.3 volume percent. A third of women had no decline or even showed an increase in hematocrit! Women undergoing C/S had a mean drop of 4.2 volume percent with 20% not having any decline at all. This text also identifies anything under 11 g/dl as anaemic. My interpretation - it seems as long aswomen are well and healthy then they are designed physiologically to withstand at least a litre blood loss. Unfortunately it is not easy in practice toaccurately or reliably identify a 500ml loss as compared to a litre loss. Research shows that clinicians tend tounderestimate blood loss 300mls and overestimate blood losses 300mls. Jackie Doolan -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Denise HyndSent: Saturday, March 19, 2005 8:34 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] PPH What about the relevance ofstored iron or ferritin levels?? Denise Hynd "Let us support one another, not just in philosophy but in action, for the sake of freedom for all women to choose exactly how and by whom, if by anyone, our bodies will be handled." Linda Hes - Original Message - From: Jenny Cameron To: ozmidwifery@acegraphics.com.au Sent: Saturday, March 19, 2005 2:18 PM Subject: Re: [ozmidwifery] PPH Hello Monica As far as I know WHO call 500ml a PPH. They acknowledge that 1000mls is probably manageable physiologically in a healthy woman but their policy statements are global and the 500 mls is to take into account the many anaemic women in the world. Brucker (2001) states that the average woman loses 500 mls in third stage. My own experience would agree with this. 1000 mls is a considerable amount to lose, even for a healthy woman. It is a matter of knowing the woman's Hb prior to birth and if she is healthy and of average height and weight with a good Hb; 12 or above, she probably can withstand up to a litre, certainly 800 mls without going into shock. O.K. she won't go into shock but a big fluid loss could mean she will be slow to establish a good breastmilk supply or she may take a while to recover postbirth. A few thoughts. Hope it is helpful. Brucker, M. 2001. Management of the third stage of labour: an evidence-based approach, Journal of Midwifery and Women's Health. Vol 46:6. Jenny Jennifer Cameron FRCNA FACMPO Box 1465Howard Springs NT 0835 0419 528 717 - Original Message - From: Michelle Windsor To: ozmidwifery@acegraphics.com.au Sent: Saturday, March 19, 2005 3:01 PM Subject: Re: [ozmidwifery] PPH Hi Monica, In the WHO guide to care in childbirth it says is that up to 1000 ml blood lossmay be physiological in healthy populations. This WHO guide was published in 1997 I think, and I haven't yet seen a more recent edition. You can purchase it through Birth International (www.birthinternational.com.au ) Hope this helps. Cheers Michellemh [EMAIL PROTECTED] wrote: Hi all,I sent this yesterday but it didn't come through to me at least so apologies if it's a repeat.There were some references a while ago about the WHO defininition of a PPH as being over 1000 mls. As we are now being required to go the most extreme lengths to treat "PPHs" of 500mls or more, even if not causing any symptoms and bleeding is settling, I would love some evidence to suggest this is overkill. Can anyone point me to the WHO document?Thanks,Monica--This mailing list is sponsored by ACE Graphics.Visit to subscribe or unsubscribe. Find local movie times and trailers on Yahoo! Movies.
[ozmidwifery] Observations in labour
Title: Observations in labour Some thoughts on this issue . For me this discussion represents the dilemma of contextual practices. To the best of my knowledge there is no research that identifies what is the 'safest' (physical, psychological and social safety) level of observation during labour. Guides to observations are provided through medical and midwifery colleges. They provide no reference sources. In the hospital setting midwives are employees who work in an environment that gets sued - regularly. Large hospital organisations are consequently legally focused, establishing standards through policy and procedure which reduces their ability to be client-centred. Regular observations are part of risk management (ties in with the accident waiting to happen philosophy). In such environments the organisation believes documentation of routine observations provides evidence that they have met their duty of care to the client. This is not to say that many midwives don't bend rules to promote an undisturbed labour. To do so, however, places them at risk of organisational, professional and legal sanctioning. Such organisational requirements therefore interfere with the midwife 's practice. The discussion previously has been about 'In the absence of evidence what is the 'standard' of routine observation in this kind of practice environment'. The midwife in the home environment is self-employed and has a care philosophy that requires the establishment of a trusting, continuous relationship with the women in their care. Midwives know their client and trust women to communicate any concerns or alterations in well-being they may be experiencing. Here 'imposed policies' do not exist, midwives establish their own standards based on evidence where evidence exists, women make their own informed choices about their care and together there is respect for the woman's autonomy and her right to exercise 'a voluntarily assumption of risk' (legally speaking). In this setting care is able to be woman-centred and is not predominantly legally or risk management focused. What is being discussed now is the individual 'standards' of midwives in this context of practice. What is needed in terms of observation is worth exploring. It is important to remember though that the realities of contextual environments will shape this area of practice. Jackie Doolan
[ozmidwifery] Swedish Birth Centre Safety Study
Title: Swedish Birth Centre Safety Study Does anyone know where this study has been published? Cheers Jackie Doolan
RE: [ozmidwifery] FW: Please explain? re caesarean section segment
Title: Message Fabulous letter Jayne.It seems thatthe joy of theuterus inorgasm iscompletely lost on the medical fraternity. J -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Marilyn KleidonSent: Wednesday, June 02, 2004 7:03 AMTo: [EMAIL PROTECTED]Subject: Re: [ozmidwifery] FW: Please explain? re caesarean section segment Excellent letter jayne. marilyn - Original Message - From: jayne To: [EMAIL PROTECTED] Sent: Monday, May 31, 2004 8:06 PM Subject: [ozmidwifery] FW: Please explain? re caesarean section segment Well, Ive given it a go and sorry if Ive pinched anybodys lines but in the end what matters is that as many of us as possible tell them that it wasnt acceptable. From: jayne [mailto:[EMAIL PROTECTED] Sent: Tuesday, 1 June 2004 1:03 PMTo: '[EMAIL PROTECTED]'Subject: Please explain? re caesarean section segment Dear Liz, I watched the 60 minutes report on birth via caesarean section v- natures way with at first, great interest and as the story unfolded, with dismay. Great dismay that it was a very biased report. Justine Cairnes mentioned evidence supported that natural birth was the safest for mother and baby but your report failed to give it any coverage. Why did you not interview an expert on natural birth a midwife? I noticed you took the very glamorous Tracey Curro and let her run wild with her absurd claim compelling medical reasons why it was a good thing (caesarean section) namely preservation of the pelvic floor. Pelvic floor dysfunction is and can be a condition for any group of women, whether they have birthed a baby through their vagina or not. For the benefit of any women out there now assuming that they must have a caesarean section to preserve their pelvic floor, PLEASE EXPLAIN? By the way, Ive birthed 3 children naturally and my pelvic floor function is 100%. Perhaps Traceys obstetrician failed to mention to her the benefit of pelvic floor exercises? As for Dr David Molloy, and his comment on hysterectomies and the average birth rate of 1.7 - does he mean it is okay to remove womens uteruses as a result? I wonder if he wouldnt mind his scrotum being removed after he has completed his 1.7 children. I also felt it was really a low blow to feature Vanessa Gorman. Did I miss where you mentioned that babies die during and as a result of caesarean sections as well? This was just sensationalism journalism at its best. Yours sincerely,
FW: [ozmidwifery] Immunisation foum
Title: Message any chance that this might come to Brisbane??? -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Nicole ChristensenSent: Wednesday, May 19, 2004 8:49 AMTo: [EMAIL PROTECTED]Subject: Re: [ozmidwifery] Immunisation foum any chance that this might come to SYDNEY! - Original Message - From: Pinky McKay To: [EMAIL PROTECTED] Sent: Tuesday, May 18, 2004 4:28 PM Subject: [ozmidwifery] Immunisation foum clip_image002.gif
[ozmidwifery] Oxytocin Therapy Protocol
Title: Oxytocin Therapy Protocol Dear Folks, Wondering if anyone has any protocol re Oxt. Therapy and the need for one-on-one midwifery care. Also can anyone direct me to literature that supports this practice. Thanks in advance. Jackie Doolan
RE: [ozmidwifery] Queensland Midwives - Response required
Title: Message will do. J -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Sandra J. EalesSent: Tuesday, March 09, 2004 11:37 AMTo: [EMAIL PROTECTED]Subject: [ozmidwifery] Queensland Midwives - Response required Queensland Health havefinally released their position on the Qualifications Allowance which was part of the award determined by the IRC last June/July. This allowance (3.5% pay rise) is for post graduate tertiary qualifications or post graduate qualifications that the "employer values as equivalent". The initial response from QH was that all midwives working in that clinical area would be entitled to this. After gestating for 8 or 9 months however, they have now decided that only university trained midwives will receive it. This ill-judged and unjust decision will create division and resentment within midwife ranks. Many of the most experienced and valuable midwivesare hospitaI trained and their initial response has been that they no longer want to be involved with students. Midwives need a strong and united response to this matter. I would urge all Qld midwives, whether your school ofmidwifery was located in a hospital or university, to write a letter to the Premier or Health Minister Gordon Nuttall and let them know that this is unacceptable. Sandra Eales
RE: [ozmidwifery] Bulletin article
Dear Barbara, Thanks for this fabulous website Jackie Doolan -Original Message-From: Greg Barbara Cook [mailto:[EMAIL PROTECTED]]Sent: Thursday, August 22, 2002 4:22 PMTo: [EMAIL PROTECTED]Subject: [ozmidwifery] Bulletin article Hi, When I was sitting at a McDonalds the other day there was the Aug 13 edition of the Bulletin. It had an article on Maggie Lecky-Thompson. Is this true that she was attending a birth as claimed? check out www.bulletin.ninemsn.com.au for the article. Cheers Barb
[ozmidwifery] C/S Rates
Dear all, Is there any way in which a state's Private Hospitals Caesarean Section rate can be accessed legitimately. I recall that Marsden Wagner's visit in the 90's caused a stir because he was able to access this information and report it. Has this changed in any way? How did he get this information? I noticed Mary Murphy's posting and was shocked by the 12% increase in C/S rates in one year. Also is there any way to access the total % of people taking up private insurance within individual states from one year to the next? Cheers, Jackie Doolan -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Maternity Crisis in WA Peel Region
Lois - A well though out letter.Lets pray ithelps them to think outside the square. Cheers, JackieDoolan -Original Message-From: Lois Wattis [mailto:[EMAIL PROTECTED]]Sent: Friday, July 05, 2002 1:54 PMTo: [EMAIL PROTECTED]Subject: [ozmidwifery] Maternity Crisis in WA Peel Region Dear ozmid friends, just to keep everyone up to date nationally, the mediahas been buzzing here in WA this week with the announcement of the pending closure of a major regional hospital maternity ward(Peel Health Campus, Mandurah) directly related to the PI insurance issue. Three of the local GP/ob's had withdrawn their services from today onwards due to PI expense and unworkable arrangements with the privately operated PUBLIC hospital. The pregnant women were told they would now have to go to another hospital. The PHC has about 600 (public pt) births per year and 70 private births. A "last minute rescue deal" has been struck and the closure is presently averted, but anxiety levels were very high among women and midwives over the past few days. I see this as a golden opportunity to push the political barrow for midwifery careand have written to our local MLA's and WA Health Minister, as well as the hospital admin. A copy of the letter is pasted below: Dear Sir The threatened closure of the maternity ward at Peel Health Campus this week due to withdrawal of obstetric services as a result of the PI crisis highlights the limited care options available to women in the Peel Region. I am writing to endorse the comment made by Health Solutions chairman Jon Fogarty as reported in the Mandurah Mail 4/7/02 :- "We believe the Government - both State and Federal should act immediately to address these issues and put in place long term reforms". The present system where women's wellbeing during pregnancy is monitored by GP/obstetricians (who are extremely busy maintaining medical practises caring for sick people), and hospitalised birth is considered "normal" in our society. However this "medical model" is not the only system of care for well pregnant women. Countries such as New Zealand, Holland and England have efficient and cost-effective maternity systems based on midwifery models of care. Registered Midwives provide well women with high levels of support and safe, satisfying outcomes, collaborating with obstetricians only when risks indicate the need for medical intervention. The World Health Organisation recommended in 1994 that "midwives are the most appropriate primary health care provider to be assigned to the care of normal birth."1 This view has been consistently supported in subsequent studies and reports throughout the world 1b. In a midwifery-related policy released last year The Health Department of WA stated "it respects the differing needs of WA childbearing women and recognises that families have the right to select and accept responsibility for their choice of model of maternity care best suited to them"2. A recent WA survey indicated that "many childbearing women expressed a desire for an increased range of options in the provision of maternity services"2b. The recent maternity services crisis and the associated anxiety for expectant families and care providers can be relieved through: 1. Reinstatement of the government funded Family Birth Centre which functioned in Mandurah until it was "absorbed" by the Peel Health Campus in 1998. This should be a separate facility, government funded and midwife managed, with collaborative support of obstetricians for referral, and transfer to hospital if indicated. 2. Establishment of an Antenatal Clinic where care is provided by midwives at Peel Health Campus, supported by GP/obstetricians in a "shared-care" arrangement. This type of service is already in place in progressive maternity units located at Armadale and Bunbury hospitals. 3. The Community Midwifery Program should be expanded to include the Peel Region. This service was recently described by Mr. Bob Kucera WA Health Minister as "the gold standard of maternity care". The CMP provides free primary midwifery care to women who choose homebirth in the Perth metropolitan area, and as a fully government funded service midwife-practitioners are insured under the Health Dept's "RiskCover". Women residing in the Peel Region who choose home birth have accredited midwives available to provide this care but private PI Insurance cover is unavailable. Expansion of the CMP would address the insurance problem as well as improve the range of birth options available to women of the Peel Region. These initiatives could be rapidly achieved if maternity care providers and the government collaborate effectively and the true value of midwifery care is recognised. I
RE: my story
Dear worried Mum, This is a very scary way to go about offering you information. I would request in writing (cc to all panel members) some research that supports this doctors management plan. State that to make an informed choice you need to weigh up the risks and benefits associated with vaginal birth (given your history) and those associated with C/S (When you feel ready you may like to visit the website below - the article is very honest about risks in general but not to your specific case, it is written by Marsden Wagner http://www.acegraphics.com.au/resource/papers/wagner03.html). A letter becomes a legal document which will be put onto your hospital file - so keep a copy. Although I have not read any research on this matter the following rationale comes to mind - in the event of a narrowed pubic arch the baby's head may have to travel further down towards your coccyx before it can slip under the arch. This may mean the tissues in the back section of your pelvis may have more pressure placed on them as the baby's head is born. When a woman has a broader pubic arch the baby's head slips under the arch after a little downward distance is travelled - this may reduce trauma to pelvic floor and perineum. I hope this information helps you succeed in achieving an empowered birth experience. Cheers Jackie Doolan -Original Message- From: judit [mailto:[EMAIL PROTECTED]] Sent: Friday, June 07, 2002 9:19 AM To: [EMAIL PROTECTED] Subject: my story Hallo, I was recommended to tell you this story by my midwife friend, to get to know so more opinions on the subject. I am a believer in natural birthing so I had my first baby at home because I didn't trust the hospital to respect my wishes. I had a wonderful midwife and a wonderful baby. I did end up in hospital because of a 3rd degree tear but I wouldn't have wanted it any other way if I had to do it all over again. Well that time has come. I am now 33 weeks pregnant. This time we had to resort to the hospital. I wrote my birthplan and they requested a meeting. It was me against four of them, the manager of the ward, a midwife, the obstetrician and someone from administration. They said they respected my wishes against any interventions until an emergency occurs so I thought everything would be allright. Than at the end the obstetrician stated a ceasarian would be a better option in my case, if I could go home and consider this scenario. I told him straight away I wouldn't change my mind. He said my pelvis is probably to small because my first baby was only 3.3kg so I shouln't have torn so badly, and that the scar tissue is likely to tear again and might not heal up as well, leaving me farthing through my fanny for the rest of my life. So all of a sudden my wish for a natural birth changed into a recommended x-ray at 36 weeks, if the baby is not to heavy I can have a vaginal birth on my back with an episiotomy the size of my first tear only in a different direction. I do not like my options very much as you can imagine so can anyone tell me if I can trust my obstetricians judgement. Is this normal procedure in a case like mine or shall I have a homebirth again after all? Thanks for taking your time to read my story. a worried mum -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: Some new safety tips for women...A HOAX
Dear David Thank you for the urban legend sights. I had concerns about some aspects of this e-mail too but I thought there were enough practical suggestions to warrant sharing - for example don't wait in your car without doors locked, be vigilant about where you park and who you park beside, be aware of your surroundings and most importantly I wanted to share the main reason I sent this on - Around 10 years ago when living in Sydney I heard a radio news story of a woman who was walking home and who was held up by a man in a car with a gun and told to get in. She did - unfortunately. I was with my father at the time, who is a policeman, I asked him what could she have done? Dad said virtually the same thing this e-mail said run - as long as you are not in his car you are not under his control - chances are he will not shoot and if he does he'll miss. I thought at the time this was good advise, the same advise as in the hoax e-mail. I agree fear of crime is debilitating - the reality is that women are vulnerable and yes it does curtail our freedom. Sexual assault was the fourth highest crime reported to the police in 1999 even though only 2 in 5 sexual assault victims are believed to report the incident. See page 10 of http://www.aic.gov.au/publications/facts/2001/facts_and_figures_2001.pdf This is why we hold 'Reclaim the Night' street marches. Such messages may be considered 'scare mongering' but they do often provide women with measures (as mentioned above) that help them to become and feel less vulnerable. J -Original Message- From: Vernon at Stringybark [mailto:[EMAIL PROTECTED]] Sent: Wednesday, June 05, 2002 10:23 PM To: Jackie Doolan; Anne Bousfield (E-mail); Erin Dunne (E-mail); Janis Doolan and Hellen Lund (E-mail); Jenny Golebiowski (E-mail); Joanne Taylor (E-mail); John Doolan (E-mail); Katherine Prior (E-mail); Lynne Dunne (E-mail); Oz midwifery (E-mail); Tonia Paroz (E-mail); Yvonne McClelland (E-mail); '[EMAIL PROTECTED]' Subject: Re: Some new safety tips for women...A HOAX Dear Jackie et al, This email contains stories that are well known internet hoaxes. Indeed the tale of the man and the flat tyre did the rounds in Canberra not so long ago on email and it caused considerable distress to women who shopped at Belconnen Mall (where the incident was supposed to have occurred in that version of the hoax). Indeed, it caused so much angst that the police put out a statement saying that the story was a complete nonsense and women were being needlessly frightened. What is particularly concerning about these typical 'American' hoax emails is that they prey on the concerns of women (and men) about crime. Some psychologists argue that the fear of crime is more debilitating to society than the crime itself. It is rubbish that violent crime has dramatically increased over the past few years. Indeed in the USA violent crime is the lowest it has been for two decades (despite the media hype) and in Australia there has only been a minor increase in violence. It is important to be vigilant. It is important to be practical about ones safety, but it is not a good strategy to be paranoid about violence. That is a recipe to live a miserable life. A good place to check if emails are hoaxes is the Urban Legends Reference Pages: http://www.snopes2.com/ or TruthorFiction.com see: http://www.truthorfiction.com/index.html This email is debunked at: http://www.truthorfiction.com/rumors/flattirekiller.htm Cheers David Vernon (note - Not Barb Vernon, a regular contributor to this list). I don't normally send these kind of e-mails but I think this is very important for women's safety. Especially the stories at the end. cheers Jackie Doolan There's two parts to this email. Make sure you read all of it, it could be very important someday.. If you got this and you're a guy...Please pass it ... DON'T GET CAUGHT IN THIS TRAP. Part Two... About a month ago there was a woman standing by the mall entrance passing out flyers to all the women going in. The woman had written the flyer herself to tell about an experience she had, so that she might warn other women. The previous day, this woman had finished shopping, went out to her car and discovered that she had a flat. She got the jack out of the trunk and began to change the flat. A nice man dressed in business suit and carrying a briefcase walked up to her and said, I noticed you're changing a flat tire. Would you like me to take care of it for you? The woman was grateful for his offer and accepted his help. They chatted amiably while the man changed the flat, and then put the flat tire and the jack in the trunk, shut it and dusted his hands off. The woman thanked him profusely, and as she was about to get in her car, the man told her that he left his car around on the other side of the mall, and asked if she would mind giving him a lift to his car. She was a little surprised and she asked him why his
Qld Midwife of the Year
I would like to congratulate Donna Fechner of Toowoomba Base Hospital, Queensland for her award as Queensland Midwife of the Year, (awarded by Jonhson and Johnson). It is my understanding that Donna provided the woman who nominated her with an extremely high level of emotional and physical support during a challenging birth experience. Congratulations Donna. Thank you to the midwives in the Toowoomba region for an enjoyable celebratory IMD dinner. Jackie Doolan ACMI Toowoomba Branch President -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
CONGRATULATIONS
May I congratulate Pat Brodie and Virginia Miltrup on presenting midwives in a highly professional and articulate way this morning on the matter of PII on NATIONAL TELEVISION (stations 7 and 9). Hip Hip Hooray. I think that is the first time I have heard the words 'research shows midwifery-led care is best practice...'spoken for all to hear on television - so very well done Virginia. Cheers, Jackie Doolan -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Health dimensions
Below is the email I have sent to this show. I am a midwife and I am very concerned about the increasing demands on public and private health services in the face of reduced spending in the publich health sector. I recognise the ideological stance of the liberal party in terms of health care. My concern is that woman who undertake private care have a much greater chance of caesarean section rates and other interventions (see Rocking the Cradle Senate Inquiry and http://www.bmj.com/cgi/reprint/321/7254/137.pdf). In some Australian private hospitals there is over a 50% caesarian section rate (WHO recommend no greater than 15% intervention rates -Marsden Wagner 1994). This unnecessary and totally avoidable escalation in procedures and therefore health dollars has not been addressed by any government to date. Please ask Mr Wooldridge does he see himself, as Health Minister, being accountable to the healthy low risk women who are put at risk from avoidable major abdominal surgery simply because they are not able to access alternative care providers? Midwifery lead care for low risk women (~80% of women) is supported by the World Health Organisation as being the safest and most cost effective way to provide quality maternity services. Childbirth consumer groups are more than happy to tell him that they want MORE CHOICES! Clinical indicators show no difference between obstetric or midwifery lead care in the care of low risk women (slighlty improved with midwives - see New Zealand statistics) yet the cost, both in fiscal and social terms, to women is vastly different under each model. I want to know who does this system of unnecessary costly intervention serve? Need I ask? It certainly isn't the women of Australia. Also please ask Mr Wooldridge when he thinks it would be a good time to take action (perhaps have lunch with the president of the Australian Nurses Federation) to address the exodus of nurses from the Australian Health Care System. Nurses are walking away because they are exhausted and can no longer be the backbone to a service that has diminishing resources yet increasing patient acuity and throughput. Mr Wooldridge needs to know that Nursing workloads are totally unacceptable. Nursing is on a national shortage of skills list - yet Mr Wooldridge continues to 'pass the buck' on this issue to the state governments. He may not yet realise that this is a major Federal electoral issue for many nurses and their families. Would love to see some of these areas addressed in your show. Warm regards, Jackie Doolan Midwife -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Breast Feeding Joke
Subject: Breast Feeding A woman and a baby were in the doctor's examining room, waiting for the doctor to come in. The doctor arrived, examined the baby, checked his weight and asked if the baby was breast fed or bottle fed. Breast fed she replied. Well, strip down to your waist, the doctor ordered. She did. He pressed, kneaded and pinched both breasts for a while in a detailed examination. Motioning to her to get dressed he said, No wonder this baby is underweight. You don't have any milk. I know, she said, I'm his Grandma, but I'm glad I came. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Postnatal observations
Dear Folks, I am really eager to get a sense of what we do across Australia in terms of postnatal observation. So far only one person has responded to my previous email. Could anyone with information to share please assist me by considering the following questions - Could you please identify what are the official policies or practices in place postnatally at the services where you work - for the following instances (over the next immediate 1-2 hours). - After birth of the baby until the birth of the placenta during a normal, physiologically managed third stage. - After an actively managed third stage and a normal labour. -When soon after (15mins) completion of third stage, a woman passes a 500ml clot and has IV syntocinon commenced. I recognise that there will be great diversity in the responses due to many influencing factors especially in relation to models of care. I am hoping to use this information in informing midwifery students and partner hospital policy development. If you prefer you can email me personally on [EMAIL PROTECTED] Cheers, Jackie Doolan Lecturer, USQ -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
ACMI Conference
May I congratulate all the organisers, speakers and participants at the ACMI conference for a fantasticly informative and social conference. I look forward to doing it all again in Darwin in 2003 Cheers, Jackie Doolan -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Postnatal Observations
Dear All, I would like to get a sense of what is current practice in Australia in terms of postnatal observations. (There is no evidenced-based practice that I know of) and I would really appreciate your help. Could you please identify what are the official policies or practices in place postnatally at the services where you work - for the following instances (over the next immediate 1-2 hours). - After birth of the baby until the birth of the placenta during a normal, physiologically managed third stage. - After an actively managed third stage and a normal labour. -When soon after (15mins) completion of third stage, a woman passes a 500ml clot and has IV syntocinon commenced. I recognise that there will be great diversity in the responses due to many influencing factors especially in relation to models of care. I am hoping to use this information in informing students and policy development. If you prefer you can email me personally on [EMAIL PROTECTED] Cheers, Jackie Doolan -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Great website!
Thanks Tina this was fantastic - will it be the next decade before we get one in Australia do you think? The article difficult delivery was worth the read as well. Cheers, Jackie Doolan -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
3rd and 4th degree tears
Hi all, I am wondering if anyone can point me in the direct of any recent research that discusses causative relationships between any factor to do with childbirth and 3rd and 4th degree tears. I have research that discusses the relationship of epidural and perineal trauma (MIDIRS). Does anyone know of any other articles? Cheers, Jackie Doolan -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Website for submissions
Dear Felicity All I would love to see the senate inquiry submissions on a midwifery related website (ACMI sounds good). As a midwife who works at the cold-face ( I've often wondered who developed that term) I would love to have this knowedge at my fingertips so that I could use it to my advantage in any scuffles with administrators and/or medical model advocates. After all the hours put into researching and formulating these documents, they should indeed make a wonderfully rich resource of knowledge and statistics. I do hope this sharing through websites eventuates Jackie Doolan Midwife/Lecturer University of Southern Queensland [EMAIL PROTECTED] mailto:[EMAIL PROTECTED] -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
handsard readings
Dear list I have spent time attempting to find information about the inquiry on the handsard web site. With no success. Can anyone give me the path to it once I'm on the hansards home page? Jackie Doolan -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: Direct entry
If approximately 80% of midwives work in metropolitan and urban areas, i believe that the opportunity for direct entry midwifery should be made available to this majority. We are loosing midwives from the system, not only rural areas. Retention rates within midwifery may improve if we increase job satisfaction. This may mean taking steps to ensure midwives in large hospitals are not used as staff pools to fill other 'nursing' gaps. In respect to rural issues it is my belief that in the case of direct entry midwifery, education and curriculae can encompass electives (optional) in the third year of studies to incorporate rural nursing. This would allow some versality in employment for this midwife but only in so far as rural settings. Jackie Doolan Midwife -Original Message- From: Kathleen Fahy Sent: Tuesday, August 03, 1999 11:24 AM To: Judy Chapman; [EMAIL PROTECTED] Subject: RE: Direct entry I hear you concern about rural women and agree that more rural women should have the option to birth in their home town but I don't think that this means that midwives who are not nurses cannot work in rural hospitals. Eg If 120 women birth per year in a rural hospital it may take 12 nurse-midwives to cover all shifts + holidays but if caseload midwifery was used then 3 full time midwives could provide all the care for the same number of women. Dr. Kathleen Fahy Associate Professor Midwifery Co-ordinator University Southern Queensland 07 46312377 [EMAIL PROTECTED] -Original Message- From: Judy Chapman [mailto:[EMAIL PROTECTED]] Sent: Tuesday, August 03, 1999 11:02 To: [EMAIL PROTECTED] Subject: Re: Direct entry I agree with Elaine wholeheartedly. I have no desire to do general nursing and restrict my jobsearching to hospitals big enough to employ full time midwives. One of the problems not mentioned also is the lack of doctors who can/will do obstetrics. Many women are forced to leave their families for long periods and travel far because there are no facilities for C/S and of course, there is no way you can have a baby if there are not the facilities to do an emergency C/S for whatever reason. The number of social inductions that are done in my centre for the sole reason of letting a woman have her baby and get home to her family is shocking. I don't blame the OB, his heart goes out to them in their loneliness and he aquieses to their request. It is a system which places so much emphasis on the need to do an operative delivery which is at fault. Judy From: "Dietsch Family" [EMAIL PROTECTED] Reply-To: [EMAIL PROTECTED] To: "midwifery@ace" [EMAIL PROTECTED] Subject: Direct entry Date: Wed, 28 Jul 1999 20:24:13 +1000 While I agree that Direct Entry would be a wonderful opportunity for women choosing to be midwives and for many birthing women. I do have a concern that I would like to share with the list. My concern is for women choosing to give birth in small country towns all over Australia. Rural (let alone remote) Australia is having incredible difficulty recruiting midwives to practice and as a result maternity services all over the country are being closed and women are being forced to larger centres, often many hours away to give birth (A homebirth midwife is only a fantasy!). Direct entry may help in encouraging more women to midwifery. But, in these small towns the reality is that midwives also double/triple as accident and emergnecy nurses, gerontology nurses, etc. As an idealist, I agree that this is awful and plays a role in discouraging qualified midwives from practising and the health service should realise this and do something. As a realist, I must admit (and nearly choke as I do so) they are - they continue to close down birthing opportunities for rural women - it makes great sense economically - it is a tragedy for women, their babies and their families. My concern is that birthing opportunities for rural women will be even further reduced if Direct Entry were to be accepted and midwives cannot also function as nurses in rural hospitals. Elaine Dietsch 11 Willow St Leeton NSW 2705 02 69 533 272 [EMAIL PROTECTED] -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ Get Your Private, Free Email at http://www.hotmail.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
