Re: [ozmidwifery] Fw: Support people in birthing suites
Dear Lisa, Our policy used to be 1 support at a time, and I did use this once to remove a sister that the couple did not wish to be there , but could not tell her themselves for fear of offence. Now I think it may have been changed or at least we ignore it ( it may be 2 now). For me, if the people are working for and with the woman then short of a cast of thousands I'm happy. But I try to ease out spectators that are there to watch because it would be so cool to see a birth. Also it has to be balanced with the others using the unit as only the birthing room has its own facilities and the 2 others share the bathroom across the corridor. This obviously means that one women's supports wandering up and down the corridor can be very uncomfortable of the other women. A policy can not really cover all women's needs, but we have one non the less. Katy - Original Message - From: Lisa Gierke To: ozmidwifery@acegraphics.com.au Sent: Friday, January 12, 2007 3:14 PM Subject: [ozmidwifery] Fw: Support people in birthing suites What are peoples thoughts on limiting or not limiting the number of support people who come into be with a woman in labor in hospital? What is your hospital policy about thisare children welcome? Am interested in what others experiences and policies are. Lisa __ NOD32 1972 (20070111) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com
[ozmidwifery] Finding a birth pool
Dear all, I know we have covered this, however I have been back over the past year and can't find any references. A women approached me about where to find a suitable birthing pool. She has been told it should be a mtr deep and she has only found the kids ones of 750cm. It will also need to fit in her kitchen. We are in rural NSW. Does anyone have any info I can give to her. Katy.
Re: [ozmidwifery] Missing emails
Dear Andrea, I too have had some problems over the time with emails. However I just thought I should say that I really appreciate the opportunity to be part of this list and thank you and your organization for sponsoring the site, making it possible. Katy. - Original Message - From: Andrea Robertson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, December 12, 2006 7:58 PM Subject: [ozmidwifery] Missing emails Hi fellow listers, The problem of missing emails is bothering us all. I'm in the same boat as the rest of you. Part of the problem may be the high level of email being sent generally these days - perhaps this causes problem with the sheer volume of messages in cyberspace. I have our list manager on the job and we are exploring changing the hosting of the list to better improve service. I hope we will have something to announce early in the New Year. In the meantime, can you please bear with us while we do our best to keep our treasured list working well for us all. If you notice that a message you have posted does not appear within 24 hours, perhaps you could send it again? Many thanks, Andrea -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 1918 (20061212) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] cord blood gases
We do not do routine gases but have just begun having to keep a length of clamped cord to do gases on in retrospect if a baby is unexpectedly flat at or soon after birth. katy. - Original Message - From: Naomi Wilkin [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, October 13, 2006 6:07 PM Subject: [ozmidwifery] cord blood gases Hi all, Just wondering how common it is for cord blood gases to be done in maternity units. I work in a small metro. hospital with a very busy maternity unit and our medical 'powers that be' are pushing for them to be done at every birth. Something we, the midwives, are very, very reluctant to do. I was also wondering if anyone knows of any research that may help us to prevent this from becoming a routine thing. Thanks Naomi. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 1.1798 (20061011) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Launceston query
Dear Michelle, Thanks for that , have sent the info on. Katy - Original Message - From: Michelle Windsor To: Ozmidwifery Sent: Thursday, October 12, 2006 9:54 AM Subject: [ozmidwifery] Launceston query Hi, Last week there was a query regarding midwives etc around Launceston. This is the web site of the midwives there who do homebirth as well as run a free standing birth centre. www.birthcentre.org.au Cheers Michelle On Yahoo!7Men's Health: What music do you want to hear on Men's Health Radio?
Re: [ozmidwifery] missing mail
Yes Katy. - Original Message - From: cath nolan To: ozmidwifery@acegraphics.com.au Sent: Tuesday, October 10, 2006 9:55 AM Subject: [ozmidwifery] missing mail I am getting Susan Cudlipp's test message coming in my email inbox, not to the diverted ozmid list. Is this happening to anyone else?, Cath.__ NOD32 1.1794 (20061006) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
[ozmidwifery] Wonderful women
I had the privilege to care for 2 women last night who both showed how strong women can be. Ist came in at 3cm with SROM P0 all well. Had to interrupt my care for the arrival of no. 2. One of the teens I had been doing antenatal checks with. A gorgeous country bumpkin P0who had just travelled for 3 hours with family. On arrival looked very 'interesting' and wanting to BO. So with out the usual lead in I did a VE. Nothing in the pelvis but a limb and fully membranes intact. Quick explanation andsummoned help. This was the first time the baby had been breech, little toad. I asked this girl not to push and gave my reasons. She was amassing. She stayed calm and was able to do as I asked all the while I was preparing her for OT. She must have been so scared. LSCS of a beautiful girl with one leg up and the other footling, the membranes had stayed intact. Upon return to LW, women no. 1 showing obvious signs of good progress... sweat on top lip and very zoned out. She had an OP baby on board. 2.5 hours from 3cm she began the involuntary pushing. 9cm and soon fully and lovely NVD intact, not even a graze. She had been so calm and just followed any guidance I felt the need to make ( not much she was doing such a great job ). I would love to have had the endorphins she clearly had happening. None the less I had my own rush at being so lucky to be present with such an intuitive young women. Don't we have the best profession? Katy.
Re: [ozmidwifery] GBS and Staph
Interesting, our regime is different Amoxil IV 1gm 6th hourly. Katy. - Original Message - From: sharon To: ozmidwifery@acegraphics.com.au Sent: Friday, October 06, 2006 8:35 PM Subject: RE: [ozmidwifery] GBS and Staph Thats right gbs is group b streph which is found on vaginal swab at 36 weeks treated with benzpennicillin during labour every 4 hours commencing with a loading dose of 3 gms then 1.2 gm every four hours while in active labour. Regards sharon From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Ceri KatrinaSent: Friday, 6 October 2006 7:32 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] GBS and Staph Isn't GBS a staph infection??? Been awhile since I was at work, relishing in the time off work with little munchkin who is now 3 and bit months old.katrinaOn 06/10/2006, at 7:06 PM, Kelly @ BellyBelly wrote: One of the women on my site has just found out she has both of these things. She said she has googled for hours and cant find anything on Staph specifically. Can someone pass on some knowledge on what this is going to mean? I have never heard of someone having both before . Shes almost 38wks Best Regards,Kelly ZanteyCreator,BellyBelly.com.auConception, Pregnancy, Birth and BabyBellyBelly Birth Support__ NOD32 1.1793 (20061006) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
[ozmidwifery] Birth in Launceston
Dear anyone, I have just had a call from my niece in Tassie who wanted info on the options for care in Launceston. Sheis thinking of taking out private health insurance as they have heard a few scary stories ( "your wifewouldhavedied if I did not step in") and are concerned about the amount of care etc she will get with BF amongst other things. I tried not to be too negative about private asit is a con herewhere I work, there is no continuity of care with Obs even if they do go private. Is there someone out there that works at Launceston Hosp.or an independent midwifethat she could contact to see how the system down there works. Is there a midwives clinic option? Feel free to contact me on [EMAIL PROTECTED] . Katy.
[ozmidwifery] Nipple care
Dear all, I would like your help with info to forward on to my niece who suffers from exemia in particular her nipples, whichcrack and bleed.She is not pregnant or feeding, but with my midwives eye, I would like to help her clear things up to protect the future BF potential. My niece was BF till she was 4 and so I feel confident that she will be very pro. I know little of what she has already tried so all info would be great. Thanks in anticipation. Katy.
Re: [ozmidwifery] Blood pressure...
Dear Kelly, While this women does have an increase in her BP of some significants and protein ( the amount is not stated ), these things are symptoms not diagnostic and so yes she should be monitored and if necessary some meds to control her BP ( but not yet at only 130/80 ). But you say her bloods are OK. The 24hr urine will be helpful, but if her bloods stay unchanged with serial monitoring then I don't see the need to panic. Katy. - Original Message - From: Stephen Felicity [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, July 05, 2006 1:17 PM Subject: Re: [ozmidwifery] Blood pressure... A little bit of knowledge can be a dangerous thing. Heidi, I'm shocked by this statement. I can only assume I misunderstood your stance; could you expand on this statement? Being well-informed is not about being scared or doubtful of the Hospital (and a Doula doesn't put fear or doubt into their clients); it's a basic human right, particularly for a birthing woman and her baby. Knowledge is never dangerous (it's NOT being informed that carries the danger); and if knowledge leads a woman to feel fearful of a course of action that is proposed for her, that is a GOOD thing - it's her intuition telling her that she isn't ok with it happening, and pushing her to seek other options. Co-operation with a Hospital and her careprovider is not the ultimate goal for a birthing woman. It should be the other way around. Women are not infants and they have a right to any and all information, and to their emotions - even if they include fear. Fear is natural in birth and it's good support and good practice that gets us through it effectively; not avoiding the feeling altogether. Careproviders might not interfere with women and birth for fun (although I've seen and heard of Obs that indicate differently - and even, rarely, Midwives), but the rates of intervention compared to the rates indicated a s actually necessary show that they're not often intervening based on evidence, either. It's not the information and knowledge that scares women. It's the practices and the outcomes. To address the fear we don't need to withhold information so the women can birth in Hospital without fuss; we need to truly support women, foster open negotiation and respect, and keep pushing to change the practices that aren't evidence-based or in the best interests of women and their babies. - Original Message - From: Kelly @ BellyBelly [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, July 05, 2006 12:29 PM Subject: RE: [ozmidwifery] Blood pressure... Oh no no no, not at all!!! I have been as level headed with her as possible, encouraged her to ask questions, and forwarded some information which I found on the list in regards to how it all works - I am just more blunt on the list as I know I am not going to scare anyone who is informed, and I like honest questions and answers without having to worry about upsetting anyone! Of course I have encouraged her to do the regular check-ups with them, and if she wants to and all is well, ask if she can have more time or if they think it's important that she does go ahead with it, then that's fine. I often say more here than I do to the women, and make sure my role is support and not advice. If anything, she is paranoid about having a posterior baby which was fostered by a mum they brought into her ante-natal class who had a posterior bub as well, was induced and had an epidural - all of which she doesn't want. I have told her that having an OP bub now doesn't mean she will in labour, and if she did, we have tricks up our sleeve to work with that. 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 heidi crisp Sent: Wednesday, 5 July 2006 12:01 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Blood pressure... I am a student midwife in a tertiary hospital and this is from Myles textbook Generally, hypertension is regarded as 140/90, however if the individual has an increase of 30mg systolic or 15mg diastolic with presence of proteinurea then she should be monitored closely. The risk is of developing pre-eclampsia and then eclampsia, harm to baby and mother Your client has shown these symptoms and therefore the hospital has an obligation to care for her as best they know. My blood pressure throughout my pregnancy has been 100/60, but when it was tested Thursday/Friday last week it was 130/80... so not really high, just high for me. also she wrote I basically just said I would like the drip to start slowly and allow time for active labour to establish before increasing the dose,
Re: [ozmidwifery] DARE abstract FYI
We are just changing our resuscitation protocols to reflect this new info. Mind you I had heard of this some years ago at a CTG workshop and am always surprised how slowly things move through the system. Guess they need to be really sure. Katy. - Original Message - From: leanne wynne [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, July 05, 2006 10:17 AM Subject: [ozmidwifery] DARE abstract FYI DARE abstract 20053481 Resuscitation of depressed newborn infants with ambient air or pure oxygen: a meta-analysis Saugstad O D, Ramji S, Vento M. Resuscitation of depressed newborn infants with ambient air or pure oxygen: a meta-analysis. Biology of the Neonate, 2005;87(1):27-34. This record is a structured abstract written by CRD reviewers. The original has met a set of quality criteria. Since September 1996 abstracts have been sent to authors for comment. Additional factual information is incorporated into the record. Noted as (A:). CRD summary This review compared ambient air with pure oxygen for the resuscitation of depressed newborn infants needing ventilatory intervention. Compared with pure oxygen, resuscitation with ambient air significantly reduces neonatal mortality. The authors' conclusions appear consistent with the results obtained, but are perhaps too firm given that the cause of death was not clearly reported in the included studies. Author's objective The authors' objective was to determine the efficacy of ambient air, compared with pure oxygen, for the resuscitation of depressed newly born infants. Type of intervention Treatment. Specific interventions included in the review Studies that compared ambient air (21% oxygen) with pure oxygen (100% oxygen) for resuscitation were eligible for inclusion. Participants included in the review Studies that evaluated depressed newborn infants, defined as those needing ventilatory intervention with a bag and mask or via an endotracheal tube, were eligible for inclusion. The studies mainly included newborns who were apnoeic, non-responsive to tactile stimuli, and with a heart rate between less than 80 and 100 beats per minute (bpm) immediately after birth and before 1 minute of age. Infants with a 1-minute Apgar score of less than 4 were categorised as 'severally depressed'. Newborn infants, regardless of gestational age or birth weight, were considered. The studies were conducted in both developing and industrialised countries. Outcomes assessed in the review The primary outcome of interest was neonatal mortality. The secondary outcomes were 5-minute Apgar score, heart rate at 90 seconds of life, and time to first breath. Study designs of evaluations included in the reviews Randomised controlled trials (RCTs) or quasi-randomised trials were eligible for inclusion. What sources were searched to identify primary studies MEDLINE, EMBASE, and the Cochrane Controlled Trials Register were searched for studies published between October 2002 and January 2004; the search terms were reported. In addition, expert informants were consulted, and relevant abstracts and conference and symposia proceedings were searched. Criteria on which the validity (or quality) of studies was assessed The validity of each included study was evaluated in terms of randomisation, blinding of the intervention and outcome assessment, and sample size. How were decisions on the relevance of primary studies made? The authors did not state how the papers were selected for the review, or how many reviewers performed the selection. How were judgements on the validity (or quality) made? Three investigators independently assessed the validity of the primary studies; the authors did not state how any disagreements were resolved. How were the data extracted from primary studies? Three investigators independently extracted the data from the included studies; the authors did not state how any disagreements were resolved. For the primary outcome, data were extracted on the occurrence of neonatal death from either the published report or study database, and were used to calculate an odds ratio (OR) with 95% confidence interval (CI). For secondary outcomes, the data on each outcome were obtained from the databases of each included study, and were used to calculate a mean value with standard deviation (SD). Number of studies included in the review Five studies (n=1,737) were included in the review. How were the studies combined? For studies reporting neonatal mortality, a pooled OR with associated 95% CI was obtained using meta-analytic models; the unadjusted and adjusted (by the Mantel-Haenszel test) ORs were computed. For studies reporting on secondary outcomes, mean values and SDs for each treatment group were combined, weighted by the number of enrolled infants, and an unpaired t-test was used to assess statistical difference. How were differences between studies
Re: [ozmidwifery] Your thoughts onBirth Plans?
They really should get us to change our language! Katy. - Original Message - From: Stephen Felicity To: ozmidwifery@acegraphics.com.au Sent: Friday, June 23, 2006 10:44 AM Subject: Re: [ozmidwifery] Your thoughts onBirth Plans? I believe that seemingly small things, likesoftening theterm"birthplan" into something along the lines ofbirth "preferences", etc,further undermines and weakens the power a woman has to demand what she wants for her care, and firmly expect to receive it. "Preferences" denotes a level of being ok with someone delivering less than your "preferred" care - it's "preferred", but not "compulsory". Women are already in an extremelyvulnerable and disempowered position in a Hospital environment. Let's not increase that by encouraging a lack of strength in the way they describe what they want. It shouldn't have to be about pleasing the staff or making them feel warm and fuzzy in order for the woman to receive the care she deserves and wants. If things deviate from the birthplan (with the birthing woman's genuine consent), it's not about blame or retribution. We just want our care to match our needs. Simple, and not too much to ask. I don't understand the complaint about birthplans being "too long", either. Unless they're a 20 page War and Peace epic (and I've never seen one exceed 4 - 5 pages), it's quite simplyNOT THAT HARD to flick through, locate the relevant point, and do your best to adhere to it. There's farbulkier Hospy paperwork whipped out and leafed throughduring birth. Most "long" (4 - 5 page) BPs are divided into specific sections which make it even easier to spot the precise area you're looking for at the time. I don't see taking one or two minutes to check a woman's BP to be too much to ask. In an extreme emergency situation, the CP should be thoroughly well versed with the BP anyway; so they should have a fairly good idea of what is desired, even in the heat of the moment. The birthing woman will hopefully also have support people there who can assist in referencing the BP in any situation. In all reality it's usuallythe "well informed" women who write "long" BPs so is the resentment of BPs we see sometimesin fact a subtle dig at women daring to know their rights, their facts, and demand nothing less? How can we be anything less than detailed about one of the most specific and important moments of our lives that involves the wellbeing of Mother, baby, and potentiallythe extended family and friends? It might make things a little "harder" on the CP (though I REALLY don't see how), but why should the birthing woman have to care, quite frankly? Women aren't stupid. We know that if something in birth goes haywire, and we hadn't expected it or thought about our desires in that situation, then we go with what we believe is best at the time (considering our careprovider's advicewhen makingour final decision). We understand birth is a fluid, changeable and highly unique event, every time. We don't expect to beunable to change our mind about something we included on our plan. We don't need to be coy about asking for what we want; it's fairly obvious who that level of shillyshallying suits - and it's not birthing women. Imagine birthing women reading Hospy birth protocols and complaining they were "too long", "too concrete", and suggesting wording rehashing. They'd be laughed out of town...but they're the ones giving birth, and it's ok for US to question THEIR birth documents? - Original Message - From: Janet Fraser To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 22, 2006 10:04 AM Subject: *SUSPECTED SPAM* Re: [ozmidwifery] Your thoughts onBirth Plans? I always emphasise to women that one of the reasons they need a birth plan to birth in an institution is that the careprovider has one and their birth will run to it if they don't provide an alternative. Let's not kid ourselves that birth plans are respected though when even basic stuff like "Please don't offer me drugs I will ask if I require pain relief" is ignored so frequently. Birth plans SHOULD be treated with the same respect that living wills are accorded and until then they are too often used as a way to pacify women and make them feel that their birth is under their control when it isn't. I've heard from too many women who've had birth plans laughed at and actually even ripped up in front of them. I also recommend to women that they take their birth plan to "important people" in the institution and have it signed so that in labour there are no arguments about having aspects of it implemented that are not usual - no drugs, physiological third stage, no vit k or hep b etc.
Re: [ozmidwifery] Your thoughts on Birth Plans?
Dear Kelly, I like the idea of ' birth plans ' and encourage it when I conduct Antenatalgroups. I see it as a way to have the woman and birthing supportsgive due consideration to all the options and give a credence to the fact that they do ( or should have ) choice. Having said that, I get to see very few women who have made one. Some colleagues however do not feel the same as they think it may set the women up to fail with unfulfilled expectations, and set ideas, not allowing for therange of possible labours. The change to calling it by another name may give the midwivesless concern as the word preference or intension sound less rigid than plan. So I like the idea. On a lighter side I did see a plan years ago that was so long ( 15 typed pages ) that I'm not sure there was time to read it all. Not my women, but from memory, some of her plans were very fixed and not allowing for the vagaries of each women's labour and sadlyI think not all went to her plan.I work in country NSW . Katy - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Wednesday, June 21, 2006 9:27 PM Subject: [ozmidwifery] Your thoughts on Birth Plans? I am writing an article as we speak on birth plans (I prefer to say birth intentions or birth preferences and hopefully everyone else will too one day!) and I was wondering if anyone would be happy to comment from a midwife perspective? Id like to know: What do you think of birth plans women are writing at the moment What do you think about it being called birth preferences or intentions instead, What you like and dislike when you read them i.e. too long, too unrealistic or whatever springs to your mind I wont put your name to the comments so you can feel free to be open and honest about it, I would really love to add your perspectives if you are open to it. Thank-you in advance J Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support __ NOD32 1.1613 (20060621) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
Re: [ozmidwifery] Your thoughts on Birth Plans?
Dear Zoe, I like your 3 step plan. Covers all bases. Katy. - Original Message - From: [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 22, 2006 12:47 AM Subject: Re: [ozmidwifery] Your thoughts on Birth Plans? Kelly, I wrote a 'birth Plan for both of my births. I had three - the 'ideal birth the if i need to transfer / intervention and the 'c/section' In each i put what my prefernces were ie ; if i had an epidural i did not want a routine IDC. Also my wishes if i had a c/section were that the drape be dropped so that we could watch the baby being born and discover the sex ourselves. I found it very useful to present to the birth centre and my private ob ( who would be my doctor if i transfered to the main hospital ). For me they both went the ideal birth way. As a midwife ( working in a private hospital ) I find that the birth plans that our women come through with are often difficult for the women to follow as they seem to not prepare themselves physically ( ie yoga etc ) or mentally for what labour is all about. They also expect that their partner will always be able to support this 'plan. i think that following through with the birth plan is difficult without an extra su! pport person ( doula etc). Good Luck zoe ( parent / midwife ) Kelly @ BellyBelly [EMAIL PROTECTED] wrote: I am writing an article as we speak on birth plans (I prefer to say birth intentions or birth preferences and hopefully everyone else will too one day!) and I was wondering if anyone would be happy to comment from a midwife perspective? I'd like to know: * What do you think of birth plans women are writing at the moment * What do you think about it being called birth preferences or intentions instead, * What you like and dislike when you read them - i.e. too long, too unrealistic or whatever springs to your mind I won't put your name to the comments so you can feel free to be open and honest about it, I would really love to add your perspectives if you are open to it. Thank-you in advance :-) Best Regards, Kelly Zantey Creator, http://www.bellybelly.com.au/ BellyBelly.com.au Gentle Solutions From Conception to Parenthood http://www.bellybelly.com.au/birth-support http://www.bellybelly.com.au/birth-support BellyBelly Birth Support - http://www.bellybelly.com.au/birth-support -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 1.1613 (20060621) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Your thoughts on Birth Plans?
Yes they do mostly mean the same thing. It is just that all words have shading and eg. if you are building a house the builder is given plans and not a choice or preference, because we are dealing with something concrete.I like birth plans, butnot all my colleagues do and the wording may make it fit better for them. I would like to see more women use them. Like you Ifind it useful to have an idea where the women I meet in labour are placed about their desires so I can better work with them and for them. Yes Kelly, I would like to see the birth plan you are referring to please. Katy. - Original Message - From: Andrea Quanchi To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 22, 2006 9:59 AM Subject: Re: [ozmidwifery] Your thoughts on Birth Plans? Doesn't a plan indicate an intention and therefore the desired choice or preference. They all assume women know there is a choice to make rather than the prescribed doctrine of someone else. The organisation where I work has a proforma birth plan that attempts to give women spaces to write what they want in certain areas but it is deliberately vague in others like it is difficult to determine where one should write that they would like a physiological 3rd stage as it is assumed that active management is the norm and unless a women says she wants an alternative it will not be raised therefore there is no space for this to be written. It says 'do you object to you or your baby being given any medications that the doctor thinks are necessary type of thing. Still I find it useful when taking over the care of a woman who I have never met before who is already in established labour that I dont need to disturb her to have some idea what she would like to happen. My clients who are planning to birth at the hospital are encouraged to fill them out with statement like I want to do whatever feels right at the time and will discuss any choices I am offered with my midwife Andrea. They have some merit. Some women write a prescriptive plan for their labour and birth and they are so hung up on making it happen this way the are not able to listen to their bodies and I find this is an attempt by them to make up for the absence of a known car giver that they trust. I have never had one of my clients write a plan like this because we have discussed so much 'stuff' during the pregnancy and they understand the need to listen to their bodies in labour and do what feels right at the time Andrea Q On 22/06/2006, at 9:02 AM, Katy O'Neill wrote: Dear Kelly, I like the idea of ' birth plans ' and encourage it when I conduct Antenatalgroups. I see it as a way to have the woman and birthing supportsgive due consideration to all the options and give a credence to the fact that they do ( or should have ) choice. Having said that, I get to see very few women who have made one. Some colleagues however do not feel the same as they think it may set the women up to fail with unfulfilled expectations, and set ideas, not allowing for therange of possible labours. The change to calling it by another name may give the midwivesless concern as the word preference or intension sound less rigid than plan. So I like the idea. On a lighter side I did see a plan years ago that was so long ( 15 typed pages ) that I'm not sure there was time to read it all. Not my women, but from memory, some of her plans were very fixed and not allowing for the vagaries of each women's labour and sadlyI think not all went to her plan.I work in country NSW . Katy - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Wednesday, June 21, 2006 9:27 PM Subject: [ozmidwifery] Your thoughts on Birth Plans? I am writing an article as we speak on birth plans (I prefer to say birth intentions or birth preferences and hopefully everyone else will too one day!) and I was wondering if anyone would be happy to comment from a midwife perspective? I’d like to know: What do you think of birth plans women are writing at the moment What do you think about it being called birth preferences or intentions instead, What you like and dislike when you read them – i.e. too long, too unrealistic or whatever springs to your mind I won’t put your name to the comments so you can feel free to be open and honest about it, I would really love to add your perspectives if you are open to it. Thank-you in advance J Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly
Re: [ozmidwifery] Re:
Dear all, coincidently, I heard one of my colleagues consent a women last night on Vit K and she informed the mother that babies have little or novit K at birth until the gut flora can develop and thence oral absorption begins. This was not my understanding of the facts, but as I was not able to put my finger on the source and veracity of my info, said nothing to the other MW. But I would like to know the real facts. Can anyone help? - Original Message - From: penny burrows To: ozmidwifery@acegraphics.com.au Sent: Saturday, May 27, 2006 7:47 AM Subject: [ozmidwifery] Re: One thing that I wonder about: Routine supplementation with any vitamin seems to be a bad idea for pregnant women as well as for babies. Do we know the effects of supplementation with vitamin K on pregnant women? What intricate balances might this be upsetting? It seems like this could be another, if more natural form of blanket treatment. If we truly believe that mother nature has designed things well and the newborn low levels are there for a reason, then do we want to boost the levels available in mum's milk? More to ponder, Penny - Original Message - From: Sue Cookson To: ozmidwifery@acegraphics.com.au Sent: Friday, May 26, 2006 8:11 PM Subject: Re: [ozmidwifery] Re: Hi,With the new Konakion MM it's the other way around. It has been designed by increasing it's absorbability in fat to be more affective if given orally. It has NOT been proven to be as effective as the old Konakion in being absorbed by the IM route. They are waiting to see if the surveillance of the new Konakion through Australia, Switzerland and a few other countries is as effective IM as it is oral. The oral route has been found to give a higher vit K cover than the IM route over a few weeks.THere is so much misinformation about vit K. It is available to the baby through breastmilk and maternal supplementation does increase neonatal serum K levels. What more do we want??And by the way, all formla fed babies should be excluded from any study due to the addition of vit K to formulas. ie babies planned to be formula fed do not need vit k!!Suestudent midwifebirth practitionervit K has been my research assignment for the past three years If a solution is designed to be given IM is it absorbed effectively if given via the GI tract ? No mention of this in the literature accompanying the Konakion. Most IM meds are NOT designed to be administered or guaranteed by the pharmaceutical company to be effective if given orally. It may be neutralised by gastric secretions, I am unaware of any research re this. Anyone else know of any ? If you are going to introduce a foreign substance into the GI tract of a baby you'd want to have a good reason be sure that it was being absorbed wouldn't you ? With kind regards Brenda Manning www.themidwife.com.au - Original Message - From: "diane" [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, May 26, 2006 6:48 PM Subject: Re: [ozmidwifery] Re: Apart from the fact it tastes like Sh** (very bitter). Been reading about Vit K all day today . Seems like a pretty good option as far as the statitistics go. http://www.nhmrc.gov.au/publications/_files/ch39.pdf they recommend further research into the effectiveness of supplimenting brestfeeding mothers to increase the vit K in breastmilk as an effective suppliment. Di - Original Message - From: "Kelly @ BellyBelly" [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, May 26, 2006 5:30 PM Subject: RE: [ozmidwifery] Re: Just a side question if that's okay - what are your opinions on oral vitamin K versus injection? 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 Andrea Quanchi Sent: Friday, 26 May 2006 3:24 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Re: The place I work we give it when we do the NST. It was a midwife decision not an evidence based one. Like giving it with the vit K it is easier to do it at a predictable time so that it doesn't get overlooked. The midwives wanted not to do it at birth as they were wanting to do as little as possible to interupt Mum and baby, As we need to have a signed consent form to give it and the mothers have often not filled this is prior to birth it was very interupting to get all this"Done" on the birth day and we find it not an issue later when everyone has had time to sit down read the literature and discuss it. Of course then we do have a number of mums who decline to have it which is their right and is not an issue at all. Andrea Q On 25/05/2006, at
Re: [ozmidwifery] GDM
- Original Message - From: islips To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 09, 2006 3:47 PM Subject: Re: [ozmidwifery] GDM i had GDM with both my pregnancies. well controlled with diet and daily monitoring. laboured spont at 38 weeks with first and arm at 41 weeks with second.i had the first at birth centre and transfered to KEMH with second. even though i had private obstetrician back up both times there was never any pressure to be treated differently. i actually chose an elective induction at 41 weeks. i guess it just depends on the individual situation. babies 3.5 kg and 4.0kg. zoe - Original Message - From: diane To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 09, 2006 12:22 PM Subject: Re: [ozmidwifery] GDM I believe that Liz meant the baby died in utero, while awaiting the onset of spontaneous labour' Di - Original Message - From: sharon To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 09, 2006 1:56 PM Subject: Re: [ozmidwifery] GDM insulin dependant diabetics are given a insulin infusion at the hospital i work at their off spring are taken to the nursery and bsl's done on them if they are ok then they go back to the mother to direct room in. if not they are given dextrose via a ivt until they can stabalize and then go to their mothers. it seems like your case was mis managed medically. i hope this senario does not happen to anyother unsuspecting mother. regards - Original Message - From: diane To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 09, 2006 12:57 PM Subject: Re: [ozmidwifery] GDM I believe that insulin dependent GDM is a different situation. Didnt the US pick up the macosomia?? How does this very low rate of unexplained deaths in utero compare with that of the general , non diabetic population? Cheers, Di - Original Message - From: Elizabeth and Mark Bryant To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 09, 2006 12:39 PM Subject: RE: [ozmidwifery] GDM Dear Readers, I saw this as a student, very well controlled GDM (but on insulin), the woman chose to wait for natural labour at T + 7 despite encouragement from some doctors for IOL. She had CTG's and USS all of which were perfect however lost her beautiful daughter the next day - only explanation given was macrosomia. Was a heartbreaking experience for all involved Liz -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Katy O'NeillSent: Tuesday, 9 May 2006 12:05 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] GDM Dear Diane, This decision comes out of the conference held annually in the US on GDM. This last one concluded that diet controlled GDM should not go beyond term due to the risk ( very low, 1% ) of sudden unexplained deaths in utero beyond this time. Apparently you can have a baby with U/S and CTG all indicating foetal well-being and within a few hours have the baby die without any explanation. Katy. - Original Message - From: diane To: ozmidwifery@acegraphics.com.au Sent: Monday, May 08, 2006 12:38 PM Subject: [ozmidwifery] GDM Hi wise women, I think this may have been a thread not long ago, but can anyone point me to some research on the safety of going past the "due date" , for a woman with well controlled gestational diabetes? My step daughter, in Tamworth,has been informed that although she is at no higher risk than anyone else, they wont 'LET' her go past due date!! Lucky I wasnt there at the appointment Maybe later, he he he!! I love a good debate. Thanks, Diane__ NOD32 1.1523 (20060505) Information __This message was checked by NOD32 antivirus system.http://www.eset.com__ NOD32 1.1525 (20060508) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
Re: [ozmidwifery] GDM
Dear all, Sorry my finger can't help the double click. The US conference was referring to well controlled, non macrocosmic babies of GDM mothers. Sharon is right about getting things in perspective. Once armed with the facts that are out there and the Drs are using, it is up to the individual woman to make her choice. Katy - Original Message - From: islips To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 09, 2006 3:47 PM Subject: Re: [ozmidwifery] GDM i had GDM with both my pregnancies. well controlled with diet and daily monitoring. laboured spont at 38 weeks with first and arm at 41 weeks with second.i had the first at birth centre and transfered to KEMH with second. even though i had private obstetrician back up both times there was never any pressure to be treated differently. i actually chose an elective induction at 41 weeks. i guess it just depends on the individual situation. babies 3.5 kg and 4.0kg. zoe - Original Message - From: diane To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 09, 2006 12:22 PM Subject: Re: [ozmidwifery] GDM I believe that Liz meant the baby died in utero, while awaiting the onset of spontaneous labour' Di - Original Message - From: sharon To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 09, 2006 1:56 PM Subject: Re: [ozmidwifery] GDM insulin dependant diabetics are given a insulin infusion at the hospital i work at their off spring are taken to the nursery and bsl's done on them if they are ok then they go back to the mother to direct room in. if not they are given dextrose via a ivt until they can stabalize and then go to their mothers. it seems like your case was mis managed medically. i hope this senario does not happen to anyother unsuspecting mother. regards - Original Message - From: diane To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 09, 2006 12:57 PM Subject: Re: [ozmidwifery] GDM I believe that insulin dependent GDM is a different situation. Didnt the US pick up the macosomia?? How does this very low rate of unexplained deaths in utero compare with that of the general , non diabetic population? Cheers, Di - Original Message - From: Elizabeth and Mark Bryant To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 09, 2006 12:39 PM Subject: RE: [ozmidwifery] GDM Dear Readers, I saw this as a student, very well controlled GDM (but on insulin), the woman chose to wait for natural labour at T + 7 despite encouragement from some doctors for IOL. She had CTG's and USS all of which were perfect however lost her beautiful daughter the next day - only explanation given was macrosomia. Was a heartbreaking experience for all involved Liz -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Katy O'NeillSent: Tuesday, 9 May 2006 12:05 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] GDM Dear Diane, This decision comes out of the conference held annually in the US on GDM. This last one concluded that diet controlled GDM should not go beyond term due to the risk ( very low, 1% ) of sudden unexplained deaths in utero beyond this time. Apparently you can have a baby with U/S and CTG all indicating foetal well-being and within a few hours have the baby die without any explanation. Katy. - Original Message - From: diane To: ozmidwifery@acegraphics.com.au Sent: Monday, May 08, 2006 12:38 PM Subject: [ozmidwifery] GDM Hi wise women, I think this may have been a thread not long ago, but can anyone point me to some research on the safety of going past the "due date" , for a woman with well controlled gestational diabetes? My step daughter, in Tamworth,has been informed that although she is at no higher risk than anyone else, they wont 'LET' her go past due date!! Lucky I wasnt there at the appointment Maybe later, he he he!! I love a good debate. Thanks,
Re: [ozmidwifery] GDM
My second apology in as many minutes. Sorry, it was Leanne that referred to relevant risk.I will go and get my fingers fixednow. Katy - Original Message - From: islips To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 09, 2006 3:47 PM Subject: Re: [ozmidwifery] GDM i had GDM with both my pregnancies. well controlled with diet and daily monitoring. laboured spont at 38 weeks with first and arm at 41 weeks with second.i had the first at birth centre and transfered to KEMH with second. even though i had private obstetrician back up both times there was never any pressure to be treated differently. i actually chose an elective induction at 41 weeks. i guess it just depends on the individual situation. babies 3.5 kg and 4.0kg. zoe - Original Message - From: diane To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 09, 2006 12:22 PM Subject: Re: [ozmidwifery] GDM I believe that Liz meant the baby died in utero, while awaiting the onset of spontaneous labour' Di - Original Message - From: sharon To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 09, 2006 1:56 PM Subject: Re: [ozmidwifery] GDM insulin dependant diabetics are given a insulin infusion at the hospital i work at their off spring are taken to the nursery and bsl's done on them if they are ok then they go back to the mother to direct room in. if not they are given dextrose via a ivt until they can stabalize and then go to their mothers. it seems like your case was mis managed medically. i hope this senario does not happen to anyother unsuspecting mother. regards - Original Message - From: diane To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 09, 2006 12:57 PM Subject: Re: [ozmidwifery] GDM I believe that insulin dependent GDM is a different situation. Didnt the US pick up the macosomia?? How does this very low rate of unexplained deaths in utero compare with that of the general , non diabetic population? Cheers, Di - Original Message - From: Elizabeth and Mark Bryant To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 09, 2006 12:39 PM Subject: RE: [ozmidwifery] GDM Dear Readers, I saw this as a student, very well controlled GDM (but on insulin), the woman chose to wait for natural labour at T + 7 despite encouragement from some doctors for IOL. She had CTG's and USS all of which were perfect however lost her beautiful daughter the next day - only explanation given was macrosomia. Was a heartbreaking experience for all involved Liz -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Katy O'NeillSent: Tuesday, 9 May 2006 12:05 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] GDM Dear Diane, This decision comes out of the conference held annually in the US on GDM. This last one concluded that diet controlled GDM should not go beyond term due to the risk ( very low, 1% ) of sudden unexplained deaths in utero beyond this time. Apparently you can have a baby with U/S and CTG all indicating foetal well-being and within a few hours have the baby die without any explanation. Katy. - Original Message - From: diane To: ozmidwifery@acegraphics.com.au Sent: Monday, May 08, 2006 12:38 PM Subject: [ozmidwifery] GDM Hi wise women, I think this may have been a thread not long ago, but can anyone point me to some research on the safety of going past the "due date" , for a woman with well controlled gestational diabetes? My step daughter, in Tamworth,has been informed that although she is at no higher risk than anyone else, they wont 'LET' her go past due date!! Lucky I wasnt there at the appointment Maybe later, he he he!! I love a good debate. Thanks, Diane__ NOD32 1.1523 (20060505) Information __This message was checked by NOD32 antivirus system.http://www.eset.com__ NOD32 1.1525 (20060508)
Re: [ozmidwifery] GDM
Dear Jo, I must confess that the info I referred to was after discussing this with one of our registrars, so I do not have the references to assist you..Katy. - Original Message - From: Jo Bourne [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 09, 2006 4:44 PM Subject: Re: [ozmidwifery] GDM Is there are reference a study relating to this, or conference papers? At 4:12 PM +1000 9/5/06, Katy O'Neill wrote: Dear all, Sorry my finger can't help the double click. The US conference was referring to well controlled, non macrocosmic babies of GDM mothers. Sharon is right about getting things in perspective. Once armed with the facts that are out there and the Drs are using, it is up to the individual woman to make her choice. Katy - Original Message - From: mailto:[EMAIL PROTECTED]islips To: mailto:ozmidwifery@acegraphics.com.auozmidwifery@acegraphics.com.au Sent: Tuesday, May 09, 2006 3:47 PM Subject: Re: [ozmidwifery] GDM i had GDM with both my pregnancies. well controlled with diet and daily monitoring. laboured spont at 38 weeks with first and arm at 41 weeks with second.i had the first at birth centre and transfered to KEMH with second. even though i had private obstetrician back up both times there was never any pressure to be treated differently. i actually chose an elective induction at 41 weeks. i guess it just depends on the individual situation. babies 3.5 kg and 4.0kg. zoe - Original Message - From: mailto:[EMAIL PROTECTED]diane To: mailto:ozmidwifery@acegraphics.com.auozmidwifery@acegraphics.com.au Sent: Tuesday, May 09, 2006 12:22 PM Subject: Re: [ozmidwifery] GDM I believe that Liz meant the baby died in utero, while awaiting the onset of spontaneous labour' Di - Original Message - From: mailto:[EMAIL PROTECTED]sharon To: mailto:ozmidwifery@acegraphics.com.auozmidwifery@acegraphics.com.au Sent: Tuesday, May 09, 2006 1:56 PM Subject: Re: [ozmidwifery] GDM insulin dependant diabetics are given a insulin infusion at the hospital i work at their off spring are taken to the nursery and bsl's done on them if they are ok then they go back to the mother to direct room in. if not they are given dextrose via a ivt until they can stabalize and then go to their mothers. it seems like your case was mis managed medically. i hope this senario does not happen to anyother unsuspecting mother. regards - Original Message - From: mailto:[EMAIL PROTECTED]diane To: mailto:ozmidwifery@acegraphics.com.auozmidwifery@acegraphics.com.au Sent: Tuesday, May 09, 2006 12:57 PM Subject: Re: [ozmidwifery] GDM I believe that insulin dependent GDM is a different situation. Didnt the US pick up the macosomia?? How does this very low rate of unexplained deaths in utero compare with that of the general , non diabetic population? Cheers, Di - Original Message - From: mailto:[EMAIL PROTECTED]Elizabeth and Mark Bryant To: mailto:ozmidwifery@acegraphics.com.auozmidwifery@acegraphics.com.au Sent: Tuesday, May 09, 2006 12:39 PM Subject: RE: [ozmidwifery] GDM Dear Readers, I saw this as a student, very well controlled GDM (but on insulin), the woman chose to wait for natural labour at T + 7 despite encouragement from some doctors for IOL. She had CTG's and USS all of which were perfect however lost her beautiful daughter the next day - only explanation given was macrosomia. Was a heartbreaking experience for all involved Liz -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Katy O'Neill Sent: Tuesday, 9 May 2006 12:05 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] GDM Dear Diane, This decision comes out of the conference held annually in the US on GDM. This last one concluded that diet controlled GDM should not go beyond term due to the risk ( very low, 1% ) of sudden unexplained deaths in utero beyond this time. Apparently you can have a baby with U/S and CTG all indicating foetal well-being and within a few hours have the baby die without any explanation. Katy. - Original Message - From: mailto:[EMAIL PROTECTED]diane To: mailto:ozmidwifery@acegraphics.com.auozmidwifery@acegraphics.com.au Sent: Monday, May 08, 2006 12:38 PM Subject: [ozmidwifery] GDM Hi wise women, I think this may have been a thread not long ago, but can anyone point me to some research on the safety of going past the due date , for a woman with well controlled gestational diabetes? My step daughter, in Tamworth, has been informed that although she is at no higher risk than anyone else, they wont 'LET' her go past due date!! Lucky I wasnt there at the appointment Maybe later, he he he!! I love a good debate. Thanks, Diane __ NOD32 1.1523 (20060505) Information __ This message was checked by NOD32 antivirus system. http://www.eset.comhttp://www.eset.com __ NOD32 1.1525 (20060508) Information
Re: [ozmidwifery] GDM
- Original Message - From: diane To: ozmidwifery@acegraphics.com.au Sent: Monday, May 08, 2006 12:38 PM Subject: [ozmidwifery] GDM Hi wise women, I think this may have been a thread not long ago, but can anyone point me to some research on the safety of going past the "due date" , for a woman with well controlled gestational diabetes? My step daughter, in Tamworth,has been informed that although she is at no higher risk than anyone else, they wont 'LET' her go past due date!! Lucky I wasnt there at the appointment Maybe later, he he he!! I love a good debate. Thanks, Diane__ NOD32 1.1523 (20060505) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
Re: [ozmidwifery] GDM
Dear Diane, This decision comes out of the conference held annually in the US on GDM. This last one concluded that diet controlled GDM should not go beyond term due to the risk ( very low, 1% ) of sudden unexplained deaths in utero beyond this time. Apparently you can have a baby with U/S and CTG all indicating foetal well-being and within a few hours have the baby die without any explanation. Katy. - Original Message - From: diane To: ozmidwifery@acegraphics.com.au Sent: Monday, May 08, 2006 12:38 PM Subject: [ozmidwifery] GDM Hi wise women, I think this may have been a thread not long ago, but can anyone point me to some research on the safety of going past the "due date" , for a woman with well controlled gestational diabetes? My step daughter, in Tamworth,has been informed that although she is at no higher risk than anyone else, they wont 'LET' her go past due date!! Lucky I wasnt there at the appointment Maybe later, he he he!! I love a good debate. Thanks, Diane__ NOD32 1.1523 (20060505) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
Re: [ozmidwifery] a small step
Reading this made me think of a conversation I had with one of our cleaners this morning. She came and sat next to me when I was doing the reports and said I thought you could not have a NVD after 2 LSCS. Upon discussion it turned out she had been watching the Discovery channel and a women had come into the ER in labour with a history of 1 LCSC, 1NVD, 1LSCS and had delivered yelling she could not deliver vaginally as she had to have a LCSC. Needless to say I have given the cleaning woman the correct info and pointed out that the American women she watched did deliver vaginally with no ill effects (but no doubt much drama). Sad the amount of miss info out there. Katy. - Original Message - From: The Johnsons [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, April 28, 2006 2:23 PM Subject: [ozmidwifery] a small step A good news story of persistence getting the desired result in a private hospital. I recently underwent a second Caesar to deliver my daughter, and with the help of my independent midwife was able to have a really good experience in a hospital somewhat known for being a stickler for regulations (ie we got away with deviating from the norm). Firstly we made it clear from the beginning that my midwife would be in the theatre with me from the word go. She did a lot of phoning and meeting people in the days leading up to ensure that this would happen. There was some concern that there would be too many people in the operating theatre, which was ironic considering four people (two nursing students and two doctoral students) came and asked permission to watch the Caesar. It was great having her there to support me both physically and emotionally from the spinal (where she cradled me in her arms and described everything that was happening so it was easier) to taking photos of our baby's birth, cutting the cord for us (husband didn't want to) and bringing us our gorgeous girl. She then accompanied me to recovery, while my husband went with the baby. She suggested at the time that the baby could come with us to recovery, even if no midwifery staff were available from the hospital. My husband then took up the baton upstairs and pretty much insisted that we had a perfectly good midwife with me in recovery and a few minutes later my baby was with me and we were working on our first breastfeed. We all went up to our room together and she stayed and took photos of our son meeting his little sister for the first time, and of her grandparents getting to know her, and helping getting her back on the breast. She stayed with us until we were all settled and happy. It made having to have a repeat Caesar a really positive experience. Hopefully now that hospital will be more accommodating of other women wanting to have independent midwife care as well. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 1.1510 (20060427) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] any benefit to teaching women self examination?
Maxine, A few years ago I cared for one of our teens in labour and on admission she stated that she had felt her own cervix, which I was confident about when she was able to give me a good description with only minor prompting from me. Mind you some women look at me strangely when I ask if they know what their cervix feels like. Katy - Original Message - From: Maxine Wilson To: ozmidwifery@acegraphics.com.au Sent: Tuesday, April 04, 2006 10:37 AM Subject: RE: [ozmidwifery] any benefit to teaching women self examination? Megan are you a midwife? Did you have some knowledge already or was that the first time you had felt a cervix in labour? Maxine From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Megan LarrySent: Tuesday, 4 April 2006 10:18 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] any benefit to teaching women self examination? I checked my own dialation with my fourth baby (waterbirth at home), it was short labour anyway, but I just wanted to know where bubs was at. I was sitting on my toilet, just leaned back and as clear as day was a ring/circle of about 5 cm. I was impressed with how obvious it was, amazing. About an hour later I was greeting my baby. With my third baby (waterbirth at home)I also checked for progress and was surprised to find a head about 3cm in, very inspiring to know that a hard, fast labour was in fact a quick one too, only 3 hours in total. I guess its up to the individual, nothing wrong with offering the idea to women and then those who are interested can seek more info on what to expect. Some women don't even want to know they havea vagina, others embrace it. cheers Megan. __ NOD32 1.1468 (20060403) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
Re: [ozmidwifery] tamworth
Dear Di, I work at Tamworth Base. There are various options, classes broken into 2 parts, the first done on pregnancy etc at around 20 something weeks and the labour/birth at 30 something weeks. BF is covered between.8 weeks in all of a Tuesday or Wednesday night. Refreshers are also available. Antenatal care is a main clinic with mostly Obs etc and not much continuity of care except for those who get picked up by a midwife called Robyn. Or 2 midwifes clinics, an adolescent clinic and an aboriginal clinic. We like to book women in ASAP as there are delays in getting an appointment this is done prior to women attending any clinic. Feel free to ring me for further info. 0267669136 at home. - Original Message - From: diane To: ozmidwifery@acegraphics.com.au Sent: Tuesday, April 04, 2006 10:39 AM Subject: [ozmidwifery] tamworth Hi wise women, My nomadic step daughter who is now close to 28 weeks is booking in to Tamworth hospital today. Does anyone have any suggestions about the birthing services there, antenatal classes, support groups or any thing of the kind? At least she is close enough for me to get to if she doesnt birth too quickly, only about 3 1/2 hours away! Thanks Di.__ NOD32 1.1468 (20060403) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
Re: [ozmidwifery] tamworth
Dear Di, This is my second try, the first did not seam to get through. I work at Tamworth but it will take too long to write all the info down so feel free to ring me on 0267669136 or email on [EMAIL PROTECTED] Katy. - Original Message - From: diane To: ozmidwifery@acegraphics.com.au Sent: Tuesday, April 04, 2006 10:39 AM Subject: [ozmidwifery] tamworth Hi wise women, My nomadic step daughter who is now close to 28 weeks is booking in to Tamworth hospital today. Does anyone have any suggestions about the birthing services there, antenatal classes, support groups or any thing of the kind? At least she is close enough for me to get to if she doesnt birth too quickly, only about 3 1/2 hours away! Thanks Di.__ NOD32 1.1468 (20060403) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
Re: [ozmidwifery] PPH C/S
We have just recently had 2 women have hysterectomy's following LCSC for control of bleeding. In both cases the lower segment was very thin and suturing was almost impossible. So LSCS do not necessarily save women from PPH and it is known that women who have LSCS have a greater blood loss anyway. Initially anyway. Katy. - Original Message - From: Melissa Singer To: ozmidwifery@acegraphics.com.au Sent: Saturday, April 01, 2006 8:52 PM Subject: Re: [ozmidwifery] PPH C/S Maybe the thinking is should she have another large PPH there is already direct access to the uterus to clamp hemorrhaging vessels? It seems Obs are always suggesting a C/S for one reason or another. I think it is OK for her to say no, there are protocols and procedures to follow for anyone with high risk of PPH and usually if they are followed and she is birthing in a place where there is 24hr theatre immediately available it should be reasonable. But that said I don't know how large her previous pph's were, if she was compromise etc Melissa - Original Message - From: Nicole Carver To: ozmidwifery@acegraphics.com.au Sent: Saturday, April 01, 2006 4:44 PM Subject: RE: [ozmidwifery] PPH C/S Women also have PPH's at caesarean. Not sure if c/s would be safer. Perhaps she should see another ob for a second opinion. Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Kelly @ BellyBellySent: Saturday, April 01, 2006 4:27 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] PPH C/S Hello all, A woman on my forums has had two normal births of big babies 11lb3oz and 13lb5oz and had a PPH with both. Her Ob is now recommending a c/s with her third bub and wants a scan at 34 weeks as a deciding factor of this. She wants a normal birth is it okay just for her to say no without too much risk with PPH? Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support __ NOD32 1.1467 (20060402) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
[ozmidwifery] C/S Rates
hello all, the other day someone posted about a 5% change in C/S rates... reminded me that 2 years ago our rate dropped from 28% to 23% for the year, and the only factor that was different was that a particular Obs was away for that time and it coincided with us having a ( female, who hadchildren )very women friendly registrarover the same period. While it is not professional to poo hoo our colleges it made me smile to hear a women say of the Obs that he was called Mr C/S. How the work of one can impact so much on so many! Katy.
[ozmidwifery] Unusual gift
I work in a hospital system with all the limitations it imposes and so when a father presented us with a gift it real surprised me. The gift was a lovely silver frame with a plaque on it inscribed with their babies birth date etc plus the following... " In heaven they have angels Here on earth we have midwives." On the accompanying card he wrote :- To all new Mums, Be brave' Trust in your midwife. To all new Dads, Be gentle, Be amazed, But above all, wonder at the real superior sex. It would be lovely if we could always earn this. Katy.
