Re: [ozmidwifery] waterbirth
Good Morning Midwives For those wondering, Selangor's address is 62 Netherton St, Nambour, QLD, 4560. Telephone 07 5450 4359. Our new Maternity Unit Manager, Sue Foyle (wonderful woman), has recently commenced work there, and we are verry happy to have her skills and expertise to take us to the next level (1000 births per annum and increasing). The maternity unit is being extended - building work is taking place now. Regards, Lynne PS Warm water immersion reference lists will be sent to those who have requested them. Still working with corporate on making the waterbirth learning package available too. - Original Message - From: Gail McKenzie [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Sunday, February 11, 2007 10:09 AM Subject: Re: [ozmidwifery] waterbirth Can somebody PLEASE tell me where Selangor is? I would move if I had to work in a place like that. Gail :) From: Lynne Staff [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] waterbirth Date: Sat, 10 Feb 2007 16:21:35 +1000 Hi Amy Sorry I missed your email and found it today. Yes Selangor welcomes students. Unfortunately most come for their 'alternative' birth experience - this is very telling, don't you think? Regards, Lynne - Original Message - From: adamnamy To: ozmidwifery@acegraphics.com.au Sent: Friday, December 22, 2006 6:15 PM Subject: RE: [ozmidwifery] waterbirth Hi Lynne, Does Selangor take midwifery students? It seems a great place to learn the skills. Amy -- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Lynne Staff Sent: Thursday, 21 December 2006 8:05 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] waterbirth Hi Mary At Selangor we - midwives, obstetricians and paediatricians - have 'officially' supported women for waterbirth since Feb 1998. Our rate is 35% of vaginal births and over 1600 babies have been waterborn since we opened. We will continue to do so as it has benefits for women, their babies and is safe. Regards, Lynne - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 21, 2006 12:50 PM Subject: [ozmidwifery] waterbirth Hi everyone, I know this question has been asked before, but I can't remember the answer. Do we have any maternity units, birth centres etc who officially do waterbirth? I know homebirthers do, but I want to know about institutions. Thanks, MM _ Advertisement: It's simple! Sell your car for just $20 at carsales.com.au http://a.ninemsn.com.au/b.aspx?URL=http%3A%2F%2Fsecure%2Dau%2Eimrworldwide%2Ecom%2Fcgi%2Dbin%2Fa%2Fci%5F450304%2Fet%5F2%2Fcg%5F801577%2Fpi%5F1005244%2Fai%5F838588_t=757768878_r=endtext_simple_m=EXT -- 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] waterbirth
Hi Amy Sorry I missed your email and found it today. Yes Selangor welcomes students. Unfortunately most come for their 'alternative' birth experience - this is very telling, don't you think? Regards, Lynne - Original Message - From: adamnamy To: ozmidwifery@acegraphics.com.au Sent: Friday, December 22, 2006 6:15 PM Subject: RE: [ozmidwifery] waterbirth Hi Lynne, Does Selangor take midwifery students? It seems a great place to learn the skills. Amy -- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Lynne Staff Sent: Thursday, 21 December 2006 8:05 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] waterbirth Hi Mary At Selangor we - midwives, obstetricians and paediatricians - have 'officially' supported women for waterbirth since Feb 1998. Our rate is 35% of vaginal births and over 1600 babies have been waterborn since we opened. We will continue to do so as it has benefits for women, their babies and is safe. Regards, Lynne - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 21, 2006 12:50 PM Subject: [ozmidwifery] waterbirth Hi everyone, I know this question has been asked before, but I can't remember the answer. Do we have any maternity units, birth centres etc who officially do waterbirth? I know homebirthers do, but I want to know about institutions. Thanks, MM
Re: [ozmidwifery] waterbirth
Good Morning all To all those Ozmidders who requested a copy of the Warm Water Immersion workbook, pleasewatch this space. It is copyrighted by Ramsay Healthcare (Selangor's owners). I put your requests to the DOH and she is conferring with RHC re this. Watch this space! And thank youall for your interest. If anyone is interested, I can forward the reference list though. Regards, Lynne - Original Message - From: Lynne Staff To: ozmidwifery@acegraphics.com.au Sent: Monday, January 01, 2007 10:57 AM Subject: Re: [ozmidwifery] waterbirth Hi Helen When I get to work tomorrow, I will send you the reference list from my recently updated (Oct 2006) warm water immersion in labour and birth learning package for midwives. This may be helpful - re publishing our figures - this is a goal for 2007! Warm regards, and a happy and fruitful 2007! - Original Message - From: Helen and Graham To: ozmidwifery@acegraphics.com.au Sent: Friday, December 22, 2006 9:54 AM Subject: Re: [ozmidwifery] waterbirth Hi Lynne Can you point me to some research that I can use to support the safety of waterbirth. I have just read the following reference in the SA Women's and Children's Waterbirth Policy as sent in by Fiona to Ozmid as follows: There is no evidence that perinatal mortality and morbidity, including admissions to special care nurseries for babies born into a warm water environment, is significantly different to babies born out of water (Geissbuehler et al 2004; Gilbert Tookey 1999). but wondered whether you had any other references to call on. Also wondering if you had thought about publishing Selangor's own findings? It would be a great contribution to hospitals trying to weigh up the risk benefits of waterbirth. There still seems to be such fear surrounding the whole issue in the majority of the hospital system that it would be great to have some positive local experiences/research to quote. Thanks in advance. Helen - Original Message - From: Lynne Staff To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 21, 2006 10:04 PM Subject: Re: [ozmidwifery] waterbirth Hi Mary At Selangor we - midwives, obstetricians and paediatricians - have 'officially' supported women for waterbirth since Feb 1998. Our rate is 35% of vaginal births and over 1600 babies have been waterborn since we opened. We will continue to do so as it has benefits for women, their babies and is safe. Regards, Lynne - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 21, 2006 12:50 PM Subject: [ozmidwifery] waterbirth Hi everyone, I know this question has been asked before, but I can't remember the answer. Do we have any maternity units, birth centres etc who officially do waterbirth? I know homebirthers do, but I want to know about institutions. Thanks, MM __ NOD32 1933 (20061221) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com
Re: [ozmidwifery] job
Hi Philippa My thoughts are with you for this birth :-) - Original Message - From: Philippa Scott To: ozmidwifery@acegraphics.com.au Sent: Thursday, January 11, 2007 10:39 PM Subject: RE: [ozmidwifery] job Oh Anke I will do my best to see that that is not the case. I have not put 2.5years into this project to see it turn into something that I hate. I wont let them take it away from the people who it is for. The will have a big fight on their hands if they do. Our first meeting later this month re the BC should be with me only days of having this baby. I will try to look very big and scary. Oh I am all riled up now! Breathe - Breathe LOL Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Anke Dalman Sent: Thursday, 11 January 2007 9:25 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] job Hi Di, The birth centre is only a dream at this point and when I see how fast they work here it might be another 1 or 2 years until it's up and running, and then it will still be running under the medical model, since it is on hospital grounds. I don't think that it will be run as a true midwifery model. Love Anke -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of diane Sent: Thursday, 11 January 2007 8:56 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] job I suppose the birth centre in Townsville has staff picked already ? Di
Re: [ozmidwifery] waterbirth
Hi Helen When I get to work tomorrow, I will send you the reference list from my recently updated (Oct 2006) warm water immersion in labour and birth learning package for midwives. This may be helpful - re publishing our figures - this is a goal for 2007! Warm regards, and a happy and fruitful 2007! - Original Message - From: Helen and Graham To: ozmidwifery@acegraphics.com.au Sent: Friday, December 22, 2006 9:54 AM Subject: Re: [ozmidwifery] waterbirth Hi Lynne Can you point me to some research that I can use to support the safety of waterbirth. I have just read the following reference in the SA Women's and Children's Waterbirth Policy as sent in by Fiona to Ozmid as follows: There is no evidence that perinatal mortality and morbidity, including admissions to special care nurseries for babies born into a warm water environment, is significantly different to babies born out of water (Geissbuehler et al 2004; Gilbert Tookey 1999). but wondered whether you had any other references to call on. Also wondering if you had thought about publishing Selangor's own findings? It would be a great contribution to hospitals trying to weigh up the risk benefits of waterbirth. There still seems to be such fear surrounding the whole issue in the majority of the hospital system that it would be great to have some positive local experiences/research to quote. Thanks in advance. Helen - Original Message - From: Lynne Staff To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 21, 2006 10:04 PM Subject: Re: [ozmidwifery] waterbirth Hi Mary At Selangor we - midwives, obstetricians and paediatricians - have 'officially' supported women for waterbirth since Feb 1998. Our rate is 35% of vaginal births and over 1600 babies have been waterborn since we opened. We will continue to do so as it has benefits for women, their babies and is safe. Regards, Lynne - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 21, 2006 12:50 PM Subject: [ozmidwifery] waterbirth Hi everyone, I know this question has been asked before, but I can't remember the answer. Do we have any maternity units, birth centres etc who officially do waterbirth? I know homebirthers do, but I want to know about institutions. Thanks, MM __ NOD32 1933 (20061221) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com
Re: [ozmidwifery] waterbirth
Hi Mary At Selangor we - midwives, obstetricians and paediatricians - have 'officially' supported women for waterbirth since Feb 1998. Our rate is 35% of vaginal births and over 1600 babies have been waterborn since we opened. We will continue to do so as it has benefits for women, their babies and is safe. Regards, Lynne - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 21, 2006 12:50 PM Subject: [ozmidwifery] waterbirth Hi everyone, I know this question has been asked before, but I can't remember the answer. Do we have any maternity units, birth centres etc who officially do waterbirth? I know homebirthers do, but I want to know about institutions. Thanks, MM
Re: [ozmidwifery] doula for tassie
This is good news Jan! Only 20 more to go. Sooner than later. Regards, Lynne - Original Message - From: Jan Robinson To: ozmidwifery@acegraphics.com.au Cc: ACMI National Office Sent: Wednesday, November 08, 2006 11:51 AM Subject: Re: [ozmidwifery] doula for tassie We've got up to the 180s Jo ... We still need about twenty more midwives to launch the scheme.Any midwife reading this who thinks they may want to do the odd home birth in the future ... or even do independent teaching, childbirth classes, should consider putting their name on the insurance list. It's 'pay as you go" so it won't cost you an arm and a leg.Simply contact the College [EMAIL PROTECTED] with your name, address and telephone contact and ask that your details be put on the insurance list.ThanksJanJan Robinson Independent Midwife PractitionerNational Coordinator Australian Society of Independent Midwives8 Robin Crescent South Hurstville NSW 2221 Phone/Fax: 02 9546 4350e-mail address: [EMAIL PROTECTED] website: www.midwiferyeducation.com.auOn 8 Nov, 2006, at 12:34, jo wrote: Great! Thanks Jan. Have just emailed them.Was wondering how the insurance for midwives is going, are you nearly at the 200 needed?CheersJo xFrom: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jan RobinsonSent: Wednesday, 8 November 2006 12:28 PMTo: ozmidwifery@acegraphics.com.auCc: Rosie Green Liz EkinsSubject: Re: [ozmidwifery] doula for tassieTry the Launceston Birth Centre Jo ,,, Jean,Rosie or Liz might have some contacts.email: [EMAIL PROTECTED]All the bestJanJan Robinson Independent Midwife PractitionerNational Coordinator Australian Society of Independent Midwives8 Robin Crescent South Hurstville NSW 2221 Phone/Fax: 02 9546 4350e-mail address: [EMAIL PROTECTED] website: www.midwiferyeducation.com.auOn 8 Nov, 2006, at 11:50, jo wrote:Hi all,Does anyone know of any doulas working in Tassie and any hospitals, midwives or OB’s supportive of VBAC. Have just had a lengthy chat on the phone with a woman who has had 2 c/sections and is desperate for a vaginal birth. Even went as far as to ask if I’d travel to Tassie in March next year to support her.Any contacts would be wonderful.Thanks in advanceJo xJo HunterNational Convenor Homebirth AusCoordinator Homebirth Access SydneyInnate Birth doula and CBE(02) 47 51 9840
Re: [ozmidwifery] I need to vent!!!
This put a huge smile on my face! Of course they should all have first prize A wonderful way to begin the day! 8- (Specs andmany chins - me I mean) - Original Message - From: Heartlogic To: ozmidwifery@acegraphics.com.au Sent: Friday, October 20, 2006 9:46 PM Subject: Re: [ozmidwifery] I need to vent!!! I was asked to judge a baby contest in the late 70's. Of course I was horrified at the time, but was compelled because of where I worked etc etc. I gave all the babies first prize. :-) ' They' didn't ask me again. :-) Great idea to send those letters Barb. I keep getting the official replies from some poor bunny in the 'office' - I know, I've been one myself at one time. But the numbers do matter. Each letter represents in political terms, 100 voters, so if everyone on this list wrote :-) politically yours, (which reminds me, I'm standing for the Democrats again next election, just got officially 'selected') Carolyn (Hastie) - Original Message - From: Jackie Kitschke To: ozmidwifery@acegraphics.com.au Sent: Friday, October 20, 2006 9:02 PM Subject: Re: [ozmidwifery] I need to vent!!! Not to mention the "Pick my pretty baby"competitions. Jackie - Original Message - From: Barbara Glare Chris Bright To: ozmidwifery@acegraphics.com.au Sent: Friday, October 20, 2006 6:37 AM Subject: Re: [ozmidwifery] I need to vent!!! HI, They won't have free rein if we all (mothers and health professionals COMPLAIN) It amazes me that amidst the ocean of media report about healthy eating and obesity, the importance of breastfeeding is ignored, or ridiculed on television as it was on "Sunrise" yesterday morning (and probably will be on 60 minutes on the weekend) or crucified like it was on "Life at One" last week. The media needs to lift it's act, and they will only do so when they get the message from US. Yesterday morning "Sunrise" did an article on David Suzuki, talking about in 1992 more than 1/2 of the world's scientific Nobel Laureats wrote an open letter warning of the damage to the enviromnment. No media outlet in the world ran the story. Then Sunrise spoke about a poll they were running. Breast v. bottle, and the announcer tut-tutting about how breastfeeding was a personal choice and women shouldn't be judgemental of each other. Excuse me! they had just set it up! Breastfeeding is not a choice like wearing your blue top or your red top tonight. And getting information to women and health professionals has nothing at all to do with guilt - the usual excuse used by the media to ( and promoted by the formula companies to ultimately promote their wares) Anyway, as to complaining Write to your member of Parliament asking him to write to/forward on the material you send to Tony Abbott, Minister for Health. This way you kill 2 birds with the one stone. You educate your local MP and Let Tony Abbott know that health professionals and mothers of Australia are NOT HAPPY Also, write to the APMAIF panel, enclosing any brochures etc that you have. Don't worry about whether it is technically a breech of the agreement. If it is enough to offend you as a mother or a health professional, send it in - let them know how you feel! APMAIF SecretariatDepartment of Health and AgeingMail Drop Point 15GPO Box 9848ACT 2601 While you are at it, you could complain to the Victorian Office of Children about their decision to keep having their Maternal and child health nurses educated by Wyeth. You could write to the CEO Gill Callister [EMAIL PROTECTED] And send a copy to Minister Sheryl Garbutt at the same time. Warm Regards, Barb - Original Message - From: jesse/jayne To: ozmidwifery@acegraphics.com.au Sent: Thursday, October 19, 2006 10:35 PM Subject: Re: [ozmidwifery] I need to vent!!! Arethe formula companies really giving infant FORUMULA samples to pregnant women here? Are they breeching the WHO Code so blatantly here? I thought it was fairly well regulated - unlike many other countries. If it does happen at the Expo, you should report them to the ABA for further action. Unfortunately they have free reign with that toddler milk crap in a can/drink dispensing machine whatever. Jayne -
Re: [ozmidwifery] FYI news article
Hi Michelle That's a nice thought but what it boils down to in its simplest form is business development. It's all about getting women out of hospital in a couple of days to free up beds. The more beds you free up quickly, the more bookings you can take and the more revenue you generate, especially for hospitals that have 'mixed women's health' wards. Gynae generates MUCH more revenue than maternity - slip in a few 'day cases' or larger 'procedures', or more commonly, another Caesar or twowith the extra revenue earned by babies with 'RDS' admissions (Please excuse the language - I do not mean to objectify mothers and babies - just speaking the language of business) to nursery and bingo! Muchas doleros! It is stillcheaper to stay in a nice hotel than a hospital beds, and in monetary terms, everyone benefits. This would have been much more widespread had the logistics of having a suitable hotelclose by and staffing issues and not got in the way. I am sure this package was marketed beautifully. You are right Michelle - women should not have to go to a hotel forsomething special - I agree wholeheartedly with you that they should be acknowledged and birth and motherhood celebrated in more meaningful and longer lasting ways than a few days stay in a plush hotel. Good morning everyone! Regards, Lynne - Original Message - From: Michelle Windsor To: ozmidwifery@acegraphics.com.au Sent: Thursday, September 21, 2006 5:23 PM Subject: RE: [ozmidwifery] FYI news article I could be on the wrong track here. but perhaps at the bottom of all this is somewomen's desire (maybe subconsciously) for something special (the 5 star hotel)to acknowledge what an amazing person she is to be a mother and to have birthed a baby.Unlike some other cultures, our society as a whole doesn't seem to value mothers very highly. "What does she do?Oh she just had kids.." Even women themselves often identify themselves as 'just a mum' or 'just a housewife'. Maybe if women were acknowledged and celebrated in other ways for the wonderful work they do in birthing and mothering and provided with excellent support, staying in a 5 star hotel wouldn't be so appealing. Cheers Michelle"Kelly @ BellyBelly" [EMAIL PROTECTED] wrote: I posted the article on my forums, here is what women think of the idea be it what you agree with or not this is what THEY think so maybe we can get some ideas or learn something from this: http://www.bellybelly.com.au/forums/showthread.php?p=439579 Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Mary MurphySent: Thursday, 21 September 2006 8:27 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] FYI news articleImportance: High The Caroline flint you have contacted is a politician, not the midwife. Try putting midwife in front of the google search. It is confusing to have two high profile people with the same name. MM From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Vedrana ValcicSent: Wednesday, 20 September 2006 6:11 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] FYI news article Where can I find out more about her marketing strategies? Midwives in Croatia would certainly appreciate info about effective marketing strategies. I found this site: http://www.carolineflint.co.uk/news/news.htm, but I dont know if there is something more detailed. Vedrana From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Mary MurphySent: Wednesday, September 20, 2006 11:11 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] FYI news article The woman who best markets midwifery is Caroline Flint in the UK. We should copy her marketing strategies. MM Kelly says..If we want women to accept and value the midwife then it needs to be marketed better, it needs to be trendy and jazzed up! Not just a choice being two sides of the fence with opposing views as it is now. And they want to know what it will do for THEM and what THEY will get out of it. At the moment there are very many women who do not see birth as something that needs to be in the home or is safe in home thats just a fact which we have to work on. On Yahoo!7Messenger: Make free PC-to-PC calls to your friends overseas.
Re: [ozmidwifery] Funds
I agree Mary - also when it is so damned hard to get ANY funding for postnatal care, or breastfeeding support, or community care at home forwomen, especially with postnatal stays of 2 days and so many women have had interventive births. G! - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Tuesday, September 19, 2006 10:07 PM Subject: [ozmidwifery] Funds The option to stay at the hotel for two nights is included in the obstetrics cover provided by the patient's private health fund. This is the bit that makes me mad, when it is difficult to get decent refunds for homebirth. MM
Re: [ozmidwifery] Twins
Hi Kirsten I run a Twice Blessed session on a needs basis and have a session outline and a handout that I give to women if that would help. Regards, Lynne - Original Message - From: Kristin Beckedahl To: ozmidwifery@acegraphics.com.au Sent: Tuesday, September 19, 2006 4:14 PM Subject: [ozmidwifery] Twins Hi all, I'm a CBE and have had a call from a lady with twins looking to attend the course I'm running. Seeing I've never had much to do with twins (preg, birthor babycare) I was hoping some of you could shed some light on some important points or issues that I could pass onto her. Thanks so much, Kristin-- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
Re: [ozmidwifery] Another OMG moment...
Which sicko wrote the blurb for this? - Original Message - From: [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Saturday, September 02, 2006 10:07 PM Subject: [ozmidwifery] Another OMG moment... http://www.scarytoyclown.com/?p=44 -- 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] The Purple Line
Heh Heh BIG smile Mary! - Original Message - From: Mary Murphy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, September 01, 2006 5:12 PM Subject: RE: [ozmidwifery] The Purple Line -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jo Watson Sent: Friday, 1 September 2006 11:12 AM Jo, I had forgotten just how clear the photo was. No wonder I went running to the car for my birth kit! Cheers, Mary M -- 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] Vaginal examinations
Hi Jo I would also love a copy of your photo if you would consent to me using it for midwifery education and also childbirth education sessions? Regards, Lynne - Original Message - From: Jo Watson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, August 31, 2006 10:42 AM Subject: Re: [ozmidwifery] Vaginal examinations Sure. Just don't look at my butt ;) There are no attachments allowed on this mailing list, am I right? I guess I can just email it to those who ask to see it. :) Jo On 31/08/2006, at 7:07 AM, meg wrote: Can we see it? Megan - Original Message - From: Jo Watson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, August 30, 2006 11:49 PM Subject: Re: [ozmidwifery] Vaginal examinations Two words: PURPLE LINE I have a great photo of mine (thanks for pointing it out, Mary!) :) Jo On 30/08/2006, at 9:31 PM, Sally @ home wrote: Just to add to this... There was an extremely heated discussion at a meeting with docs and midwives where I work about how doing a VE is the only way to ascertain progress in the normal labour of uncompromised healthy women. The midwives now have to come up with evidence showing that doing a VE within 1- 4 hours of admission to hospital (then 4-6 hourly thereafter) is not necessary as we are able to assess progress in different ways (all of which have been poo-pooed by the medicos)...so...am needing the help of all you wonderfully wise women out there. Thanks in advance. Sally - Original Message - From: Sally @ home [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, August 29, 2006 10:30 PM Subject: [ozmidwifery] Vaginal examinations Was wondering what guidelines others worked with regarding when to do vaginal examinations...specifically in the hospital setting. And what evidence they base their practice on. Thanks in advance. Sally -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.0.405 / Virus Database: 268.11.6/428 - Release Date: 25/08/2006 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] National Caesarean Awareness Day 2006
Hi All A posting for QLD mothers, and any health professionals who are interested on the impact of a challenging birth for women Regards, Lynne Date Claimer September 10th, 2006 One day workshop/seminar Moving on after a challenging birth A one day seminar about understanding and healing after a difficult, disappointing or traumatic birth. Featuring Dr Sarah Buckley, GP and author of Gentle Birth, Gentle Mothering, Lynne Staff, midwife and childbirth educator, A NEW amazing and inspiring short-film by Nic Edmondstone and midwife Vicki Chan, Interactive workshops to get questions answered, share information experiences, and Inspiring mothers from the community who have moved on from negative experiences and had positive births including natural births, caesarean births and vaginal births after caesarean. Who should attend Parents, particularly anyone who has had a difficult, disappointing or traumatic birth (whether a caesarean or not), partners, health care practitioners including midwives, obstetricians, allied health professionals, doulas, childbirth educators, policy makers, associated organisations. Venue St Aidens Anglican Girls School, Corinda, Brisbane, Queensland. Proudly presented by Birthtalk: Support, Education, Celebration of Birth Proudly supported by The Childbirth Education Association Queensland More details to come soon! For further information or to join our NCAD mailing list: Phone 07 3878 7915 Email [EMAIL PROTECTED]
Re: [ozmidwifery] unit manager
Hi Anne, Yes it is but we are still accepting applications and expressions of interest. Warm regards, Lynne - Original Message - From: Moore Family To: ozmidwifery@acegraphics.com.au Sent: Monday, July 03, 2006 5:42 PM Subject: Re: [ozmidwifery] unit manager Dear Lynne, this is stated as closed on the ACMI site?? Anne - Original Message - From: Lynne Staff To: ozmidwifery@acegraphics.com.au Sent: Monday, July 03, 2006 6:41 AM Subject: [ozmidwifery] unit manager Hello all you Ozmidders out there! Please see ACMI website for position of unit manager at Selangor. Irene is moving on and has been a wonderful manager for us all these past four years. Is there anyone who would be interested? Cheers, Lynne
[ozmidwifery] unit manager
Hello all you Ozmidders out there! Please see ACMI website for position of unit manager at Selangor. Irene is moving on and has been a wonderful manager for us all these past four years. Is there anyone who would be interested? Cheers, Lynne
Re: Re: [ozmidwifery] ctg stuff
Hi Emily, Could you please email me off list? Re your supervisor's request. Regards, Lynne - Original Message - From: Emily To: ozmidwifery@acegraphics.com.au Sent: Saturday, June 17, 2006 10:49 AM Subject: Re: Re: [ozmidwifery] ctg stuff hi all i have just finished the 'obstetrics' term of my course and over the 9 weeks i repetitively brought up my disgust with the use of CTGs against all the very high quality evidence that is out there against them, that noone refutes they just ignore. the wonderful obstetrician who was my supervisor (only one ive ever met that i like) agreed and said it is only collective inertia and fear that has led to everyone still using it. the fact that it has sneakily become the best practice standard. in the big cochrane review on the subject the only benefit seen was a reduction in neonatal seizures seen in the CTG group. this was used as evidence that it may reduce the incidence of cerebral palsy in this group also. actually, there was follow up studies done on all the studies included in the review some years later and it actually showed no difference in cerebral palsy rates in most studies. one study amazingly actually showed a higher rate of cerebral palsy in the CTG group !! this has been conveniently forgotten. CTGs are still sold to women as being a safety net to prevent cerebral palsy despite the fact that there is absolutely no evidence whatesoever of this being the caseall that remains to be the benefit of CTGs is for care providers. it makes many people feel safe to have a neat little print off documenting what has been happening. the other thing is that apparently in the court system, parents can only be 'compensated' if a no fault verdict is made and that requires a CTG. anyway i wrote a huge article about this titled 'the irony of obstetric risk analysis' and handed it in with my end of term work. i am waiting with bated breath to hear the feedback and whether i will fail for being so blatently anti-obstetrics to my obstetric supervisors!!! but i figured theres less harm saying it all now, on my way out :)the reason im writing this is that the (good) obstetrician wants me to put together my views on social inductions and social elective caesars and how we should respond to women who sometimes demand these things and whether it is ethical to refuse. im really struggling with it because if we all always say inform and then follow the mothers wishes, what right do we have to refuse this? it is often for what i see as ridiculous reasons (ie the woman recently who demanded an induction so she wouldnt birth on 6/6/06 and threatened to kill herself if we didnt) but who am i to judge women's choices like others judge non-interventionalist choices?id love to know everyones thoughts on this one love emily Do you Yahoo!?Everyone is raving about the all-new Yahoo! Mail Beta.
Re: [ozmidwifery] Anyone know?
Hi Carolyn This has been one of my favourite passages. I have a very faded copy of the paperand I have used it to inspire students and midwives (but mostly myself!)fora long time. A senior moment:- (many chins) - Original Message - From: Heartlogic To: ozmidwifery@acegraphics.com.au Sent: Sunday, June 11, 2006 3:09 PM Subject: Re: [ozmidwifery] Anyone know? It's OK! I went to Amazon and found the book - one copy only in all USA! for sale that is, second hand and all. It's called Cats, Cradles and Chamomile Tea written by Anna Maria Delloso. Thanks to those of you who were seeking to help. I love having you all there as my cyber buddies! warmly, Carolyn - Original Message - From: Heartlogic To: ozmidwifery@acegraphics.com.au Sent: Sunday, June 11, 2006 1:17 PM Subject: [ozmidwifery] Anyone know? Hello everyone, I'm looking for a quote from a book and I'm hoping someone may know it/the book/the author. The quote goes something like that midwives stand at the bedposts of life and death... such people are like rubies and that there will be no machines which go ping for me etc It was written by an Australian journalist, she spoke at a midwifery conference in Sydney either late 80's or early 90's and her book is titled something like Cats, cradles and (something...) I'm having a senior moment and can't locate any of it!! If you can help me, please respond privately to avoid clogging the list. My email address is [EMAIL PROTECTED] Thanks so much to anyone who can shed light on this for me. Have a great weekend everyone. warmly, Carolyn Heartlogic Internationalwww.heartlogic.bizPhone: +61 2 43893919PO Box 5405 Chittaway Bay, NSW 2261 Australia Discover timeless wisdom and a practical prosperity program in the amazing forgotten 1910 classic, The Science of Getting Rich.You can download it here:http://www.scienceofgettingrich.net/gifts/key.html "Wherever you are is where you start. The next time you getstressed, ask yourself 'How would I be doing this differently if I were willing to let this be easy?" Alan Cohen
Re: *****SUSPECTED SPAM***** Re: [ozmidwifery] degrees of high BP in preg
Hi Emily, I should have clarified - a woman's non-pregnant normal BP reading. Regards, Llynne - Original Message - From: Emily To: ozmidwifery@acegraphics.com.au Sent: Saturday, June 03, 2006 11:32 AM Subject: *SUSPECTED SPAM* Re: [ozmidwifery] degrees of high BP in preg hi everyoneyou have to be careful using just a rise in BP because of the physiological drop in BP in the middle trimester. if the 'booking' or first BP you take from a woman is in the mid trimester then you will see a big jump in the 3rd trimester - without it necessarily being pathological. ive been taught greater than or equal to 140/90 (either or both numbers) taken on two occasions at least a few hours apart (and of course at a 45 degree angle, taken by the same person and on the right arm) is cause for further investigation. if you have a pre-pregnancy BP then it would be useful to look at the individual rise for that woman but if you only have a mid trimester one it can be really misleading and freak a whole lot of women out for no reasonlove emilyLynne Staff [EMAIL PROTECTED] wrote: I was always taught (and have also found in experience) that it is the amount that the BP increases overa woman'snormal level that is important - not whether it is over 95-100. A woman might normally have a diastolic of 65, but if it increases by 15-20 mmHg, then sheis asked to watch for other signs, and her urine is checked and also bloods if increase continues. The first eclamptic seizure I ever was witness to was a woman who had a diastolic of 75 (normally 50mmHg). She had been complaining of a pain in her stomach and because she had a recent past history of gastric ulcer, it was assumed that this was the cause of her pain. I arrived on ND to BS hear an odd rattling sound. It was one of the old metal beds and she was having a major seizure. Regards, Lynne - Original Message - From: brendamanning To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 01, 2006 10:09 PM Subject: Re: [ozmidwifery] degrees of high BP in preg There issome variation here... but this week ..a diastolic over /90 is watchable anything over100 treatable. Could be different next week With kind regardsBrenda Manning www.themidwife.com.au - Original Message - From: Kristin Beckedahl To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 01, 2006 8:41 PM Subject: [ozmidwifery] degrees of high BP in preg wise women... At what point does high blood pressure become an issue in preg? what is a 'normal' reading for a healthy preg woman? What reading is considered 'high-risk' or requiring action (without proteinuria)...? Big thanks From: Andrea Quanchi [EMAIL PROTECTED]Reply-To: ozmidwifery@acegraphics.com.auTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] students learningDate: Thu, 1 Jun 2006 19:57:06 +1000If the woman invites the student to be there and the MIPP is happy what prevents them from being there. Surely we are letting them know what the real world is like and the reality is that MIPP are working uninsured and having to cope with what that means in reality. This is no different from when I attend a hospital with a woman and the hospital says that they only recognise me as a support person. I could let that stop me from going there but I don't. If students want to be at hom births they will, they will learn heaps and if they cant write it down on paper for the uni then dont but dont let it stop them from attending because the experience is to valuable to waste.Andrea QuanchiOn 01/06/2006, at 7:03 PM, Stephen Felicity wrote:I think perhaps you women are the "lucky" ones; I only recently had an email from a student midwife in SA, lamenting that she is unable to attend homebirths unless the midwife is "publicly employed" (ie: not a MIPP). Since the only homebirth midwives employed by the Government in SA are part of the Northern Women's Community Midwifery Program, anyone not fortunate enough to be in that region has zero opportunity to work "in all situations". This is clearly an insurance issue as well as an educational institution issue...but it's all one and the same at the end of the day, isn't it? It's all just
Re: [ozmidwifery] consent to formula feed?
Ditto Di - Original Message - From: diane [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Saturday, June 03, 2006 5:58 PM Subject: Re: [ozmidwifery] consent to formula feed? Written info on consent form signed by mother only in our area. Di - Original Message - From: Sue Cookson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Saturday, June 03, 2006 1:29 PM Subject: [ozmidwifery] consent to formula feed? Hi, just wondering what the policies are concerning consent to give formula to a baby (any baby). is the consent to be written or verbal, and is it gained from either parents or just the mother? sue -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] degrees of high BP in preg
I was always taught (and have also found in experience) that it is the amount that the BP increases overa woman'snormal level that is important - not whether it is over 95-100. A woman might normally have a diastolic of 65, but if it increases by 15-20 mmHg, then sheis asked to watch for other signs, and her urine is checked and also bloods if increase continues. The first eclamptic seizure I ever was witness to was a woman who had a diastolic of 75 (normally 50mmHg). She had been complaining of a pain in her stomach and because she had a recent past history of gastric ulcer, it was assumed that this was the cause of her pain. I arrived on ND to BS hear an odd rattling sound. It was one of the old metal beds and she was having a major seizure. Regards, Lynne - Original Message - From: brendamanning To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 01, 2006 10:09 PM Subject: Re: [ozmidwifery] degrees of high BP in preg There issome variation here... but this week ..a diastolic over /90 is watchable anything over100 treatable. Could be different next week With kind regardsBrenda Manning www.themidwife.com.au - Original Message - From: Kristin Beckedahl To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 01, 2006 8:41 PM Subject: [ozmidwifery] degrees of high BP in preg wise women... At what point does high blood pressure become an issue in preg? what is a 'normal' reading for a healthy preg woman? What reading is considered 'high-risk' or requiring action (without proteinuria)...? Big thanks From: Andrea Quanchi [EMAIL PROTECTED]Reply-To: ozmidwifery@acegraphics.com.auTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] students learningDate: Thu, 1 Jun 2006 19:57:06 +1000If the woman invites the student to be there and the MIPP is happy what prevents them from being there. Surely we are letting them know what the real world is like and the reality is that MIPP are working uninsured and having to cope with what that means in reality. This is no different from when I attend a hospital with a woman and the hospital says that they only recognise me as a support person. I could let that stop me from going there but I don't. If students want to be at hom births they will, they will learn heaps and if they cant write it down on paper for the uni then dont but dont let it stop them from attending because the experience is to valuable to waste.Andrea QuanchiOn 01/06/2006, at 7:03 PM, Stephen Felicity wrote:I think perhaps you women are the "lucky" ones; I only recently had an email from a student midwife in SA, lamenting that she is unable to attend homebirths unless the midwife is "publicly employed" (ie: not a MIPP). Since the only homebirth midwives employed by the Government in SA are part of the Northern Women's Community Midwifery Program, anyone not fortunate enough to be in that region has zero opportunity to work "in all situations". This is clearly an insurance issue as well as an educational institution issue...but it's all one and the same at the end of the day, isn't it? It's all just part of the overall climate for midwifery and birthing women in our country.- Original Message - From: "Kirsten Dobbs" [EMAIL PROTECTED]To: ozmidwifery@acegraphics.com.auSent: Thursday, June 01, 2006 5:10 PMSubject: RE: [ozmidwifery] students learningI can back up Kate, (as we attend the same uni!)I have only ever been encouraged and supported to attend births withindependent midwives by our uni.Kirsten-Original Message-From: [EMAIL PROTECTED][mailto:[EMAIL PROTECTED] On Behalf Of Kate and/or NickSent: Thursday, June 01, 2006 9:57 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] students learningFor fyi, student midwives here in SA are *forbidden* to seek experienceof any kind with any independently practicing midwife, on threat of afail grade for the clinical topic /or expulsion from the course.While this is the case at one uni, it does not appear to be at the otheruni. We have a lay midwife doing the Bmid who will be doing her practicumwith an independent midwife. We believe we are able to participate inhomebirths, and I am certainly hoping to do just that.Kate--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
Re: Re: [ozmidwifery] Fw: E-News 8:11 - PostdatesPregnancies (May 24, 2006)
It would be VERY interesting to hear how this is explained to women. I can imagine the minifisms herejust a little clip that sits on your cervix, and one that sits on the baby's head etc. Located is an interesting word for screwed in or the sensor pirecing the baby's scalp. Forgive me if I am wrong - I know nothing about this device, but how DOES it stay in place? You should read Orly Sachar's work Mary. Regards, Lynne - Original Message - From: Mary Murphy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 30, 2006 8:16 PM Subject: RE: Re: [ozmidwifery] Fw: E-News 8:11 - PostdatesPregnancies (May 24, 2006) Signals from disposable sensors located on the maternal cervix and fetal head objectifies the examination process Is there actually a woman and a baby involved in this birth? M , -- 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: Re: [ozmidwifery] Fw: E-News 8:11 - PostdatesPregnancies (May 24, 2006)
As a follow on from the message I just posted, I'd love to know how women in the ACTOBAC trial are being informed about the short and long term consequences of CS. - Original Message - From: Mary Murphy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 30, 2006 8:16 PM Subject: RE: Re: [ozmidwifery] Fw: E-News 8:11 - PostdatesPregnancies (May 24, 2006) Signals from disposable sensors located on the maternal cervix and fetal head objectifies the examination process Is there actually a woman and a baby involved in this birth? M , -- 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] Orly Sachar
To all who might be interested, here is the link to his work. Regards, Lynne http://www.pantaneto.co.uk/issue2/shachar.htm - Original Message - From: Mary Murphy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, May 31, 2006 9:06 AM Subject: [ozmidwifery] Orly Sachar Could you give me some titles? I haven't found this name on my google search. You should read Orly Sachar's work Mary. Regards, Lynne . -- 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] Hep B, vit K
It definitely is the capture theory. I went through all of this with QLD public health when Hep B was introduced as a blanket immunisation. I asked why all babies were being treated as though they were all in the highest risk group and was told by public health that it was to capture as many as possible while women were in hospital regardless of their risk status. Another interesting thing - a developing fetus is meant to have low levels of vitamin K to minimise the chance of a clot dislodging in tiny vessels during fetal development - a clot can mean that a limb or even a hemisphere of the brain does not grow. Mother Nature is amazing isn't she? Regards, Lynne - Original Message - From: Judy Chapman [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, May 26, 2006 9:03 AM Subject: Re: [ozmidwifery] Hep B, vit K As far as I am award it IS the capture theory. Stick thousands of babies with Hep B vax to maybe save one. For those who do consent at our hospital we give on the day of the Neonatal screening. One of our midwives has looked into the perinatal data in Qld and found that there were not figures for babies who missed the birth dose and caught Hep B in the first few months. We work on the premise that if it says on the hospital supplied literature that babies may feel unwell and need extra fluids after an immunisation, why are we doing that before they even know how to suckle properly? Birth dose is classified as given in the first week. The pressure to give 'at birth', before the poor kid has had time to even draw breath properly, is so they don't get lost in the system. With midwifery clinics we are aware of women who live high risk lifestyles and are at risk of defaulting when it may not be best to do so and we just make sure that it is done before they go home if it is before the neonatal screening. Cheers Judy --- Justine Caines [EMAIL PROTECTED] wrote: Dear Mary and Amanda Exactly Mary! Amanda have you read Sara Wickham's work on Vit K? What is the consent process for Hep B, Are parents aware of the specific populations of risk? I must say the Hep B at birth really shocks me. What are the risk factors for babies who are not in contact with those in high risk groups such as those already infected or sex workers and intravenous drug users? It seems like a capture theory to me and I worry about the level of informed consent. JC -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. Send instant messages to your online friends http://au.messenger.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] VBAC
You are right Mary. To be a problem there usually has to be endometritis, or a uterine incision infection or haematoma formation in the uterine wound. I cared for a woman recently though who had extensive adhesions from her previous caesarean on thebowel, bladder and peritoneum along the scar lineand this caused pain that did not feel 'contraction-like' - she knew what contractions felt like.Itstarted when she started labouring, and then her labour would stop. It would startagain and stop, and because the pain was unusual, it frightened her. She had another caesarean and the adhesionsfound at second CS were extensive and thought likely to be the cause of the peculiar pain she experienced. Regards, Lynne - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Saturday, May 20, 2006 12:02 PM Subject: RE: [ozmidwifery] VBAC Wouldnt the wound infection be superficial? I understand that the risk is following a uterine / deep incision infection. We would all like to hear experienced midwives opinion, so please, keep the discussion on the list. MM
Re: [ozmidwifery] VBAC
Absolutely not Mary. The things that increase risk are usually complications that occur as a result of CS, such as intrauterine infections following CS, haematoma formation in the uterine incision, extension of the uterine incision at CS,and not the fact that she has had a CS for a twin pregnancy. She is no more likely to have a CS than anyother multigravida. I wish her all the best for a wonderful birth. Regards, Lynne - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Wednesday, May 17, 2006 7:51 PM Subject: [ozmidwifery] VBAC Hi everyone, collective knowledge sought! Does anyone have any information that would enlighten a woman who has had 2 vaginal births, then twins by C/S and now wants a VBAC. Is she at increased risk because of the twin C/S? Thanks, MM
Re: [ozmidwifery] VBAC in Qld?
Hi Penny - she would be very welcome at Selangor, but Nambour is a little far from Cairns! Regards, Lynne - Original Message - From: penny burrows To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 16, 2006 8:54 PM Subject: [ozmidwifery] VBAC in Qld? Hi everyone I have some childbirth education clients that are planning a move to Qld - somewhere between Airlie Beach and Cairns. The mum had a previous caesarean as her baby was breech (arghhh!!) and she really wants to land somewhere where she will be supportend to birth vaginally this time. She is 27 weeks pregnant and planning to move next week so we are in a rush to find a destination!! Anyone have any clues as to supportive obstetricians, doctors, midwives up that way? She doesn't want to birth at home so is looking for support in a hospital/ birth centreenvironment. Thanks in anticipation, Penny Burrows - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 16, 2006 8:34 PM Subject: [ozmidwifery] Stop me!. Now Im on the thread I cant seem to stop. MM Update of: Cochrane Database Syst Rev. 2000;(2):CD001056. Periconceptional supplementation with folate and/or multivitamins for preventing neural tube defects.Lumley J, Watson L, Watson M, Bower C.Centre for the Study of Mothers' and Children's Health, La Trobe University, 251 Faraday St, Carlton, Vic, Australia, 3053. [EMAIL PROTECTED]BACKGROUND: Neural tube defects arise during the development of the brain and spinal cord. OBJECTIVES: The objective of this review was to assess the effects of increased consumption of folate or multivitamins on the prevalence of neural tube defects periconceptionally (that is before pregnancy and in the first two months of pregnancy). SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group trials register. Date of last search: April 2001. SELECTION CRITERIA: Randomised and quasi-randomised trials comparing periconceptional supplementation by multivitamins with placebo, folate with placebo, or multivitamins with folate; different dosages of multivitamins or folate; prepregnancy dietary advice and counselling in primary care settings to increase the consumption of folate-rich foods, or folate-fortified foods, with standard care; increased intensity of information provision with standard public health dissemination. DATA COLLECTION AND ANALYSIS: Two reviewers assessed trial quality and extracted data. MAIN RESULTS: Four trials of supplementation involving 6425 women were included. The trials all addressed the question of supplementation and they were of variable quality. Periconceptional folate supplementation reduced the incidence of neural tube defects (relative risk 0.28, 95% confidence interval 0.13 to 0.58). Folate supplementation did not significantly increase miscarriage, ectopic pregnancy or stillbirth, although there was a possible increase in multiple gestation. Multivitamins alone were not associated with prevention of neural tube defects and did not produce additional preventive effects when given with folate. One dissemination trial, a community randomised trial, was identified involving six communities, matched in pairs, and where 1206 women of child-bearing age were interviewed following the dissemination intervention. This showed that the provision of printed material increased the awareness of the folate/neural tube defects association by 4%, (odds ratio 1.37, 95% confidence interval 1.33 to 1.42). REVIEWER'S CONCLUSIONS: Periconceptional folate supplementation has a strong protective effect against neural tube defects. Information about folate should be made more widely available throughout the health and education systems. Women whose fetuses or babies have neural tube defects should be advised of the risk of recurrence in a subsequent pregnancy and offered continuing folate supplementation. The benefits and risks of fortifying basic food stuffs, such as flour, with added folate remain unresolved.
[ozmidwifery] searching for Robyn Moon
Hi Listers, Does anyone know how I can contact Robyn Moon? Regards, Lynne
Re: [ozmidwifery] working in a private hospital ?
Hi Julie I agree with all of the postings on this subject so far. There are a few private hospitals in Oz where you can utilise your midwifery skills fully, although the key word here is "few". Everyweek I receive a call from a midwife in a private hospital somewhere in the country whoisplanning changes in the ways theircare is provided, so lots of good work is being done out and about in many pockets that we don't hear about in the private sector where the midwives are working hard to put into placea higher midwifery profileand expand the role of the midwifeand to make known to the women who access private sector care just what it is that we midwives do.It amazes me how little awareness women and their partners have of the midwife's role. In antenatal information sessions, when weask couples what they believe isthe role of the ob and thenmove on tothat of the midwife, most are amazed and ask the 64 million dollar question..I'll leave you to work that out :-):-) :-) Some things to think about though. 1) From our experience, for many midwives who have come to work at our unit, the hardest thing is getting used to the doctor being there at the birth when things are straightforward - this hasundoubtedly been the most difficult thing for the midwives to get used to, despite the fact that most of the time (oo) the docsjust slip in and blend in with whatever is happening in the birthing room. i ~ 2)Remembering to call thedocin the first place is another :-), epecially when you have been used to autonomous practice. 3) Alsoyou will get alesser pay rate than if you worked in the public sector 4) Understanding the (wierd and deeply entrenched) structure of the private health system(which isbusiness and therefore revenue driven) is a challenge. When I first began to work there and the managers and bossestalked about 'customers', foolish me thought these were the women. Not the case. It was actually the doctors, because the docs have always been the revenue generators. I have never accepted that - I believe first and foremost that it is thewomen who are our (shudder...) 'customers' and they are the ones whomake the difference. I know that because they have beenthe drivers of many of the changes we have put into place. They ask a question about what we do or how we do it or discuss a service and we think "why or whynot?" 5) Often you have to flex your shifts - if it is quiet, you may be asked to cancel, take annual leave or work in another area of the hospital. Most private hospitalshave few full time staffand mostly part-time permanent, and a casual pool. 6) You may have to get used to doing no antenatal care (except where women are hospitalised),the 'private sector hybrid' of labour and birth care, lots of Caesareans, inductions of labour, epidurals and the consequences of those, lots of level two nursery care (as a consequence of a higher Caesarean rate - in many cases over 50% of births), and surgical recoveries for women entering motherhood. 7) BUT you do get to work with some wonderful women and men who are highly motivated, professionals, who tend to be older,many of whom have had IVF procedures and have all the stuff that goes with that, are well educated (but that does not mean they have the information to makeinformed choices), and are wonderful to accompany on their birthing journeys and into parenting. 8) AND you also get to work with some wonderful midwives who care about what they do and provide the very best midwifery care they can despite their daily struggle with the way the private system is currently set up. Changes are ahead though. I hope this has been of some use Julie Regards, Lynne - Original Message - From: Julie Garratt To: ozmidwifery@acegraphics.com.au Sent: Thursday, May 11, 2006 5:31 PM Subject: [ozmidwifery] working in a private hospital ? Dearwise women, I'm wanting to get an idea on what the disadvantages and benefits are to working in a private hospital . I must admit, as a direct entry midwife, I probably have a less than positive view of the private system having been told by lecturers that doing clinical placement there would be a waste of time. ( You become very "birth centric"' when you have to catch 40 babies to register). Ithink I'm asking for a balanced view here if one exists. Julie, longtime daily lurker :)
Re: [ozmidwifery] IMD
To all a wonderful day recognising the work thatwe do as midwives. I am off to bed after being with Julia and Geoff as they welcomed their firstborn son this morning at 4.55. What a way to start the day! Warm regards, Lynne - Original Message - From: Ceri Katrina To: ozmidwifery@acegraphics.com.au Sent: Friday, May 05, 2006 9:01 AM Subject: Re: [ozmidwifery] IMD Ditto! Have a great day everybody!KatrinaOn 04/05/2006, at 10:31 PM, diane wrote: Happy International Midwives Day to everyone. Cheers, Di
Re: [ozmidwifery] new idea
Go Emily! :-) - Original Message - From: Emily To: ozmidwifery@acegraphics.com.au Sent: Wednesday, May 03, 2006 6:06 PM Subject: [ozmidwifery] new idea heres my letter i tried to be nice and respectful and kept trying to keep in mind that everyone has good intentions theyre just obviously uninformed and scared !! it worked for a second and then i was just furious again hahaha we'll see what my reply is Hi, I am a 4th year medical student and feel the need to write after reading your recent article on caesareans vs vaginal birth. While I'm sure this was an attempt to provide useful information to your readers about an obviously thought-provoking issue of great interest to your readers, the result I'm sorry to say is a biased article that provokes fear and perpetuates many myths. In the current era of sky-rocketing intervention rates and theterrible hospitalbirth experiences that go with them, it is little wonder that 80% of gynaecologists would choose a caesarean ! Obstetrician/Gynaecologists are usually only called on to deal with problems and complications of pregnancy and birth and as such, often develop a skewed view of the inherent risks, despite the evidence. This does not mean however, that other women should be encouraged to make this choice. There are many medical complications, only a very small number of which are pointed out in the article, associated with caesareans. This is not to mention the psychological complications that can come with caesareans due to separation from their babies and the difficulty of caring for a small baby while recovering from major abdominal surgery. We only need to look to the US, with around a 30% caesarean rate and still rated 31st for perinatal mortality rates to see that caesarean sections are not the safe and inert procedure they are often made out to be and do not help countriesto keep more babies alive. The point made about scheduling the day of birth is a particularly sad one. It is shocking that our society puts the health and wellbeing of their babies (who will be born when they are fully ready to be) behind their quest for instant gratification and control over their lives. If ever, this is one time that we should give over to nature and forget our need to schedule, organise and plan everything to the minute detail. It is also sad that our 'husbands' may not be able to make time to be with us when their child is born unless it fits neatly into a schedule ! The statistic given for uterine rupture during a vaginal birth after caesarean is in fact quite accurate (1 in 200.) The reasons it is biased are firstly, because very few readers have any experience with which to guage this against (for example that common interventions like amniocentesis that arerecommended every day havedouble this risk of miscarriage ie 1 in 100,) that half of all uterine ruptures occur in women who have not everhad a prior caesarean and that not all uterine ruptures are fatal anyway. The risks given for 'natural birth' are particularly misleading and fear provoking and are extremely dangerous suggestions to be putting out to a generation of women. The risk of 'uncontrolled tearing' which we call a 3rd or 4th degree tear is in fact very low. This does however, become a more common problem when the birth process is interefered with by cutting the perineum - another intervention. The risk of urinary incontinence has been shown time and time again to be unrelated to the mechanism of delivery. Women who undergo caesarean sections experience urinary incontinence at the same rates as those who have vaginal births. And yes, as you have pointed out, caesareans are usually relatively quick but what you fail to mention is the long period of recovery and pain that goes with this surgery and the fact that women who have vaginal births are usually much quicker to be up and about and leave hospital. I hope that you will think again before printing information of this nature again. It does discredit New Idea to those who know the evidence surrounding these issues. Although there may be no outright lies in this article, it is blindingly biased and really unhelpful in helping women and families in their birth journey. I also hope that you will be printing an apology and some evidence, perhaps care of a midwife, as they are the experts of normal birth, not us medical people. If not I will be recommending to all the GPs, hospitals and birth centres that I'm involved with not to buy or allow your magazine in waiting rooms, due to it's fear-provoking and over-simplified articles. Regards Emily Dorman New Yahoo! Messenger with Voice. Call regular phones from your PC and save big.
Re: *****SUSPECTED SPAM***** Re: [ozmidwifery] letter writing time
And Janet - Original Message - From: Janet Fraser To: ozmidwifery@acegraphics.com.au Sent: Wednesday, May 03, 2006 6:22 PM Subject: *SUSPECTED SPAM* Re: [ozmidwifery] letter writing time Dear New Idea, Unsurprising as it is to see a surgeon promoting unnecessary surgery as on a par with a normal physiological process refined by millions of years of evolution, it is poor and irresponsible journalism to present these dangerous misconceptions in a major womens magazine unchallenged. While Dr Pecoraro responsibly mentions that caesareans come with a higher rate of maternal death than vaginal births (and some other uncommon risks), he omits to mention the long list of other potential complications arising from surgery. This is an insult to your readers, since at least 1 in 3 Australian women (and 1 in 2 in many private hospitals) will have experienced this surgery and many will have had to manage the complications he clearly views as unimportant.[1] Let me list a few: significantly increased risk of hysterectomy significantly increased risk of PND and PTSD significantly increased risk of rehospitalisation Most scarily of all however Dr Pecoraro entirely omits the equally long list of dangers to babies from surgery. As babies born by elective caesarean are by definition premature, or they would already have left their mothers bodies by the more optimal path by which they entered, they not only have to deal with major narcotics passing into their bloodstream from the anaesthesia administered to their mothers, but they are unprepared to breathe and do not receive the massaging benefit that vaginal birth gives to expel mucus and help wet lungs to breathe as well as the host of friendly flora which babies need to inhabit their gut which can only be taken up in a vaginal birth. No doubt Dr Pecoraro would be the first to say that the ultimate goal from birth is a healthy baby, yet clearly the least healthy babies of all are born via unnecessary surgery. Healthy babies also deserve healthy mothers and no woman with a massive wound in her belly could be considered a model of health by any standard, could she? Especially if that surgery was not performed as a life saving measure for her or her baby but because a surgeon told her it was safer. Let me list some for you: approximately five times the rate of severe breathing problems occurring in comparison with vaginally birthed babies[2] · significant problems from epidural anaesthesia such as lowered neurobehavioral scores on newborn, decrease in muscle tone and strength, respiratory depression in baby, foetal malpositioning, foetal heart rate variability, increased need for forceps, vacuum and caesarean deliveries and episiotomies[3] Difficulties with breastfeeding and bonding are also surely crucial in the early life of a baby and are far more likely with caesareans. NI should be very careful what they see fit to promote because irresponsible promotion of unnecessary surgery does not save or enhance lives. Promotion of woman-centred care provided via the midwifery model, with its attendant lowering of caesareans and raising of womens joy in birth is what is desperately needed in this country. Your readers deserve accurate, unbiased information from which to begin their researching, not rubbish like this which serves no ones interests but that of surgeons. Janet Fraser [1] Other things being equal, is a caeserean section always more hazardous to the mother's health than vaginal birth? A quick summary by Olubusola Amu, Sasha Rajendran and Ibrahim I Bolaji,BMJ 1998;317:462-465 ( 15 August )http://www.bmj.com/cgi/content/full/317/7156/462 "Caesarean sections are not without complications and consequences. Maternal risks in the short term include haemorrhage, infection, ileus, pulmonary embolism, and Mendelson's syndrome. The prevalence of hysterectomy due to haemorrhage after caesarean section is 10 times that after vaginal delivery, and the risk of maternal death is increased up to 16-fold. Long term morbidity including formation of adhesions, intestinal obstruction, bladder injury, and uterine rupture is often underestimated during subsequent pregnancy. There is evidence suggesting decreased fecundity, increased risk of ectopic pregnancy, placenta praevia, and worse infant outcome in subsequent pregnancies, although the effect on non-reproductive health is unclear and contradictory. Feelings of inadequacy, guilt, and failure in not completing a natural process may affect bonding between mother and infant, particularly if the operation was conducted under general anaesthetic" [2] High Rate of Persistent Pulmonary
Re: [ozmidwifery] reducing c.section rates?
Imagine if they reversed the financial incentive arrangements. - Original Message - From: Julie Clarke [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, April 21, 2006 9:16 AM Subject: [ozmidwifery] reducing c.section rates? Hi Nicole If I remember correctly the Australian Government also did that a few years ago; took the financial incentive away from doctors, by equalizing Medicare payments for vaginal and c.section births, however the lobby group to represent doctors to the government threatened walk outs to such an extent that the Medicare payment was increased again for c.sections. A Professor of Obstetrics told me once he felt confident the best way to reduce the unnecessarily high c.section rate was to introduce a peer review system where each obstetrician would explain the reason to his peers for each of his/her c.sections performed. Warm hug Julie Clarke -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of nicole and gareth Sent: Thursday, 20 April 2006 11:44 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Re: theatre greens An obst from argentina recently told me that to lower the countries ridiculously high caesar rate the government made the schedule benefits (as in money given for procedure) the same for both c/s and vaginal birth, c/s rate dropped very quickly! nicole -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] premature urge to push
My thoughts exactly, Miriam.;-) and a big hug to you Carolyn Regards, Lynne - Original Message - From: safetsleep international [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, April 12, 2006 4:12 PM Subject: Re: [ozmidwifery] premature urge to push wow...'special lady'in my humble experience there are not many who have grown to grasp this level of intellectual and experiential awareness and intelligence ...i will be saving this email and reading it and the references for some time...thankyou warm regards miram - Original Message - From: Heartlogic [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, April 12, 2006 4:44 PM Subject: Re: [ozmidwifery] premature urge to push Hello Kristen, From the literature, uncontrollable urges to push before full dilatation of the woman's cervix and descent of the baby's head are certainly associated with babies who are in a posterior position, that is back of the baby's head, the bone called the occiput, pressing against the woman's sacrum and putting pressure on her bowel 'prematurely'. That is the accepted, physical version of events. Physical interventions to change the baby's position include, but are not limited to: *position changes of all kinds mostly during labour surges, *such as leaning forward, *leaning backward, *opening the ischial spines with various strategies such *as assisting with inwards pressure on the alae of the sacrum; * lifting the trochanters when the woman is squatting (that takes some doing but is a wonderful opener) *lunges with one leg raised on a chair, squatting etc; *the flapping fish (yoga) position which is lying down on the side the baby's back is on, with leg and arm behind, so the person is more on their abdomen - also called the recovery position; lunging as before, but with the woman's body leaning posteriorally into the side the baby is on to reduce space and encourage baby to rotate to the front. *Another excellent strategy is (the midwife or doctor) using the fingers of one hand in the woman's vagina to construct an artificial pelvic floor to help the baby rotate to the front. This is most useful with a greater degree of dilatation as the person needs to have their hand directly on the baby's head to put the counter pressure on (gently and firmly) for increased flexion and rotation of the baby's head. Of course, the woman needs to be informed and agree and be in a position (birth stool is great for this) to enable the midwife/doctor to do this. As we know, we are not merely physical, a bit of material, like a brick or plank of timber, we are a breathing, feeling, moving, social entity. We are more, much more than that which can be cut or fashioned into an article of usefulness. From another point of view, examining our human self, we are an amazing brain and nervous system network, whose function is predominately based on a lifetime collection of learned patterns, concepts and expressions overlaying a genetic intelligence of predetermined processes and capabilites, such as giving birth. Neuroscience. neuropsychology and endocrinology now tells us that emotions (chemicals) are what fires the feeling/vibratory/electrical brain/nervous system into action (which affects/is expressed in the muscular etc reactions/behaviour of the whole body) and the conscious (spiritual) self, that bit of us that thinks in the moment and is untouchable and invisible, is the thinking director of the whole brain/body mind and action, This director is located in the prefrontal cortex of the brain. From my observation and experiences, an uncontrolled urge to push is often associated with thought patterns such as 'wanting it over' and the associated emotional response (through the amygdala) is a release of a chemical flooding, that matchs that pattern of thought. The brain and nervous system gets the chemical and electrical message, for example 'to get it over' and the body starts the pressure before it is really ready to do so. Doing physical things can help move the woman's focus and attention from what is wrong to what she wants to happen. In this instance, moving from 'wanting it over' to turning the baby or the baby being born. To help the physical actions, (which, because of the neural networks throughout the body, also changes the mind) the woman can be helped to say and focus on what will actually help labour progress appropriately at the right time. Concerted and repeated efforts are necessary to change the thought patterns and emotional response, especially when we are in challenging situations and labour is one of the most challenging. If the woman can be helped to change her focus and attention from pain or 'wanting it over' , this change can make big shifts in the electrical and chemical messages in her neurology which then automatically alters how her body responds and acts. Saying over and over
Re: [ozmidwifery] Birthing Music
Hi Katrina I think I have heard just about every type of music there is as I have journeyed with women as they work to give birth. You name it - opera, grunge, rock 'n' roll, atmospheric, Gregorian chant, lots of women's music, music with and without voice, world music, straight percussion - even Cherie Baby, Won't You Come Out Tonight (which was not intended to be a pun at the time but had us all in stitches (wonderful home birth). I have even been present where as the famiy's tradition had it, that the forst generation baby was piped in by a lone piper (in hospital), another where the baby was drummed in by three women who softly played their djembes, and another where the baby was 'didged' in (again in hospital) - gave me huge goosebumps. One thing I have noted, though, is that women late in their birthwork, often do not want any sound (including music) much at all as they move into that space, where they need to go. Also, I suggest to women to bring in a special CD with lots of funky rhythm in case she needs to do some serious wiggling and moving - real get down and boogie stuff for those moments when a woman is finding it hard to bring her baby down. I ahve even been asked by a woman (her birth wishes) to sing Helen Reddy's I Am Woman to her if she asked when things were tough. Wellshe asked me, I did and she said it was just what she needed - lots of laughs afterwards :-) Hope this helps - Lynne - Original Message - From: Ceri Katrina [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, April 12, 2006 10:16 PM Subject: [ozmidwifery] Birthing Music Hi everyone I know this is going to be a very individual preference, but just wondering if any of you wonderful people out there can recommend some music for birthing. I have my Enya CD and a couple of others, but am wanting some more. If anyone has a CD or artist they can recommend from personal or other experience that would be fabulous. thanks in advance Katrina -- 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] public-private birth centres
Hi Pete This will involve a long discussion. Could you phone me at work on 07 5450 4359, or on my mobile 0428 105 237, and I can explain in detail what we do, what has worked etc, what has challenged us etc. It's a long but interesting story! I look forward to chatting. Regards, Lynne - Original Message - From: [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, March 09, 2006 7:39 AM Subject: [ozmidwifery] public-private birth centres Thanks guys for your comments so far, the Dr who is making the proposition is definitely one of the lower interventionist ones around these parts and he supports most of the local women who choose to have a homebirth. When I asked him how he thought it might work he didn't really seem to have much of an idea which leaves it pretty open to come up with our unique model. I will be pushing for visiting rights for independent midwives but am sure the insurance (lack there of) will be raised before too long. Lynne as you mention 'caseload' would be my preferred option but at the end of the day if this increases the choice for some women then it will be great because to be honest there is no choice at the moment here in the south west of WA. Unfortunately numbers will be an issue realistically we can probably only aim for around 100 births a year and that means staffing will be an issue because it will not be able to have staff on 24 hour basis. From my experience you need to be booking around 500 and have at least 350 births a year to justify a full complement of staff around 12-13 full time equivalents. Lynne with the private patients are they assigned a midwife and then does the women negotiate with that midwife to have antenatal care as well as their OB and would that woman try to be there for the birth or is dependent on what committment the midwife can make to the woman and in your clinics how do the women pay if they just see a midwife, does the hospital itself bill them and then they get the monies back off their health fund or does the OB have to be involved in the clinics. Yours in midwifery Pete Malavisi -- 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] public-private birth centres
Selangor is a private hospital that endeavours to provide 'birth centre type care' to all women who go there to give birth. It is a hybrid, I guess. Not perfect by any stretch of the imagination, but women who have had previous difficult births and interventions (prev Caes, etc) have access to asmuch midwifery input as possible through midwife clinics, which are now running 5 days a week, and fully booked. We aim to provide as much continuity of care as possible as well,which is a challenge but can be done, albeit not nearly as well as 'caseload' (got to find a betterword)practice and women are not excluded from using water for labour and birth either, except for rare instances. Cheers, Lynne - Original Message - From: diane [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, March 08, 2006 7:19 AM Subject: Re: [ozmidwifery] public-private birth centres is that the way Selangor on the Sunshine Coast works? - Original Message - From: [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, March 08, 2006 7:55 AM Subject: [ozmidwifery] public-private birth centres Hi everyone, we have been approached by a doc here in the south west of WA about establishing a public/private birth centre, I am not aware of one in Australia but I could be wrong, if so could someone let me know how it works and any suggestions or thoughts on how it should work would be greatly appreciated. Yours in midwifery, Pete Malavisi -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] dive reflex
Hi Michelle Further to this, sometimes opening the baby's mouth may not be enough, as they make chest movements in attempting to breathe but cannot inhale. The reason for this is that the beby's toungue is 'vacuum' attached to the hard palate, which must be part of a strong dive reflex. Gently easing your finger between the toungue and the palate, and breaking the suction of it from the roof of the baby's mouth will enable to baby to take breath in. Cheers, Lynne - Original Message - From: Michelle Windsor To: ozmidwifery@acegraphics.com.au Sent: Thursday, January 26, 2006 1:33 PM Subject: Re: [ozmidwifery] dive reflex Hi Emily, What I've read of the dive reflex (especially in relation to water birth) is that it is a reflex where the epiglottis stays closed, therefore not letting water enter the lungs. While there is fluid in the lungs prior to birth, this is secreted by the lungs and some of it is excreted and is a component of the liquor. The breathing movements that the baby makes prior to birth do not cause the outside fluid to enter the lungs.They say that thedive reflex will stay intact if the baby is not exposed to a different temperature, and the babyis not hypoxic. A tip passed on to me (in regard to waterbirth) was that if the baby was born and brought to the surface, was in good condition but not breathing, then gently bringing the baby's chin down with your finger and opening the mouth will break the dive reflex. I remember one waterbirth where the baby was brought to the surface, had great heart rate,excellent tone (actively pedalling her legs!) but wasn't breathing. After a few seconds (and because the parent's were getting anxious) I opened her mouth and she immediately began breathing. Cheers MichelleEmily [EMAIL PROTECTED] wrote: hi jennythats not what ive read about it. i have read about the diversion of blood flow to essential areas due to prostaglandin E2 increases around labour time, but think this is separate to the dive reflex'One more important inhibitory reflex is the Dive Reflex, which involves the larynx. ...when a solution hits the back of the throat, passing the larynx, the taste buds interpret what substance it is and the glottis automatically closes. The solution is then swallowed, not inhaled...' - Heart and HandsemilyJenny Cameron [EMAIL PROTECTED] wrote: The dive reflex ! is a term used to describe the newborns ability to close off peripheral circulation and redirect the majority of its blood supply to the brain, heart and adrenals. It is a protective mechanism to ensure the vital organs are kept functioning in times of critically low oxygen. It is called the 'seal diving reflex' because seals do it to survive the freezing waters when diving for food etc. It has nothing to do with inhaling water or other fluids. Cheers Jenny Jennifer Cameron FRC! NA FACMPresident NT branch ACMIPO Box 1465Howard Springs NT 083508 8983 19260419 528 717 - Original Message - From: Emily To: ozmidwifery@acegraphics.com.au Sent: Monday, January 23, 2006 5:38 PM Subject: RE: [ozmidwifery] dive reflex Yahoo! PhotosRing in the New Year with Photo Calendars. Add photos, events, holidays, whatever. No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.375 / Virus Database: 267.14.2! 0/233 - Release Date: 18/01/2006 Yahoo! PhotosGot holiday prints? See all the ways to get quality prints in your hands ASAP. Do you Yahoo!?Find a local business fast with Yahoo! Local Search
Re: [ozmidwifery] info needed please
Hi Belinda You might like to get in touch with Heather McKosker who last I heard was at QUT. She has done some great work on this. Cheers, Lynne - Original Message - From: Belinda [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, December 02, 2005 11:14 PM Subject: Re: [ozmidwifery] info needed please sorry i wasnt clear I am looking for particular references for my thesis, you know, I have said xxx but need references Ken WArd wrote: No stats, but we asked every woman antenatally about domestic violence and sexual abuse. I think people are becoming aware of how these can affect a woman during pregnancy and birth. Intervention offered to anyone who wanted it. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Belinda Sent: Friday, 2 December 2005 7:59 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] info needed please I wonder if my email asking for Barb Vernons contacts details got through,? I also would like to know if anyone has references regarding statistics of domestic violence in pregnancy, mortality in pregancy due to domestic violence? Also a bit harder maybe; references or literature on funding allocated to obstetric units and funding allocated to prevention, support etc of domestic violence thank you Belinda -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] birthing pool purchase
Hi Mary A woman I am caring for at home has just purchased a hexagonal pool dorect from Clark Rubber. That may be an option. Regards, Lynne - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Thursday, September 29, 2005 7:06 PM Subject: [ozmidwifery] birthing pool purchase Hi all, I have an enquiry for a woman on the Gold coast (I am in W.A) about buying a suitable pool for birthing. I would appreciate your local knowledge. Thanks, Mary Murphy
Re: [ozmidwifery] Conference program announced
Hi Andrea You are certainly eager to begin day 1 with a starting time of 2 am ;-) Lynne - Original Message - From: Andrea Robertson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, September 27, 2005 7:23 AM Subject: [ozmidwifery] Conference program announced Hi fellow listers, The Preparing for Birth and Parenthood Conference program details are available now on our website: http://www.birthinternational.com/event/pfb_aus_2006/index.html This is THE most important event for those involved in parent education in Australia, and is modelled on the highly successful Conference that we presented in the UK this past April (why should Aussies miss out, we thought). Speakers include two key educators from overseas - Mary Nolan from the UK and Sherokee Ilse from the US and a list of Australian educators and midwifery leaders who have special expertise in this field. The workshop format, a first for OZ, will enable participants to get hands-on skills in a range of areas - this is not going to be just a talk fest! You won't want to miss this one BTW, we are arranging some special additional events for midwives with Sherokee Ilse, on the theme of dealing with stillbirth, miscarriage and neonatal death. We'll let you know when the details for this program is available, but I can tell you that there will be one-day workshops in Melbourne, Adelaide, Sydney and Brisbane, in February 2006. Regards, Andrea - 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: Re: [ozmidwifery] perinatal stats
Sorry Sally...she said struglling for breath I have a really bad cough at the moment and when I saw "RANCIDCOG" I nearly died coughing from laughing! Huge:-) while still spluttering..(oh dearit doesn't tkae much to amuse me nowadays) - Original Message - From: sally tracy To: ozmidwifery@acegraphics.com.au Sent: Friday, September 16, 2005 10:49 AM Subject: [Norton AntiSpam] Re: [ozmidwifery] perinatal stats Dear allJan has summed it up in a nutshell - both the discrepancies and the reasons why many home births go unreported.. we did a 'run' with the national data a couple of months ago - and we were surprised to find an even greater difference than this one you report Jan. The most difficult thing is to reconcile the BDM data with the perinatal data - because there is such a long lead time between when the baby is born and when parents have to register the birth (ie five years).I agree with many of the midwives who do not risk disclosureuntil we are convinced there will be no burning at the stake...everyone is much safer staying silent. There is SUCH a need for genuine recognition for what midwives do. We are too vulnerable at present to risk being noticed in many ways... look at the flak we have received from RANCIDCOG and the AMA for example when we've tried to offer an evidence based midwifery service. We continue to jump through every conceivable hoop - but the power is with the money , and until we have legislative rights , and more importantly , until WOMEN have rights to seek the sort of care they believe to be best for them and their babies, we will have to remian silent (and strong!)Sally T. Jan Robinson wrote: Hi Andrea Yes it is a huge discrepancy but the law only relates to births attended by registered doctors or midwives. Registered health professionals have an obligation to report the details of each birth they attend whether they occur at home or in a hospital. They have to provide the NOTIFICATION OF BIRTH to BDM and submit the perinatal data to the appropriate department of their Dept of Health. It is the parents responsibility to register the birth of their child. I assume that MOST of the unreported home births are that way because lay people would be unaware of their state laws. Individuals who are aware of the laws also understand that if they DO report any births that they attend also run the risk of "holding themselves out to be a midwife" and that is PUNISHABLE by law. It would be interesting for midwives to approach their own state/territory Dept of BDM as to the number of babies registered as being born at their home address and then get the figures from the perinatal data collections to compare. Anyone want to get cracking in their state? I'd love to get data from around the country. I have some Tasmanian figures and I have some from Victoria but they are not as easy to interpret as the NSW data. At the moment we are using the NSW figures to try and convince the Health Minister to publicly fund the home births and therefore provide a legitimate choice of skilled home birth practitioner for ALL women wanting a home birth. Cheers Jan Jan Robinson Independent Midwife Practitioner National Coordinator Australian Society of Independent Midwives 8 Robin Crescent South Hurstville NSW 2221 Phone/Fax: 02 9546 4350 e-mail address: [EMAIL PROTECTED] website: www.midwiferyeducation.com.au On 15 Sep, 2005, at 08:23, Andrea Quanchi wrote: Jan that is a huge discrepancy, How many of these ones not reported to Data Collection are attended by registered midwives do you think? Surely the data collection could approach these people not reporting, through the births deaths and marriages, through the families that they are attending to cover the privacy issues, informing them of their duty to report and where they can access the data collection material. You wont get all of them but you might get some more. Are they scared of being identified if they are not registered? Maybe it needs to be free from this issue if you want the data Andrea On 15/09/2005, at 7:58 AM, Jan Robinson wrote: Hi Andrea, Denise et al I have just been in touch with our Dept of Births Deaths and Marriages again for an update on babies registered as being born at home. The numbers change each year as there are some people who don't register their child until they need to go to school so I get updates for each year. So far what we have in NSW is actual number of home births registered number of PLANNED HOME BIRTHS reported to perinatal data collection (NSW Midwives Data Collection) 1999 493 139 2000 394 108 2001 388 144 2002
[ozmidwifery] Care In Partnership program
Dear Ozmid Listers. Like the Secret Women's business postings we see from time to time, I am placing this posting on behalf of the Care In Partnership Midwives (CIP), and the core group of midwivesat Nambour Selangor Private Hospital in QLD -who are seeking midwives who either would like to work as part of the CIP program or as a rostered midwife. If you ever wanted to care for a woman to get to know her and her family throughout her whole pregnancy, her labour and birth, and during the first few weeks with her new baby,or wanted to visit women in their homes for their antenatal and postnatal care, then keep reading. If you ever wanted to stay with a woman during her labour and her birth and not have to leave her because it is end of shift, sat in a womens circle as they discussed and explored the journey before them with one another,wanted to work with a small group of midwives, supported by obstetricians, paediatricians and management who really care about what birth means to women and their partners, then keep on reading! If you have ever wanted to support a woman as she laboured and gave birth in a bath of warm water, or a woman planning a vaginal birth after one or more Caesareans,or wanted toaccompany a woman as she gives birth to her twin babies powerfully and beautifully, orwanted to stay with a woman throughout a caesarean where she was not separated from her partner and her baby and breastfed her baby within the first minutes, then look no further. If this sounds like you, then we would love you to join us as one of our Care In Partnership Midwives. The Care In Partnership Program at Nambour-Selangor Private Hospital on the Sunshine Coast in QLD has been running for 18 months and we believe it is the first of its kind. We are seeking a midwife to join a group of 4 who each book6 women per month and care for them as their primary midwife with the support of an obstetrician throughout their pregnancy, birth and beyond. OR, would employment as a rostered Midwife suit you more? Same environment - same support, and best of all, woman-centred care. We have grown from 320 births in 1999 to 1000 births for this year,and the Sunshine Coast really is beautiful!. If you would be interested in either the CIP program or working as a rostered Midwife, please send an _expression_ of interest and a CV, to: Ms Irene Kinmond Maternity Centre Manager Nambour-Selangor Private Hospital 62 Netherton St Nambour QLD 4560 Cheers everyone, Lynne.
Re: [ozmidwifery] in need of contact details
Hi Alphia This sounds like some workshop! Please forward me the details! Regards, Lynne Staff - Original Message - From: Alphia Possamai-Inesedy To: ozmidwifery@acegraphics.com.au Sent: Friday, July 01, 2005 5:26 PM Subject: [ozmidwifery] in need of contact details Hi everyone,I hope that everyone is well. I was hoping that someone could help me out with some contact details (email if possible) I need. I am currently organizing a workshop and need contact details for the following individuals:Carol FallowsSue KildeaJenny ParrattCherrell Hirstand Carolyn Hastie.I know that some of you are on the list if you could contact me off of list I can provide you with further details.Sorry to be a painThanks and take careAlphia Alphia Possamai-Inesedy Ba (Hons.)PhD. CandidateSchool of Applied and Human SciencesBankstown Campus, University of Western SydneyUWS Locked Bag 1797South Penrith Distribution CentreNSW 1797 AustraliaPhone: 02 97726628Fax: 02 97726584
Re: [ozmidwifery] today's grin trigger
Heh heh! Loved this! - Original Message - From: Julie Clarke To: ozmidwifery@acegraphics.com.au Sent: Tuesday, June 28, 2005 10:59 AM Subject: [Norton AntiSpam] [ozmidwifery] today's grin trigger Q: WHAT ARE THE SMALL BUMPS AROUND A WOMAN'S NIPPLES FOR? A: ITS BRAILLE FOR SUCK HERE.
[ozmidwifery] Midwife in Coff's Harbour area
Hello All I have had a request from a GP (travelling) for a home birth midwife in the Coff's Harbour area. Can anyone be of help? Happy New Year to you all! Regards, Lynne.
Re: [ozmidwifery] NT NEWS FLASH!!!
Is there any more information on this - this is FANTASTIC news!!! Well done - Original Message - From: Callum Kirsten To: [EMAIL PROTECTED] ; [EMAIL PROTECTED] ; [EMAIL PROTECTED] ; [EMAIL PROTECTED] ; Jenelle Craggs ; Cath Grant Hatcher ; [EMAIL PROTECTED] ; Beau Sent: Tuesday, October 26, 2004 10:07 AM Subject: [ozmidwifery] NT NEWS FLASH!!! Congratulations to the woman, midwives and Maternity coaltion, who after tirelessly campaigning to fix the indemnity crisis up here, have won! This morning on ABC news Darwin, Ginny Nock and a homebirth mum were speaking, and low and behold the talk back host announced that when they rung Peter Toynes (health minister in nt) this morning, that his reply was that..."Maternity Coaltion has won, the nt governement will have the situation sorted by the end of the year" WOHHHOO!! We will be holding them to that, and my thoughts are with all the midwives in theNTwho haven't been able to work since the legislation was passed, welcome back! I am so excited... Kirsten Darwin ~~~start life with a midwife~~~
Re: [ozmidwifery] BMid Info Session
Hi Abby I think you would find that homeopathy and naturopathy and the like could be incorporated into the program and also through assignments. Midwives and midwifery lectureres are often blown away by the insightful information students often uncover in the course of their studies and experiences. In BMid and Grad Dip programs (and even in the 'old days' of hopsital-based programs!!) students are encouraged to research areas of particular interest to them and often to present their findings to their group and facilitators as a teaching/learning session. This is when many fascinating topics are brought up and new insights into these areas are provided. I appreciate your concern, and you have made a valid point, I just wanted to say that there is always room for movement and growth, and it can come from anywhere. The areas you refer to take lifetimes of study for those who specialise in them, and it is often by looking for information about something in which you are interested, that you develop an even greater passion and understanding.The universities will always ask students to evaluate the program, so here is also anther avenue. Yes, as you say, it still is medical, and while the focus is on medicalised birth (in real life) and not on birth as something WOMEN do, then there will always be shortcomings (to the detriment of women). I get frustrated because students come to the unit where I work for 'alternative' clinical practicum time. We need to get rid of the 'clinical' label, as part of culture change, and I resent what women do, and the midwives and doctors supporting them, as being labelled 'alternative' (even feral). It may not be mainstream, but it is what women want, (so, dare I say it!) ought to be. I think you will find that there will be a focus on pregnancy, labour and birthgiving as normal, natural life events, and that many of these topics will come up in the course of dicussions over the program. And while no program is perfect, and cannot possibly provide everything for everybody, students are encouraged to look for answers to the questions they have beyond what programs cover to broaden their own knowledge base and to encourage critical thinking. Universities offering a Midwifery program strive to provide one that is comprehensive, and will hopefully meet the needs of the students, enabling them in turn to be with and care for women as beginning practitioners, each with a lifetime of further learning and growing to do, as they embark on practicing their unique art and craft. We need always to question, Abby, the way you do. Don't ever stop asking, questioning, reasoning. It's what drives us onwards, and encourages much in the way of growth. Warm regards, Lynne - Original Message - From: Abby and Toby [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Saturday, October 23, 2004 11:51 PM Subject: [ozmidwifery] BMid Info Session Hi, Today I attended the information session for the direct entry BMid at UTS. Sounded interesting, lots of people there, but I must admit I was disappointed to learn the NO alternative therapies will be taught. No herbs or anything. I find it so hard to accept that, in a course teaching about natural birth, alternative things can't be taught because they are apparently not evidence based but all medical interventions will be taught?? Sorry to rehash this subject I really don't want to get in another arguement about it. I went with a positive outlook and came away very disappointed. I find it hard to understand how learning to facilitate natural birth would include all medical interventions, but not all the natural tools we can use. How can student midwives learn to really be with woman if they are not given a chance to learn all the skills involved? To me it does still seem so medical. I really believe that the proof is there with alternative therapies, maybe just not the type of evidence that the medical professionals will accept. I really am feeling so disappointed as I was excited to go and see what was happening and maybe even get a little more tempted to study midwifery here, but now I just feel disillusioned. Love Abby -- 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] CS story
Well done Jo. I have contacted her as well- let's see if she responds? Regards, Lynne - Original Message - From: Dean Jo To: [EMAIL PROTECTED] Sent: Friday, October 15, 2004 9:14 PM Subject: RE: [ozmidwifery] CS story Hi everyone, Here is the letter I sent in yesterday: Dear Glenda, I am writing to you to express my concern about the proposed debate on elective caesareans. As co-ordinator of CARES SA (Caesarean Awareness Recovery education Support SA) and doula (birth support companion) I am dreading yet another sensationalistic biased story/segment on caesarean births that channel 9 seem to relish in doing. The recent 60 minutes story was so biased and in some instances medically incorrect; I am again filled with dread that women in our society are going to be subjected to non-evidence based information provided by experts and women saying CS is the easiest way to birth when they in fact have never experienced vaginal birth to be able to offer this opinion. The trouble I have with this type of journalism is the same old doctors have their say, without opportunity for a decent rebuttal. Even in the context of debate, I am weary due to the type of OB invited to speak. For every one OB who believes that a womans body is fundamentally incapable of birthing vaginally, there are ten who support vaginal birth as the safe option that it is however channel 9 never seems to access these doctors! It seems to be the same faces and expert opinions each time!? Why an obstetrician has a greater understanding of a normal healthy birth over a midwife amazes me when they are trained in treating complications hence the expert on complicated births not healthy ones??? Why a women who has never had a safe normal vaginal birth can comment about what is best amazes me even further, as I have said before. Even the pro vaginal birth people are the same: women (usually portrayed as hippy home birthers) or midwives (despite the fact that midwives are the international BEST professional for healthy birthing women) and yet what they have to say is dismissed by OB having the last word or the CS mum who says my baby would have died without a cs. (Just letting you know, babies die and even more women die from CS as well.) After the recent 60 minutes story my support group and others around the country were inundated with deeply upset women who felt the story had trivialized what they relate as a traumatic experience in their lives. CS does increase chances of post partum depression and even post traumatic shock, yet high profile journalists are given free reign to insult these womens trauma by stating that birth is not a right of passage into motherhood. Also, the medical reason given by Tracy that her CS prevents incontinence is sadly incorrect: an Australian study has shown that lack of pelvic floor exercises and pregnancy hormones affect the function of the pelvic floor and CS birth can do nothing to prevent it. Pity though as the incorrect information presented by Tracy Curo, a journalist!, will have impacted many womens desires to choose CS. I hope that in future a journalist will show more professionalism by presenting information that is at the very least accurate. I implore you if this debate does go ahead to serious consider the population that has been adversely affected by CS birth and acknowledge these people. I assure you their grief and adverse emotional reactions from their caesarean experiences are very real and very damaging. It would be great also to hear the opinions of OBs that have not graced our screens so frequently in the past. I actually think that this debate is futile. The real issues include not what is better, but: ~ Why is it that the rare but extremely serious risks of Caesarean births are steadily on the increase and yet the safety of CS is continuously being shouted from the roof tops, and women are not being told these risks? Some of these risks are more common than the risk of uterine rupture in a VBAC (vaginal birth after cs) and yet VBAC is consider too risky for many women! ~ Why is vaginal birth considered so risky in a day and age where women are the healthiest and well educated? ~ Why has birth become so medicalized; and is it possible that the perceived damaged caused by vaginal birth is actually damage caused by intervening in a process that is in fact normal. ~ Why it is that women who birth in the private sector are subjected to more interventions that those in the public sector? ~ Why is it that even though birth centres and midwifery led programs are perpetually full (women having to book almost at conception!) and yet these models of care are not expanded? ~ Why is
Re: [ozmidwifery] FFP
I agree Miriam. I was shocked to hear this - but I also understand the man who said it was asked to stand down. - Original Message - From: Miriam Hannay [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Wednesday, October 13, 2004 12:17 PM Subject: Re: [ozmidwifery] FFP I believe all midwives and midwifery students should first ask themselves whether or not they want support from and association with any party that endorses a candidate who claims on national radio/print media/TV that all lesbians are witches and should be burnt at the stake. Maybe time to tread lightly, miriam Marilyn Kleidon [EMAIL PROTECTED] wrote: Hi Abby and Philippa and all: I looked at the FFP website this morning and actually sent off an email via their contact button. I kind of melded a few of the letters that we were sending to the politicians prior to the election. I will paste it below. I don't have the credentials to write a religious letter so it has no such content, purely secular. All the best. Dear Andrea: Since your party may now hold the balance of power in the Australian Senate I am writing to you to bring to your attention the issue of Safe, Sustainable Maternity Care and the National Maternity Action Plan (NMAP). Re: Safe, Sustainable Maternity Care and the National Maternity Action Plan (NMAP). I write to you as a concerned mother, midwife, and member of the Maternity Coalition. I support the campaign for choice and evidence based practice in maternity care for all Australian women. Safe, affordable maternity care is of major importance. Childbirth is the single most important reason for hospitalization in Australia. Australian maternity care is out of step with available evidence and the needs of women. In New Zealand, Canada, some states of the USA, and the United Kingdom, women are able to choose the care of a midwife throughout their pregnancy and birth. In the 10 years since New Zealand women were able to choose, midwifery care increased from 14% to over 70%. The relationship that is formed when midwives care for women is well documented. The World Health Organisation recognizes the midwife as the most 'appropriate' and 'cost effective' carer for healthy women. I am aware that 80-85% of Australian women are healthy and are best cared for by midwives, however, less than 1% of women can access continuous midwifery care throughout their pregnancy. Midwifery care has the potential to: ü Re-open many maternity services that have closed in recent years ü Provide much needed support to GP's and specialist Obstetricians and enable them to provide services to those with medical conditions, rather than healthy women ü Reduce Australia's over medicalisation of childbirth (particularly the unacceptable caesarean section rate of around 30%) and in the process save money. ü Help address post-natal depression that has been linked to surgical birth ü Through greater participation in healthcare and a focus on wellness promote self responsibility and address consumer litigation issues I ask you to acknowledge the wealth of evidence that proves the care of a known midwife as the most appropriate and cost effective maternity care for the majority of women. I also ask that you pursue this as an important issue and support the establishment of commonwealth funding for on-going community midwifery programs in metropolitan, regional and rural Australia to enhance current maternity care and provide a sustainable maternity services framework. Maternity Care: Choice and Equity for Australian Women I write to support Maternity Coalition's campaign seeking urgent assistance for independently practicing midwives in obtaining professional indemnity (PI) insurance. Independent midwives are now the only health practitioners in Australia without PI insurance. I believe recommendations were made by the Howard Government that states and territories pass legislation requiring all regulated health practitioners to hold (PI) insurance as a consumer safety mechanism. Every consumer deserves this safety; women that choose the care of independently practicing midwives have been denied this safety for 3 years. Over the last 3 years consumers and midwives have made representations to government seeking indemnity assistance for midwives. Refusal to provide assistance to midwives is discriminatory and anti-competitive. Private Obstetricians are afforded a 50% premium subsidy by the Federal Government and through the new Medicare reforms, are entitled to package their care and cost shift their private work onto the public purse through the Medicare safety net. Independent midwives in
Re: [ozmidwifery] Info needed urgently
Dear Louise Feel free to contact me -07 5450 4359 I work at a private hospital where we have midwives clinic (full antenatal visits) and also a caseload practice program running. Midwives can provide (as much as possible) continuity of care (in various ways), and there is1-2-1 during labour and birth, all the way through for those midwives who want to do that. Wehave (like everywhere else) midwives who are unable to or who do not wish to stay for longer than an 8 hour shift. Happy to talk with you. Regards, Lynne - Original Message - From: Anne Clarke To: [EMAIL PROTECTED] Sent: Tuesday, September 21, 2004 8:53 AM Subject: Re: [ozmidwifery] Info needed urgently Dear Louise, The only one I am aware of is Selangor Private Hospital on the Sunshine Coast. You can contact Lynn Staff the CNC on [EMAIL PROTECTED] Regards, Anne Clarke - Original Message - From: Geoff Louise Wightman To: [EMAIL PROTECTED] Sent: Tuesday, September 21, 2004 7:42 AM Subject: [ozmidwifery] Info needed urgently Has any one got any information on a maternity services where a public and private service are co-located to form one maternity service? Or a private facility where midwives are utilising their skills fully? I need the "how to'' as I need the info to bring to a meeting to look at service restructure to try an attract midwives to work at our hospital. I have a sceptical CEO, manager Obstetrician all watching the $ signs. Any help would be greatly appreciated. Thanks Louise__ NOD32 1.852 (20040828) Information __This message was checked by NOD32 antivirus system.http://www.nod32.com
Re: [ozmidwifery] Spiritual Midwifery
My sons call me a hippy (I play a djembe and tabla too! THAT really cracks them up!!!) and when I said to them there is nothing wrong with being a hippy and some of the best people I have ever met are, they chorused Hey Mum, hippies are hell man! (Current vernacular for groovy, I believe) - Original Message - From: Sally Westbury [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Tuesday, September 21, 2004 10:18 AM Subject: RE: [ozmidwifery] Spiritual Midwifery I love hippys... all of them. Sally Westbury Homebirth Midwife It takes courage to remain a true advocate for women, challenging authority and sacrificing social and professional acceptance. It takes courage for a woman to choose a caregiver who will truly advocate for and empower her.-Judy Slome Cohain -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Marilyn Kleidon Sent: Sunday, 19 September 2004 10:11 AM To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] Spiritual Midwifery You know Jen I have a real problemo with that too... but heh I guess I hung out in Santa Cruz too much. The combo is a great combination/recommendation to me! And on last peek I didn't notice Ina May hiding the fact. Full disclosure is I think the name of the game. marilyn - Original Message - From: Jen Semple [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Friday, September 17, 2004 9:23 PM Subject: [ozmidwifery] Spiritual Midwifery BUT??? What's wrong with being a hippy from America? Jen --- katnap076 [EMAIL PROTECTED] wrote: It is a good book, she is a hippy and is from America, but she is a real midwife and a caring one. - Original Message - From: Fiona Rumble [EMAIL PROTECTED] To: ozmidwifery [EMAIL PROTECTED] Sent: Friday, September 10, 2004 5:34 PM Hi all, I have just come across the book Spiritual Midwifery at the op shop. What do others think of it, if you know the book by Ina May Gaskin? Thanks Fiona Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- 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] push pal
I found the letter to me from my obstetric colleague re the Push Pal... Dear Lynne I am writing to you about the Push Pal. It is good to see that the woman is giving birth recumbently! I suppose they might be another useful adjunct. You might like to discuss it with the other midwives. Yours sincerely. - Original Message - From: Alesa Koziol [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Thursday, September 02, 2004 9:50 PM Subject: Re: [ozmidwifery] push pal While you are at it (printing off and discussion) have an indepth look at the 'epi-no' product as well. More damaging in the long run but the message for the pregnant woman is just as disempowering Cheers Alesa - Original Message - From: Lynne Staff [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Thursday, September 02, 2004 8:28 PM Subject: Re: [ozmidwifery] push pal Peter Cundall is the host for Gardening Australia, and to me, the Push Pals thingos look like kneepads for gardeners! Sorry - I just can't get my head around these things. Now come to think about it it's not my head that I'm supposed to get around then is it?! The testimonials would make for a very interesting discourse analysis in themselves - I have a mind to print them off and have a big discussion with the midwives where I work for an inservice. Sigh. - Original Message - From: JoFromOz [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Monday, August 30, 2004 10:06 PM Subject: Re: [ozmidwifery] push pal Lynne Staff wrote: Hi Jo I emailed this to an Ob colleague of mine, and, Bless his little cotton socks, he wrote a (very toungue-in-cheek )letter outlining that he thought this was just what the unit needed! I am sure I can find the letter somewhere! I think this ad should be read in a Peter Cundall voice (no offence Peter, but they look like gardening knee pads!!) Oops, sorry pals. with mirth Lynne Hi Lynne. I would love to read the letter if you can find it! ...the stranded beetle position... I just think it shouts out : You will birth OUR way, (but we've designed something to, um, help you) The Peter Cundall joke went over my head...am I too young?? Jo -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] breech baby wisdom
It's wonderful to hear the 'rest of the story' - an important part of the reason for this list I think - Original Message - From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Friday, September 17, 2004 10:04 AM Subject: Re: [ozmidwifery] breech baby wisdom Hi Lynne, she had the ECV, which bubs took to kindly and remained head down. She went into spontaneous labour, after 24+ hard working hours at home they transferred to hospital for a rest and epidural. Another 27 hours later she birthed vaginally her strong, healthy 4.5 kg daughter. A mammoth effort, for which she is extremely proud of and rightly so. thanks for asking, Megan. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Lynne Staff Sent: Friday, 17 September 2004 7:06 AM To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] breech baby wisdom Hi Megan how did this woman fare with her birth? Regards, Lynne - Original Message - From: Larry Megan [EMAIL PROTECTED] To: ozmidwifery [EMAIL PROTECTED] Sent: Monday, June 07, 2004 1:57 PM Subject: [ozmidwifery] breech baby wisdom Does anyone know if there is compelling evidence why a VBAC should be ruled out because baby is in breech position, to add to it the feet are down, not bum? Mum is about 35-36 weeks, planned homebirth, excellent supportive OBs, and has a week ahead of bookings and tricks to help baby turn, Obs is also supportive of ECV if necessary. Bubs just did the flip last week. Any thought on this would be grately appreciated. Its strange to hear comments from the likes of Ann Peacock and Tracy Curo and to know and be with someone who would move heaven and earth for the chance of a vaginal birth. Thanks Megan This message was sent through MyMail http://www.mymail.com.au -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] casload practice
Come on women! - Original Message - From: Andrea Quanchi To: [EMAIL PROTECTED] Sent: Saturday, September 18, 2004 4:12 PM Subject: Re: [ozmidwifery] casload practice Me too, perhaps On Thursday, September 16, 2004, at 02:45 PM, Trish David wrote: I wish!Lynne Staff wrote:Hello All,Are there any midwives out there interested in working in a caseload practice in a private hospital setting? (Sunshine Coast QLD)Looking forward to hearing from youLynne
Re: [ozmidwifery] casload practice
Hi Sharon Aren't you getting a birth centre on the Gold Coast? There's your caseoad! Regarding your friend. We use the Giudelines for Fetal Surveillance put out by RANZCOG, but have adapted it for our unit practice, which is woman-centred. The evidence does suggest that CFM will pick up fetal disress (in some studies, not all) as the first sign of uterine rupture. Women are given the information and they make the choice in consultation with their care providers - and they state that CFM is the best evidence for detecting the above, but that it does have implicationd for their labour, in that it is restrictive and they would be unable to use the tub. We do not have waterproof CFM!?! but do have Aquadops.Most opt for intermittent (1-2-1 midwifery care as well),and some ask for intermittent EFM at times during their labour. CFM used if epidural, mec liq - any concerne at all. Women are not excluded from using the bath for labour/birth. Our VBAC rate is 80% average with excellent outcomes for mother and infant. Low intervention rates for women, high breastfeeding rates, and high satisfaction reported back by women. Hope this helps. Regards, Lynne - Original Message - From: Sharon Dalton To: [EMAIL PROTECTED] Sent: Thursday, September 16, 2004 1:46 PM Subject: RE: [ozmidwifery] casload practice Hi Lynne, I would love to but travel to your end from the Gold Coast is just too far. However could you possibly help me build an argument for a friend who is hoping for a VBAC without constant FM. Maybe a copy of your VBAC policy? We have everything else as far as supportive websites etc.go. I spoke to someone at Birthtalk the other night and she said its not an issue at Selangor, Many thanks Sharon -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Lynne StaffSent: Thursday, September 16, 2004 12:58 PMTo: [EMAIL PROTECTED]Subject: [ozmidwifery] casload practice Hello All, Are there any midwives out there interested in working in a caseload practice in a private hospital setting? (Sunshine Coast QLD) Looking forward to hearing from you Lynne
Re: [ozmidwifery] breech baby wisdom
Hi Megan how did this woman fare with her birth? Regards, Lynne - Original Message - From: Larry Megan [EMAIL PROTECTED] To: ozmidwifery [EMAIL PROTECTED] Sent: Monday, June 07, 2004 1:57 PM Subject: [ozmidwifery] breech baby wisdom Does anyone know if there is compelling evidence why a VBAC should be ruled out because baby is in breech position, to add to it the feet are down, not bum? Mum is about 35-36 weeks, planned homebirth, excellent supportive OBs, and has a week ahead of bookings and tricks to help baby turn, Obs is also supportive of ECV if necessary. Bubs just did the flip last week. Any thought on this would be grately appreciated. Its strange to hear comments from the likes of Ann Peacock and Tracy Curo and to know and be with someone who would move heaven and earth for the chance of a vaginal birth. Thanks Megan -- 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] breech baby wisdom
She had an ECV? That's almost unheard of these days, following a previous caesarean. Wonderful! Thanks for the update too. It is always good to be able have these stories for other women who find themelves in a similar situation. :-) - Original Message - From: Jen Semple [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Friday, September 17, 2004 10:22 AM Subject: Re: [ozmidwifery] breech baby wisdom Thanks for the update, Megan. It's interesting to hear outcomes. Thrilled for the woman and her daughter! Jen --- [EMAIL PROTECTED] wrote: Hi Lynne, she had the ECV, which bubs took to kindly and remained head down. She went into spontaneous labour, after 24+ hard working hours at home they transferred to hospital for a rest and epidural. Another 27 hours later she birthed vaginally her strong, healthy 4.5 kg daughter. A mammoth effort, for which she is extremely proud of and rightly so. thanks for asking, Megan. Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] casload practice
Hello All, Are there any midwives out there interested in working in a caseload practice in a private hospital setting? (Sunshine Coast QLD) Looking forward to hearing from you Lynne
Re: [ozmidwifery] push pal
An anal dilation procedure which is manually done (under anaesthesia). I will never forget seeing it in OT . Push Pals remind me of the same thing, except that for a Lord's procedure to be considered and indicated, narrowing/stricture of the anal sphincter must be present, so there is a 'predisposing condition' necessitating a medical treatment/intervention. Has pregnancy now become a 'predisposing condition'/indication for mechanical vaginal dilatation? I just wonder when it will ever end. - Original Message - From: Denise Hynd [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Friday, September 03, 2004 10:37 AM Subject: Re: [ozmidwifery] push pal Dear Lynne What is a Lord's Proceedure?? Denise Hynd Never believe that a few caring people can't change the world. For, indeed, they are the only ones who ever have. Margaret Mead - Original Message - From: Lynne Staff [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Friday, September 03, 2004 7:31 AM Subject: Re: [ozmidwifery] push pal I also have an issue with this Alesa - it reinforces the woman as being incapable of giving birth without some sort of aid. There was ahealthy discussion about the Epino some time ago on ozmid. I think it is quire perverse actually. Reminds me of a Lord's procedure, only for the vagina. - Original Message - From: Alesa Koziol [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Thursday, September 02, 2004 9:50 PM Subject: Re: [ozmidwifery] push pal While you are at it (printing off and discussion) have an indepth look at the 'epi-no' product as well. More damaging in the long run but the message for the pregnant woman is just as disempowering Cheers Alesa - Original Message - From: Lynne Staff [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Thursday, September 02, 2004 8:28 PM Subject: Re: [ozmidwifery] push pal Peter Cundall is the host for Gardening Australia, and to me, the Push Pals thingos look like kneepads for gardeners! Sorry - I just can't get my head around these things. Now come to think about it it's not my head that I'm supposed to get around then is it?! The testimonials would make for a very interesting discourse analysis in themselves - I have a mind to print them off and have a big discussion with the midwives where I work for an inservice. Sigh. - Original Message - From: JoFromOz [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Monday, August 30, 2004 10:06 PM Subject: Re: [ozmidwifery] push pal Lynne Staff wrote: Hi Jo I emailed this to an Ob colleague of mine, and, Bless his little cotton socks, he wrote a (very toungue-in-cheek )letter outlining that he thought this was just what the unit needed! I am sure I can find the letter somewhere! I think this ad should be read in a Peter Cundall voice (no offence Peter, but they look like gardening knee pads!!) Oops, sorry pals. with mirth Lynne Hi Lynne. I would love to read the letter if you can find it! ...the stranded beetle position... I just think it shouts out : You will birth OUR way, (but we've designed something to, um, help you) The Peter Cundall joke went over my head...am I too young?? Jo -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] push pal
Peter Cundall is the host for Gardening Australia, and to me, the Push Pals thingos look like kneepads for gardeners! Sorry - I just can't get my head around these things. Now come to think about it it's not my head that I'm supposed to get around then is it?! The testimonials would make for a very interesting discourse analysis in themselves - I have a mind to print them off and have a big discussion with the midwives where I work for an inservice. Sigh. - Original Message - From: JoFromOz [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Monday, August 30, 2004 10:06 PM Subject: Re: [ozmidwifery] push pal Lynne Staff wrote: Hi Jo I emailed this to an Ob colleague of mine, and, Bless his little cotton socks, he wrote a (very toungue-in-cheek )letter outlining that he thought this was just what the unit needed! I am sure I can find the letter somewhere! I think this ad should be read in a Peter Cundall voice (no offence Peter, but they look like gardening knee pads!!) Oops, sorry pals. with mirth Lynne Hi Lynne. I would love to read the letter if you can find it! ...the stranded beetle position... I just think it shouts out : You will birth OUR way, (but we've designed something to, um, help you) The Peter Cundall joke went over my head...am I too young?? Jo -- 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] push pal
I also have an issue with this Alesa - it reinforces the woman as being incapable of giving birth without some sort of aid. There was ahealthy discussion about the Epino some time ago on ozmid. I think it is quire perverse actually. Reminds me of a Lord's procedure, only for the vagina. - Original Message - From: Alesa Koziol [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Thursday, September 02, 2004 9:50 PM Subject: Re: [ozmidwifery] push pal While you are at it (printing off and discussion) have an indepth look at the 'epi-no' product as well. More damaging in the long run but the message for the pregnant woman is just as disempowering Cheers Alesa - Original Message - From: Lynne Staff [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Thursday, September 02, 2004 8:28 PM Subject: Re: [ozmidwifery] push pal Peter Cundall is the host for Gardening Australia, and to me, the Push Pals thingos look like kneepads for gardeners! Sorry - I just can't get my head around these things. Now come to think about it it's not my head that I'm supposed to get around then is it?! The testimonials would make for a very interesting discourse analysis in themselves - I have a mind to print them off and have a big discussion with the midwives where I work for an inservice. Sigh. - Original Message - From: JoFromOz [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Monday, August 30, 2004 10:06 PM Subject: Re: [ozmidwifery] push pal Lynne Staff wrote: Hi Jo I emailed this to an Ob colleague of mine, and, Bless his little cotton socks, he wrote a (very toungue-in-cheek )letter outlining that he thought this was just what the unit needed! I am sure I can find the letter somewhere! I think this ad should be read in a Peter Cundall voice (no offence Peter, but they look like gardening knee pads!!) Oops, sorry pals. with mirth Lynne Hi Lynne. I would love to read the letter if you can find it! ...the stranded beetle position... I just think it shouts out : You will birth OUR way, (but we've designed something to, um, help you) The Peter Cundall joke went over my head...am I too young?? Jo -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] VBAC question again
Kirsten, where do you live? - Original Message - From: Kirsten Wohlt [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Tuesday, August 10, 2004 3:16 PM Subject: [ozmidwifery] VBAC question again Hi all, I know there has been a lot of discussion here in recent weeks about VBACs, so I'm sorry to ask again. I had a big problem with my email and have lost some folders where I keep articles of interest. I just wondered if I could be pointed to some positive resources for women considering VBAC. I am following a woman as part of my BMid course, who is 14 weeks pregnant with baby 2. Baby 1 was born via emergency cs after a failed induction - the baby was just not descending after 19 hours of relatively active (?) labour. She really wants to have this baby as naturally as possible. We attended her first obstetrician's appointment today, and he was going over some results from a pelvis scan she had done. He said that one of the upper (?) measurements was a little low/narrow, but it was no real cause for concern, because the results would need to be all quite abnormal to suggest complications with descent. However! Ahh the however! He went on to say that with anaesthetics being so safe these days, and the heightened risk associated with ruputre of the scar (trial of scar?) he would recommend that she go straight for the cs. At this point he thought it opportune to mention the deaths of 2 babies born this year at a local hospital during VBACs!! I kid you not!! He gives her a 60% chance of a successful (!!?) birth if VBAC, saying that a woman who had undergone the original cs due to breech position would have a higher chance of success than she would, as her complication was related to descent. All sounded very logical. And that is the scary thing to me!! So many women (me included I think, before I had started my course) would just say 'oh, yes, of course, you know best'. That just limits them so much. At the end of the day, he may be quite right, but at least give her the opportunity or means to investigate the options. Don't suggest her baby will die if she doesn't get a cs! Sorry - getting angry!! :) As soon as we were out of there I asked her how she felt about what he had told her, and she was quite concerned that he didn't offer her any support or guidance re the VBAC at all, and was quite distressed that he brought up the deaths of the 2 little babies earlier this year. I offered to get on here and get her some information, for which she was grateful. Just links to good sites would be great - Abby, I think you posted some when I asked my first VBAC question a couple of months ago. Anything at all would be very much appreciated. Many, many thanks, Kirsten -- 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] Anti D problems..
Hi Mary - did you receive the waterbirth information I sent you? Hope all is well - I am sure you are as busy as ever! Warm regards,Lynne - Original Message - From: Mary Murphy [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Friday, July 16, 2004 10:13 PM Subject: Re: [ozmidwifery] Anti D problems.. There is a legal problem with the Poison's Act about administering certain drugs (Schedule 4) without a doctors order. Often it is not the obtaining of the drug, but the authority to use it that can cause problems. Check your state's Poison's Act. MM there is a company called Livingstone international toll free phone 1300 780 078 www.livingstone.com.au (that has on office in sydney who have the most amazing catelogue on line. Its worth a look for anyone wanting to buy supplies. They set you up with an account, you can order by phone or on line, the stuff arrives within a day or so and you can pay by all the usual methods. the catelogue includes an amazing array of drugs. I haven't tried to by the narcotics even though they are all listed there but Syntocinon is on their list. I rang and asked whether one needed a script to order it and was told no they were quite happy to ship it, packed with coolers!! Ive never needed to use it but have it on hand Unfortunately Anti D has to come from Bloodbank so they dont have that Andrea Q On Friday, July 16, 2004, at 07:34 AM, Lynne Staff wrote: Hi Sue Even thought you posted mistakenly, can I just say in response to your final comment 'is this worth it?' Yes, it is. I had problems with some docs re anti D but found a supportive ob who said if ever I needed anti D orders, or supplies and was having trouble, he would organize it for me without any fuss. I didn't ever require his assistance again, as I liased with the local blood bank, where the hospitals obtain their supplies, and have never had a problem since - occasionally with an order for its administration (from GPs etc), but have always managed to talk them around. The synto is the one I had the most trouble with - GPs telling me their medical advisory committee told them not to write the prescription for a medication they were not going to personally administer!!! Have you ever heard such a load.der - they do that all day every day! Every time I came up against a brick wall about something, I always come away with more knowledge and strategies for the future! Warm regards, Lynne - Original Message - From: Sue Cookson [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Thursday, July 15, 2004 7:07 PM Subject: [ozmidwifery] Anti D problems.. Hi Jan, Seem to be hitting a few problems here, and am forever aware of my (il)legal status. Had a lovely slow primip birth on Sunday(46 hours - mostly prelabour but still needing support), Rh pos baby, so went to Mullum hospital armed with the baby's blood results (which I'd got from the receptioinsts at my back-up doctor's surgery). My back-up doctor had just left for a 2 week break, so I contacted his back-up doctor. This guy was off for the day, so I spoke with his boss who happened to be a personal friend(?). Well, all shit let loose cos this guy decided it was completely wrong for me to have access to the anti-Don the woman's behalf. He phoned Mullum hospital and told the nurse administrator (Jane Ackerman) I was a lay midwife and then all these people in the hospital came up to me telling me I was a lay midwife. Nightmare!! To cut the story short, I ended up having to take the women in to the hospital for her jab. I had called the mum and she had given me the name of a reg nurse friend who was happy to do injection but that seemed to become irrelevant. The hospital maintained they couldn't send out a midwife cos she wasn't under their care, and that they didn't have the right paperwork to make changes to any of that. I then dropped in and spoke with Jane Ackerman again today, and she seems very supportive saying that she was supporting women's right to choose whoever and that wasn't an issue, but that we just needed to sort out the systems so that the women's needs can be met. Do you happen to know Jane Ackerman? What do you do about anti-d? Yuk!! And my next two women are also rhesus neg... Boy Jan, is all this worth it?? Sue -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http
Re: [ozmidwifery] Anti D problems..
Hi Sue Even thought you posted mistakenly, can I just say in response to your final comment 'is this worth it?' Yes, it is. I had problems with some docs re anti D but found a supportive ob who said if ever I needed anti D orders, or supplies and was having trouble, he would organize it for me without any fuss. I didn't ever require his assistance again, as I liased with the local blood bank, where the hospitals obtain their supplies, and have never had a problem since - occasionally with an order for its administration (from GPs etc), but have always managed to talk them around. The synto is the one I had the most trouble with - GPs telling me their medical advisory committee told them not to write the prescription for a medication they were not going to personally administer!!! Have you ever heard such a load.der - they do that all day every day! Every time I came up against a brick wall about something, I always come away with more knowledge and strategies for the future! Warm regards, Lynne - Original Message - From: Sue Cookson [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Thursday, July 15, 2004 7:07 PM Subject: [ozmidwifery] Anti D problems.. Hi Jan, Seem to be hitting a few problems here, and am forever aware of my (il)legal status. Had a lovely slow primip birth on Sunday(46 hours - mostly prelabour but still needing support), Rh pos baby, so went to Mullum hospital armed with the baby's blood results (which I'd got from the receptioinsts at my back-up doctor's surgery). My back-up doctor had just left for a 2 week break, so I contacted his back-up doctor. This guy was off for the day, so I spoke with his boss who happened to be a personal friend(?). Well, all shit let loose cos this guy decided it was completely wrong for me to have access to the anti-Don the woman's behalf. He phoned Mullum hospital and told the nurse administrator (Jane Ackerman) I was a lay midwife and then all these people in the hospital came up to me telling me I was a lay midwife. Nightmare!! To cut the story short, I ended up having to take the women in to the hospital for her jab. I had called the mum and she had given me the name of a reg nurse friend who was happy to do injection but that seemed to become irrelevant. The hospital maintained they couldn't send out a midwife cos she wasn't under their care, and that they didn't have the right paperwork to make changes to any of that. I then dropped in and spoke with Jane Ackerman again today, and she seems very supportive saying that she was supporting women's right to choose whoever and that wasn't an issue, but that we just needed to sort out the systems so that the women's needs can be met. Do you happen to know Jane Ackerman? What do you do about anti-d? Yuk!! And my next two women are also rhesus neg... Boy Jan, is all this worth it?? Sue -- 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] VBAC education
Hi Abby - I will email you the information in the next couple of days - outline is at work and I am not! I am thrilled at the number of midwives who have been in contact with me about setting up VBAC infoservices and programs for women all around the countrysince the Keeping Birth Normal tour in April/May with Andrea, Maggie and Vicki. The intererestand support has overwhelmed me- thankyou to all who have contacted me, and approached me for information and the outline. If you are stillwaiting, it is on the way! Warm regards,Lynne - Original Message - From: Abby and Toby To: [EMAIL PROTECTED] Sent: Thursday, July 15, 2004 10:51 AM Subject: Re: [ozmidwifery] VBAC education I would be happy to share our program - we have been supporting VBAC since opening the maternity unit in 1998 and have an overall average of 80% of women planning VBAC, doing it. A passion of mine!Regards, Lynne Hi Lynne, I would love to have a copy of your program. I am planning on starting a vbac support group in the Blue Mountains. My email address is [EMAIL PROTECTED] Thanks Love Abby
Re: [ozmidwifery] VBAC education
Hi Sue I would be happy to share our program - we have been supporting VBAC since opening the maternity unit in 1998 and have an overall average of 80% of women planning VBAC, doing it. A passion of mine! Regards, Lynne - Original Message - From: Philippa Scott To: [EMAIL PROTECTED] Sent: Tuesday, July 13, 2004 11:27 AM Subject: Re: [ozmidwifery] VBAC education Sue, I believe that Selengor Private Hospital in Nambour QLD run a course that they are happy for others to share the curriculum. I believe Lynne Staff would have the info you need. Philippa - Original Message - From: Susan Cudlipp To: midwifery list Sent: Thursday, June 10, 2004 12:10 AM Subject: [ozmidwifery] VBAC education Dear list The recent posts on VBAC have been useful as we are looking into offering Childbirth classes specifically for women who have had a C/S, in addition to the ones presently being offered. Does anyone have some previous class formats that may have worked well that they would be happy to share? Thanks Sue
Re: [ozmidwifery] From Claudia.
Hello Claudia If you consider moving to Qld, Bmid midwives are endirsed to practice. Where I work, we would welcome you - your caseload experience would be invaluable. We have a caseload program up and running, and it is growing, as women hear about it. I work in a private hospital, but one which endeavours to provide birth centre (type) care for all women, regardless of their 'risk' status (hate that term). Please feel free to contact me on 0411 500 601 (mob) or 07 5450 4359 (work). Looking forward to hearing from you. Regards, Lynne - Original Message - From: Neretlis, Bethany [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Monday, June 14, 2004 4:18 PM Subject: RE: [ozmidwifery] From Claudia. dear claudia, i think WA has direct entry registration now, as we have direct entry programs in Aus now. To be more clear, contact the nurses board of wa (probably have a web site). I work in a hosp with close to 1000 births a year, mostly low risk, some moderate to high risk, depending on the risks themselves. the midwives can rotate or work in all areas from antenatal clinics, to Visiting Midwifery Service in the community. we do not have caseload, however, our staffing is reasonably flexible, other than a 3- 4 monthly rotation thru nights for 2 weeks. the education system is pretty good, with both government and private funded schools(equil to public schools) obviously, some areas and some schools are better than others depending on where you settle -- for the gov schools especially. i previously lived in qld, though not as a midwife. schools there are the same as here, other than the two states have a different system for uni entrance scores in years 11 12. hope this helps bethany -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Anglodutch NTL Account Sent: Thursday, 10 June 2004 23:55 To: [EMAIL PROTECTED] Subject: [ozmidwifery] From Claudia. Hi all. My name is Claudia and I work as a midwife in the UK. However, I am searching for jobs in Australia and hoping to move to Oz by the end of this year. I have a husband and 2 children who are coming with me and our preferred places to live would be either Western Australia or Queensland, providing we can find any midwifery jobs in either state. As I am a direct entry midwife without nursing qualifications, it's proving a bit tricky to find jobs in the areas we are interested in. If there are any midwives out there, in WA or Queensland who would like to tell me a bit more about what midwifery is like overthere, I would love to receive some feedback. I currently work in a caseload system, doing antenatal and postnatal care in the community, and delivering most of our clients in hospital, although we do homebirths as well. I work in London, in a very multicultural area, and the majority of our women would seem to be high risk! I sometimes wonder what's happened to normal birth I gather that I won't have much of a chance of doing community midwifery in Australia - perhaps even less in Queensland than in WA. How family friendly is the midwifery profession? I have seen quite a few advertisements for self rostering/flexible shift hours, etc. but is that universal or does it only exist in isolated pockets? What sort of a mix of high/low risk women do you get in various areas? And if there's anybody out there with children, please tell me what you think of the education system. I have a 12 year old and a 10 year old (both boys). We are hoping to get to Australia by January next year at the latest so that my oldest can start secondary school at the beginning of the school year. Having completed a year in secondary school in England already, his favourite subjects appear to be Science, Maths and French! If there any midwives reading this who have moved to Australia themselves recently (particularly if you moved from England), I would love to hear of your migration experiences. Look forward to hearing from you! Claudia. -- 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] 60 minutes
Title: Re: [ozmidwifery] 60 minutes Hi all I also had a restless night at the newest (and unsurprising) report on birth. Itoo was concerned that 3 out of the 4 births were caesarean births. Justine, I am angry at the very limitedair time your were given, and the tiny bit of information from you they showed, especially after the work you put in (reminds me of a Brisbane Extra segment on homebirth/waterbirth I did a few years ago). I amconcerned as always, about the lack of objectivity of the reporting - that the report did not include the views/stories of women who have hada caesarean, and chosen and subsequently gone on to give birth vaginally, and their reasons for choosing a vaginal birth foloowing a previous caesarean. Yet again, the story did not stress the adverse outcomes associated with elective caesarean, and elective repeat caesarean, and multiple caesareans for mothers or their infants. Scant attention was paid to one of the rarest, (hysterestomy),but the commoner and often as serious consequences were left undiscussed. Another example of balanced reporting - pardon while I vomit. While I commiserate with Vanessa, having followed her tragic story, and understand her decision to have a caesarean foIlowing Layla's birth and death, I wonder why Tracey had such a longtime slot which could have been used much more objectively (Ahsilly me!Of course it was objective -regarding the safety and convenience of caesareans) by bringing in other women with VBAC stories, for example. Must be a 'let's keep it in the family' reporter thing. Don't get me startedon the dr - what was that line in the hyppocratic oath? First, do no harm? Does he honestly think he is doing no harm by caesaring all of his clients? Iam so tired of hearing this man say 'you will never be sued for doing a caesarean' - I am sorry, but the time is coming where he or someonewill, and it will take women to die or to be maimed by unneccessary caesareans before it happens. Avoiding a caesarean is one reasonwhy women choose a VBAC. For those of you on line who heard me talk (at the Midwifery Intensives with Andrea, MAggie and Vicki) about Michele and Peter soon to have their VBAC, stay tuned for their birth story. It's quite a story! Justine, well done! An Angry, but unsurprised Lynne - Original Message - From: Denise Hynd To: [EMAIL PROTECTED] Sent: Monday, May 31, 2004 12:50 PM Subject: Re: [ozmidwifery] 60 minutes Dear Marilyn I think you are right about the pogram being a(n) paid/unpaid infomercial for caesarean birth and obstetric care. They also forgot to mention most Obs do not know how to facilitate a natural birth I think David Malloy would not know that C/S is their specialty Normal birth now is not natural birth in Australia as less than 25% start and finish labour with -out induction or augmentation in most Australian Hospitalsand less than 13% birth without drugs (a drigged mother is likely to be a drugged baby!)- definitely in WA. ButJenny Gamble's research and most midwives expereinces confirms that the majority of women antenatally want or hope for a natural birth but are funnelled by our maternity services into the "care" of those who do not deliver this! Do you think this program might be Dr Malloy and colleagues response to Jenny's research?? Denise Hynd - Original Message - From: Marilyn Kleidon To: [EMAIL PROTECTED] Sent: Monday, May 31, 2004 10:20 PM Subject: Re: [ozmidwifery] 60 minutes I do firmly believe it was a(n) paid/unpaid infomercial for caesarean birth and obstetric care. Normal birth in a technological age is in their (am I paranoid?) sites! marilyn - Original Message - From: Denise Hynd To: [EMAIL PROTECTED] Sent: Sunday, May 30, 2004 8:18 AM Subject: Re: [ozmidwifery] 60 minutes Dear Justine, Intelligent veiwers will see just in terms of time and relative presentation of interviews, Liz Hayes empathy that the program was biased. Trouble is how many will analyse it?? Two prominent journalists both who were "very informed' of the horror alternatives and one who lost a baby from a determined effort to have natural birth but saved the next with a C/s and prominent doctor how can any natural childbirth advocate speak out against them How can any one speak out and suggestbias let alone it was alsonegligent and insulting to anyone who does not agree with the right of any and all woman to choosevaginal by pass surgery -hang the costs or consequences to the majority of women and our community!! Hang the wonders of childbirth, and the wishes and the efforts of the
Re: [ozmidwifery] thanks
Hi Sheena Nuchal comes from the word no-ka, or nuka (with all those funny little symbols above the letters) and means nape of the neck. The term nuchal arm is also used to describe an arm tucked up behind the baby's head and across the nape. Regards, Lynne - Original Message - From: Sheena Johnson To: [EMAIL PROTECTED] Sent: Friday, May 28, 2004 11:00 PM Subject: [ozmidwifery] thanks Thank you to all who replied about the cord around the neck query of mine. Now I have another question, why is it sometimes called the nuchal cord? I have heard of the nuchal fold, but only very occasionally is the term nuchal cord used. Sheena Johnson
Re: [ozmidwifery] Lynnes email
No it's not! It's [EMAIL PROTECTED] - Original Message - From: jo To: [EMAIL PROTECTED] Sent: Thursday, May 20, 2004 10:42 AM Subject: RE: [ozmidwifery] Lynnes email Hi Lisa, Lynne's email is [EMAIL PROTECTED] cheers jo From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of ljgSent: Thursday, May 20, 2004 7:38 AMTo: [EMAIL PROTECTED]Subject: [ozmidwifery] Lynnes email Hi everyone Does anyone have Lynne Staffs email address? I need to contact her. Lisa
Re: [ozmidwifery] Queensland Midwives - Response required
Title: RE: [ozmidwifery] Queensland Midwives - Response required Me too Ping - [EMAIL PROTECTED] Many thanks - Lynne - Original Message - From: Sandra J. Eales To: [EMAIL PROTECTED] Sent: Tuesday, March 09, 2004 3:53 PM Subject: Re: [ozmidwifery] Queensland Midwives - Response required Ping I don't have your email but would be interested in seeing your letter. My address is [EMAIL PROTECTED] Thanks Sandra - Original Message - From: hplerchbacher To: [EMAIL PROTECTED] Sent: Tuesday, March 09, 2004 12:31 PM Subject: RE: [ozmidwifery] Queensland Midwives - Response required Just returned from QNU workshop on "Knowing your entitlements". Midwives from Royal Brisbane-Women's have drafted a powerful letter. Our midwives have adapted that letter and many have signed and ready to be sent to the Premier and Gordon Nutall. If anyone want a copy of the letter, please email me off the list. The maternity units could not function without the hospital trained midwives. Ping Bullock ---Outgoing mail is certified Virus Free.Checked by AVG anti-virus system (http://www.grisoft.com).Version: 6.0.616 / Virus Database: 395 - Release Date: 08/03/2004
Re: [ozmidwifery] DANGEROUS DELIVERIES: VICTORIA'S OBSTETRICS CRISIS RUNS DEEP
The following comments are particularly disturbing and perpetuate the need for docsmore thanmidwives. Where does he get his stats? DR SYD ALLEN SOUTHERN HEALTH: Amongst the 7,000 odd women that we look after for pregnancy in our health service, there are at least 1,000 or 2,000 at least, numbers of that type, that are absolutely normal pregnancies that do not need the skill in the scarce resource in obstetrics and anaesthesia that we have at our disposal. DR SYD ALLEN: One look at the 60,000 deliveries approximately in Victoria, it wouldn't be hard to say that 10,000 or 20,000 of those do not require high technology and could be looked after, whether it be at Dandenong, Casey, Williamstown, Seymour or Ferntree Gully by midwives with obstetricians being on hand to assist where necessary, probably infrequently. - Original Message - From: Mrs Joanne M Fisher To: Ozmidwifery Sent: Wednesday, February 25, 2004 9:19 AM Subject: [ozmidwifery] DANGEROUS DELIVERIES: VICTORIA'S OBSTETRICS CRISIS RUNS DEEP For your interest. Cheers, Joanne DANGEROUS DELIVERIES: VICTORIA'S OBSTETRICS CRISIS RUNS DEEP (StatelineVictoria: 13/02/2004)http://www.abc.net.au/stateline/vic/content/2003/s1044707.htm
Re: [ozmidwifery] minimising risks of tears and use of epi-no
(no pun intended) I think it's an excellent product and if I were pregnant I would definitely be using it. Warmest regards to all Julie Julie Clarke CBE Childbirth and Parenting Educator ACE Grad-Dip Supervisor NACE Advanced Educator and Trainer Transition into Parenthood 9 Withybrook Pl Sylvania NSW 2224. T. (02) 9544 6441 F. (02) 9544 9257 Mobile 0401 2655 30 email: [EMAIL PROTECTED] www.transitionintoparenthood.com.au -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Lynne Staff Sent: Wednesday, 4 February 2004 12:09 AM To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] minimising risks of tears I agree with what you have written Mary - I feel the Epi-no is yet another intervention replacing an intervention. Sometimes I think (and all, please pardon my inexcusable crudity tonight) that because we women have a vagina, there is this almost obsessive/compulsive urge that something just HAS to be put in it/ something needs to be done to it, it needs to be inspected, examined, all of those things.for whatever reason. I was at a meeting at work with the obs this morning and one said he thought it was a good idea - the Epi-no, I mean! Hastily, after a protest from me, he said that anecdotally, he had found that women on their hands and knees for birth had the least perineal trauma, so perhaps that is worth remembering?!?! When will our bodies be our bodies? regards, Lynne - Original Message - From: Mary Murphy [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Tuesday, February 03, 2004 10:23 PM Subject: Re: [ozmidwifery] minimising risks of tears Women midwives have used many methods to reduce tearing in childbirth, but I don't believe that we all have to buy Ep-ino. One of the most effective is to get off the birthing bed and either kneel, or support stand, (Michel Odent style) Water birthing helps as does NON-DIRECTED, OPEN GLOTTIS PUSHING in the position of her true choice. . The woman being in touch (literally) with her perineum also helps. Of course, none of these suggestions helps much if the integrity of the woman's tissues is compromised by insufficient nourishment. Just a few suggestions.. cheers, MM I don't know about tried and true but a doula-friend told me one of her clients was using the Epi-no, which is sold through acegraphics: http://www.acegraphics.com.au/product/equip/be012.html I'm not sure what average women would make of the price at $179.Jodie On Sunday 01 February 2004 21:29, Fabian Mc Houl wrote: Hi, my name is Rachel and I am a very new midwifery graduate. I am seeking advice from you experienced folk who may be able to give me some tips on minimising the risk of tears during birth. I have worked with many different people who all have differing views on this matter and was wondering if there are any tried and true methods out there. Obviously, every woman is different and some will tear regardless, but I would love to know that I am doing everything that I possibly can to minimise the risk. Thanks, Rachel. -- InterNet Australis http://www.australis.com.au/ -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Midwifery Group Practice at the WCH in SA
Hi Denise - what do you mean by they have changed the goal posts? What goal posts did they set? Regards, Lynne - Original Message - From: denise boscheinen [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Sunday, February 01, 2004 3:24 PM Subject: RE: [ozmidwifery] Midwifery Group Practice at the WCH in SA We are setting up a group practice in the Illawarra N.S.W. I don't know how Successful it will be as they have changed the goal posts but I believe that St george Hospital Kograh Sydney and The Canberra Hospital have had a group practice for some time Denise B From: Sally Westbury [EMAIL PROTECTED] Reply-To: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Subject: RE: [ozmidwifery] Midwifery Group Practice at the WCH in SA Date: Sat, 31 Jan 2004 16:01:54 +0800 Hi Jackie, Who could I get in tough with about the Midwifery Group Practice. I'd love to know how this is being managed. Sally Westbury -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jackie Kitschke Sent: Saturday, 31 January 2004 2:20 AM To: [EMAIL PROTECTED] Subject: [ozmidwifery] Midwifery Group Practice at the WCH in SA Denise, The WCH has had a working party set to offer caseload there for about the last 7-8 years. In the last 4 or so years Chris Cornwell worked with Rob Bonner from the ANF to get a salaried wage specifically for caseload. this was so that the midwives didn't have to worry about time in leiu etc and not use the current nursing award to pay midwives who want to work in this way. So this salaried wage agreement has been formulated for the WCH with the ANF and signed off by the DHS (Deparment of Human Services) and the Industrial Commision. The agreement details the amount of hours allowed work by the midwives, how many women they can care for etc. Contact the ANF in SA for details. The WCH started Midwifery Group Practice (MGP) on the 25/1/03, so it was a big weekend for Chris and everyone involved. I am home enjoying being a Mum and will go back to it in September. Jackie _ Get less junk mail with ninemsn Premium. Click here http://ninemsn.com.au/premium/landing.asp -- 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] QLD Midwives
Hi Joanne I think you'll find that homebirth is considered along the same lines as the Black Death in QLD by maternity care policy makers and providers! Still, there are many mothers, fathers and midwives working to change that. See for example the rally today in Bris. We welcome more people to help us to make community care a reality. Cheers, Lynne - Original Message - From: Mrs Joanne M Fisher To: Ozmidwifery Sent: Wednesday, January 28, 2004 11:41 AM Subject: [ozmidwifery] QLD Midwives Hi there QLD Midwives, I'm a midwife working in Queensland, and active in Maternity Coalition here. I recently observed/studied at the Community Midwifery Program WA for six weeks (Feb/March 2003), and would love to work in a similar model here. We are trying to develop a network of midwives interested in doing caseload/small team midwifery in Qld, while we work hard at advocating for this sort of reform. If this is of any interest, or you would like to be kept informed, please email me on [EMAIL PROTECTED] Cheers Joanne
Re: [ozmidwifery] parallel universes
Hi Caroline This video really affected my boys when they saw it. Speaking of parallel universes - I have had many conversations with teachers about their birthing and maternity care experiences, and they identify parallels between the ways women are treated in 'the system' and the way the education system is constructed and how children get their education. Another universe where there are many parallels to maternity care, is mental health care. Yes - lots of work to be done as you say. in solidarity back - Lynne - Original Message - From: Carolyn Hastie [EMAIL PROTECTED] To: Ozmidwifery [EMAIL PROTECTED] Sent: Saturday, January 24, 2004 7:59 AM Subject: [ozmidwifery] parallel universes Dear colleagues, have a look at the parallels to the modern world birthing story and the closure of the small units etc etc in this little movie about factory farms http://www.themeatrix.com/ even down to the use of antibiotics - Group B strep is taking the birthing world by storm. We have a lot educating to do for our future with so many women/babies being exposed to these substances - not to mention the effects of ultrasound - for the perfect product in solidarity, Carolyn Hastie Optimism is the faith that leads to achievement. Nothing can be done without hope and confidence. -- Helen Keller (1880-1968) American Writer Heartlogic Consultancy Creating positive workcultures through improving emotional intelligence MetaSystems Life and Executive Coaching - Essential Skills for the new Millenium Quantum Leadership Strategies Phone +61 2 4389 3919 Fax +61 2 4388 6819 Mobile 0418 428 430 Email [EMAIL PROTECTED] PO Box 5405 Chittaway Bay NSW 2261 Australia -- 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] A positive news story to end the year on...
It will be better in more ways than one! - Original Message - From: *G and S* [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Tuesday, December 23, 2003 1:37 PM Subject: Re: [ozmidwifery] A positive news story to end the year on... Great article Cas. Things do indeed look a little more promising for 2004. And as this year draws to a close, I want to thank all those wonderful ladies on this list who have helped me get through a really difficult year. I want to also thank those who are continually striving for a better model of care for all our future mum's to be. *Slow may be your rewards but great will be the future.*** I wish you all a very happy Christmas and much peace for the New Year. With Love Sonia W. PS. 2003 for me started with a disaster and has almost ended in one..Had a fire in my kitchen last night. Not too much damage but very shaken Here's to a much better 2004! :) -- 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] PushPal Birthing Aid - IS THIS FOR REAL
Title: Clinitype, Inc. - PushPal Birthing Aid - Home Page I actually thought of gardening kneepads, and the loops could hold a bottle of water each. When will this madness ever end? - Original Message - From: Nola Aicken To: [EMAIL PROTECTED] Sent: Sunday, December 21, 2003 11:58 AM Subject: Re: [ozmidwifery] PushPal Birthing Aid - IS THIS FOR REAL Instead of PushPal, perhaps the obstetrician should have called it - Stranded Beetle with Leggings! Or even better, to alter something useless to useful, that they could be used as knee pads for the more natural birthing position of all fours. Merry Christmas to all on the list. Nola - Original Message - From: linda kamchevski To: list Sent: Sunday, December 21, 2003 10:24 AM Subject: [ozmidwifery] PushPal Birthing Aid - IS THIS FOR REAL A breakthrough birthing aidPushPal is a unique and inexpensive birthing aid that has been tested in major American hospitals to rave reviews from doctors pregnant women.PushPal was developed by Dr. J. Rhee, a veteran California obstetrician with over 30 years experience in delivering babies. PushPal provides women the perfect and comfortable grip to pull themselves into the best position for childbirth. Home | Product Info | Purchase | Successes | About Us | Contact Us | Email Copyright © 2003 Clinitype, Inc. All Rights Reserved. CLINITYPE, the Clinitype logo, PUSHPAL, the PushPal logo and thedrawing of the pregnant woman are trademarks owned by Clinitype, Inc. Patent Pending. All other trademarks are the propertyof their respective companies. Site design and maintenance by Design Strategies, Inc., Glendale, CA.
Re: [ozmidwifery] Media influence on birth expectations
These are the stories, read by tens of thousands of women, that play a part in shaping their perceptions/images/fantasies of labour and birth - it sounds as though she has tried to 'humorise' (and this may be her own way of dealing with) her own birth. She has brought up some very useful information that is relevent and pertinient (vomiting, passing a bowel motion, making noise in birth, disrobing). Touble is - it's all in the telling, isn't it? That she tells women that it wouldn't hurt to apologise to the doctors and (invisible midwfe) nurses is also telling. Just reaffirms the work that has to be done to support women, to develop and provide the services, so that women can tell it another way. A good start for New Year! Speaking of which. - Original Message - From: Belinda Maier [EMAIL PROTECTED] To: Pratt, Julie (FMC) [EMAIL PROTECTED]; Philip Darbyshire [EMAIL PROTECTED]; [EMAIL PROTECTED]; emilia [EMAIL PROTECTED]; [EMAIL PROTECTED] Sent: Monday, December 15, 2003 6:16 PM Subject: [ozmidwifery] Media influence on birth expectations I thought this may interest you all, I love that she talks of the awful things you do , it would scare anyone I should imagine, but to then tell you to video it all?? What no one tells you about childbirth From Parents Expecting 2002 ( an information ((?)) mag for parents) Vomiting due to low B/P after epidural also in labour without sometimes you make nasty noises you may have a bowel movement right on the delivery table. You act like a lunatic - especially if you haven't been given any pain medication. Throwing off your clothes simply a common reaction to pain and exhaustion.If you do lose it, don't feel bad. Doctors and nurses are used to reactions such as these. (Still it wouldn't hurt to apologise afterward). Your mind goes blank This litany of horrors you should know about ends with... You're also likely to forget many details of the birth itself, so be sure your partner takes plenty of photos or captures it all on videotape Also to finish off (and this is classic to show that this is all about the reporter). It's not love at first sight. Don't feel bad if your first reaction to holding your newborn isn't overwhelming joy. You've just been through an exhausting experience and need time to recover. You can try breastfeeding - then let a nurse take your child so you can get some rest. That's what I did after 17 hours labour and a c section. But after an hour, I had them bring back my baby girl and I was immediately smitten. Wow I would love to do a study on the journalists who publish these stories as a catharsis to their own experiences! You know my birth was crap so all of you should expect crap births! -- 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] Greetings
I would like to wish everyone a wonderful Festive Season, and hope that the forthcoming year brings hapiness and satisfaction with the efforts I know you will all be putting into everything that you do. Thankyou to each and every one forthe efforts you makefor women and for midwifery. Warm regards, Lynne
Re: [ozmidwifery] birth centres in Melbourne suburbs
I heard that it was, but very low key. I have been told that Dr Bruce Sutherland is winding down his practice and there are no doctors willing to take up the philosophy? Somebody correct me if I am wrong, but I received this information around 3 months ago. - Original Message - From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Tuesday, December 16, 2003 11:30 PM Subject: Re: [ozmidwifery] birth centres in Melbourne suburbs is hawthorn birth centre still function. Sally Westbury -- 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] Increasing incidence of placenta accreta
Title: Re: [ozmidwifery] Increasing incidence of placenta accreta Yes please Helen! - Original Message - From: Justine Caines To: OzMid List Sent: Wednesday, December 17, 2003 11:48 AM Subject: Re: [ozmidwifery] Increasing incidence of placenta accreta Hi HelenI am very interested.E-mail [EMAIL PROTECTED]TaJustinexxJust read an interesting article in my husband's ultrasound magazine about the increasing incidence of placenta accreta. It talks about it being related to the increasing trend towards Caesarian births and gives some useful references. If anyone is interested I can get more detail but don't know how else I can copy it to the list. Helen Cahill
Re: [ozmidwifery] High heads/ pain free ???
Hi Maria - lovely to see you 'on-line'. The book is Pregnancy - the Inside Story, by Joan Raphael-Leff, published by Karnac Books: London New York (1993) Here is the acrostic with which she begins the book. Enjoy. Wheels within wheels, wombs within wombs, Oscillating figure/ground perspective turns: Mother-daughter-me: cord-links on a chain. Each uniquely storied Nestling Russian-doll - dowried Sorrow-sweet fruition cursed with Eden-pain. Clocking lunar cycles of bloodshed or gestation Ova ripen, surge and burst In firstfruit tithe. Narrowing, womb-cone of past generation Awaits procreation beyond our grasp. Glistening seeds of Eve's sun-honeyed fig - Eternal fractals on the female tree of life. - Original Message - From: Nick Ryan [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Saturday, November 01, 2003 10:39 PM Subject: Re: [ozmidwifery] High heads/ pain free ??? This is my first time on this list, however I to have experienced the situation of the midwives clinic (Lynne Staff) and the truly petrified women. The other place I have met these women when they book in at my hospital where the allocation of time is half an hour, (cant procure any more funded time from my boss) however by the time these particular women attempt to debrief from the previous birthing experience and unresolved breastfeeding experiences, more than their allocated time is gone. All that happens is, I feel as though I too have let these women down because at the end of my day I am left with a wad of paperwork to refer women on and the feeling of frustration. Why cant we meet these somewhere in their lives between babies so they have psychological healing time? Lynne, May I have some more info on the book you are reading Pregnancy - the inside story? Cheers Maria Ryan - Original Message - From: Lynne Staff [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Thursday, October 30, 2003 1:46 PM Subject: Re: [ozmidwifery] High heads/ pain free ??? Yes it does(the fringe), Sue, and so do the skills which midwives and doctors (dare I say it) used to have in being with women who have been categorised, standardised, legalised It does for the women experiencing it too - I am reading an amazing book at the moment called Pregnancy - the Inside Story, and some of the things I read in that open my eyes but also break my heart with the fear - no - the absolute horror with which more women than we can imagine view their pregnancies and their impending (I use the word impending intentionally) births and motherhood. Every week in Midwives clinic I sit with at least two women who are still so overcome with horror at the thought of giving birth, it interferes with everything they do and think. And when they describe to me what happened to them last time, or what they have heard to make them feel that way, I get a sense of something huge that has to be overcome - something much bigger than interventions, because it is something that is in women themselves often that keeps the momentum so that all of these things which are happening in birth today keep happening. I remember the wonder and satisfaction I felt when I attended my first homebirth where the woman was a primigravida with a 'high head' at term, and how much she taught me. The wonder at her strength - for she had to work HARD, the satisfaction that I had come across something (for me) new and wondrous - I had never seen it before ( I have seen the longest newborn heads at home, and the biggest smiles from women who give birth to these babies though!) - women like this one were talked into caesareans even then, and I am talking 20 years ago. The fear that was instilled into them of a long hard and very painful labour, ending in a caesarean, when it (the labour bit) could be avoided. There are many women who would consider it a practical decision to make too. The lessons I learned at home I could never have learned how and where I was working. The responsibility for my learning and change did not rest just with the system, or where I was working, but with me as a midwife. One of the problems is though, that as midwives, many never get to see women with these unique situations actually giving birth. It's taken away from them (women), before they even come close to it. When I think of the number of Students and Midwives who have never seen vaginal breech birth, I am amazed, and frustrated and angry at the fact that they probably never will, unless they go to out of the way places or countries, or find the few here that will still allow women to birth breech babies vaginally, or women, midwives and doctors who know and feel comfortable with it. A penny for our thoughts - Original Message - From: Sue Cookson [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Thursday, October 30, 2003 10:30 AM Subject: [ozmidwifery] High heads/ pain free
Re: [ozmidwifery] Brow presentations
I tend to agree with Marilyn. Rupturing the membranes may have contributed to the babe coming down deep into the woman's pelvis in a deflexed position, also making it more difficult for it to flex and rotate with no 'cushioning'. An hour in the tub with some oblique pelvic stretches and front to back rocking - don't ususally see this in labour, but it may help in times like this - may also have assisted with flexion and rotation. - Original Message - From: Marilyn Kleidon [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Wednesday, December 17, 2003 6:01 AM Subject: Re: [ozmidwifery] Brow presentations Yes, Denise: I wonder if an hour in the tub would have helped?? There was no synto augmentation involved 4cm to fully in 4 hrs seemed like a lovely active birth was about to happen. Yes also: those Midwifery Today suggestions are great to try in a homebirth situation/independent practice but please tell me if there are any of you out there who would push a baby gently out of the pelvis and try to rotate and flex the head in a hospital birth suite? Also once I called in the consultant it became her call, however to be honest I kind of felt if I had said I was prepared to try to use my fingers to deflex the head she just might have let me(in the OT of course). I must admit I am a tad intimidated in the hospital but also I have never encountered a brow presentation before: it has all been academic. So, I await your wise counsel. marilyn - Original Message - From: Denise Hynd [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Monday, December 15, 2003 6:13 PM Subject: Re: [ozmidwifery] Brow presentations Dear Marilyn Thank you for sharing your reflections and cogitations. This is my beleif, experience that midwives do reflect on all that inputs into a labour and the possible interplay rather than jumpimg to blame, denouncement of specific action of another or the woman and baby like an edict of an all knowing being !! In this particular insistance or similar I also wonder about the ramming (?) effect of ARM and maybe other things that may have startled the mother or baby in the hospital?? I take it there was no synto also pushing the hole along? . I understand and have seen floating in tubs to help unstick some asynclitic babies I wonder if it would help relax a non rigid brow back to a face or vertex?? Also Midwifery Today other midwifery texts talk of pushing stuck babies back and other maneovers trying to unstick them but that would be easier with intact membranes? Denise - Original Message - From: Marilyn Kleidon [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Tuesday, December 16, 2003 11:37 PM Subject: [ozmidwifery] Brow presentations What do you all know about brow presentations? I was with a lovely woman yesterday who wanted a natural birth and so i spent the morning with her and her partner on the floor, in the shower and she dilated to fully within 4 hrs, just lovely and I am sure (so sure) I palped a posterior fontanelle such that baby was direct OA, but almost military poition; I was trying so hard to follow her through a physiological 2nd stage but after an hour and a half with no sign of baby's head I did another VE and she had pushed down a small anterior lip, which obligingly slipped back but now there was a central anterior fontanelle with caput just inferior to the fontanelle, so consultant called in and an emergency c/s due to brow presentation(not emergent emergent, baby was just fine and mum was exhausted but not physiologically compromised). Baby had great apgars, which is good as I had not identified any fetal distress, I just want to know if there is anything we could have done differently. Mum spent most of her labour and 2nd stage on all fours on the floor over a bean bag, with regular partner dancing, pelvic rocking ie very active and effective first stage after 4cm. She had had a prolonged early first stage with a significant hind leak and intermittent contractions for almost 24 hrs before presenting to to birth suite yesterday for IOL and antibiotics. She was then 4cm dilated and ARM of forwaters to induce baby ROL at this time (this happened before my shift thankfully as I have a hard time supporting ARM and just hate that compromised feeling). Anyway she moved rapidly into an effective active first stage as described above. I am wondering if anyone thinks preserving those forewaters might had avoided the malpresentation. Also should I have re-examined her earlier? Do you think I mistook the posterior fontanelle for the anterior one on my first 2nd stage VE? I was so convinced, I mean it felt like a text book palp.I just hate to think I encouraged this woman to work so hard for one and half hours when I could have saved her that exhaustion. And I don't mean saved
Re: [ozmidwifery] Brow presentations
If you drew an upside down 3 on the mother's abdomen, with the small part of the 3 over her pelvis, you get the picture? Hard to describe if you are visual! - Original Message - From: Belinda Maier [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Tuesday, December 16, 2003 1:22 PM Subject: Re: [ozmidwifery] Brow presentations I had a very similar experience recently with a friend.Her history was that her 5 sisters all had private obst, induction's epidurals 4 sections and one forceps. So this woman was really keen for a vaginal birth with no intervention but all of this head work to do. She saw a great anesthetist who did hypnosis on her to stimulate her labour when she was 3days srom no labour. This worked as did the relaxation stuff and she laboured very well over the day with synto. (after 24 hours spurious labour) I used intermittent monitoring to enable her to be more mobile and because with her very large tummy it was too difficult to get a good trace without all our attention being on achieving that. She was in the bath rocking etc and got to 7cm in about 6hours. I hadn't palped her because of the large abdomen and don't think I ould have picked up a brow because of that. Brows are very difficult to palpate and you don't thankfully get them very often. I have felt a brow on palp before by feeling the position, then when you push with your fingers to feel the head the first part you feel on an OA position is the side opposite to the back, a brow generally what you feel first is on the side of the babys back. military you tend to feel both at once. I wish I could draw it I am not sure I am being clear. My friend ended up with a section as he was an acynclitic brow presentation (the first eye I have ever felt, not a pleasant surprise!!). She had laboured with no drugs for pain relief. As soon as the synto was turned off the contractions stopped which is indicative of malpresentation as was the early srom no labour. Unfortunately at section her baby was very flat and extremely bruised with his jaw wide open which made resus difficult and he ended up in NICU for the night. She is quite devastated at this and of course wonders if she should have gone for a section straight away and not tried for natural birth (which in her family is not common). She is coming to terms with it all, even if we knew it was a brow we would have tried to se if contractions would turn him to a face so he could birth. Your woman needed to try coz it may have turned more to a face which could have birthed but everything is easy in hindsight. It is interesting that my friend at 7cm looked at me and said what happens if her is stuck? I knew then oh oh, women who labour well no drugs who say that to me flag bigs signs of knowing something is not right instinctively. My friend is breastfeeding well now and has lots of worries which is her nature anyway. Maybe next time? Belinda - Original Message - From: Marilyn Kleidon [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Wednesday, December 17, 2003 2:07 AM Subject: [ozmidwifery] Brow presentations What do you all know about brow presentations? I was with a lovely woman yesterday who wanted a natural birth and so i spent the morning with her and her partner on the floor, in the shower and she dilated to fully within 4 hrs, just lovely and I am sure (so sure) I palped a posterior fontanelle such that baby was direct OA, but almost military poition; I was trying so hard to follow her through a physiological 2nd stage but after an hour and a half with no sign of baby's head I did another VE and she had pushed down a small anterior lip, which obligingly slipped back but now there was a central anterior fontanelle with caput just inferior to the fontanelle, so consultant called in and an emergency c/s due to brow presentation(not emergent emergent, baby was just fine and mum was exhausted but not physiologically compromised). Baby had great apgars, which is good as I had not identified any fetal distress, I just want to know if there is anything we could have done differently. Mum spent most of her labour and 2nd stage on all fours on the floor over a bean bag, with regular partner dancing, pelvic rocking ie very active and effective first stage after 4cm. She had had a prolonged early first stage with a significant hind leak and intermittent contractions for almost 24 hrs before presenting to to birth suite yesterday for IOL and antibiotics. She was then 4cm dilated and ARM of forwaters to induce baby ROL at this time (this happened before my shift thankfully as I have a hard time supporting ARM and just hate that compromised feeling). Anyway she moved rapidly into an effective active first stage as described above. I am wondering if anyone thinks preserving those forewaters might had avoided the malpresentation. Also should I have re-examined her earlier? Do you think I
Re: [ozmidwifery] face presentation
Pretty remote, I would have to say, as face presentation is a rare occurrence anyway, and this woman does not have an anatomical reason for it and neither does the babe. However, Mother Nature surprises us sometimes! - Original Message - From: Kirsten Blacker To: ozmid Sent: Saturday, December 13, 2003 9:06 PM Subject: [ozmidwifery] face presentation If anatomical anomalies in mother and baby are excluded, what are the chances of face presentation re-occurring in a second, full term pregnancy? Kirsten Blacker
Re: [ozmidwifery] 3rdStage Feedback
Ditto Mary! On another tack, I have been tidying up my emails, and you asked me (a little while ago now, sorry) about the Side By Side conference, which went well, except for one presentation, and those who went will know what I am talking about(!). We don't have it on video, but there are copies of the CD with everyone's presentations (Powerpoint) on it. We would like to continue on witha conferenceevery two years - so much happening inmaternity care, and private sector care issues are challenging for midwives to say the least! Regards, Lynne - Original Message - From: Mary Murphy To: [EMAIL PROTECTED] Sent: Tuesday, December 09, 2003 7:19 PM Subject: Re: [ozmidwifery] 3rdStage Feedback Where did that man get his statistics? If it applied to my practice I would have dead women all over the place! MM .'" He told me that 10-15% of women that don't have the injection die from PPH.. "
Re: [ozmidwifery] Response from Today Show
It did, but it was a surgically constructed orifice. And these surgically constructed orifices are becoming more and more part of women's plastic (able to be changed/moulded/constructed/deconstructed/reconstructed) bodies. - Original Message - From: Rob and Claire Leslie-Carter [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Wednesday, December 10, 2003 7:49 AM Subject: RE: [ozmidwifery] Response from Today Show But the baby didn't come out of an orifice. Claire Saxby From: Dierdre Bowman [EMAIL PROTECTED] Reply-To: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Subject: [ozmidwifery] Response from Today Show Date: Tue, 9 Dec 2003 19:32:00 +1000 Seems if you leave your letters till later you get better bites. This was Tracey Grimshaws response to my email. It's a beauty. Dierdre B. - Original Message - From: TCN Today Show To: Dierdre Bowman Sent: Tuesday, December 09, 2003 6:11 PM Subject: RE: Live Caesarean Dear Dierdre, You have put very reasoned arguments to support your contention that CS births are overused. It is an argument that we have explored and aired on our program many times in recent years, and during our program last week, we spoke to a midwife on that very point. You do not, however, support your accusation that we did nothing but tell women it is okay to have cs for no medical reason. First, the program was about birth.period. Specifically about the arrival of the 20 millionth Australian, however and whomever that was. It was NOT A POLITICAL STATEMENT ON BIRTHING METHODS.though we acknowledged the debate. The special moment was young Tom Cooper's arrival into the world.and to be honest, it was truly wonderful.regardless of by which orifice he emerged. Of course it would have been impossible to schedule a vaginal delivery live during a 3 hour window. Babies don't work to deadlines. And it was the live broadcast element that we wanted to share with our viewers.the excitement of seeing something happen for the first time, before anyone else has seen it, before your eyes. Tom was going to arrive cs regardless of whether we were there or not.we simply took an amazing opportunity. It is a shame that the extreme end of the anti cs debate has sought to hijack that moment for its own end. But back to your accusation: we explained repeatedly that Tom's mum Liane had a history of complex reproductive problems. Her first baby was born by cs several days after her waters broke and doctors were unable to induce labour. She sought the best medical advice she could get, and made an informed decision not to have that happen again. While I respect opinions like yours I have been shocked and horrified by a minority of people who have accused her of being less than a mother;too posh to push etc. This rush to judge others simply because they have the temerity to make a choice that differs with one's own is an ugly side of human nature. Opinions are a right.they should not be a weapon. We did not tell anyone it was okay to have a cs for no medical reason. But frankly I do not presume the right to tell anyone how they should make one of the biggest decisions of their lives. Nor to judge them on it. Regards, Tracy Grimshaw -Original Message- From: Dierdre Bowman [mailto:[EMAIL PROTECTED] Sent: Tuesday, 9 December 2003 12:24 PM To: TCN Today Show Subject: Live Caesarean Importance: High Over the past few days I have tried to come to grips with your show on the live caesarean birth. I am a midwife who constantly sees women who have been devastated by their experience with caesarean section (C/S). While I agree that for some women 10-15% C/S is an absolutely necessary and life saving event, it is an outrage that this story has gone to air in the context it has. The c/s rate in this country, is out of control. Research is now revealing that this operation may have long term effects especially on the emotional wellbeing of the mother. The world health organization recommended that the C/S rate should not be higher than 10-15% in ANY geographical area. Why then do we in Australia have rates from between 20 and 50%. Please don't tell me that 1/4 to 1/2 the population of Australian women are unable to birth vaginally. I have seen mother and babies with sliced bladders and parts of the baby cut because of C/S. Women who for months after suffer server pain as a result of infection and babies born with respiratory distress as a result of C/S performed when the baby was SUPPOSE to be full term only to discover it was premature!!! I am a victim of two unnecessary caesareans and having a previous C/S is NOT a valid reason for having another. In fact in order to escape the knife the third time I had to birth at home with a midwife. The only person who would fight for my rights. Mothers and infants are at double to three times the
Re: [ozmidwifery] 3rdStage Feedback
because the policy says that the woman must have oxytocics routinely that the midwife can give it without gaining informed consent. This is how it was 20 years ago when I was a new midwife. Woe betide the woman who queried or refused it (no such thing as declining). - Original Message - From: Andrea Robertson [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Wednesday, December 10, 2003 7:57 AM Subject: Re: [ozmidwifery] 3rdStage Feedback Hi Joy, You said: others just said something like, ' here's a little injection to help the placenta come away'! Another classic minifism!!! I challenge the assumption that just because the policy says that the woman must have oxytocics routinely that the midwife can give it without gaining informed consent. This would be another clear case of coercion, as is usually the case, the hospital's benefit (time saving). Cheers Andrea - 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] 3rdStage Feedback
In response to a woman's question "You don't have to worry about that. I have done this hundreds of times before and this is your first time. I know what you need." - Original Message - From: *G and S* To: [EMAIL PROTECTED] Sent: Wednesday, December 10, 2003 8:40 AM Subject: Re: [ozmidwifery] 3rdStage Feedback Alesia Wrote: "I dont know what info the women recieve during their antenatal care in Obs rooms" 0.01 is the answer to your query Alesa. And that is where the problem lies. "Pregnant? Come to my practice. I'm an Obstetrician . I'll look after you. I know what I'm doing. You sure as heck don't. Give me control over your body. I'll care for all your needs. I won't try and educate you. I don't really have the time. I am the specialist, I am a surgeon and you... you are merely pregnant." Does that feel familiar? Hugs, Sonia W.
Re: [ozmidwifery] posterior
Belly dance is great for this - I am serious, not only antenatally but also during labour. I have danced with many women turning their babies in labour. - Original Message - From: Kelly Yates [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Thursday, December 04, 2003 12:19 PM Subject: [ozmidwifery] posterior Does anyone have some suggestions for helping turn a 35 week engaged posterior baby? Cheers Kelly -- 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] babies in recovery/FH monitoring
I'm trying to get the message about this but am a bit in the dark - babies not allowed to be with their mothers because of other womenhaving gynae surgery? A woman's baby and this unrepeatable time - the first hours after - birth - has nothing to do with other women, but EVERYTHING to do with the woman having the baby. - Original Message - From: Mary Murphy To: list Sent: Thursday, December 04, 2003 10:41 AM Subject: [ozmidwifery] babies in recovery/FH monitoring Cas wrote:"it is normal practice to have bub in recovery so long as both mother and baby are well." Unfortunately this is not so here in Perth. We have had major battles over many years to have well babies stay with their mothers in recovery at KEMH but this has been denied for many reasons, mostly because" the C/S women share the recovery room with other women who had gynae surgery" etc. it is also surprising that so many baies who are "rescued" from foetal distess have apgars over 7 and need no further treatment. Is this a misreading of the FH monitor? a panic reaction to a EFM trace? Denise, the trials that showed "intermittant monitoring " equal to/better than continuous was using the intensive monitoring regime that Lesley spoke about. Not the more relaxed one. Cheers, MM
Re: [ozmidwifery] babies in recovery room
Hi Nicole - where I work, the family is not separated at all for any birth, unless the baby is ill enough to require nursery care. ALl babies are weighed in the mother's room when she returns to the unit, and in the birthing roomfor (thevast majority of mothers not requiring/requesting caesarean birth. They also have midwifery care through the whole caesarean experience. Regards, Lynne - Original Message - From: Ron Nicole Christensen To: [EMAIL PROTECTED] Sent: Thursday, December 04, 2003 8:54 AM Subject: [ozmidwifery] babies in recovery room I was just curious to know if it is normal practice for newborn babies to be in recovery with their Mums after a ceasarian I noticed they had the baby in with the mother on the Today show this morning... and wondered if it was for television, as I remember when I stayedwith my husband in recovery after leg surgery a couple of years a woman was in there after her caesarian - for some time - no baby in sighttherefore a very long and sad separation for mother and baby in those crucial first moments i'd love to hear others experiences... kind regards, Nicole ps. did the new mother appear cool and detached from the whole experience, to everyone else watching?? would have loved to have seen the difference in her responses following a homebirth.
Re: [ozmidwifery] Virus
me too - Original Message - From: Pinky McKay To: [EMAIL PROTECTED] Sent: Monday, November 24, 2003 8:35 AM Subject: [ozmidwifery] Virus Caroline - I think you could have been infected . Ive just recieved a "sus" part email from you. Pinky
Re: [ozmidwifery] high head at term
Hi Linda I have worked with many primigravidas who have had a high head at term, mainly in the home setting, as those in hospital had intervention. We were all taught that a high head at term meant that the babe's head was not going to fit throught the woman's pelvis, but my, have I seen some miracles happen from those women! Some of them had to work harder to bring their babes down, others did not. They all were up and active - moving how and where they needed to go, not only in their bodies, but in their heads and their hearts as well. Some of them have had to be very, shall we say, gymnastic(!) when it was time for the baby to get through that last little bit, but the fundamental thing that was there was that they felt they could do it and they had the support of those there. and could do it (labour and birth) in their way. Now a floating high head at tern might be another story As andrea says, there are as many ways to give birth as there are women in the world - Original Message - From: Annalise Wesley [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Tuesday, October 28, 2003 7:02 PM Subject: [ozmidwifery] high head at term Hi there everyone, I have a friend who is a primip with a high head at 40+4 weeks. The obstetrician is pressuring her to book in for a caesar. She is absolutely shattered at the thought of this and at the very least wants to attempt labour, preferably naturally. Any inspriational success stories (of vaginal primip births with high head at term), or words of wisdom that I could share with her, would be much appreciated. Thanks, Linda _ Hot chart ringtones and polyphonics. Go to http://ninemsn.com.au/mobilemania/default.asp -- 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] Compulsory heelpricks for newborns plea - MJA
For as long as I have been a midwife in QLD (20 yrs!!! Heavens, has it been that long?). Whenever we have had the people from the unit out to provide inservice from time to time, they have always asked us to fill out cards for those babes not having the test and writing 'declined' on the card. The same for babies who have been stillborn. We were told it helped them to gauge more accurately the occurrence rates of each condition being screened for, looking at trends, such as area, years, etc. - Original Message - From: Alesa Koziol To: [EMAIL PROTECTED] Sent: Sunday, October 26, 2003 5:08 PM Subject: Re: [ozmidwifery] Compulsory heelpricks for newborns plea - MJA Hi Lynne First I've heard of a named but blank card for those who choose to decline how long has this been in practice???Cheers Alesa Alesa KoziolClinical Midwifery EducatorMelbourne - Original Message - From: "Lynne Staff" [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Sunday, October 26, 2003 11:25 AM Subject: Re: [ozmidwifery] Compulsory heelpricks for newborns plea - MJA I have been hearing that story for years - it also makes sense for the request to send a named but blank card for those who choose to decline the test (although this is also necessary for stats). - Original Message - From: "Marilyn Kleidon" [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Sunday, October 26, 2003 10:54 PM Subject: Re: [ozmidwifery] Compulsory heelpricks for newborns plea - MJA You know I've heard or read that somewhere to...maybe on this list!??? Does anyone know if it is true, don't want to start any urban legends. marilyn - Original Message - From: "Christina Damien" [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Saturday, October 25, 2003 3:09 AM Subject: Re: [ozmidwifery] Compulsory heelpricks for newborns plea - MJA A couple in an Antenatal class today said that they had read of plans that the hospitals will be keeping the heelprick DNA information for a government database of all newborn babies. Apparently the DNA info will be kept indefinitely. Has anyone heard anything about this? Christina -Original Message- From: Marilyn Kleidon [EMAIL PROTECTED] To: [EMAIL PROTECTED] [EMAIL PROTECTED] Date: Monday, 20 October 2003 4:19 Subject: Re: [ozmidwifery] Compulsory heelpricks for newborns plea - MJA I wince at compulsory testing too. Surely as Sally says, encouragement from midwives for the test to be done and good education on the benefits of screening, ensurance that the test is not omitted through pratitioner/health system neglect, a domicillary midwifery effort to document and collect the tests not done in hospital, and perhaps compulsory submission of unfilled sample papers (by practitioners) should parents truly decline to have their baby screened. However, I think we must support parents' right to make decisions we may not agree with. marilyn - Original Message - From: "Jo Bourne" [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Sunday, October 19, 2003 8:53 PM Subject: Re: [ozmidwifery] Compulsory heelpricks for newborns plea - MJA We passed on pretty much everything but this test and it was a complete non-event, my daughter fed through the test without even wincing, I can't really understand why you wouldn't do it. But the idea of making it compulsory scares me, I wonder what would be next - many people can't understand why I wouldn't vaccinate. At 12:06 +1000 20/10/03, Sally Williams wrote: Personally, I believe that parents should be encouraged to have this test on their babies. Surely a moment's discomfort is worth a lifetime of illness, or no life at all! Sally - Original Message - From: mailto:[EMAIL PROTECTED]margaret schmidt To: mailto:[EMAIL PROTECTED][EMAIL PROTECTED] Sent: Tuesday, October 21, 2003 1:35 AM Subject: [ozmidwifery] Compulsory heelpricks for newborns plea - MJA Hi everyone Found this snippet this morning. Going to be published in MJA this week. Will make for some interesting conversation at work. I hope I have pasted the link correctly. The word mandatory always sends shivers down my spine. http://news.ninemsn.com.au/Health/story_52510.asphttp://news.ninemsn.com.a u/Health/story_52510.asp Have a great day Michelle -- Jo Bourne Virtual Artists Pty Ltd -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or un
Re: [ozmidwifery] Pain threshold
Ah, Marilyn, I like that word 'reframing' - Original Message - From: Marilyn Kleidon [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Monday, October 27, 2003 7:13 AM Subject: Re: [ozmidwifery] Pain threshold I had an interesting experience with a young couple in labour ward the other week. They were private patients and were quite primed for the epidural etc (and had been just threatened with a c/s for PROM) and had already received one dose of pethidine before handover, to me. It was obviously early labour and was starting to pick up. Anyway as this young mum was starting to struggle througgh her pethidine haze, I gave them a little talk about welcoming the contractions and that oxytocin was the love hormone encouraging them to caress and dance and him to massage and soothe her pain. They went for it with only a little bit of encouragement from me from time to time. She still had the epidural but she had been under a time line from her private ob and she passed it and ended up with a vaginal birth: he thought it was his threat of the c/s, I think it was my encouragement of enjoyment. Reframing is what we need in a nutshell. marilyn - Original Message - From: Heartlogic [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Saturday, October 25, 2003 4:57 PM Subject: RE: [ozmidwifery] Pain threshold Hi Diane, It's great to see these principles being taught so well. They do work when the necessary diligence is applied and the principles are being validated by neuroscience (at last). All we humans are hypnotising ourselves all the time (or being hypnotised by mass media) and it is about time we learnt how to self talk (hypnotise) ourselves for outcomes we desire and work with our biological intelligence, rather than against it. Fear (adrenalin, cortisol in excess etc) is such a powerful disruptor of healthy/normal biological functioning. Increasing prefrontal cortex activity helps people feel safe and over ride amygdala hijacks. see http://edition.cnn.com/2002/TECH/science/11/07/brain.fear/index.html and http://edition.cnn.com/2003/HEALTH/10/09/ego.pain.ap/index.html for a quick summary. Brain research is fascinating, liberating and exciting. It is busy validating what adepts and mystics (and people like Grantley Dick Read) have told us for ages. Brain research is also validating the value of story telling in midwifery care, getting women together, enjoying food together kitchen table wisdom, defusing women's fears and providing the kind of environment that enables undisturbed birth. It takes 'soft' data and makes it 'hard' - isn't that a funny metaphor for information? especially when applied to women's birth processes ;-) And a point of clarity? Is it pain threshold or tolerance or reframing? It seems to me that all of us go ouch when stuck with a pin, self talk can help us change our perception and reaction therefore our experience of phenomena. Just philosophising and musing. Perception and attitude are everything in my mind. in solidarity (thanks Justine) Carolyn Hastie -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Diane Gardner Sent: Sunday, 26 October 2003 10:41 AM To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] Pain threshold Hi Cheryl I work with HypnoBirthing (a method that a woman uses to put herself into self hypnosis while she is in labour). I have been a part of many births with couples and I know that the mind definitely has control of the sensation the body will feel. Many of my mums feel only pressure and they are awake and in control of their birthing. I have not had one negative birth story since I started practicing 3 years ago even when medical intervention was needed. The relaxation and breathing still continues even if medical intevention is required, although that doesn't happen anywhere near as often. I did have one that didn't have as much success. It was a mum who had her own business at home and WORKED long hours right up until she went into labour. I had my doubts when she was in her classes that she would have all the necessary rest her body and baby needed and that she would practice so that the relaxation process it would become automatic. The concept of HypnoBirthing came from an English Obstetricial, Grantly Dick Read who back in the 1912-14 wanted to know why some women went into labour and gave birth with no fuss while others suffered excruciating pain. His research showed that the ones who trusted in the natural function of their body and relaxed would give birth with no fuss and they did. Mind you he was nearly thrown out of his profession because of his outrageous ideas. Are they so outrageous? I know they aren't. I've seen that they aren't. He wrote the book Childbirth Without Fear that was first published in 1944 and
