RE: [ozmidwifery] breastfeeding as contraception
I had a friend wean to get pregnant too, but this was a little later, about nine months. She is in her early to mid forties, and given the reduced fertility at that age, I think it is reasonable. Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Helen and Graham Sent: Thursday, December 21, 2006 7:57 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] breastfeeding as contraception I have recently met a woman who specifically gave up breastfeeding her six month old so she could get pregnant. That seemed like a real shame but she was very keen to get pregnant ASAP. What would ABA's advice be on this one? Helen - Original Message - From: Barbara Glare Chris Bright To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 21, 2006 1:19 PM Subject: Re: [ozmidwifery] breastfeeding as contraception Hi, I don't think Lactational Amenorrhea is as risky or tricky as Janet said. From Breastfeeding Management (Brodribb)In 1988 the World Health Organisation and other interested parties formulated a concensus statement about the conditions under which Lactation provides an effective and safe form of contraception. Known as the Bellagio Concensus, it states that if a woman is fully or nearly fully breastfeeding, is amenorrhoeic and is less than 6 mnths postpartum she is 98% protected from pregnancy. Since that time, studies in Australia, Chile, the Phillippines, Pakistan and the USA have confirmed this concensus, often showing failure rates of lower than the two percent quoted. Thus, this applies in the developed as well as developing countries and in well nourished women. A further conference in Bellagio in 1995 confirmed the original findings and concluded that. Wheras amenorrheoea is an absolute requirement for ensuring a low risk of pregnancy, it might be possible to relax or break the requirement of full or nearly full breastfeeding. It may also be possible to extend the duration of use beyond 6 mnths. Kylie, please don't write an article that makes breastfeeding as a form or contraception seem unreliable, silly or so difficult to comply with that it would be impossible to use. (not that it sounds in any way like you would - but that is the tone often in such articles.) While the 2% are very vocal when they become pregnant, my observances are that Lactational Amenhorrea is extremely reliable. The thing to remember is that once your period is back all bets are off. (if under 6 mnths.) While this whole story demonstrates that the plural of stories is not data I returned to full time work when my son was 6 weeks old, and remained amenhorreac until he was 15mths, whereupon I had one period and then got pregnant with my 2nd. Barb - Original Message - From: Kylie Carberry To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 21, 2006 11:24 AM Subject: Re: [ozmidwifery] breastfeeding as contraception if one isn't sure has got to be a good thing, hey? Absolutely. thanks for that, Janet. Kylie Carberry Freelance Journalist p: +61 2 42970115 m: +61 2 418220638 f: +61 2 42970747 From: Janet Fraser [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] breastfeeding as contraception Date: Thu, 21 Dec 2006 10:56:35 +1100 It's a complex list of stuff, not just bfing, that creates lactational ammenorhea, Kylie. Cosleeping, no dummies, no bottles of ebm, no being away from your child/ren longer than about 3 hours, and having a nap in the daytime with them among other things. And then ultimately each woman is different in her experience of menstruation recommencing. Women who use bfing in conjunction with knowing their own fertile signs are doubly covered and a barrier method now and then if one isn't sure has got to be a good thing, hey? J - Original Message - From: Kylie Carberry To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 21, 2006 10:09 AM Subject: [ozmidwifery] breastfeeding as contraception I am doing a story on contraception for a pareting magazine. I want to state that the WHO confirmed breastfeeding as 98 per cent effective means of birth control for the first six months provided the baby was fully breasfed and periods have not commenced. So as far as the 'fully' part goes, how is that interpreted. My friend thought she was fully breastfeeding, however, her twin boys were sleeping 8 hours at night and thus she became pregnant when they were four months old. So does fully mean no less than four-hourly feeds. Or should women just take added precautions if they are not up for any little
RE: [ozmidwifery] Donation of birthing kits
Zonta is one organisation who provides birthing kits. I don't have contact details, but perhaps you can Google them. Nicole Carver. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of [EMAIL PROTECTED] Sent: Tuesday, November 28, 2006 9:22 AM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Donation of birthing kits Hi All. Can anyone provide me contact details of either an organisation or individual through which donation of a birthing kit can be made to Midwives/communities/coutries in need. This is a Christmas gift/donation instead of Kris Kringle at a workplace. Kindest Regards Wendy Buckland
RE: [ozmidwifery] Alternative GBS
Hi Melanie, I suppose it is all about comparing the risks associated with having antibiotics with the risk of the baby being affected by GBS. The antibiotics are unlikely to do harm, except perhaps by damaging the woman's normal flora for a time. The consequences of things going wrong with the baby should it contract GBS are devastating. The chance of complications of either is small but the complications of GBS are so devastating as to warrant giving the antibiotics, I believe. Not all intervention is bad. All the best, Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Melanie Sommeling Sent: Friday, November 17, 2006 10:15 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Alternative GBS Hi wise women of the list, I am curious if anyone can enlighten me of any alternatives to Antibiotics in labour to decrease GBS transfer from mother to baby. I recollect some info about douching during labour, but the info was sketchy to say the least. I understand the risks of transfer are low and the risk or negative effects are even lower, but alternatively have witnessed a birth of a GBS positive mother where AB's were administered and the baby still developed respiratory distress with several hours of birth and question the validity of using AB'a at all. Any advice on the matter would be greatly appriciated. Melanie -- 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] BFing lactose intolerant babies.
Are you sure the baby is truly lactose intolerant? Sometimes it is that mo has oversupply, and correct management will make the symptoms disappear. Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of [EMAIL PROTECTED] Sent: Wednesday, October 25, 2006 8:33 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] BFing lactose intolerant babies. Hi everyone, I'm after some advice or information of BFing a baby who is lactose intolerant. Where can I find some information on this? Cheers, Sam. -- 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] BFing lactose intolerant babies.
If the stools are tested for sugar, it will be there! But the reason may be Mum's oversupply, with babe never reaching the fattier hindmilk. The lactose ferments in babe's bowel, resulting in explosive stools and an unhappy baby. Expressing at the start of the feed, or starting the feed and then taking baby off and letting that massive first let down run into a bowl or a nappy, and then continuing the feed, may help. Cutting down on dairy may make a difference in a couple of days as well, as the cow lactose adds to mum's lactose. Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of [EMAIL PROTECTED] Sent: Thursday, October 26, 2006 7:16 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] BFing lactose intolerant babies. Mother hasn't had the tests done yet, but Dr suspects lactose intolerance. This is mums 3rd bub. She has BF the first two and is disappointed that she may have trouble with this one. At this stage she is trying to arm herself with information and has been advised by Dr. to cut down on dairy products. I have passed on the kellymom site - thankyou. Cheers, Sam Are you sure the baby is truly lactose intolerant? Sometimes it is that mo has oversupply, and correct management will make the symptoms disappear. Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of [EMAIL PROTECTED] Sent: Wednesday, October 25, 2006 8:33 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] BFing lactose intolerant babies. Hi everyone, I'm after some advice or information of BFing a baby who is lactose intolerant. Where can I find some information on this? Cheers, Sam. -- 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] hep B at birth
Hi Kristin, I give parents information about how a baby might get Hep B (really only if mum is a carrier - and the consequences of this are dreadful) and the fact that there is a full course of Hep B vaccines in the normal immunisation schedule. It soon becomes apparent that it will rarely be necessary. However, only mum knows what exposure the baby may get to carriers in her own household, so she needs to know how teens and adults get Hep B. However, the carrier's blood still needs to get into the baby somehow, so the likelihood of that happening is still slim. If you provide all this info parents can make their own decision. No parent is going to willingly expose their baby to any risk of getting Hep B, so I believe it is safe to let them decide, without judgement, either way. Unfortunately this position has on occasion given me trouble. I have had parents say to their maternal and child health nurse that I said it was unnecessary for the baby to have the vaccine. This would be foolish, and I wouldn't do it because it is not my place to decide for the parents. You will find it difficult to find unbiased literature in the mainstream, but if you get info about Hep B generally, which is available in the mainstream, it still becomes clear that it is hard for a baby whose mother is not a carrier to get Hep B, certainly in the time until the first standard immunisations at 8 weeks, if they choose to have these. Best wishes, Nicole Carver. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Dan Rachael AustinSent: Friday, October 20, 2006 5:14 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] hep B at birth Hi Kristin, The Australian Vaccination Network (AVN) (http://www.avn.org.au/) and Think Twice: Global Vaccine Institue (http://www.thinktwice.com/) are 2 online resources that I am aware of. The Informed Voice Magazine (formally Informed Choice), may have something in back issues worth looking up. There is certainly another side of the coin when it comes to vaccines and parents should be able to have access to all the literature for and against :) Kind Regards, Rachael - Original Message - From: Kristin Beckedahl To: ozmidwifery@acegraphics.com.au Sent: Friday, October 20, 2006 4:27 PM Subject: [ozmidwifery] hep B at birth Does anyone know of an article for parents or a link I could use for the 'other side of the argument' for Hep B shot at birth for my CBE couples..? I can only find the government prodcued brochures etc.. Thanks, Kristin Find your old friends and discover what they're doing now. -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
FW: [ozmidwifery] Married to the Midwife
Hi As the partner to Mary-Anne www.cenvicmidwives.com.au I'd be happy to have a chat with partners to this affliction/addiction/constriction. Peter -Original Message- From: Nicole Carver [mailto:[EMAIL PROTECTED] Sent: Friday, 28 July 2006 10:32 AM To: wendy faulkner; Paula Nunn; Nola Aicken; Mary-Anne Richardson; helen; judy chapman; jenny pitson; jenny parratt; Debra Alexander; alison shotton Subject: FW: [ozmidwifery] Married to the Midwife -Original Message- Married to the Midwife by Tom Smith Web Exclusive Sharon's alarm buzzes, and I wait for her to turn it off. Finally I roll over, mumbling that it's her alarm, and would she please turn it off-only to find myself talking to an empty bed. I groan, remembering the 2 a.m. phone call and thinking of the harried morning ahead. When they call, she goes. It doesn't matter what time it is, it doesn't matter where in the movie you are or who's over for dinner. Out the door she goes, and woe to the man who tries to stop her. I did, once. We were having a fight and she got the phone call. It wasn't fair, I said. I stamped my foot. I cried. She just got madder and madder. She asked me if I wanted to call the woman and tell her to go ahead and have the baby herself. For a moment I hated the woman having the baby, but I also began to realize that for Sharon, a laboring mother always takes first priority. I've heard midwives say, sometimes jokingly, sometimes with fierceness, that there is no profession quite like it. I agree, and would add that there is nothing quite like being married to a midwife. I hate what she does and I love what she does. I find it annoying and I find it exciting. Someone once told me that the divorce rate is high among homebirth midwives. I thought, Are you kidding? What with the low pay and the bad hours and throw in the risk of prosecution in our state, what man wouldn't want a midwife for a spouse? Am I angry? Sometimes. Do I want her to do something else? No way. How can I, when she comes home at 4 a.m. with tears in her eyes and tells me the story of a mother who was so afraid because her last baby had died in utero at 6 months, and how the grief and pain and joy combined as the 9 lb. baby burst into the world? She loves her work and she loves her women. She makes so many hard choices. I don't want to make her choose between her work and me. Besides, I'd probably lose. When our daughter, Hannah, whines and asks why her mother has to go out again tomorrow, Sharon says simply, It's my work, it's what I do. That's true, but it is also her calling and her passion. It's what she does to make a difference in the world. She is a lioness when she says, Women need to have a choice about where they have their babies. I admire her greatly at that moment--and then the phone rings. I listen as she explains about the importance of eating to feed the baby. She waves her hand as she talks, cutting to shreds the myth of minimal weight gain during pregnancy. She says, For God's sake, if you're hungry, eat! Eat lots of protein. Sure, four eggs with hot sauce is fine. We want fat, happy babies. She hangs up, and the phone rings again. One day Hannah answered the phone, and then called Sharon, who retreated into the bedroom. I asked my daughter who it was. She said she didn't know, but it sounded like a midwife. I thought, Oh yes, I know what you mean. The friendly but businesslike tone, the willingness to talk to children and the sound of sisterhood coming over the lines, 'I need to talk to your mother about something.' As Sharon shuts the door to the bedroom I hear her say, We use comfrey and rosemary in our sitz bath for postpartum moms and find. The homebirth midwives I know soak up knowledge like hungry sponges. I envy Sharon's single-minded drive for information, whether found in a medical bulletin or in the herbal lore that is passed around orally. She eagerly collects birth stories and medical texts, experiential knowledge and book knowledge. These women have to know their stuff, because they walk a pretty narrow line--especially in Indiana. Homebirth midwifery is not exactly illegal here, but neither is it licensed. Sometimes I feel like I'm living with an emotional roller coaster. Most of the births are uneventful, and Sharon returns home exhausted and satisfied. But sometimes when she gets home her face is filled with pain and she begins, We had to transport. A story of loss begins, and I go down with her into the anguish. Often the stories are not easy to listen to: the agonizing decision as it becomes increasingly clear that this birth is not going to happen in the home, the cold sterility of the ER room, the gruffness and sometimes outright hostility of the doctors who don't have much contact with midwives. And through it all, the grief, because often, though not always, a transport means a cesarean. The midwife goes along, assisting the woman's partner, suggesting options at the hospital
RE: [ozmidwifery] Induction due to pulmonary embolism?
Hi Kelly, Not knowing all the details, it is a bit dangerous to comment. If the woman has had a pulmonary embolism, which is a clot which has probably travelled from a large vein in her leg, the blood thinning agent would be to prevent further clots from forming. She may have a clotting disorder, which can be genetic. I am not sure why the ob would want to induce the woman. I would think the least intervention the better, although her carers would have to be very watchful, particularly regarding the third stage of labour. Please keep us posted. Regards, Nicole Carver. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Kelly @ BellyBellySent: Friday, July 14, 2006 6:00 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Induction due to pulmonary embolism? One of the women on my forum had a crisis and was going to have a caesar, but with a bit of encouragement from the others on the site and with the Obs back-up she decided against it and was ecstatic, but then said WOW you girls totally rock when a girls in need! I actually have to be induced cause of the pulmonary embolism I got and have to be monitored in labour because Im on a blood thinning agent Could someone please explain? Sorry to be asking such basic questions all the time, I just want to learn! J Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support
RE: [ozmidwifery] caseload midwifery
Hi Barb, Thank you for your support. I work at Bendigo Hospital in Victoria. We are about to start weekly meetings to work out how to run caseload in our setting. We have DHS funding and approval from our hospital executive. We now need to come up with a proposal, which will then be put to a secret ballot. If 50% of the ward staff (whether they wish to work in the program or not) agree to the model going ahead, we will be able to get underway. Once we start meeting I will have plenty of questions. The website sounds like a great idea. I will be in touch shortly. Warm regards,Nicole Carver. attachment: winmail.dat
RE: [ozmidwifery] Perineal massage
Hi Helen, I believe that there is at least a 9% increase in the chance of a primi having an intact peri if they do 10 minutes of perineal massage daily for four weeks prior to birthing. Unfortunately only half the midwives in the study provided the info to the women attending them for antenatal care for a variety of reasons, including that they did think it was worthwhile themselves. Therefore you could reasonably extend that increase up to an 18% chance of having an intact perineum, over and above the roughly 20% chance of having an intact perineum regardless of perineal massage or any other measure. The multis in the study did not experience any benefit. I am sorry I don't have the reference any more. However, I am recommending perineal massage now, particularly to women who ride horses or do a lot of exercise, as from experience these women often have a thick peri. Interested to hear what others say. Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Helen and GrahamSent: Thursday, June 29, 2006 1:57 PMTo: ozmidwiferySubject: [ozmidwifery] Perineal massage Just wondering whether everyone is recommending perineal massage antenatally as a way of reducing the risk of tearing? I have read research to suggest it has been effective so I have just started to tell women about it. I also am careful to say that it may not work but there is no harm in trying. I remember it was bandied around years ago but there wasn't any research to support it's effectiveness back then. What are your thoughts Helen
[ozmidwifery] caseload midwifery
Hi all, I am looking for some information from people working in caseload models. We are about to start work on a caseload model and need info about which method of payment is best. Some seem to think annualised salaries are best, but others think we might get short changed and arekeen to see us get paid for what we actually work, getting paid a base rate, with penalties paid in the following fortnight. What has been your experience? Warm regards, Nicole Carver.
RE: Re: [ozmidwifery] ctg stuff
Hi Emily, Good on you! As far as induction and c/s on demand the rule of weighing up the benefits vs risks still applies. Some women's emotional state may make it sensible although regrettable, to concur with their wishes. However, if you have been caring for a woman throughout her pregnancy, and have build up a good trusting relationship, I think this situation would be rare. Women don't feel safe in our disjointed system, where they can see up to 25 health professionals in one childbearing experience. Warm regards,Nicole Carver. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of EmilySent: Saturday, June 17, 2006 10:49 AMTo: ozmidwifery@acegraphics.com.auSubject: Re: Re: [ozmidwifery] ctg stuffhi 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] Kath's story
Hip Hip Hooray! I, and I'm sure everyone else on this list, enjoyed hearing about your wonderful experience with Kath. It's stories like that that keep us all going. Thankyou. Nicole Carver. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Andrea Quanchi Sent: Sunday, June 18, 2006 12:11 AM To: ozmidwifery; Maternity Coalition Subject: [ozmidwifery] Kath's story I was 'with' a woman on thursday night when she birthed that left me on a real high Kath has been seeing me for her whole pregnancy and we had discussed birthing at home many times but she had decided that she wanted to go to the hospital to birth. perhaps if it was my second baby I might have it at home' she said. Despite this I kept picturing her birthing at home and was puzzled why because I don't try and change women's minds or convince them of one way or the other but point out the advantages and disadvantages. She let me know wednesday night that she had had a few niggles and on thursday morning that she was leaking. I visited after lunch and then left her to it. She rang at 7pm to say that the liquor was pink but that they were OK for now, At 9pm they rang and asked me to come. I arrived at 9:15 pm to find her leaning over her bed having strong contractions but she was able to chat to me easily between them. She did tell me they were pretty strong but she felt she had ages to go yet! We chatted, checked her BP FHR etc and I watched her to try and assess where she was up to. She went to the loo at 9:45 and as I listened to her she made a noise that got my attention. I asked her about it but she denied any urge to push and then told me she just needed to open her bowels! I asked her to have a feel in her vagina and she said she could feel something hard! because she had been so adament that she wanted to birth at the hospital I donned a glove and had a quick feel. I said well there's two choices we can have the baby here or you can have it in the car because there's no way your making it to the hospital. She looked at me with a grin and said well I'd rather stay here than do that. So we did and ten minutes and three pushes later James arrived much to his parents amazement and his midwives amusement. The whole thing was great, she sat up in bed an hour later and said well I'd do that again as she put her baby to the breast without any fuss. Three days later they are all loving every minute of their whole experience and I feel truely blessed to have been part of it. Andrea Q -- 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] Gastro Labour
Hi Kelly, It is important that the woman is adequately hydrated going into birth, so she may need intravenous fluids. It is important that the hospital knows that the children have gastro, as they may be concerned that this is a worsening of the liver disease. She would be better off getting over her gastro before being induced, and it is likely that most midwives and doctors would agree. If not she can decline to bring it forward anyway. Warm regards,Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Kelly @ BellyBellySent: Friday, June 09, 2006 11:05 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Gastro Labour Hello all, I have a woman whos due for an induction on Tuesday due to cholestasis but showing signs of being in early labour (which is great if we can avoid induction). Problem is her children have gastro and tonight shes started vomiting and has diahorrea so shes very, very anxious and worried about how this will affect the baby now and once its born. The hospital have told her to come in right away which she is doing, then shes going to call with an update. Any ideas on what to expect or what this might mean? Shes also concerned they may try and encourage the induction earlier, she has a soft cervix which she thinks the Ob said is 2cms, shes a multi. Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support
RE: [ozmidwifery] Introducing solids too early
Hi all, Maureen Minchin has a couple of books that would be useful on this topic. One is Breastfeeding Matters, 1998, Alma Publications. Alma Publications is Maureen's own business. The address is 14 Acland St, St Kilda or 6 Thear St, East Geelong. Phone 03 95372640. The name of the other escapes me (if you ring Alma Publications you will have no problems getting it) but is entirely to do with food allergy. Maureen became an expert in this field after having a son with dreadful allergies. Part of the problem was an early comp feed given without Maureen's knowledge, much less permission. She only found out because she also worked at the hospital where she gave birth, and one of her colleagues remembered giving him a comp. In those days that was not unusual. Another issue is babies with supposed reflux being given thickeners or even thickened formula despite being a breastfed baby. I came across this in a ten day old baby, who did not have reflux, but the woman's friend gave her the thickener that she had herself. Needless to say, supply was not good, and breastfeeding did not last much longer. :( Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Kylie CarberrySent: Wednesday, June 07, 2006 10:39 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Introducing solids too early Kelly, What a great idea...I think a big reason mums introduce them early is because of pressure from well-meaning grandmothers. From my own experiences (with all four of my chidlren) and that of my friends, if the baby is not chubby and has reached three - four months, grandmaspropose that maybe some solids will help with weight gain. It is so hard for a new, and in grandmas eyes naive, mother to ignore this 'wisdom'! Kylie Carberry Freelance Journalist p: +61 2 42970115 m: +61 2 418220638 f: +61 2 42970747 From: "Kelly @ BellyBelly" [EMAIL PROTECTED]Reply-To: ozmidwifery@acegraphics.com.auTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Introducing solids too earlyDate: Wed, 7 Jun 2006 08:28:53 +1000 Ive come across so many mums who are introducing solids far too early and as a result I am writing an article on it and trying to gather information from studies. I heard there was a study in the US which indicated one possible complication was juvenile diabetes. Does anyone know of any studies or resources in regards to solids and early introduction and where I can find them? Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
RE: [ozmidwifery] Keillands Deliveries
Hi Marg, A lot of women who would birth at my workplace (regional Victoria) in the past with Keillands are now birthed by caesarean. Usually vacuum will not do/be used to do what Keillands will do (in the majority of cases, although I was taught it was possible) ie rotate the head from OP or transverse. I haven't seen a Keillands for about four years. Not sure if it is due to a perception that it is safer fear of litigation if there are birth injuries, maybe. It isn't due to the doctors not having the skills where I work, because we haven't had a change of doctors in years (unfortunately!) I will be very interested to hear the other responses that you get. Warm wishes, Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Marg Williams Sent: Wednesday, May 31, 2006 4:52 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Keillands Deliveries I would be interested to know what other midwives experiences are regarding the use of keillands forceps. I trained in a tertiary hospital in Victoria almost 20 years ago, and regularly saw keillands forceps used. I have noticed a decline in their use over this time, and am wondering is this a current trend in obstetrics generally, or perhaps just a Queensland trend to use vacuums for assisted deliveries. I can't help wondering if it is a skill not being passed on to our training registrars as the older obstetricians retire, and take these skills with them, or maybe vacuum deliveries are the easiest way out. What do other midwives think? Marg _ Send 1c txt to other Telstra Pre-Paid Plus mobiles. Join now http://a.ninemsn.com.au/b.aspx?URL=http%3A%2F%2Fadsfac%2Enet%2Flink%2Easp%3F cc%3DTEL185%2E19163%2E0%26clk%3D1%26creativeID%3D29997_t=754399967_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] Fw: E-News 8:11 - Postdates Pregnancies (May 24, 2006)
Hi Alesa, I don't recall seeing your initial post, which was very interesting. I wonder how much these machines would cost, and who they would be used upon? I can't see that they could be a main stream thing We have several CTGs on our unit, but they are only used on supposed 'high risk' women. These machines would seem to have even more limited use if any. I suppose it would depend on how the company 'sold' them to the medical profession and hospital administrators. I think the final deciding point would be the women. As Debby said in her initial email, educating women is vital in such situations, and letting them know that they have a choice. Handing this information to consumer groups if a hospital is planning their introduction might also be useful. It is good to be informed so that these new technologies don't catch us out by being in place before we can do anything about it. Thanks for the info, Nicole Carver. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Re:
Hi Kelly, I like the concept of not giving an injection, but when we were giving oral vit k in the past it felt strange to give something I was used to giving IM orally, ie it was not specially prepared for oral administration. I don't know if there are oral forms for babies, I know there are for adults. It also entails having three doses, which would require parents who would follow this through, either by staying in touch with a health professional who can supply it, or taking the other doses with them and giving them to the baby themselves. With adequate information I am sure parents are capable of this. I think parents should be able to make their own decision. Regards, Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Kelly @ BellyBelly Sent: Friday, May 26, 2006 5:31 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Re: Just a side question if that's okay - what are your opinions on oral vitamin K versus injection? Best Regards, Kelly Zantey Creator, BellyBelly.com.au Gentle Solutions From Conception to Parenthood BellyBelly Birth Support - http://www.bellybelly.com.au/birth-support -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Andrea Quanchi Sent: Friday, 26 May 2006 3:24 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Re: The place I work we give it when we do the NST. It was a midwife decision not an evidence based one. Like giving it with the vit K it is easier to do it at a predictable time so that it doesn't get overlooked. The midwives wanted not to do it at birth as they were wanting to do as little as possible to interupt Mum and baby, As we need to have a signed consent form to give it and the mothers have often not filled this is prior to birth it was very interupting to get all thisDone on the birth day and we find it not an issue later when everyone has had time to sit down read the literature and discuss it. Of course then we do have a number of mums who decline to have it which is their right and is not an issue at all. Andrea Q On 25/05/2006, at 8:10 PM, Amanda W wrote: Hi all, I have just started working at a new health facility that tends to give hep B injections on day 2 or 3. I have come from a facility that gives hep B at birth when vitamin k is given. Can anyone shed some light as to why the might do it this way. Any articles. They seem to not know why they do it. I just want to change practice so that can be done at the same time as the vitamin k. Thanks. -- 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] weight loss
Hi Susan, This is indeed puzzling. The babe needs a visit to the doctor to have medical reasons excluded, if it hasn't already been done, including bag urine for culture etc. However, the fact that the baby regained wt in hospital and then lost it again at home does seem to point to a feeding management issue. Is Mum feeding the baby often enough, or leaving the baby on the breast long enough? Does the baby have a tongue tie (these babies feed well from the bottle, but find it hard to strip a breast)? Is Mum hearing baby at night or is she slightly sedated by the Tegretol, or the baby sedated by it? I assume someone has checked if Tegretol is ok with BF? Warm regards,Nicole Carver. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Susan CudlippSent: Wednesday, May 24, 2006 11:44 PMTo: midwifery listSubject: [ozmidwifery] weight loss Dear wise women I have been following a client on early discharge whose baby is losing weight. Now about 2 weeks old, I readmitted her on day 5 as bub was lethargic, had not had a bowel movement and had lost weight. She expressed, fed and topped up, bub 'woke up' and put on weight, started opening bowels and generally improved all round, went home again fully breast feeding, seems to have plenty of milk, plenty of wet nappies but again - no poo's, and on last 2 visits had lost weight, 50g then another 40g. Has not regained birth weight yet and does not seem satisfied despite frequent b/f. I will be seeing her again tomorrow and am frankly puzzled by this scenario. She is on medication herself for epilepsy (low dose Tegretol and another that I can't remember) and has been taking Motilium to boost supply. Any suggestions/comments? TIA Sue "The only thing necessary for the triumph of evil is for good men to do nothing"Edmund Burke
RE: [ozmidwifery] VBAC in Qld?
That's a great term! Thanks, Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Isis CapleSent: Wednesday, May 17, 2006 2:25 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] VBAC in Qld? Empowered Birth After Caesarean J From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of dianeSent: Wednesday, 17 May 2006 2:20 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] VBAC in Qld? Im glad you asked Nicole, thay way more of us will know!! : ) Di - Original Message - From: Nicole Carver To: ozmidwifery@acegraphics.com.au Sent: Wednesday, May 17, 2006 1:55 PM Subject: RE: [ozmidwifery] VBAC in Qld? Forgive my ignorance, but what is an EBAC? Thanks,Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Philippa ScottSent: Wednesday, May 17, 2006 12:57 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] VBAC in Qld? Hi, I am in Townsville where we (Birth Buddies) have had a few clients have VBACS and EBACs. The Townsville Hospital (public) is the best bet up here. I have had a VBAC there to and am always pleased to help those planning VBACs. I can be contacted if you like on 47734075 or 0407648349. Cheers Philippa ScottBirth Buddies - DoulaAssisting women and their families in the preparation towards childbirth and labour.President of Friends of the Birth Centre Townsville From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Lynne StaffSent: Wednesday, 17 May 2006 8:57 AMTo: ozmidwifery@acegraphics.com.auSubject: 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
RE: [ozmidwifery] VBAC in Qld?
Forgive my ignorance, but what is an EBAC? Thanks,Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Philippa ScottSent: Wednesday, May 17, 2006 12:57 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] VBAC in Qld? Hi, I am in Townsville where we (Birth Buddies) have had a few clients have VBACS and EBACs. The Townsville Hospital (public) is the best bet up here. I have had a VBAC there to and am always pleased to help those planning VBACs. I can be contacted if you like on 47734075 or 0407648349. Cheers Philippa ScottBirth Buddies - DoulaAssisting women and their families in the preparation towards childbirth and labour.President of Friends of the Birth Centre Townsville From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Lynne StaffSent: Wednesday, 17 May 2006 8:57 AMTo: ozmidwifery@acegraphics.com.auSubject: 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
RE: [ozmidwifery] working in a private hospital ?
Hi Julie, I will stay out of the discussion of the intervention rates, because I am sure there will be plenty of comments. However, take care regarding rates of pay and working conditions. Usually you are paid less and private employers are not bound by other conditions of the public sector EBA such as ratios ie number of patients you would be expected to care for. Regards,Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Julie GarrattSent: Thursday, May 11, 2006 5:31 PMTo: ozmidwifery@acegraphics.com.auSubject: [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] Mastitis question
Hi, I am working as a lactation consultant at the moment, and find it difficult to help women that have not had success with antibiotics for mastitis or fluconazole for thrush. How does one get hold of this Phytolacca? Do you have to see a naturopath? What is the correct amount to have? I would be very interested to hear about this. Regards,Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Janet FraserSent: Thursday, April 27, 2006 7:46 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Mastitis question I fought off mastitis with a few hours of Phytolacca. I've seen it work complete miracles on chronic mastitis. J - Original Message - From: Kristin Beckedahl To: ozmidwifery@acegraphics.com.au Sent: Thursday, April 27, 2006 5:40 PM Subject: RE: [ozmidwifery] Mastitis question I was 'lucky' to experience mastitis 1st hand with bub at 7 mths. I did hot packs massage before and during feeds, and did ice packs on/off afterwards. I also pumped the breast inbetween feeds, and took Phytolacca 30 homeopathic throughout the day. AT night I took 2 panadol ( I had fever, chills and felt deadly!!) and went to bed. I was right as rein in the morning and very proud that I avoided anything more dramatic such as AB etc.. From: "Mary Murphy" [EMAIL PROTECTED]Reply-To: ozmidwifery@acegraphics.com.auTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Mastitis questionDate: Thu, 27 Apr 2006 11:57:04 +0800 I usually advise clients to the old adage heat, rest, empty the breast plus cabbage leaves plus or minus homeopathic Brauers Antinplex (anti-inflamation) or belladonna 6c. Usually correct positioning and free access to the breast = no mastitis, however some women do have problems and I usually look deeper then. This has to be handled very carefully and even if I suspect underlying baggage I may not bring it up. MM Vitamin C (and/or homeopathics) would be my first choice before anitbiotics. Here's how I heard about it from a friend: "A trick my midwife taught me for plugged ducts is to up your vitamin c. If you're justgetting "sore" - and not a full fledged infection just taking 1000mgfor a few days would be enough. If you get an infection take 4000mgof vit c and then 1000 every day for 7 days AFTER the infection isgone. Works beautifully." And it has worked wonderfully for me. I did take antibiotics (x2) when my 2nd daughter was a couple of weeks old and wish I had known about this then. With my 3rd daughter I used vitamin C only and it cleared it up quickly. Always would flare up on the days I had to walk daughter number 1 to school (overdoing it!). Cheers, Lea Mason, AAHCCCertified Bradley® Natural Childbirth Educator Labour Support Professionalhttp://www.birthsteps.com.au - Original Message - From: sharon To: ozmidwifery@acegraphics.com.au Sent: Tuesday, April 25, 2006 12:24 PM Subject: Re: [ozmidwifery] Mastitis question where i work we encourage women to express on the side that they are infected and continue feeding on the other side until the infection clears, the infection should be treated by antibiotics and if severe admission to hospital for iv antibugs. if the breastmilk has blood in it we discourage any breastfeeding whatsoever and get the mother to express all feeds until the infection passes she then can resume b/feeding when she feels better but ensure that the breast is always empty after feeding. regards sharon - Original Message - From: Megan Larry To: ozmidwifery Sent: Tuesday, April 25, 2006 10:03 AM Subject: [ozmidwifery] Mastitis question Can a mother pass on her infecton to her breastfeeding child when she has mastitis? Its just that I had what to me was obvious mastitis on Sat, quite a decent case of it, very sore breast, redness, fever, vomiting, quite ill. Still recovering on
RE: [ozmidwifery] Mastitis question
Hi Jo, I work at a hospital with RMOs who will prescribe it for us. We also have a very supportive pharmacy which subsidises the cost. A lactation consultant may be able to help you find a doctor who will prescribe it for you. Currently we only prescribe three doses of 150mgon alternate days. However, I don't think it is really enough. Some other places prescribe a loading dose and then daily doses for ten days. I have a reference at work I can get for you if you need it. Regards,Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Jo WatsonSent: Thursday, April 27, 2006 11:33 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Mastitis questionNicole, how do you get a doctor to prescribe fluconazole for thrush??? I have it again, and am going down the whole daktarin oral gel route again, plus vinegar to soak the dummies in when not in use. Jo On 27/04/2006, at 6:04 PM, Nicole Carver wrote: Hi, I am working as a lactation consultant at the moment, and find it difficult to help women that have not had success with antibiotics for mastitis or fluconazole for thrush. How does one get hold of this Phytolacca? Do you have to see a naturopath? What is the correct amount to have? I would be very interested to hear about this. Regards,Nicole.
RE: [ozmidwifery] Mastitis question
Also, when dealing with thrush diet seems very important, as does making sure baby is treated too, regardless of symptoms. Having suffered it with three babies, I didn't have any success until I treated them with daktarin gel as well, and also applied it tomy nipples after each feed.. However, the manufacturers are now saying that it cannot be given prior to six months, due to a problem with babies gagging on it.I am happy to give it if I apply it carefully, not just putting a 1/4 tsp in the mouth and expecting the baby to deal with it. The diet is a low sugar, low yeast one. Includes avoiding added sugar and high sugar containing foods, bread, vegemite, dried fruit, alcohol, peanuts, grapes, canteloupe. Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Jo WatsonSent: Thursday, April 27, 2006 11:33 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Mastitis questionNicole, how do you get a doctor to prescribe fluconazole for thrush??? I have it again, and am going down the whole daktarin oral gel route again, plus vinegar to soak the dummies in when not in use. Jo On 27/04/2006, at 6:04 PM, Nicole Carver wrote: Hi, I am working as a lactation consultant at the moment, and find it difficult to help women that have not had success with antibiotics for mastitis or fluconazole for thrush. How does one get hold of this Phytolacca? Do you have to see a naturopath? What is the correct amount to have? I would be very interested to hear about this. Regards,Nicole.
RE: [ozmidwifery] Mastitis question
Title: Mastitis question Hi, Normally you should breastfeed from both breasts with mastitis. The only exception, and I may stand corrected, is strep infection. The breast is very red, not your typical mastitis. It is verypainful and you feel quite ill. I have not seen mastitis at 22 months. It might be precipitated by something else, as usually the feeding would be fairly trouble free at that stage, I would imagine.When a woman has mastitis the milk needs to be kept moving. Babies are best for that! Expressing is really just the tip of the ice berg. A little blood does not hurt. If the baby vomits a little blood there is no harm done. Obviously if there is a lot it would be best to discontinue for 24 hours or so. The breast must be emptied though, or you run the risk of abscess formation. Sometimes the antibiotics taken by mum will upset the babies stomach. However, I suppose they are also protecting them to some extent. Regards,Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of sharonSent: Tuesday, April 25, 2006 12:24 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Mastitis question where i work we encourage women to express on the side that they are infected and continue feeding on the other side until the infection clears, the infection should be treated by antibiotics and if severe admission to hospital for iv antibugs. if the breastmilk has blood in it we discourage any breastfeeding whatsoever and get the mother to express all feeds until the infection passes she then can resume b/feeding when she feels better but ensure that the breast is always empty after feeding. regards sharon - Original Message - From: Megan Larry To: ozmidwifery Sent: Tuesday, April 25, 2006 10:03 AM Subject: [ozmidwifery] Mastitis question Can a mother pass on her infecton to her breastfeeding child when she has mastitis? Its just that I had what to me was obvious mastitis on Sat, quite a decent case of it, very sore breast, redness, fever, vomiting, quite ill. Still recovering on Monday when my breastfeeding 22 mth old developed a fever and vomiting. This morning he is quite recovered but no doubt will need a very quiet day still. So, is this a coincidence, or can the child become infected too? We were both rundown form a busy few weeks, so the rest was well needed, just wanted it without the misery. Thanks in advance Megan
RE: [ozmidwifery] Article: Premmie Babies 'Bed Blocking'
How sad. A more valid point to discuss is the suffering that some of these babies go through, which should be weighed against chance of survival and later quality of life. There is a lot that is done to these babies to keep them alive, that must must be incredibly painful and distressing. Good palliative care for some, would be far kinder in their brief lives than intercostal tubes, arterial lines, ventilation, gastric tubes, tape all over their face which pulls off their skin when changed, noisy, scary environmentsetc. However, what a heart rending decision to make. I am greatful for my three healthy children, born vaginally at term. No miscarriages or even any scares.How precious life is. Perhaps there should be more done in the prevention of prematurity, such as reducing the stress of pregnant women in lower socio-economic groups by running support groups and providing one to one midwifery care, and more intervention to help women stop smoking. Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Kelly @ BellyBellySent: Saturday, April 01, 2006 10:19 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Article: Premmie Babies 'Bed Blocking' This was apparently on Sky makes you sick to the stomach Fury Over Baby Comments Updated: 14:38, Monday March 27, 2006 Doctors have provoked controversy by suggesting premature babies should not always be treated because they are "bed blocking". They said that in some cases, premature babies born under 25 weeks should be allowed to die. The Royal College Of Obstetricians And Gynaecologists said space in neo-natal units was often in short supply. They said this was the result of "bed-blocking" by very sick premature babies. The Royal College said such beds could be better used to treat babies with a higher chance of survival than sick premature ones. Professor Sir Alan Craft, of the Royal College of Paediatrics, said: "Many paediatricians would be in favour of adopting the Dutch model of no active intervention for these very little babies. "The vast majority of children born at this gestation who do survive have significant disabilities. "There is a lifetime cost and that needs to be taken into the equation when society tries to decide whether it wants to intervene." However, premature babies charity Bliss described the idea as a "gross abuse of human rights". Chief executive Rob Williams said: "We might as well have a policy of not treating victims of car crashes which occur at over 50 miles an hour, or denying medical services to those over a certain age." __ Then this: Premature babies are blocking beds, says royal medical college By Amy Iggulden (Filed: 27/03/2006) Premature babies who need months of expensive care have been accused of "bed blocking" by one of Britain's royal medical colleges, it emerged yesterday. Sarah and James Cummings Sara Cummings and her son James, now a healthy five-year-old, who was born at just 24 weeks In a consultation document, the Royal College of Obstetrics and Gynaecology (RCOG) said that very premature babies were taking up intensive care space that could be used for healthier babies. The high demand from premature births means that some expectant mothers with potentially healthier babies are forced into other hospitals at a late stage, it said. Premature baby campaigners and mothers attacked the language used as "insensitive" and "a disgrace". In a report to the Nuffield Council on Bioethics, which is running a two-year inquiry into prolonging life in premature babies, the RCOG said: "Some weight should be given to economic considerations as there is a real issue in neo-natal units of "bed blocking"; whereby women have to be transferred in labour to other units, compromising both their and their babies' care." In the July 2005 report, it added: "One of the problems of the "success" of neo-natal intensive care is that the practitioners are always pushing the boundaries. "There has been a constant need to expand numbers of cots to cover the increasing tendency to try and rescue babies at lower and lower gestations." A spokesman for Bliss, the premature baby charity, criticised the RCOG for insensitive and "unhelpful" language. "The care of premature babies is already an area that is under-resourced and overstretched, and it is not helpful to suggest that their worth can be calculated in terms of money," she said. Kelly Sowerby, 29, from Tyne and Wear, Sunderland, who has had three premature babies - one at almost 23 weeks - who did not survive, said it was a "heartless disgrace" to suggest that premature babies were "bed blocking". "Even if the odds were tiny I wanted to fight for my son to have a single chance of life," she said. The RCOG
RE: [ozmidwifery] after birth pains
I have suffered with these pains, which can be as strong as labour pain, I'm sure mine was. The best thing I found was heating up a hot pack prior to starting to feed. Also taking a dose of soluble Panadeine at the same time. They only last two days or so. Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of lyn lynSent: Sunday, April 02, 2006 11:02 AMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] after birth pains Hi all I am seeing a mother G4P3 now at 36 weeks who has asked me if there is anything she can do about after birth pains. She had severe suffering after her last two and would like to avoid if possible. Can they actually be avoided. and if so could that mean that there is a risk that her uterus will not contract down strongly and therefore she may bleed heavily. A midwife I know talked about using coosh (not sure if blue or black, i have no experience with either). Supposed to be an antispasmodic, which may not be ideal if we want a contacted uterus. Thanks in advance for any help you may provide lyn
RE: [ozmidwifery] afterbirth pains
Hi Lyn, Voltaren PRmay have some impact, but the woman may not notice as I am sure after pains would still break through voltaren.A fast acting analgesic given pre feed maybe more appropriate, as at other times there is no pain at all. Might be worth a chat with a pharmacist. However, I finda hot pack is quite effective in taking attention away from the pain. It may also help to know that the pains are not going to last for long, and mean that she will lose less blood due to her very effective contractions. Anyone who has these pains does have my sympathy! Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of lyn lynSent: Sunday, April 02, 2006 12:02 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] afterbirth pains Thanks Nicole and Megan for your responses. Do you think that maybe voltaren pr would be of any help. lyn
RE: [ozmidwifery] brown sugar
Hi Alan, Well, sometimes doctors don't know everything, particularly about 'normal' matters. You could find info about this in most breast feeding books. The best indication of constipation is what the stool looks like, rather than frequency of passing motions. If the stool is soft, no problem. At least the doctor didn't order coloxyl, or something as harsh as that. Brown sugar is a common treatment, and works by drawing more fluid into the stool, but to be used only if really needed. I alsothink every second feed is quite excessive when it is used. And how long is this to be continued? Nicole Carver. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of AlanSent: Saturday, April 01, 2006 2:00 AMTo: OzmidwiferySubject: [ozmidwifery] brown sugar Can anyone point me to some research re brown sugar use for constipation? I have just started work at a small country hospital. A baby, after being born at 28 weeks has been returned to us. (now 36 weeks). This baby has not had a bowel motion for 7 days. After 3 days the doctor ordered ¼ tsp of brown sugar every second feed. This baby is being fed by EBM only. I told the doctor that it is not unusual for babies who are on breast milk often go for a week without passing a stool and was told that is rubbish. They should go every couple of days.
RE: [ozmidwifery] PPH C/S
Women also have PPH's at caesarean. Not sure if c/s would be safer. Perhaps she should see another ob for a second opinion. Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Kelly @ BellyBellySent: Saturday, April 01, 2006 4:27 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] PPH C/S Hello all, A woman on my forums has had two normal births of big babies 11lb3oz and 13lb5oz and had a PPH with both. Her Ob is now recommending a c/s with her third bub and wants a scan at 34 weeks as a deciding factor of this. She wants a normal birth is it okay just for her to say no without too much risk with PPH? Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support
RE: [ozmidwifery] Misoprostol
I would hate to see Misoprostil used for induction in women whose baby is alive, and actually haven't myself used it for induction when the baby has unfortunately died. However, I have seen it work extremely well when a woman is having a large PPH. The results are almost instantaneous. Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Lisa Barrett Sent: Monday, March 20, 2006 6:51 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Misoprostol it seems a little unethical to use an unlicensed drug on women unless we tell them.(Unlicenced to use on gravid women that is) Is this the case in any of your units. do you let women know that a.the drug you are going to use is a. unlicensed for that use b. contraindicated in pregnancy and lactation (information freely available on the net) c. if it's going to be used for induction the isn't really agreement about dose etc. etc. I find it hard to believe that any woman would actually want the drug even if some god like dr thinks it has to be available. Lisa - Original Message - From: Joy Cocks [EMAIL PROTECTED] To: Ozmidwifery ozmidwifery@acegraphics.com.au Sent: Monday, March 20, 2006 2:58 PM Subject: [ozmidwifery] Misoprostol I work in a very small hospital, covering acute, aged care, emergency, as well as midwifery. One of our GP obstetricians has requested that we have Misoprostol in stock (which we already have for acute patients) as all the hospitals now use it for post-partum bleeding. I would be interested to know how common this is as it is another off label use. I'm also concerned that it will then be a small step to use if for cervical ripening/IOL. I notice in Hale that it is a category L3 (moderately safe) whereas Ergometrine is L4 (possibly hazardous) in breastfeeding mothers. I'm remembering the olden days when Ergometrine tablets were used fairly routinely for women with incomplete 3rd stage or were passing clots - I don't remember the exact dose - but it was used over several days in reducing doses (I even had it myself 30 yrs ago!). Interested to hear any comments or research that anyone has regarding Misoprostol and post-partum bleeding (I'm assuming he means haemorrhage, not normal bleeding). Thanks, Joy Joy Cocks RN (Div 1) RM CBE IBCLC BRIGHT Vic 3741 email:[EMAIL PROTECTED] -- 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] RE: night shift
Hi Tanya, The worst night is usually the second night, and the worst time of night is between 3am and 5.30 ish. It is a good idea to try to have a couple of hours sleep late in the afternoon before the first night shift. Eat several small nutritious meals a day when you are on night duty, including 3 during the shift. Lay off the coffee or coke as much as you can. Take things to do like craft or easy reading. If you take something to do you will usually not have time to do it! Try not to sit down too much, go for a walk as often as you can. When you are sitting down try to keep alert by talking to your colleagues.Wear clothing that is loose around the middle (wind is a problem!) Drink lots of water. Tell your friends and family that you are not to be called or visited before 4pm at the earliest. Take your phone off the hook when you are trying to sleep. Also disconnect the door bell if possible. If you put a note on the door, be careful not to make it obvious that there is a sleeping female home alone. Maybe, "do not disturb, baby sleeping"! Ignore any one who does knock. If you wake up early, have a snack and a drink, maybe read for a while and then try again. If not at least have another lie down late in the afternoon. Good luck! Nicole Carver. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Tanya McPhailSent: Thursday, March 16, 2006 8:25 PMTo: ozmidwifery@acegraphics.com.auSubject: Hi all, I am a newly graduated Midwife, who has her first lot of night shift (5 shifts) coming up. Does anyone have a tips for me? How to sleep best during the day, how to stay awake and alert during the night? Thanks On Yahoo!7Messenger: Make free PC-to-PC calls to your friends overseas.
RE: [ozmidwifery] Blood clots after VBAC
Hi Kelly, Pain in the scar which persists in between contractions is a warning sign that the scar may actually be separating. Persistent pain afterwards could just be afterpains, but with bleeding in excess of normal might indicate that a scan would be necessary, particularly if the mum plans to have another baby. That is my opinion. I am sure there are others! Regards,Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Kelly @ BellyBellySent: Monday, March 06, 2006 9:13 AMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Blood clots after VBAC Hello all, I supported a close friend of mine in a natural VBAC on Saturday, where everything was perfectly fine (almost 10lber and only a small tear no stitches) until afterwards she had really bad afterpain and felt pain from what she said was her scar. When voltaren and panadeine didnt help, she had peth as she said the pain was just as bad as labour and wanted some relief. This helped and everything was fine, even breastfeeding went really well. She had a little extra blood loss but nothing excessive. Yesterday she passed three or four golf ball sized clots. The problem is that because based on one midwifes opinion verses several others, she is now not allowed into the Sofitel program with Frances Perry and has to stay in the maternity unit. She is really keen to go, feels well and while several midwives felt she would be fine, one midwife is telling her she will end up bleeding and back into hospital via ambulance. So my friend wants to know, if she can feel comfortable taking the decision into her own hands, as they have discussed this at length with her fill-in Ob (normal On was on holidays as of yesterday) and its been left in her hands to make a decision. She needs to make it this morning asap. Of course I am not going to tell her what to do but said I would find out some information to help her make her own decision. Also, during labour and obviously afterwards, she was telling me she was having bad pain from her scar. I know muscle moves but the scar doesnt is this what would cause that pain? Is it common in VBACs? Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - Click Here
RE: [ozmidwifery] Re: diabetes incipidus and breastfeeding
Hi Jo, No I typed in diabetes insipidus and combined the search with breast feeding. All I could get was that breast feeding is protective against juvenile diabetes. I think it is a fairly rare condition. Regards, Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Jo Bourne Sent: Tuesday, February 21, 2006 6:32 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Re: diabetes incipidus and breastfeeding Could it be that not results came up because of a typo? I googled the condtion and it is apparently spelt with an S not C. Most search engines fail to warn you of typos the way that google does... At 6:09 PM +1100 21/2/06, Nicole Carver wrote: Hi Barb, I did do a quick search of the LRC site with no luck. However, I still think they are the best bet, as they will know 'who might know'! Kind regards, Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Barbara H Stokes Sent: Monday, February 20, 2006 8:26 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Re: diabetes incipidus and breastfeeding Dear Lactational Consultants, Can anyone help with lactation establishment for Gravida 2 Para 1 coming in for induction tomorrow. Has diabetes incipidus, did not lactate last time, takes demopressin nasal sprays? Thankyou, Barbara Stokes, Parkes -- 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. -- 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 unsubscribe.
RE: [ozmidwifery] Re: diabetes incipidus and breastfeeding
Hi All, I followed Jo's link: http://www.diabetesinsipidus.org/faqs4.htm Neither CDI nor dDAVP treatment have any known adverse effect on pregnancy or the fetus. The incidence of miscarriage or fetal malformations appears to be no greater than in women without CDI. A mother with CDI will not pass the disease to her children unless she (or the father) have one of the familial (genetic) forms. Depending on the extent of pituitary damage, some women may have difficulties with labor or nursing, but these problems usually can be managed quite easily by the obstetrician.(I wonder how?) There are several other questions answered on the website. Worth a look for those interested. Seems there are a few types of Diabetes Insipidus, and it can be inherited by boys, and carried by females, due to the mutation being on the x chromosome.I have only had a brief look so far. Regards, Nicole. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Re: diabetes incipidus and breastfeeding
Hi Jo, I'll have a look, I'm sure Barb will too. Thanks, Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Jo Bourne Sent: Tuesday, February 21, 2006 8:33 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Re: diabetes incipidus and breastfeeding Just checking because of the typo in the subject line :-). DId you try looking a the Diabetes insipidus foundation website? They have a form you can fill out to ask a question about DI. http://www.diabetesinsipidus.org/ Also I couldn't access all of this article but it looks interesting: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrievedb=PubMedlist_ui ds=8489722dopt=Abstract cheers Jo At 7:52 PM +1100 21/2/06, Nicole Carver wrote: Hi Jo, No I typed in diabetes insipidus and combined the search with breast feeding. All I could get was that breast feeding is protective against juvenile diabetes. I think it is a fairly rare condition. Regards, Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Jo Bourne Sent: Tuesday, February 21, 2006 6:32 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Re: diabetes incipidus and breastfeeding Could it be that not results came up because of a typo? I googled the condtion and it is apparently spelt with an S not C. Most search engines fail to warn you of typos the way that google does... At 6:09 PM +1100 21/2/06, Nicole Carver wrote: Hi Barb, I did do a quick search of the LRC site with no luck. However, I still think they are the best bet, as they will know 'who might know'! Kind regards, Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Barbara H Stokes Sent: Monday, February 20, 2006 8:26 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Re: diabetes incipidus and breastfeeding Dear Lactational Consultants, Can anyone help with lactation establishment for Gravida 2 Para 1 coming in for induction tomorrow. Has diabetes incipidus, did not lactate last time, takes demopressin nasal sprays? Thankyou, Barbara Stokes, Parkes -- 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. -- 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 unsubscribe. -- 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 unsubscribe.
RE: [ozmidwifery] repair surgery and bf
So is the reasoning behind weaning to return hormones to a normal state?It's quite puzzling. Medications shouldn't be a problem to the baby. Was the woman given any more info than you have shared here? I would be looking at all options, and seeking a second opinion, and a good rationale for their recommendations, as I imagine anyone would. However, she sounds like she is in a very vulnerable state. What a horrible thing to happen.I hope those responsible are funding her surgery. Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Janet FraserSent: Tuesday, February 21, 2006 8:52 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] repair surgery and bf Hi all, a woman with horrific injuries inflicted during a ventouse has been told she can't have repair surgery unless she weans her 4 month old and waits 3 months. Her labia was torn off on one side, right up to her clitoris and she can barely walk, is on strong pain killers and the only thing she *can* do is bf. Her life has been shattered by this so she really needs surgery. Thoughts, please? TIA, J Joyous Birth Home Birth Forum - a world first!http://www.joyousbirth.info/ Attending births is like growing roses. You have to marvel at the ones that just open up and bloom at the first kiss of the sun but you wouldn't dream of pulling open the petals of the tightly closed buds and forcing them to blossom to your time line. ~Gloria Lemay~
RE: [ozmidwifery] repair surgery and bf
Good on you Vedrana! -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Vedrana Valčić Sent: Wednesday, February 22, 2006 12:58 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] repair surgery and bf How come episiotomies heal then? Are oestrogen levels then higher than later on? Vedrana -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jo Watson Sent: Tuesday, February 21, 2006 12:43 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] repair surgery and bf I'd definitely go to a plastic surgeon... an ob does baby and mum stuff... this seems to me like something more cosmetic ( not saying it like she's only getting it done for looks!!) Jo On 21/02/2006, at 7:21 PM, Janet Fraser wrote: She's been told by several Obs that the lower oestrogen in her system mean her vagina won't heal. It sounds like a crock to me. I've seen bf blamed for most things wrong with babies and mothers but this was a new one to me. :( - Original Message - From: Maxine Wilson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, February 21, 2006 10:15 PM Subject: RE: [ozmidwifery] repair surgery and bf Maybe I am being daft but what effect do lactational hormones have on surgery? I would also suggest another opinion or 2 - perhaps to a plastic surgeon also. Maxine -- 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] supplements during pregnancy
Hi Paivi, Iron should only be taken by women who are anaemic, or you can see they are heading that way (ie Hb going down.) Of course these women need full investigation too, with iron studies and a medical examination and history. There has been some question that giving iron to women who don't need it can lead to blood which is more viscid, and reduces the blood flow through the placenta. Folic acid on the other hand, drastically reduces the incidence of neural tube defects such as spina bifida and anencephaly, with a possible side effect of a small increase in the possibility of having twins. Women who have a history of a previous baby with a neural tube defects are prescribed higher doses. Folic acid should be taken pre-conception and for the first fourteen weeks. I don't see the need for any other supplementation than folic acid, unless the woman has a demonstrated deficiency or they are strict vegans, in which case I believe supplementation with B12 is recommended. Regards, Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Päivi LaukkanenSent: Wednesday, February 22, 2006 6:35 AMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] supplements during pregnancy Hi, I lived in US, when expecting my first one and there it was always in the magazines, that all women planning pregnancy or pregnant shouldtake folic acid supplements. Here in Finland we don't really hear about folic acid. It is mainly the iron, that is suggested during pregnancy. Or multivitamins. Pharmaceutical companies are recommending all sorts of stuff, but what really are the important ones... What kind of supplements do you midwives recommend for your clients to take during pregnancy and breastfeeding? Päivi Independent Childbirth educator Finland
RE: [ozmidwifery] supplements during pregnancy
Hi Paivi, I looked up the dose in 'A Midwife's Handbook' by Constance Sinclair, 2004. She recommends 400ug folic acid daily from 6-8 weeks prior to conception (presumably continue to 14 weeks post conception) and 4mg for women who have a past or family history of neural tube defects. I think it would be an important product to have in your store. Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Päivi LaukkanenSent: Wednesday, February 22, 2006 8:39 AMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] supplements during pregnancy Thank you for the information. Here in finland you can't get just folic acid on it's own. It always comes in a multivitamin or ironsupplement I guess. I would like to provide a reasonable product for Finnish women, so do you think, that I should seek for a plain folic acid product, and sell that in my store? Can you remember the daily recommendations for folic acid? Päivi - Original Message - From: Nicole Carver To: ozmidwifery@acegraphics.com.au Sent: Tuesday, February 21, 2006 11:00 PM Subject: RE: [ozmidwifery] supplements during pregnancy Hi Paivi, Iron should only be taken by women who are anaemic, or you can see they are heading that way (ie Hb going down.) Of course these women need full investigation too, with iron studies and a medical examination and history. There has been some question that giving iron to women who don't need it can lead to blood which is more viscid, and reduces the blood flow through the placenta. Folic acid on the other hand, drastically reduces the incidence of neural tube defects such as spina bifida and anencephaly, with a possible side effect of a small increase in the possibility of having twins. Women who have a history of a previous baby with a neural tube defects are prescribed higher doses. Folic acid should be taken pre-conception and for the first fourteen weeks. I don't see the need for any other supplementation than folic acid, unless the woman has a demonstrated deficiency or they are strict vegans, in which case I believe supplementation with B12 is recommended. Regards, Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Päivi LaukkanenSent: Wednesday, February 22, 2006 6:35 AMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] supplements during pregnancy Hi, I lived in US, when expecting my first one and there it was always in the magazines, that all women planning pregnancy or pregnant shouldtake folic acid supplements. Here in Finland we don't really hear about folic acid. It is mainly the iron, that is suggested during pregnancy. Or multivitamins. Pharmaceutical companies are recommending all sorts of stuff, but what really are the important ones... What kind of supplements do you midwives recommend for your clients to take during pregnancy and breastfeeding? Päivi Independent Childbirth educator Finland
RE: [ozmidwifery] Re: diabetes incipidus and breastfeeding
Hi Barbara, This is a very interesting question. I have not come across diabetes insipidus in a breast feeding woman before. I have looked up my books and surfed the internet. It will be a very delicate balancing act, as diabetes insipidus is a lack of anti-diuretic hormone (nothing to do with diabetes mellitus, except you pee a lot), resulting in problems with fluid balance. Fluid balance obviously is important for milk production (and many other things).It appears safe to take vasopressin and breast feed. Vasopressin (antidiurectic hormone) is apparently similar in some ways to oxytocin, with each sometimes producing effects on the other. I think it may be helpful to contact the Lactation Resource Centre to get some quality information to guide the mother and her care givers. There may be a small fee. I will paste their link into this email. Good luck. I would be very interested to hear what information you find. http://www.breastfeeding.asn.au/default.htm Regards, Nicole IBCLC. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Barbara H Stokes Sent: Monday, February 20, 2006 8:26 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Re: diabetes incipidus and breastfeeding Dear Lactational Consultants, Can anyone help with lactation establishment for Gravida 2 Para 1 coming in for induction tomorrow. Has diabetes incipidus, did not lactate last time, takes demopressin nasal sprays? Thankyou, Barbara Stokes, Parkes -- 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] prison birthing
Hi Amy, The women who birth at our hospital from the local minimum security prison are not guarded. They are visited once a day, and have to sign a form. Some of them love being in hospital, because it is a more normal environment for their children to visit. Some will try to stay longer for this reason. I find the whole thing heartbreaking. They can keep children with them up until age four. They are usually housed with other women who have children in the prison. Regards, Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of adamnamySent: Wednesday, February 08, 2006 1:22 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] prison birthing Do any of you midwives out there know how birth happens for pregnant women in Australian prisons? Are they transferred to hospital or are they required to stay in the prison health service. I have been reading an Amnesty report of the abuses of pregnant and laboring women in the US (it is available through Sheila Kitzinger’s website for anyone who is interested). I am keen to know what similarities exist for Australian women. I thought fetal monitoring and a drip was bad enough-try giving birth being chained to a bed-not knowing how long you can cuddle your baby for before she is removed! That breaks my heart. Amy From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of EmilySent: Wednesday, February 08, 2006 8:10 AMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] yoga video hi everyone funny photo attached that shows what happens if your baby doesnt get enough food ! i found this while looking for photos for an infant nutrition seminar im doing for uni next week. does anyone still have that short movie of the yoga mum where the baby crawls up and has a feed while shes upside down?? id love to include that :) if anyone has it they can send it direct to me at [EMAIL PROTECTED] thanks emily Brings words and photos together (easily) withPhotoMail - it's free and works with Yahoo! Mail. --No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.375 / Virus Database: 267.15.2/252 - Release Date: 2/6/2006 --No virus found in this outgoing message.Checked by AVG Free Edition.Version: 7.1.375 / Virus Database: 267.15.2/253 - Release Date: 2/7/2006
RE: [ozmidwifery] Post cs support
Title: Message Hi Amy, You have shared some amazing insights (some would say they should not be amazing) and I wonder if I could have your permission to share them with my colleagues and students? De-identified if you wish. Happy for you to reply to [EMAIL PROTECTED] either way. Kind regards, Nicole Carver, Midwife. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of adamnamySent: Saturday, February 04, 2006 2:17 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Post cs support On the subject of traumatized women…my two cents When I was 22 and pregnant for the first time, I had an innate fear, more like terror really of going to hospital for the birth. I don’t know what drove me to so actively avoid a hospital birth but I just knew that it would be an experience that triggered feelings of being assaulted and overpowered. It was my during my booking visit when the male doctor lifted my dress and casually remarked “I’m just going to feel your breasts now” that I realized how disempowered all women are in this process-one which belongs to them ironically enough! I saw the midwife cringing in the corner, feeling acutely aware of his insensitivities but speechless and feeling powerless to act in my defense. He (the doctor) just seemed to have no idea that you actually need to get permission from a person before you cross into their private spaces, and that something of a respectful rapport is useful (he had spent the previous 10 minutes chastising me for my fear of needles and sternly telling me that I “had no choice” about having blood tests for this and that reason. But back to the carefree hands bit…I sat bolt upright and said “no your not” I decided then and there that I didn’t not want any interference because it was inherently disempowering and the doctors attitude patronizing. I knew I needed encouragement, nurturing, information and most of all, for the experience to transform me I needed a healing birth experience. Any woman who has experienced sexual trauma (and let’s face it…that’s a lot of us!) will always need gentle handling. The tiny snippet of hospital based care I saw was definitely not that! Now when I listen to “mainstream birthing” women talk about birth, I hear the language of submission. “My ob decided such and such” or “they told me I had to…..” or “they made me birth on my back”. It is always something “being done” to her; she rarely describes herself as the active participant. It actually makes me feel sick to hear it. By and large women just aren’t making their own choices and most of the time I suspect they are not supported by partners, doctors or even midwives when they do. When are we all going to realize that the choices made on our behalf, about our bodies and our babies are sometimes made by someone with conflicting interests, a different agenda and really bad, archaic research to back it up? My experience of hospitals (and I work in one as a nurse, not midwife…yet) is that often we nurses still don’t have the confidence to challenge the old medical dinosaur. Women need good information and solid back-up from their midwives (I know that I am preaching to the converted here). And midwives need to do that boldly, shamelessly and confidently, or we give women the idea that it is “naughty” to have a different view, or to challenge the status quo. Had the midwife I spoke of earlier had the guts to say pull the doctor up on his insensitivity at the time (do they hesitate to tell us when they think we have erred?) I may have had more confidence in the system. But as it turned out my choice was a good one and the older I get the more convinced I become that the machine we call “maternity care” is not “care” at all. We might as well call them “baby factory units” because the reality is; they are more like factories than places where women are cared for holistically. The changes that we are seeking here have boundaries that stretch far beyond the walls of any maternity unit. We women still face sexism in a multitude of ways that we either try to ignore or pretend don’t exist. However this has to be one of the crucial battlefields for women in the recovery of their autonomy and freedom. It will take a long time…but I am prepared to see it through. And in the mean time I recommend independent midwives and homebirth to any one inspired by my beautiful, healing homebirth. Some times I hesitate to tell my story because it must appear blissfully utopian in contrast to some women’s experiences. But maybe those traumatized women want to hear that such a birth is possible, so I tell it as plainly and gently as I can-always hopeful that they might have the confidence in themselves, their bodies and their babies to birth
RE: [ozmidwifery] Post cs support
HI Mary, I remember reading about that research and being surprised. I have discussed it with the psych nurse employed where I work, who spends time nearly every day with women who have experienced traumatic births (or perceived them to be even when we might not have called them such). She feels it does help. Even one visit can help women who want to understand what happened to them and why. Some require much more, and thankfully our maternity support workers are great with these women. However, it is a tragedy that we need to have these workers. They do also work with antenatal and postnatal depression. I can't remember the specifics, but I don't recall being particularly impressed with the methodology of the study that you mention. And if women want to talk about their experience they should be able to, whether it is formal debriefing or whatever. I suppose you don't want to treat all women the same, ie what is appropriate debriefing for one woman, would not necessarily work for another. If you did try to treat them the same it would not be surprising if it did not work. Nicole Carver. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Mary MurphySent: Saturday, February 04, 2006 10:59 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Post cs support I believe there is some research out there that looked at de-briefing women after birth, particularly traumatic births. As I remember it, the research did not show that this debriefing had particularly helpful outcomes. Of course it is all in the Who, the When and the How. Does anyone remember it? Mary Murphy Andrea wrote: Any suggestions. Should all women have a follow up appointment with the midwife who was at her birth, is this appropriate as they may have been part of the problem, should all women have a follow up appointment but the woman be allowed to choose who she wants the appointment with, at what stage would this be appropriate, 2 weeks, 8 weeks 3 months? How does this fit with the MCH nurses who are now involved in the woman's on going care? How does her doctor, be it her own GP, obst or the one who attended (or not) her birth be involved in this?
RE: [ozmidwifery] Weight gain in pregnancy
Hi Amanda, As I said, the risks are small, and decreasing all the time. I was stating that the information that we have (about toxins being released into the blood streamwhen weight is lost by women who are breast feeding) should be a caution to anyone who wishes to intentionally lose a large amount of weight when pregnant or breast feeding.I would never ever suggest that women should stop breastfeeding because of fear of these toxins, unless the risk outweighed the benefits, and I would not be the judge of that. Kind regards, Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of SynnesSent: Sunday, January 29, 2006 6:02 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Weight gain in pregnancy I was always told that one of the best ways to get rid of extra pregnancy kilo's (usually stored as fat)was to breastfeed? whether your start weightat the beginning of pregnancy was110kg or 50kgthere will be excess fatin the body, should we stop breastfeedingfor fear of these toxins? Some women like me (luckily, but only for the first month) lose weight after giving birth very rapidly without even trying, I droped 18kg in two weeks after my second baby was born (I am also overweight). Mothers and Mothers-to-be have enough stress as it is without this, I say- baby healthy, mum healthy then job well done on her behalf! Aren't theremore toxins in the air we breath than thosereleased by fat cells inweight loss? Amanda - Original Message - From: Nicole Carver To: ozmidwifery@acegraphics.com.au Sent: Sunday, January 29, 2006 1:34 PM Subject: RE: [ozmidwifery] Weight gain in pregnancy Hi all,I have been through my lactation textbooks, which are getting a bit ancient I must admit, regarding the safety or otherwise of dieting in pregnancy question. I was able to find a reference to toxins in breastmilk in Breastfeeding Matters by Maureen Minchin on p28-30 "A baby's exposure to toxins may be increased if his mother diets sufficiently to break down body fat during lactation, as fat-soluble chemicals may be excreted in milk. Hence mothers should not aim at rapid weight loss during lactation. " It is easier for chemicals to get to the foetus than it is for them to get to breast fed infants, so one may assume that there is some degree of risk during pregnancy from dieting IF there are pesticides in the mother's fat stores. It may be difficult to assess the degree of risk for a particular woman, but loss of large amounts of fat, particularly fat that has been there a long time,during pregnancy may be inadvisable. I have been trawling through some websites I obtained from a google search and it seems that pesticides in human milk (and presumably in everyone's bodies) are dropping, as many have been banned from use. However the number of sites that I found indicate that this has been of concern to many poeple. Worth a look, but I think the risks are fairly small unless a woman has been working with the chemicals herself or perhaps if she lives on a farm where they have used a lot of these chemicals in the past (they take a long time to break down). On the other side of the coin, I did some searches about dieting in pregnancy and came up with this website for plus-size women:http://www.plus-size-pregnancy.org/Dieting_and_Pregnancy.html#Dieting%20During%20Pregnancy The other websites which mentioned dieting in pregnancy advised against it due to the additional nutritional requirements of the mother due to the needs of the fetus and physiological changes in the mother. Personally, I always lose weight (up to 10kg) at the start of my pregnancies due to 'morning sickness'. I usually regain this weight, plus a little more, mainly in the last month. My pregnancy outcomes seem to be fine (kids now 7-19 years old). From all of this I think it probably inadvisable to lose large amounts of weight during pregnancy, and particularly for women who may have had exposure to harmful chemicals. However, a smallweight loss, such as that achieved by Judy's friend (6kg), particularly if they are gradual, might be OK. It seems like an area that could do with some more research, however, it is not a topic that lends itself to a randomised controlled trial! Regards, Nicole. No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.375 / Virus Database: 267.14.23/243 - Release Date: 1/27/2006
RE: [ozmidwifery] Weight gain in pregnancy
HiSamantha,
Thanks for that info. We have a new computer
programme at my workplace called BOS. It calculates women's BMIs (amongst other
things), so this will be interesting for us to look at.
Regards,
Nicole.
-Original Message-From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]On Behalf Of Samantha
SayeSent: Sunday, January 29, 2006 8:35 PMTo:
ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Weight
gain in pregnancy
Hi all,
I'm amidwifery student, and last semester completed an
assignment on nutrition and weight gain in pregnancy. I repeatedly
foundliterature that advised against losing weight in pregnancy
because of all of the reasons that have already beendiscussed on
this thread, such as the release of toxins, and the factthat an
"overweight" woman does not necessarily mean someone who is less healthy
than someone who is deemed "slim". The key seemed to be adequate
nutrition more than anything else.
I found aguideline that recommended that women who had a BMI
of less than 19.8 should gain between 12.5 to 18kg, BMI 19.8 - 26
(11.5-16kg) BMI 26-29 (7-11.5kg) and BMI larger than 29 (at least
7kg). I dont have a reference for this info, but am happy to share
other references i found for the assignment.
Samantha
---Original
Message---
From: Nicole Carver
Date: 01/29/06
20:13:02
To: ozmidwifery@acegraphics.com.au
Subject: RE:
[ozmidwifery] Weight gain in pregnancy
Hi Amanda,
As I said, the risks are small, and decreasing all the time. I
was stating that the information that we have (about toxins being
released into the blood streamwhen weight is lost by women who are
breast feeding) should be a caution to anyone who wishes to
intentionally lose a large amount of weight when pregnant
or breast feeding.I would never ever suggest that women should
stop breastfeeding because of fear of these toxins, unless the risk
outweighed the benefits, and I would not be the judge of that.
Kind regards,
Nicole.
-Original Message-From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]On Behalf Of
SynnesSent: Sunday, January 29, 2006 6:02
PMTo: ozmidwifery@acegraphics.com.auSubject: Re:
[ozmidwifery] Weight gain in pregnancy
I was always told that one of the best ways
to get rid of extra pregnancy kilo's (usually stored as fat)was to
breastfeed? whether your start weightat the beginning of
pregnancy was110kg or 50kgthere will be excess fatin
the body, should we stop breastfeedingfor fear of these
toxins? Some women like me (luckily, but only for the first month)
lose weight after giving birth very rapidly without even trying, I
droped 18kg in two weeks after my second baby was born (I am also
overweight). Mothers and Mothers-to-be have enough stress as it is
without this, I say- baby healthy, mum healthy then job well done
on her behalf!
Aren't theremore toxins in the air we
breath than thosereleased by fat cells inweight
loss?
Amanda
- Original Message -
From:
Nicole Carver
To: ozmidwifery@acegraphics.com.au
Sent: Sunday, January 29, 2006 1:34
PM
Subject: RE: [ozmidwifery] Weight
gain in pregnancy
Hi all,I have been through my lactation
textbooks, which are getting a bit ancient I must admit, regarding the
safety or otherwise of dieting in pregnancy question. I was able to find
a reference to toxins in breastmilk in Breastfeeding Matters by Maureen
Minchin on p28-30 "A baby's exposure to toxins may be increased if his
mother diets sufficiently to break down body fat during lactation, as
fat-soluble chemicals may be excreted in milk. Hence mothers should not
aim at rapid weight loss during lactation. " It is easier for chemicals
to get to the foetus than it is for them to get to breast fed infants,
so one may assume that there is some degree of risk during pregnancy
from dieting IF there are pesticides in the mother's fat stores. It may
be difficult to assess the degree of risk for a particular woman, but
loss of large amounts of fat, particularly fat that has been there a
long time,during pregnancy may be inadvisable.
I have been trawling through
RE: [ozmidwifery] Weight gain in pregnancy
Hi all,I have been through my lactation textbooks, which are getting a bit ancient I must admit, regarding the safety or otherwise of dieting in pregnancy question. I was able to find a reference to toxins in breastmilk in Breastfeeding Matters by Maureen Minchin on p28-30 "A baby's exposure to toxins may be increased if his mother diets sufficiently to break down body fat during lactation, as fat-soluble chemicals may be excreted in milk. Hence mothers should not aim at rapid weight loss during lactation. " It is easier for chemicals to get to the foetus than it is for them to get to breast fed infants, so one may assume that there is some degree of risk during pregnancy from dieting IF there are pesticides in the mother's fat stores. It may be difficult to assess the degree of risk for a particular woman, but loss of large amounts of fat, particularly fat that has been there a long time,during pregnancy may be inadvisable. I have been trawling through some websites I obtained from a google search and it seems that pesticides in human milk (and presumably in everyone's bodies) are dropping, as many have been banned from use. However the number of sites that I found indicate that this has been of concern to many poeple. Worth a look, but I think the risks are fairly small unless a woman has been working with the chemicals herself or perhaps if she lives on a farm where they have used a lot of these chemicals in the past (they take a long time to break down). On the other side of the coin, I did some searches about dieting in pregnancy and came up with this website for plus-size women:http://www.plus-size-pregnancy.org/Dieting_and_Pregnancy.html#Dieting%20During%20Pregnancy The other websites which mentioned dieting in pregnancy advised against it due to the additional nutritional requirements of the mother due to the needs of the fetus and physiological changes in the mother. Personally, I always lose weight (up to 10kg) at the start of my pregnancies due to 'morning sickness'. I usually regain this weight, plus a little more, mainly in the last month. My pregnancy outcomes seem to be fine (kids now 7-19 years old). From all of this I think it probably inadvisable to lose large amounts of weight during pregnancy, and particularly for women who may have had exposure to harmful chemicals. However, a smallweight loss, such as that achieved by Judy's friend (6kg), particularly if they are gradual, might be OK. It seems like an area that could do with some more research, however, it is not a topic that lends itself to a randomised controlled trial! Regards, Nicole.
RE: [ozmidwifery] Weight gain in pregnancy
One concern which has been raised about loss of fat during pregnancy, is the release of toxins which are stored in fat. I would imagine it would be best (perhaps not always possible) to lose weight well prior to conception so that these toxins are out of mum's system. Regards, Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Judy Chapman Sent: Friday, January 27, 2006 11:04 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Weight gain in pregnancy One of the women I cared for last year decided to lose some weight while she was pregnant and got hold of the weight watchers diet (couldn't join officially because of pregnancy), which, as most would know is just good balanced eating, and combined it with lots of walking and lost about 6 kg while she was doing this. This translated to a large loss of fat and she looked and felt really good because of it. Her baby was 4kg and healthy. It helped that she was staying with her Mum (husband was in Iraq) who also followed the diet with her (and got her cholesterol down to the best it has been in years), and her sister owns a gym so supervised the exercise. What most of us think of as dieting where we really cut the calories to low levels does not give us the necessary nutrition for pregnancy but balanced eating and cutting out the rubbish that may have contributed to the weight gain should give good results. Cheers Judy --- Kylie Holden [EMAIL PROTECTED] wrote: I have another question for you all! I know a woman who is pregnant, currently about 27 weeks. She has been told by her doctor that as she is very overweight (100+kg) she should put on as little weight as possible during pregnancy. At 27 weeks she has only put on three quarters of a kilo, and doctor is very pleased! I didn't know what to say to her. Is such a small weight gain safe for the baby? According to the textbooks, average weight gain is 3-4kgs in the first 20 weeks and then half a kilo every week after that (of course, wide variances occur and every woman is different), but the books that I have don't say if it's different for obese women. Less than a kilo of weight gain at 27 weeks...any thoughts? Thanks Kylie _ realestate.com.au: the biggest address in property http://ninemsn.realestate.com.au -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. Do you Yahoo!? Take your Mail with you - get Yahoo! Mail on your mobile http://au.mobile.yahoo.com/mweb/index.html -- 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] wasIV Synto for 3rd stage now rectal temps
Hi all, There are other ways to handle the risk of missing an imperforate anus.I knowa case of a baby dying from meconium ileus due to cystic fibrosis.It was quite some time before it was realised that the baby had not passed meconium.That workplace now has a sticker on the baby's chart which must be completed by 24hours post birth stating whether or not the baby has passed urine or meconium, and if not, to document that a paediatrician has been notified. (I could probably get you a sample if you would like to show it to your paed.) Then if any invasive measures are taken, at least they may be justified, rather than subjecting all babies to the indignity and discomfort of having something passed into their rectum. Kind regards, Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Alesa KoziolSent: Tuesday, January 24, 2006 6:37 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps Please be assured that I am not killing the messanger here...but really, are you really telling me that at your site all newborn infants are subjected to an invasive process because once upon a time a single baby had a problem? Alesa - Original Message - From: "sharon" [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, January 24, 2006 9:03 AM Subject: Re: [ozmidwifery] IV Synto for 3rd stage at the hospital i work in the paediatrician/neonatologist inisit on all newborns have a rectal temp done for the first temp. i have been told when questioning this from the clinical learning co-ordinator that there once was a baby who had a imperferated anus and this was not picked up until too late and the baby became very sick so it is protocol. also i was told that there is a difference in temperature as when i looked this subject up for my own interest if you take a temp axilla there is also many other factors which come into play such as the air temp and if the thermometer is accurately placed. the references i cant remember but the evidence suggested that for a accurate reading we should be taking temperatures rectally for infants and orally for adults not axilla and certainly not be the fold at the back of the newborns neck. regards - Original Message - From: "brendamanning" [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, January 24, 2006 12:11 AM Subject: Re: [ozmidwifery] IV Synto for 3rd stageHow amazing, rectal temps are so archaic ! I thought they went out with PR exams to assess dilation. Poor you ! Keep questioning, that's how change happenseventually. With kind regards Brenda Manning www.themidwife.com.au - Original Message - From: "Kylie Holden" [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, January 23, 2006 11:42 PM Subject: Re: [ozmidwifery] IV Synto for 3rd stage All debates regarding active v. physiological third stage aside, I was referring to women who have had a jelco put in for whatever reason (IV antibiotics in labour, epidurals, etc). I completely agree with you Brenda, that the number of women who didn't get their "required" dose of synto and who go on and have a (semi) physiological third stage are evidence in favour of safe, "normal" 3rd stage. Unfortuately this particular hospital doesn't take too kindly to students coming in and questioning their protocols! We learnt that the hard way when we (as students) tried not to take babies first temps rectally...a protocol was soon put in place that this MUST occur! Kylie From: "brendamanning" [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] IV Synto for 3rd stage Date: Mon, 23 Jan 2006 15:18:48 +1100 Kylie, We are presuming these are all high risk women you are dealing with as otherwise there would be no need for her to have a jelco in place ? I am including women who have epidurals in this category as this automatically makes them high risk once they've deviated from the 'body driven' course of labour. Otherwise... Why would a low risk woman : a. have a jelco in situ during labour ? b. need an oxytocic ? So assuming she is high risk you need to be very sure she gets the oxytocic, she really needs it as her body has had its input overridden by the initial intervention so it makes sense to flush the tubing ensure the accurate therapeutic dose is received. Maybe you might put some thought out there in your workplace about how all those women whose MW didn't flush they therefore didn't actually get their synt (or got a reduced/minimal amount) managed to have a
RE: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps
Following a hospital protocol unfortunately is no protection if the protocol is wrong and you are aware. Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of sharon Sent: Tuesday, January 24, 2006 8:20 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps yes all babies are subjected to a once only pr temp as per the hospital protocol and as i have said before it would be negligant not to follow protocol while working at a institution. regards - Original Message - From: Kylie Holden [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, January 24, 2006 6:40 PM Subject: Re: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps I'm afraid so... I don't actually work there, these are experiences as a student. Not sure if the hospital I'm talking about is the same as Sharon's, but the story is the same. Kylie From: Alesa Koziol [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps Date: Tue, 24 Jan 2006 18:37:03 +1100 Please be assured that I am not killing the messanger here...but really, are you really telling me that at your site all newborn infants are subjected to an invasive process because once upon a time a single baby had a problem? Alesa - Original Message - From: sharon [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, January 24, 2006 9:03 AM Subject: Re: [ozmidwifery] IV Synto for 3rd stage at the hospital i work in the paediatrician/neonatologist inisit on all newborns have a rectal temp done for the first temp. i have been told when questioning this from the clinical learning co-ordinator that there once was a baby who had a imperferated anus and this was not picked up until too late and the baby became very sick so it is protocol. also i was told that there is a difference in temperature as when i looked this subject up for my own interest if you take a temp axilla there is also many other factors which come into play such as the air temp and if the thermometer is accurately placed. the references i cant remember but the evidence suggested that for a accurate reading we should be taking temperatures rectally for infants and orally for adults not axilla and certainly not be the fold at the back of the newborns neck. regards - Original Message - From: brendamanning [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, January 24, 2006 12:11 AM Subject: Re: [ozmidwifery] IV Synto for 3rd stage How amazing, rectal temps are so archaic ! I thought they went out with PR exams to assess dilation. Poor you ! Keep questioning, that's how change happenseventually. With kind regards Brenda Manning www.themidwife.com.au - Original Message - From: Kylie Holden [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, January 23, 2006 11:42 PM Subject: Re: [ozmidwifery] IV Synto for 3rd stage All debates regarding active v. physiological third stage aside, I was referring to women who have had a jelco put in for whatever reason (IV antibiotics in labour, epidurals, etc). I completely agree with you Brenda, that the number of women who didn't get their required dose of synto and who go on and have a (semi) physiological third stage are evidence in favour of safe, normal 3rd stage. Unfortuately this particular hospital doesn't take too kindly to students coming in and questioning their protocols! We learnt that the hard way when we (as students) tried not to take babies first temps rectally...a protocol was soon put in place that this MUST occur! Kylie From: brendamanning [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] IV Synto for 3rd stage Date: Mon, 23 Jan 2006 15:18:48 +1100 Kylie, We are presuming these are all high risk women you are dealing with as otherwise there would be no need for her to have a jelco in place ? I am including women who have epidurals in this category as this automatically makes them high risk once they've deviated from the 'body driven' course of labour. Otherwise... Why would a low risk woman : a. have a jelco in situ during labour ? b. need an oxytocic ? So assuming she is high risk you need to be very sure she gets the oxytocic, she really needs it as her body has had its input overridden by the initial intervention so it makes sense to flush the tubing ensure the accurate therapeutic dose is received. Maybe you might put some thought out there in your workplace about how all those women whose MW didn't flush they therefore didn't actually get their
RE: [ozmidwifery] Vaginal breech in hospital
Hi Sue, What a wonderful example of how breech birth can be! Is it ok to share your story with my colleagues in my local sub branch of ACMI? Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Sue Cookson Sent: Tuesday, January 24, 2006 9:31 AM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Vaginal breech in hospital Hi all, Had the honour of assisting a 38 year old primip to successfully birth her breech baby vaginally yesterday in a large hospital. She has been told she had to have a c/section but negotiated her way to trying a vaginal delivery. We drew up birth plan specifying freedom of position, midwife delivery, intermittent auscultation, no episiotomy, physiological third stage etc. Went into labour on her due date with the baby sitting with its bottom and right foot at the cervix. Arrived at the hospital amidst a flurry of panic but after presenting them with the birth plan and the 'team' arriving - myself as support person and a friend as filmmaker - the staff settled down to document the plan including refusal of elective c/section, choice to have no epidural, no CTG, etc. A FANTASTIC Indian female registrar arrived and showed genuine excitement at the prospect of a breech birth. The couple then agreed to a PV and ultrasound just to confirm baby's position. She was 8cm with intact membranes, and bottom and foot palpable - baby was 'a nice size' according to the registrar 'G'. There were a few midwives always around but it was G who forged a relationship with us all and was incredibly respectful of the woman's choices. The midwives showed concern when G could palpate the foot but G was fine. We discussed the choice to birth upright and it was agreed that we would assist the mother into a more 'conventional' position if it was required. So labour continued with a few more hours in transition during which time baby rotated to the anterior. We changed positions often and it was whilst in the bath that the membranes ruptured with fresh meconium appearing. Another VE was performed briefly and foot and bottom were close to crowning. We were on the floor with the mother supported upright, using mirrors to watch progress and the first foot began to appear at 5.30pm. I had a closer look and found a second foot. The baby appeared slowly, double footlings breech and G gently assisted the baby's head to birth at 5.45pm. The placenta followed the baby out, so although we'd had good cord pulse a few minutes before the baby was certainly on his own at birth. Baby was minimally resuscitated - away from the mother which was my only slight criticism, but very understandable - and G actually helped the mother to move across the floor to the resus trolley. WOW!! Baby had apgars of 6, then 9 and is just fine. 6lb 11oz. Peri intact, lotus birth... G stated that she had delivered many breech babies in India and New Guinea and I believe she was an obstetrician overseas but not in Australia. She was excited at delivering an upright breech as she had only ever delivered them in obstetric positions before. She was also very OK about the lotus birth which was a different response for that hospital. It was a wonderfully affirming birth - a testament to my belief of being informed, prepared and corageous too!! I am very aware that this birth hinged on G being in attendance - I truly doubt that many other practitioners would have shared her enjoyment of the challenge of this birth. Her experience in other countries was so vital ... it is possible that she put her hand up for this birth when it was discussed a week or so before (the parents had a two hour meeting with another doctor and obstetrician - the ob stated he would not support their decision, so it truly was an amazing outcome!!). Hail to those women who stand strong in their belief of normal birth and also to those of us who can support them. I really felt honoured to be there. I hope by telling this story that more women and midwives may feel encouraged to attempt to negotiate their way through the obstetric maze which surrounds vaginal breech births. 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.
[ozmidwifery] care providers in Windsor region, NSW.
Hi all, Can anyone tell me the maternity care options in the Windsor region of NSW? I have a sister in law who lives at Cattai, near Windsor who has been getting pressure from her GP to choose 'her obstetrician'. What other options are available in the area? Any advice would be much appreciated. Nicole. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] belly dancing midwives:)
HI Julie, Pilates I have done, belly dancing, no, but would like to try it one day. Pilates is fantastic for your back and easy to do. I love an exercise called the roll down, which involves starting in a standing position with your feet and body in alignment, and then putting your chin on your chest, and gradually rolling your spine down one vertebra at a time until your fingers brush the floor. You only move as you breathe out, stopping while you breathe in. Once you have had a little relax at the bottom, you come up one by one, again only with a breath. Stopping as many times as you need to take another breath. I love it, because it is also relaxing focussing on the breathing. There is of course a lot more to Pilates, and a class with a good instructoris definitely the way to go. I had a back injury, which was exacerbated by spending too long at the computer (still haven't learnt!)There was a Pilates class where I was studying at the time, and I went twice a week, along with most of the staff from the University's library, and a few young students.It's not a work out like you get in the gym, but it gives your muscles a good stretch, realign and strengthen.It got me through. Good luck. Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Julie GarrattSent: Wednesday, January 04, 2006 10:59 AMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] belly dancing midwives:) Hi all, I've just started work as a midwife and I think I need some exercise to strengthen my back, feeling a bit stiff after catching babies in the shower, bath, floor, birth stool ect. I think it is a sustainability issue of practice, a good strong back. I don't ever want my physical ability to dictate how a woman wants to birth. Anyone tried pilates or belly dancing? Any other good suggestions? Ta Julie:)
RE: [ozmidwifery] Peaceful birth
Title: Re: [ozmidwifery] Peaceful birth Justine, Congratulations to you, your family and your support team, on the birth of your beautiful girls. We have never met, but I am in awe of your belief in birth as a normal process. You are an inspiration.Thankyou for sharing with us. Nicole Carver. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Justine CainesSent: Tuesday, December 06, 2005 11:05 PMTo: OzMid ListSubject: Re: [ozmidwifery] Peaceful birthDear AllHeres the news and even a little pic! Thank you all so much for your lovely wishes!JCxx http://au.geocities.com/homebirthau/twins.html
RE: [ozmidwifery] CF screening
Hi Robyn, I'm sorry if it seemed as though I was judging. I will try to explain what I was trying to say. It's a very complex decision to make regarding testing, because it implies that you will terminate if the baby has cystic fibrosis. I suppose a pregnancy is only a potential life, as even without any inherited or congenital disorders, and despite all the tests and treatments available, there are no guarantees of a perfect outcome. I am a Maternal and Child Health Nurse, so know a little about Cystic Fibrosis from working with families who have experienced it. I know that there are varying degrees of severity, with some people living well into their fifties while others don't make it very far at all. I think it would be hard to terminate a pregnancy for me after having one child with any abnormality as you have a relationship with that child, not the abnormality. Terminating a subsequent pregnancy for me wouldbe a tragic decision to make (not saying at all that I wouldn't make that decision). It would be easier I think if I hadn't had a child because you would not know what you were losing, although you might appreciate what grief you may be avoiding. I hope that your niece and sister do have some joy in their lives, and that your niece's condition improves. Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Robyn DempseySent: Friday, December 02, 2005 10:07 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] CF screening My niece has cystic fibrosis. She has had over 10 hospitalizations in her 3 years of life. Her mum ( my sister) does the physiotherapy for her every day and night. My niece has to take many preparations as she doesn't absorb fats, which means vitamin deficiencies are common. My niece has a permanent pseudo infection in her lungs, this flares up if she gets a cold, which results in a hospital stay. My sister avoids gatherings ( family), if someone is sick. My sister has had so much time off work because she needed to care for my niece, that she gave up work to look after her. My sister has decided not to have any more children, as she feels 2 with CF would be too hard. ( being able to give to both the attention they need). I'm sure she would opt for the testingdon't judge unless you've been in the situation. Robyn Dempsey
RE: [ozmidwifery] Interesting article sure to cause some ethical debate
How sad. If you asked a person with cystic fibrosis whether their life had been worth living, even if it is shortened, I wonder what they would say? Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Helen and GrahamSent: Thursday, December 01, 2005 6:32 PMTo: ozmidwiferySubject: [ozmidwifery] Interesting article sure to cause some ethical debate http://www.abc.net.au/health/thepulse/s1520191.htm Screening for cystic fibrosis carriers by Peter LavellePublished 01/12/2005 Every year 70 babies are born in Australia with cystic fibrosis. The child suffers serious lung and digestive problems - they don't manufacture a vital protein, which causes secretions to become very sticky and their lungs and pancreas to literally 'gum up'. The lungs become susceptible to infection and digestion doesn't work propery. Treatment is much more effective than it was 20years ago. Most children with cystic fibrosis now can expect to survive into adulthood. But the average life expectancy is still only in the mid thirties. Cystic fibrosis is an inherited condition, but a child has to have an abnormal gene from both parents to get it. When both parents are 'carriers' of the abnormal gene, there is a one in four chance of this happening. About one person in 25 in Australia is a carrier. About one in 2,500 kids will be born with the condition. At the moment, carriers aren't identified by testing. Instead, newborn babies are routinely screened for the condition (that's how most new cases are diagnosed). Only then do most parents become aware they are carriers. Parents are then routinely offered prenatal testing of a foetus in any subsequent pregnancy and they have the option of then terminating that pregnancy. But it's too late to do anything about the first child. There is a test to identify carriers of a cystic fibrosis gene. It's fairly reliable (with an 85 per cent accuracy rate), and it involves a painless cheek swab. But it's generally not offered to Australian couples unless there's a family history of the condition. The trouble is, most carriers don't know they are carriers, and have no history of the condition. The faulty gene has been hidden away in their ancestry, not expressed. A group of doctors from the Royal Children's Hospital, Melbourne, writing in the latest edition of the Medical Journal of Australia, say testing for carriers should be more widely available. The doctors propose that the genetic test be offered as a prenatal test early in pregnancy. The couple would both be tested, and if they were both carriers, the foetus would be tested (via chorionic villus sampling, in which a portion of the placenta is sampled). If the foetus had both mutations (a one in four chance), the parents could then be given the option of terminating the pregnancy. Ideally, the researchers say, carrier screening should be offered to partners before they conceive. Couples could be tested for carrier status, and if both partners were carriers, they could consider whether they want to conceive in the first place. If they did, they would have the option of conceiving and terminating the pregnancy if the foetus had both mutations. Or they could opt for in-vitro fertilisation - with the embryo conceived and tested in the lab, and only implanted in the woman's uterus if it was found not to have both mutations. There is a successful carrier screening program for cystic fibrosis that's been operating along these lines in Edinburgh, Scotland, which has halved the incidence of cystic fibrosis in that community, the researchers say. At the very least, they argue, it should be offered as part of routine prenatal testing, like screening for Down's syndrome. The doctors say it should be funded by Medicare, on the grounds of cost-effectiveness (saving the resources otherwise spent treating a child with the condition) and prevention of future suffering for kids and their families.
RE: [ozmidwifery] Antibiotics and Ceasars
Hi Dorothy, That sounds quite excessive. We give a single dose of Cephazolin to the women who have a c/s. Regards, Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Dorothy Thomas Sent: Wednesday, November 23, 2005 4:21 PM To: [EMAIL PROTECTED] Com. Au Subject: [ozmidwifery] Antibiotics and Ceasars I have a question to put out to you all, I would just like to know what your expereiences are with IV antibiotics and women who have had a C/S as at the hospital in which I work the OB's current trend is to put women who have had Ceasars either elective or emergency on triple AB's for three to five days. The Regieme includes Daily Gentamicin usually 240 mg, Cehpazolin 2g TDS or QID and Flagyl 500 mg TDS, this is usually for 3 Days then they go onto oral Flagyl400mg TDS and oral Cephalexin or sometimes Amoxicilin for a further five to ten days. These are women who are well and healthy who have no real indication for AB's except that they have had surgery,well thats the OB's excuse anyway. So would just like to know what other units are practicing in regards to this and thank you in advance for any feed back you can give me. Regards Dorothy Thomas Midwife -- 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] question - lodging complaints
Hi Jo, I feel for this family and for you, because this is such a violent way to bring a child into the world. It would be fairly easy to prove that the release was signed under duress, on the grounds that care would be with-held if it was not signed. I have been in a situation where one of these documents was signed and the ob admitted that it would not mean much in court. The behaviour of the ob could be viewed as battery.However, the parents probably need some time to think about the implications of taking action for them personally both emotionally and financially. They will no doubt need some serious follow up to try to head off PTSD. I think consulting a professional such as a psychologist within this area would be essential (and encourage them to keep receipts).The hospital may have such a service. However, if litigation is likely it would be better to go private due to sharing of medical records. It may be that mediation is the least risky to the couple. The outcome might not be that anyone wins, but if people do take obs to mediation they are going to be inconvenienced and embarrassed, and may be less likely to behave in a way that would land them there again. I don't know what state you are in, but in Victoria there is a health commissioner where you can make a complaint and it is dealt with in a non adversorial manner. It might be worth making general enquiries to see what the options are, and to think about what sort of outcomes the family want. If they want to make the ob aware of the impact of his actions and perhaps get an apology, this may be appropriate. Kind regards, Nicole Carver. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of jo Sent: Saturday, November 19, 2005 12:19 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] question - lodging complaints I had a situation 2 days ago with a transferred homebirth. Mum had cholestasis, on arrival to home she was 6 cms and bub was breech. It was mums decision to transfer to hospital. On arrival she was bullied and reprimanded as she refused c/section (they had the theatre ready). Ended up having to sign a disclaimer that she would not sue OB if he facilitated vag breech birth and something went wrong. Baby's shoulders were born, OB jabbed her peri with local and had scissors poised for episiotomy. Father shouted PAUSE and said it has to be mums decision. OB muttered something about cranial haemorrhage and quickly CUT! Father absolutely furious, swore at OB while OB pulled so hard on baby's body to birth head. I've never witnessed anything so brutal, unnecessary and without consent before. Yet parents had signed that disclaimer before hand so I guess there's not much they can do. Any suggestions Jo -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Andrea Robertson Sent: Friday, 18 November 2005 4:56 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] question - lodging complaints Every State has a Consumer Health Complaints Commission. Anyone can use this service, not just consumers. Midwives can lodge details of shoddy or dangerous practise, quite anonymously, and if there are enough complaints, then the Commission is obliged to investigate. If an incident report was written each time one of these situations occurred, then a quiet word in the ear of the risk management team at the hospital should surely trigger some action, especially if they are concerned about the possibility of later litigation. Perhaps the parents should be alerted as well, perhaps in the de-brief after the birth or soon after they get home. They might then ask some questions of the hospital, which would require them to review the notes. These situations and practitioners are terrible and we must find a way of stopping them Andrea At 10:29 AM 18/11/2005, you wrote: Is there anywhere midwives can go for help in situations like this? ACMI? ANF? Or Clinical advisory committees? M/W s are scrutinized so harshly when anything goes wrong . where is the scrutinizing mechanism for the doctors? Any one know? MM -- How crazy it is that they ignore this in the hurry to 'get the baby out' I get so discouraged by the lack of simple wisdom and respect for the natural process of labour. Barb, it is so true that we are unable to speak out when we see such terrible mis-management, those of us that do are indeed subjected to incredible bullying. During my recent confrontation over some issues I was told you are a good NURSE Sue, you care too much, that's the problem !!! WE may avoid the bullying by not working in the area, but the women are still being bullied and babies still being damaged. We have an OB who does not wait for restitution, instead is now training the Registrars before even looking at the way the head has come out to pull downward on the head, put their hand beside the head in the vagina and sweep the anterior arm
RE: [ozmidwifery] Strep B
Where I work no-one is swabbed. If a woman is in labour for twelve hours she is commenced on IV antis without knowing her GBS status. There are no other interventions, unless labour is premature, when a HVS will be taken. It's interesting the variety of practises out there! I would prefer to swab women pre labour, and then we could do away with the IV antibiotics. An IV, even onethat is bunged off,is a pest to maintain in labour. Nicole. PS I have not seen a baby with clinical obvious Grp B strep in 5 years. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Ken WArdSent: Saturday, November 05, 2005 5:52 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Strep B My daughter was GBS pos. Had IV antis in labour but the staff wanted her to stay in fir observation of bub. She was basically told the baby would die if she took her home. I said what rubbish. The last two places I have worked if mum was GBS pos, had had IV antis in labour ( at least 1 dose four hours before the birth) then apart from the odd temp check we just observed bub. Unknown status was only worried about if the membranes ruptured 24 hours. Then IV antis offered. Given that the swab isn't 100% accurate and mum be negative for the swab and colonise a day later why bother scaring women? -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Robyn DempseySent: Friday, 4 November 2005 9:32 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Strep B I have had 2 cases this year where a woman chose not to have the strep B swabs done antenatally. For whatever reason we transferred from home to the hospital for birthing. The staff wanted her to have antibiotics because the step B statis was unknown. Both times the mothers refused. Both times the hospitals then swabbed the babies, said something along the lines of 'we have found 'something' unknown that could be strep b" they then recommended commencing 48hours of IV antibiotics until blood cultures can prove otherwise( that it is not Strep B). Because of the fear involved, the mothers chose to have the IV antibiotics for the bubs. Blood cultures came back on both babies negative for strep B. Scary as it is, I relate this story to my clients and let them decide if they want the strep B swab or notguess what they choose?? Sad huh Robyn Dempsey
RE: [ozmidwifery] baby bowel troubles
Lindsay, What is the consistency of the stool when the baby does pass one? Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Lindsay KennedySent: Friday, November 04, 2005 1:12 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] baby bowel troubles Hi I was just speaking to a woman whose birth I attended 9 weeks ago. She tells me that one of her twins is having bowel problems. This baby does not poo without assistance. At two weeks of age she had an xray which showed lots of gas in her bowel. After a PR she had a bowel motion. This mum says she has been taking her to the hospital every two weeks for suppositories. She is fully breast fed and her twin has no problems. Baby has had dye studies which show no obstruction. This baby is gaining weight but not as well as her sibling. However she is obviously uncomfortable and screams. Any ideas? Lindsay
RE: [ozmidwifery] ANF article
I thought so too Larissa, but did they have the insurance situation right? It seems from the article that some midwives have been able to negotiate for indemnity insurance on their own. I did not think that was happening? Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Larissa InnsSent: Tuesday, November 01, 2005 12:58 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] ANF article Those of you who are ANF members and receive the ANJ there is a great article (3 pages!) in this months issue by Fiona Armstrong titled "The fight to care" and it's all about women having the right to choose midwifery care. Well worth a read. Hugs, Larissa
RE: [ozmidwifery] Lactation after ART
Another observation about women who have had ART, they are often anxious. It is difficult for an anxiouswoman to sit and finish a breast feed properly, or even sometimesrecognise feeding cues. I wouldn't completely discount a hormonal link, although the hormones play a larger part in early lactation, from memory I thinkafter three to four monthslactation is mostly under autocrine control ie local feedback mechanisms in the breast(This might benefit from a bit more investigation though). Cheers, Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Barbara Glare Chris BrightSent: Monday, October 24, 2005 7:45 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Lactation after ART Hi, I think the answer is.possibly. I tend to agree with Nicole that it's more likely to be birthing interventionist birthing practices which get breastfeeding off to a poor start, followed up by scheduled breastfeeding which makes brestfeeding successfullya near impossibility. After all, women can breastfeed past menopause, without ovaries, breastfeed adopted children without ever having given birth. I wouldn't assume that because a women has to be assisted to get pregnant she won't be able to breastfeed. I recently helped a woman who had given birth to twins @ 34 weeks. They were concieved via IVF and the mother had PCOS. Most of the staff had written her off. And when I first saw her she was so disheartened because of the small drips of milk she was getting, the babies were being comped and she had to go home 3/4 of an hr from the hospital and leave her babies. 8 weeks later she was fully breastfeeding and babies putting on 200 and 300 g per week each. Barb IBCLC - Original Message - From: Michelle Windsor To: ozmidwifery@acegraphics.com.au Sent: Monday, October 24, 2005 7:05 PM Subject: Re: [ozmidwifery] Lactation after ART Hi Jenny, This is something that I noticed as well when working in a private hospital in Hobart. The general consensus by the midwives there was that if a woman needed help to become pregnant then perhaps there was an underlying cause which would then interfere with lactation. The midwives there said they had noticed this quite often. Cheers MichelleJenny Cameron [EMAIL PROTECTED] wrote: Hi all Does anyone have information on the effect on human lactation of assisted reproductive technology? I am noticing a lot of poor lactation among women who have had a baby by ART. A lot of women seem to be on Domperidone these days at the best of times?? Anyone else experiencing these phenomena? It does make sense that if the woman's hormonal milieau is such that reproduction needs hormonal assistance then lactation is likely to also??? Cheers Jenny Jennifer Cameron FRCNA FACMPresident NT branch ACMIPO Box 1465Howard Springs NT 083508 8983 19260419 528 717 Do you Yahoo!?The New Yahoo! Movies: Check out the Latest Trailers, Premiere Photos and full Actor Database.
RE: [ozmidwifery] Re: Midwifery Educators
Hi Barbara, Do your parents have any say in the cord clamping? Perhaps they need more information such as at their education sessions? We also do active management, but Dad's are still able to cut the cord. Not many of our Mum's do physiological third stage. However, we had a lotus birth recently which went well. I believe that although midwives do not have a lot of power in hospitals, parents requests are often listened to. There is an opportunity to harness this to bring about a cultural change, and if parents continue to request certain practices they will break down the resistance to change. I have not given pethidine through an epidural before. We have infusions though. They are Fentanyl/Marcain and we do obs 5 minutely for 30 minutes, then full set of obs with pain score, sedation score, dermatomes and motor function, then pulse, BP, resps and sedation scorehourly, with dermatomes and motor function 4 hourly. I think it is good to keep your obs consistent to save confusion, particularly with new or inexperienced staff. Cheers, Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Barbara StokesSent: Tuesday, October 25, 2005 10:15 AMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Re: Midwifery Educators Dear Midwives, I have just returned from our small hospital midwives and doctors breakfast meeting. This is to encourage communication. We have 4 GP/Obs and 9 midwivies. On discussion was a new policy for epidural-top ups: both pethidine only and marcain/fenytal . Policy is now insistent on bp obs 5minutely for 30 minutes for both top-ups. Other hospitals have had the pethidine only top-ups: prior giving top-up bp, in 5 minutes and then in 15 minutes. Does anyone have an email address for me to contact? Also does anyone have policy or guidelines re allowing dads to cut cord? This meeting has decided that no cord clamps (plastic) will be put on set up so the forceps are used, Dad can do a token cutting later (?how later) when cord clamp (plastic) is to be put on. I was hailed down when I suggested that a well baby could be put onto mum and continue with the cord clamp/ dad cutting cord when ready. If the baby needed active resuscitation then quick transfer to resus. trolley would be normal procedure. As you will have noticed our GPs only do active 3rd stage, mothers have never heard of physiological 3rd stage even though same discussed at ante-natal classes. Thanks from a disappointed midwife, Barbara
RE: [ozmidwifery] Lactation after ART
Hi Jenny, Is it that intervention is more common in the management of these women, particularly if ART has resulted in a multiple pregnancy? Intervention can interfere with the initiation of lactation for a number of reasons, as you would be aware. Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Jenny CameronSent: Monday, October 24, 2005 12:08 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Lactation after ART Hi all Does anyone have information on the effect on human lactation of assisted reproductive technology? I am noticing a lot of poor lactation among women who have had a baby by ART. A lot of women seem to be on Domperidone these days at the best of times?? Anyone else experiencing these phenomena? It does make sense that if the woman's hormonal milieau is such that reproduction needs hormonal assistance then lactation is likely to also??? Cheers Jenny Jennifer Cameron FRCNA FACMPresident NT branch ACMIPO Box 1465Howard Springs NT 083508 8983 19260419 528 717
RE: [ozmidwifery] Lactation after ART
So if the management of these women have been the same, do we look to a hormonal cause? Perhaps related to why ART became necessary in the first place. I wonder if there is still a hyperstimulation of the ovaries. Are these women ovulating/menstruating? I will sit back and watch this thread with interest. Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Jenny CameronSent: Monday, October 24, 2005 1:35 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Lactation after ART Thanks Nicole. This is longer term lactation failure. ie week 4 after birth and still only 20 mls per feed or _expression_, if that! Very odd. Jennifer Cameron FRCNA FACMPresident NT branch ACMIPO Box 1465Howard Springs NT 083508 8983 19260419 528 717 - Original Message - From: Nicole Carver To: ozmidwifery@acegraphics.com.au Sent: Monday, October 24, 2005 12:42 PM Subject: RE: [ozmidwifery] Lactation after ART Hi Jenny, Is it that intervention is more common in the management of these women, particularly if ART has resulted in a multiple pregnancy? Intervention can interfere with the initiation of lactation for a number of reasons, as you would be aware. Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Jenny CameronSent: Monday, October 24, 2005 12:08 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Lactation after ART Hi all Does anyone have information on the effect on human lactation of assisted reproductive technology? I am noticing a lot of poor lactation among women who have had a baby by ART. A lot of women seem to be on Domperidone these days at the best of times?? Anyone else experiencing these phenomena? It does make sense that if the woman's hormonal milieau is such that reproduction needs hormonal assistance then lactation is likely to also??? Cheers Jenny Jennifer Cameron FRCNA FACMPresident NT branch ACMIPO Box 1465Howard Springs NT 083508 8983 19260419 528 717 Internal Virus Database is out-of-date.Checked by AVG Anti-Virus.Version: 7.0.344 / Virus Database: 267.11.9/70 - Release Date: 29/09/2005
RE: [ozmidwifery] support people in OT
Hi, We sometimes have expressed milk mum has obtained pre/cs just in case babe cannot get to the breast in recovery. It helps mum to know that at least dad or midwife can give baby some colostrum until they can get to the breast. It is good for recovery room staff to know this is happening, so that they come to understand the value of bf. Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Carol Van LochemSent: Tuesday, October 18, 2005 9:58 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] support people in OT We do the samething where i work, except for bringing the bed into recovery. It's a good idea though. I usually manage to assist the mother to BF in recovery, but it takes a little imagiantion sometimes (not to mention no "Hands Off Technique") especially with the larger ladies on those tiny trollies with a full spinal block! Carol From:Andrea Quanchi [EMAIL PROTECTED]Reply-To:ozmidwifery@acegraphics.com.auTo:ozmidwifery@acegraphics.com.auSubject:Re: [ozmidwifery] support people in OTDate:Tue, 18 Oct 2005 15:17:11 +1000Where I work we count women having a LUSCS whether elective or emerg as being in labour and therefore 1:1 under the ANF ratios. The midwife admits goes to theatre and stays there until mum is ready to go to recovery, goes there with her and the rest of the family and stays until they return to the ward.The orderlies bring her bed to theatre and she is moved from the theatre table onto her bed and positioned on her side to facilitate BF. I usually try to get them almost diagonally across the bed so that the baby when close to her tummy needs to extend its head to take the breast.BF nearly always happens inrecovery and baby returns to ward in bed with mum.Its a matter of planning and we take the paper work with us so that we too sit in the corner doing it while mum and dad play with bub.We do have a policy of only one support person in theatre and during the day the NUM of the OT had been know to enforce adherence to this even when the doctos have agreed to let more people in but after hours - well what they don't know doesn't hurt them.AQOn 18/10/2005, at 11:59 AM, Ceri Katrina wrote:As yet we don't routinely get the recovery time happening. Midwife, dad and babymeet mum back on the ward after recovery...It is usually only when we have a quieter time or lots of staff, or nice recovery staff that we can get into recovery. Hopefully this will change in the futureKatrinasmallnps2.jpgwww.niagaraparkshow.com.auOn 18/10/2005, at 8:34 AM, Cheryl LHK wrote:Thanks, it does sound rather crowded doesn't it?We had the em LUSCS at 2330 on the weekend (pretty normal time isn't it?) and I had just come on for the night.Hubby and Mum had been there the whole day with her, obstructed labour at fully. Primep.So I went and saw her GP and asked him if he had a problem with Mum coming in as well.So the GP anaes sat them up near Mum's head after her spinal, and babe came out screeching, so he was wrapped and I plonked myself inbetween the anaes machine and GP surgeon and held baby beside her face so he could nuzzle her and hubby/Nanna (now) had cuddles, then we all trotted out to recovery and bub went straight into bed with Mum, BF beautifully... it was quite a pleasant night all round actually. I just sat warming myself at the resusataire doing the paperwork watching this gorgeous family chattering away and just enjoying their new little man.I suppose being the small hospital, we don't have students, paeds' etc, and also a huge OT room.It's interesting what you say about GA's though.I'm sure our fathers are allowed in once the anaes is settled and she is draped, then they come in and sit with the midwife in the corner and get to hold the baby, go to recovery with baby and meet Mum there.I know personally one grandma who was at our hospital for both of her grandchildren's LUCSCs and in the OT with her camera!!She had a great time!Anyway, off for the school runCherylFrom: Ceri Katrina [EMAIL PROTECTED]Reply-To: ozmidwifery@acegraphics.com.auTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] support people in OTDate: Mon, 17 Oct 2005 13:00:33 +1000HI Cherylnot sure if it is protocol as such, but at Gosford if it is an emergencey Code 1 LSCS, and the women is under a GA, then no support people are allowed in theatre at all. If it is a lesser code or elective, then the partner/husband can be present. I have not heard of more than this number. It gets pretty cramped by the time you have the Ob, registrar or/andresident, anaestheitist,
RE: [ozmidwifery] support people in OT
I have to say I agree with not having support people present when a woman is having a GA. I allowed a Dad to be brought in to the room just at the moment of the baby being born by elective caesarean under general anaesthetic, only to have the baby arrest and need CPR. I managed to shield the Dad so that he did not see what was going on, but it was awful. I would never have anyone in for a GA after that experience. Babies are not in as good condition when mum has had a GA, and I am sure the mum would have had a spinal if she was aware, as it was an elective GA because she didn't like the idea of the spinal. (Would be nice not to have the c/s in the first place!) Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Dorothy Thomas Sent: Monday, October 17, 2005 5:34 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] support people in OT Mount Isa is the same only one and they can only stay if mum is awake have to leave if done under GA. Dot -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of JoFromOz Sent: Monday, 17 October 2005 12:56 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] support people in OT Cheryl LHK wrote: Do any hospitals have set protocols on number of support people going to OT for LUSCS be they elective or emerg? Just interested. Cheryl Yup, just one here. And only if the woman is awake... Dad has to leave if it is a GA. 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.
RE: [ozmidwifery] CARES VBAC booklet
Hi Jo, Where do we send the cheque? Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Dean Jo Sent: Saturday, October 08, 2005 5:59 PM To: ozmidwifery@acegraphics.com.au Cc: [EMAIL PROTECTED] Subject: [ozmidwifery] CARES VBAC booklet Hi everyone who has expressed interest in the CARES VBAC booklet. This booklet has information on the vbac management policies; research information about vbac and cs; myth-busting of vbac issues; and common issues that women face when bithing after cs. It is heavy on the medical terminology but serves the purpose of educating women further. Great stories and quotes from real women! Truly a great rescource for both wmen and those caring for them!!! We have decided that the most effective way of distributing this document (80+ pages) will be by burning it onto CD and selling the CDs for $15 postage included for Australia (international might be a bit more...we'll see). That way people can print off copies as they need. Coupled with the Maternity Wise CS booklet (from www.maternitywise.org ), women will feel empowered, informed and supported in their choices. CARES is a not for profit organisation with no funding other than memberships and fundraising. Purchase of this CD will go towards providing VBAC education workshops for women. No credit cards sorry. Cheque or money orders made out to CARES SA Inc. I will see if we can do electronic payments into our account if that suits people also. -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.344 / Virus Database: 267.11.13/123 - Release Date: 10/6/2005 -- 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] CARES VBAC booklet
-Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Dean Jo Sent: Saturday, October 08, 2005 5:59 PM To: ozmidwifery@acegraphics.com.au Cc: [EMAIL PROTECTED] Subject: [ozmidwifery] CARES VBAC booklet Hi everyone who has expressed interest in the CARES VBAC booklet. This booklet has information on the vbac management policies; research information about vbac and cs; myth-busting of vbac issues; and common issues that women face when bithing after cs. It is heavy on the medical terminology but serves the purpose of educating women further. Great stories and quotes from real women! Truly a great rescource for both wmen and those caring for them!!! We have decided that the most effective way of distributing this document (80+ pages) will be by burning it onto CD and selling the CDs for $15 postage included for Australia (international might be a bit more...we'll see). That way people can print off copies as they need. Coupled with the Maternity Wise CS booklet (from www.maternitywise.org ), women will feel empowered, informed and supported in their choices. CARES is a not for profit organisation with no funding other than memberships and fundraising. Purchase of this CD will go towards providing VBAC education workshops for women. No credit cards sorry. Cheque or money orders made out to CARES SA Inc. I will see if we can do electronic payments into our account if that suits people also. -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.344 / Virus Database: 267.11.13/123 - Release Date: 10/6/2005 -- 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] Induction and third stage labour
There are some who believe the higher levels of antioxidants caused by jaundice may be protective of babies, and mild jaundice 'may' be normal. Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of lisa chalmers Sent: Wednesday, October 05, 2005 11:48 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Induction and third stage labour My experience of this, is that if the cords are not cut until they have finished pulsing, babies seem to develop jaundice for longer..(that the usual standards) . That makes complete sense to me, since they get more blood than babes that had cords clamped and cut quickley. I'm sure I read somewhere that babies are deprived of as much as 25% of their blood volume by cutting the cord. Nearly everyone I know that did not cut the cord, had babies that developed Jaundice. Nothing serious just yellowing. - Original Message - From: Andrea Quanchi [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, October 05, 2005 9:33 AM Subject: Re: [ozmidwifery] Induction and third stage labour There are many reasons that influence whether a baby gets jaundiced or not Two of these are 1. prematurity ( of the liver as well as dates, some babies livers take ages to be efficient enough to clear the jaundice. 2. Not passing mec soon after birth. The longer the mec stays inside the more bilirubin is reabsorbed increasing the workload of the immature system. This is usually influenced by how quickly the baby is able to feed. The thing about synt is that it is often used to augment labour in a woman who has been labouring for hours or to induce labour in a woman who is not yet ready to go into labour and the result is a tired mother and baby who often dont come together well to feed without good assistance. This is often not forthcoming in the hurry to get things cleaned up, the move to the postnatal ward and paper work to be done. Ask your friend and she will probably not have seen jaundice in a woman who has had synt but had a quick labour. Most women who birth in hospitals have synt in some form or other for 3rd stage and the level of jaundice in some settings is very low. I would suggest it may be in direct relationship to the length of time until feeding is established. I think the whole reason synt is being used is the concern rather than blaming the synt for jaundice alone. Andrea Q On 06/10/2005, at 2:03 AM, Belinda wrote: I have a friend who has been a ipm for many years and she believes that babies are more likely to get jaundiced when the mother has had synto, it makes sense of they get that extra unneccessary boost of blood. 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. -- No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.344 / Virus Database: 267.11.10/119 - Release Date: 4/10/2005 -- 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] Induction and third stage labour
Hi Karen, This is my two bob's worth: 1. Once you start an induction, particularly once you have done an ARM, I believe that you are committed to having the baby within the next 24 hours preferably, (due to the risk of ascending infection in a hospital environment) so if labour does not establish, or fit the parameters the ob is happy with, you are going to have a c/s. Allowing a pregnancy to progress beyond 42 weeks, does have a much higher risk for the baby, as the placenta has a limited life span. How long an individual placenta will last is impossible to say, but perinatal mortality goes up past 42 weeks, and way up from 43 on (of course it helps to be sure of your dates!) 2. If you think of how much syntocinon some babies get when labour is induced, leaving the cord pulsating is not likely to give them any more synto than that, plus it will take a little while to enter mum's circulation (if given IM), and then babes. I was taught to clamp if the synto has been given, but someone at the ICM in Brisbane made the previous point about this, so I am a bit happier about it. I think the placenta probably separates better if it is allowed to drain, and the babe is meant to have that blood, otherwise they wouldn't be designed that way. Cheers, Nicole. -Original Message-[Nicole Carver]From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of karen shlegerisSent: Tuesday, October 04, 2005 11:22 AMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Induction and third stage labour Dear List, Im a birth educator and prenatal yoga teacher in Townsville. I hope these questions are appropriate for this list and would appreciate information from you: Induction. Andreas Preparing for Birth:Mothers book and the wall poster on cascade of intervention states that induction increases the risks of further intervention and ultimately caesarean, and thats what Ive always taught in my Active Birth classes. However, when challenged for statistics by a client in a recent workshop, I looked up Enkin, Kierse etc. who stated that induction does not increase the risk of caesareans, recommending that induction is recommended soon after a women passes her EDD. Can anyone clear this up for me? Third stage of labour. I was under the belief that if active management of third stage was chosen, the cord had to be clamped and cut quickly to avoid an over-transfusion of blood from the placenta into the baby. However, an OB recently told a client of mine that even if she had a Synto injection, the cord could be left until it stopped pulsing. Ive checked Myles textbook for midwives but its not clear on this. I appreciate your support. Best wishes, Karen Shlegeris in Townsville
RE: [ozmidwifery] safetsleep
Hi Jo, There definitely has been an increase in 'funny heads' since the SIDS guidelines were introduced. A trick is to alternate the end of the bed that you settle the baby in. They tend to turn towards the light or the centre of the room, so if you alternate ends, they will alternate the way they turn their heads. Tummy play when awake is also vital. Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of jo Sent: Monday, October 03, 2005 11:43 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] safetsleep Hi all, Was wondering if anyone else thinks that there's a link between the increase of plagiocephaly due to the SIDS idea of sleeping baby on back at the bottom of the cot? Jo -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Pinky McKay Sent: Monday, 3 October 2005 9:46 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] safetsleep Hi Miriam, I have done the tiki tour - impressed and would definitely like to mention safetsleep as an option in my book. I do appreciate all the work you are doing and can see some great uses for safetsleep but also have some questions: 1) I would be really concerned that some parents would use Safetsleep as a 'restraint'. But I guess if that were the case, the same thinking would mean that they would not have grasped whatever gentle/ respectful info I had written in the first place so were still coming from a 'convenient baby' / baby as object to be trained mentality. ie -I personally would hate to see such a product used to prevent a toddler from getting of of bed- I have read in at least one book and heard from a MB unit where the treatment for toddlers who dont stay in bed is to remove the lightbulb and lock the door - although I highly doubt you would approve of this either. 2) I am pleased to see that the babies in the letters on your site who had plagiocephaly also received physio -I have concerns that things like helmets on bubs only 'cosmetically' correct the symtoms (ie flat head) not the causes ie the underlying reasons for torticolus/ positional turns ( retained reflexes ? neurology ? tight muscles). I know of several parents here who have had feeding difficulties with such bubs ( ie uncomfortable feeding from one side/ refusal on one side) who have been treated either by a cranial osteopath or a paediatric chiro and when this has been corrected, then these bubs are content to change sides etc (ie the problem is fixed not just the symptom - ie flat head). My own youngest child is regularly treated by a chiro ( initially because of dyslexia which improved remarkably). At the first visit it was found that he still had some early reflexes present and the chiro commented - he would have had difficulty breastfeeding? My response was that as he was my 5th child he wouldnt have had any difficulties - whether this meant holding him upside down if necessary of course i didnt do any such thing but certainly would have compensated for any difficulty by altering feeding positions rather than seeking a cause because at the time i wasnt aware that 'the cause' ie a neurological problem/ retained reflexes could be involved. Incidentally, he didnt/ doesn't have a flat head - he coslept so would have been side sleeping / changing sides perfectly safely and naturally, anyway. (perhaps reinforcing my point that while symptoms can be corrected, this doesnt necessarily mean the child is 'fixed') However, I do have to acknowledge that this isnt every parent's choice and also that sadly, infant sleep is fraught with fear -Im amazed by comments to the mother in the testimonial (on your site) by her plunket nurse re the danger of side sleeping - poor mums. Are you in Australia or Auckland? I will send the handouts. Pinky - Original Message - From: Safetsleep [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Sunday, October 02, 2005 9:04 PM Subject: Re: [ozmidwifery] Pinky McKay - an amazing woman pinky i hv a very keen interest to meet up with you at some stage.. .from what i have heard and read about you our philosophies are very similar. My background being mainly nursing, parenting, counselling, community work and nearly 20 years facilitating positive parenting workshops ,confidence building for women, trust building, sexuality /drug and alcohol awareness and other educationaly empowering issues . 29 yrs ago for my eldest son, and since then subsequent children, i happen to have designed a special sleepwrap which allows all natural movement depending on the age and stage of the baby, except those movements which could cause harm eg creeping and postional asphyxia, standing, climbing , falling, rolling off beds,helping to prevent and correct positional plagiocephaly (flat/deformed heads) and seems to provde a sence of security with minimal restriction ( far less even than total swaddling)...mothers report
RE: [ozmidwifery] Kalgoorlie birthing services?
Hi Tanya, At the very least, Kalgoorlie has a labour ward at their hospital. They advertise for midwives occasionally. Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Tania SmallwoodSent: Sunday, October 02, 2005 10:05 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Kalgoorlie birthing services? Are there any IPMs out there near Kalgoorlie? Is there a birthing centre, or even a labour ward? Im completely in the dark and would like to pass on some information if there is any Thanks Tania
[ozmidwifery] assault in the birth suite
Hi Janet, It is amazing that people behave this way in a hospital, but would never dream of, or get away with, behaving that way anywhere else. It is easy to see why women would choose to go outside the system, and in extreme cases choose an unattended homebirth, rather than repeat experiences such as you describe. I don't know how the problem can be fixed. But I know people need to share their stories, both for their own well being and so that the system can be challenged and others can be forewarned. This is difficult though, as women should not be entering hospital to give birth feeling fearful about the way that they will be treated. Partners suffer too when women are treated so appallingly, and often are not able to advocate for a labouring woman. The hospital staff have all the power in this situation. Midwives too, can be traumatised by what happens, and as a small player in a large institution they often collude with the perpetrators so that they can continue to work with that individual without too much conflict. Of course some midwives are perpetrators too. For women who can afford a doula, this may be an excellent investment, but not everyone can afford a doula, and even fewer can afford their own midwife. It is hard for women to share their story, but I think that they should be supported to do so publicly (with a clear idea of what they hope to achieve and how they can share the story without further harm to themselves). I also think women who can afford it should at least get legal advice and ensure that the ob knows about it. Unfortunately some may be more concerned about litigation rather than the damage that they cause. At the moment power is unequally shared in the health care system, and I think this is a large part of the problem. I do think this will change as consumers start to demand that it does. Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Janet Fraser Sent: Thursday, September 29, 2005 3:28 PM To: ozmidwifery@acegraphics.com.au Subject: Re: Re: [ozmidwifery] Northern Rivers Hi Nicole, I wrote an enormous letter including my birth story to the hospital where my birthrape was perpetrated. It made no difference. I still have women from that hospital joining the birth trauma group I run on a regular basis. I don't understand why we consumers have to point out the violence in the system to those who work in it. If a woman says no and is disregarded, she will be traumatised. If a woman is separated from her baby and mocked by staff, she will be traumatised. If a woman screams Get out! in the middle of a VE because she has never experienced anything more excruciating in her life, it is clear to the meanest intelligence that there is a problem. To me this is like asking me to explain to my rapist that rape is bad. We know rape is bad, we shouldn't need to be told not to do it. The woman in those examples was me. You can read the story and complaint letter here http://www.joyousbirth.info/forums/viewtopic.php?t=14 J -- 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] Northern Rivers
Hi Janet, I hesitated to read your birth story, but then felt like a wimp, and read it. I am pleased that I did, although am very sorry that you had that experience. I have shared the link with my colleagues at North Central Sub Branch of the Australian College of midwives. I hope that is ok, assumed it was at it is on the web. Maybe in some small way this may help a woman in the future to not receive such appalling treatment. Thankyou, Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Janet Fraser Sent: Thursday, September 29, 2005 3:28 PM To: ozmidwifery@acegraphics.com.au Subject: Re: Re: [ozmidwifery] Northern Rivers Hi Nicole, I wrote an enormous letter including my birth story to the hospital where my birthrape was perpetrated. It made no difference. I still have women from that hospital joining the birth trauma group I run on a regular basis. I don't understand why we consumers have to point out the violence in the system to those who work in it. If a woman says no and is disregarded, she will be traumatised. If a woman is separated from her baby and mocked by staff, she will be traumatised. If a woman screams Get out! in the middle of a VE because she has never experienced anything more excruciating in her life, it is clear to the meanest intelligence that there is a problem. To me this is like asking me to explain to my rapist that rape is bad. We know rape is bad, we shouldn't need to be told not to do it. The woman in those examples was me. You can read the story and complaint letter here http://www.joyousbirth.info/forums/viewtopic.php?t=14 J -- 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] Birth Parties
We often have three support people in the room, and I find it is fine. Any more than that seems to be rent a crowd.The idea of galleries is just off. Perhaps this is just the journos as Mary suggests. I think itis a problem when people are only there because they feel they should be entitled to be there and so come, but are not really much support for the woman. I also find support people can sometimes chat amongst themselves, and not notice the woman's needs changing as labour progresses etc. However, if a woman is comfortable with thesse arrangements who are we to judge I will sometimes check with the woman when the support people are out of the room to see if she is finding their presence beneficial. If not, they find themselves with an errand to run such as heating up hot packs, going home to collect an 'essential' item or taking a break because 'they will need their energy' later. I have never had to tell someone to leave altogether thank goodness. Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Mary MurphySent: Friday, September 30, 2005 3:05 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Birth Parties If we encouraged Spectator Galleries when people are having sex, they would be branded as Perverted and the spectators as Perverts. This is no different. Maybe the reporting is sensationalist? Still, it is a long way from the undisturbed birthing philosophy. MM "Spectator Galleries" - now I have heard everything! - don't get me wrong I am all for being surrounded by supportive loved ones during labour and birth but this is a bit OTT don't you think?!
RE: [ozmidwifery] Birth After CS booklet
Hi Jo, I have forwarded your email to the managers of both maternity units here in Bendigo. Hope they buy a copy. Nicole Carver. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Dean Jo Sent: Wednesday, September 28, 2005 4:54 PM To: ozmidwifery@acegraphics.com.au Cc: [EMAIL PROTECTED] Subject: [ozmidwifery] Birth After CS booklet Just wanting to let people know that CARES SA have just finished a 70+ page document covering all the issues about Birth After CS. It is AMAZINGLY GOOD (if I do say so myself! I am SO proud of Carolyn for putting it together). It covers common myths then follows up with current abstracts; highlights policies and management; outcomes and so on. ALL evidenced based. ALL current. Contents page: Table of Contents South Australian Perinatal Practice Guidelines 4 Best Available Research Comparing Risks of VBAC (Vaginal Birth After Cesarean) and of Planned Repeat C-Section 11 Women’s Satisfaction with VBAC 17 VBAC After two Caesareans 20 Midwifery Care and VBAC 24 Preparing for a Vaginal Birth After Caesarean 28 Frequently Asked Questions 35 I was told… 39 Homebirth After Caesarean 46 Uterine Rupture 52 Another Caesarean 66 Recommended Reading List 68 Statistics 71 Glossary74 CARES SA INC. is a non profit organization who provide understanding and compassion for women recovering from caesarean birth, planning caesarean birth or aiming for a vaginal birth after caesarean (VBAC). Awareness of the individual’s rights to make informed choice is a main focus of the group. We encourage women and their families to become actively involved in the decision making that will effect the birth of their child. Aiming to increase community awareness and understanding of the issues surrounding surgical birth is also a main focus. Recovery is a crucial element for maintaining good health. It is very important that a woman is fully informed of the physical recovery, but more importantly we focus on the vital need for emotional healing. Through a safe, caring and understanding environment, women and their partners are encouraged to follow their path to emotional healing. Education is important when making decisions and it is our goal to be up-to-date on current trends and philosophies. By providing relevant information to women and the community, we hope that a greater understanding of the effects of caesarean birth will reduce the amount of traumatic experiences. Support for birth choices is vital, especially for those seeking vaginal birth after caesarean. By providing women with the options available to them and then respecting that choice, we hope to empower women and their families to achieve the desired positive birth for both mother and child. --*-- We will be willing to supply email versions for people at a small cost -perhaps a CARES membership of $20 pa- further details will be available for those interested. Yours in choice Jo Bainbridge CD CARES SA SA MC Bloomin Good Birth -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.344 / Virus Database: 267.11.8/113 - Release Date: 9/27/2005 -- 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] Northern Rivers
Hi Abby, We health professionals really need to be challenged to see these situations from our client's points of view. I don't know if it would get published, but even an anonymous open letter to health professionals in a professional journal may get the message out there, that we need to understand the consequences of our actions from not just an immediate clinical point of view, but also from the longer term consequences approach. These are hidden from health professionals in acute care settings, and I think we often just don't get it. I am sorry that you had that experience, and apologise to you on behalf of my health care professional colleagues. It is not good enough. Kind regards, Nicole Carver, Midwife. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of [EMAIL PROTECTED] Sent: Thursday, September 29, 2005 12:41 PM To: ozmidwifery@acegraphics.com.au Subject: Re: Re: [ozmidwifery] Northern Rivers Hi Justine and everyone, I know I should complain, I tell all my clients to complain when things have been terrible. Until recently I found it very difficult to even think about what happened. I have had the forms to get my records for ages but am a little scared to read through them. I would like to know what the Ob had to say for himself. It is really hard to get anywhere with the HCCC from my experience. My sister had a terrible experience just over 18months ago, some may recall me posting, and she put in a complaint right away and pretty much she was told too bad, so sad. She is now claiming for damages and charging the hospital with some kind of entrapment, though it is all through a private lawyer and costing them heaps. All she really wants is an apology and some one to say they were wrong. A friend of mine was at a workshop on working with women that had been sexually abused. There was counsellors, nurses, psychologists, social workers etc etc there. She bought up the topic of sexual abuse during birth and most of them laughed saying that was impossible because it is what doctors and midwives need to do. Even the facilitator thought she was overreacting when she commented that for a lot of women the first time they are violated sexually is while they are birthing. I personally cannot see how it is any different just because it is a doctor or midwife. I will think more about pursuing the HCCC, but when I have mentioned it to my early childhood nurse ( just after it happened), my private Ob, the mental health team and my counsellor they all sort of dismissed it because the nurse and the Ob were 'professionals' just doing their job. Love Abby Can I suggest that unless women like you make complaints to the HCCC that these practices will remain and more women will feel violated from obstetric practice. -- 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] Fw: [MCVic] Castlemaine update
Dear Ellie, Congratulations on both fronts! That is wonderful news. You have really put in a lot of effort on behalf of Castlemaine women, and news of your pregnancy is very exciting. Nicole Carver.
RE: [ozmidwifery] hep C
Title: Bericht Hi Lieve, We should treat everyone the same ie all contact with body fluids is to be avoided, as we probably care for women who have HIV, or hepatitis and don't know it. Transmission is more likely if the mother has a high viral load, such as just after infection, or if she is particularly run down, but would still be fairly rare.Great care should be taken with needles. It is usually best not to resheath them but put them immediately into a sharps container. Some midwives like to wear a face shield for all births, and perhaps in this case it may be appropriate, if introduced tactfully to the family. The baby should be bathed to remove any secretions from the mother which may transmit the hep c to the baby. I would encourage the parents to do the bath (which is nicest anyway) to avoid the secretions for yourself, or wear gloves until after you have bathed the baby. The mother's health should be monitored during the pregnancy by her GP or gastroenterologist, but a midwife can care for the pregnancy and birth as far as I am aware. Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Lieve HuybrechtsSent: Monday, August 29, 2005 6:17 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] hep C Hoi Emily, thanks for your reply. I also found a lot of information on internet and talked to collegue midwives, but there was one question that remained unanswered: How is the risk for the midwife to get infected, are there special things that we have to do to protect ourselves, would it be a contraindication for homebirth? It is not that I am afraid, but I work in a practice with other colleagues and one of them is really scared to death and wants to refuse the mother. I want to have a lot of information to convince her that there is no problem and that we have to give the mother a chance to give birth at home. Lieve Lieve Huybrechts vroedvrouw 0477/740853 -Oorspronkelijk bericht-Van: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Namens EmilyVerzonden: maandag 29 augustus 2005 9:45Aan: ozmidwifery@acegraphics.com.auOnderwerp: Re: [ozmidwifery] hep C hi Lieve the risk of transmission to bub in utero and during birth is low, although it is increased if mum is also HIV-positive. it is safe to breastfeed with hep C unless there are cracked or bleeding nipples - at which time there is a risk of transmission. so if its just on one side, bub can feed of the other side until its healed. if both nipples are affected shed have to decide whether to artifically feed until healed or risk transmission. hope that helps emilyLieve Huybrechts [EMAIL PROTECTED] wrote: Hoi friends, Can I ask a question to you knowledged wives How do I have handle a woman who was infected with hep C and is pregnant now. She wants a homebirth. She has also a history of drugaddiction, but seems to be clean now. What are the risks, do we have to take special care for her the baby and ourself? By the way , the language in the breastfeeding video is Hebrew, it is made in Israël warm greetings Lieve Lieve Huybrechts vroedvrouw 0477/740853 --No virus found in this outgoing message.Checked by AVG Anti-Virus.Version: 7.0.344 / Virus Database: 267.10.16/83 - Release Date: 26/08/2005 Start your day with Yahoo! - make it your home page --No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.344 / Virus Database: 267.10.16/83 - Release Date: 26/08/2005 --No virus found in this outgoing message.Checked by AVG Anti-Virus.Version: 7.0.344 / Virus Database: 267.10.16/83 - Release Date: 26/08/2005
RE: [ozmidwifery] hep C
Title: Bericht Sorry Lieve, I gave the impression that the baby should be bathed ASAP. I would not want to interfere with that first feed either. At my workplace we do bath babies of Hep C positive mothers earlier than other babies, who sometimes are not bathed for 24 hours or more. We handle the babies with gloves until after the first bath. I don't know about waterbirth with Hep C, I suppose it would be harder to know where the body fluidswere, for your own protection. However, the risk would be minute. I would be interested to hearthe responses of other midwives to this one. Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Lieve HuybrechtsSent: Monday, August 29, 2005 8:09 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] hep C Thanks Nicole, Normally we dont bath the babys after birth. My knowledge is also to wait for interrupting mother-child contact toll after the first breastfeeding. Can we give the bath 2-3 hours after birth? What about waterbirth with hep C pos? Lieve Lieve Huybrechts vroedvrouw 0477/740853 -Oorspronkelijk bericht-Van: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Namens Nicole CarverVerzonden: maandag 29 augustus 2005 11:18Aan: ozmidwifery@acegraphics.com.auOnderwerp: RE: [ozmidwifery] hep C Hi Lieve, We should treat everyone the same ie all contact with body fluids is to be avoided, as we probably care for women who have HIV, or hepatitis and don't know it. Transmission is more likely if the mother has a high viral load, such as just after infection, or if she is particularly run down, but would still be fairly rare.Great care should be taken with needles. It is usually best not to resheath them but put them immediately into a sharps container. Some midwives like to wear a face shield for all births, and perhaps in this case it may be appropriate, if introduced tactfully to the family. The baby should be bathed to remove any secretions from the mother which may transmit the hep c to the baby. I would encourage the parents to do the bath (which is nicest anyway) to avoid the secretions for yourself, or wear gloves until after you have bathed the baby. The mother's health should be monitored during the pregnancy by her GP or gastroenterologist, but a midwife can care for the pregnancy and birth as far as I am aware. Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Lieve HuybrechtsSent: Monday, August 29, 2005 6:17 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] hep C Hoi Emily, thanks for your reply. I also found a lot of information on internet and talked to collegue midwives, but there was one question that remained unanswered: How is the risk for the midwife to get infected, are there special things that we have to do to protect ourselves, would it be a contraindication for homebirth? It is not that I am afraid, but I work in a practice with other colleagues and one of them is really scared to death and wants to refuse the mother. I want to have a lot of information to convince her that there is no problem and that we have to give the mother a chance to give birth at home. Lieve Lieve Huybrechts vroedvrouw 0477/740853 -Oorspronkelijk bericht-Van: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Namens EmilyVerzonden: maandag 29 augustus 2005 9:45Aan: ozmidwifery@acegraphics.com.auOnderwerp: Re: [ozmidwifery] hep C hi Lieve the risk of transmission to bub in utero and during birth is low, although it is increased if mum is also HIV-positive. it is safe to breastfeed with hep C unless there are cracked or bleeding nipples - at which time there is a risk of transmission. so if its just on one side, bub can feed of the other side until its healed. if both nipples are affected shed have to decide whether to artifically feed until healed or risk transmission. hope that helps emilyLieve Huybrechts [EMAIL PROTECTED] wrote: Hoi friends, Can I ask a question to you knowledged wives How do I have handle a woman who was infected with hep C and is pregnant now. She wants a homebirth. She has also a history of drugaddiction, but seems to be clean now. What are the risks, do we have to take special care for her the baby and ourself? By the
RE: [ozmidwifery] BF video
Judy, I would also love to see the video. Nicole Carver [EMAIL PROTECTED] -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Judy Chapman Sent: Thursday, August 25, 2005 9:42 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] BF video Any more takers for this one??? It will take a while for me on my slow line to upload. I will try to get on line about lunch time tomorrow to send to those who say. Cheers Judy --- Kate /or Nick [EMAIL PROTECTED] wrote: Ditto please Kate [EMAIL PROTECTED] - Original Message - From: Denise Hynd To: ozmidwifery@acegraphics.com.au Sent: Thursday, August 25, 2005 6:15 PM Subject: Re: [ozmidwifery] BF video Judy can you send it to me? Thank you [EMAIL PROTECTED] Denise Hynd Let us support one another, not just in philosophy but in action, for the sake of freedom for all women to choose exactly how and by whom, if by anyone, our bodies will be handled. - Linda Hes - Original Message - From: Judy Chapman To: ozmidwifery@acegraphics.com.au Sent: Thursday, August 25, 2005 3:35 PM Subject: [ozmidwifery] BF video I have just been sent a hilarious video (2MB). Mum doing a yoga handstand, baby crawling and knows where the good stuff comes from... Need I say more. What a laugh. On a par with one of my bellydance mates who is still BF a 2 yr old. 10 min prior to performance it was a loud Titta, Mum, Titta and when side one was finished Other side Mum, other side. God love 'em. Cheers Judy Do you Yahoo!? Messenger 7.0: Make free PC-to-PC calls to your friends overseas. You could win a holiday to see them! No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.344 / Virus Database: 267.10.15/81 - Release Date: 24/08/2005 Do you Yahoo!? Make free PC-to-PC calls to your friends overseas. You could win a holiday to see them! http://au.docs.yahoo.com/promotions/messenger/ -- 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] Breastfeeding
SIDS figures show that falling asleep (or sleeping intentionally as well probably) on a couch with a baby is far more dangerous than co-sleeping in bed. Nicole C. (co-sleeper!) -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Denise Hynd Sent: Wednesday, August 24, 2005 8:43 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Breastfeeding Was co-sleeping and todays WA case of ?SIDS being blamed on it bu the mother and West report which also said the midwives did not stop me!! I am one midwife LC would still have no problems supporting a woman who wanted to bed share!! Denise Hynd Let us support one another, not just in philosophy but in action, for the sake of freedom for all women to choose exactly how and by whom, if by anyone, our bodies will be handled. - Linda Hes - Original Message - From: JoFromOz [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, August 24, 2005 5:07 PM Subject: Re: [ozmidwifery] Breastfeeding Vedrana Valčić wrote: What was the discussion about? Vedrana Mostly about research saying which people are confronted/offended by BF in public. Mostly it found that men feel funny around a mate's wife BF, etc. Just brought up discussion about BF in public generally, and how/where/ and the age you should BF until, etc. I am always interested in hearing peoples' reasons for and against it. Jo -- 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 Anti-Virus. Version: 7.0.338 / Virus Database: 267.10.15/80 - Release Date: 23/08/2005 -- 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] when to cut an episiotomy
I will only do an episiotomy if I am really concerned about getting the baby out quickly. I have done one on a peri that was really tight, and didn't stretch up. I think I have done three in my career, Nicole C. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Janet FraserSent: Sunday, August 21, 2005 6:57 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] when to cut an episiotomy I'm not one of the professionals in here, Paivi but hi anyway. : )I've read in a few places about how episiotomy rates suddenly drop when studies into them begin. A hb MW I know does less than one a year so I figure that's a good guide.Mostly in hospitals they're performed for no reason at all but the damage they do to women's bodies and psyches horrifies me. It's sanctioned genital mutilation. In birth planning meetings I run I suggest to women that they never put their bodies in a position that can be easily reached by someone with scissors. Our rates are very high in Australia. Well IMO, any rate of episiotomy is too high unless it's negligible. Just my 2c ; ) Janet - Original Message - From: Päivi To: ozmidwifery@acegraphics.com.au Sent: Sunday, August 21, 2005 6:31 PM Subject: [ozmidwifery] when to cut an episiotomy A mom asked me when is episiotomy really needed. She had asked from many professionals, and all just gave her the answer, that "They will try to avoid episiotomy, but will cut just in case, if not sure". In Finland the episiotomyrates arefrom 4% to 50%, and for firsttime moms from 9% to 88%!. It is usually beleived, that the midwife will know best. (That is a medicalaized hospital midwife in most cases).I already know, that you have a different opinion on when it is needed, but it would be interesting to know from you, who work as midwifes, how oftenhave you performed episiotomies? Does anyone know, what is the national average in the Australian hospitals? Paivi
RE: [ozmidwifery] when to cut an episiotomy
Hi Paivi, Not as many births as some of my colleagues. However, I have been to a Dennis Walsh workshop called something like Evidence Based Care in Normal Labour. He stated that the ONLY evidence based reason for episiotomy is in severe fetal distress. They are sometimes required for manoevres to get a baby out with severe shoulder dystocia, but in most cases not. Certainly, I have had a couple of tears personally, and I didn't find them a problem. However, the thought of someone taking scissors to my perineum fills me with terror! Kind regards, Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of PäiviSent: Sunday, August 21, 2005 9:53 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] when to cut an episiotomy Hi Nicole, That is so awasome, how many births have you done in your career? I read about a midwife, who had performed 6 episiotomies in 650 births. Two of these were when she was taught how to make them as a student. Paivi - Original Message - From: Nicole Carver To: ozmidwifery@acegraphics.com.au Sent: Sunday, August 21, 2005 12:55 PM Subject: RE: [ozmidwifery] when to cut an episiotomy I will only do an episiotomy if I am really concerned about getting the baby out quickly. I have done one on a peri that was really tight, and didn't stretch up. I think I have done three in my career, Nicole C. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Janet FraserSent: Sunday, August 21, 2005 6:57 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] when to cut an episiotomy I'm not one of the professionals in here, Paivi but hi anyway. : )I've read in a few places about how episiotomy rates suddenly drop when studies into them begin. A hb MW I know does less than one a year so I figure that's a good guide.Mostly in hospitals they're performed for no reason at all but the damage they do to women's bodies and psyches horrifies me. It's sanctioned genital mutilation. In birth planning meetings I run I suggest to women that they never put their bodies in a position that can be easily reached by someone with scissors. Our rates are very high in Australia. Well IMO, any rate of episiotomy is too high unless it's negligible. Just my 2c ; ) Janet - Original Message - From: Päivi To: ozmidwifery@acegraphics.com.au Sent: Sunday, August 21, 2005 6:31 PM Subject: [ozmidwifery] when to cut an episiotomy A mom asked me when is episiotomy really needed. She had asked from many professionals, and all just gave her the answer, that "They will try to avoid episiotomy, but will cut just in case, if not sure". In Finland the episiotomyrates arefrom 4% to 50%, and for firsttime moms from 9% to 88%!. It is usually beleived, that the midwife will know best. (That is a medicalaized hospital midwife in most cases).I already know, that you have a different opinion on when it is needed, but it would be interesting to know from you, who work as midwifes, how oftenhave you performed episiotomies? Does anyone know, what is the national average in the Australian hospitals? Paivi
[ozmidwifery] vacuum extraction
I have found the paper about vacuum extraction on the CD from the ICM conference. I have attached the link to a website mentioned by Annie Clark in her presentation. When I read my notes I realised that I did not mention lacerations, although these are more common from metal cups, which are used less frequently these days. Also figures for intracranial haemorrhage are higher with vacuum extraction versus normal birth 1:860 for vac ext and 1:1900 for normal birth. Figures were not given for subaponeurotic haemorrhage but mortality was stated as 1:4 if it does occur. Most likely to happen if the cup is applied over the anterior fontanelle. I also read of two cases of fatal maternal haemorrhage where the cup was applied before full dilation (bleeding from the cervix). Vacuum extraction causes less trauma to maternal tissues however. See the website for more info. Nicole. http://www.obgmanagement.com/content/obg_featurexml.asp?file=2002/04/obg_040 2_00088.xml OBGManagement.com.url Description: Binary data
RE: [ozmidwifery] vacuum extraction
I have just tested the link. It doesn't work! However, if you type vacuum extraction in the search box you will get to the info. Cheers, Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Nicole Carver Sent: Sunday, July 31, 2005 10:10 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] vacuum extraction I have found the paper about vacuum extraction on the CD from the ICM conference. I have attached the link to a website mentioned by Annie Clark in her presentation. When I read my notes I realised that I did not mention lacerations, although these are more common from metal cups, which are used less frequently these days. Also figures for intracranial haemorrhage are higher with vacuum extraction versus normal birth 1:860 for vac ext and 1:1900 for normal birth. Figures were not given for subaponeurotic haemorrhage but mortality was stated as 1:4 if it does occur. Most likely to happen if the cup is applied over the anterior fontanelle. I also read of two cases of fatal maternal haemorrhage where the cup was applied before full dilation (bleeding from the cervix). Vacuum extraction causes less trauma to maternal tissues however. See the website for more info. Nicole. http://www.obgmanagement.com/content/obg_featurexml.asp?file=2002/04/obg_040 2_00088.xml -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] ventouse information
Title: Message One of the presentations at ICM was about ventouse. There are known side effects. Minor ones include caput succanadeum which is swelling of the scalp and cephal haematoma which is bruising between the skull bone and its membrane covering. The major one was a sub apponeuretic haemorrhage which I think is inside the skull and so the bleeding is less limited because there is more space, and the baby can lose quite a bit of blood. It can also cause pressure on the brain. The midwife suggested that hourly head circumferences after a ventouse might pick these up early. However, they are very rare. The higher the baby when the ventouse is applied, and the longer the time it is applied seems to be important. The pressure should not be on continuously for more than ten minutes, and the obstetrician should not use it for more than 2-3 contractions. I have had a quick look through the program, but can't find the midwife's name. She also mentioned an australian doctor who has a website with a lot of info about ventouse. I will check my notes and get back to you. Just going out for a bike ride with the family. Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Megan LarrySent: Sunday, July 31, 2005 11:37 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] ventouse information AnOsteopath may have some info on it, maybe try through the association, ora local practitioner? It is probably another of those practices (ventouse) that hasn't been looked into beyond 'saving' babies lives in the birth process. I would think its Osteos and the like that know more about long term impacts. Megan From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Janet FraserSent: Sunday, 31 July 2005 10:45 AMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] ventouse information They don't have anything on how it might affect a baby. No one does. J - Original Message - From: Dean Jo To: ozmidwifery@acegraphics.com.au Sent: Sunday, July 31, 2005 8:34 AM Subject: RE: [ozmidwifery] ventouse information have you tried maternity wise? jo -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Janet FraserSent: Saturday, July 30, 2005 10:16 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] ventouse information Hi all, can anyone direct me to online resources on the use and risks of ventouse? I have the info from ACE but that's about it really. Best, J Joyous Birth Home Birth Forum - a world first!http://www.joyousbirth.info/forums/ Accessing Artemis Birth Trauma Recoveryhttp://health.groups.yahoo.com/group/accessingartemis --No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.338 / Virus Database: 267.9.5/58 - Release Date: 7/25/2005 --No virus found in this outgoing message.Checked by AVG Anti-Virus.Version: 7.0.338 / Virus Database: 267.9.5/58 - Release Date: 7/25/2005
[ozmidwifery] RE:thanks Jo
Thanks for educating us all Jo. That was very interesting. Nicole -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Jo Bourne Sent: Friday, July 29, 2005 11:06 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] laparoscopy I am currently doing IVF and have jumped through all the test hoops, well most of them anyway. I haven't had a lap because the only reason for me to have one would be to check for endo and if I do have endo it is not severe enough to prevent IVF from working, I am doing IVF anyway so there is no point. A lap is the ONLY way they can be sure about endometriosis so if they suspect she has endo then that is the test yes. Severe endo can often be seen on a high level ultrasound but not always and less severe endo probably would not be seen by ultrasound. There is a blood test for endo but my understanding is that it is so unreliable as to be not worth the time. They often also check tubal patency during a lap but this can by done without the lap by having a HSG (dye/xray) or HyCoSy (sugar solution/ultrasound) instead, both of these tests can be painful but they are quick and do not involve any more sedation or painkillers than a couple of panadol. Is her Gyno a fertility specialist practicing as part of an IVF clinic? If not then she should change Drs, general gynos are not known in the infertile community for giving the best fertility advice. If she is in Sydney I can recommend two excellent Drs. Whether she changes Drs or not she should take all of her test results to someone else for a second opinion, you would be amazed how differently two fertility specialists can interpret the same results. I don't know what other tests she has had but fertility workups usually start with a semen analysis, cycle day 21 blood tests to check progesterone levels and confirm ovulation, probably a bunch of other blood tests too to look for things like PCOS and a tubal patency test. Depending on what is wrong then possibly some cycle tracking with regular blood work and ultrasounds. If the problem is PCOS then she would most likely be put on metformin, which seems to be quite helpful and will most likely also help with the weight problem. If tubes are clear and SA is ok then the the medical approach for unexplained or ovulatory infertility is usually 2-4 months of chlomid. If Chlomid doesn't work in 4 months it won't work. Chlomid has a number of drawbacks but it is cheap and simple (taken orally monitoring not really required) and it does often work. Then maybe FSH ovulation induction with or without IUI, FSH ovulation induction works better than chlomid, has less side effects but i! s more expensive, involves injecting yourself daily and extensive monitoring. If neither of those work then she would be encouraged to move on to IVF. Fertility treatment often provides more answers as you go along, though sometimes you continue to be told there is no apparent reason for your infertility and you just have bad luck... that was probably way more than you were looking for but hopefully it will help a little. cheers Jo At 10:19 PM +1000 29/7/05, Madelaine Akras wrote: I have a patient that I am treating for infertility. Her gyno has recommended she have a laparoscopy to investigate possible causes. She is feeling uncomfortable with this procedure due to the risks. She has also been told that being overweight may also increase these. Can anyone advise or assist me please. Are there any other safe procedures avaiable to determine the same?? Madelaine Akras Naturopath -- 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 unsubscribe.
RE: [ozmidwifery] Risk of uterine rupture
Hi Barb, This is why caesarean section is not to be taken lightly in the first place. I have heard this figure quoted too (others will probably know more than me). What they don't seem to tell women, is that rupture can happen during pregnancy too. I have never seen one rupture. I have heard doctors say when they have done a repeat c/s that the 'scar was about to give way, it's a good thing we did a c/s'. What they don't seem to discuss is that there are complications of c/s too, associated with the anaesthetic, or immobility, or surgical error such as nicking the bladder or babe. I suggest a look at theCARES website. It is very informative. http://homepages.picknowl.com.au/caressa/ Regards, Nicole -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Barb Glare Chris BrightSent: Saturday, July 09, 2005 8:46 AMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Risk of uterine rupture Hi, I know this has been talked about to death - but I didn't need the info then, so I just didn't take it in. but a friend told me she would be having an elective C/S because the risk of rupture was 1 in 200. Is that right? Barb Barb GlareMum of Zac, 12, Dan, 10, Cassie 7 and Guan 2www.mothersdirect.com.au
RE: [ozmidwifery] Homebirth of twins
This reminds me of the Dad who helped his wife birth twins at home at Rabbit Flat in the middle of the Tanami Desert! No problems! Nicole Carver -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Denise Hynd Sent: Wednesday, July 06, 2005 9:17 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Homebirth of twins Dear Sue thank you for sharing this wonderfull birth story I am doing Home Nursing at present and have client in her 80's who remembers her twins brother and sister being born at home and others of her generation!! Also the Toodyay flour mill managers wife in 1927 had her twins at home in the top floor of the mill. The story is part of a pictorial display at this WA tourist site including how they had to climb a ladder to get them in and out for their walks and sun kicks!! We all await the wonderful news of Justine's next home birth!! Denise Hynd Let us support one another, not just in philosophy but in action, for the sake of freedom for all women to choose exactly how and by whom, if by anyone, our bodies will be handled. - Linda Hes - Original Message - From: Sue Cookson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, July 06, 2005 6:48 AM Subject: [ozmidwifery] Homebirth of twins Hi everyone, I thought to let you know about a lovely homebirth of twins on Monday 4th July. Two little boys, 6lb7oz and 5lb 12oz, born 10.5 hours apart. SRM 3.30 am and birth of baby #1 at 6.49am. Then a few hours where ctxs were fairly regular but not so strong unless baby#1 was breastfeeding. You could see the second baby positioning itself and the uterus working hard to pull down into shape for baby#2. I'd clamped the cord of baby#1 after 10 mins in case of bleedthrough, and clamped the other end as well so that the placenta retained its size until after baby#2 was born. After about 4 hours I asked to check baby #2 position. It was too hard to palpate so I did a VE and found head there, not well applied, but there. Cervix was 9 ish cms. So we waited, fetal heart always good and strong. Set up the pool and mother relaxed for an hour or so with ctxs beginning to pick up again. She decided to hop out and at 5.05 pm baby#2 emerged in his caul. She birthed the placenta unaided 35 minutes later. Blood loss 300ml. (Her Hb and ferritin levels were both low). It was a huge leap of faith, but there was nothing happening to raise any alarm bells. Both babies are really gorgeous, feeding well and very happy. I am once again humbled by the strength of women Sue -- 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 Anti-Virus. Version: 7.0.323 / Virus Database: 267.8.9/39 - Release Date: 4/07/2005 -- 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] Hiding the scissors!!
I am pleased to report that we have very few episis at Bendigo. We had two intact peris yesterday, despite the births being vacuum extractions by obstetrician. It was very calm and controlled. Glad we can get that right at least! Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Janet Fraser Sent: Thursday, June 30, 2005 10:04 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Hiding the scissors!! Good on you, Cheryl! You saved the psyche of a labouring woman from anguish. Maybe we should put a bounty on those scissors and just empty the hospitals of them completely? That might take the episiotomy rate down since nothing else seems to. I'd be prepared to keep them all at my place where I can never find a pair of scissors when I need them! I only ever use them for good not evil too! Congratulations on holding the space for your client! Janet in Melbourne Joyous Birth Home Birth Forum - a world first! http://www.joyousbirth.info/forums/ Accessing Artemis Birth Trauma Recovery http://health.groups.yahoo.com/group/accessingartemis -- 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] post LUSCS analgesia
Hi Sally, We use Oxycontin 10mg-20mg sustained release BD, Oxycontin 5mg-10mg 2-4 hrly, Diclofenac 50mg 8 hrly and Paracetamol 6hrly. After fourty eight hours we cease the oxycontin and commence Panadeine Forte in place of the Paracetamol. However, we have to watch out for constipation. Otherwise it seems to be a good regime. Nicole Carver. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of sally williams Sent: Wednesday, June 22, 2005 5:52 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] post LUSCS analgesia Was wondering what other units use as a pain relief regime for women that have had LUSCS. There is much angst in our unit at present, with midwives coming from lots of different hospitals used to different regimes. I am in the process of initiating a pathway for this so that we can adopt a regime that everyone is comfortable with and then putting it to the docs, references and all. Thanks in advance Sally -- 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] Antenatal Urine Analysis
Title: Antenatal Urine Analysis Hi Justine, If you can get hold of the Three Centres Consensus Guidelines on Antenatal Care, it has evidence based guidelines which deal with (do away with!) routine urinalysis. The Guidelines were written by the three tertiary maternity hospitals in Melbourne. Nicole Carver. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Justine CainesSent: Monday, June 20, 2005 12:57 PMTo: OzMid ListSubject: [ozmidwifery] Antenatal Urine AnalysisDear Wise OnesI am about to spar with a local GP and was looking for some wee on the stick evidence.I somehow remember there was an article that came across the list on routine antenatal urine analysis.Any one know what I am talking about?JCJustine CainesNational President Maternity Coalition IncPO Box 105MERRIWA NSW 2329Ph: (02) 65482248Fax: (02)65482902Mob: 0408 210273E-Mail: [EMAIL PROTECTED]www.maternitycoalition.org.au
RE: [ozmidwifery] Flat spots
Hi Kirsten, It is good for baby to have tummy play each day when awake. Also try putting babe's head at opposite ends of cot each time they go down for a sleep, as they usually turn their head toward the middle of the room, changing ends will then make themturn their head to the opposite side (works for some anyway!). In most cases they resolve. However, the head circumference needs to be monitored to ensure adequate growth is occuring. A Maternal and Child Health Nurse should be consulted, and perhaps check the head circumference every three months or so. Nicole Carver. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Kirsten DobbsSent: Monday, June 20, 2005 2:12 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Flat spots Good afternoon wonderful midwives, I have a follow through client whose beautiful baby has developed flat spots on her head from the way she lies when sleeping. Its quite pronounced. Does any body have any info on this? And what can I suggest she tries to combat this? Love Light Kirsten BMid student, Darwin ~What you waiting for?~ Gwen Stefani
RE: [ozmidwifery] face presentation
Hi Emily, I believe mento anterior or chin facing mum's pubic bone can birth vaginally. Mento posterior the babe can't come around the curve of the pelvis. Theoretically, at least! Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of EmilySent: Tuesday, June 07, 2005 3:31 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] face presentation hi im really sorry that i think this has been discussed not to long ago but i had a frustrating incident with a collegue today who told me very confidently that 'face presentations cannot mechanically be delivered.' i told her i was quite sure it wasnt impossible as i had seen one but she said something like 'no they cant. you might like to think they can but they cant.' i have sent her a photo diary of one little chubby face presenting and birthing without a problem but would like some references or comments from others especially if someone has seen one. thanks so much emily Do you Yahoo!?Read only the mail you want - Yahoo! Mail SpamGuard.
RE: [ozmidwifery] sexual abuse and labour
Hi Sally, I have an article which is a case study about this issue. However, it is more about post traumatic stress than physiological effects. If you think it may still be of use here are the details: Tilley, J, 2000, Sexual assault and flashbacks on the labour ward, The Practising Midwife, Vol 3, Iss 4 (April), pp 18-20. Regards, Nicole Carver. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of [EMAIL PROTECTED] Sent: Monday, June 06, 2005 6:36 AM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] sexual abuse and labour could anyone point in the direction of research about the effects of sexual abuse (childhood or as an adult) has on labour. I was having a conversation with a friend of mine and she finds it difficult to believe that the psychological can interrupt the physiological. Thanks Sally ___ NOCC, http://nocc.sourceforge.net -- 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.
[no subject]
Hi, I am forwarding this info for anyone who might like to do some casual work at Cohuna Hospital (on the Murray River in Victoria). They are experiencing some difficulties covering all of their shifts. Nicole Carver Hi Nicole, Sue from On Times Nurses has asked me to send you the following re the Midwife position at Cohuna Hospital Dates 6th June - 31st July. Pay - Cohuna Hospital will pay G2 Yr 9 rates, up to G5 when in charge. On Time will pay a 'top up' on an hourly rate, which is not taxable. Travelling is tax deductible, a log book is required for this. Kerang hospital has 2 weekend shifts available during the period, these weekends could be picked up as well. Please contact Sue Bourchier at On Time Nurses 1300 730 562 for further information Cheers David -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Childbirth Education classes
Hi All, I have worked as a child birth educator in a hospital which has fairlycomparable intervention rates to other public hospitals in Victoria. However, to me we have a lot of unnecessary intervention, particularly induction of labour, and the cascade of intervention that then sometimes occurs. The quandary for a CBE in this environment is: do you educate for the ideal, or the reality of the environment that the women will birth in? If you tell them the reality, you would sit them in a circle of ten women and say only four of you are going to have a birth without intervention. What do you want to know to help you cope with a birth with intervention? Or do you teach them all natural, and know that many of them are going to be devastated by the reality of the actual birth that happens? Their partners too. It's a tough one. I struggled with it, because I also worked in the system. The women who advocate for themselves, or the midwives who do so, have to be very strong. Ultimately the power rests with the obstetricians. There are no alternative employers of midwives in my town. When teaching CBE classes I compromised, and taught about both. And ensured that the realities of the different interventions were discussed, so that women did not think that C/S is comparable to vaginal birth and so on. I can imagine a CBE working in the private system would be faced with even higher intervention rates. The other problem is having obstetricians coming after you for teaching THEIR women about things they would prefer they did not know. I think changes need to occur across the whole system, starting with midwife led care. It would be great if midwives could do the education for the women for whom they would be providing birthing care. The intervention rates would plummet, and education about intervention in birth could be made optional, and therefore availablefor those who want to know absolutely everything, or for those for whom intervention may be more likely.Otherwise a midwife could set the scene for the ways she has learnt to practice in birthing to maximise women's chance of a positive and optimal birth experience. I do think child birth education today is a reflection of our system. I also think CBE's try very hard to do their best for women and their support people. They are stuck in the middle of a far from ideal situation. Nicole Carver. [Nicole Carver]-Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Dean JoSent: Friday, May 27, 2005 2:43 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Childbirth Education classes I feel there needs to be legislation to bring cbe OUT of the institutions to the community. In SA we are so proud of our state wide Perinatal guidelines, there is probable cause to push the need for education to be statewide also. We need the government to push safe and happy birthing by promoting education that impacts these things. And then the little piggies can fly -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Diane GardnerSent: Friday, May 27, 2005 1:57 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Childbirth Education classes Wow am I steamed! I've just had a woman ring me in an absolute mess. She attended the Prenatal classes run by St Vincents Private just recently and and is scared out of her wits. She said she had been so excited and looking forward to birthing her baby until she attended the classes. She said they fed in negative, pain, complicationsand drugs! What is going on here? We wonder why women go into labour in a hospital screaming and begging for drugs. Just what sort of programming are these classes installing into women andtaking away their ability to trust their bodies for birth. How long do we have to put up with this and how much worse is it going to get before the hospital BoardsGET it or is the money rewards for doing all this more important than birth. Sorry to vent here SO loudly but I'm getting so fed up with this same old story. Where does one have to start to have these classesbroughtback tothe real world and some sensible and simple tools for birth! Sheesh Breathing and counting to 10...20.30 grrr ahhh!!! Diane --No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.322 / Virus Database: 266.11.17 - Release Date: 5/25/2005 --No virus found in this outgoing message.Checked by AVG Anti-Virus.Version: 7.0.322 / Virus Database: 266.11.17 - Release Date: 5/25/2005
