Re: [ozmidwifery] co-sleeping
Oh I agree totally, it seems so hard, so often back here in the East. Cath - Original Message - From: Michelle Windsor To: ozmidwifery@acegraphics.com.au Sent: Wednesday, January 24, 2007 11:56 AM Subject: Re: [ozmidwifery] co-sleeping There's no doubt that co-sleeping is the norm for indigenous women. In my experience the baby is either in bed with the mother, or on the breast. Often the aboriginal women would be puzzled as to why the other (ie white) babies were crying. It was a bit of an adjustment coming back to work in a mostly caucasian setting where distressed mothers and crying babies seem to be the norm (especially at night). As far as instinctive mothering goes, I think we can learn alot from the indigenous women. Cheers Michelle - Original Message From: Helen and Graham [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, 24 January, 2007 6:36:19 AM Subject: Re: [ozmidwifery] co-sleeping This story reminds me of my time working in Gove in the Northern Territory. The aboriginal women on the ward would co-sleep from day 1 and also leave their babies in their beds when they went outside to escape the airconditioning. You had to be VERY CAREFUL before you went ripping the sheets off the bed to make it. I was always afraid a baby would end up in the linen skip one day Helen - Original Message - From: Lyle Burgoyne [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, January 24, 2007 1:22 AM Subject: Re: [ozmidwifery] co-sleeping Hi Raelene, We have a policy that allows co-sleeping.We had more concerns about babies falling out of bed(did actually happen) rather than them being smothered by mums so our policy just makes sure the bed rail is up on which ever side of mum the baby is sleeping with a pillow against the bed rail so bub doesnt slip through.We regularly have bubs in bed with mums .Works well for both mums and bubs. All the best with getting a working policy Lyle [EMAIL PROTECTED] 22/01/2007 1:54 pm Hi everyone, I need some help! I'm trying to formulate a policy regarding co-sleeping and want to offer alternative sleeping arrangements for mothers and babies whilst in hospital. Does anyone know of a special cot that has been developed that allows the baby to sleep with mum but in a separate cot that is attached to the main bed. I've seen pictures of babies using a biliblanket in a cot attached to the bed in this way, but can't find any information. Can you help. Regards Raelene George Maternity Ward Kalgoorlie Hospital -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the system manager. This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 2000 (20070123) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. Send instant messages to your online friends http://au.messenger.yahoo.com
Re: [ozmidwifery] Kalgoorlie
Donna, where are you currently, can you email me off the list. [EMAIL PROTECTED] Cath - Original Message - From: Donna Towers To: ozmidwifery@acegraphics.com.au Sent: Tuesday, January 23, 2007 6:08 PM Subject: [ozmidwifery] Kalgoorlie Hear, hear Suzi! I would have to agree with you. After two years working with women all around this amazing country of ours, I still say that my eight years in Kalgoorlie taught me the most. Hi Raelene and team. Good Luck with the co-sleeping issue. I have found that Australia wide many policies are forcing babies out of their mothers beds! Very frustrating! Donna Towers
Re: [ozmidwifery] Kalgoorlie
Hi Raelene, No policies as such, but I quite like placing the mattress of the baby cot beside the bedrail (tucked quite firmly into the mattress) as a little safety feature.Widely used in the Kimberley. The Sids brochure we use in Vic has a little spiel on co-sleeping which I try to show to mums. Cath Nolan. PS Have had a lunch and lovely day with Tara and Cath and kids today, lots of Kal talk, say hi from us here. - Original Message - From: Donna Towers To: ozmidwifery@acegraphics.com.au Sent: Tuesday, January 23, 2007 6:08 PM Subject: [ozmidwifery] Kalgoorlie Hear, hear Suzi! I would have to agree with you. After two years working with women all around this amazing country of ours, I still say that my eight years in Kalgoorlie taught me the most. Hi Raelene and team. Good Luck with the co-sleeping issue. I have found that Australia wide many policies are forcing babies out of their mothers beds! Very frustrating! Donna Towers
[ozmidwifery] vbac didn't happen
Hi everyone, My friend had a baby boy last night by c.s. I have spoken with her this morning. After being seen by a wonderful midwife from this list, she rang and cancelled the caeser booking for yesterday morning and went into what sounds good labour after a sweep. . She couldn't talk much about details , but sounded happy with her baby boy called Riley, who was 8lb1 and 54 cms. He has breastfed beautifully, thank goodness. By the gist of the short story , was examined and told to push and wasn't fully. AH. Then told to breathe through etc etc, re examined hours later 6cm. I'm so over women being put through this crap. God I wish people would learn to trust womens bodies and stop fiddling. Why can't they wait until pushy signs happen!! Of course I have n't said anything to her just venting here about this.She sounded tired and a bit spaced out, having regular peth and will talk more when she is out of hospital. She is pleased that she laboured and had no analgesia throughout. It's just a damn pity that she needed the section in the end. I'm off to work a late shift, wish me luck, Cath
[ozmidwifery] Fw: help needed
resending this and hoping it gets to the list. - Original Message - From: cath nolan To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 28, 2006 2:10 PM Subject: help needed I have a good friend from Kununurra who has gone to Perth who is 9 days post dates and wishing desperately for a vbac. She is seeing the clinic at Osborne park and has had a show and periods of niggling and sporadic contractions for the past few days. Has been told today to come in for c/section tomorrow at 0630 and the staff are refusing to to a sweep and stretch ( even though the Reg said to have one 1 week ago) I have advised castor oil and to question why tomorrow. They have mentioned fluid levels dropping, but haven't done anything about that- sounds like scary medical tactics to me. Has anyone got any ideas, I would like to be there to do a sweep but I'm in Victoria. Thanks Cath
Re: [ozmidwifery] Fw: help needed
I'm kicking myself that I hadn't mentioned that earlier. She has a very supportive husband and Mum, but is running into the comments of just have the caesar from what she feels is everyone she meets. They are staying in a cabin in Perth somewhere, as vbac is not allowedin Kununurra. I have suggested she tries to get her mind off bad thoughts and try to have a big belly laugh . Someone told me the video Kenny is funny and I thought it may just help her to relax. One doctor has even told this couple today that after 10 days overdue the baby is at risk of cerebral palsy. dani said her husband was bewildered by that after the visit and she was in tears, not knowing what to say. first section was for breech by the way, I was with her for that, 39weeks and lashings of vernix covering the 3kg baby. I have emphasised that she can say no but the scare tactics are very forceful. G. They are both scared of getting all the staff offside as well. Cath - Original Message - From: Janet Fraser To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 28, 2006 3:21 PM Subject: Re: [ozmidwifery] Fw: help needed Has she been in touch with the women from Birthrites? Someone could support her to just stay home until labour is established which sounds about the only way she will achieve a vaginal birth. I hate how women are put in these appalling positions. J - Original Message - From: cath nolan To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 28, 2006 3:05 PM Subject: [ozmidwifery] Fw: help needed resending this and hoping it gets to the list. - Original Message - From: cath nolan To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 28, 2006 2:10 PM Subject: help needed I have a good friend from Kununurra who has gone to Perth who is 9 days post dates and wishing desperately for a vbac. She is seeing the clinic at Osborne park and has had a show and periods of niggling and sporadic contractions for the past few days. Has been told today to come in for c/section tomorrow at 0630 and the staff are refusing to to a sweep and stretch ( even though the Reg said to have one 1 week ago) I have advised castor oil and to question why tomorrow. They have mentioned fluid levels dropping, but haven't done anything about that- sounds like scary medical tactics to me. Has anyone got any ideas, I would like to be there to do a sweep but I'm in Victoria. Thanks Cath
Re: [ozmidwifery] Fw: help needed
She is in Perth, 3000kms from Kununurra trying to make it happen.. I have talked with her about options, and someone off this list is going to see her this afternoon. I love how this list works, as my husband often says, we're all sisters. Cath - Original Message - From: brendamanning [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 28, 2006 6:17 PM Subject: Re: [ozmidwifery] Fw: help needed Well,..the bottom line is that she can only be caesared by consenting to surgery. Kununurra cannot refuse to treat her (negligence) nor remove her from their premises by force (assault). If she does't want surgery she needs to stay away from the places where surgery happens ! Turning up fully dilated usually does the trick ! No one can operate on her while she is sitting on the couch at home !! With kind regards Brenda Manning www.themidwife.com.au - Original Message - From: cath nolan To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 28, 2006 4:23 PM Subject: Re: [ozmidwifery] Fw: help needed I'm kicking myself that I hadn't mentioned that earlier. She has a very supportive husband and Mum, but is running into the comments of just have the caesar from what she feels is everyone she meets. They are staying in a cabin in Perth somewhere, as vbac is not allowedin Kununurra. I have suggested she tries to get her mind off bad thoughts and try to have a big belly laugh . Someone told me the video Kenny is funny and I thought it may just help her to relax. One doctor has even told this couple today that after 10 days overdue the baby is at risk of cerebral palsy. dani said her husband was bewildered by that after the visit and she was in tears, not knowing what to say. first section was for breech by the way, I was with her for that, 39weeks and lashings of vernix covering the 3kg baby. I have emphasised that she can say no but the scare tactics are very forceful. G. They are both scared of getting all the staff offside as well. Cath - Original Message - From: Janet Fraser To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 28, 2006 3:21 PM Subject: Re: [ozmidwifery] Fw: help needed Has she been in touch with the women from Birthrites? Someone could support her to just stay home until labour is established which sounds about the only way she will achieve a vaginal birth. I hate how women are put in these appalling positions. J - Original Message - From: cath nolan To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 28, 2006 3:05 PM Subject: [ozmidwifery] Fw: help needed resending this and hoping it gets to the list. - Original Message - From: cath nolan To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 28, 2006 2:10 PM Subject: help needed I have a good friend from Kununurra who has gone to Perth who is 9 days post dates and wishing desperately for a vbac. She is seeing the clinic at Osborne park and has had a show and periods of niggling and sporadic contractions for the past few days. Has been told today to come in for c/section tomorrow at 0630 and the staff are refusing to to a sweep and stretch ( even though the Reg said to have one 1 week ago) I have advised castor oil and to question why tomorrow. They have mentioned fluid levels dropping, but haven't done anything about that- sounds like scary medical tactics to me. Has anyone got any ideas, I would like to be there to do a sweep but I'm in Victoria. Thanks Cath -- 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] independent midwifery
where do you work ? It sounds terriffic. Can you clone such a place? Cath - Original Message - From: sharon [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, December 01, 2006 11:45 AM Subject: RE: [ozmidwifery] independent midwifery I am an hospital based midwife and I believe that I do give evidence based care, the hospital that I work for is working on a homebirth standard presently and the group practice will soon be able to offer women homebirths provided the individual midwife is confortable to offer this service. The individual midwives in the DE are quick to develop rapport with their women and they also are good at getting to know the women and their needs. I dislike people on this list who consitantly run down hospital based midwives and the care that they provide can people please remember that IMP is not for everyone although it is a good way to develop and maintain your skills. cheers -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jo Bourne Sent: Friday, 1 December 2006 8:28 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] independent midwifery It puzzles me too. Why choose an evidence based carer and then take them somewhere they can't provide you with it? Because if you know you have a higher than average change of NEEDING a hospital if might be nice to have someone who knows you, cares about you and will actually give you evidence based advice while you are there. Women in this situation need an ipm MORE not less if you ask me... Even my midwife confessed (after the magical homebirth) that she had expected me to end up in hospital with a medical extravaganza given my health issues. Without my midwife not only would there not have been the option of homebirth if I made it to term healthy, there probably would have been almost no chance of even a remotely natural birth in hospital, for a whole host of reasons I haven't time to explain right now. Planning a home birth should not be a requirement of hiring an IPM. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.409 / Virus Database: 268.15.2/560 - Release Date: 30/11/2006 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: Re: RE: [ozmidwifery] homebirth costs
Didn,t someone previously say that the cost of living in NSW is more expensive, well that also goes for the midwives not just the women birthing. Midwives have families/lives /mortages etc. Cath - Original Message - From: [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Saturday, November 18, 2006 10:46 PM Subject: Re: Re: RE: [ozmidwifery] homebirth costs Hi Barb, I think it's wonderful that you had such an amazing birth and wish for all women to have such an experience. From my understanding, many Sydney midwives ask their clients to come to them not vice versa. So a lot of their care is not midwifery care at home, rather it is out of their home until the final weeks. I'm not sure about all midwives, but this seems more common place now in Sydney. And, you get paid $4000 to have a child these days. Midwifery care at home? It's a bargain. I find it very interesting that people see you get paid to have a baby. I was under the impression that the baby bonus was given to help mums to be able to afford to stay home longer from work, or upgrade their car if they need more space, or buy car seats, slings, good food for nourishment while breastfeeding etc. The only women I know that can afford to spend that whole $4000 on midwifery care are the women that didn't need that money in the first place. The women that choose to spend the whole amount even though they can't afford it, because they have no other choice in Sydney, have no benefits from the baby bonus for living expenses with a newborn. There is no bargain if you can't afford it. I understand the value of midwives and continuity of care and midwifery care at home, but why should women in Sydney and NSW be paying that much more?? Nobody has answered that question. I'm not questioning the value of midwifery care, more why Sydney midwifery care is so much more 'valuable' in the dollars and sense kind of way? Love Abby xo -- 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] homebirth costs
As a result of all this information, I spoke with a woman who wants a second homebirth, her first she was charged the cost of fuel to get to her for visits etc. I mentioned $2500 and she was taken aback. She said to me , Ï understand you need to cover costs but truly I think she has no real idea of the true value. This woman lives a 11/2 hour drive from me and said she will shop around. I wished her luck. It is difficult asking for money, and difficult getting a response such as this where effectively they did not pay previously, Cath - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Saturday, November 18, 2006 1:42 PM Subject: RE: RE: [ozmidwifery] homebirth costs How come there is such a big difference? I mean, that is a really BIG difference!! Midwives have always worked altruistically and undervalued their services. It takes an enormous emotional step for midwives to believe they are worth it. If midwives actually ask for this larger payment, would women still want to have their services? And then again midwives want women to be able to afford their services. Women now have an income from the Government that would pay for the midwife, but many parents see this as a payment to relieve the mortgage, clear debt or buy a big TV. It is more complex than just putting up the fees. MM Approx $2000-$2500 here in SA I think, from what I know anyway. Same in WA. MM
[ozmidwifery] pap smears
I have seen lots of smears done at all stages of pregnancy(cathchment theory) being strongly in place, and was not aware of any adverse side affects. Cath
Re: [ozmidwifery] getting synto etc
I have seen and used misoprostil quite a lot in several hospitals, mostly for PPH and 2nd trimester TOPs.It is highly effective for PPH and can be given orally. We would get the woman to chew it, not pleasant but quicker action that way. It is fine given orally as long as narcotics have not been administered in the previous 4 hours as the narcotic decreases gut motility and therefore impairs the effects of the misoprostil.I found that especially when I was in Kununurra and needed to use it , it was a great drug to have on hand. Remembering that a large portion of that community were at less than optimal health and often had low hb, poor antenatal care and nutrition, grand multi etc. As far as I am aware it is ok to use for PPH and recognised as such even though it was manufactured as a drug to treat gastric ulcers. The problems surrounding its use and bad press are regarding use for induction of labour, another story altogether. Hope this helps, Cath - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 7:56 PM Subject: RE: [ozmidwifery] getting synto etc Ok I need some more info I guess. I have had some midwives locally say that this is a better option to have at home for an emergency. This is my own birth I am talking about I am not a midwife, I am a doula and will be birthing unassisted due to the non-existence of MIPP up here, I am wanting something on hand for just in case. I have been told Misoprostol is very effective with few side effects. It will be for me a last resort whilst waiting for an ambo if things like shepherds purse and eating placenta do not work (if I have another PPH). Would anyone be able to tell me a bit more about the side effect and why you would/would not recommend it. I am due in a couple of months so want to start getting something organized and a decision made about which way to go. Thank you, Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Amanda W Sent: Wednesday, 15 November 2006 4:41 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc We use Misoprostol at the hospital where I work and it is kept in the fridge next to the syntocinon and syntometrine and the prostins etc. Why would you want to use it at your homebirth but. Syntocinon should be just fine. Misoprostol is a fairly heavy drug of choice with a fair few side effects and we only use it for large PPH's Amanda Ward Creative Memories Consultant Ph. (07) 3261 4354 Mob, 0417 009 648 Email. [EMAIL PROTECTED] From: Lisa Barrett [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Date: Wed, 15 Nov 2006 16:18:45 +1030 misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 3:55 PM Subject: RE: [ozmidwifery] getting synto etc I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey Sent: Wednesday, 15 November 2006 12:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would
Re: [ozmidwifery] getting synto etc
Where are you that you cannot find a midwife? - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 7:56 PM Subject: RE: [ozmidwifery] getting synto etc Ok I need some more info I guess. I have had some midwives locally say that this is a better option to have at home for an emergency. This is my own birth I am talking about I am not a midwife, I am a doula and will be birthing unassisted due to the non-existence of MIPP up here, I am wanting something on hand for just in case. I have been told Misoprostol is very effective with few side effects. It will be for me a last resort whilst waiting for an ambo if things like shepherds purse and eating placenta do not work (if I have another PPH). Would anyone be able to tell me a bit more about the side effect and why you would/would not recommend it. I am due in a couple of months so want to start getting something organized and a decision made about which way to go. Thank you, Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Amanda W Sent: Wednesday, 15 November 2006 4:41 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc We use Misoprostol at the hospital where I work and it is kept in the fridge next to the syntocinon and syntometrine and the prostins etc. Why would you want to use it at your homebirth but. Syntocinon should be just fine. Misoprostol is a fairly heavy drug of choice with a fair few side effects and we only use it for large PPH's Amanda Ward Creative Memories Consultant Ph. (07) 3261 4354 Mob, 0417 009 648 Email. [EMAIL PROTECTED] From: Lisa Barrett [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Date: Wed, 15 Nov 2006 16:18:45 +1030 misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 3:55 PM Subject: RE: [ozmidwifery] getting synto etc I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey Sent: Wednesday, 15 November 2006 12:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Had a client recently who I sent to her GP for a script for synt. She got the script, went to the chemist to fill it found it was going to cost her around $80 to get it - they only sold it in the boxes of five vials. I ended up asking around my MIPP friends managed to find some that way (dint need it anyway so its still in my fridge). If you give me your postal address Im happy to post some to you - my understanding is that its ok to keep it out of the fridge for a time. cheers -- Jennifairy Gillett RM Midwife in Private Practice Women's Health Teaching Associate ITShare volunteer - Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- This mailing list is sponsored by ACE Graphics.
Re: [ozmidwifery] getting synto etc
Yes, I have thought of that but would love to be above board with everthing that I could, Cath - Original Message - From: Sonja Barry To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 7:25 PM Subject: Re: [ozmidwifery] getting synto etc Are you able to "acquire" it somehow - Original Message - From: cath nolan To: ozmidwifery@acegraphics.com.au Sent: Tuesday, November 14, 2006 9:13 PM Subject: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues.Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath
Re: FW: [ozmidwifery] getting synto etc
thanks Leanne, it islways good to hear latest research, Cath - Original Message - From: leanne wynne [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, November 16, 2006 9:32 AM Subject: RE: FW: [ozmidwifery] getting synto etc Hi All, I did a little research recently concerning Misoprostil and discovered that the WHO has also been researching Misiprostil for the prevention of PPH. Like many of you have already mentiioned it is not recomended for use in obstetrics although it is widely used and it is easier to store as it doesnt require refridgeration and easier to administer as it is oral or PR not IMI. However the recent WHO Expert Commitee on the Selection and Use of Essential Medicines found that Syntocicnon is actually more effective than Misoprostil and due to a lack of evidence they decided not to include it in The Interagency List of Essential Medicines for Reproductive Health 2006. Both these documents are worth reading. So I have decided that I will continue to use Syntocinon 10 IU/mL, if required, for the management / prevention of PPH when I attend a homebirth. Leanne. Leanne Wynne Midwife in charge of Women's Business Mildura Aboriginal Health Service Mob 0418 371862 From: LJG [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: FW: [ozmidwifery] getting synto etc Date: Wed, 15 Nov 2006 19:09:57 +1000 We have it in our cupboard and regularly use it for pph (used pr) and it works well for this, I imagine this it what you would be having it on hand for Philippa? Because it's a tablet it doesn't need refrigeration. Most of our Tops are now done with it too. It is dispensed by our pharmacyalthough kept in the dd cupboard and counted in the same manner. If obs in the public system are using it freely then I can't see why a GP would object...or maybe a hospital doctor would write it up for you? - I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville - -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. _ Advertisement: House hunt online now! http://a.ninemsn.com.au/b.aspx?URL=http%3A%2F%2Fninemsn%2Erealestate%2Ecom%2Eau%2Fcgi%2Dbin%2Frsearch%3Fa%3Dbhp%26t%3Dres%26cu%3DMSN_t=758874163_r=HM_EndText_Nov06_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.
[ozmidwifery] getting synto etc
I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues.Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath
Re: [ozmidwifery] hanging baby scales
Hi Sonia, Did you make the sling or purchase it from some one? Cath - Original Message - From: Sonja Barry To: ozmidwifery@acegraphics.com.au Sent: Tuesday, November 14, 2006 7:34 PM Subject: Re: [ozmidwifery] hanging baby scales Thanks everyone for your thoughts and assistance in getting some baby scales. I now have a beautiful digital set with a lovely purple sling to hang the babies in. Sonja - Original Message - From: nunyara To: ozmidwifery@acegraphics.com.au Sent: Tuesday, October 31, 2006 10:05 AM Subject: RE: [ozmidwifery] hanging baby scales Hi Sonja, My husband owns Wedderburn scales in Bundaberg. He supplies baby scales to the hospitals and chemists up here. Would you like me to get you a price? He would just send them to you. It is not a problem, he can usually have them sent within the week. You would pay be cheque on invoice or direct deposit into the bank. Jassy From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Christine HollidaySent: Monday, 30 October 2006 8:14 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] hanging baby scales A fishing shop could be a good start as they have some good scales and are much cheaper than the medical products scales; you may need to make a sling to go with them. Christine -Original Message-From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au]On Behalf Of Sonja BarrySent: 30 October 2006 07:00To: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] hanging baby scales Wondering if anyone knows where I would be able to purchase hanging baby scales. Thanks Sonja
Re: [ozmidwifery] getting synto etc
Thanks Andrea for the Livingstone tip, I have bought things off there before but wasn't aware that I could get synt. Cath - Original Message - From: Andrea Quanchi To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 5:28 AM Subject: Re: [ozmidwifery] getting synto etc you can purchase syntocinon at www.livingstone.com.au Andrea Q On 14/11/2006, at 9:13 PM, cath nolan wrote: I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues.Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath
Re: [ozmidwifery] No Contractions
I have given tired women a spoonful of honey around this stage, sometimes when things just seem to be going off the boil and tiredness is kicking in. It seems to work magically, and one of the Obs Reg at my work now lets me give that a go before mentioning the synto.He has seen it work a few timesnow.Maybe it is one of those experiences of having been a RN as well as a midwife that has helped. In remote areas we have to work with what we have got. Cath - Original Message - From: diane To: ozmidwifery@acegraphics.com.au Sent: Thursday, October 05, 2006 7:24 PM Subject: [ozmidwifery] No Contractions Hi Wise women, Just want to throw this out there for comments/suggestions. Had a birth the other night that was a bit worrying at the time. Good outcome lovely 4200g baby girl. Mum (primip)had SROM at clinic visit at 830 am then went home and established at about 1630, came in contracting moderately at 1900hrs was 4-5cm , I took over her care at 2000hrs. Lovely very motivated mum, well read and attended classes, well supported by partner and mum and mum in law and sister. Ctx hotted up to 3-4 minutely and stronger, was drinking well but had a few small vomits, and next UA showed small ketones and SG 1.030, but was still drinking well and ctx remained strong and regular so didnt want to put in a cannula. VE at 1130 showed an anterior lip, still a bit thick. Wasnt able to wee again after that but head was well down. Was actively pushing with some ctx at 0100 with signs of full dilatation (nice purple line!) Contractions really started to drop off, became about 4minutely and only about 20secs of good strength. Mum getting quite tired at this stage but more focussed and excited than earlier. At this point I did put up some fluids as I thought with the ctx dropping off combined with her fatigue she might need some hydration. She pushed babe up to on view (birth stool) but made little more progress over next 20mins or so. Fluids running in flat out but no sign of increased ctx. Babes HR started to drop to around 80 which at first had good recovery , so I wasn't too worried but after a while were staying there for a minute or so each time before climbing back to 100. At this point with encouragement she managed to push bub up to almost crowning and that was the last of the contractions!!! Obviously not easy to get FH at this stage but was quite low and staying there. She had not much strength left as she had done much of the work without help of ctx. With a few position changes she got a little more head out but then seemed to only move millimeter by millimetercolour was ok eventually after what seemed like 10 minutes I managed to push the peri back to get a chin...then nothing no ctx...mum managed to push a little and I got her to move from kneeling to standing then one leg up on bedstill nothing... went onto bed and there was some movement with maternal effort (the last of it!) the body birthed over almost three minutes, it was a pretty tight fit with the shoulders coming in the lateral position, when a shoulder appeared I gave it a push with two fingers to the anterior it moved just a little into the oblique but then was finally out far enough for me to get a little finger under the arm and finally managed to get her out! Apgars 7 and 10. but as it was so slow and there were no ctx to assist with her being a big bub too, It was a bit hairy for a little while. Lucky she didnt have big enough ears or they might have ended up a little stretched!! LOL. Second stage was only 1hr 45min but I felt it was just way too slow birthing that head and those shoulders! Perhaps I should have been more trusting?? I hesitated in calling the Doc after an hour of pushing cause was on view at this stage and I thought he would have been too late by the time he came in. Probably would have been better to have him on standby just in case, I suppose. I just felt quite helpless and know that things ended up quite stressful for everyone in the room. I think I would have prefered to deal with a shoulder dystocia at least then I would have had a practiced sequence of events to go through!! Thought she might get away without a tear as birthed sooo slowly but peri went with the shoulders, 2nd degree peri tear (no too big) and a anterior labial that wasnt too bad either.(thank goodness, was after 3am by then, that time of night where you see double!)Did have synto at birth but needed to get her to squat to get placenta and had a constant trickle and (surprise surprise) a relaxed uterus, which was fine after another shot of Syntometrine (450 loss). My feelings are I probably should have been a little more pro active in getting the fluids up, maybe I erred on the non intervention side a little too
Re: [ozmidwifery] Question on Notice to Tony Abbott re antenatal item issue and rural doctors
Sadly I have in the last year seen ante natal care provided by RNs. I was troubled by the practise of an RN who had let her mid rego lapse and had not worked as a midwife for 14 years, and then given the job of providing antenatal care to the women of a remote town. Management saw no problems with this when I spoke of my concerns. The WA nurses board were not concerned, and I thought they were the protectors of the public!! It is imperative that our role be clear to the decision makers. By the way I no longer work in that area. Cath - Original Message - From: Melissa Singer To: ozmidwifery@acegraphics.com.au Sent: Tuesday, September 12, 2006 4:45 PM Subject: Re: [ozmidwifery] Question on Notice to Tony Abbott re antenatal item issue and rural doctors Having previously spent many years as a rural and remote nurse and midwife I have NEVER seen a nurse provide antenatal care to women. We worked with a nurse or enrolled nurse to provide guided assistance to ward clients or as a second person attending a birth. Melissa - Original Message - From: D. Morgan To: ozmidwifery@acegraphics.com.au Sent: Tuesday, September 12, 2006 1:10 PM Subject: Re: [ozmidwifery] Question on Notice to Tony Abbott re antenatal item issue and rural doctors It'sscary stuff when people in those high places (parliament)making those decisions are not aware of all the facts. However as a Nurse and Midwife from the bush I don't think I have ever seen anynursewho is not a Midwife give antenatal care to women. Cheers Di
[ozmidwifery] registration??
Dear all, I have been asked to be midwife at a birth in NSW next year and hold registration in Vic and WA. Will I need to get NSW reg. and what will be the best way to get birth notification papers etc. Does anyone have a contact name/number etc.for papers required. Thanks Cath.
Re: [ozmidwifery] Fw: Notes from meeting with Contracting Advantage
Thanks Andrea, it's good to get this type of information coming our way. Cath - Original Message - From: Andrea Bilcliff To: Ozmidwifery Sent: Wednesday, September 06, 2006 9:52 AM Subject: [ozmidwifery] Fw: Notes from meeting with Contracting Advantage To help keep everyone in the loop, here are Joy's notes from the Melbourne meeting yesterday. Andrea Bilcliff - Original Message - From: Joy Johnston Sent: Wednesday, September 06, 2006 9:19 AM Subject: [Midwives_Insurance] Notes from meeting with Contracting Advantage Meeting for midwives with Anne OConnor of Contracting Advantage (CA) Tuesday 5/9/06 3-5pm At Sunshine Hospital Midwives present: Robyn Thompson, Helen Sandner, Andrea Bilcliff, Michelle Popple, Bronwyn Harris, Clare Lane, Kayleen Scuderi, Veronica Zeinstra, Joy Johnston Purpose of meeting: to discuss CAs offer to provide Professional Indemnity (PI) insurance for self-employed midwives. For information on CA, go to www.contractingadvantage.com/ CA is a private company, and they have already negotiated a plan for $10 Million cover with their broker, Jardine Lloyd Thomas in Perth. A midwife who signs up with CA would be charged an annual fee of $500, plus approx 6% of all invoices we create. The system that they offer provides an accounting system whereby a midwife would give an invoice to a client for her services, and the client would deposit the money into an account belonging to CA.(If cash is paid, the midwife can transfer the money). CA processes the money into Tax 20%, agency management fee 5%, and insurances approx 1%, and anything else that the midwife wants to have taken out such as superannuation, or income protection. The remainder is sent the next day to the midwifes account, and the midwife receives a statement of earnings. CAs agency fee provides bookkeeping services for members, including preparation of BAS. CA has no interest in the fee charged, or the number of births, or any details of how the midwife practises. They need to be sure that a person is a midwife, and this can be checked via the public register at the Board. (they do the same for tradesmen c) CA charges a $2,500 excess on every claim. There are some technical questions that Robyn put, and these need to be answered formally. I felt satisfied from my perspective that the plan would provide PI insurance, which is the big need, and the first priority. There are 2 systems operated by CA. The first is what I have described above, which would provide for independent midwives such as those of us who are practising now. The other system is called ODCO, which is a self employed contractor who does most of her/his work for one employer. CA has an arrangement with the employer, and the employer pays the money earned by the independent contractors in the same way that nurse agencies get paid for supplying staff. The possibilities here are very big, in that hospitals could use this system for midwives who want to be self employed but want to provide the acute/ birth care in the hospital. Also this system could replace nurses agencies that are already in operation, if it had an enterprising business person to run it. This idea has a lot of possibilities. The next step is to get 200 midwives. The list that Barb Vernon has generated has 90 names, and we know others who have not yet put their names on the list. There may not be 200 who are currently earning enough to make the $500 seem reasonable. Those who are working primarily in hospital jobs, but are willing to attend homebirths occasionally may fee its too much. If you spread it over even 10 births in a year its not much, and can be passed on to the client, but if you only have 2 births in the year, thats a big burden. However I think once the insurance becomes available the pressure will quickly mount on all midwives to get it, so it wont be an option any longer. This possible shortfall in numbers may be something that needs attention perhaps pressure on health ministers to provide support to get it started initially. I hope this gives you useful information. I do think it will open the possibilities of hospital visiting access for independent midwives. If you know any midwife who is interested but is not on one of these yahoo groups, please forward this message to her/him and ask them to request an invitation to the list. many thanks Joy Johnston
[ozmidwifery] re peter mourik
Thanks everyone for the info, I'm about to head off to this little soiree. Will let you know my impressions. Apparrently today he was quietly quizzing others on if there were any independent midwives locally and loved our newly implemented 'midwifery model' which by the way and much to my chagrin has no antenatal care component at all. The an care provided is ínfo sessions'. All nicely controlled by our ever growing number of obstetricians. Warrnambool is looking at having 5 obs next year!! It is a regional centre of 35,000. plus significant outlying area. Too many poking fingers for my liking. Cath
[ozmidwifery] Fw: info required
- Original Message - From: cath nolan To: ozmidwifery@acegraphics.com.au Sent: Wednesday, August 16, 2006 8:37 PM Subject: info required I will be meeting with Peter Miourik(obstetrician) amongst others in an informal dinner setting on Friday night as the hospital that I work at is having a review of obstetric services . I believe this is a man who is quite against midwifery led services and I'm a bit puzzled as to why I have been asked to be one of the 2 midwifery reps at this dinner. But very pleased at the same time, and more than happy to be a part of this. Can anyone fill me in on what they know of this man? Cath.
Re: [ozmidwifery] Fw: info required
Thanks Julie, I wasn't thinking of only negative information. more along the lines as to where has he been working, rural practise etc. This is a review of obstetric services and I guess my concern is the ongoing domination of the medical viewpoint and minimising the midwifery input. Thanks for your reply. I do remember reading an article by him but can't remember what it was in, and it was certainly not favourable to the establishment of midwifery led care. , Cath - Original Message - From: Julie Clarke To: ozmidwifery@acegraphics.com.au Sent: Thursday, August 17, 2006 11:09 AM Subject: RE: [ozmidwifery] Fw: info required Hi Cath, I dont know anything about him and would not pass judgment on a person on a public forum anyway (or possibly privately either), so what Id suggest is to consider the idea that he/or a colleague in his field might be against midwifery led care and think through all the possible arguments that might be put forth such as perceived insufficient midwifery training or perceived insufficient midwifery experience or perceived insufficient confidence professionally for midwives in Australia and then develop counter arguments to put forth, particularly with regard to the wonderful work being done currently for midwifery in Australia refer to ACMI. Warm hug Julie From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of cath nolanSent: Thursday, 17 August 2006 10:29 AMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Fw: info required - Original Message - From: cath nolan To: ozmidwifery@acegraphics.com.au Sent: Wednesday, August 16, 2006 8:37 PM Subject: info required I will be meeting with Peter Miourik(obstetrician) amongst others in an informal dinner setting on Friday night as the hospital that I work at is having a review of obstetric services . I believe this is a man who is quite against midwifery led services and I'm a bit puzzled as to why I have been asked to be one of the 2 midwifery reps at this dinner. But very pleased at the same time, and more than happy to be a part of this. Can anyone fill me in on what they know of this man? Cath.
Re: [ozmidwifery] Fw: info required
Thanks Wendy, I have just had a big long chat with Andrea and have been reminded where I have heard of him before. I will let Andrea know how things go. Cath - Original Message - From: [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, August 17, 2006 11:04 AM Subject: Re: [ozmidwifery] Fw: info required Good Grief Most of what I would like to say is probaobly not safe to write anywhere. Dr Mourik I have worked with in Wodonga as a student. He come here to Wang occassioanlly as a Locum much to the distress of all the midwives. Arrogant is an understatement. He "saves" women and tells them so. He is a skilled obstetrician, no doubt, but I wouldn't want him any where near me if I was birthing. An example that comes to mind when I was a student was when he was performing a perineal repair and smugly asked the husband "Want me to throw in a few extra stitches, to tighten her up?" This man is very self assured, articulate, hmmm perhaps you should just ring me at home on this one Cath. (03) 57221605. Wendy - Original Message ----- From: cath nolan To: ozmidwifery@acegraphics.com.au Sent: Thursday, August 17, 2006 10:28 AM Subject: [ozmidwifery] Fw: info required - Original Message - From: cath nolan To: ozmidwifery@acegraphics.com.au Sent: Wednesday, August 16, 2006 8:37 PM Subject: info required I will be meeting with Peter Miourik(obstetrician) amongst others in an informal dinner setting on Friday night as the hospital that I work at is having a review of obstetric services . I believe this is a man who is quite against midwifery led services and I'm a bit puzzled as to why I have been asked to be one of the 2 midwifery reps at this dinner. But very pleased at the same time, and more than happy to be a part of this. Can anyone fill me in on what they know of this man? Cath. No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.405 / Virus Database: 268.11.1/421 - Release Date: 8/16/2006
[ozmidwifery] re grief and childrens books
I used to read a book to my kids called "sophie"by mem fox I think. It was a lovely gentle book about a special grandfather dying and provoked lots of discussion in our house with my three girls about dying. It speaks from a cycle of life perspective with birth showing hope and new life.Unfortunately a subject we have had to deal with quite a bit in the past few years. I found it very helpful. Cath. t
Re: [ozmidwifery] Interesting article about declining rural birthing services
way too familiar to me after having worked in the Kimberley for the past 3 years. It is awful how the "necessity"of being shipped out is worded to these women. It is one of the reasons that I left there. Cath - Original Message - From: Helen and Graham To: ozmidwifery Sent: Tuesday, August 08, 2006 11:27 PM Subject: [Norton AntiSpam] [ozmidwifery] Interesting article about declining rural birthing services http://www.news.com.au/story/0,23599,20063886-2,00.html# Mum-to-be travels 2000km to give birth By Liza Kappelle August 08, 2006 08:15pm Article from: AAP Font size: + - Send this article: Print Email A MUM-to-be has been shunted more than 2000km around Western Australia for somewhere to have her baby.Kirsti Sweetman, 24, eventually gave birth to a boy in a Perth hospital on Sunday night after being turned away by two hospitals a long way north in WA's Pilbara region. She initially went to her local hospital at Tom Price, 1556km north of Perth, on Saturday, after her waters broke four weeks early. But she was not in labour and the hospital wasn't equipped to induce pregnancies, said her stepfather Steve Turner. The flying doctor was called and Kirsti was taken another 360km further north to Port Hedland hospital while her anxious partner, Tony Bassett, 27, and their three-year-old daughter Imogen followed by road. Mr Turner said he and his wife Teresa Kirsti's mum also drove to Port Hedland for the birth only to be told when they got there Kirsti would have to go to Perth. It is understood the doctors in Port Hedland thought it would be safer for her to have the baby induced in Perth. Mr Turner, however, said he believed it was because the hospital was flat out. She got to Port Hedland and they couldn't handle her cause they were too busy, he said. By now it was late, so Kirsti spent the night in the Port Hedland hospital before being flown to a Perth hospital the next morning. They induced her that night and her partner had to fly out there on a commercial flight while my wife and I brought the cars back, Mr Turner said. Mr Bassett described Kirsti's ordeal as very traumatic. The thought of missing the birth of my son, Tarkyn, that was the worst, Mr Bassett said. And the last thing that Kirsti wanted to do was go though it on her own. Mr Turner said he believed the family was shunted around because the government was stripping services out of rural and regional areas. They are taking all our services away in the country and putting them in the cities, he said. But the news on the new bub couldn't be better. Mr Bassett said his son was growing stronger by the hour and he hoped he'd soon be able to take his family back home another 1556km trip. Pilbara Health Service regional director Patrik Mellberg said Tom Price Hospital did not have the facilities to manage high-risk deliveries and a local GP had made the decision to send Ms Sweetman to the Port Headland regional hospital via the Royal Flying Doctor Service free of charge. Upon arrival at Port Hedland it was assessed that due to the patient's condition and available capacity at the hospital, it would be necessary to fly her to Perth free of charge again, for reasons of clinical safety, Mr Mellberg said. The patient was under constant medical supervision.
[ozmidwifery] preparing placentas
I have prepared a couple of placenta's for eating over the next few months after birth. I washed them thourougly so that the water ran clear then cut the placentas into small "capsule"sized pieces. I then wrapped them into individual pieces of foil and froze them. The women both said that if they felt a day warranted it, they would perhaps take an extra piece. Both were very aware of PND and a need to avoid it. Cath
[ozmidwifery] The weekend australian
There was an article in the careers section of last weekends Australian, that was an interesting read on c/section. The photo that went with it has me perplexed though.It appears to show a bub being born by caesarean, still in the abdomen but with an ET tube and sats monitor. It is lovely and pink and has a cord that doesn't appear to have been clamped. anyone have any ideas? Cath
Re: [ozmidwifery] MCHN problems
can I ask why is a letter being written to the chemist? Was this a MCHN or a nurse in a different role. I live in the country and MCHN are in a child health centre office. - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Thursday, July 13, 2006 8:22 AM Subject: [ozmidwifery] MCHN problems Thank goodness she is going to do something about this it was one of the Moderators on my site that this happened to: I took Rosie down yesterday just to get her weighed - (9kg BTW! 90th percentile, and my smallest bubba at this age ). Anyway she was going through the book and checking off all of the questions relating to a 6month old when it came to solids So I tell her that Rosie isn't really into them, so we are just trying little bits to get her used to textures and flavours. This nurse was a nutter - this is what she told me...So goes off saying that at 6months she should be having a few meals a day then puts her hands up to her head and says "Hmmm just thinking...no I don't think we'll introduce formula at this point" WT Formula??? I am breastfeeding with NO supply problems, and no problems other than being worn out and she is thinking formula???Then says that she is surprised that I am able to breastfeed because she is my third baby and the quality of my milk wouldn't be so good.Then...and this is the corker...says that I should deny Imogen breast because a baby will eat when it gets hungry. I may have to put up with screaming for a while until she realises that she won't be getting a breast feed, but when she's that hungry she'll eat solid food...OMG OMG OMG And I should give water instead of BM.She also started talking developmental delay because Imogen is too lazy to get up and move! She is ONLY 6 MONTHS!!! Thank God I am confident in my mothering enough to ignore all of her crap!This is the same nurse that told me that when Imogen was 4months old that she should start solid food because being 8kgs, she is ready.Anyway my point to this massive post is that, is it any wonder that people introduce solid food at 3months, or cut down milk feeds for solids I fear for the new mothers that don't have the confidence in themselves to do what is right. Not once did she mention that milk is to be the primary food until 12months, or that solid food is just complimentary until then. This health professional is giving out dodgy advice and people will believe her because of her position as a CHN.I will be writing to the chemist and complaining about the advice given, because she is going against all WHO recommendations and I am sure she has made more than one mother feel like crap because of her stupid ideas. Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support
[ozmidwifery] 4 corners
Has anyone else seen the show on safety in healthcare tonight on 4 corners. There is an online discussion currently, it's worth a look. Cath
Re: [ozmidwifery] Tragic story
or maybe they were referring to doctors who treat women, - Original Message - From: Synnes To: ozmidwifery@acegraphics.com.au Sent: Friday, March 10, 2006 12:47 PM Subject: Re: [ozmidwifery] Tragic story I thought it was because in India most of the Doctors who work on women are female due to their religious beliefs (men not allowed to see women like that unless they are their husbands?). It could also be poor reporting in that they have not pointed out that the only people at the C-section were female staff (how unusual, journalists not reporting the whole story, just the bits that sound good!). At least they seem to be doing something about it (by arresting doctors their hospital system can ill afford to lose, but if they are that incompitent should they be anywhere near a patient?) I for one am thankful I am in Australia! Amanda - Original Message - From: brendamanning To: ozmidwifery@acegraphics.com.au Sent: Thursday, March 09, 2006 3:09 PM Subject: Re: [ozmidwifery] Tragic story Shocking yes, but why doesn't this surprise me, in India. Note no male doctors being arrested just female !! "We have been conducting raids to arrest lady doctors," - Original Message - From: lisa chalmers To: ozmidwifery@acegraphics.com.au Sent: Thursday, March 09, 2006 11:58 AM Subject: [ozmidwifery] Tragic story I just found this on the BBC website. http://news.bbc.co.uk/1/hi/world/south_asia/4782576.stm Quite shocking to read. Lisax No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.375 / Virus Database: 268.2.1/277 - Release Date: 3/8/2006 No virus found in this outgoing message.Checked by AVG Free Edition.Version: 7.1.375 / Virus Database: 268.2.1/278 - Release Date: 3/9/2006
Re: [ozmidwifery] two vessel cords
this can be an indicator of renal anomalies in a small percentage of babies. It is worth a scan i believe. I have worked in a neonatal unit and do remember thebabies affected. This must always be balanced with the fact that there are plenty of babies that have no problems apparrent. Cath - Original Message - From: Kylie Carberry To: ozmidwifery@acegraphics.com.au Sent: Friday, October 14, 2005 2:19 PM Subject: [ozmidwifery] two vessel cords Hi everyone, I have a pregnant friend with a two vessel cord and wondered if anyone had some info on what this may mean. I had it myself and was told the baby would need a renal scan at one week old to check for renal anomolies. Indeed, shedoes have urinary reflux, but I know that a two vessel cord does not necessarily mean renal problems. I know that this was brought up a little while back but I have lost track of the info Kind regards Kylie Carberry Freelance Journalist p: +61242970115 m: +612418220638 f: +61242970747-- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
Re: [ozmidwifery] fyi
I went to a neonatal stabilisation update recently run by the wants team. The bottom line is that this is for seriously unwell babies , not run of the mill sick babies so to speak. I asked the same question and it is stilol very much the practise to keep our babies warm as we do. It is only a select group of babis that this is appropriate for ie suspected IVH etc, Cath. - Original Message - From: Mary Murphy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, October 13, 2005 5:29 PM Subject: RE: [ozmidwifery] fyi So, do we keep the baby warm or do we uncover it and let it cool? MM Cooling blankets may reduce newborn brain damage BY RONI RABIN STAFF WRITER October 12, 2005, 8:22 PM EDT Lowering a newborn's body temperature after birth reduces risk of brain damage and death for babies who are deprived of oxygen before or during delivery, a new study has found. Within hours of being born, newborns in the study were placed on cooling blankets that lowered their body temperature to about 92 degrees. The blankets, which had water circulating through them, were set at 41 degrees. After three days, the babies were gradually warmed to a normal body temperature, which usually ranges from 99.7 degrees to 99.3 degrees. The study of 208 infants at 15 medical centers was reported by researchers in the Neonatal Research Network of the National Institute of Child Health and Human Development, and appears today in the New England Journal of Medicine. This is a very exciting, landmark study, said lead author Dr. Seetha Shankaran, head of the division of neonatal-perinatal medicine at Wayne State University School of Medicine in Detroit. But the sponsors also urged caution, saying further research is necessary and warning that most hospitals should not attempt to the technique without training of personnel. The babies must be closely monitored and strict protocols must be followed because temperature fluctuations could be harmful, the study authors said. One in every 1,000 to 2,000 babies born suffers from hypoxic ischemic encephalopathy, which occurs when the brain doesn't get enough oxygen or blood in the hours before birth or during labor and delivery. These babies are at markedly increased risk of disability, including blindness and cerebral palsy, as well as death. Babies who received the cooling treatment fared better than babies provided with standard treatment. Of the 208 babies in the study, 102 infants were randomly assigned to undergo the experimental cooling while 106 received standard care. When the babies were examined at 18 to 22 months, 62 percent of the babies who received the standard treatment had died or developed a mild or severe disability, compared to 44 percent of those who had the cooling treatment. When all three outcomes -- death, moderate disability and severe disability -- were pooled, findings were statistically significant. Among those who were cooled, 24 died, compared with 38 deaths in the control group. Fifteen infants who had the experimental treatment developed cerebral palsy and five went blind, compared with 19 and nine, respectively, of thosee who had standard care. Infants who received the cooling treatment also scored better on mental and physical development measures, the authors said. The children will be followed until they are 6 or 7 years old. Several other studies investigating the benefits of cooling treatment are under way. Researchers at Schneider Children's Hospital in New Hyde Park have participated in a study that used a cooling cap to mitigate brain damage in newborns similarly afflicted by oxygen deprivation, and other studies are under way in Australia and England. They key thing is that the cooling, whether by blanket or by cap, helps some babies, said Dr. Andrew Steele, a neonatologist at Schneider Children's Hospital involved in the cooling cap study. Shankaran explained that when the brain is deprived of oxygen and blood, a cascade of abnormal events occurs, including formation of toxins and amino acids that damage brain cells. Cooling appears to work by reducing the energy of the brain itself, she said, thereby decreasing the abnormal toxins and actually reducing the swelling of brain cells. It is a very promising, evolving therapy, but there's a lot more work to be done, alot of questions still to be answered, said Dr. Ann Stark, chair of the American Academy of Pediatrics Committee on the Fetus and Newborn Health. Copyright 2005 Newsday Inc. -- 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] kalgoorlie
Tania, I worked in Kalgoorlie and have a friend doing some home birthing there currently. If you contact me off the list I can give you some details. By the way they have roughly 600 births a year from memory at the mid unit at the regional hospital. Cath email [EMAIL PROTECTED]
[ozmidwifery] moving on
I am looking for some advice regarding the workplace I have just left. We have approx. 130 low risk births a year, in a high risk,remotepopulation. Quite a few women are sent between 1100-3000 kms away to birth, The roster hasbetween 8-10 midwives who work on most shifts with RN and ENs and cover the general ward/mid and ED. I have enjoyed the mid I have had as I get to do the antenatal clinic, classes and births mixed in with general patients.The doctors arevery happy to let midwives be the caregivers for pregnant/labouring women unless we feel there is a need for any intervention. 3 of the doctors are dutch and are very mid orientated. My concerns lie with ( and a big part of the reason that I am leaving) the fact that some of the midwives have very little recency of practise, one midwife has birthed two babies in 6 years with supervision, another has come from years of remote aboriginal community work. We all work most shifts as the only midwife onshift. Management don't have any concerns with this as if they are registered with the board that appears to be enough for them.There have been no performance appraissals of staff in the two years I have been here.I don't believe that the place is safe and there is not enough education to upskill or even to maintain skills unless personnaly motivated.The'near misses' are never reviewed.I could reel off quite a few, let alone some of the things that make my blood boil. I want to write a constructive ,objective exit letter expressing my concerns without shooting myself in the foot for references etc. Should I do that, would it have any use? Has anyone else felt they have been in a similar circumstance? We are moving to south west Vic and building a house in an idyllic settingso I have a lot to look forward to, but would like to leave knowing that something may change. Cath
[ozmidwifery] review of maternity services in QLD
Hi, I'm not sure if this has been mentioned previously. I have just seen Saturdays Australian (I live in a remote part of Australia and get the paper days later)regarding an invitation for public comment on pg 7.,.into review of maternity services in QLD. There is an email for information. info@maternityservicesreviewqld.net.au or see the website. www.maternityservicesreviewqld.net.au contributions are sought by Mon 1 Nov. Cath
[ozmidwifery] birth story
If up to 25% of births are by c-section, why were 75% of those interviewed discussing the benefits of such. Normal vaginal birth is just that, normal, side effects- healthy woman, healthy baby. Midwives are the 'experts' of normal birth- where was their representation? Cath (midwife).
[ozmidwifery] PDF
Thanks for the replies. I had suspected it was this, did he tour Australia about 18 mths ago. I live in a remote area and often hear of issues like this on abc radio.The website links are handy, I'm working night duty tomorrow with this woman and can pass the info on. Cath.
[ozmidwifery] bridgetown
I have met a woman who wishes to have a homebirth in Bridgetown, WA. Her EDB is 22/8/04 and she has been in contact with the Fremantle group but hasn't heard anything backas yet. Does anyone have any contacts. I can be contacted off the list at [EMAIL PROTECTED] Thanks, Cath Nolan, Kununurra.
[ozmidwifery] re beautiful birth
Perhaps it was the position that this woman felt most comfortable in. It certainly seems that she looked comfortable and secure in her place. I loved that clip for what it was. Cath.
