Re: [ozmidwifery] Your thoughts on Birth Plans?
Kelly, I wrote a 'birth Plan for both of my births. I had three - the 'ideal birth the if i need to transfer / intervention and the 'c/section' In each i put what my prefernces were ie ; if i had an epidural i did not want a routine IDC. Also my wishes if i had a c/section were that the drape be dropped so that we could watch the baby being born and discover the sex ourselves. I found it very useful to present to the birth centre and my private ob ( who would be my doctor if i transfered to the main hospital ). For me they both went the ideal birth way. As a midwife ( working in a private hospital ) I find that the birth plans that our women come through with are often difficult for the women to follow as they seem to not prepare themselves physically ( ie yoga etc ) or mentally for what labour is all about. They also expect that their partner will always be able to support this 'plan. i think that following through with the birth plan is difficult without an extra su! pport person ( doula etc). Good Luck zoe ( parent / midwife ) Kelly @ BellyBelly [EMAIL PROTECTED] wrote: I am writing an article as we speak on birth plans (I prefer to say birth intentions or birth preferences and hopefully everyone else will too one day!) and I was wondering if anyone would be happy to comment from a midwife perspective? I'd like to know: * What do you think of birth plans women are writing at the moment * What do you think about it being called birth preferences or intentions instead, * What you like and dislike when you read them - i.e. too long, too unrealistic or whatever springs to your mind I won't put your name to the comments so you can feel free to be open and honest about it, I would really love to add your perspectives if you are open to it. Thank-you in advance :-) Best Regards, Kelly Zantey Creator, http://www.bellybelly.com.au/ BellyBelly.com.au Gentle Solutions From Conception to Parenthood http://www.bellybelly.com.au/birth-support http://www.bellybelly.com.au/birth-support BellyBelly Birth Support - http://www.bellybelly.com.au/birth-support -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] How long before synto is used?
iI had an induction with my second baby ( post dates and GDM ). My private obs only induces at night as he feels women labour better at this time. He did an ARM at 7.30pm and said he would see me in the morning if nothing happened. We had also negotiated a midwife delivery ( regardless of if he was there or not ). My sisters ob did exactly the same for her both times. all our babies were born at night, beautiful midwife births ( 3 out of 4 in the private system ). zoe - Original Message - From: Janet Fraser [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 15, 2006 11:05 AM Subject: Re: [ozmidwifery] How long before synto is used? Amy your story is truly appalling and also totally normal in the system. How anyone can refuse your requests is disgusting! EFM does NOT save lives, it just increases c-sec rates. How about birthing with evidence based care at home if you have another baby? As Diana Korte says, if you don't want interventions, don't go where they're done ; ) I hope you recover well from your awful brush with the drug pushing and unnecessary intervention. I wish it were not the norm but it clearly is! J - Original Message - From: adamnamy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 15, 2006 11:49 AM Subject: RE: [ozmidwifery] How long before synto is used? This is really pertinent thread for us mothers on the list...it seems an issue about which there are no clear guidelines which makes it really hard for women who are attempting to be in charge of their own labors. They don't even know what sort of time frame they will have in which to relax into labor without pressure and threat of synto. I recently gave birth in our major hospital, by ARM (2nd birth, Hx of fast labor, 2cms dilated, 36 weeks but with cholestasis and very worried about that). I was extremely keen to avoid synto/EFM and all the other nasty possibilities. I asked over and over for some clear indication of how long they would give me to progress into labor with out synto but was not given one. Within an hour of ARM I was being asked very regularly if I had contractions, with frowns and talk about synto every time I said not much happening. I wonder how it might have panned out had I not been hassled every step of the way...It only served to increase my anxiety 20 fold. We managed to hold them off for 6 hours before it went up and the flogging of the body began. It is just a revolting drug that should be avoided unless strictly necessary. The labor was nothing short of torturous and degrading (I am sure you have all seen it in action). I also wonder if it was the unrelenting intensity of the contractions that forced my bub into a posterior, deflexed position within an hour of established labor. Being hooked up to EFM doesn't help with keeping mobile either. I am not a midwife-Could there be any truth in that idea? Anyway...I thought I had negotiated to switch it off once labor had begun but lo and behold...a change of shift and the next midwife refused. I ended up switching it off myself-to her utter bewilderment. This was an act of desperation which left me quite compromised with her because our relationship became quite frosty and unpleasant after this. I felt like I lost her support when I took the reigns and bucked against hospital protocol. It was like I had offended her...that she felt compromised by me asserting myself. If I ever needed to follow the same course of action I would have the ARM and then get myself home ASAP for labor to start itself. I feel as though getting my baby out and the room prepped for the next customer was as much of a priority as my wishes to keep my labor and birth low key...I don't know, am I an eternal cynic? Bub calls, I have to go... Amy -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of diane Sent: Thursday, June 15, 2006 8:54 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] How long before synto is used? We sometimes have some confusion over whether the women should have oral AB's cover if they are on home management of SROM. The policy doesnt call for it, but some doctor's recommend this. When in established labour and membranes are broken for more than 18hrs, then IV AB's are used. I guess that confirms that you are at more risk in Hospital!! What do other units do? Cheers, Diane - Original Message - From: brendamanning [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 15, 2006 8:51 AM Subject: Re: [ozmidwifery] How long before synto is used? The UK's NICE guidelines inherited from the UK's Royal College of Obs and Gynea suggest that it is fine to leave pre-labour rupture of membranes up to 96 hours before induction of labour - This is the policy at Rosebud. If doing ARM for IOL then waiting 4 hours is common reducing the synto once the labour is
[ozmidwifery] allergies and vaginal , c/section birth
Hi Everyone, I wonder if anyone has come across any research that looks at the mode of delivery and the incidence of severe allergies / asthma in these children. Thanks in advance Zoe
Re: [ozmidwifery] GDM
i had GDM with both my pregnancies. well controlled with diet and daily monitoring. laboured spont at 38 weeks with first and arm at 41 weeks with second.i had the first at birth centre and transfered to KEMH with second. even though i had private obstetrician back up both times there was never any pressure to be treated differently. i actually chose an elective induction at 41 weeks. i guess it just depends on the individual situation. babies 3.5 kg and 4.0kg. zoe - Original Message - From: diane To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 09, 2006 12:22 PM Subject: Re: [ozmidwifery] GDM I believe that Liz meant the baby died in utero, while awaiting the onset of spontaneous labour' Di - Original Message - From: sharon To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 09, 2006 1:56 PM Subject: Re: [ozmidwifery] GDM insulin dependant diabetics are given a insulin infusion at the hospital i work at their off spring are taken to the nursery and bsl's done on them if they are ok then they go back to the mother to direct room in. if not they are given dextrose via a ivt until they can stabalize and then go to their mothers. it seems like your case was mis managed medically. i hope this senario does not happen to anyother unsuspecting mother. regards - Original Message - From: diane To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 09, 2006 12:57 PM Subject: Re: [ozmidwifery] GDM I believe that insulin dependent GDM is a different situation. Didnt the US pick up the macosomia?? How does this very low rate of unexplained deaths in utero compare with that of the general , non diabetic population? Cheers, Di - Original Message - From: Elizabeth and Mark Bryant To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 09, 2006 12:39 PM Subject: RE: [ozmidwifery] GDM Dear Readers, I saw this as a student, very well controlled GDM (but on insulin), the woman chose to wait for natural labour at T + 7 despite encouragement from some doctors for IOL. She had CTG's and USS all of which were perfect however lost her beautiful daughter the next day - only explanation given was macrosomia. Was a heartbreaking experience for all involved Liz -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Katy O'NeillSent: Tuesday, 9 May 2006 12:05 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] GDM Dear Diane, This decision comes out of the conference held annually in the US on GDM. This last one concluded that diet controlled GDM should not go beyond term due to the risk ( very low, 1% ) of sudden unexplained deaths in utero beyond this time. Apparently you can have a baby with U/S and CTG all indicating foetal well-being and within a few hours have the baby die without any explanation. Katy. - Original Message - From: diane To: ozmidwifery@acegraphics.com.au Sent: Monday, May 08, 2006 12:38 PM Subject: [ozmidwifery] GDM Hi wise women, I think this may have been a thread not long ago, but can anyone point me to some research on the safety of going past the "due date" , for a woman with well controlled gestational diabetes? My step daughter, in Tamworth,has been informed that although she is at no higher risk than anyone else, they wont 'LET' her go past due date!! Lucky I wasnt there at the appointment Maybe later, he he he!! I love a good debate. Thanks, Diane__ NOD32 1.1523 (20060505) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
Re: [ozmidwifery] any benefit to teaching women self examination?
i was transitional at 2cms with my first , was fully 1 hour later !!. My second i was transitional at 5cms. Going by what the woman 'feels' emotionallyseems to be more of an indication. zoe - Original Message - From: Susan Cudlipp To: ozmidwifery@acegraphics.com.au Sent: Wednesday, April 05, 2006 8:10 PM Subject: Re: [ozmidwifery] any benefit to teaching women self examination? I have long thought that transition phase has nothing to do with how many centimetres dilated a woman is, have been laughed at several times for suggesting that a woman was transitional at only 3cms, only to have a birth within 1/2 hour. Ihave known even very experienced midwives get VE's wrong - one memorable one was a woman who was supposed to be 'fully' and in reality had a posterior closed os, which had not been reached - the midwife was feeling the head stretching the anterior vag wall and had not felt back far enough to reach the os. Mistook the bulging anterior wall for an open cervix. Another who self-examined and got the stage correct (5cms) but entirely missed the fact that it was an undiagnosed breech! She just thought the baby was bald :-) Melissa - I agree that your own assessment at home was probably correct and can only assume that the admitting midwife made an error, but you own behaviour at that time was surely transitional! (still, a good story to dine out on !! :-)) For myself I found self examination quite easy but did not do it prior to going in- was most disappointed to be told I was only 5cms and not thinking that my labour was strong and that I was transitional - delivered 1 hour later, after self-checking and finding an anterior lip. I don't know how women not used to feeling their own bodies would fare - as student midwives we all found this to be one of the hardest skills to learn and it took many VE's before it clicked for me. Ina May Gaskin, and others also speak of cervix's actually 'going backwards' and I have seen this occasionally. Interesting thoughts Sue "The only thing necessary for the triumph of evil is for good men to do nothing"Edmund Burke - Original Message - From: Maxine Wilson To: ozmidwifery@acegraphics.com.au Sent: Tuesday, April 04, 2006 12:35 PM Subject: RE: [ozmidwifery] any benefit to teaching women self examination? Oh what a stressful experience I had something similar happen for my first vaginal birth (and labour) when I was examined I was only 3 but I thought I must have been 8 and felt really panicky and then within about 20 mins I was pushing and 15 minutes later my baby was born. But it was very disheartening thinking I didnt know where my body was at. I believe my VE was correct I was just having transitional type contractions with my cervix not far behind! It just reinforces the question of how useful is a VE? Maxine From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Melissa SingerSent: Tuesday, 4 April 2006 2:04 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] any benefit to teaching women self examination? Hi Maxine, This is my own personal experience with self examination. I'm a midwife of ten years working in a hospital setting (ie have done plenty of V.E's!!) and when I had my first baby just over a year ago I laboured at home from 11am until midnight when I did my own examination and I could have sworn I felt a 5 cm dilated cervix with bulging membranes. From there I decided to go to the birth centre which was 45min away. I had strong regular contractions but coping fairly well at home in the shower. My husband was asleep - typical! When I arrived the midwife examined me (I didn't tell her I had performed my own) and she said I had a posterior closed and uneffaced cervix. I was baffled aboutthe discrepancyand absolutely mortified I, as a midwife, had arrived to the birth centre so early. She suggested we go home so I did. I screamed all the way home, stayed there for 1/2hr anddecided if I had to go another 12hrs with this intense pain I needed drugs and drove the 45 mins back fighting the urge to go to the loo for a poo. Arrived and jumped in the bath a screamed out a baby girl. Much to the midwife's surprise! My husband told her the head was out. Anyway, I'm still not convinced her examination was right looking at the time line of events, but I was coping so well at home and when I was told I hadn't even started to efface yet I lost the plot! When I arrived back the midwife must have thought I still had
[ozmidwifery] perineal massage
Looking for an education pamphlet to give to antenatal clients that desciribes what it is and how to do it. would like to know where to purchase from rather than photocopy. thanks zoe
Re: [ozmidwifery] telemetry ctg machine?
where i work we have at least8 CTG machines of which3 are telemetry. obviously the3 are used for those women who want to be mobile in labour and avoid epidurals etc. - Original Message - From: Jennifer Price To: ozmidwifery@acegraphics.com.au Sent: Wednesday, February 01, 2006 1:29 PM Subject: Re: [ozmidwifery] telemetry ctg machine? you can use the cordless telemetry monitors in the shower as they are waterproof allowing more mobility for your labouring women and also continually monitoring at risk babies and women. but there is also another one that you can plug in your usual leads to a portable (like a handbag) monitor but this cannot be used in the shower. It depends on what money you can access as well as your clients preferences if at risk. They range in price from $12 000 - $22000 in Australia and that is if you have the right machine to connect it to start with. Food for thought: this may lead the way for all women in a hospital setting to be tied to a monitor even when in normal labour and birth??? but it does give women the mobility and shower/bath use that we cannot offer when on regular monitors . Hope this is what you were needing Jenni [EMAIL PROTECTED] 02/01/06 3:01 pm Hi wise midwives, Do any of you know any compelling reasons or research on the advantages or disadvantages of using telemetry ctg machines as apposed to the usual ones? I'm trying to get my head around whether they are a good or bad thing to have in a practice setting and how having one avaliable for use changes how midwives care for women in labour. Thank you, Julie:) *This email, including any attachments sent with it, isconfidential and for the sole use of the intended recipient(s).This confidentiality is not waived or lost, if you receive it andyou are not the intended recipient(s), or if it is transmitted/received in error.Any unauthorised use, alteration, disclosure, distribution orreview of this email is strictly prohibited. The informationcontained in this email, including any attachment sent withit, may be subject to a statutory duty of confidentiality if itrelates to health service matters.If you are not the intended recipient(s), or if you havereceived this email in error, you are asked to immediatelynotify the sender by telephone collect on Australia+61 1800 198 175 or by return email. You should alsodelete this email, and any copies, from your computersystem network and destroy any hard copies produced.If not an intended recipient of this email, you must not copy,distribute or take any action(s) that relies on it; any form ofdisclosure, modification, distribution and/or publication of thisemail is also prohibited.Although Queensland Health takes all reasonable steps toensure this email does not contain malicious software,Queensland Health does not accept responsibility for theconsequences if any person's computer inadvertently suffersany disruption to services, loss of information, harm or isinfected with a virus, other malicious computer programme orcode that may occur as a consequence of receiving thisemail.Unless stated otherwise, this email represents only the viewsof the sender and not the views of the Queensland Government.
Re: [ozmidwifery] fetal path to obesity
my biggest concern about growing my own vegtables is that i dont know the history of he soil where we live. zoe - Original Message - From: Emily To: ozmidwifery@acegraphics.com.au Sent: Saturday, December 03, 2005 3:08 PM Subject: Re: [ozmidwifery] fetal path to obesity growing organic food isnt expensive though, its really cheap and teaches kids so much about eating food that is freshstraight from the earth - not a can or microwave haha. you can grow enough vegetables for a family by rotating and replanting as you need.i havent tried this technique but it sounds great (www.squarefootgardening.com) sorry this isnt directly relevant, but if it helps grow healthy families andchildrenand save money and the earths resources then i guess it is ! love emilyJanet Fraser [EMAIL PROTECTED] wrote: I also find it deeply unsatisfactory because we know that breastfeeding is the way to avoi! d obesity and yet we don't promote bf as part of the package. There's no mention in this of whether or not the mothers or children were bf to WHO guidelines. J - Original Message - From: brendamanning To: ozmidwifery@acegraphics.com.au Sent: Saturday, December 03, 2005 9:58 AM Subject: Re: [ozmidwifery] fetal path to obesity This is an "I remember" tale... I would really hate us to go back to those days of obsessive weighing of women them dreading the weekly pregnancy check because they'd be 'told off' for gaining weight. Some women even used it as an excuse not to attend pregnancy checks at all, especially the bigger women who we know are high risk. Those were awful times where women were treated like naughty girls instead of responsible women who ought to be deciding (with the appropriate info)what's bestfor the health of themselves their baby. There is always a 'policeman' with theweighing system, usually it's the ! weigher (ie the midwife) no one likes them, it's verybad for mother/midwife rapport. Educating the mothers re healthy diets is the key as that's why they gained the excessweight initiallyduring pregnancy, (unhealthy eating patterns)unless they were underweight when they became pregnant ( very common with the 'lolly-pop' look nowadays). So they need education about healthy food choices after weaning from the breast for their children. Just my 2c worth, I hated with a passion hearing women worrying about: 'putting on too much weight, the doctor will tell me off'. It's s demeaning ! They aren't naughty school girls it reinforces that patriarchal"doctor is God' handing down sentences orderstriad. With kind regardsBrenda Manning www.themidwife.com.au - Original Message - From: Helen and Graham To: ozmidwifery Sent: Friday, December 02, 2005 9:19 PM Subject: [ozmidwifery] fetal path to obesity http://www.theaustralian.news.com.au/common/story_page/0,5744,17432980%255E23289,00.html Print this page Fetal path to adult obesityClara Pirani02dec05PREGNANT women who gain too much weight under the guise of "eating for two" may be guaranteeing their children have a lifelong battle with obesity.Two studies that will be published in next week's New Scientist journal found women who gain too much weight during pregnancy are far more likely to have overweight or obese children. One study, from a team at Harvard University in the US, found that even women who followed their doctor's advice and gained a "safe" amount of weight were still likely to have overweight children. The Harvard study divided 770 expectant mothers into three groups - those who gained an "inadequate", "adequate" and "excessive" amount of weight - based on the US Institute of Medicine's guidelines that women should gain between 12kg and 16kg. Children born to women who gained an adequate or ex! cessive amount of weight were, on average, already overweight by the age of three. "Only the inadequate group - a weight gain of less than 11.5kg - gives a result that is where you want to be," Harvard University researcher Matthew Gillman said. Researchers
Re: [ozmidwifery] fetal path to obesity
I agree totally with you Gloria. I managed to put on 16kg's with both my pregnancies and had GDM. I am very careful with what I feed my two children as I am very aware of their risk factors for developing type 2 diabetes later in life. My 2 1/2 year old loves vegetables and fruit. If we have a 'special treat' she will pick fruit juice over chocolates / lollies etc. Some of my friends are amazed that my 8 month olds favorite food is lentils!!! Some of my friends have only fed their children tinned food from the very beginning. it is unfortunate that buying organic is so expensive. zoe - Original Message - From: Gloria Lemay To: ozmidwifery@acegraphics.com.au Sent: Saturday, December 03, 2005 3:31 AM Subject: Re: [ozmidwifery] fetal path to obesity How much weight gain is irrelevant. All the work on this has been done and is reported in "What Every Pregnant Woman should Know About Diet and Drugs in Pregnancy". The question is always "What are you eating?" The quality of the diet is everything. Women can gain more than 16 kg and have healthy slim children, IF they are eating food. By food, I mean "as close to what Mother Nature put in the ground as possible". Americans can study pregnant women till they're blue in the face and it won't make a difference. Processed food, high carb pasta, and baked goods are all some women eat. Washed down with fruit juice and soft drinks---it's a recipe for putting on weight, high bp, and swollen extremities. Then, when the child is born, they feed it formula, canned baby food full of preservatives, and more fruit juice. So many women will say "my child doesn't eat vegetables". Vegetables are essential to good health. You don't get to not like them. I'm so alarmed when I see what young people have in their shopping carts here in N. America. My daughter is going to college and she has managed to change the dietary habits of many of her class mates because they're intrigued when she opens her lunch and starts eating salads, a boiled egg, beans/cheese/corn tortilla, and fresh fruit. She tells them "You just have to change your palate and then you'll like this stuff, too." Gloria - Original Message - From: Helen and Graham To: ozmidwifery Sent: Friday, December 02, 2005 2:19 AM Subject: [ozmidwifery] fetal path to obesity http://www.theaustralian.news.com.au/common/story_page/0,5744,17432980%255E23289,00.html Print this page Fetal path to adult obesityClara Pirani02dec05PREGNANT women who gain too much weight under the guise of "eating for two" may be guaranteeing their children have a lifelong battle with obesity.Two studies that will be published in next week's New Scientist journal found women who gain too much weight during pregnancy are far more likely to have overweight or obese children. One study, from a team at Harvard University in the US, found that even women who followed their doctor's advice and gained a "safe" amount of weight were still likely to have overweight children. The Harvard study divided 770 expectant mothers into three groups - those who gained an "inadequate", "adequate" and "excessive" amount of weight - based on the US Institute of Medicine's guidelines that women should gain between 12kg and 16kg. Children born to women who gained an adequate or excessive amount of weight were, on average, already overweight by the age of three. "Only the inadequate group - a weight gain of less than 11.5kg - gives a result that is where you want to be," Harvard University researcher Matthew Gillman said. Researchers believe that during gestation the baby's metabolism - including the hunger and satiety signals that tell people when to stop eating - is still developing and babies become accustomed to having too much food. Julie Owens, a researcher at the University of Adelaide's centre for reproductive health, said that while there was no exact guide to how much weight a women should gain, it was important women did not use pregnancy as an excuse to overeat. privacy terms © The Australian
Re: [ozmidwifery] rooming in
Since I started this thread thought that i had better give extra info. The hospital where i work has a large number of women who deliver by c/section. Therefore the night girls are allocated the usual 10 pts. Once we commenced 'rooming in' this was down to 7 , therefore more time was actually spent with each patient rather than one staff member utilised in the nursery. Partners are encouraged to stay so that they can pick up the baby and call us to come and help. Now although the rooming in policy exists each night we would take 2 - 3 babies at a time of those mothers who were sick / had twins or were really sleep deprived. The policy existed so that women were not putting their babies in at 11pm and then expecting us not to bring them back until a min of 4 hours was up. Since we implemented this we are using half as much formula at night , have better breastfeeding rates and more confident mums / happy babies. - Original Message - From: Sonja Barry To: ozmidwifery@acegraphics.com.au Sent: Tuesday, November 22, 2005 6:25 AM Subject: Re: [ozmidwifery] rooming in I never in my mind thought rooming in included shutting the door and saying see you in the morning. I too take babies out for a few hours if the mother needs itor provide them with nurturing if they need it no matter what time of day or night. But to have an overnight nursery for all babies or to take babies from their mothers overnight every night during their 3 -5 day stay is crazy even if they do go back for feeds.Next thingI'll be hearing is that giving water overnight is a good way to settle them and hold them off a bit longer before the next feed! Sorry if I come off a bit harsh, but at the end of the day it is about getting to know your new baby. Sonja - Original Message - From: suzi and brett To: ozmidwifery@acegraphics.com.au Sent: Monday, November 21, 2005 11:41 AM Subject: Re: [ozmidwifery] rooming in Bit harsh Sonja...i dont believe the great and growing practice of rooming in should completely eclipse midwives taking care of the baby for a couple of hours while the woman gets some sleep. Many women have missed 2-3 nights sleep and have metaphorically walked up agiant mountain or run a marathon to birth their baby. Some women still believe in the myth that they will get some rest in hsp and choose to stay there 'cause they know once they are home their normal unpaid hard work will be expected to commence. i really believe its the least we can do for a women who chooses(or has) to be in hosp to help her get theroom dark and cosy, rock her unsettled baby for her and let her have a few hours uninterrupted sleep. (breast feeding access /issues aside - sometimes they just won't quieten down - we know...for lots of other (including mysterious) reasons and the woman would like a break). Isn't it about choice and shouldn't all women's voices be heard when those choices are being shaped - not just the loudest. I know you may not need a nursery room as such to be able to offer thewoman some relief - but i have witnessed many timesmidwives copping outof giving the woman thehelp she specifically wants citing "rooming-in policy". Women's well being and healing is strenghened by a block of decent sleep.If we don't have time to do our jobs properly and our ratiosin postnatal wards inadequate- we must keep fighting for fairer working conditions - not blaming women again. Im all for being at home or getting back there asap - but unfortunatly our social community supports are a long way from being universal, free and sufficient for all women to access this - yet. Suzi - Original Message - From: Sonja Barry To: ozmidwifery@acegraphics.com.au Sent: Monday, November 21, 2005 10:12 AM Subject: Re: [ozmidwifery] rooming in What are they complaining about? The only ones who I think could complain are those very few women giving their baby up for adoption. Don't these women want their babies? I am very confused. I would also bet they are the ones begging for an induction from about 30weeks. However, Ithought all hospitals had rooming in these days. Sonja - Original Message - From: islips To: ozmidwifery@acegraphics.com.au Sent: Sunday, November 20, 2005 5:56 PM Subject: [ozmidwifery] rooming in I wonder if someone can help me put together some stats regarding 'rooming in' . I work at a large private hospital in Perth . We recently closed our nig
Re: [ozmidwifery] Another blow for VBAC
The west Australian also reports the study findings differently. It is amazing what the media do to manipulate the info. zoe - Original Message - From: Sonja Barry [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, November 21, 2005 7:38 AM Subject: Re: [ozmidwifery] Another blow for VBAC And what about inheriting their mother's small pelvises!!! - Original Message - From: Helen and Graham [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, November 21, 2005 9:37 AM Subject: Re: [ozmidwifery] Another blow for VBAC Here is another version of the Sydney Morning Herald article which seems to have distorted some of the facts where it states New research published in the Medical Journal of Australia has found these women [first time mothers having a caesarian] are more vulnerable to uterine ruptures during birth, post-partum bleeding, infection and hysterectomies than women who go through natural labour for their first birth. Am I reading it incorrectly? It seems confusing at best and misleading at worst if that is the case! Helen Cahill Caesars pose risk for later deliveries From: By Amanda Hodge November 21, 2005 HOLLYWOOD mothers love it and lawyers want more of it, but a new Australian study warns that first-time mothers having a caesarean section face greater risk of problems if they choose to deliver naturally in later pregnancies. New research published in the Medical Journal of Australia has found these women are more vulnerable to uterine ruptures during birth, post-partum bleeding, infection and hysterectomies than women who go through natural labour for their first birth. But women who delivered their first and subsequent children by caesarean were at lower risk of haemorrhage and intensive care admissions than those who went through vaginal birth. With record numbers of women choosing to deliver by caesarean section for convenience rather than medical reasons, the study by the New South Wales Health Department warns women should think twice before going under the knife. Study co-author and professor of perinatal medicine David Henderson-Smart said the increased risk of complications arose because a caesarean section left a scar on the uterus which, in the worst cases, could rupture during vaginal birth. All the complications relate to how the afterbirth attaches to the side of the womb and whether the womb gets into trouble, Professor Henderson-Smart said. That doesn't mean you can't have a vaginal birth, but it has to be thought about carefully. The population-based study looked at 136,101 second-time mothers who gave birth between 1998 and 2002, 19 per cent of whom delivered their first child by caesarean section. While complications were uncommon, the study found 51 per cent of uterine ruptures, 19 per cent of hysterectomies and 32per cent of post-partum infections were a result of primary caesarean sections. Babies could also face greater problems - four per cent of premature births and five per cent of all neonatal intensive care admissions were attributable to primary caesarean section - but the study found no increased risk of neonatal death as a result. That contrasts with the findings of a Scottish study published in the New England Journal of Medicine last November that found an increased risk of stillbirths and brain injury in babies if mothers tried to go through natural labour after delivering by caesarean for their first birth. Obstetrician and former Australian Medical Association president David Molloy said the rise in caesarean sections - more than 20 per cent of all births and as high as 25 per cent in the private sector - was due to a combination of factors. Maternal requests are a very significant driver. It's also partly because older women are having babies (which often leads to greater complications) and partly because C-sections are the medico-legal gold standard, Dr Molloy said. All the big cases in court revolve around the fact you didn't do a caesar or didn't do one quickly enough. Dr Molloy said obstetricians were also seeing an increasing number of second-generation women having caesarean deliveries as a result of inheriting their mothers' small pelvises. The treatment for that years ago was to say no more children, but in the past 40 years we have hauled those people out of trouble with a caesar and so they're passing on their smaller pelvis to their daughters. The study found women who had caesarean deliveries tended to be older and wealthier, and were more likely to suffer obstetric complications. - Original Message - From: Andrea Robertson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, November 21, 2005 7:19 AM Subject: [ozmidwifery] Another blow for VBAC This is in today's Sydney Morning Herald. No doubt this report will trigger furious debate (as it should) but let's try an get the focus on the first caesarean,
Re: [ozmidwifery] rooming in
The obs dont like the idea of mucousy babies staying in the rooms with mums. However in most cases where the woman has had a c/s we get the fathers to stay the night to help out. There were other issues such as unwell mums etc. The women who complained were all multis and basic reason was that they were tierd. Last time i checked i was a midwife not a nanny Since we implemented the rooming in policy our primips are BF better and going home so much more confident. It will be a shame if it goes back. Zoe - Original Message - From: Cheryl LHK [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Sunday, November 20, 2005 10:29 PM Subject: RE: [ozmidwifery] rooming in Just a query? What are the obst's complaints based on - the same 3 mothers complaints? No doubt they were tired and wanted a bit of rest!! Welcome to motherhood. From: islips [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] rooming in Date: Sun, 20 Nov 2005 14:56:48 +0800 I wonder if someone can help me put together some stats regarding 'rooming in' . I work at a large private hospital in Perth . We recently closed our night nursery and implemented a 'rooming in policy'. This has worked very well in enhancing BF , mothercrafting etc. However due to 3 mothers and 3 obs complaining it looks as though we will have to change the policy. we have a meeting on tuesday and i would like to present some current research to the medical profession regarding the benefits of rooming in. thanks zoe - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Saturday, November 19, 2005 7:28 AM Subject: RE: [ozmidwifery] question Jenny, could you give us the reference please? Thanks, MM -- , one study demonstrated zero oxygen, because there is no longer any utero-placental circulation. This is part of the stimulation for the baby to breathe, but the baby is receiving some circulatory volume. Jennifer Cameron FRCNA FACM -- 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] rooming in
I wonder if someone can help me put together some stats regarding 'rooming in' . I work at a large private hospital in Perth . We recently closed our night nursery and implemented a 'rooming in policy'. This has worked very well in enhancing BF , mothercrafting etc. However due to 3 mothers and 3 obs complaining it looks as though we will have to change the policy. we have a meeting on tuesday and i would like to present some current research to the medical profession regarding the benefits of rooming in. thanks zoe - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Saturday, November 19, 2005 7:28 AM Subject: RE: [ozmidwifery] question Jenny, could you give us the reference please? Thanks, MM , one study demonstrated zero oxygen, because there is no longer any utero-placental circulation. This is part of the stimulation for the baby to breathe, but the baby is receiving some circulatory volume. Jennifer Cameron FRCNA FACM
