RE: [ozmidwifery] Mum Gives Birth In Toilet - Monash Medical Centre
What I wonderful way to have a baby no intervention or medicalization of a natural process. The woman wants to be congratulated for that. A very rare way to have a baby nowdays unless you have the baby at home. As a student I was privy to this type of birth only once and although it was fast it was great. Regards sharon _ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Nikki Macfarlane Sent: Wednesday, 24 January 2007 6:16 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Mum Gives Birth In Toilet - Monash Medical Centre You know what, I have a different take on this. If the newspaper article has reported accurately what the parents said (and I highly doubt they have, but for the sake of argument lets give themt he benefit of the doubt!), there are some serious failings of expectations here and little empathy going on from the medical staff. The mother was rushed to hospital by ambulance and arrived in the later stages of labor - this in itself appeared to be distressing for her as it appeared she was taken by surprise by the speed with which labor was progressing. So, now having arrived in advanced labor, she is not checked as she expects to be and does not appear to have a midwife in the room with her. Now that may be because she does not appear to be in strong labour, or that there is no midwife available. But from the mother's perspective, it is not what she expects. She feels out of control, in intense pain, and not receiving the level of hospital support she is expecting. She could have called for help and support or asked her husband to go and find a midwife. But her expectations were not being met. And it is a pretty reasonable expectation to have a midwife at the very least to reassure a mother who feels she is in strong labor, and realistically to be checking or staying by her side if she appears to be imminently birthing. At the point at which the baby is born, both parents describe themselves as frantic. This was not the experience they were hoping for. Yes, she did it without pain medication or any intervention. Yes, this is what many women aspire to. Yes, this is better for baby and mother healthwise in most circumstances. However, the mother felt unsupported, and the father felt panicky. And the hospital's response? We are as disappointed as Kay and Michael that the birth of their second child did not go according to plan, but babies have a mind of their own sometimes. Really? What a leap! To make the assumption that the midwives feel the same degree of disappointment as the parents. Yes, babies do sometimes come quicker than anticipated. What would have been nice is for this mum and dad to have been heard and had their sense of distress and lack of support acknowledged. Whether the midwives felt justified in their actions or not, the parents still felt the way they did. The mum was in the hospital for at least an hour and appeared to have no midwifery support during that time. I get that there may have been none available. But to dismiss the whole affair with a patronising comment about how the midwives are just as upset as the parents is hardly effective communication and certainly not displaying good listening skills towards the parents. Now of course, the whole newspaper article may be complete tosh and the parents/midwives may not have said anything that was attributed to them in the quotes. Always a shame that such stories are not seen as an opportunity to talk about how incredible our bodies are or how tragic it is that the health system the world over is failing women because of shortages of experienced midwives, or a multitude of other approaches that would be more beneficial towards women and babies. Nikki Macfarlane Childbirth International -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.17.8/649 - Release Date: 23/01/2007 8:40 PM -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.17.8/649 - Release Date: 23/01/2007 8:40 PM
RE: [ozmidwifery] short doula/labour support courses...
Tanya has your friend thought of having a midwifery student follow her as well. As midwives we should be advocating student midwives for all birthing women. When I work in antenatal clinic that is one service that I offer all women at first visit some take the offer others don’t. cheers sharon _ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Ken Ward Sent: Saturday, 20 January 2007 10:08 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] short doula/labour support courses... If her friend is birthing at a hospital I would suggest she attends classes with her friend. Personally I don't think formal classes are necessary, just tune into inner self and feel comfortable with whatever is happening. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Tania Smallwood Sent: Saturday, 20 January 2007 9:26 AM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] short doula/labour support courses... I have a friend who is not a midwife, and she has been asked to be the labour support person at a close friend’s birth. She has birthed three times herself, twice at home, and is a lovely gentle, practical woman, who I’m sure will be perfect for the job. She feels that she’d like to have some kind of ‘formal’ training, even if it’s just a workshop, and I’m wondering if there is anything like that available here in Australia. She’d be fine with something online or via correspondence, but doesn’t really need to do the full doula course. I’ve suggested she attends some of the fine active birth workshops here in Adelaide that are run by the local yoga centres, and that appealed too. Any other ideas? Thanks Tania -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.17.0/639 - Release Date: 18/01/2007 6:47 PM -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.17.1/640 - Release Date: 19/01/2007 4:46 PM -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.17.1/640 - Release Date: 19/01/2007 4:46 PM
RE: [ozmidwifery] short doula/labour support courses...
Tanya glad to hear that others also advocate for students to follow women god knows the requirements of students to fulfil is hard enough without others assisting them to get follow throughs and births. Hope this woman gets the birth that she wants then without too much hassle cheers sharon _ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Tania Smallwood Sent: Saturday, 20 January 2007 11:20 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] short doula/labour support courses... Thanks for that Sharon, this woman will have the services of a professional independent midwife at her side, as well as obstetric input, and her friend, and to be honest, I don’t actually think she needs a student. While I too advocate students for many women, in this instance, I think it may complicate things for her. She will have plenty of love and support, but unfortunately, as she won’t be arriving here in Adelaide until shortly before the birth, so she won’t have the opportunity to build a relationship with a student, thanks for the suggestion though :-) Tania _ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of sharon Sent: Saturday, 20 January 2007 10:28 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] short doula/labour support courses... Tanya has your friend thought of having a midwifery student follow her as well. As midwives we should be advocating student midwives for all birthing women. When I work in antenatal clinic that is one service that I offer all women at first visit some take the offer others don’t. cheers sharon _ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Ken Ward Sent: Saturday, 20 January 2007 10:08 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] short doula/labour support courses... If her friend is birthing at a hospital I would suggest she attends classes with her friend. Personally I don't think formal classes are necessary, just tune into inner self and feel comfortable with whatever is happening. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Tania Smallwood Sent: Saturday, 20 January 2007 9:26 AM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] short doula/labour support courses... I have a friend who is not a midwife, and she has been asked to be the labour support person at a close friend’s birth. She has birthed three times herself, twice at home, and is a lovely gentle, practical woman, who I’m sure will be perfect for the job. She feels that she’d like to have some kind of ‘formal’ training, even if it’s just a workshop, and I’m wondering if there is anything like that available here in Australia. She’d be fine with something online or via correspondence, but doesn’t really need to do the full doula course. I’ve suggested she attends some of the fine active birth workshops here in Adelaide that are run by the local yoga centres, and that appealed too. Any other ideas? Thanks Tania -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.17.0/639 - Release Date: 18/01/2007 6:47 PM -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.17.1/640 - Release Date: 19/01/2007 4:46 PM -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.17.1/640 - Release Date: 19/01/2007 4:46 PM -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.17.1/640 - Release Date: 19/01/2007 4:46 PM -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.17.1/640 - Release Date: 19/01/2007 4:46 PM -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.17.1/640 - Release Date: 19/01/2007 4:46 PM -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.17.1/640 - Release Date: 19/01/2007 4:46 PM
RE: [ozmidwifery] Pregnancy and Crohns
In the hospital I work in the woman is considered to be high risk but only needs a consultant review to make sure all is ok before going to midwifery led care. So at her first appointment she has to ask if she can then go to midwifery care instead of doctor care. Cheers sharon _ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Amy Rigano Sent: Monday, 15 January 2007 7:59 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Pregnancy and Crohns Hi all you smart people Just wondering if anyone has provided Midwifery Led Care for a women who has crohns. I have a friend who has been told that she is 'HIGH RISK' due to her 'condition'. It is her first pregnancy and I understand that she takes very good care of herself and is careful with her diet. I will try the website for crohns and ulcerative collitis, but if anyone has any first hand experiences that would be great. Cheer Amy -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.16.10/626 - Release Date: 14/01/2007 8:29 PM -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.16.10/626 - Release Date: 14/01/2007 8:29 PM
RE: [ozmidwifery] Fw: Support people in birthing suites
The hospital where I work there is a limit of 3 people but saying this we don’t really mind if we have more I have been in rooms where there have been 8 people or more as long as they are not impeding the work of the midwife its ok. So in all however many you feel the woman wants in the room. Sharon _ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Lisa Gierke Sent: Friday, 12 January 2007 2:45 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Fw: Support people in birthing suites What are peoples thoughts on limiting or not limiting the number of support people who come into be with a woman in labor in hospital? What is your hospital policy about thisare children welcome? Am interested in what others experiences and policies are. Lisa -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.16.10/624 - Release Date: 12/01/2007 2:04 PM -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.16.10/624 - Release Date: 12/01/2007 2:04 PM
RE: [ozmidwifery] waterbirth
Me too please thankyou sharon _ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Lynne Staff Sent: Friday, 12 January 2007 7:16 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] waterbirth Good Morning all To all those Ozmidders who requested a copy of the Warm Water Immersion workbook, pleasewatch this space. It is copyrighted by Ramsay Healthcare (Selangor's owners). I put your requests to the DOH and she is conferring with RHC re this. Watch this space! And thank youall for your interest. If anyone is interested, I can forward the reference list though. Regards, Lynne - Original Message - From: HYPERLINK mailto:[EMAIL PROTECTED]Lynne Staff To: HYPERLINK mailto:ozmidwifery@acegraphics.com.auozmidwifery@acegraphics.com.au Sent: Monday, January 01, 2007 10:57 AM Subject: Re: [ozmidwifery] waterbirth Hi Helen When I get to work tomorrow, I will send you the reference list from my recently updated (Oct 2006) warm water immersion in labour and birth learning package for midwives. This may be helpful - re publishing our figures - this is a goal for 2007! Warm regards, and a happy and fruitful 2007! - Original Message - From: HYPERLINK mailto:[EMAIL PROTECTED]Helen and Graham To: HYPERLINK mailto:ozmidwifery@acegraphics.com.auozmidwifery@acegraphics.com.au Sent: Friday, December 22, 2006 9:54 AM Subject: Re: [ozmidwifery] waterbirth Hi Lynne Can you point me to some research that I can use to support the safety of waterbirth. I have just read the following reference in the SA Women's and Children's Waterbirth Policy as sent in by Fiona to Ozmid as follows: There is no evidence that perinatal mortality and morbidity, including admissions to special care nurseries for babies born into a warm water environment, is significantly different to babies born out of water (Geissbuehler et al 2004; Gilbert Tookey 1999). but wondered whether you had any other references to call on. Also wondering if you had thought about publishing Selangor's own findings? It would be a great contribution to hospitals trying to weigh up the risk benefits of waterbirth. There still seems to be such fear surrounding the whole issue in the majority of the hospital system that it would be great to have some positive local experiences/research to quote. Thanks in advance. Helen - Original Message - From: HYPERLINK mailto:[EMAIL PROTECTED]Lynne Staff To: HYPERLINK mailto:ozmidwifery@acegraphics.com.auozmidwifery@acegraphics.com.au Sent: Thursday, December 21, 2006 10:04 PM Subject: Re: [ozmidwifery] waterbirth Hi Mary At Selangor we - midwives, obstetricians and paediatricians - have 'officially' supported women for waterbirth since Feb 1998. Our rate is 35% of vaginal births and over 1600 babies have been waterborn since we opened. We will continue to do so as it has benefits for women, their babies and is safe. Regards, Lynne - Original Message - From: HYPERLINK mailto:[EMAIL PROTECTED]Mary Murphy To: HYPERLINK mailto:ozmidwifery@acegraphics.com.auozmidwifery@acegraphics.com.au Sent: Thursday, December 21, 2006 12:50 PM Subject: [ozmidwifery] waterbirth Hi everyone, I know this question has been asked before, but I can’t remember the answer. Do we have any maternity units, birth centres etc who officially do waterbirth? I know homebirthers do, but I want to know about institutions. Thanks, MM __ NOD32 1933 (20061221) Information __ This message was checked by NOD32 antivirus system. HYPERLINK http://www.eset.comhttp://www.eset.com -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.16.10/624 - Release Date: 12/01/2007 2:04 PM -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.16.10/624 - Release Date: 12/01/2007 2:04 PM
RE: [ozmidwifery] Premature birth risks of loop diathermy
In the hospital I work at we consider the women to be more at risk of miscarriage and or pre term birth the women are looked after by the consultants but hey also can be cared for by the midwife in conjunction that is both see them. Cheers sharon _ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Rene and Tiffany Sent: Saturday, 6 January 2007 5:31 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Premature birth risks of loop diathermy Hello wise women, Does anyone know the probability of having a pre-term birth or miscarriage in women who have previously undergone a LLETZ procedure? I asked an ob at our hospital and couldn’t get a straight answer. Ta Tiff :-) BBC NEWS Womb cell op 'raises birth risk' The most common operation to remove abnormal cervical cells raises the risk of giving birth early, experts say. A study of 5,000 Australian women found when a heated wire, loop diathermy, was used the risk rose substantially. Young women should not automatically have diathermy, the British Journal of Obstetrics and Gynaecology (BJOG) says. UK experts said abandoning the treatment could mean up to 1,500 fewer premature births a year - and they said doctors should consider alternatives. Last year, more than 3.3 million women in the UK underwent screening, and just over 1% of these had clear changes in the cells lining the cervix. Women need to know about the risks involved and discuss alternative treatments with their gynaecologist, before going ahead with a procedure that increases the risk of pre-term birth Phil Steer BJOG Women with severe changes in these cells are at higher risk of going on to develop cervical cancer at some point, and are often referred to hospital to have them removed. Increased risk There are three main ways of doing this, two of which - cone biopsy and loop diathermy - can remove relatively large amounts of tissue from the cervix. Cone biopsy is now used only rarely in the UK. The third - called laser ablation - destroys just the abnormal surface cells. While other studies have already made a link between loop diathermy and premature birth, the Australian research, from Melbourne University and Royal Women's Hospital in Australia, is the largest yet. It found that having had abnormal cells, regardless of the method of removal, increased the risk of having a premature baby, but having either loop diathermy or cone biopsy raised that risk even further. Only the laser ablation technique - in the UK more commonly used on women with very mild cell changes - did not increase the chance of a premature baby. Babies born prematurely - before 37 weeks pregnancy - are at increased risk of a variety of health problems. Practical problems The researchers said that doctors should consider using alternatives to loop diathermy in women of childbearing age, and that women should be made fully aware of the risks before undergoing the procedure. Phil Steer, editor of the BJOG said: Women need to know about the risks involved and discuss alternative treatments with their gynaecologist, before going ahead with a procedure that increases the risk of pre-term birth. Dr Margaret Cruickshank, a senior lecturer in obstetrics and gynaecology at Aberdeen University, said that the vast majority of UK women with abnormal cells currently received diathermy rather than ablation. She said there would be huge practical difficulties and expense involved in hospitals abandoning it. The key thing appears to be the volume of tissue removed, and we need to find out in more detail the relationship between this and the risk of preterm birth. She said that the main advantage of diathermy was that it produced a sample of tissue which could be removed and analysed in the laboratory to make sure a cancer had not been missed, whereas ablation destroyed the tissue. Story from BBC NEWS: http://news.bbc.co.uk/go/pr/fr/-/2/hi/health/6227555.stm Published: 2007/01/03 11:57:27 GMT © BBC MMVII -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.16.6/617 - Release Date: 5/01/2007 11:11 AM -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.16.6/617 - Release Date: 5/01/2007 11:11 AM image001.gif Description: GIF image
RE: [ozmidwifery] synto AFTER 3rd stage?
If loss is minimal then syntocionon is not needed as it is to assist with the ligation of the living ligatures, if you give synt then your doing active management irriguarless of when you give it. Cheers sharon. _ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Ken Ward Sent: Tuesday, 26 December 2006 10:04 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] synto AFTER 3rd stage? NO -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Kristin Beckedahl Sent: Sunday, 24 December 2006 12:48 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] synto AFTER 3rd stage? Hi all, A woman I will be supporting for her first birth had a checkup y'day where she discussed her birth plan with the midwife. MW was very impressed and supportive overall, yet was concerned about her decision for a natural 3rd stage. She has stated on her birth plan that she would prefer to take the wait and see approach and only have it if there was 'excessive' bleeding. The MW was happy to negiotiate this with her and suggested she have it not at birth, but after the placenta has come away. Would she really need it at this stageif her loss was minimal...? Any insights would be appreciated thanks! Kristin _ Advertisement: It's simple! Sell your car for just $20 at HYPERLINK http://g.msn.com/8HMBENAU/2746??PS=47575carsales.com.au -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe. -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.15.27/602 - Release Date: 25/12/2006 10:19 AM -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.15.27/602 - Release Date: 25/12/2006 10:19 AM
RE: [ozmidwifery] waterbirth
Wch in Adelaide do have a waterbirth policy and are offering waterbirth provided the midwife is accredited and is competent to facilitate the water birth. The protocol can be accessed under the perinatal protocols south Australia, cheers sharon _ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Mary Murphy Sent: Thursday, 21 December 2006 1:20 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] waterbirth Hi everyone, I know this question has been asked before, but I can’t remember the answer. Do we have any maternity units, birth centres etc who officially do waterbirth? I know homebirthers do, but I want to know about institutions. Thanks, MM -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.15.26/594 - Release Date: 20/12/2006 3:54 PM -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.15.26/594 - Release Date: 20/12/2006 3:54 PM
RE: [ozmidwifery] temp in labour
Above 38 is considered a temperature on land where I work then the medicos want to give anti botics cheers and it must stay up or continue to rise _ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Sally @ home Sent: Tuesday, 12 December 2006 12:21 AM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] temp in labour I was just wondering if my last post landed as I have had absolutely no replies. Would like to know what ppl consider a temp in labour, on land or in water. Sally - Original Message - From: HYPERLINK mailto:[EMAIL PROTECTED]Kristin Beckedahl To: HYPERLINK mailto:ozmidwifery@acegraphics.com.auozmidwifery@acegraphics.com.au Sent: Tuesday, December 12, 2006 12:06 AM Subject: Re: [ozmidwifery] Use of sports drinks in labour I used Endura during my 4 and a half labour - and really felt like I needed it due to the pace of things (and an early vomit !?!). I've also supported a couples of births where I have brought this along with me for the woman. Both of these births were *unremarkable* with mums birthing normally with no intervention etc with reasonably fast labours; 6 and 9hours. Kristin CBE Naturopath _ From: Helen and Graham [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Use of sports drinks in labour Date: Sun, 10 Dec 2006 21:31:34 +1100 Thanks for the replies about the sports drinks in labour however I must say I am still a bit confused. I will have to do some more research I think Helen - Original Message - From: HYPERLINK mailto:[EMAIL PROTECTED]Honey Acharya To: HYPERLINK mailto:ozmidwifery@acegraphics.com.auozmidwifery@acegraphics.com.au Sent: Saturday, December 09, 2006 10:51 AM Subject: Re: [ozmidwifery] Use of sports drinks in labour I believe in the value of drinks with electrolytes, not just water. Commonly used things are herb tea and honey, their own labour aide, juice, or sports drinks - one that I have used myself and seen recommended by others is Endura which has electrolytes and magnesium, lemon lime flavour is preferred and obtainable in a powder form in a tub for approx $30 at the health food shop or chemist. I haven't seen any evidence on it but to me it makes sense, we don't perform other physical activities for long periods and expect our bodies to keep functioning well on just water and without sustenance, muscles continue to need energy and electrolytes to contract. If there are not studies done on it can you compare with studies on athletes? - Original Message - From: HYPERLINK mailto:[EMAIL PROTECTED]Helen and Graham To: HYPERLINK mailto:ozmidwifery@acegraphics.com.auozmidwifery Sent: Saturday, December 09, 2006 8:38 AM Subject: [ozmidwifery] Use of sports drinks in labour Is anyone recommending women use sports drinks such as Poweraid etc when in labour? I have read some good evidence to suggest it is better than water in long labours but don't have the source at my fingertipsinterested in your thoughts/findings. I figure anything that can help keep a woman from tiring and being labelled by doctors as a fail to progress has got to be worth a try as long as it is evidence based. Helen __ NOD32 1911 (20061208) Information __ This message was checked by NOD32 antivirus system. HYPERLINK http://www.eset.com/http://www.eset.com _ Advertisement: Fresh jobs daily. Stop waiting for the newspaper. HYPERLINK http://g.msn.com/8HMBENAU/2749??PS=47575Search Now! www.seek.com.au -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe. _ No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.15.15/581 - Release Date: 9/12/2006 3:41 PM -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.15.15/581 - Release Date: 9/12/2006 3:41 PM -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.15.15/581 - Release Date: 9/12/2006 3:41 PM
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.
RE: [ozmidwifery] independent midwifery
Hi Melissa. I work in a large tertiary based hospital in sa. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Melissa Sent: Friday, 1 December 2006 3:10 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] independent midwifery Dear Sharon, I'm curious to know where you work? Melissa. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of sharon Sent: Friday, 1 December 2006 11:46 To: ozmidwifery@acegraphics.com.au 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. -- 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.
RE: [ozmidwifery] doula
Hello my friend lives in Adelaide and I am a midwife/nurse. Thankyou everyone for replying to my query I will pass the information along. From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Robyn Dempsey Sent: Saturday, 11 November 2006 4:36 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] doula Hello Sharon, Peter Jackson and the 'Calm birth team are also running seminars for this training. If you ( oryour friend)would like details of the seminardates, to be held in March and September next year, please contact the course co-ordinator: email [EMAIL PROTECTED] or www.calmbirth.com.au Regards Robyn Dempsey - Original Message - From: Renee Adair To: ozmidwifery@acegraphics.com.au Sent: Thursday, November 09, 2006 5:43 PM Subject: RE: [ozmidwifery] doula Hi Sharon, I would be more than happy to discuss our course with your friend. I am on 02 9560 8288 Cheers, Renee BIRTH CENTRAL From: [EMAIL PROTECTED] [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of sharon Sent: Thursday, 9 November 2006 2:55 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] doula Could anyone enlighten me is there a course for doulas in Australia. Iam a midwife and I have a friend who has had 2 years of mid training but due to circumstances was unable to finish her training. She would like to continue working as a support person with pregnant and labouring women. Also is there a fee involved for the service provided. Thankyou in advance -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.409 / Virus Database: 268.14.0/524 - Release Date: 8/11/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.409 / Virus Database: 268.14.0/524 - Release Date: 8/11/2006
RE: [ozmidwifery] doula
Question for you as a doula do you get paid for your services or is a gratis/honorarium. I think that she would ask these questions From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Honey Acharya Sent: Thursday, 9 November 2006 3:03 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] doula There are a number of different courses to choose from. All have fees for the training but they vary in what is covered and what is charged so it is worth checking them out and finding which one suits her best. Some of it will also depend where she lives as some require you to attend whereas others are online or via correspondence. The ones I know of are Childbirth International (Distance learning option) Rhea Dhempsey ??(Melbourne) Birthing Rites (Sydney) Birth Central Optimum Birth (Distance learning option) Capers Bookstore also host DONA trainingI believe ?? check out http://www.childbirthinternational.com/BecomeDoula/Compare/compareaus.htm it has a comparison of three of them I'm sure others will also respond with other options. Regards Honey Acharya Student Midwife BMid UniSA Certified Doula - Childbirth International - Original Message - From: sharon To: ozmidwifery@acegraphics.com.au Sent: Thursday, November 09, 2006 1:54 PM Subject: [ozmidwifery] doula Could anyone enlighten me is there a course for doulas in Australia. Iam a midwife and I have a friend who has had 2 years of mid training but due to circumstances was unable to finish her training. She would like to continue working as a support person with pregnant and labouring women. Also is there a fee involved for the service provided. Thankyou in advance
[ozmidwifery] doula
Could anyone enlighten me is there a course for doulas in Australia. Iam a midwife and I have a friend who has had 2 years of mid training but due to circumstances was unable to finish her training. She would like to continue working as a support person with pregnant and labouring women. Also is there a fee involved for the service provided. Thankyou in advance
RE: [ozmidwifery] Column in today's Advertiser
I saw that article it looked good. Congratulations to the woman but she did nt mention that home birth was not for everyone as there are some valild medical reasons why you cant birth at home. From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Tania Smallwood Sent: Sunday, 22 October 2006 5:15 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Column in today's Advertiser Hi everyone, Ive just received a very excited email from one of our great consumers here in Adelaide to tell me that she has had an article about homebirth printed in todays Sunday Mail, entitled No place like home for giving birth. Its on page 44. I cant access it electronically but she has it saved and when she sends it Ill send it onto the list. Ive attached my letter to the Ed, hope there is a flood of letters that are controversial enough to be printed next week! Tania X I am writing in support of the fantastic and heartfelt column written by Louise Mathwin - No place like home for giving birth. I too have experienced the professional care of a midwife - the expert in normal pregnancy and birth care, for both of my pregnancies, and as a trained midwife myself, have to say that it's the best money I've ever spent. Homebirth and exclusive midwifery care is not for every woman, but research tells us that women of all levels of risk have better outcomes when they are cared for by a known midwife, in conjunction with, where appropriate, medical and/or obstetric staff. Our soaring caesarean section rate, in some hospitals in excess of 50%, is not solely as a result of women choosing. The birth support and information groups in Adelaide (such as Birth Matters, CARES, and the Homebirth Network) are testament to that fact, with every week women contacting them to debrief about unsatisfactory and distressing birth experiences. The caesarean section rate of Independent midwives ranges around 6-10%, and even in low risk hosptial settings, those figures are tripled. What most people don't realise about choosing continuity of midwifery care and homebirth, is that all the other options are still on offer, and may be taken up if needed or wanted. Staying at home in labour, and eventually for the birth, is an added option that twice as many women are taking up today than they were three years ago. With the Department of Health's Homebirth policy about to be released, it is hoped that women of low risk will also be able to choose this option whilst accessing care through a midwifery model, such as that at the W Ch and Flinders medical centre. What a great day for women it will be when they are truly given choice of maternity care provider and place of birth, and not dictated to by their health insurance company or by lack of financial means. -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.408 / Virus Database: 268.13.9/490 - Release Date: 20/10/2006
RE: [ozmidwifery] Trivial ? For hosp midwives
Hi at my hospital this is what happens and I assume that it also happens in other hospitals here in Adelaide. The midwives fills them in if they are at the birth then they are put into the front of the babys casenotes and given out when the mother leaves the hospital. If you give them to the mother after the birth straight away sometimes they are misplaced and they cannot be re issued, it's a legal thing I think., -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of LJG Sent: Friday, 20 October 2006 8:13 AM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Trivial ? For hosp midwives Hi all - am wanting to ask a silly question - when do you give out the birth registration forms and who fills them in? i.e. is this done by m/ws or ward clerks?? Thanks Lisa Feel free to pm me -- 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: 7.1.408 / Virus Database: 268.13.5/483 - Release Date: 18/10/2006 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] medications
We have a wonderful pharmacist here at the wch in Adelaide who will advise what is safe to use in pregnancy and during the breastfeeding term. All you need to do is call the pregnancy and drugs hotline which is listed in the phone book and as for their advice. Regards sharon
RE: [ozmidwifery] Goodbye
Sadie I also have enjoyed your comments and arguments for and against many issues as a midwife beginning practice and also working in a high risk hospital I understand the need to work there as women do deserve good care and advocacy from midwives. I like others will be sorry that you are leaving the list because of a few who are being unreasonable and undesirable in their answering of you. Thank you for your input regards sharon heath From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Sadie Sent: Saturday, 14 October 2006 8:47 AM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Goodbye The time has come for me to leave the ozmidwifery mailing list. I have been an active member for 7 years and have made some fabulous friends and have shared the views, advice friendship of some incredible women who are as passionate about midwifery as myself. Unfortunately the criticism and 'back-biting'constantly being hurledby some members of this list towards their colleagues has become unacceptable to me - I have enough to contend with on a daily basis at work, without continuing tofight the battleon my own computer in my home. I choose to work in a high-risk hospital environment because these women also deserve good midwifery care, I need to pick my battles carefully. There are far more important issues for me, in my circumstances, than trying to make a stand against a policy regarding blood gases, that is firmly entrenched. Seems to me that if we cannot nuture our colleagues - how on earth can we nuture the women we care for? As midwives we are all different, working in different environments but surely with the one aim?To emotionally and spiritually walk alongside women of all ages, races, classes and social status, as they travel the childbirth path. This holdsthe primary place inmy midwifery agenda. See ya, Sadie Laughter is the brush that sweeps away the cobwebs of the heart.
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RE: [ozmidwifery] GBS and Staph
Thats right gbs is group b streph which is found on vaginal swab at 36 weeks treated with benzpennicillin during labour every 4 hours commencing with a loading dose of 3 gms then 1.2 gm every four hours while in active labour. Regards sharon From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Ceri Katrina Sent: Friday, 6 October 2006 7:32 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] GBS and Staph Isn't GBS a staph infection??? Been awhile since I was at work, relishing in the time off work with little munchkin who is now 3 and bit months old. katrina On 06/10/2006, at 7:06 PM, Kelly @ BellyBelly wrote: One of the women on my site has just found out she has both of these things. She said she has googled for hours and cant find anything on Staph specifically. Can someone pass on some knowledge on what this is going to mean? I have never heard of someone having both before. Shes almost 38wks Best Regards, Kelly Zantey Creator,BellyBelly.com.au Conception, Pregnancy, Birth and Baby BellyBelly Birth Support
RE: [ozmidwifery] Backward step
Iam a bachelor of midwifery graduate who has also done the rn degree as a top up as I also want to do other things but my focus is mainly midwifery and loving it. As far as I can see experience is what we gain when we work in our chosen field. knowledge we may learn but the real learning takes place in the field from the women in our care and our peers. Iam lucky to be employed in a hospital that takes great pride in assisting new graduates and supporting each other wether it be that you are out for a short time or for years. The respect for each other and our individual skills and life experiences is good to be a part of., Regards sharon From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Mike Lindsay Kennedy Sent: Thursday, 5 October 2006 8:46 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Backward step Good point, I guess the problem is there is only one route to nursing but two to Mid at the moment. When we had a mix of hospital trained and Uni trained nurses the issues were the same. It took a long t6ime to accept Uni trained nurses which is ofcourse the norm now. Mid will be the same, eventually ;) On 10/5/06, Christine Holliday [EMAIL PROTECTED] wrote: I understand why people refer to the Bachelor of Midwifery as a direct entry course but I wish we could learn to stop doing this. If we continue it still means we are measuring midwifery against nursing or still referring to nursing, we never see Registered Nurses referred to as direct entry nurses. If you are having difficulty explaining direct entry midwifery to managers etc if you refer to RN's as direct entry nurses they do seem to get a better grasp on this. I don't intend this to sound critical just to try and cause change. Christine -Original Message- From: [EMAIL PROTECTED] [mailto: [EMAIL PROTECTED]]On Behalf Of Mike Lindsay Kennedy Sent: 05 October 2006 07:49 To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Backward step I would like to reply to this one as a just about to finish Mid student with 6 years as an RN. There are two ways to become a midwife in Au, a one year (18 months) upgrade or a 3 year direct entry course. The upgrade course for RN's relies on the fact that you have some nursing experience WHY? From where I am now, I absolutely agree that an RN cannot do the full job of a midwife without formalised midwifery training. Before I began my course, I too thought that midwifery was really just another nursing specialisation like an ICU nurse or a Psyc Nurse. There are a lot of skills and practices that are common to both professions especially as most of us work in a hospital setting. Midwifery requires advanced people skills, time management skills and assessment skills as well as learning to work within the hospital system and learning to work with other health care professionals in an often autonomous role. Even after 3 years of training RN's need a new grad year to develop the basics of these skills and probably a further 2 or 3 years to become proficient. Obviously maturity, background and life experience all play a part in this transition. I have met a couple of new grad RN's who have gone straight into 1 year mid training and they appear to find it difficult as the upgrade program appears to expect a level of knowledge/experience not yet developed in a new grad RN. Not to say that experienced RN's find it a breeze, its not. It's hard work and can be bloody stressful ;) Obviously this is a generalisation and once again the maturity, background and life experience of the individual will apply. In NZ RN's were able to upgrade in a similar way. However those RN's felt that they were not receiving as adequate training as the direct entry Midwives. So now RN's complete the same course as the direct entry mids with a credit for a portion of the course based on their qualification/experiance. So that is why I feel as an RN almost midwife that RN's should have at least one year post grad experience prior to training. The better way would be to do the 3 year direct entry course if you want to be a midwife and not an RN as well. Some more thoughts on the original post. It feels like the proposal to train RN's to work in mid is not based on a concern for the patients or the RN's but a way of staffing the ward cheaply. They could offcourse pay for these RN's to do the Mid training which is available, as it is appropriate for mid students who happen to be RN's to work on the ward under midwife supervision. Assuming the RN's are willing to complete the appropriate assignment work etc. If they aren't they are they really the right ppl to be working on maternity in the first place. Most RN's would agree that it would be inappropriate to replace RN's with AIN's and train them to look after patients, take obs, change dressings, mobilise patents etc. Then have an RN be held responsible should
RE: [ozmidwifery] Backward step
As a direct entry midwife I did the one year degree to enhance my skills as a midwife to also be a rn as I believe that the degree should be a double degree like in vic so I consider myself a midwife with a nursing degree not a nurse with a mid degree From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Rene and Tiffany Sent: Monday, 2 October 2006 10:29 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Backward step It has been fantastic reading all the responses to the nurse/midwife question. As a nurse about to begin midwifery training, I look forward to learning and developing the specialist skills you wonderful women have described! My original response stemmed from the fact that I became a nurse ONLY to become a midwife (as there was no other way at the time), but found that, I was unable to get any exposure to such, as training nurses and RNs are generally unwelcome in maternity. I would have given anything to have the opportunity to work and help out in maternity whilst waiting to secure a student midwife place. Instead I went straight into Mental Health after I qualified as an RN, whilst waiting for one of the 6 midwifery training positions that are offered. Perhaps this does raise the issue about providing more training places for student midwives, and why is it that we have to work as NURSES for a minimum 12 months before we can train as midwives, when as many have pointed out where is the nursing care in midwifery? Thanks J From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of brendamanning Sent: Monday, 2 October 2006 10:13 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Backward step Going back to the maternity nurse or Gen/ Obstetric nurse workingin Midwifery ishow NZ worked in the 70's 80's. It was unsatisfactory then would be the same now, despite the fact the we did 6 months obsin our general training we weren't midwives it showed. I worked in mid whilst attending homebirths, worked in birth suite, postnatal, taught pre-natal classesspent 3 yearsin charge of SCN as a RGON in the early 80's when I went to train as a midwife justlike Di MI too found it a revelation. It's a retrograde step undermines all the recognition of your specialised professionyou Australian midwives have fought so hard for. It's just another path on: follow the American leader. With kind regards Brenda Manning www.themidwife.com.au - Original Message - From: D. Morgan To: ozmidwifery@acegraphics.com.au Sent: Monday, October 02, 2006 9:54 AM Subject: Re: [ozmidwifery] RE: I agree Michelle, I too worked in a rural area prior to completing my Mid many years ago and can still remember the revelations I felt while learning Midwifery.As anRN non Midwife, I was quite ignorant of what a true Midwife's role involved. It was scarey stuff. Cheers Di M
RE: [ozmidwifery] Any ideas??
I know that the mid group practice at wch is offering water birth and there are also some independent prac midwifes who offer water birth in south Australia in the home. The woman would have to pay for all services naturally as she is not Australian and therefore covered by medicare what if she approached the practiconer independently and asked them. Cheers sharon From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Mary Murphy Sent: Sunday, 1 October 2006 2:06 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Any ideas?? I have cared for a number of overseas visitors who have come to Perth to have their baby at home in the water. As she will have to pay for all her hospital care, she would have to also foot the bill for the hospital service. We do not have any hospitals that offer waterbirth. If it is possible, a hospital that offers waterbirth would cut out the double payment she would have to make if she needs transfer for additional obstetric care. If she is married to a Malaysian man, this is less likely than if married to a Caucasian. Cheers, M From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of lisa chalmers Sent: Sunday, 1 October 2006 9:02 AM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Any ideas?? Hello to all , I received this email this morning and have no idea if what this woman wants is at all possible?? Has anyone got any experience of anything similar. i thinkits grest that she is actively persuing a birth experience that she wants and would love to give her some info. Many Thanks Lisa xxx Hello there. I would like to find out,is there such waterbirth laws in New Zealand also or only in SA? Is there any midwives services in New Zealand also? I'm actually a Malaysian,but i really want to have my child in Australia or New Zealand and not in Malaysia because my husband and i are very interested and really want to have an aqua baby due to all the benefits that waterbirth has and this service is not available here in Malaysia. I would really like to know how can i deliver our baby over there and how is the government's policy to go there and have a baby? Is it possible because we really want a waterbirth. Please do reply soon. Thank you very much for your cooperation. Regards, Jashpreet Kaur
Re: [ozmidwifery] Question of the week.
i think that is so the menigiocele doesnt rupture during birth as it is outside the body of the baby. - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Thursday, August 03, 2006 9:33 PM Subject: [ozmidwifery] Question of the week. An interesting question from Midwifery Today E News. I am 21 weeks pregnant with my third child, which has been diagnosed with spina bifida. This is quite a shock since my other two children were homebirths and the specialists said I would require a c-section. I understand the need to deliver in a hospital where the baby can receive immediate medical treatment soon after birth, but does anyone know if there is any evidence that c-section is better than vaginal birth when delivering a child with spina bifida? No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.394 / Virus Database: 268.10.5/406 - Release Date: 2/08/2006
Re: [ozmidwifery] Concerns over heart rate
i guess the reason why they want a repeat monitor is to get some accerlerations in the trace to show that the baby's heart rate is what they call reactive. i guess in the hospitals point of view is that they need to be overcautious for the sake of the baby and the mum. cheers - Original Message - From: lisa chalmers To: ozmidwifery@acegraphics.com.au Sent: Sunday, July 09, 2006 6:49 PM Subject: [ozmidwifery] Concerns over heart rate Hope that someone can help me out here please. One of my friends is 35 weeks, with her 3rd baby. 2 weeks ago, the hospital was concerned about her baby being too big, last week they told her that her dates were out and that she is infact 2 weeks ahead of her dates. Then yesterday, she was getting very regular Braxton hicks and went into hospital for a check over. (She is the kind of mum that wants an epidural as soon as possible) Firstly, she feels the baby is great, she feels healthy and feels the baby is well. The monitor, last night showed a constant heart rate of 140. That was for an hour. The Dr came round and told her she would be delivering that night. A midwife then did an internal and said that the cervix was soft, but no concerns, so would be able to go home(can you see how the confusion starts) They returned today for a repeat monitor, and stayed on for2 hours, and as the baby moved around, the rate remained steady at 140. (No Braxton Hicks today) A sonographer was called in, scanned her, told her she was def at 35 weeks and that the baby was well, but would only give the baby marks 8 of 10, because they expect to see the heart rate change as the baby moves. Sorry this is long winded, she has been asked to go back in tomorrow for more monitoring and to see the registrars. She doesn't know if its a genuine concern, she doesn't know if her baby is abnormal (which is what she thinks she is being told) or if the hospital are just being overcautious. Any ideas?? On behalf of a very stressed mummy. Lisax Elbert Hubbard: "The object of teaching a child is to enable him to get along without a teacher." No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.394 / Virus Database: 268.9.10/383 - Release Date: 7/07/2006
[ozmidwifery] vbac
i was looking after a woman the other night who had requested a vbac. the original c section was for faliure to progress after induction late in the afternoon (the ob at the time was her cousin). the ob looking after this woman this time however was happy for her to let nature take its course this time and as long as their were no problems with the baby or her it did. iam pleased to report that she had the baby NVD. she had a very concise birth plan which she was willing to change if necessary on things such as epidural and monitoring. She also had in attendance with her an independent midwife who assisted her to get through her labour in all it was a very satisfying time for both her and the stafff involved.
Re: Re: [ozmidwifery] Fw: E-News 8:11 - Postdates Pregnancies (May 24, 2006)
hi i think that machines do have their palce in the birthing process if and only if the individual woman has a pre exisiting complaint such as PIH or APH. to moniter the baby is a good thing not to mention the fact that some of these machines ensure that there is a reduced perinatal mortality. Im all for machines that keep both the mother and the baby health in check and not for machines such as the one described which measures cerival dilatation what rot. what about good old fashioned midwifery skills or better still listening to what your woman is telling you. regards sharon - Original Message - From: Mary Murphy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, May 31, 2006 10:49 AM Subject: RE: Re: [ozmidwifery] Fw: E-News 8:11 - Postdates Pregnancies (May 24, 2006) Well, how can we know if there is a medical indication unless the machines have told us? MM so lets keep our interferring hands off until there is a medical indication!! Leanne. -- 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] insulin infusions during labour
try the perinatal protocols guidelines in your state they may help or contact a large teriary hospital such as the Womens and childrens they also may assist with your inquiry - Original Message - From: Ganesha Rosat To: ozmidwifery@acegraphics.com.au Sent: Saturday, May 27, 2006 10:55 AM Subject: [ozmidwifery] insulin infusions during labour Hi guys, I am currently reviewing our hospitals management of diabetic women in labour policy and was hoping for some input. Does any one know the protocol for ceasing insulin infusions post birth or could point me in the direction of some current literature on the subject? Cheers Ganesha
Re: [ozmidwifery] the Baby Catcher
where can u buy this book is it avaliable at dymocks ect - Original Message - From: Andrea Quanchi [EMAIL PROTECTED] To: ozmidwifery ozmidwifery@acegraphics.com.au Sent: Friday, May 19, 2006 1:24 PM Subject: [ozmidwifery] the Baby Catcher I bought myself Peggy Vincent's book the Baby Catcher for IMD and have just finished reading it. I laughed, I cried but most of all thought I was reading a book that could have been about me. I would encouraged everyone to read it. Thanks Andrea for putting it on the list for IMD Andrea Quanchi -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] supplements
hi i have heard of a clinical trial that was done on a vitamin supplement call elevit that apparently has enough iron ect for mothers both breastfeeding and pre pregnancy and conception. does anyone else know of this study or is it one that the drug rep likes to speil to us when they come to visit. regards - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 16, 2006 5:30 PM Subject: [ozmidwifery] supplements I am not sure if I have previously passed this on. Anyway, here it is again. MM Use of micronutrient combinations in pregnant women BMC Pregnancy and Childbirth 2006, 6:10 The use of micronutrient combinations with low iron content is associated with less constipation during pregnancy whereas the use of multivitamins with high iron content is more likely to be associated with adverse effects.
Re: [ozmidwifery] working in a private hospital ?
julie there are many great places to work in adelaide both private and public it depends where you live which may motivate you as where to apply. I thought that your grad position was 12 months as you have only been there about 6 now. why don't you get in touch with some of the girls that was in your original group at FUSA and talk to them where they work and they may help you to decide where you would like to apply to for more permanent. I know that some hospitals are taking people on a casual basis then offer full time to the individual.anyhow good luck with your carer choices. regards Sharon - Original Message - From: Julie Garratt To: ozmidwifery@acegraphics.com.au Sent: Sunday, May 14, 2006 12:47 AM Subject: Re: [ozmidwifery] working in a private hospital ? Hi Wonderful wise midwives, An interesting discussion, thank you for your replieson and off the list! I'm trying to decide what to do after my graduate position ends this month. One option is tostay on as acasualwhere I work but realistically I need more income security thatcasual offers.Unfortunately there are no contractspositionsavailable because itis arural hospitalthat has limited opportunitiesat this stagefor non nurse midwives. This aside, Its crunch time andalthough I'm happy and comfortable where I amI may need tolook further field. Any suggestions at this stage would be welcome. I live in Adelaide. Shamless advertising of great places to work would be welcome :) From what I'm hearingNO midwife would want to work in a private hospital but clearly, many do. Who are these mythical creatures and what motivates them?Apparently not money or job satisfaction!I think that it is clear to me now that its not a direction I should pursue. Thank you all again for the sound and very enlightening advice, I'm sure there is more to this story :) Cheers, Julie From: Julie Garratt To: ozmidwifery@acegraphics.com.au Sent: Thursday, May 11, 2006 5:31 PM Subject: [ozmidwifery] working in a private hospital ? Dearwise Midwives, I'm wanting to get an idea on what the disadvantages and benefits are to working in a private hospital . I must admit, as a direct entry midwife, I probably have a less than positive view of the private system having been told by lecturers that doing clinical placement there would be a waste of time. ( You become very "birth centric"' when you have to catch 40 babies to register). Ithink I'm asking for a balanced view here if one exists. Julie, longtime daily lurker :)
Re: [ozmidwifery] working in a private hospital ?
julie i have also worked in a private hospital before it was closed down as a de midwife. i guess the disadvantage would be the fact that the drs do most of the births and as a midwife you dont have a lot of autonomy. i presently work in a large tertiary institution in which midwives do the normal birth and the drs do the births that are deemed difficult or need of extra help. it is your choice where u wish to practice and how you wish to practice there is good and bad for both the public and private system. - Original Message - From: Julie Garratt To: ozmidwifery@acegraphics.com.au Sent: Thursday, May 11, 2006 5:01 PM Subject: [ozmidwifery] working in a private hospital ? Dearwise women, I'm wanting to get an idea on what the disadvantages and benefits are to working in a private hospital . I must admit, as a direct entry midwife, I probably have a less than positive view of the private system having been told by lecturers that doing clinical placement there would be a waste of time. ( You become very "birth centric"' when you have to catch 40 babies to register). Ithink I'm asking for a balanced view here if one exists. Julie, longtime daily lurker :)
Re: [ozmidwifery] 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] MOY interview
can anyone tell me who was MOY in south australia i have not seen anything that tells me this. regards sharon - Original Message - From: Debbie Slater To: ozmidwifery@acegraphics.com.au Sent: Saturday, May 06, 2006 10:02 AM Subject: RE: [ozmidwifery] MOY interview Mary Could you post what she said? I know that you the modest person that you are would not blow your own trumpet, but I would love to hear what she said about midwifery skills. Debbie Debbie Slater Perth, WA From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]] On Behalf Of Mary MurphySent: Saturday, 6 May 2006 6:51 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] MOY interview Thanks Jan and everyone else! I was thrilled that the essence of midwifery was being celebrated. The woman who wrote the nomination was concise and eloquent in her praise of midwifery skills. She captured the spirit of one to one midwifery care in about 50 words. It is all I have strived to achieve over the years. It is all that midwives can achieve if they are given the right environment. MM
Re: [ozmidwifery] EFM on satellite systems
sue that is sad, i also work at a large hospital in adelaide and this certainly never happens as it is hospital protocol that all women who are on ctg have a midwife with them, i hope your expereinces elsewhere are better than that particular one. regards - Original Message - From: Sue Cookson To: ozmidwifery@acegraphics.com.au Sent: Saturday, April 29, 2006 10:19 AM Subject: Re: [ozmidwifery] EFM on satellite systems Hi,I was a student at a large Adelaide hospital and last year I witnessedmost of the midwives staying at the front desk for most of the time watching 'their' women's CTGs.I found it appalling - that we as students were observing this as modern midwifery management; that the women were treated with such lack of compassion and skill; that this was a large teaching hospital - no wonder most of the young doctors have no idea about normal birth.Needless to say I complained to appropriate sources and have refused to revisit that hospital for a clinical placement.Let me get a sore back and dirty knees any day and maybe I'd also have some idea of the woman I was assisting through birth and some idea of how I could help her achieve what she wanted.Sue the efm on satellite systems does not subsitute for the registered midwife in the rooms. We have this at the hosp that i work in and you still have to stay in the room with the woman whilst she is labouring. Not all clients are on moniters and some are intermittenly monitored with a doppler hand held. I find this appaling that the midwives can even think of not bieng in the room with the woman and her partner during labour. They are used as a sort of backup so the shift co-ordinator can see what is happening in the room and also for the medical officer who is always in the labour ward to glance at sometimes as the individual midwife in the room's ability may be on different levels it is like a saftey system i guess for both the woman and the midwife attending her. regards - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Friday, April 28, 2006 1:25 PM Subject: [ozmidwifery] EFM on satellite systems I was at a birth the last few days @ RWH and the midwives were telling me hospitals (RWH included) are soon changing to new EFM machines which are linked to a satellite system, so women can be monitored by the midwives from the ward desk. They were joking about it too, how they could have a loudspeaker go off and ask them to adjust the monitor next, should it not be in the right spot. Does anyone know anything more about this and what are your thoughts? One to one midwifery care seems further off sometimes, which is very, very sad Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support __ NOD32 1.1454 (20060321) Information __This message was checked by NOD32 antivirus system.http://www.nod32.com
Re: [ozmidwifery] EFM on satellite systems
the efm on satellite systems does not subsitute for the registered midwife in the rooms. We have this at the hosp that i work in and you still have to stay in the room with the woman whilst she is labouring. Not all clients are on moniters and some are intermittenly monitored with a doppler hand held. I find this appaling that the midwives can even think of not bieng in the room with the woman and her partner during labour. They are used as a sort of backup so the shift co-ordinator can see what is happening in the room and also for the medical officer who is always in the labour ward to glance at sometimes as the individual midwife in the room's ability may be on different levels it is like a saftey system i guess for both the woman and the midwife attending her. regards - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Friday, April 28, 2006 1:25 PM Subject: [ozmidwifery] EFM on satellite systems I was at a birth the last few days @ RWH and the midwives were telling me hospitals (RWH included) are soon changing to new EFM machines which are linked to a satellite system, so women can be monitored by the midwives from the ward desk. They were joking about it too, how they could have a loudspeaker go off and ask them to adjust the monitor next, should it not be in the right spot. Does anyone know anything more about this and what are your thoughts? One to one midwifery care seems further off sometimes, which is very, very sad Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support
Re: [ozmidwifery] Mastitis question
Title: Mastitis question where i work we encourage women to express on the side that they are infected and continue feeding on the other side until the infection clears, the infection should be treated by antibiotics and if severe admission to hospital for iv antibugs. if the breastmilk has blood in it we discourage any breastfeeding whatsoever and get the mother to express all feeds until the infection passes she then can resume b/feeding when she feels better but ensure that the breast is always empty after feeding. regards sharon - Original Message - From: Megan Larry To: ozmidwifery Sent: Tuesday, April 25, 2006 10:03 AM Subject: [ozmidwifery] Mastitis question Can a mother pass on her infecton to her breastfeeding child when she has mastitis? Its just that I had what to me was obvious mastitis on Sat, quite a decent case of it, very sore breast, redness, fever, vomiting, quite ill. Still recovering on Monday when my breastfeeding 22 mth old developed a fever and vomiting. This morning he is quite recovered but no doubt will need a very quiet day still. So, is this a coincidence, or can the child become infected too? We were both rundown form a busy few weeks, so the rest was well needed, just wanted it without the misery. Thanks in advance Megan
(Re: [ozmidwifery] de midwife course in wa
i also have no disrespect for anyone wanting to do midwifery either way. However i firmly belive that by doing the one year reg nurse course it assists in topping up for want of a better word the mid qualification not to mention that nursing degree goes into more detail some aspects that mid does not. although i am doing the one year degree for nursing i do not envisage ever having to use that degree so i look at it the other way in that iam hanging my nursing degree on a midwifery degree. not the other way around. there are many great de midwives that the university have graduated and mid has and is comming into its own as a stand alone profession as it should rightly so do however if you want to build upon your knowledge and do mental health which in my opinion is a assistance toward midwifery you cannot do this unless you have the magical rn degree as well. in all as midwives we need to be open minded in acceptance of what other people choose to continue their educaton with, i consider myself to be a midwife first then a nurse , when i get my degree. cheers sharon - Original Message - From: Tania Smallwood [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, April 13, 2006 6:58 PM Subject: RE: [ozmidwifery] de midwife course in wa With you all the way on this one Jennifairy... If midwifery is EVER going to come out of the shadow of nursing, and stand up and be counted as a profession in it's own right, we need to stop the one year cross over from nursing to midwifery altogether. No disrespect to all my wonderful nurse/midwife friends and colleagues - I am one too! I just see that we need to move away from making midwifery a tack on thing from nursing, as it has always been seen (that extra 'certificate' for you to hang your hat on...) and welcome nurses, Drs, dentists, florists, vets, chiropractors, and anyone else who wants to be a part of this sterling profession, with the same open arms. That way, we can be Midwives, and choose to become nurses later if that turns us on too, but do the extra time there to, to give that profession the respect it so rightfully deserves, as a completely separate profession in it's own right too... Just my thoughts... Tania RM in private practice -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jennifairy Sent: Thursday, 13 April 2006 6:03 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] de midwife course in wa sharon wrote: thats right i have done three year mid and now doing one yar nursing over 2 years while working as a reg midwife so i have a double degree. i belive that it should be 4 years and finish with a double degree. regards sharon Yeah, personal preference again. I did the 3 year BMid in SA, if Id *had* to do the extra year to add nursing I prolly would have looked elsewhere (or written even more letters to have it changed). The problem with a 'double degree' is that it serves to maintain the fallacy that midwifery is not a distinct profession, that nursing has to be in there somewhere. If we are going to have double degrees with midwifery involved then I would prefer the 'other' degree was political science, or business studies, or something that teaches one how to set up sustainable community structures. Something that moves midwifery out of the mindset of a sub-species of nursing, anyway. Just my thorts 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 -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.385 / Virus Database: 268.4.1/310 - Release Date: 12/04/2006 -- 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: 7.1.385 / Virus Database: 268.4.1/310 - Release Date: 12/04/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.385 / Virus Database: 268.4.1/310 - Release Date: 12/04/2006 -- 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.
[ozmidwifery] de midwife course in wa
hi i think that there is one through curtan uni it started last year. there is a course in adelaide now running for 4 years. Melbourne and Sydney. regards sharon, prev de student - Original Message - From: Vedrana Valčić [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, April 12, 2006 5:18 PM Subject: RE: [ozmidwifery] premature urge to push Thank you :)! I opened a new topic at http://www.roda.hr/rodaphpBB2/viewtopic.php?t=23139highlight=, under the section Birth. Vedrana -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Heartlogic Sent: Wednesday, April 12, 2006 9:25 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] premature urge to push Absolutely Vedrana, if you think it would be helpful. I am delighted to be asked. Thanks, :-) If you find after putting it up on the webforum, anyone would like to ask questions or if anything is not clear, I'm more than happy for people to contact me and see if I can help further. My email address is [EMAIL PROTECTED] My phone number is 0418 428 430 I'm co editing a book about Birth Territory - my chapter is all about mother (plus father, family, midwives/other health professionals, culture etc) as 'territory' of the fetus. so I'm doing lots of thinking/reading/pondering etc about all these aspects/ideas/concepts etc. I'm actually on time off to write as I haven't been able to get it to it with the work/processes/development involved with setting up and the first year (will be on 4th July!) of the wonderful, spectacular, normal, healthy physiologically enhancing birthspace of Belmont Birthing Service. What joy that is/has been. So good to be able to prove/demonstrate that if a woman understands and welcomes the process of birth and has had an opportunity to explore what it all means to her; you leave the woman and her process alone, while providing a loving, kind and supportive, individualised environment, birth happens and happens beautifully, joyfully and with the woman in charge of her process. What a difference that makes. The midwives are ecstatic, the women are happy and intact and the babies are smiling and relaxed. warmly, Carolyn - Original Message - From: Vedrana Valčić [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, April 12, 2006 4:50 PM Subject: RE: [ozmidwifery] premature urge to push Dear Carolyn, I'd like to copy your mail to one web forum (mainly about pregnancy, birth, childhood) in Croatia. Its address is www.roda.hr/rodaphpBB2. Would that be OK? Warm regards, Vedrana -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of safetsleep international Sent: Wednesday, April 12, 2006 8:12 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] premature urge to push wow...'special lady'in my humble experience there are not many who have grown to grasp this level of intellectual and experiential awareness and intelligence ...i will be saving this email and reading it and the references for some time...thankyou warm regards miram - Original Message - From: Heartlogic [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, April 12, 2006 4:44 PM Subject: Re: [ozmidwifery] premature urge to push Hello Kristen, From the literature, uncontrollable urges to push before full dilatation of the woman's cervix and descent of the baby's head are certainly associated with babies who are in a posterior position, that is back of the baby's head, the bone called the occiput, pressing against the woman's sacrum and putting pressure on her bowel 'prematurely'. That is the accepted, physical version of events. Physical interventions to change the baby's position include, but are not limited to: *position changes of all kinds mostly during labour surges, *such as leaning forward, *leaning backward, *opening the ischial spines with various strategies such *as assisting with inwards pressure on the alae of the sacrum; * lifting the trochanters when the woman is squatting (that takes some doing but is a wonderful opener) *lunges with one leg raised on a chair, squatting etc; *the flapping fish (yoga) position which is lying down on the side the baby's back is on, with leg and arm behind, so the person is more on their abdomen - also called the recovery position; lunging as before, but with the woman's body leaning posteriorally into the side the baby is on to reduce space and encourage baby to rotate to the front. *Another excellent strategy is (the midwife or doctor) using the fingers of one hand in the woman's vagina to construct an artificial pelvic floor to help the baby rotate to the front. This is most useful with a greater degree of dilatation as the person needs to have their hand directly on the baby's head to put the counter pressure on (gently and firmly) for increased flexion and rotation of the baby's head. Of course, the woman needs
Re: [ozmidwifery] de midwife course in wa
thats right i have done three year mid and now doing one yar nursing over 2 years while working as a reg midwife so i have a double degree. i belive that it should be 4 years and finish with a double degree. regards sharon - Original Message - From: Nic and Dale [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, April 12, 2006 6:36 PM Subject: RE: [ozmidwifery] de midwife course in wa Unfortunately there is no DEM course in WA as yet. They were trying to bring in a double degree (BMid/BNursing) based on La Trobe's curriculum, beginning this year, but they couldn't find placements for 25 students apparently. Very disappointing! It was going to be run through Edith Cowan Uni. Guess I will have to keep plodding my way through my nursing course and do my mid post-grad as it doesn't look like anything will happen anytime soon. Will let you know of any new developments. FYI, Carol Thorogood is the one to speak to at ECU regarding the double degree. Sharon, the BMid at UniSA is a 3 year course, though you can do another year to also get BNursing I believe. Kind Regards Nicole Wilson -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of sharon Sent: Wednesday, 12 April 2006 4:45 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] de midwife course in wa hi i think that there is one through curtan uni it started last year. there is a course in adelaide now running for 4 years. Melbourne and Sydney. regards sharon, prev de student - Original Message - From: Vedrana Valčić [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, April 12, 2006 5:18 PM Subject: RE: [ozmidwifery] premature urge to push Thank you :)! I opened a new topic at http://www.roda.hr/rodaphpBB2/viewtopic.php?t=23139highlight=, under the section Birth. Vedrana -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Heartlogic Sent: Wednesday, April 12, 2006 9:25 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] premature urge to push Absolutely Vedrana, if you think it would be helpful. I am delighted to be asked. Thanks, :-) If you find after putting it up on the webforum, anyone would like to ask questions or if anything is not clear, I'm more than happy for people to contact me and see if I can help further. My email address is [EMAIL PROTECTED] My phone number is 0418 428 430 I'm co editing a book about Birth Territory - my chapter is all about mother (plus father, family, midwives/other health professionals, culture etc) as 'territory' of the fetus. so I'm doing lots of thinking/reading/pondering etc about all these aspects/ideas/concepts etc. I'm actually on time off to write as I haven't been able to get it to it with the work/processes/development involved with setting up and the first year (will be on 4th July!) of the wonderful, spectacular, normal, healthy physiologically enhancing birthspace of Belmont Birthing Service. What joy that is/has been. So good to be able to prove/demonstrate that if a woman understands and welcomes the process of birth and has had an opportunity to explore what it all means to her; you leave the woman and her process alone, while providing a loving, kind and supportive, individualised environment, birth happens and happens beautifully, joyfully and with the woman in charge of her process. What a difference that makes. The midwives are ecstatic, the women are happy and intact and the babies are smiling and relaxed. warmly, Carolyn - Original Message - From: Vedrana Valčić [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, April 12, 2006 4:50 PM Subject: RE: [ozmidwifery] premature urge to push Dear Carolyn, I'd like to copy your mail to one web forum (mainly about pregnancy, birth, childhood) in Croatia. Its address is www.roda.hr/rodaphpBB2. Would that be OK? Warm regards, Vedrana -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of safetsleep international Sent: Wednesday, April 12, 2006 8:12 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] premature urge to push wow...'special lady'in my humble experience there are not many who have grown to grasp this level of intellectual and experiential awareness and intelligence ...i will be saving this email and reading it and the references for some time...thankyou warm regards miram - Original Message - From: Heartlogic [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, April 12, 2006 4:44 PM Subject: Re: [ozmidwifery] premature urge to push Hello Kristen, From the literature, uncontrollable urges to push before full dilatation of the woman's cervix and descent of the baby's head are certainly associated with babies who are in a posterior position, that is back of the baby's head, the bone called the occiput, pressing against the woman's sacrum and putting pressure
Re: [ozmidwifery] Birthing Music
whoever you enjoy i have been with women who have played heavy metal as that is what they like and others who have brought classical. i think it is a very individualized choice. regards sharon - Original Message - From: Ceri Katrina [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, April 12, 2006 9:46 PM Subject: [ozmidwifery] Birthing Music Hi everyone I know this is going to be a very individual preference, but just wondering if any of you wonderful people out there can recommend some music for birthing. I have my Enya CD and a couple of others, but am wanting some more. If anyone has a CD or artist they can recommend from personal or other experience that would be fabulous. thanks in advance Katrina -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] de midwife course in wa
unis sa city east - Original Message - From: ELIZABETH KOSZTYI [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, April 13, 2006 7:08 AM Subject: Re: [ozmidwifery] de midwife course in wa Hi Sharon, Where are you doing your nursing? I have done three year mid also. reg, elizabeth - Original Message - From: sharon [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, April 12, 2006 10:25 PM Subject: Re: [ozmidwifery] de midwife course in wa thats right i have done three year mid and now doing one yar nursing over 2 years while working as a reg midwife so i have a double degree. i belive that it should be 4 years and finish with a double degree. regards sharon - Original Message - From: Nic and Dale [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, April 12, 2006 6:36 PM Subject: RE: [ozmidwifery] de midwife course in wa Unfortunately there is no DEM course in WA as yet. They were trying to bring in a double degree (BMid/BNursing) based on La Trobe's curriculum, beginning this year, but they couldn't find placements for 25 students apparently. Very disappointing! It was going to be run through Edith Cowan Uni. Guess I will have to keep plodding my way through my nursing course and do my mid post-grad as it doesn't look like anything will happen anytime soon. Will let you know of any new developments. FYI, Carol Thorogood is the one to speak to at ECU regarding the double degree. Sharon, the BMid at UniSA is a 3 year course, though you can do another year to also get BNursing I believe. Kind Regards Nicole Wilson -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of sharon Sent: Wednesday, 12 April 2006 4:45 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] de midwife course in wa hi i think that there is one through curtan uni it started last year. there is a course in adelaide now running for 4 years. Melbourne and Sydney. regards sharon, prev de student - Original Message - From: Vedrana Valčić [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, April 12, 2006 5:18 PM Subject: RE: [ozmidwifery] premature urge to push Thank you :)! I opened a new topic at http://www.roda.hr/rodaphpBB2/viewtopic.php?t=23139highlight=, under the section Birth. Vedrana -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Heartlogic Sent: Wednesday, April 12, 2006 9:25 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] premature urge to push Absolutely Vedrana, if you think it would be helpful. I am delighted to be asked. Thanks, :-) If you find after putting it up on the webforum, anyone would like to ask questions or if anything is not clear, I'm more than happy for people to contact me and see if I can help further. My email address is [EMAIL PROTECTED] My phone number is 0418 428 430 I'm co editing a book about Birth Territory - my chapter is all about mother (plus father, family, midwives/other health professionals, culture etc) as 'territory' of the fetus. so I'm doing lots of thinking/reading/pondering etc about all these aspects/ideas/concepts etc. I'm actually on time off to write as I haven't been able to get it to it with the work/processes/development involved with setting up and the first year (will be on 4th July!) of the wonderful, spectacular, normal, healthy physiologically enhancing birthspace of Belmont Birthing Service. What joy that is/has been. So good to be able to prove/demonstrate that if a woman understands and welcomes the process of birth and has had an opportunity to explore what it all means to her; you leave the woman and her process alone, while providing a loving, kind and supportive, individualised environment, birth happens and happens beautifully, joyfully and with the woman in charge of her process. What a difference that makes. The midwives are ecstatic, the women are happy and intact and the babies are smiling and relaxed. warmly, Carolyn - Original Message - From: Vedrana Valčić [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, April 12, 2006 4:50 PM Subject: RE: [ozmidwifery] premature urge to push Dear Carolyn, I'd like to copy your mail to one web forum (mainly about pregnancy, birth, childhood) in Croatia. Its address is www.roda.hr/rodaphpBB2. Would that be OK? Warm regards, Vedrana -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of safetsleep international Sent: Wednesday, April 12, 2006 8:12 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] premature urge to push wow...'special lady'in my humble experience there are not many who have grown to grasp this level of intellectual and experiential awareness and intelligence ...i will be saving this email and reading it and the references for some time...thankyou warm regards
Re: [ozmidwifery] Caesarean demand in VIC
come to adelaide we still have room. surely because of her history some one some where will make some room for her. - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Monday, April 10, 2006 11:50 AM Subject: [ozmidwifery] Caesarean demand in VIC I heard from a very reputable source (from her well regarded Obstetrician) who said that there are currently no availabilities to get women in for caesareans at the moment. Her Ob has been ringing around absolutely everywhere to get her booked in as she lost her last baby and has lots of issues surrounding this and to make the matter worse, the baby is breech, so the woman is a mess about losing this baby too. The only way she can have her caesarean is by emergency caesarean. Of course, being Easter, this is only worse lots more being booked in at this time. Apparently, the lack of availability is due to lots of Obs booking in women for low-lying placentas at 18 WEEKS Hogging lots of spaces which are not needed. Cant something be done about this? I am not recommending caesars for anyone but this situation is awful what is going on??? I cannot believe the only way women can have a Caesar in Melbourne at the moment is to have an emergency one. Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support
RE: [ozmidwifery] Recommendations?
Hello Julia, The best person to contact is Jocelyn Toohill, Midwifery Unit Manager of Antenatal and Birthing at Gold Coast Hospital. We have a Birth Centre just beginning and lots of other exciting possibilities in the works. Ph 07 55198325 Regards Sharon -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Julia Haythornthwaite Sent: Monday, March 20, 2006 6:54 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Recommendations? Hi I am a little confused as to how this mailing list thing works, but ... here I am willing to give it a go! Just wondered if there was anyone out there who could help me with a couple of questions I have? I am currently a 3rd-year midwifery student in New Zealand. My family and I have made the big decision to leave New Zealand's shores and live on the Gold Coast in January 2007. I ultimately would love to work in a birthing centre, but I hear the competition is pretty fierce (maybe even more so for a new graduate!), so I was wondering if there are any particular hospitals that anyone could recommend in the Gold Coast/Brisbane area? I have been in correspondence with a contact at Mater Mother's Hospital and have been given good information on the new graduate programme offered there which is great, but haven't heard anything from any of the other hospitals I have contacted (namely Ipswich, Caboolture, Redland and Logan hospitals). Any thoughts/ideas? Thank you. Really looking forward to hearing from you. Julia -- 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] burst vagina's
i also have never heard of this but certainly i would go with the thought of hyperstimulation of the uterus from synt. such a shame. i wish obs would lighten up a little - Original Message - From: Janet Fraser To: ozmidwifery@acegraphics.com.au Sent: Thursday, March 02, 2006 1:57 PM Subject: Re: [ozmidwifery] burst vagina's What the hell is a "burst" vagina anyway??? Sounds like a big crock to me. Lies told to get this woman into surgery. I wonder what her notes say? I'd bet FTP or CPD. I doubt there's research into "burst vaginas" since I don't believe such a phenomenon exists. Is it possible that the woman was in hyperstim. from Synto. and was told uterine rupture was possible? *shaking head in disbelief here* J - Original Message - From: jo To: ozmidwifery@acegraphics.com.au Sent: Thursday, March 02, 2006 2:17 PM Subject: [ozmidwifery] burst vagina's Any thoughts for this woman from HAS committee? lives in Eastern Subs of Sydney. Rant: My friend has recently had a caesarean section at the RHW here, she was told that she could keep going and try for a vaginal birth (she was 10cm dilated) but her vagina would probably "burst". Talk about value laden language. Oddly enough she opted for a caesar rather than wait for the bursting. If anyone could let me know the amount of research that has been done on this phenomenon I would be interested, as I haven't come across it before. This has been a bit trying for me as everything I predicted would happen has come to pass, and I feel totally useless. I said don't go with the ob, but they wanted to make sure everything went well the first time and obviously the more money they spent the better care they would get. The best part of the labour was the time spent at home, but thank god they went to hospital otherwise the doctor couldnt' have saved their baby. Please don't get me wrong, I know these doctors are good sometimes, I just can't believe that they are really so necessary all the time. Currently I don't know anyone round here who has had a vaginal delivery, it is almost becoming unattainable. Yours in frustration at the system.
Re: [ozmidwifery] prison birthing
women who have come into my work have a guard standing outside the room and the woman chained to the bed. (I work in a large tertiary instiutuion).if they are in labour then the guard does not stay in the room otherwise it is the guards job to stay in the room with these women at all times. after the birth they are allowed minimal time with their child before the child is taken away and all rights relinquished depended upon what the woman was in for and if she is giving up her baby. regards - Original Message - From: adamnamy To: ozmidwifery@acegraphics.com.au Sent: Wednesday, February 08, 2006 12:51 PM Subject: [ozmidwifery] prison birthing Do any of you midwives out there know how birth happens for pregnant women in Australian prisons? Are they transferred to hospital or are they required to stay in the prison health service. I have been reading an Amnesty report of the abuses of pregnant and laboring women in the US (it is available through Sheila Kitzinger’s website for anyone who is interested). I am keen to know what similarities exist for Australian women. I thought fetal monitoring and a drip was bad enough-try giving birth being chained to a bed-not knowing how long you can cuddle your baby for before she is removed! That breaks my heart. Amy From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of EmilySent: Wednesday, February 08, 2006 8:10 AMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] yoga video hi everyone funny photo attached that shows what happens if your baby doesnt get enough food ! i found this while looking for photos for an infant nutrition seminar im doing for uni next week. does anyone still have that short movie of the yoga mum where the baby crawls up and has a feed while shes upside down?? id love to include that :) if anyone has it they can send it direct to me at [EMAIL PROTECTED] thanks emily Brings words and photos together (easily) withPhotoMail - it's free and works with Yahoo! Mail. --No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.375 / Virus Database: 267.15.2/252 - Release Date: 2/6/2006 --No virus found in this outgoing message.Checked by AVG Free Edition.Version: 7.1.375 / Virus Database: 267.15.2/253 - Release Date: 2/7/2006
Re: [ozmidwifery] IV Synto for 3rd stage
hi kylie re whats been chatting on about you probably were at the same hospital. large teritary. but if it is hospital protocol and you are found not to be doing the protocol then it is your job which would you prefer. regards - Original Message - From: Kylie Holden [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, January 24, 2006 10:05 AM Subject: Re: [ozmidwifery] IV Synto for 3rd stage Hi Sharon This is exactly the reason for the hospital I am referring to...there once was a baby whose imperforate anus was not picked up and baby became very sick. I wonder if it's the same hospital? As far as I am aware, the research shows that the difference in accuracy between PA and PR is so slight that is is not significant, and therefore not a compelling reason to take temps PR. What makes this hospital's protocol so ridiculous is that even if the baby has already passed mec, we still have to do it PR! Even though they claim the only reason we must do it PR is to check for imperforate anus. In regards to the synt, I just remembered that I cared for two women only last week (still as a student!) who had had their dose of synto (one IM and the other IV that was flushed) and they both went on to have PPHs anyway. Makes you wonder... Kylie From: sharon [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] IV Synto for 3rd stage Date: Tue, 24 Jan 2006 08:33:18 +1030 at the hospital i work in the paediatrician/neonatologist inisit on all newborns have a rectal temp done for the first temp. i have been told when questioning this from the clinical learning co-ordinator that there once was a baby who had a imperferated anus and this was not picked up until too late and the baby became very sick so it is protocol. also i was told that there is a difference in temperature as when i looked this subject up for my own interest if you take a temp axilla there is also many other factors which come into play such as the air temp and if the thermometer is accurately placed. the references i cant remember but the evidence suggested that for a accurate reading we should be taking temperatures rectally for infants and orally for adults not axilla and certainly not be the fold at the back of the newborns neck. regards - Original Message - From: brendamanning [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, January 24, 2006 12:11 AM Subject: Re: [ozmidwifery] IV Synto for 3rd stage How amazing, rectal temps are so archaic ! I thought they went out with PR exams to assess dilation. Poor you ! Keep questioning, that's how change happenseventually. With kind regards Brenda Manning www.themidwife.com.au - Original Message - From: Kylie Holden [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, January 23, 2006 11:42 PM Subject: Re: [ozmidwifery] IV Synto for 3rd stage All debates regarding active v. physiological third stage aside, I was referring to women who have had a jelco put in for whatever reason (IV antibiotics in labour, epidurals, etc). I completely agree with you Brenda, that the number of women who didn't get their required dose of synto and who go on and have a (semi) physiological third stage are evidence in favour of safe, normal 3rd stage. Unfortuately this particular hospital doesn't take too kindly to students coming in and questioning their protocols! We learnt that the hard way when we (as students) tried not to take babies first temps rectally...a protocol was soon put in place that this MUST occur! Kylie From: brendamanning [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] IV Synto for 3rd stage Date: Mon, 23 Jan 2006 15:18:48 +1100 Kylie, We are presuming these are all high risk women you are dealing with as otherwise there would be no need for her to have a jelco in place ? I am including women who have epidurals in this category as this automatically makes them high risk once they've deviated from the 'body driven' course of labour. Otherwise... Why would a low risk woman : a. have a jelco in situ during labour ? b. need an oxytocic ? So assuming she is high risk you need to be very sure she gets the oxytocic, she really needs it as her body has had its input overridden by the initial intervention so it makes sense to flush the tubing ensure the accurate therapeutic dose is received. Maybe you might put some thought out there in your workplace about how all those women whose MW didn't flush they therefore didn't actually get their synt (or got a reduced/minimal amount) managed to have a normal 3rd stage no PPHs ? Now there's an interesting question to ask your colleagues !! With kind regards Brenda Manning www.themidwife.com.au - Original Message - From: Ceri
Re: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps
yes all babies are subjected to a once only pr temp as per the hospital protocol and as i have said before it would be negligant not to follow protocol while working at a institution. regards - Original Message - From: Kylie Holden [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, January 24, 2006 6:40 PM Subject: Re: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps I'm afraid so... I don't actually work there, these are experiences as a student. Not sure if the hospital I'm talking about is the same as Sharon's, but the story is the same. Kylie From: Alesa Koziol [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps Date: Tue, 24 Jan 2006 18:37:03 +1100 Please be assured that I am not killing the messanger here...but really, are you really telling me that at your site all newborn infants are subjected to an invasive process because once upon a time a single baby had a problem? Alesa - Original Message - From: sharon [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, January 24, 2006 9:03 AM Subject: Re: [ozmidwifery] IV Synto for 3rd stage at the hospital i work in the paediatrician/neonatologist inisit on all newborns have a rectal temp done for the first temp. i have been told when questioning this from the clinical learning co-ordinator that there once was a baby who had a imperferated anus and this was not picked up until too late and the baby became very sick so it is protocol. also i was told that there is a difference in temperature as when i looked this subject up for my own interest if you take a temp axilla there is also many other factors which come into play such as the air temp and if the thermometer is accurately placed. the references i cant remember but the evidence suggested that for a accurate reading we should be taking temperatures rectally for infants and orally for adults not axilla and certainly not be the fold at the back of the newborns neck. regards - Original Message - From: brendamanning [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, January 24, 2006 12:11 AM Subject: Re: [ozmidwifery] IV Synto for 3rd stage How amazing, rectal temps are so archaic ! I thought they went out with PR exams to assess dilation. Poor you ! Keep questioning, that's how change happenseventually. With kind regards Brenda Manning www.themidwife.com.au - Original Message - From: Kylie Holden [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, January 23, 2006 11:42 PM Subject: Re: [ozmidwifery] IV Synto for 3rd stage All debates regarding active v. physiological third stage aside, I was referring to women who have had a jelco put in for whatever reason (IV antibiotics in labour, epidurals, etc). I completely agree with you Brenda, that the number of women who didn't get their required dose of synto and who go on and have a (semi) physiological third stage are evidence in favour of safe, normal 3rd stage. Unfortuately this particular hospital doesn't take too kindly to students coming in and questioning their protocols! We learnt that the hard way when we (as students) tried not to take babies first temps rectally...a protocol was soon put in place that this MUST occur! Kylie From: brendamanning [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] IV Synto for 3rd stage Date: Mon, 23 Jan 2006 15:18:48 +1100 Kylie, We are presuming these are all high risk women you are dealing with as otherwise there would be no need for her to have a jelco in place ? I am including women who have epidurals in this category as this automatically makes them high risk once they've deviated from the 'body driven' course of labour. Otherwise... Why would a low risk woman : a. have a jelco in situ during labour ? b. need an oxytocic ? So assuming she is high risk you need to be very sure she gets the oxytocic, she really needs it as her body has had its input overridden by the initial intervention so it makes sense to flush the tubing ensure the accurate therapeutic dose is received. Maybe you might put some thought out there in your workplace about how all those women whose MW didn't flush they therefore didn't actually get their synt (or got a reduced/minimal amount) managed to have a normal 3rd stage no PPHs ? Now there's an interesting question to ask your colleagues !! With kind regards Brenda Manning www.themidwife.com.au - Original Message - From: Ceri Katrina [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Sunday, January 22, 2006 6:04 PM Subject: Re: [ozmidwifery] IV Synto for 3rd stage Hi Kylie
Re: [ozmidwifery] Mercury thermometers with rectal Temperatures!!!
not not mercury we use digital thermometers - Original Message - From: B G [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, January 24, 2006 7:40 PM Subject: [ozmidwifery] Mercury thermometers with rectal Temperatures!!! Hi all, Am I assume that they are using mercury glass thermometers? Mercury Thermometers have been banned for clinical use in hospitals in Australia for about 8 years now primarily due to the OH S concerns of the mercury and where to put the waste if one breaks, as they do. It was agreed (I am not sure if it was a Federal Govt thing or State)that mercury equipment would be replaced and not used in new buildings. Of course the same has been difficult to change with syphgmometers. Many Hg ones remain. The mercury once leaked gets caught in cracks on floors and walls and emit vapours for years. We have not used a mercury thermometer for more than 9 years in the unit I am at. Unfortunately many hospitals a very slow to remove these dreadful items and remain committed to exposing workers and clients exposed to mercury. Various articles are listed with the QNU/ANF featured in the Green left articles. I suggest you contact your WH S committees to see what they are doing about the use of mercury thermometers in this way. http://abcasiapacific.com/englishbites/stories/s505290.htm http://www.greenleft.org.au/back/1996/221/221p7.htm http://www.greenleft.org.au/back/1995/212/212p15.htm http://www.nursingworld.org/AJN/2001/sept/Health.htm http://www.nursingworld.org/ajn/1999/sep/heal099b.htm http://www.ranknfile-ue.org/h%26s0702.html http://www.securityworld.com/infocenter/the-dangers-of-mercury-fever-the rmometers/ http://www.nyhealth.gov/nysdoh/environ/hsees/mercury_brochures/hscommitt ee.htm Cheers Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of sharon Sent: Tuesday, 24 January 2006 8:03 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] IV Synto for 3rd stage at the hospital i work in the paediatrician/neonatologist inisit on all newborns have a rectal temp done for the first temp. i have been told when questioning this from the clinical learning co-ordinator that there once was a baby who had a imperferated anus and this was not picked up until too late and the baby became very sick so it is protocol. also i was told that there is a difference in temperature as when i looked this subject up for my own interest if you take a temp axilla there is also many other factors which come into play such as the air temp and if the thermometer is accurately placed. the references i cant remember but the evidence suggested that for a accurate reading we should be taking temperatures rectally for infants and orally for adults not axilla and certainly not be the fold at the back of the newborns neck. regards - Original Message - From: brendamanning [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, January 24, 2006 12:11 AM Subject: Re: [ozmidwifery] IV Synto for 3rd stage How amazing, rectal temps are so archaic ! I thought they went out with PR exams to assess dilation. Poor you ! Keep questioning, that's how change happenseventually. With kind regards Brenda Manning www.themidwife.com.au - Original Message - From: Kylie Holden [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, January 23, 2006 11:42 PM Subject: Re: [ozmidwifery] IV Synto for 3rd stage All debates regarding active v. physiological third stage aside, I was referring to women who have had a jelco put in for whatever reason (IV antibiotics in labour, epidurals, etc). I completely agree with you Brenda, that the number of women who didn't get their required dose of synto and who go on and have a (semi) physiological third stage are evidence in favour of safe, normal 3rd stage. Unfortuately this particular hospital doesn't take too kindly to students coming in and questioning their protocols! We learnt that the hard way when we (as students) tried not to take babies first temps rectally...a protocol was soon put in place that this MUST occur! Kylie From: brendamanning [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] IV Synto for 3rd stage Date: Mon, 23 Jan 2006 15:18:48 +1100 Kylie, We are presuming these are all high risk women you are dealing with as otherwise there would be no need for her to have a jelco in place ? I am including women who have epidurals in this category as this automatically makes them high risk once they've deviated from the 'body driven' course of labour. Otherwise... Why would a low risk woman : a. have a jelco in situ during labour ? b. need an oxytocic ? So assuming she is high risk you need to be very sure she gets the oxytocic, she really needs it as her body has had its input overridden
Re: [ozmidwifery] IV Synto for 3rd stage
at the hospital i work in the paediatrician/neonatologist inisit on all newborns have a rectal temp done for the first temp. i have been told when questioning this from the clinical learning co-ordinator that there once was a baby who had a imperferated anus and this was not picked up until too late and the baby became very sick so it is protocol. also i was told that there is a difference in temperature as when i looked this subject up for my own interest if you take a temp axilla there is also many other factors which come into play such as the air temp and if the thermometer is accurately placed. the references i cant remember but the evidence suggested that for a accurate reading we should be taking temperatures rectally for infants and orally for adults not axilla and certainly not be the fold at the back of the newborns neck. regards - Original Message - From: brendamanning [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, January 24, 2006 12:11 AM Subject: Re: [ozmidwifery] IV Synto for 3rd stage How amazing, rectal temps are so archaic ! I thought they went out with PR exams to assess dilation. Poor you ! Keep questioning, that's how change happenseventually. With kind regards Brenda Manning www.themidwife.com.au - Original Message - From: Kylie Holden [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, January 23, 2006 11:42 PM Subject: Re: [ozmidwifery] IV Synto for 3rd stage All debates regarding active v. physiological third stage aside, I was referring to women who have had a jelco put in for whatever reason (IV antibiotics in labour, epidurals, etc). I completely agree with you Brenda, that the number of women who didn't get their required dose of synto and who go on and have a (semi) physiological third stage are evidence in favour of safe, normal 3rd stage. Unfortuately this particular hospital doesn't take too kindly to students coming in and questioning their protocols! We learnt that the hard way when we (as students) tried not to take babies first temps rectally...a protocol was soon put in place that this MUST occur! Kylie From: brendamanning [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] IV Synto for 3rd stage Date: Mon, 23 Jan 2006 15:18:48 +1100 Kylie, We are presuming these are all high risk women you are dealing with as otherwise there would be no need for her to have a jelco in place ? I am including women who have epidurals in this category as this automatically makes them high risk once they've deviated from the 'body driven' course of labour. Otherwise... Why would a low risk woman : a. have a jelco in situ during labour ? b. need an oxytocic ? So assuming she is high risk you need to be very sure she gets the oxytocic, she really needs it as her body has had its input overridden by the initial intervention so it makes sense to flush the tubing ensure the accurate therapeutic dose is received. Maybe you might put some thought out there in your workplace about how all those women whose MW didn't flush they therefore didn't actually get their synt (or got a reduced/minimal amount) managed to have a normal 3rd stage no PPHs ? Now there's an interesting question to ask your colleagues !! With kind regards Brenda Manning www.themidwife.com.au - Original Message - From: Ceri Katrina [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Sunday, January 22, 2006 6:04 PM Subject: Re: [ozmidwifery] IV Synto for 3rd stage Hi Kylie we actually give 5IU synto diluted in 10mls Normal saline, then flush that through with a flush. In the short time I have been in Middy even when we gave it not diluted, it was still flushed. katrina ;-) On 22/01/2006, at 2:20 PM, Ken WArd wrote: Proberly where it should sit for a normal birth. But when it is advisable to give synto, then I guess you should flush the line. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Kylie Holden Sent: Sunday, 22 January 2006 12:14 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] IV Synto for 3rd stage Hi all I'm a Mid student (who has finally finished all her birth requirements...yay!) and this issue has only just come up for me over the last week or two. For the first time in two years, a midwife I was working with pointed out the importance of flushing through the synto if you have given it IV, if there was no drip running to flush it through. This obviously makes sense, because if you don't flush it, the synto will just sit in the J loop or IV line. However, I had never actually seen a midwife do this before. Over the next few days I asked a few midwives what they do, and the responses I got ranged from Why on earth would you need to do that? to Yes, of course you need to flush it! Any thoughts on this
Re: [ozmidwifery] testing urine
hi i work in a tertiary institution we only test urine witht he first visit. otherwise no testing of urine same as wieght recording in pregnancy. cheers sharon - Original Message - From: Michelle Windsor To: Ozmidwifery Sent: Sunday, January 08, 2006 4:16 PM Subject: [ozmidwifery] testing urine Hi everyone, Just a query, wondering what other places do with urine testing in pregnancy. At the moment we are doing first visit MSU's and otherwise only testing (dipstick) if symptomatic, +/- MSU. Recently there have been a few women admitted with pyleonephritis, one who ended up in ICU in septic shock. So am wondering if it is worthwhile testing with each visit. I thought that the thing with pregnancy was that women could have UTI's and be asymptomatic. Cheers Michelle Send instant messages to your online friends http://au.messenger.yahoo.com
Re: [ozmidwifery] First birth from the other side
hi nicole congratulations, can u tell me a bit about the doulas course it sounds wonderful. regards - Original Message - From: Nicola Morley [EMAIL PROTECTED] To: 'Ozmidwifery' ozmidwifery@acegraphics.com.au Sent: Saturday, January 07, 2006 12:34 PM Subject: [ozmidwifery] First birth from the other side Hi all, I just wanted to share that yesterday I went to my first birth as a trainee doula. I have done most of the theory work now, and that was the first of my 3 qualifying births. It went GREAT! Induction, but she managed a natural drug free, QUICK birth (she went from 4cm to delivery in less than 90 minutes). I was particularly happy that one of the main things the mum wanted was to be kept informed, and in part from my reading on this list I found I was able to explain all the medical terminology flying around her in layman's terms that she could understand. It really helped keep her anxiety down because nothing was wrong, but whenever someone said anything she didn't understand she immediately panicked that there was. I loved it, and would love to do another next week!!, but unfortunately have to wait until the birth I have booked in March. I also need to find one more before my own baby is born in May (otherwise it will be ages before I qualify because a newborn will make doing births impossible!), so if anyone knows anyone between Newcastle and Sydney who wants a doula for free I would love to know about it! :) Nicola Morley Trainee Doula Central Coast -- 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] belly dancing midwives:)
hi julie, after one year practice as a midwife i too was feeling a little say we say not too fit after catching babies and i have recently joined a womans gym and gone to classes and done cardio workout on machines. thank goodness i now feel a little better and am able to follow the womans lead and catch where she wants on the floor on the bed wherever. so it has done me good to go to workout and assist with my fitness level. good luck and enjoy regards sharon - Original Message - From: Andrea Quanchi To: ozmidwifery@acegraphics.com.au Sent: Wednesday, January 04, 2006 11:16 AM Subject: Re: [ozmidwifery] belly dancing midwives:) I make a point of treating myself to an appointment with my network chiropractor after each birth I attend as I too encourage the woman to choose her place/ position of birth and find my lower back is tight the next day. I generally have no problems this way. He always knows how many births I have attended by how frequently I am coming. I think despite all the hands off advice that assisting women with breast feeding is rough on your back as well. Both require you to use both hands away from your body at weitd angles.Andrea QOn 04/01/2006, at 10:58 AM, Julie Garratt wrote: Hi all,I've just started work as a midwife and I think I need some exercise to strengthen my back, feeling a bit stiff after catching babies in the shower, bath, floor, birth stool ect. I think it is a sustainability issue of practice, a good strong back. I don't ever want my physical ability to dictate how a woman wants to birth. Anyone tried pilates or belly dancing? Any other good suggestions?Ta Julie:)
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well said julie. over the past few weeks i have been in labour ward with many women induced and all of them have lead to a cascade of intervention culminating in LSCS. The woman i was with the last shift, for example, ended up with a trial of forceps in theatre! why oh why do the powers that be decided it is time to come out ready or not! not to mention the fact that women then feel let down that they cannot due to a myriad of facts such as maternal exhaustion push that baby out. JUST WHEN WILL WE LEARN. regards
Re: [ozmidwifery] Interesting article sure to cause some ethical debate
i would also have to agree with that last statement as my sons girlfriend has this disease. he knows that she may not be alive when she is older and they need to enjoy each other now. - Original Message - From: Nicole Carver To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 01, 2005 11:31 PM Subject: RE: [ozmidwifery] Interesting article sure to cause some ethical debate How sad. If you asked a person with cystic fibrosis whether their life had been worth living, even if it is shortened, I wonder what they would say? Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Helen and GrahamSent: Thursday, December 01, 2005 6:32 PMTo: ozmidwiferySubject: [ozmidwifery] Interesting article sure to cause some ethical debate http://www.abc.net.au/health/thepulse/s1520191.htm Screening for cystic fibrosis carriers by Peter LavellePublished 01/12/2005 Every year 70 babies are born in Australia with cystic fibrosis. The child suffers serious lung and digestive problems - they don't manufacture a vital protein, which causes secretions to become very sticky and their lungs and pancreas to literally 'gum up'. The lungs become susceptible to infection and digestion doesn't work propery. Treatment is much more effective than it was 20years ago. Most children with cystic fibrosis now can expect to survive into adulthood. But the average life expectancy is still only in the mid thirties. Cystic fibrosis is an inherited condition, but a child has to have an abnormal gene from both parents to get it. When both parents are 'carriers' of the abnormal gene, there is a one in four chance of this happening. About one person in 25 in Australia is a carrier. About one in 2,500 kids will be born with the condition. At the moment, carriers aren't identified by testing. Instead, newborn babies are routinely screened for the condition (that's how most new cases are diagnosed). Only then do most parents become aware they are carriers. Parents are then routinely offered prenatal testing of a foetus in any subsequent pregnancy and they have the option of then terminating that pregnancy. But it's too late to do anything about the first child. There is a test to identify carriers of a cystic fibrosis gene. It's fairly reliable (with an 85 per cent accuracy rate), and it involves a painless cheek swab. But it's generally not offered to Australian couples unless there's a family history of the condition. The trouble is, most carriers don't know they are carriers, and have no history of the condition. The faulty gene has been hidden away in their ancestry, not expressed. A group of doctors from the Royal Children's Hospital, Melbourne, writing in the latest edition of the Medical Journal of Australia, say testing for carriers should be more widely available. The doctors propose that the genetic test be offered as a prenatal test early in pregnancy. The couple would both be tested, and if they were both carriers, the foetus would be tested (via chorionic villus sampling, in which a portion of the placenta is sampled). If the foetus had both mutations (a one in four chance), the parents could then be given the option of terminating the pregnancy. Ideally, the researchers say, carrier screening should be offered to partners before they conceive. Couples could be tested for carrier status, and if both partners were carriers, they could consider whether they want to conceive in the first place. If they did, they would have the option of conceiving and terminating the pregnancy if the foetus had both mutations. Or they could opt for in-vitro fertilisation - with the embryo conceived and tested in the lab, and only implanted in the woman's uterus if it was found not to have both mutations. There is a successful carrier screening program for cystic fibrosis that's been operating along these lines in Edinburgh, Scotland, which has halved the incidence of cystic fibrosis in that community, the researchers say. At the very least, they argue, it should be offered as part of routine prenatal testing, like screening for Down's syndrome. The doctors say it should be funded by Medicare, on the grounds of cost-effectiveness (saving the resources otherwise spent treating a child with the condition) and prevention of future suffering for kids and their families.
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hi i was wondering if anyone on the list knows where i can buy a book entitled When survivors give birth by Penny Simkin i became interested in finding this book and the subject of childhood sexual/physical abuse when meeting a woman that i looked after that was a survivor. i would appreciate it if anyone knows where i can get this regards sharon
Re: [ozmidwifery] article FYI
alice as a grad of unisa (1st year) going into the hospital system i was rather horrified that we were expected to cut episiotomies i can however say that i have not cut one thus far although i am only in my first year out. good luck with your theisis. regards sharon - Original Message - From: Alice Morgan [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, November 03, 2005 12:49 AM Subject: RE: [ozmidwifery] article FYI This is interesting for me. I am currently writing my midwifery honours thesis on women's views about episiotomy (or trying to at least, unfortunately I am having great difficulty with participant recruitment). It's always nice to see more research backing up what I am saying. :) Alice (one of the first SA BMid grduate midwives) From: leanne wynne [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] article FYI Date: Wed, 02 Nov 2005 11:05:02 +1100 Unnecessary episiotomies Issue 22: 31 Oct 2005 Source: International Journal of Gynecology Obstetrics 2005; 91: 157-9 Researchers have questioned the continuing widespread use of routine episiotomy, after finding high rates at some centres in countries in South America, Asia, and Africa. Systematic reviews of published trials, including a Cochrane review, have suggested that episiotomies should not be performed routinely, because of the associated maternal morbidity. Some specialists have said that no more than 10 percent of nulliparous women delivering vaginally should need one, according to the researchers writing in the latest issue of the International Journal of Gynecology Obstetrics. But their study suggests that episiotomy rates are far higher than this at some hospitals. The researchers, from Uruguay and the USA, analyzed data on episiotomy rates for nulliparous and multiparous women at hospitals in Argentina, Brazil, Bolivia, Chile, the Democratic Republic of Congo, Ecuador, India, Tibet, Uruguay, Venezuela, and Zambia. The hospitals studied (from 1 to 13 per country) were part of the US National Institute of Child Health and Human Development's Global Network for Women's and Children's Health Research. Rates above 90 percent Reporting their findings, the researchers say that episiotomy rates among nulliparous women were higher than 90 percent in all countries except Zambia (6.9 percent). Episiotomy rates for all vaginal births were higher than 20 percent in all countries except Zambia, and were as high as 80 percent in Brazil. The exception, Zambia, was unusual in having a lower rate for nulliparous women than for all vaginal births. The researchers, however, caution that the data for Zambia were obtained from only one hospital. They also advise against generalizing the findings beyond the centres studied. However, they say the data illustrate the widespread use of routine episiotomy. in contradiction to the evidence questioning its efficacy. Unnecessary episiotomies, the researchers write, increase the risk of morbidity as indicated by the Cochrane review, including posterior perineal trauma, the need for suturing the perineal wound, and healing complications at 7 days. They conclude: Strategies should be developed to decrease episiotomy rates at a global level. Leanne Wynne Midwife in charge of Women's Business Mildura Aboriginal Health Service Mob 0418 371862 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. _ REALESTATE: biggest buy/rent/share listings http://ninemsn.realestate.com.au -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] waterbirth
thanks tania. - Original Message - From: Tania Smallwood To: ozmidwifery@acegraphics.com.au Sent: Saturday, October 29, 2005 5:17 PM Subject: RE: [ozmidwifery] waterbirth You could always come along to a homebirth network meeting, there are always lots of women who have laboured and birthed in water there, and believe me, youll learn more from them than you will from any class or seminar! There are usually a couple of homebirth midwives there too, Wendy and I make it a date not to miss unless were at a birth. Next meeting is next Fri, 10-12 at the Eastwood community centre contact me if you need any further info Tania xx From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of sharonSent: Saturday, 29 October 2005 12:57 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] waterbirth can anyone direct me where i can attend a class which teaches midwives about waterbirth. iam interested to offer women who i care for this service but i feel that i need to attend a study day or seminar so i can be more proficient in the care of women who want a waterbirth. thankyou sharon p.s. preferably in adelaide.
Re: [ozmidwifery] The Advertiser today...
that pirce in the paper today re nurse practioners has made our profession take yet another step backwards. the nurse practioners have worked very hard to achieve what they have in this state and they are extremely professional people who are dedicated and overworked like our doctors they too do 12 hour shifts just ask any of them what thier jobs entail. another way the good old medical profession keep nurses and midwives down. regards sharon - Original Message - From: Tania Smallwood To: ozmidwifery@acegraphics.com.au Sent: Saturday, October 29, 2005 7:35 AM Subject: [ozmidwifery] The Advertiser today... Could this be the thin edge of the wedge do they see this as a way of banning independent midwifery too, or am I just being paranoid? Tania (who is aware that thankfully, we dont have to train as nurses any more to become a midwife, but the reality is that many of us are ) http://www.theadvertiser.news.com.au/common/story_page/0,5936,17070060%255E2682,00.html Nursing back-up under attackKARA PHILLIPS, Health Reporter29oct05 INDEPENDENT nurse practitioners, who are not made to report to doctors, should not be able to work in South Australia, the Australian Medical Association says.AMA state president Chris Cain said yesterday there was "growing concern" about nurse practitioners who did not have the full back-up support of a medical team. The comments come just days after The Advertiser reported the chronic GP shortage has reached crisis point in the city's outer suburbs, with doctors claiming GP patient ratios at 1:5521 in the Woodcroft area in the south and 1:7596 around Williamstown in the north. Interstate, particularly in Queensland where doctor shortages are severe, there has been extensive debate about whether to introduce independent nurse practitioners allowed to treat some patients without answering to a doctor or hospital medical team to ease the strain on the system. "We would strongly oppose that move here in SA," Dr Cain said. "If there are doctor shortages, train more doctors don't put people with fewers skills into those positions." Dr Cain stressed the state's existing nurse practitioners, including the state's first paediatric palliative nurse practitioner Sara Fleming who started in her new role this week were not a problem. "There are doctors and audit processes to protect the health of patients." Ms Fleming, a Women's and Children's Hospital nurse, said her role would help cut treatment time and hospital stays for seriously ill children.
[ozmidwifery] waterbirth
can anyone direct me where i can attend a class which teaches midwives about waterbirth. iam interested to offer women who i care for this service but i feel that i need to attend a study day or seminar so i can be more proficient in the care of women who want a waterbirth. thankyou sharon p.s. preferably in adelaide.
Re: [ozmidwifery] lizard - THIS IS HILARIOUS
Title: Message great story thaxs - Original Message - From: Sylvia Boutsalis To: ozmidwifery@acegraphics.com.au Sent: Friday, October 28, 2005 10:02 AM Subject: RE: [ozmidwifery] lizard - THIS IS HILARIOUS great story, nearly peed my pants!! Sylvia Adelaide -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Helen and GrahamSent: Thursday, 27 October 2005 7:41 PMTo: ozmidwiferySubject: [ozmidwifery] lizard - THIS IS HILARIOUS Lizard Birthing StoryIf you have raised kids (or been one), and gone through the petsyndrome including toilet-flush burials for dead goldfish, the story below will have you laughing out LOUD!Overview: I had to take my son's lizard to the vet.Here's what happened:Just after dinner one night, my son came up to tell me there was"something wrong" with one of the two lizards he holds prisoner in his room."He's just lying here looking sick," he told me."I'm serious, Mom. Can you help?"I put my best lizard-healer statement on my face and followed him into his bedroom. One of the little lizards was indeed lying on his back, looking stressed. I immediately knew what to do."Honey," I called, "come look at the lizard!" "Oh my gosh," my husband diagnosed after a minute."She's having babies.""What?" my son demanded. "But their names are Bert and Ernie, Dad!" I was equally outraged. "Hey, how can that be? I thought we said we didn't want them to reproduce," I accused my husband."Well, what do you want me to do, post a sign in their cage?" heinquired.(I actually think he said this sarcastically!)"No, but you were supposed to get two boys!" I reminded him, (in mymost loving, calm, sweet voice, while gritting my teeth together)."Yeah, Bert and Ernie!" my son agreed."Well, it's just a little hard to tell on some guys, you know," Heinformed me. (Again with the sarcasm, you think?) By now the rest of the family had gathered to see what was going on. I shrugged, deciding to make the best of it. "Kids, this is going to be a wondrous experience," I announced. "We're about to witness the miracle of birth." OH, Gross!" they shrieked.Well, isn't THAT just great! What are we going to do with a litter oftiny little lizard babies?" my husband wanted to know. (I really do think he was being snotty here, too, don't you?)We peered at the patient. After much struggling, what looked like atiny foot would appear briefly, vanishing a scant second later."We don't appear to be making much progress," I noted."Its breech," my husband whispered, horrified."Do something, Mom!" my son urged."Okay, okay." Squeamishly, I reached in and grabbed the foot when it next appeared, giving it a gingerly tug. It disappeared. I tried several more times with the same results."Should I call 911?" my eldest son wanted to know."Maybe they could talk us through the trauma." (You see a pattern here with the men in my house?)"Let's get Ernie to the vet," I said grimly. We drove to the vet withmy son holding the cage in his lap."Breathe, Ernie, breathe," he urged."I don't think lizards do Lamaze," his father noted to him. (Men can be so cruel to their own young. I mean what he does to me is one thing, but this boy is of his loins, for God's sake.)The vet took Ernie back to the examining room and peered at the little animal through a magnifying glass."What do you think, Doc, a C-section?" I suggested scientifically."Oh, very interesting," he murmured. "Mr and Mrs. Cameron, may I speak to you privately for a moment?"I gulped, nodding for my son to step outside."Is Ernie going to be okay?" my husband asked."Oh, perfectly," the vet assured us. "This lizard is not in labour. In fact, that isn't EVER going to happen...Ernie is a boy. You see, Ernie is a young male. And occasionally, as they come into maturity, like most male species, they umummasturbate.Just the way he did, lying on his back. "He blushed, glancing at my husband. "Well, you know what I'm saying, Mrs Cameron."We were silent, absorbing this."So Ernie's just...just...Excited," my husband offered."Exactly," the vet replied, relieved that we understood. Moresilence.Then my vicious, cruel husband started to giggle. And giggle. And then even laugh loudly."What's so funny?" I demanded knowing, but not believing that the man I married would commit the upcoming affront to my flawless femininity.Tears were now running down his face."It's just...that...I'm picturing... you pulling on it's...it's...teenylittle..." he gasped for more air to bellow in laughter once more."That's enough," I warned.We thanked the
RE: [ozmidwifery] Skin to skin with babe in Operating Theatre and Recovery
Hi Anne, Try Melissa (NUM) Redlands Hosp. They were promoting this last year so hopefully are still doing so now. Cheers Sharon -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Anne Clarke Sent: Thursday, May 05, 2005 10:40 AM To: OZMIDWIFERY Subject: [ozmidwifery] Skin to skin with babe in Operating Theatre and Recovery Dear All, HAPPY INTERNATIONAL DAY OF THE MIDWIFE to all my colleagues. Does anyone work in a hospital that has a policy that promotes skin to skin in OT and recovery? Would appreciate a copy. With thanks, Anne Clarke Brisbane
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hi just caught the program thought it was great. wonderful work in and ideal world it would be great for women to have the option of home birth covered by our medicare system. IF ONLY. congratulations for being so involved.
Re: [ozmidwifery] Can anyone answer some questions from an English Student Midwife?
julie i have just finished my degree which was 3 years here in australia as a DE midwife when i applied to some of the hospitals they wanted me to do a graduate year frist before being allowed to work in their hosptial. here in australia they still are stuck in the non nurse midwife mode and at some of the hosptials you still need to hold both degrees before you can get a job. i would approach the relevant nurses board where you want to settle as the law regarding midwives and nurses is different in each state. if you want to settle in sa i would recomend contacting the womens and childrens hospital as they have a few direct entry midwives from england working there already. im unsure of other states. the nurses board of each state can be contacted through the individual government portals through the net. i think that you also have to be contracted by the hospital to come to australia also before you get granted a visa to come here (this you also need to check). our univeristies now are training a lot more DE's this year alone in adeladie we have about 80 finishing compared to last year where 20 finished.i hope that if you do move to australia you become employed in this wonderful profession of bieng with women and their significant others. good luck with the rest of your course. - Original Message - From: Julie Castle To: ozmidwifery@acegraphics.com.au Sent: Tuesday, April 12, 2005 4:04 AM Subject: [ozmidwifery] Can anyone answer some questions from an English Student Midwife? Dear Listwives, If any of you can help with some of my queries it would be much appreciated. First, some background. I am currently halfway through an Advanced Diploma in Midwifery (Direct Entry) at Bournemouth University. We have been given the option to convert to a degree in our final year (I qualify Sept 2006). My husband and I are visiting Perth this year in August with a view to possibly relocating there when I have finished my training. Ok now the questions! 1) If i move to Australia to practise midwifery do I need to have the degree or is the advanced diploma recognised. The reason for this question is if I convert to degree in the final year my bursary will be cut by about £300. 2) I read on one of the australian midwifery sites that if you have the degree your starting salary is higher. Does anyone know if this is true and does it only apply to Australian trained midwives? 3) If I move to Australia, will I be able to go into caseload practice as a newly qualified midwife or will I be expected to work in a hospital setting first? Your help and guidance is much appreciated, Love Julie Castle
[ozmidwifery] need article help please
Hello can anyone help me. i need a article which appeared in Midwifery Matters newsletter of the NSW midvies association inc in 1992 which we have been recommended to read as part of our Graduate Midwifery program. It is entitled "midwifery and primary health care" P. Brodie wrote the article and it appeared in Volume 6 No 3. pages 6-11. if anyone can help me out i would be very appreciated. regards sharon
Re: [ozmidwifery] Brisbane hospitals alleged discriminatory employment
here in south australia we faced the same dilema however this is my first year out as a dem and i find that the midwives here are accepting of me and my group of grads being new everyone is always afraid of change. so keep in the course and you all will get there/ - Original Message - From: Helen and Graham To: ozmidwifery@acegraphics.com.au Sent: Thursday, March 31, 2005 7:20 PM Subject: Re: [ozmidwifery] Brisbane hospitals alleged discriminatory employment Hi Kim Your comments about the faces of the nurses arriving at the station for duty on the maternity ward makes it occur to me that this fixation about Direct Entry Midwives not being registered to work in other areas, should apply both ways i.e. those general trained staff should not beregistered to work outside their areas of expertise i.e. maternity. Funny how they don't seem to consider that to be an issue isn't it??!!! I believe they should. The old "multiskilling" buzzword has been taken too far on the one hand but they won't even allow a direct entry midwife to do a few blood pressures in a general ward if they are needed. I realise that direct entry midwives are predominantly interested in working in midwifery settings but it just seems a double standard to me when it seems a lot of you are quite happy to help out if needed on general areas and aren't allowed but general nurses can be made to work in maternity if it suits the hospital. It also brings back memories of being "sent" to work in special care nursery before I became a midwife and floundering with little support. Those were the bad old days -or maybe that still happens too! Just some thoughts Helen Cahill - Original Message - From: Kim Stead To: ozmidwifery@acegraphics.com.au Sent: Thursday, March 31, 2005 10:35 AM Subject: Re: [ozmidwifery] Brisbane hospitals alleged discriminatory employment Hi guys I must jump in on this one as I too have been affected in this way here in rural Victoria. Two hospitals would not employ me being a 'BMid' despite the fact that one was actively advertising for midwives! I was told it was because I could not be relocated. Same old story! I also commented that I felt I was being discriminated against - I was a midwife needing work, they needed staff - what was the problem! I definitely felt a defensive 'feeling' when bringing up the word discrimination. Basically I was told it was a'management decision' with financial implications for the establishment - general nurses must be more cost effective? They needed versatile staff who could work in any area at any time of which I could not, bound by my registration not my unwillingness. I have since been employed at one ofthese hospitals and so far all is going well.Other'shavebeen relocated on the odd time we have been quiet which is hardly ever - usually the other way around - not enough staff for the client-load. I can only recall this happening on one of my rostered shifts. Mostly it is a case of having to bring staff in to assist us.You should see the faces of the nurses arriving at the nurses station for duty on the maternity ward with all the chaos that goes on I think they are equally as scared and who could blame them. We also have one other DE midwife at the unit, more experienced and senior than I who arrived before me and kept the DE aspect of her training to herself. Can't say I blame her with all the affiliated rubbish that goes on with us 'special' midwives. This particular hospitalare now introducing a grad program directed at DE midwives. I think they are finally realising the fact that they need staff and perhaps DE midwives might be part of the future workforce? I think they are also accepting the fact that team and caseload are coming and us "DE's" arefully equipped to work in this model.I do believe that things are beginning to change - hopefully for the better. At times I find itquite humorous to remember that 'general nurses' as lovely as you all are - were once direct entry too. Kiwi Kim - looking forward to this country getting their act together on maternity issues! ---Original Message--- From: ozmidwifery@acegraphics.com.au Date: 03/31/05 10:14:34
Re: [ozmidwifery] Brisbane hospitals alleged discriminatory employment
helen same old story everywhere where dems were placed. however if a registered nurse wants to she may hand in her general registration and only be a midwife. - Original Message - From: Helen and Graham To: ozmidwifery@acegraphics.com.au Sent: Friday, April 01, 2005 2:00 AM Subject: Re: [ozmidwifery] Brisbane hospitals alleged discriminatory employment Hi Andrea Yea you have a very good point there. It seems the general/mid trained midwives may end up drawing the short straw when it comes to relieving and although thisis not theDEMS fault,they may cop the blame causing divisiveness which is not what the profession needs. Helen Cahill - Original Message - From: Andrea Quanchi To: ozmidwifery@acegraphics.com.au Sent: Thursday, March 31, 2005 11:16 PM Subject: Re: [ozmidwifery] Brisbane hospitals alleged discriminatory employment The only thing I am disappointed about with the introduction of DEM is the fact that they have made it mandatory that I have to continue to register as a nurse to be eligible to register as a midwife. I was looking forward to being able to give up my nursing registration so I could not be sent to areas where I dont feel I want to work for whatever reason. I have spent alot of time and money becoming an expert midwife and find it frustrating to be continually expected to look after complex medical and surgical patients who deserve a nurse who is an expert in the time of care they need not any bum that can fill a seat. I would be quite happy for DEM to be employed in the organisation where I work. At the moment we share being 'sent' because everyone hates it but the reality in our small rural organisation is that midwives seem to get moved at will because our workload is less predictable. Employing DEM will mean that a midwife who is also a RN will be the one to get shifted and this will lead to frustration (because it already does) which will be blamed on DEM when in reality it has nothing to do with how they trained. Andrea QuanchiOn 31/03/2005, at 7:50 PM, Helen and Graham wrote: Hi KimYour comments about the faces of the nurses arriving at the station for duty on the maternity ward makes it occur to me that this fixation about Direct Entry Midwives not being registered to work in other areas, should apply both ways i.e. those general trained staff should not beregistered to work outside their areas of expertise i.e. maternity. Funny how they don't seem to consider that to be an issue isn't it??!!! I believe they should. The old "multiskilling" buzzword has been taken too far on the one hand but they won't even allow a direct entry midwife to do a few blood pressures in a general ward if they are needed.I realise that direct entry midwives are predominantly interested in working in midwifery settings but it just seems a double standard to me when it seems a lot of you are quite happy to help out if needed on general areas and aren't allowed but general nurses can be made to work in maternity if it suits the hospital.It also brings back memories of being "sent" to work in special care nursery before I became a midwife and floundering with little support. Those were the bad old days -or maybe that still happens too!Just some thoughtsHelen Cahill- Original Message -From: Kim Stead To: ozmidwifery@acegraphics.com.au Sent: Thursday, March 31, 2005 10:35 AMSubject: Re: [ozmidwifery] Brisbane hospitals alleged discriminatory employmentHi guysI must jump in on this one as I too have been affected in this way here in rural Victoria. Two hospitals would not employ me being a 'BMid' despite the fact that one was actively advertising for midwives! I was told it was because I could not be relocated. Same old story! I also commented that I felt I was being discriminated against - I was a midwife needing work, they needed staff - what was the problem!I definitely felt a defensive 'feeling' when bringing up the word discrimination. Basically I was told it was a'management decision' with financial implications for the establishment - general nurses must be more cost effective? They needed versatile staff who could work in any area at any time of which I could not, bound by my registration not my unwillingness. I have since been employed at one ofthese hospitals and so far all is going well.Other'shavebeen relocated on the odd time we have been quiet which is hardly ever - usually the other way around - not enough staff for the client-load. I can only recall this happening on one of my rostered
Re: [ozmidwifery] A wonderfully successful vbac birth this morning
good on you lindsay keep at it im sure with your dedication you will achieve the goal of registered midwife. i too remember tinking that when i began attending births now i would not change it for the world as i love mid and midwifery. - Original Message - From: Mike Lindsay Kennedy To: ozmidwifery@acegraphics.com.au Sent: Wednesday, March 30, 2005 4:26 PM Subject: RE: [ozmidwifery] A wonderfully successful vbac birth this morning Hi. I have just come home from an exciting day as a Student Midwife. My first Two births Okay I was only a witness, but it was still pretty exciting stuff. The first lady was a VBAC. Supposed to be a Cesar on Friday, came in this morning in labour and I think the Obstetrician was so busy with his theatre list that he just let her labour. I think he planned to do a Cesar (in his mind anyway) after lunch. He kept saying that she was progressing BUT she probably wouldnt deliver. And she did!! Not only that but the Dr didnt get there! It was beautiful! Within half an hour the lady who I had been with all morning (IOL for postdates) also delivered. The Dr made it for that one. Shame really, it just wasnt as nice. So.. not my perfect scenarios, I am a Home Birth fan myself, but in a hospital where two weeks ago everyone had a LSCS, I was pretty thrilled to have two normal deliveries. I have to admit caring for the women post section I was beginning to doubt my desire to be a Midwife. It just isnt my thing, all those post op obs and PCAs and drains etc. But todays experience reminded me why I want to do this! Totally enthused! Lindsay From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Julie ClarkeSent: Wednesday, March 30, 2005 6:21 AMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] A wonderfully successful vbac birth this morning Hi I have just come in the door from supporting at another wonderful birth, which was a successful vbac. The woman had made a well informed choice to aim for a vbac and not a repeat cesar, however she experienced the usual normal anxiety of anyone having a vaginal birth compounded with lack of confidence because she didnt get there last time. Well we worked through those issues slowly and gently, over an hour and a half she pushed her baby into the world a gorgeous baby girl with a lovely head of dark curly hair. The midwife was lovely, gentle, positive, calm, quiet and unobtrusive. The dad was great and got into trouble a couple of times I felt sorry for him he was crestfallen because he was trying to do his best. The woman was so pleased with herself at having achieved what she wanted to achieve a natural active birth with no drugs, no intervention and a fine healthy baby. She didnt have any colostrum after the cesar and was worried but after this normal birth we got the baby on and the baby looked very contented and relaxed as I left. And I have come home with another big smile on my face satisfied in the knowledge that when a woman puts her mind to it and no one stands in her way she can do anything cant she? A great experience to start the day. Warm hug to all Julie Julie Clarke CBE Independent Childbirth and Parenting Educator HypnoBirthing (R) Practitioner ACE Grad Dip Supervisor NACE Advanced Educator and Trainer NACE National Journal Editor Transition into Parenthood Sessions 9 Withybrook Place Sylvania NSW 2224 Telephone 9544 6441 Mobile: 0401 2655 30 email: [EMAIL PROTECTED] visit Julie's website: www.transitionintoparenthood.com.au
Re: [ozmidwifery] Sacred birthing talk and workshop...
hi tanya would love some more information about the workshop. regards sharon heath - Original Message - From: Tania Smallwood To: ozmidwifery@acegraphics.com.au Sent: Monday, March 28, 2005 6:04 PM Subject: [ozmidwifery] Sacred birthing talk and workshop... There will be a workshop and talk by a midwife and 'past life and birthing therapist' Sunni Karll from Hawaii in Adelaide on 15th April 2005 and workshop on the weekend of the 16th and 17th. She is the author of Sacred Birthing, A New Humanity. Anyone interested can email me and I'll mail the attachment with details and prices etc. Cheers Tania PS Is there anyone from the Homebirth network in Melbourne or any birthing support groups that would like the document to circulate to members?
Re: [ozmidwifery] implanon and breastfeeding
i have mirena which i can recomend to anyone. the reason i have one is not for contraception but for a problem with heavy menses which left me anemic. my ob gave me a choice of a mirena which i paid 300 for or a hysterectomy. i chose the mirena now iam glad to say it is available on the pbs a lot cheaper and therefore women have easier acess to this device. regards sharon - Original Message - From: Marilyn Kleidon To: ozmidwifery@acegraphics.com.au Sent: Wednesday, March 23, 2005 5:30 PM Subject: Re: [ozmidwifery] implanon and breastfeeding No they both coexist. Implanon being iseerted in the arm and i think its life in oz is 2 yrs or maybe 3yrs (need to reread the pamphlett from Family Planning), there was one in the USA called Norplant which lasted 5yrs. Mirena is the IUD which is implanted with progesterone and also a very ngood option. marilyn - Original Message - From: Kim Stead To: ozmidwifery@acegraphics.com.au Sent: Monday, March 21, 2005 9:20 PM Subject: Re: [ozmidwifery] implanon and breastfeeding Just out of curiosity Is implanon theone you get inserted in your arm? What is it's recommended life? Has this replaced the Mireana (IUD)? Kiwi Kim ---Original Message--- From: ozmidwifery@acegraphics.com.au Date: 03/22/05 15:55:09 To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] implanon and breastfeeding BTW is implanon now approved in Australia for breastfeeding mothers?? I was told it was. It didn't affect my milk supply. I had it inserted at 8 weeks, and removed after a year (due to intolerable side-effects!) Kate
Re: [ozmidwifery] waterbirth
i applaude you for doing what u want to. but however in the current climate bieng a bach of mid grad we are still un accepted by some midwives who have years of expereince or rather indocrination of working in hospitals. one day hopefully we can be accepted more by our collegues as being their equal. shift work can be frustrating but at the hospital where i am they gave us the choice of what we wanted to do ie 3 days to 5 days per week and all the interim. cheers sharon - Original Message - From: [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, March 14, 2005 2:12 PM Subject: Re: [ozmidwifery] waterbirth In a message dated 3/14/2005 1:52:01 PM AUS Eastern Standard Time, [EMAIL PROTECTED] writes: It concerns me that Australian midwives are so slow to see the advantages in forming partnerships with women, listen to them and work with them to provide the types of birth services women want. It is difficult in many areas to convince midwives to even contemplate taking on their own caseload.Perhaps time will alleviate my concerns. I hope I see all Australian midwives working 'with women' before I die.JanHello Jan and everyone. Jan I couldn't agree more!!As a recently graduated midwife, educated via a Bachelor of Midwifery (predicated on continuity and woman-centred care) I am now working fulltime shift-work across my scope of practice (rotating thu pregnancy, birth and after birth care) and I can't believe that midwives feel that full-time shift work is a wonderful way work!! Having just completed my midwifery studies with full time uni and a caseload of between 10-15 women a year across the 3 years of the B Mid...I was NO WHERE nearly as tired I am now with doing the full-time shift work.it sucks big time!!!Where I work is a large regional midwifery unit in Victoria, and the move is towards implementing one-to-one midwifery care for women, with a known midwife throughout their pregnancy, birthing and early parenting journey - caseload. However, this move is being met with strenuous opposition from many of the midwives who WILL NOT even contemplate that perhaps there is another way to be 'with woman' than the current fear based, institution focused, inflexible rostered based system of maternity care. So like Jennifairy, I too am also working with a MIPP to keep my skills up of supporting women in their on own power to birth at home on a partime basis where I am sharing a small caseload of women with another midwifery colleague, while continuing to work to educate midwives on the benefits of one-one midwifery care with known womenwhilst continuing to practice the bulk of my midwifery in what now seems like on planet Mars!!Yours in reforming midwiferyTina Pettigrew.
RE: [ozmidwifery] group B strep
In addition to Leanne's question re homebirth and Group B Strep, do Birth Centres in Aust (particularly Qld) routinely screen and treat as well. If yes and the women refuse are they denied birth centre care? Cheers Sharon -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of leanne wynne Sent: Tuesday, October 05, 2004 1:17 PM To: [EMAIL PROTECTED] Subject: [ozmidwifery] group B strep Hi All, I am interested to hear what those midwives who attend homebirths do in regard to group B strep. Do you screen for it or not? If you know a woman is GBS positive do you give A/Bs to the mother during labour or just observe the baby? Thanks, Leanne. Leanne Wynne Midwife in charge of Women's Business Mildura Aboriginal Health Service Mob 0418 371862 _ Click here for the latest chart ringtones: http://ringtones.com.au/ninemsn/control?page=/ninemsn/main.jsp -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] RE: acupuncture in active labour
Hi Fiona , I have seen one woman bring her acupuncturist into hosp with her. He used points to assist her in first stage, then left her to it. She laboured really well and the needles didnt appear to bother her too much or restrict her movement. If my memory serves me right it was her first baby and she had a labour all up of about 4 hours. I think the points he used were more for helping coordinate her irregular contractions rather than pain relief, but she didnt need anything else. From a midwifes point of view it was very successful- beats syntocinon and monitoring! Sharon -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Fiona Craig Rumble Sent: Friday, October 01, 2004 10:22 AM To: [EMAIL PROTECTED] Subject: Hi list, I have just read in Salerno (1999, p. 122) that endorphin release is higher after acupuncture and TENS. Is acupuncture used in activelabour? I would be interested to hear of anyone's experiences of this. Thanks Fiona (CE student)
RE: [ozmidwifery] casload practice/VBAC CFM
Thanks Lynne, Yes the GC is getting a birth centre, a huge 2 beds, but of course any BC bed is a step forward for GC women. Cant imagine theyll be advertising outside the hosp for MWs and I resigned 18 months ago before any word was out! Maybe the election, or even mat review, will bring visiting rights for independent midwives. Well Im allowed to dream right? I already had the CFM/uterine rupture research which I know med staff use but at least your info will help us to write a waiver that indicates my friend is well informed of this but chooses not to have CFM unless comp arise, etc etc. If shes lucky a MW who used to work at Selangor will be on, as its unlikely I will be there at the birth. Although maybe if shes heard you are recruiting shell be knocking on your door. Thanks again, Sharon -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Lynne Staff Sent: Thursday, September 16, 2004 2:33 PM To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] casload practice Hi Sharon Aren't you getting a birth centre on the Gold Coast? There's your caseoad! Regarding your friend. We use the Giudelines for Fetal Surveillance put out by RANZCOG, but have adapted it for our unit practice, which is woman-centred. The evidence does suggest that CFM will pick up fetal disress (in some studies, not all) as the first sign of uterine rupture. Women are given the information and they make the choice in consultation with their care providers - and they state that CFM is the best evidence for detecting the above, but that it does have implicationd for their labour, in that it is restrictive and they would be unable to use the tub. We do not have waterproof CFM!?! but do have Aquadops. Most opt for intermittent (1-2-1 midwifery care as well), and some ask for intermittent EFM at times during their labour. CFM used if epidural, mec liq - any concerne at all. Women are not excluded from using the bath for labour/birth. Our VBAC rate is 80% average with excellent outcomes for mother and infant. Low intervention rates for women, high breastfeeding rates, and high satisfaction reported back by women. Hope this helps. Regards, Lynne - Original Message - From: Sharon Dalton To: [EMAIL PROTECTED] Sent: Thursday, September 16, 2004 1:46 PM Subject: RE: [ozmidwifery] casload practice Hi Lynne, I would love to but travel to your end from the Gold Coast is just too far. However could you possibly help me build an argument for a friend who is hoping for a VBAC without constant FM. Maybe a copy of your VBAC policy? We have everything else as far as supportive websites etc.go. I spoke to someone at Birthtalk the other night and she said its not an issue at Selangor, Many thanks Sharon -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Lynne Staff Sent: Thursday, September 16, 2004 12:58 PM To: [EMAIL PROTECTED] Subject: [ozmidwifery] casload practice Hello All, Are there any midwives out there interested in working in a caseload practice in a private hospital setting? (Sunshine Coast QLD) Looking forward to hearing from you Lynne -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] casload practice
Hi Lynne, I would love to but travel to your end from the Gold Coast is just too far. However could you possibly help me build an argument for a friend who is hoping for a VBAC without constant FM. Maybe a copy of your VBAC policy? We have everything else as far as supportive websites etc.go. I spoke to someone at Birthtalk the other night and she said its not an issue at Selangor, Many thanks Sharon -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Lynne Staff Sent: Thursday, September 16, 2004 12:58 PM To: [EMAIL PROTECTED] Subject: [ozmidwifery] casload practice Hello All, Are there any midwives out there interested in working in a caseload practice in a private hospital setting? (Sunshine Coast QLD) Looking forward to hearing from you Lynne
RE: [ozmidwifery] introduction
Hi Kirsten and Tanya (BMid students)The future of midwifery is looking good with students as enthusiastic as yourselves. Best wishes Sharon -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kirsten Wohlt Sent: Friday, September 10, 2004 10:58 AM To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] introduction Hi Tanya! I'm Kirsten, and I am a first year Bachelor of Midwifery student too. I am at Monash University in Victoria. I have about 9 follow throughs so far, 3 who have recently had their babies and 1 due any day now, and have so far found it to be an amazing experience. Even though I am explicit with these women in that I am unable and unqualified to give them any advice, just having me there at their doctors visits and ringing them up seems to make them so comfortable - maybe not happy exactly, but something akin to it. They ask my opinion (which it is very difficult not to give, but so far so good!), and want to tell me what is happening to them and their bodies, without me even having to ask much. I think all pregnant women have a kind of feeling that they are the first in the world to have a baby - I know I felt that way! :) It is a unique experience, and you can't help feeling a peculiar pride and sense that something miraculous is going on for you, that surely hasn't REALLY been experienced by anyone else. So to have someone like you or me showing care and excitement for them and their journey just seems to reinforce to the follow through woman that she really is special and important, and makes them want to open up and share things and bring you into their life. That is so inarticulate, but I am quite happy thinking about it, so my thoughts are getting jumbled!! :) The doctors that I have seen with my follow throughs have been really kind and supportive, and insist on helping me to palpate abdomens and listen to the baby's heart either with their stethoscopes or with the doppler. They explain everything they do really nicely and seem keen to involve me. Maybe I've just been lucky. Midwives in the hospitals have also been very positive and proactive in explaining what they are doing and why. While I can't actually be involved in assisting anyone in the birth beyond being there and bringing ice (!!), the midwives have been keen to show me the placenta or explain how to feel for contractions, bits and pieces like that which are all so important. Our 2nd years who are out in the clinical environment now also report being really well accepted by the teams of midwives they are working with - no negative feedback at all, which I was worried about too. I think we have made a good decision to do this course Tanya. At a time where midwives are in demand, a demand which will hopefully increase if midwifery led care does get the support and promotion it deserves, I think we will be really well placed to make a positive contribution to many families. Especially with the support and unofficial mentoring of groups like this one. Can't listen to them enough :) Sorry that was such a long spiel!! Enjoy, enjoy! Kirsten -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Re:
...OKwe are at work together at the moment..but as you asked. Cheers Sharon... my email is [EMAIL PROTECTED] From: JoFromOz [EMAIL PROTECTED] Reply-To: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] Re: Date: Mon, 29 Sep 2003 08:47:22 +0800 Sharon! Email me! Jo ;) Sharon Bartsch wrote: I wish to sign off the list please please sending the request through the prescribed channel has failed on numerous occaisions.. From: peter hall [EMAIL PROTECTED] Reply-To: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Date: Thu, 25 Sep 2003 21:44:49 +1000 i wish to sign off the list please _ Protect your inbox from harmful viruses with new ninemsn Premium. Click here http://ninemsn.com.au/premium/landing.asp -- Babies are Born... Pizzas are delivered. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. _ Hot chart ringtones and polyphonics. Go to http://ninemsn.com.au/mobilemania/default.asp -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Re:
I wish to sign off the list please please sending the request through the prescribed channel has failed on numerous occaisions.. From: peter hall [EMAIL PROTECTED] Reply-To: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Date: Thu, 25 Sep 2003 21:44:49 +1000 i wish to sign off the list please _ Protect your inbox from harmful viruses with new ninemsn Premium. Click here http://ninemsn.com.au/premium/landing.asp -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
