RE: [ozmidwifery] Frustration

2007-03-01 Thread Janet at home
That must be very frustrating. Do you or your other midwife colleagues have
any strategies for challenging these management decisions given that they
are clearly not evidence based, are gross overservicing and just plain
dangerous? 

J

 

From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Michelle Windsor
Sent: Thursday, 1 March 2007 8:50 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] Frustration

 

It amazes me that sometimes these doctors just don't seem to learn.  We have
had a run of inductions and LUSCS for either SGA or LGA lately because 'the
scan said such  such'.  The SGA's that I've seen have ranged from 2.8-3.1kg
and the LGA's from 3.4-4.1kg.  One lady recently had a LUCSC for her 4th bub
because by USS it was 12 pound. Surprise, suprise out came an 8 pounder
which was less than her last vaginally born baby.   Grr

Michelle

- Original Message 
From: Ken Ward [EMAIL PROTECTED]
To: ozmidwifery ozmidwifery@acegraphics.com.au
Sent: Thursday, 1 March, 2007 2:46:51 PM
Subject: [ozmidwifery] Frustration

Delightful doctor told his lady that the episi he cut which extended to a
3rd degree tear was so extensive that she would need a C/S next time. Also
she would need to be reviewed, and may need the repair repaired by another
dr. One wonders what he has done. Of course it will all be her and/or the
baby's fault. Gr


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Re: [ozmidwifery] Frustration

2007-03-01 Thread Michelle Windsor
Unfortunately at the moment the decision to induce is made by the doctors in 
the antenatal clinics, and often we are only seeing the women when they arrive 
in birthsuite for induction.  I like to discuss the reasons for IOL, and the 
pros and cons but not sure what other midwives do.  Hopefully soon we will have 
a midwifery model of care so that alot of this unnecessary intervention can be 
avoided.

Cheers
Michelle


- Original Message 
From: Janet at home [EMAIL PROTECTED]
To: ozmidwifery@acegraphics.com.au
Sent: Thursday, 1 March, 2007 10:20:52 PM
Subject: RE: [ozmidwifery] Frustration


That must be very frustrating. Do you or your other midwife colleagues have any 
strategies for challenging these management decisions given that they are 
clearly not evidence based, are gross overservicing and just plain dangerous? 
J
 
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Michelle Windsor
Sent: Thursday, 1 March 2007 8:50 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] Frustration
 
It amazes me that sometimes these doctors just don't seem to learn.  We have 
had a run of inductions and LUSCS for either SGA or LGA lately because 'the 
scan said such  such'.  The SGA's that I've seen have ranged from 2.8-3.1kg 
and the LGA's from 3.4-4.1kg.  One lady recently had a LUCSC for her 4th bub 
because by USS it was 12 pound. Surprise, suprise out came an 8 pounder which 
was less than her last vaginally born baby.   Grr
Michelle
- Original Message 
From: Ken Ward [EMAIL PROTECTED]
To: ozmidwifery ozmidwifery@acegraphics.com.au
Sent: Thursday, 1 March, 2007 2:46:51 PM
Subject: [ozmidwifery] Frustration
Delightful doctor told his lady that the episi he cut which extended to a
3rd degree tear was so extensive that she would need a C/S next time. Also
she would need to be reviewed, and may need the repair repaired by another
dr. One wonders what he has done. Of course it will all be her and/or the
baby's fault. Gr


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RE: [ozmidwifery] Frustration

2007-03-01 Thread Ken Ward
One tries, but often these women have been convinced that an IOL or C/S is
vital. When queried,or one tries to counsel them the reply is often 'O, I'm
here now, I may as well go through with it.'
  -Original Message-
  From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Janet at home
  Sent: Thursday, 1 March 2007 11:21 PM
  To: ozmidwifery@acegraphics.com.au
  Subject: RE: [ozmidwifery] Frustration


  That must be very frustrating. Do you or your other midwife colleagues
have any strategies for challenging these management decisions given that
they are clearly not evidence based, are gross overservicing and just plain
dangerous?

  J



  From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Michelle Windsor
  Sent: Thursday, 1 March 2007 8:50 PM
  To: ozmidwifery@acegraphics.com.au
  Subject: Re: [ozmidwifery] Frustration



  It amazes me that sometimes these doctors just don't seem to learn.  We
have had a run of inductions and LUSCS for either SGA or LGA lately because
'the scan said such  such'.  The SGA's that I've seen have ranged from
2.8-3.1kg and the LGA's from 3.4-4.1kg.  One lady recently had a LUCSC for
her 4th bub because by USS it was 12 pound. Surprise, suprise out came an 8
pounder which was less than her last vaginally born baby.   Grr

  Michelle

  - Original Message 
  From: Ken Ward [EMAIL PROTECTED]
  To: ozmidwifery ozmidwifery@acegraphics.com.au
  Sent: Thursday, 1 March, 2007 2:46:51 PM
  Subject: [ozmidwifery] Frustration

  Delightful doctor told his lady that the episi he cut which extended to a
  3rd degree tear was so extensive that she would need a C/S next time. Also
  she would need to be reviewed, and may need the repair repaired by another
  dr. One wonders what he has done. Of course it will all be her and/or the
  baby's fault. Gr


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  Visit http://www.acegraphics.com.au to subscribe or unsubscribe.




  Send instant messages to your online friends http://au.messenger.yahoo.com


Re: [ozmidwifery] Frustration

2007-03-01 Thread Alesa Koziol
I agree, not only is it intensely frustrating but one then has to regain this 
woman's confidence as you prepare to be the primary carer in labour. It is 
however a true joy when a woman decides to listen to all the evidence, decides 
that a social induction is perhaps not the simple process she thought and goes 
home to await SOL :) 

Alesa

Alesa Koziol
Clinical Midwifery Educator
Melbourne
  - Original Message - 
  From: Ken Ward 
  To: ozmidwifery@acegraphics.com.au 
  Sent: Friday, March 02, 2007 6:15 PM
  Subject: RE: [ozmidwifery] Frustration


  One tries, but often these women have been convinced that an IOL or C/S is 
vital. When queried,or one tries to counsel them the reply is often 'O, I'm 
here now, I may as well go through with it.'  
-Original Message-
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Janet at home
Sent: Thursday, 1 March 2007 11:21 PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] Frustration


That must be very frustrating. Do you or your other midwife colleagues have 
any strategies for challenging these management decisions given that they are 
clearly not evidence based, are gross overservicing and just plain dangerous? 

J

 

From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Michelle 
Windsor
Sent: Thursday, 1 March 2007 8:50 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] Frustration

 

It amazes me that sometimes these doctors just don't seem to learn.  We 
have had a run of inductions and LUSCS for either SGA or LGA lately because 
'the scan said such  such'.  The SGA's that I've seen have ranged from 
2.8-3.1kg and the LGA's from 3.4-4.1kg.  One lady recently had a LUCSC for her 
4th bub because by USS it was 12 pound. Surprise, suprise out came an 8 pounder 
which was less than her last vaginally born baby.   Grr

Michelle

- Original Message 
From: Ken Ward [EMAIL PROTECTED]
To: ozmidwifery ozmidwifery@acegraphics.com.au
Sent: Thursday, 1 March, 2007 2:46:51 PM
Subject: [ozmidwifery] Frustration

Delightful doctor told his lady that the episi he cut which extended to a
3rd degree tear was so extensive that she would need a C/S next time. Also
she would need to be reviewed, and may need the repair repaired by another
dr. One wonders what he has done. Of course it will all be her and/or the
baby's fault. Gr


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[ozmidwifery] Frustration

2007-02-28 Thread Ken Ward
Delightful doctor told his lady that the episi he cut which extended to a
3rd degree tear was so extensive that she would need a C/S next time. Also
she would need to be reviewed, and may need the repair repaired by another
dr. One wonders what he has done. Of course it will all be her and/or the
baby's fault. Gr


--
This mailing list is sponsored by ACE Graphics.
Visit http://www.acegraphics.com.au to subscribe or unsubscribe.