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 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au http://www.acegraphics.com.au/ to subscribe or unsubscribe. Send instant messages to your online friends http://au.messenger.yahoo.com
Re: [ozmidwifery] Frustration
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 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. Send instant messages to your online friends http://au.messenger.yahoo.com Send instant messages to your online friends http://au.messenger.yahoo.com
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 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. Send instant messages to your online friends http://au.messenger.yahoo.com
Re: [ozmidwifery] Frustration
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 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. Send instant messages to your online friends http://au.messenger.yahoo.com
[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 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.