Re: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps
We put labels on our babies cots which are removed when they have passed urine, mec, also stickers for those on 4hrly obs/a/b's or other extra cares. A bit old fashioned perhaps but a simple and effective visual reminder for all staff to check the first 24-48 hours cares. I remember being told that rectal temps were to check for imperforate anus but this was way back in the 70's during my training. Went out of style when a broken mercury thermometer was inserted one time! Sue "The only thing necessary for the triumph of evil is for good men to do nothing"Edmund Burke - Original Message - From: Nicole Carver To: ozmidwifery@acegraphics.com.au Sent: Tuesday, January 24, 2006 3:48 PM Subject: RE: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps Hi all, There are other ways to handle the risk of missing an imperforate anus. I know a case of a baby dying from meconium ileus due to cystic fibrosis. It was quite some time before it was realised that the baby had not passed meconium. That workplace now has a sticker on the baby's chart which must be completed by 24hours post birth stating whether or not the baby has passed urine or meconium, and if not, to document that a paediatrician has been notified. (I could probably get you a sample if you would like to show it to your paed.) Then if any invasive measures are taken, at least they may be justified, rather than subjecting all babies to the indignity and discomfort of having something passed into their rectum. Kind regards, Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Alesa KoziolSent: Tuesday, January 24, 2006 6:37 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps 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
RE: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps
Following a hospital protocol unfortunately is no protection if the protocol is wrong and you are aware. Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of sharon Sent: Tuesday, January 24, 2006 8:20 PM To: ozmidwifery@acegraphics.com.au Subject: 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: 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: >>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: >>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: >> > 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: >> > > 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! >> >
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: 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: 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: 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: > 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: > > 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: > >>>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
RE: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps
Hi all, There are other ways to handle the risk of missing an imperforate anus. I know a case of a baby dying from meconium ileus due to cystic fibrosis. It was quite some time before it was realised that the baby had not passed meconium. That workplace now has a sticker on the baby's chart which must be completed by 24hours post birth stating whether or not the baby has passed urine or meconium, and if not, to document that a paediatrician has been notified. (I could probably get you a sample if you would like to show it to your paed.) Then if any invasive measures are taken, at least they may be justified, rather than subjecting all babies to the indignity and discomfort of having something passed into their rectum. Kind regards, Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Alesa KoziolSent: Tuesday, January 24, 2006 6:37 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps 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 > >>>aut
Re: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps
I think it's called a 'blanket policy'! Rationale: so that no baby 'slips through the cracks' !! Just like Konakion, Syntocinon, LUSCS for Breech. Much less time consuming than actual risk assessment. Need I go on ? With kind regardsBrenda Manning www.themidwife.com.au - Original Message - From: Alesa Koziol To: ozmidwifery@acegraphics.com.au Sent: Tuesday, January 24, 2006 6:37 PM Subject: Re: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps 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
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: 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: 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: > 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: > > 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: > >>>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 actu
Re: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps
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: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: > 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: > > 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: > >>>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: > >>>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: [EMA