Re: [ozmidwifery] Pregnancy and Crohns
Hi Wendy thanks for that. I did tell her that I don't believe her to be high risk, but her health insurance fund has stepped in and said that the only place she would be safe to birth is at a large tertiary hospital (lucky her). It is sad to see that a woman who should be excited and cherishing every moment of her pregnancy has been fed doubt and despair from ill informed professionals. Sadly I beleive that she will take up the 'high risk' option as it has been planted in her head and now it is very difficult for her to discount the 'information' she has been told. Never the less, I will keep trying to 'normalise' her pregnancy. Cheers Amy - Original Message - From: [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, January 16, 2007 8:41 AM Subject: Re: [ozmidwifery] Pregnancy and Crohns At the community Midwife Program at Wangaratta we have no exclusion criteria. All women see a Dr at the clinic once during the preganancy and more on an as needs basis in consultation with the Drs. For example women with a previous LUSCS go once at about 14-18 weeks then again at 36 weeks after we have done the care in between to inform the doctor of whether or not they are going to VBAC. Note this is the womans decision not the midwives or drs. Women with a more complex medical history may see a doctor at every visit or just once or twice if everyhting is OK. It is completely flexible and often changes during the course of the pregnancy. I personally think it is wrong to confine midwife only care to only low-risk women. All women need midwife care and arguably those labelled higher risk by the medical profession need it even more. How exactly do you percieve, or does the woman percieve her crones to complicate her pregnancy? In answer to your question..We have had from memory a women in our program with Crones and I dont recall it actually making her pregnancy and birth more complicated. My answer would be YES! have her in midwife care and consult with Drs on an as needs basis. If Drs insist she not eligable for Low Risk Midwife Care Ask them exactly what it is they are going to do differently that you cant do. What care, monitoring, testing, scedule of visits... exactly what is it Drs can offer her that you can't. And what about the women? What does she want.?? Hope this is useful. Wendy - Original Message - From: Amy Rigano To: ozmidwifery@acegraphics.com.au Sent: Monday, January 15, 2007 8:29 PM 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: 7.1.410 / Virus Database: 268.16.10/626 - Release Date: 1/14/2007
Re: [ozmidwifery] Pregnancy and Crohns
~thanks for that. I did tell her that I don't believe her to be high risk, but her health insurance fund has stepped in and said that the only place she would be safe to birth is at a large tertiary hospital (lucky her). It is sad to see that a woman who should be excited and cherishing every moment of her pregnancy has been fed doubt and despair from ill informed professionals.~ That's interesting, how long have insurance companies been dictating terms of birth here? Lisa Barrett
Re: [ozmidwifery] Pregnancy and Crohns
Good on you, That subtle and not so subtle pressure put on women is so influencial isn't it? - Original Message - From: Amy Rigano To: ozmidwifery@acegraphics.com.au Sent: Tuesday, January 16, 2007 8:43 PM Subject: Re: [ozmidwifery] Pregnancy and Crohns Hi Wendy thanks for that. I did tell her that I don't believe her to be high risk, but her health insurance fund has stepped in and said that the only place she would be safe to birth is at a large tertiary hospital (lucky her). It is sad to see that a woman who should be excited and cherishing every moment of her pregnancy has been fed doubt and despair from ill informed professionals. Sadly I beleive that she will take up the 'high risk' option as it has been planted in her head and now it is very difficult for her to discount the 'information' she has been told. Never the less, I will keep trying to 'normalise' her pregnancy. Cheers Amy - Original Message - From: [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, January 16, 2007 8:41 AM Subject: Re: [ozmidwifery] Pregnancy and Crohns At the community Midwife Program at Wangaratta we have no exclusion criteria. All women see a Dr at the clinic once during the preganancy and more on an as needs basis in consultation with the Drs. For example women with a previous LUSCS go once at about 14-18 weeks then again at 36 weeks after we have done the care in between to inform the doctor of whether or not they are going to VBAC. Note this is the womans decision not the midwives or drs. Women with a more complex medical history may see a doctor at every visit or just once or twice if everyhting is OK. It is completely flexible and often changes during the course of the pregnancy. I personally think it is wrong to confine midwife only care to only low-risk women. All women need midwife care and arguably those labelled higher risk by the medical profession need it even more. How exactly do you percieve, or does the woman percieve her crones to complicate her pregnancy? In answer to your question..We have had from memory a women in our program with Crones and I dont recall it actually making her pregnancy and birth more complicated. My answer would be YES! have her in midwife care and consult with Drs on an as needs basis. If Drs insist she not eligable for Low Risk Midwife Care Ask them exactly what it is they are going to do differently that you cant do. What care, monitoring, testing, scedule of visits... exactly what is it Drs can offer her that you can't. And what about the women? What does she want.?? Hope this is useful. Wendy - Original Message - From: Amy Rigano To: ozmidwifery@acegraphics.com.au Sent: Monday, January 15, 2007 8:29 PM 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: 7.1.410 / Virus Database: 268.16.10/626 - Release Date: 1/14/2007 -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.410 / Virus Database: 268.16.10/626 - Release Date: 1/14/2007
Re: [ozmidwifery] Pregnancy and Crohns
When I was confirming what my health insurance would cover ($2k towards a planned homebirth and a private transfer if it became necessary) I explained that my pregnancy was somewhat high risk but the birth, if I was healthy at term, should not be. They asked what my OB thought about my home birth plans and left it at that (I believe I said She knows I am planning to birth at home if all is well or something like that). I don't get how they could possibly dictate what is safe beyond asking what your carer/s think? On 16/01/2007, at 9:28 PM, Lisa Barrett wrote: ~thanks for that. I did tell her that I don't believe her to be high risk, but her health insurance fund has stepped in and said that the only place she would be safe to birth is at a large tertiary hospital (lucky her). It is sad to see that a woman who should be excited and cherishing every moment of her pregnancy has been fed doubt and despair from ill informed professionals.~ That's interesting, how long have insurance companies been dictating terms of birth here? Lisa Barrett
RE: [ozmidwifery] Pregnancy and Crohns
Sometimes it can be helpful to ask the person who has said she is high risk to ask what she is at risk of. Usually puts it all in perspective and of course remind the woman that you may be at risk of something but it does not mean it will happen. Risk is not a diagnosis it is to assist in preventing problems or detecting them early so they can be minimized, one of the Drs I work with does not like risk as a label either you have a problem or you dont, good advice I feel. Christine -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Lisa Barrett Sent: 16 January 2007 20:59 To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Pregnancy and Crohns ~thanks for that. I did tell her that I don't believe her to be high risk, but her health insurance fund has stepped in and said that the only place she would be safe to birth is at a large tertiary hospital (lucky her). It is sad to see that a woman who should be excited and cherishing every moment of her pregnancy has been fed doubt and despair from ill informed professionals.~ That's interesting, how long have insurance companies been dictating terms of birth here? Lisa Barrett
RE: [ozmidwifery] Pregnancy and Crohns
The phrase you put so well - Risk is not a diagnosis; It is to assist in preventing problems or detecting them early, so they can be minimized - is just perfect and will work well in many of life's matters! Thank you for putting it so nicely: simple and yet complete! May I use that phrase in my work with Lupus/SLE? Best regards, Kirsten in Denmark -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Christine Holliday Sent: 16. januar 2007 21:20 To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Pregnancy and Crohns Sometimes it can be helpful to ask the person who has said she is high risk to ask what she is at risk of. Usually puts it all in perspective and of course remind the woman that you may be at risk of something but it does not mean it will happen. Risk is not a diagnosis it is to assist in preventing problems or detecting them early so they can be minimized, one of the Drs I work with does not like risk as a label either you have a problem or you dont, good advice I feel. Christine -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Lisa Barrett Sent: 16 January 2007 20:59 To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Pregnancy and Crohns ~thanks for that. I did tell her that I don't believe her to be high risk, but her health insurance fund has stepped in and said that the only place she would be safe to birth is at a large tertiary hospital (lucky her). It is sad to see that a woman who should be excited and cherishing every moment of her pregnancy has been fed doubt and despair from ill informed professionals.~ That's interesting, how long have insurance companies been dictating terms of birth here? Lisa Barrett
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] Pregnancy and Crohns
At the community Midwife Program at Wangaratta we have no exclusion criteria. All women see a Dr at the clinic once during the preganancy and more on an as needs basis in consultation with the Drs. For example women with a previous LUSCS go once at about 14-18 weeks then again at 36 weeks after we have done the care in between to inform the doctor of whether or not they are going to VBAC. Note this is the womans decision not the midwives or drs. Women with a more complex medical history may see a doctor at every visit or just once or twice if everyhting is OK. It is completely flexible and often changes during the course of the pregnancy. I personally think it is wrong to confine midwife only care to only low-risk women. All women need midwife care and arguably those labelled higher risk by the medical profession need it even more. How exactly do you percieve, or does the woman percieve her crones to complicate her pregnancy? In answer to your question..We have had from memory a women in our program with Crones and I dont recall it actually making her pregnancy and birth more complicated. My answer would be YES! have her in midwife care and consult with Drs on an as needs basis. If Drs insist she not eligable for Low Risk Midwife Care Ask them exactly what it is they are going to do differently that you cant do. What care, monitoring, testing, scedule of visits... exactly what is it Drs can offer her that you can't. And what about the women? What does she want.?? Hope this is useful. Wendy - Original Message - From: Amy Rigano To: ozmidwifery@acegraphics.com.au Sent: Monday, January 15, 2007 8:29 PM 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: 7.1.410 / Virus Database: 268.16.10/626 - Release Date: 1/14/2007
