RE: [ozmidwifery] getting synto etc
Hi Philippa, Misoprostol has a lot of side effects, just search the web on CYTOTEC (the American name). It is used in areas where refrigeration is not possible. When this is possible Syntocinon and/or Syntometrine are better options. Whatever you decide: good luck. Love Anke -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Philippa Scott Sent: Wednesday, 15 November 2006 6:57 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] getting synto etc Ok I need some more info I guess. I have had some midwives locally say that this is a better option to have at home for an emergency. This is my own birth I am talking about I am not a midwife, I am a doula and will be birthing unassisted due to the non-existence of MIPP up here, I am wanting something on hand for just in case. I have been told Misoprostol is very effective with few side effects. It will be for me a last resort whilst waiting for an ambo if things like shepherds purse and eating placenta do not work (if I have another PPH). Would anyone be able to tell me a bit more about the side effect and why you would/would not recommend it. I am due in a couple of months so want to start getting something organized and a decision made about which way to go. Thank you, Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Amanda W Sent: Wednesday, 15 November 2006 4:41 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc We use Misoprostol at the hospital where I work and it is kept in the fridge next to the syntocinon and syntometrine and the prostins etc. Why would you want to use it at your homebirth but. Syntocinon should be just fine. Misoprostol is a fairly heavy drug of choice with a fair few side effects and we only use it for large PPH's Amanda Ward Creative Memories Consultant Ph. (07) 3261 4354 Mob, 0417 009 648 Email. [EMAIL PROTECTED] From: Lisa Barrett [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Date: Wed, 15 Nov 2006 16:18:45 +1030 misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 3:55 PM Subject: RE: [ozmidwifery] getting synto etc I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey Sent: Wednesday, 15 November 2006 12:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Had a client recently who I sent to her GP for a script for synt. She got the script, went to the chemist to fill it found it was going to cost her around $80 to get it - they only sold it in the boxes of five vials. I ended up asking around my MIPP friends managed to find some that way (dint need it anyway so its still in my fridge). If you give me your postal address Im happy to post some to you - my understanding is that its ok to keep it out of the fridge for a time. cheers -- Jennifairy Gillett RM Midwife in Private Practice Women's Health Teaching Associate ITShare volunteer
RE: [ozmidwifery] getting synto etc
Hi Anke Have seen shivering diarhoea and increased temp in women having termination with misoprostol... But this is a 6th hrly dose...when used for pph it would be a one of dose... Much of the bad press it has gotton has been because the doses used in iol are varied (and the 'correct' dose is unknown) and I think it increases the chance of uterine rupture in VBAC. Certainly agree that in the long run an oxytocic is a better choice but when these aren't available it may be quite useful. Lisa -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Anke Dalman Sent: Friday, 17 November 2006 7:07 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] getting synto etc Hi Philippa, Misoprostol has a lot of side effects, just search the web on CYTOTEC (the American name). It is used in areas where refrigeration is not possible. When this is possible Syntocinon and/or Syntometrine are better options. Whatever you decide: good luck. Love Anke -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Philippa Scott Sent: Wednesday, 15 November 2006 6:57 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] getting synto etc Ok I need some more info I guess. I have had some midwives locally say that this is a better option to have at home for an emergency. This is my own birth I am talking about I am not a midwife, I am a doula and will be birthing unassisted due to the non-existence of MIPP up here, I am wanting something on hand for just in case. I have been told Misoprostol is very effective with few side effects. It will be for me a last resort whilst waiting for an ambo if things like shepherds purse and eating placenta do not work (if I have another PPH). Would anyone be able to tell me a bit more about the side effect and why you would/would not recommend it. I am due in a couple of months so want to start getting something organized and a decision made about which way to go. Thank you, Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Amanda W Sent: Wednesday, 15 November 2006 4:41 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc We use Misoprostol at the hospital where I work and it is kept in the fridge next to the syntocinon and syntometrine and the prostins etc. Why would you want to use it at your homebirth but. Syntocinon should be just fine. Misoprostol is a fairly heavy drug of choice with a fair few side effects and we only use it for large PPH's Amanda Ward Creative Memories Consultant Ph. (07) 3261 4354 Mob, 0417 009 648 Email. [EMAIL PROTECTED] From: Lisa Barrett [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Date: Wed, 15 Nov 2006 16:18:45 +1030 misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 3:55 PM Subject: RE: [ozmidwifery] getting synto etc I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey Sent: Wednesday, 15 November 2006 12:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting
RE: [ozmidwifery] getting synto etc
I know the tablets are used for TOPs. Is it therefore that often women miscarry after TOPs? Or have prems? It would NOT be my choice of medicine because I have seen too many problems after use. Anke -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of LJG Sent: Wednesday, 15 November 2006 7:49 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] getting synto etc Used for gastirc ulcers? -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jo Watson Sent: Wednesday, 15 November 2006 7:33 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc From what I've heard, it is a drug not licensed for use in obstetrics (but it is used, obviously) ... I can't remember it's primary function though. And I can't be bothered googling right now. Jo On 15/11/2006, at 5:02 PM, meg wrote: I work at a major tertiary hospital-we stock misoprostil and use it with pph's so I think it is licenced. Meg - Original Message - From: Lisa Barrett [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 4:48 PM Subject: Re: [ozmidwifery] getting synto etc misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 3:55 PM Subject: RE: [ozmidwifery] getting synto etc I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey Sent: Wednesday, 15 November 2006 12:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Had a client recently who I sent to her GP for a script for synt. She got the script, went to the chemist to fill it found it was going to cost her around $80 to get it - they only sold it in the boxes of five vials. I ended up asking around my MIPP friends managed to find some that way (dint need it anyway so its still in my fridge). If you give me your postal address Im happy to post some to you - my understanding is that its ok to keep it out of the fridge for a time. 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 -- 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. -- 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. __ NOD32 1866 (20061114) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- 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
RE: [ozmidwifery] getting synto etc
Am not sure what you mean Anke? Would be interested to hear your experiences. Lisa Is it therefore that often women miscarry after TOPs? Or have prems? It would NOT be my choice of medicine because I have seen too many problems after use. Anke -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] getting synto etc
Hi Catherine, Most naturopaths/herbalists can make it up for you. Ensure they do work with womens health/birth preparation and they will probably be familair with it. You will probably have to have a consultatoin before they prescribe. Email me off list if you dont have much luck with this option. Kristin From: "gypsymidwife" [EMAIL PROTECTED]Reply-To: ozmidwifery@acegraphics.com.auTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] getting synto etcDate: Thu, 16 Nov 2006 16:35:08 +1000 Dear Kristin Can you tell me specifically where I can purchase this potion ? As a 42 year old primip , I need all the help I can get to keep the obstetric demons away from me, as I nowdon't have a lot choise when it comes to birthing places. I am confident that I will birth well with the help of my husband and great midwife/friend, supporting me but the birth now will probably be a hospital. Feel free to email me off list if you like, on [EMAIL PROTECTED] With Thanks Catherine - Original Message - From: Kristin Beckedahl To: ozmidwifery@acegraphics.com.au Sent: Thursday, November 16, 2006 11:49 AM Subject: RE: [ozmidwifery] getting synto etc Pip, Have you considered a partus-prep herbal tincture formula as well. Usually start at 34/40 at low dose and gradually increase over the weeks until labour. I give it to all keen mums-to-be. Typically I make it a mix ofof squaw vine, false unicorn root, raspberry leaves, chaste tree etc etc. The first bottle (from 34-38 weeks) is slightly different from 2nd bottle (38-40+). I put a few extra herbs in the 2nd bottle that are better to use closer to term. Combination of actions include uterine tonics, uterine astringents, hormonal support and working towards efficent cxns with minimal pp loss. Good levels of Vit C, Iron, and Zinc also indicated to reduce pph risk too... Cheers, Kristin (Naturopath/Herbalist) New Release XBOX 360 Games staring from $39... Find out now! -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe. New Release XBOX 360 Games staring from $39... Find out now! -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
RE: [ozmidwifery] getting synto etc
I will be on something from my naturopath/homeopath both prelabour and then for just incase as a first option. Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville _ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kristin Beckedahl Sent: Thursday, 16 November 2006 11:50 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] getting synto etc Pip, Have you considered a partus-prep herbal tincture formula as well. Usually start at 34/40 at low dose and gradually increase over the weeks until labour. I give it to all keen mums-to-be. Typically I make it a mix of of squaw vine, false unicorn root, raspberry leaves, chaste tree etc etc. The first bottle (from 34-38 weeks) is slightly different from 2nd bottle (38-40+). I put a few extra herbs in the 2nd bottle that are better to use closer to term. Combination of actions include uterine tonics, uterine astringents, hormonal support and working towards efficent cxns with minimal pp loss. Good levels of Vit C, Iron, and Zinc also indicated to reduce pph risk too... Cheers, Kristin (Naturopath/Herbalist) _ New Release XBOX 360 Games staring from $39... Find out now! http://g.msn.com/8HMBENAU/2755??PS=47575 -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
Re: [ozmidwifery] getting synto etc
At my last homebirth (7 years ago), my midwife asked me to ask for a prescription from doc when I went for a blood test referral. I did and they wrote the script with not a question asked. I got it filled at the chemist and I just had to wait a day for them to order it in because they didn't normally stock it. Jayne - Original Message - From: Tania Smallwood To: ozmidwifery@acegraphics.com.au Sent: Tuesday, November 14, 2006 9:59 PM Subject: RE: [ozmidwifery] getting synto etc This is part of the big problem with the way in which independent midwives are forced to work here in Australia isn’t it? An IPM who chooses not to carry synto or erg would be crucified in the event of a PPH, but the reality is that there are few ways to legally acquire it, and even fewer ways to legally administer it. Sadly we have a long way to go in this battle, and though it seems like a miniscule thing, I think it’s a big deal that many midwives simply have no way of getting the drugs they need to carry, and equally no way to be able to give them when the are needed. I don’t know of one single Dr in SA who would write a standing order for synto knowing that the woman receiving it was choosing to birth at home. And why should women have to broach the subject with (mostly) disrespectful and ignorant GP’s. Isis, you are lucky! Just my thoughts… Tania -- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Isis Caple Sent: Tuesday, 14 November 2006 8:58 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] getting synto etc As a woman planning for a homebirth, I just went to my GP and got a prescription from her for a dose of syntometrine. I still have to go to the pharmacy to get it filled- hope they are as easy to deal with as my GP is J I do know my midwife has a GP who will write scripts for her, yet my GP is supportive of HB and I was happy to approach her for it. -- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of cath nolan Sent: Tuesday, 14 November 2006 9:13 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.409 / Virus Database: 268.14.5/533 - Release Date: 13/11/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.409 / Virus Database: 268.14.5/533 - Release Date: 13/11/2006
Re: [ozmidwifery] getting synto etc
I would be concerned at the legality of them being able to refuse the request for the script. Homebirth isn't illegal but what if a woman did die at home because the doc refused the prescription? From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:30 AM Subject: RE: [ozmidwifery] getting synto etc Andrea, it is my understanding that one still has to have a Dr's order (e.g. prescription) before a midwife can actually give the drug. Prior to the CMP being under the umbrella of the State Health Dept, WA metro midwives had to get the woman to get a script from their doctor for synto, Vit K and xylocine 1% for suturing. There are few doctors who will actually do this. Strange, they say you might bleed to death at home but won't give any help in preventing this scenario. Good luck, MM -- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Andrea Quanchi Sent: Wednesday, 15 November 2006 2:29 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc you can purchase syntocinon at www.livingstone.com.au Andrea Q On 14/11/2006, at 9:13 PM, cath nolan wrote: I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath
Re: [ozmidwifery] getting synto etc
Brenda wrote: Costs for HB down this way : $1600 to $2500 approx for the entire package. I'd say that's a bargain. Could you break it down for us Brenda? ie. what do you charge for pre/post natal visits/birth attendance?? Jayne - Original Message - From: brendamanning [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 4:38 PM Subject: Re: [ozmidwifery] getting synto etc Hi Cath, I do a similar thing to others on the list, ask the OB I work with for a script for any drugs needed ie synt, ergo, konak, xylocaine, maxalon, anti-D, Hep B Vax etc. Client gets script filled I buy them off her if I don't have a cache myself. I use these things so rarely that 1 script per year is enough. He will also fill out a medication chart if I ask him so I am giving a drug with an order if needed. All nicely legal. I have all pre-signed path ultrasound forms from the same OB use them at my discretion. Rare. I'd usually phone him get the OK out of courtesy before using them as he is so supportive I feel it is an important part of collaborative care. Costs for HB down this way : $1600 to $2500 approx for the entire package. With kind regards Brenda Manning www.themidwife.com.au - Original Message - From: Robyn Dempsey To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 12:54 PM Subject: Re: [ozmidwifery] getting synto etc Hi Cath, I give the women a letter for the doctor. We've ( the woman and I) have already discussed which tests she would like/ wouldn't like to have. The doctor is then given the letter with an outline of what the woman needs. This can be basic bloods, a script for vitamin k, a script for synto, a letter for O2 hire, ultrasound forms etc. On costing, it a hard one. I found when I first started out, it was hard to charge, and it was a 'self worth' issue. A few REALLY long births soon changes that!! In Sydney, most independent midwives charge between $3500 -$4500. This will also change for repeat clients, primips vs multips, distance to be travelled etc. Hope this helps. Robyn Dempsey - Original Message - From: cath nolan To: ozmidwifery@acegraphics.com.au Sent: Tuesday, November 14, 2006 9:13 PM Subject: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath -- 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] getting synto etc
Drs refuse to write the script on the excuse that they will not be there when it is given and they can't take responsibility for the use of the drug. I know this sounds like a stupid reason, but their insurer's say they cannot prescribe it if they are not procedural obstetric GPs. MM I would be concerned at the legality of them being able to refuse the request for the script. Homebirth isn't illegal but what if a woman did die at home because the doc refused the prescription? From: Mary Murphy mailto:[EMAIL PROTECTED] Andrea, it is my understanding that one still has to have a Dr's order (e.g. prescription) before a midwife can actually give the drug. Prior to the CMP being under the umbrella of the State Health Dept, WA metro midwives had to get the woman to get a script from their doctor for synto, Vit K and xylocine 1% for suturing. There are few doctors who will actually do this. Strange, they say you might bleed to death at home but won't give any help in preventing this scenario. Good luck, MM _
RE: [ozmidwifery] getting synto etc
Ok I need some more info I guess. I have had some midwives locally say that this is a better option to have at home for an emergency. This is my own birth I am talking about I am not a midwife, I am a doula and will be birthing unassisted due to the non-existence of MIPP up here, I am wanting something on hand for just in case. I have been told Misoprostol is very effective with few side effects. It will be for me a last resort whilst waiting for an ambo if things like shepherds purse and eating placenta do not work (if I have another PPH). Would anyone be able to tell me a bit more about the side effect and why you would/would not recommend it. I am due in a couple of months so want to start getting something organized and a decision made about which way to go. Thank you, Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Amanda W Sent: Wednesday, 15 November 2006 4:41 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc We use Misoprostol at the hospital where I work and it is kept in the fridge next to the syntocinon and syntometrine and the prostins etc. Why would you want to use it at your homebirth but. Syntocinon should be just fine. Misoprostol is a fairly heavy drug of choice with a fair few side effects and we only use it for large PPH's Amanda Ward Creative Memories Consultant Ph. (07) 3261 4354 Mob, 0417 009 648 Email. [EMAIL PROTECTED] From: Lisa Barrett [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Date: Wed, 15 Nov 2006 16:18:45 +1030 misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 3:55 PM Subject: RE: [ozmidwifery] getting synto etc I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey Sent: Wednesday, 15 November 2006 12:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Had a client recently who I sent to her GP for a script for synt. She got the script, went to the chemist to fill it found it was going to cost her around $80 to get it - they only sold it in the boxes of five vials. I ended up asking around my MIPP friends managed to find some that way (dint need it anyway so its still in my fridge). If you give me your postal address Im happy to post some to you - my understanding is that its ok to keep it out of the fridge for a time. 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 -- 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. -- This mailing list is sponsored by ACE Graphics. Visit http
Re: [ozmidwifery] getting synto etc
I work at a major tertiary hospital-we stock misoprostil and use it with pph's so I think it is licenced. Meg - Original Message - From: Lisa Barrett [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 4:48 PM Subject: Re: [ozmidwifery] getting synto etc misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 3:55 PM Subject: RE: [ozmidwifery] getting synto etc I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey Sent: Wednesday, 15 November 2006 12:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Had a client recently who I sent to her GP for a script for synt. She got the script, went to the chemist to fill it found it was going to cost her around $80 to get it - they only sold it in the boxes of five vials. I ended up asking around my MIPP friends managed to find some that way (dint need it anyway so its still in my fridge). If you give me your postal address Im happy to post some to you - my understanding is that its ok to keep it out of the fridge for a time. 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 -- 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. -- 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. __ NOD32 1866 (20061114) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] getting synto etc
We have it in our cupboard and regularly use it for pph (used pr) and it works well for this, I imagine this it what you would be having it on hand for Philippa? Because it's a tablet it doesn't need refrigeration. Most of our Tops are now done with it too. It is dispensed by our pharmacyalthough kept in the dd cupboard and counted in the same manner. If obs in the public system are using it freely then I can't see why a GP would object...or maybe a hospital doctor would write it up for you? - I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville - -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] getting synto etc
From what I've heard, it is a drug not licensed for use in obstetrics (but it is used, obviously) ... I can't remember it's primary function though. And I can't be bothered googling right now. Jo On 15/11/2006, at 5:02 PM, meg wrote: I work at a major tertiary hospital-we stock misoprostil and use it with pph's so I think it is licenced. Meg - Original Message - From: Lisa Barrett [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 4:48 PM Subject: Re: [ozmidwifery] getting synto etc misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 3:55 PM Subject: RE: [ozmidwifery] getting synto etc I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey Sent: Wednesday, 15 November 2006 12:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Had a client recently who I sent to her GP for a script for synt. She got the script, went to the chemist to fill it found it was going to cost her around $80 to get it - they only sold it in the boxes of five vials. I ended up asking around my MIPP friends managed to find some that way (dint need it anyway so its still in my fridge). If you give me your postal address Im happy to post some to you - my understanding is that its ok to keep it out of the fridge for a time. 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 -- 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. -- 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. __ NOD32 1866 (20061114) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- 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] getting synto etc
Lisa, Misoprostal for PPH is used on a regular basis at our tertiary hospital. I had a client who planned to go home 4hrs after the birth of twins and the staff gave her Miso about an hour after the birth..she was not hemorrhaging, it was given in case. It is also available to the CMP homebirth midwives if needed. It would only be used as an emergency drug during a transfer to hospital for a severe PPH. Not been needed so far thank goodness. It is used in hospitals much more extensively than one thinks. It is de-facto legal; frequent effective use in the same situation makes it so. Dont know what a court would make of it tho. MM misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett
RE: [ozmidwifery] getting synto etc
Used for gastirc ulcers? -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jo Watson Sent: Wednesday, 15 November 2006 7:33 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc From what I've heard, it is a drug not licensed for use in obstetrics (but it is used, obviously) ... I can't remember it's primary function though. And I can't be bothered googling right now. Jo On 15/11/2006, at 5:02 PM, meg wrote: I work at a major tertiary hospital-we stock misoprostil and use it with pph's so I think it is licenced. Meg - Original Message - From: Lisa Barrett [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 4:48 PM Subject: Re: [ozmidwifery] getting synto etc misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 3:55 PM Subject: RE: [ozmidwifery] getting synto etc I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey Sent: Wednesday, 15 November 2006 12:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Had a client recently who I sent to her GP for a script for synt. She got the script, went to the chemist to fill it found it was going to cost her around $80 to get it - they only sold it in the boxes of five vials. I ended up asking around my MIPP friends managed to find some that way (dint need it anyway so its still in my fridge). If you give me your postal address Im happy to post some to you - my understanding is that its ok to keep it out of the fridge for a time. 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 -- 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. -- 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. __ NOD32 1866 (20061114) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- 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. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] getting synto etc
Are you able to "acquire" it somehow - Original Message - From: cath nolan To: ozmidwifery@acegraphics.com.au Sent: Tuesday, November 14, 2006 9:13 PM Subject: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues.Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath
Re: [ozmidwifery] getting synto etc
I have seen and used misoprostil quite a lot in several hospitals, mostly for PPH and 2nd trimester TOPs.It is highly effective for PPH and can be given orally. We would get the woman to chew it, not pleasant but quicker action that way. It is fine given orally as long as narcotics have not been administered in the previous 4 hours as the narcotic decreases gut motility and therefore impairs the effects of the misoprostil.I found that especially when I was in Kununurra and needed to use it , it was a great drug to have on hand. Remembering that a large portion of that community were at less than optimal health and often had low hb, poor antenatal care and nutrition, grand multi etc. As far as I am aware it is ok to use for PPH and recognised as such even though it was manufactured as a drug to treat gastric ulcers. The problems surrounding its use and bad press are regarding use for induction of labour, another story altogether. Hope this helps, Cath - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 7:56 PM Subject: RE: [ozmidwifery] getting synto etc Ok I need some more info I guess. I have had some midwives locally say that this is a better option to have at home for an emergency. This is my own birth I am talking about I am not a midwife, I am a doula and will be birthing unassisted due to the non-existence of MIPP up here, I am wanting something on hand for just in case. I have been told Misoprostol is very effective with few side effects. It will be for me a last resort whilst waiting for an ambo if things like shepherds purse and eating placenta do not work (if I have another PPH). Would anyone be able to tell me a bit more about the side effect and why you would/would not recommend it. I am due in a couple of months so want to start getting something organized and a decision made about which way to go. Thank you, Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Amanda W Sent: Wednesday, 15 November 2006 4:41 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc We use Misoprostol at the hospital where I work and it is kept in the fridge next to the syntocinon and syntometrine and the prostins etc. Why would you want to use it at your homebirth but. Syntocinon should be just fine. Misoprostol is a fairly heavy drug of choice with a fair few side effects and we only use it for large PPH's Amanda Ward Creative Memories Consultant Ph. (07) 3261 4354 Mob, 0417 009 648 Email. [EMAIL PROTECTED] From: Lisa Barrett [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Date: Wed, 15 Nov 2006 16:18:45 +1030 misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 3:55 PM Subject: RE: [ozmidwifery] getting synto etc I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey Sent: Wednesday, 15 November 2006 12:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would
Re: [ozmidwifery] getting synto etc
Where are you that you cannot find a midwife? - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 7:56 PM Subject: RE: [ozmidwifery] getting synto etc Ok I need some more info I guess. I have had some midwives locally say that this is a better option to have at home for an emergency. This is my own birth I am talking about I am not a midwife, I am a doula and will be birthing unassisted due to the non-existence of MIPP up here, I am wanting something on hand for just in case. I have been told Misoprostol is very effective with few side effects. It will be for me a last resort whilst waiting for an ambo if things like shepherds purse and eating placenta do not work (if I have another PPH). Would anyone be able to tell me a bit more about the side effect and why you would/would not recommend it. I am due in a couple of months so want to start getting something organized and a decision made about which way to go. Thank you, Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Amanda W Sent: Wednesday, 15 November 2006 4:41 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc We use Misoprostol at the hospital where I work and it is kept in the fridge next to the syntocinon and syntometrine and the prostins etc. Why would you want to use it at your homebirth but. Syntocinon should be just fine. Misoprostol is a fairly heavy drug of choice with a fair few side effects and we only use it for large PPH's Amanda Ward Creative Memories Consultant Ph. (07) 3261 4354 Mob, 0417 009 648 Email. [EMAIL PROTECTED] From: Lisa Barrett [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Date: Wed, 15 Nov 2006 16:18:45 +1030 misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 3:55 PM Subject: RE: [ozmidwifery] getting synto etc I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey Sent: Wednesday, 15 November 2006 12:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Had a client recently who I sent to her GP for a script for synt. She got the script, went to the chemist to fill it found it was going to cost her around $80 to get it - they only sold it in the boxes of five vials. I ended up asking around my MIPP friends managed to find some that way (dint need it anyway so its still in my fridge). If you give me your postal address Im happy to post some to you - my understanding is that its ok to keep it out of the fridge for a time. 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 -- This mailing list is sponsored by ACE Graphics
Re: [ozmidwifery] getting synto etc
Hi Jo, I think it is not licenced for use for induction of labour with live babies in australia. It's ok for stillbirth induction and pph. Melissa - Original Message - From: Jo Watson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 5:33 PM Subject: Re: [ozmidwifery] getting synto etc From what I've heard, it is a drug not licensed for use in obstetrics (but it is used, obviously) ... I can't remember it's primary function though. And I can't be bothered googling right now. Jo On 15/11/2006, at 5:02 PM, meg wrote: I work at a major tertiary hospital-we stock misoprostil and use it with pph's so I think it is licenced. Meg - Original Message - From: Lisa Barrett [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 4:48 PM Subject: Re: [ozmidwifery] getting synto etc misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 3:55 PM Subject: RE: [ozmidwifery] getting synto etc I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey Sent: Wednesday, 15 November 2006 12:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Had a client recently who I sent to her GP for a script for synt. She got the script, went to the chemist to fill it found it was going to cost her around $80 to get it - they only sold it in the boxes of five vials. I ended up asking around my MIPP friends managed to find some that way (dint need it anyway so its still in my fridge). If you give me your postal address Im happy to post some to you - my understanding is that its ok to keep it out of the fridge for a time. 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 -- 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. -- 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. __ NOD32 1866 (20061114) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- 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. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] getting synto etc
Yes, I have thought of that but would love to be above board with everthing that I could, Cath - Original Message - From: Sonja Barry To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 7:25 PM Subject: Re: [ozmidwifery] getting synto etc Are you able to "acquire" it somehow - Original Message - From: cath nolan To: ozmidwifery@acegraphics.com.au Sent: Tuesday, November 14, 2006 9:13 PM Subject: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues.Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath
Re: [ozmidwifery] getting synto etc
This is taken from the misoprostol website . I didn't say it didn't work, just that it was unlicenced. I still think it's not the sort of drug for a homebirth midwife to carry. Lisa Barrett Misoprostol is currently only approved by the Food and Drug Administration (FDA) for the prevention and treatment of gastric ulcers resulting from chronic administration of nonsteroidal anti-inflammatory drugs (NSAIDS). Ø Misoprostol has been extensively studied in reproductive health, and is widely recommended for the treatment of missed and incomplete miscarriages, the induction of abortion, and cervical preparation before uterine instrumentation, induction of labour and postpartum haemorrhage prophylaxis and treatment. Ø The use of drugs for off-label indications is legal, common practice, and not considered experimental if based on sound scientific evidence. Drug licensing is not proof of effectiveness and many drugs of proven efficacy are not licensed. Ø In all cases the evidence must be carefully considered and the benefit: risk ratio assessed before a drug is prescribed for an unlicensed indication. Ø Patients and their carers should be properly informed if a doctor prescribes a licensed drug for an unlicensed indication.
Re: [ozmidwifery] getting synto etc
Hi Mary. I realise that it is used. I know my experience was only in the Private system here and it's probably more widely used in the public service in an open way. I also know that Antenatal dexamethasone is not licensed either for lung maturity and it used all the time. The women's and children's did a study in 2004/5 on using for late termination and found bigger the dose the more side effects seen.. http://www.wch.sa.gov.au/research/publications/report/research03/files/research_advise.pdf I suppose like everything it's all according to what you believe to be right. There were 2 reported deaths from it in South Africa last year but they felt that it had been used incorrectly. Phillipa I suppose you just need to check it out a bit more before you decide if it's the right emergency drug for you. Lisa Barrett - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:04 PM Subject: RE: [ozmidwifery] getting synto etc Lisa, Misoprostal for PPH is used on a regular basis at our tertiary hospital. I had a client who planned to go home 4hrs after the birth of twins and the staff gave her Miso about an hour after the birth..she was not hemorrhaging, it was given in case. It is also available to the CMP homebirth midwives if needed. It would only be used as an emergency drug during a transfer to hospital for a severe PPH. Not been needed so far thank goodness. It is used in hospitals much more extensively than one thinks. It is de-facto legal; frequent effective use in the same situation makes it so. Dont know what a court would make of it tho. MM misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett
Re: [ozmidwifery] getting synto etc
Ah, ok. Thanks for clarifying. :) Jo On 15/11/2006, at 6:25 PM, Melissa Singer wrote: Hi Jo, I think it is not licenced for use for induction of labour with live babies in australia. It's ok for stillbirth induction and pph. Melissa - Original Message - From: Jo Watson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 5:33 PM Subject: Re: [ozmidwifery] getting synto etc From what I've heard, it is a drug not licensed for use in obstetrics (but it is used, obviously) ... I can't remember it's primary function though. And I can't be bothered googling right now. Jo On 15/11/2006, at 5:02 PM, meg wrote: I work at a major tertiary hospital-we stock misoprostil and use it with pph's so I think it is licenced. Meg - Original Message - From: Lisa Barrett [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 4:48 PM Subject: Re: [ozmidwifery] getting synto etc misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 3:55 PM Subject: RE: [ozmidwifery] getting synto etc I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey Sent: Wednesday, 15 November 2006 12:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Had a client recently who I sent to her GP for a script for synt. She got the script, went to the chemist to fill it found it was going to cost her around $80 to get it - they only sold it in the boxes of five vials. I ended up asking around my MIPP friends managed to find some that way (dint need it anyway so its still in my fridge). If you give me your postal address Im happy to post some to you - my understanding is that its ok to keep it out of the fridge for a time. 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 -- 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. -- 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. __ NOD32 1866 (20061114) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- 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. -- 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] getting synto etc
Thank you for all the replies, what a wonderful resource you all are. Yes the idea is to use it if a PPH occurs. I was not aware it could be given orally. My history is a 700ml pph with c/s not much considering and a 1500ml pph with quick VBAC on birth stool. Stopped with synto and a oxy drip but before placenta came away. My hb level was 10+ after this so I was believe that I was just getting rid of the extra straight away with out any ill effects. Had a frantic 2nd too so that was not helpful to my adrenalin levels. I will have other forms of pph control there as previously mentioned but my husband particularly would feel more comfortable knowing that we had something around. Not having to inject appeals to me as no-one will be trained to do it, though I am sure I could figure it out. Will have to read that research Lisa thank you. I live in Townsville QLD where there are no MIPPS. I have tried to get someone there but it was not to be. Having said that I am very comfortable doing it unassisted but it means I need to do more of the work to be ready myself. Ps: what is pr and TOPs? Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] getting synto etc
I thought Tiff had mentioned a midwife around Townsville a while back, you out there Tiff?? When are you expecting your bub Philippa? Cheers, Di (now in Mackay) - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 6:56 PM Subject: RE: [ozmidwifery] getting synto etc Ok I need some more info I guess. I have had some midwives locally say that this is a better option to have at home for an emergency. This is my own birth I am talking about I am not a midwife, I am a doula and will be birthing unassisted due to the non-existence of MIPP up here, I am wanting something on hand for just in case. I have been told Misoprostol is very effective with few side effects. It will be for me a last resort whilst waiting for an ambo if things like shepherds purse and eating placenta do not work (if I have another PPH). Would anyone be able to tell me a bit more about the side effect and why you would/would not recommend it. I am due in a couple of months so want to start getting something organized and a decision made about which way to go. Thank you, Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Amanda W Sent: Wednesday, 15 November 2006 4:41 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc We use Misoprostol at the hospital where I work and it is kept in the fridge next to the syntocinon and syntometrine and the prostins etc. Why would you want to use it at your homebirth but. Syntocinon should be just fine. Misoprostol is a fairly heavy drug of choice with a fair few side effects and we only use it for large PPH's Amanda Ward Creative Memories Consultant Ph. (07) 3261 4354 Mob, 0417 009 648 Email. [EMAIL PROTECTED] From: Lisa Barrett [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Date: Wed, 15 Nov 2006 16:18:45 +1030 misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 3:55 PM Subject: RE: [ozmidwifery] getting synto etc I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey Sent: Wednesday, 15 November 2006 12:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Had a client recently who I sent to her GP for a script for synt. She got the script, went to the chemist to fill it found it was going to cost her around $80 to get it - they only sold it in the boxes of five vials. I ended up asking around my MIPP friends managed to find some that way (dint need it anyway so its still in my fridge). If you give me your postal address Im happy to post some to you - my understanding is that its ok to keep it out of the fridge for a time. 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
RE: [ozmidwifery] getting synto etc
Early feb, bit some one would have told me if there was anyone here. I am supposed to know these things here. I will be cranky if I have missed something that big!! Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of diane Sent: Wednesday, 15 November 2006 9:46 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc I thought Tiff had mentioned a midwife around Townsville a while back, you out there Tiff?? When are you expecting your bub Philippa? Cheers, Di (now in Mackay) - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 6:56 PM Subject: RE: [ozmidwifery] getting synto etc Ok I need some more info I guess. I have had some midwives locally say that this is a better option to have at home for an emergency. This is my own birth I am talking about I am not a midwife, I am a doula and will be birthing unassisted due to the non-existence of MIPP up here, I am wanting something on hand for just in case. I have been told Misoprostol is very effective with few side effects. It will be for me a last resort whilst waiting for an ambo if things like shepherds purse and eating placenta do not work (if I have another PPH). Would anyone be able to tell me a bit more about the side effect and why you would/would not recommend it. I am due in a couple of months so want to start getting something organized and a decision made about which way to go. Thank you, Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Amanda W Sent: Wednesday, 15 November 2006 4:41 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc We use Misoprostol at the hospital where I work and it is kept in the fridge next to the syntocinon and syntometrine and the prostins etc. Why would you want to use it at your homebirth but. Syntocinon should be just fine. Misoprostol is a fairly heavy drug of choice with a fair few side effects and we only use it for large PPH's Amanda Ward Creative Memories Consultant Ph. (07) 3261 4354 Mob, 0417 009 648 Email. [EMAIL PROTECTED] From: Lisa Barrett [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Date: Wed, 15 Nov 2006 16:18:45 +1030 misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 3:55 PM Subject: RE: [ozmidwifery] getting synto etc I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey Sent: Wednesday, 15 November 2006 12:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Had a client recently who I sent to her GP for a script for synt. She got the script, went to the chemist to fill it found it was going
Re: [ozmidwifery] getting synto etc
- Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 9:29 PM Subject: RE: [ozmidwifery] getting synto etc Ps: what is pr and TOPs? Cheers PR = Per RectumTOP= Termination of Pregnancy Sue -- 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: 7.5.430 / Virus Database: 268.14.5/534 - Release Date: 14/11/2006 3:58 PM -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] getting synto etc
Hi Di! Yes I'm here! Just got back from my honeymoon. The midwives I mentioned were in Mareeba about an hour west of Cairns on the Tablelands! Hope you find a midwife soon Phillipa! Tiff -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of diane Sent: Wednesday, 15 November 2006 9:46 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc I thought Tiff had mentioned a midwife around Townsville a while back, you out there Tiff?? When are you expecting your bub Philippa? Cheers, Di (now in Mackay) - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 6:56 PM Subject: RE: [ozmidwifery] getting synto etc Ok I need some more info I guess. I have had some midwives locally say that this is a better option to have at home for an emergency. This is my own birth I am talking about I am not a midwife, I am a doula and will be birthing unassisted due to the non-existence of MIPP up here, I am wanting something on hand for just in case. I have been told Misoprostol is very effective with few side effects. It will be for me a last resort whilst waiting for an ambo if things like shepherds purse and eating placenta do not work (if I have another PPH). Would anyone be able to tell me a bit more about the side effect and why you would/would not recommend it. I am due in a couple of months so want to start getting something organized and a decision made about which way to go. Thank you, Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Amanda W Sent: Wednesday, 15 November 2006 4:41 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc We use Misoprostol at the hospital where I work and it is kept in the fridge next to the syntocinon and syntometrine and the prostins etc. Why would you want to use it at your homebirth but. Syntocinon should be just fine. Misoprostol is a fairly heavy drug of choice with a fair few side effects and we only use it for large PPH's Amanda Ward Creative Memories Consultant Ph. (07) 3261 4354 Mob, 0417 009 648 Email. [EMAIL PROTECTED] From: Lisa Barrett [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Date: Wed, 15 Nov 2006 16:18:45 +1030 misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 3:55 PM Subject: RE: [ozmidwifery] getting synto etc I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey Sent: Wednesday, 15 November 2006 12:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Had a client recently who I sent to her GP for a script for synt. She got the script, went to the chemist to fill it found it was going to cost her around $80 to get it - they only sold it in the boxes of five vials. I ended up asking around my MIPP friends managed to find some
RE: [ozmidwifery] getting synto etc
I have had the woman go to her GP and get a script. Only one so far and that was ok, she also got a script for the Vit K. Re charges. As far as I know they vary very widely over the country. I have only just started up and the first couple were cheaper than the next one I have booked. I found that with the distances I am travelling and the cost of fuel anyone who books more that 50 km away from my home will need to add extra to the basic price. For all so far I have had a minumum of an hour's drive each way and that is exy. cheers Judy From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of cath nolan Sent: Tuesday, 14 November 2006 9:13 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Send instant messages to your online friends http://au.messenger.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] getting synto etc
Pip, Have you considered a partus-prep herbal tincture formula as well. Usually start at 34/40 at low dose and gradually increase over the weeks until labour. I give it to all keen mums-to-be. Typically I make it a mix ofof squaw vine, false unicorn root, raspberry leaves, chaste tree etc etc. The first bottle (from 34-38 weeks) is slightly different from 2nd bottle (38-40+). I put a few extra herbs in the 2nd bottle that are better to use closer to term. Combination of actions include uterine tonics, uterine astringents, hormonal support and working towards efficent cxns with minimal pp loss. Good levels of Vit C, Iron, and Zinc also indicated to reduce pph risk too... Cheers, Kristin (Naturopath/Herbalist)New Release XBOX 360 Games staring from $39... Find out now! -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
Re: [ozmidwifery] getting synto etc
My chemist charges $15 for the packet of vitamin K. That gives me 5 doses, so I have extras to 'start' the next woman who chooses to have it. Robyn Dempsey - Original Message - From: Judy Chapman [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, November 16, 2006 12:40 PM Subject: RE: [ozmidwifery] getting synto etc I have had the woman go to her GP and get a script. Only one so far and that was ok, she also got a script for the Vit K. Re charges. As far as I know they vary very widely over the country. I have only just started up and the first couple were cheaper than the next one I have booked. I found that with the distances I am travelling and the cost of fuel anyone who books more that 50 km away from my home will need to add extra to the basic price. For all so far I have had a minumum of an hour's drive each way and that is exy. cheers Judy From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of cath nolan Sent: Tuesday, 14 November 2006 9:13 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Send instant messages to your online friends http://au.messenger.yahoo.com -- 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] getting synto etc
Hi Kristin, This sounds a lot like the Nature’s sunshine product called 5W that’s no longer available here in Australia. I’ve used it for the last year for heavy menstrual bleeding and it works a treat! Helps with cramps, soothes the belly, lightens the bleed, no clots…probably too much information, but I’ve seen great things postnatally with it too, wondering if that’s what you base your tincture on? Tania _ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kristin Beckedahl Sent: Thursday, 16 November 2006 12:20 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] getting synto etc Pip, Have you considered a partus-prep herbal tincture formula as well. Usually start at 34/40 at low dose and gradually increase over the weeks until labour. I give it to all keen mums-to-be. Typically I make it a mix of of squaw vine, false unicorn root, raspberry leaves, chaste tree etc etc. The first bottle (from 34-38 weeks) is slightly different from 2nd bottle (38-40+). I put a few extra herbs in the 2nd bottle that are better to use closer to term. Combination of actions include uterine tonics, uterine astringents, hormonal support and working towards efficent cxns with minimal pp loss. Good levels of Vit C, Iron, and Zinc also indicated to reduce pph risk too... Cheers, Kristin (Naturopath/Herbalist) _ New Release XBOX 360 Games staring from $39... HYPERLINK http://g.msn.com/8HMBENAU/2755??PS=47575Find out now! -- 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: 7.1.409 / Virus Database: 268.14.6/535 - Release Date: 15/11/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.409 / Virus Database: 268.14.6/535 - Release Date: 15/11/2006
Re: [ozmidwifery] getting synto etc
Dear Kristin Can you tell me specifically where I can purchase this potion ? As a 42 year old primip , I need all the help I can get to keep the obstetric demons away from me, as I now don't have a lot choise when it comes to birthing places. I am confident that I will birth well with the help of my husband and great midwife/friend, supporting me but the birth now will probably be a hospital. Feel free to email me off list if you like, on [EMAIL PROTECTED] With Thanks Catherine - Original Message - From: Kristin Beckedahl To: ozmidwifery@acegraphics.com.au Sent: Thursday, November 16, 2006 11:49 AM Subject: RE: [ozmidwifery] getting synto etc Pip, Have you considered a partus-prep herbal tincture formula as well. Usually start at 34/40 at low dose and gradually increase over the weeks until labour. I give it to all keen mums-to-be. Typically I make it a mix of of squaw vine, false unicorn root, raspberry leaves, chaste tree etc etc. The first bottle (from 34-38 weeks) is slightly different from 2nd bottle (38-40+). I put a few extra herbs in the 2nd bottle that are better to use closer to term. Combination of actions include uterine tonics, uterine astringents, hormonal support and working towards efficent cxns with minimal pp loss. Good levels of Vit C, Iron, and Zinc also indicated to reduce pph risk too... Cheers, Kristin (Naturopath/Herbalist) -- New Release XBOX 360 Games staring from $39... Find out now! -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
RE: [ozmidwifery] getting synto etc
I used to offer women the 5W capsules if they didnt want the liquid tincture (an acquired taste for some). The tincture formula can vary from woman to woman depending on any significant Hx and also her stress levels and general pregnancy health, but the basis is due to its uterine actions and overall pregnancy tonics. From: "Tania Smallwood" [EMAIL PROTECTED]Reply-To: ozmidwifery@acegraphics.com.auTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] getting synto etcDate: Thu, 16 Nov 2006 16:59:26 +1030 Hi Kristin, This sounds a lot like the Natures sunshine product called 5W thats no longer available here in Australia. Ive used it for the last year for heavy menstrual bleeding and it works a treat! Helps with cramps, soothes the belly, lightens the bleed, no clots probably too much information, but Ive seen great things postnatally with it too, wondering if thats what you base your tincture on? Tania From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kristin BeckedahlSent: Thursday, 16 November 2006 12:20 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] getting synto etc Pip, Have you considered a partus-prep herbal tincture formula as well. Usually start at 34/40 at low dose and gradually increase over the weeks until labour. I give it to all keen mums-to-be. Typically I make it a mix ofof squaw vine, false unicorn root, raspberry leaves, chaste tree etc etc. The first bottle (from 34-38 weeks) is slightly different from 2nd bottle (38-40+). I put a few extra herbs in the 2nd bottle that are better to use closer to term. Combination of actions include uterine tonics, uterine astringents, hormonal support and working towards efficent cxns with minimal pp loss. Good levels of Vit C, Iron, and Zinc also indicated to reduce pph risk too... Cheers, Kristin (Naturopath/Herbalist) New Release XBOX 360 Games staring from $39... Find out now! -- 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: 7.1.409 / Virus Database: 268.14.6/535 - Release Date: 15/11/2006 --No virus found in this outgoing message.Checked by AVG Free Edition.Version: 7.1.409 / Virus Database: 268.14.6/535 - Release Date: 15/11/2006Win a $40K private Lear Jet experience with Flight Sim X! -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
RE: [ozmidwifery] getting synto etc
As a woman planning for a homebirth, I just went to my GP and got a prescription from her for a dose of syntometrine. I still have to go to the pharmacy to get it filled- hope they are as easy to deal with as my GP is J I do know my midwife has a GP who will write scripts for her, yet my GP is supportive of HB and I was happy to approach her for it. From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of cath nolan Sent: Tuesday, 14 November 2006 9:13 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues.Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath
RE: [ozmidwifery] getting synto etc
This is part of the big problem with the way in which independent midwives are forced to work here in Australia isnt it? An IPM who chooses not to carry synto or erg would be crucified in the event of a PPH, but the reality is that there are few ways to legally acquire it, and even fewer ways to legally administer it. Sadly we have a long way to go in this battle, and though it seems like a miniscule thing, I think its a big deal that many midwives simply have no way of getting the drugs they need to carry, and equally no way to be able to give them when the are needed. I dont know of one single Dr in SA who would write a standing order for synto knowing that the woman receiving it was choosing to birth at home. And why should women have to broach the subject with (mostly) disrespectful and ignorant GPs. Isis, you are lucky! Just my thoughts Tania From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Isis Caple Sent: Tuesday, 14 November 2006 8:58 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] getting synto etc As a woman planning for a homebirth, I just went to my GP and got a prescription from her for a dose of syntometrine. I still have to go to the pharmacy to get it filled- hope they are as easy to deal with as my GP is J I do know my midwife has a GP who will write scripts for her, yet my GP is supportive of HB and I was happy to approach her for it. From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of cath nolan Sent: Tuesday, 14 November 2006 9:13 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues.Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.409 / Virus Database: 268.14.5/533 - Release Date: 13/11/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.409 / Virus Database: 268.14.5/533 - Release Date: 13/11/2006
Re: [ozmidwifery] getting synto etc
you can purchase syntocinon at www.livingstone.com.auAndrea QOn 14/11/2006, at 9:13 PM, cath nolan wrote:I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath
RE: [ozmidwifery] getting synto etc
Andrea, it is my understanding that one still has to have a Drs order (e.g. prescription) before a midwife can actually give the drug. Prior to the CMP being under the umbrella of the State Health Dept, WA metro midwives had to get the woman to get a script from their doctor for synto, Vit K and xylocine 1% for suturing. There are few doctors who will actually do this. Strange, they say you might bleed to death at home but wont give any help in preventing this scenario. Good luck, MM From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Andrea Quanchi Sent: Wednesday, 15 November 2006 2:29 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc you can purchase syntocinon at www.livingstone.com.au Andrea Q On 14/11/2006, at 9:13 PM, cath nolan wrote: I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath
Re: [ozmidwifery] getting synto etc
I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Had a client recently who I sent to her GP for a script for synt. She got the script, went to the chemist to fill it found it was going to cost her around $80 to get it - they only sold it in the boxes of five vials. I ended up asking around my MIPP friends managed to find some that way (dint need it anyway so its still in my fridge). If you give me your postal address Im happy to post some to you - my understanding is that its ok to keep it out of the fridge for a time. 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 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] getting synto etc
Thanks Andrea for the Livingstone tip, I have bought things off there before but wasn't aware that I could get synt. Cath - Original Message - From: Andrea Quanchi To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 5:28 AM Subject: Re: [ozmidwifery] getting synto etc you can purchase syntocinon at www.livingstone.com.au Andrea Q On 14/11/2006, at 9:13 PM, cath nolan wrote: I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues.Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath
Re: [ozmidwifery] getting synto etc
Hi Cath, I give the women a letter for the doctor. We've ( the woman and I) have already discussed which tests she would like/ wouldn't like to have. The doctor is then given the letter with an outline of what the woman needs. This can be basic bloods, a script for vitamin k, a script for synto, a letter for O2 hire, ultrasound forms etc. On costing, it a hard one. I found when I first started out, it was hard to charge, and it was a 'self worth' issue. A few REALLY long births soon changes that!! In Sydney, most independent midwives charge between $3500 -$4500. This will also change for repeat clients, primips vs multips, distance to be travelled etc. Hope this helps. Robyn Dempsey - Original Message - From: cath nolan To: ozmidwifery@acegraphics.com.au Sent: Tuesday, November 14, 2006 9:13 PM Subject: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues.Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath
Re: [ozmidwifery] getting synto etc
Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Had a client recently who I sent to her GP for a script for synt. She got the script, went to the chemist to fill it found it was going to cost her around $80 to get it - they only sold it in the boxes of five vials. I ended up asking around my MIPP friends managed to find some that way (dint need it anyway so its still in my fridge). If you give me your postal address Im happy to post some to you - my understanding is that its ok to keep it out of the fridge for a time. 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 -- 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] getting synto etc
Hi Cath, I do a similar thing to others on the list, ask the OB I work with for a script for any drugs needed ie synt, ergo, konak, xylocaine, maxalon, anti-D, Hep B Vax etc. Client gets script filled I buy them off her if I don't have a cache myself. I use these things so rarely that 1 script per year is enough. He will also fill out a medication chart if I ask him so I am giving a drug with an order if needed. All nicely legal. I have all pre-signed path ultrasound forms from the same OB use them at my discretion. Rare. I'd usually phone him get the OK out of courtesy before using them as he is so supportive I feel it is an important part of collaborative care. Costs for HB down this way : $1600 to $2500 approx for the entire package. With kind regards Brenda Manning www.themidwife.com.au - Original Message - From: Robyn Dempsey To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 12:54 PM Subject: Re: [ozmidwifery] getting synto etc Hi Cath, I give the women a letter for the doctor. We've ( the woman and I) have already discussed which tests she would like/ wouldn't like to have. The doctor is then given the letter with an outline of what the woman needs. This can be basic bloods, a script for vitamin k, a script for synto, a letter for O2 hire, ultrasound forms etc. On costing, it a hard one. I found when I first started out, it was hard to charge, and it was a 'self worth' issue. A few REALLY long births soon changes that!! In Sydney, most independent midwives charge between $3500 -$4500. This will also change for repeat clients, primips vs multips, distance to be travelled etc. Hope this helps. Robyn Dempsey - Original Message - From: cath nolan To: ozmidwifery@acegraphics.com.au Sent: Tuesday, November 14, 2006 9:13 PM Subject: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] getting synto etc
misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 3:55 PM Subject: RE: [ozmidwifery] getting synto etc I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey Sent: Wednesday, 15 November 2006 12:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Had a client recently who I sent to her GP for a script for synt. She got the script, went to the chemist to fill it found it was going to cost her around $80 to get it - they only sold it in the boxes of five vials. I ended up asking around my MIPP friends managed to find some that way (dint need it anyway so its still in my fridge). If you give me your postal address Im happy to post some to you - my understanding is that its ok to keep it out of the fridge for a time. 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 -- 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. -- 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] getting synto etc
We use Misoprostol at the hospital where I work and it is kept in the fridge next to the syntocinon and syntometrine and the prostins etc. Why would you want to use it at your homebirth but. Syntocinon should be just fine. Misoprostol is a fairly heavy drug of choice with a fair few side effects and we only use it for large PPH's Amanda Ward Creative Memories Consultant Ph. (07) 3261 4354 Mob, 0417 009 648 Email. [EMAIL PROTECTED] From: Lisa Barrett [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Date: Wed, 15 Nov 2006 16:18:45 +1030 misoprostal isn't licenced here is Australia. I wouldn't be prescribing it if I were a GP. When I was Working at a private Hospital the Obs kept it in their own possesion. It isn't licenced to be kept at the hospital as far as I know. The pharmacy at the hospital wouldn't touch it. It's not the sort of drug you should have at a homebirth anyway. Lisa Barrett - Original Message - From: Philippa Scott [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 3:55 PM Subject: RE: [ozmidwifery] getting synto etc I am hoping to get a script for Misoprostal (sp) for my homebirth. Any ideas. Should I just ask a GP? What are they liable for if they do prescribe it. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Robyn Dempsey Sent: Wednesday, 15 November 2006 12:10 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] getting synto etc Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: Re: [ozmidwifery] getting synto etc I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Had a client recently who I sent to her GP for a script for synt. She got the script, went to the chemist to fill it found it was going to cost her around $80 to get it - they only sold it in the boxes of five vials. I ended up asking around my MIPP friends managed to find some that way (dint need it anyway so its still in my fridge). If you give me your postal address Im happy to post some to you - my understanding is that its ok to keep it out of the fridge for a time. 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 -- 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. -- 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. _ Advertisement: Fresh jobs daily. Stop waiting for the newspaper. Search now! www.seek.com.au http://a.ninemsn.com.au/b.aspx?URL=http%3A%2F%2Fninemsn%2Eseek%2Ecom%2Eau_t=757263760_r=Hotmail_EndText_Nov06_m=EXT -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
