Re: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps

[Susan Cudlipp]

We put labels on our babies cots which are removed 
when they have passed urine, mec, also stickers for those on 4hrly obs/a/b's or 
other extra cares.  A bit old fashioned perhaps but a simple 
and effective visual reminder for all staff to check the first 24-48 hours 
cares.
I remember being told that rectal temps were to 
check for imperforate anus but this was way back in the 70's during my 
training.  Went out of style when a broken mercury thermometer was inserted 
one time!  
 
Sue
"The only thing necessary for the triumph of evil is for good men to do 
nothing"Edmund Burke

  - Original Message - 
  From: 
  Nicole 
  Carver 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Tuesday, January 24, 2006 3:48 
  PM
  Subject: RE: [ozmidwifery] wasIV Synto 
  for 3rd stage now rectal temps
  
  Hi 
  all,
  There are other ways to handle the risk of missing an imperforate 
  anus. I know a case of a baby dying from meconium ileus due to 
  cystic fibrosis. It was quite some time before it was realised that the 
  baby had not passed meconium. That workplace now has a sticker on the 
  baby's chart which must be completed by 24hours post birth stating whether or 
  not the baby has passed urine or meconium, and if not, to document that a 
  paediatrician has been notified. (I could probably get you a sample if you 
  would like to show it to your paed.) Then if any invasive measures are taken, 
  at least they may be justified, rather than subjecting all babies to the 
  indignity and discomfort of having something passed into their 
  rectum.
  Kind 
  regards,
  Nicole.
  
-Original Message-From: 
[EMAIL PROTECTED] 
[mailto:[EMAIL PROTECTED]On Behalf Of Alesa 
KoziolSent: Tuesday, January 24, 2006 6:37 PMTo: 
ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] wasIV 
    Synto for 3rd stage now rectal temps
Please be assured that I am not  killing 
the messanger here...but really, are you really telling me that 
at your site all newborn infants are subjected to an invasive process 
because once upon a time a 
single baby had a problem? 
Alesa
 
- Original Message - 
From: "sharon" <[EMAIL PROTECTED]>
To: <ozmidwifery@acegraphics.com.au>
Sent: Tuesday, January 24, 2006 9:03 
AM
Subject: Re: [ozmidwifery] IV Synto for 3rd 
stage
> at the hospital i work in the paediatrician/neonatologist inisit 
on all > newborns have a rectal temp done for the first temp. i have 
been told when > questioning this from the clinical learning 
co-ordinator that there once was > a baby who had a imperferated anus 
and this was not picked up until too late > and the baby  became 
very sick so it is protocol. also i was told that there > is a 
difference in temperature as when i looked this subject up for my own 
> interest if you take a temp axilla there is also many other factors 
which > come into play such as the air temp and if the thermometer is 
accurately > placed. the references i cant remember but the evidence 
suggested that for a > accurate reading we should be taking 
temperatures rectally for infants and > orally for adults not axilla 
and certainly not be the fold at the back of > the newborns 
neck.> regards> - Original Message - > From: 
"brendamanning" <[EMAIL PROTECTED]>> To: <ozmidwifery@acegraphics.com.au>> Sent: Tuesday, January 24, 2006 12:11 AM> 
Subject: Re: [ozmidwifery] IV Synto for 3rd stage> > > 
> How amazing, rectal temps are so archaic !> > I thought they 
went out with PR exams to assess dilation.> > Poor you !> 
> Keep questioning, that's how change > > 
happenseventually.> >> > 
With kind regards> > Brenda Manning> > www.themidwife.com.au> 
>> > - Original Message - > > From: "Kylie 
Holden" <[EMAIL PROTECTED]>> 
> To: <ozmidwifery@acegraphics.com.au>> > Sent: Monday, January 23, 2006 11:42 PM> 
> Subject: Re: [ozmidwifery] IV Synto for 3rd stage> >> 
>> >> All debates regarding active v. physiological third 
stage aside, I was > >> referring to women who have had a jelco 
put in for whatever reason (IV > >> antibiotics in labour, 
epidurals, etc).> >>> >> I completely agree with 
you Brenda, that the number of women who didn't > >> get their 
"required" dose of synto and who go on and have a (semi) > >> 
physiological third stage are evidence in favour of safe, "normal" 3rd 
> >> stage.  Unfortuately this particular hospital doesn't 
  

RE: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps

[Nicole Carver]

Following a hospital protocol unfortunately is no protection if the protocol
is wrong and you are aware.
Nicole.

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of sharon
Sent: Tuesday, January 24, 2006 8:20 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps


yes all babies are subjected to a once only pr temp as per the hospital
protocol and as i have said before it would be negligant not to follow
protocol while working at a institution.
regards
- Original Message -
From: "Kylie Holden" <[EMAIL PROTECTED]>
To: 
Sent: Tuesday, January 24, 2006 6:40 PM
Subject: Re: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps


> I'm afraid so...
> I don't actually work there, these are experiences as a student.  Not sure
> if the hospital I'm talking about is the same as Sharon's, but the story
> is the same.
>
> Kylie
>
>
>>From: "Alesa Koziol" <[EMAIL PROTECTED]>
>>Reply-To: ozmidwifery@acegraphics.com.au
>>To: 
>>Subject: Re: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps
>>Date: Tue, 24 Jan 2006 18:37:03 +1100
>>
>>Please be assured that I am not  killing the messanger
>>here...but really, are you really telling me that at your site
>>all newborn infants are subjected to an invasive process because once upon
>>a time a single baby had a problem?
>>Alesa
>>
>>- Original Message -
>>From: "sharon" <[EMAIL PROTECTED]>
>>To: 
>>Sent: Tuesday, January 24, 2006 9:03 AM
>>Subject: Re: [ozmidwifery] IV Synto for 3rd stage
>>
>>
>> > at the hospital i work in the paediatrician/neonatologist inisit on all
>> > newborns have a rectal temp done for the first temp. i have been told
>>when
>> > questioning this from the clinical learning co-ordinator that there
>> > once
>>was
>> > a baby who had a imperferated anus and this was not picked up until too
>>late
>> > and the baby  became very sick so it is protocol. also i was told that
>>there
>> > is a difference in temperature as when i looked this subject up for my
>>own
>> > interest if you take a temp axilla there is also many other factors
>>which
>> > come into play such as the air temp and if the thermometer is
>> > accurately
>> > placed. the references i cant remember but the evidence suggested that
>>for a
>> > accurate reading we should be taking temperatures rectally for infants
>>and
>> > orally for adults not axilla and certainly not be the fold at the back
>>of
>> > the newborns neck.
>> > regards
>> > - Original Message -
>> > From: "brendamanning" <[EMAIL PROTECTED]>
>> > To: 
>> > Sent: Tuesday, January 24, 2006 12:11 AM
>> > Subject: Re: [ozmidwifery] IV Synto for 3rd stage
>> >
>> >
>> > > How amazing, rectal temps are so archaic !
>> > > I thought they went out with PR exams to assess dilation.
>> > > Poor you !
>> > > Keep questioning, that's how change
>> > > happenseventually.
>> > >
>> > > With kind regards
>> > > Brenda Manning
>> > > www.themidwife.com.au
>> > >
>> > > - Original Message -
>> > > From: "Kylie Holden" <[EMAIL PROTECTED]>
>> > > To: 
>> > > Sent: Monday, January 23, 2006 11:42 PM
>> > > Subject: Re: [ozmidwifery] IV Synto for 3rd stage
>> > >
>> > >
>> > >> All debates regarding active v. physiological third stage aside, I
>>was
>> > >> referring to women who have had a jelco put in for whatever reason
>>(IV
>> > >> antibiotics in labour, epidurals, etc).
>> > >>
>> > >> I completely agree with you Brenda, that the number of women who
>>didn't
>> > >> get their "required" dose of synto and who go on and have a (semi)
>> > >> physiological third stage are evidence in favour of safe, "normal"
>>3rd
>> > >> stage.  Unfortuately this particular hospital doesn't take too
>> > >> kindly
>>to
>> > >> students coming in and questioning their protocols!  We learnt that
>>the
>> > >> hard way when we (as students) tried not to take babies first temps
>> > >> rectally...a protocol was soon put in place that this MUST occur!
>> > 

Re: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps

[sharon]

yes all babies are subjected to a once only pr temp as per the hospital 
protocol and as i have said before it would be negligant not to follow 
protocol while working at a institution.

regards
- Original Message - 
From: "Kylie Holden" <[EMAIL PROTECTED]>

To: 
Sent: Tuesday, January 24, 2006 6:40 PM
Subject: Re: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps



I'm afraid so...
I don't actually work there, these are experiences as a student.  Not sure 
if the hospital I'm talking about is the same as Sharon's, but the story 
is the same.


Kylie



From: "Alesa Koziol" <[EMAIL PROTECTED]>
Reply-To: ozmidwifery@acegraphics.com.au
To: 
Subject: Re: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps
Date: Tue, 24 Jan 2006 18:37:03 +1100

Please be assured that I am not  killing the messanger 
here...but really, are you really telling me that at your site 
all newborn infants are subjected to an invasive process because once upon 
a time a single baby had a problem?

Alesa

- Original Message -
From: "sharon" <[EMAIL PROTECTED]>
To: 
Sent: Tuesday, January 24, 2006 9:03 AM
Subject: Re: [ozmidwifery] IV Synto for 3rd stage


> at the hospital i work in the paediatrician/neonatologist inisit on all
> newborns have a rectal temp done for the first temp. i have been told
when
> questioning this from the clinical learning co-ordinator that there 
> once

was
> a baby who had a imperferated anus and this was not picked up until too
late
> and the baby  became very sick so it is protocol. also i was told that
there
> is a difference in temperature as when i looked this subject up for my
own
> interest if you take a temp axilla there is also many other factors
which
> come into play such as the air temp and if the thermometer is 
> accurately

> placed. the references i cant remember but the evidence suggested that
for a
> accurate reading we should be taking temperatures rectally for infants
and
> orally for adults not axilla and certainly not be the fold at the back
of
> the newborns neck.
> regards
> - Original Message -
> From: "brendamanning" <[EMAIL PROTECTED]>
> To: 
> Sent: Tuesday, January 24, 2006 12:11 AM
> Subject: Re: [ozmidwifery] IV Synto for 3rd stage
>
>
> > How amazing, rectal temps are so archaic !
> > I thought they went out with PR exams to assess dilation.
> > Poor you !
> > Keep questioning, that's how change
> > happenseventually.
> >
> > With kind regards
> > Brenda Manning
> > www.themidwife.com.au
> >
> > - Original Message -
> > From: "Kylie Holden" <[EMAIL PROTECTED]>
> > To: 
> > Sent: Monday, January 23, 2006 11:42 PM
> > Subject: Re: [ozmidwifery] IV Synto for 3rd stage
> >
> >
> >> All debates regarding active v. physiological third stage aside, I
was
> >> referring to women who have had a jelco put in for whatever reason
(IV
> >> antibiotics in labour, epidurals, etc).
> >>
> >> I completely agree with you Brenda, that the number of women who
didn't
> >> get their "required" dose of synto and who go on and have a (semi)
> >> physiological third stage are evidence in favour of safe, "normal"
3rd
> >> stage.  Unfortuately this particular hospital doesn't take too 
> >> kindly

to
> >> students coming in and questioning their protocols!  We learnt that
the
> >> hard way when we (as students) tried not to take babies first temps
> >> rectally...a protocol was soon put in place that this MUST occur!
> >>
> >> Kylie
> >>
> >>
> >>>From: "brendamanning" <[EMAIL PROTECTED]>
> >>>Reply-To: ozmidwifery@acegraphics.com.au
> >>>To: 
> >>>Subject: Re: [ozmidwifery] IV Synto for 3rd stage
> >>>Date: Mon, 23 Jan 2006 15:18:48 +1100
> >>>
> >>>Kylie,
> >>>We are presuming these are all high risk women you are dealing with
as
> >>>otherwise there would be no need for her to have a jelco in place ?
> >>>I am including women who have epidurals in this category as this
> >>>automatically makes them high risk once they've deviated from the
'body
> >>>driven' course of labour.
> >>>Otherwise...
> >>>Why would a low risk woman :
> >>>a. have a jelco in situ during labour ?
> >>>b. need an oxytocic ?
> >>>
> >>>So assuming she is high risk you need to be very sure she gets the
> >>>oxytocic, she really needs it

RE: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps

[Nicole Carver]

Hi 
all,
There 
are other ways to handle the risk of missing an imperforate anus. I 
know a case of a baby dying from meconium ileus due to cystic 
fibrosis. It was quite some time before it was realised that the baby had 
not passed meconium. That workplace now has a sticker on the baby's chart 
which must be completed by 24hours post birth stating whether or not the baby 
has passed urine or meconium, and if not, to document that a paediatrician has 
been notified. (I could probably get you a sample if you would like to show it 
to your paed.) Then if any invasive measures are taken, at least they may be 
justified, rather than subjecting all babies to the indignity and discomfort of 
having something passed into their rectum.
Kind 
regards,
Nicole.

  -Original Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED]On Behalf Of Alesa 
  KoziolSent: Tuesday, January 24, 2006 6:37 PMTo: 
  ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] wasIV 
  Synto for 3rd stage now rectal temps
  Please be assured that I am not  killing the 
  messanger here...but really, are you really telling me that at 
  your site all newborn infants are subjected to an invasive process because 
  once upon a time a single baby 
  had a problem? 
  Alesa
   
  - Original Message - 
  From: "sharon" <[EMAIL PROTECTED]>
  To: <ozmidwifery@acegraphics.com.au>
  Sent: Tuesday, January 24, 2006 9:03 
  AM
  Subject: Re: [ozmidwifery] IV Synto for 3rd 
  stage
  > at the hospital i work in the paediatrician/neonatologist inisit 
  on all > newborns have a rectal temp done for the first temp. i have 
  been told when > questioning this from the clinical learning 
  co-ordinator that there once was > a baby who had a imperferated anus 
  and this was not picked up until too late > and the baby  became 
  very sick so it is protocol. also i was told that there > is a 
  difference in temperature as when i looked this subject up for my own > 
  interest if you take a temp axilla there is also many other factors which 
  > come into play such as the air temp and if the thermometer is 
  accurately > placed. the references i cant remember but the evidence 
  suggested that for a > accurate reading we should be taking 
  temperatures rectally for infants and > orally for adults not axilla 
  and certainly not be the fold at the back of > the newborns 
  neck.> regards> - Original Message - > From: 
  "brendamanning" <[EMAIL PROTECTED]>> To: <ozmidwifery@acegraphics.com.au>> Sent: Tuesday, January 24, 2006 12:11 AM> Subject: 
  Re: [ozmidwifery] IV Synto for 3rd stage> > > > How 
  amazing, rectal temps are so archaic !> > I thought they went out 
  with PR exams to assess dilation.> > Poor you !> > Keep 
  questioning, that's how change > > 
  happenseventually.> >> > With 
  kind regards> > Brenda Manning> > www.themidwife.com.au> 
  >> > - Original Message - > > From: "Kylie 
  Holden" <[EMAIL PROTECTED]>> > 
  To: <ozmidwifery@acegraphics.com.au>> > Sent: Monday, January 23, 2006 11:42 PM> > 
  Subject: Re: [ozmidwifery] IV Synto for 3rd stage> >> 
  >> >> All debates regarding active v. physiological third 
  stage aside, I was > >> referring to women who have had a jelco 
  put in for whatever reason (IV > >> antibiotics in labour, 
  epidurals, etc).> >>> >> I completely agree with you 
  Brenda, that the number of women who didn't > >> get their 
  "required" dose of synto and who go on and have a (semi) > >> 
  physiological third stage are evidence in favour of safe, "normal" 3rd 
  > >> stage.  Unfortuately this particular hospital doesn't 
  take too kindly to > >> students coming in and questioning their 
  protocols!  We learnt that the > >> hard way when we (as 
  students) tried not to take babies first temps > >> rectally...a 
  protocol was soon put in place that this MUST occur!> >>> 
  >> Kylie> >>> >>> >>>From: 
  "brendamanning" <[EMAIL PROTECTED]>> >>>Reply-To: ozmidwifery@acegraphics.com.au> >>>To: <ozmidwifery@acegraphics.com.au>> >>>Subject: Re: [ozmidwifery] IV Synto for 3rd 
  stage> >>>Date: Mon, 23 Jan 2006 15:18:48 +1100> 
  >>>> >>>Kylie,> >>>We are presuming 
  these are all high risk women you are dealing with as > 
  >>>otherwise there would be no need for her to have a jelco in place 
  ?> >>>I am including women who have epidurals in this category 
  as this > >>>aut

Re: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps

[brendamanning]

I think it's called 
a 'blanket policy'!
Rationale: so that 
no baby 'slips through the cracks' !!
Just like Konakion, 
Syntocinon, LUSCS for Breech. 
Much less time consuming 
than actual risk assessment.
Need I go on 
?
 
With kind regardsBrenda Manning www.themidwife.com.au

  - Original Message - 
  From: 
  Alesa 
  Koziol 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Tuesday, January 24, 2006 6:37 
  PM
  Subject: Re: [ozmidwifery] wasIV Synto 
  for 3rd stage now rectal temps
  
  Please be assured that I am not  killing the 
  messanger here...but really, are you really telling me that at 
  your site all newborn infants are subjected to an invasive process because 
  once upon a time a single baby 
  had a problem? 
  Alesa
   
  - Original Message - 
  From: "sharon" <[EMAIL PROTECTED]>
  To: <ozmidwifery@acegraphics.com.au>
  Sent: Tuesday, January 24, 2006 9:03 
  AM
  Subject: Re: [ozmidwifery] IV Synto for 3rd 
  stage
  > at the hospital i work in the paediatrician/neonatologist inisit 
  on all > newborns have a rectal temp done for the first temp. i have 
  been told when > questioning this from the clinical learning 
  co-ordinator that there once was > a baby who had a imperferated anus 
  and this was not picked up until too late > and the baby  became 
  very sick so it is protocol. also i was told that there > is a 
  difference in temperature as when i looked this subject up for my own > 
  interest if you take a temp axilla there is also many other factors which 
  > come into play such as the air temp and if the thermometer is 
  accurately > placed. the references i cant remember but the evidence 
  suggested that for a > accurate reading we should be taking 
  temperatures rectally for infants and > orally for adults not axilla 
  and certainly not be the fold at the back of > the newborns 
  neck.> regards> - Original Message - > From: 
  "brendamanning" <[EMAIL PROTECTED]>> To: <ozmidwifery@acegraphics.com.au>> Sent: Tuesday, January 24, 2006 12:11 AM> Subject: 
  Re: [ozmidwifery] IV Synto for 3rd stage> > > > How 
  amazing, rectal temps are so archaic !> > I thought they went out 
  with PR exams to assess dilation.> > Poor you !> > Keep 
  questioning, that's how change > > 
  happenseventually.> >> > With 
  kind regards> > Brenda Manning> > www.themidwife.com.au> 
  >> > - Original Message - > > From: "Kylie 
  Holden" <[EMAIL PROTECTED]>> > 
  To: <ozmidwifery@acegraphics.com.au>> > Sent: Monday, January 23, 2006 11:42 PM> > 
  Subject: Re: [ozmidwifery] IV Synto for 3rd stage> >> 
  >> >> All debates regarding active v. physiological third 
  stage aside, I was > >> referring to women who have had a jelco 
  put in for whatever reason (IV > >> antibiotics in labour, 
  epidurals, etc).> >>> >> I completely agree with you 
  Brenda, that the number of women who didn't > >> get their 
  "required" dose of synto and who go on and have a (semi) > >> 
  physiological third stage are evidence in favour of safe, "normal" 3rd 
  > >> stage.  Unfortuately this particular hospital doesn't 
  take too kindly to > >> students coming in and questioning their 
  protocols!  We learnt that the > >> hard way when we (as 
  students) tried not to take babies first temps > >> rectally...a 
  protocol was soon put in place that this MUST occur!> >>> 
  >> Kylie> >>> >>> >>>From: 
  "brendamanning" <[EMAIL PROTECTED]>> >>>Reply-To: ozmidwifery@acegraphics.com.au> >>>To: <ozmidwifery@acegraphics.com.au>> >>>Subject: Re: [ozmidwifery] IV Synto for 3rd 
  stage> >>>Date: Mon, 23 Jan 2006 15:18:48 +1100> 
  >>>> >>>Kylie,> >>>We are presuming 
  these are all high risk women you are dealing with as > 
  >>>otherwise there would be no need for her to have a jelco in place 
  ?> >>>I am including women who have epidurals in this category 
  as this > >>>automatically makes them high risk once they've 
  deviated from the 'body > >>>driven' course of labour.> 
  >>>Otherwise...> >>>Why would a low risk 
  woman :> >>>a. have a jelco in situ during labour ?> 
  >>>b. need an oxytocic ?> >>>> >>>So 
  assuming she is high risk you need to be very sure she gets the > 
  >>>oxytocic, she really needs it as

Re: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps

[Kylie Holden]

I'm afraid so...
I don't actually work there, these are experiences as a student.  Not sure 
if the hospital I'm talking about is the same as Sharon's, but the story is 
the same.


Kylie



From: "Alesa Koziol" <[EMAIL PROTECTED]>
Reply-To: ozmidwifery@acegraphics.com.au
To: 
Subject: Re: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps
Date: Tue, 24 Jan 2006 18:37:03 +1100

Please be assured that I am not  killing the messanger 
here...but really, are you really telling me that at your site 
all newborn infants are subjected to an invasive process because once upon 
a time a single baby had a problem?

Alesa

- Original Message -
From: "sharon" <[EMAIL PROTECTED]>
To: 
Sent: Tuesday, January 24, 2006 9:03 AM
Subject: Re: [ozmidwifery] IV Synto for 3rd stage


> at the hospital i work in the paediatrician/neonatologist inisit on all
> newborns have a rectal temp done for the first temp. i have been told 
when
> questioning this from the clinical learning co-ordinator that there once 
was
> a baby who had a imperferated anus and this was not picked up until too 
late
> and the baby  became very sick so it is protocol. also i was told that 
there
> is a difference in temperature as when i looked this subject up for my 
own
> interest if you take a temp axilla there is also many other factors 
which

> come into play such as the air temp and if the thermometer is accurately
> placed. the references i cant remember but the evidence suggested that 
for a
> accurate reading we should be taking temperatures rectally for infants 
and
> orally for adults not axilla and certainly not be the fold at the back 
of

> the newborns neck.
> regards
> - Original Message -
> From: "brendamanning" <[EMAIL PROTECTED]>
> To: 
> Sent: Tuesday, January 24, 2006 12:11 AM
> Subject: Re: [ozmidwifery] IV Synto for 3rd stage
>
>
> > How amazing, rectal temps are so archaic !
> > I thought they went out with PR exams to assess dilation.
> > Poor you !
> > Keep questioning, that's how change
> > happenseventually.
> >
> > With kind regards
> > Brenda Manning
> > www.themidwife.com.au
> >
> > - Original Message -
> > From: "Kylie Holden" <[EMAIL PROTECTED]>
> > To: 
> > Sent: Monday, January 23, 2006 11:42 PM
> > Subject: Re: [ozmidwifery] IV Synto for 3rd stage
> >
> >
> >> All debates regarding active v. physiological third stage aside, I 
was
> >> referring to women who have had a jelco put in for whatever reason 
(IV

> >> antibiotics in labour, epidurals, etc).
> >>
> >> I completely agree with you Brenda, that the number of women who 
didn't

> >> get their "required" dose of synto and who go on and have a (semi)
> >> physiological third stage are evidence in favour of safe, "normal" 
3rd
> >> stage.  Unfortuately this particular hospital doesn't take too kindly 
to
> >> students coming in and questioning their protocols!  We learnt that 
the

> >> hard way when we (as students) tried not to take babies first temps
> >> rectally...a protocol was soon put in place that this MUST occur!
> >>
> >> Kylie
> >>
> >>
> >>>From: "brendamanning" <[EMAIL PROTECTED]>
> >>>Reply-To: ozmidwifery@acegraphics.com.au
> >>>To: 
> >>>Subject: Re: [ozmidwifery] IV Synto for 3rd stage
> >>>Date: Mon, 23 Jan 2006 15:18:48 +1100
> >>>
> >>>Kylie,
> >>>We are presuming these are all high risk women you are dealing with 
as

> >>>otherwise there would be no need for her to have a jelco in place ?
> >>>I am including women who have epidurals in this category as this
> >>>automatically makes them high risk once they've deviated from the 
'body

> >>>driven' course of labour.
> >>>Otherwise...
> >>>Why would a low risk woman :
> >>>a. have a jelco in situ during labour ?
> >>>b. need an oxytocic ?
> >>>
> >>>So assuming she is high risk you need to be very sure she gets the
> >>>oxytocic, she really needs it as her body has had its input 
overridden by
> >>>the initial intervention so it makes sense to flush the tubing & 
ensure

> >>>the accurate therapeutic dose is received.
> >>>
> >>>Maybe you might put some thought out there in your workplace about 
how
> >>>all those women whose MW didn't flush & they therefore didn't 
actu

Re: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps

[Alesa Koziol]

Please be assured that I am not  killing the 
messanger here...but really, are you really telling me that at your 
site all newborn infants are subjected to an invasive process because 
once upon a time a single baby 
had a problem? 
Alesa
 
- Original Message - 
From: "sharon" <[EMAIL PROTECTED]>
To: 
Sent: Tuesday, January 24, 2006 9:03 
AM
Subject: Re: [ozmidwifery] IV Synto for 3rd 
stage
> at the hospital i work in the paediatrician/neonatologist inisit on 
all > newborns have a rectal temp done for the first temp. i have been 
told when > questioning this from the clinical learning co-ordinator that 
there once was > a baby who had a imperferated anus and this was not 
picked up until too late > and the baby  became very sick so it is 
protocol. also i was told that there > is a difference in temperature as 
when i looked this subject up for my own > interest if you take a temp 
axilla there is also many other factors which > come into play such as 
the air temp and if the thermometer is accurately > placed. the 
references i cant remember but the evidence suggested that for a > 
accurate reading we should be taking temperatures rectally for infants and 
> orally for adults not axilla and certainly not be the fold at the back 
of > the newborns neck.> regards> - Original Message 
- > From: "brendamanning" <[EMAIL PROTECTED]>> To: > Sent: Tuesday, January 24, 2006 12:11 AM> Subject: 
Re: [ozmidwifery] IV Synto for 3rd stage> > > > How 
amazing, rectal temps are so archaic !> > I thought they went out with 
PR exams to assess dilation.> > Poor you !> > Keep 
questioning, that's how change > > 
happenseventually.> >> > With 
kind regards> > Brenda Manning> > www.themidwife.com.au> 
>> > - Original Message - > > From: "Kylie 
Holden" <[EMAIL PROTECTED]>> > 
To: > > Sent: Monday, January 23, 2006 11:42 PM> > 
Subject: Re: [ozmidwifery] IV Synto for 3rd stage> >> 
>> >> All debates regarding active v. physiological third stage 
aside, I was > >> referring to women who have had a jelco put in 
for whatever reason (IV > >> antibiotics in labour, epidurals, 
etc).> >>> >> I completely agree with you Brenda, that 
the number of women who didn't > >> get their "required" dose of 
synto and who go on and have a (semi) > >> physiological third 
stage are evidence in favour of safe, "normal" 3rd > >> 
stage.  Unfortuately this particular hospital doesn't take too kindly to 
> >> students coming in and questioning their protocols!  We 
learnt that the > >> hard way when we (as students) tried not to 
take babies first temps > >> rectally...a protocol was soon put in 
place that this MUST occur!> >>> >> Kylie> 
>>> >>> >>>From: "brendamanning" 
<[EMAIL PROTECTED]>> >>>Reply-To: ozmidwifery@acegraphics.com.au> 
>>>To: > >>>Subject: Re: [ozmidwifery] IV Synto for 3rd 
stage> >>>Date: Mon, 23 Jan 2006 15:18:48 +1100> 
 >>>Kylie,> >>>We are presuming 
these are all high risk women you are dealing with as > 
>>>otherwise there would be no need for her to have a jelco in place 
?> >>>I am including women who have epidurals in this category 
as this > >>>automatically makes them high risk once they've 
deviated from the 'body > >>>driven' course of labour.> 
>>>Otherwise...> >>>Why would a low risk 
woman :> >>>a. have a jelco in situ during labour ?> 
>>>b. need an oxytocic ?>  >>>So 
assuming she is high risk you need to be very sure she gets the > 
>>>oxytocic, she really needs it as her body has had its input 
overridden by > >>>the initial intervention so it makes sense to 
flush the tubing & ensure > >>>the accurate therapeutic dose 
is received.>  >>>Maybe you might put some 
thought out there in your workplace about how > >>>all those 
women whose MW didn't flush & they therefore didn't actually > 
>>>get their synt (or got a reduced/minimal amount) managed to have a 
> >>>"normal" 3rd stage & no PPHs ?> >>>Now 
there's an interesting question to ask your colleagues !!> 
 >>>With kind regards> >>>Brenda 
Manning> >>>www.themidwife.com.au>  
>>>- Original Message - From: "Ceri & Katrina" > 
>>><[EMAIL PROTECTED]>> 
>>>To: > >>>Sent: Sunday, January 22, 2006 6:04 PM> 
>>>Subject: Re: [ozmidwifery] IV Synto for 3rd stage> 
  Hi Kylie> 
we actually give 5IU synto diluted in 10mls Normal saline, then 
flush > that through with a flush.> 
In the short time I have been in Middy even when we gave it not 
> diluted, it was still flushed.> 
> katrina  ;-)> 
> > On 22/01/2006, 
at 2:20 PM, Ken WArd wrote:> > 
>Proberly where it should sit for a normal birth. But when it 
is > >advisable to> >give 
synto, then I guess you should flush the line.> 
>> >-Original 
Message-> >From: [EMA