Dear Trish
Whilst I agree with your first sentiment
They are a tool in
the professional midwife's kit that should be used with caution, judgement,
humanity and great respect. They should only be practised by skillfull
practitioners who know the theory behind what they are doing, the evidence
basis
Going right back to the beginning, I said that we should re-think V.e's
Obviously I realise that they are a valuable tool when caring for women in
labour. Again, we need to learn to diagnose labour correctly without
relying on V.E's. Putting ones hand into the vagina and finding a long,
thick,
Hi Bec,
Homeopathy can be really helpful for restless leg syndrome. Definitely
worth trying
Simone
- Original Message -
From: Rebecca King [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Friday, October 01, 2004 10:05 AM
Subject: [ozmidwifery] question
hi everyone,
my name's bec,
I am looking for a Doula for a woman in Latrobe Valley in Vic. Her 2nd bub is due in late
March 05,
Any one close to there.
Philippa ScottBirth
Buddies
VEs are like perineal suturing and rupturing of membranes. They are a tool
in
the professional midwife's kit that should be used with caution,
judgement, humanity and great respect.
Hi,
I wanted to ask when, if ever, anyone would use ARM? From my understanding,
and I am completely open to
Not sure if this is relevant to pregnancy restless legs -I discovered this
long after my pregnancies -I am affected by salicylates, naturally occuring
chemicals in otherwise healthy foods (see Fed Up By Sue Dengate review at my
website www.pinky-mychild.com). As I started to moderate my kids
Abby,
AROM is a 'tool' of active management and like many other obstetric
interventions it has been used as a normal practice by o mnay. I am not
sure why it would be used as a Midwife tool but as I am not one (a midwife)
I ont want to make a blanket statement.
I agree that your list o things an
Mary, Denise, I agree. However, and I risk a minor lashing, I have found it, on
occasion, necessary to do a VE on a woman not in labour to reassure her that she
will (or will not) go into labour shortly. This has been for a variety of
reasons ranging from my imminent absence for a few days
Hi Trish:
I love these discussions too! And find myself agreeing with all here! I also
think we need to be aware that some of the skills deemed medical or
obstetric (VE's and ARM's for example) and indeed at some level are
interventions, became missing from the midwife's tool bag historically
Dear List
Many of you are probably all too aware of the
Galea case. I just came across it looking for info on
what
effect might an epidural given to the mother in labour have on the foetal heart
rate?
http://www.courts.sa.gov.au/courts/coroner/findings/findings_2002/galea.finding.htm
Is
I like to have the membranes intact till 2nd stage. I will break them when
they produde from the vagina with fluid in them. But it is wondrous to have
a baby born in the caul, and I have never had a problem with baby's
breathing. Wouldn't it be similar to a water birth? Before I'm asked, I
don't
There is some strong correlational evidence to suggest a shortened labour if ARM
is performed late second stage or third stage and this may be of benefit for a
woman with hypertension who is on the edge of requiring other more invasive
intervention. I would find it easier to diagnose breech, do
Marilyn wrote:
I have never had an incident with a baby, and have
always been able to simply wipe the caul away(and save
it of course)
Here's another concept I'm trying to get my student
head around! I understand why it's safe for baby to
be born in caul (not having the stimulus of exposure
to
Yes Trish:
If you need to do one of these interventions, with good indication, the BOW
must be broken. But not just to avoid a mess.
marilyn
- Original Message -
From: Trish David [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Sunday, October 03, 2004 7:17 PM
Subject: Re: [ozmidwifery]
Hi Fiona:
I for one think this is entirely appropriate for
discussion. However, I was not previously aware of the case and hope this does
not cause pain or duress to anyone on the list. If this is so then we should
leave it alone.
While I do not support the notion that women
desiring vbac
Trish wrote:
I love this list, and our students reading these
posts are exposed to discussions that we find it
difficult to introduce into the classrooms, because of
the amount of 'fact' we have to impart, and the lack
of resources to allow panel discussions of experienced
practitioners. So
Thanks Marilyn, Can I ask, do all places that
facilitate childbirth have completely different policy and procedure protocols
or is there a universal code that all midwives must stick to? Thanks
Fiona
I find this really interesting as well, in that the doctor was believed
that VE wasn't brought to her attention, and the midwife was not, but also
that she needed direction from a doctor or senior midwife to do one. This
is exactly my point, that it has become a medical procedure and therefore
The midwife
said she could not guarantee this as she had a women last year whose waters
hadn't broken by second stage - the woman was on a birth stool and as she
pushed the waters broke with a huge gush and her face was splattered with
amniotic fluid, so if my clients waters hadn't broken by
There is some strong correlational evidence to suggest a shortened labour
if ARM is performed late second stage or third stage and this may be of
Hi Trish or anyone that knows,
Could you please tell me where to find this evidence? This is contradictory
to what I have read and learned, so I
While I do not support the notion
that women desiring vbac are considered high risk or obstetric care, I do
believe that once a decision is made to augment and/or induce a labour then the
obstetrician needs to be consulted referred to and obstetric protocols need to
be followed if the
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