Thank You Gail. I do like teaching, but in a hands on way,
not a formal classroom way. I am not likely to be in a position to do anything
other than that as I just love being a community midwife. Cheers, MM
Mary, I'm a midwifery student I saw you at the Homebirth
Australia
Conference
what a shame he/she has not learned anything from
watching women labourin his/her 30 years. I think that the point is: He hasnt watched them! He has
come in intermittently and at the last part and told them what to do. No
watching their body language or facial expressions, no learning.
Timing
of cord clamping revisited-Journal of Perinatal Medicine,vol
34, no 4, 2006, pp 293-297Levy T; Blickstein I-(2006)Although
cord cutting has been performed since the beginning of mankind, the timing and
advantages of early versus delayed cord clamping are still controversial. Early
Sue, you said
It used to be in
our unit that we would do a VE 'when your care/management
of the woman would depend upon the result'
What is it now? MM
Quote of the Week
A
real leader will never ask people to accept their opinion as the last word.
Debbie A. Diaz-Ortiz
Seems to be applicable in a lot of areas. MM
Think about It
When we
consider the debate about elective cesarean surgery, it seems apparent that
because biomedicine holds such a prominent position in our culture, it is
possible for procedures to be perpetrated and performed routinely regardless of
whether there is any causal
ABSTRACT:
Background: The
percentage of United States
births delivered by cesarean section
has increased rapidly in recent years, even for women considered to be at low
risk for a cesarean
section. The purpose of this paper is to examine infant and neonatal mortality
risks associated
Recently a friend of mine had twins
at our large teaching hospital. She did not want an epidural or any
interference whatsoever. She was pressed for induction and asked for the
information leaflet from RACOG and the hospitals consent form. She
read it at 36 weeks and said what woman in
Congratulations Jo, it has been a long haul. Love M
Sometimes it just isn't easy, no matter how good at it I wanted to
be. It helps to have a baby who knows what they are doing, and 'good
nipples' (which I have now, apart from the lipstick shaped one ;)).
We are still breastfeeding now
I was
going to ask who did the palpations, but the article told me. Each
woman was examined in the usual way by a
doctor to assess the position of their baby. Afterwards the women
also underwent an ultrasound scan to confirm the position.
I agree
some women are difficult to palpate, but
Is this happening here? MM
The
reality of resistance: the experiences of rural parturient women-Journal of Midwifery and Women's
Health,vol 51, no 4, July/August 2006, pp 260-265Kornelsen J;
Grzybowski S-(2006)The closure of many
local maternity services has given rise to contemporary
: Mary Murphy
To: ozmidwifery@acegraphics.com.au
Sent: Friday, August 04, 2006 4:36 PM
Subject: RE: [ozmidwifery]
Question of the week.
Would this be any
different to a gastrochesis, where loops of bowel are hanging out of the
abdominal cavity. A clients baby was born
diabetes. A couple of years ago I did a bit of research on it for my
masters and could find no evidence that this was so. And according to
cochrane the OGT test is not reproducible 50-70% of the time.
Cheers
Michelle
Mary
Murphy [EMAIL PROTECTED] wrote:
The best way for those
Abstract
Background
Cardiotocography
(sometimes known as electronic fetal monitoring), records changes in the fetal
heart rate and their temporal relationship to uterine contractions. The aim is
to identify babies who may be short of oxygen (hypoxic), so additional
assessments of fetal
Guess who is browsing
Cochrane today?
Cochrane Database of Systematic
Reviews 2006 Issue 3
Types of studies
Published and unpublished
randomized trials comparing fetal biophysical profile (scoring system derived
from B-mode ultrasound monitoring of fetal movements, tone and breathing,
An
interesting question from Midwifery Today E News. I am 21 weeks
pregnant with my third child, which has been diagnosed with spina bifida. This
is quite a shock since my other two children were homebirths and the
specialists said I would require a c-section. I understand the need to
My apologies
if this is a repeat.
We
midwives can do little about societal influence unless we get ourselves into
the media and say that birth can be normal and positive. Jenny Hall
Found this on google. MM
www.ncrc.ac.yu/onkoeng/cv/cv14.html
From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of carob
Sent: Sunday, 30 July 2006 10:08
PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] Dr I Popov
Luckily, I have been married for 44 yrs to a man much like this. Just shows
that it CAN work. Cheers, MM
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Kelly I dont know of any definitive
studies which can show that. The original work was done 60 yrs or more
ago that showed the split was 40/60 for nature/nurture or was it the other way
around? There have been arguments about it for generations. The
area to look would probably be the
Rupture
of uterine scar 3 weeks after vaginal birth after cesarean section (VBAC)-Journal of
Maternal-Fetal and Neonatal Medicine,vol 19, no 6, June 2006, pp
371-373El-Kehdy GI; Ghanem JK; El-Rahl CC; et al-(2006)Uterine scar rupture in vaginal birth after cesarean section
(VBAC) usually
As VacE
xt is so common, we midwives need to recognize the necessity for good
preparation and good follow-up. Sometimes we think VE is great, at least it is
not a C/S. Looks limke we need to try all our means to avoid it. Standing up,
upright kneeling on bed should be options tried before
I realize
this has been discussed before, but good ammunition when needed. MM
Mother's
iron status, breastmilk iron and lactoferrin - are they related?-European Journal of
Clinical Nutrition,vo9l 60, no 7, July 2006, pp
903-908Shashiraj; Faridi MM; Singh O; et
Back in January, there was a discussion about birthing
rooms. The link to Andrea Nolls website was published. I
have only just followed up and found a great story about the making of a midwife
in a country she describes as: Well, my
country, Hungary is one of the few places in the world
Just returning to the list after holidays. MM
Antiviral reduces vertical herpes transmission
Source:Obstetrics
Gynecology 2006; 108: 141-7
Measuring
the efficacy of valacyclovir suppression in late pregnancy for reducing herpes
recurrence and the need for cesarean delivery.
Treating pregnant
women who have a history of genital
Title: Message
have done my own lit r/v and
answered my own questions!! Regards
Lisa
Lisa,
would you share this with us? I am very interested in the subject. Thanks.
MM
Janet could you
please provide us with some references on the low liquor
thing? My understanding and
Title: Message
You are correct. Prenatal testing is imperfect.
The problem is that women are led to believe that it is and action is taken on
the results. It is the doctors who should be careful about making broad
statements. I recently attended a lecture on biophysical profiling given
by
pregnancy is incorrect because she read on
this list of very experienced midwives and doulas that decreased liqour was
only due to imminent labour. Lisa
-Original Message-
From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Mary Murphy
I have been away from my computer, so a bit of a time lag with this posting.
I have previously collected cord blood for storage and was told it had to be
as much of the blood as possible, the more the better. As I routinely
practice physiological 3rd stage,(average 30 mins) there is hardly any
Is it too late for late onset vit K
deficiency? MM
: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Sadie
Sent: Tuesday, 27 June 2006 9:58
AM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] Melena
stools?
Just
The only reason I thought of it was I
recently had a client who s baby had no vit k and he got very anaemic
from melena stools and a diagnosis of late onset vit K deficiency. MM
From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of
Up until march this year, the CMP has
struggled along uncertain of its future, contracts being signed late and for
only a year. The midwives have been on 3 monthly contracts for 3-4 years. Why
is this so? The politics of birth, insurance, money, all sorts of reasons. Our
managers have just
Effect
of timing of umbilical cord clamping on iron status in Mexican infants: a
randomised controlled trial-Lancet,vol 367, no 9527, 17 June 2006, pp
1997-2004Chaparro CM; Neufeld LM; Alavez GT; et al-(2006)BACKGROUND: Delayed clamping of the umbilical cord increases the
infant's iron
Is
there a useful cesarean birth measure? Assessment of the nulliparous term
singleton vertex cesarean birth rate as a tool for obstetric quality
improvement-American Journal of Obstetrics and Gynecology,vol 194,
no 6, June 2006, pp 1644-1652Main EK; Moore D; Farrell B; et
Temporal
trends of preterm birth subtypes and neonatal outcomes-Obstetrics and
Gynecology,vol 107, no 5, May 2006, pp 1035-1041Barros FC; del Pilar Velez
M-(2006)OBJECTIVE: To describe
temporal trends of preterm birth subtypes, neonatal morbidity, and hospital
neonatal mortality. METHODS:
Title: Re: [ozmidwifery] ] FW: Birthcentre/ homebirth
Good grief! I am sure there are a few
people who think that just one of me is too many, but thank you for the
sentiment. See you all next weekend at the HBA conference. mm
From: owner-ozmidwifery@acegraphics.com.au
For every bad birth
you have attended I bet
there have been more good ones.
Yesterday I attended two births at
home. The first was primip who had a lovely water birth of a 3560 baby
boy who slid out into her own hands. The labour was calm and gentle, but
hard work of course. This lady
See you there Jo. MM
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On
Behalf Of Jo Watson
Sent: Thursday, 22 June 2006 7:33
PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] 24th
HBA conf - Tickets nearly sold !
I am going! I'm bringing a Midwife friend
I have seen one which doesn't list the individual action desired (or not)but
talks about quiet ambiance, privacy, being treated respectfully, having
things explained in easily understood language, having a few minutes to
digest the info and discuss it with partner/supporter, etc. Not very long,
Title: Evaluation of the Edinburgh Post Natal Depression Scale using Rasch analysis
Research article
.
Evaluation of the
Edinburgh Post Natal Depression Scale using Rasch analysis
Julie F Pallant
, Renee L Miller and Alan Tennant
BMC Psychiatry 2006,
I thought I saw a workbook on reflective practice advertised
on either Birth International or Capers bookstore. I dont believe that
it was the one by Beverly Taylor as that is not a workbook. Can anyone help
here? Thanks, MM
Thanks, it was the ACMI workbook. MM
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I have heard this point of view, but when talking to the microbiologist, was
told that ferritin is actually not a good measure in pregnancy. Some more
talking to the lab people might be helpful? MM
We have recently been directed to use the ferretin level as a
measure to suppliment or not as it
Does anyone have information about the research that says babies
are anaemic at 4-6 months and therefore need iron rich foods? Surely the body
has the correct amount of iron for the correct age group in healthy breast fed
babies? MM
The iron issue is often used to encourage mothers to
It may not have been intended for the
list, but it is very interesting. Thank you MM
From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of brendamanning
Sent: Sunday, 11 June 2006 8:32 AM
To: ozmidwifery@acegraphics.com.au
Subject:
Reducing post-cesarean vaginal births has no effect on
mortality
Source:Annals
of Family Medicine 2006; 4: 228-34
Looking
at the effect of introducing more restrictive guidelines on vaginal birth after
cesarean section on mortality rates.
Although
rates of vaginal birth after
Unfortunately
we live in a society that is addicted to drama, and the mainstream media
continue to help satisfy the addiction with their sensational stories about
birth.
Linda
McHale and Barbara Nobel Schelling
In W.A 3 midwives in the South West around Bunbury, Margaret River,
Donnybrook triangle; across the Metropolitan area from Rockingham up the
coast to Quinns Rocks, East out to Ellenbrook, north east to Mundaring,
Kalamunda. Occasionally midwives go to Broome as a one off, about once a
year. MM
Now this is a situation that I am becoming
increasingly familiar with. MM
Di wrote: Its
a frustrating situation, to be criticised for empowering women to make these
decisions about themselves.
At the moment I am reading a book around
this subject called Birthing Autonomy, Womens experiences of
planning home births. by Nadine Pilley Edwards. (2005) Routlege, London. Purchased from
Birth International. It is written about homebirths, but this doesnt
mean it is not applicable to
I recently was present where a ventouse was used to turn a baby from POP,
asynclitic position. It was very difficult, with extreme force and a very
generous episiotomy. The baby was extremely shocked and had a head like a
bowl of port wine jelly. It stayed 6 days under the Bili lights with high
I think there is a witch hunt beginning quietly in the background and
midwives are being a bit reticent about speaking out. Look behind you, the
might be a Cassius standing there with a knife. m
I was thinking the same today, Abby. The list seems to have changed. It
wasn't all that long ago we
Signals from disposable sensors located on the maternal cervix and fetal
head objectifies the examination process Is there actually a woman and
a baby involved in this birth? M ,
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Well, how can we know if there is a medical indication unless the machines
have told us? MM
so lets keep our interferring hands off until there is a medical
indication!! Leanne.
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My understanding is that the preparation
is designed to be absorbed from all tissues, especially to meet the challenges
of the oral route, MM
From: Vicky
so why introducea preparation thatis specially
prepared for IM administration- surelyitwould cause some sort of
irritation/
I have to make
myself open for a woman to be open to me. Mabel Dzata
I wonder if this works?
The Art of Midwifery
For all
kinds of pain, including postpartum pains, using the index finger, tap firmly
(not hard enough to leave marks/bruises) right on, around and under the cheek
bone, going back and forth on each side of your face. Tap, tap, tap tap on the
I would guess that Midwifery Led Care has the highest % for natural
childbirth. The CMP in WA has very high rates of normal births but the
numbers are very small (150 clients PA) so cannot be extrapolated to the
wider population. Re oxytocics, it is difficult to say the number on our
program
Hi all, this is not about midwifery but I hope someone can
help- possibly someone from Geelong.
I will be attending the Homebirth conf in July. After that I want to travel
by train to Melbourne.
I will be staying at the Conference centre and want to know which railway
station is closest as
Thanks for the info. I am sure that the
local supporters will NOT want to take me to the station at 5.30am. I can
catch a cab. Cheers, MM
sorry -to clarify (night duty blur)
to railway is abt5 mins by bus
to melb is the one hr by train
Surely if they are (natural, normal, unintervened) it means they don't' need
medical assistance? What is the real question?
-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Dean Jo
Sent: Friday, 19 May 2006 7:10 AM
To: ozmidwifery@acegraphics.com.au
Hi everyone, collective knowledge sought! Does anyone have
any information that would enlighten a woman who has had 2 vaginal births, then
twins by C/S and now wants a VBAC. Is she at increased risk because of the twin
C/S? Thanks, MM
: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On
Behalf Of Andrea Quanchi
Sent: Tuesday, 16 May 2006 8:19 AM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery]
Caroline Flint
Mary
try her website
www.carolineflint.co.uk
Andrea
On 16/05/2006, at 10:04 AM, Mary Murphy
I am not sure if I have previously passed this on. Anyway, here it is
again. MM
Use of micronutrient
combinations in pregnant women
BMC Pregnancy and Childbirth
2006, 6:10
The use of micronutrient combinations with low iron content is
associated with less constipation during pregnancy
I dont know of the Elavit trial, but
this may support what many people have believed about Fluradix
Fluravital. MM
hi i have heard of a clinical trial that was done on a
vitamin supplement call elevit that apparently has enough iron ect for mothers
both breastfeeding and
It
is interesting what one finds when one follows the research trail. The results
of my search showed that Czeizels research has been focused mainly Folic
acid for preventing neural tube defects. He has written lots of papers on folic
acid in preconceptual multivitamins. I read 10
The higher rate of multiple births after
periconceptional multivitamin supplementation: an analysis of causes.
Acta Genet Med Gemellol (Roma).
1994;43(3-4):175-84.
PMID: 8588492 [PubMed - indexed for MEDLINE]
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On
Behalf Of Mary Murphy
Sent
Now Im on the thread I cant
seem to stop. MM
Update of:
Cochrane
Database Syst Rev. 2000;(2):CD001056.
Periconceptional
supplementation with folate and/or multivitamins for preventing neural tube
defects.
Lumley J, Watson L, Watson M, Bower C.
Centre for the Study of
Does anyone have a direct email contact for Caroline? My
previous contact is incorrect. Thanks, MM
Quote of the Week
In
every birth it is the woman and her loved ones in the foreground, with me in
the background. That is where the good midwife belongs. Jill Earl
Cherie wrote: She placed me
at the centre of my own experience, respecting my wishes and encouraging me to
listen to my own body and trust my instincts. I felt totally empowered, safe
and comfortable. My every need was anticipated and attended to. Her
support was unobtrusive and wise.
Thanks Jan and everyone else! I was
thrilled that the essence of midwifery was being celebrated. The woman
who wrote the nomination was concise and eloquent in her praise of midwifery
skills. She captured the spirit of one to one midwifery care in about 50
words. It is all I have strived
Hi, just to let you know that I will be interviewed on ABC
radio at 1030 this morning (thurs) (wa time). cheers, MM
Sorry, I just realized that will only be broadcast in WA. I
hope they do interviews in other states for IMD, MM
:)
Congratulations again, Mary.
Jo
On 05/05/2006, at 8:04 AM, Mary Murphy wrote:
Hi, just to let you know that I will be
interviewed on ABC radio at 1030 this morning (thurs) (wa time). cheers, MM
Delaying cord clamping reduces anemia
Source:Pediatrics 2006; 117: e779-86
Investigating
the effects of the timing of cord clamping on neonatal venous hematocrit.
Delaying
cord clamping may lower rates of anemia in newborns, results of a randomized
controlled trial suggest.
Although
Childbirth
being one's most significant life passage, those close to us when we open to
birth a baby will never be forgotten. Robin Lim
Title: Mastitis question
I usually advise clients to the old adage heat,
rest, empty the breast plus cabbage leaves plus or minus homeopathic Brauers
Antinplex (anti-inflamation) or belladonna 6c. Usually correct
positioning and free access to the breast = no mastitis, however some women
Did you get a reply for this? Maybe I
missed it. The website for RCOG in the UK
has the policy for Strep B which is very rational and balanced; The Centre for
Disease Control in the USA,
where Australia takes its
lead is very extensive and requires close reading; Just google Strep b etc
I gorgot to say that going to the original
research papers is very enlightening. The devil is in the detail.MM
From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Kristin Beckedahl
Sent: Sunday, 23 April 2006 7:45
PM
To:
Jo, how long does it take the baby to find
the breast and begin feeding? MM
I don't know what it's called, but the one where the freshly newborn
baby crawls up the mother's abdomen and attaches itself to the breast without
any help is awesome. Made me cry!
Title: Lactate: Creatinine ratio in babies with thin meconium staining of amniotic fluid
Interesting article which just showa how confused we
are about the meaning of mec stained liquor. MM
.
Lactate:
Creatinine ratio in babies with thin meconium staining of
These are
the moments when a woman is only who she is. There is no pretending, and there
is no running away. There is only being. Heather Hilton
I guess this is why some advise c/s for breech, but it seems
that this, She laboured to fully without any analgesia
then
pushed valiantly for 3.5 hrs is the problem. I was led to believe that if
progress of the breech halted, then it was the time to change options. Mm
Physiological 3rd stage is
usual in homebirths and I observe that pain is often when the placenta is
separated and sitting in the cervix. The uterus is signaling, get it
out. It is a sign for the woman to make efforts to expel it. This may be
squat over a bucket, sit on the toilet or
a c/s - would she have been less likely to
have gotten an infection or have the PPH?
At 6:21 PM +0800 2/4/06, Mary Murphy
wrote:
I guess this is why some advise c/s for breech, but it seems that
this, ³She laboured to fully without any analgesia then
pushed valiantly for 3.5 hrs² is the problem
There is liquor mixed in the blood at a vaginal
birth too. Estimating/weighing blood loss is always going to be inaccurate. I
have never seen anyone weight the abdominal packs after a C/S Is this usual
practice? mm
From: owner-ozmidwifery@acegraphics.com.au
I have been trying to find a Doula for a friend who lives in Darwin. This is part of
what I got when I googled Doula and Darwin.
I have had no luck yet. I have emailed CEA in Darwin twice with no reply. It isnt
as easy as it looks. MM
Cheap flights to Doula, who goes there?
Cheap deals
Journal of Obstetric,
Gynecologic, Neonatal Nursing
Volume 35Page 123 - January 2006
doi:10./j.1552-6909.2006.00012.xVolume
35 Issue 1CLINICAL RESEARCHUmbilical Cord Care: A
Pilot Study Comparing Topical Human Milk, Povidone-Iodine, and Dry CareGulsen
Vurala and Sezer Kisab
Hi, I am looking for Doula contacts in Darwin. Thanks, MM
. It is like having a small baby. Never pass up the
opportunity - Sleep when you get the chance. If you are lying there thinking I
cant sleep, Pretend. You will soon go off. The white
noise of relaxation music tapes helps too. All the best, Mary
Murphy
Hi Tanya, you will soon work out
Barbara writes: I get very upset with
staff putting their heads on desks/pillows sleeping. You have to keep alert;
you are being paid to work.
Not only that, but you could be reported to the Nurses Board for sleeping on
the job. It is a patient safety issue. The other person on shift
Jan Tritten from Midwifery Today has said many times before
that we who know about gentle birth are fewprobably about 1% of the
world's population. If that is true, we each need to teach and convince 100
people that pregnancy and birth can be different from the mainstream destruction
we
. By
strengthening women we strengthen our children and therefore our communities. Julie Brill
1,2,3. MM
Also Google it and you will get all the
websites aimed at the women. MM
Try The
Cochrane Collaboration website or the WHO website for some evidence based
stuff. Melanie.
Hi
all,
I'm a
midwifery student and was wanting to obtain some
I am assuming by now you have googled
Perineal massage and got so much information you are overloaded. parenting.ivillage.com/pregnancy/plabor/0,,midwife_46dl,00.html
- 52k is one site. But there are heaps more how to
**
Thanks leanne for posting this study.
Updated: 6:33 p.m. ET March 7, 2006
First-time pregnant women who give birth in a kneeling position
experience
less pain than those who deliver in a seated position, researchers in Sweden
report..
Over the last 20 yrs or more of attending
No wonder Amy is
confused. I have found no data to support the figure of 25% risk of
stillbirth. The latest evidence is the RCOG (U.K) 2006. which is very
informative and exposes a few myths. MM
BMJ
2002;324:123-124 (19January). Editorials . Obstetric
cholestasis: Reid R, Ivey KJ,
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