[ozmidwifery] term breech trial.
Hi Andrea, Was reading your online diary and was very interested to learn about this new article. As you can see it is in the current issue of AJOG. Lets hope that all Obs. are taking note. Lisa Five years to the term breech trial: The rise and fall of a randomized controlled trial. American Journal of Obstetrics Gynecology. 194(1):20-25, January 2006.Glezerman, Marek MD Abstract: Objective: On the basis of the end points of neonatal morbidity and death, the authors of the term breech trial concluded unequivocally that cesarean delivery was safer for breech babies. Study design: Analysis of the original and new data gives rise to serious concerns as far as study design, methods, and conclusions are concerned. In a substantial number of cases, there was a lack of adherence to the inclusion criteria. There was a large interinstitutional variation of standard of care; inadequate methods of antepartum and intrapartum fetal assessment were used, and a large proportion of women were recruited during active labor. In many instances of planned vaginal delivery, there was no attendance of a clinician with adequate expertise. Results: Most cases of neonatal death and morbidity in the term breech trial cannot be attributed to the mode of delivery. Moreover, analysis of outcome after 2 years has shown no difference between vaginal and abdominal deliveries of breech babies. Conclusion: The original term breech trial recommendations should be withdrawn. (C) Mosby-Year Book Inc. 2006. All Rights Reserved.
Re: [ozmidwifery] term breech trial.
Lisa Barrett [EMAIL PROTECTED] wrote: Was reading your online diary and was very interested to learn about this new article. As you can see it is in the current issue of AJOG. Lets hope that all Obs. are taking note. Sadly I dont think they are- the reason it was so well received in the first place was that it gave them a great reason to CS another group of women, and because of that a whole generation of new OB's have never developed the skills needed. Many midwives have the skills - but over here (Canada) we are expected to have the OB do the birth. At the conference in MArch we are discussing the use of these trials and the damage they have caused in OB, and have an Australian OB coming to talk on how skills are being taught to new residents/midwives and how we can teach the next generation. Interestingly the majority of the delegates so far are midwives - agghh, preaching to the converted. If you know of any OB's who may be interested in coming up to speed on the latest in breech birth - feel free to pass on conference info. Best wishes Jane www.breechbirthconference.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] IV Synto for 3rd stage
Hi all I'm a Mid student (who has finally finished all her birth requirements...yay!) and this issue has only just come up for me over the last week or two. For the first time in two years, a midwife I was working with pointed out the importance of flushing through the synto if you have given it IV, if there was no drip running to flush it through. This obviously makes sense, because if you don't flush it, the synto will just sit in the J loop or IV line. However, I had never actually seen a midwife do this before. Over the next few days I asked a few midwives what they do, and the responses I got ranged from Why on earth would you need to do that? to Yes, of course you need to flush it! Any thoughts on this topic? Kylie _ New year, new job there's more than 100,00 jobs at SEEK http://a.ninemsn.com.au/b.aspx?URL=http%3A%2F%2Fninemsn%2Eseek%2Ecom%2Eau_t=752315885_r=Jan05_tagline_m=EXT -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] IV Synto for 3rd stage
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: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Kylie Holden Sent: Sunday, 22 January 2006 12:14 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] IV Synto for 3rd stage Hi all I'm a Mid student (who has finally finished all her birth requirements...yay!) and this issue has only just come up for me over the last week or two. For the first time in two years, a midwife I was working with pointed out the importance of flushing through the synto if you have given it IV, if there was no drip running to flush it through. This obviously makes sense, because if you don't flush it, the synto will just sit in the J loop or IV line. However, I had never actually seen a midwife do this before. Over the next few days I asked a few midwives what they do, and the responses I got ranged from Why on earth would you need to do that? to Yes, of course you need to flush it! Any thoughts on this topic? Kylie _ New year, new job there's more than 100,00 jobs at SEEK http://a.ninemsn.com.au/b.aspx?URL=http%3A%2F%2Fninemsn%2Eseek%2Ecom%2Eau_t =752315885_r=Jan05_tagline_m=EXT -- 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] 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: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Kylie Holden Sent: Sunday, 22 January 2006 12:14 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] IV Synto for 3rd stage Hi all I'm a Mid student (who has finally finished all her birth requirements...yay!) and this issue has only just come up for me over the last week or two. For the first time in two years, a midwife I was working with pointed out the importance of flushing through the synto if you have given it IV, if there was no drip running to flush it through. This obviously makes sense, because if you don't flush it, the synto will just sit in the J loop or IV line. However, I had never actually seen a midwife do this before. Over the next few days I asked a few midwives what they do, and the responses I got ranged from Why on earth would you need to do that? to Yes, of course you need to flush it! Any thoughts on this topic? Kylie _ New year, new job – there's more than 100,00 jobs at SEEK http://a.ninemsn.com.au/b.aspx? URL=http%3A%2F%2Fninemsn%2Eseek%2Ecom%2Eau_t =752315885_r=Jan05_tagline_m=EXT -- 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.
