Re: [ozmidwifery] Gastro Labour
Dear Kelly, I think your job here is just to tell her how you feel about the situation and then let her make her own decision without taking your feelings into account. This is her journey and you are just a follower not a leader here. As long as she knows everything that you know it has to be her sole decision on what happens next, you just have to be her rock and advocate in whatever circumstance arises. Lisa
Re: [ozmidwifery] PPH levels soar
Jennifairy said
I wonder how many of these women had inductions (for eg)?
Ive also seen (during my student experiences, so have other current
students) some midwives doctors apply CCT without giving synt,
describing this as 'physiological' 3rd stage. There are lots of 'mixed
managements' of 3rd stage out there with no real evidence base, IMHO
once you do anything like pull on the cord its active management, but on
the 'coal face' there sometimes doesnt seem to be much consensus around
'reasonable' evidence-based 3rd stage management.
What Im pointing out is there is sometimes a gap bewteen what we think
we mean by a term ('active 3rd stage', for eg) what actually happens,
ie, how that is interpreted by the person doing the job, the term may
imply consistency but that doesnt fit reality
cheers.
..
I agree Jennifairy that there is a gap between good practice and what
actually happens. It isn't however because there research or knowledge
isn't there it's more because practitioners are happy to carry on in
ignorance without applying the correct skills and are able to get away with
it.
Lisa
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RE: [ozmidwifery] Gastro Labour
Yep thats what I did just met her for a couple of hours and saw her husband he looked awful and white as a ghost, but she says shes ready, so I will follow and support her 11% in her decision. The hospital told her her husband would be alright as long as he didnt hold the baby. Best Regards, Kelly Zantey Creator, BellyBelly.com.au Gentle Solutions From Conception to Parenthood BellyBelly Birth Support - http://www.bellybelly.com.au/birth-support From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Lisa Barrett Sent: Monday, 12 June 2006 4:06 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Gastro Labour Dear Kelly, I think your job here is just to tell her how you feel about the situation and then let her make her own decision without taking your feelings into account. This is her journey and you are just a follower not a leader here. As long as she knows everything that you know it has to be her sole decision on what happens next, you just have to be her rock and advocate in whatever circumstance arises. Lisa
RE: [ozmidwifery] Gastro Labour
Oops that was supposed to be 110% - very tired! Early night I think. Best Regards, Kelly Zantey Creator, BellyBelly.com.au Gentle Solutions From Conception to Parenthood BellyBelly Birth Support - http://www.bellybelly.com.au/birth-support From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kelly @ BellyBelly Sent: Monday, 12 June 2006 5:39 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Gastro Labour Yep thats what I did just met her for a couple of hours and saw her husband he looked awful and white as a ghost, but she says shes ready, so I will follow and support her 11% in her decision. The hospital told her her husband would be alright as long as he didnt hold the baby. Best Regards, Kelly Zantey Creator, BellyBelly.com.au Gentle Solutions From Conception to Parenthood BellyBelly Birth Support - http://www.bellybelly.com.au/birth-support From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Lisa Barrett Sent: Monday, 12 June 2006 4:06 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Gastro Labour Dear Kelly, I think your job here is just to tell her how you feel about the situation and then let her make her own decision without taking your feelings into account. This is her journey and you are just a follower not a leader here. As long as she knows everything that you know it has to be her sole decision on what happens next, you just have to be her rock and advocate in whatever circumstance arises. Lisa
Re: [ozmidwifery] PPH levels soar
Four words, Kimmy, cord traction and induction! When will we learn to leave stuff alone? We had a massive "stastical blip" in emergency hysterectomies in Vic recently and there was much handwringing and exclamations of "Good lord how did that happen?!" It's not going away on it's own, people! : ( J - Original Message - From: Sue Cookson To: ozmidwifery@acegraphics.com.au Sent: Sunday, June 11, 2006 6:49 PM Subject: [ozmidwifery] PPH levels soar Hi,This article appeared in last week's Sydney Morning Herald.I think it's amazing and it appears that some of the information is incorrect in that the article states that NSW Health implemented active thrid stage and early cord clamping in 2002. Surely syntometrine and syntocinon have been used for many more years than just the last four, in which case this study is a real eye-opener if you believe we are stopping women from bleeding by using drugs in third stage.What do you think?Sue Transfusions soar for women giving birth Julie Robotham Medical EditorJune 3, 2006 RECORD numbers of NSW women need transfusions to treat massive blood loss after giving birth, in an epidemic that doctors say is threatening new mothers' health and fertility and sometimes their lives. The number of women diagnosed with post-partum hemorrhage has rocketed by nearly 30 per cent, and almost one in nine births was affected in 2002, compared to one in 12 in 1994, University of Sydney research has shown. Of those, the proportion whose condition was severe enough to warrant a blood transfusion increased sixfold, from 2 per cent to 12 per cent. "It's extremely important," said Ken Clark, the president of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists. Bleeding was "still a very real cause of the death of women but also a great deal of [ill health] that has a tremendous impact on women and their families". In the worst cases mothers had to undergo emergency hysterectomies to save their lives, but even less dramatic surgery to clamp blood vessels or anaemia could be debilitating. "To have that on top of all the other stresses and strains of motherhood it's the last thing people need," Dr Clark said. The NSW findings are the first large-scale confirmation of the impression among individual doctors and hospitals across Australia that major bleeding is increasing. Carolyn Cameron, who led the statewide analysis, said neither the well-documented rise in caesarean section births nor the growing number of older mothers could explain the increase in hemorrhages. It was possible more borderline cases were being identified, but this alone was unlikely to account for the increase. "We have to search for something else. It's a mystery," said Ms Cameron, a research officer at the Centre for Perinatal Health Services Research. The group would now look at how many previous pregnancies women had and the length of their labours to see whether these offered clues to the reasons for hemorrhage - diagnosed when more than 500 millilitres of blood is lost after a vaginal birth, or more than 750 millilitres after a caesarean. Blood loss - usually from the site where the placenta detaches - is currently the single largest cause of pregnancy-related death in Australia Between 1997 and 1999 - the most recent period for which figures are available - eight women died as a consequence, including two who refused transfusions for religious reasons. Ms Cameron's research, published in the Australian and New Zealand Journal of Public Health, was based on the medical records of more than 52,000 women who had a birth-related hemorrhage in NSW between 1994 and 2002. It is not yet clear whether the pattern has continued since 2002, when NSW Health recommended the use of drugs to expel the placenta and early clamping of the umbilical cord to limit bleeding. David Ellwood, professor of obstetrics and gynaecology at the Australian National University Medical School in Canberra, said: "All of the major hospitals around the country have been noticing an increase." Women who gave birth vaginally after a previous caesarean, or those carrying twins, might be at increased risk, he said. Rising birthweights might also contribute to the trend. Increasing transfusion numbers indicated that the severest bleeding was also rising, Professor Ellwood said - because doctors were reluctant to transfuse women with less serious hemorrhages. A group of maternity hospitals was researching women's recovery from birth hemorrhages to see whether they affected breastfeeding or triggered post-natal depression, he said. http://www.smh.com.au/news/national/transfusions-soar-for-women-giving-birth/2006/06/02/1148956546560.html#
Re: [ozmidwifery] Introducing solids too early
Title: Re: [ozmidwifery] Introducing solids too early Thanks. Not a lot. I sold Murdoch the rights so its not really my book - I don't make any more money out of it. I'm thinking of doing another one in the next year or so. Carol Carol FallowsFallows AssociatesABN 57 776 135 100Editorial, publishing and PR services6A/1 Mandolong Rd,Mosman NSW 2088ph. 02 9969 1228 (bh) fax 9969 9526, mobile 0419 49 69 70website: www.carolfallows.com.au - Original Message - From: Päivi Laukkanen To: ozmidwifery@acegraphics.com.au Sent: Friday, June 09, 2006 11:27 PM Subject: Re: [ozmidwifery] Introducing solids too early Thanks Carol, It looks georgeous! I think I'll order one and check it out. I did actually send a wholesale enquiry already to the publisher. What kind of feed back have you got about the book? Päivi - Original Message - From: Carol Fallows To: ozmidwifery@acegraphics.com.au Sent: Friday, June 09, 2006 4:37 AM Subject: Re: [ozmidwifery] Introducing solids too early Hi Paivi, The book was published last year by Murdoch Books. It is called 'baby toddler food' you would need to speak to them if you wanted to stock it. They have a website www.murdochbooks.com. You need to go to their backlist and it is under Food for Life. Thank you, Carol Carol FallowsFallows AssociatesABN 57 776 135 100Editorial, publishing and PR servicesph. 02 9969 1228 (bh) fax 9969 9526, website: www.carolfallows.com.au - Original Message - From: Päivi Laukkanen To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 08, 2006 5:44 PM Subject: Re: [ozmidwifery] Introducing solids too early Hi Carol, Your book sounds great. Sometimes I think I have to set up my own Publishing company in Finland and start to publish good books on birth, breastfeeding and positive parenting. We just don't have any good reads in our language. If your books is as good as it sounds I would love to sell it in my store, even if it was only in english. So, is it getting published?? Päivi - Original Message - From: Carol Fallows To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 08, 2006 9:02 AM Subject: Re: [ozmidwifery] Introducing solids too early Hi Justine, Yes the formula and baby food industry is a giant to be reconned with. But there is some light at the end of the tunnel. I provide editorial services to www.essentialbaby.com.au and there was recently a huge outcry over an advertisement saying formula would help solve sleep problems - so much so that the ad was pulled overnight. EB is a fairly powerful force in the parent/consumer world so this has made a few waves. The only way we are going to get the big companies to tow the line is by legislating and that is as likely to happen as is the banning of bullbars! So while they can get away with it they will go on doing so. However it is my experience that it is worth having a go and in order to get the message out to parentsit is better to play with the big boys rather than against them. If I was writing a book on such a subject I would be taking a practical approach that gave parents lots of strategies. Last year I wrote a book on baby food with a nutritionist which was subtitled - recipes and practical information for feeding babies and toddlers. We included a section on why babies don't need juice, another on commercial baby foods -and whythey are not essentialand another on how to read labels...The book looks good and the message is 'you can feed your baby simply and easily and here's how, beginningwith breast milk for at least 6 months'. The other problem is that of finding a publisher - we were asked to write this book by Murdoch Books. I think I remember that Maureen Minchin had to self-publish in the beginning?Yes NHMRC has Infant Feeding Guidelines, though the website says they are currently under review. Thanks for the reference to the article in the Ecologist. Carol FallowsFallows AssociatesABN 57 776 135 100Editorial, publishing and PR servicesph. 02 9969 1228 (bh) fax 9969 9526website: www.carolfallows.com.au - Original Message - From: Justine Caines To: OzMid List Sent: Thursday, June 08, 2006 12:47 PM Subject: Re: [ozmidwifery] Introducing solids too early Dear Carol and
