diredt entry
Dear Elaine, Midwives working in country hospitals currently work as nurses as well as you state. They are usually oncall for labouring women and when a midwife isn't on duty nurses look after antenatal/postnatal women (well that has been my experience when i was a nurse working in a country hospital). The employer could change the way they provide services with the few midwives working in a caseload practice and employed to only look after the childbearing women and the nurses to care for the sick. The midwives where I have worked before were on call a lot and trying to work some shifts as well. There is the potential for great models of care in the country as often the midwives know the women anyway. Just some thoughts Jackie Kitschke
Re: asynclitism
Hi all and Peter, Thanks for all your comments on "urge to push". I now have another query, asynclitism of presenting part. How difficult is it to diagnose and what is the management of the same? Agree with all of Lyn Staff's comments. Thought I would add the way it feels vaginally for clarification. the sagittal suture is found other than in the middle of the pelvic plane. Hmmm, does that make sense? Maybe this will explain it a bit more... If you imagine the plane of the pelvis like a clock face, and for example, a baby that is presenting well flexed, and an LOA position, the sagittal suture would be found in the position of the clock face from 2o'clock to 8o'clock. with the posterior fontanelle closer to the 2o'clock position from the middle of the clock face. And ROA, well flexed head would demonstrate the sagittal suture in the 4 o'clock to 10 o'clock position, posterior fontanelle closer to 10 o'clock, and so on. An asynclitically moving baby, as the baby rocks it's head from side to side to wriggle its way into and down the pelvis, would, in the LOA position, would have it's sagittal suture in either the 1o'clock to 9 o'clock or the 3 o'clock to 7 o'clock position, or any variation upon that wriggling from side to side theme and so in in all the different positions in the presentations of these little ones. It's very clever when you think about it, the way the little ones seek to adapt and negotiate their mum's pelves. And of course, anything and everything that can open the pelvis more, like the positioning strategies Lyn suggested, plus the self talk that women can do about 'tissues soft and stretching like elastic' etc is helpful. Great question Pete. and I loved your article about birthing on homelands in Birth Issues some time ago. That was you wasn't it? Where are you now? love, in action Carolyn -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Fw: [WOMEN30S] de-tenuring of Mary Daly (fwd)
Hi all, don't know who has read Mary Daly's book, but thought you may be interested in this message. Her book was one of the mind altering ones for me. On another tack. How are the senate submissions coming along? I'm struggling but it's happening! The more I get into it, the more excited I am getting. for those of you who work remote and rural, write your comments to the committee, they need these anecdotal stories from those who are there! Doesn't matter how small or how big the comments letters, submissions are..they just need to know what is the truth and what is happening across Australia. love, in action Carolyn -Original Message- From: Lin MacQueen [EMAIL PROTECTED] To: 'Aus-Fem' [EMAIL PROTECTED] Date: Tuesday, 3 August 1999 2:03 PM Subject: FW: [WOMEN30S] de-tenuring of Mary Daly (fwd) Though this might be of interest Lin MacQueen -- Forwarded message -- To anyone interested in feminism, women's studies, and/or academic freedom: Mary Daly, pioneering feminist theorist and theologian and author of the groundbreaking book _Gyn/Ecology: The Metaethics of Radical Feminism_, has, in effect, been "de-tenured" at Boston College. According to an editorial in the most recent issue of The Nation ( Laura Flanders, "Feminist De-tenured," July 26/August 6, 1999 issue, pp. 5-6), Daly has been teaching a course at BC, Introduction to Feminist Ethics, for the past 25 years to women only, in order to promote a safe space to discuss such issues as violence against women. A male student who wished to register for the course and who ignored Daly's offer to teach him outside the women's class (something she has done for the past dozen years) threatened, with the backing of the Center for Individual Rights, an organization that led attacks on affirmative action at the universities of Texas and Michigan, to sue BC under Title IX antidiscrimination provisions. The intimidation worked and BC canceled Daly's courses for the upcoming academic year. BC claims that Daly resigned voluntarily, a claim she denies, and is no longer a faculty member. They have also denied her access to the university's grievance procedure. Daly is fighting Boston College's actions and has filed complaints of breach-of-contract and violation of tenure rights. Daly is a scholar who put feminist theology and feminist ethics on the academic and political map and deserves the support of all who care about women's studies in the academy, about academic freedom, and about protecting the real purposes of Title IX. The Mary Daly Defense Fund can be reached at: P.O. Box 381176 Cambridge, MA 02238-1176 [EMAIL PROTECTED] Letters to Boston College in defense of Mary Daly can be sent to: Pres. William P. Leahy, SJ Boston College Botolph House Chestnut Hill, MA 02467-3934 If you do write a letter, please forward a copy to the Defense Fund as well. Please pass this message on to others. Jane Rothstein, Ph.D. Candidate Department of History and Skirball Department of Hebrew and Judaic Studies New York University [EMAIL PROTECTED] Send mail to this list at [EMAIL PROTECTED] Admin requests (subscribe, help etc) to [EMAIL PROTECTED] Other requests/comments to [EMAIL PROTECTED] -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Alfalfa response for Susan Kay
Hi Susan, In response to your request for a reference try ' Wise Woman Herbal For The Childbearing Year' by Susun Weed -Ash Tree Publishing'86. Discussions include -' Nettle or Alfalfa leaf infusion or tea taken throughout the pregnancy will increase available vitamin K and hemoglobin in the blood. ( mostly, recommendations/advice r/t optimal health and heamorrhage prevention in mother) "Vitamin K sources- Alfalfa, nettles, kelp. Depleters - frozen foods, rancid fats, air pollution, antibiotics, mineral oil" Section also on Herbal Pharmacy. Hope this is helpful, CHEERS Katrina Corcoran. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
asynclitism
Dear Peter, There is this wonderful midwife in Hobart, Terry Stockdale who taught me a very simple technique to help a baby straighten up, - its the silly walk technique. The mother stands up and lifts one knee up in front as high as she can and then moves it out to be in line with her shoulder (90 degrees from centre), then down. She then repeats this with her other leg. It is amazing how this will help with a baby who is just not coming down even though everything seems OK otherwise. Helen McDonald -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
HealthMonitor - 4 August 1999 -Forwarded
HEALTHMonitor produced by Media Monitors ACT Pty Ltd distributed by Health Communication Network Limited Issue No. 1015 - Wednesday, August 04, 1999 PRINT MEDIA SUMMARY THE AUSTRALIAN Sid Marris p1Ministers agree on gene food labelling. A meeting of Australian and New Zealand health ministers yesterday decided that genetically modified food wouldbe subject to mandatory labelling. (HM040800) John Kerin p3Push to tighten blood screen tests. Federal Health Minister Michael Wooldridge will ask the States and Territories to adopt more stringent blood screening procedures to protect the blood supply from HIV and hepatitis C. (HM040801) Christopher Dore p4Mussel men blame media. Mussel extract lyprinol, which has been said to possibly cure cancer, has been withdrawn from shelves after an investigation was launched into the productÆs marketing and promotion. The manufacturer and distributor have denied promoting it as a cancer treatment. (HM040802) THE CANBERRA TIMES Honey Webb and p3Breastfeeding in public: fine if done ænicelyÆ. Leesha Furse The Canberra Times found that of the small group of people it spoke to, most supported a motherÆs right to breastfeed her child in public. (HM040803) Liz Armitage p3ACT law to protect nursing mothers. The ACT Government plans to amend the ACT Discrimination Act to clarify that women have the right to breastfeed their babies in public. (HM040804) Peter Clack p5æWrongÆ to expel student users of illicit drugs. Australian Drug Foundation chief executive Bill Stronach said Australian schools should not expel students for illicit drug use. He also said the group supported a safe injecting facility for the ACT. (HM040805) THE WEST AUSTRALIAN p8Diagnosis not seen as the end for cancer patients. The incidence of cancer appears to be declining in WA and more people are willing to seek support. (HM040806) Francesca Hodge p8RPH cuts beds, knee procedure. Royal Perth Hospital has closed seven of its 13 rheumatology beds and has cancelled yttrium synovectomies. (HM040807) Julie Butler p29 Schools find more needles: union. The WA State School TeachersÆ Union claims it is becoming increasingly common to find syringes on school grounds. (HM040808) Tamara Hunterp31 Councils not happy to be smoke police. The WA Country Shire CouncilsÆ Association have demanded the State Government finance council staff to enforce anti-smoking legislation. (HM040809) Francesca Hodge p34 AMA chief in mailing list row. AMA WA president Rosanna Capolingua-Host has refused to release a mailing list to former president Michael Jones so he can urge members to support federal president David Brand. (HM040810) Francesca Hodge p36 Babies way too cute for Y2K record. A British doctor has warned that the clocks in hospitals are often inaccurate and are too unreliable to use to determine who will be the first child of the year 2000. (HM040811) Sue Peacock p60 Broome a picture of health after revamp. The redevelopment of Broome Hospital has been completed. (HM040812) THE COURIER MAIL Sean Parnell p9Health fund wait time set to grow. Federal Health MinisterMichael Wooldridge is considering extending the private health insurance waiting periodsforpre-existingconditionsand obstetrics. (HM040813) Michelle Helep9Aussie expertise has tot toddling.Article profiles the case of a Vietnamese child who received health care in Australia
RE: Rural Mid
Hi Kathleen all in this rural mid discussion I realise that I cannot speak for rural practitioners in towns in SE Qld, Vic, SA etc. but I have a pretty good idea about what is happening in N and NW Qld. It really does depend on the size of the hospital and the size of the catchment area it serves. 120 births/yr would be unbelievable for many of the rural/remote hospitals in north west far north QLD. Talking to midwives in the area I am researching supports both perspectives. There is a strong need for midwives who are up-to-date, experienced and able to handle emergencies in isolated areas with limited facilities and often a young doctor who lacks obstetric experience/confidence. However, maintaining skills is very difficult when the number of women birthing in your health district is 12 - 35 year. (Others are sent way because of risk factors, or choose to birth in a larger centre). This caseload would mean travelling vast distances, without back up. Often the mid role overlaps with gynae child health, as well as general nursing. There is a place out there for midwives with general nursing skills (and mental health AE ... hard to be the up to date generalist in all areas). When the midwife is seen to be outdated in her ideas practise, women tend not to trust her and chose to go elsewhere to birth, compounding the problem. Also, there is an aging rural population. The trend is towards young couples and families to leave the bush and go where education and work opportunities are better. If we are to educate midiwves for the future this could see them without (rural) clients. With the birthrate now below replacement level, we need midwives who can not only competently meet the needs of women but who also have a viable client base. Many students coming into Mid courses are older/mature women with families and commitments. They did general nursing years ago and life experience has led them to Mid. They tend not be mobile or have limited mobility. There is no childcare in these small rural towns. Even birthing mums find it hard to know who will look after their children while they are away for diagnostic procedures or birth. Certainly no where a solitatry midwife could leave her children in a hurry if she had to head off into the sunset for a period of time. Direct Entry Mid would be a great way to recruit young women who would be able to be mobile and practise across a range of settings. It would be a most exciting advance for Australian mid, but I think rural practice requires special consideration. Cheers Felicity (-: Kathleen wrote: At 11:23 AM 8/3/99 +1000, you wrote: I hear you concern about rural women and agree that more rural women should have the option to birth in their home town but I don't think that this means that midwives who are not nurses cannot work in rural hospitals. Eg If 120 women birth per year in a rural hospital it may take 12 nurse-midwives to cover all shifts + holidays but if caseload midwifery was used then 3 full time midwives could provide all the care for the same number of women. Dr. Kathleen Fahy Associate Professor Midwifery Co-ordinator University Southern Queensland 07 46312377 [EMAIL PROTECTED] -Original Message- From: Judy Chapman [mailto:[EMAIL PROTECTED]] Sent: Tuesday, August 03, 1999 11:02 To: [EMAIL PROTECTED] Subject: Re: Direct entry I agree with Elaine wholeheartedly. I have no desire to do general nursing and restrict my jobsearching to hospitals big enough to employ full time midwives. One of the problems not mentioned also is the lack of doctors who can/will do obstetrics. Many women are forced to leave their families for long periods and travel far because there are no facilities for C/S and of course, there is no way you can have a baby if there are not the facilities to do an emergency C/S for whatever reason. The number of social inductions that are done in my centre for the sole reason of letting a woman have her baby and get home to her family is shocking. I don't blame the OB, his heart goes out to them in their loneliness and he aquieses to their request. It is a system which places so much emphasis on the need to do an operative delivery which is at fault. Judy From: "Dietsch Family" [EMAIL PROTECTED] Reply-To: [EMAIL PROTECTED] To: "midwifery@ace" [EMAIL PROTECTED] Subject: Direct entry Date: Wed, 28 Jul 1999 20:24:13 +1000 While I agree that Direct Entry would be a wonderful opportunity for women choosing to be midwives and for many birthing women. I do have a concern that I would like to share with the list. My concern is for women choosing to give birth in small country towns all over Australia. Rural (let alone remote) Australia is having incredible difficulty recruiting midwives to practice and as a result maternity services all over the country are being closed and women are being forced to larger centres, often many hours away to give birth (A homebirth midwife is only a fantasy!).
RE: Rural Mid
Hi again, Yes, there could be a full-time caseload for a midwife in small town. In two of the towns in my study there was a person who was generally acknowledged, trusted and respected as "the midwife". However, there were times when she was on holidays, away, etc. . Even with planning around her shifts, birthing women who went into labour suddenly found she was not available. Women who were very happy to birth locally found themselves without these midwives when they needed them. There needs to be backup. It's true though, as you say, the more you spread the workload, the thinner the experience becomes, leading to deskilling. This is a problem for nurse-midwives. I don't know the answer. If anyone has one, please let me know as I'll build it into my PhD recommendations. I'm really enjoying being able to discuss this Cheers Felicity Kathleen responded: At 12:28 PM 8/4/99 +1000, you wrote: Dear Felicity, I recognise that caseload midwifery will not solve all problems as you have so cogently pointed out. Where there are only 12-20 birth per year it is difficult to see how a safe service can be operated when a number of nurse-midwives have to cover all shifts. The point of my posting was to say that it is important to sometimes change the way we look at things (eg staffing in midwifery units of rural hospitals). For the medium sized hospitals 45 births per year would be full-time work for one midwife; ninety would be full-time work for two. This is a useful idea, don't you think? This idea does not negate that there are some hospitals which will always need multi-skilled health care professionals and many midwives who want to be nurses also. Warm regards, Kathleen -Original Message- From: Felicity Croker [mailto:[EMAIL PROTECTED]] Sent: Tuesday, August 03, 1999 1:55 To: Kathleen Fahy Subject: RE: Rural Mid Hi Kathleen all in this rural mid discussion I realise that I cannot speak for rural practitioners in towns in SE Qld, Vic, SA etc. but I have a pretty good idea about what is happening in N and NW Qld. It really does depend on the size of the hospital and the size of the catchment area it serves. 120 births/yr would be unbelievable for many of the rural/remote hospitals in north west far north QLD. Talking to midwives in the area I am researching supports both perspectives. There is a strong need for midwives who are up-to-date, experienced and able to handle emergencies in isolated areas with limited facilities and often a young doctor who lacks obstetric experience/confidence. However, maintaining skills is very difficult when the number of women birthing in your health district is 12 - 35 year. (Others are sent way because of risk factors, or choose to birth in a larger centre). This caseload would mean travelling vast distances, without back up. Often the mid role overlaps with gynae child health, as well as general nursing. There is a place out there for midwives with general nursing skills (and mental health AE ... hard to be the up to date generalist in all areas). When the midwife is seen to be outdated in her ideas practise, women tend not to trust her and chose to go elsewhere to birth, compounding the problem. Also, there is an aging rural population. The trend is towards young couples and families to leave the bush and go where education and work opportunities are better. If we are to educate midiwves for the future this could see them without (rural) clients. With the birthrate now below replacement level, we need midwives who can not only competently meet the needs of women but who also have a viable client base. Many students coming into Mid courses are older/mature women with families and commitments. They did general nursing years ago and life experience has led them to Mid. They tend not be mobile or have limited mobility. There is no childcare in these small rural towns. Even birthing mums find it hard to know who will look after their children while they are away for diagnostic procedures or birth. Certainly no where a solitatry midwife could leave her children in a hurry if she had to head off into the sunset for a period of time. Direct Entry Mid would be a great way to recruit young women who would be able to be mobile and practise across a range of settings. It would be a most exciting advance for Australian mid, but I think rural practice requires special consideration. Cheers Felicity (-: Kathleen wrote: At 11:23 AM 8/3/99 +1000, you wrote: I hear you concern about rural women and agree that more rural women should have the option to birth in their home town but I don't think that this means that midwives who are not nurses cannot work in rural hospitals. Eg If 120 women birth per year in a rural hospital it may take 12 nurse-midwives to cover all shifts + holidays but if caseload midwifery was used then 3 full time midwives could provide all the care for the same number of women. Dr. Kathleen Fahy Associate Professor
a carpentar is a carpentar
Dear all, sorry that this will be short and appear more facetious (the only word in the english language with all the vowels in the correct order), than usual. Finalising the senate submission etc. The debate about whether direct midwifery entry is appropriate to rural services of care. This debate truly is a theological non-starter. Midwifery is different from nursing. We all I hope see this. Nursing ambushed midwifery and took it under its overbearing pathological wing. If it had not then you would no sooner be seeing a nurse to attend you antenatally or birthing than you would get a plumber to fix your broken hard drive. The dual faceted role of a nurse/midwife has come about from accepting a pathological interpretation of birth and linking it to the carer of the sick. If we truly believe the great divide in the roles- with respect to both then we realise just how absurd it is. As for the comments that hospitals see a need to utilize midwives as nurses well surely direct entry will serve our profession best to end this. I largely agree with most of what Marie had to say. Looking forward to seeing all who are coming on Friday to the gathering. See you then. Nigel. === From Cathy Bock and Nigel Duncan. at BIRTHING HANDS (Homebirth, ante/post natal care and hospital support) [EMAIL PROTECTED] 0414 886827 or 0414 554840 _ Do You Yahoo!? Free instant messaging and more at http://messenger.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
