[ozmidwifery] Interesting website
Another fascinating website, http://MilkOfHumanKindness.org warmly, Carolyn Hastie I am only one; but still I am one. I cannot do everything, but still I can do something. I will not refuse to do the something I can do. Helen Keller 1880-1968, Author and Lecturer Heartlogic Consultancy Leaders in personal mastery and healthy organisational change Phone +61 2 4389 3919 Fax +61 2 4388 6819 Mobile 0418 428 430 Email [EMAIL PROTECTED] PO Box 5405 Chittaway Bay NSW 2261 Australia -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Interesting website
what a lovely site, Carolyn, Thanks Pinky - Original Message - From: Heartlogic [EMAIL PROTECTED] To: Ozmidwifery [EMAIL PROTECTED]; Birthnews [EMAIL PROTECTED]; C-aware [EMAIL PROTECTED] Sent: Sunday, March 23, 2003 8:16 PM Subject: [ozmidwifery] Interesting website Another fascinating website, http://MilkOfHumanKindness.org warmly, Carolyn Hastie I am only one; but still I am one. I cannot do everything, but still I can do something. I will not refuse to do the something I can do. Helen Keller 1880-1968, Author and Lecturer Heartlogic Consultancy Leaders in personal mastery and healthy organisational change Phone +61 2 4389 3919 Fax +61 2 4388 6819 Mobile 0418 428 430 Email [EMAIL PROTECTED] PO Box 5405 Chittaway Bay NSW 2261 Australia -- 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.
[ozmidwifery] Pregnant women in Iraq
From medscape weekly news. Cheers Tina P. --- UN Group to Aid Pregnant Women in Iraq NEW YORK (Reuters Health) Mar 21 - The United Nations Population Fund (UNFPA) is set to drop equipment and supplies in Iraq and neighboring countries designed to improve the care of pregnant women displaced by the war, according to a UNFPA statement released on Friday. Maternal and infant mortality rates have risen greatly in Iraq in recent years. In the late 1980s, 117 mothers died per 100,000 live births, but now the rate is more than three times as high--370 deaths. Mortality rates for infants and young children have also increased dramatically, according to the UNFPA. With the war in Iraq, these figures are only going to get worse, the UNFPA notes. Before the war began on Wednesday, pregnant women were rushing to hospitals in Baghdad pleading with physicians to deliver their infants--even if it meant a c-section or extreme prematurity. During the war in 1991, many maternal and infant deaths occurred because patients were unable to reach the hospital. The UNFPA has pre-positioned basic reproductive health supplies inside Iraq, including equipment needed for 35 mobile health units and four referral-level facilities to serve internally displaced persons. A representative from UNFPA will be coordinating the operations at the United Nations centre in Cyprus. The UNFPA has also taken measures to protect the health of pregnant women who flee to neighboring countries. Equipment and medical personnel are being deployed to Jordan, Syria, Iran, and Turkey. To continue and expand these efforts, UNFPA is "asking international donors for $5 million for the next 6 months."
[ozmidwifery] epidurals and BF rates...
Hi alldoing the rounds of the journals tonight...found this interesting snippet... Yours in reforming midwifery Tina Pettigrew. B Mid Student ACU Melb http://groups.yahoo.com/group/BMidStudentCollective/ " As we trust the flowers to open to new life - So we can trust birth" Harriette Hartigan. --- Effect of Labor Epidural Anesthesia on Breast-Feeding of Healthy Full- Term Newborns Delivered Vaginally from Journal of the American Board of Family Practice Posted 03/05/2003 Dennis J. Baumgarder, MD, Patricia Muehl, RN, MSN, Mary Fischer, MS, Bridget Pribbenow http://www.medscape.com/viewarticle/449424 Abstract and Introduction Abstract Background: Epidural anesthesia is commonly administered to laboring women. Some studies have suggested that epidural anesthesia might inhibit breast-feeding. This study explores the association between labor epidural anesthesia and early breast-feeding success. Methods: Standardized records of mother-baby dyads representing 115 consecutive healthy, full-term, breast-feeding newborns delivered vaginally of mothers receiving epidural anesthesia were analyzed and compared with 116 newborns not exposed to maternal epidural anesthesia. Primary outcome was two successful breast-feeding encounters by 24 hours of age, as defined by a LATCH breast-feeding assessment score of 7 or more of 10 and a latch score of 2/2. Means were compared with the Kruskal-Wallis test. Categorical data were compared using the Mantel-Haenszel chi-square test. Stratified analysis of potentially confounding variables was performed using Mantel-Haenszel weighted odd ratios (OR) and chi-square for evaluation of interaction. Results: Both epidural and nonepidural anesthesia groups were similar except maternal nulliparity was more common in the epidural anesthesia group. Two successful breast-feedings within 24 hours of age were achieved by 69.6% of mother-baby units that had had epidural anesthesia compared with 81.0% of mother-baby units that had not (odds ratio [OR] 0.53, P = .04). These relations remained after stratification (weighted odds ratios in parenthesis) based on maternal age (0.52), parity (0.58), narcotics use in labor (0.49), and first breast-feeding within 1 hour (0.49). Babies of mothers who had had epidural anesthesia were significantly more likely to receive a bottle supplement while hospitalized (OR 2.63; P .001) despite mothers exposed to epidural anesthesia showing a trend toward being more likely to attempt breast-feeding in the 1 hour (OR 1.66; P = .06). Mothers who had epidural anesthesia and who did not breast- feed within 1 hour were at high risk for having their babies receive bottle supplementation (OR 6.27). Conclusions: Labor epidural anesthesia had a negative impact on breast-feeding in the first 24 hours of life even though it did not inhibit the percentage of breast-feeding attempts in the first hour. Further studies are needed to elucidate the exact nature of this association.
[ozmidwifery] more on epidurals
Hi all, just got in for epidurals tonightsome interesting reading... Cheers Tina P X Epidural Analgesia and Severe Perineal Laceration in a Community-based Obstetric Practice from Journal of the American Board of Family Practice Posted 03/12/2003 Timothy G. Carroll, MD, Michael Engelken, MD, Michael C. Mosier, PhD, Niaman Nazir, MBBS, MPH Abstract and Introduction AbstractBackground: This study assessed whether epidural analgesia was an independent risk factor for severe perineal laceration. Methods: A retrospective cohort study analyzed 2,759 patients at St. Francis Regional Medical Center who had vertex, spontaneous or induced, singleton, live, vaginal deliveries of neonates of at least 36 weeks' gestation. Patients with diabetes or severe cardiac disease were excluded. Outcomes measured were third- or fourth-degree perineal lacerations. Results: Overall rate of severe perineal laceration was 6.38% (n = 176). Epidural analgesia was given to 634 (22.98%) women. Among women who had epidural analgesia, 10.25% (65 of 634) had severe perineal lacerations compared with 5.22% (111 of 2,125) of the women who did not have epidural analgesia. After controlling for major variables in a logistic regression analysis, epidural analgesia remained a significant predictor of severe perineal injury (odds ratio [OR] = 1.528, 95% confidence interval [CI] = 1.092-2.137). When instrument use was included in the model, epidural analgesia was no longer a statistically significant, independent predictor of severe perineal injury. (OR = 1.287, 95% CI = 0.907-1.826). Instrument use was found to be a strong predictor of severe laceration (OR = 3.245, 95% CI = 2.162-4.869). A logistic regression model examining predictors of instrument use found that epidural analgesia does significantly predict instrument use (OR = 3.01, 95% CI = 2.225-4.075). Conclusion: Epidural analgesia is associated with an increase in severe perineal trauma as a result of an associated threefold increased risk of instrument use. Instrument use in vaginal delivery more than triples the risk of severe perineal laceration. IntroductionPerineal trauma during vaginal delivery can have serious consequences. Long-term adverse effects of severe perineal laceration include chronic fecal incontinence, dyspareunia, perineal pain, and rectovaginal fistula. Severe laceration, such as a tear extending into the deep transverse perineal muscles and fibers of the anal sphincter (third degree) or rectal mucosa (fourth degree), is generally considered to occur with 5% of vaginal deliveries.[1] Some degree of perineal laceration, however, has been reported in up to 35% to 75% of all vaginal births.[2] A recent study found that 31% of female British obstetricians would choose cesarean delivery without any clinical indication because of concern about severe perineal damage.[3] Any factor that increases the real or perceived risk of perineal trauma is important. Although increasingly popular, epidural analgesia has not been extensively studied as a risk factor for perineal damage. In some areas, epidural analgesia is administered in more than 70% of patients for vaginal delivery.[4] A determination of whether epidural analgesia is a risk factor for severe laceration has important consequences for decisions about delivery and potential long-term effects on maternal health. A MEDLINE search of journal articles from 1970 to the present using terms related to this issue found only six studies exploring the association of epidural analgesia with severe perineal laceration. The results of these studies are conflicting. Three studies found epidural analgesia to be either protective or not associated to perineal laceration.[5-7] A potential explanation for this result is that epidural analgesia causes the perineal muscles to relax, allowing for a more controlled delivery of the fetal head. Conversely, the three other studies reported that epidural analgesia is associated with higher rates of laceration.[4,8,9] Explanations for this finding have included increased use of operative delivery methods, lengthened second stage of labor, and increased amounts of fetal malposition (occiput posterior and transverse) during delivery when epidural analgesia is used.[8,10,11] With the conflicting results of these studies, it is highly relevant to explore whether epidural analgesia carries an increased risk of perineal tear using data relevant to a community-based practice. Section 1 of 6 Timothy G. Carroll, MD, Michael Engelken, MD, Michael C. Mosier, PhD, Niaman Nazir, MBBS, MPH University of Kansas School of Medicine (TGC), Wichita; the Family Medicine Residency Program of Topeka (ME), Topeka, Kansas; and University of Kansas School of Medicine (MCM, NN), Kansas City J Am Board Fam Pract 16(1):1-6, 2003. © 2003 American Board of Family Practice
[ozmidwifery] homebirth in Tassie?
Found a question on the EB site, a woman looking for a homebirth midwife in Tassie, also wanting to know about birthing centres and if there is any govt funded midwifery programme there. Can anyone help? Tania "I am new to this forum so a bit of an intro first... I am expecting my four child in July.My first two children were born at home and #3 was born in hospital. Hospitals terrify me and I have very little faith in doctors.I find that homebirth for me is so natural. My dilema is that to have a homebirth it now cost over $1000.Comparing that to paying nothing for a hospital birth I find it hard to justify the expense.My family is basically living week to week financially and though I could possibly find the money I can think of other things that are more of a need than a want if you KWIM. To have a home birth is the desire of my heart especially that this is our last child.Does anyone know of any financially assistances for homebirths? Or anything that will aide me in having the labour of my choice? " Here's the link if you want to reply yourself... http://www.essentialbaby.com.au/CFForum/viewmessages.cfm?Forum=79Topic=18264
Re: [ozmidwifery] Interesting website
And the quote from Helen Keller s as her life was inspirational Denise - Original Message - From: Pinky McKay [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Sunday, March 23, 2003 1:46 AM Subject: Re: [ozmidwifery] Interesting website what a lovely site, Carolyn, Thanks Pinky - Original Message - From: Heartlogic [EMAIL PROTECTED] To: Ozmidwifery [EMAIL PROTECTED]; Birthnews [EMAIL PROTECTED]; C-aware [EMAIL PROTECTED] Sent: Sunday, March 23, 2003 8:16 PM Subject: [ozmidwifery] Interesting website Another fascinating website, http://MilkOfHumanKindness.org warmly, Carolyn Hastie I am only one; but still I am one. I cannot do everything, but still I can do something. I will not refuse to do the something I can do. Helen Keller 1880-1968, Author and Lecturer Heartlogic Consultancy Leaders in personal mastery and healthy organisational change Phone +61 2 4389 3919 Fax +61 2 4388 6819 Mobile 0418 428 430 Email [EMAIL PROTECTED] PO Box 5405 Chittaway Bay NSW 2261 Australia -- 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.
Re: [ozmidwifery] epidurals and BF rates...
Dear Tina I also feel it is significant that the problems were highest for the primip many of who may not have another baby or carry the negative experience into the subsequent pregnancy! In this age of 1.3 babies per capita Denise PS well done on being on the program of the Next NSW MA State conference - Original Message - From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Sunday, March 23, 2003 4:37 AM Subject: [ozmidwifery] epidurals and BF rates... Hi alldoing the rounds of the journals tonight...found this interesting snippet...Yours in reforming midwiferyTina Pettigrew.B Mid Student ACU Melbhttp://groups.yahoo.com/group/BMidStudentCollective/" As we trust the flowers to open to new life - So we can trust birth"Harriette Hartigan.--- Effect of Labor Epidural Anesthesia on Breast-Feeding of Healthy Full-Term Newborns Delivered Vaginallyfrom Journal of the American Board of Family PracticePosted 03/05/2003Dennis J. Baumgarder, MD, Patricia Muehl, RN, MSN, Mary Fischer, MS, Bridget Pribbenowhttp://www.medscape.com/viewarticle/449424Abstract and IntroductionAbstractBackground: Epidural anesthesia is commonly administered to laboring women. Some studies have suggested that epidural anesthesia might inhibit breast-feeding. This study explores the association between labor epidural anesthesia and early breast-feeding success.Methods: Standardized records of mother-baby dyads representing 115 consecutive healthy, full-term, breast-feeding newborns delivered vaginally of mothers receiving epidural anesthesia were analyzed and compared with 116 newborns not exposed to maternal epidural anesthesia. Primary outcome was two successful breast-feeding encounters by 24 hours of age, as defined by a LATCH breast-feeding assessment score of 7 or more of 10 and a latch score of 2/2. Means were compared with the Kruskal-Wallis test. Categorical data were compared using the Mantel-Haenszel chi-square test. Stratified analysis of potentially confounding variables was performed using Mantel-Haenszel weighted odd ratios (OR) and chi-square for evaluation of interaction.Results: Both epidural and nonepidural anesthesia groups were similar except maternal nulliparity was more common in the epidural anesthesia group. Two successful breast-feedings within 24 hours of age were achieved by 69.6% of mother-baby units that had had epidural anesthesia compared with 81.0% of mother-baby units that had not (odds ratio [OR] 0.53, P = .04). These relations remained after stratification (weighted odds ratios in parenthesis) based on maternal age (0.52), parity (0.58), narcotics use in labor (0.49), and first breast-feeding within 1 hour (0.49). Babies of mothers who had had epidural anesthesia were significantly more likely to receive a bottle supplement while hospitalized (OR 2.63; P .001) despite mothers exposed to epidural anesthesia showing a trend toward being more likely to attempt breast-feeding in the 1 hour (OR 1.66; P = .06). Mothers who had epidural anesthesia and who did not breast-feed within 1 hour were at high risk for having their babies receive bottle supplementation (OR 6.27).Conclusions: Labor epidural anesthesia had a negative impact on breast-feeding in the first 24 hours of life even though it did not inhibit the percentage of breast-feeding attempts in the first hour. Further studies are needed to elucidate the exact nature of this association.
Re: [ozmidwifery] Interesting website
Reminds me of the Russian group whose slogan is Peace at birth Peace on earth! Denise - Original Message - From: Heartlogic [EMAIL PROTECTED] To: Ozmidwifery [EMAIL PROTECTED]; Birthnews [EMAIL PROTECTED]; C-aware [EMAIL PROTECTED] Sent: Sunday, March 23, 2003 1:16 AM Subject: [ozmidwifery] Interesting website Another fascinating website, http://MilkOfHumanKindness.org warmly, Carolyn Hastie I am only one; but still I am one. I cannot do everything, but still I can do something. I will not refuse to do the something I can do. Helen Keller 1880-1968, Author and Lecturer Heartlogic Consultancy Leaders in personal mastery and healthy organisational change Phone +61 2 4389 3919 Fax +61 2 4388 6819 Mobile 0418 428 430 Email [EMAIL PROTECTED] PO Box 5405 Chittaway Bay NSW 2261 Australia -- 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] emotional reactions to cs
No search engine just a copy and apste of the address Denise - Original Message - From: Marilyn Kleidon To: [EMAIL PROTECTED] Sent: Sunday, March 23, 2003 9:54 AM Subject: Re: [ozmidwifery] emotional reactions to cs Denise: what search engine do you use? it didn't work for me!!! marilyn - Original Message - From: Denise Hynd To: [EMAIL PROTECTED] Sent: Sunday, March 23, 2003 9:41 AM Subject: Re: [ozmidwifery] emotional reactions to cs What a address and it works!! - Original Message - From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Saturday, March 22, 2003 1:44 AM Subject: Re: [ozmidwifery] emotional reactions to cs In a message dated 21/03/03 12:57:53 PM AUS Eastern Daylight Time, [EMAIL PROTECTED] writes: Does anyone have any ideas on studies that have looked at methods to decrease chances of adverse psychological reactions to cs in the immediate post natal period?Jo Bainbridgefounding member CARES SAwww.cares-sa.org.au[EMAIL PROTECTED]phone: 08 8388 6918birth with trust, faith love...Hi Jocheck this outhttp://www.sciencedirect.com/science?_ob=MImg_imagekey=B6WN9-45KNB6J-B-1_cdi=6957_orig=browse_coverDate=03%2F31%2F2002_sk=999819998view=cwchp=dGLbVlb-lSzBA_acct=C50221_version=1_userid=10md5=83618e9b2500ec37bb90f3fd0033d781ie=f.pdfits got them allYours in reforming midwiferyTina Pettigrew.B Mid Student ACU Melbhttp://groups.yahoo.com/group/BMidStudentCollective/" As we trust the flowers to open to new life - So we can trust birth"Harriette Hartigan.---
Re: [ozmidwifery] Interesting website
Our assertion, that there is a link between a culture's breastfeeding/nurturing practices and its level of violence or peacefulness, is based primarily on the research and writings of James W. Prescott, Ph.D., who conducted research with the National Institute of Child Health and Human Development for 14 years and is now the Director of the Institute of Humanistic Science. - Original Message - From: Heartlogic [EMAIL PROTECTED] To: Ozmidwifery [EMAIL PROTECTED]; Birthnews [EMAIL PROTECTED]; C-aware [EMAIL PROTECTED] Sent: Sunday, March 23, 2003 1:16 AM Subject: [ozmidwifery] Interesting website Another fascinating website, http://MilkOfHumanKindness.org warmly, Carolyn Hastie I am only one; but still I am one. I cannot do everything, but still I can do something. I will not refuse to do the something I can do. Helen Keller 1880-1968, Author and Lecturer Heartlogic Consultancy Leaders in personal mastery and healthy organisational change Phone +61 2 4389 3919 Fax +61 2 4388 6819 Mobile 0418 428 430 Email [EMAIL PROTECTED] PO Box 5405 Chittaway Bay NSW 2261 Australia -- 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] Hep B for newborns, att Sandra
I agree Megan. Many more useful ways to spend those tax dollars within health system too..or what about an incentive payment for breastfeeding! Much more benefiial in terms of economic and health outcomes. Sandra - Original Message - From: Larry Megan [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Sunday, March 23, 2003 8:29 AM Subject: RE: [ozmidwifery] Hep B for newborns, att Sandra Hi Sandra, Make you own minds up about the payments, but my husband just commented on how can you expect an unbiased opinion in this case. I always thought it would be good if this payment was collected and given to a children's charity. cheers Megan. VISA's reply to US study, Probably - I'll have a dig - here's the reference from my handy little 'Investigate Before You Vaccinate' booklet! - Linder N., et al, Unexplained fever in neonates may be associated with Hepatitis B vaccine, Arch Dis Child Fetal Neonatal Ed, Nov 1999;81:F206-207 - I'd have a copy somewhere...but you could get it from Medscape. Thanks for the go-ahead - it is important news! Kathy S also a response from Dr Baratozy regarding incentive payments, etc. Hi Kathy. As fas as the Hep B goes, as far as I know, it's all or nothing. You have to have all vaccines to be elegible for payment. Missing out just one makes you incomplete therefore in-elegible. So therefore I believe you have to become a conscientious objector to just miss out on 1 vaccine and still get your money. Doctors get their payment based on each individual vaccine given. In the end they also get a vaccine bonus based on percent fully immunised in the practice. That is the PIP (Practice Incentive Programme)payment. I hope that answers your query. Peter -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Sandra J. Eales Sent: Tuesday, 18 March 2003 5:33 To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] Hep B for newborns, att Sandra Megan I am happy for them to reprint my email and thanks for the other info. I would like to know of the US study you mentioned that had reported the same experience. Sandra -- 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] close babies!
Well what do you want to know? My youngest are ten months apart and I had no probs, but I do have a few funny stories to tell :) Ill see you at uni, so if the women wants to know what its like to have babies that close I would be glad to talk to her. OH, If you do find anything written Id love to read it. Love Julie'', - Original Message - From: J Stewart To: ozmid ; [EMAIL PROTECTED] Sent: Sunday, March 23, 2003 3:21 PM Subject: [ozmidwifery] close babies! hello all! just wondering if anyoneknows ofany journal articles, research etc etc that has been done on women having babies within a very smalltime frame, ieone of the women im am following, when she births in may, will have 2 with a age gap of 10months and1 week. thanks in advance! love jessica.
