[ozmidwifery] Quote of the Week
From Midwifery Today: "H. Deutsch, a psychologist active in the 1940s, knew that at the time of birth, it is not just a vagina that is opening, the woman's entire psyche is open and vulnerable."
[ozmidwifery] Caesareans
From the USA- An Agency for Healthcare Research and Quality (AHRQ) retrospective study of 733 women who delivered fullterm, nonbreech infants by unplanned cesarean found that as many as 24% of c-sections for "lack of progress in labor" are performed too early. This group comprises women who undergo a c-section when their cervix has dilated 0 to 3 centimeters. The American College of Obstetrics and Gynecology (ACOG) guidelines recommend that dilation should be 4 cm or more before a failure to progress diagnosis is made. The researchers postulated that many doctors are more comfortable with the risks of c-section than they are with labors that do not progress as rapidly as expected. In addition, many doctors either do not agree with ACOG guidelines or interpret them differently. - Obstetrics and Gynecology, April 1, 2000
[ozmidwifery] waterbirth article
Apparently there is a positive article on waterbirth in a British obstetric journal, does anyone know about this? If they do could you please send on details? thanks Sally
Re: [ozmidwifery] Moving to Australia
testing ignore - Original Message - From: Maternity Ward Mareeba Hospital [EMAIL PROTECTED] To: [EMAIL PROTECTED]; [EMAIL PROTECTED] Sent: Tuesday, March 02, 2004 12:59 PM Subject: Re: [ozmidwifery] Moving to Australia Hi Wendy, My husband and Imoved to Australia last August, Its a different life, and different working also. I had worked in a medium maternity unit in England, and we wanted to move to Cairns area, I was offered a post in a small hospital with 240 births in the area, which I presumed was midwifery led, in fact was quite medicalised, the midwives not even able to perform speculums for SRM, I had to ask the Drs. before I could suture, and they even sent me to work on surgical, medical wards. So if you come beware, Apart from that the lifestyle is good, I have now moved to another hospital. Living, if you need to rent, get some references, otherwise they ask for even more deposit on top of your bond. Good Luck Anne [EMAIL PROTECTED] 27/02/2004 8:12:17 am Hello, my name is Wendy. I am a qualified midwife currently working in a low risk birthing centre in England. I, along with my partner and two children (12 9) are considering moving to Australia and I am interested in talking to anyone who has recently undertaken this huge move themselves who could give me more of an insight in to what may await us. My partner, having been to Australia before, is a keen scuba-diver and would like to consider Brisbane as the area of choice. Please contact me if you have any information that may be of help to us or if you know of anyone in the main hospitals who have current vacancies. Thanks Wendy Taberer. *** This email, including any attachments sent with it, is confidential and for the sole use of the intended recipients(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error. Any unauthorised use, alteration, disclosure, distribution or review of this email is prohibited. It may be subject to a statutory duty of confidentiality if it relates to health service matters. If you are not the intended recipients(s), or if you have received this e-mail in error, you are asked to immediately notify the sender by telephone or by return e-mail. You should also delete this e-mail message and destroy any hard copies produced. *** -- 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] Caesareans
what is interesting is the RCT in the BMJwhich showed water was effective in decreasing the need for intervention/augmentation in women with 'dystocia'. So in these cases maybe getting the women i to water would have encouraged their labour to progress and avoid CS altogether Belinda - Original Message - From: Mary Murphy To: list Sent: Wednesday, March 03, 2004 7:24 PM Subject: [ozmidwifery] Caesareans From the USA- An Agency for Healthcare Research and Quality (AHRQ) retrospective study of 733 women who delivered fullterm, nonbreech infants by unplanned cesarean found that as many as 24% of c-sections for "lack of progress in labor" are performed too early. This group comprises women who undergo a c-section when their cervix has dilated 0 to 3 centimeters. The American College of Obstetrics and Gynecology (ACOG) guidelines recommend that dilation should be 4 cm or more before a failure to progress diagnosis is made. The researchers postulated that many doctors are more comfortable with the risks of c-section than they are with labors that do not progress as rapidly as expected. In addition, many doctors either do not agree with ACOG guidelines or interpret them differently. - Obstetrics and Gynecology, April 1, 2000
Re: [ozmidwifery] Caesareans
What I find interesting is that it has 'always' been said that the best time to get in the water is after 5cms dilated. Personally, I have always encouragedlabouring women to use the water for releif of pain /or fatigue whenever they wanted. I don't believe there is a magic number. In view of the BMJ report, maybe I have been doing the right thing all the time? MM what is interesting is the RCT in the BMJwhich showed water was effective in decreasing the need for intervention/augmentation in women with 'dystocia'. So in these cases maybe getting the women i to water would have encouraged their labour to progress and avoid CS altogether Belinda - Original Message - From: Mary Murphy To: list Sent: Wednesday, March 03, 2004 7:24 PM Subject: [ozmidwifery] Caesareans From the USA- An Agency for Healthcare Research and Quality (AHRQ) retrospective study of 733 women who delivered fullterm, nonbreech infants by unplanned cesarean found that as many as 24% of c-sections for "lack of progress in labor" are performed too early. This group comprises women who undergo a c-section when their cervix has dilated 0 to 3 centimeters. The American College of Obstetrics and Gynecology (ACOG) guidelines recommend that dilation should be 4 cm or more before a failure to progress diagnosis is made. The researchers postulated that many doctors are more comfortable with the risks of c-section than they are with labors that do not progress as rapidly as expected. In addition, many doctors either do not agree with ACOG guidelines or interpret them differently. - Obstetrics and Gynecology, April 1, 2000
[ozmidwifery] Re: Your text
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