Jenny:
I know that what you say is Australian practice and if i were attending
homebirths here I would always transfer rather than do a manual removal of
either a partially detached placenta or retained products however it wasn't
considered outside of a midwife's scope of practice in the USA
Just a comment on why so many PPH deaths in
underdeveloped countries. At a symposium I went to in Saudi Arabia many years
ago one of the speakers was an African Dr. His subject was anemia in the
underprivelaged and he spoke of how severely anaemic many of the women are. As a
result PPH is
I think the other reason which tag teams on this
one is the prevalence of malaria and resultant loss of rbc and hence anaemia.
There are also other parasitic diseases coexisting chronically which also lead
to a depletion of rbc.
From reading the Hinchinbrook trial I was under the
Hi Leanne,
I will be back at work next week and will ask the cnc for the research doc.
I am very interested in seeing it for myself also. If you would like a copy
I would be happy nto send it to you. If so email me your contact details
off the list.
Kind Regards
Sally-Anne
- Original
Thanks Judy. The anaemia is a significant
factor which I omitted to mention. And as we know, easily remedied.
Which makes the loss of life even more questionable, when the govts of the day
have not acted.. enough.
Kind Regards
Sally-Anne
- Original Message -
From:
Hi Marilyn and Jenny,
Well said Marilyn. I know that there isn't a different 'scope of
practice' here in Australia for midwives practising out of hospital, but
I do accept that a manual removal is and can be life saving in some
situations. Two of the bleeds I have managed were about an hour
When working some years ago in Solomon Islands
there was an understanding that Syntometrine was safely left out of the fridge
a greater problem was the fact that it was also (perhaps) unsafely left out of
date! I only used it a couple of times in my time there and I was
surprised at the
