RE: [ozmidwifery] Message for Jo Pelvic Floor Research -Archive Question
Hi all! I havent posted before and am not a midwife J, but an interested parent, active in an NGO Parents in Action in Croatia. You can read more about giving birth in Croatia at http://www.birthinternational.com/diary/archives/000516.html and http://www.birthinternational.com/diary/archives/000517.html, thank you again Andrea! I have a question concerning this study - does spontaneous vaginal delivery also mean that there was no episiotomy? Heres the abstract of the study (from http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrievedb=PubMedlist_uids=11192101dopt=Abstract): The prevalence of pelvic floor disorders and their relationship to gender, age, parity and mode of delivery. MacLennan AH, Taylor AW, Wilson DH, Wilson D. Department of Obstetrics and Gynaecology, The University of Adelaide, Australia. OBJECTIVE: To define the prevalence of pelvic floor disorders in a non-institutionalised community and to determine the relationship to gender, age, parity and mode of delivery. DESIGN: A representative population survey using the 1998 South Australian Health Omnibus Survey. SAMPLE: Random selection of 4400 households; 3010 interviews were conducted in the respondents' homes by trained female interviewers. This cross sectional survey included men and women aged 15-97 years. RESULTS: The prevalence of all types of self-reported urinary incontinence in men was 4.4% and in women was 35.3% (P0.001). Urinary incontinence was more commonly reported in nulliparous women than men and increased after pregnancy according to parity and age. The highest prevalence (51.9%) was reported in women aged 70-74 years. The prevalence of flatus and faecal incontinence was 6.8% and 2.3% in men and 10.9% and 3.5% in women, respectively. Pregnancy ( 20 weeks), regardless of the mode of delivery, greatly increased the prevalence of major pelvic floor dysfunction, defined as any type of incontinence, symptoms of prolapse or previous pelvic floor surgery. Multivariate logistic regression showed that, compared with nulliparity, pelvic floor dysfunction was significantly associated with caesarean section (OR 2.5, 95% CI 1.5-4.3), spontaneous vaginal delivery (OR 3.4, 95% CI 2.4-4.9) and at least one instrumental delivery (OR 4.3, 95% CI 2.8-6.6). The difference between caesarean and instrumental delivery was significant (P0.03) but was not for caesarean and spontaneous delivery. Other associations with pelvic floor morbidity were age, body mass index, coughing, osteoporosis, arthritis and reduced quality of life scores. Symptoms of haemorrhoids also increased with age and parity and were reported in 19.9% of men and 30.2% of women. CONCLUSION: Pelvic floor disorders are very common and are strongly associated with female gender, ageing, pregnancy, parity and instrumental delivery. Caesarean delivery is not associated with a significant reduction in long term pelvic floor morbidity compared with spontaneous vaginal delivery. From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Dean Jo Sent: Monday, July 11, 2005 1:47 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Message for Jo Pelvic Floor Research -Archive Question Here is the abstract for the study but you might have to get further details regarding the things I mentioned. Cheers Jo Caesarean Section Does Not Reduce Risk of Pelvic Floor Dysfunction ADELAIDE, Australia (Reuters Health) Dec 01 - Caesarean section only marginally reduces the risk of pelvic floor dysfunction after delivery compared with vaginal delivery, according to the results of an Australian study. The research team, from Adelaide University, defined pelvic floor dysfunction as any type of incontinence, symptoms of prolapse, or previous pelvic floor surgery. Lead researcher Dr. Alastair MacLennan and colleagues surveyed 3010 adults aged 15 to 97 years, who did not reside in an institution, and found that while 46.2% of women had current or past pelvic floor dysfunction, only 11.1% of men did. Of particular note, the authors say, was the prevalence of pelvic floor dysfunction in women when differing modes of delivery were compared. Nulliparity resulted in a 12.4% prevalence of pelvic floor dysfunction, followed by caesarean section (43%), spontaneous vaginal delivery (58%), and instrumental delivery (64%). The team also found that when spontaneous vaginal delivery and/or instrumental delivery were compared with caesarean section, only urge incontinence was associated with a significantly higher prevalence following vaginal delivery. The data are reported in the December issue of the British Journal of Obstetrics and Gynaecology. In an interview with Reuters Health, Dr. MacLennan pointed out that there is a new phenomenon in the last 10 years, of women wanting caesarean section to prevent future troubles, but 80% of the problems a woman having a vaginal delivery has, also happen to a women having a caesarean section. He concluded
[ozmidwifery] Fw: NCAD Melbourne 2005 - stories sought!
Would you like to share your caesarean and/or vbac/hbac story? -- For NCAD this year, I'm presenting (among many other things!) women's birth stories being read aloud by women themselves or some friendly acting folk If you would like to read, or have your story included, please forward it to me at [EMAIL PROTECTED] It should take no more than 3 minutes to present and I would be very thrilled if you were able to present it in different narrative styles, whether prose, poetry, vagina monologue-style, or any other way you suggest to me - naked with performing ferrets is perfectly acceptable! Let your imagination run riot! Don't forget that NCAD is about honouring women's stories so your individual view of your birth is what we want. There is no particular emphasis we're after. You don't need to be in Victoria to provide a story but it will probably make it hard to perform your own tale if you're interstate so you'd need to trust it to our creative team. Get creative! Get thinking! Janet (03) 9499 8954 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Fears During Labour
Hello everyone, I'm attacking that awful epidemic that is 'fear' in labour and producing an article for the site for August, addressing these fears. Would any midwives out there be interested in having a look at the list of the Top 12 fears and contributing to the article? I started a discussion on it in the Forums, asking for everyone's fears about labour/birth and have narrowed it down to 12 main fears. So basically looking for midwives comments on those fears and how much of a reality it is of those fears coming true. Happy to credit any names of those contributing. If anyone has any statistics to support the article that would be fabulous too. Best Regards, Kelly Zantey Director, www.bellybelly.com.au www.toys4tikes.com.au Gentle Solutions For Conception, Pregnancy, Birth Baby Australian Little Tikes Specialists -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.8.11/45 - Release Date: 9/07/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Meeting other ozmiders at the ICM
Greetings all Ozmiders, I admit to being a list lurker for some time and feel it is now time to introduce myself online before I greet people sporting Andrea's Ozmidwifery ID at the ICM as long lost friends. I feel I know many of you very well from your reqular posts and I have been inspired mnay times over by the depth of wisdom and knowledge out there. I am a regular attender of midwifery and lactation conferences and I naver miss an opportunity to attend any of Andrea's conferences in Brisbane so I have probably seen many of you over the years. A bit about myself - I am a very passionate midwife who never fails to be amazed by the power of women. I believe strongly in midwifery led care and supporting women's birth choices and I am especially supportive of active birth. I work parttime in a midwifery model of care team but often feel restrained by the system and medical care within the hospital. If I was given the opportunity to work independantly or to Case Load I would work full time as I believe that would provide the ultimate in job satisfaction!! I look forward to saying hello to familiar names at the ICM. Narelle Crane - Original Message - From: Andrea Robertson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, July 12, 2005 11:05 AM Subject: [ozmidwifery] Meeting other ozmiders at the ICM Hello Listers, If you are reading this, and planning to go to the ICM, please call by the Birth International trade display and collect a sticker that you can display on your hat, name badge (or wherever!). This Conference will be a great opportunity to meet each other and the put a face to those well known names that we see on the list. The sticker has space for you to add your email address, so we recognise your list name. It will be fun to see how many of you we can link up! See you all, very soon! Andrea Robertson - Andrea Robertson Birth International * ACE Graphics * Associates in Childbirth Education e-mail: [EMAIL PROTECTED] web: www.birthinternational.com -- 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] Channel 7 Adelaide...
Just saw a promo for the Channel 7 News tomorrow night, talking about new research that may influence mothers decision to induce labour, showing one of our SA Obstetricians, and a woman saying you should just let nature take its course. ( Gasp, you mean to say there might be good reasons not to interfere!) Will let you all know if its anything groundbreaking, Tania
Re: [ozmidwifery] Meeting other ozmiders at the ICM
Thanks Narelle for introducing yourself and see its not so scary so now you can contribute all the time See you in 12 more sleeps! Andrea Quanchi On 12/07/2005, at 9:36 PM, Narelle Crane wrote: Greetings all Ozmiders, I admit to being a list lurker for some time and feel it is now time to introduce myself online before I greet people sporting Andrea's Ozmidwifery ID at the ICM as long lost friends. I feel I know many of you very well from your reqular posts and I have been inspired mnay times over by the depth of wisdom and knowledge out there. I am a regular attender of midwifery and lactation conferences and I naver miss an opportunity to attend any of Andrea's conferences in Brisbane so I have probably seen many of you over the years. A bit about myself - I am a very passionate midwife who never fails to be amazed by the power of women. I believe strongly in midwifery led care and supporting women's birth choices and I am especially supportive of active birth. I work parttime in a midwifery model of care team but often feel restrained by the system and medical care within the hospital. If I was given the opportunity to work independantly or to Case Load I would work full time as I believe that would provide the ultimate in job satisfaction!! I look forward to saying hello to familiar names at the ICM. Narelle Crane - Original Message - From: Andrea Robertson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, July 12, 2005 11:05 AM Subject: [ozmidwifery] Meeting other ozmiders at the ICM Hello Listers, If you are reading this, and planning to go to the ICM, please call by the Birth International trade display and collect a sticker that you can display on your hat, name badge (or wherever!). This Conference will be a great opportunity to meet each other and the put a face to those well known names that we see on the list. The sticker has space for you to add your email address, so we recognise your list name. It will be fun to see how many of you we can link up! See you all, very soon! Andrea Robertson - Andrea Robertson Birth International * ACE Graphics * Associates in Childbirth Education e-mail: [EMAIL PROTECTED] web: www.birthinternational.com -- 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.
[ozmidwifery] Ascending head
Now that I've broken the ice and made my initial post I have a question. Has any one else experienced an "ascending head"? I'll explain. Recently Itook over the care of a primip who was starting to have some involuntary pushes with contractions.She was lying on the bed and was attatched to a monitor as there was mec liquor.She was complaining of a lot of back pain and had been given Pethidine an hour previously. She did not want to get off the bed or even change position. Her partner was rubbing her back. Afterabout an hour the involuntary pushes were muchstronger but the woman wastoo scared to really "let go" anddespite my reassurances she wanted to knowif she was fully dilated.A very quick PVE confirmedthat she was fully dilated and the head was at +1 - +2. With this knowledge the woman was happy to try different positions and to "listen to her body". Within 15 minutes her partner and I could see a small amount of head with involuntary pushes while she was kneeling. For the next 45 minutes the woman changed positions frequently but was mainly standing and rocking and rotating her pelvis while she involuntarily pushed with contractions.After 45 mins or soIstarted getting anxious that despite lots of poo I was seeing very little sign of further descent and suggested that I should recheck theposition of the baby.I couldn't believe what I was feeling - The head was now at or above the spinesand there was caput +++. I was unable to feel sutures or fontanelles. I asked the doctor to review but ashe was very busy it was another 15 mins before be came. In the meantime the woman recommenced doing full pelvic circles and pelvic wiggles - I encouraged her to "do what feels right". She also continued to push with contractions. When the doctor reexamined her the head was OAand at +2. He insisted that she be made to "push properly"and asked for synto to be started as "those piddling pushes weren"t getting her anywhere". After 30 mins of minimal coaching on my part and a sniff of synto a very heallthy girl was born. On examination the baby had a large amount of caput over the right side of her head! Has any one else seen anything like this? I have toldmany of my collegues aboout this and some have said it was impossible for the head to go back and that I must have been mistaken when I did the initial PVE. Others, like me believe that anything is possible when it comes to labour and birth allthough noone has seen anything like it.Was this another wonderful case of mother and baby working together to give birth? What do you think? Narelle
Re: [ozmidwifery] Meeting other ozmiders at the ICM
Dear All, Also, to all coming to the ICM in Brisbane and to all of you who are involved with BFHI (at any level) or are interested in BFHI (at any level) I am planning to meet up with as many people as possible on the first day (morning tea). I will be the one with the carnation between my teeth so you can't miss me - no only kidding! but would love to meet with one and all for a cuppa on the first day. Let me know if you are initerested. BFHI will have a display that will be part of the ACMI National stand. Come and say hello. Regards Anne Clarke Chair - BFHI Queensland -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Ascending head
Far from being impossible I think its just another example of how clever babies and women's bodies are. I can just imagine that the baby was presenting ascinclitic and despite her best efforts could not progress through the pelvis but was causing the caput to form. At some stage after your second VE the baby has needed to pull itself up to move around to a better position and was then able to move on down without a problem. This probably happens more than we know but reminds me or Gloria explanation of turtelling which she explains as the baby pulling its shoulders back of the pubic rim so that it can turn them to enter which we can only see as withdrawal of the head. I loved this explanation because I had never thought of it like that and can typically see people grab the head and pull on its instead of encouraging the baby tet it is doing the right thing, The other thing that comes to mind is whether this woman truely was pushing involuntarily or that she had that feeling that she was going to need to push ( like I feel like I need to vomit, not actually happening but feel like I will have to) and needed to be encouraged to breathe through it for a while longer until the head was able to move down further. Always difficult to comment coz we werent there and I know hopw difficult it is for you and the woman when you take over at such a late stage in labour. Andrea Quanchi On 12/07/2005, at 10:50 PM, Narelle Crane wrote: Now that I've broken the ice and made my initial post I have a question. Has any one else experienced an ascending head? I'll explain. Recently I took over the care of a primip who was starting to have some involuntary pushes with contractions. She was lying on the bed and was attatched to a monitor as there was mec liquor. She was complaining of a lot of back pain and had been given Pethidine an hour previously. She did not want to get off the bed or even change position. Her partner was rubbing her back. After about an hour the involuntary pushes were much stronger but the woman was too scared to really let go and despite my reassurances she wanted to know if she was fully dilated. A very quick PVE confirmed that she was fully dilated and the head was at +1 - +2. With this knowledge the woman was happy to try different positions and to listen to her body. Within 15 minutes her partner and I could see a small amount of head with involuntary pushes while she was kneeling. For the next 45 minutes the woman changed positions frequently but was mainly standing and rocking and rotating her pelvis while she involuntarily pushed with contractions. After 45 mins or so I started getting anxious that despite lots of poo I was seeing very little sign of further descent and suggested that I should recheck the position of the baby. I couldn't believe what I was feeling - The head was now at or above the spines and there was caput +++. I was unable to feel sutures or fontanelles. I asked the doctor to review but as he was very busy it was another 15 mins before be came. In the meantime the woman recommenced doing full pelvic circles and pelvic wiggles - I encouraged her to do what feels right. She also continued to push with contractions. When the doctor reexamined her the head was OA and at +2. He insisted that she be made to push properly and asked for synto to be started as those piddling pushes werent getting her anywhere. After 30 mins of minimal coaching on my part and a sniff of synto a very heallthy girl was born. On examination the baby had a large amount of caput over the right side of her head! Has any one else seen anything like this? I have told many of my collegues aboout this and some have said it was impossible for the head to go back and that I must have been mistaken when I did the initial PVE. Others, like me believe that anything is possible when it comes to labour and birth allthough noone has seen anything like it. Was this another wonderful case of mother and baby working together to give birth? What do you think? Narelle
Re: [ozmidwifery] Ascending head
I have not seen exactly as you describe Narelle but similar at an earlier stage of labour. I am sure it is related to the way the head is lined up with the opening and the pressure behind the baby at the time. As you know it is common to feel the difference if doing a PVE either during a contraction or when the uterus is relaxed. I would imagine that if she stopped the rocking that the head became misaligned again and so did not descend during a push??? Cheers Judy --- Narelle Crane [EMAIL PROTECTED] wrote: Now that I've broken the ice and made my initial post I have a question. Has any one else experienced an ascending head? I'll explain. Recently I took over the care of a primip who was starting to have some involuntary pushes with contractions. She was lying on the bed and was attatched to a monitor as there was mec liquor. She was complaining of a lot of back pain and had been given Pethidine an hour previously. She did not want to get off the bed or even change position. Her partner was rubbing her back. After about an hour the involuntary pushes were much stronger but the woman was too scared to really let go and despite my reassurances she wanted to know if she was fully dilated. A very quick PVE confirmed that she was fully dilated and the head was at +1 - +2. With this knowledge the woman was happy to try different positions and to listen to her body. Within 15 minutes her partner and I could see a small amount of head with involuntary pushes while she was kneeling. For the next 45 minutes the woman changed positions frequently but was mainly standing and rocking and rotating her pelvis while she involuntarily pushed with contractions. After 45 mins or so I started getting anxious that despite lots of poo I was seeing very little sign of further descent and suggested that I should recheck the position of the baby. I couldn't believe what I was feeling - The head was now at or above the spines and there was caput +++. I was unable to feel sutures or fontanelles. I asked the doctor to review but as he was very busy it was another 15 mins before be came. In the meantime the woman recommenced doing full pelvic circles and pelvic wiggles - I encouraged her to do what feels right. She also continued to push with contractions. When the doctor reexamined her the head was OA and at +2. He insisted that she be made to push properly and asked for synto to be started as those piddling pushes werent getting her anywhere. After 30 mins of minimal coaching on my part and a sniff of synto a very heallthy girl was born. On examination the baby had a large amount of caput over the right side of her head! Has any one else seen anything like this? I have told many of my collegues aboout this and some have said it was impossible for the head to go back and that I must have been mistaken when I did the initial PVE. Others, like me believe that anything is possible when it comes to labour and birth allthough noone has seen anything like it. Was this another wonderful case of mother and baby working together to give birth? What do you think? Narelle Send instant messages to your online friends http://au.messenger.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Ascending head
I agree with all that Andréa has said and have seen this a number of times before. The caput on the side of the head is a giveaway that it was ascynclitic. In fact, after a difficult, fiddly second stage I always look at the babys head after it is born for confirmation of position. The other time it can happen is in labour. 8cm on VE and then hours later 5cm! You are not wrong, the woman and baby are doing what is right to get into position or to safeguard the babys safety. Putting up Syntocinon simply puts unwanted pressures on the baby and we often end up with foetal distress. Keep listening to women. Cheers, mm From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Andrea Quanchi Sent: Wednesday, 13 July 2005 6:40 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Ascending head Far from being impossible I think its just another example of how clever babies and women's bodies are. I can just imagine that the baby was presenting ascinclitic and despite her best efforts could not progress through the pelvis but was causing the caput to form. At some stage after your second VE the baby has needed to pull itself up to move around to a better position and was then able to move on down without a problem. This probably happens more than we know but reminds me or Gloria explanation of turtelling which she explains as the baby pulling its shoulders back of the pubic rim so that it can turn them to enter which we can only see as withdrawal of the head. I loved this explanation because I had never thought of it like that and can typically see people grab the head and pull on its instead of encouraging the baby tet it is doing the right thing, The other thing that comes to mind is whether this woman truely was pushing involuntarily or that she had that feeling that she was going to need to push ( like I feel like I need to vomit, not actually happening but feel like I will have to) and needed to be encouraged to breathe through it for a while longer until the head was able to move down further. Always difficult to comment coz we werent there and I know hopw difficult it is for you and the woman when you take over at such a late stage in labour. Andrea Quanchi On 12/07/2005, at 10:50 PM, Narelle Crane wrote: Now that I've broken the ice and made my initial post I have a question. Has any one else experienced an ascending head? I'll explain. Recently Itook over the care of a primip who was starting to have some involuntary pushes with contractions.She was lying on the bed and was attatched to a monitor as there was mec liquor.She was complaining of a lot of back pain and had been given Pethidine an hour previously. She did not want to get off the bed or even change position. Her partner was rubbing her back. Afterabout an hour the involuntary pushes were muchstronger but the woman wastoo scared to really let go anddespite my reassurances she wanted to knowif she was fully dilated.A very quick PVE confirmedthat she was fully dilated and the head was at +1 - +2. With this knowledge the woman was happy to try different positions and to listen to her body. Within 15 minutes her partner and I could see a small amount of head with involuntary pushes while she was kneeling. For the next 45 minutes the woman changed positions frequently but was mainly standing and rocking and rotating her pelvis while she involuntarily pushed with contractions.After 45 mins or soIstarted getting anxious that despite lots of poo I was seeing very little sign of further descent and suggested that I should recheck theposition of the baby.I couldn't believe what I was feeling - The head was now at or above the spinesand there was caput +++. I was unable to feel sutures or fontanelles. I asked the doctor to review but ashe was very busy it was another 15 mins before be came. In the meantime the woman recommenced doing full pelvic circles and pelvic wiggles - I encouraged her to do what feels right. She also continued to push with contractions. When the doctor reexamined her the head was OAand at +2. He insisted that she be made to push properlyand asked for synto to be started as those piddling pushes werent getting her anywhere. After 30 mins of minimal coaching on my part and a sniff of synto a very heallthy girl was born. On examination the baby had a large amount of caput over the right side of her head! Has any one else seen anything like this? I have toldmany of my collegues aboout this and some have said it was impossible for the head to go back and that I must have been mistaken when I did the initial PVE. Others, like me believe that anything is possible when it comes to labour and birth allthough noone has seen anything like it.Was this another wonderful case of mother and baby working together to give birth? What do you think? Narelle
[ozmidwifery] Caseload at ICM
Dear All I understand researchers and managers ofcaseload like Jane Sandall or Chris McCourt may be at the ICM conference in Brisbane!!Though not as key note speakers as they should be!! What a shame that we in Australia are not making the most of these visits?Or is possiblethat ACMI will arrange for these experts to do tours of Australian maternity units and health department buracracies ?Where they can explain the benefits of caseload midwifery options to those who influence policy???. Denise Hynd "Let us support one another, not just in philosophy but in action, for the sake of freedom for all women to choose exactly how and by whom, if by anyone, our bodies will be handled." Linda Hes
Re: [ozmidwifery] Ascending head
Dear narelle I had a similar expereince years ago and there have been similar discussions in the past about the cervix shutting down There is such a story in Ina May Gaskins Spiritual Midwifery Why do we insist that births follow a set pathway many other things in life and health do not!Also if you lookat the hormones their impact and interplay and the fact that these show that childbirth should be like orgasmic love making - primitive brain driven, private, intimate,intuitive- but birth in our cutlure is mostly in full glare of lights, in a strange clinical setting, with stranges, with attendants and the woman fearful and directed by others!! It really is a wonder that women give birth at all in this unnatural circumstances!! Denise Hynd "Let us support one another, not just in philosophy but in action, for the sake of freedom for all women to choose exactly how and by whom, if by anyone, our bodies will be handled." Linda Hes - Original Message - From: Narelle Crane To: ozmidwifery@acegraphics.com.au Sent: Tuesday, July 12, 2005 8:50 PM Subject: [ozmidwifery] Ascending head Now that I've broken the ice and made my initial post I have a question. Has any one else experienced an "ascending head"? I'll explain. Recently Itook over the care of a primip who was starting to have some involuntary pushes with contractions.She was lying on the bed and was attatched to a monitor as there was mec liquor.She was complaining of a lot of back pain and had been given Pethidine an hour previously. She did not want to get off the bed or even change position. Her partner was rubbing her back. Afterabout an hour the involuntary pushes were muchstronger but the woman wastoo scared to really "let go" anddespite my reassurances she wanted to knowif she was fully dilated.A very quick PVE confirmedthat she was fully dilated and the head was at +1 - +2. With this knowledge the woman was happy to try different positions and to "listen to her body". Within 15 minutes her partner and I could see a small amount of head with involuntary pushes while she was kneeling. For the next 45 minutes the woman changed positions frequently but was mainly standing and rocking and rotating her pelvis while she involuntarily pushed with contractions.After 45 mins or soIstarted getting anxious that despite lots of poo I was seeing very little sign of further descent and suggested that I should recheck theposition of the baby.I couldn't believe what I was feeling - The head was now at or above the spinesand there was caput +++. I was unable to feel sutures or fontanelles. I asked the doctor to review but ashe was very busy it was another 15 mins before be came. In the meantime the woman recommenced doing full pelvic circles and pelvic wiggles - I encouraged her to "do what feels right". She also continued to push with contractions. When the doctor reexamined her the head was OAand at +2. He insisted that she be made to "push properly"and asked for synto to be started as "those piddling pushes weren"t getting her anywhere". After 30 mins of minimal coaching on my part and a sniff of synto a very heallthy girl was born. On examination the baby had a large amount of caput over the right side of her head! Has any one else seen anything like this? I have toldmany of my collegues aboout this and some have said it was impossible for the head to go back and that I must have been mistaken when I did the initial PVE. Others, like me believe that anything is possible when it comes to labour and birth allthough noone has seen anything like it.Was this another wonderful case of mother and baby working together to give birth? What do you think? Narelle No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.323 / Virus Database: 267.8.13/47 - Release Date: 12/07/2005
[ozmidwifery] current affair Tonight??
Title: Re: [MatCoWA] Support for community history Sorry for the bum steer the segment was part of Channel 7 News But it was very positve as it interviewed local MidwProf Jenny Fenwick on her research and then our local Birthrites mothers Denise Hynd "Let us support one another, not just in philosophy but in action, for the sake of freedom for all women to choose exactly how and by whom, if by anyone, our bodies will be handled." — Linda Hes - Original Message - From: Dean Jo To: [EMAIL PROTECTED] Sent: Wednesday, July 13, 2005 8:40 AM Subject: RE: [MCMgtCte] Re: [MatCoWA] current affair Tonight?? Don’t get too cocky Denise! SA’s 2003 stats are not released yet…give us a go at keeping our title of highest cs in the country! Please note the entire sentence is said with sarcasm! Lareen, you mentioned the water birth policy needing an induction….the Perinatal stats are WELL over due…any word yet? -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Denise HyndSent: Tuesday, July 12, 2005 6:55 PMTo: [EMAIL PROTECTED]; [EMAIL PROTECTED]Subject: [MCMgtCte] Re: [MatCoWA] current affair Tonight?? Dear ALL If the segment is about that c/s in WA is higher than anywhere else I think this might be an opportunity for all to contact the producers and say WA also has the most unique and posiitve and soon to be 10 year old Community Midwifery Program Also MCWA should get onto them and say we have an answer to reduce C/s rates and not close small local maternity units = Implementing NMAp in WA!! Denise Hynd "Let us support one another, not just in philosophy but in action, for the sake of freedom for all women to choose exactly how and by whom, if by anyone, our bodies will be handled." — Linda Hes - Original Message - From: Melanie Gregory To: [EMAIL PROTECTED] Sent: Tuesday, July 12, 2005 9:51 AM Subject: [MatCoWA] current affair Hello , just caught a bit on the telly last night , there is to be a slot tonight on a current affair (I think ??) on the ‘debate’ about ‘natural’ vs c/s …I think we should watch and respond !! I notice that Jenny Fenwick is involved , in as much as there was a shot of her and the hook was along the lines that c/s in WA is higher than anywhere else , so it seems that somebody in TV world has noticed! Mel Melanie Gregory 2 John Street, Shenton Park Perth 6008 WA home tel.(08) 93817970 No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.323 / Virus Database: 267.8.11/45 - Release Date: 9/07/2005 Yahoo! Groups Links To visit your group on the web, go to:http://au.groups.yahoo.com/group/MCMgtCte/ To unsubscribe from this group, send an email to:[EMAIL PROTECTED] Your use of Yahoo! Groups is subject to the Yahoo! Terms of Service. --No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.323 / Virus Database: 267.8.11/45 - Release Date: 7/9/2005 --No virus found in this outgoing message.Checked by AVG Anti-Virus.Version: 7.0.323 / Virus Database: 267.8.11/45 - Release Date: 7/9/2005 No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.323 / Virus Database: 267.8.13/47 - Release Date: 12/07/2005
[ozmidwifery] Birth Pool suitable for use in a small unit
Dear All Just wondering if anyone knows about a semi-permanent type birth pool suitable for use in a small birth unit (220 births per year). There is the opportunity for corporate sponsorship to get this happening so we sort of need something more than a kids wading pool. Any ideas? JC xx -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Birth Pool suitable for use in a small unit
Any idea about the budget?? I gave birth in a fantastic birth pool in the uk, and have been in contact with the designer of the pool since seeing what is available in Australia. They are able to provide and ship, let me know if you want the details and I will dig them out, Best wishes, Lisa - Original Message - From: Justine Caines [EMAIL PROTECTED] To: OzMid List ozmidwifery@acegraphics.com.au Sent: Wednesday, July 13, 2005 11:59 AM Subject: [ozmidwifery] Birth Pool suitable for use in a small unit Dear All Just wondering if anyone knows about a semi-permanent type birth pool suitable for use in a small birth unit (220 births per year). There is the opportunity for corporate sponsorship to get this happening so we sort of need something more than a kids wading pool. Any ideas? JC xx -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 1.1100 (20050518) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Birth Pool suitable for use in a small unit
Hi Justine I don't have any info for you but Itoo have been wondering where to source good quality 'birthingpools' from withinAustralia? I might post to the NZ Midwives site and see if there are any replies. If so, I'll let youknow. Cheers, Kiwi Kim. ---Original Message--- From: ozmidwifery@acegraphics.com.au Date: 13/07/2005 2:02:51 p.m. To: OzMid List Subject: [ozmidwifery] Birth Pool suitable for use in a small unit Dear All Just wondering if anyone knows about a semi-permanent type birth pool suitable for use in a small birth unit (220 births per year). There is the opportunity for corporate sponsorship to get this happening so we sort of need something more than a kids wading pool. Any ideas? JC xx -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Ascending head
Hi NarelleRemember me from Cairns Base? I was a student midwife in those days. Funny you should mention thisi was at Maggie Banks's workshop on the weekend adn that topic came upHer belief is that a baby will try to escape numerous VE's if someone keeps pushing on its head. Sounds basic...but makes a lot of sense. I also agree that sometimes they move back to realign in the birth canal also. Unfortunately i won't be seeing you at the ICM. Have a great time. Tanya. - Original Message - . From: Judy Chapman [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, July 12, 2005 3:40 PM Subject: Re: [ozmidwifery] Ascending head I have not seen exactly as you describe Narelle but similar at an earlier stage of labour. I am sure it is related to the way the head is lined up with the opening and the pressure behind the baby at the time. As you know it is common to feel the difference if doing a PVE either during a contraction or when the uterus is relaxed. I would imagine that if she stopped the rocking that the head became misaligned again and so did not descend during a push??? Cheers Judy --- Narelle Crane [EMAIL PROTECTED] wrote: Now that I've broken the ice and made my initial post I have a question. Has any one else experienced an ascending head? I'll explain. Recently I took over the care of a primip who was starting to have some involuntary pushes with contractions. She was lying on the bed and was attatched to a monitor as there was mec liquor. She was complaining of a lot of back pain and had been given Pethidine an hour previously. She did not want to get off the bed or even change position. Her partner was rubbing her back. After about an hour the involuntary pushes were much stronger but the woman was too scared to really let go and despite my reassurances she wanted to know if she was fully dilated. A very quick PVE confirmed that she was fully dilated and the head was at +1 - +2. With this knowledge the woman was happy to try different positions and to listen to her body. Within 15 minutes her partner and I could see a small amount of head with involuntary pushes while she was kneeling. For the next 45 minutes the woman changed positions frequently but was mainly standing and rocking and rotating her pelvis while she involuntarily pushed with contractions. After 45 mins or so I started getting anxious that despite lots of poo I was seeing very little sign of further descent and suggested that I should recheck the position of the baby. I couldn't believe what I was feeling - The head was now at or above the spines and there was caput +++. I was unable to feel sutures or fontanelles. I asked the doctor to review but as he was very busy it was another 15 mins before be came. In the meantime the woman recommenced doing full pelvic circles and pelvic wiggles - I encouraged her to do what feels right. She also continued to push with contractions. When the doctor reexamined her the head was OA and at +2. He insisted that she be made to push properly and asked for synto to be started as those piddling pushes werent getting her anywhere. After 30 mins of minimal coaching on my part and a sniff of synto a very heallthy girl was born. On examination the baby had a large amount of caput over the right side of her head! Has any one else seen anything like this? I have told many of my collegues aboout this and some have said it was impossible for the head to go back and that I must have been mistaken when I did the initial PVE. Others, like me believe that anything is possible when it comes to labour and birth allthough noone has seen anything like it. Was this another wonderful case of mother and baby working together to give birth? What do you think? Narelle Send instant messages to your online friends http://au.messenger.yahoo.com -- 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] Birth Pool suitable for use in a small unit
Maggie Banks and her co-facilitatator at their recent workshop, believe that there is someone producing birth ppools in oz nowcontact them at www.birthspirit for more details. CHeers, Tanya. - Original Message - From: Kim Stead To: ozmidwifery@acegraphics.com.au Sent: Tuesday, July 12, 2005 9:11 PM Subject: Re: [ozmidwifery] Birth Pool suitable for use in a small unit Hi Justine I don't have any info for you but Itoo have been wondering where to source good quality 'birthingpools' from withinAustralia? I might post to the NZ Midwives site and see if there are any replies. If so, I'll let youknow. Cheers, Kiwi Kim. ---Original Message--- From: ozmidwifery@acegraphics.com.au Date: 13/07/2005 2:02:51 p.m. To: OzMid List Subject: [ozmidwifery] Birth Pool suitable for use in a small unit Dear All Just wondering if anyone knows about a semi-permanent type birth pool suitable for use in a small birth unit (220 births per year). There is the opportunity for corporate sponsorship to get this happening so we sort of need something more than a kids wading pool. Any ideas? JC xx -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Caseload at ICM
Hi Denise, Yes, there will be a number of experts in caseload midwifery at the ICM Congres in Brisbane many of whom are presenting papers. That's why it's a good idea to come to the Congress if you can! Registrations are still open - more than 1,900 midwives will be there! To register just visit: http://www.midwives2005.com/registration.shtml I understand that the UTS is also organizing a seminar with some of these people to be held next week in Sydney for those of you who can make it - for enquiries about this call the UTS Centre for Family Health and Midwifery. Kind regards, Barb. Dr Barbara Vernon Executive Officer Australian College of Midwives Ph +61 2 6230 7333 Mob 0438 855 529 'Midwifery: Pathways to Healthy Nations' 27th Congress of the International Confederation of Midwives Brisbane Convention Centre, 24-28 July 2005 www.midwives2005.com/index.shtml _ From: Stringybarkers [mailto:[EMAIL PROTECTED] Sent: Wednesday, July 13, 2005 2:37 PM To: [EMAIL PROTECTED] Subject: Fwd: [ozmidwifery] Caseload at ICM Begin forwarded message: From: Denise Hynd [EMAIL PROTECTED] Date: 13 July 2005 12:55:51 PM To: ozmidwifery@acegraphics.com.au Cc: [EMAIL PROTECTED] Subject: [ozmidwifery] Caseload at ICM Reply-To: ozmidwifery@acegraphics.com.au Dear All I understand researchers and managers of caseload like Jane Sandall or Chris McCourt may be at the ICM conference in Brisbane!! Though not as key note speakers as they should be!! What a shame that we in Australia are not making the most of these visits? Or is possible that ACMI will arrange for these experts to do tours of Australian maternity units and health department buracracies ? Where they can explain the benefits of caseload midwifery options to those who influence policy??? . Denise Hynd Let us support one another, not just in philosophy but in action, for the sake of freedom for all women to choose exactly how and by whom, if by anyone, our bodies will be handled. - Linda Hes attachment: winmail.dat
RE: [ozmidwifery] Ascending head
I loved Ina May Gaskins approach to doing a VE. Put your fingers in and then rest gently on the cervix. Don't do.. just wait a moment so that the cervix doesn't clamp. (if you think about doing a rectal exam you know that the involuntary action it to clamp, if you wait a moment before trying to do anything else it helps the involuntary reflex). Then after waiting/meeting the cervix gently feel. Sally -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
