[ozmidwifery] Strep B screening

2005-11-04 Thread Mary Murphy








I have been told by a pregnant woman that she was reluctant
to have a strep B test at 35-37 weeks. She was informed by a doctor in the A/N
clinic of our public tertiary hospital, that if she went into labour with an unknown
status and attended the delivery suite , her baby would have to be given
IMI antibiotics until the babys screening swabs came back 48hrs later.
She felt that to protect the baby, she had to consent to A/N screening. Those
who recognize the description of this hospital, is that true? Or has this lady
been unintentionally misled? Does this happen in any other hospitals? Feel free
to email me off line if you dont want to speak publicly. Thanks,
MM 








Re: [ozmidwifery] Strep B screening

2005-11-04 Thread Sadie



Hi Mary,
I have heard this said to women by some Dr's, 
however not all. Usual practice is to do gastric aspirate  ear swab on baby 
and check temps for 48 hours. And many women do refuse antibiotics for 
themselves and their babies - with encouragement from their midwives 
:)

Sadie

  - Original Message - 
  From: 
  Mary 
  Murphy 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Friday, November 04, 2005 8:17 
  PM
  Subject: [ozmidwifery] Strep B 
  screening
  
  
  I have been told by a pregnant 
  woman that she was reluctant to have a strep B test at 35-37 weeks. She was 
  informed by a doctor in the A/N clinic of our public tertiary hospital, that 
  if she went into labour with an “unknown status” and attended the delivery 
  suite , her baby would have to be given IMI antibiotics until the baby’s 
  screening swabs came back 48hrs later. She felt that to protect the 
  baby, she had to consent to A/N screening. Those who recognize the 
  description of this hospital, is that true? Or has this lady been 
  unintentionally misled? Does this happen in any other hospitals? 
  Feel free to email me off line if you don’t want to “speak” publicly. Thanks, 
  MM 


RE: [ozmidwifery] Strep B screening

2005-11-04 Thread Mary Murphy








Thanks Sadie, It is interesting that these
procedures are being done when the woman is of unknown status because the
guidelines from the Health dept say that Gastric aspirate and swabs only tell
us about surface colonization. The majority of babies who are born to those women
who are colonized are mostly not sick babies- 50-75% of babies are colonized but
only 2% are infected. That is a lot of non symptomatic babies getting IMI
antibiotics when they dont need them. Threatening to hurt their
babies is an unethical way to get women to have a screening test. When will
they learn to give accurate information to women so they can decide what tests
they want? MM

















Hi Mary,





I have heard this said to women by some Dr's, however not
all. Usual practice is to do gastric aspirate  ear swab on baby and check
temps for 48 hours. And many women do refuse antibiotics for themselves and
their babies - with encouragement from their midwives :) Sadie





I have been told by a pregnant woman that she was reluctant
to have a strep B test at 35-37 weeks. She was informed by a doctor in the A/N
clinic of our public tertiary hospital, that if she went into labour with an
unknown status and attended the delivery suite , her baby would
have to be given IMI antibiotics until the babys screening swabs came
back 48hrs later. She felt that to protect the baby, she had to consent
to A/N screening. Those who recognize the description of this hospital,
is that true? Or has this lady been unintentionally misled? Does
this happen in any other hospitals? Feel free to email me off line if you
dont want to speak publicly. Thanks, MM 










RE: [ozmidwifery] Strep B screening

2005-11-04 Thread Barbara Stokes








Dear Mary,

If there are no high risk
indications at time, we would monitor baby carefully ie
regular temperatures and observation rather than straight into IM antibiotics.

Barbara, Parkes



-Original
Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On
Behalf Of Mary Murphy
Sent: Friday, 4 November 2005 8:18
PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] Strep B
screening



I
have been told by a pregnant woman that she was reluctant to have a strep B
test at 35-37 weeks. She was informed by a doctor in the A/N clinic of our
public tertiary hospital, that if she went into labour with an unknown
status and attended the delivery suite , her baby would have to be given
IMI antibiotics until the babys screening swabs came back 48hrs
later. She felt that to protect the baby, she had to consent to A/N
screening. Those who recognize the description of this hospital, is that
true? Or has this lady been unintentionally misled? Does this
happen in any other hospitals? Feel free to email me off line if you
dont want to speak publicly. Thanks, MM 








[ozmidwifery] Strep B

2005-11-04 Thread Robyn Dempsey



I have had 2 cases this year where a woman chose 
not to have the strep B swabs done antenatally. For whatever reason we 
transferred from home to the hospital for birthing. The staff wanted her to have 
antibiotics because the step B statis was unknown. Both times the mothers 
refused.
Both times the hospitals then swabbed the babies, 
said something along the lines of 'we have found 'something' unknown that could 
be strep b" they then recommended commencing 48hours of IV antibiotics until 
blood cultures can prove otherwise( that it is not Strep B).
Because of the fear involved, the mothers chose to 
have the IV antibiotics for the bubs. Blood cultures came back on both babies 
negative for strep B.

Scary as it is, I relate this story to my clients 
and let them decide if they want the strep B swab or notguess what 
they choose??
Sad huh

Robyn Dempsey


Re: [ozmidwifery] mackay midwives

2005-11-04 Thread FIONA AND CRAIG RUMBLE



Kirsten is off to Selangor Private in 
Nambour.
Regards Fiona Rumble

  - Original Message - 
  From: 
  Anne Clarke 
  
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Friday, November 04, 2005 3:25 
  PM
  Subject: Re: [ozmidwifery] mackay 
  midwives
  
  Dear Fiona,
  
  Where is Kirsten going?
  
  RegardsAnne Clarke
  - Original Message - 
  
From: 
FIONA 
AND CRAIG RUMBLE 
To: ozmidwifery 
Sent: Friday, November 04, 2005 6:20 
AM
Subject: [ozmidwifery] mackay 
midwives

Did you know Kirsten Small (one of 
only two OBS)has resigned, leaving July? Great opportunity to 
highlight the need for more midwifery care and encouragement for the Birth 
Centre. I mentioned same to ABC reporter yesterday and a Doctor (my boss) 
poo hoo-ed me saying there were too many problems at the BC already. All the 
more reason to push forward 
Regards Fiona 
Rumble__ NOD32 1.1275 (20051103) Information 
__This message was checked by NOD32 antivirus system.http://www.eset.com


[ozmidwifery] Abby's Birth Announcement

2005-11-04 Thread Abby and Toby
HI,

Sorry for the x-post, but thought I would share that thismorning at 3:46am I
gave birth to a beautiful little girl, Runah. After a couple of days of
crazy prelabour and 5 hours of active labour she was birthed in warm water,
in my own home, into my friends hands with just her daddy, mummy and two
friends there.
After having a very traumatic c-section with my first daughter, this was
truly amazing!!
I am sore, tired and truly EMPOWERED!!

Love Abby

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RE: [ozmidwifery] Strep B screening

2005-11-04 Thread Tania Smallwood








I was actually witness to a midwife (and I
do use the term loosely in this instance) calling a young woman a selfish
bitch for refusing to have antibiotics in labour, when she was of
unknown GBS statusthis was 6 years ago at one of our centres of
excellenceshame



Tania











From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Mary Murphy
Sent: Friday, 4 November 2005 8:49
PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] Strep B
screening





Thanks Sadie, It is interesting that these
procedures are being done when the woman is of unknown status because the
guidelines from the Health dept say that Gastric aspirate and swabs only tell
us about surface colonization. The majority of babies who are born to those
women who are colonized are mostly not sick babies- 50-75% of babies are
colonized but only 2% are infected. That is a lot of non symptomatic
babies getting IMI antibiotics when they dont need them.
Threatening to hurt their babies is an unethical way to get women to have a
screening test. When will they learn to give accurate information to women so
they can decide what tests they want? MM

















Hi Mary,





I have heard this said to women by some Dr's, however not all.
Usual practice is to do gastric aspirate  ear swab on baby and check temps
for 48 hours. And many women do refuse antibiotics for themselves and their
babies - with encouragement from their midwives :) Sadie





I have been told by a pregnant woman that she was reluctant
to have a strep B test at 35-37 weeks. She was informed by a doctor in the A/N
clinic of our public tertiary hospital, that if she went into labour with an
unknown status and attended the delivery suite , her baby would
have to be given IMI antibiotics until the babys screening swabs came
back 48hrs later. She felt that to protect the baby, she had to consent
to A/N screening. Those who recognize the description of this hospital,
is that true? Or has this lady been unintentionally misled? Does
this happen in any other hospitals? Feel free to email me off line if you
dont want to speak publicly. Thanks, MM 










Re: [ozmidwifery] Abby's Birth Announcement

2005-11-04 Thread FIONA AND CRAIG RUMBLE



Congratulations Abby. Love and prayers 
to you, your little one, and all the family. Job well done! 
Regards Fiona Rumble (Birth International workshop 
co-participant)

  HI,Sorry for the x-post, but thought I would share that 
  thismorning at 3:46am Igave birth to a beautiful little girl, Runah. After 
  a couple of days ofcrazy prelabour and 5 hours of active labour she was 
  birthed in warm water,in my own home, into my friends hands with just her 
  daddy, mummy and twofriends there.After having a very traumatic 
  c-section with my first daughter, this wastruly amazing!!I am sore, 
  tired and truly EMPOWERED!!Love Abby--This mailing list is 
  sponsored by ACE Graphics.Visit http://www.acegraphics.com.au to 
  subscribe or unsubscribe.


RE: [ozmidwifery] Abby's Birth Announcement

2005-11-04 Thread Tania Smallwood
Blessings galore to you all, now go and get some sleep wonderwoman!

Tania
xxx

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Abby and Toby
Sent: Friday, 4 November 2005 9:08 PM
To: [EMAIL PROTECTED]; ozmidwifery@acegraphics.com.au;
[EMAIL PROTECTED]; [EMAIL PROTECTED];
[EMAIL PROTECTED]
Subject: [ozmidwifery] Abby's Birth Announcement

HI,

Sorry for the x-post, but thought I would share that thismorning at 3:46am I
gave birth to a beautiful little girl, Runah. After a couple of days of
crazy prelabour and 5 hours of active labour she was birthed in warm water,
in my own home, into my friends hands with just her daddy, mummy and two
friends there.
After having a very traumatic c-section with my first daughter, this was
truly amazing!!
I am sore, tired and truly EMPOWERED!!

Love Abby

--
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Visit http://www.acegraphics.com.au to subscribe or unsubscribe.




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Re: [ozmidwifery] Abby's Birth Announcement

2005-11-04 Thread jesse/jayne
Many congrats Abby and family :)  Love baby's name!

Jayne



 HI,

 Sorry for the x-post, but thought I would share that thismorning at 3:46am
I
 gave birth to a beautiful little girl, Runah. After a couple of days of
 crazy prelabour and 5 hours of active labour she was birthed in warm
water,
 in my own home, into my friends hands with just her daddy, mummy and two
 friends there.
 After having a very traumatic c-section with my first daughter, this was
 truly amazing!!
 I am sore, tired and truly EMPOWERED!!

 Love Abby

 --
 This mailing list is sponsored by ACE Graphics.
 Visit http://www.acegraphics.com.au to subscribe or unsubscribe.

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Visit http://www.acegraphics.com.au to subscribe or unsubscribe.


[ozmidwifery] CARES VBAC Info

2005-11-04 Thread Dean Jo
To those people who sent cheques for the CARES SA Birth After Caesarean
information booklet; 
Thanks and the CD's are in the post today so check you post boxes next
week!
Sorry for the delay.

Those who still want a copy of the CD with HEAPS of information on VBAC,
please send a cheque to 
CARES SA 
POBox 1013
Nairne SA 5252

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RE: [ozmidwifery] Abby's Birth Announcement

2005-11-04 Thread Dean Jo
Abby, you know that I know just how wonderful you feel at this moment!
I am SO very proud of you and cant wait to hear your birth story!
Love 
Jo
CARES
 

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Re: [ozmidwifery] Abby's Birth Announcement

2005-11-04 Thread lieve . huybrechts
Congratulations Abby, You did a wonderfull job. You are very strong to go on 
with what you feel is good. Big hug to all from the other site of the world.

Lieve



- Oorspronkelijk bericht -
Van: Abby and Toby [mailto:[EMAIL PROTECTED]
Verzonden: vrijdag, november 4, 2005 11:38 AM
Aan: [EMAIL PROTECTED], ozmidwifery@acegraphics.com.au, 
[EMAIL PROTECTED], [EMAIL PROTECTED], 
[EMAIL PROTECTED]
Onderwerp: [ozmidwifery] Abby's Birth Announcement

HI,

Sorry for the x-post, but thought I would share that thismorning at 3:46am I
gave birth to a beautiful little girl, Runah. After a couple of days of
crazy prelabour and 5 hours of active labour she was birthed in warm water,
in my own home, into my friends hands with just her daddy, mummy and two
friends there.
After having a very traumatic c-section with my first daughter, this was
truly amazing!!
I am sore, tired and truly EMPOWERED!!

Love Abby

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This mailing list is sponsored by ACE Graphics.
Visit http://www.acegraphics.com.au to subscribe or unsubscribe.




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Re: [ozmidwifery] Strep B screening

2005-11-04 Thread lieve . huybrechts
Here in Belgium is the same rule, with unknown status they start AB in labour. 
When labour goes to fast they will preventive give ab to the baby. Also with a 
positive test the mother has no choice and will have AB in labour. When the 
profylaxy is not compleet, the baby goes to neonatal ward and gets AB.
A few weeks ago I had a discussion with a pediatrician. Mother laboured at home 
and wanted  to give birth in hospital. Last visit the gyn told her she was pos 
on GBS and she would have AB in labour. She discussed it with the GP who is 
also homeopath and he said she could refuse the AB. She asked me in early 
labour and I said yes, you can, but then your baby will be under attack :-)
I adviced her to call the pediatrician to ask for the protocols. I left them to 
decide what to do and went home. Within half an hour I had a very angry 
pediatrician on the line. She didn't want to discuss the thing but just to push 
her view on us. I told her that she could find the info I gave to the mother on 
their own website of obs and gyns. Her heaviest argument was that she studied 
in a university hospital (Leuven) and therefor she knew :-)

The mother gave birth at home

greetings
Lieve

- Oorspronkelijk bericht -
Van: Mary Murphy [mailto:[EMAIL PROTECTED]
Verzonden: vrijdag, november 4, 2005 10:17 AM
Aan: ozmidwifery@acegraphics.com.au
Onderwerp: [ozmidwifery] Strep B screening

I have been told by a pregnant woman that she was reluctant to have a strep
B test at 35-37 weeks. She was informed by a doctor in the A/N clinic of our
public tertiary hospital, that if she went into labour with an unknown
status and attended the delivery suite , her baby would have to be given
IMI antibiotics until the baby's screening swabs came back 48hrs later.  She
felt that to protect the baby, she had to consent to A/N screening.  Those
who recognize the description of this hospital, is that true?  Or has this
lady been unintentionally misled?  Does this happen in any other hospitals?
Feel free to email me off line if you don't want to speak publicly.
Thanks, MM




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RE: [ozmidwifery] Strep B screening

2005-11-04 Thread Vedrana Valčić
Here I go with links again :) :

http://www.mothering.com/articles/pregnancy_birth/birth_preparation/group-b.html

and some comments at:

http://www.findarticles.com/p/articles/mi_m0838/is_123/ai_114242270

Vedrana

-Original Message-
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED]
Sent: Friday, November 04, 2005 1:22 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] Strep B screening

Here in Belgium is the same rule, with unknown status they start AB in labour. 
When labour goes to fast they will preventive give ab to the baby. Also with a 
positive test the mother has no choice and will have AB in labour. When the 
profylaxy is not compleet, the baby goes to neonatal ward and gets AB. 
A few weeks ago I had a discussion with a pediatrician. Mother laboured at home 
and wanted  to give birth in hospital. Last visit the gyn told her she was pos 
on GBS and she would have AB in labour. She discussed it with the GP who is 
also homeopath and he said she could refuse the AB. She asked me in early 
labour and I said yes, you can, but then your baby will be under attack :-)
I adviced her to call the pediatrician to ask for the protocols. I left them to 
decide what to do and went home. Within half an hour I had a very angry 
pediatrician on the line. She didn't want to discuss the thing but just to push 
her view on us. I told her that she could find the info I gave to the mother on 
their own website of obs and gyns. Her heaviest argument was that she studied 
in a university hospital (Leuven) and therefor she knew :-)

The mother gave birth at home

greetings 
Lieve

- Oorspronkelijk bericht -
Van: Mary Murphy [mailto:[EMAIL PROTECTED]
Verzonden: vrijdag, november 4, 2005 10:17 AM
Aan: ozmidwifery@acegraphics.com.au
Onderwerp: [ozmidwifery] Strep B screening

I have been told by a pregnant woman that she was reluctant to have a strep
B test at 35-37 weeks. She was informed by a doctor in the A/N clinic of our
public tertiary hospital, that if she went into labour with an unknown
status and attended the delivery suite , her baby would have to be given
IMI antibiotics until the baby's screening swabs came back 48hrs later.  She
felt that to protect the baby, she had to consent to A/N screening.  Those
who recognize the description of this hospital, is that true?  Or has this
lady been unintentionally misled?  Does this happen in any other hospitals?
Feel free to email me off line if you don't want to speak publicly.
Thanks, MM 




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Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
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Visit http://www.acegraphics.com.au to subscribe or unsubscribe.


RE: [ozmidwifery] CARES VBAC Info

2005-11-04 Thread Barbara Stokes
Could I please have the cost of CD and postage in order to post a cheque
Monday for the CARES VBAC cd?
Thankyou,
Barbara, 

-Original Message-


To those people who sent cheques for the CARES SA Birth After Caesarean
information booklet; 
Thanks and the CD's are in the post today so check you post boxes next
week!
Sorry for the delay.

Those who still want a copy of the CD with HEAPS of information on VBAC,
please send a cheque to 
CARES SA 
POBox 1013
Nairne SA 5252

-- 



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Visit http://www.acegraphics.com.au to subscribe or unsubscribe.


Re: [ozmidwifery] Abby's Birth Announcement

2005-11-04 Thread Judy Chapman
Fantastic and Congratulations Abby. Love to heare those so
positive stories. 
Cheers
Judy

--- Abby and Toby [EMAIL PROTECTED] wrote:

 HI,
 
 Sorry for the x-post, but thought I would share that
 thismorning at 3:46am I
 gave birth to a beautiful little girl, Runah. After a couple
 of days of
 crazy prelabour and 5 hours of active labour she was birthed
 in warm water,
 in my own home, into my friends hands with just her daddy,
 mummy and two
 friends there.
 After having a very traumatic c-section with my first
 daughter, this was
 truly amazing!!
 I am sore, tired and truly EMPOWERED!!
 
 Love Abby
 
 --
 This mailing list is sponsored by ACE Graphics.
 Visit http://www.acegraphics.com.au to subscribe or
 unsubscribe.
 




 
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RE: [ozmidwifery] CARES VBAC Info

2005-11-04 Thread Dean Jo
Sorry Barbra, 
The cost is $15 for the CD including postage.
Cheers
Jo

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Barbara
Stokes
Sent: Saturday, November 05, 2005 8:58 AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] CARES VBAC Info


Could I please have the cost of CD and postage in order to post a cheque
Monday for the CARES VBAC cd? Thankyou, Barbara, 
-Original Message-


To those people who sent cheques for the CARES SA Birth After Caesarean
information booklet; 
Thanks and the CD's are in the post today so check you post boxes next
week! Sorry for the delay.

Those who still want a copy of the CD with HEAPS of information on VBAC,
please send a cheque to 
CARES SA 
POBox 1013
Nairne SA 5252

-- 



--
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Visit http://www.acegraphics.com.au to subscribe or unsubscribe.

-- 
No virus found in this incoming message.
Checked by AVG Free Edition.
Version: 7.1.362 / Virus Database: 267.12.8/161 - Release Date:
11/3/2005
 

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Checked by AVG Free Edition.
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RE: [ozmidwifery] Strep B

2005-11-04 Thread Ken WArd



My 
daughter was GBS pos. Had IV antis in labour but the staff wanted her to stay in 
fir observation of bub. She was basically told the baby would die if she took 
her home. I said what rubbish. The last two places I have worked if mum 
was GBS pos, had had IV antis in labour ( at least 1 dose four hours before the 
birth) then apart from the odd temp check we just observed bub. Unknown status 
was only worried about if the membranes ruptured 24 hours. Then IV antis 
offered. Given that the swab isn't 100% accurate and mum be negative for 
the swab and colonise a day later why bother scaring women? 

  -Original Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED]On Behalf Of Robyn 
  DempseySent: Friday, 4 November 2005 9:32 PMTo: 
  ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Strep 
  B
  I have had 2 cases this year where a woman chose 
  not to have the strep B swabs done antenatally. For whatever reason we 
  transferred from home to the hospital for birthing. The staff wanted her to 
  have antibiotics because the step B statis was unknown. Both times the mothers 
  refused.
  Both times the hospitals then swabbed the babies, 
  said something along the lines of 'we have found 'something' unknown that 
  could be strep b" they then recommended commencing 48hours of IV antibiotics 
  until blood cultures can prove otherwise( that it is not Strep 
B).
  Because of the fear involved, the mothers chose 
  to have the IV antibiotics for the bubs. Blood cultures came back on both 
  babies negative for strep B.
  
  Scary as it is, I relate this story to my clients 
  and let them decide if they want the strep B swab or notguess what 
  they choose??
  Sad huh
  
  Robyn 
Dempsey


RE: [ozmidwifery] Strep B

2005-11-04 Thread Nicole Carver



Where 
I work no-one is swabbed. If a woman is in labour for twelve hours she is 
commenced on IV antis without knowing her GBS status. There are no other 
interventions, unless labour is premature, when a HVS will be taken. It's 
interesting the variety of practises out there! I would prefer to swab women pre 
labour, and then we could do away with the IV antibiotics. An IV, even 
onethat is bunged off,is a pest to maintain in 
labour.
Nicole.
PS I 
have not seen a baby with clinical obvious Grp B strep in 5 
years.

  -Original Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED]On Behalf Of Ken 
  WArdSent: Saturday, November 05, 2005 5:52 PMTo: 
  ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Strep 
  B
  My 
  daughter was GBS pos. Had IV antis in labour but the staff wanted her to stay 
  in fir observation of bub. She was basically told the baby would die if she 
  took her home. I said what rubbish. The last two places I have worked if 
  mum was GBS pos, had had IV antis in labour ( at least 1 dose four hours 
  before the birth) then apart from the odd temp check we just observed bub. 
  Unknown status was only worried about if the membranes ruptured 24 hours. Then 
  IV antis offered. Given that the swab isn't 100% accurate and mum be 
  negative for the swab and colonise a day later why bother scaring women? 
  
  
-Original Message-From: 
[EMAIL PROTECTED] 
[mailto:[EMAIL PROTECTED]On Behalf Of Robyn 
DempseySent: Friday, 4 November 2005 9:32 PMTo: 
ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Strep 
B
I have had 2 cases this year where a woman 
chose not to have the strep B swabs done antenatally. For whatever reason we 
transferred from home to the hospital for birthing. The staff wanted her to 
have antibiotics because the step B statis was unknown. Both times the 
mothers refused.
Both times the hospitals then swabbed the 
babies, said something along the lines of 'we have found 'something' unknown 
that could be strep b" they then recommended commencing 48hours of IV 
antibiotics until blood cultures can prove otherwise( that it is not Strep 
B).
Because of the fear involved, the mothers chose 
to have the IV antibiotics for the bubs. Blood cultures came back on both 
babies negative for strep B.

Scary as it is, I relate this story to my 
clients and let them decide if they want the strep B swab or 
notguess what they choose??
Sad huh

Robyn 
Dempsey


RE: [ozmidwifery] Strep B

2005-11-04 Thread wump fish
It seems most hospitals offer IV antibiotic cover in labour if membranes 
have ruptured for over 18hrs whether GBS or not. This is a particular 
bug-bear of mine. Firstly this is often not 'offered' but women are 
basically told this is what will be done. Secondly when women have had 2 
doses of AB in labour the baby still has to have hourly obs for four hours, 
then four hourly obs for 24hrs. By doing this we are saying that the baby 
remains at risk of infection. Surely we should not be giving the AB if we 
don't trust them to prevent infection.


I can't believe the amount of obs done on babies and the ridiculous reasons 
they are done. Babies are woken up to have a full set of obs done for any 
old excuse. So far I have never picked up a problem with a baby by doing 
obs. It is usually the mother who notices something is not right. Perhaps we 
should be explaining to mothers what is normal and encouraging them to let 
us know about any concerns rather than upsetting their baby every x amount 
of hours to put a cold stethoscope on its chest and shove a thermomether 
under its armpit.


Rachel



From: Nicole Carver [EMAIL PROTECTED]
Reply-To: ozmidwifery@acegraphics.com.au
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] Strep B
Date: Sat, 5 Nov 2005 18:04:25 +1100

Where I work no-one is swabbed. If a woman is in labour for twelve hours 
she

is commenced on IV antis without knowing her GBS status. There are no other
interventions, unless labour is premature, when a HVS will be taken. It's
interesting the variety of practises out there! I would prefer to swab 
women

pre labour, and then we could do away with the IV antibiotics. An IV, even
one that is bunged off, is a pest to maintain in labour.
Nicole.
PS I have not seen a baby with clinical obvious Grp B strep in 5 years.
  -Original Message-
  From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Ken WArd
  Sent: Saturday, November 05, 2005 5:52 PM
  To: ozmidwifery@acegraphics.com.au
  Subject: RE: [ozmidwifery] Strep B


  My daughter was GBS pos. Had IV antis in labour but the staff wanted her
to stay in fir observation of bub. She was basically told the baby would 
die
if she took her home. I said what rubbish. The last two places I have 
worked

if mum was GBS pos, had had IV antis in labour ( at least 1 dose four hours
before the birth) then apart from the odd temp check we just observed bub.
Unknown status was only worried about if the membranes ruptured 24 hours.
Then IV antis offered.  Given that the swab isn't 100% accurate and mum be
negative for the swab and colonise a day later why bother scaring women?
-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Robyn Dempsey
Sent: Friday, 4 November 2005 9:32 PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] Strep B


I have had 2 cases this year where a woman chose not to have the strep 
B

swabs done antenatally. For whatever reason we transferred from home to the
hospital for birthing. The staff wanted her to have antibiotics because the
step B statis was unknown. Both times the mothers refused.
Both times the hospitals then swabbed the babies, said something along
the lines of 'we have found 'something' unknown that could be strep b they
then recommended commencing 48hours of IV antibiotics until blood cultures
can prove otherwise( that it is not Strep B).
Because of the fear involved, the mothers chose to have the IV
antibiotics for the bubs. Blood cultures came back on both babies negative
for strep B.

Scary as it is, I relate this story to my clients and let them decide 
if

they want the strep B swab or notguess what they choose??
Sad huh

Robyn Dempsey


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[ozmidwifery] burping/winding

2005-11-04 Thread wump fish
What do you wise women think about winding/burping babies. I am very aware 
that I am totally confusing women and providing them with information which 
conflicts with my colleagues. I would love to hear what information you give 
women about this subject.


My standpoint at the moment (more than willing to change it) is that for 
most babies winding is unnecessary and if they fall asleep at the breast 
just leave them. Rather than sitting them up and jiggling them about = 
waking them up all over again etc. Other cultures do not wind/burp babies. 
Wind will find it's own way out.


Please correct me - I would love to hear alternative theories.

Rachel

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