[ozmidwifery] Photos of beautifull birthing rooms
Hi everyone, I am putting together a photo gallery to display some of the most beautiful birthing rooms in contrast of the most uncomfortable hospital delivery rooms, with some description of where they are from.The photo gallery will be presented in Tampere Finland later this spring. If you work in an environment, where the birthing rooms are really mother friendly and comfortable, or if you know some places where I could contact to get pictures, please contact me.Unfortunately I will not be able to go and take photoes, since I am back here in Finland. It would be great to get some pictures from many different countries. Paivi Laukkanen Childbirth Educator Finland [EMAIL PROTECTED]
Re: [ozmidwifery] Photos of beautifull birthing rooms
Can I suggest some pictures of the most mother/baby friendly? That would have to be ~home~ :) Cheers Jayne - Original Message - From: Päivi Laukkanen To: ozmidwifery@acegraphics.com.au Sent: Thursday, January 19, 2006 8:40 AM Subject: [ozmidwifery] Photos of beautifull birthing rooms Hi everyone, I am putting together a photo gallery to display some of the most beautiful birthing rooms in contrast of the most uncomfortable hospital delivery rooms, with some description of where they are from.The photo gallery will be presented in Tampere Finland later this spring. If you work in an environment, where the birthing rooms are really mother friendly and comfortable, or if you know some places where I could contact to get pictures, please contact me.Unfortunately I will not be able to go and take photoes, since I am back here in Finland. It would be great to get some pictures from many different countries. Paivi Laukkanen Childbirth Educator Finland [EMAIL PROTECTED]
Re: [ozmidwifery] Photos of beautifull birthing rooms
Hi Paivi I found this on the internet when I was doing an assignment for uni. I have never been here, but it sure looks like a place I would want to have a baby! http://www.waterbirth.net/pages/facility.html You can get a virtual tour of the rooms and there is also a contact email if you need further information. Hope it helps Katrina On 19/01/2006, at 8:40 AM, Päivi Laukkanen wrote: x-tad-smallerHi everyone,/x-tad-smaller x-tad-smallerI am putting together a photo gallery to display some of the most beautiful birthing rooms in contrast of the most uncomfortable hospital delivery rooms, with some description of where they are from. The photo gallery will be presented in Tampere Finland later this spring. If you work in an environment, where the birthing rooms are really mother friendly and comfortable, or if you know some places where I could contact to get pictures, please contact me. Unfortunately I will not be able to go and take photoes, since I am back here in Finland. It would be great to get some pictures from many different countries./x-tad-smaller x-tad-smallerPaivi Laukkanen/x-tad-smallerx-tad-smallerChildbirth Educator/x-tad-smallerx-tad-smallerFinland/x-tad-smaller x-tad-smaller[EMAIL PROTECTED]/x-tad-smaller
[ozmidwifery] coached pushing
Apologies if this has been posted before. MM Coached pushing offers little immediate benefit Source:American Journal of Obstetrics and Gynecology 2006; 194: 10-3 Comparing obstetric outcomes with and without coached pushing during the second stage of labor. Coached pushing during the second stage of labor offers no immediate benefits, apart from slightly speeding up the process, US researchers have found. The benefits of routine coached pushing during the second stage of labor are being increasingly debated. Indeed, results of a previous randomized controlled trial by the research team found it to be associated with evidence of pelvic floor dysfunction 3 months after delivery. To investigate the impact of such pushing on delivery and infant outcomes, Steven Bloom and colleagues (University of Texas Southwestern Medical Center, Dallas, USA) randomly assigned nulliparous women with straightforward labors and without epidural analgesia to perform coached (n = 163) or uncoached (n = 157) pushing during the second stage. The duration of this stage of labor was shortened by approximately 13 minutes with coaching when compared to without ita significant changebut no other clinically significant immediate maternal or neonatal outcomes were significantly affected, the team reports. Summarizing their findings, the researchers write: Although associated with a slightly shorter second stage, coached maternal pushing confers no other advantages and withholding such coaching is not harmful. Indeed, the short-term outcome findings that coached pushing confers neither benefit nor harm might be preempted if it is confirmed that coaching has deleterious long-term effects, they warn. Posted: 11 January 2006
Re: [ozmidwifery] Photos of beautifull birthing rooms
Absolutely! I plan to show hospital rooms, birthing centre rooms and home. Unfortunately the Birthing Centre consept is not even known about in Finland and we only have some 20 homebirths a year but I am trying to awaken some interest by showing pictures of something we don't really associate with birth over here... Päivi - Original Message - From: jesse/jayne To: ozmidwifery@acegraphics.com.au Sent: Thursday, January 19, 2006 12:09 AM Subject: Re: [ozmidwifery] Photos of beautifull birthing rooms Can I suggest some pictures of the most mother/baby friendly? That would have to be ~home~ :) Cheers Jayne - Original Message - From: Päivi Laukkanen To: ozmidwifery@acegraphics.com.au Sent: Thursday, January 19, 2006 8:40 AM Subject: [ozmidwifery] Photos of beautifull birthing rooms Hi everyone, I am putting together a photo gallery to display some of the most beautiful birthing rooms in contrast of the most uncomfortable hospital delivery rooms, with some description of where they are from.The photo gallery will be presented in Tampere Finland later this spring. If you work in an environment, where the birthing rooms are really mother friendly and comfortable, or if you know some places where I could contact to get pictures, please contact me.Unfortunately I will not be able to go and take photoes, since I am back here in Finland. It would be great to get some pictures from many different countries. Paivi Laukkanen Childbirth Educator Finland [EMAIL PROTECTED]
[ozmidwifery] article FYI - more reasons to avoid c/s
The Effect of Anesthesia on Apgar Score Question What are the effects of general and spinal anesthesia during cesarean delivery on the neonatal Apgar score? Dr. Khademis Response from Dena Goffman, MD, and Peter S. Bernstein, MD, MPH Dena Goffman, MD, fellow in Maternal-Fetal Medicine, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York Peter S. Bernstein, MD, MPH, FACOG, Associate Professor of Clinical Obstetrics and Gynecology and Women's Health, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York; Medical Director of Obstetrics and Gynecology, Comprehensive Family Care Center, Montefiore Medical Center, Bronx, New York An anesthetic plan for cesarean delivery must take into account maternal and fetal well being, as well as the clinical situation at hand. General anesthesia and regional anesthesias, including spinal, epidural, or combined spinal-epidural, are available options. Regional anesthesia is well recognized as safe and effective, and it allows the mother to be awake and to participate in the birth of her child. A widely accepted benefit of general anesthesia is the rapidity with which it can be induced. The majority of cesarean deliveries in the United States are performed under regional anesthesia, with the majority of planned cesareans performed under spinal anesthesia. The question posed regarding the effect of general vs regional anesthesia on neonatal Apgar scores is an interesting one. This subject has been studied by many investigators over the years, most commonly retrospectively and in the setting of elective cases. Some have shown no difference in Apgar scores between the groups. Some have reported lower Apgar scores and worse outcomes with the use of general anesthesia, suggesting that these differences are a result of transient sedation secondary to anesthetic agents.[1] Others have suggested an increased degree of acidosis in neonates delivered under regional anesthesia, possibly due to greater incidence of maternal hypotension and need for ephedrine to support maternal blood pressure.[2] One large retrospective review studied the effects of general and regional anesthesia in infants delivered by elective and nonelective cesarean section. The authors showed that when controlled for confounding factors, general anesthesia was associated with lower Apgar scores at 1 and 5 minutes and with greater requirements for intubation and artificial ventilation. There were no differences in neonatal death rates.[1] In recent years, prospective randomized trials have been undertaken comparing general anesthesia with both spinal and epidural anesthesia for cesarean delivery. In a comparison of spinal and general anesthesia for elective cesarean delivery at term, no difference was demonstrated in short-term neonatal outcomes, including Apgar scores, cord gas parameters, creatine kinase, AST/ALT and cortisol levels, hospital stay, NICU admissions, neonatal respiratory depression, or perinatal asphyxia.[3] However, in another smaller randomized study comparing general anesthesia with epidural anesthesia for cesarean delivery at term, the epidural group had higher Apgar scores, higher Neurologic Adaptive Capacity scores at 2 and 24 hours of life, higher umbilical artery pH and pO2, and a shorter interval to initiation of breastfeeding.[4] A recent large cohort study reported that for both emergency and elective cesarean deliveries, significantly more infants delivered under general anesthesia require resuscitation.[5] It is well accepted that optimal anesthetic choice depends on the clinical situation. Comparisons of general and regional anesthesia in the setting of specific obstetric dilemmas such as prematurity, pre-eclampsia, and placenta previa have been reported. The influence of general compared with epidural anesthesia for cesarean delivery of preterm infants 32 weeks has been described using a prospective database. When controlled for confounders, lower 1-minute Apgar scores were evident in the general anesthesia group[6]; however, the clinical significance of this in the setting of comparable 5-minute scores is unclear. Dyer and colleagues[2] published results from a prospective randomized trial comparing general anesthesia with spinal anesthesia for cesarean delivery in pre-eclamptic patients with a nonreassuring fetal heart rate tracing. Both groups had acceptable hemodynamic parameters. The spinal group received more ephedrine, had a lower maternal pCO2, and umbilical artery parameters showed a greater base deficit and lower pH. The general anesthesia group had lower 1-minute Apgar scores, but 5-minute scores were comparable. It is unclear what conclusions should
Re: [ozmidwifery] Photos of beautifull birthing rooms
Hi Paivi, I can send you some photos from Acuario Birth Centre in Spain and there were some I took in Japan recently at Fureai Yokohama Hospital, which I consider to be the most beautiful in the world. you can see these on My Diary: entries for December: http://www.birthinternational.com/diary/index.html Let me know if these are of interest and I can email the pictures to you Regards Andrea At 08:40 AM 19/01/2006, Päivi Laukkanen wrote: Hi everyone, I am putting together a photo gallery to display some of the most beautiful birthing rooms in contrast of the most uncomfortable hospital delivery rooms, with some description of where they are from. The photo gallery will be presented in Tampere Finland later this spring. If you work in an environment, where the birthing rooms are really mother friendly and comfortable, or if you know some places where I could contact to get pictures, please contact me. Unfortunately I will not be able to go and take photoes, since I am back here in Finland. It would be great to get some pictures from many different countries. Paivi Laukkanen Childbirth Educator Finland [EMAIL PROTECTED] - Andrea Robertson Director 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.
[ozmidwifery] article FYI
Trial of Labor After Cesarean Section (TOLAC): Updated Clinical Recommendations Desiree Lie, MD, MSEd Introduction and Background During the Clinical Update Recommendations Session of the 2005 Annual American Academy of Family Physicians (AAFP) Scientific Assembly, Eric Wall, MD, MPh, Clinical Associate Professor, Departments of Family Medicine, Public Health, and Preventive Medicine, Oregon Health and Sciences University, Portland, Oregon, discussed evidence for and controversies surrounding a Trial of labor after cesarean section (TOLAC).[1] Twenty-six percent of all births in the United States now result in cesarean section, and this rate has been rising steadily in recent years. However, the rate of vaginal birth after cesarean section (VBAC) has been declining steadily. Among women with previous cesarean section, the likelihood of VBAC was 9% in 2003 compared with 19% in 1989. AAFP Guidelines for TOLAC Guidelines for TOLAC, based on patient-centered outcomes (morbidity, mortality, symptoms, cost, and quality of life), were developed by an AAFP Task Force and published on the AAFP Web site in July 2005.[2] The guidelines apply to women with a history of 1 cesarean section and low transverse incision. The grade levels of the evidence used in the guidelines are as follows: Grade A -- Good-quality studies with patient-oriented evidence Grade B -- Inconsistent or limited patient-oriented evidence Grade C -- Case series, consensus, usual practice or opinion A Maternity Care Facility is defined as a site with capability for cesarean section. Labor at home and home deliveries are excluded from the guidelines. The AAFP guidelines were based on an extension of the Agency for Healthcare Quality and Research AHRQ Evidence Report Number 71.[3] A total of 1651 studies on the topic were identified. Of these, only 180 studies were selected as being of sufficient quality to be included in the recommendations. Studies up to March 2004 were included in the analysis. The recommendations and grade of evidence are summarized as follows by Dr. Wall:[2] Recommendation 1. All women with 1 previous cesarean delivery with a low transverse incision are candidates for and should be offered TOLAC (grade A). Recommendation 2. Patients desiring TOLAC should be counseled that their chances of a successful VBAC is influenced by several factors. Positive factors include maternal age less than 40 years; prior vaginal delivery, particularly prior successful VBAC; favorable cervical factors; and nonrecurrent indication for cesarean delivery. Negative factors include increased number of prior cesarean deliveries, gestational age over 40 weeks, birth weight over 4000 g, and induction or augmentation of labor (grade B). Recommendation 3. Prostaglandins should not be used for cervical ripening or induction with TOLAC because they increase the risk for uterine rupture and reduce the rate of successful vaginal delivery (grade B). Recommendation 4 (the most controversial). TOLAC should not be restricted to facilities with surgical teams present throughout labor because there is no evidence that these additional resources result in improved outcomes. A management plan for uterine rupture and other potential emergencies requiring rapid cesarean section should be available and documented for each woman undergoing TOLAC. This recommendation differs from the current American College of Obstetrics and Gynecology (ACOG) guidelines and policy[4] (grade C). Recommendation 5. All factors that may affect a woman's decision to undergo TOLAC should be explored, including recovery time and safety. However, the impact of counseling on maternal decision-making is unclear, as little evidence is available (grade C). Summary of the Literature Results of the AAFP Task Force literature review were summarized by Dr. Wall and compared with the 2003 AHRQ report, [3] the main outcomes of which comprised uterine rupture and mortality. Seventy-six percent of women undergoing TOLAC are likely to succeed. Seven observational studies found a reduced success rate (63%) when induction with oxytocin or augmentation was used, and success was reduced even further to 51% if prostaglandins were used for induction. Risk for uterine rupture increased slightly with TOLAC when induction or augmentation was used. Maternal death and infant mortality did not differ between TOLAC and repeated cesarean section. Infection rates were reported as higher with failed TOLAC than with repeated cesarean section (8% vs 3.5%). Risk for uterine rupture was estimated at 4.8 per 10,000 women with or without TOLAC. Risk for infant death from uterine rupture was reported at 1.5/100,000. There was no literature on quality-of-life issues related to VBAC. Risk-assessment tools (2 validated scoring systems were identified)[5, 6] were only partially useful in predicting successful vaginal delivery. Individual factors found
[ozmidwifery] article FYI
Hi All, Here is more evidence that cerebral palsy is not caused by a difficult birth but by a viral infection earlier in the pregnancy. Fetal Exposure to Neurotropic Viruses Linked to Cerebral Palsy Reuters Health Information 2006. © 2006 Reuters Ltd. Republication or redistribution of Reuters content, including by framing or similar means, is expressly prohibited without the prior written consent of Reuters. Reuters shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon. Reuters and the Reuters sphere logo are registered trademarks and trademarks of the Reuters group of companies around the world. NEW YORK (Reuters Health) Jan 05 - The presence of nucleic acids from neurotropic viruses in the blood of newborns is associated with cerebral palsy and preterm birth, Australian investigators report. Intrauterine exposure to viruses is postulated to be an important factor in the development of cerebral palsy, mediated either by direct infection or fetal inflammatory response, Dr. Catherine S. Gibson, at the University of Adelaide, and her associates in the South Australian Cerebral Palsy Research Group note. Subjects of their study, reported this week in BMJ Online First, included all children with cerebral palsy born between 1986 and 1999 in South Australia to white mothers and 883 randomly selected control infants. Blood samples taken at birth from the infants were tested for herpes simplex virus (HSV)-1, HSV-2, varicella zoster virus, Epstein-Barr virus, cytomegalovirus, human herpes viruses (HHV)-6, HHV-7, and HHV-8, and members of the Enterovirus family. In the control group, CMV was the most prevalent virus (26.7%). Some of those infected with CMV were also positive for herpes group B (3.1%) and herpes group A viruses (1.1%). Dr. Gibson's group observed that CMV was significantly more prevalent in the 247 control infants born before 37 weeks' gestation than in the term infants (odds ratio 1.57, p 0.01). The same trend was observed for the presence of any herpes virus (odds ratio 1.43). They also found a significant association between any viral exposure and cerebral palsy at all gestational ages compared with control subjects (odds ratio 1.30). The relationship was most marked for detection of herpes group B (odds ratio 1.68). Based on these findings, the authors suggest that exposure late in gestation may not result in preterm birth, instead having direct effects on the brain, whereas exposure early in gestation may result in preterm birth but increase the risk of neuropathology associated with prematurity. The high prevalence of exposure to viral infection in the control infants suggests that cofactors may be required before brain damage occurs, they add, such as genetic susceptibility to infection or disruption of the placental or blood-brain barrier. BMJ Online First 2006. Leanne Wynne Midwife in charge of Women's Business Mildura Aboriginal Health Service Mob 0418 371862 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] article FYI
Vitamin D Levels During Pregnancy Affect Childhood Bone Mass Reuters Health Information 2006. © 2006 Reuters Ltd. Republication or redistribution of Reuters content, including by framing or similar means, is expressly prohibited without the prior written consent of Reuters. Reuters shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon. Reuters and the Reuters sphere logo are registered trademarks and trademarks of the Reuters group of companies around the world. NEW YORK (Reuters Health) Jan 05 - Offspring of mothers with low serum vitamin D levels have reduced bone mineral content during childhood, potentially increasing their risk of osteoporosis in later life, British investigators report. Vitamin D is required for skeletal growth during infancy and childhood, the investigators note. Recent findings that the risk of osteoporosis in later life is affected by adverse intrauterine environmental conditions raises the concern that low levels of vitamin D during pregnancy may have a deleterious effect. Dr. Cyrus Cooper, from the University of Southampton, and his colleagues measured levels of 25(OH)-vitamin D in serum samples obtained from women during late pregnancy. Their offspring underwent dual energy X-ray absorptiometry at age 9. Included in the study, reported in the January 7th issue of The Lancet, were 160 mother-child pairs with complete data. Mothers deficient in vitamin D ( 11 g/L) had offspring whose whole-body bone mineral content at 9 years of age was significantly lower than in those born to women with levels 20 g/L (mean 1.04 kg versus 1.16 kg, p = 0.002). Maternal vitamin D status during late pregnancy was also significantly associated with lumbar-spine bone mineral content and areal bone mineral density. In contrast, birth weight, birth length, placental weight, abdominal and head circumference, and childhood height and lean mass were not associated with maternal vitamin D status. Children born during the summer -- whose mothers were exposed to more sunshine -- and children whose mothers took vitamin D supplements had significantly higher bone mineral content. Milk intake and physical activity were not significant determinants of bone mineral content. Dr. Cooper's group postulates that maternal vitamin D insufficiency during pregnancy leads to an impairment of placental calcium transport, perhaps mediated by parathyroid-hormone-related peptide and thereby reduces the trajectory of intrauterine and subsequent childhood bone-mineral accrual. They add: Vitamin D supplementation of such mothers, especially when the last trimester of pregnancy occurs during the winter months, could lead to an enhanced peak bone-mineral accrual and a reduced risk of fragility fracture in offspring during later life. Lancet 2006;367:36-43. Leanne Wynne Midwife in charge of Women's Business Mildura Aboriginal Health Service Mob 0418 371862 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] article FYI
H . . . isn't that convenient for the ob/gyns? Only two cases I have seen were two breech boys born in hosp---one cesarean and one with Piper forceps applied to after coming head. Gloria leanne wynne wrote: Hi All, Here is more evidence that cerebral palsy is not caused by a difficult birth but by a viral infection earlier in the pregnancy. Fetal Exposure to Neurotropic Viruses Linked to Cerebral Palsy Reuters Health Information 2006. © 2006 Reuters Ltd. Republication or redistribution of Reuters content, including by framing or similar means, is expressly prohibited without the prior written consent of Reuters. Reuters shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon. Reuters and the Reuters sphere logo are registered trademarks and trademarks of the Reuters group of companies around the world. NEW YORK (Reuters Health) Jan 05 - The presence of nucleic acids from neurotropic viruses in the blood of newborns is associated with cerebral palsy and preterm birth, Australian investigators report. Intrauterine exposure to viruses is postulated to be an important factor in the development of cerebral palsy, mediated either by direct infection or fetal inflammatory response, Dr. Catherine S. Gibson, at the University of Adelaide, and her associates in the South Australian Cerebral Palsy Research Group note. Subjects of their study, reported this week in BMJ Online First, included all children with cerebral palsy born between 1986 and 1999 in South Australia to white mothers and 883 randomly selected control infants. Blood samples taken at birth from the infants were tested for herpes simplex virus (HSV)-1, HSV-2, varicella zoster virus, Epstein-Barr virus, cytomegalovirus, human herpes viruses (HHV)-6, HHV-7, and HHV-8, and members of the Enterovirus family. In the control group, CMV was the most prevalent virus (26.7%). Some of those infected with CMV were also positive for herpes group B (3.1%) and herpes group A viruses (1.1%). Dr. Gibson's group observed that CMV was significantly more prevalent in the 247 control infants born before 37 weeks' gestation than in the term infants (odds ratio 1.57, p 0.01). The same trend was observed for the presence of any herpes virus (odds ratio 1.43). They also found a significant association between any viral exposure and cerebral palsy at all gestational ages compared with control subjects (odds ratio 1.30). The relationship was most marked for detection of herpes group B (odds ratio 1.68). Based on these findings, the authors suggest that exposure late in gestation may not result in preterm birth, instead having direct effects on the brain, whereas exposure early in gestation may result in preterm birth but increase the risk of neuropathology associated with prematurity. The high prevalence of exposure to viral infection in the control infants suggests that cofactors may be required before brain damage occurs, they add, such as genetic susceptibility to infection or disruption of the placental or blood-brain barrier. BMJ Online First 2006. Leanne Wynne Midwife in charge of Women's Business Mildura Aboriginal Health Service Mob 0418 371862 -- 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] British co speaks up for N. American boys
Viafin-Atlas Ltd. announced today its consternation and dismay at the thousands of emails it has received in recent weeks from US citizens regarding the detrimental after-effects of circumcision. [This item has not been edited. The corporate entity wishes widest distribution.] Please see: http://www.ereleases.com/pr/20060118005.html Or: http://tinyurl.com/9433o Or read it here: Press Release Viafin-Atlas - Circumcision Issues SALISBURY, England, Jan. 18, 2006 -- Viafin-Atlas Ltd. announced today its consternation and dismay at the thousands of emails it has received in recent weeks from US citizens regarding the detrimental after-effects of circumcision. In a response to this, Viafin-Atlas, which manufactures therapeutic products for circumcised males, has written to the American Academy of Pediatrics and the US Secretary of Health and Human Services to relay the despair and anger felt by victims of unnecessary neo-natal circumcision performed in the US. In this letter, appropriate suggestions are outlined which enforce the special and necessary human rights which are owed to babies and children of the US. These special rights extend and prevail in all other civilized and developed countries in the world, where the absence of routine neo-natal circumcision is not an issue. For further details of these letters please visit the News page at http://www.viafin-atlas.com. Contact: James Williams Managing Director Viafin-Atlas Ltd. Unit No.1 The Malverns Business Centre Cherry Orchard Lane Salisbury SP2 7JG United Kingdom Tel: 0044 (0) 1722 322611 Fax: 0044 (0) 1722 330009 Email: [EMAIL PROTECTED] -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] article FYI
On 19/01/2006, at 7:44 AM, Gloria Lemay wrote: H . . . isn't that convenient for the ob/gyns? Only two cases I have seen were two breech boys born in hosp---one cesarean and one with Piper forceps applied to after coming head. Gloria Gloria, I have never heard of Piper forceps - can you describe them? Thanks :) Jo - who has to return to work soon and is scared of all those hospital births after her lovely home water birth! ;) -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Photos of beautifull birthing rooms
http://www.birthing-center.com/birthingcenter.htm this is a nice birthing cente in india with a water birth room and things it seems very nice. there are also some nice photos of families who have birthed there i guess ud have to email and ask if you could use them though, shes really lovely Päivi Laukkanen [EMAIL PROTECTED] wrote: Hi everyone,I am putting together a photo gallery to display some of the most beautiful birthing rooms in contrast of the most uncomfortable hospital delivery rooms, with some description ! of where they are from.The photo gallery will be presented in Tampere Finland later this spring. If you work in an environment, where the birthing rooms are really mother friendly and comfortable, or if you know some places where I could contact to get pictures, please contact me.Unfortunately I will not be able to go and take photoes, since I am back here in Finland. It would be great to get some pictures from many different countries.Paivi Laukkanen Childbirth Educator Finland[EMAIL PROTECTED] Yahoo! Photos Ring in the New Year with Photo Calendars. Add photos, events, holidays, whatever.
[ozmidwifery] RE: OP
Hi Jo, Have you read any of Jean Sutton's work? She wrote a book called Optimal Fetal Positioning in which she describes all about OP causes and prevention. She also designed a Pregnancy Rocker to aid in the prevention of OP from 34 weeks onward. Any more info about the Pregnancy rocker ...email me at [EMAIL PROTECTED] Regards, Nancy -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Dean Jo Sent: Monday, 16 January 2006 3:39 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] References required Could someone point me in the direction on further information about stubborn OP presentations and the links with premature pushing urges? Much appreciated Jo -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.371 / Virus Database: 267.14.17/229 - Release Date: 1/13/2006 -- 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] Proposed Medicare changes
http://www.theaustralian.news.com.au/printpage/0,5942,17866415,00.html Print this page Health plan calls for bypass of GPsAdam Cresswell, Health editor19jan06MEDICARE could be thrown open to health workers such as nurses, physiotherapists and speech pathologists to ease pressures on the health system.A landmark report out today, commissioned by the federal Government, proposes allowing more patients to bypass their GP and go straight to the relevant health worker for a Medicare-funded consultation. Doctors should also be allowed to refer patients to a wider range of health workers under Medicare than they can now. Rebates for these consultations would be lower than for seeing a doctor, reflecting the lower level of the health worker's qualifications. But the proposals in the 450-page Productivity Commission report on the health workforce drew anger from the doctors' lobby, which said the proposals were "unacceptable". "Australians ... want quick and affordable access to a doctor, not a doctor-substitute," said AMA vice-president Choong-Siew Yong. "The key is to train and retain more local doctors." The report also seeks to fix problems with access to healthcare in the bush, by exploring new ways to combine state and federal funds for hospital, GP and other services. Waste and duplication would also be cut, for example by merging Australia's 90 existing registration boards for health professionals into one national entity. A single national accreditation board would also take over responsibility for doctors' and health workers' education and training, and responsibility for overseas-trained doctors. Nurses and allied health groups such as physiotherapists greeted the findings with jubilation. The Australian Physiotherapy Association said that if implemented, the report would "lead to better use of the health workforce and better access for all Australians". The Productivity Commission's Mike Woods, who chaired the study, said in five to 10 years "we would be looking at patients being able to go to a wider range of health professionals". Exactly which health workers could join doctors under the Medicare banner should be decided by a new permanent advisory committee, qualified to say which services were cost-efficient, he said. Replacing two existing bodies, the new committee would report publicly to the federal health minister on what services should be added to or cut from Medicare, and what rebates should apply. "But the evidence has been put to us that you could have quality care delivered directly by professionals who might be physios, occupational therapists, speech pathologists or nurse practitioners," he said. "We already spend 9.7 per cent of GDP on healthcare. That will rise (no matter what). But ... we need to use the health workforce more efficiently." Expanding full Medicare recognition to more health workers would end the "medical merry-go-round" under present arrangements. For example, a physiotherapist would be able to refer a patient straight to a specialist, without the patient having first to return to a GP for a referral in order for the consultation with the specialist to attract the maximum rebate. College of Nursing executive director Judy Lumby said the commission had "shown courage" in its recommendations. A spokesman for Acting Health Minister Julie Bishop said John Howard would take the report to next month's Council of Australian Governments meeting for discussion. Have your say, email The Forum [EMAIL PROTECTED]
Re: [ozmidwifery] Anaemia remedies
some Aboriginal women recommend drinking kangaroo blood :))) probably rather unpractical ... haha try getting a policy on that Helen and Graham [EMAIL PROTECTED] wrote: We are having a discussion about remedies for anaemia in pregnancy at work at the moment. One of the midwives has been recommending parsley and pineapple juice but one of the doctors is saying it causes a build up of uric acid?!I recall hearing about floradix being recommended by some midwives and Elevit by others. ! Apart from FGF, I would be interested in what people are recommending in their practices.ThanksHelen Yahoo! Photos Showcase holiday pictures in hardcover Photo Books. You design it and well bind it!
RE: [ozmidwifery] article FYI
I agree Gloria, the South Australian research offering this causative link suggests that it is only relevant in the absence of a 'sentinel event' in labour. CP with spastic quadriplegia is almost always associated with hard evidence of significant and prolonged hypoxia during birth - no mere coincidence but the suggestion certainly offers a good out for the Obs (always looking for any excuse to avoid the blame and medical gobbledygook manages to fool the majority). Kate -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] RE: OP
Just to add to this, after talking about this the other night, I've been thinking a bit about it too. Obviously an awareness of positioning of the baby is beneficial, but I'm with you Jo, too much emphasis on this, and not enough practical applications, or answers to the questions, and it becomes an unhealthy obsession... Having said that, I'd be keen to try the Rebozo technique next time a persistent OP labour comes my way, (or should I say, a baby in a persistent OP position), but how? I understand the how of how to use the rebozo, but what about how long? And do I then need to keep checking by palp the position of the baby, to determine whether it's been effective? All sounds like a lot of disruption to the normal birthing process, and I'm not sure under what circumstances I'd be happy to instigate all this intervention... Any ideas from those more experienced? Tania x -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Dean Jo Sent: Thursday, 19 January 2006 5:28 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] RE: OP Thanks Nancy, Having had 2 stubborn OP babies myself I lived and breathed the Optimal Fetal Positioning for the second child. Interestingly I didn’t get so hung up on it the third time and that was the only babe who was OA. Must say that there is a danger sometimes in being too obsessed with doing the 'right' thing. What I am interested in though, is rationale for stubborn OP babies and the premature pushing urge. How does a woman who has laboured in a bath upright during all her labour overcome this problem? I have had an experience where one woman whose baby was LOA during the last weeks of pregnancy, turned OP during an active upright drug free labour and then after 22 hours turned only to have the fetal heart rate plummet resulting in CS. During the last 4 hours the urge to push was overwhelming and she was 6cm...lots of swelling and molding of baby head. Would this be why it took so long to turn? How do you avoid this? Is this common or is it indicative to a type of pelvis?? Need to dig deeper than just optimizing positions. I know babies can and do birth fully OP but the links with premature pushing urge is of interest to me. Thanks Jo -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Nancy San Martin Sent: Thursday, January 19, 2006 12:56 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] RE: OP Hi Jo, Have you read any of Jean Sutton's work? She wrote a book called Optimal Fetal Positioning in which she describes all about OP causes and prevention. She also designed a Pregnancy Rocker to aid in the prevention of OP from 34 weeks onward. Any more info about the Pregnancy rocker ...email me at [EMAIL PROTECTED] Regards, Nancy -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Dean Jo Sent: Monday, 16 January 2006 3:39 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] References required Could someone point me in the direction on further information about stubborn OP presentations and the links with premature pushing urges? Much appreciated Jo -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.371 / Virus Database: 267.14.17/229 - Release Date: 1/13/2006 -- 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. -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.375 / Virus Database: 267.14.20/234 - Release Date: 1/18/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.375 / Virus Database: 267.14.20/234 - Release Date: 1/18/2006 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.375 / Virus Database: 267.14.20/234 - Release Date: 18/01/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.375 / Virus Database: 267.14.20/234 - Release Date: 18/01/2006 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Midwife in Sydney (again)
Sorry people, Cant find the mail you sent me Janet, about listing of midwives in Sydneycan you send it again please? Thanks Tania -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.375 / Virus Database: 267.14.20/234 - Release Date: 18/01/2006
