[ozmidwifery] public-private birth centres
Thanks guys for your comments so far, the Dr who is making the proposition is definitely one of the lower interventionist ones around these parts and he supports most of the local women who choose to have a homebirth. When I asked him how he thought it might work he didn't really seem to have much of an idea which leaves it pretty open to come up with our unique model. I will be pushing for visiting rights for independent midwives but am sure the insurance (lack there of) will be raised before too long. Lynne as you mention 'caseload' would be my preferred option but at the end of the day if this increases the choice for some women then it will be great because to be honest there is no choice at the moment here in the south west of WA. Unfortunately numbers will be an issue realistically we can probably only aim for around 100 births a year and that means staffing will be an issue because it will not be able to have staff on 24 hour basis. From my experience you need to be booking around 500 and have at least 350 births a year to justify a full complement of staff around 12-13 full time equivalents. Lynne with the private patients are they assigned a midwife and then does the women negotiate with that midwife to have antenatal care as well as their OB and would that woman try to be there for the birth or is dependent on what committment the midwife can make to the woman and in your clinics how do the women pay if they just see a midwife, does the hospital itself bill them and then they get the monies back off their health fund or does the OB have to be involved in the clinics. Yours in midwifery Pete Malavisi -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Acupunture and induction
Looking for advice on using acupuncture to induce labour at 38 weeks for a VBAC with gestational diabetes complications. Ob is supportive of VBAC as long as pregnancy doesnt go beyond 38 weeks due to possible stillbirth risks in 39th and 40th weeks of pregnancy. Is acupuncture a viable induction alternative? Is it relatively safe for a VBAC attempt or is risk of scar rupture too high? Obs preferred option beyond 38 weeks is elective cs. Thanks Mindy
RE: [ozmidwifery] Acupunture and induction
My friend had her VBAC on Saturday at 39wks and 6 days with no complications; drug free, over 4kg baby and only a graze. She had an induction massage at Fertile Ground, which basically involves acupressure points, although she found it too hard for what she liked and was sore afterwards. She then went to see someone else I know to help with the soreness. She had the massage a couple of days before she went into labour but was already having good pre-labour. She didnt have GD but maybe an alternative might be acupressure if you can get the all clear for it. I believe one of the acupressure points is two fingers above the inside ankles, so thats the spot where you press. Where about is she? There is a great masseuse / aromatherapist / health consultant I can highly recommend in Melbourne who does a wonderful pregnancy massage and can tailor for induction (clary sage oil etc). Both my friend and I went into labour 2 days after having one of her massages! I wasnt even having pre-labour and was nine days early. Her name is Tracey Habron and shes in East Melbourne. Best Regards, Kelly Zantey Creator, BellyBelly.com.au Gentle Solutions From Conception to Parenthood BellyBelly Birth Support - Click Here From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of The Johnsons Sent: Thursday, 9 March 2006 9:17 AM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Acupunture and induction Looking for advice on using acupuncture to induce labour at 38 weeks for a VBAC with gestational diabetes complications. Ob is supportive of VBAC as long as pregnancy doesnt go beyond 38 weeks due to possible stillbirth risks in 39th and 40th weeks of pregnancy. Is acupuncture a viable induction alternative? Is it relatively safe for a VBAC attempt or is risk of scar rupture too high? Obs preferred option beyond 38 weeks is elective cs. Thanks Mindy
RE: [ozmidwifery] Acupunture and induction
*sigh*how very disheartening, why are we setting these women up for a fall? What on earth happened to a normal pregnancy, normal gestation, and normal birth? Im sure the rates of stillbirth are even less at 37 weeks, why not just induce everyone then? Or perhaps, women should be told that getting pregnant is really far too dangerous to consider in the first placesorry, but this stuff just makes me so sad Tania From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of The Johnsons Sent: Thursday, 9 March 2006 8:47 AM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Acupunture and induction Looking for advice on using acupuncture to induce labour at 38 weeks for a VBAC with gestational diabetes complications. Ob is supportive of VBAC as long as pregnancy doesnt go beyond 38 weeks due to possible stillbirth risks in 39th and 40th weeks of pregnancy. Is acupuncture a viable induction alternative? Is it relatively safe for a VBAC attempt or is risk of scar rupture too high? Obs preferred option beyond 38 weeks is elective cs. Thanks Mindy -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.375 / Virus Database: 268.2.0/276 - Release Date: 7/03/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.375 / Virus Database: 268.2.0/276 - Release Date: 7/03/2006
[ozmidwifery] article FYI - to support what we already
Birthing study backs kneeling position Women have less pain than when they sit for delivery MSNBC.COM SPECIAL REPORT Updated: 6:33 p.m. ET March 7, 2006 First-time pregnant women who give birth in a kneeling position experience less pain than those who deliver in a seated position, researchers in Sweden report. However, the duration of the active phase of labor (the time spent pushing) is similar with the two approaches, according to the study, published in BJOG: An International Journal of Obstetrics and Gynecology. Several studies have already reported the advantages of an upright delivery position compared to one lying down, such as less pain and more efficient contractions. However, this is the first time researchers compared the two most common upright delivery positions kneeling and sitting. Lead by I. Ragnar, from the University of Malardalen in Vasteras, the team followed 271 healthy first-time mothers, whom they randomly divided into two groups: one that prepared for labor in a kneeling position, the other for a seated position. After delivery the women filled out a questionnaire describing their experiences. The results revealed no major differences between the two groups in the duration of labor. The pushing phase lasted 48.5 minutes for women who kneeled and 41.0 minutes for women who sat. On the other hand, the two groups reported significantly different labor experiences. Women in a seated position reported a higher level of pain, less comfort giving birth and more frequent feelings of vulnerability and exposure than women in the kneeling position, the authors write. The researchers also found no difference in the frequency of sphincter ruptures between the two groups. However, women in the kneeling position reported significantly less pain after delivery than those in the sitting position. This might be explained by the kneeling position being more flexible when it comes to moving the lower back, diverting some of the pressure toward the lower spine, the authors suggest. In addition, the researchers detected no adverse effects on the fetus for either delivery position. Copyright 2006 Reuters Limited. All rights reserved. Republication or redistribution of Reuters content is expressly prohibited without the prior written consent of Reuters. 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] public-private birth centres
Hi Pete This will involve a long discussion. Could you phone me at work on 07 5450 4359, or on my mobile 0428 105 237, and I can explain in detail what we do, what has worked etc, what has challenged us etc. It's a long but interesting story! I look forward to chatting. Regards, Lynne - Original Message - From: [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, March 09, 2006 7:39 AM Subject: [ozmidwifery] public-private birth centres Thanks guys for your comments so far, the Dr who is making the proposition is definitely one of the lower interventionist ones around these parts and he supports most of the local women who choose to have a homebirth. When I asked him how he thought it might work he didn't really seem to have much of an idea which leaves it pretty open to come up with our unique model. I will be pushing for visiting rights for independent midwives but am sure the insurance (lack there of) will be raised before too long. Lynne as you mention 'caseload' would be my preferred option but at the end of the day if this increases the choice for some women then it will be great because to be honest there is no choice at the moment here in the south west of WA. Unfortunately numbers will be an issue realistically we can probably only aim for around 100 births a year and that means staffing will be an issue because it will not be able to have staff on 24 hour basis. From my experience you need to be booking around 500 and have at least 350 births a year to justify a full complement of staff around 12-13 full time equivalents. Lynne with the private patients are they assigned a midwife and then does the women negotiate with that midwife to have antenatal care as well as their OB and would that woman try to be there for the birth or is dependent on what committment the midwife can make to the woman and in your clinics how do the women pay if they just see a midwife, does the hospital itself bill them and then they get the monies back off their health fund or does the OB have to be involved in the clinics. Yours in midwifery Pete Malavisi -- 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] Tragic story
I just found this on the BBC website. http://news.bbc.co.uk/1/hi/world/south_asia/4782576.stm Quite shocking to read. Lisax
RE: [ozmidwifery] article FYI - to support what we already
Thanks leanne for posting this study. Updated: 6:33 p.m. ET March 7, 2006 First-time pregnant women who give birth in a kneeling position experience less pain than those who deliver in a seated position, researchers in Sweden report.. Over the last 20 yrs or more of attending homebirths, I have observed that in undirected labour and births, women nearly always choose the kneeling postion to both labour and birth in. I have rarely seen a woman sit or lie down to birth and very few instinctively choose squatting. I guess what the women have been telling me is what the research foundit hurts less and gives more flexibility of movement. MM
RE: [ozmidwifery] perineal massage
Johnson johnson have a brochure on perineal care and this discusses perineal massage but also promotes KY jelly product. Gives youanother option to review I hope this helps. Jenni [EMAIL PROTECTED] 03/07/06 4:54 pm Birth International sells a pack of 6 birth preparation leaflets. Among them is one on perineal massage. The pack is $7.00 I dont know if they are available separately. Check with Andrea Robertsons web site. MM From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of islipsSent: Tuesday, 7 March 2006 1:43 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] perineal massage Looking for an education pamphlet to give to antenatal clients that desciribes what it is and how to do it. would like to know where to purchase from rather than photocopy. thanks zoe * This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/ received in error. Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters. If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced. If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited. Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person's computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email. Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
Re: [ozmidwifery] Tragic story
Shocking yes, but why doesn't this surprise me, in India. Note no male doctors being arrested just female !! "We have been conducting raids to arrest lady doctors," - Original Message - From: lisa chalmers To: ozmidwifery@acegraphics.com.au Sent: Thursday, March 09, 2006 11:58 AM Subject: [ozmidwifery] Tragic story I just found this on the BBC website. http://news.bbc.co.uk/1/hi/world/south_asia/4782576.stm Quite shocking to read. Lisax
