Research to Remember
A study
to determine the potential pain-reducing effects of ice massage applied to
various acupuncture points during labor included 49 pregnant women between the
ages of 16 and 38 years. Ice massage, administered by way of crushed ice in a
hand towel, was applied for
A few
months ago I read that having the mom put her heels together (like frog legs)
during pushing was an effective way to bring baby down. I used this method
while birthing my youngest child, but didn't really remember that until reading
your article. I am a doula and while attending a
(or lying
on back)?? I understand frog legs but not what position the woman is actually
in.
- Original Message -
From: Mary Murphy
To: ozmidwifery@acegraphics.com.au
Sent: Wednesday, July
20, 2005 9:45 PM
Subject: [ozmidwifery]
Midwifery Today has arrived
Message -
From: Mary Murphy
To: ozmidwifery@acegraphics.com.au
Sent: Monday, July 18,
2005 5:24 AM
Subject: [ozmidwifery]
Things/g. Lemay
Hi Gloria, remember I said I would ask the
mother about posting her C/S Lotus Placenta on Midwifery Today? She said
it is fine
Hi Gloria, remember I said I would ask the
mother about posting her C/S Lotus Placenta on Midwifery Today? She said it is
fine with her.// Re the delay with the head before birth of the body? Lieve
said it might be the moon? A week ago I was 2nd midwife at a
lovely home waterbirth and
This sounds very similar to the birth pools we use in homebirths in Perth.
We now have about 8 of them and they are always in demand. Very easy to
transport, assemble, made different sizes by removing/adding panels, lined
with disposable plastic for good infection control. I personally made 2 of
WHAT a lovely explanation of how to do a VE (if it is necessary). Our
medical colleagues would benefit from that description. Cheers, MM
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
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
of Independent Midwives
8 Robin Crescent South Hurstville NSW 2221 Phone/Fax: 02 9546
4350
e-mail address: [EMAIL PROTECTED] website:
www.midwiferyeducation.com.au
On 5 Jul, 2005, at 21:58, Mary Murphy wrote:
I have just attended verrry long primip labour, which culminated
American Journal of Obstetrics and
Gynecology, Volume 192, Issue 6, June 2005, Pages 1801-1802
Abstract
| Full
Text + Links | PDF
(56 K)
Objective
The
purpose of this study was to analyze the data on brachial plexus injury and its
relationship with
What is going on here do you think? Could
position have anything to do with it? Eg. bed dystocia?
Sue wrote: I have seen
several, notalways from shoulder dystocia, sometimes from that
though, sometimes just a 'difficult' birth, one not so long ago was from a
straight
Seems to me that bed dystocia could have played apart in this, along with
the forced pushing. Being on the bed in the classic obstetric position,
sitting on the coccyx does not allow the baby to come out easily. You would
be better off on your hands and knees and not forcing the pushing. There
The collarbone could have been broken by the dr pulling too hard on the baby
before the shoulder had rotated. Rushing a birth and using excessive force
can do this. However, I wasn't present, so it is hard to guess. That is a
question the dr should answer for you. MM
-Original Message-
Thought for the Day:
Go
as far as you can see and when you get there, you will always be able to see
farther.
Zig Ziglar
Tracy, if you are
reading this, please email me on [EMAIL PROTECTED]
If anyone knows Tracy,
could you please pass this message on? Thanks, Mary
Murphy
Title: Re: [ozmidwifery] physiological 3rd stage
Congrats Justine, I didnt know you
were having another baby. Best wishes, MM
From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Justine Caines
Sent: Tuesday, 21 June 2005 5:11
PM
http://www.midwiferytoday.com/articles/bristol.asp
Try this link Sue. Cheers, MM
Thanks Mary - I'd like to see it - would you post or fax to
me? Fax no is 94545953 - if you don't have it on file.
Sue
Sue I have an article By Dr John Stevenson
critiquing the
That is our policy here on the Community
Program. No new people coming into the house and no phone calls until the
placenta is out. Cheers, Mary Murphy
Gloria wrote:
After I read that story, I started having that policy
too. It works. I think it's very important to tell
Title: Message
60 women is not feasible at all! As an experienced caseloader
that would take an enormous effort and would not be sustainable. A midwife on
another list who has also been discussing this theme wrote:
Part of the reason for burn out however, is due to
hospital managements
As you would guess, I am totally
supportive of what Robyn says. Cheers, Mary Murphy
From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Robyn Thompson
Sent: Sunday, 12 June 2005 4:11 PM
To: 'Kim Stead'
Cc: ozmidwifery
Re oxytocin reference. Sue Jordan , 2002,
Pharmacology for Midwives, published by Palgrave, Hampshire, U.K.
chapter 6, pages 143-174. ISBN 0-33369396-5 paperback; 0-333-97138-8
hardcover. Is this what you need? MM
Hi Emily, I have a client who, back home
in Wales
3 years ago, delivered a 3.8kg face presentation on the bed while everyone was
running around organizing a C/S. Scared the life out of her husband who wasnt
expecting a bruised, swollen faced baby to appear. The baby had no problems
other
course with the Health Dept W.A. There were no
maybes about it. The text is quite clear. As I said I was surprised
to read it as it had never been pointed out to me before. The possible adverse
effects of both syntocinin syntometrine were surprising too. Cheers,
Mary Murphy
From: owner
Andrea, in reply to your questions:
ergot alkaloids act on dopamine receptors to suppress prolactin production and
lactation . And intravenous ergotamine 500mcgms for management of
the third stage gave a statistically significant increase in the number of
women supplementing and ceasing
Hi, the page number I gave for oxytocin/puerperal psychosis
should be 171 not 71. MM
Hi all, I have just finished reading Pharmacology for
midwives (S Jordan) pp. 143-174. I am
sooo glad that I dont work in a unit that requires mandatory use of
either syntocinin or syntometrine for 3rd stage. It is quite frightening
reading and alerted me to the casual way we use these
I was also very surprised to learn that syntometrine has an
adverse effect of the establishment of breast feeding. How did I come to miss
that after so many years of practice?? Admittedly I rarely use it, but still, I
am usually alert to those kind of issues. Perhaps, as I said, we treat
Lisa, I searched the MIDIRS data base for
you. Not one mention of V,V out of about 165 entries in that area. I also
searched some other data bases No luck. I have had a number of women with
this condition and there have not been any problems at birth. Sorry, thats
the best I can do.
Hi Marilyn, I am always amazed that the
same words entered into a search engine appear to bring up different results. Then
again, searching late at night might just be the reason why I couldnt
get any results specific to vulval varicosity. Thanks for including the search tips
in your reply
Could someone please post the webpage for lactation issues.
Thanks, MM
There is research that says placentas go on making new cells, even at the
'end' of the gestation period. (no I don't have the reference, just
something I skimmed over one time)Also,some placentas can malfunction even
at 28 weeks and others don't at 42 + weeks, so it is not necessarily a time
Thought for the Day: Optimists convert stumbling blocks to stepping stones.
W. Howard Wight, Jr.
I have been watching this theme with
concern. As a late entry midwife after the birth of 4 children on 2 continents
and a homebirth midwife of 22 yrs, I have been through nearly all of the phases
on the journey to.I have noticed that in our initial passionate motivation,
we are VERY
Quote of the Week
Nothing
will change as long as women say nothing Cynthia Blynn
GBS is part of the normal flora of a large number of women. It causes some
difficulty to some babies but not to all babies, even those that are
colonized. Colonization does not mean illness. MM
GBS is not normal. What is the cut-off point for midwifery care scope of
Px?
--
This mailing
Thanks for the link that led to the U.K.GBS site Lieve, It is very balanced
compared to what I have seen before. Cheers, Mary Murphy
--
This mailing list is sponsored by ACE Graphics.
Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Title: Re: [ozmidwifery] Epidural top-up Policy
This theme reminds me of a rural hospital
about 10 yrs ago where the midwives were trying not to do routine
VEs and also in response to a dr who said midwives did not know what
they were doing. Every time a woman needed a VE, the midwives
Well done! MM
-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of
[EMAIL PROTECTED]
Sent: Thursday, 19 May 2005 2:13 AM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] Epidural top-up Policy
Unfortunately this is what women want/expect even.
Read more of this article in
the full online version of E-News at: http://www.midwiferytoday.com/enews/enews0709.asp
being persecuted, but we rarely find out how it all ended. Best
wishes. Mary Murphy.
I am amazed to
have been a midwife from the era in which women marched in the streets,
demanding normal births without medication, to a time when they expect an
epidural as soon as it is allowed in labor, even planning elective cesareans
and giving up the gift of birthing their children
20050420-4 Oral versus high dose parenteral iron supplementation in
pregnancy - International Journal of Gynecology and Obstetrics , vol 89, no
1, April 2005, pp 7-13 Kumar A; Jain S; Singh NP; et al - (2005)
OBJECTIVE: To compare the effect of daily oral iron supplementation with
two
20040224-27* A prospective, partially randomized study of pregnancy outcomes
and hematologic responses to oral and intramuscular iron treatment in
moderately anemic pregnant women - American Journal of Clinical Nutrition ,
vol 79, no 1, January 2004, pp 116-122 Sharma JB; Jain S; Mallika V; et al
Below is an excerpt
from the march Midwifery Today e-news. An interesting remark from Gloria LeMay,
a very experienced midwife in USA
started off the theme. What do others think? MM
When I read Gloria's
statement, One of the reasons we have so much interference in North
American birth
Most
men occasionally stumble over the truth, but most pick themselves up and
continue as if nothing happened. Winston Churchill
Routine episiotomy shows no
benefits, only harm
Source:Journal of the American Medical
Association 2005; 293: 2141-8
Comparing maternal outcomes with
routine versus restrictive use of episiotomy in a systematic review of the
literature.
Routine episiotomy does not appear to
provide the
Hi Jo, Don't use anything with cortisone in it. I have some natural cream
that might help. Drink lots of water. Cheers, MM
--
This mailing list is sponsored by ACE Graphics.
Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
This is the same situation here, if we
request scipts for oxytocics vit K we cant have them because the
dr might be held responsible. If we go to a birth without them we are being
irresponsible. Cant win. MM
We have recently had an interesting scenario here in Adelaide,
I work in the same environment that Sally
does. Another problem is that some G/Ps who have this wonderful
authority to order Path tests, dont order the right ones and during
pregnancy or on transfer, I find I dont have the base measurements. Eg ferritin,.
The enhanced role of the midwife
Thought for the
Day:
"You can have anything you want if you will give up the belief
that you can't have it."
Obvious
FYI
- Original Message -
From:
Kate
/or Nick
To: ozmidwifery@acegraphics.com.au
Sent: Saturday, April 23, 2005 5:35
AM
Subject: Re: [ozmidwifery] ENDING
GOVERNMENT DISCRIMINATION AGAINST MIDWIVES
Jan: A couple of suggestions re
letter.
Firstly,
Hi sue, congrats on lateral thinking and a great birth. I encountered this
in a cronically constipated woman and she, on her own initiative, took some
castor oil the day before labour. It was a difficult birth, baby had
enormous amount of moulding, so I am sure it wouldn't have come out with a
Title: Message
There is no need for the doctors to attack us, we are busy doing it to
each other. All minorities do it, leaving the majority to triumph.
MM
I Ah manmidwives need to
unify or you guys will self destruct!
Uniformity and self protection is the strength behind the medicos.
"When everyone thinks alike, no one thinks very much."
Walter Lippmann
Then why can't they repair very preterm ROM this way? mm
- Original Message -
From:
Jenny
Cameron
To: ozmidwifery@acegraphics.com.au
Sent: Saturday, April 09, 2005 7:54
AM
Subject: Re: [ozmidwifery] membranes and
surgery
I read somewhere that fetal
Great Question! I am also curious, but never found the answer.
MM
. just wondering how
they repair the membranes?Kat
No virus found in this outgoing message.Checked by AVG
Anti-Virus.Version: 7.0.308 / Virus Database: 266.9.4 - Release Date:
6/04/2005
Monica wrote: Does the rate of 4 per month per midwife ring true? That
makes only 40-44 women per year (allowing for reduced bookings for annual
leave).
That is a very full caseload for a midwife. She does all of the antenatal
and postnatal care for the woman (therefore no other staff needed for
Hi Lieve, great to see you on the list again. I appreciate your words of
wisdom. It is interesting how the midwife and her family accept the lack of
predictability. On the weekend my son was moving to another state for a new
job there was a family gathering at our house. I was at a birth
-implementation of caseload midwifery at QCCH in London from research on
midwives' experiences, suggested that midwives' with
personal/partnership caseloads should not be used as a back up cover for
labour ward or similar, as the flexibility demanded of them to cover for
births on the
Great work Julie!. MM
Title: sims architects
Kathy writes: "My 5 year old daughter in particular is finding it
difficult, crying last night when I was called in, wanting me to get her ready
for bed. The 2 year old then followed suit, copying her sister".
It can be difficult with little kids, but I guess this is
Hi Tania, I have just been researching this very question. There is
still disagreement amongst the doctors about how to manage the
situation.There are heaps of research papers, just put the key words
into your medical search engine or go into pubmed.the one thing they do
agree on with
This is good, but takes a bit of reading and digesting. The sort of article
one could benefit from a group discussion throwing about ideas. MM
This is a fantastic article from Canada.
http://www.inter-disciplinary.net/spoel-james.paper.pdf
--
This mailing list is sponsored by ACE Graphics.
Parvo virus in pregnancy can be a real nasty. At it's worst it can cause
the baby to get hydrops fetalis and be stillborn, at best nothing. In
between, it can cause intrauterine growth retardation- the reason for the
extra ultrasounds. I had a client with it during pregnancy and luckily she
had
Does anyone have this article they could email to me? Thanks, MM
Beckwith J, and Read M. 1996. Prelabour rupture of membranes at term: home
management. British Journal of Midwifery. 4 (2). 74-76.
I haven't received any mail for 2 days. Most unusual.Happy
Easter! MM
I can't help, but what is a GMP? MM
--
This mailing list is sponsored by ACE Graphics.
Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
We have a Graduate Midwifery Programme at King Edward in Perth.
I am just not used to speaking in abbreviations and whilst I know what it is
when it is spelt out, I don't recognise the shorthand. Thanks, MM
--
This mailing list is sponsored by ACE Graphics.
Visit http://www.acegraphics.com.au
Lindsay wrote women tell me that going to an Obstetrician means that they
don't have to
wait up at the hospital clinics for hours, and at least they see the same
person each visit. I understand where they are coming from, it just seems
that, 'one person' they see, should be a Midwife.
Why is
"The other thing that causes problems, is that there are more women
bookedoften than there is enough time for."
Surely these women DO get seen and aren't turned away? So if they can
see them then they could stop booking appointments for so long before the drs
arrive? As I said, a good
Hi Jan, I emailed antonia and will ring her later tonight. cheers,
Mary Murphy
3 midwife in wa for home/hosp birth also natural
childbirth advocates who are also obstettricians Mullaloo 6027.
More well-known suburbs that Mullaloo is near are
"Joondalup
these enquires
Spend 2 weeks with the midwives of the Community Midwifery program in
Western Australia! MM
ideas on places or people or conferences that would be interesting/
lifechanging etc etc that I can 'plan' to go and see??
--
This mailing list is sponsored by ACE Graphics.
Visit
Hi Sonya,I don't have any info re folic acid
and placentas, but this interesting snippet caught my eye. I wonder if
this piece of research will be acted upon? Coupled with Sue's info re John
Stevensons theory and the known fact that routine iron supplementation in
pregnancy is not only
Quote of the Week
"The midwife considers the miracle of childbirth as normal, and leaves it
alone unless there's trouble. The obstetrician normally sees childbirth as
trouble: if he leaves it alone, it's a miracle."
Sheila
Stubbs
I realise that some U/S weights are close, but recently had a tall, well
proportioned primip woman who was told her baby was 4.8kg. when she was
induced later for PROM this image of the big baby certainly affected her.
she later had a c/s of a 3.6kg baby. Now she has a scarred uterus and her
I wont be applying for the job, but what is a NUM?
The full timeNUM positionfor the
Birth Centre in the RWH Brisbane has been advertised and is closing on Monday
March 21st.
Just a couple of comments in this very interesting set of e-mails.
The Community Midwifery Program in Western Australia used to have a budget for
preceptoring midwives for a period of 8 months to prepare them for ACMI
accreditation, which requires a minimum of 10 homebirths per year.(I don't
Midwifery formulae:The sod's laws of midwifery?Debbie
Patrick - AS A MIDWIFE working on a busy delivery suite,
opportunities to stand back and muse on the ebb and flow of midwifery activity
are comparatively rare. However, on occasion, some everyday occurrence just
jumps out and make you
http://www.radmid.demon.co.uk/index.htm
A very interesting article on this site, MM
Sally Anne Wrote: "Congratulations to one and all on an
amazingly successful, politically strategic and inspiring campaign to keep home
birth an option for the women of Fremantle where it belongs...in the
community".
Just clarifying that we (CMP)serve the whole of the metropolitan area
I and most other homebirth midwives have been facilitating water labour and
waterbirth for 20yrs or more. We have had no problems related to the water
in all that time. the hospitals here (WA)are afraid of water and there are
no hospitals or birthcentres who allow planned waterbirth. I have not
Thought for the
Day: "One can't believe impossible
things," Alice said. "I daresay you haven't had much practice,"
said the Queen. "When I was your age, I always did it for half an
hour a day. Why, sometimes I've believed as many as 6 impossible things
before breakfast." From Alice in
Hi Barb, this came to me at my personal address. was it supposed to
go to Ozmid list? cheers, Mary Murphy
- Original Message -
From:
Barbara
Glare Chris Bright
To: Barbara Glare Chris Bright
Sent: Saturday, March 12, 2005 4:17
AM
Subject: [ozmidwifery
Thanks Jennifer, this site is clear about the risks of abnormalities
what they are, but not scaremongering. MM
http://www.adhb.govt.nz/newborn/Guidelines/Anomalies/SUA.htm
A bit of info on
SUA.
Hi, I have had several types of waterproof dopplers and prefer the
Huntleigh as it is more manouverable. Currently I have a doptone (one
piece) , streamlined but a bit awkward to get under a big belly underneath
the water, and a Huntleigh, (2 pieces) which is much easier. Welcome to the
world
Does anyone have any experience with babies with one umbilical artery
one vein? I would appreciate stories and research. thanks,
MM
Thought for the Day:
"Yesterday's thoughts have created your
present. Today's thoughts are creating your future." James
Newman
Can someone post the website for the NICE guidelines in maternity care or
obstwetrics or similar, please.I want to access the original
guidelines. thanks, MM
I wonder if it we would all be more "honest" if we said that, in the main,
we really only measure that blood loss within the immediate post partum couple
of hours. ie while in delivery suite, or before the midwife goes home 2-3
hrs after the birth.I realise that if a woman continues to
I would be very interested to see something concrete about this. My
mother, a redhead, now 90yrs old, was a midwife. She has always told me to
"look out" for redheads. Of course in her day there was no ergometrine and
they had to be very careful of PPH. MM
Thats a really interesting site with all the other links. thanks
Jenny, MM
A useful link re third stage management pros
cons.
http://www.emedicine.com/MED/topic3569.htm
Hi Sue, As you know, active third stage is not my usual way of 3rd stage
"management". It would seem logical that if you are using IMI syntocinon,
then you would need to wait until at least 2-4 minutes until the drug affects
the uterus, then wait for a contraction and the fundus to become
20040329-47Midwifery basics: care during
labour. Third stage-Practising Midwife,vol 7, no 4, April 2004, pp
31-36Baston H-(2004)This month, in her series aimed at
student midwives, Helen Baston looks at midwifery care during the third
stage of labour. (24
20040309-7*Prophylactic ergometrine-oxytocin
versus oxytocin for the third stage of labour (Cochrane Review). (Date of
most recent substantive amendment: 25 September 2003)
-The Cochrane Database of Systematic
Reviews,issue 1, 2004McDonald S; Abbott JM;
From the link Jenny gave us.: A definition that seems to be overlooked in
many instances of active 3rd stage management
Definition
The third stage of labor commences with the completed delivery of the fetus
and ends with the completed delivery of the placenta and its attached
You wrote:I was just wondering what complimentay therapies are out there
for PND would love some more info on this
The list of complementary therapies that can assist is quite long. Each
individual seems to know what works for them. I personally would start with
Flower Remedies, be they
The Art of Midwifery
After 30 years of assisting mothers in labor at home and in the hospital, I
have found some techniques that help empower mothers when they are pushing. In
the beginning and at the time of birthing it is very relaxing and easy for some
mothers to be on their side. If
Thought for the
Day: "Do just once what others say
you can't do, and you will never pay attention to their limitations
again." James R. Cook
I can't help you with any references Sharon, but I have a question.
what happens to the data when things DO go wrong with an epidural? I have
two homebirth clients in the past couple of years who needed to be in hospital
for their births, (one for PE one for APH) who had long term sequelae
"Vaginal Birth following 2 caesarean sections" V.K.Garg, E.N.
Ekuma-Nkama. International journal of Gynaecology and Obstetrics (Jan.2005) 88,
53-54.
"205 women with 2 previous sections, delivered vaginally between 1997
2002 . 66 Vaginally (32.2%), 71 had elective C/S (34.6%), 68 had
301 - 400 of 919 matches
Mail list logo
