Re: [ozmidwifery] Article about natural birth and brain haemorrhage
I remember a lecture at uni also saying that up to 75% of newborns have tiny, seemingly harmless, haemorrage near the brain or in between any of the membranes. It did make me wonder if there were any implications for the Vit K debate. Suzi - Original Message - From: Ken Ward To: ozmidwifery@acegraphics.com.au Sent: Saturday, February 03, 2007 9:37 PM Subject: RE: [ozmidwifery] Article about natural birth and brain haemorrhage It has shown that the bleeds can be considered 'normal' so may help to reduce legal action when a child does not develop normally. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Alesa Koziol Sent: Saturday, 3 February 2007 5:41 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Article about natural birth and brain haemorrhage Pardon my scepticism but what exactly did this research prove? With so many variables I am surprised that any conclusions could be drawn! Alesa Haven't they got anything better to research??!! Helen http://www.guardian.co.uk/medicine/story/0,,2001561,00.html One in four natural births causes brain haemorrhage Ian Sample Tuesday January 30, 2007 The Guardian Giving birth naturally increases the risk of minor brain haemorrhages in newborn babies, according to a study. Brain scans of babies aged between one and five weeks showed small ruptures in blood vessels in or around the brain are common, affecting one in four children born naturally. Babies delivered by caesarean section showed no signs of even minor bleeding. In most cases, the haemorrhages are harmless and heal naturally, but larger ruptures can affect brain development, leading to seizures, or problems with learning or coordination. Doctors at the University of North Carolina, Chapel Hill, used magnetic resonance imaging (MRI) to scan 88 healthy newborns. Of the 65 delivered naturally, 17 had intracranial haemorrhages and seven had ruptures in at least two separate regions. John Gilmore, a professor of psychiatry and lead scientist on the study, said the bleeding was not caused by the size of the baby or the baby's head, the duration of labour, or the use of vacuum or forceps to assist delivery. The bleeds are probably caused by pressure on the skull during delivery, he said. The scientists noticed the high rate of haemorrhages while conducting scans to assess brain development in children perceived to be at high risk of mental disorders. What we've shown is that if you get these bleeds, you don't have to think something has gone wrong with the delivery, because these are common, said Prof Gilmore, whose study is published in Radiology. The team will conduct further scans when the babies are one and two years old. This may help doctors assess future cases of shaken baby syndrome, where injuries to a baby are contested. In some cases, parents or guardians claim brain injuries have been inflicted naturally at birth. The scans may reveal whether small haemorrhages at birth grow to become more threatening, or gradually heal with time. Special reports Medicine and health Useful links British Medical Association Department of Health General Medical Council Health on the Net Foundation Institute of Cancer Research Medical Research Council NHS Direct Royal Institute of Public Health World Health Organisation
Re: [ozmidwifery] Reflux
I have one of those coloured charts too - diary of a mad housewife! I always planned to blow it up and make art - its quite graphic and pretty! We could have an exhibition! mine did help explain to the Child Health nurse that - yes my baby never slept for 45 mins at a time then and hour of crying...for 7 months! I am absolutely convinced now that im more informed that it was REFLUX even though every one said its over diagnosed and mythological at the time. Sitting up, eating solids, general maturation of the oesophageal sphincter all helped and proved retrospectively what the prob was. If only some one had diagnosed it earlier and i had treated with homeopathics (and ive heard a great Bowen therapy technique helps too) I might have had a second baby after all ! Love suzi - Original Message - From: MHOOK To: ozmidwifery@acegraphics.com.au Sent: Saturday, February 03, 2007 1:28 PM Subject: Re: [ozmidwifery] Reflux I don't know about over-diagnosis- my second baby (now 17) had reflux and it made her first six months the worst of my life. I'd had a perfectly normal time with my first baby, he was unsettled like most and woke at night until over 12 months but I considered that that was normal and looked forward to my second child with pleasure and anticipation. It was a nightmare- not hte birth, that was fine, but from about 3 weeks of age she screamed constantly, vomitted even while attached to the breast, never slept for more than 10 minutes at a time day or night- no one understood how terrible it was, she was obviously in pain, poor mite; my toddler was seriously shortchanged because how can you leave a child who is shrieking with pain to go and play with the other one. Just things like the carpet (whole house was carpeted, even the kitchen) being simply filthy from her constant vomiting, which was not projectile but which managed to defeat the towels etc I had strategically placed. The crying got me down dreadfully, this was nothing like I'd experienced with my first child. There was just no way to soothe her. I still have a colour chart I filled out at that time, showing her behaviour in ten minute slots over a week to show the baby health sister- red for unsettled, blue for feeding, green for sleeping etc. That sounds excessive but truly, I felt I needed evidence for people to believe me; they said things like, Oh yes it's difficult with two, in a patronising way as if it was just me not coping with an unsettled baby when I knew it was more than that. We tried all the normal things, positioning, Early childhood centre, paediatrician, medication, nothing worked. Although she was fully breastfed she had the most atrocious constipation, stools like pieces of chalk that had to be drawn out when half expelled because she couldn't get it out. Finally I went to a homeopathic dr and whatever he gave her (smelt like pure alcohol but I was desperate enough to try anything!) fixed the pain overnight. She still vomitted and still was very wakeful but without the constant crying and pain behaviour it was so much easier to cope with. I'd been told it would probably get better when she was standing up and it did, over about a week all the vomitting etc stopped and life became about a thousand times easier. So I think that 'reflux' is very different from 'unsettled baby' but after what I went through I'd be inclined to give any mother who said her baby had reflux the benefit of the doubt, and the offer of a little help. Monica - Original Message - From: Helen and Graham To: ozmidwifery Sent: Saturday, February 03, 2007 9:22 AM Subject: [ozmidwifery] Reflux Just found this article whilst surfing the net. I feel anecdotally that both reflux and colic are overdiagnosed. I am a midwife but not a MCH nurse. If it is so common maybe it IS a normal variation..what do you think about it? It just seems to me that some people aren't happy until they have a label and a medicine to treat it with when they have an unsettled baby. Maybe I am being too simplistic about this subject. Interested in the thoughts of some of our online listers. Helen http://www.bubhub.com.au/newsletterdec0601.shtml Reflux is so common it is almost seen as 'normal', or even trivial, and most people just don't understand how difficult life can be for many families, or understand the impact reflux can have on their lives! They may think of it erroneously as 'just a bit of vomiting', or 'just a behavioural issue'. They don't see how it impacts on the child's eating, sleeping, growth, behaviour or quality of life; or on the family's quality of life, relationships between partners, siblings or other children; finances; and even leisure time. The truth is, only families who have experienced it for themselves really understand. Many families: a.. Have difficulty
Re: [ozmidwifery] Elective c-section article
Who wants to be civilised ? This is our chance to be gorgeously uncivilised, raunchy and wild ! But i do respect her right to choose what she feels is best for her. Suzi - Original Message - From: [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, January 30, 2007 7:38 PM Subject: [ozmidwifery] Elective c-section article http://www.mydr.com.au/default.asp?article=3614 I just read this article on why a woman chose an elective c-section. She refers to it as being the civilised way to give birth. How awful and I can't believe it was published. Sam. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] co-sleeping
I don't have a contact for you Raelene, but I congratulate you again on your progressiveness, and once again not allowing size or remoteness be an excuse for developing Women and Baby centred policies. For those who don't already know - Kalgoorlie is a great place for midwives to do a stint of work! Good to hear from you, Suzi Hoff (ex student midwife who learned so much from her time in Kalgoorlie) - Original Message - From: George, Raelene [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, January 22, 2007 1:54 PM Subject: [ozmidwifery] co-sleeping Hi everyone, I need some help! I'm trying to formulate a policy regarding co-sleeping and want to offer alternative sleeping arrangements for mothers and babies whilst in hospital. Does anyone know of a special cot that has been developed that allows the baby to sleep with mum but in a separate cot that is attached to the main bed. I've seen pictures of babies using a biliblanket in a cot attached to the bed in this way, but can't find any information. Can you help. Regards Raelene George Maternity Ward Kalgoorlie Hospital -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] What happened with this birth?
Congratulations Sue and all the other new graduates, well done! I know its a big ask to become so called legitimised when you have already been a midwife for so long, its also great to have someone with your experience within the system too. You have so much wisdom to share. Love Suzi xx
Re: [ozmidwifery] Haemorroids
Some women have complained to me that the witch hazel tincture burns so much they cant bear it...have you heard of that prob? There is also that thick Witch hazel barrier cream. Also warm compress in labour is supportive. Suzi - Original Message - From: Philippa Scott To: ozmidwifery@acegraphics.com.au Sent: Friday, December 22, 2006 1:35 AM Subject: RE: [ozmidwifery] Haemorroids My naturopath out me on something called Phytopro by Metagenics. I take 2 3 times a day and they are gone within 1-2 days. When I stop taking them they come back. I only have them during pg and shortly after so not long to go know but they have been great. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville -- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Janet Fraser Sent: Thursday, 21 December 2006 12:59 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Haemorroids Tissue salts are really effective and available in most health food shops, topical witchazel is excellent too. J - Original Message - From: Michelle Windsor To: Ozmidwifery Sent: Thursday, December 21, 2006 12:26 PM Subject: [ozmidwifery] Haemorroids Hi everyone, Just needing some help for a friend who is 36/40 with very painful haemorroids. Is there anything that can be done apart from symptomatic relief and not becoming constipated? And in your experience how painful do women find them when they are pushing? Thanks in advance Michelle Send instant messages to your online friends http://au.messenger.yahoo.com
Re: [ozmidwifery] breastfeeding as contraception
Thats a really good point re the term B/F nazi Barb, its amazing how words just slip into vocab and become naturalised there without due consideration, and its meant to be OK as it is embelished with so called humour , (not having a go at Jayne, or Di -? here at all)...i have used this term occassionally in the past and will never again... you are so right, thank you Barb for being brave and tellin it like it is. Love suzi - Original Message - From: Barbara Glare Chris Bright To: ozmidwifery@acegraphics.com.au Sent: Saturday, December 23, 2006 6:38 PM Subject: Re: [ozmidwifery] breastfeeding as contraception Hi, I'm being far more bah humbug than I really should be for christmas! Sorry. Jayne, I appreciate your sentiments, and realise we are on the same side. But could we please not use Nazi in relation to passionate supporters of breastfeeding? Most on this list put their heart and soul into birth and breastfeeding. The term nazi offends me to the core. I just can't bear it, and I just don't see the funny side about it. If breastfeeding supporters use it, even in jest, how can we expect others not to? (usually to deride the fantastic work done by breastfeeding counsellors and midwives) What new mother would want to speak to a Nazi? It turns people away from getting sound advice. Off my soapbox now! Barb
Re: [ozmidwifery] Donation of birthing kits
Lovely idea Please contact midwives [EMAIL PROTECTED] for donations to PNG - or [EMAIL PROTECTED] for Ethiopia. Suzi Hoff - Original Message - From: [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, November 28, 2006 9:21 AM Subject: [ozmidwifery] Donation of birthing kits Hi All. Can anyone provide me contact details of either an organisation or individual through which donation of a birthing kit can be made to Midwives/communities/coutries in need. This is a Christmas gift/donation instead of Kris Kringle at a workplace. Kindest Regards Wendy Buckland
Re: [ozmidwifery] JAUNDICE BREASTFEEDING
Jennifairy Gillett RMHi Jennifairy !!!- yes going really well, working with the local Aboriginal community and loving it (nice to be off the ward for a while) - but of course missing all my Adelaide birthing pals. H...Well this info is from my notes from a presentation by neonatologist Bevan Headley on the subject of B/F Jaundice in 2005. His presentation was generally non aggressive in intervention so held some credibility for me. ie he was supporting the midwives who were challenged by other doctors who wanted to bleed 'plethoric' babies who were just doing normal haemolysis after physiological third stage. So sorry i dont have references for you, but i might get to do a search some time! love Suzi
Re: [ozmidwifery] Intradermal sacral sterile water injections
thank you Carolyn - its so good to hear how Belmont is setting up precendents for alternative practices to be used in the mainstream. Well done. I guess some would argue that offering another pain reliever rather than working with and understanding and not being afraid of normal pain is not purist midwifery...but then there is those awful backache OP labours which others would argue is not normal pain and if it works with a lot less side effects sounds very interesting. love suzi - Original Message - From: Heartlogic To: ozmidwifery@acegraphics.com.au Sent: Saturday, November 18, 2006 2:00 AM Subject: [ozmidwifery] Intradermal sacral sterile water injections Whilst I'm on the soapbox, I was thinking that you may be interested in the intradermal water injections and their efficacy. We had Janice Deocampo come to Belmont and give a seminar on the use of this technique for women with excruciating back pain. Midwives came from Gosford, Maitland, John Hunter and Taree. Janice presented her information and we all practised on each other (OUCH). It feels like a wasp sting. One of the midwives had back pain which was cured for six hours with the injection she received that day! It took us MONTHS to get the procedure through clinical governance. However, it is through. We have used the injections for about eight women since only one was not completely successful. We have even found them fantastic for late first stage when the backache has stopped the woman from progessing and even second stage when women wouldn't push because the backache was too bad. After the injections, voila - baby! John Hunter midwives are also now using this technique too with great success. Janice Deo Campo did a research project and the results are in the Birth Issues Journal from CAPERS. It is a wonderful, effective tool which may just help someone avoid an epidural or even make birth much more manageable for those women with excrutiating backache. If anyone wants the protocol and information sheet, please email me at work [EMAIL PROTECTED] and I will send it to you. warmly, Carolyn Heartlogic www.heartlogic.biz Phone: +61 2 43893919 PO Box 5405 Chittaway Bay, NSW 2261 As a single footstep will not make a path in the earth, so a single thought will not make a pathway in the mind. To make a deep physical path, we walk again and again. To make a deep mental path, we must think over and over again the kind of thoughts we wish to dominate our lives Henry David Thoreau
Re: [ozmidwifery] Bottle feeding hard poos and blood from belly button.
Thankyou so much Di for this simple but logical and important information.
I agree.
I found i had fantastic breastfeeding education as a student midwife, and i am
grateful for this daily (even though i find my colleagues in post natal ward
coming and attaching the baby over my shoulder when i am teaching using hands
off technique - as if im having a bit of trouble doing it myself !). But the
bias towards breastfeeding at uni left artificial feeding lessons a bit lean.
I have had experience now working as a regional Community Midwife that has led
me to really examine more closely the methods that women are using to mix
formula. Plus there is a local chemist who doles out coloxyl paediatric drops
cause they are safe for newborns without looking further.
I realise I can't just ask are you OK with mixing the formula I need to ask
more open endedly how are you mixing the formula...do you mind showing me your
bottles and how you sterilise them... and also really check that they are not
offering the top ups you describe too soon between feeds.
One woman was doing double concentration - 2 scoops in 60 mls to her 4week old
IUGR baby,for about 2 weeks !. Of course in the hsp the formula is pre mixed -
liquid in bottles. Once the quotas changed at home she was confused. The baby
was not showing signs of dehydration, reported good elimination - extra water
had been given. The local GP was not concerned as the baby was as well as
could be expected but I was concerned about other/organ damage. The formula
companies hotline did not think further assessment was required if dehydration
not present. But wouldn't each chemical in the formula be in quantities for
absorption at very specific levels to water and therefore osmotic/pressure
gradients change - and each chemical now out of serious wack (very scientific
lingo here)?
God it would be so much easier if they breastfed! Some of these poor young
women manage with one bottle only. One had a square Chinese takeaway container
as her sterilised holding box (half full with old warm water - bacteria hotel).
Often the cheap bottles in supermarkets increments do not relate to the formula
increments eg. they might be 75ml and 125ml notches, so there is a bit of guess
work. What do you all think? Is give or take a few mls a big problem? I wonder
even at the accuracy of the printing on the side of these bottles and how
regulated it is. I know from being in the printing game in my last life that
printing on a hard curved surface accurately is not an easy thing to do.
A midwife who has worked very remotely in the bush, related that she showed
women how to mix up formula in a 600ml coke bottles as that was all that was
about - i was thinking there is not an exact line on this bottle - but i guess
you have to use what you have when you are poor and living whoop whoop.
And as for the baby bonus - sometimes the men are hanging over the young women
until its come then spending it. When the money comes in increments next year
the men will be hanging over them and threatening them even longer.
Love Suzi
- Original Message -
From: D. Morgan
To: ozmidwifery@acegraphics.com.au
Sent: Saturday, November 18, 2006 3:10 PM
Subject: Re: [ozmidwifery] Bottle feeding hard poos and blood from belly
button.
Hi Phillipa,
People who formula feed babies must realise that the solute load of formula
is much heavier than breastmilk and takes 3-4hrs to digest as opposed to
breastmilk's 20mins or so. Formula fed babies also need to have water
separately as opposed to breastfed bubs.
I have often found that Mums will 'top up' their babies at 2-3 hrs('because
they are hungry') with formula adding to an incompletely digested formula from
the feed before. This will cause constipation, obesity and a very uncomfortable
baby. I tell Mum's to give them some boiled water if they are'hungry' 2 hours
after a feed and that will tide them over to 3-4 hrs between feeds.
You will also need to check the proper making up of formula and the amount
the baby is offered per feed and also total volume for the day etc etc.
I encourage every Mum to breastfeed but I think it is essential that if they
choose to formula feed they must be given appropriate information. A lot of
times they are ignored and left to fend for themselves.
Cheers
Di M
Re: [ozmidwifery] Midwifery in Australia
Has anybody got back to Susannah? - Original Message - From: Susannah E Donahue [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, November 21, 2006 2:57 AM Subject: [ozmidwifery] Midwifery in Australia Hello midwives - I am a midwife in New York City and I am considering moving to Australia for a year or two and working as a midwife. I am looking for a brief tutorial about how midwifery works in Australia. If you have time to share, I would love your input on these questions, or if you can refer me to a website that might also have info... -What are midwives authorized to do? -What is the legal relationship to colleagues such as physicians, nurses, nurse practitioners? -Is the midwife's role different from state to state? from urban to rural areas? -Do most midwives practice full-scope (prenatal, delivery, postpartum, GYN), or do some midwives only do office and others only do birth? -Do midwives work/own private practice, or mostly work for government/hospital/nonprofit clinics, etc? These are a lot of questions and I realize the answers might not be interesting to the rest of the people on the discussion. If you prefer, you could respond to me off board at [EMAIL PROTECTED]. Thank you so much! Susannah Donahue -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] article FYI
Lynne we love you fowarding articles - you are awesome. would you mind putting the title in subject of the email so i can find it later. love suzi - Original Message - From: Leanne Wynne To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 22, 2006 10:00 AM Subject: [ozmidwifery] article FYI Denied and concealed pregnancies Issue 24: 20 Nov 2006 Source: Journal of Psychosomatic Research 2006; 61: 723-30 Researchers have proposed that disease classification systems should be modified to include denied and concealed pregnancies as forms of reproductive dysfunction. The case is made by specialists from centers in Berlin and Kiel, Germany, in a paper published in the latest issue of the Journal of Psychosomatic Research. They define denial of pregnancy as a woman's subjective lack of awareness of being pregnant. Their own previously published research (see the ORGYN Online Magazine article Surprise births not uncommon, from the issue dated 25 March 2002) suggested that in 1 in 475 deliveries the woman was not aware of being pregnant and did not receive a diagnosis of pregnancy during the first 20 weeks or more of gestation. In 1 in 2,455 deliveries the woman did not realize that she was pregnant until going into labor. The researchers say these figures show that denial of pregnancy is not a rare event, and is only slightly less frequent that HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelet count), which occurs in 1 in 280 pregnancies. The prevalence of denial until labor (1 in 2,455) is itself about three times higher than the prevalence of triplets (1 in 7,225). In their new paper, the researchers present the results from two studies (including the 2002 study mentioned above), with breakdown by factors such as age, living arrangements, marital status, employment/training, and number of previous pregnancies. As well as denied pregnancies, both studies looked at concealed pregnancies - in which the woman is aware of her pregnancy, usually at a very early stage, but attempts to hide it so that no-one else becomes aware of it. The researchers report that the findings demonstrate the heterogeneity of women with denied pregnancies, showing that there is not a specific type of woman who ignores the symptoms and signs of pregnancy. They say fertile women of all ages, social backgrounds, and educational, employment and marital status are affected. Importantly, risk factors that have previously been stated, including social isolation, low intelligence, low socioeconomic status, young age, premarital conception, and naivete of bodily functions, appear to be invalid, the researchers write. Contrary to popular belief, women experiencing their first pregnancy are not the only women affected, they add. In addition, the prevalence of mental illness among affected women was low (in one study only 5 percent of women had a positive anamnesis for schizophrenia, and the overwhelming majority of women demonstrated normal mental behavior). The researchers suggest that it is justified to consider denial or concealment of pregnancy as the final path of various etiologies that can ultimately result in the negation of pregnancy (internally: denial; externally: concealment). Thus, the term 'negated pregnancy' may serve as the main category, for classification purposes. This could come under the general heading of reproductive dysfunctions, the researchers propose, in systems such as the DSM-IV and International Classifications of Diseases. They add that such a new category could include other reproductive dysfunctions such as an obsessive desire to have children, pseudocyesis (false pregnancy, which can be considered the opposite of a denied pregnancy), high rates of pregnancy terminations, and pathological behavior of a mother towards her child. The researchers say the new classification suggestions would help raise awareness of the conditions, and could also stimulate more research to help understand denial of pregnancy. They conclude: There seems to be no other condition as dangerous and potentially lethal to mother and fetus that is being ignored across the board of literature on obstetric complications and emergencies. Midwife in charge of Women's Business Mildura Aboriginal Health Service
Re: [ozmidwifery] I need to vent!!!
Good one Carolyn and congrates on you selection. love Suzi x - Original Message - From: Heartlogic To: ozmidwifery@acegraphics.com.au Sent: Friday, October 20, 2006 9:46 PM Subject: Re: [ozmidwifery] I need to vent!!! I was asked to judge a baby contest in the late 70's. Of course I was horrified at the time, but was compelled because of where I worked etc etc. I gave all the babies first prize. :-) ' They' didn't ask me again. :-) Great idea to send those letters Barb. I keep getting the official replies from some poor bunny in the 'office' - I know, I've been one myself at one time. But the numbers do matter. Each letter represents in political terms, 100 voters, so if everyone on this list wrote :-) politically yours, (which reminds me, I'm standing for the Democrats again next election, just got officially 'selected') Carolyn (Hastie) - Original Message - From: Jackie Kitschke To: ozmidwifery@acegraphics.com.au Sent: Friday, October 20, 2006 9:02 PM Subject: Re: [ozmidwifery] I need to vent!!! Not to mention the "Pick my pretty baby"competitions. Jackie - Original Message - From: Barbara Glare Chris Bright To: ozmidwifery@acegraphics.com.au Sent: Friday, October 20, 2006 6:37 AM Subject: Re: [ozmidwifery] I need to vent!!! HI, They won't have free rein if we all (mothers and health professionals COMPLAIN) It amazes me that amidst the ocean of media report about healthy eating and obesity, the importance of breastfeeding is ignored, or ridiculed on television as it was on "Sunrise" yesterday morning (and probably will be on 60 minutes on the weekend) or crucified like it was on "Life at One" last week. The media needs to lift it's act, and they will only do so when they get the message from US. Yesterday morning "Sunrise" did an article on David Suzuki, talking about in 1992 more than 1/2 of the world's scientific Nobel Laureats wrote an open letter warning of the damage to the enviromnment. No media outlet in the world ran the story. Then Sunrise spoke about a poll they were running. Breast v. bottle, and the announcer tut-tutting about how breastfeeding was a personal choice and women shouldn't be judgemental of each other. Excuse me! they had just set it up! Breastfeeding is not a choice like wearing your blue top or your red top tonight. And getting information to women and health professionals has nothing at all to do with guilt - the usual excuse used by the media to ( and promoted by the formula companies to ultimately promote their wares) Anyway, as to complaining Write to your member of Parliament asking him to write to/forward on the material you send to Tony Abbott, Minister for Health. This way you kill 2 birds with the one stone. You educate your local MP and Let Tony Abbott know that health professionals and mothers of Australia are NOT HAPPY Also, write to the APMAIF panel, enclosing any brochures etc that you have. Don't worry about whether it is technically a breech of the agreement. If it is enough to offend you as a mother or a health professional, send it in - let them know how you feel! APMAIF SecretariatDepartment of Health and AgeingMail Drop Point 15GPO Box 9848ACT 2601 While you are at it, you could complain to the Victorian Office of Children about their decision to keep having their Maternal and child health nurses educated by Wyeth. You could write to the CEO Gill Callister [EMAIL PROTECTED] And send a copy to Minister Sheryl Garbutt at the same time. Warm Regards, Barb - Original Message - From: jesse/jayne To: ozmidwifery@acegraphics.com.au Sent: Thursday, October 19, 2006 10:35 PM Subject: Re: [ozmidwifery] I need to vent!!! Arethe formula companies really giving infant FORUMULA samples to pregnant women here? Are they breeching the WHO Code so blatantly here? I thought it was fairly well regulated - unlike many other countries. If it does happen at the Expo, you should report them to the ABA for further action. Unfortunately they have free reign with that toddler milk crap in a can/drink dispensing machine whatever. Jayne - Original Message - From: Janet Fraser To:
Re: [ozmidwifery] hep B at birth
The argument that somemidwives at my work say - after doing the NSW accreditation package required to educate and gain consent from parents - a form needs to be signed - is that childcare centres are a source of spreading Hep B - through body fluids - biting, sucking same toys etc. Also that the first dose at birth helps thelater dosesbe more effective (i think 50%?) so there is more likelyhood of "lifelong coverage". Also does anyone know if the "At birth" dose of Hep B vaxisdeclined but all other immunisations on the schedule are given - is the parent given the full baby bonus money or does schedule have to be completed entirely as per government reccomendation. (Leaving aside the "conscientious objection" pathway.) Cheers Suzi
Re: [ozmidwifery] asthma in labour
Just to confuse the issue...Last week a woman experienced hypertonic uterus after induction by PG gels. There was a heated debate about the use of inhalation ventolin - one dr saying it only acts locally (in the lungs) according the evidence when inhaled. The other arguing she uses successfully prior to ECV's. The woman had five puffs and thecontractions slowed down to3 in 10. Ah its a pleasure working in a rural hsp where most the doctors couldn't give a fig for keeping abreast of latest research. NOT. and very confusing for the committed registrars trying to learn from them. As for the women - they are kept way out of the argument - sadly like lambs to the slaughter. Also very hard to entice them to join the midwives chorus to establish midwifery models of care it seems. Only the few families who have lived and birthed in other areas before know what they are missing out on. Suzi - Original Message - From: michelle gascoigne To: ozmidwifery@acegraphics.com.au Sent: Saturday, October 14, 2006 11:38 PM Subject: Re: [ozmidwifery] asthma in labour Tia My Pharmacology for midwives makes no mention of this. However, as a young student midwife I do remember one obs. used to use bronchodilators something like 5 puffs one after the other to ' relax the cervix' to help in removal of retained placentas. To be honest it is too long ago for me to remember how effective this was. Shelly (Midwife England) - Original Message - From: Janet Fraser To: ozmidwifery@acegraphics.com.au Sent: Thursday, October 12, 2006 11:28 AM Subject: [ozmidwifery] asthma in labour Hi all, can bronchodilators, particularly ventolin, for severe asthmacause labour to slow or stall? Would it's action of relaxing smooth muscle have this effect on the uterus or is an inhaled drug (even in strong doses) too little entering the bloodstream for an effect? TIA. J For home birth information go to:Joyous Birth Australian home birth network and forums.http://www.joyousbirth.info/Or email: [EMAIL PROTECTED] Internal Virus Database is out-of-date.Checked by AVG Free Edition.Version: 7.1.394 / Virus Database: 268.12.12/461 - Release Date: 02/10/2006
Re: [ozmidwifery] intact peri
Hi Paivi, Heres some bits from a lit review i did: There is no evidence to support perineal massage in birth to assist intact peri - Stamp, G., Kruzins, G. Crowther, C. 2001, Perineal massage in labour and prevention of perineal trauma: randomised controlled trial, British Medical Journal,vol. 322, no. 7297, pp. 1277-1280. Renfrew, M., Hannah, W., Albers, L. Floyd, B. 1998 Practices that minimize trauma to the genital tract in childbirth: a systematic review of the literature,Birth,vol. 25, no. 3, pp. 143-160. I have seen in hospital perineums become very swollen after much streaching and pulling by midwives - who are trying to encourage thining but it seems to do the opposite - turned me off touching very early in my still early career andprompted me to check theresearch around the practice. But antenatal massage is supported by recent large RCT ( Labrecque) and some other smaller studies Labrecque, M., Eason, E.,Marcoux, S., Lemieux, F., Pinault, J., Feldman, P. Laperriere, L. 1999, Randomized controlled trial of prevention of perineal trauma by perineal massage during pregnancy, American Journal of Obstetrics and Gynaecology, [Online], vol. 180, no.3, pp. 593-600, Available: Ovid/[EMAIL PROTECTED] [11 March 2004]. So don't throw the baby out with the bath water!(not sure how that translates in Finish) -not all peri massage is useless. In 1998, Renfrew et al. conducted a systematic review of the literature to help define the knowledge on reduction of genital tract trauma. They concluded that antenatal perineal massage along with maternal position and method of pushing, warranted further study (Renfrew et al. 1998, p. 143). Similarly a retrospective descriptive study (Davidson, Jacoby Brown, 2000) looked at 13 variables associated with the rates of perineal lacerations (n=368). These included maternal position in labour, maternal age, parity, length of second stage and perineal massage. They found that the only factors that individually affected the extent of trauma were parity and antenatal perineal massage. Renfrew, M., Hannah, W., Albers, L. Floyd, B. 1998 Practices that minimize trauma to the genital tract in childbirth: a systematic review of the literature,Birth,vol. 25, no. 3, pp. 143-160. Davidson, K., Jacoby, S. Brown, M.2000, Prenatal perineal massage: preventing lacerations during delivery,Journal of Obstetric, Gynecologic, and Neonatal Nursing [Online],vol. 29, no. 5, pp 474-479. Available: Ovid/[EMAIL PROTECTED] [11 March 2004]. I know this only answers some of your question but it may help...suzi PS. i know there maybe no studies to support it maybe not purist hands off - but i have found in both practice and on myself in labour - a warm wet pad compress around the anal area (but so peri is still visible) is supportive and gives great comfortto those with haemorrhoids- i talk to women and if they like it i do it.
[ozmidwifery] Question on Notice to Tony Abbott re antenatal item issue and rural doctors
Passing this on from email from Australian Democrates Womens Health Database, Suzi Questions on Notice from Senator Allison that you may be interested in. We will let you know once we receive the answers. QUESTIONS ON NOTICE Senator Allison asks the Minister representing the Minister for Health and Ageing 1. Is the Minister aware that the Rural Doctors Association have been quoted as saying What you'll find is there are many, many nurses who are trained to provide antenatal who may not be current members of the Australian College of Midwives and so I don't think we should see this as limits to people who are currently registered as a midwife. There are many women who have provided antenatal care in the past"? 2. If nurses are not trained as midwives, what other qualifications can they have that would equip them to provide antenatal care? 3. How many nurses without midwifery qualifications are registered as midwives in Australia? 4. How many nurses without midwifery qualifications are currently providing antenatal care in Australia? 5. How many nurses not registered as midwives are currently providing antenatal care? 6. Does the Minister agree that qualification as a midwife, registration as a midwife and membership of the Australian College of Midwives are not the same things? 7. Will the new Medicare item rely on the delegating medical practitioners ability to delegate to appropriately qualified and trained staff? If so, how will the government ensure that medical practitioners are aware of the difference between qualifications in midwifery, registration as a midwife and membership of the Australian College of Midwives? Senator Lyn Allison 21August 2006 Regards Siobhan Siobhan O'MaraOffice Manager and Executive Assistant to Senator Lyn AllisonLeader, Australian Democrats1st Floor, 62 Wellington ParadeEast Melbourne VIC 3002T: 03 9416 1880, Local call: 1300 130 427F: 03 9417 1690E: [EMAIL PROTECTED]W: www.democrats.org.au
Re: [ozmidwifery] Inductions for post term
Refer to ACMI Journal - last year, Cheer suzi Australian Midwifery Vol 18, Issue 2 August 2005, pp10-16Author Juliana Brennan RN MMidGrad Dip Midwifery (also i think discussed in Kathleen Fahy's editorial - same issue)AbstractThe purpose of this paper is to conduct a critical literature review of the risks associated with induction of labour and a conservative approach to post term pregnancy. The main aim was to establish whether a conservative approach to post term pregnancy is associated with increased rates of perinatal mortality and morbidity, and whether induction of labour reduces these rates. Electronic databases and texts were examined. The findings were that the rates of caesarean section, instrumental birth, use of analgesia, incidence of fetal heart rate abnormality, meconium aspiration syndrome and fetal size were similar in both approaches to care. It appears that perinatal mortality rates increase in post term pregnancy yet the literature varies as to when this increase becomes significant. Induction of labour after 41 weeks gestation reduces the rates of perinatal mortality, however, the amount to which mortality rates are decreased by performing induction of labour at this gestation also varies within the literature. Therefore, it is difficult to given concise dates about when induction of labour should be recommended. Women should be informed of the risks associated with both approaches to care, and based on the review findings, they should be offered induction of labour between 291 days and 294 days, or between 41+4 and 41+7 weeks gestation. However, their preference for either approach should be respected.
Re: [ozmidwifery] Fw: info required
Joy this is a very disturbing story - coercion to have a VE without full consent is assault and battery. We must never be complicit in this. I cant believe you were reported for doing your job well. You have also protected the hsp and drs from potential charges and legal proceedings. I hope the report is an opportunity for your workplace to remind Drs of this and they give you the support you deserve. Love Suzi - Original Message - From: Joy Cocks To: ozmidwifery@acegraphics.com.au Sent: Thursday, August 17, 2006 10:50 PM Subject: Re: [ozmidwifery] Fw: info required Pheewww..Peiter Mourik used to come to our hospital and give inservices when he held clinics there. I would back up Wendy's comments. He's very clever with words and is god's gift to women - always saving them! He believes that midwives canonly beindependant when they can do forceps/ventouse births! Sorry, negative comments after a bad evening when I stood up for a labouring woman who did not wish to have a VE when the GP ob wanted to do one as how else would he know whether she was progressing or not. He's writing an incident report about me for not supporting him.He asked how I planned to manage the labour and I told him that the woman was managing the labour and I would be worried if shebecame worried.The woman proceeded to birth without problem. Just feeling upset and hurt as he is my GP and we usually work well together, but probably most other women are not as strong in standing up for themselves. Joy Joy Cocks RN (Div 1) RM IBCLCBRIGHT Vic 3741 email:[EMAIL PROTECTED] - Original Message - From: cath nolan To: ozmidwifery@acegraphics.com.au Sent: Thursday, August 17, 2006 10:28 AM Subject: [ozmidwifery] Fw: info required - Original Message - From: cath nolan To: ozmidwifery@acegraphics.com.au Sent: Wednesday, August 16, 2006 8:37 PM Subject: info required I will be meeting with Peter Miourik(obstetrician) amongst others in an informal dinner setting on Friday night as the hospital that I work at is having a review of obstetric services . I believe this is a man who is quite against midwifery led services and I'm a bit puzzled as to why I have been asked to be one of the 2 midwifery reps at this dinner. But very pleased at the same time, and more than happy to be a part of this. Can anyone fill me in on what they know of this man? Cath.
[ozmidwifery] Fw: Comphi on TV
Not sure what this is about but may be of interest: On Monday 21st August (this coming Monday) 'Mornings with Kerri-anne' will include a segment on Fathers Day, and they will show the Comphi breast feeding pillow asa great idea for first-time dads to make feedtime less stressful and more enjoyable. 'Mornings with Kerri-anne' is on channel nine between 9am and 11am Please send this email to everyone you know who has babies, who has friends with babies or who are thinking about having babies! This is a really exciting event in the Comphi story and we hope the rest of Australia will be just as excited about the Comphi as we are. www.comphi.comNikki Pete
Re: [ozmidwifery] Use of ultrasound routinely to check for breech position!!!!!
There was an article in the SMH last week - sorry don't have ref to researchers name at my fingertips -that indicated that midwives and doctors were on par at missing breeches. and that 1/3 of breeches were missed. There was a quote from Adelaide Ob Brian Peat saying this evidence supports all women having an u/s at 36 weeks to check presentation.Then he said midwives were as safe as doctors in determining position. Suzi - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Wednesday, August 09, 2006 10:56 AM Subject: RE: [ozmidwifery] Use of ultrasound routinely to check for breech position! Get a trial at the same A/N clinic and see. Midwives might be just as bad. MM From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of dianeSent: Wednesday, 9 August 2006 5:25 AMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Use of ultrasound routinely to check for breech position! examined in the usual way by a doctor to assess the position of their baby. Well I wonder if this would be replicated with midwives as the palpators!! Di
Re: [ozmidwifery] Breastfeeding feedback
Agree with others - Plus in hosp: too many cooks/ opinions conflicting and confusing information, very few midwives practice Hands Off Technique (letting the woman touch her own breast to attach), too many dummies / comping / bottles, drugs in labour, no privacy / quiet places, crowded rooms with heaps of visitors and next beds visitors too. little education of physically what is happening / mouth anatomy, no co - sleeping, wrapped in blankets, high section rates and no babies in recovery, Hep B shots, agressive use of phototherapy, lots of weighing...and i'm sure we could go on and on here Suzi -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Birth, Trauma Personality
Hi Jayne, It is a Rudolph Steiner School - Chrysalis - (Thora NSW - near Bellingen Mid North coast), Cheers Suzi -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Breastfeeding in OT
Congratulations Meg, we look forward to a time when women needing c/s are routinely offered this option. love Suzi - Original Message - From: meg To: ozmidwifery@acegraphics.com.au Sent: Tuesday, July 11, 2006 7:41 PM Subject: [ozmidwifery] Breastfeeding in OT Dear all, I would just like to boast because today I achieve a goal. With the help of an obliging mum, this morning I managed to receive a baby in OT, and except for the brief moment when I rearranged bub and checked first apgar, mother and baby remained together, skin to skin,for the duration of the operation. Even having a good twenty minute breastfeed whilst OP progressed. Mother was very impressed that a baby would fed so soon after birth. Both mum and bub had a good sleep (still skin to skin) on return to ward. Megan
[ozmidwifery] subject headings of posts
Hi, would everyone mind thinking about how they write the subject of their postings and being more specific. I love to keep many of them for future reference but find it so hard to find what i am looking for later...too many say "article for your interest" "question from consumer" etc Thankyou Suzi. PS if anyone still has reference to the past posting a few months ago (?) re:study into using a shorter but more aggressive synto augmentation regimen to decrease c/s rates -(if i remember correctly) i'd love to see it again (note this posting may have had a spectacularly well worded title but my filing systemobviously needs more refining)
Re: [ozmidwifery] Manual rotation
I have seen midwives more using their fingers to support a high posterior head to create like a false pelvic floor for the baby to rotate on - to positive effect. not rotating the head but providing a platform. Suzi - Original Message - From: Astra Joynt To: ozmidwifery@acegraphics.com.au Sent: Tuesday, June 20, 2006 8:31 PM Subject: [ozmidwifery] Manual rotation Hi eveyone, I am a first year Bmid student who has recently joined the list, and have been getting a lot out of reading the posts on various subjects. Now I'm wanting to ask advice on an issue that I have been trying to resolve since early on in my clinical experience. Without going into the whole story, I witnessed a digital rotation, or manual rotation of the baby of a woman in late first stage of labour, and a cascade of issues followed. In debriefing with my lecturers at uni, I was told this is not good or safe practice at any time. I then witnessed the same midwife perform this procedure again a few weeks later. Debriefing with a clinical educater, I was told it is an 'old skill', and certain very experienced midwives still practice it. Then my clinical supervisor refuted this and said it is dangerous and has no place in midwifery practice.This is a very brief summary of these conversations, but I hope you get the gist. Anyway, I was happy with this, until I read in Mayes Midwifery the other day that this procedure can be used to help turn a posterior baby!! I am completely confused! Safe, or not? Evidence based, or not? I would really appreciate any light cast on this subject... and just in case no one knows what I mean by digital rotation (if this is not the common term for it) It is the midwife using her fingers internally to sort of hook the baby's head (cervix fully dilated I guess, or close to it) and turn it into a more optimal position, using her own strength and accompanied by the woman actively pushing. I just want to also say that I know this is not something that should be occuring in any normal straightforward birth, but what other information or experience to you have, warm regards, Astra
Re: [ozmidwifery] Fw: E-News 8:11 - Postdates Pregnancies (May 24, 2006)
Keep on truckin' Di, I know its really hard copping
the heat when what you are actually doing is doing your job really
well...there's lots of us chipping away out here, all over the country (world),
its good to remember by hearing the comments on the list that were are not alone
with our "radical" thoughts. Trying to marginalise ideas which are really strong
and important is another ploy to silence us. Viva la hysteria!
Love suzi
- Original Message -
From:
diane
To: ozmidwifery@acegraphics.com.au
Sent: Thursday, June 01, 2006 2:56
PM
Subject: Re: [ozmidwifery] Fw: E-News
8:11 - Postdates Pregnancies (May 24, 2006)
but the women are free to say
what they want and demand complete informed consent, and we can help them
navigate that rocky terrain.
Absolutely, the point I tried to make at our
meeting at work last week, but the powers to be and some
colleagues,think that women who don't ask or demand info, should only be
given the standard spiel to gain 'informed' consent, eg for Vit K. I try to
expand on anything and enlighten them to the whole spectrum of choice. I
consider myself to be advocate for all women within my care even if it is only
one antenatal visit or a phone enquiry. When being advocate for those who do
demand, who almost always are well informed, the
establishment seem to think that is OK, but talk about the same stuff to all
women, especially those who are basically un -knowledgeable about anything
related to their bodies and babies, then I am just being radical. I feel these
are the women whobenefit from our advocacy the most. Its a
frustrating situation, to be criticised for empowering women to make these
decisions about themselves. I find it less rewarding advocating for those who
are already empowered to express their wishes.
Di
- Original Message -
From:
suzi and
brett
To: ozmidwifery@acegraphics.com.au
Sent: Wednesday, May 31, 2006 3:55
PM
Subject: Re: [ozmidwifery] Fw: E-News
8:11 - Postdates Pregnancies (May 24, 2006)
I love that you use the word
mysogony Justine,and hi and thankyou to you Penny
too.
I was talking to a fellow midwife at my hosp
about it the other day. Sometimeswe wanted to give the benefit of the
doubt...at worst that the actions ofsome Drs was paternalistic -
wanting to help the poor ladies from their suffering (whileof
course making life litigiously safer for themselves and getting paid
more).
Then i also considered it was just ignorance on
the part of some doctors, unware of the amazing beuaty and awesome
transedence of anything worldly in natural birth and the power that this
gives women.They rarely get to see beautiful birth (which is why i
love working with student doctors in birth and getting in their ears).
Maybe they don't understand how good it can be for women, is it too
spiritual, too unscientific for them to get their head around?
But I am more and more convinced that there is
some phsycological women hate going on as well. And wanting to claim birth
into the male relm. Taking away this amazing opportunity for
empowerment. BIRTH ENVY? Or thinking that most women are
too weak to be able to birth without intervention.Or toostupid
to understand the details so he'll make the desicion for them. Or too smarty
pantsand asking too many questions and taking up too much time so
needs to be put into place with some condeseding remark - if that doesnt
stop her she's too dangerous andneeds to be told to go
elsewhere.
We spoke about a doctor with a very high
c/section rate. If according to him you are too short, too old , too
Asian etc- you are convinced through the course of antenatal "care"
that you can't possibly vaginally birth and an "elective" ("elective" for
whom?) c/s is booked on a day suitable to him. By the time we are meeting
the women - for shave and catheterthey are absolutly convinced they
are doing the right thing. Which puts us in a really difficult possition.
1/2 an hour before surgery is not a great time to talk to women about their
alternative options.One woman -a 40 yr old Philipino primip was
told her baby was breech and needed to have a c/s - but it wasn't breech,
and the Dr knew it. But she was so sold on the idea that she couldnt birth
vaginally that she didnt really mind about where the baby was
lying.THIS WAS NOT HIS CHOICE TO MAKE.
We need to keep working on UNIVERSAL
(mainstream, free, accessable)opportunities for women to find
information and care and reduce the fear. Inthat town right now the
alternative voices women get to hear are only soft squeeks amongst the
bellow of the monolith.
Re: [ozmidwifery] Fw: E-News 8:11 - Postdates Pregnancies (May 24, 2006)
I love that you use the word
mysogony Justine,and hi and thankyou to you Penny
too.
I was talking to a fellow midwife at my hosp about
it the other day. Sometimeswe wanted to give the benefit of the doubt...at
worst that the actions ofsome Drs was paternalistic - wanting to
help the poor ladies from their suffering (whileof course making life
litigiously safer for themselves and getting paid more).
Then i also considered it was just ignorance on the
part of some doctors, unware of the amazing beuaty and awesome transedence of
anything worldly in natural birth and the power that this gives women.They
rarely get to see beautiful birth (which is why i love working with student
doctors in birth and getting in their ears). Maybe they don't understand
how good it can be for women, is it too spiritual, too unscientific for
them to get their head around?
But I am more and more convinced that there is some
phsycological women hate going on as well. And wanting to claim birth into the
male relm. Taking away this amazing opportunity for empowerment. BIRTH
ENVY? Or thinking that most women are too weak to be able to
birth without intervention.Or toostupid to understand the details so
he'll make the desicion for them. Or too smarty pantsand asking too many
questions and taking up too much time so needs to be put into place with some
condeseding remark - if that doesnt stop her she's too dangerous andneeds
to be told to go elsewhere.
We spoke about a doctor with a very high c/section
rate. If according to him you are too short, too old , too Asian etc- you
are convinced through the course of antenatal "care" that you can't possibly
vaginally birth and an "elective" ("elective" for whom?) c/s is booked on a day
suitable to him. By the time we are meeting the women - for shave and
catheterthey are absolutly convinced they are doing the right thing. Which
puts us in a really difficult possition. 1/2 an hour before surgery is not a
great time to talk to women about their alternative options.One woman
-a 40 yr old Philipino primip was told her baby was breech and needed to
have a c/s - but it wasn't breech, and the Dr knew it. But she was so sold on
the idea that she couldnt birth vaginally that she didnt really mind about where
the baby was lying.THIS WAS NOT HIS CHOICE TO MAKE.
We need to keep working on UNIVERSAL (mainstream,
free, accessable)opportunities for women to find information and care and
reduce the fear. Inthat town right now the alternative voices women get to
hear are only soft squeeks amongst the bellow of the monolith.
Maybe we are scared sometimes to speak up in our
workplace if we want to keep our job and dont want to rock the boat, but the
women are free to say what they want and demand complete informed consent,
and we can help them navigate that rocky terrain. And isn't it great when you
get to work with a women who is making those demands, and get to advocate for
them - its very safe territory because we are doing what our midwifery
competancies demand.
Love Suzi
Re: [ozmidwifery] Midwifery Strengths
Title: Midwifery Strengths You could look at the case load practice at Women's and Children's hosp in Adelaide , where a primary midwife is allocated and a small group of backup midwives. Also Northern Womens Community Mid Program in Elizabeth Adelaide where a primary and a back up midwife is allocated to each woman. Theyhave their primary or secod midwifefor about 95% of births (although the organisation is not hsp based, most of the women birth at Lyell McEwin Hsp where the midwives have practising rights). There are the community midwives in Perth, and the Mid programs in Belmont Ryde St George Hsp NSW. - Original Message - From: Helen and Graham To: ozmidwifery@acegraphics.com.au Sent: Wednesday, May 31, 2006 10:18 PM Subject: Re: [ozmidwifery] Midwifery Strengths Just wondering if there are any midwifery models within a hospital settingin Australia offering 1-2-1 care, apart from"team midwifery" models where theremay bea primary midwife but a team approach to after hours on-call. Helen - Original Message - From: Justine Caines To: OzMid List Sent: Wednesday, May 03, 2006 9:30 PM Subject: [ozmidwifery] Midwifery Strengths Dear ReneeI will give a strength from the consumer perspective!The power of the relationship between a woman and a midwife. When it works there is nothing a woman cannot do. The impact of that trust and that belief in being with woman has the capacity to transform lives.Read Andrew Bissits afterward in Having a Great Birth in Australia He comments on the trust and the relationship women have with midwives providing 1-2-1 care. Something the vast majority of other carers (and midwives in fragmented models) cannot achieve.Gee I wish I was writing this essay (shame I dont want to be a MW!) I would approach the core of strength from the perspective of when midwives actually do as the word means be with womanSo to be with her one should know her, and put her as central to the process. To do this she comes first and Hospital protocols after and Drs timeframes after etc. I guess the real strength is when practice is optimal.Kind regardsJustine CainesHi all.I am a 1st year B.Mid student writing the obligatory essay on Midwifery in Australia. No easy feat really and I need to outline some strengths and weaknesses. Well there is plenty out there about what is wrong with Midwifery Services and what the threats are (New Idea anyone?) but not a lot talking about what is right with it, besides the inherent fact that it works!! So I thought I'd do a little bit of a survey and ask you all what you think are the strengths. What do you all see as being great about being a Midwife in Australia?? Your feedback would be most appreciated.Renee __ NOD32 1.1518 (20060503) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
Re: [ozmidwifery] perineal massage
Hi Paivi, I did an extensive literature review and essay for uni in 2004 i can attach for you to yourdirect addressif you like. Breifly after many years of routine episi we were from the 90's able to assess the effects of Antenatal Peri massage on intact rates.and there have been several studies including a canadian study of 1500births. (see ref below). Forfirst vaginal birthsit nearly doubles your chances of intact peri - plus the more you do it the better it works. But little significant difference for multi vag births. However this study also rated womens sence of satisfaction and feeling of control which was higher for both groups. Women have a better understanding of the birth feelings and anantomy from exploring the sensations antenatally. This is not to be confused with Peri Masage IN LABOUR- which THERE IS NO EVIDENCE TO SUPPORT (Stamp, G., Kruzins, G. Crowther, C. 2001, Perineal massage in labour and prevention of perineal trauma: randomised controlled trial, British Medical Journal,vol. 322, no. 7297, pp. 1277-1280.) let me know if you want the whole Lit review. Suzi Canadian study: Labrecque, M., Eason, E.,Marcoux, S., Lemieux, F., Pinault, J., Feldman, P. Laperriere, L. 1999, Randomized controlled trial of prevention of perineal trauma by perineal massage during pregnancy, American Journal of Obstetrics and Gynaecology, [Online], vol. 180, no.3, pp. 593-600, Available: Ovid/[EMAIL PROTECTED] [11 March 2004]. - Original Message - From: Päivi Laukkanen To: ozmidwifery@acegraphics.com.au Sent: Wednesday, May 17, 2006 7:37 AM Subject: [ozmidwifery] perineal massage Hi everyone, In my store we sell an organic oil by Weleda for perineal massage. ( almond oil, wheat germ oil, natural essential oils.) Many women seem to think, that if they simply apply this oil, it will prevent tears. I am planning to add some info on perineal massage on our website and also prepare a handout to give with the oil. I would appreciate any good links on this subject and answers to these questions: What do you consider the main factors, when preventing tears and episiotomies? (other than perineal massage) Where can I find research on this subject or effectiveness of perineal massage? Päivi
Re: [ozmidwifery] any benefit to teaching women self examination?
I hate that attitude - like your faking it or something if you're under 5 cm!, as Maxine and Melissa's stories show VE's by the midwives (not only because they were wrong) were useless in determining when the baby was coming. Way before I was a midwife - I laboured at home for about 23 hrs and got curious and felt inside while in the shower - I was used to finding my cervix due to use of diaphragm ( which incidentally is a great and underused form of contraception - hard to sell though...And no it was not to blame for position i was now in!). How marvellous to feel the baby's head presenting! I'll never forget it. (Bloody hell that hard bone must be the baby's head! WOW!) I always remember to tell women exactly what i am feeling as im going now, as i do a VE, they are often amazed that i am touching their baby , and looking for landmarks.How important it is to have proper permission to do a VE and not to do them unless really necessary. It is amazing to me - for the first hands on a baby to be the mother or fathers or grandmothers When doing a VE you are asking permission not only to enter the woman but to touch their baby first, even before them. I usually gently ask/remindwomen to have a feel themselves if they wish, particularlywhen the head is close/seen. I guess this is more something for hospital where women are disempowered and wait for permissionto do things that come naturally at home. Even better if I've known the woman antenatally and been able to discuss intimate wishes in detail. (I am in a bit of shock moving to regional area where there are no options for women to see midwives for antenatal care - YET (except privately of course)luckily some women access excellent classes) Back to my labour - Unfortunately I did not have a classic 5cm ring to feel (or fortunately for me after my hours ofwork). The midwives at the BChad beenputting me off all day - i think they were busy - and i was a primip...i could go on with my 7- 10 minutely contractions for daysthey'd told me. While not surehow dilatedI was the idea was planted from the midwives that my contractions needed to get more frequent /regular - Jeez i thought if this isn't good enough I better get this show on the road or im not going to make it. I'd determined from my VE that there was room...and so Imade a request of my partner and we had standing up sexin the shower - i realise now i was in very active labour and realise now that I must havemisinterpreted the ideas at my antenatal classes about getting into labour...nipple stimulation, sex...but hell if it works for induction why not augmentation! Im sure they encourage sexiness on Ina Mays Farm. Well he had strict instructions toonly be inside for a moment- i thought i just needed the prostaglandinsbut in hindsight the oxytocin prob did help (and kissing and cuddling and sliding skin to skin in the shower might have been adequate!) - somost of our sexiness was thegetting ready outercourse and although in pain it was funny and good, and he was way into it. and im telling you all this because... ANYHOW, straight afterward we rang the BC and said we were coming now. and on arrival boy did i notice a difference in the midwives pre VE grumpy attitude(she's an early labourprimip this is gonna be a long night - hope i can send her home) to: oh my god your8 cm, you may enter the golden gates and get in the bath now, all smiles. (A reminder for me to always try and watch mybody language/ face expressions). And it was so amazing for Brett to catch Noah 2 hrs later. We really did it ourselves. (We jokingly offeredBrett's services to any other poor women - even though i'll never know what difference it made - mostly im sure it was all normal and i was progressing brilliantly all day). But the midwives really did do me a favour - normal active labour can belong and i was safest and free to do what instinct was telling me - at home, and from now on that's where I'm staying! Yey Gloria - three cheers for womenreclaiming ownership oftheir bodies (and babies). Love Suzi Hoff - Original Message - From: Melissa Singer To: ozmidwifery@acegraphics.com.au Sent: Tuesday, April 04, 2006 2:04 PM Subject: Re: [ozmidwifery] any benefit to teaching women self examination? Hi Maxine, This is my own personal experience with self examination. I'm a midwife of ten years working in a hospital setting (ie have done plenty of V.E's!!) and when I had my first baby just over a year ago I laboured at home from 11am until midnight when I did my own examination and I could have sworn I felt a 5 cm dilated cervix with bulging membranes. From there I decided to go to the birth centre which was 45min away. I had strong regular contractions but coping fairly well at home in the shower. My husband was asleep - typical! When I arrived the midwife examined me (I didn't tell her I had
Re: [ozmidwifery] trials
Title: Message I worked with women as a mid student who were recruited into this trial - while oral seems more appealing than gels at first - I found waking up / disturbing women 2 hrly for the next oral dose was not conducive for the rest and relaxationrequired the night before birthing (and some of them were getting placebos anyway poor things). The skinny dividable hospital bed, no partner to snuggle up to, no foodetc etc.(common to all methods)...is not exactly the best way to prepare for a birth either. No wonder IOL have such a big failure rate. Although most failed IOL are recorded as FTP (blame the woman) or foetal distress so Enkin et al... says that IOL does not increase chance of c/s...When I queried the documentation of failed IOL -The CMC - with doctor concurring - said to me if she has 'some' contractions its not a failed IOL...hmmm. Suzi - Original Message - From: Dean Jo To: ozmidwifery@acegraphics.com.au Sent: Saturday, March 04, 2006 8:25 PM Subject: RE: [ozmidwifery] trials vaginal birth not achieved in 24 hours misoprostol 46.0% v dinoprostone 41.2% okay so if 46% did not birth vaginally and 22.7% had cs what happened to the other23.3% that didn't birth vaginally Also, are women going to be told that they havealmost a 50% chance of needing a cs with an induction?That inductions fail almost half the timegee I know, lets do what the prominent OB from Adelaide is suggesting and induce all women at 39 weeks andalmost double our cs rate! caesarean section 22.7% v 26.6% and we wonder why we have a national cs rate of over 25%!!! caesarean section for fetal distress 8.8% v 9.3% uterine hyper stimulation with changes in fetal heart rate 0.8% v 1.6% and yet the risk of rupture being an estimated 0.3% is too high to offer vbac as an optionlets give these women a drug that can hyper stimulate their uteri and increase the chance of serious morbidity or mortality and potentially leave them with a ruptured uterus despite not having a previous scar. *sigh* I seriously wonder sometimes how these academics get funded! Oh sorry, this was a drug company who will benefit from this study...not women. I have a suggestion: why doesn't someone get funding to do atrial into spontaneous non-interventative (minus the actual medical need)birthvs. active management and compare the outcomes? Lets actually see if natural noninvasive supported and educated birth is fraught with the dangers that we get thrown at us. grr grr grr Jo -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Mary MurphySent: Saturday, March 04, 2006 7:08 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] trials At least they asked the women’s preference. Guess what they chose? MM Oral misoprostol for induction of labour at term: randomised controlled trial-BMJ,vol 332, no 7540, 4 March 2006, pp 509-511Dodd JM; Crowther CA; Robinson JS-(2006)OBJECTIVE: To compare oral misoprostol solution with vaginal prostaglandin gel (dinoprostone) for induction of labour at term to determine whether misoprostol is superior. DESIGN: Randomized double blind placebo controlled trial. SETTING: Maternity departments in three hospitals in Australia.Population Pregnant women with a singleton cephalic presentation at /=36+6 weeks' gestation, with an indication for prostaglandin induction of labour. INTERVENTIONS: 20 microg oral misoprostol solution at two hourly intervals and placebo vaginal gel or vaginal dinoprostone gel at six hourly intervals and placebo oral solution. MAIN OUTCOME MEASURES: Vaginal birth within 24 hours; uterine hyperstimulation with associated changes in fetal heart rate; caesarean section (all); and caesarean section for fetal distress. RESULTS: 741 women were randomised, 365 to the misoprostol group and 376 to the vaginal dinoprostone group. There were no significant differences between the two treatment groups in the primary outcomes: vaginal birth not achieved in 24 hours (misoprostol 168/365 (46.0%) v dinoprostone 155/376 (41.2%); relative risk 1.12, 95% confidence interval 0.95 to 1.32; P=0.134), caesarean section (83/365 (22.7%) v 100/376 (26.6%); 0.82, 0.64 to 1.06; P=0.127), caesarean section for fetal distress (32/365 (8.8%) v 35/376 (9.3%); 0.91, 0.57 to 1.44; P=0.679), or uterine hyperstimulation with changes in fetal heart rate (3/365 (0.8%) v 6/376 (1.6%); 0.55, 0.14 to 2.21; P=0.401). Although there were differences in the process of labour induction, there were no significant differences in adverse maternal or neonatal outcomes. CONCLUSIONS: This trial shows no evidence that oral
Re: [ozmidwifery] Direct Coombs positive
Hi Sue, My experience with this (and advice from neonatologists), in a term healthy baby, is that you observe as any other jaundice and dont have to be extra aggressive. For the few direct coombs pos babies I have watched p/n at home there was no sudden increase in jaundice although obviously the fully breast feed ones took a bit longer to clear. Suzi - Original Message - From: Sue Cookson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, February 17, 2006 7:59 AM Subject: [ozmidwifery] Direct Coombs positive Hi all, Just wondering if any of you have experience with babies who come up with a poistive Direct Coombs test? A cord blood sample from a newborn showed baby was A pos with anti-A antibodies - they would have been passively transferred from the O neg mum. It's pretty likely therefore to be an ABO incompatibility which seems to be a minor issue. Have done a few bilirubin levels which are all way under the range for even phototherapy (58 hours was 215), but the GP involved is being really precious about it all - as if it's likely the baby will suddenly set up major problems. Obviously baby is feeding well, alert, only mildly jaundiced by observation, well and truly cleared his mec... Any comments?? Sue -- 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] DV in pregnancy part 2
Second part of bibliography: McFarlane, J., Soeken, K., Wist, W., (2000) An Evaluation of Interventions to Decrease Intimate Partner Violence to Pregnant Women. Public Health Nursing, Vol. 17, No. 6, pp. 443-451. Martin, S., L., Harris-Britt, A., Li, Y., Moracco, K., E., Kupper, L., L., Campbell, J., C., (2004) Changes in Intimate Partner Violence During Pregnancy, Journal of family Violence, Vol. 19, No. 4.Price, S., Baird, K., Domestic Violence in Pregnancy, How can midwives make a difference? Midwifery: Best Practice 2, 3.1Quinlivan, J., Evans S., F., (2001) A prospective cohort study of the impact of domestic violence on young teenage pregnancy outcomes, Journal of Pediatric and Adolescent Gynecology, No. 14, pp 17-23.Renker, P., R., (2002) Keep a blank face. I need to tell you what has been happening to me. Teens Stories of Abuse and Violence before and During Pregnancy, American Journal of Maternal Child Nursing, Vol. 27, No.2, pp. 109-116.Rosen, D., (2004) I just let him have his way Partner violence in the lives of low-income, teenage mothers, Violence Against Women, Vol. 10 No.1 pp. 6-28Steen, M., (2000) Developing midwifery responses to women in their care who are living with violent men, MIDRS Midwifery Digest, 10:3, pp. 313-317Stenson, K., Saarinen, H., Heimer, G., Sidenvall, B., (2201)Womens attitudes to being asked about exposure to violence, Midwifery,17, 2-10Taft, A., (2001) Intimate partner abuse in pregnancy, Sexual Assault Report, Obstetrics and Gynaecology, Vol. 3, no. 4. pp. 250-254. Taft, A., (2002) Violence against women in pregnancy and after childbirth: current knowledge and issues in health care responses, Australian Domestic Family Violence Clearinghouse, Issues paper No. 6.Taft, A., Lee, C., (2004) Violence against young women and association with reproductive events: a cross- sectional analysis of a national sample, Australian and New Zealand Journal of Public Health, Vol. 28, no. 4 Walsh, D., (2002) Violence in Pregnancy: preliminary findings, Children Australia, Vol. 27, No. 4, pp. 17-21 Webster, J., Chandler, J., Battistutta, D., (1996) Pregnancy outcomes and health care use: Effects of abuse, The American Journal of obstetrics and gynecology, Vol. 174, No. 2, pp. 760-767. Webster, J., Stratigos, S., M., Grimes, K., M., (2001) Womens responses to screening for domestic violence in a health care setting, Midwifery, 17, 289-294.Conference paper/proceedings Hegarty, K., Gunn J., Nagle, C., Brown, S., Lumley, J., Forster, D., Collette, J., Nicolson, S., (2003) ANEW a new Way of supporting women in pregnancy, Domestic Violence Symposium.Stratigos, S., (2000) Domestic Violence Screening and Pregnancy, The way forward: children, young people and domestic violence: proceedings, National forum on Children, Young People and Domestic Violence.Books Hunt, S., C., Martin, A., M., (2001) Pregnant Women Violent Men: What Midwives need to know, BFM, Books for Midwives, Oxford, UK, An imprint of Butterworth-Heinman. Hughes, P., (2004) Enough, Spinifex Press Pty Ltd., Australia Jamieson, Beals, Lalonde and Associates, (1999) A Handbook For Health and Social service Professionals responding to Abuse During Pregnancy, Family Violence Prevention Unit, Health Canada
[ozmidwifery] Fw: DV in pregnancy
I sent this ages ago - and i dont think it ever appeared and recent alerts have made me realise there are sometimes problems - so im sending it again - it will come in two parts as long postings dont go thru so well .sorry if you've had it before, Suzi This is in responce to Belindas request for DV in Pregnancy articles. This list comes from a wonderfut social worker at Northern Womens in Adelaide Anne Van Zanten, with her permission. Anne is working with the Northern Women's Community Midwives on a DV in Preg project, including an excellent screening tool which we use to help broach the subject with women at booking visits. DV increases significantly in pregnancy and we work with women in very dangerous circumstances. Suzi Hoff VIOLENCE IN PREGNANCY Journal article/research paper Austin, M., ( 2003). Psychosocial assessment and management of depression and anxiety in pregnancy: key aspects of antenatal care for general practice. Australian Family Physician Vol. 32, No. 3, pp. 119-126 Bacchus L., Mezey, G., Bewley, S., Haworth, A., (2004) Prevalence of domestic violence when midwives routinely enquire in pregnancy., MIDIRS, Midwifery Digest,14:3 Baird, K., (2002). Domestic violence in pregnancy: a public health concern, Kathleen Baird, MIDIRS, Midwifery Digest 12: Supplement 1 Burch, R., L., Gallup, G., G., (2004) Pregnancy as a stimulus for domestic violence, Journal of Family Violence, Vol. 19, No. 4, pp. 243-247 Campbell, J., C., Campbell, D., W., (1996) Cultural Competence In The Care Of Abused Women, Journal of Nurse-Midwifery, Vol. 46, No. 6. Campbell, J., C., Woods, A., B., Chouf, K., L., Parker, B., (2000) Reproductive Health Consequences of Intimate Partner Violence, Clinical Nursing Research, Vol. 9 No 3.p. 217-237 . Campbell, J., Garcia-Moreno, C., Sharps, P., (2004) Abuse During Pregnancy in Industrialized and Developing Countries, Violence Against Women, Vol. 10 No. 7. Campbell, J., C., Webster, D., Koziol-McLain, J., Block, C., (2003) Risk Factors for Femicide in Abusive Relationships: Results From a Multisite Case Control Study, American Journal of Public Health, Vol. 93, No. 7. Cripps, S., Identifying a cry for help: a case study describing a proactive approach towards tackling domestic violence, Midwifery: Best Practice 2, 3.2 Decker, M., R., Martin, S., L., Moracco, K., E., (2004) Homicide Risk Factors Among Pregnant Women Abused by Their Partners, Violence Against Women, Vol. 10 No. 5. Garvan, J., (2003) A point of vulnerability: links between domestic violence and mothering, A report and annotated bibliography, Curtin University of Technology. Hunter, S., Domestic Violence during pregnancy, Office of Women's policy, NT 1996 Huth-Bocks, A., A., Levendosky, A., A., Bogat, A., G., (2002) The Effects of Domestic Violence During Pregnancy on Maternal and Infant Health, Violence and Victims, Volume 17, Number 2. Jasinski,J.L. (2004). Pregnancy and domestic violence: a review of the literature, Trauma, Violence Abuse, Vol. 5, No. 1 pp. 47-64 Jones, C., Bonner, M., (2002) Screening for domestic violence in an antenatal clinic, Australian Journal of Midwifery, Vol. 15, No.1, pp.14-20 Laing, L., (2004) Risk Assessment in Domestic Violence, Australian Domestic and Family Violence Clearinghouse, Topic Paper. Marchant S., Davidson, L., L., Garcia, J., Parsons, J., E., Addressing domestic violence through maternity services: policy and practice, Midwifery: Best Practice 2, 3.3 Martin, S., L., Mackie, L., Kupper, L., L., Buescher, P., A., Moracco, K., E., (2001) Physical Abuse of Women Before, During and After Pregnancy, JAMA, Vol 285, No. 12 McFarlane, J., Soeken, K., Reel, S., Parker, B., Silva, C., (1997) Resource Use by Abused Women Following an Intervention Program: Associated Severity of Abuse and Reports of Abuse Ending, Public Health Nursing, Volume 14(4) pp 244-250 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] rooming in
Bit harsh Sonja...i dont believe the great and growing practice of rooming in should completely eclipse midwives taking care of the baby for a couple of hours while the woman gets some sleep. Many women have missed 2-3 nights sleep and have metaphorically walked up agiant mountain or run a marathon to birth their baby. Some women still believe in the myth that they will get some rest in hsp and choose to stay there 'cause they know once they are home their normal unpaid hard work will be expected to commence. i really believe its the least we can do for a women who chooses(or has) to be in hosp to help her get theroom dark and cosy, rock her unsettled baby for her and let her have a few hours uninterrupted sleep. (breast feeding access /issues aside - sometimes they just won't quieten down - we know...for lots of other (including mysterious) reasons and the woman would like a break). Isn't it about choice and shouldn't all women's voices be heard when those choices are being shaped - not just the loudest. I know you may not need a nursery room as such to be able to offer thewoman some relief - but i have witnessed many timesmidwives copping outof giving the woman thehelp she specifically wants citing "rooming-in policy". Women's well being and healing is strenghened by a block of decent sleep.If we don't have time to do our jobs properly and our ratiosin postnatal wards inadequate- we must keep fighting for fairer working conditions - not blaming women again. Im all for being at home or getting back there asap - but unfortunatly our social community supports are a long way from being universal, free and sufficient for all women to access this - yet. Suzi - Original Message - From: Sonja Barry To: ozmidwifery@acegraphics.com.au Sent: Monday, November 21, 2005 10:12 AM Subject: Re: [ozmidwifery] rooming in What are they complaining about? The only ones who I think could complain are those very few women giving their baby up for adoption. Don't these women want their babies? I am very confused. I would also bet they are the ones begging for an induction from about 30weeks. However, Ithought all hospitals had rooming in these days. Sonja - Original Message - From: islips To: ozmidwifery@acegraphics.com.au Sent: Sunday, November 20, 2005 5:56 PM Subject: [ozmidwifery] rooming in I wonder if someone can help me put together some stats regarding 'rooming in' . I work at a large private hospital in Perth . We recently closed our night nursery and implemented a 'rooming in policy'. This has worked very well in enhancing BF , mothercrafting etc. However due to 3 mothers and 3 obs complaining it looks as though we will have to change the policy. we have a meeting on tuesday and i would like to present some current research to the medical profession regarding the benefits of rooming in. thanks zoe - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Saturday, November 19, 2005 7:28 AM Subject: RE: [ozmidwifery] question Jenny, could you give us the reference please? Thanks, MM , one study demonstrated zero oxygen, because there is no longer any utero-placental circulation. This is part of the stimulation for the baby to breathe, but the baby is receiving some circulatory volume. Jennifer Cameron FRCNA FACM
Re: [ozmidwifery] article FYI
Alice - are you looking for women who have had episiotomies? i may be able to help you can contact me off line my contact details have not changed [EMAIL PROTECTED] love suzi - Original Message - From: Alice Morgan [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, November 03, 2005 12:49 AM Subject: RE: [ozmidwifery] article FYI This is interesting for me. I am currently writing my midwifery honours thesis on women's views about episiotomy (or trying to at least, unfortunately I am having great difficulty with participant recruitment). It's always nice to see more research backing up what I am saying. :) Alice (one of the first SA BMid grduate midwives) From: leanne wynne [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] article FYI Date: Wed, 02 Nov 2005 11:05:02 +1100 Unnecessary episiotomies Issue 22: 31 Oct 2005 Source: International Journal of Gynecology Obstetrics 2005; 91: 157-9 Researchers have questioned the continuing widespread use of routine episiotomy, after finding high rates at some centres in countries in South America, Asia, and Africa. Systematic reviews of published trials, including a Cochrane review, have suggested that episiotomies should not be performed routinely, because of the associated maternal morbidity. Some specialists have said that no more than 10 percent of nulliparous women delivering vaginally should need one, according to the researchers writing in the latest issue of the International Journal of Gynecology Obstetrics. But their study suggests that episiotomy rates are far higher than this at some hospitals. The researchers, from Uruguay and the USA, analyzed data on episiotomy rates for nulliparous and multiparous women at hospitals in Argentina, Brazil, Bolivia, Chile, the Democratic Republic of Congo, Ecuador, India, Tibet, Uruguay, Venezuela, and Zambia. The hospitals studied (from 1 to 13 per country) were part of the US National Institute of Child Health and Human Development's Global Network for Women's and Children's Health Research. Rates above 90 percent Reporting their findings, the researchers say that episiotomy rates among nulliparous women were higher than 90 percent in all countries except Zambia (6.9 percent). Episiotomy rates for all vaginal births were higher than 20 percent in all countries except Zambia, and were as high as 80 percent in Brazil. The exception, Zambia, was unusual in having a lower rate for nulliparous women than for all vaginal births. The researchers, however, caution that the data for Zambia were obtained from only one hospital. They also advise against generalizing the findings beyond the centres studied. However, they say the data illustrate the widespread use of routine episiotomy. in contradiction to the evidence questioning its efficacy. Unnecessary episiotomies, the researchers write, increase the risk of morbidity as indicated by the Cochrane review, including posterior perineal trauma, the need for suturing the perineal wound, and healing complications at 7 days. They conclude: Strategies should be developed to decrease episiotomy rates at a global level. 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. _ REALESTATE: biggest buy/rent/share listings http://ninemsn.realestate.com.au -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] postnatal depression - urgent
Title: Message Lyell McEwin Hsp has a PND group - contact Tracy Semner Booth 81829000 - im not sure how great it is - ive heard anecdotally good things - but obviously its in the nrth suburbs. She can also access one to one appointments with Tracey. Suzi Hoff - Original Message - From: Sylvia Boutsalis To: ozmidwifery@acegraphics.com.au Sent: Friday, October 21, 2005 8:18 AM Subject: [ozmidwifery] postnatal depression - urgent A friend of a friend says that she is suffering from postnatal depression. Are there any associations that may help her? I know about beyond blue. Specifically,are there any in Adelaide? Thanks in advance Sylvia Boutsalis Adelaide
Re: [ozmidwifery] Infant Sleep
Title: Infant Sleep Megan you are an awesome woman - and to think of all the volunteer work you do for the birth community in adelaide to boot. thankyou. to think i used to be jelous of you seeming to have the perfect child (your first) who played happily thru post natal yoga while mine cried every week and all night as well. I guess it just shows the randomness of these little babies patterns, parents just can't know what they are going to get and each one is so different. and your right most of the time its all about surrendering - literally! gving up and letting them be whoever it is they are...thankfully after about 10 months my baby sorted himself out and has been a fanstatic sleeper ever since. love suzi x - Original Message - From: Megan Larry To: ozmidwifery Sent: Monday, October 17, 2005 10:16 PM Subject: [ozmidwifery] Infant Sleep We started co-sleeping with our third child, he was demand fed and boy , that was exactly what we did, 24/7. He slept for 45 mins a few times a day, and about 9hrs a night waking every 1-2 hours and needing rocking or patting often through the night. With a 3yr and 1 1/2 yr old to look after as well, not much room for a day sleep. No wonder I was sooo TIRED. He didn't sleep through a whole night until he was over 2, by which I was pregnant again and going to do it all again. He still needs much less sleep than an average child. Not complaining or bragging, just sharing what is a variation of normal. What helped me at the time was having a couple of friends with similar philosophies who were also doing it much the same as me. Fortunately our next baby was a better sleeper, doesn't feed quite so much, but at 16 mths is still 99% breastfed and wakes at night anything from 1 feed for the night to every hour or so. Sleep deprivation is the cruellest of things, we should wear a big badge warning people of how much sleep we've had so they know in advance not to expect too much. I have come to the conclusion to not expect too much from your baby, then you can't be dissapointed and just let it be what it will be. Good luck with it, Megan (Mum to 4 little boys)
Re: [ozmidwifery] Kalgoorlie birthing services?
Kalgoorlie is 10 hours drive east of perth in the goldfields. you can contact me on [EMAIL PROTECTED] if you want more info. Cheers suzi - Original Message - From: Alan Rooney To: ozmidwifery@acegraphics.com.au Sent: Monday, October 03, 2005 3:15 PM Subject: RE: [ozmidwifery] Kalgoorlie birthing services? Hi Suzi Where is that place in the desert that you can recommend? I am currently traveling around Aust and I am always interested in places with good accommodation. Alan From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of suzi and brettSent: Monday, 3 October 2005 12:46To: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Kalgoorlie birthing services? Hi Tania, I did a placement at Kalgoolie hospital18 monthsago for 2 weeks and its comparitively a pretty good place to birth, a great history of low intervention, lowest cs rate in the country one year. There is a birth centre type room, and a few other birthing rooms - and all the midwives were fantastic - of course as in most regional hospitals there was the call the dr when HOV routine,but if things were going well they were happy to keep out..but the antenatal care was done through the GPs. a new Ob was appointed in Jan 2004 so im not sure if his influence has been positive but would be happy to talk to you about my impressions if you wanna give me a ring 82415103 or you have my email address.(or pass on to theother woman) I didn't hear of any homebirth IPM's when i was there. For any interested travelling midwives: i can recommend it as a great place to work and play (lots of pubs!) in the beautiful red desert, and they offer stints for as little as 3 months with excellent accomodation. the midwifery manager is a very supportive woman. Cheers Suzi Hoff - Original Message - From: Tania Smallwood To: ozmidwifery@acegraphics.com.au Sent: Sunday, October 02, 2005 9:34 PM Subject: [ozmidwifery] Kalgoorlie birthing services? Are there any IPMs out there near Kalgoorlie? Is there a birthing centre, or even a labour ward? Im completely in the dark and would like to pass on some information if there is any Thanks Tania
Re: [ozmidwifery] Kalgoorlie birthing services?
Hi Tania, I did a placement at Kalgoolie hospital18 monthsago for 2 weeks and its comparitively a pretty good place to birth, a great history of low intervention, lowest cs rate in the country one year. There is a birth centre type room, and a few other birthing rooms - and all the midwives were fantastic - of course as in most regional hospitals there was the call the dr when HOV routine,but if things were going well they were happy to keep out..but the antenatal care was done through the GPs. a new Ob was appointed in Jan 2004 so im not sure if his influence has been positive but would be happy to talk to you about my impressions if you wanna give me a ring 82415103 or you have my email address.(or pass on to theother woman) I didn't hear of any homebirth IPM's when i was there. For any interested travelling midwives: i can recommend it as a great place to work and play (lots of pubs!) in the beautiful red desert, and they offer stints for as little as 3 months with excellent accomodation. the midwifery manager is a very supportive woman. Cheers Suzi Hoff - Original Message - From: Tania Smallwood To: ozmidwifery@acegraphics.com.au Sent: Sunday, October 02, 2005 9:34 PM Subject: [ozmidwifery] Kalgoorlie birthing services? Are there any IPMs out there near Kalgoorlie? Is there a birthing centre, or even a labour ward? Im completely in the dark and would like to pass on some information if there is any Thanks Tania
[ozmidwifery] Homebirth Midwives - mid north coast NSW
Hi, Anyone know of any homebirth midwives on the mid north coast of NSW - Bellingen, Coffs Harbour, Nambucca Heads? Cheers Suzi Hoff
