Re: [ozmidwifery] Re: Maternity coalition
Thanks for that Megan. It was great to read what is going on in SA. WOMAD sounds like lots of fun, what great exposure! Wendy ( in Victoria) - Original Message - From: Megan Larry [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Saturday, March 03, 2007 12:25 PM Subject: RE: [ozmidwifery] Re: Maternity coalition Here here Tania. I don't know what is going on in other states regarding birth support groups, in whatever role or title, but maybe an explanation of what we have in SA might be helpful, in return I would love to hear about everyone else. SA has a lovely history of birth groups. Those on the list who know more than me about it, please add. We have the Homebirth Network which has been going for many many years, anyone in SA know how long? Many moons ago, we had MAMA (?), Mums and Midwives working together, I believe they successfully lobbied for a birth centre at one of our large teaching hospitals. This group is now part of our history. Name escapes me, but we have a group for our Ind Midwives too. Help on that one? CARES, a caesarean support group, established over 8 years ago by Jo, Caroline and Emma. Going strong and doing amazing work. Birth Matters, also established over 8 years ago. BM sees itself as a generic support group, they provide the information so as choice is available. Maternity Coalition, established a few years, more low key here. Our groups are well established and continue to function together as needed. When we join forces so to speak, we go under the title of The Birth Networks of SA or similar. A number of the women in these groups wear many hats, and work very hard for the cause. Always as a vounteer and nearly always with no previous experience. I too started off with 1 child, now with 4, as many of our families have grown and along the way dealt with all the wonders life offers, sad and happy. SA has become less present in the lobby arena, lack of time and burn-out. We seem to be focusing on support for now and getting out there to educate our birthing Mums and Dads. Next weekend Adelaide is hosting WOMAD, a world music festival, Birth Matters with Homebirth Network have been fortunate to secure a stall. We will have a wonderful oppurtunity to talk with thousands of people, delight them with our beautiful births and handout good information. We have been at Mothers and Baby expo a number of times, a tuff gig, to say the least. Sharing the most intimate moment of your life, only to have women loudly show there disgust at the video of a birth. Not the Grandmas or the men, but women due to birth. It's a very tiring 3 days of your life. Adelaides birth groups work independantly to and alongside each other. They say it takes a village to raise a child, well it takes many forms to educate our birthing community, AND WE ALL MATTER! SO, I look forward to reading about any birth groups out there, whatever you are called and in what ever capaticty your contribution is. A pat on the back to us all, Cheers Megan Resch Of -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Tania Smallwood Sent: Saturday, 3 March 2007 8:40 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Re: Maternity coalition Can I just say that it would be terrible if this thread deteriorated yet again into a personal slinging match. Please can we all keep in our minds and our hearts that we are all doing what we can, with the time we have, to further the cause and help women...making comments on people's tone is not in my honest opinion called for, or constructive. A lovely friend of mine, one of the wisest women I know, has talked with me about the email thing and the problems that we as women in particular, encounter with it. Her take on it, and I agree wholeheartedly is that we must keep in mind that it was invented by blokes, and that it has no ability to convey the subtlety of emotion that we often use to soften or round off our comments. Its purpose initially was probably for the sharing of meeting minutes, and the like. We don't talk like that, we don't communicate like that, and when we attempt to use a medium that doesn't have the features we need to put across the whole of the message, not just the words, then something within that message can be lost. Please, please, can we keep our own agendas out of this. I have been a member of birth support and information groups for nearly 10 years and for the most part, it has been smooth sailing. I still don't have a handle on what the MC really does, even though I've been a member for sometime, and our consumer groups have been members. That doesn't mean I'm not interested, or supportive. It means I'm uninformed, and I thought for a minute there, with this thread, that I might become a bit more informed. This is a public list. Christopher Cain and other presidents of the AMA
Re: [ozmidwifery] hb MW Gisborne, Vic
Hi Janet, I was going through tidying up my emails and ran acros this one. Do you know if she has found a M/W? I am 3 hrs away but have a car!! I know there are some good HB M/W in Bendigo too. Cheers Wen - Original Message - From: Janet Fraser To: ozmidwifery@acegraphics.com.au Sent: Friday, January 26, 2007 11:23 AM Subject: [ozmidwifery] hb MW Gisborne, Vic Hi all, anyone able or willing to support a woman birth at home in Gisborne? : ) J For home birth information go to: Joyous Birth Australian home birth network and forums. http://www.joyousbirth.info/ Or email: [EMAIL PROTECTED] -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.410 / Virus Database: 268.17.12/654 - Release Date: 1/27/2007
Re: [ozmidwifery] co-sleeping
Co-slept with both my girls, but when I was pregnant with no2 I thought it would be a good idea to try my then 4 year old in her own bed, as I couldnt imagine where we would all fit if there were '4 in the bed'. 3 nights of total trauma but the thing that really convinced me was the 4 year old saying But you dad sleep together Im only a kid how come Im the only one who has to sleep alone? Really couldnt argue with the social justice aspects of that logic! Ended up with a queen bed flanked by 2 singles - a true 4 person bed - I was so thankful I had built the room big enough to accomodate, but sadly many houses just dont have the bedroom space to allow this kind of thing. They are now nearly 10 14 years old, there is no dad in the bed anymore, now they take it in turns to sleep with me ( still argue about who's turn it is). As in birth, there seems to be a lot of fear around co-sleeping, from smothering the baby to losing sleep /or privacy. The whole thinking around 'spoiling the baby' is not logic-based, it seems to me to be based on the fact that we as a culture want our children to 'grow up' as quickly as possible, so lets start teaching them independence from day 1. Load of bollocks I reckon! Lets hope those wonderful Vietnamese women dont start adopting the habits of western culture thinking that it will all be better if they do. cheers Jennifairy Having worked in Vietnam for 8 months - I asked some of the women how long before the baby sleeps in his own bed in Vietnam? They said, usually by 5 years when they go to school but often not until about 8!! Western culture is warped on this subject. Hey I realise co-sleeping has its downsides too but it's a matter of meeting everyone's needs the best way you can. Helen Mother of a 9 year old who still sleeps in our room in a bed next to ours. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Pregnancy and Crohns
Good on you, That subtle and not so subtle pressure put on women is so influencial isn't it? - Original Message - From: Amy Rigano To: ozmidwifery@acegraphics.com.au Sent: Tuesday, January 16, 2007 8:43 PM Subject: Re: [ozmidwifery] Pregnancy and Crohns Hi Wendy thanks for that. I did tell her that I don't believe her to be high risk, but her health insurance fund has stepped in and said that the only place she would be safe to birth is at a large tertiary hospital (lucky her). It is sad to see that a woman who should be excited and cherishing every moment of her pregnancy has been fed doubt and despair from ill informed professionals. Sadly I beleive that she will take up the 'high risk' option as it has been planted in her head and now it is very difficult for her to discount the 'information' she has been told. Never the less, I will keep trying to 'normalise' her pregnancy. Cheers Amy - Original Message - From: [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, January 16, 2007 8:41 AM Subject: Re: [ozmidwifery] Pregnancy and Crohns At the community Midwife Program at Wangaratta we have no exclusion criteria. All women see a Dr at the clinic once during the preganancy and more on an as needs basis in consultation with the Drs. For example women with a previous LUSCS go once at about 14-18 weeks then again at 36 weeks after we have done the care in between to inform the doctor of whether or not they are going to VBAC. Note this is the womans decision not the midwives or drs. Women with a more complex medical history may see a doctor at every visit or just once or twice if everyhting is OK. It is completely flexible and often changes during the course of the pregnancy. I personally think it is wrong to confine midwife only care to only low-risk women. All women need midwife care and arguably those labelled higher risk by the medical profession need it even more. How exactly do you percieve, or does the woman percieve her crones to complicate her pregnancy? In answer to your question..We have had from memory a women in our program with Crones and I dont recall it actually making her pregnancy and birth more complicated. My answer would be YES! have her in midwife care and consult with Drs on an as needs basis. If Drs insist she not eligable for Low Risk Midwife Care Ask them exactly what it is they are going to do differently that you cant do. What care, monitoring, testing, scedule of visits... exactly what is it Drs can offer her that you can't. And what about the women? What does she want.?? Hope this is useful. Wendy - Original Message - From: Amy Rigano To: ozmidwifery@acegraphics.com.au Sent: Monday, January 15, 2007 8:29 PM Subject: [ozmidwifery] Pregnancy and Crohns Hi all you smart people Just wondering if anyone has provided Midwifery Led Care for a women who has crohns. I have a friend who has been told that she is 'HIGH RISK' due to her 'condition'. It is her first pregnancy and I understand that she takes very good care of herself and is careful with her diet. I will try the website for crohns and ulcerative collitis, but if anyone has any first hand experiences that would be great. Cheer Amy -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.410 / Virus Database: 268.16.10/626 - Release Date: 1/14/2007 -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.410 / Virus Database: 268.16.10/626 - Release Date: 1/14/2007
Re: [ozmidwifery] Pregnancy and Crohns
At the community Midwife Program at Wangaratta we have no exclusion criteria. All women see a Dr at the clinic once during the preganancy and more on an as needs basis in consultation with the Drs. For example women with a previous LUSCS go once at about 14-18 weeks then again at 36 weeks after we have done the care in between to inform the doctor of whether or not they are going to VBAC. Note this is the womans decision not the midwives or drs. Women with a more complex medical history may see a doctor at every visit or just once or twice if everyhting is OK. It is completely flexible and often changes during the course of the pregnancy. I personally think it is wrong to confine midwife only care to only low-risk women. All women need midwife care and arguably those labelled higher risk by the medical profession need it even more. How exactly do you percieve, or does the woman percieve her crones to complicate her pregnancy? In answer to your question..We have had from memory a women in our program with Crones and I dont recall it actually making her pregnancy and birth more complicated. My answer would be YES! have her in midwife care and consult with Drs on an as needs basis. If Drs insist she not eligable for Low Risk Midwife Care Ask them exactly what it is they are going to do differently that you cant do. What care, monitoring, testing, scedule of visits... exactly what is it Drs can offer her that you can't. And what about the women? What does she want.?? Hope this is useful. Wendy - Original Message - From: Amy Rigano To: ozmidwifery@acegraphics.com.au Sent: Monday, January 15, 2007 8:29 PM Subject: [ozmidwifery] Pregnancy and Crohns Hi all you smart people Just wondering if anyone has provided Midwifery Led Care for a women who has crohns. I have a friend who has been told that she is 'HIGH RISK' due to her 'condition'. It is her first pregnancy and I understand that she takes very good care of herself and is careful with her diet. I will try the website for crohns and ulcerative collitis, but if anyone has any first hand experiences that would be great. Cheer Amy -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.410 / Virus Database: 268.16.10/626 - Release Date: 1/14/2007
Re: [ozmidwifery] job
Yes that was Portland Hospital, Caseload midwifery. - Original Message - From: diane To: ozmidwifery@acegraphics.com.au Sent: Thursday, January 11, 2007 9:58 PM Subject: Re: [ozmidwifery] job Wasnt someone desparate for a caseload midwife down south around xmas time? Is there still anything there? Di - Original Message - From: Anke Dalman To: ozmidwifery@acegraphics.com.au Sent: Thursday, January 11, 2007 1:04 PM Subject: [ozmidwifery] job Hi list members, I wanted to send this email under how do you deal with your frustrations?' but the text is not really an answer to that discussion. Therefore I started a new one. I just quit my job at the local hospital, because I could no longer accept the way women and staff (lower in rank and peers) were treated there by the other staff (higher in rank). However, I would like to work where staff can be civil towards each other and their clients, preferably in education or midwifery (or both). I have a Graduate Diploma in Childbirth Education and a Master of Midwifery. If there is no job like this in Australia for me, I might have to go to Holland. Because I have my children here and grandchildren as well I prefer to stay in Australia. If anyone can help, please let me know here or on my email at home: [EMAIL PROTECTED] Thank you. Anke Dalman __ NOD32 1970 (20070110) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.410 / Virus Database: 268.16.8/621 - Release Date: 1/9/2007
Re: [ozmidwifery] waterbirth
Me too please [EMAIL PROTECTED] TIA Wendy - Original Message - From: nicole and gareth [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, January 12, 2007 12:37 PM Subject: Re: [ozmidwifery] waterbirth hi lynne i would love a copy of the reference list please [EMAIL PROTECTED] -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.410 / Virus Database: 268.16.9/623 - Release Date: 1/11/2007 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] job
Hi Anke Where are you geographically? You say you want to be around birthing women. How about setting up in private practice as Jan says?? You dont have to steal income from other childbirth educators. What about a complete midwifery practice, antenatal care, birth support in hospital, homebirth, postnatal care...Steal it back from the medical profession!!.I have to warn you though! Its terribly addictive. I heard a rumor from a midwife in Katherine there is an interesting job going up there soon. (Hi Anne...!!). Something perfect will come up for you and by the way a huge congratulations for refusing to compromise your principles. Wendy - Original Message - From: Anke Dalman To: ozmidwifery@acegraphics.com.au Sent: Thursday, January 11, 2007 2:04 PM Subject: [ozmidwifery] job Hi list members, I wanted to send this email under how do you deal with your frustrations?' but the text is not really an answer to that discussion. Therefore I started a new one. I just quit my job at the local hospital, because I could no longer accept the way women and staff (lower in rank and peers) were treated there by the other staff (higher in rank). However, I would like to work where staff can be civil towards each other and their clients, preferably in education or midwifery (or both). I have a Graduate Diploma in Childbirth Education and a Master of Midwifery. If there is no job like this in Australia for me, I might have to go to Holland. Because I have my children here and grandchildren as well I prefer to stay in Australia. If anyone can help, please let me know here or on my email at home: [EMAIL PROTECTED] Thank you. Anke Dalman -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.410 / Virus Database: 268.16.8/621 - Release Date: 1/9/2007
Re: [ozmidwifery] Strep B
Here at our local hospital of approx 530 births per annum we do not routinely screen all pregnant women. We offer (with a fair degree of pressure, I might add) IV antibiotics in labour of a woman has had Pre-labour ruptured membres for 18 hours or if she is in preterm labour 37 weeks or if she has a history of previous baby with GBS infection or previous GBS positive herself ( say for example on a past history from birth elsewhere with a previous baby) If a baby is born before antibiotics are able to be administered or a woman declines antibiotics we observe the baby for any signs of infection. That is what happens here Personally I am not in favour of routine GBS testing. Good luck. - Original Message - From: nunyara To: ozmidwifery@acegraphics.com.au Sent: Tuesday, January 09, 2007 12:49 PM Subject: [ozmidwifery] Strep B Hi all, I know info on this topic has been posted before but I deleted it all - silly me as I now wish to ask some questions which have probably already been covered. I am 34 weeks pregnant and was not going to have the STREP B test but I have done some further research and it suggests that all women SHOULD be tested but antibiotics used during labour for a positive result may not be the way to go. To all the midwife's on this forum: is it necessary for me to have this test? Is it in my and my babies best interest to do this? If I tested positive (which I didn't with my first child, in fact I don't even remember having the test) is the intravenous antibiotic really necessary? I do not want this as I plan to have a water birth and I am also highly allergic to penicillan and other forms of backup antibiotics. I will raise this at my midwife appointment I am due for this week I would just like some opinions. Kind Regards Jassy -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.410 / Virus Database: 268.16.7/619 - Release Date: 1/7/2007
Re: [ozmidwifery] Pregnancy testing
Hi Anne Nothing further to add to Andreas comments except I am so glad to hear there is a debriefing opportunity for this case. Congrats on your great work up North. Wendy - Original Message - From: Anne Smith To: ozmidwifery@acegraphics.com.au Cc: Anne Smith Sent: Monday, January 08, 2007 2:16 PM Subject: [ozmidwifery] Pregnancy testing I have a question for you wise women - will give you some background first. Young woman with a concealed or unacknowledged pregnancy at 26 weeks presented with acute abdominal pain to a remote area health clinic. No midwife was present and doctor had not practiced obstetrics for years. The woman did not appear pregnant at all. They did a pregnancy test and it was negative. They thought that renal colic may have been the cause. No one could palpate contractions but eventually the doctor did a VE and discovered something there. A very experienced nurse then delivered (and I use the word advisedly), the baby which was in a breech position. Traumatic for everyone especially the woman, who was then transferred by plane to the nearest hospital. I will be attending a debriefing session on Friday and would like to be able to at least explain the negative pregnancy test. Was this due to the demise of the baby (perhaps up to a week previously) or have the hormones altered so much that the test will not react - a. because of FDIU or b. advanced pregnancy or c. was there a technical problem with the test itself Your input would be much appreciated. Keep up the discussions on why women don't choose or don't know to choose more wisely when contemplating pregnancy because we do have a responsibility as midwives for disseminating this knowledge. Many thanks Anne (in the NT) -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.410 / Virus Database: 268.16.7/619 - Release Date: 1/7/2007
Re: [ozmidwifery] How do you deal with your fustrations?
To me the way women (society) veiws pregnancy reflects the current trend to rush for medical assistance in any situation. Common colds, neck pain, constipation, insomnia, depression, obesity, you name it. Instead of looking within at underlying emotional issues, considering diet, toxins such as refined foodstuffs, stress, chemicals.whatever, you get my drift, the list is long. Any way instead of resolving the underlying causes or problems there is an increasing tendance to run for a fix-up, a suppression of symptoms. I see too often pregnancy considered by women as a medical problem to be managed. What do some do the minute they think they are pregnantmake an appointment with a doctor for confirmation...and so it begins. Do the doctors tell them that evidence concludes midwives to be the specialists in nornmal maternity care? Yeah right! In society the common assumption is the highest scientifically qualifed person must be the best one for the job. Interesting what you say about having already paid up front and not wanting to loose out financially having already paid an Obs...THAT IS OUTRAGEOUS! I am personally in favour of women changing streams of care whatever their gestation. Just my ramblings Wendy - Original Message - From: Julie Clarke [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, January 08, 2007 1:11 PM Subject: RE: [ozmidwifery] How do you deal with your fustrations? Hi Rachael, I sometimes share your frustrations in wondering why on earth women choose OB's to care for them - particularly when they whinge about them so much! However what women are after is continuity of care because they want some feeling of certainty over who is going to be with them when they birth in short it gives them a feeling of security and the other main reason is the perceived quality of the care because an OB is regarded in Australia as the highest qualified of anyone to deal with pregnancy and birth. The other astonishing fact is that OB's don't even need to lift a finger to market themselves... it's all done for them by our medically supportive system. Yesterday I had a reunion with a group who had received mixed care; some by midwives some by private OB's and when they shared their stories and discovered such big differences in the way they had been cared for; the proof is in the pudding after all isn't it? A couple of them were saying I'm definitely going to a birth centre or have midwifery care next time! You might ask well why didn't they learn about this in the preparation classes, well they did, but they often say they are not able to change late in the pregnancy because they have already paid completely up front well in advance to the OB and they worry about getting their money back, they assume they can't, or they cannot get into a midwifery program or a birth centre at a very late stage of pregnancy. The reunion confirms a lot for them as they share their stories, one of the lovely couples yesterday had had a wonderful homebirth with the terrific midwives at St George hospital and the rest of the group were thrilled for them and listened to all the details It was a wonderful 6 hour labour, relaxing in a pool in the lounge room and the midwife just stayed quietly next to me and it was very peaceful... Warm hug Julie Julie Clarke Childbirth and Parenting Educator ACE Grad-Dip Supervisor NACE Advanced Educator and Trainer Transition into Parenthood 9 Withybrook Pl Sylvania NSW 2224. T. (02) 9544 6441 F. (02) 9544 9257 Mobile 0401 2655 30 email: [EMAIL PROTECTED] www.julieclarke.com.au -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Dan Rachael Austin Sent: Monday, 8 January 2007 10:19 AM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] How do you deal with your fustrations? I get so fustrated when I know people who choose subordinate (in my opinion) levels of care. What I mean is, healthy women who choose care under an obstetrician. They get roped into the high tech repeated u/s, monitoring, for the just in case ignorant way of thinking. They end up having highly intervened vaginal births (but they see as 'natural birth' because it is vaginal) or worse a necessary unnecessary cs. Does this make sense? I have been up most of the night stewing over this, because a 4 of my rellies have recently choosen this type of care to end up with the same results... and they think I'm weird because I choose to birth at home! OK so I'm a midwife (new at the game, but still), so maybe the extra knowledge helped me to make 'good' or appropriate choices for me, but what stops women from investigating choices for themselves? Why do they so blindly give themselves to medical men in every sense of the word? Do women really believe that they don't have the power to birth themselves and that they really need help? Do they really think nature got
Re: [ozmidwifery] waterbirth
Lynn Could I be bold and ask for a copy of your learning package too? It is still early days yet but starting to write policy allowing women to labour and birth in water at Wangaratta. TIA Wendy - Original Message - From: Lynne Staff To: ozmidwifery@acegraphics.com.au Sent: Monday, January 01, 2007 11:57 AM Subject: Re: [ozmidwifery] waterbirth Hi Helen When I get to work tomorrow, I will send you the reference list from my recently updated (Oct 2006) warm water immersion in labour and birth learning package for midwives. This may be helpful - re publishing our figures - this is a goal for 2007! Warm regards, and a happy and fruitful 2007! - Original Message - From: Helen and Graham To: ozmidwifery@acegraphics.com.au Sent: Friday, December 22, 2006 9:54 AM Subject: Re: [ozmidwifery] waterbirth Hi Lynne Can you point me to some research that I can use to support the safety of waterbirth. I have just read the following reference in the SA Women's and Children's Waterbirth Policy as sent in by Fiona to Ozmid as follows: There is no evidence that perinatal mortality and morbidity, including admissions to special care nurseries for babies born into a warm water environment, is significantly different to babies born out of water (Geissbuehler et al 2004; Gilbert Tookey 1999). but wondered whether you had any other references to call on. Also wondering if you had thought about publishing Selangor's own findings? It would be a great contribution to hospitals trying to weigh up the risk benefits of waterbirth. There still seems to be such fear surrounding the whole issue in the majority of the hospital system that it would be great to have some positive local experiences/research to quote. Thanks in advance. Helen - Original Message - From: Lynne Staff To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 21, 2006 10:04 PM Subject: Re: [ozmidwifery] waterbirth Hi Mary At Selangor we - midwives, obstetricians and paediatricians - have 'officially' supported women for waterbirth since Feb 1998. Our rate is 35% of vaginal births and over 1600 babies have been waterborn since we opened. We will continue to do so as it has benefits for women, their babies and is safe. Regards, Lynne - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 21, 2006 12:50 PM Subject: [ozmidwifery] waterbirth Hi everyone, I know this question has been asked before, but I can't remember the answer. Do we have any maternity units, birth centres etc who officially do waterbirth? I know homebirthers do, but I want to know about institutions. Thanks, MM __ NOD32 1933 (20061221) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.409 / Virus Database: 268.16.1/611 - Release Date: 12/31/2006
Re: [ozmidwifery] What happened with this birth?
Can I come too? :) - Original Message - From: Kristin Beckedahl [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, December 29, 2006 2:42 PM Subject: Re: [ozmidwifery] What happened with this birth? Gee Carolyn...I'd like to have coffee with you one day or two! :-) Kristin From: Heartlogic [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] What happened with this birth? Date: Fri, 29 Dec 2006 13:24:40 +1100 Dear Gail, Firstly, your instincts are spot on. This is a very distressing story. It is not a coincidence that these women's labours stalled following his VE's, that is absolutely to be expected and is the result of a mindless disruption of the women's optimal state of neurophyiological functioning. Taylorism, that is an industrial, efficiency management model, has no place in the dynamic fluid process of birth, sadly it has become merged into the 'health' care system with this sort of unconscious abuse becoming more common. 'Discussions' with the doctors at that stage will do nothing except breed resistence and further intervention; in mindless individuals it can even result in payback situations where intervention will be done just because you are the midwife. The right to rule is still endemic in the maternity services. the first thing to understand is that these people really believe they are doing the right thing. the second thing to understand is that they are taught all about the abnormalities of birth, they have absolutely no idea about normal physiology as applied to birth (gross generalisation, I know) the third thing is that they are terrified of birth the fourth thing is that they are taught throughout medical school that they are the boss of everything and the government and health departments agree and structure everything (I know, there are exceptions) to reinforce that idea the fifth and probably MOST important thing is that they do get taught about 'patient' autonomy and the need for consent. So, here is where it gets interesting and where our opportunity lies. It is vitally important that you use every moment with birthing women to help them understand the situation, without making it combatative and engendering a siege mentality and ask them what they want to have happen, how they would like things to go, so they can say what they want - be left alone, checked in another hour a few more hours, more time, a bath, move freely, have the baby listened to by doppler in the shower/bath etc if women have the information that can help them with the deeply damaging throw away lines that get trotted out like 'stillbirth' 'brain damage' etc, then women can say what they want and we as midwives can support them in that and remember to DOCUMENT what women want. To do things against rational people's will is abuse. To argue about medical intervention with midwives is a nuisance and an affront to power beliefs. Getting strategic is important. Learning tactical support of birthing women is a midwifery art form and a very challenging one. It is crucial that you avoid blame, judgement and criticism as these emotional states are damaging for everyone and lead to despair. It is useful to come from the point of view that they mean well but are ignorant about birth physiology and are taught to look for problems. Neuroscience and quantum physics teaches us we find what we are looking for. That also means we make it up if it is not there. Our job is to work with women and their processes, to give women information to make their own decisions and to help them actualise their decisions and to help doctors know what women want. :-) makes it so simple really. Simple does not, however, mean easy. Every time you find yourself with a pregnant and/or birthing woman ask questions of yourself like 'how can I best inform her of her options?' ' how can I best explain the process of birth so she knows what to expect?' 'how can I support her with what she wants?' ' how can I best let her know how well she is doing so that she can feel secure in asking for more time if she needs it?' how can I best let her know her rights so she feels powerful and in control of her process?' some women, no matter what doors you open, will succumb to medical pressue. That is just the way it is and all we can do is support her through her experience with love, compassion and kindness. One last thing, make friends with that doctor. It is not 'sucking up' it is working with integrity. Everyone wants to do a good job. Approach that person, say you feel uncomfortable about the interaction - open dialogue. We need to be friends with each other. Focus on creating a healthy workplace. Over time, you may have more influence as trust deepens between you. We need to focus on the long term with our doctor midwife relationships. Remember
Re: [ozmidwifery] Urgently required midwife for 4 - 6 week locum in caseload mid model Victoria
What dates are you looking at filling? - Original Message - From: Helen and Graham To: ozmidwifery ; [EMAIL PROTECTED] Sent: Sunday, December 24, 2006 7:58 AM Subject: [ozmidwifery] Urgently required midwife for 4 - 6 week locum in caseload mid model Victoria Hi Listers Any experienced midwives out there like a 4 - 6 week opportunity to be involved in a caseload midwife program in ASAP in Portland Victoria? We have had an unexpected rise in late booking ins and desperately need a midwife. The locum would definitely be with a view to staying on permanently if they enjoyed the trial period. Please email or contact me on 03 55232313 or 0429600428 for more information. Thanks in advance Helen -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.409 / Virus Database: 268.15.26/600 - Release Date: 12/23/2006
Re: [ozmidwifery] synto AFTER 3rd stage?
Nice answer :) - Original Message - From: Heartlogic To: ozmidwifery@acegraphics.com.au Sent: Sunday, December 24, 2006 1:18 PM Subject: Re: [ozmidwifery] synto AFTER 3rd stage? Great question Kristin. If a woman who has given birth to her baby is in her 'tend and befriend' neural network regulatory process aka parasympathetic aspect of her autonomic nervous system, then her endogenous oxytocin will be high, therefore doing what endogenous oxytocin does - contract her uterus, stimulate lactogenesis, generate sensations of loving her baby, stimulate all sorts of yummy, healthy physiological effects, which in turn creates more of the same. BTW, that is the state we are all meant to be in - our physiology works for health and harmony in that 'state'. If however, she is frightened, cold, disrupted, interfered with or her baby is taken away from her for whatever reason, including weighing, measuring etc, therefore her autonomic nervous system switches into the 'flight, fight or freeze' state, then she may be much more likely to bleed and therefore 'need' exogenous oxytocin. Fascinating how we create what we are always trying to prevent/control :-) Something that is not well enough known is that when we give exogenous oxytocics aka syntocinon, then that synthetic hormone does not cross the blood brain barrier and therefore does not act like a behavioural hormone, meaning it does not help mothers fall in love with their babies and it does switch off the woman's own oxytocin supply, which complicates the falling in love issue. So giving exogenous oxytocin interrrupts bonding and even distorts it. That's a big responsibility and we are seeing the effects of our (medically dominated and controlled/interrupted birthing process) meddlesome ways in our society's ills right now. I for one, would not advocate giving syntocinon after the placenta was born for 'insurance' reasons. It is really time that we all started looking at what makes our physiology work best, instead of the Newtonian way of always trying to control 'risk'. That is shutting the door after the horse has bolted way of doing things. We have to reduced risk by optimising conditions before we get to the risky state. We are busy creating risk by frightening women. We have to start asking 'what helps women feel confident?' 'what helps women feel safe in their own skins?' ' what can we do to make the birth environment one which enhances women's sense of self and internal security?' what helps women feel relaxed and calm?' What do we need to do to help women stay in their parasympathetic aspect of their autonomic nervous system? At Belmont, we are seeing the effects of facilitating, supporting and respecting the normal parasympathetic way of being - healthy happy babies and mothers, well bonded. Labour goes better and faster, perineums are stretchier, love is more likely and deep, connection between mother/baby/family is facilitated, breastfeeding goes better, babies are healthy and happy and smiling from birth - we know they smile in the womb, but we can't see that til they're born. love, Carolyn - Original Message - From: Kristin Beckedahl To: ozmidwifery@acegraphics.com.au Sent: Sunday, December 24, 2006 12:47 PM Subject: [ozmidwifery] synto AFTER 3rd stage? Hi all, A woman I will be supporting for her first birth had a checkup y'day where she discussed her birth plan with the midwife. MW was very impressed and supportive overall, yet was concerned about her decision for a natural 3rd stage. She has stated on her birth plan that she would prefer to take the wait and see approach and only have it if there was 'excessive' bleeding. The MW was happy to negiotiate this with her and suggested she have it not at birth, but after the placenta has come away. Would she really need it at this stageif her loss was minimal...? Any insights would be appreciated thanks! Kristin Advertisement: It's simple! Sell your car for just $20 at carsales.com.au -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe. -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.409 / Virus Database: 268.15.26/600 - Release Date: 12/23/2006
Re: [ozmidwifery] Urgently required midwife for 4 - 6 week locum in caseload mid model Victoria
Crikeys!!! That is urgent!. N/A until 1st March and even then would need to negitiate LWOP from my employer...which is not out of the question. - Original Message - From: Helen and Graham To: ozmidwifery@acegraphics.com.au Sent: Sunday, December 24, 2006 2:25 PM Subject: Re: [ozmidwifery] Urgently required midwife for 4 - 6 week locum in caseload mid model Victoria We would need someone from about New Year's Day onwards but it is negotiable. Even if you couldn't get here that soon - it would be OK. Thanks Helen - Original Message - From: [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Sunday, December 24, 2006 2:10 PM Subject: Re: [ozmidwifery] Urgently required midwife for 4 - 6 week locum in caseload mid model Victoria What dates are you looking at filling? - Original Message - From: Helen and Graham To: ozmidwifery ; [EMAIL PROTECTED] Sent: Sunday, December 24, 2006 7:58 AM Subject: [ozmidwifery] Urgently required midwife for 4 - 6 week locum in caseload mid model Victoria Hi Listers Any experienced midwives out there like a 4 - 6 week opportunity to be involved in a caseload midwife program in ASAP in Portland Victoria? We have had an unexpected rise in late booking ins and desperately need a midwife. The locum would definitely be with a view to staying on permanently if they enjoyed the trial period. Please email or contact me on 03 55232313 or 0429600428 for more information. Thanks in advance Helen -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.409 / Virus Database: 268.15.26/600 - Release Date: 12/23/2006 __ NOD32 1936 (20061223) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.409 / Virus Database: 268.15.26/600 - Release Date: 12/23/2006
Re: [ozmidwifery] Vaginal Breech Birth - Names Please...
Why do they need to uncross, let alone touch the feet Kelly? Best practice for assisting a woman to birth her breech is HANDS OFF as much as possible. I was taught to leave baby alone as much as possible until feet, bottom, body have been born. Any assistance if needed is once baby's neck is at the perineum. To me those little feet pose no problem at all. Wendy - Original Message - From: Kelly Zantey To: ozmidwifery@acegraphics.com.au Sent: Friday, December 22, 2006 9:18 PM Subject: RE: [ozmidwifery] Vaginal Breech Birth - Names Please... Thanks for your replies, I am not doing very well at explaining hehe! What the woman has been told is with the baby's feet being crossed and with talipes, they are saying they doubt the baby will be unable to uncross the feet for a favourable breech birth (I actually think they mean the baby moving head down also, as I doubt they would do a vaginal birth from what she's said) . so my question is, what is anyone's experience or advice with that - is it likely the baby will have difficulties with a breech vaginal birth given she also has talipes? Best Regards, Kelly Zantey -- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of D. Morgan Sent: Friday, December 22, 2006 7:55 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Vaginal Breech Birth - Names Please... Hi Kelly One of my babies had a 'turned' foot at birth, physio involved massaging the foot at each breastfeed and it was fine after a few weeks. Di M -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.409 / Virus Database: 268.15.26/597 - Release Date: 12/21/2006
Re: [ozmidwifery] deep vein thrombosis in pregnancy and birth
In my experience woemn just stop taking the anticoagulants at around 36 weeks. - Original Message - From: Jenny Turnbull To: ozmidwifery@acegraphics.com.au Sent: Wednesday, December 06, 2006 4:36 PM Subject: [ozmidwifery] deep vein thrombosis in pregnancy and birth A lady has approached me with the following question. Her baby is due at the end of January. Hello, hoping I could get some opinions on the following matter. I had a deep vein thrombosis, in my calf at 12 weeks of pregnancy and have been taking Clexane since then. I am due late Jan 2007 My obsterician has flagged the idea of an induction (somewhere around 38 week mark) so that I can time stopping the medication with the birth. Her concern is I will bleed too much otherwise. I would like some help on the following: what would be some good questions to ask the specialist to help weigh up my options for birth eg to induce or not and other related matters eg relative risks Are you aware of mothers that have given birth whilst taking Clexane and what the outcomes have been. Thanks for your responses, I will forward them on Jenny -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.409 / Virus Database: 268.15.9/573 - Release Date: 12/5/2006
Re: [ozmidwifery] deep vein thrombosis in pregnancy and birth
In my experience woemn just stop taking the anticoagulants at around 36 weeks. - Original Message - From: Jenny Turnbull To: ozmidwifery@acegraphics.com.au Sent: Wednesday, December 06, 2006 4:36 PM Subject: [ozmidwifery] deep vein thrombosis in pregnancy and birth A lady has approached me with the following question. Her baby is due at the end of January. Hello, hoping I could get some opinions on the following matter. I had a deep vein thrombosis, in my calf at 12 weeks of pregnancy and have been taking Clexane since then. I am due late Jan 2007 My obsterician has flagged the idea of an induction (somewhere around 38 week mark) so that I can time stopping the medication with the birth. Her concern is I will bleed too much otherwise. I would like some help on the following: what would be some good questions to ask the specialist to help weigh up my options for birth eg to induce or not and other related matters eg relative risks Are you aware of mothers that have given birth whilst taking Clexane and what the outcomes have been. Thanks for your responses, I will forward them on Jenny -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.409 / Virus Database: 268.15.9/573 - Release Date: 12/5/2006
Re: [ozmidwifery] independent midwifery
No , have never been asked to do this. Any woman I have booked have wanted me for the whole deal, preganancy, birth and postnatal care. With the new state wide handheld notes documentation would be easyI have to ask...why would one chose this model of care? - Original Message - From: wump fish [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, November 30, 2006 6:42 PM Subject: [ozmidwifery] independent midwifery Do any of you provide private antenatal / postnatal care for women booked to birth in a public hospital? How does this work with the hospital systems/paperwork etc. I would be really interested to know if and how this model of care works. Thanks Rachel _ Windows LiveT Messenger has arrived. Click here to download it for free! http://imagine-msn.com/messenger/launch80/?locale=en-gb -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.409 / Virus Database: 268.15.0/557 - Release Date: 11/29/2006 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[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] lotus placenta
Hi Mary I had this very situation a few months ago. There was ample blood in the placental vessels to collect via needle and syringe. I collected it about 45-60 mins after the birth. Regards Wendy - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Sunday, November 12, 2006 9:55 PM Subject: [ozmidwifery] lotus placenta Hello wise women, I need advice about a lotus birth, (not new to me) who is also Rh neg. I need to get enough blood for group and coombes. In your experience, is there sufficient blood in the placental vessels after a physiological 3rd stge ? What is the best way to hndle this? I have had lots of Lotus Placentae but not with RH neg. women. Thanks, MM No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.409 / Virus Database: 268.14.3/530 - Release Date: 11/11/2006
Re: [ozmidwifery] lotus placenta
Yes it is interesting. I was pleasantly suprised how easy it was to collect the blood an hour after birth. I had been worried about it before hand and asking everyone i could about it. Thanks by the way to all the wonderful midwivesI questioned oer this issue in Geelong at the HB conference. The surrounding blood collected in the dish around the placenta, which drained from the maternal sidecongealed nicely as you would expect but the veins of the placenta were lovely and plump having not been prematurely detached. Wendy - Original Message - From: Susan Cudlipp To: ozmidwifery@acegraphics.com.au Sent: Monday, November 13, 2006 4:37 PM Subject: Re: [ozmidwifery] lotus placenta I'm finding thisreally interesting because in actively managed 3rd stages (in my experience) it is hard to get blood from a placenta this long afterwards, I find it clots in the vessels if I leave it too long, I wouldn't fancy the chances of collecting it an hour or more later. Is there some reason why this doesn't happen with physiological 3rd stages, which are of course the best way to go for Rh-ve women, or is this specific to Lotus births, I mean, does the fact that the placenta remains attached cause it to take longer to congeal? Sue - Original Message - From: Andrea Bilcliff To: ozmidwifery@acegraphics.com.au Sent: Monday, November 13, 2006 6:46 AM Subject: Re: [ozmidwifery] lotus placenta Hi Mary, In the lotus births I have been atwith Rh negative women so far,I haven't hadany problems collecting enoughblood with a needle syringe. The pathology services have always been able to perform the tests with the amount I've been able to putin a 4 ml tube. Hope that helps, Andrea Bilcliff - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Sunday, November 12, 2006 9:55 PM Subject: [ozmidwifery] lotus placenta Hello wise women, I need advice about a lotus birth, (not new to me) who is also Rh neg. I need to get enough blood for group and coombes. In your experience, is there sufficient blood in the placental vessels after a physiological 3rd stge ? What is the best way to hndle this? I have had lots of Lotus Placentae but not with RH neg. women. Thanks, MM No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.5.430 / Virus Database: 268.14.3/530 - Release Date: 11/11/2006 6:53 PM No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.409 / Virus Database: 268.14.3/531 - Release Date: 11/12/2006
Re: [ozmidwifery] UniSA Students no longer able to attend births with Independant Midwives
Good grief this gets worse and worse. It so reminds me of the insurers attitude about the recent home birth here in Wangaratta. Where has this directive come from? University unsurers making decisions they know nothing about...namely normal birth. Frustrated and angry I don't have any answers to this one. What can be done? Wendy - Original Message - From: Honey Acharya To: ozmidwifery@acegraphics.com.au Sent: Tuesday, October 17, 2006 1:33 PM Subject: [ozmidwifery] UniSA Students no longer able to attend births with Independant Midwives Just got this email :( Any suggestions on what we can do about it? Dear BMid StudentsPlease be advised that due to insurance and professional indemity issues you are unable to follow through a woman if she is having her care provided by an independent practicing midwife.This would include the continuum of pregnancy care, labour and birth and during the postpartum period.Models of care such as midwifery group practice and the Northern Women's Community Midwifery Service will continue to be a valuable and encouraged pattern of midwfery care for follow through experiences and are not included in this advice.RegardsJanProfessor Jan PincombeProgram Director; MidwiferySchool of Nursing and MidwiferyUniversity of South AustraliaAdelaide SA AustraliaPhone o8 8302 2027 No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.408 / Virus Database: 268.13.4/477 - Release Date: 10/16/2006
Re: [ozmidwifery] re: goodbyes
well said Tania, I have been trying to think about all of this and what to say but am a bit fragile due to a difficult birth this week...talk about the politics and consequences of blood gases int hospital system for a baby transferred in! I would have Lisa's straight talking and advocacy in my corner any time...I do think it is a skill that we have to acknowledge some people are better at than others...I am not great on the in your face stuff, I wish I was, I am not good at confrontation and I really wish i was... I do what I believe I need to do and refuse to do what I don't think is needed but i take the stress with me and I find the fights eat up my energy which is definitely flagging Lisa reminds me that we need to support and embrace and argue and challenge - not to be afraid of our individuality or difference, I wish I had her energy and ability to speak out regardless of how we would see things I am a glass half full kinda person, I try to be anyway, if unsure assume the positive aspect rather than negative so that what is a debate does not get seen as personal, I often see people getting upset and am surprised because I didn't read it that way maybe we are so used to being out on a limb alone and always defending ourselves we struggle to see that difference in debate or practice or context is not a personal attack? Belinda Tania Smallwood wrote: I’d like to add to the current conversation about cord blood gases… I’ve been lurking just lately, as many of you know, I’ve had to make a difficult decision to stop practicing independently due to family commitments…and so, when the bloke I’m married to is actually here, I don’t spend as much time as I used to reading and contributing to Ozmid. Just yesterday I had a few moments to catch up, and when I read the thread on blood gases, I was sure that I’d missed some mails (perhaps I have, there seems to be a few problems with mails doubling up, or getting temporarily lost in cyberspace!). Halfway through the mails, it seemed to go from a lively and informative debate, (something that’s been missing from this list for a while IMHO) to a slinging match, with people getting upset that others are honest and up front about their views. Can I just say that I know Lisa B, and if there is a midwife who has walked in the shoes of every midwife torn between hospital policy, threat of losing her job, and what’s best for the women, it’s Lisa. She’s worked in a position of authority for over 2 years at one of Adelaide’s esteemed private hospitals, and I’m sure the conversations we’ve had about what she had to fight for there are only a small portion of what actually goes on. She’s well aware as we all are, of what a battle it can be in the system, and along with me, and all the IPM’s I know, has utter respect and admiration for those attempting to change things one birth at a time. I also see Lisa as a straight talker, and sometimes even I find it confronting to hear what she has to say, and I know her better than most on this list! But that doesn’t mean that I pack my bags and go away, I may not agree, or I might think hey, that’s a bit blunt, but I also think that she’s made me think about things that I’d otherwise just go along merrily with, and not look at in a truly critical light. I actually think that along with */everyone/* on this list, she has oodles of knowledge and skill, and heaps to contribute. I know I will never be a strong enough midwife to do what most of you do, go in every day and beat my head against that wall and hope to Goddess that a woman gets away with a good birth. But please, don’t stop contributing because it’s hard. Being a midwife is a hard road, no matter where you decide to direct your skill and passion. We’re a downtrodden minority group, with ideals about women that are not shared by most of the people in power. Refusing to keep the dialogue going is never going to be productive, all it will do is stagnate us where we are, and I think we all want midwifery and provision of evidence based maternity services to improve and become stronger in this country. That’s all from me for now, Tania x -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.408 / Virus Database: 268.13.4/476 - Release Date: 14/10/2006 No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.408 / Virus Database: 268.13.4/476 - Release Date: 14/10/2006 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] No Contractions
Andrea This is a beautiful story and yes you are so right about women asking to go home/hospital/ - Original Message - From: Andrea Quanchi To: ozmidwifery@acegraphics.com.au Sent: Saturday, October 07, 2006 10:41 AM Subject: Re: [ozmidwifery] No Contractions Sometimes at home the women get just as despondent but the difference is that no one is going to walk through the door and under mine me and 'save' her. Last week I was with a women who was birthing at home after three very different and for a variety of reasons not so great labours.. She had done a hypno birthing course and used the tools beautifully and was so relaxed that I was not convinced that she was labouring despite her telling me that the contractions were getting stronger they were irregular and short.. She asked me to do a VE which showed her Cx to be 75% effaced but 2 cm and quite tight. This really annoyed her and when I suggested she rest she was opposed to this and so I suggested the alternative was to get up and get active and send her uterus the message that she wanted it to get into gear rather than the message that it was obviously getting from all her relaxation tapes, breathing etc. Almost immediately she started rocking and rotating her hips quite dramatically during contractions, she was in the kitchen with the lights on as opposed to being in the bedroom in the dark where she had been before. The response was dramatic and the contractions became co ordinated and strong and within 10 min she asked her partner to run the bath. She got in there and then became passive again lying on her back and struggling with quite strong contractions. It was quite funny actually as after about half an hour she opened one eye and told me I needed to call an ambulance as she couldn't do this any more and needed to go to the hospital. ( For those of you who haven;t been at a home birth women at home often ask to go to the hospital in exactly the same way as women in hospital often ask to go home). She made no move to get out of the bath and so at first I just ignored her but she became more insistent with each contraction so eventually I pointed out to her that she couldn't go anywhere while she remained lying in the bath and that if she wanted to go to the hospital she needed to get out of the bath and into the car as ambulances were for emergencies and this was not an emergency. She did stand up then and get out of the bath, leaned against me for two contractions as I helped her dry herself and then I asked her did she want to have the baby in the bedroom or in front of the fire in the lounge. She just looked at me and said the lounge. So we moved there, she leaned over the ball and had the baby. All this on 90 min since the VE. Andrea Quanchi On 07/10/2006, at 12:02 AM, Lisa Barrett wrote: Hi Sue, Thanks for sharing the information. Your right it is almost impossible to avoid active intervention when birthing in the system even with great midwives like yourself supporting. Part of the problem appears to be the lack of belief that waiting and doing nothing is going to work. Some multips don't have full on labour until transition. It is possible that when the head sits firmly on the cervix the contractions will pick up. I have not ever had to wait 12/15 mins from birth of a head to birth of a body. Physiology tells us that the uterus clamps down immediately after birth. I don't think you'd wait another 12/15 mins for the uterus to contract after the birth and that's if you don't do an active third stage. It is not so hard to do other things when sytno drip isn't an option and you have no-one but yourself and the woman to trust in ( no idiot specialist in complications when your the specialist in the normal I mean). I think I have the easy job when it comes to midwifery because I know I'm the specialist in normal and I don't answer to anyone on that score. Politics with birthing as far out of the system as I do is another thing altogether but in the birth space with women it isn't an issue. I chose to work like this because it's less waring than having to say F**k off to drs all the time. Lisa Barrett No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.407 / Virus Database: 268.13.0/465 - Release Date: 10/6/2006
[ozmidwifery] Belinda birth story
getting back to birth - I had a great day today! I had a woman who lives out of town and has had two previous cesareans sections have a beautiful birth at home of a chubby baby girl. After I had experienced a traumatic birth three months ago of a woman who ruptured her uterus suddenly in second stage (in hospital) and a traumatized but recovering mother and baby (long story) I had felt anxious about birth and found myself second guessing myself all of the time. Taking on this woman challenged me to either be the midwife I wanted to be - that is trusting in women and supporting their decisions when they have received all of the information, or allow myself to be engulfed with fear and worry. This birth today was special for many reasons and healing for the mum who was still emotional about her first two sections and desperate for a vaginal birth, but it is I found also healing for me. I supported her and cared for her and didn't let myself get caught up in the potential fear that was hanging around me from my earlier trauma. Thankyou so much to the SAIMA midwives especially Lisa, Tania, Larissa, Julie, Milly and Rosie - all of you really, who have supported me as I worked through my fears and trauma, the offers of support we so appreciated, thankyou Lisa and Rosie for offering to sit outside the house just to support me, it was great knowing you would do that for me XXX midwives are good to each other Love Belinda -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Midwife Directory Cancelled...
Kelly, I hope you will reconsider a Midwife Directory. From a consumer's point of view, it is extremely useful. Four years ago I was pregnant with my third baby when the idea of home birth came across my radar for the first time. With awareness of only very mainstream sources I had a VERY VERY difficult time finding an independent midwife. One of the places I looked was in mainstream forums but I had no luck there. At that time I knew no one who knew anyone who had had a home birth and did not know where to begin looking for a care provider. A Midwife Directory on a site like Belly Belly could help someone in that situation. The existence of a Midwife Directory would also help to inform people that there IS such a thing as an independent midwife. Four years ago I thought a midwife was a nurse who helped doctors deliver babies (cringe). Rachele -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] test - delete from inbox
Just testing, Ive sent 2 posts to the list today neither has appeared. So Im trying a post direct from my server to track down the *WTF?* moment Im having. jennifairy -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Another OMG moment...
http://www.scarytoyclown.com/?p=44 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Fw: info required
Good Grief Most of what I would like to say is probaobly not safe to write anywhere. Dr Mourik I have worked with in Wodonga as a student. He come here to Wang occassioanlly as a Locum much to the distress of all the midwives. Arrogant is an understatement. He "saves" women and tells them so. He is a skilled obstetrician, no doubt, but I wouldn't want him any where near me if I was birthing. An example that comes to mind when I was a student was when he was performing a perineal repair and smugly asked the husband "Want me to throw in a few extra stitches, to tighten her up?" This man is very self assured, articulate, hmmm perhaps you should just ring me at home on this one Cath. (03) 57221605. Wendy - 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. No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.405 / Virus Database: 268.11.1/421 - Release Date: 8/16/2006
Re: [ozmidwifery] Private Health Funds
Further to Justines fantastic comments HBA do offer a refund to Private midwives somewhere in the vacinity of $1500 I am told. The person to speak to is Jenny Doherty 99374074 Wen - Original Message - From: [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Sunday, August 13, 2006 7:06 PM Subject: [ozmidwifery] Private Health Funds Can anyone assist with their knowledge of private health funds ? Which health fund covers the best for midwifery care I have a lady looking at care for her next pregnancy having a history of 3 lscs after 2 vaginal births and we have sought the support of an obstetrician thus the attempt to look at joining a health fund prior to conception ? Any help appreciated Marie Heath Midwyf Services No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.405 / Virus Database: 268.10.9/417 - Release Date: 8/11/2006
[ozmidwifery] Private Health Funds
Can anyone assist with their knowledge of private health funds ? Which health fund covers the best for midwifery care I have a lady looking at care for her next pregnancy having a history of 3 lscs after 2 vaginal births and we have sought the support of an obstetrician thus the attempt to look at joining a health fund prior to conception ? Any help appreciated Marie Heath Midwyf Services
Re: [ozmidwifery] Breastfeeding
Gail, I am the mother of four children; the first two were born in a hospital birth centre and the last two were born at home. I experienced lots of problems breastfeeding the first two - including cracked and bleeding nipples, extreme pain, difficulty latching, etc - but no problems whatsoever feeding #3 and #4. All four babies had skin on skin and the first breastfeed shortly after birth. During my hospital labours I received pethidine and nitrous oxide and experienced a managed third stage. I did receive an oxytocin injection during one of my homebirths due to very heavy bleeding after the placenta was born. I received lots and lots of conflicting bfing advice during my hospital stays with #1 and #2. I didn't really need or ask for any advice after my hbs as both babes fed without problems. I grew up seeing my mother bfing my younger siblings and it never occured to me that I would not bf. I remember seeing my mum experiencing pain during an early bf and her telling me that it can be uncomfortable the first few days but that is ok and it gets better. The best bfing advice I ever got was to persevere for the first two weeks; after that it is a breeze. So, perhaps it was the drugs in labour that caused my problems with #1 and #2. The conflicting advice in hospital didn't help. Those early issues did not dissuade me, however, and both babies were fully breastfed for some time. My homeborn babes fed like champs without any problems, although I have experienced several bouts of mastitis with all but my firstborn. Rachele Gail McKenzie [EMAIL PROTECTED] wrote: To all you magnificent home birth warrior women out there, could you please tell me if any of your birthing women have problems with breastfeeding. I'm a middy student working on a ward at the present I'm astounded by how many women have problems with breastfeeding. If your women do not, please enlighten me as to why you think this is. If they do, again, what do you put this down to? -- 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] Anne Smith
Joy Anne is currently offline due to computor hassles. She is working hard to rectify this so she can communicate with one and all. She should be back online soon. She says anyone with questions, support etc can ring her (03)57213143 Wendy - Original Message - From: Joy Cocks [EMAIL PROTECTED] To: Ozmidwifery ozmidwifery@acegraphics.com.au Sent: Sunday, July 16, 2006 4:44 PM Subject: [ozmidwifery] Anne Smith Dear Anne, If you are still on ozmid, can you please contact me (off-list if you prefer)? I want to know how I/we can best support you. It sounds as if you have made a very difficult and courageous decision. Regards, Joy Joy Cocks RN (Div 1) RM IBCLC BRIGHT Vic 3741 email:[EMAIL PROTECTED] -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.394 / Virus Database: 268.10.1/389 - Release Date: 7/14/2006 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] umbilical cord
as the hospital where i work practices active management of third stage of labour which is controlled cord traction and syntocion with the birth of the anterior shoulder. Lindsay Yvette [EMAIL PROTECTED] wrote: I wonder if it started off as a twin pregnancy. Was there some reason the placenta could not be left to come out on it's own? Yvette (not a midwife, just pg with twins mother of 3) - Original Message - From: [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, July 01, 2005 9:50 AM Subject: [ozmidwifery] umbilical cord hello, i was with a birthing woman yesterday and wanted to share this with the list and to get everyones feelings on the matter.after waiting for signs of seperation of the placenta after the birth and following syntocinon iv i commenced controlled cord traction. After a feeling a little resistance i then stopped and waited a further few mins. When i re commenced controlled cord traction the cord came off in my hand ( much to my horror) this they did not teach in uni. as new graduate in a large hospital i asked a senior midwife for help so she tried to manually removed the placenta. The Registrar was then called and she managed to remove the placenta from the uterus. im told this is quite common what baffles me is when i examined the placenta there were two holes in it not one. the senior midwife could not explain this to me at all and was baffled also. regards sharon -- 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. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] umbilical cord
hello, i was with a birthing woman yesterday and wanted to share this with the list and to get everyones feelings on the matter.after waiting for signs of seperation of the placenta after the birth and following syntocinon iv i commenced controlled cord traction. After a feeling a little resistance i then stopped and waited a further few mins. When i re commenced controlled cord traction the cord came off in my hand ( much to my horror) this they did not teach in uni. as new graduate in a large hospital i asked a senior midwife for help so she tried to manually removed the placenta. The Registrar was then called and she managed to remove the placenta from the uterus. im told this is quite common what baffles me is when i examined the placenta there were two holes in it not one. the senior midwife could not explain this to me at all and was baffled also. regards sharon -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] broken collar bone subsequent birth
thanks for the information regarding the gaskin manouvere i agree that is what we do i didnt realize it had a name. regards sharon. Ceri Katrina [EMAIL PROTECTED] wrote: The Gaskin is a 'midwifery' manoevure, and was pioneered by Ina May Gaskin, so not talked about (at least where I work) in conjunction with the McRoberts and Rubins etc. It is where you get the woman to go over on all fours. We have one midwife that actually believes it is the movement, rather than the all fours, she finds if the woman is semi-recumbent, then all fours is good. And if the woman is already on all fours then she gets her to flip back to semi recumbent which in most cases is all that is needed. Hope that helps. I think (?) a lot of midwives probably do this manoevure, but just did not know it had a name. Katrina On 25/06/2005, at 10:11 AM, [EMAIL PROTECTED] wrote: hi can some one enlighten me about the gaskin manoeuvre i have been taught the rubiks and the woods screw but havnt heard of the gaskin manovure. thanks sharon Janet Fraser [EMAIL PROTECTED] wrote: Can I ask, is the bone breaking manoeuvre being employed AFTER the Gaskin Manoeuvre has been unsuccessful? Thanks. J - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Saturday, June 25, 2005 3:52 AM Subject: RE: [ozmidwifery] broken collar bone subsequent birth Jennifer wrote: A # clavicle is not a big issue in a neonate and doesn't necessarily mean excessive force was used. The neonates bones are pliable and the # is usually a 'greenstick' or partial break or Well, I have NEVER seen a #clavicle in 26 yrs of both hospital home midwifery, even in big babies where some force has been used. MM -- 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. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] broken collar bone subsequent birth
hi can some one enlighten me about the gaskin manovure i have been taught the rubiks and the woods screw but havnt heard of the gaskin manovure. thanks sharon Janet Fraser [EMAIL PROTECTED] wrote: Can I ask, is the bone breaking manoeuvre being employed AFTER the Gaskin Manoeuvre has been unsuccessful? Thanks. J - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Saturday, June 25, 2005 3:52 AM Subject: RE: [ozmidwifery] broken collar bone subsequent birth Jennifer wrote: A # clavicle is not a big issue in a neonate and doesn't necessarily mean excessive force was used. The neonates bones are pliable and the # is usually a 'greenstick' or partial break or Well, I have NEVER seen a #clavicle in 26 yrs of both hospital home midwifery, even in big babies where some force has been used. MM -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] physiological 3rd stage
hi iam interested in your care packages also thanks as iam a bach of mid graduate working in alarge hospital thanks a lot Tania Laurie [EMAIL PROTECTED] wrote: I would also love the see your care packages. Tania - Original Message - From: Janet Fraser To: ozmidwifery@acegraphics.com.au Sent: Wednesday, June 22, 2005 8:54 AM Subject: Re: [ozmidwifery] physiological 3rd stage This dad then told them that he believed in the benefit of allowing the cord to stop pulsating before cutting it and that he would sue them if they cut the cord unnecessarily. This is pretty much what I teach women about birth although I don't recommend suing all that often ;-). I certainly give the benefits of proceeding as nature has intended with all the built in safeguards but I also provide large documents with the dangers of each intervention. Women are always shocked by how little their hospital has told them. I'm happy to share my care packages with anyone who could use them. Best, J -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Success!!!
congratulations to you all at the birth centre. good luck you all must be feeling so good for all the work that u have done to get this up and running. regards sharon Jennifairy [EMAIL PROTECTED] wrote: Oh you have done so well, BIG CONGRATS!!! This has totally made my day... I mean of course this was going to happen, you've gotta use that new doppler somewhere! well done to all, hope you can break out the champagne/chocolate/indulgence of choice cheers jennifairy Maternity Ward Mareeba Hospital wrote: It is now official as it is in todays Cairns Post and no doubt it will be on the news sometime. MAREEBA MATERNITY IS NOW TO BE A PILOT SITE IN QLD FOR A LOW RISK FREESTANDING BIRTH CENTRE. Thanks to the brilliant work done by the staff, the women, the community and MC, ACMI etc. Apparantly we can start 1 July. Policies are being madly written and all sort of paperwork produced as we will be under a microscope for a long time. Apart from that we have had 3 babies this week, multis who were in too good a labour to risk transferring, 3 very happy mums to birth in their own community. Cheers Judy *** This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error. Any unauthorised use, alteration, disclosure, distribution or review of this email is prohibited. It may be subject to a statutory duty of confidentiality if it relates to health service matters. If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone or by return email. You should also delete this email and destroy any hard copies produced. *** No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.6.7 - Release Date: 10/06/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.6.7 - Release Date: 10/06/2005 -- 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] Evening primrose oil
hi i know this is off the track but i would like to know if it is common practice in all SCBU that you do a rectal temp on neonates when they are admitted. i know that there is evidence to state this practice is not good and that we should be doing tympanic temps as they are far more accurate also can anyone point me in the right direction to find this as ive tried looking but can find the trial to print out thanks sharon Anne Clarke [EMAIL PROTECTED] wrote: Dear Joanne, The dose for evening primrose oil for overdue women as per Birth Centre Induction of Labour booklet! Take Evening Primrose oil (gel-caps 500mg) orally 3 times per day and insert 2 in the vagina at bedtime--you must stay laying down on your side or else the caps may fall out (only try this as long as the bag of waters is intact). It doesn't START labour, only prepares the cervix. You can buy Evening Primrose oil at just about any health food/vitamin/herbal type store or supermarket. You can start taking about2 - 3 capsules orally daily at almost 38 weeks. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Dangers of nitrous oxide
hi this is off the track of this email but i was wondering is there any studies which compare the use of rectal and axilla temps on neonates. i have been looking for the evidence to present to the unit where i am currently working as a Graduate midwife and even though we had been told numerous times at uni that axilla temp does not differ from rectal i cant seem to find the evidence to back this up. the only piece of evidence which i found i couldnt down load from the site recommended neonates had their temps taken tympanically as the ambient temp of the room also assisted with the inaccurate temperature recording of the neonate. any help finding out this information would be greatly appreciated not only for my own use but hopefully i can get protocol changed where i work. regards sharon Andrea Robertson [EMAIL PROTECTED] wrote: Hello everyone, The following piece is the transcript of a news item that was on the main ABC news last night. It has implications for women and midwives in labour wards - operating theatres are ventilated and well scavenged for gases, but labour wards may not be, unless there is active air conditioning system that cleans the air, and the apparatus used by the women are fitted with scavenger systems. I have completed a long review article, with the help of an English midwife, that looks at the hazards of nitrous oxide for midwives and this will be published in The Practising Midwife in the June/July issue. Once it appears in print I will post it onto our website - it is very important that midwives read this, especially if nitrous oxide is used in their hospital. Meanwhile, this is new evidence that will be useful... Study highlights anaesthetic's risks A new study raises serious concerns about the side-effects of nitrous oxide, the gas commonly known as laughing gas and used in general anaesthetics. An Australian-led study of more than 2,000 patients in 20 hospitals around the world has found the gas slows the recovery process and increases the rate of serious vomiting, pneumonia and wound infections after surgery. The results have prompted calls from doctors for the gas to be phased out in anaesthetics and only be used for fast pain relief in cases such as injuries and labour pains. One of the study's chief investigators, Associate Professor Kate Lesley from the Royal Australian and New Zealand College of Anaesthetists, says the results will make doctors more cautious about using the gas. Some people will choose to discontinue using it, some anaesthetists, on the basis of our study, she said. Certainly in my practice I've stopped using nitrous oxide in higher-risk patients. The problem is that you have to replace it with something and some of the other drugs that we have to use have also got significant side-effects, so it's not cut and dried. Birth complications Through the study, nitrous oxide has been linked to serious side-effects including immune system defects and birth complications. Despite the head of the college saying that if it was banned there would be fewer sick people, Professor Lesley says such complications are very rare. It's probable that nitrous oxide use is still acceptable and perfectly safe in people having short-term procedures, she said. It is important to note that it's still safe for women in labour, so women can feel confident that getting on nitrous oxide for a short period during their labour pain is not dangerous. The gas has been used in medicine for more than 150 years but such side-effects have only now been researched. The study is the first to find faults in such a widely used anaesthetic. The college of anaesthetists in Australia has been successful in putting together these very large trials and carrying them out successfully, Associate Professor Lesley said. In the past anaesthesia and surgery were very dangerous anyway and anaesthesia has become so safe now, we're refining it more and more, and more subtle problems that we have are becoming obvious. - Regards Andrea - Andrea Robertson Birth International * ACE Graphics * Associates in Childbirth Education e-mail: [EMAIL PROTECTED] web: www.birthinternational.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Pregnancy Rash
hi jo, im a grad midwife, what i can remember from my student days women in the last trimester of their pregnancy tend to get the pregnancy rash due to all the nice hormones. im told that this clears up once the baby is born within a few days. women which i have come into contact with have used bethnovate to alleviate the rash. good luck as it is not too much longer now that you have to put up with the rash and the itchiness. sharon JoFromOz [EMAIL PROTECTED] wrote: Hi everyone. I have had an exczema type rash down the side of my thighs and butt for a few weeks now, exacerbated by hot showers, relieved by a tiny amount of my husband's novasone exczema cream and NOT scratching it! (sorry Mary, I keep forgetting to mention it at our appointments). Just a few days ago I have started to get tiny red itchy spots on my tummy, too. I am coming up for 39 weeks soon. It doesn't look the same as the exczema, and faint memory tells me it has something to do with my liver not working so well... does that sound right? I have been eating more eggs than usual lately; could the increased protein be making my liver work harder? Just a thought. Anyone? Thanks, Jo (RM) -- 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] Dangers of nitrous oxide
this is interesting reading thanks for sharing this with us,this gives us food for thought definately. sharon Andrea Robertson [EMAIL PROTECTED] wrote: Hello everyone, The following piece is the transcript of a news item that was on the main ABC news last night. It has implications for women and midwives in labour wards - operating theatres are ventilated and well scavenged for gases, but labour wards may not be, unless there is active air conditioning system that cleans the air, and the apparatus used by the women are fitted with scavenger systems. I have completed a long review article, with the help of an English midwife, that looks at the hazards of nitrous oxide for midwives and this will be published in The Practising Midwife in the June/July issue. Once it appears in print I will post it onto our website - it is very important that midwives read this, especially if nitrous oxide is used in their hospital. Meanwhile, this is new evidence that will be useful... Study highlights anaesthetic's risks A new study raises serious concerns about the side-effects of nitrous oxide, the gas commonly known as laughing gas and used in general anaesthetics. An Australian-led study of more than 2,000 patients in 20 hospitals around the world has found the gas slows the recovery process and increases the rate of serious vomiting, pneumonia and wound infections after surgery. The results have prompted calls from doctors for the gas to be phased out in anaesthetics and only be used for fast pain relief in cases such as injuries and labour pains. One of the study's chief investigators, Associate Professor Kate Lesley from the Royal Australian and New Zealand College of Anaesthetists, says the results will make doctors more cautious about using the gas. Some people will choose to discontinue using it, some anaesthetists, on the basis of our study, she said. Certainly in my practice I've stopped using nitrous oxide in higher-risk patients. The problem is that you have to replace it with something and some of the other drugs that we have to use have also got significant side-effects, so it's not cut and dried. Birth complications Through the study, nitrous oxide has been linked to serious side-effects including immune system defects and birth complications. Despite the head of the college saying that if it was banned there would be fewer sick people, Professor Lesley says such complications are very rare. It's probable that nitrous oxide use is still acceptable and perfectly safe in people having short-term procedures, she said. It is important to note that it's still safe for women in labour, so women can feel confident that getting on nitrous oxide for a short period during their labour pain is not dangerous. The gas has been used in medicine for more than 150 years but such side-effects have only now been researched. The study is the first to find faults in such a widely used anaesthetic. The college of anaesthetists in Australia has been successful in putting together these very large trials and carrying them out successfully, Associate Professor Lesley said. In the past anaesthesia and surgery were very dangerous anyway and anaesthesia has become so safe now, we're refining it more and more, and more subtle problems that we have are becoming obvious. - Regards Andrea - Andrea Robertson Birth International * ACE Graphics * Associates in Childbirth Education e-mail: [EMAIL PROTECTED] web: www.birthinternational.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] re sth australian midwife of the year
congratulations to wendy thornton on being the midwife of the year for south australia. saw this in the paper and was so pleased to see that tania is also looking after her present pregnancy. regards sharon Emily [EMAIL PROTECTED] wrote: hi vicky thanks. my email is [EMAIL PROTECTED] or phone 0400372053. i can give you more info about the elective off list if you like thanks heaps emily Vicki Muscio [EMAIL PROTECTED] wrote: Hi Emily, I'm currently doing my middy at Nepean. I can give you the name and phone number of our course coordinator if you give me your details. Vicki - Original Message - From: Emily To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 03, 2005 11:41 AM Subject: [ozmidwifery] nepean hospital hi does anyone work at Nepean hospital?? im trying to organise an elective there and dont have a contact as yet.. thanks so much emily - Do you Yahoo!? Yahoo! Sports - Sign up for Fantasy Baseball. __ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] re sth australian midwife of the year
congratulations to wendy thornton on being the midwife of the year for south australia. saw this in the paper and was so pleased to see that tania is also looking after her present pregnancy. regards sharon Emily [EMAIL PROTECTED] wrote: hi vicky thanks. my email is [EMAIL PROTECTED] or phone 0400372053. i can give you more info about the elective off list if you like thanks heaps emily Vicki Muscio [EMAIL PROTECTED] wrote: Hi Emily, I'm currently doing my middy at Nepean. I can give you the name and phone number of our course coordinator if you give me your details. Vicki - Original Message - From: Emily To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 03, 2005 11:41 AM Subject: [ozmidwifery] nepean hospital hi does anyone work at Nepean hospital?? im trying to organise an elective there and dont have a contact as yet.. thanks so much emily - Do you Yahoo!? Yahoo! Sports - Sign up for Fantasy Baseball. __ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: ARm was Re: [ozmidwifery] VE
Abby, AROM is a 'tool' of active management and like many other obstetric interventions it has been used as a normal practice by o mnay. I am not sure why it would be used as a Midwife tool but as I am not one (a midwife) I ont want to make a blanket statement. I agree that your list o things an AROM can cause as I did a great deal of reading about it when trying to work out why I had my cs for my first. You might like to add increase chance of fetal distress to your list next to baby's head being in the wrong position. All in all it seems like once again there are MANY reasons why not to do this to women but as far as I can tell, ambivulent reasons why to use it. But like you, I stand ready for correction as I said, I am not a midwife and I am always open for further learning! lol love Jo PS LOVE being in Bendigo for my week stayhave been able to have brunch with some great people and I have read TWO yes TWO books! This no children, husband or house work thing has some rewards! Unfortunatley the little one whom I am actually here for is snuggled up inside mum really with no intentions of coming out to suit my schedule! I am sure she will birthher baby when i am flying home! lol mail2web - Check your email from the web at http://mail2web.com/ . -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Fw: InviteTo NSW NMAP Launch
See you tomorro Denise Original Message: - From: Barry MacGregor [EMAIL PROTECTED] Date: Mon, 23 Sep 2002 08:30:23 +1000 To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] Fw: InviteTo NSW NMAP Launch Dear Denise, Is it at all possible to just turn up on the day! Due to organising a wedding I was unsure if I could make it, but would love to come now that all preparations are complete. If it is not, I will be with you all in spirit. Love the NMAP! and all the hard work that everyone has put into it. Sonja mail2web - Check your email from the web at http://mail2web.com/ . -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
