Re: [ozmidwifery] Grieving families
How much do they cost Maureen? Helen - Original Message - From: Ken Ward [EMAIL PROTECTED] To: ozmidwifery ozmidwifery@acegraphics.com.au Sent: Thursday, February 22, 2007 8:02 AM Subject: [ozmidwifery] Grieving families For those unaware, SIDS and KIDS have a 'Treasured Baby' programme. We send out packs for babies from about 16 weeks gestation. They have a nightie, knitted set, sleeping bag, certificate in decorated tube for smaller bubs. For 18 to term the packs have two nighties, two knitted sets, a bunny rug, a blanket, the certificate, all made to size by volunteers from donated materials. We also have memory boxes with tiny bonnets and bootees for miscarriages, remembrance boxes for all the keepsakes and little burial boxes, lined and decorated. We send packs to many of the units here in Victoria and some in NSW. Any unit can obtain the packs. The vast majority of volunteers have lost babies, and find this is a healing activity. Feed back from families is extremely positive. So, as well as photos, there are things that acknowledges the birth of the baby, no matter the gestation, and can provide memories. Maureen -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 2074 (20070221) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] midwifery pay scales in OZ
Could you send them to the list Alan? Helen - Original Message - From: Alan To: ozmidwifery@acegraphics.com.au Sent: Wednesday, February 07, 2007 2:53 PM Subject: RE: [ozmidwifery] midwifery pay scales in OZ Hi Shelly I have got the awards for Queensland and New South Wales. Although the New south Wales one is dated Dec 2004. These awards set out the working conditions and include the pay rates. I could send them to you of list if you would like. Alan -- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of michelle gascoigne Sent: Tuesday, 6 February 2007 06:38 To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] midwifery pay scales in OZ I am searching the web looking at midwifery jobs in OZ. Most do not have pay scales. Do you have a standard scale in OZ? If so where might I find a copy of that? In England ours can be found by looking up Agenda For Change on the web. Most midwives are on band 6 which is currently £22,886-£31,004 per annum plus extra duty payment for weekends nights and on calls. That converts to about $57,775-$78,276. Thanks Shelly __ NOD32 2042 (20070206) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com
Re: [ozmidwifery] midwifery pay scales in OZ
Thanks for that Alan otherwise sending offlist would be good. Helen - Original Message - From: Alan To: ozmidwifery@acegraphics.com.au Sent: Thursday, February 08, 2007 8:34 AM Subject: RE: [ozmidwifery] midwifery pay scales in OZ I would need to send them as an attachment as they are in PDF format. I will try to send them this evening when the new system is up and running Alan -- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Helen and Graham Sent: Thursday, 8 February 2007 08:21 To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] midwifery pay scales in OZ Could you send them to the list Alan? Helen - Original Message - From: Alan To: ozmidwifery@acegraphics.com.au Sent: Wednesday, February 07, 2007 2:53 PM Subject: RE: [ozmidwifery] midwifery pay scales in OZ Hi Shelly I have got the awards for Queensland and New South Wales. Although the New south Wales one is dated Dec 2004. These awards set out the working conditions and include the pay rates. I could send them to you of list if you would like. Alan From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of michelle gascoigne Sent: Tuesday, 6 February 2007 06:38 To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] midwifery pay scales in OZ I am searching the web looking at midwifery jobs in OZ. Most do not have pay scales. Do you have a standard scale in OZ? If so where might I find a copy of that? In England ours can be found by looking up Agenda For Change on the web. Most midwives are on band 6 which is currently £22,886-£31,004 per annum plus extra duty payment for weekends nights and on calls. That converts to about $57,775-$78,276. Thanks Shelly __ NOD32 2042 (20070206) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com __ NOD32 2043 (20070207) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com
[ozmidwifery] Article on use of SSRIs whilst breastfeeding - benefits outweigh risks
http://www.obgynnews.com/article/PIIS0029743707700149/fulltext SAN FRANCISCO - All psychotropic medications are excreted into breast milk, but the benefits of breast-feeding generally outweigh the relatively small risks to the baby from antidepressants, Dr. Andrea J. Singer said. The nutritional advantages and the bonding that occurs between mother and child during breast-feeding outweigh concerns about antidepressant effects on the infant, she said at the Perspectives in Women's Health conference sponsored by OB.GYN. NEWS. The dose of antidepressant that the infant receives from the mother during breast-feeding is much lower than the dose received in utero because the drug crosses the placenta. If a mother and fetus have done well on an antidepressant during pregnancy, stick with that therapy after delivery. The decision is easy-just continue, said Dr. Singer, director of women's primary care at Georgetown University Medical Center, Washington. SSRIs are first-line therapy for lactating women with depression because they have the most data supporting safe use during breast-feeding and efficacy in treating postpartum depression. The aminoketone drug bupropion is a not unreasonable alternative, but the amount of data on it is far more limited, she said. Combining an SSRI with other supportive services is recommended for severe postpartum depression. There is no consensus for treatment of mild postpartum depression, Dr. Singer added. Consider psychotherapy either alone or with an SSRI for mild depression in lactating women. Dr. Singer is on the speakers' bureau of Pfizer, which makes the SSRI sertraline. Generally, sertraline is the treatment of choice for depressed lactating women because of the amount of data available on its use. The SSRIs paroxetine or fluvoxamine are first-line alternatives. Second-line treatment choices include citalopram and fluoxetine. Start with monotherapy when possible, she advised. The long-term impact of trace levels of antidepressants in infants is unknown. Most SSRIs and bupropion are rated Pregnancy Category C by the Food and Drug Administration. Tricyclic antidepressants fall in Category C or D. Most of my psychiatric colleagues don't look at labels so much as the amount of clinical trial data. There is far more experience with the SSRIs, particularly sertraline, she said.
[ozmidwifery] Reflux
Just found this article whilst surfing the net. I feel anecdotally that both reflux and colic are overdiagnosed. I am a midwife but not a MCH nurse. If it is so common maybe it IS a normal variation..what do you think about it? It just seems to me that some people aren't happy until they have a label and a medicine to treat it with when they have an unsettled baby. Maybe I am being too simplistic about this subject. Interested in the thoughts of some of our online listers. Helen http://www.bubhub.com.au/newsletterdec0601.shtml Reflux is so common it is almost seen as 'normal', or even trivial, and most people just don't understand how difficult life can be for many families, or understand the impact reflux can have on their lives! They may think of it erroneously as 'just a bit of vomiting', or 'just a behavioural issue'. They don't see how it impacts on the child's eating, sleeping, growth, behaviour or quality of life; or on the family's quality of life, relationships between partners, siblings or other children; finances; and even leisure time. The truth is, only families who have experienced it for themselves really understand. Many families: a.. Have difficulty getting people to believe just how bad the vomiting and/or the screaming really are b.. receive conflicting and confusing advice c.. become socially isolated d.. feel like failures as parents e.. have family and friends who just didn't understand Even when a baby is suffering from relatively uncomplicated reflux, families often need reassurance, and enjoy talking to someone who understands. For the families whose infants suffer complications, it is even more important that they can talk to other parents, and have the support, reassurance and understanding they need to get through this stressful experience
[ozmidwifery] Mumsnet threats by Gina Ford's lawyers
I thought this was interesting given threads last year by Kelly about similar complaints on BellyBelly. These lawyers obviously mean business. Scary stuff and a worry for free speech. I wonder what the outcome was as this happened mid last year. Helen http://www.mumsnet.com/ Mumsnet and Gina Ford It is with great regret that we have to ask members to refrain from any further discussion of Gina Ford, her methods or her books on the site. Explanation http://www.mumsnet.com/lw/state.html Recent statements http://www.mumsnet.com/ginaford/state08082006.html Press coverage http://www.mumsnet.com/PressCoverage.html
[ozmidwifery] Article about natural birth and brain haemorrhage
Haven't they got anything better to research??!! Helen http://www.guardian.co.uk/medicine/story/0,,2001561,00.html One in four natural births causes brain haemorrhage Ian Sample Tuesday January 30, 2007 The Guardian Giving birth naturally increases the risk of minor brain haemorrhages in newborn babies, according to a study. Brain scans of babies aged between one and five weeks showed small ruptures in blood vessels in or around the brain are common, affecting one in four children born naturally. Babies delivered by caesarean section showed no signs of even minor bleeding. In most cases, the haemorrhages are harmless and heal naturally, but larger ruptures can affect brain development, leading to seizures, or problems with learning or coordination. Doctors at the University of North Carolina, Chapel Hill, used magnetic resonance imaging (MRI) to scan 88 healthy newborns. Of the 65 delivered naturally, 17 had intracranial haemorrhages and seven had ruptures in at least two separate regions. John Gilmore, a professor of psychiatry and lead scientist on the study, said the bleeding was not caused by the size of the baby or the baby's head, the duration of labour, or the use of vacuum or forceps to assist delivery. The bleeds are probably caused by pressure on the skull during delivery, he said. The scientists noticed the high rate of haemorrhages while conducting scans to assess brain development in children perceived to be at high risk of mental disorders. What we've shown is that if you get these bleeds, you don't have to think something has gone wrong with the delivery, because these are common, said Prof Gilmore, whose study is published in Radiology. The team will conduct further scans when the babies are one and two years old. This may help doctors assess future cases of shaken baby syndrome, where injuries to a baby are contested. In some cases, parents or guardians claim brain injuries have been inflicted naturally at birth. The scans may reveal whether small haemorrhages at birth grow to become more threatening, or gradually heal with time. Special reports Medicine and health Useful links British Medical Association Department of Health General Medical Council Health on the Net Foundation Institute of Cancer Research Medical Research Council NHS Direct Royal Institute of Public Health World Health Organisation
Re: [ozmidwifery] Re:
Yea I saw it. Let's do it ... Helen - Original Message - From: Ping Bullock [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Sunday, January 28, 2007 6:46 PM Subject: [ozmidwifery] Re: - Original Message - From: Amanda W [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Sunday, January 28, 2007 4:27 PM Hi all, Am looking for a midwife/doula that will visit Ararat. Can anyone help??? Cheers Amanda. Amanda Ward Creative Memories Consultant Ph. (07) 3261 4354 Mob, 0417 009 648 Email. [EMAIL PROTECTED] _ Advertisement: Fresh jobs daily. Stop waiting for the newspaper. Search Now! www.seek.com.au http://a.ninemsn.com.au/b.aspx?URL=http%3A%2F%2Fninemsn%2Eseek%2Ecom%2Eau_t =757263760_r=Hotmail_EndText_Dec06_m=EXT -- 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. __ NOD32 2013 (20070127) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Folic acid article
Pregnant women urged to check folic acid dosage http://www.abc.net.au/news/newsitems/200701/s1832921.htm New Australian research has found that most pregnant women are not taking enough folic acid, leaving their unborn babies at risk of spinal cord defects. The study has found only 30 per cent of pregnant women are having adequate folic acid. Health authorities recommended women consume 400 micrograms of folic acid per day in the lead-up to conception and in the first three months of pregnancy. Professor Alaistair McLennan from the University of Adelaide says some brands of supplements do not contain the recommended dose. He says women need to be aware they may not be adequately protecting their baby. Australian food authorities are currently considering whether to add folate to bread and flour.
Re: [ozmidwifery] co-sleeping
This story reminds me of my time working in Gove in the Northern Territory. The aboriginal women on the ward would co-sleep from day 1 and also leave their babies in their beds when they went outside to escape the airconditioning. You had to be VERY CAREFUL before you went ripping the sheets off the bed to make it. I was always afraid a baby would end up in the linen skip one day Helen - Original Message - From: Lyle Burgoyne [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, January 24, 2007 1:22 AM Subject: Re: [ozmidwifery] co-sleeping Hi Raelene, We have a policy that allows co-sleeping.We had more concerns about babies falling out of bed(did actually happen) rather than them being smothered by mums so our policy just makes sure the bed rail is up on which ever side of mum the baby is sleeping with a pillow against the bed rail so bub doesnt slip through.We regularly have bubs in bed with mums .Works well for both mums and bubs. All the best with getting a working policy Lyle [EMAIL PROTECTED] 22/01/2007 1:54 pm Hi everyone, I need some help! I'm trying to formulate a policy regarding co-sleeping and want to offer alternative sleeping arrangements for mothers and babies whilst in hospital. Does anyone know of a special cot that has been developed that allows the baby to sleep with mum but in a separate cot that is attached to the main bed. I've seen pictures of babies using a biliblanket in a cot attached to the bed in this way, but can't find any information. Can you help. Regards Raelene George Maternity Ward Kalgoorlie Hospital -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the system manager. This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 2000 (20070123) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] co-sleeping
Totally agree Michelle. I am still adjusting. Up there they teach you more about BF than you could ever learn in a textbook! Helen - Original Message - From: Michelle Windsor To: ozmidwifery@acegraphics.com.au Sent: Wednesday, January 24, 2007 11:56 AM Subject: Re: [ozmidwifery] co-sleeping There's no doubt that co-sleeping is the norm for indigenous women. In my experience the baby is either in bed with the mother, or on the breast. Often the aboriginal women would be puzzled as to why the other (ie white) babies were crying. It was a bit of an adjustment coming back to work in a mostly caucasian setting where distressed mothers and crying babies seem to be the norm (especially at night). As far as instinctive mothering goes, I think we can learn alot from the indigenous women. Cheers Michelle - Original Message From: Helen and Graham [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, 24 January, 2007 6:36:19 AM Subject: Re: [ozmidwifery] co-sleeping This story reminds me of my time working in Gove in the Northern Territory. The aboriginal women on the ward would co-sleep from day 1 and also leave their babies in their beds when they went outside to escape the airconditioning. You had to be VERY CAREFUL before you went ripping the sheets off the bed to make it. I was always afraid a baby would end up in the linen skip one day Helen - Original Message - From: Lyle Burgoyne [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, January 24, 2007 1:22 AM Subject: Re: [ozmidwifery] co-sleeping Hi Raelene, We have a policy that allows co-sleeping.We had more concerns about babies falling out of bed(did actually happen) rather than them being smothered by mums so our policy just makes sure the bed rail is up on which ever side of mum the baby is sleeping with a pillow against the bed rail so bub doesnt slip through.We regularly have bubs in bed with mums .Works well for both mums and bubs. All the best with getting a working policy Lyle [EMAIL PROTECTED] 22/01/2007 1:54 pm Hi everyone, I need some help! I'm trying to formulate a policy regarding co-sleeping and want to offer alternative sleeping arrangements for mothers and babies whilst in hospital. Does anyone know of a special cot that has been developed that allows the baby to sleep with mum but in a separate cot that is attached to the main bed. I've seen pictures of babies using a biliblanket in a cot attached to the bed in this way, but can't find any information. Can you help. Regards Raelene George Maternity Ward Kalgoorlie Hospital -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the system manager. This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 2000 (20070123) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. Send instant messages to your online friends http://au.messenger.yahoo.com
Re: [ozmidwifery] co-sleeping
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. - Original Message - From: James Fairbairn [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, January 22, 2007 8:53 PM Subject: Re: [ozmidwifery] co-sleeping I am also in favour for at least putting the case to new parents for co-sleeping... I hear so often in my classes - in the coffee breaks - that the new mums are terrified of setting up bad habits and have heard so-and-so had made that mistake and was having a nihgtmare now. I had one extreme case of an older mum so concerned about 'spoiling' the baby that she only picked her up for feeding times and wouldn't let the husband hold her too often!! I think it's a case for explaining to new parents - whats the worst that could happen: maybe the toddler gets used to parents bed for 'too' ong - but the positives are - as everyone has mentioned - a less tired mum - not needing to completely wake up in the night when feeding and having a more secure and contented baby - as they say a secure infant is a confident child. My 3rd was cosleeping by default as my 3yr old and 18mth old were challenging enough and contemplating forcing a crying baby into a cot every night was too much to deal with! - Maybe not surprisingly she was the one who was happy to be in her own cot space by about 6 months and never had bed time issues. Isn't there a study that gives infants who sleep in the same bed / room as their parents much less of a risk of SIDS? (sorry can;t remember the ref. -) is is somethnig to do with the immaturity of their respiritory system being 'reminded' by the parents rhythm and even the higher CO2 concentration close to the baby initiates a breathing reflex. Steph- perth - Original Message - From: diane [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, January 22, 2007 3:18 PM Subject: Re: [ozmidwifery] co-sleeping I found this one too... http://www.babybunk.com/whatis.htm Di - Original Message - From: Kristi Kemp [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, January 22, 2007 1:39 PM Subject: RE: [ozmidwifery] co-sleeping Hi Raelene, Here are just a few websites I found re: co-sleeping cots...hope this helps! http://www.babydelight.com/snuggle_nest.html - The Snuggle Nest http://armsreach.com/ - Bassinettes that attach to the side of the bed for baby http://www.thefirstyears.com - On this page, go down to the 'Safe Secure Sleeper' to see another version of the Snuggle Nest http://www.babybunk.com/ More bassinettes that attach to the side of the bed All the best, Kristi Midwifery student, Canada -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of George, Raelene Sent: January 21, 2007 9:55 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] co-sleeping Hi everyone, I need some help! I'm trying to formulate a policy regarding co-sleeping and want to offer alternative sleeping arrangements for mothers and babies whilst in hospital. Does anyone know of a special cot that has been developed that allows the baby to sleep with mum but in a separate cot that is attached to the main bed. I've seen pictures of babies using a biliblanket in a cot attached to the bed in this way, but can't find any information. Can you help. Regards Raelene George Maternity Ward Kalgoorlie Hospital -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 1995 (20070121) Information __ This message was checked by NOD32 antivirus system. http://www.eset.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. __ NOD32 1995 (20070121) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Article about preterm birth and treatment for cervical changes
Precancerous changes and preterm births Issue 01: 8 Jan 2007 Source: BJOG: An International Journal of Obstetrics and Gynaecology 2007;114:70-80 A study has provided new insights into the association between precancerous changes in the cervix and the risk of subsequent preterm birth. The findings suggest that diagnosis of precancerous changes, regardless of the treatment given, is associated with a significantly increased risk of delivery before 37 weeks' gestation. Researchers at centers in Carlton, Australia, conducted a retrospective cohort study, investigating the records of 5,548 women who: 1.. Were referred to a cervical dysplasia clinic at the Royal Women's Hospital in Carlton between 1982 and 2000 for assessment of an abnormality detected on a routine Pap smear or for evaluation of a cervix that appeared abnormal; and 2.. Subsequently had a birth recorded in the Victoria state perinatal data collection system. The birth studied was the first after the referral, for women who were untreated, and the first after treatment, for women who received treatment. The follow-up period for the women ranged from 2 years to 20 years after referral. The researchers report their findings in a new paper published in the BJOG: An International Journal of Obstetrics and Gynaecology. Overall, there were 533 observed preterm births in the cohort of 5,548 women, significantly higher than the 312 cases expected based on national figures. The main findings included the following: a.. The risk of preterm birth (defined as within 37 weeks of gestation) was significantly higher for both treated and untreated women compared with the general population. b.. The risk of preterm birth was significantly higher among the treated women than among the untreated women. c.. Other factors significantly associated with an increased risk of preterm birth were a history of induced or spontaneous abortion, illicit drug use during pregnancy, and a major maternal medical condition. In terms of treatment, cone biopsy, loop electrosurgical excision procedure (LEEP), and diathermy were associated with preterm birth; after adjustment for potentially confounding factors, only the association between diathermy and preterm birth remained statistically significant. d.. Women treated with laser ablation did not have a significantly increased risk of preterm birth. Discussing their findings, the researchers say the study is the largest to date examining pregnancy outcomes following diagnosis and treatment for precancerous changes in the cervix. They conclude: Women presenting with precancerous changes in the cervix are at an increased risk for preterm birth, a risk that appears to be increased by treatments that remove or destroy substantial amounts of cervical tissue. They suggest that, in light of these findings, there needs to be a re-evaluation of treatment programmes involving a see and treat policy for the management of abnormal Pap smear results. In addition, the use of ablative techniques such as laser ablation need revisiting, the researchers state.
[ozmidwifery] Premature birth risks of loop diathermy
Womb cell op 'raises birth risk' The most common operation to remove abnormal cervical cells raises the risk of giving birth early, experts say. A study of 5,000 Australian women found when a heated wire, loop diathermy, was used the risk rose substantially. Young women should not automatically have diathermy, the British Journal of Obstetrics and Gynaecology (BJOG) says. UK experts said abandoning the treatment could mean up to 1,500 fewer premature births a year - and they said doctors should consider alternatives. Last year, more than 3.3 million women in the UK underwent screening, and just over 1% of these had clear changes in the cells lining the cervix. Women need to know about the risks involved and discuss alternative treatments with their gynaecologist, before going ahead with a procedure that increases the risk of pre-term birth Phil Steer BJOG Women with severe changes in these cells are at higher risk of going on to develop cervical cancer at some point, and are often referred to hospital to have them removed. Increased risk There are three main ways of doing this, two of which - cone biopsy and loop diathermy - can remove relatively large amounts of tissue from the cervix. Cone biopsy is now used only rarely in the UK. The third - called laser ablation - destroys just the abnormal surface cells. While other studies have already made a link between loop diathermy and premature birth, the Australian research, from Melbourne University and Royal Women's Hospital in Australia, is the largest yet. It found that having had abnormal cells, regardless of the method of removal, increased the risk of having a premature baby, but having either loop diathermy or cone biopsy raised that risk even further. Only the laser ablation technique - in the UK more commonly used on women with very mild cell changes - did not increase the chance of a premature baby. Babies born prematurely - before 37 weeks pregnancy - are at increased risk of a variety of health problems. Practical problems The researchers said that doctors should consider using alternatives to loop diathermy in women of childbearing age, and that women should be made fully aware of the risks before undergoing the procedure. Phil Steer, editor of the BJOG said: Women need to know about the risks involved and discuss alternative treatments with their gynaecologist, before going ahead with a procedure that increases the risk of pre-term birth. Dr Margaret Cruickshank, a senior lecturer in obstetrics and gynaecology at Aberdeen University, said that the vast majority of UK women with abnormal cells currently received diathermy rather than ablation. She said there would be huge practical difficulties and expense involved in hospitals abandoning it. The key thing appears to be the volume of tissue removed, and we need to find out in more detail the relationship between this and the risk of preterm birth. She said that the main advantage of diathermy was that it produced a sample of tissue which could be removed and analysed in the laboratory to make sure a cancer had not been missed, whereas ablation destroyed the tissue. Story from BBC NEWS: http://news.bbc.co.uk/go/pr/fr/-/2/hi/health/6227555.stm Published: 2007/01/03 11:57:27 GMT © BBC MMVII news_logo.gif Description: GIF image
Re: [ozmidwifery] waterbirth
Hi Lynne Thanks heaps for that - sounds like I timed that request pretty well! Look forward to reading the published results... And a happy New Year to you too. Helen - 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 __ NOD32 1950 (20061231) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com
[ozmidwifery] Thyroid and pregnancy article
Thyroid disease pregnancy Seven's On Call By Dr. Jay Adlersberg (New York-WABC, December 21, 2006) - Thyroid problems during pregnancy are often picked up by alert doctors with simple blood tests. When thyroid trouble is not discovered, the results can be premature births, miscarriage and low IQ babies. One local doctor says there's a way to prevent pregnancy trouble due to thyroid disease. Seven's On Call. Mercedes Decynski has two very cute sons, 3-month-old Adam and 19-month-old Brad. She had two healthy pregnancies with the boys, despite having an underactive thyroid. It's called hypothyroidism, and these thyroid replacement pills got her back to normal. In my first trimester, my hormone levels were increased, Decynsk said. Then I stayed at that same level throughout my pregnancy. It's something hormone specialists know, that hypothyroid women need more hormone during pregnancy. Not treating thyroid problems correctly can lead to premature deliveries, miscarriages and lower IQ levels in the child. Dr. Alex Stagnaro-Green, of University Hospital, New Jersey Medical School, did a study 15 years ago showing that an antibody test might predict who would have trouble. Twenty percent of the women have thyroid antibodies, but perfectly normal thyroid function, Dr. Stagnaro-Green said. Just by having those antibodies, their risk of miscarriage doubles. Premature births go up as well. The test is as simple as taking a tube of blood. Right now, tests done in women at the beginning of pregnancy do not include mandatory thyroid testing. By testing for these antibodies and treating the 20 percent of patients who had them with thyroid hormone, researchers found in a study just this year that they could reduce preemie births and miscarriages to normal. Until testing becomes routine ... A woman should have her thyroid function checked if she had a family history of thyroid disease, symptoms of an underactive thyroid, or a history of preterm delivery or miscarriage, Stagnaro-Green said. If researchers can repeat the results of the 2006 study showing that treatment for women at risk for thyroid problems improves their outcomes, screening for thyroid problems could become a mandatory part of pregnancy testing. (Copyright 2006 WABC-TV) http://abclocal.go.com/wabc/story?section=healthid=4871886 wabc_byline.gif Description: GIF image
[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
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
Re: [ozmidwifery] breastfeeding as contraception
I have recently met a woman who specifically gave up breastfeeding her six month old so she could get pregnant. That seemed like a real shame but she was very keen to get pregnant ASAP. What would ABA's advice be on this one? Helen - Original Message - From: Barbara Glare Chris Bright To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 21, 2006 1:19 PM Subject: Re: [ozmidwifery] breastfeeding as contraception Hi, I don't think Lactational Amenorrhea is as risky or tricky as Janet said. From Breastfeeding Management (Brodribb)In 1988 the World Health Organisation and other interested parties formulated a concensus statement about the conditions under which Lactation provides an effective and safe form of contraception. Known as the Bellagio Concensus, it states that if a woman is fully or nearly fully breastfeeding, is amenorrhoeic and is less than 6 mnths postpartum she is 98% protected from pregnancy. Since that time, studies in Australia, Chile, the Phillippines, Pakistan and the USA have confirmed this concensus, often showing failure rates of lower than the two percent quoted. Thus, this applies in the developed as well as developing countries and in well nourished women. A further conference in Bellagio in 1995 confirmed the original findings and concluded that. Wheras amenorrheoea is an absolute requirement for ensuring a low risk of pregnancy, it might be possible to relax or break the requirement of full or nearly full breastfeeding. It may also be possible to extend the duration of use beyond 6 mnths. Kylie, please don't write an article that makes breastfeeding as a form or contraception seem unreliable, silly or so difficult to comply with that it would be impossible to use. (not that it sounds in any way like you would - but that is the tone often in such articles.) While the 2% are very vocal when they become pregnant, my observances are that Lactational Amenhorrea is extremely reliable. The thing to remember is that once your period is back all bets are off. (if under 6 mnths.) While this whole story demonstrates that the plural of stories is not data I returned to full time work when my son was 6 weeks old, and remained amenhorreac until he was 15mths, whereupon I had one period and then got pregnant with my 2nd. Barb - Original Message - From: Kylie Carberry To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 21, 2006 11:24 AM Subject: Re: [ozmidwifery] breastfeeding as contraception if one isn't sure has got to be a good thing, hey? Absolutely. thanks for that, Janet. Kylie Carberry Freelance Journalist p: +61 2 42970115 m: +61 2 418220638 f: +61 2 42970747 -- From: Janet Fraser [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] breastfeeding as contraception Date: Thu, 21 Dec 2006 10:56:35 +1100 It's a complex list of stuff, not just bfing, that creates lactational ammenorhea, Kylie. Cosleeping, no dummies, no bottles of ebm, no being away from your child/ren longer than about 3 hours, and having a nap in the daytime with them among other things. And then ultimately each woman is different in her experience of menstruation recommencing. Women who use bfing in conjunction with knowing their own fertile signs are doubly covered and a barrier method now and then if one isn't sure has got to be a good thing, hey? J - Original Message - From: Kylie Carberry To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 21, 2006 10:09 AM Subject: [ozmidwifery] breastfeeding as contraception I am doing a story on contraception for a pareting magazine. I want to state that the WHO confirmed breastfeeding as 98 per cent effective means of birth control for the first six months provided the baby was fully breasfed and periods have not commenced. So as far as the 'fully' part goes, how is that interpreted. My friend thought she was fully breastfeeding, however, her twin boys were sleeping 8 hours at night and thus she became pregnant when they were four months old. So does fully mean no less than four-hourly feeds. Or should women just take added precautions if they are not up for any little surprises. thanks in advance Kylie Carberry Freelance Journalist p: +61 2 42970115 m: +61 2 418220638 f: +61 2 42970747 -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe. __ NOD32 1932 (20061220) Information __ This message was checked by NOD32 antivirus system.
Re: [ozmidwifery] 'Official Waterbirth'
Hi Brenda Can you give us an update on Rosebud Midwifery Unit? You were saying recently that there were plans to stop births there - what has happened since then.? Helen - Original Message - From: brendamanning [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Cc: ozmidwifery@acegraphics.com.au Sent: Thursday, December 21, 2006 5:53 PM Subject: [ozmidwifery] 'Official Waterbirth' Hi Mary, Rosebud Midwifery Unit (Peninsula Health Network) Casey Hospital (Southern Health Network) officially 'do' waterbirths ie have a formalised P P regarding them. With kind regards Brenda Manning www.themidwife.com.au __ NOD32 1932 (20061220) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
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
Re: [ozmidwifery] Vaginal Breech Birth - Names Please...
Hi Listers I think it would be great to have a list of both Waterbirth and Vaginal Breech Service providers.does anyone have the time or resources to do it? There is one hitch I know of with some vaginal breech providers. Some places that offer them will only offer them to their local women i.e. not those who just want to turn up from out of town or switch care providers a few weeks before they are due. This makes it difficult for people in remote areas wanting a vaginal breech birth. Even if they are prepared to travel, they may not be eligible... Helen - Original Message - From: Kelly Zantey To: ozmidwifery@acegraphics.com.au Sent: Friday, December 22, 2006 1:23 PM Subject: RE: [ozmidwifery] Vaginal Breech Birth - Names Please... Yes please!!! If you can include state/suburb and phone number please J Best Regards, Kelly Zantey Creator, BellyBelly.com.au Conception, Pregnancy, Birth and Baby BellyBelly Birth Support -- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Lisa Barrett Sent: Friday, December 22, 2006 1:09 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Vaginal Breech Birth - Names Please... Do you want midwives Kelly? I attend them. Lisa Barrett - Original Message - From: Kelly Zantey To: ozmidwifery@acegraphics.com.au Sent: Friday, December 22, 2006 11:18 AM Subject: [ozmidwifery] Vaginal Breech Birth - Names Please... I am compiling a list of Obs/carers who will support a woman for vaginal breech birth as I am seeing more breech women pop up and think they have no choice, booked in for caesars at 37-38wks. So if I can at least help them find a supportive carer, it makes it a heck of a lot easier to accept other info ;) So if you can please let me know if you have names of anyone doing vaginal breech birth around Australia, I am going to collate them. Thanks! Ps. I already have Lionel Steinberg (attended a great breech birth a couple of weeks ago with him as carer), Guy Skinner and David Freidin in Melbourne, would love stacks more. Best Regards, Kelly Zantey __ NOD32 1934 (20061221) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com
[ozmidwifery] Rural Doctors claiming victory over MC
I have read an article at work a few days ago about the Rural Doctors Association claiming a victory over Maternity Coalition by blocking a midwife only service in a remote area. GP Obstetricians had supposedly threatened to leave but changed their minds when the RDA intervened ( I think that was the story). I have lost the article and wondered if anyone can tell me where I can get it? or fill me in on what actually happened. Thanks in advance Helen
[ozmidwifery] Christmas thankyou
Just writing to wish everyone a great Christmas and New Year and thank you all for sharing your knowledge throughout the year. It is reassuring to be part of a larger group of likeminded people with the goal of providing better birthing services in Australia. Your support is invaluable. Helen
Re: [ozmidwifery] Epidurals - entering the bloodstream
http://www.blackwellroyalmarsdenmanual.com/sample/mars29.htm The above link is a very in depth look at epidural drugs and their mode of action. Helen - Original Message - From: Kelly Zantey [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, December 12, 2006 8:57 PM Subject: RE: [ozmidwifery] Epidurals - entering the bloodstream They are very well referenced, which is why I was surprised when she challenged me on it as I knew Sarah uses lots of references (her articles are on my site) - but if you read the bit about the drugs going into the bloodstream there is no reference for that. Here's the discussion, might be easier to understand. I'm not arguing the point, but want something solid to come back to her with. http://www.bellybelly.com.au/forums/showthread.php?t=26236 -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Cate Tischler Sent: Tuesday, December 12, 2006 8:35 PM To: ozmidwifery@acegraphics.com.au Cc: Kelly Zantey Subject: RE: [ozmidwifery] Epidurals - entering the bloodstream Sarah's article's are so well referenced. One of the reference's included is: 25) Fernando R, Bonello E et al. Placental and maternal plasma concentrations of fentanyl and bupivicaine after ambulatory combined spinal epidural (CSE) analgesia during labour. Int J Obstet Anaesth 1995;4:178-179 From here: http://onyx-ii.com/birthsong/page.cfm?epidural Kelly Zantey [EMAIL PROTECTED] wrote: Thanks Janet - a few of those links are not working. The main thing she wants is actual medical study/evidence articles - e.g. the Sarah Buckley article she says is not adequate as the comment about the drug going into the bloodstream is not referenced back to anything. she has been trying to find such evidence everywhere but it has turned up fruitful. So not just the risks being quoted, but actual evidence. Oh well, if it does it for them then that's what we have to do :-) _ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Janet Fraser Sent: Tuesday, December 12, 2006 4:49 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Epidurals - entering the bloodstream Here are some useful sources for the risks of epidurals. Funny how women are told to avoid alcohol and soft cheeses in pregnancy but encouraged to imbibe powerful and dangerous drugs in labour. Drugs in labour twenty years hence. http://www.midwiferytoday.com/artic...ugsinlabour.asp http://www.midwiferytoday.com/artic...ugsinlabour.asp epidural information http://gentlebirth.org/Midwife/epirisks.html http://gentlebirth.org/Midwife/epirisks.html A little excerpt Quote: Generally, it is true to say the epidurals are a safe and effective method of relieving pain in labour - but safe does not mean risk free - the risks are there - it is wrong to say there are none (re the hospital employed childbirth educator) See Thorp, J.A. Breedlove, G (1996) Epidural Analgesia in Labour: An evaluation of Risks and Benefits 23(2) 63-83. for a good review of the literature. . hypotension 12 - 23% . maternal fever - (then unnecessary antibiotic therapy - then the yeast infection - then.) one study cited an increase of 0.07 Celsius rise per hour exposure to epidural anesthesia. another reported 5% of fetuses reached cores temp in excess of 4Celsius, another found a statistically significant increase in maternal temps 38C associated with EA. . inadvertent spinal ( and headache to follow - which a blood patch does not always cure - the incidence depends on skill of operator July - new residents - expect a huge increase in spinals in the teaching hospitals. ) . pruritus, nausea and vomiting. (no numbers here - but more likely with spinals) . backache - significant more women c/o backache following EA (RR 1. . fluid overload- ?pulmonary edema??? . infection from epidural site . resp arrest . anaphylaxis . nerve damage Henci Goer on epidurals http://parenting.ivillage.com/pregn...a=adid=16053332 http://parenting.ivillage.com/pregn...a=adid=16053332 Epidurals: can they impact breastfeeding? http://parenting.ivillage.com/pregn...0,,h1nz,00.html http://parenting.ivillage.com/pregn...0,,h1nz,00.html Epidurals: real risk for mother and baby - Sarah Buckley http://www.acegraphics.com.au/articles/sarah02.html http://www.acegraphics.com.au/articles/sarah02.html The Epidural Express: Real Reasons Not to Jump On Board by Nancy Griffin, M.A., AAHCC http://birthrites.edsite.com.au/Epidural.html http://birthrites.edsite.com.au/Epidural.html Medical Risks of Epidural Anesthesia During Childbirth http://www.healing-arts.org/mehl-madrona/mmepidural.htm http://www.healing-arts.org/mehl-madrona/mmepidural.htm - Original Message - From: Kelly mailto:[EMAIL PROTECTED] Zantey To: ozmidwifery@acegraphics.com.au Sent: Tuesday, December 12, 2006 4:42 PM Subject: [ozmidwifery] Epidurals - entering the bloodstream
Re: [ozmidwifery] Epidurals - entering the bloodstream
Here is a section directly dealing with epidural drugs entering the blood stream taken from the article I posted below - I haven't gone on to read the article quoted as the source tho.it does state that it is a side effect tho. Drug-related side-effects There are a number of drug-related side-effects associated with epidural opioids and local anaesthetic agents. Opioids Respiratory depression: this is due to the action of opioids on the respiratory centre. Respiratory depression may occur at two different time intervals. - Early: usually within 2 hours of the opioid injection. This may occur if high blood levels of the opioid follow absorption from the epidural space into the systemic circulation (Macintyre Ready 2001). - Original Message - From: Helen and Graham [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, December 12, 2006 10:34 PM Subject: Re: [ozmidwifery] Epidurals - entering the bloodstream http://www.blackwellroyalmarsdenmanual.com/sample/mars29.htm The above link is a very in depth look at epidural drugs and their mode of action. Helen - Original Message - From: Kelly Zantey [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, December 12, 2006 8:57 PM Subject: RE: [ozmidwifery] Epidurals - entering the bloodstream They are very well referenced, which is why I was surprised when she challenged me on it as I knew Sarah uses lots of references (her articles are on my site) - but if you read the bit about the drugs going into the bloodstream there is no reference for that. Here's the discussion, might be easier to understand. I'm not arguing the point, but want something solid to come back to her with. http://www.bellybelly.com.au/forums/showthread.php?t=26236 -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Cate Tischler Sent: Tuesday, December 12, 2006 8:35 PM To: ozmidwifery@acegraphics.com.au Cc: Kelly Zantey Subject: RE: [ozmidwifery] Epidurals - entering the bloodstream Sarah's article's are so well referenced. One of the reference's included is: 25) Fernando R, Bonello E et al. Placental and maternal plasma concentrations of fentanyl and bupivicaine after ambulatory combined spinal epidural (CSE) analgesia during labour. Int J Obstet Anaesth 1995;4:178-179 From here: http://onyx-ii.com/birthsong/page.cfm?epidural Kelly Zantey [EMAIL PROTECTED] wrote: Thanks Janet - a few of those links are not working. The main thing she wants is actual medical study/evidence articles - e.g. the Sarah Buckley article she says is not adequate as the comment about the drug going into the bloodstream is not referenced back to anything. she has been trying to find such evidence everywhere but it has turned up fruitful. So not just the risks being quoted, but actual evidence. Oh well, if it does it for them then that's what we have to do :-) _ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Janet Fraser Sent: Tuesday, December 12, 2006 4:49 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Epidurals - entering the bloodstream Here are some useful sources for the risks of epidurals. Funny how women are told to avoid alcohol and soft cheeses in pregnancy but encouraged to imbibe powerful and dangerous drugs in labour. Drugs in labour twenty years hence. http://www.midwiferytoday.com/artic...ugsinlabour.asp http://www.midwiferytoday.com/artic...ugsinlabour.asp epidural information http://gentlebirth.org/Midwife/epirisks.html http://gentlebirth.org/Midwife/epirisks.html A little excerpt Quote: Generally, it is true to say the epidurals are a safe and effective method of relieving pain in labour - but safe does not mean risk free - the risks are there - it is wrong to say there are none (re the hospital employed childbirth educator) See Thorp, J.A. Breedlove, G (1996) Epidural Analgesia in Labour: An evaluation of Risks and Benefits 23(2) 63-83. for a good review of the literature. . hypotension 12 - 23% . maternal fever - (then unnecessary antibiotic therapy - then the yeast infection - then.) one study cited an increase of 0.07 Celsius rise per hour exposure to epidural anesthesia. another reported 5% of fetuses reached cores temp in excess of 4Celsius, another found a statistically significant increase in maternal temps 38C associated with EA. . inadvertent spinal ( and headache to follow - which a blood patch does not always cure - the incidence depends on skill of operator July - new residents - expect a huge increase in spinals in the teaching hospitals. ) . pruritus, nausea and vomiting. (no numbers here - but more likely with spinals) . backache - significant more women c/o backache following EA (RR 1. . fluid overload- ?pulmonary edema??? . infection from epidural site . resp arrest . anaphylaxis . nerve damage Henci Goer on epidurals http
[ozmidwifery] Use of sports drinks in labour
Is anyone recommending women use sports drinks such as Poweraid etc when in labour? I have read some good evidence to suggest it is better than water in long labours but don't have the source at my fingertipsinterested in your thoughts/findings. I figure anything that can help keep a woman from tiring and being labelled by doctors as a fail to progress has got to be worth a try as long as it is evidence based. Helen
[ozmidwifery] Inductions brought forward to attend medical conferences
Births induced early Adam Cresswell, Health editor 05dec06 OBSTETRICIANS are inducing women to give birth early so they can attend medical conferences held when birthrates are at their highest. An analysis has found the typical Australian obstetrics conference, lasting several days, causes 4 per cent of the expected births to be shifted, in most cases bringing it forward by a few days. In Australia, say the study's authors - from the Australian National University and Melbourne Business School - this means 116 babies are born on a different date than nature intended, while in the US 755 births a year are affected. They say it is plausible this may increase the risk of birth complications. Royal Australian and New Zealand College of Obstetricians and Gynaecologists president Christine Tippett said: They've done a lot of work looking at it, but I'm a bit sceptical. If there was some need to change, of course we'd look at it very seriously - but I would need to have some better data. privacy terms © The Australian
Re: [ozmidwifery] Seeking midwife to join us at Belmont Birthing Services
Sorry ozmidders, this email was meant privately for Carolyn. Helen - Original Message - From: Helen and Graham To: ozmidwifery@acegraphics.com.au Sent: Monday, November 27, 2006 4:32 PM Subject: Re: [ozmidwifery] Seeking midwife to join us at Belmont Birthing Services Hi Carolyn I am just writing to say that I won't be applying for the job at Belmont this time around. Whilst I feel confident that I am qualified and experienced enough to perform the role, I don't meet all of the position criteria at this stage, having had a break away from mid to have my son and having mainly worked in small regional birthing units with low birth rates. I do have a question however, is there a doctor within Belmont Hospital who is available if required at the birth? I am trying to compare your situation with the Ryde Hospital situation and wonder why they are having to close the birthing service temporarily due to lack of doctor availability. Helen - Original Message - From: Heartlogic [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au; [EMAIL PROTECTED] Sent: Friday, November 10, 2006 5:45 PM Subject: [ozmidwifery] Seeking midwife to join us at Belmont Birthing Services Hello everyone, We are seeking a midwife to join our team at Belmont Birthing Service. We are a stand alone maternity service situated within Belmont Hospital. We are a women centered, relationship based midwifery team iwth a primary health care focus. We are located at Belmont, on the beautiful Lake Macquarie near Newcastle, NSW. Please pass this on to anyone you think may be interested. The ad is in the Thursday SMH and Sat NH this week. (look for HH06/1058) on the intranet it will be on there on Thursday... site is www.hnehealth.nsw.gov.au If you want to join us, you can apply on line or send your applications to the Recruitment unit at Waratah stating the number or emailing it to [EMAIL PROTECTED] The advertisement says: HH06/1058 Midwife Permanent Full time Belmont Birthing Services Come and join the dynamic team at the Belmont Birthing Service, part of John Hunter Hospital maternity division. This Birthing Service offers relationship based, one to one midwifery care relevant to women's needs across the continuum of pregnancy, labour, birth and the postnatal period. We are seeking an innovative and motivated full time midwife, who is an independent thinker and expert clinician and able to work effectively with a great team to join our service. The successful applicant will demonstrate a broad range of midwifery skills, knowledge and communication skills in providing evidence based and appropriate women centered midwifery care. We embrace educational opportunities and strive for a high level of professionalism. Closing date: 24th November, 2006 Enquiries: Carolyn Hastie 0428 112786 Midwifery Manager Belmont Birthing Services Belmont Hospital Enhancing lives through positive birth experiences -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 1862 (20061110) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com __ NOD32 1882 (20061124) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com
Re: [ozmidwifery] Seeking midwife to join us at Belmont Birthing Services
Hi Carolyn I am just writing to say that I won't be applying for the job at Belmont this time around. Whilst I feel confident that I am qualified and experienced enough to perform the role, I don't meet all of the position criteria at this stage, having had a break away from mid to have my son and having mainly worked in small regional birthing units with low birth rates. I do have a question however, is there a doctor within Belmont Hospital who is available if required at the birth? I am trying to compare your situation with the Ryde Hospital situation and wonder why they are having to close the birthing service temporarily due to lack of doctor availability. Helen - Original Message - From: Heartlogic [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au; [EMAIL PROTECTED] Sent: Friday, November 10, 2006 5:45 PM Subject: [ozmidwifery] Seeking midwife to join us at Belmont Birthing Services Hello everyone, We are seeking a midwife to join our team at Belmont Birthing Service. We are a stand alone maternity service situated within Belmont Hospital. We are a women centered, relationship based midwifery team iwth a primary health care focus. We are located at Belmont, on the beautiful Lake Macquarie near Newcastle, NSW. Please pass this on to anyone you think may be interested. The ad is in the Thursday SMH and Sat NH this week. (look for HH06/1058) on the intranet it will be on there on Thursday... site is www.hnehealth.nsw.gov.au If you want to join us, you can apply on line or send your applications to the Recruitment unit at Waratah stating the number or emailing it to [EMAIL PROTECTED] The advertisement says: HH06/1058 Midwife Permanent Full time Belmont Birthing Services Come and join the dynamic team at the Belmont Birthing Service, part of John Hunter Hospital maternity division. This Birthing Service offers relationship based, one to one midwifery care relevant to women's needs across the continuum of pregnancy, labour, birth and the postnatal period. We are seeking an innovative and motivated full time midwife, who is an independent thinker and expert clinician and able to work effectively with a great team to join our service. The successful applicant will demonstrate a broad range of midwifery skills, knowledge and communication skills in providing evidence based and appropriate women centered midwifery care. We embrace educational opportunities and strive for a high level of professionalism. Closing date: 24th November, 2006 Enquiries: Carolyn Hastie 0428 112786 Midwifery Manager Belmont Birthing Services Belmont Hospital Enhancing lives through positive birth experiences -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 1862 (20061110) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com
[ozmidwifery] SIDS- possible cure interesting article
Sids study American researchers are closer to developing a cure for Sudden Infant Death Syndrome after identifying an important brain defect in its young victims. The researchers at the Boston Children's Hospital believe the problem is related to the brain chemical 'serotonin' which regulates breathing, body temperature and blood pressure. They compared autopsy results of babies who died of SIDS with infants who died of other causes and found that in the SIDS babies, the serotonin system was missing. They say this causes the baby not to wake up because the serotonin system doesn't sense carbon dioxide or low oxygen. Doctors believe this explains why smoking and alcohol consumption during pregnancy leads to a greater risk of SIDS, because it alters the same brain area. http://www.skynews.com.au/health/story.asp?id=138793
[ozmidwifery] Fw: Bub Hub Community Forums Contact Us Form - Site Feedback
This is the reply I got after sending a letter of complaint to BubHub re advertising bottles on their website. I haven't investigated whether bottle advertising per se is against the WHO Code but I think they are splitting hairs on this and if they are truly pro breastfeeding as recommended by WHO they wouldn't be advertising them anyway! Helen - Original Message - From: [EMAIL PROTECTED] To: Helen Cahill @ Bub Hub Community Forums Sent: Friday, November 10, 2006 9:42 AM Subject: Re: Bub Hub Community Forums Contact Us Form - Site Feedback Hi Helen As you are probably aware, our site is endorsed by the ACMI and the breastfeeding pages are endorsed by ALCA. We have an agreement with both of those organisations that we will voluntarily abide by the WHO code. We have also agreed with both of those organisations that we will have NO advertising for formula (including toddler follow-on formula) on the site, or ads for pacifiers. However, it has been agreed that we may include ads for bottles on the site. These discussion have also been continued with the Maternity Coalition who have agreed with this approach. We will not include ads for any organisation that breaches the WHO code, however, as far as we are aware, Dr Browns do not breach the WHO code. If they do, we will be more than happy to remove any future advertising by this organisation from our site. Please note that the Dr Browns ad was due to run for one week only and this is now over. The offending ad has been removed from our site already. with kind regards Hilary Hilary LauderWebsite Managerph: 07 3862 4491Mob: 0404 898 832Email: [EMAIL PROTECTED]Website: www.bubhub.com.auThis email and any accompanying attachments is intended for the use of the named individual or entity and may contain confidential and privileged information. Any dissemination, distribution or copying by anyone other than the intended recipient of this email is strictly prohibited. If this email is received in error, please destroy it immediately. - Original Message - From: Helen Cahill @ Bub Hub Community Forums To: [EMAIL PROTECTED] Sent: Thursday, November 09, 2006 5:14 PM Subject: Bub Hub Community Forums Contact Us Form - Site Feedback The following message was sent to you via the Bub Hub Community Forums Contact Us form by Helen Cahill.Very disappointing to see you advertising a type of bottle teat right next to your section advertising Pinky's breastfeeding forum. It is well known that breast is best so advertising bottle feeding parafenalia goes against the principles of encouraging breastfeeding.Referring Page: http://www.bubhub.com.au/community/forums/showthread.php?t=41867IP Address: 121.44.207.189User Name: UnregisteredUser ID: 0__ NOD32 1.1859 (20061108) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
[ozmidwifery] Fw: Bub Hub Community Forums Contact Us Form - Site Feedback
- Original Message - From: [EMAIL PROTECTED] To: Helen and Graham Sent: Friday, November 10, 2006 11:31 AM Subject: Re: Bub Hub Community Forums Contact Us Form - Site Feedback OK - but itstates thatunethical marketing of bottles and teats would be inbreach of the Code- not that bottles and teats can't be advertised at all. It's advertising promoting bottlefeeding over breastfeeding that breaches the code - but the Dr Brown's ad doesn't promote bottlefeeding over breastfeeding. It's says that if you need to use a bottle, they (Dr Brown's) believe that their's is a good bottle to use. We are aware of the code - ALCA provided us with a newsletter article on just this topic a couple of months ago. And we have discussed the advertising of bottles on the site with ALCA - as far as we are aware we are permitted to advertise bottles on the site providing the company concerned doesn't breach the WHO code. We are more than happy to refuse advertising from Dr Browns if anybody can substantiate to me exactly how Dr Browns breach the WHO code. As stated previously, as far as we are aware, we are the only mainstream parenting site in Australia that strictly monitors our advertising in this regard and will not accept advertising regarding formula or pacifiers (who will see Nestle follow-on formula and S26 ads, for example, regularly on other sites). We are keen to clarify this matter as soon as possible and I have just got off the telephone to the ACMI.We are working with them to work through this. with kind regards Hilary Hilary LauderWebsite Managerph: 07 3862 4491Mob: 0404 898 832Email: [EMAIL PROTECTED]Website: www.bubhub.com.auThis email and any accompanying attachments is intended for the use of the named individual or entity and may contain confidential and privileged information. Any dissemination, distribution or copying by anyone other than the intended recipient of this email is strictly prohibited. If this email is received in error, please destroy it immediately. - Original Message - From: Helen and Graham To: ozmidwifery ; [EMAIL PROTECTED] Sent: Friday, November 10, 2006 9:21 AM Subject: Re: Bub Hub Community Forums Contact Us Form - Site Feedback 'We will not include ads for any organisation that breaches the WHO code, however, as far as we are aware, Dr Browns do not breach the WHO code. If they do, we will be more than happy to remove any future advertising by this organisation from our site." The WHO Codequite plainly states it does breach the code - see link to "scope of the Code" Helen www.who.int/nutrition/publications/code_english.pdf Article 2. Scope of the Code The Code applies to the marketing, and practices related thereto, of the following products: breastmilk substitutes, including infant formula; other milk products, foods and beverages, including bottle-fed complementary foods, when marketed or otherwise represented to be suitable, with or without modification, for use as a partial or total replacement of breast-milk; feeding bottles and teats. It also applies to their quality and availability, and to information concerning their use. Message - From: [EMAIL PROTECTED] To: Helen Cahill @ Bub Hub Community Forums Sent: Friday, November 10, 2006 9:42 AM Subject: Re: Bub Hub Community Forums Contact Us Form - Site Feedback Hi Helen As you are probably aware, our site is endorsed by the ACMI and the breastfeeding pages are endorsed by ALCA. We have an agreement with both of those organisations that we will voluntarily abide by the WHO code. We have also agreed with both of those organisations that we will have NO advertising for formula (including toddler follow-on formula) on the site, or ads for pacifiers. However, it has been agreed that we may include ads for bottles on the site. These discussion have also been continued with the Maternity Coalition who have agreed with this approach. We will not include ads for any organisation that breaches the WHO code, however, as far as we are aware, Dr Browns do not breach the WHO code. If they do, we will be more than happy to remove any future advertising by this organisation from our site. Please note that the Dr Browns ad was due to run for one week only and this is now over. The offending ad has been removed from our site already. with kind regards Hilary Hilary LauderWebsite Managerph: 07 3862 4491Mob: 0404 898 832Email: [EMAIL PROTECTED]Website: www.bubhub.com.auThis email and any accompanying attachments is intended for the use of the named individual or entity and may contain confidential and privileged information. Any dissemination, distribution or co
[ozmidwifery] Fw: Bub Hub Advertising
Well at least they dealt with the issue swiftly when brought to their notice. Helen - Original Message - From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] ; ozmidwifery@acegraphics.com.au Sent: Friday, November 10, 2006 12:06 PM Subject: Bub Hub Advertising Hi Helen We've had discussions this morning with both ALCA and the ACMI - we understand, belatedly, that Dr Brown's are in breach of the WHO Code because they only market a bottle and don't have a breastpump as part of their marketing range. As a consequence we have removed all advertising from that organisation from our site effectively immediately and will accept no further advertising from them. The only advertising of bottles that we will permit on our site in future is where the bottle is being marketed in conjunction with a breastpump. I hope that clarifies our position. with kind regards Hilary Hilary LauderWebsite Managerph: 07 3862 4491Mob: 0404 898 832Email: [EMAIL PROTECTED]Website: www.bubhub.com.auThis email and any accompanying attachments is intended for the use of the named individual or entity and may contain confidential and privileged information. Any dissemination, distribution or copying by anyone other than the intended recipient of this email is strictly prohibited. If this email is received in error, please destroy it immediately. __ NOD32 1860 (20061109) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
[ozmidwifery] Online learning video of the mechanism of 2nd stage of labour
http://healthcare.leeds.ac.uk/pages/learning/mid/midwives1.htm This online learning video may interest student midwives or anyone interested in seeing thetypical style of learning found inmidwifery courses (would be interested to know if things have changed as I trained in 1988). It is describing the mechanism of the 2nd stage of labour with the use of a doll and pelvis albeit in a very technical/clinical way.They do however, discourage the practice of directing maternal pushing which pleasantly surprised me. I stumbled across it whilst looking for something else. Actually it is a great website for any general nursing educators out there. Lots of free video footage. Helen PS You will need broadband
[ozmidwifery] Sunday program parenting segment
There is a special parenting report on Sunday at 0900 if anyone is interested...discussing cosleeping amongst other things. I just saw it on their website. Helen
[ozmidwifery] Bottle feeding and tooth misalignments interesting article
http://www.theage.com.au/news/World/Bottles-may-misalign-baby-teeth/2006/10/29/1162056855298.html Bottles may misalign baby teeth October 29, 2006 Nasal allergies, bottle-feeding and thumb sucking may all contribute to certain types of tooth misalignments in young children, a study shows. In a study of nearly 1,200 children between the ages of four and five, Mexican researchers found that those who were bottle-fed, used pacifiers or sucked their thumb before the age of one were more likely to have a posterior crossbite - where the upper teeth in the back of the mouth bite down behind, rather than in front of, the lower teeth. Similarly, children with nasal allergies were more likely to develop an open bite, in which the top and bottom teeth in the front of the mouth do not connect when the jaw closes. Many studies have linked bottle-feeding, pacifier use and thumb sucking to teeth misalignments, but the evidence regarding allergies has been mixed. The new findings suggest that all of these factors contribute to teeth misalignment, though only certain types, according to the study authors, led by Dr Francisco Vazquez-Nava of the Autonomous University of Tamaulipas. They report the results in the journal Archives of Disease in Childhood. When babies suck on bottles, pacifiers or their fingers, the muscles of the head and face move differently than they do when breast-feeding. This could hinder the "harmonious" development of the jaw and hard palate, misaligning the baby teeth and possibly the permanent teeth, Vazquez-Nava explained. In particular, he told Reuters Health, giving babies bottles and pacifiers early in life, and continuing to do so beyond the first year, may interfere with normal development of the dental structures. Research suggests that about two-thirds of children who suck their thumbs or use pacifiers for at least four months in their first year of life have some form of dental misalignment, Vazquez-Nava said. With nasal allergies, the misalignment may stem from the tendency of children to chronically breathe with their mouths open and to move the tongue along the roof of the mouth to relieve itching. The risk of tooth misalignment is one more reason to diagnose and treat allergies sooner than later, Vazquez-Nava said. © 2006 Reuters, Click for Restrictions
[ozmidwifery] Risks of subsequent 3rd/4th degree perineal tears
Does anyone know of any research regarding risk of subsequent 3rd/4th degree perineal tears during vaginal birth. I know of a woman who has experienced this with her first birth, then had a caesar to avoid a similar episode next time. She is having her 3rd child and is revisiting the idea of a vaginal birth as the pain of the caesar, whilst not lasting for as long, was much more intense than the pain of the tear. She had a "long" second stage and birthed on all fours for the first birth apparently. Helen
[ozmidwifery] 60 minutes attachment parenting
As depressing as it was.for those who missed 60 minutes on Sunday - if you have broadband you can watch it online at the website in the "Video Library" section. Helen
[ozmidwifery] Attached Parents - on Sixty Minutes
http://sixtyminutes.ninemsn.com.au/sixtyminutes/stories/2006_10_22/story_1798.asp Interested to see how biased this story is going to be. Helen
Re: [ozmidwifery] was I need to vent!!! now WYETH???
Wouldn't there be special advertising rates for NOT-For-Profit organizations such as ABA? Or could the government sponsor such an ad as it will ultimately save them lots of money down the track if more women breastfeed. They are supposedly supporters of pushing the breastfeeding message anyway. I think it would be great to have that ad in the Australian! Helen - Original Message - From: Barbara Glare Chris Bright To: ozmidwifery@acegraphics.com.au Sent: Saturday, October 21, 2006 9:40 PM Subject: Re: [ozmidwifery] was I need to vent!!! now WYETH??? Hi, Yes, complain, please! Send it to APMAIF. The money spent on promotion is unbelievable. I was daydreaming about putting an ad in "Australian Doctor" last week. I was thinking of a beautiful breastfeeding baby with the words "Breastfeeding. No false advertsing necesary" Until I found out the rates. $16 500 per page. Unbelievable. And, Kelly, and others thanks for your support of the Australian Breastfeeding Association. All money goes into supporting and promoting breastfeeding. Barb - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Saturday, October 21, 2006 7:15 PM Subject: RE: [ozmidwifery] was I need to vent!!! now WYETH??? After today, I am definitely going to complain. As soon as I heard the words uttered to a consumer that its like breastmilk; I just thought that was so wrong and gave the saleswoman daggers. I dont like how they are selling the products and relating it to breastmilk, its misleading. And while the main exercise seems to be promoting toddler formula, they are not shying to chat to those with newborns people were walking away with boxes of the stuff, some 2, 3 even 8 boxes. It breaks my heart that they think this stuff is really what they need to give their babies / toddlers the best. My mind started ticking over all these slogans I would love to see in advertising, inspired by the Suck on This article that was published in Ecologist Magazine in April, but I will bite my tongue. Btw. LOVE the new ABA calendar. Will be sure to get one tomorrow, just divine. Yvette actually brought me over some beautiful ABA posters which now proudly decorate my stand!!! Id love to do more work/promotion with the ABA; I loved the messages on the posters. Just reminded me of how awesome of an organization they are and how wonderful the messages they offer. Keep up the fabulous work guys love it. Best Regards, Kelly Zantey From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Andrea QuanchiSent: Saturday, October 21, 2006 5:04 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] was I need to vent!!! now WYETH??? Well as a MCHN i was certainly not trained by Wyeth. I paid for it myself at great expense. We did have one session from a company rep talking about formula in the context of those mothers who choose to use formula. It was in relation to how to read the nutritional panel on the tin and what to look for. They were under no illusion when they left that al the women in the room were advocates of breast feeding but I found it quite informative none the less and have found it useful in my role as a MCHN when relieving for the shires when the breast feeding rates are often abismal. Just out of interest the rep that attended was not from wyeth. I am interested to know where this idea that they are sponsoring MCHN's comes from and the inference that MCHN are brainless idiots that cant see through their aadvertising games Andrea On 21/10/2006, at 8:38 AM, jesse/jayne wrote: Really? Is it really happening re Wyeth educating MCH nurses? Aren't there some Vic MCH nurses on this list? I read your email Barb. I complain, and complain, and complaincall hotlines/email, customer service lines, magazines etc. They always have an answer. Nothing changes. Sorry to sound negative. It seems to be as steep a mountain to climb as the whole birth thing. There is a whole network of 'lactavists' out there but I see very little difference (if any??) compared to almost 15 years ago when this was all bought to my attention :( Jayne - Original Message - From: Janet Fraser To: ozmidwifery@acegraphics.com.au Sent: Friday, October 20, 2006 10:09 AM Subject: [ozmidwifery] was I need to vent!!! now WYETH??? While
Re: [ozmidwifery] I need to vent!!!
I was sitting in my GP's waiting room yesterday reading an interesting magazine called, I think "Complementary Medicine" which is a peer-reviewed research focussed magazine for doctorsin the specific area of pregnancy and women's health. I was impressed that my doctor may be subscribing to this magazine but then I came across a full page Novalac advertisement. I thought it made an absolute mockery of the whole philosophy of the magazine. I intend to write them an email about it.. Helen - Original Message - From: Barbara Glare Chris Bright To: ozmidwifery@acegraphics.com.au Sent: Friday, October 20, 2006 7:07 AM Subject: Re: [ozmidwifery] I need to vent!!! HI, They won't have free rein if we all (mothers and health professionals COMPLAIN) It amazes me that amidst the ocean of media report about healthy eating and obesity, the importance of breastfeeding is ignored, or ridiculed on television as it was on "Sunrise" yesterday morning (and probably will be on 60 minutes on the weekend) or crucified like it was on "Life at One" last week. The media needs to lift it's act, and they will only do so when they get the message from US. Yesterday morning "Sunrise" did an article on David Suzuki, talking about in 1992 more than 1/2 of the world's scientific Nobel Laureats wrote an open letter warning of the damage to the enviromnment. No media outlet in the world ran the story. Then Sunrise spoke about a poll they were running. Breast v. bottle, and the announcer tut-tutting about how breastfeeding was a personal choice and women shouldn't be judgemental of each other. Excuse me! they had just set it up! Breastfeeding is not a choice like wearing your blue top or your red top tonight. And getting information to women and health professionals has nothing at all to do with guilt - the usual excuse used by the media to ( and promoted by the formula companies to ultimately promote their wares) Anyway, as to complaining Write to your member of Parliament asking him to write to/forward on the material you send to Tony Abbott, Minister for Health. This way you kill 2 birds with the one stone. You educate your local MP and Let Tony Abbott know that health professionals and mothers of Australia are NOT HAPPY Also, write to the APMAIF panel, enclosing any brochures etc that you have. Don't worry about whether it is technically a breech of the agreement. If it is enough to offend you as a mother or a health professional, send it in - let them know how you feel! APMAIF SecretariatDepartment of Health and AgeingMail Drop Point 15GPO Box 9848ACT 2601 While you are at it, you could complain to the Victorian Office of Children about their decision to keep having their Maternal and child health nurses educated by Wyeth. You could write to the CEO Gill Callister [EMAIL PROTECTED] And send a copy to Minister Sheryl Garbutt at the same time. Warm Regards, Barb - Original Message - From: jesse/jayne To: ozmidwifery@acegraphics.com.au Sent: Thursday, October 19, 2006 10:35 PM Subject: Re: [ozmidwifery] I need to vent!!! Arethe formula companies really giving infant FORUMULA samples to pregnant women here? Are they breeching the WHO Code so blatantly here? I thought it was fairly well regulated - unlike many other countries. If it does happen at the Expo, you should report them to the ABA for further action. Unfortunately they have free reign with that toddler milk crap in a can/drink dispensing machine whatever. Jayne - Original Message - From: Janet Fraser To: ozmidwifery@acegraphics.com.au Sent: Thursday, October 19, 2006 10:06 PM Subject: Re: [ozmidwifery] I need to vent!!! Writing a complaint letter about inappropriate advertising of artificial baby "milk" might help you channel this rage. I HATE those stalls with a passion. You know that expo is really the Prams'n'Formula Expo, don't you? You'll also see lots of drug companies giving unbiassed (snort) show bags to pregnant women and even better, FORMULA companies giving SAMPLES and show bags to PREGNANT WOMEN. How's that for totally unethical, hey?! J - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Thursday, October 19, 2006 9:51 PM Subject: [ozmidwifery] I need to vent!!! Im going to be at the Melbourne Pregnancy, Babies and Childrens Expo in Melbourne starting tomorrow, and who else is my stand next to but . Karicare! I felt so angry the whole time
[ozmidwifery] term breech trial - ECV option
Title: Re: [ozmidwifery] Fwd: term breech trial I think it would be good to get a list of providers in each state who are performing External Cephalic Version ECV. I know, having just been to Box Hill Maternity for an inservice, they have one or two progressive obstetricians who have a regularECV clinic. They have theatre on standby if needed. I am sure plenty of women would be prepared to travel far and wide if they knew this option existed and could possibly avoid the need for LUSCS. I know this is not optimal, but at least some women may avoid LUSCS if ECV is offered. I think it is performed at 37 weeks to be the most successful. I would also be interested in other units offering this service to tell the women in my care if anyone knows of them. Thanks Helen Cahill - Original Message - From: Justine Caines To: OzMid List Sent: Wednesday, October 11, 2006 11:08 AM Subject: Re: [ozmidwifery] Fwd: term breech trial Hi ChrisI am a rural consumer, with knowledge of practices pretty much across the country.The term breech trial has done us in. I agree the paper turning it on its head (no pun intended!) is basically being ignored. The only vaginal breech I hear of or see in the stats, (other than those at JHH with Andrew Bisits) in the system are the undiagnosed ones and if a woman is very lucky the 2nd twin who is dragged out by forceps after she has consented to an epidural (often the only way she will be allowed to have twins vaginally).So what to do?Midwives: Raise this in clinical forums and instead of presenting the evidence for vaginal breech ask Drs what their evidence is for routine c/s. If you come across women with a breech on board provide them with all the info Consumers: Put it out there that breech does not necessarily equal c/s and continue to mount the arguments of the furphy of risk (for much of obstetrics). Support women we meet to demand choice.JCJustine CainesNational Policy Co-ordinatorMaternity Coalition IncPO Box 625SCONE NSW 2329Ph: (02) 65453612Fax: (02)65482902Mob: 0408 210273E-Mail: [EMAIL PROTECTED]www.maternitycoalition.org.au__ NOD32 1.1797 (20061010) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
[ozmidwifery] List problems
Susan Your message came to my inbox but not to my ozmidwifery sub folder. The differences I can see is that all the ozmid messages have [ozmidwifery] in the subject heading and yours doesn't, it just says (no subject header). And your messagesays To: midwifery list and my ozmid messages say To: ozmidwifery @acegraphics.com.au. I have had thishappen to me and tried to send the message two ways to figure it out. Either go to your address book and create mail to ozmidwifery or reply to someone else's from the list. I think I had more success with creating mail straight from my address book. It isn't always a problem so I never understand why it sometimes works and sometimes doesn't. Go figure! Good luck Helen - Original Message - From: Susan Cudlipp To: midwifery list Sent: Tuesday, October 10, 2006 12:38 AM Subject: (No subject header) Testing - are mails going missing again? I posted one 3 times and it has not appeared in my in box, also very few posts these past 3 days Sue__ NOD32 1.1795 (20061009) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
[ozmidwifery] Interesting article
Encouraging parents too rare September 12, 2006 09:00am Article from: SMACKING should be outlawed, crying can't be photographed and children are getting fatter, but are parents really getting it so wrong, asks Sue Dunlevy You can't trust parents these days. They put junk food in the lunch box, think it's OK to smack and are not making their kids eat their vegetables. Then there are those child abusers who allowed their children to be snapped in distress after their lollipops were taken away by US photographer Jill Greenberg. Give birth to a child these days and it's a licence to be criticised. You don't even have to be a trained expert to get into the blame game, just having a kid of your own is enough to qualify you as a critic of someone else's parenting style. It's even better if you're a celebrity with children. That's all that was needed for celebrity chef Jamie Oliver to equate parents who feed their kids Red Bull to drug pushers. "You might as well give them a line of coke," he said last week. When was the last time you heard anyone congratulating a parent for doing a fair job at raising their kids? We all get blamed for the 25 per cent of kids who are overweight or obese, even though 75 per cent of us have children who aren't fat. We never hear a good word about all those mums and dads who volunteer to run children's sport just abuse about the few who can't control their behaviour on the sidelines. It might surprise you to hear that the Australian Institute of Health and Welfare reports the nation's children are healthier than ever. Child mortality rates have halved in the past 20 years and 90 per cent of our kids are now vaccinated against killer diseases. The gurus who tell us to focus on praising kids for doing the right thing rather than punishing them for doing bad never seem to apply their message to dealing with parents. In the past week, parents have been blamed for turning their kids into fussy eaters because they don't force them to eat vegetables. Experts have reeled in horror at a survey showing 69 per cent of parents support smacking naughty children even though it didn't mean nearly 70 per cent actually did it. And then there was the bizarre claim that an artist who wanted to capture emotion on a child's face was an abuser because she did so by taking a lollipop out of their mouths. The parental punishers didn't stop to consider whether she was striking a blow not just for art, but against childhood obesity and dental decay two other issues we're blamed for. Online parenting magazine Motherinc chief executive Claudia Keech said today's parents are being run over by a juggernaut of parenting advice. "Parenting has gone from almost a secret job where people at home read Dr Spock or did what their mum taught them to being public and trendy," Ms Keech said. "We've created a monster with a whole lot of experts and a whole lot of products." Much of the advice is a great help for parents and covers issues from behaviour management to correct nutrition. But sifting the good advice from the bad has become a major chore for parents trying to do their best. And Ms Keech says parents should make sure anyone they rely on is qualified as a doctor, psychologist or dietician rather than a celebrity. Parenting is not something you can learn from a book or from your own parents, who also made mistakes. All parents make bad choices about food, about discipline and about how hard to push their children. But any good parenting guru should know you won't get parents to turn around these bad choices by criticising them. Compare them to a drug pusher or a child abuser and they are going to switch off, not heed your message. Trying to make their mistakes illegal by passing laws to ban smacking or feeding children junk food will not work either. Support parents with some sound evidence-based advice and you are more likely to get the result you want. Showing them how resorting to violence to solve a problem teaches their children to do the same will work better than any law. Giving them information on how many calories their kid needs in a day is more likely to result in thinner kids than abuse about lunch box choices. University of Queensland psychology professor Matt Sanders has proven that sound advice gets results using a new reality TV program called Driving Mum And Dad Mad. The program, which has run in Britain, featured five families working through the Positive Parenting Program set up by Professor Sanders. Professor Sanders then studied 500 viewers of the program to see whether it helped improve their parenting skills and the behaviour of their children. More than half those parents were better at managing tasks such as getting children to bed and 44 per cent of children's behaviour improved. He found the key to creating good parents is the same as that used in raising happy children be positive! So if you
[no subject]
http://news.bbc.co.uk/2/hi/health/5322782.stm More deaths for caesarean babies Babies born by caesarean are nearly three times more likely to die in the first month than those born naturally, US research shows. The findings, based on over 5.7 million births, are particularly important given the growing trend of women opting for caesareans, say the authors. More than one in five of all British babies are now born by caesarean. The Birth journal study included women with no obvious medical risks who had elected to have a caesarean. Higher risk Even after adjusting the results for social and medical differences among the women, babies born by caesarean were still at more than twice the risk of dying in the first month of life. From 1998 to 2001, the death rate among those delivered by caesarean was 1.77 per 1,000 live births compared to 0.62 for vaginal deliveries. This is a relatively small risk but it is there and people need to know that Professor James Walker of the Royal College of Obstetricians and Gynaecologists Generally, neonatal deaths are rare for low-risk women, in the order of one death per 1,000 live births, according to the lead researcher Dr Marian MacDorman of the Centers for Disease Control and Prevention. However, the study only include babies that were born alive, which the researchers said would change the results. Had stillbirths been included, the risk of vaginal deliveries would have been closer to that of caesarean deliveries. Also, the deliveries in the study ranged from 37 weeks' gestation to full-term or 41 weeks. In the UK, planned caesarean sections are performed after 39 weeks' gestation because it is known that deliveries earlier than this carry a higher risk to the baby. And the risks of both types of delivery are still extremely small. Explanation The researchers suggest that the process of labour helps prepare the baby for life outside of the womb. As well as squeezing fluid out of the lungs, it may promote the release of hormones that encourage healthy lung function. Dr MacDormac said: "Labour is an important part of the birthing process because it gets infants ready to breathe air and function outside the womb." Professor James Walker, consultant obstetrician at St James's University Hospital in Leeds and spokesman for the Royal College of Obstetricians and Gynaecologists, said women should not be alarmed by the findings but should be informed. "The absolute risk is still very small. "But it should open people up to the fact that there are risks and benefits of everything. This is a relatively small risk but it is there and people need to know that." Belinda Phipps of the National Childbirth Trust said: "I think that the study does need to be taken pretty seriously." She said that earlier studies had already hinted that babies born by caesarean are more likely to experience breathing problems.
[ozmidwifery] Parent Helpline overwhelmed with callers
Mothers' cries for help met with silence Deborah GoughSeptember 3, 2006 HUNDREDS of thousands of desperate mothers fearing for their babies' health are swamping a specialist helpline with calls for help but their pleas are going unanswered. A staggering four out of every five callers to the Maternal and Child Health Line hang up in frustration after failing to get through. The 24-hour line has become so burdened that it is placing extra, unwanted pressure on Victoria's health services, including the Royal Children's Hospital. Heralded as a godsend for mothers struggling to cope with newborns and young children, the service is failing to keep up. Figures obtained by The Sunday Age reveal that of the 372,000 calls to the advice service in 2005-06, just 68,000 were answered. The Australian Nursing Federation claims the service is chronically under-funded. With the state election in November, the union plans to put pressure on the State Government and the Liberal Opposition to fix it. Victorian union secretary Lisa Fitzpatrick said the Government could not ignore the problem and was well aware of the potential consequences of inaction. Young mother Leanne Michelle Azzopardi, of Caroline Springs, drowned her five-week-old baby, Hayley. Courts heard that she allegedly called the service eight times in 2003, but some of her calls were unanswered and abandoned. "I would have thought that if you had a case like that it would have prompted a review of resources and funding," Ms Fitzpatrick said. She said there were fears that the Government's new Nurse on Call telephone advice line would strip funding from the other service. Staffed initially by volunteers from 1981, in 1991 the Kirner Labor government extended the service to after-hours and then, in 2000, the Bracks Government boosted it to 24 hours. The Maternal and Child Health Line is supposed to help new mothers concerned about everything from crying and unsettled babies to constipated and very ill children. It answers queries about children up to school age. Its staff are qualified maternal and child health nurses who are also midwives and have immunisation expertise. The figures obtained by The Sunday Age show that 25,000 callers were told to contact a doctor, 3207 were told to go to hospital or an after-hours clinic, 3865 were told it was medically urgent and 95 were told to call an ambulance. Most of the callers were mothers, 89.7 per cent, and were most likely to call when babies were aged six to 11 months. The peak time for calls was 8pm. State Government spokeswoman Sofia Dedes said the service was not a crisis line but a support service. A Department of Human Services spokeswoman said the service had helped 2570 more callers than the previous year and about 4100 more than 2003-04. Its funding had doubled since 2000 when it became a 24-hour service. But Opposition community services and children spokeswoman Andrea Coote described the figures as astounding. "That's 300,000 young mums left in the air," she said. "These young mothers have so much pressure and all they are looking for is a bit of advice. No doubt this leads to pressure elsewhere in the system, with mothers turning up to wait for hours at the Royal Children's Hospital."
Re: [ozmidwifery] Synto question
Not sure, we too have the synto out at least an hour or two before birth.We have stopped drawing up the synto until after the birth( not what you were askingI know) ever since synto was given accidently at a Victorian hospital prior to a baby's birth with terrible consequences. Helen - Original Message - From: Jo Watson To: ozmidwifery@acegraphics.com.au Sent: Sunday, September 03, 2006 10:14 PM Subject: Re: [ozmidwifery] Synto question A few years ago a batch of synto was recalled as it had been found less effective than normal, so I suppose the same thing would have happened there, CCT without proper active management drugs leading to more PPHs. Not sure about the out of fridge times tho. Jo On 03/09/2006, at 8:01 PM, Michelle Windsor wrote: Just a quick question does anyone know how long Syntocinon can be out of refrigeration before it starts loosing its effectiveness? Where I am working at the moment there are an amazing number of PPH's, and also the common practice of drawing up the synto and having it ready often hours before the birth. Aside from all the other medical intervention which would contribute to PPH, if controlled cord traction is started after a dose of ineffective synto,it's probably contributing to the PPH's. Cheers Michelle On Yahoo!7Photos: Unlimited free storage – keep all your photos in one place!__ NOD32 1.1737 (20060903) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
[ozmidwifery] Maternity Coalition's activity
I hope this isn't a double up email - I have resent it as it didn't seem to get through. Just thought I'd send thison for anyone not aware of Maternity Coalition's latest campaign. I just visited the website and plan to join up as this is an issue close to my heart. Helen (there is a great flyer for people to put up in their local community about the new medicare item number available at the site - see below) Birthing women in rural and remote Australia Maternity Coalition is seriously concerned for the safety and health of expectant mothers and their babies living in rural and remote Australia if the Federal Government succeeds in pushing through changes about ante-natal care. What are the changes? The proposal by Health Minister Tony Abbott and his Department is to provide a new Medicare item 16400 so midwives, registered nurses and Aboriginal health workers can do ante-natal checks on behalf ofa GP or specialist obstetrician for women living in rural and remote Australia. The only positive from this proposal is that the Federal Government has finally acknowledged there is a problem accessing quality maternity care for women and families living in rural and remote Australia. But their solution to the problem is just a quick fix that gives women in the bush second-rate maternity care from unskilled workers. If anything, it will probably lead to more lives being put at risk in the bush. Why are the changes unsafe? Maternity Coalition is concerned about a range of issues that this proposal raises but our key concern is with the safety of care women will receive under this item: Regulatory bodies for nurses and midwives have developed national competency standards. Antenatal care is outside the educational background and scope of practice of all nurses. They have neither the qualifications nor the experience of providing antenatal care to pregnant women. It is dangerous for women to receive antenatal care from a nurse who is being pressured to provide care outside the nurses scope of practice. The competency standards for midwives include antenatal care. Midwives are educated for between 18 months and 3 years in all aspects of maternity care. They are registered or endorsed to provide antenatal care across Australia. Some Aboriginal Health Workers have also obtained an educational qualification in antenatal care. Many rural GPs do not themselves have formal education in the provision of antenatal care, except where they have obtained a Diploma in Obstetrics. They are therefore not well placed to assess the skills and competence of nurses who also lack education in this, let alone supervising nurses to provide this care. There is therefore no guarantee under this policy that rural/remote women will receive antenatal care from someone who is competent to provide it. Unskilled care is more dangerous than no care as women are likely to assume their health is being adequately checked and not seek care from an obstetrician or midwife. Why should women in rural Australia accept such care when were sure the Federal Government wouldn't suggest the idea for city dwellers? A tragic story Already in QLD we have seen the tragic consequences for a woman being cared for by a non-midwife. A nurse with no midwifery training, working on a post-natal ward, didn't understand the need for women to urinate after having a baby. Because of this, the woman, a first-time mother in her mid-20s had to undergo a complete hysterectomy because of this simple omission. The mother will never be able to have any more children naturally. If this proposal by the Federal Government gets through, we may see more tragic cases like this where pregnant women develop a pregnancy-related complication and the unskilled carer seeing them antenatally does not realise and does not refer them on to a midwife, GP or specialist obstetrician. Who is concerned? Maternity Coalition, a national maternity consumer group, is really concerned about this situation.Other professional bodies including the Australian College of Midwives also have major concerns about the safety for women if this change is adopted by the government. Many nursing organisations are concerned because they realise it will put nurses in difficult situations where they are practising beyond their competencies. What you can do Maternity Coalition and the Australian College of Midwives are preparing a massive media/lobbying campaign to draw attention to this proposal. But we need mothers and families from all over QLD/Australia to help. You can do a number of things: Volunteer to speak about this problem to your local and national media we can get you fully briefed on the issue so you feel prepared. Write a letter to your Federal MP and the Health Minister, Tony Abbott ([EMAIL PROTECTED]). Write letters to your states
Re: [ozmidwifery] WA opens a brestmilk bank for premmie babies
Does anyone know if the private milk bank in Melbourne ever got off the ground??? It was on the list some time ago. Helen - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Monday, August 28, 2006 6:35 PM Subject: [ozmidwifery] WA opens a brestmilk bank for premmie babies THE push to open a human milk bank in Sydney is gaining momentum.Specialists in Perth are spearheading an Australia-wide movement to reintroduce milk banks after the emergence of AIDS in the early 1980s forced them to close.Perth's King Edward Memorial Hospital For Women will start operating a milk bank at the end of this month and another bank is preparing to open on the Gold Coast.Sydney neonatologist Howard Chilton said Australia and NSW were long overdue for a human milk bank."It's not really been on the radar but Perth is putting it on the radar," Dr Chilton said. It has potential to save hospitals money because it lowers the incidence of certain diseases."Premature babies, whose mothers are unable to produce enough milk, will be the main benefactors of the milk banks.Studies have shown human milk is superior to formula and can improve a premature baby's long-term mental and physical health.Despite the spread of AIDS, human milk banks have continued to thrive across Europe and the US.Dr Chilton, who has set up a company to provide the pasteurisers needed to purify the human milk, said Sydney hospitals had expressed interest in buying the $60,000 machines.Biomedical scientist Professor Peter Hartmann, one of the specialists behind the Perth milk bank, said production of milk will "start off slowly"."We want to make sure we've got every step working properly," he said.For mothers to be eligible to donate milk, they must pass a screening process. Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support __ NOD32 1.1727 (20060826) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
Re: [ozmidwifery] WA opens a brestmilk bank for premmie babies
Just found the article from two years ago. Where is Margaret Callaghan now? I wonder if there were too many hurdles to jump to get it off the ground Helen Australia's first milk bankAugust 12, 2004 - 1:06PM - AAPAustralia's first milk bank is to start offering breast milk to newmothers in Victoria from the beginning of next year.Melbourne-based lactation consultant Margaret Callaghan plans to open the private service which will pasteurise milk donations and offer them to mothers who cannot produce enough for their own babies.The proposal has raised questions about how the new service would be regulated.Ms Callaghan said the private company setting up the Victorian milk bank planned to set up in NSW next and then to establish clinics nationwide.She said new mothers who wanted to donate would be screened for disease and would then express the milk at home."It wouldn't be like a cow shed," she said.The milk would be pasteurised and given to premature babies whose mothers for some reason could not provide enough milk.Premature babies would be targeted initially as they were the most likely to suffer necrotising enterocolitis (NEC), or bowel blockages, after being fed formula, she said.Mothers milk also aided neurological development and reduced the risks of infections, Ms Callaghan said.Hospitals used to provide excess milk from new mothers to babies who needed it until the rise of the spectre of AIDS in the 80s.Ms Callaghan said that as the average age of mothers increased, so had the demand for breast milk."I have people ringing me saying 'Where can I get some human milk from'," she said.The president of paediatrics and child health of the Royal Australasian College of Physicians, Professor Don Roberton today said any move to make breast milk more available was positive as long as the milk was properly screened for disease.Professor Roberton said human milk had advantages over formula, especially for premature babies."But we also have to be very aware of any potential risks that might occur with human milk," he said.Breast milk would need to be carefully screened in the same way donated blood was, he said.Breast milk banks operate in the UK, the USA and parts of Europe but the prospect of them opening in Australia has raised the question of who is responsible for their regulation.A Therapeutic Goods Administration spokesman said a breast milk bank would be a state rather than a federal responsibility.A spokesman for the Victorian Department of Human Services said a breast milk bank would come under the State food act.The operators would have to show their product was "free of infection and fit for human consumption" and convince the government that they had strict screening processes in place, he said. - Original Message - From: Helen and Graham To: ozmidwifery@acegraphics.com.au Sent: Monday, August 28, 2006 6:55 PM Subject: Re: [ozmidwifery] WA opens a brestmilk bank for premmie babies Does anyone know if the private milk bank in Melbourne ever got off the ground??? It was on the list some time ago. Helen - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Monday, August 28, 2006 6:35 PM Subject: [ozmidwifery] WA opens a brestmilk bank for premmie babies THE push to open a human milk bank in Sydney is gaining momentum.Specialists in Perth are spearheading an Australia-wide movement to reintroduce milk banks after the emergence of AIDS in the early 1980s forced them to close.Perth's King Edward Memorial Hospital For Women will start operating a milk bank at the end of this month and another bank is preparing to open on the Gold Coast.Sydney neonatologist Howard Chilton said Australia and NSW were long overdue for a human milk bank."It's not really been on the radar but Perth is putting it on the radar," Dr Chilton said. It has potential to save hospitals money because it lowers the incidence of certain diseases."Premature babies, whose mothers are unable to produce enough milk, will be the main benefactors of the milk banks.Studies have shown human milk is superior to formula and can improve a premature baby's long-term mental and physical health.Despite the spread of AIDS, human milk banks have continued to thrive across Europe and the US.Dr Chilton, who has set up a company to provide the pasteurisers needed to purify the human milk, said Sydney hospitals had expressed interest in buying the $60,000 machines.Biomedical scientist Professor Peter Hartmann, one of the specialists behind the Perth milk bank, said production of milk will "start off slowly"."We want to make sure we've got every step working properly,&q
Re: [ozmidwifery] c/s and other stats for mid led units
Hi Tania Would be really interested to know your stats as I anticipate they will be something to be proud ofI know midwifery led care is the way to go and look forward to being able to shout this from the rafters with some good ammunition Helen - Original Message - From: Tania Smallwood To: ozmidwifery@acegraphics.com.au Sent: Sunday, August 27, 2006 5:52 PM Subject: [ozmidwifery] c/s and other stats for mid led units Hi all, Just doing a bit of my own research, and wondering if there are any stats yet for the newly formed midwifery led units such as Ryde, St George etc. I have access to the ones that have been issued for the Women’s and Children’s in Adelaide (MGP), but I suppose there is also the Canberra one (is that still running) and also the Perth community midwifery programme. Having just figured out what our personal stats for 5 years in practice together are, I’d like to be able to compare with these groups if the info is out there…anyone? Tania __ NOD32 1.1727 (20060826) Information __This message was checked by NOD32 antivirus system.http://www.eset.com --No virus found in this outgoing message.Checked by AVG Free Edition.Version: 7.1.405 / Virus Database: 268.11.6/428 - Release Date: 25/08/2006
Re: [ozmidwifery] c/s and other stats for mid led units
That is fantastic Tania - well done to you both. Helen - Original Message - From: Tania Smallwood To: ozmidwifery@acegraphics.com.au Sent: Sunday, August 27, 2006 7:02 PM Subject: RE: [ozmidwifery] c/s and other stats for mid led units Don’t actually have them here at the moment, but out of 99 women, 0% induction and episiotomy, 6% c/section, I think around 10% perineal trauma requiring suturing, 65%waterbirths, and that’s all I can remember off the top of my head! Needless to say, Wendy and I are very proud of the living proof that continuity of carer does seem to come up with the goods.. J Tania From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Helen and GrahamSent: Sunday, 27 August 2006 6:06 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] c/s and other stats for mid led units Hi Tania Would be really interested to know your stats as I anticipate they will be something to be proud ofI know midwifery led care is the way to go and look forward to being able to shout this from the rafters with some good ammunition Helen - Original Message - From: Tania Smallwood To: ozmidwifery@acegraphics.com.au Sent: Sunday, August 27, 2006 5:52 PM Subject: [ozmidwifery] c/s and other stats for mid led units Hi all, Just doing a bit of my own research, and wondering if there are any stats yet for the newly formed midwifery led units such as Ryde, St George etc. I have access to the ones that have been issued for the Women’s and Children’s in Adelaide (MGP), but I suppose there is also the Canberra one (is that still running) and also the Perth community midwifery programme. Having just figured out what our personal stats for 5 years in practice together are, I’d like to be able to compare with these groups if the info is out there…anyone? Tania __ NOD32 1.1727 (20060826) Information __This message was checked by NOD32 antivirus system.http://www.eset.com --No virus found in this outgoing message.Checked by AVG Free Edition.Version: 7.1.405 / Virus Database: 268.11.6/428 - Release Date: 25/08/2006__ NOD32 1.1727 (20060826) 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: 7.1.405 / Virus Database: 268.11.6/428 - Release Date: 25/08/2006 --No virus found in this outgoing message.Checked by AVG Free Edition.Version: 7.1.405 / Virus Database: 268.11.6/428 - Release Date: 25/08/2006
Re: [ozmidwifery] Sex to bring on labour
Latest research shows sex does help to bring on labour. The theory about prostaglandins effect is not supposed to be valid as you need litres of the stuff to do any good but my own theory says maybe it is the mechanical effect of cervical stimulation - we know that after a vaginal examination, things are stirred up! Anyway, I hope this helps - I now recommend it. After all what have they got to lose as long as both mum and dad are happy to try it. Cheers Helen http://www.orgyn.com/en/news/2006/Week_27/Day_2/Sex_at_term_helps_pr.asp?C=95626389535239236111 Sex at term helps prevent need for induction Source: Obstetrics Gynecology 2006; 108: 134-40 Assessing the incidence of sexual intercourse at term and its effect on the onset of labor and mode of delivery. Having sex at term appears to be an effective way of avoiding the need for labor induction, say Malaysian researchers. The team, led by Peng Chiong Tan from the University of Malaysia in Kuala Lumpur, asked a sample of healthy women with uncomplicated pregnancies and known gestational age to keep a diary of the sexual activity from 36 weeks' gestation until birth. They found that, among the 200 women with complete coital diaries, sexual intercourse at term was associated with a woman's perception of its safety, her ethnicity, and her partner's age. In multivariable analysis that adjusted for these as well as some other potential confounding factors, having sex at term was found to significantly reduce the incidence of postdate pregnancy (adjusted odds ratio [AOR] = 0.28), a gestational length of 41 weeks or more (AOR = 0.10), and the need for labor induction at 41 weeks (AOR = 0.08). Coitus at term had no significant effect, however, on operative delivery. Coitus at term can be an effective method for promoting spontaneous labor at term, thereby reducing the need for labor induction at 41 weeks of gestation, say Tan et al. Posted: 4 July 2006 © Current Medicine Group 2006 - Original Message - From: Amanda W [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, August 24, 2006 8:00 AM Subject: [ozmidwifery] Sex to bring on labour Hi all wise ones, I have just read in the latest 'Good Medicine' magazine that quote having sex in late pregnancy to bring on labour is an old wives tale unquote. Can anyone please shed light on this as I though it did assist with bringing on labour due to the release of prostaglandin containing semen up near the cervix along with nipple stimulation and orgasms. However I have just read a few studies that have recently been done on this subject and still am not convinced that it is just an old wives tale. I can't help but think their studies may be flawed in some way. Any comments? Cheers Amanda. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 1.1722 (20060823) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Communities should pay for obstetrician's medical indemnity insurance????
http://www.abc.net.au/news/items/200608/1721677.htm?southwestvic It has been suggested that councils and rural communities should pay obstetrician's indemnity insurance to address the crisis in obstetric services in country areas. The federal Sex Discrimination Commissioner, Pru Goward, says the high cost of insurance is a major disincentive for doctors delivering babies in the regions. Ms Goward, who was speaking in Wagga in western New South Wales, says communities must put pressure on MPs to have the issue addressed and consider the option of paying insurance premiums themselves. "If rural areas want obstetricians or people licensed to deliver babies in their towns then maybe the local council, the local community, the local hospital, the State Government and the Federal Government have got to be the ones to pay the professional indemnity insurance for them so that it no longer becomes a cost that puts them off working in country towns," she said.
[ozmidwifery] Interesting article about declining rural birthing services
http://www.news.com.au/story/0,23599,20063886-2,00.html# Mum-to-be travels 2000km to give birth By Liza Kappelle August 08, 2006 08:15pm Article from: AAP Font size: + - Send this article: Print Email A MUM-to-be has been shunted more than 2000km around Western Australia for somewhere to have her baby.Kirsti Sweetman, 24, eventually gave birth to a boy in a Perth hospital on Sunday night after being turned away by two hospitals a long way north in WA's Pilbara region. She initially went to her local hospital at Tom Price, 1556km north of Perth, on Saturday, after her waters broke four weeks early. But she was not in labour and the hospital wasn't equipped to induce pregnancies, said her stepfather Steve Turner. The flying doctor was called and Kirsti was taken another 360km further north to Port Hedland hospital while her anxious partner, Tony Bassett, 27, and their three-year-old daughter Imogen followed by road. Mr Turner said he and his wife Teresa Kirsti's mum also drove to Port Hedland for the birth only to be told when they got there Kirsti would have to go to Perth. It is understood the doctors in Port Hedland thought it would be safer for her to have the baby induced in Perth. Mr Turner, however, said he believed it was because the hospital was flat out. She got to Port Hedland and they couldn't handle her cause they were too busy, he said. By now it was late, so Kirsti spent the night in the Port Hedland hospital before being flown to a Perth hospital the next morning. They induced her that night and her partner had to fly out there on a commercial flight while my wife and I brought the cars back, Mr Turner said. Mr Bassett described Kirsti's ordeal as very traumatic. The thought of missing the birth of my son, Tarkyn, that was the worst, Mr Bassett said. And the last thing that Kirsti wanted to do was go though it on her own. Mr Turner said he believed the family was shunted around because the government was stripping services out of rural and regional areas. They are taking all our services away in the country and putting them in the cities, he said. But the news on the new bub couldn't be better. Mr Bassett said his son was growing stronger by the hour and he hoped he'd soon be able to take his family back home another 1556km trip. Pilbara Health Service regional director Patrik Mellberg said Tom Price Hospital did not have the facilities to manage high-risk deliveries and a local GP had made the decision to send Ms Sweetman to the Port Headland regional hospital via the Royal Flying Doctor Service free of charge. Upon arrival at Port Hedland it was assessed that due to the patient's condition and available capacity at the hospital, it would be necessary to fly her to Perth free of charge again, for reasons of clinical safety, Mr Mellberg said. The patient was under constant medical supervision.
[ozmidwifery] Article about BF and reaction to stress
http://www.webmd.com/content/article/126/116188?printing=true Breastfed Babies Less Stressed Later? British Study: Children of Divorce Less Anxious if Breastfed as Infants ByMirandaHittiWebMD Medical News Reviewed ByLouiseChang,MDon Wednesday, August 02, 2006 Aug. 2, 2006 -- Breastfed babies appear to handle stressstress better a decade later than their bottle-fed peers. The researchers who report that finding in the Archives of Disease in Childhood's Aug. 3 advance online edition aren't ready to give breastfeedingbreastfeeding sole credit. It's possible breastfed babies have other advantages that help them cope with stress, note Scott Montgomery, BSc, PhD, and colleagues in the journal. Montgomery's team studied more than 8,900 children born in the U.K. in 1970. The children's moms were interviewed soon after giving birth, and again when the kids were 5 and 10 years old. When the kids were 5, the mothers were asked if they had breastfed their child, even for a few days, with or without additional bottle-feeding. When the children were 10, the moms were asked if they had gotten divorced in the past five years. Also, the 10-year-olds' teachers rated their in-school anxiety level. Kids at Age 10 Most of the 10-year-olds' parents hadn't divorced, but about 12% had done so within the past five years. Children from divorced families were more likely to be anxious, according to their teachers, than those with intact families. But among those whose parents had divorced, the 10-year-olds breastfed as babies were less likely to be anxious than their bottle-fed peers, based on the teacher ratings. Adjusting for other factors -- such as the mother's age and education level, smoking during pregnancypregnancy, and family social class -- didn't change the results, the study shows. The researchers also grouped the breastfed children into those who had been breastfed for up to one month, for over one month and up to three months, and over three months. How long the breastfeeding lasted didn't seem to matter when it came to lowering anxiety levels in the children from divorced homes. Breastfeeding "may be associated with lower levels of anxiety among children who have had the potentially stressful experience of parental divorce," write Montgomery and colleagues. The researchers aren't sure how to explain the pattern. Breastfeeding has well-known benefits, such as letting mothers and babies bond. Then again, breastfeeding might be a marker for other maternal or family traits that help kids handle stress, the researchers note. Breastfeeding wasn't linked to divorce risk, the researchers add. SOURCES: Montgomery, S. Archives of Disease in Childhood, Aug. 3, 2006; advance online edition. News release, BMJ Specialist Journals.
[ozmidwifery] Use of ultrasound routinely to check for breech position!!!!!
This is ironic after what has just been posted about the latest possible risks of ultrasoundHelen http://news.bbc.co.uk/2/hi/health/5241968.stm Breech baby checks 'miss cases' Routine pregnancy exams to check a baby is in a good position before birth are not sensitive enough, experts warn. They say simple palpation - feeling the mother's bump - misses about 24 in 100 cases of abnormal lie, where a baby is not in the normal head-down position. Knowing the lie of a baby is important because some positions, like foot first or breech, make vaginal delivery difficult or impossible. Routine ultrasound tests may be needed, says the British Medical Journal. Missed diagnoses A team at the University of Sydney studied 1,633 women in their 35th to 37th week of pregnancy who were attending an antenatal clinic at a local obstetric hospital. Each woman was examined in the usual way by a doctor to assess the position of their baby. Afterwards the women also underwent an ultrasound scan to confirm the position. Simple palpation detected 70% of the babies who were not in the ideal head-down position but missed the other 30%. It is crucial that women are provided with unbiased information and with the choice about whether they have an additional scan or not Sue Macdonald of the Royal College of Midwives The researchers reason that if this figure is applied to a general maternity population of 1,000 women, clinical examination would identify 101 women as having an abnormal lie but in only 56 would this be correct and 24 women with abnormal lie would be missed altogether. They suggested routine ultrasound scans for women late in pregnancy might help spot more babies with abnormal lie, but stressed that the cost effectiveness of such screening would have to be assessed before any services could be rolled out. Sue Macdonald of the Royal College of Midwives said: "It is possible that some babies in breech position are missed and this reinforces the need to use information from this research to inform current education and training of midwives and obstetricians." But she questioned whether routine ultrasound checks would be cost and resource effective. She added that the long-term effects of such scans on the unborn baby were not known and that doctors might come to rely on scans and become less skilled at examining. "The use of scans as a second opinion, when there is difficulty in palpation, perhaps for overweight women, is already used," she said. "However, it is crucial that women are provided with unbiased information and with the choice about whether they have an additional scan or not." Story from BBC NEWS:http://news.bbc.co.uk/go/pr/fr/-/2/hi/health/5241968.stmPublished: 2006/08/03 23:02:10 GMT© BBC MMVI
[ozmidwifery] Depressing article on breastfeeding in public in the US
http://www.msnbc.msn.com/id/14065706/page/2/ MSNBC.com Eyeful of breast-feeding mom sparks outrage Magazine cover blasted by public squeamish over sight of nursing breast The Associated Press Updated: 8:33 p.m. ET July 27, 2006 NEW YORK - "I was SHOCKED to see a giant breast on the cover of your magazine," one person wrote. "I immediately turned the magazine face down," wrote another. "Gross," said a third. These readers weren't complaining about a sexually explicit cover, but rather one of a baby nursing, on a wholesome parenting magazine yet another sign that Americans are squeamish over the sight of a nursing breast, even as breast-feeding itself gains greater support from the government and medical community. Babytalk is a free magazine whose readership is overwhelmingly mothers of babies. Yet in a poll of more than 4,000 readers, a quarter of responses to the cover were negative, calling the photo a baby and part of a woman's breast, in profile inappropriate. One mother who didn't like the cover explains she was concerned about her 13-year-old son seeing it. "I shredded it," said Gayle Ash, of Belton, Texas, in a telephone interview. "A breast is a breast it's a sexual thing. He didn't need to see that." It's the same reason that Ash, 41, who nursed all three of her children, is cautious about breast-feeding in public a subject of enormous debate among women, which has even spawned a new term: "lactivists," meaning those who advocate for a woman's right to nurse wherever she needs to. "I'm totally supportive of it I just don't like the flashing," she says. "I don't want my son or husband to accidentally see a breast they didn't want to see." Another mother, Kelly Wheatley, wrote Babytalk to applaud the cover, precisely because, she says, it helps educate people that breasts are more than sex objects. And yet Wheatley, 40, who's still nursing her 3-year-old daughter, rarely breast-feeds in public, partly because it's more comfortable in the car, and partly because her husband is uncomfortable with other men seeing her breast. "Men are very visual," says Wheatley, 40, of Amarillo, Texas. "When they see a woman's breast, they see a breast regardless of what it's being used for." Babytalk editor Susan Kane says the mixed response to the cover clearly echoes the larger debate over breast-feeding in public. "There's a huge Puritanical streak in Americans," she says, "and there's a squeamishness about seeing a body part even part of a body part." "It's not like women are whipping them out with tassels on them!" she adds. "Mostly, they are trying to be discreet." Kane says that since the August issue came out last week, the magazine has received more than 700 letters more than for any article in years. "Gross, I am sick of seeing a baby attached to a boob," wrote Lauren, a mother of a 4-month-old. The evidence of public discomfort isn't just anecdotal. In a survey published in 2004 by the American Dietetic Association, less than half 43 percent of 3,719 respondents said women should have the right to breast-feed in public places. The debate rages at a time when the celebrity-mom phenomenon has made breast-feeding perhaps more public than ever. Gwyneth Paltrow, Brooke Shields, Kate Hudson and Kate Beckinsale are only a few of the stars who've talked openly about their nursing experiences. The celeb factor has even brought a measure of chic to that unsexiest of garments: the nursing bra. Gwen Stefani can be seen on babyrazzi.com a site with a self-explanatory name sporting a leopard-print version from lingerie line Agent Provocateur. And none other than Angelina Jolie wore one proudly on the cover of People. (Katie Holmes, meanwhile, suffered a maternity wardrobe malfunction when cameras caught her, nursing bra open and peeking out of her shirt, while on the town with husband Tom Cruise.) More seriously, the social and medical debate has intensified. The U.S. Department of Health and Human Services recently concluded a two-year breast-feeding awareness campaign including a TV ad criticized as over-the-top even by some breast-feeding advocates in which NOT breast-feeding was equated with the recklessness of a pregnant woman riding a mechanical bull. There have been other measures to promote breast-feeding: in December, for example, Massachusetts banned hospitals from giving new mothers gift bags with free infant formula, a practice opponents said swayed some women away from nursing. Most states now have laws guaranteeing the right to breast-feed where one chooses, and when a store or restaurant employee denies a woman that right, it has often resulted in public protests known as "nurse-ins": at a Starbucks in Miami, at Victoria's Secret stores in Racine, Wis. and Boston, and, last year, outside ABC headquarters in New York, when Barbara Walters made comments on "The View" seen
[ozmidwifery] Single layer closure of uterus
Sorry for cross posts... Following the thread about single layer closures for LUSCS, I thought I would send thefollowingNICE guidelines -latest UKrecommendations.This was published in 2004. Helen http://www.nice.org.uk/download.aspx?o=cg013fullguideline One- vs. two-layer closure of uterus One-layer closure of the uterus at CS has been suggested as a means of decreasing operating time with no associated or subsequent increase in morbidity. Current practice in the UK reports that 96% of surgeons use a double layer closure and 3% a single layer.306 [evidence level 3] A systematic review compares single versus two-layer suturing for closing the uterine incision at CS.429 [evidence level 1a] Two RCTs were included in the review (n = 1006). These RCTs measured different outcomes. One RCT (n = 906) analysed operating time and number of haemostatic sutures.430 [evidence level 1b] The results showed a shorter mean operating time of 5.6 minutes (43.8 versus 47.5 minutes, p = 0.0003) and fewer haemostatic sutures in the one layer closure group. In the second RCT all the women had hysterography to determine integrity of the uterine scar 3 months after the CS in the first half of the menstrual cycle.431 [evidence level 1b] In the control group (two-layer closure) 82% of cases had either a major or minor scar deformity and in the intervention group (one layer closure) scar deformity was lower (26%). The method of randomisation in this RCT is unclear and the clinical significance of the hysterography findings as an outcome measure is uncertain. The two RCTs have been published after the systematic review. Both assessed operating time as an outcome measure. One RCT (n = 188) found no difference in operating time432 [evidence level 1b] and the other RCT (n = 200) found a decrease in operating time with single layer closure of the uterus, the absolute difference was 12 minutes.433 [evidence level 1b] These four RCTs used slightly different methods of single layer closure, two RCTs describing the use of continuous unlocked suture of the uterus, one RCT used continuous locked sutures while another RCT used interrupted sutures. The two later RCTs both used vicryl suture material, one of the earlier RCTs used chromic catgut and one RCT did not describe what suture material was used. None of the RCTs directly compared locked versus unlocked sutures. Concern about the use of single layer closure of the uterus and scar rupture in future pregnancies have been raised by a cohort study (n = 2142) that reported an increase likelihood of uterine rupture in women who had had a single layer closure of the uterus (OR 3.95, 95% CI 1.35 to 11.49).434 [evidence level 2b] Follow up of the women recruited in one of these RCTs has also been reported.435 Of 164 subsequent births, 19 women had elective repeat CS and 145 experienced labour. Length of labour, mode of birth, incidence of uterine scar dehiscence and other labour outcomes were not significantly different between those women who had had previous one or two layer closure.435 [evidence level 2a] Closure of the uterus is currently being studied in a large UK RCT (CAESAR).436 RECOMMENDATION The effectiveness and safety of single layer closure of the uterine incision is uncertain. Except within a research context the uterine incision should be sutured with two layers.
[ozmidwifery] Nambour Selangor Private Hospital Article
http://www.sunshinecoastdaily.com.au/storyprint.cfm?storyID=3694098 Baby you just aint see nothing yet at Selangor 27.07.2006 IT is just as well that Treasurer Peter Costello who is urging Australians to populate and cherish does not hang around the maternity unit at Nambour Selangor Private Hospital. Because poor old Peter would be one gob-smacked, baby-kissing pollie all puckered out after this ground-breaking hospital celebrated the birth of its 5000th baby in just 10 years of the units operation. Baby Kisho was born at Selangor in the soothing water of one of the birthing tubs at 10.58pm on Monday and was oblivious to the mighty occasion. So was overjoyed mum Orien Duffy and dad Marc Caracciolo of Little Mountain. The proud parents found out the next day that Kisho had made local history. Kisho, whose name means one who knows his own mind in Japanese had been kicking away inside mum for months impatient to make his grand entrance. It does make this all the more special knowing what a milestone it is for the hospital, Marc said. Selangor is probably best known for the births of Pat Rafters two children Joshua Patrick and India. Treasurer Pete will be pleased to know that hospital is just about to embark on a $12 million upgrade that will expand the maternity section. There will be 27 new beds.
[ozmidwifery] Powers to investigate stillbirth article
I can already see the induction rate rising. http://www.theage.com.au/news/national/mystery-infant-deaths-must-face-tougher-scrutiny/2006/07/15/1152637919967.html?page=fullpage#contentSwap1 Mystery infant deaths must face tougher scrutiny by Carmel Egan July 16, 2006 Mysterious deaths of hundreds of babies before or during childbirth are not being investigated because of a legal loophole. Hospitals and medical staff are not legally required to examine or explain the causes of stillbirth, and coroners can only investigate the cause of death after life has begun. Under Australian law, life begins when a baby takes its first breath. But every year, 2000 foetuses between 20 weeks and full term never make it that far. And one in three of those dies for unknown reasons. The rate of unexplained deaths rises to 80 per cent as the foetus approaches full term. Now a leading State Government medical adviser and SIDS and Kids Australia are urging governments to allow the independent investigation of late-term stillbirths. Associate Professor James King, chairman of the Victorian Consultative Council on Obstetric and Pediatric Mortality and Morbidity, wants coroners' powers extended. "I favour an extension of coronial authority to include discretionary investigation of certain categories of stillbirth, particularly where the death occurs shortly before or during the birth process," Professor King said. Despite advances in medicine, there has been no reduction in the incidence of stillbirths in a decade. Researchers believe more stillbirths could be explained if clinicians counselled parents to give their consent to autopsies. They believe medical staff's reticence to do so comes from a combination of misguided compassion, undervaluing the benefit to parents and the community of identifying the causes of stillbirth, and fear of litigation. The call for action comes as the State Coroner investigates the death of William Grant Keays, a baby resuscitated at birth who died 6½ hours later, on November 2, 2003. His mother, Karin Keays, has asked the Coroner to draw the public's attention to the powerlessness of parents whose children are stillborn. "Because the Coroner does not have the power, there is no effective avenue for the independent investigation of stillborn babies," Mrs Keays said. "It is a terrible loophole in the law related to obstetrics. "I believe that laws regarding the conduct and accountability of obstetricians and hospitals need urgent revision and sweeping changes. "The legal loophole which classes full-term or near-term babies as not being 'people' who would otherwise be entitled to the protection of the law, is draconian and needs to be closed," she said. "Authorities seem to pussyfoot around the subject of medical error and negligence in obstetrics for fear of upsetting obstetricians. "But what about all the stillborn and neonatal deaths? What about the babies' rights? They seem to have none. "What about the parents' rights to honesty and transparency of information from their doctors and midwives?" After its success in reducing, through parental education, the rate of cot death from 500 a year to about 60 a year, SIDS and Kids Australia has expanded its focus to stillbirth. Janet Carey, national executive of research and programs at SIDS and Kids, said there was a lack of political and social focus on the issue because it was emotional and difficult to discuss. "This is the same issue that faced parents 20 years ago after their child had died of sudden infant death syndrome and there were no answers," Ms Carey said. "Now we hope to create some urgency about stillbirths and how many unexplained deaths there are before birth." Researchers at Brisbane's Mater Mothers' Hospital are collating the world's first large-scale study of stillbirths. "The stillbirth rate in Australia is just not going down," said Vicki Flenady, co-ordinator of the hospital's perinatal mortality group. Ms Flenady said the reluctance of clinicians to push parents to consent to autopsy was a major barrier to the further reduction of stillbirths.
[ozmidwifery] Article on breastfeeding preventing bed wetting
Breast-feeding may help prevent bed-wetting Benefits of brain development could play a role, researchers report Reuters Updated: 10:16 a.m. ET July 5, 2006 CHICAGO - Children breast-fed as infants are less likely to wet the bed later on, researchers reported Wednesday, probably because they have a developmental edge. There is strong evidence that in many cases bed-wetting can result from delayed neurodevelopment, said the report from the Robert Wood Johnson Medical School in New Brunswick, New Jersey. There is biological plausibility in inferring that breast-feeding protects against bed-wetting and our results show a strong statistical association although not enough to prove a direct cause-effect, the study said. Breast-feeding is beneficial because of the role that certain fatty acids passed onto the infant play in brain development, said the study published in the July issue of Pediatrics, the journal of the American Academy of Pediatrics. The study was based on 55 children who were bed-wetters at ages 5 to 13 and 117 in the same age range who were not. Of the bed-wetters, 45 percent had been breast-fed, compared to 81 percent of those who were continent at night. The study also found that babies who received breast milk supplemented with formula had a similar rate of bed-wetting as those who received formula alone. Copyright 2006 Reuters Limited. All rights reserved. Republication or redistribution of Reuters content is expressly prohibited without the prior written consent of Reuters. URL: http://www.msnbc.msn.com/id/13715951/ © 2006 MSNBC.com I can't help but wonder if it is also to do with the emotional security that accompanies breastfeeding +/- co-sleepingHelen ch=Healthc4=Healthc5=Children%27s%20Healthc7=printThisc8=Nc10=Bc15=13715951c16=Storyc18=10c39=ONpid=Story%7C Description: Binary data
[ozmidwifery] Today Tonight asking for feedback
There is a section on the Today Tonight website asking for feedback about the rising rates of caesarian births. It's down the bottom right hand corner. http://seven.com.au/todaytonight Get writing. I didn't see the program. Has anyone got a transcript? I have written a letter anyway putting my two cents worth in. Helen
[ozmidwifery] Neonatal screening
It Does Matter Where A Baby Is Born WASHINGTON, July 11, 2006 (AP)States have nearly doubled the number of newborns being tested for a host of rare but devastating genetic diseases - yet where you live still determines just how protected your baby will be, the March of Dimes reports. For almost two years, specialists have urged that every U.S. newborn be checked for 29 disorders, to detect the few thousand who will need early treatment to avoid serious, even life-threatening, problems. The geographic disparity is gradually easing: As of June 1, a total of 31 states required testing for more than 20 of those disorders, says the new analysis. Five states - Iowa, Maryland, Mississippi, New Jersey and Virginia - as well as Washington, D.C., required testing every newborn for the entire list of 29 conditions. That's up from 23 states the previous year, and covered 64 percent of the nation's babies, nearly double the number tested in 2005. Eight states - Arkansas, Kansas, Montana, New Mexico, Oklahoma, Pennsylvania, Texas and West Virginia - still were testing for fewer than 10 of those 29 conditions, the analysis found. The remaining states fell in the middle, although at least one, Wyoming, was scheduled to begin more comprehensive testing this month. Deborah Busemeyer, spokeswoman for the New Mexico Department of Health said the state plans to expand its testing of metabolic disorders in October under a bill passed by the Legislature. Busemeyer said the state will test for 27 disorders. "That puts us in line with the recommendation by the American College of Medical Genetics," she said. The March of Dimes report may confuse some consumers because it counts only the 29 conditions deemed most important for screening, and many states tout that they test for more - meaning they include "secondary" disorders not on the core list adopted by the March of Dimes and the American College of Medical Genetics. Well over 1 million babies born this year will fall short of good protection, concluded the child advocacy group, which has urged the federal government to intervene and set a nationwide standard for newborn screening. "There is a sense of urgency to this," said March of Dimes president Dr. Jennifer Howse. "Delay equals death or a medical catastrophe." Federal health officials are reviewing the status of newborn screening and are expected to report recommendations to Health and Human Services Secretary Mike Leavitt within a few months, said spokesman Bill Hall. Today, every U.S. newborn is tested for a few rare diseases: hypothyroidism and the metabolic disease phenylketonuria, or PKU, that can cause retardation if not treated quickly; the blood disease sickle cell anemia; and galactosemia, a life-threatening dietary disorder. Most also are checked for hearing loss, because early intervention is key to preventing serious problems with speech and language development. But new technology can analyze a single drop of blood for dozens of other serious and occasionally life-threatening genetic diseases. Just because a test exists doesn't mean everyone needs it. So at the federal government's request, the geneticists' group in 2004 studied testing accuracy and the benefit of early diagnosis - and recommended that routine newborn screening check for hearing loss plus 28 rare but serious diseases that could be successfully treated if parents knew about it in time. The report seems to have spurred some state action even before the government whether to adopt it as a national standard, suggests the new March of Dimes analysis, released Tuesday. "It's very frustrating that still ... where you're born literally can mean whether your child will live or die," said Pamela Sweeney of Brookfield, Conn., whose son, Jonathan, almost died of one of the illnesses, the metabolic disorder known as LCHAD, when he was 1½. These otherwise healthy babies lack enzymes that change stored fat into energy. That means going more than a few hours without food, like when Jonathan caught a common stomach virus, can be fatal unless they're given a quick glucose injection. Jonathan's uncle, a state senator, introduced legislation to mandate more screening after the boy's close call in 2000; Connecticut now tests for 28 of the core disorders. Howse advised expectant parents to check her group's Web site, http://www.modimes.org, to see if their state tests for at least the 29 core conditions. If not, she urged parents to talk with their doctors about getting test kits from private screening laboratories to bring to the hospital on delivery day. That supplemental testing costs $25 to $100, depending on the lab, and often is covered by insurance.©MMVI The Associated Press. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed. Feedback Terms of Service Privacy Statement
[ozmidwifery] Cannabis use in pregnancy article
http://www.theaustralian.news.com.au/story/0,20867,19700277-23289,00.html Drug babies on rise July 06, 2006 CANNABIS smoking during pregnancy is a more dire problem in Australia than previously thought, and the effect on babies is severe, a world-first study has found. The problem is compounded by the fact that 90 per cent of drug-addicted expectant mothers smoke cigarettes, raising further the risk to their babies. The dramatic findings come from a large-scale University of NSW study, published in the British journal, Addiction, of more than 415,000 births in NSW between 1998 and 2002. Researchers at the UNSW's National Drug and Alcohol Research Centre examined the effect of opioids, stimulants and cannabis on the developing foetus, finding all had negative effects. Chief investigator Dr Lucy Burns said one in 150 babies was born to a woman who used drugs during pregnancy. The figures, from information collected during pregnancy check-ups, were "extremely conservative'' but still represented only a small but disadvantaged group of women. These users were younger than other mothers, mostly unmarried, had a higher number of previous pregnancies and almost universally lacked private insurance. Cannabis was used in more than 2100 pregnancies, a result Dr Burns said was both surprising and disturbing. Health statistics for these babies were not as dire as for those 2000 babies born to women addicted to opioids, like heroin, or the 550 born to users of stimulants, like methamphetamine. They were more likely to be premature, however, to have a low birth weight and require hospital intensive care than non-drug affected babies. "We've always regarded cannabis as a bit of a soft drug and we haven't put a lot of emphasis on use in pregnant women because it doesn't have the immediate dramatic effects you see with some of the other drugs," Dr Burns said. "It's been off the radar, but clearly we should have been paying much more attention." Compounding the problem was that about 90 per cent of drug-using women were also addicted to tobacco. "In particular, there's a potent combination when heavy smokers also use cannabis with tobacco," she said. "That combination of nicotine, tobacco and other chemicals and the cannabis hits babies hard." Dr Burns said she was mostly disturbed by the small group of severely disadvantaged women who used stimulants, particularly given that use of these drugs was on the rise. "Our stimulant group of mothers were the ones who were latest to access antenatal services, the most likely to turn up for delivery unbooked and the most likely to smoke heavily," Dr Burns said. "We don't have specialist services for these women, or a good handle on the best treatments for them, so they're slipping through the net." She said there was an urgent need to focus on new and innovative ways to assist drug-using women to reduce use of all such substances, including tobacco, in pregnancy. In particular, there needed to be more early engagement, better continuity of care and increased rates of screening for drug use during pregnancy, she said.
[ozmidwifery] Perineal massage
Thanks for your replies on perineal massage. I realise it is just one of a host of hints for decreasing peri trauma but it's good to have some research to back this one up and to find that others are giving the same advice. Helen
[ozmidwifery] Perineal massage
Just wondering whether everyone is recommending perineal massage antenatally as a way of reducing the risk of tearing? I have read research to suggest it has been effective so I have just started to tell women about it. I also am careful to say that it may not work but there is no harm in trying. I remember it was bandied around years ago but there wasn't any research to support it's effectiveness back then. What are your thoughts Helen
[ozmidwifery] Baby bonus article
www.theage.com.au Doctors want premature start to baby bonus rise Sarah PriceJune 25, 2006 CANBERRA should bring forward its baby bonus rise to reduce the risk of women delaying births, doctors say. The Royal Australian and New Zealand College of Obstetricians and Gynaecologists said it had told the Government it was concerned mothers and babies were at risk if people delayed births to cash in on the bonus. The payout is due to rise from $3166 to $4000 next Saturday. Melbourne's maternity hospitals said they had not received requests to delay births. "I haven't had any problem with women asking for advice on delaying birth," Danielle Wilkins, from the Monash Medical Centre, said. "I think women don't think it is such a big change." But college spokeswoman Julia Serafin said it had told the Government birth delays could "jeopardise the provision of optimal care and put at risk the wellbeing of the mother and baby". Dr Andrew Child, director of women's and children's health services at Royal Prince Alfred Hospital in Sydney, has also raised concerns. Dr Child, a past president of the college, said it would cost the Government about $5 million to bring the increase date forward to tomorrow, based on 5000 babies a week born in Australia. "If I were (Health Minister) Tony Abbott, I would think very seriously about that," Dr Child said. He said $5 million was not much compared with the possible health risks. The call comes after a study found more than 1000 births were "moved" in 2004 so that the parents would not miss out on the baby bonus. The study, by economists Andrew Leigh, from the Australian National University, and Joshua Gans, from Melbourne University, found more children were born on July 1, 2004, than on any other date in the past 30 years. They estimated about 1089 births were "moved" to capture the bonus. Dr Leigh said they were concerned a similar pattern could occur this year. "One thousand births were moved two years ago and we don't know what the health implications of that is, but we don't think that could be a good thing," he said. "We're asking for persons to put the health of their child ahead of a few hundred dollars. "A safe late-June delivery is much better than a lucrative early July delivery." Dr Leigh said they wanted the Government to phase in the second rise that takes it up to $5000, due on July 1, 2008, over June that year. That could be done by increasing it by $50 a day over 20 days during the month. Dr Child said there had been a "significant number of requests" from women due to have caesareans at the Royal Prince Alfred to move their delivery date. "It worries me a bit, I must say," he said. "We're getting requests, can they put their caesareans off from this week until the week after. We'd prefer not to." Dr Child said up to three elective caesareans were performed daily at the hospital. There was "a bit of a bank-up developing" from July 3, while there were still quite a few spaces available this week, which was unusual. "The ones we're mainly worried about are the ones gone past the due date and they want to keep on waiting," he said. MONEY FOR BABIESThe baby bonus lump sum payment, known as the Maternity Payment, was first introduced on July 1, 2004. It was worth $3000 per child. From July 1, 2006, the bonus is due to increase to $4000. From July 1, 2008, it is due to increase to $5000. 1150845421311-theage.com.auhttp://www.theage.com.au/news/national/doctors-want-premature-start-to-baby-bonus-rise/2006/06/24/1150845421311.htmltheage.com.auThe Age2006-06-25Doctors want premature start to baby bonus riseSarah PriceNational
Re: [ozmidwifery] Update Belmont Birthing Service
That's great news Carolyn! Can you share your stats with us. i.e. how many spontaneous vaginal births, transfers etc. I am expecting them to be pretty impressive. Also are you still getting plenty of support from the powers that be? Thanks in advance. Helen Cahill - Original Message - From: Heartlogic To: ozmidwifery@acegraphics.com.au Sent: Sunday, June 25, 2006 9:27 AM Subject: [ozmidwifery] Update Belmont Birthing Service Dear all, I'm delighted to let you all know that Belmont Birthing Service midwives have now had the pleasure of being present to the 100th baby born on site! All mothers and babies well and happy, despite the rhetoric around the opening of the service. Our service has been opened for one year on the4th July and that is another BIG milestone. Everyone is starting to think that maybe we (our service) issafe and that weare going to stay around :-) The Belmont Birthing Service midwives are going to the Homebirth conference. I'm staying home to be on call with one of the midwives, but everyone else is going to Geelong! They are a fabulous group of people who have made big leaps from a medical model way of practising to a social model of women centered midwifery and they have been and are brilliant. viva midwifery :-) love, Carolyn Hastie __ NOD32 1.1621 (20060624) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
[ozmidwifery] Interesting article
Prebiotics 'cut baby's skin risk' Adding prebiotics to formula feed can help cut the risk of babies developing a form of eczema, research suggests. Milan's Center for Infant Nutrition found atopic dermatitis was less likely in babies given supplemented formula than those given the standard form. Prebiotics encourage the growth of beneficial bacteria in the gut. The study, published in Archives of Disease in Childhood, suggests they might prevent atopic dermatitis by giving a boost to the immune system. ATOPIC DERMATITIS Form of eczema common among young children Causes dry and itchy skin Carries an increased risk of developing other atopic illnesses such as asthma, hay fever and allergy Lead researcher Professor Guido Moro said the risk of atopic dermatitis was reduced by over 50% in the prebiotic-fed infants. He said: "To our knowledge this is the first time that it has been shown that prebiotics can not only produce favourable changes in the gut flora, but that these changes can lead to a genuine clinical benefit. "It appears that prebiotics can strengthen the immune system and so reduce the risk of atopic dermatitis during the first months of life." The research focused on 192 healthy children considered to be at high risk of developing allergies. At least one parent of each child had been diagnosed with an allergic disease. Breastfeeding advice Parents of every child considered for the study were advised to breastfeed their children. However, none of the children who ended up taking part was breastfed. The children of those who, nevertheless, decided to start with formula feeding were assigned to one of two groups. Half the children received formula milk supplemented with a prebiotic mixture made up of two types of carbohydrates called galacto-oligosaccharides and long chain fructo-oligosaccharides. Previous research has suggested this mixture has a similar impact to breast milk on the bacteria living in the gut, boosting beneficial bugs, and inhibiting growth of bugs that can cause disease. After six months, 10.6% of the group given prebiotics showed signs of atopic dermatitis, compared with 22.4% of those given formula supplemented with a placebo. Analysis showed the proportion of "friendly" bifidobacteria was significantly higher in the stools of infants fed on the prebiotic. Muriel Symmons, of the charity UK Allergy, said: "This study adds to our knowledge of the role of prebiotics in helping to prevent the development of eczema in infants. "More work of this kind is needed to establish whether prebiotic supplements can help those babies whose mothers are unable or choose not to breast feed." Nina Goad, of the British Skin Foundation, said: "We know that atopic dermatitis is a condition in which many factors can influence its development and severity." Details of the study were presented at the Royal College of Paediatrics and Child Health Spring Meeting in York. Story from BBC NEWS:http://news.bbc.co.uk/go/pr/fr/-/2/hi/health/5109234.stmPublished: 2006/06/23 23:55:58 GMT
[ozmidwifery] Introducing solids
Some other invalid but commonly cited reasons for deciding to introduce solids earlier than six months from my experience are 1. The pressure to get a baby to sleep through the night. If I feed the baby solids I will fill him/her up and he won't wake at night! Sleep deprivation contributes to this decision. 2. Baby was watching me eat therefore he wants some??!!! 3. BF more often at around that age( ? due to a growth spurt ).therefore I mustn't have enough milk and the baby wants more than I can give! Helen
[ozmidwifery] Sad article reinforcing the need for rural maternity units
http://www.abc.net.au/cgi-bin/common/printfriendly.pl?http://www.abc.net.au/news/newsitems/200606/s1657819.htm ABC Online Father forced to deliver stillborn baby on roadside. 07/06/2006. ABC News Online Last Update: Wednesday, June 7, 2006. 6:21pm (AEST) Father forced to deliver stillborn baby on roadside The Queensland Opposition says a man was forced to deliver a stillborn baby on the side of the road after his pregnant wife was sent from one hospital to another. Opposition MP Vaughan Johnson says the couple were sent from the Emerald hospital to Rockhampton last month, when the baby was found to have died in the womb. He says the baby was delivered on the way. Mr Johnson says the woman left Emerald in the family car and should have been transported in an ambulance. He says he is not satisfied with the response of Health Minister Stephen Robertson "The Minister displayed cold, callous, despicable leadership here this morning," he said. "I call on Stephen Robertson to find out why, and what sort of a remedy he's going to put in place, not only [at] Emerald but other hospitals throughout Queensland, to make sure that this deplorable despicable act never happens again." Mr Robertson says there was no sign of labour when the woman left Emerald. But he has told Parliament the local health district is investigating and that the couple has other options as well. "Those people have the right to put this matter before the Health Rights Commission, they have the right to have this matter fully and independently investigated," he said.
Re: [ozmidwifery] consent to formula feed?
I think the bit about medically required was referring to the formula not the consent. - Original Message - From: Lisa Barrett [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, June 06, 2006 4:13 PM Subject: Re: [ozmidwifery] consent to formula feed? previous post said... Also, I am under the impression that due to the increased risk of these bubs' sugars dropping further (being LBW and premature) then requiring IVT, 4/24 BSL etc one or two comp feeds to allow mum to get her head around breastfeeding two bubs and recovering from the labour etc sounds reasonable. I do understand both sides- one being the desire of the mother to BF versus the well-being of her babies. Just because these bubs were offered a comp feed does not mean she cannot BF.. comp feeding to allow mum to get her head around breatfeeding - seems to be a ridiculous statment. Is that the reason we are now going to give to justify formula after birth. Did anyone ask the mother if she wanted formula so she could just get her head around her breasts. The babies were on the small side but were only one day off term (normal pregnancy being 37 to 42 weeks). Breat feeding following birth Can bring blood sugars up you know and continue to keep them there. Formula should never be given even before the woman has had a chance to put her babies to the breast. And do you know what. Consent must be given before formula feeding whether you think it sounds reasonable or not. You don't have to understand both sides our job is to advocate for the womans wishes and desires and facilitate breast feeding after birth if that is her wish. On a side note, formula is written consent in the PNW where I work and verbal consent in the SCN- as it is considered 'medically required'! consent isn't medically required it's legally required. Lisa -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 1.1580 (20060605) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Interesting article - old wives tales to bring on labour
Note the statement thatclassify fullterm pregnancy as being from 37 weeks onwards! http://www.webmd.com/content/Article/123/115026.htm?printing=true June 2, 2006 The notion that having sex late in pregnancypregnancy will hasten labor and deliverylabor and delivery is among the oldest of old wives' tales. But it looks like the old wives were wrong. Women with a low risk of complications who had sex in the final weeks of pregnancy actually carried their babies slightly longer than those who abstained from sex during that time, according to a new study reported in the June issue of Obstetrics and Gynecology. And the full-term babies born to women who had late-pregnancy sex were just as healthy as those born to women who did not. "This study should reassure low-risk women that there is probably no harm in engaging in intercourse late in pregnancy," says obstetrician Jonathan Schaffir, MD, of the Ohio State University Medical Center. "But it showed no particular benefit, either, in terms of inducing labor." Sex Wasn't a Factor There is actually sound medical reasoning for the idea that sex might bring on labor. Male semen contains hormone-like chemicals known as prostaglandins. Prostaglandins can be used for cervical ripening, in which the cervix physically changes in preparation for labor. Also, female orgasm can bring on uterine contractions. But there is little clinical evidence that intercourse influences the outcome of normal pregnancies. The study cites one analysis of 59 studies that found no association between sex and preterm birth, premature amniotic sac rupture, or low birth weight in low-risk pregnancies. Schaffir's study included 93 low-risk pregnant women past the 37th week of their pregnancy. (At 37 weeks a pregnancy is considered full term.) The women were asked during weekly doctor's office visits about their sexual activity. Half the women reported having sex involving penetration after that time. Cervical examinations were performed at each weekly visit to determine if sexual activity affected cervical ripening. No correlation was seen between the frequency of sexual intercourse and cervical change. And the sexually active women in the study actually carried their babies an average of four days longer than women who abstained from sex -- 39.9 weeks compared with 39.3 weeks. Schaffir says this small difference could be because women closer to labor simply felt less comfortable and were, therefore, less likely to engage in sex. The lack of a difference in cervical changes, combined with the absence of a meaningful difference in delivery dates among women who had sex, suggests sexual intercourse had no effect on inducing labor, the researchers concluded. High-Risk Women Should Abstain The findings do not suggest all women can safely engage in sex late in pregnancypregnancy. Women with risk factors for preterm delivery should probably avoid sex and should definitely discuss the issue with their health care provider. Risk factors for preterm delivery include having had a previous preterm birth, having uterine bleeding during pregnancy, contracting certain vaginal infections, and having other pregnancy-related complications. For most normal pregnancies, however, if a woman feels like having sex late in pregnancy there is probably no medical reason to keep her from doing so, based on the study. But there is no medical benefit either. Schaffir says doctors and other pregnancy caregivers should talk with their patients about sex during pregnancy. This discussion should not lead patients to believe that sexual intercourse will initiate labor sooner, he wrote. Patients may continue to hear from relatives and other old wives that intercourse will hasten labor, but it should not be given credence by the medical community. Hope Ricciotti, MD, an ob-gyn at Beth Israel Deaconess Medical Center, says she is surprised by the findings. This is one that many of us believed because of the hormonal involvement, she tells WebMD. Other Things to Try Another method to hasten delivery that doctors often suggest to women is nipple stimulation, since it promotes the production of another hormone involved in labor induction known as oxytocin. Nipple stimulation does cause contractions while the woman is doing it, Ricciotti says. But once the woman stops, so do the contractions. Ricciotti knows of no case where a woman actually put herself into labor using this method. Other doctors perform a vigorous pelvic exam when the cervix is slightly dilated in an effort to get things moving. While there is some evidence this is effective, it is not conclusive, Ricciotti says. Otherwise, you can always try food. Although there is no medical evidence to back it up, countless women are convinced eating pizza or Chinese food put them into labor. The big one is Chinese food, Ricciotti says. Eggplant was in vogue for a few years, but there was no evidence at all
Re: [ozmidwifery] Introducing solids too early
Some other invalid reasons for deciding to introduce solids earlier than six months from my experience are 1. The pressure to get a baby to sleep through the night. If I feed the baby solids I will fill him/her up and he won't wake at night! Sleep deprivation contributes to this decision. 2. Baby was watching me eat therefore he wants some??!!! 3. BF more often at around that age ? due to a growth spurt .therefore I mustn't have enough milk and the baby wants more than I can give! Helen - Original Message - From: Nicole Carver To: ozmidwifery@acegraphics.com.au Sent: Wednesday, June 07, 2006 11:07 AM Subject: RE: [ozmidwifery] Introducing solids too early Hi all, Maureen Minchin has a couple of books that would be useful on this topic. One is Breastfeeding Matters, 1998, Alma Publications. Alma Publications is Maureen's own business. The address is 14 Acland St, St Kilda or 6 Thear St, East Geelong. Phone 03 95372640. The name of the other escapes me (if you ring Alma Publications you will have no problems getting it) but is entirely to do with food allergy. Maureen became an expert in this field after having a son with dreadful allergies. Part of the problem was an early comp feed given without Maureen's knowledge, much less permission. She only found out because she also worked at the hospital where she gave birth, and one of her colleagues remembered giving him a comp. In those days that was not unusual. Another issue is babies with supposed reflux being given thickeners or even thickened formula despite being a breastfed baby. I came across this in a ten day old baby, who did not have reflux, but the woman's friend gave her the thickener that she had herself. Needless to say, supply was not good, and breastfeeding did not last much longer. :( Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Kylie CarberrySent: Wednesday, June 07, 2006 10:39 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Introducing solids too early Kelly, What a great idea...I think a big reason mums introduce them early is because of pressure from well-meaning grandmothers. From my own experiences (with all four of my chidlren) and that of my friends, if the baby is not chubby and has reached three - four months, grandmaspropose that maybe some solids will help with weight gain. It is so hard for a new, and in grandmas eyes naive, mother to ignore this 'wisdom'! Kylie Carberry Freelance Journalist p: +61 2 42970115 m: +61 2 418220638 f: +61 2 42970747 From: "Kelly @ BellyBelly" [EMAIL PROTECTED]Reply-To: ozmidwifery@acegraphics.com.auTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Introducing solids too earlyDate: Wed, 7 Jun 2006 08:28:53 +1000 Ive come across so many mums who are introducing solids far too early and as a result I am writing an article on it and trying to gather information from studies. I heard there was a study in the US which indicated one possible complication was juvenile diabetes. Does anyone know of any studies or resources in regards to solids and early introduction and where I can find them? Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe. __ NOD32 1.1582 (20060606) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
[ozmidwifery] Interesting article
http://www.abc.net.au/news/newsitems/200606/s1655871.htm Genital mutilation leads to more child birth deaths, study says A new Australian study has shows female genital mutilation leads to an increased risk of death in newborn babies. The study has been published in medical journal, The Lancet, and involved more than 28,000 women in six African countries: Burkina Faso, Ghana, Kenya, Nigeria, Senegal and Sudan. The author of the study, Australian National University Associate Professor Emily Banks, says the procedure causes an extra one to two deaths per 100 deliveries. Professor Banks says the study's results are being used in campaigns to try to stamp out the practice. "What we're seeing here is something that's happening during labour, so I think it's fair to say that there's something about women who've had female genital mutilation that means that their labours don't go as well and their babies are more likely to be distressed and they're more likely to die," she said. Professor Banks says it is the most reliable study on the topic to date. "There was quite a lot of questions about whether female genital mutilation really did impact on child birth, and now we know that it does," she said.
[ozmidwifery] Lancet article on caesarian rates and pregnancy outcomes
http://www.thelancet.com/journals/lancet/article/PIIS0140673606687047/abstract The Lancet2006;367:1819-1829 DOI:10.1016/S0140-6736(06)68704-7 Caesarean delivery rates and pregnancy outcomes: the 2005 WHO global survey on maternal and perinatal health in Latin America JoséVillara, ElietteValladaresb, DanielWojdylac, NellyZavaletad, GuillermoCarrolic, AlejandroVelazcoe, ArchanaShaha, LianaCampodónicoc, VicenteBatagliaf, AnibalFaundesg, AnaLangerh, AlbertoNarváezi, AllanDonnerj, MarianaRomerok, SofiaReynosol, KarlaSimônia de Páduag, DanielGiordanoc, MariusKublickasm and ArnaldoAcostan, for the WHO 2005 global survey on maternal and perinatal health research group Summary Background Caesarean delivery rates continue to increase worldwide. Our aim was to assess the association between caesarean delivery and pregnancy outcome at the institutional level, adjusting for the pregnant population and institutional characteristics. Methods For the 2005 WHO global survey on maternal and perinatal health, we assessed a multistage stratified sample, comprising 24 geographic regions in eight countries in Latin America. We obtained individual data for all women admitted for delivery over 3 months to 120 institutions randomly selected from of 410 identified institutions. We also obtained institutional-level data. Findings We obtained data for 97095 of 106546 deliveries (91% coverage). The median rate of caesarean delivery was 33% (quartile range 2443), with the highest rates of caesarean delivery noted in private hospitals (51%, 4357). Institution-specific rates of caesarean delivery were affected by primiparity, previous caesarean delivery, and institutional complexity. Rate of caesarean delivery was positively associated with postpartum antibiotic treatment and severe maternal morbidity and mortality, even after adjustment for risk factors. Increase in the rate of caesarean delivery was associated with an increase in fetal mortality rates and higher numbers of babies admitted to intensive care for 7 days or longer even after adjustment for preterm delivery. Rates of preterm delivery and neonatal mortality both rose at rates of caesarean delivery of between 10% and 20%. Interpretation High rates of caesarean delivery do not necessarily indicate better perinatal care and can be associated with harm. Affiliationsa. UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, Department of Reproductive Health and Research, WHO, 1211 Geneva 27, Switzerlandb. Universidad Nacional Autónoma de Nicaragua, León, Nicaraguac. Centro Rosarino de Estudios Perinatales, Rosario, Argentinad. Instituto de Investigación Nutricional, Lima, Perue. Hospital Docente Ginecobstétrico América Arias, La Habana, Cubaf. Department of Obstetrics and Gynecology, Hospital Nacional de Itauguá, Paraguay, Asunción, Paraguayg. Centro de Pesquisas em Saúde Reprodutiva de Campinas, Campinas, SP, Brazilh. EngenderHealth, New York, NY, USAi. Fundación Salud, Ambiente y Desarrollo, Quito, Ecuadorj. Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario Canadak. CONICET/Centro de Estudios de Estado y Sociedad, Buenos Aires, Argentinal. The Population Council, Latin America Office, Mexico City, Mexicom. Karolinska Institutet, Stockholm, Swedenn. Department of Obstetrics and Gynaecology, Universidad Nacional de Asunción, Paraguay, Asunción, Paraguay Correspondence to: Dr José Villar
Re: [ozmidwifery] Midwifery Strengths
Title: Midwifery Strengths Thanks for that info Anne. Helen - Original Message - From: Anne Clarke To: ozmidwifery@acegraphics.com.au Sent: Sunday, June 04, 2006 12:23 PM Subject: Re: [ozmidwifery] Midwifery Strengths Dear Helen, Yes, we do. Although while in the Birth Centre postnatally(24 hr or less stay) you may have the other Birth Centre Midwives look after mother's if you are on days off or have been up all night etc. But antentally and during the labour and birth it is with your own Midwife. After discharge the mother can still contact her own Midwife 24hrs a day etc and we see the mother and her baby again about 1 week to 10 days after the birth for followup and debrief. However, many mother's still call their Midwife if they have any concerns -many days, weeks and sometimes months after the birth. I usually encourage mother's to contact Child Health/GP and other supports after 6 weeks. I would like to followup a visit at 6 weeks and offer pap smear etc screening too, but as yet this is not available. The hospital prefers the mothers to access the GP as this is then federally funded. If the mother follows-up with their own Midwife at 6 weeks this would be State funded. Regards, Anne Clarke. - Original Message - From: Helen and Graham To: ozmidwifery@acegraphics.com.au Sent: Friday, June 02, 2006 9:42 PM Subject: Re: [ozmidwifery] Midwifery Strengths Does RWH offer antenatal, birth and postnatal care with the same midwife Anne? Helen - Original Message - From: Anne Clarke To: ozmidwifery@acegraphics.com.au Sent: Friday, June 02, 2006 5:14 PM Subject: Re: [ozmidwifery] Midwifery Strengths Dear Helen, Yes, the Birth Centre and the RWH in Brisbane. We offer caseload i.e. 1-2-1. Regards, Anne Clarke - Original Message - From: Helen and Graham To: ozmidwifery@acegraphics.com.au Sent: Wednesday, May 31, 2006 10:18 PM Subject: Re: [ozmidwifery] Midwifery Strengths Just wondering if there are any midwifery models within a hospital settingin Australia offering 1-2-1 care, apart from"team midwifery" models where theremay bea primary midwife but a team approach to after hours on-call. Helen - Original Message - From: Justine Caines To: OzMid List Sent: Wednesday, May 03, 2006 9:30 PM Subject: [ozmidwifery] Midwifery Strengths Dear ReneeI will give a strength from the consumer perspective!The power of the relationship between a woman and a midwife. When it works there is nothing a woman cannot do. The impact of that trust and that belief in being with woman has the capacity to transform lives.Read Andrew Bissits afterward in Having a Great Birth in Australia He comments on the trust and the relationship women have with midwives providing 1-2-1 care. Something the vast majority of other carers (and midwives in fragmented models) cannot achieve.Gee I wish I was writing this essay (shame I dont want to be a MW!) I would approach the core of strength from the perspective of when midwives actually do as the word means be with womanSo to be with her one should know her, and put her as central to the process. To do this she comes first and Hospital protocols after and Drs timeframes after etc. I guess the real strength is when practice is optimal.Kind regardsJustine CainesHi all.I am a 1st year B.Mid student writing the obligatory essay on Midwifery in Australia. No easy feat really and I need to outline some strengths and weaknesses. Well there is plenty out there about what is wrong with Midwifery Services and what the threats are (New Idea anyone?) but not a lot talking about what is right with it, besides the inherent fact that it works!! So I thought I'd do a little bit of a survey and ask you all what you think are the strengths. What do you all see as being great about being a Midwife in Australia?? Your feedback would be most appreciated.Renee __ NOD32 1.1518 (20060503) Information __This message was checked by NOD32 antivirus system.http://www.eset.com__ NOD32 1.1574 (20060601) Information __This message was checked by NOD32 antivirus s
Re: [ozmidwifery] Midwifery Strengths
Title: Midwifery Strengths Does RWH offer antenatal, birth and postnatal care with the same midwife Anne? Helen - Original Message - From: Anne Clarke To: ozmidwifery@acegraphics.com.au Sent: Friday, June 02, 2006 5:14 PM Subject: Re: [ozmidwifery] Midwifery Strengths Dear Helen, Yes, the Birth Centre and the RWH in Brisbane. We offer caseload i.e. 1-2-1. Regards, Anne Clarke - Original Message - From: Helen and Graham To: ozmidwifery@acegraphics.com.au Sent: Wednesday, May 31, 2006 10:18 PM Subject: Re: [ozmidwifery] Midwifery Strengths Just wondering if there are any midwifery models within a hospital settingin Australia offering 1-2-1 care, apart from"team midwifery" models where theremay bea primary midwife but a team approach to after hours on-call. Helen - Original Message - From: Justine Caines To: OzMid List Sent: Wednesday, May 03, 2006 9:30 PM Subject: [ozmidwifery] Midwifery Strengths Dear ReneeI will give a strength from the consumer perspective!The power of the relationship between a woman and a midwife. When it works there is nothing a woman cannot do. The impact of that trust and that belief in being with woman has the capacity to transform lives.Read Andrew Bissits afterward in Having a Great Birth in Australia He comments on the trust and the relationship women have with midwives providing 1-2-1 care. Something the vast majority of other carers (and midwives in fragmented models) cannot achieve.Gee I wish I was writing this essay (shame I dont want to be a MW!) I would approach the core of strength from the perspective of when midwives actually do as the word means be with womanSo to be with her one should know her, and put her as central to the process. To do this she comes first and Hospital protocols after and Drs timeframes after etc. I guess the real strength is when practice is optimal.Kind regardsJustine CainesHi all.I am a 1st year B.Mid student writing the obligatory essay on Midwifery in Australia. No easy feat really and I need to outline some strengths and weaknesses. Well there is plenty out there about what is wrong with Midwifery Services and what the threats are (New Idea anyone?) but not a lot talking about what is right with it, besides the inherent fact that it works!! So I thought I'd do a little bit of a survey and ask you all what you think are the strengths. What do you all see as being great about being a Midwife in Australia?? Your feedback would be most appreciated.Renee __ NOD32 1.1518 (20060503) Information __This message was checked by NOD32 antivirus system.http://www.eset.com__ NOD32 1.1574 (20060601) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
Fw: [ozmidwifery] Midwifery Strengths
Title: Midwifery Strengths Hi Brenda Don't know if this made it on to the list - it didn't show up my end! Apologies if it is a double up. Also, thanks to the other responses I received on the subject. It is really interesting reading about the models of care available at the moment and clearly there isn't a one size fits all. Helen - Original Message - From: Helen and Graham To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 01, 2006 1:07 PM Subject: Re: [ozmidwifery] Midwifery Strengths Not exactly Brenda. The idea of antenatal, birth and postnatal care all by the one midwife (in a hospital setting) rather than a team approach which exists in a few places as mentioned. Helen From: brendamanning To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 01, 2006 12:08 PM Subject: Re: [ozmidwifery] Midwifery Strengths Rosebud offers fullMidwifery Antenatal care with known midwife but no MW specificallyon-call for the birth. Is that what you mean ? With kind regardsBrenda Manning www.themidwife.com.au - Original Message - From: Helen and Graham To: ozmidwifery@acegraphics.com.au Sent: Wednesday, May 31, 2006 10:18 PM Subject: Re: [ozmidwifery] Midwifery Strengths Just wondering if there are any midwifery models within a hospital settingin Australia offering 1-2-1 care, apart from"team midwifery" models where theremay bea primary midwife but a team approach to after hours on-call. Helen - Original Message - From: Justine Caines To: OzMid List Sent: Wednesday, May 03, 2006 9:30 PM Subject: [ozmidwifery] Midwifery Strengths Dear ReneeI will give a strength from the consumer perspective!The power of the relationship between a woman and a midwife. When it works there is nothing a woman cannot do. The impact of that trust and that belief in being with woman has the capacity to transform lives.Read Andrew Bissits afterward in Having a Great Birth in Australia He comments on the trust and the relationship women have with midwives providing 1-2-1 care. Something the vast majority of other carers (and midwives in fragmented models) cannot achieve.Gee I wish I was writing this essay (shame I dont want to be a MW!) I would approach the core of strength from the perspective of when midwives actually do as the word means be with womanSo to be with her one should know her, and put her as central to the process. To do this she comes first and Hospital protocols after and Drs timeframes after etc. I guess the real strength is when practice is optimal.Kind regardsJustine CainesHi all.I am a 1st year B.Mid student writing the obligatory essay on Midwifery in Australia. No easy feat really and I need to outline some strengths and weaknesses. Well there is plenty out there about what is wrong with Midwifery Services and what the threats are (New Idea anyone?) but not a lot talking about what is right with it, besides the inherent fact that it works!! So I thought I'd do a little bit of a survey and ask you all what you think are the strengths. What do you all see as being great about being a Midwife in Australia?? Your feedback would be most appreciated.Renee __ NOD32 1.1518 (20060503) Information __This message was checked by NOD32 antivirus system.http://www.eset.com__ NOD32 1.1571 (20060601) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
Re: [ozmidwifery] Midwifery Strengths
Title: Midwifery Strengths Just wondering if there are any midwifery models within a hospital settingin Australia offering 1-2-1 care, apart from"team midwifery" models where theremay bea primary midwife but a team approach to after hours on-call. Helen - Original Message - From: Justine Caines To: OzMid List Sent: Wednesday, May 03, 2006 9:30 PM Subject: [ozmidwifery] Midwifery Strengths Dear ReneeI will give a strength from the consumer perspective!The power of the relationship between a woman and a midwife. When it works there is nothing a woman cannot do. The impact of that trust and that belief in being with woman has the capacity to transform lives.Read Andrew Bissits afterward in Having a Great Birth in Australia He comments on the trust and the relationship women have with midwives providing 1-2-1 care. Something the vast majority of other carers (and midwives in fragmented models) cannot achieve.Gee I wish I was writing this essay (shame I dont want to be a MW!) I would approach the core of strength from the perspective of when midwives actually do as the word means be with womanSo to be with her one should know her, and put her as central to the process. To do this she comes first and Hospital protocols after and Drs timeframes after etc. I guess the real strength is when practice is optimal.Kind regardsJustine CainesHi all.I am a 1st year B.Mid student writing the obligatory essay on Midwifery in Australia. No easy feat really and I need to outline some strengths and weaknesses. Well there is plenty out there about what is wrong with Midwifery Services and what the threats are (New Idea anyone?) but not a lot talking about what is right with it, besides the inherent fact that it works!! So I thought I'd do a little bit of a survey and ask you all what you think are the strengths. What do you all see as being great about being a Midwife in Australia?? Your feedback would be most appreciated.Renee __ NOD32 1.1518 (20060503) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
[ozmidwifery] ? changing nature of the list....
There are all sorts of people contributing to this list, some are pro abortion, some are anti-abortion, some are pro immunization some are anti-immunization, some are pro homebirth and some are not etcand all along the spectrum in between. I think it is what makes this list interesting. It would be pretty boring if we were preaching to the converted the whole time. I for one love to hear the diverse opinions of many on this list and would hate it if people felt they couldn't freelyexpress theirs unpopular or not! Helen
Re: [ozmidwifery] Hep B, vit K
Just to add to the debate the NHMRC immunization handbook does recommend it be given as soon as the baby is physiologically stable and preferably within the first 24 hours. Rationales for giving it included preventing vertical transmission from the mother (recognizing that there may be errors or delays in maternal testing or reporting, and horizontal transmission from other household contacts). I wondered if there could be considered a small risk from staff handling the baby e.g. whilst performing neonatal screening tests etc It doesn't say that though. We give it either with the NNST or just before discharge. We have just been having this same conversation/debate at work, as some midwives are calling the birth dose an optional extra dose which is why I looked into it. Everything we do has risk/benefits and immunization debates bring out strong feelings on both sides. I am just pointing out the current National policy on the topic. The NHMRC Immunization Handbook can be downloaded in full at http://www9.health.gov.au/immhandbook/pdf/handbook.pdf if that helps. Helen - Original Message - From: Judy Chapman [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, May 26, 2006 9:03 AM Subject: Re: [ozmidwifery] Hep B, vit K As far as I am award it IS the capture theory. Stick thousands of babies with Hep B vax to maybe save one. For those who do consent at our hospital we give on the day of the Neonatal screening. One of our midwives has looked into the perinatal data in Qld and found that there were not figures for babies who missed the birth dose and caught Hep B in the first few months. We work on the premise that if it says on the hospital supplied literature that babies may feel unwell and need extra fluids after an immunisation, why are we doing that before they even know how to suckle properly? Birth dose is classified as given in the first week. The pressure to give 'at birth', before the poor kid has had time to even draw breath properly, is so they don't get lost in the system. With midwifery clinics we are aware of women who live high risk lifestyles and are at risk of defaulting when it may not be best to do so and we just make sure that it is done before they go home if it is before the neonatal screening. Cheers Judy --- Justine Caines [EMAIL PROTECTED] wrote: Dear Mary and Amanda Exactly Mary! Amanda have you read Sara Wickham's work on Vit K? What is the consent process for Hep B, Are parents aware of the specific populations of risk? I must say the Hep B at birth really shocks me. What are the risk factors for babies who are not in contact with those in high risk groups such as those already infected or sex workers and intravenous drug users? It seems like a capture theory to me and I worry about the level of informed consent. JC -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. Send instant messages to your online friends http://au.messenger.yahoo.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] weight loss
I have also heard of fish soup being used by Fijians forincreasing milk supply. It would be great if someone could do some research into it Helen - Original Message - From: Alesa Koziol To: ozmidwifery@acegraphics.com.au Sent: Friday, May 26, 2006 12:16 PM Subject: Re: [ozmidwifery] weight loss We have a big Asian population from a wide range of cultures and I've seen so many variations of the chicken and ginger soup used by different Asian cultures that I have no hesitation in recommending it to mothers with a willing mother/auntie in the background who will cook up a batch. It is amazing how effective this is at increasing milk supply Alesa Alesa KoziolClinical Midwifery EducatorMelbourne - Original Message - From: Ken Ward To: ozmidwifery@acegraphics.com.au Sent: Friday, May 26, 2006 11:41 AM Subject: RE: [ozmidwifery] weight loss I had a Chinese woman tell me about her chicken and ginger soup that she swears by for abundant milk supply.(chicken soupcan bepretty fatty). The Asians have a reasonable level of fat in their diet, especially when feeding. I mentioned dairy because we are told to stick to the low fat, especially dairy. Sue said the baby is having good, wet nappies, I agree with the supply line in preference to bottles, having used one myself for 4 months. Maureen -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Barbara Glare Chris BrightSent: Thursday, 25 May 2006 8:10 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] weight loss Hi, This is getting off the track in of the story.. The role of diet is interesting. I wonder how the Chinese manage - no walls of dairy cabinets in Chinese supermarkets. Re the breastfeeding, it still sounds a bit like not enough milk. I feel a 2 week old breastfed baby should be having plenty of poos.and some weight gain - not loss. Lots of mums, using disposables, have a tough time working our how much wee a baby is having. How much milk was she able to express? Babies often seem to take more by bottle than they would normally need. at 60mls 3 hrly, that would seem to be more than 1/2 of his normal intake in formula. The first rule is certainly *feed the baby* But formula feeding such large amounts won't help build up her milk supply. Is there a plan to increase that? Barb - Original Message - From: Ken Ward To: ozmidwifery@acegraphics.com.au Sent: Thursday, May 25, 2006 11:04 AM Subject: RE: [ozmidwifery] weight loss He's getting enough fluid, so look at mum's diet. Is she getting enough fat and protein? Even if overweight she should be having full fat dairy. I wouldn't be worried about no poo, but theweight loss is worrying. How often is he feeding and for how long? Off hand I'd say he's not getting enough fat. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Susan CudlippSent: Wednesday, 24 May 2006 11:44 PMTo: midwifery listSubject: [ozmidwifery] weight loss Dear wise women I have been following a client on early discharge whose baby is losing weight. Now about 2 weeks old, I readmitted her on day 5 as bub was lethargic, had not had a bowel movement and had lost weight. She expressed, fed and topped up, bub 'woke up' and put on weight, started opening bowels and generally improved all round, went home again fully breast feeding, seems to have plenty of milk, plenty of wet nappies but again - no poo's, and on last 2 visits had lost weight, 50g then another 40g. Has not regained birth weight yet and does not seem satisfied despite frequent b/f. I will be seeing her again tomorrow and am frankly puzzled by this scenario. She is on medication herself for epilepsy (low dose Tegretol and another that I can't remember) and has been taking Motilium to boost supply. Any suggestions/comments? TIA Sue "The only thing necessary for the triumph of evil is for good men to do nothing"Edmund Burke
Re: [ozmidwifery] Superbrats - on tonight
Have just finished watching Superbrats. What struck me was the calm behaviour of the children belonging to the "attachment parenting" advocates. I am probably biased but I couldn't help but notice their contentment whenthe cameraperson wasfocused on them. Helen From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 23, 2006 11:14 AM Subject: [ozmidwifery] Superbrats - on tonight Just an FYI sorry if not appropriate. SUPERBRATSAre we bringing up a generation of brats? Have todays parents lost the plot? Some parents are ready to admit they lose control of their children as soon as theyre toddlers. The result can be spoilt, self centred, unruly kids. Kids who grow up ill-equipped to deal with the discipline of school. Do we live in a world where parents have to turn to televisions Supernanny to find out how to bring up their children? Recent studies at the University of Queensland reveal almost a third of parents have sought professional help for their childs behavioural or emotional problems. Over fifty percent of parents report high stress levels. Professor Matt Sanders, a leading expert in parenting, says we are producing me me children who cant cope with disappointments. The reasons include over-worked parents, family breakdown, and confusion about the best way to bring up kids. Not everyone agrees. The optimists claim todays kids are much happier than the seen-but-not-heard generations. Others are horrified at the tough methods of the Supernanny and her followers, arguing the discipline of the naughty corner damages children. On this weeks INSIGHT, we bring parents together with professionals who reckon they know how best to raise tomorrows generation. SUPERBRATS will be broadcast on TUESDAY MAY 23RD at 7.30pm on SBS. Repeated on FRIDAY at 1pm at MONDAY at 2pm. Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support __ NOD32 1.1553 (20060522) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
[ozmidwifery] Taiwanese women avoid LUSCS in July blog
This was a blog in the Sydney Morning Herald http://blogs.smh.com.au/dissection/archives/2006/05/haunted.html HAUNTED Taiwanese mothers-to-be avoid caesarean section births during the lunar month of July - because of a belief that this "ghost month" is inauspicious for any major surgery.Some of them bring their operations forward to June, researchers from Taipei Medical University has found. Despite there being no evidence of any reduction in obstetric complications, c-sections were fewer, Herng-Chin Lin reported in the Journal of Epidemiology and Community Health - especially for more trivial indications. And the women who forgo a caesar, presumably, just push them out as nature intended.Maybe we could do with a ghost month in NSW, where the surgical birth rate continues to skyrocket, according to the fascinating statistics from the NSW Midwives Data Collection. Check pages 97 and 98 on the pdf to see which hospitals are delivering nearly half their babies by caesarean. (Clue: Kareena Private, North Shore Private and the Mater in particular, just about any private hospital in general). Julie RobothamMay 14, 2006 06:14 PM LATEST COMMENTS Just a note in defense of the midwives and doctors at the Mater. I had both my boys at the Mater. The first by C Section after every attempt had been made to deliver him naturally and the second naturally. I had booked in for a C section for the second as I believed this to be the safest option (my research)but when I went into labor naturally both the midwives and my OB encouraged me to try to deliver naturally. Everyone was very happy when I did. I truely believe that the majority of doctors are either acting in the best interests of their patients or indeed at the behest of their patients. Perhaps we should be asking why mothers are opting for C sections rather than having a go at the doctors and the hospitals. Posted by: Pip Davies at May 14, 2006 09:43 PM
Re: [ozmidwifery] Taiwanese women avoid LUSCS in July blog
Camden, Rydeand Wyong Hospitals stood out with high (greater than 80%)Vaginal birth figures! I know Wyong and Rydeare low risk and there were under 300 births but it still looks pretty impressive. Does anyone know if the figures stated as "Belmont" are for the private hospital or the birthing centre - I would guess it is the private hospital as I don't think the birth centre has been open for that long (correct me if I am wrong). Helen - Original Message - From: Helen and Graham To: [EMAIL PROTECTED] ; ozmidwifery Sent: Monday, May 15, 2006 8:31 AM Subject: [ozmidwifery] Taiwanese women avoid LUSCS in July blog This was a blog in the Sydney Morning Herald http://blogs.smh.com.au/dissection/archives/2006/05/haunted.html HAUNTED Taiwanese mothers-to-be avoid caesarean section births during the lunar month of July - because of a belief that this "ghost month" is inauspicious for any major surgery.Some of them bring their operations forward to June, researchers from Taipei Medical University has found. Despite there being no evidence of any reduction in obstetric complications, c-sections were fewer, Herng-Chin Lin reported in the Journal of Epidemiology and Community Health - especially for more trivial indications. And the women who forgo a caesar, presumably, just push them out as nature intended.Maybe we could do with a ghost month in NSW, where the surgical birth rate continues to skyrocket, according to the fascinating statistics from the NSW Midwives Data Collection. Check pages 97 and 98 on the pdf to see which hospitals are delivering nearly half their babies by caesarean. (Clue: Kareena Private, North Shore Private and the Mater in particular, just about any private hospital in general). Julie RobothamMay 14, 2006 06:14 PM LATEST COMMENTS Just a note in defense of the midwives and doctors at the Mater. I had both my boys at the Mater. The first by C Section after every attempt had been made to deliver him naturally and the second naturally. I had booked in for a C section for the second as I believed this to be the safest option (my research)but when I went into labor naturally both the midwives and my OB encouraged me to try to deliver naturally. Everyone was very happy when I did. I truely believe that the majority of doctors are either acting in the best interests of their patients or indeed at the behest of their patients. Perhaps we should be asking why mothers are opting for C sections rather than having a go at the doctors and the hospitals. Posted by: Pip Davies at May 14, 2006 09:43 PM __ NOD32 1.1537 (20060514) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
[ozmidwifery] Delayed Cord Clamping reduces Anaemia article
http://www.orgyn.com/en/news/2006/Week_17/Day_1/Delaying_cord_clampi.asp?C=17447388334892708333 Delaying cord clamping reduces anemiaSource:Pediatrics 2006; 117: e779-86 Investigating the effects of the timing of cord clamping on neonatal venous hematocrit. Delaying cord clamping may lower rates of anemia in newborns, results of a randomized controlled trial suggest. Although the umbilical cord is usually clamped immediately after birth, there is no evidence to support this approach, and it may even deprive the newborn of some benefits, say José Ceriani Cernadas (Hospital Italiano de Buenos Aires, Argentina) and co-workers. To find out, they assessed the effects of clamping the umbilical cord within the first 15 seconds (group 1), 1 minute (group 2), and 3 minutes (group 3) of birth in a study of 276 neonates born at two obstetrical units in Argentina. The infants were delivered at term without complications. Delaying cord clamping increased the venous hematocrit valuethe relative volume of blood occupied by red blood cellsin the babies at 6 hours of life within the physiologic range (53.5 percent, 57.0 percent, and 59.4 percent in groups 1, 2, and 3, respectively). Anemia, defined as a venous hematocrit value lower than 45 percent, was significantly less common in groups 2 and 3 than group 1. Cernadas et al say delaying clamping should be implemented to increase neonatal iron storage at birth. Iron deficiency in early life has been linked to cognitive impairment, and anemia is one of the most serious childhood conditions, especially in the developing world. Posted: 24 April 2006
Re: [ozmidwifery] BF videos
Or is it Kangaroo Care Helen - Original Message - From: Julie Clarke To: ozmidwifery@acegraphics.com.au Sent: Tuesday, April 25, 2006 6:07 PM Subject: RE: [ozmidwifery] BF videos Could it be Breastfeeding: Babies Choice http://www.acegraphics.com.au/product/video/vt038.html From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Ceri KatrinaSent: Tuesday, 25 April 2006 5:36 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] BF videos not sure of the title, but an awesome video. Babies are so clever!!!We watched it in the early days of our middy training and it was a real eye opener! Very inspiringKatrinaOn 25/04/2006, at 1:37 PM, Jo Watson wrote: I don't know what it's called, but the one where the freshly newborn baby crawls up the mother's abdomen and attaches itself to the breast without any help is awesome. Made me cry!Hopefully someone else knows the name of it?JoOn 25/04/2006, at 9:59 AM, Kristin Beckedahl wrote: Can anyone recommend a really good BF video..?? I have only seen Follow Me Mum which I liked very much (altho the bub was not newborn?). Are there any other good ones to chase up? Thanks-- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.__ NOD32 1.1505 (20060425) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
[ozmidwifery] Interesting article on proposed increased medicare funding for nurses
http://www.theaustralian.news.com.au/story/0,20876,18787989-28737,00.html Healing hand extendedAllowing nurses to perform tasks now handled by doctors would save money, but it is likely to be fiercely resisted by the medical profession, write Adam Cresswell and Patricia Karvelas April 12, 2006 AFTER 19 years as a nurse at the same medical clinic in Melbourne, Ann Salmons has immunised babies who have come back to her as 18-year-olds to be vaccinated before they go on their first overseas holiday. Faces such as Salmons's may soon become more familiar in doctors' surgeries, following news the federal Government is keen to expand their role. As The Australian reported yesterday, federal Health Minister Tony Abbott proposes to lift the limitation on what practice nurses can do under Medicare. Details about other tasks they may be allowed to perform are yet to emerge. Abbott said yesterday there "are all sorts of things which nurses could conceivably do". "They could perform more health checks for patients, they could perform more follow-up work for patients under care plans, and so on," he said. Medical and nursing organisations say likely tasks include suturing wounds (as well as dressing them, as at present), taking patient histories and measurements, administering certain tests such as for lung function, blood pressure and blood clotting ability, and providing a wide range of advice and support. The latter role may include advising new mothers about breastfeeding techniques and on how to get young babies to sleep, as well as asthma and diabetes education. Salmons, who works at the East Bentleigh Medical Group clinic in Melbourne, says she is relieved by Abbott's plan. "It is a good area to work in," she says. "You're out there in the community, but it is a lot more rewarding: you follow up with your patients and with children; you see them grow up. I've got patients that I vaccinated as babies getting vaccinated to go overseas as adults." NURSES AND DOCTORS Practice nurses Average earnings: $23 to $25 an hour (about $48,000 a year full time). No specific certification or requirements. It is up to employing GPs to satisfy themselves nurses have the required skills. Registered nurses and enrolled nurses can work as practice nurses. Most states require enrolled nurses to be supervised by registered nurses, so the former make up only 6 per cent of GP nurses. Registered nurses complete a three-year bachelor of nursing course that covers anatomy, chemistry and physics, drugs, side effects, bacteria, basic infectious diseases and prevention. The course looks at specific contexts, such as caring for children, the elderly, the mentally ill and patients with specific needs, such as those being treated for heart failure as opposed to those recovering from surgery. General practitioners Average earnings: Estimates vary but Australian Taxation Office data from 2002, released in 2004, puts average GP earnings at $212,833 before tax and practice costs (which can be up to 50 per cent). Medical students wishing to be GPs must complete a basic medical degree, which ranges from four to six years, depending on which university is chosen and whether the course is undergraduate or postgraduate. After the degree is awarded, the doctor has to spend one or two years as an intern in a public hospital before applying for one of the 650 places in the GP training scheme. GP training lasts three years for those intending to work in the city and four years for those aiming to be rural GPs (who often need to be able to give anaesthetics and deliver babies). Salmons is in the vanguard of change: for the past six years she's been conducting health assessments in the homes of people over 75. "Every day I do wound management and immunisations, I assist doctors doing surgical procedures," she says. "I also do education for asthma, diabetes and heart disease." Salmons says it is a team effort in her practice. "It is a collaboration, we work in a team. If a patient comes in with five different problems, the GP can handball things like asthma education, all vaccines, all immunisations, all wounds, to me. "Because the GP doesn't have time to do that in 15 minutes, there's a role for us." The Australian Nursing Federation's national secretary Jill Iliffe says the proposed change makes sense. "There's such a wide range of things that nurses can do to help improve the health of a community in general medical practice," she says. Iliffe also believes the expansion will improve job satisfaction for nurses: "The partnership between doctors and
Re: [ozmidwifery] Sunrise
Yes me too! It might have been Channel 7's idea thoeither way it is tragic! Helen - Original Message - From: Alexandra Gosden To: ozmidwifery@acegraphics.com.au Sent: Tuesday, April 04, 2006 3:28 PM Subject: Re: [ozmidwifery] Sunrise I thought itwas disappointing that she used baby bottles to decorate the disappointinginformation! Alexxx - Original Message - From: Jo Watson To: ozmidwifery@acegraphics.com.au Sent: Tuesday, April 04, 2006 12:33 PM Subject: [ozmidwifery] Sunrise "The baby whisperer" was on Sunrise this morning - did anyone see it?Touting strict day time routines to make your baby sleep all night. "You *need* to do [this]" etc. No mention that every baby is different.I'm sure there would be a transcript of it up somewhere if anyone's interested. I haven't decided what to write in my email to them yet ;)Jo--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: 7.1.385 / Virus Database: 268.3.5/300 - Release Date: 3/04/2006__ NOD32 1.1468 (20060403) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
[ozmidwifery] 77 year old obstetrician comes out of retirement to save Emerald!!!!!!
What a lifesaver.!!!??? ABC Online The World Today - Retired obstetrician returns to work due to doctor shortage [This is the print version of story http://www.abc.net.au/worldtoday/content/2006/s1592423.htm] The World Today - Wednesday, 15 March, 2006 12:38:00 Reporter: Kylie Bartholomew ELEANOR HALL: As regional Australia struggles to cope with the lack of medical specialists, one retired obstetrician has decided to return to work after three years working to improve his golf handicap.77-year-old obstetrician, Dr Reginald Williams returned to his practice in central Queensland when he became aware of the plight of the residents of the town of Emerald.Most pregnant women in the region faced a three-hour drive to give birth when the local hospital closed its maternity ward recently.But Kylie Bartholomew reports that they're now breathing a little easier.KYLIE BARTHOLOMEW: Emerald in central Queensland is riding the mining boom. Big paying jobs are attracting young families who are also contributing to a baby boom.Up to 400 are born in Emerald each year. But the state of the art hospital is missing one thing: an obstetrician to deliver them.ERIN BEAMES: It was very disappointing, because we've delivered the first our first two children in Emerald and we have family already in Emerald.KYLIE BARTHOLOMEW: For mum-to-be Erin Beames, the situation looked grim.ERIN BEAMES: Because we don't have family in Mackay, we would've had to arrange accommodation for my partner and the other kids and we wouldn't have any other family close by.We don't know for sure whether or not my partner would've been able to be present, because we wouldn't have had anybody to look after our other children for us. That wouldn't have been very nice at all.KYLIE BARTHOLOMEW: Emerald Mayor Peter Maguire was also concerned. The city is just one of many with vacant surgical positions, partly because of fall-out from the Dr Death scandal.PETER MAGUIRE: There's almost 400 children a year born here, so it clearly wasn't acceptable the disruption to families and the other children, if there's other children involved and the fathers obviously. So it was a, you know, real pain where it hurts.KYLIE BARTHOLOMEW: That was until 77-year-old Dr Reginald Williams entered the picture.The retiree was concerned that pregnant women in Emerald would have to travel at least three hours to give birth. So he's left his own family behind in Brisbane and volunteered to fill the gap for eight weeks until another doctor can take over the reins.REGINALD WILLIAMS: Well, I had some sort of a rapport with the people of Emerald, because I have come through here quite often going to the gem fields. So I just felt that it was a shame that they didn't have an obstetric service here for the time being.I had an idea that if it was possible that I would like to provide a locum service so that country specialists could have some time off if they wanted it. And I was thinking along those lines when I saw this announcement in the paper.KYLIE BARTHOLOMEW: Dr Williams phoned the hospital direct to offer his services.(To Reginald Williams) What was their response when you came forward?REGINALD WILLIAMS: Couldn't get me here quick enough.KYLIE BARTHOLOMEW: That's a pretty extraordinary act of kindness. You must've felt very strongly for the people of Emerald?REGINALD WILLIAMS: I feel strongly for anybody who can't get the doctor in their own area.KYLIE BARTHOLOMEW: Erin Beames is now the proud mother of a baby boy, born last Friday in Emerald, all thanks to Dr Williams.ERIN BEAMES: Dr Williams was great. We couldn't have asked for anything better. He was absolutely wonderful. Even though it was like at midnight, he kept coming up to the hospital and checking on us and it was really, really good. He was lovely.ELEANOR HALL: A very happy Emerald Mum Erin Beames, ending that report from Kylie Bartholomew. © 2006 Australian Broadcasting CorporationCopyright information: http://abc.net.au/common/copyrigh.htmPrivacy information: http://abc.net.au/privacy.htm
[ozmidwifery] Unregulated milk banks
http://www.theage.com.au/news/world/feed-time/2006/03/26/1143330931915.html# Mothers' milk in a bull market By Marsha Austin, DenverMarch 27, 2006 You won't find it on any commodities exchange, but there is a booming trade in mothers' breast milk. The United States' largest non-profit milk banks distributed 745,300 fluid ounces (22,000 litres) last year double the amount in 2000 at a cost of $US2.6 million ($A3.7 million). Prolacta Bioscience, which is in it for profit, started marketing a breast-milk concentrate for $US48 an ounce. And some mothers are selling their own milk on the internet for $1 to $2.50 more than a third less than milk from the big banks. Since January one popular website has listed more than 100 advertisements for human milk. This is all going on with little regulation, raising ethical and safety questions. Such ventures are also prompting concerns that the steady flow of donated milk that non-profit banks supply to hospitals and mothers could dry up. "It could affect supply," said Laraine Lockhart-Borman, who runs the Mothers' Milk Bank of Denver. "We've been asking for regulation for years." The federal Food and Drug Administration has not yet decided whether breast milk should, like human blood or tissue, be regulated, says agency spokesman Stephen King. "The FDA would need more information to make such a determination," he said. "It would also be part of the discussions, if the FDA were to regulate human breast milk, if we would regulate these products as food or human biological products." Only California and Texas require breast-milk distributors to be licensed as milk banks. "It is to protect the safety of the public's health," said Pauline Sakamoto, director of the Mothers' Milk Bank of San Jose, California. EBay, the world's largest Internet auctioneer, has barred the sale of human breast milk, but since January a blog on radioball.net has had 100 postings from women seeking to buy or sell milk. "Men are compensated for sperm donation, as well as women who donate their eggs. Why shouldn't we be compensated for breast milk too?" said Hillary Moon, a Denver mother of two who is trying to sell her breast milk online. Many lactation consultants say such transactions are still dangerous. "When you're buying it on the Internet, you don't know what you're getting," said a spokesperson from the milk bank association.
[ozmidwifery] Perinatal mortality rates and caesars
Does anyone know off the top of their head what the perinatal mortality rates in Australia are doing with the rising caesar rates??? I could look this up myself but thought someone may already know. Thanks Helen
[ozmidwifery] Netballer allowed to use breast pump
Home » National » Article Netballer allowed to use breast pump By Dan HarrisonMarch 1, 2006 - 5:31PM Australian netballer Janine Ilitch will be able to breastfeed in the Commonwealth Games village, after Netball Australia threw their support behind her, and the Commonwealth Games Association confirmed the necessary facilities would be provided. "We absolutely support Janine's right to breastfeed during the Commonwealth Games," Netball Australia CEO Lindsay Cane told reporters in Melbourne this afternoon. "We are a female sport and we are going to make sure that women at the highest level can continue to play their sport," Ms Cane said. "This is a really fine example of how our sport backs our women... any of our athletes have a right to choose as women what they will do and we are absolutely supportive of that," she said. Ms Cane said netball coach Norma Plummer was "absolutely supportive of Janine's position." Earlier, Ms Plummer had been quoted saying it was a "delicate issue" and that she was unsure whether there would be adequate facilities in the village for Ilitch to express breastmilk. Commonwealth Games Association chief executive Perry Crosswhite this afternoon confirmed Ilitch would be able to breastfeed in the village. He said teams were allocated one bedroom for every two athletes, but the netball team could arrange their allocation to give Ilitch her own room if they wished. Mr Crosswhite said the team would share lounge and kitchen facilities, including a fridge. The Australian Breastfeeding Association said earlier that any move to stop Ilitch expressing would be discriminatory. "She must be feeling really stressed about it, it's not a good start for her," president Margaret Grove said. "It's hard to know what they're worried about. I think she's definitely being discriminated against. It's every baby's right to be breastfed." Ms Grove said Ilitch would simply need a power point, in the event she was using an electric pump, and a fridge to keep the milk cool. Ilitch, 34, gave birth to baby Heath in September. theage.com.au with AAP
[ozmidwifery] Low lying placenta
http://www.gynob.com/previa.htm I did a quick search on this topic to update myself and found this reference - can't say how reliable it is. Helen Placenta previa in the 2nd TrimesterI'm in my second trimester and I have a partial placenta previa. Will this problem go away? Will I need a C-section? The placenta is the vascular part of the pregnancy that is adhered to the inside of the uterus (womb), this contact allowing nutrients and oxygen to pass through the maternal side to the fetal side, then on through the umbilical arteries to the baby. (See FETAL CIRCULATION.) Not only is it important for this structure to remain adhered for the purpose of supplying the baby, but it is equally important that it not separate before the baby delivers, which would drain much of the baby's blood as well as create a hemorrhagic emergency for the mother (this separation called placental abruption). An important consideration is where the placenta attaches. If it's low in the uterus, there are two problems. First of all, if it covers the way out for the baby (the "os" or cervix), it effectively creates a road block for the baby, guaranteeing disaster should labor and delivery proceed. Secondly, the attachment down low is on thinner tissue of the uterus than the thicker, muscular layer higher up. Since the attachment is very vascular, after delivery when it separates the lower uterine lining doesn't have enough muscle to contract and pinch off the bleeding openings that are left on the maternal side. This hemorrhage can be life threatening and could even result in an emergency hysterectomy. When the placenta covers the entire cervix, it is called a "total" previa. When only partially impinging on the area it is called a "partial" previa. Thankfully, total previas are rare, and most previas (previae) only encroach upon the edge of the cervical os. Your question brings up another point. In early pregnancy, partial previas are common, because there just isn't a lot of surface area to the inside of the uterus, so any structure occupying the real estate there can commonly be positioned as a partial previa, or more likely, a "low-lying" placenta. (See above.) As the uterus grows, the upper part of the uterus enlarges faster than the lower uterine segment, so a placenta lying over both areas will tend to grow "away" from the cervical os. We call this placental "migration," but this is a misnomer. The placenta doesn't actually move, but the tissue upon which it is embedded expands and it only appears to move up and away from the cervix. The resulting more safely positioned placenta is the same, though, no matter what the method. When a low-lying placenta is seen in early or mid pregnancy, chances are that it will be well out of the way by the time of the third trimester, essentially making it a non-issue. If a placenta is low-lying, even at the edge of the cervix, one can still deliver vaginally, the baby's head pressing against any part of the placenta that might want to bleed. (Although you can imagine the heightened sense of vigilance needed in such a labor.) When the previa is total, C-section is mandatory. The biggest risk to a previa is abruption (separation of the placenta before delivery). The mechanical jostling from the baby and the thinning of the attached lower uterine segment cause this complication. (Abruption can also happen unrelated to previa, as in cocaine or cigarette use, diabetes, multiple gestation, hypertension, previous history of abruption, and having had many babies.) Another consideration is microscopic bleeding from a previa which may consume all of your clotting factors in a very sneaky way, such that when really obvious bleeding begins, you don't have any clotting ability, adding to the hemorrhage problem. I know all of these things sound terrifying, but it's actually pretty rare, and most low-lying placentas never cause a problem. So in answer to your question, you probably have a placenta that will "migrate" and therefore won't need a C-section. However, serial and frequent ultrasounds are recommended until the placenta is out of harm's way, usually by about 28 weeks. Until then, sexual intercourse is not recommended because even a harmless cervicitis bleeding episode will be misinterpreted as the big bad placenta and force your doctor to overreact to the situation.
Re: [ozmidwifery] labour without vaginal examens
I think it is important to also add that the risks of repeated vaginal examinations are increased in the presence ofruptured membranes(for obvious reasons). Helen - Original Message - From: Janet Fraser To: ozmidwifery@acegraphics.com.au Sent: Wednesday, March 01, 2006 11:36 AM Subject: Re: [ozmidwifery] labour without vaginal examens http://www.radmid.demon.co.uk/Evidence.htm Quote: . Vaginal Examinations Practice Recommendations Many women find vaginal examinations painful and sometimes traumatic (Menage 1996); sensitivity to this issue, privacy and continuity of midwife will make them less so. Vaginal examinations measure of the progress of labour imprecisely when performed by different examiners (Clement 1994). Where possible therefore, they should be carried out by the same midwife. Examinations should not be routine or prescriptive but carried out only where there is clinical necessity and after discussion with the woman. Midwives should give weight to their other skills in determining the progress of labour (McKay and Roberts 1990). "Repeated vaginal examinations are an invasive intervention of as yet unproven value" (Enkin 1992). - Original Message - From: Lieve Huybrechts To: ozmidwifery@acegraphics.com.au Sent: Wednesday, March 01, 2006 11:32 AM Subject: RE: [ozmidwifery] labour without vaginal examens I would be glad to have them, thank you very much Lieve Lieve Huybrechts vroedvrouw 0477740853 -Oorspronkelijk bericht-Van: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Namens Janet FraserVerzonden: woensdag 1 maart 2006 0:47Aan: ozmidwifery@acegraphics.com.auOnderwerp: Re: [ozmidwifery] labour without vaginal examens Hi Lieve, I don't know if this will help but there are a number of studies into why VEs are not helpful. Would you like those? : ) Janet - Original Message - From: Lieve Huybrechts To: ozmidwifery@acegraphics.com.au Sent: Wednesday, March 01, 2006 9:23 AM Subject: [ozmidwifery] labour without vaginal examens Dear friends, A Flemish collegue asked for referenties to follow labour and birth without vaginal exams. Is there some literature about it? I am curieus for your answers Warm greetings Lieve Lieve Huybrechts vroedvrouw 0477740853 __ NOD32 1.1421 (20060228) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
Re: [ozmidwifery] Babies Sleep Again...
My husband and I have both just read your words with absolute understanding of where you are coming from. He has always been so supportive of our child's need to get boobie when he needed it. It was always more than a feed, he would sometimes be squarking for whatever reason, hot/cold/unhappy/out-of-sorts/lonely/needing-company/whatever..he would say give him the magic mountains and the little darling would just roll his eyes back into his head as he got on and before we knew it -- it was like some kind of electrical discharge with all the angst just going...going...gone... and he was happyso happy Helen and Graham - Original Message - From: Megan Larry [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Saturday, February 18, 2006 8:37 PM Subject: RE: [ozmidwifery] Babies Sleep Again... After 7 1/2 years and 4 children, I know with all my heart that breastfeeding isn't all about food. My last child, 19 mths old, is my confirmation that when he comes to me for a feed he is seeking so much more. Through my milk and the act of feeding, at whatever time, he is getting his cup full, food, attention, comfort, confidence, courage, love, the list just goes on and on. I don't need science or education to tell me how suitable breastfeeding on demand is to a young child. I know its not eveyones cup of tea, nor an option for some and to be honest it can be bloody tiring. I chose it for my 3rd 4th boys, the lack of sleep has cost me a lot at times, but having done the Mum controlled (for want of a better word) and the child controlled, I choose the latter without a seconds thought. But that's me and as Brenda said, I'm the expert on me, everyone else needs to sort that out for themselves. As youngest is pulling my hands away from keyboard demanding boob heaven, See ya Megan -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Ken WArd Sent: Saturday, 18 February 2006 5:51 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] Babies Sleep Again... DAAIRY FARMERS MAY MILK AT THE SAME TIMES EACH DAY, BUT CALVES FEED ALL THE TIME, WHENEVER THEY ARE HUNGRY. AS HUMAN BABIES NEED TO. WHO IS HUNGRY AT THE SAME TIME EVERY DAY? ALL ANIMALS FEED AS REQUIRED AND I AM YET TO SEE ONE WITH A WATCH. MAUREEN -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Kelly Zantey Sent: Saturday, 18 February 2006 3:47 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Babies Sleep Again... Please ignore this post if it's innapropriate, but bit of a controversial discussion going on in the forums, wondering if anyone out there is up to replying at all? http://bellybelly.com.au/forums/viewtopic.php?p=381206 Would be nice to have some other pro-gentle back-up! Kelly Zantey www.bellybelly.com.au -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ NOD32 1.1413 (20060217) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Resounding failure of active labour management
I totally agree with all of your comments Janet. My original bone of contention in this case however, is the "time line" approach where if the cervical dilatation is slower than everyone thinks is "normal" then the woman is whisked off for a caesar. This seems to happen far too much still despite both mother and baby coping just fine. I know what revelation it was to me 17 years ago when my friend went to Boothville in Brisbane to have her first baby and was FULLY DILATED FOR 12 HOURS. I had not long done mid in Darwin and couldn't imagine anyone being "allowed" to go that long with a good outcome. Her daughter is very healthy! 17 years later, I still can't imagine that happening in any mainstream setting. Tragic Helen Cahill - Original Message - From: Janet Fraser To: ozmidwifery@acegraphics.com.au Sent: Wednesday, February 01, 2006 1:26 PM Subject: Re: [ozmidwifery] Resounding failure of "active labour management" Rachel, I only hear this from health professionals. I don't hear it from women, not even the most mainstream hospy birthing mamas with whom I deal. It's a very small percentage of women who embrace this technology, and an even smaller number who knowingly embrace it. If you read mainstream birth stories they usually start with "My baby was 10 days overdue so my hospital/surgeon said I had to be induced." The women are generally scared, although normal physiological birth scares them too, but have no idea of the massive risks involved. When it all goes pearshaped, as it so often does, the hospital/surgeon and those around them tell the woman she is defective and can't birth "properly". It sometimesleads to ERC solely for fear as women are so shocked by the assault of active management that they seek to control the process in future by choosing surgery without the horror of labour under these circumstances. Of course, the profiting surgeon is only too happy to oblige. Apart from women transferred from BCs to labour wards, the most traumatised women I see are those who have had active management foisted on them by hospital policies and the belief that you can't say no. Not that saying no helps women in most hospitals anyway, you only need to read those same birth stories to hear that also. Whatever MWs in hospitals are being asked about induction and active management, women are really not understanding what it is and I almost never hear of a woman who *wants* to be induced, they just don't know they don't have to be. Most women now believe that without interventions like induction and ARM that babies won't come and that women don't know how to go into labour. Tragic but something I see all the time. Try some mainstream birth forums to read the same story over and over and over again. http://www.bubhub.com.au/community/forums/forumdisplay.php?f=95 http://members.essentialbaby.com.au/index.php?s=0414c493308393a14870b1d37c5c09ffshowforum=49 J__ NOD32 1.1389 (20060131) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
