RE: [ozmidwifery] caseload
Dawn, Congrats on your new appointment @ Casey! I've just finished the BMid in Melbourne ( am moving overseas), but my in-laws live in Bunyip (between Pakenham Drouin). I've been hopeful that a caseload program there will come to fruition (I'm an active member of Maternity Coalition). Good luck getting it set up... the rapidly birthing women in the area deserve a great service. :o) Jen --- Dawn Worgan [EMAIL PROTECTED] wrote: Dear Sally, I was in the caseload model at the Angliss in Victoria until it's demise. I have dug out an old pay slip, after about a year of recording all our hours the 5 of us were very similar on the number of weekends nights etc, we negotiated an annualised salary of 54,178 we got paid Grade 3B Assoc charge and our caseload was 6 women per month, we also had 8 weeks annual leave,( 2 weeks of that were unofficial), we were on call unless we chose to have time off for a special occasion or time out in which case one of the others would take our calls. We carried phones and pagers which we paid for but they did give us a few cents per km for petrol when we were doing home visits, I hope this helps, let me know, I have just left the Angliss ( actually yesterday) to take up a role as ANUM at the new Casey hospital and am hoping to set up caseload or team there. Good luck Dawn Worgan Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] And this from the rural doctors!!!
My goodness, it's amazing isn't it It's actually safer to have your baby in a small hospital, indeed!!! :o) Jen --- Justine Caines [EMAIL PROTECTED] wrote: Well well! In politics they call them spin doctors! I think real Drs can spin anything!!! It helps us though JC Xx MEDIA RELEASE 20 December 2003 031220 SIZE DOESN¹T MATTER IT¹S WHAT YOU DO WITH IT THAT COUNTS! ³The reports appearing in yesterday¹s press that suggest the safety of women and babies is compromised at Camden Hospital due to the small number of deliveries in the last year to eighteen months, misrepresents the facts in relation to obstetric services,² Dr Sue Page, National President of the Rural Doctors Association of Australia, said today. ³I refer specifically to claims made in yesterday¹s Daily Telegraph that as the Camden Maternity unit has only delivered fewer than 500 babies¹ that its service should be closed as a matter of safety¹ because apparently this number is well below the safe standard of 1000 to 1500 births for a unit of its size¹. ³In fact international research has shown this assertion to be dangerously wrong. Canadian research that has investigated U.S., Australian, New Zealand and its own rural services has compared the outcomes of care in different size hospitals, the smallest of which do not have cesarean section capability. The data results showed that small community hospitals with less than 100 deliveries per year had the lowest perinatal morbidity and mortality rates. (Canadian Journal of Rural Medicine 1998;3(2):75) ³Australia and New Zealand data clearly show that women delivering in rural hospitals attended exclusively by procedural GPs and midwives, with or without immediate cesarean section capability, have fewer premature births, and fewer hypoxic infants and lower birth-weight-specific mortality rates than the larger level II and III hospitals. ³In brief, a small rural hospital is the safest place to have your baby; the available evidence suggests that these hospitals with limited services and, in many cases, without local cesarean section capability, do offer acceptably safe maternity care irrespective of the total number of babies delivered in a 12 month period safer than the large maternity centres of an impersonal city hospital,² Dr Sue Page said. ³Perhaps even more importantly, populations that do not have access to local maternity care seem to have worse perinatal outcomes. So suggestions that the Camden Maternity unit, or any other small hospital¹s unit, should be closed down due to safety, and services relocated to the larger city centres, must be vigorously opposed. ³Government policies should be about supporting the amazing results these rural facilities can achieve; health services policy needs to be more focused on the results of research, such as the study referred to above, and less about rationalizing the bottom line¹. ³All the available research clearly supports the maintenance of rural maternity care services in Australia¹s rural communities. I call on State governments around Australia to stop political spin doctoring of maternity care and instead support the safe delivery of babies in the bush,² said Dr Page. Media contacts: RDAA President, Dr Sue Page on 0414 878 385 RDAA Media Adviser, Amalia Matheson on 02-6273 9303 or 0418 265 690 Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] William Mary
Yes, I've loved William Mary have sent a message to 7 as well! Jen --- Denise Hynd [EMAIL PROTECTED] wrote: Dear Ozmid I hope you have all been enjoying the glimpses of midwifery in William and Mary on Saturday nights on 7. Including the birth centre last night!! I have recorded it when not in - though last week got the concert on tape but came home in time to see Mary's best birth. Mary's idea of her best birth did not come near the one's I experienced on the Community Midwifery Program.. Still it is wonderfull to see a fiesty midwife looking after women and this week she gave it to the doctor with no manners !! I trust we will all let Channel 7 know we want to see more of William Mary !! http://www.seven.com.au/seven/contactus_040201_contactseven Denise Hynd Let us support one another, not just in philosophy but in action, for the sake of freedom for all women to choose exactly how and by whom, if by anyone, our bodies will be handled. - Linda Hes Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] helpful tip
Interesting! I'm not sure if I've heard of direct Sims (or maybe I have can't remember- wouldn't come as a surprise considering I'm on holidays!). Is it a yoga pose or something else? Where can I find out more? Cheers, Jen --- Meaghan Moon [EMAIL PROTECTED] wrote: The position sounds a lot like exaggerated Sims, with some pressure/manipulation used to exaggerate it even more. I have used this and had a 10 and half pound persistant direct posterior born almost immediately after using it. with the same look of surprise (on everyone's faces!) described in the tip. Meaghan Moon At 06:38 PM 1/7/05, you wrote: I read this too in the Midwifery Today forum. For the life of me, I can't get a picture in my head of what this manipulation might look like! Have any of you tried this or somethingsimilar before? Jen --- Mary Murphy [EMAIL PROTECTED] wrote: The Art of Midwifery To turn a posterior baby: Have the woman lie on her left side with her left leg straight down and in line with her body and her right leg raised and brought up toward her face, head curled down toward knee. [I am short so having her place her knee on my shoulder is the right height and position.] During a contraction, push down and back on bottom leg and up and abducted with top leg. That seems to open pelvis and allows baby to turn with the contraction. I usually see a funny look on mom's face, and baby is on perineum immediately. - Claudia Toms Midwifery Today Forums www.midwiferytoday.com/forums/ Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] helpful tip
I read this too in the Midwifery Today forum. For the life of me, I can't get a picture in my head of what this manipulation might look like! Have any of you tried this or somethingsimilar before? Jen --- Mary Murphy [EMAIL PROTECTED] wrote: The Art of Midwifery To turn a posterior baby: Have the woman lie on her left side with her left leg straight down and in line with her body and her right leg raised and brought up toward her face, head curled down toward knee. [I am short so having her place her knee on my shoulder is the right height and position.] During a contraction, push down and back on bottom leg and up and abducted with top leg. That seems to open pelvis and allows baby to turn with the contraction. I usually see a funny look on mom's face, and baby is on perineum immediately. - Claudia Toms Midwifery Today Forums www.midwiferytoday.com/forums/ Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Caesarian article
This is a great analysis. Thanks for sharing it, Barb. Jen --- Barb Glare [EMAIL PROTECTED] wrote: Hi, I thought this was interesting http://slate.msn.com/id/2111499/?GT1=6065 Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Incidence of meconium
Thanks Leanne, David Denise for finding evidence to post online. This evidence is probably useful to everyone on this list. Routine suctioning naso-pharyngeal (sp?) suctioning routinely occurs at both of the hospitals where I've done my training. Jen 3rd year BMid --- leanne wynne [EMAIL PROTECTED] wrote: Yes, That is the article I was referring to. There is also some good information on the Gentle Birth web-site: www.gentlebirth.org/archives/meconium.html Leanne. Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Postnatal observations
Enkin et al. in A Guide to Effective Care in Pregnancy Childbirth state: Routine [postnatal] Observations: Making recording regular measurements of Temp, pulse, bp, fundal height, lochia the various wounds that a woman may sustain during birth, is still common practice in the days following birth. The intensity of this screening activity varies arbitrarily and depnds more on the hospital in which a mother happens to give birth, and on the legnth of time she spends in it, than on her individual needs. While it is prudent to observe women in this way when they are known to be at increased risk of either infection or hemorrhage, it is difficult to justifythis as a routine for all women. Chapter 45, p.432 This book is available online, free, in PDF format from www.maternitywise.org/guide Also, have a look at WHO: Care in Normal Labour Birth online http://www.who.int/reproductive-health/publications/MSM_96_24/MSM_96_24_table_of_contents.en.html Has the OB that wants the change provided any evidence to support his/her demands? Jen --- cummins [EMAIL PROTECTED] wrote: Dear List Sorry to go back over old ground (message sent by Mel Dunstan 17/11/04), but I really need your help in a Obs V Midwives battle against doing postnatal observations. About 4 years ago we ceased doing postnatal observations on all 'normal birth' postnatal women. Our postnatal unit has run perfectly since this time without incident relating to the postnatal care of wellbeing of the women we care for. We use a pathway for signing off the education and the wellbeing of mother and child. Recently we have had a visiting registrar who required postnatal observations on women. This request has gone to our DON who demanded that our practice be immediately updated and that we do at least one set of obs per day on every woman. In our unit,we do not gain a numerical value from any machine, however, we ask the woman how she is feeling, we observe behaviour, we listen to the woman, we educate and spend time with mother and baby, we are 'with woman'!! and if there is anything deviating from the normal then we investigate further, often by doing observations, however, if there is no indication to do the observations, then I do not believe that they need to be done. Four years ago, our unit progressed from being task orientated and medicalised, to caring for the individual and empowering the woman to care for herself. A woman with child is not a medical emergency and removing routine observations is normalising this situation. I have no doubt the woman I cared for last night (day3, engorged breasts, tears, etc) would have an elevated temp, high heart rate and probably an elevated BP but I was already dealing with the problems and a set of obs would have proven NOTHING. I am so very angry and frustrated that I am now faced with a situation where I need to find some recent evidence based practice to support the fact that we do not do routine observations. We are having to re-invent a wheel that has been rolling perfectly well for so many years (until it ran over an obstetric nail). If there is anyone out there who can help, please alert me to web sites, publications, anything!! Thanks in advance Felicity Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] homebirth midwife needed
In what state is Mansfield?melanie cane [EMAIL PROTECTED] wrote: I am also looking for a homebirth midwife in the Mansfield area. Any ideas? Thanks, Melanie Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] TRIGR Homepage
Thanks for reporting back on this, Nicole. It does ound pretty good. Jen --- Nicole Carver [EMAIL PROTECTED] wrote: Well, I have to admit I got the wrong impression about this study! It was piloted in Finland, and one of the important principles of the study was that exclusive breastfeeding was to be encouraged for at least six months. One of the two formulas was to be used if it became necessary at any time up to eight months of age. Apparently the researchers went to such pains to ensure that the research did not undermine breastfeeding, that breastfeeding rates were higher in the study participants than in the general population! Thanks to the midwife who suggested I look this up. Nicole. http://www.trigr.org/index.html ATTACHMENT part 2 application/octet-stream name=TRIGR Homepage.url Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] seizure at birth
Thanks for sharing your knowledge experience, Jenny. I remembered the increased blood volume therefore low blood pressure. Good to know I was on the right track :o) Cheers, Jen --- Jenny Cameron [EMAIL PROTECTED] wrote: Hello Jen I would explain what is most likely to have happened and I would advise her to come in for a check ASAP. Common sense would say this was physiological and just the result of a long hot day's shopping and low BP. Remember the effect of increase in blood volume is at its peak at about this time (24-32/52), so BP is likely to be a bit lower than normal plus if she was hot she was probably vasodilated++. It is impossible to categorically say there is nothing wrong in a telephone consult and as we are obliged to document all contacts with the women in our care, then we have little choice but to recommend she comes in for a check, or you go out visit. Also if she freaked out the quick check will reassure her. If she doesn't want to come in or have a visit, then document what you recommended. Probably 20 years ago I would have reassured her, but standards of risk management have altered the playing field. In my experience if it was pre-eclampsia/eclampsia then she would not recover, she would remain unwell. Always think, 'First do no harm'. Jennifer Cameron FRCNA FACM ProMid Professional Midwifery Education Service 0419 528 717 - Original Message - From: Jen Semple [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Wednesday, November 17, 2004 8:45 PM Subject: Re: [ozmidwifery] seizure at birth Whew, that pretty much answers all of my questions! Thanks very much for taking the time to share your knowledge experience, Jenny. Whoops, thought of another question! Black outs reminds me... I have a friend who had a black out when she was about 30/40 during a long day of shopping. She was having an uneventful pregnancy, normotensive, etc. Had lots of baby movements both before after the blackout. But was understandably freaked out after the blackout. If you were her midwife she rang you describing this, what would you suggest to her? She went on to have a gorgeous baby at term in a birth centre. Jen --- Jenny Cameron [EMAIL PROTECTED] wrote: Most unusual. Usual practice would assume eclampsia until proven otherwise. I once had a woman, normotensive, postdates multigravid have a grand mal seizure immediately following an ARM for induction of labour. Fortunately the Obs was just outside the door washing his hands. On questioning she gave a history of frequent blackouts during pregnancy. Didn't think to report it! Subsequently diagnosed as epileptic. The actual seizure is not a problem for the woman (we need to protect her from physical injury). It is certainly a problem if the baby is still in utero as he will be anoxic for the period of the seizure. The major morbidity for the woman arises from the ischaemic cerebral damage and possible stroke from the hypertension. Never, ever underestimate pre-eclampsia. Beware of the woman with upper epigastric pain and be very wary of the 'twitchy' woman. New grads don't be afraid but be vigilant. Women rarely become eclamptic without some warning. Medical science is very good at detecting pre-eclampsia. The management of pre-eclampsia has changed dramatically over the period of time I have been a midwife. It so much better now. As far as midwifery responsibility, if a woman seizures, you need to 1) Call for urgent medical help 2) Protect her from injury 3) Take BP. 4) Prepare for medication to lower hypertension.. 5) Monitor the baby...N.B.mother takes priority. If she is well oxygenated the baby will be. Therefore sort her out first. Happy midwifing Jenny Jennifer Cameron FRCNA FACM ProMid Professional Midwifery Education Service 0419 528 717 Find local movie times and trailers on Yahoo! Movies. http://au.movies.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. Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] seizure at birth
--- Graham Wende Smith [EMAIL PROTECTED] wrote: Sunday night an asymptomatic primip had a seizure with a head on view. Wende, do you mind sharing more with me/us about this experience? I'm an about-to-graduate BMid student this sounds really scary! If someone has a seizure during late pregnancy, labour, birth do you always assume it's eclampsia even if she's asymptomatic treat accordingly? Cheers, Jen Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Midwifery article in The Advertiser 13/11/04
Fabulous! Thanks for sharing. Jen --- Tania Smallwood [EMAIL PROTECTED] wrote: Ahhh, god love him, John Svigos says that midwives can't do caesareans... http://www.theadvertiser.news.com.au/common/story_page/0,5936,11369843%255E2682,00.html Midwives deliver what mums need most By LISA ALLISON and MIA HANDSHIN 13nov04 EXPECTANT mothers are turning to midwives to deliver their babies, driven by spiralling obstetric fees and dwindling birthing services. Limited birthing options might even be turning more women towards home births but doctors are worried they are not safe. At Mount Barker, only 400 of the 1600 pregnant women are using the district hospital's maternity services while hundreds of women are waiting at Adelaide's Women's and Children's Hospital for midwife services. Co-head of the Midwifery Group Practice Anne Nixon said there were 200 women on the waiting list for the unit, which offered continuity of care. Women are cared for by a main midwife and a back-up so they will know the person who helps deliver their baby. The unit has 13 full-time equivalent midwives but is set to expand by another six, doubling the unit's capacity to 1000 births over the next year. That is still unlikely to meet demand, given the unit only takes in women from a 20km radius around the hospital. Ms Nixon said women often chose midwifery because private obstetrics could increase the amount of medical intervention during birth. Her colleague and co-unit director Roz Donnellan-Fernandez said the continuity of care the unit provided led to impressive results when compared to the hospital's other maternity services. The unit's vaginal birthrate is 24 per cent higher and epidural rate 24 per cent lower a saving of up to $1500 a woman. Adelaide obstetrician Dr John Svigos, who practices privately and at the Women's and Children's, however, disagreed doctors intervened; they assisted women to have children. He acknowledged, however, many women did prefer midwives. He said midwives and doctors should always work together. The doctor needed to be there as back-up. Midwives are not trained to do caesareans, Dr Svigos said. I don't pretend that we can give the same care as a midwife but, if there is a problem, I can deal with it. He pointed out many women were happy with hospital births, using all the technology they can lay their hands on. Adelaide midwife of 12 years, Wendy Thornton, 44, lives in Hahndorf and delivers between 30 and 40 babies a year. She says in her experience, women were increasingly opting for midwives because they don't want their birth to be over-medicalised. The high cost of private obstetricians also was a problem for some. Obstetricians can charge a gap between $1200 and $2000 and it does effect some people, Ms Thomas said. Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] B(Mid) course not for Southern Cross 2005
Thank YOU for your support, Jo :o) Jen --- Dean Jo [EMAIL PROTECTED] wrote: Not that I am any expert or have insider information on this topic, but I can say that I have heard from some students who have had issues with the number of catches required in the three year course and the issues with follow thrus. Everyone should understand that there is always a period of seeing if things work and to highlight problems. My hat is off to all students graduating this years as the pressures on you lot are huge. Thanks to all students! Know there is a heap of support for you all! From Jo Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] restless legs in pregnancy
Hi Jenni, For some reason it sticks out in my head that when this was previously discussed on the list, the subject heading was jumpy legs so you might want to search the archives under that as well. Funny the things we remember, isn't it?! :o) Jen --- Jennifer Price [EMAIL PROTECTED] wrote: I know this is a rehash but I cannot find where I saved the suggestions/info for this condition to assist a client of mine.. can anyone send me the info??? thanks Jenni Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] B(Mid) course not for Southern Cross 2005
Hi Sue, I meant to respond to this ages ago... sorry I forgot. Southern Cross has a midwife consultant/academic working on it at the moment. They paid her in October to come to SA Vic ( maybe NZ?) to talk to academics students (seperately!) @ unis about how it's going for them/us. I was part of the student group in Melbourne she asked us to pass on the word that Southern Cross is still very keen that they were hoping to launch in 2005. But the more she learnt about what's happening in SA Vic, the more she's realised that having an appropriate clinical placement (to use a nursey term) framework should be thoroughly developed before the course begins therefore has recommended that they wait until 2006. Some unis really struggle w/ the follow through journey. At some unis, BMid students do clinical placements in NURSING HOMES during their first year (someone correct me if I'm wrong). Just like there are no perfect women or midwives, there are no perfect unis or courses... but it sounds like the course @ SC could really be a corker. Cheers, Jen --- Sue Cookson [EMAIL PROTECTED] wrote: Hi All, Just want to update those out there who may be hanging out to do their B(Mid) at Southern Cross Uni in Lismore. Have just heard officially that it will not be starting at all in 2005. Always a possibility for any future years, but I for one have given up waiting. And the course IF it is established will not necessarily be based on the current nursing course, so don't be drawn into thinking that beginning nursing or doing a B(Health Science) with nursing components will give you automatic RPL (recognition of prior learning) nor automatic entry into the B(Mid) course. (Some of the office staff have been suggesting this as a way in). So, here's to yet another blocked pathway for would-be midwives in NSW! Perhaps Maternity Coalition could lend a hand here - any takers?? Getting greyer by the day, Sue Cookson Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] B(Mid) course not for Southern Cross 2005
Doh! I meant to write that SC is hoping to launch in 2006. My whole point was that they don't want to offer it in 2005 so they can set it up properly to run in 2006. Sorry for the confusion! Jen --- Jen Semple [EMAIL PROTECTED] wrote: Hi Sue, I meant to respond to this ages ago... sorry I forgot. Southern Cross has a midwife consultant/academic working on it at the moment. They paid her in October to come to SA Vic ( maybe NZ?) to talk to academics students (seperately!) @ unis about how it's going for them/us. I was part of the student group in Melbourne she asked us to pass on the word that Southern Cross is still very keen that they were hoping to launch in 2005. But the more she learnt about what's happening in SA Vic, the more she's realised that having an appropriate clinical placement (to use a nursey term) framework should be thoroughly developed before the course begins therefore has recommended that they wait until 2006. Some unis really struggle w/ the follow through journey. At some unis, BMid students do clinical placements in NURSING HOMES during their first year (someone correct me if I'm wrong). Just like there are no perfect women or midwives, there are no perfect unis or courses... but it sounds like the course @ SC could really be a corker. Cheers, Jen --- Sue Cookson [EMAIL PROTECTED] wrote: Hi All, Just want to update those out there who may be hanging out to do their B(Mid) at Southern Cross Uni in Lismore. Have just heard officially that it will not be starting at all in 2005. Always a possibility for any future years, but I for one have given up waiting. And the course IF it is established will not necessarily be based on the current nursing course, so don't be drawn into thinking that beginning nursing or doing a B(Health Science) with nursing components will give you automatic RPL (recognition of prior learning) nor automatic entry into the B(Mid) course. (Some of the office staff have been suggesting this as a way in). So, here's to yet another blocked pathway for would-be midwives in NSW! Perhaps Maternity Coalition could lend a hand here - any takers?? Getting greyer by the day, Sue Cookson Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] effects of spidural on baby
Forgive my ignorance, but can anyone share articles or a review of articles that examine the effect of regional anaesthetics (epidural, spinal, etc) on the baby? Cheers, Jen --- Denise Fisher [EMAIL PROTECTED] wrote: Well said Andrea. I've just finished researching the effects of birthing interventions for the review of one of our online courses and have been surprised by the number of women who have told me that they didn't know that epidurals had ANY effect on the baby, and of course only very rare effects on them well it just ain't so! And they think this because that is what they are told .. by doctors. OK I'm generalising - I know we do have many good doctors out there who tell it like it is ... could those people please forgive me. Denise At 02:45 PM 3/11/2004 +1100, Andrea wrote: What many women don't realise is that when they choose an epidural to avoid an opioid drug they are not told that the epidural medication is a mixture of an anaesathetic (usually bupivacaine) and an opioid, usually Fentanyl. Many midwives I have spoken to are surprised about this as well - they have just not considered that even this amount of an opiate can have an impact on the woman and he baby. *** Denise Fisher Health e-Learning http://www.health-e-learning.com [EMAIL PROTECTED] -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] pain relief/epidural article
Here's the article again for Deinise others who may have missed it. --- leanne wynne [EMAIL PROTECTED] wrote: Hi All, An article FYI. The final comment about the increase in women choosing to birth without analgesia is interesting. Leanne. Preferences for analgesia in labor Issue 21: 1 Nov 2004 Source: European Journal of Obstetrics Gynecology and Reproductive Biology 2004; 117: 30-2 A new study has shown how womens attitudes to analgesia during labor have changed in recent years. Epidural analgesia has become much more popular, at the expense of opioids (pethidine/meperidine), report researchers. Specialists at Tel Aviv University, and the Rabin Medical Center in Petah Tikva, Israel, questioned 114 pregnant women in 1995 and 125 pregnant women in 2001, to compare their attitudes to analgesia during labor. There were no differences between the two groups of women in terms of maternal age, gestational age, gravidity, parity, or level of education. The women were asked about the type of analgesia they would prefer in their coming labor, and were given the options of opioids, epidural, alternative approaches (reiki and reflexology), no analgesia, and other. They were also asked about the type of analgesia used in previous deliveries (if any), and about the level of satisfaction they felt as a result. Epidurals up, opioids down The results, reported in the latest issue of the European Journal of Obstetrics Gynecology and Reproductive Biology, show that the preference for epidural analgesia rose from 57 percent in 1995 to 66.5 percent in 2001. The preference for opioids, meanwhile, decreased from 31.5 percent in 1995 to 18.5 percent in 2001. The rate of epidural use in a previous delivery rose accordingly from 26 percent in 1995 to 63 percent in 2001. This was balanced almost completely by a fall in opioid use in a previous delivery, from 63 percent in 1995 to 27 percent in 2001. Satisfaction with the method used in previous deliveries remained similar in both years, with about 20 percent of women very satisfied, 50 percent satisfied, and 30 percent not satisfied. The researchers say the finding of a rise in popularity of epidural analgesia is consistent with observations reported from other countries, such as France and Australia. The rate of epidural use was, however, lower in Israel than in these two countries, leading the researchers to suggest that women have not yet been made sufficiently aware of the advantages of epidural analgesia, and they are more suspicious of its side-effects, both on the infant and themselves. Improved patient education is necessary to address this, they say. The researchers also comment on the statistically significant rise in the proportion of women intending to undergo labor without any analgesia, from none in 1995 to 8 percent in 2001: We assume that this can be explained by the modern emphasis on a more natural lifestyle, alternative medicine, and more physiologic approaches to pain relief. Leanne Wynne Midwife in charge of Women's Business Mildura Aboriginal Health Service Mob 0418 371862 Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] 2nd Stage of Labour
That's a great analogy, Sally! Makes so much sense. Thanks for sharing. Jen 3rd year BMid student, Melbourne --- Sally Westbury [EMAIL PROTECTED] wrote: The analogy that I tell women is that being ready to push is like being ready to vomit. When you feel nauseous you are probably going to vomit some time. You know that it is coming but you are not actually doing it. When you feel like you want to push you know you are probably going to push soon but you are not actually doing it. (and probably not ready) When you vomit there is no stopping it. It is an overwhelming bodily fuction. When you are ready to push it is overwhelming and there is no stopping it. This analogy seems to help women. It is something that they can relate to. Sally Westbury Homebirth Midwife It takes courage to remain a true advocate for women, challenging authority and sacrificing social and professional acceptance. It takes courage for a woman to choose a caregiver who will truly advocate for and empower her.-Judy Slome Cohain -Original Message- So, I guess what I'm really asking is - do you allow women to go with their bodies and what they are feeling (which would be my instinct, rightly or wrongly who knows!) or wait for external signs that pushing 'ok'? Cheers Tania -- Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] GNT homebirth
Yes, Marilyn I've noticed the same thing. We're loyal ABC TV watchers radio listeners I haven't heard anything (in Melbourne). Jen --- Marilyn Kleidon [EMAIL PROTECTED] wrote: Has the ABC been promoting this in other parts of Australia? I think I have heard of everything else George is doing this week except Tuesday night over here in FNQ, I do hope we're getting the same broadcast. All it says in the Weekend aus. Review is : Explores the issues, trends and personalities of contemporary Australian life. heres hoping marilyn Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Casey Hospital (Berwick, Vic) is now advertising for midwives
This is the new hospital that the Vic DHS wants to run caseload... Casey Hospital Berwick (Vic) Registered Midwives who have advanced clinical competencies, a broad scope of practice and are both team focussed and able to practice autonomously are encouraged to apply. Current positions available are: Associate Nurse Unit Managers Vacancy no. Ca04/412 Registered Midwives Vacancy no. Ca04/411 Informal enquiries to: Ms Shirlee Graham, Director of Nursing, Casey Hospital Tel: (03) 8768 1466. Email: [EMAIL PROTECTED] Written applications (quoting relevant Vacancy no.) addressing key selection criteria to: Ms Kym Daveys, Nurse Unit Manager, Ward G, Casey Hospital, 52 Kangan Drive, Berwick 3806. Position Descriptions are available from: www.southernhealth.org.au Applications close: 8 November 2004 Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] AMA and midwifery-led care
Fascinating Belinda! Thanks for sharing. Also, here's a link for Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) statement on Homebirth others... http://www.ranzcog.edu.au/publications/collegestatements.shtml Jen --- Belinda Maier [EMAIL PROTECTED] wrote: The article by deCosta is interesting she also wrote Costa, C. d. (1999). A noble instrument, the obstetric forceps. Medical Journal of Australia Vol. 170. she is very much of the medical perspective that satisfaction with childbirth is a selfish unimportant side issue and that medical control is still more important and education is about teaching women to be happy with whatever technology, intervention or impersonal care is deemed important by the medical person there. It is all about in my opinion, ensuring medical control and dominance and shuting up these pesky statistics, women and researchers who are continually showing women are not happy with high intervention births (except of course the wealthy educated ones!!! - being very cynical now thinking of journalists etc who seem to get to be seen and heard). My honors thesis was 'An analysis of how homebirth is constructed in medical policy.' Although the AMA told me a few times sa and head offices, that they have no policy I happened to find one on one of my fishing expeditions in the medical library. (Pure luck to find it - every now and then I used to spend time just grabbing journals from he archives and flicking through them - I have found some gems this way that I would otherwise not have found). It also shows their intent toward independent midwives (- there is no place for them in Australia where women have access to doctors) and their unionist push to sway government to support them (the AMA) not midwives or women. Australian Medical Association (AMA), 1990. AMA Home Birth Policy, Australian Medicine, May 7, pp. 8 I can't imagine they have changed, unfortunately, they have too much money and prestige and control to lose if this midwifery lark catches on! - and I am allowing myself the luxury of my bias anger and passion when saying this! Belinda Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] desperately seeking homebirth midwife
Have forwarded directly to Kate (they woman looking for a midwife) as she's not on Ozmid. --- Miriam Hannay [EMAIL PROTECTED] wrote: Hi Judy, I had a homebirth in Canberra with my first child in 1994 (oh dear is it that long ago??) I had a wonderful midwife called Emma Baldock, but I have no idea if she's still practicing. She did work for the ACT government with email address [EMAIL PROTECTED] Try this, and if you can't get hold of her there, call the homebirth network in the ACT or ring the Australian College of Midwives in the ACT (both should be in the phone book) and see if you can get her contact details. If she can't help you, she will know who can! If you speak to her tell her that a former client was so inspired by her that I decided to become a midwife myself!! Regards, and good luck, Miriam Hannay (1st year bachelor of midwifery student, Flinders Uni of South Australia) --- Judy Giesaitis [EMAIL PROTECTED] wrote: Hi, I am seeking a homebirth midwife for a birth in Canberra, probably between Christmas and New Year. I am pregnant with my third child. I have found it so difficult to organise a homebirth midwife, I can't believe how hard this has been! I was planning a homebirth (unofficially) through the birth centre here, but when I was past 20 weeks I got the glad news that hospital policy now forbids deliveries at home, instead of just tolerating them. I have tried to contact everyone I can think of in the ACT, but can't find a workable solution, mostly due to the inconvenient time of year that this baby will arrive. I labour quite slowly, and have had two normal, wonderful births, so I think that a midwife that has to travel a little while might still be a viable option. If anyone has any ideas for midwives, contacts or leads in what is turning into the detective job of the century, I would really love to hear from you at mailto:[EMAIL PROTECTED] [EMAIL PROTECTED] I am not on ozmidwifery, so please email me directly. thanks in anticipation of any help that anyone can offer Kate Take care, Judy ___ Confidentiality Notice The information contained in this email message is intended for the named addressee only. If you are not the intended recipient you must not copy, distribute, take any action reliant on, or disclose any details of the information in this email to any other person or organisation. If you received this email in error, please notify the sender immediately. __ Name;Judy Giesaitis RN CM MSc WHN CAFH Position: Health Consultant, Senior Research Associate in the field of Child Development and Human Relations. Dept: Health Management Company: Australian Health Management Address:Locked Bag 3 WOLLONGONG NSW 2500 Phone: 1800.653.316 Fax:02.4227.1678 Email: [EMAIL PROTECTED] ATTACHMENT part 2 image/jpeg name=Notebook.jpg Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] FFP
Great letter, Marilyn. --- Marilyn Kleidon [EMAIL PROTECTED] wrote: Hi Abby and Philippa and all: I looked at the FFP website this morning and actually sent off an email via their contact button. I kind of melded a few of the letters that we were sending to the politicians prior to the election. I will paste it below. I don't have the credentials to write a religious letter so it has no such content, purely secular. All the best. Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Students, training and other things was Re: uterine rupture 1998
Hi Liz, I was responding to someone else's posts that they had spoken to mid students who felt that they were not being taught about intervention-free birth. I was saying that I have been taught do feel confident (as a beginning practitioner!) with intervention-free birth after 3 years at uni the requirement to be the primary accoucher for 40 non-instrumental births. Since grad dip midwives have 12 months @ uni are are required to primary accoucher 20 births, I wonder if it is more difficult to feel confident w/ intervention-free birth w/ this training. I'm not at all saying good or bad, them or us. Just wondering out loud. I definitely don't think that I'd feel as confident after only 12 months, but maybe if I had done general nursing first I would. Hope that makes sense. Jen 3rd year BMid, Melbourne --- Liz Newnham [EMAIL PROTECTED] wrote: Hi Jen, I was curious to ask what you meant by I wonder if it is more difficult for them. Wonder if what is more difficult? Liz - Original Message - From: Jen Semple To: [EMAIL PROTECTED] Sent: Tuesday, October 05, 2004 11:00 AM Subject: Re: [ozmidwifery] Students, training and other things was Re: uterine rupture 1998 As a current Bachelor of Midwifery (aka direct entry)student, I can tell you a little bit about my course. I think everybody here agrees that there is no such thing as the perfect woman, the perfect midwife, or the perfect midwifery course. That said, I can promise you all that we have learnt about working in partnersip with women, what is normal birth, and how the role of the midwife changes from autonomous practitioner to member of the team once labour is augmented. One of the things that we struggle with most is the theory-practice gap... the evidence what we are being taught at uni then the lack of opportunity to practice in that way at present (ie we get taught about hands off or hands poised most of us have yet to be supervised by a midwife with a birthing woman who doesn't firmly enourage us to keep a hand on the head /or peri). Also caseload... to meet the ACMI standard, we have all completed (or are about to complete) 30 follow throughs. For many of us, that would be our preferred model of practice next year at present, there is not one hospital in metropolitan Melbourne where we could pratice in that model. I'm not saying that all is perfect at my uni ( can't speak for all unis), but I am certain that my lecturers are knowledgable of what is normal passionate how to keep things that way. The ACMI requirement is that we are the primary accouchuer (aka catching or delivering the baby) for 40 non-instrumental births. This is a lot of births! Many are struggling to attain this figure many have done so in less than ideal circumstances. It is argued that this number should be reduced or that students should be able to count births that became instrumental, but the student remained the woman's midwife. While the midwife's role in an instrumental birth, augmented labour, etc is just as important as in a normal labour or birth, it is very different. The midwife is no longer the autunomous practitioner the student is no longer gaining experience with normalcy. Abby, I think the high standards that ACMI has set for us help ensure that we do know normal. Granted, this is still the hospital setting, but until community midwifery is more widely available to women midwives, the reality is that the majority of student midwives cannot gain experience in this setting. I cannot speak for the education of Graduate Diploma midwives (who are already nurses)... as their midwifery program is only 12 months ( their requirement is 20 births), I wonder if it is more difficult for them? Anyway, I hope my current perspective as a student is helpful. Jen 3rd year BMid, Melbourne -- Find local movie times and trailers on Yahoo! Movies. Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] group B strep 3 centres
Take a look at the 3 centres guidelines @ http://www.dhs.vic.gov.au/ahs/quality/effect.htm(do a google search if it's not still @ that website) The 3 centres are Melbourne's RWH, Mercy Hospital for Women, Monash Medical Centre (the 3 tertiary centres for maternity care in Vic). They actuallyrecommend a CHOICE for screening of GBS: "Prevention strategies for GBS should be included in routine antenatal care using either risk-based or bacteriological screening strategies, or both." Risk based being monitoring for infection (Mo temp, status of membranes, Bo temp, etc) They go on to state: "Intrapartum antibiotics are recommended for pre-term birth 37 weeks, rupture of membranes 18 hours prior to delivery, maternal temperature=38C during labour, previous GBS colonisation, GBS bacteriuria or previous infant with GBS." Sounds like a beautiful birth great outcome. Jenleanne wynne [EMAIL PROTECTED] wrote: Thanks Belinda and Lieve for your replies.I will explain why I asked the question.In Victoria the "3Centres Consensus Guidelines" recommend Penicillin 1.2g IV then 0.6g IV 4 hourly throughout labour for those women who are GBS positive.Over the weekend I was caring for a teenage primip who had been GBS positive on LVS at 38/40 gestation. She had been in early labour for 2 days before she established at about 1pm Sunday and she was content to labour at home for as long as possible. Later that evening she decided to stay home and birth, which we did - beautifully!! - 3.5kg girl with perineum intact!! Her membranes had ruptured spontaneously during transition.However at 5 hours of age the baby gagged on some mucous, became cyanotic and they rushed her to the local hospital. I met them in AE and the staff said that on arriv! al the baby was pink and well perfused - thank God!! They admitted the baby to SCN for observation for 24 hours and everything was normal.The parents later told me of the reactions from the medical staff, both obstetric and paediatric, when they learned that she was GBS+ but hadn't had A/Bs in labour. I was obviously viewed as negligent or incompetent or both! So I was just wondering what other midwives do.Thanks,Leanne. Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] definition of normal/natural... was Students, training and other things
Abby and Toby [EMAIL PROTECTED] Is normal natural? (Just asking the question out loud) Yes, Abby, you're absolutely right to ask what is normal, what is natural. This is something we study @ uni :o) I really like what Shiela Kitzinger has to say on the subject... that there is no such thing! That birth is a culturally socially constructed concept... that even in cultures untouched by Western medicine, their birthing practices vary widely. So really what I should have written in my original post about students gaining experience becoming confident should have written in "intervention-free" labour birth, rather than "normal". Jen Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] Students, training and other things was Re: uterine rupture 1998
As a current Bachelor of Midwifery (aka direct entry)student, I can tell you a little bit about my course. I think everybody here agrees that there is no such thing as the perfect woman, the perfect midwife, or the perfect midwifery course. That said, I can promise you all that we have learnt about working in partnersip with women, what is normal birth, and how the role of the midwife changes from autonomous practitioner to "member of the team" once labour is augmented. One of the things that we struggle with most is the "theory-practice gap"... the evidence what we are being taught at uni then the lack of opportunity to practice in that way at present (ie we get taught about hands off or hands poised most of us have yet to besupervised by a midwife with a birthing woman who doesn't firmly enourage us to keep a hand on the head /or peri). Also caseload... to meet the ACMI standard, we have all completed (or are about to complete) 30 follow throughs. For many of us, that would be our preferred model of practice next year at present, there is not one hospital in metropolitan Melbourne where we could pratice in that model. I'm not saying that all is perfect at my uni ( can't speak for all unis), but I am certain that my lecturers are knowledgable of what is normal passionatehow to keepthings that way. The ACMI requirement is that we are the primary accouchuer (aka catching ordeliveringthe baby) for 40 non-instrumental births. This is a lot of births! Many are struggling to attain this figure many have done so in less than ideal circumstances.It is argued that this number should be reduced or that students should be able to "count" birthsthat became instrumental, but the student remained the woman's midwife. While the midwife'srole in an instrumental birth, augmented labour, etc is just as important as in a "normal" labour or birth, it is very different. The midwife is no longer the autunomous practitioner the student is no longer gaining experience with "normalcy". Abby, I think the high standards that ACMI has set for us help ensure that we do know normal. Granted, this is still the hospital setting, but until community midwifery is more widely available to women midwives, the reality is that the majority of student midwives cannot gain experience in this setting. I cannot speak for the education of Graduate Diploma midwives (who are already nurses)...as their midwifery program is only 12 months ( their requirement is 20 births), I wonder if it is more difficult for them? Anyway, I hope my current perspective as a student is helpful. Jen 3rd year BMid, Melbourne Find local movie times and trailers on Yahoo! Movies.
[ozmidwifery] born in caul
Marilyn wrote: I have never had an incident with a baby, and have always been able to simply wipe the caul away(and save it of course) Here's another concept I'm trying to get my student head around! I understand why it's safe for baby to be born in caul (not having the stimulus of exposure to air, umbi cord cut, etc), but from a logistical point of view, if the membranes haven't ruptured, wouldn't they need to be cut or pierced before they could just be wiped away? Cheers, Jen Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] VEs
Trish wrote: I love this list, and our students reading these posts are exposed to discussions that we find it difficult to introduce into the classrooms, because of the amount of 'fact' we have to impart, and the lack of resources to allow panel discussions of experienced practitioners. So please, keep up the discussions like this, I am sure they are deeply appreciated. Yes we are!!! This list is such a rich source of info... midwives practicing in all different settings, passionate consumers, fellow students. It is also so valuable to have it reinforced that nothing happens in a vacuum... each midwife is a little different, as is each woman, as is each situation... therefore evidence-based practice will slightly different every time. Jen Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] ve's
Hi Stacy, I'm a mid student too, I too have stuggled trying to get my head around various concepts (eg difference b/w legnth thickness). After having many many midwives explain it in different ways, the way that I understand it is that legnth thickness go hand in hand. A long cervix is a thick cervix. As the cervix begins to effaces, the cervical os is taken up it becomes shorter thins out to the point when it's completely effaced, rather than feeling like the tip of your nose, then, pursed lips (soft squishy), then like a thin rim of tissue in active labour. So really legnth thickness is just another discrpition of effacement readiness to labour. In the midwifery-led model that I've spent most of my time in hospital with, usually the only time we do VEs when we find or expect to find a long, thick, closed cervix (eg not having begun to efface) is with inductions (of which many VEs are but one of the many, many interventions that go along with induction). I'm not sure if that discription helps at all (somebody please clarify is you can!). Mayes Midwifery has good diagrams to help visualise. All the best, Jen 3rd year BMid, Melbourne --- Stacey Wentworth [EMAIL PROTECTED] wrote: Thanks to the midwives/ students who have replied. I don't think I am asking a question that is disrespectful to women or midwives. I have 2 of my own children and have welcomed the involvement of midiwifery students in my births. I personally don't see VE's as a 'bad or interventialist' but understand your perspectives. I do understand listening to women in labour without a physical examination - I have had 2 homebirths! I had a midwife and a student both times without frequent Ve's. However I personally didn't need that many and didn't see a problem with them in fact I found it comforting to be aware of how far I had come. I do see how they are not appropriate for some women particularly those who have been sexually abused. I also feel that I must learn this skill as is required as a student and nobody that I have asked seems to be able to answer the question between the difference of length and thickness of the cervix. I mean no disrespect to women in trying to understand this but I must because there will be situations that I will be needed to differentiate between the two. Currently I treat them as the same because I don't understand the difference. Thanks Stacey Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] ve's
Yes, well said Megan. What a powerful imagine you've described in my mind of you in labour with your 4th! Thanks for sharing, Jen --- [EMAIL PROTECTED] wrote: One of my strongest memories from my fourth son's birth was doing a VE on myself whilst reclined on the toilet. I did it mainly because it was my last oppurtunity to feel a dilating cervix. WOW it was amazing, but it was mine to feel. My first son was born in hospital where I had a few VE's, I did then believe I needed to know how I was doing. Next 3 bubs born at home with same Ind Midwife, no VE's by her. I did have a feel with my third son, but by then his big beautiful head was working its way out. When I touched my cervix and felt the circle that was about 4 cm, so clearly and readable, it was amazing. How far dialted I was made no difference, I was an hour into labour and an hour later I was holding my baby boy, that was the measure of my progression. How we dilate has become such a focus for birthing women and maybe more so their carers, its become the yard stick of childbirth. I understand why women think they want/need them, especially when birthing in an environment of the unknown. Sadly most Midwives are not able to work (for lots of reasons) in a model of continuity and women are no doubt asking for Ve's as inspiration or perhaps used with time as the marker to have the intervention. I also see women being told that they don't need to have VEs, but then we expect them to birth with Mids/Obs who need to do them. It can get very confusing for the birthing woman. What do Midwives do in this circumstance and I assume that confidence in understanding the dilation process is an advantage? Which I think is was Stacey is asking? Its questions like this that spread the wisdom learnt, not one teacher but many, cheers Megan R Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Djerriwarrh festival (Melbourne)
Maternity Coalition (Vic) is holding a BBQ/pamphlet table at the Djerriwarrh (pronounced JERRY-WARRAH) festival in Caroline Springs (in Melbourne's Western suburbs) on November 7th. This will be a great opportunity to work in partnership with a rapidly growing community. Our two primary objectives for the day are to 1. Raise much needed funds for MC, and 2. Promote and raise awareness of midwifery led care in the community. It would be great to have consumers midwives ( students) represented to help out! The hours we need volunteers are 9am - 5pm on Sunday 7th November. We are asking that people come for an hour or two hour block. Maybe people might want to come for an hour or two, have a look at the festival and come back...it should be a great family day with lots of rides, jumping castles, craft displays and games for the kids. All of the organisations are community based, so prices should not be too inflated! If you're interested, please contact Penny [EMAIL PROTECTED] Hope to see you there! Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] question
Hi Bec, I remember someone raising this question ages ago on this list someone recommended the for the Restless Legs Foundation website www.rls.org w/ lots of good info recommendations. If you're interested in reading what was written on the list before on the subject, check out the archives @ http://www.birthinternational.com/mailing/archive.html search under restless leg syndrome, jumpy legs, etc. Cheers, Jen -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Rebecca King Sent: Friday, 1 October 2004 8:06 AM To: [EMAIL PROTECTED] Subject: [ozmidwifery] question hi everyone, my name's bec, I'm a student midwife. One of my friends is pregnant and she has what I think is called restless leg syndrome. She says it feels like ants are crawling over her legs all the time and it's driving her crazy! I have not really come across this too much and I haven't heard of any ideas of what may help relieve this for her. I think her midwife suggested maternity stockings may help, any more ideas anyone? Thanks in anticipation, bec king :) -- 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. Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] waterbirth in a mainstream mag!
From the MC Vic list: The Wollies/Safeway Australian Parents magazine Oct/Nov 04 ed has a great article about home/waterbirth pg 29-31 - especially considering it's a mainstream magazine (with normally boring mainstream stuff in it!). Maybe you have heard of them?? Mum Christina, 1st child (Paolo) water labour at birth centre. 2nd child water birth at home. Midwives Sheryl and Shea. Next time you're in a Safeway/Wollies store, have a look! Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] admission ctg and the furphy of litigation (LONG)
Justine, As the President of Maternity Coalition, I KNOW that you are taking these facts to the pollies assisting us MC members to do the same. You do a wonderful job I'm so thankful to have you on our side. Jen Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Spiritual Midwifery
BUT??? What's wrong with being a hippy from America? Jen --- katnap076 [EMAIL PROTECTED] wrote: It is a good book, she is a hippy and is from America, but she is a real midwife and a caring one. - Original Message - From: Fiona Rumble [EMAIL PROTECTED] To: ozmidwifery [EMAIL PROTECTED] Sent: Friday, September 10, 2004 5:34 PM Hi all, I have just come across the book Spiritual Midwifery at the op shop. What do others think of it, if you know the book by Ina May Gaskin? Thanks Fiona Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Launceston Birth Centre
Trish, One of the women about to finish BMid @ VU in Melbourne is moving to Launie after the new year. Is the birth centre still running? Who could she contact to find out more about it? Jen 3rd year, VU, Melbourne --- Trish David [EMAIL PROTECTED] wrote: Launceston was the only one operating when I left Tasmania in 2000. It was community run, in a house in close proximity to Launceston General Hospital. Trish. Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] breech baby wisdom
Thanks for the update, Megan. It's interesting to hear outcomes. Thrilled for the woman and her daughter! Jen --- [EMAIL PROTECTED] wrote: Hi Lynne, she had the ECV, which bubs took to kindly and remained head down. She went into spontaneous labour, after 24+ hard working hours at home they transferred to hospital for a rest and epidural. Another 27 hours later she birthed vaginally her strong, healthy 4.5 kg daughter. A mammoth effort, for which she is extremely proud of and rightly so. thanks for asking, Megan. Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] books for sale ( uniform)
I'm be finishing BMid at the end of November moving to the USA (to be closer to family) after the new year. I've got a heap of books that I'm not going to be able to afford to take with me ( VU uniform shirts). Prices are a guideline only, would be very happy to do a deal if you'd have a few books. Please email me off-list if you're interested [EMAIL PROTECTED] Cheers, Jen 2 VU uniform shirts, size Small, 2 pair of Navy pants size 16. Human Anatomy Physiology (Marieb, 2001) $80 Nursing Research, methods, critical appraisal, and utilization 2nd Ed. (Schneider, etc) $60 Contraception: Your Questions Answered (2004, Guillebaud) $50 Social Perspectives on Pregnancy and Childbirth... (2000, Kent) $40 Reflections on Midwifery (1997, Kirkham Perkins) $30 Human Development (1998, Papalia Olds) $20 Principles of Biomedical Ethics (1994, Beauchamp Childress) $10 Fresh Milk: The Secret Life of Breasts (2003, Giles) $20 Issues Facing Australian Families (1995, Weeks Wilson) $20 Australian Families: A Comparative Perspective (1997, Gilding) $20 Deviance, Conformity, Control (1999, Anleu) $20 Woman Herself (1988, Robyn Rowland) $10 Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] abortion and working with women etc
Honey, Just wanted to say thank you for sharing your personal story in such a public way. Sadly there is such a stigma to abortion, that it's something that selfish, careless women do, etc... people don't realise that it's their sisters, their lovers, mothers, aunties, friends, and colleagues of all ages (not just teenagers) that make the difficult choice to have an abortion. Blessings to you all, Jen --- Honey Acharya [EMAIL PROTECTED] wrote: Abby I find your writings on abortion very judgemental of others. How can you sit in judgment when you personally have not been through abortion and know what it is like, or know why a woman would make that choice? It seems you have never had to face a situation personally with abortion. Or if you have you need to deal with your feelings about it adequetly rather than sit in judgment of others. I have had two abortions personally - one an unwanted pregnancy at a very young age with failed contraceptives and the other a very much wanted pregnancy and abortion due to medical reasons (my health not the fetus'). They were hard situations and the grief I have experienced is enormous. I have reflected on my views on abortion many times and although I don't believe I would choose an abortion again for myself I still believe in a womans right to choose an abortion. Perhaps its time you turned the attention and energy around and focus on yourself and look at what it is inside yourself that you can't accept. I worry that someone who works with women regulary would hold such harsh views. How can you care and support them adequetly feeling the way you do? Do you ask each woman before you work with them about their abortion status and decline working with them if they have had an abortion? I didn't want to join this debate as it is such an emotive one and probably does no good, but your comments affected me and there are probably many women on this list who have had abortions so you are sitting in judgement of many and bringing up pain and many feelings for women in a very unloving and unsupportive way. perhaps its time to take this debate to an abortion list rather than an ozmid one. Thanks Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] episiotomy resource from Vic PDCU
FYI: This is the latest in a series of reports from the Consultative Council on Obstetric and Paediatric Mortality and Morbidity entitled Morbidities associated with childbirth in Victoria Topic 2: Episiotomy and perineal lacerations. This report is on the website at http://www.health.vic.gov.au/maternitycare/index.htm This report is recommended to those hospitals and clinicians concerned with practice issues around episiotomy and rates of 3rd and 4th degree tears. As well as extensive data analysis, the report includes a comparison with other populations, trends and an examination of the related literature. It concludes with a section on implications for maternity service providers. It would be great if you could take a few moments to distribute this email. Wendy Dawson Senior Project Officer, Acute Programs Programs Branch, Metropolitan Health and Aged Care Services Division phone: 9616 2152 fax: 9616 2880 Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] archives
Yes, I remember this discussion awhile ago, too. Here's the link to the archives so you can search for what's been said already ( the story of a list member who had a 3rd or 4th degree tear w/ her first birth went on to have a vaginal birth w/ 2nd degree tear for baby #2 who weighed more! if I remember correctly). http://www.birthinternational.com/mailing/archive.html Jen --- Mary Murphy [EMAIL PROTECTED] wrote: I too will be interested in any research re subsequent births. I have a woman who had a 4th degree tear and probems with a fissure for months. I know she will be terrified to have another baby and terrified of a C/S. there was quite a discussion on the list about a year ago (maybe?) but I didn't save it. Maybe it is in the archives? How do we access those? MM Previous questions: Now we need to find some research on the the incidence of a another 3rd/4th degree tear if she has another vaginal birth. Does anyone have any evidence-based information on the liklihood of another 4th degree tear and subsequent faecal incontinence?. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Human Breastmilk bank in Victoria
Fantastic! Thanks for passing this on, Helen. Jen --- Graham and Helen [EMAIL PROTECTED] wrote: This certainly is great news - found on The Age website today. Helen Cahill http://www.theage.com.au/articles/2004/08/12/1092102573402.html Australia's first milk bank August 12, 2004 - 1:06PM Australia's first milk bank is to start offering breast milk to new mothers in Victoria from the beginning of next year. Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] VBAC question again
Hi Kirsten, I'm a 3rd year BMid @ VU. You probably already know about The Guide to Effective Care in Pregnancy Childbirth (Enkin et al), but they have a fantastic chapter called Labor and birth after previous cesarean section that's available free online at http://www.maternitywise.org/guide/ Here are a few consumer booklets about C/S: http://www.maternitywise.org/mw/topics/cesarean/booklet.html http://www.birthrites.org/BookletIndex.html Also, there is some great support information groups: * EBAC - Empowered Birth After Caesarean We are a group of mothers living in Melbourne, Victoria who have birthed our children via caesarean section. Some of us have gone on to have VBACs, others planned positive caesarean sections. We meet approximately every second month in our homes to discuss with others our stories and to share information andencouragement about choices for future births. Dates for 2004 are: * August 18th * September 11th - National Day of Caesarean Awareness * November 17th Please call Sarah 9557 2789 / 0418 331 824 or Rachel 9459 7374 / 0407 357 963 for further information and for the venues. Sarah - [EMAIL PROTECTED] Rachel - [EMAIL PROTECTED] And Choices For Childbirth runs an info night on VBAC click here for more info a calender http://www.maternitycoalition.org.au/choices/choices.html All the best to you the woman, Jen P.S. Do you know that there's an email forum for BMid students? http://health.groups.yahoo.com/group/BMidStudentCollective/ Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Request for information on current models of midwifery led care
A bit of clarification on the NZ perspective from Kiwi midwife Kim Stead: My two cents worth...(with permission to share). NZ midwives can and are sued. That is why they have indemnity insurance, which is included in the NZCOM mebership. You pay $600 membership per year which includes the PI. The laws are different in NZ than here but basically, for someone to get compensation from the government, someone was be held responsible for the injury/neglect/malpractice etc. Often the midwife is the first point of blame. Cases can be brought against a midwife years after the alleged incident. The NZCOM (NZ college of midwives) employ two lawyers to represent midwives in such cases. Obviously there is a need for these lawyers. --- B G [EMAIL PROTECTED] wrote: Helen, From my limited knowledge as an ex-kiwi there is no opportunity to sue. I hope others will correct me if I have got it wrong. If an adverse event occurs the injured person have the right to be supported or as long as it takes for recovery or for comfort by the ACC. This was set up in the early '70's people pay for this from their taxes. Effectively this is a universal insurance scheme, no lawyers (boy did they scream loud then) and no fault access. Things were further refined about 5 years ago. I made a claim about 1978 when I was belted by a cow I was milking smashed glasses and crook back. I was paid ACC instead of a wage, had my glasses replaced and all was right. I can reactivate my claim if anything further happens although I think this aspect was changed recently. Cheers Barb Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] 'I had an abortion Tshirts'
Can't imagine many women being proud of having an abortion, but I sure as hell am proud that I live in a country where abortion is leagal and accessible. I think the idea is that most women who have had abortions are average... they're your friends, sisters, aunts, lovers, wives, etc, etc. And many more who haven't had abortions, can think of situations where they might have, had they become pregnant. Jen --- Judy Chapman [EMAIL PROTECTED] wrote: Heard about this on another list. I know not all believe that abortion is a terrible thing but even so I think these Tshirts are a bit much. Life is so cheap you can advertise that you are killing off other human beings and be proud of it. http://shop.store.yahoo.com/ppfastore/ihadabt.html Cheers Judy Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Please explain CYOTEC??
Also, methotrexate is also used as a non-surgical remedy for ectopic pregnancy. Jen --- Marilyn Kleidon [EMAIL PROTECTED] wrote: It is misoprostol and if you go to pub med you'll find the miriad of obstetric (as well as all the other uses for it)uses for. Yes it does have a bad reputation for uterine hyperstim and is contraindicated for induction of VBAC women but then I tend to think VBAC women in particular should not be induced but that is just my interpretation of the research. To be totally cynical most of the controversy about its use in the USA was its increasing use as part of first trimester abortions in out of hospital abortion clinics. Oral misoprostol together with a methotrexate injection is part of the first trimester regimen for medical/non-surgical abortions. Oral misoprostol plus RU486 (mifeprestone) is also an early abortion regimen. This of course is off label as its FDA approved use is as a treatment for gastrointestinal ulcers and methotrexate is a chemotherapy/anticancer drug. Misoprostol is also highly effective as a treatment for third stage bleeding. It is a prostoglandin analogue that is stable at room temperature. It is a low cost and effective method of cervical ripening and uterine stimulation. However it does have significant dose related side effects which if you read the literature include uterine and even bladder rupture. Not a drug to be used haphazardly. I do think an Australian trial was done in Sydney maybe at St. George Hospital but I can't find it on pubmed. marilyn Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] VBAC and Acyclovire help
Hi Katrina, She should give the wonderful clinical midwife consultants (CMC)at Sunshine hospital a ring. I know Sunshine has lots of VBACs. Ring 8345 1333 ask to speak to the CMCs. Best of luck, Jen --- Tim and Katrina [EMAIL PROTECTED] wrote: Hi All, I'm writing to ask opinions and for any possible contacts for a friend due with second baby in October. She had c/s with first babe due herpes and having a lesion at the time of her birth. My friend lives in Kyneton Vic and is booked into her local hospital for an elective c/s but has the desire for a vbac if she can find a supportive ob (she's doesn't want a homebirth). Her local hosp does not accept vbacs. She has had mixed reactions when talking to hosp staff about taking Acyclovire during the last month of pregnancy. I understand that some ob's will prescribe it and some will not. Seems like the likelihood of having no lesions at the time of birth is low without Acyclovire. Does anyone know how she can access a supportive caregiver within the public system? She is willing to travel to Melb if she has to. Many thanks, Katrina Matthews Birth Attendant Breastfeeding Counsellor Mumma to Ethan (1998, c/s) and Clairie (2000, vbac) Partner to Luurvly Tim Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] VBAC and Acyclovire help
Also, someone on Ozmid mentioned this source awhile ago I have found it useful: Australian Herpes Management Forum via their website http://www.herpes.on.net and view the section Management of Genital Herpes Simplex Infection in Pregnancy --- Tim and Katrina [EMAIL PROTECTED] wrote: Hi All, I'm writing to ask opinions and for any possible contacts for a friend due with second baby in October. She had c/s with first babe due herpes and having a lesion at the time of her birth. My friend lives in Kyneton Vic and is booked into her local hospital for an elective c/s but has the desire for a vbac if she can find a supportive ob (she's doesn't want a homebirth). Her local hosp does not accept vbacs. She has had mixed reactions when talking to hosp staff about taking Acyclovire during the last month of pregnancy. I understand that some ob's will prescribe it and some will not. Seems like the likelihood of having no lesions at the time of birth is low without Acyclovire. Does anyone know how she can access a supportive caregiver within the public system? She is willing to travel to Melb if she has to. Many thanks, Katrina Matthews Birth Attendant Breastfeeding Counsellor Mumma to Ethan (1998, c/s) and Clairie (2000, vbac) Partner to Luurvly Tim Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Info for Article
Kylie- ACMI (Australia College of Midwives) contact details: Phone: 02 6230 7333 Email: [EMAIL PROTECTED] Web: www.acmi.org.au Best of luck! JenDean Jo [EMAIL PROTECTED] wrote: You could always contact the ACMI for information.cheers Jo- Original Message - From: "Kylie Carberry" <[EMAIL PROTECTED]>To: <[EMAIL PROTECTED]>Sent: Tuesday, July 13, 2004 9:31 AMSubject: [ozmidwifery] Info for Article Hi everyone, I am a freelance journalist and thought this may be a good place to start for my research. I would like to do an article on the benefits of midwife based care during pregnancy and birth. I am a mother of four and although had midwives deliver my babies I had a different midwife each time I had a checkup and had to deliver at a hospital 30 minutes away from my home instead of the one 5 minutes away. All because doctors wouldn't come to Shellharbour hopsital. My deliverys have all been straghtforward and I didn't "gi! ve a hoot" if a doctor was available or not. Recently an announcement was made that a trial is finally underway for the midwife model of care in my area. I find many women are very skeptical of this and would like to do an article to show how a natural part of lifehas become "medicalised." I feel women are now scared of birth, hence optingfor epidurals, c-sections, inductions - all performed by OB's. That is the gist of the article...I'd like to outliine the benefits formum and baby, eg does it reduce the risk of pnd, trauma for the baby, physical wellbeing. If anyone has any information relevant my email is [EMAIL PROTECTED] any help is much appreciated, cheers Kylie _ SEEK: Now with over 50,000 dream jobs! Click here: http://ninemsn.seek.com.au?hotmail -- 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. Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] Very odd TV promo for breastfeeding
Hi Helen, Here's the link http://www.adcouncil.org/campaigns/breastfeeding/ Along the right hand side of the page, there are links starting with Log Rolling. I just clicked on those links (one at a time) a new little box opened up on my computer eventually it played the ad (it took a while to download). If your computer won't do it automatically, I'm not sure what to do (my technical skills are quite limited!). The ads ARE weird, but I reckon they're quite clever... Jen --- Graham and Helen [EMAIL PROTECTED] wrote: Hi - I am having trouble getting a look at the ads. I went to the website then campaigns/breastfeeding but couldn't find how to launch the ad? Sorry but I must be missing something... Could you help Helen C. Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] ObGynWorld.com mail a colleague
Here's thearticle so you don't all have to register if you don't want to: Trial of labor uterine rupture risk exaggeratedSource:British Medical Journal 2004; 329: 19-25 Results of a systematic review indicate that the risk of uterine rupture in women attempting labor after a previous cesarean delivery is only small. While uterine rupture is more likely with trial of labor than elective cesarean after a previous surgical delivery, the difference is only small, and the risk is not eradicated by opting for a cesarean, say researchers. "Since at least 1916, the time of Edward Cragin's famous statement, 'Once a cesarean always a cesarean,' the medical profession has been concerned about the risk of catastrophic uterine rupture for women whose previous deliveries were by cesarean section," the team explains. To assess the size of this risk, Jeanne-Marie Guise (Oregon Health and Science University, Portland, USA) and colleagues reviewed 568 articles that had been published since 1980. They then whittled these down to 21 fair quality studies. Analysis indicated that a trial of labor increased the risk of uterine rupture by 2.7 per 1000 cases, perinatal death by 1.4 per 10,000 cases, and hysterectomy by 3.4 per 10,000 cases, compared with elective repeat cesarean. Asymptomatic rupture, on the other hand, was equally common in both groups of women. "Although the literature on uterine rupture is imprecise and inconsistent, existing studies indicate that 370 elective cesarean deliveries would need to be performed to prevent one symptomatic rupture," Guise et al conclude. Posted: 5 July 2004[EMAIL PROTECTED] wrote: Dear Colleague,I thought this article from ObGynWorld.com might interest you:Trial of labor uterine rupture risk exaggeratedhttp://www.ObGynWorld.com/international/news/2004/week_28/day_1/trial_of_labor_uteri.aspObGynWorld.com is the essential resource in obstetrics and gynecology, offering the latest news plus feature articles and an extensive range of clinical information. Visit the site at www.ObGynWorld.com.--This mailing list is sponsored by ACE Graphics.Visit to subscribe or unsubscribe. Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] ObGynWorld.com mail a colleague
Here's a copy of the article for those of you who don't wish to register on the site (thatnks for bringing it toour attention, Leanne): Novel elective cesarean cause describedSource: Obstetrics Gynecology 2004; 103: 1137-41Researchers describe the "novel clinical entity" of intrapartum elective cesarean, and find that it is more often proposed by the physician than the patient. Elective cesareans that are performed after the onset of labor are more frequently offered by the physician than they are requested by the patient, say researchers, in a finding that may add further fuel to the cesarean debate. Despite recent concern about the rising rates of elective cesarean delivery, the incidence and causes of cesareans that are opted for during labor has previously been neglected, Robin Kalish (Weill Medical College of Cornell University, New York, USA) and colleagues observe. To investigate, they asked obstetricians at the New York Weill Cornell Medical Center to complete a questionnaire after every cesarean they performed a! t the institution between May and October 2002. In addition, the researchers reviewed the patients' medical records and demographic information on the clinicians. Of the 422 intrapartum cesarean deliveries performed, 18.7 percent were first suggested in the absence of a clear medical indication. The physician offered 13 percent of these, while 8.8 percent were requested by the patient, with both individuals proposing the alternative in 3.1 percent of cases. Kalish and team conclude that their study documents "a heretofore unrecognized clinical entity: intrapartum elective cesarean delivery," and say that physician characteristics, as opposed to patient characteristics or intrapartum factors, largely determine its use. Posted: 7 July 2004[EMAIL PROTECTED] wrote: Dear Colleague,I thought this article from ObGynWorld.com might interest you:ObGynWorld-homepagehttp://www.ObGynWorld.com/international/News/2004/Week_28/Day_3/Novel_elective_cesar.asp#undefinedObGynWorld.com is the essential resource in obstetrics and gynecology, offering the latest news plus feature articles and an extensive range of clinical information. Visit the site at www.ObGynWorld.com. Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] VBAC Support Groups
Hi Abby, I'm a midwifery student in Melbourne went to an info night type thing on C/S Awareness day last year. One of the women who convenes EBAC - Empowered Birth After Caesarean (a local Melbourne group) spoke that night. Her name is Sarah here are her details: [EMAIL PROTECTED] (03) 9557 2789 / 0418 331 824 I got her details off of the "local contacts" area on the Birthrites website. There's more info about that group others there if those contact details don't work or if you want more info. Best of luck, JenAbby and Toby [EMAIL PROTECTED] wrote: Hi,Does anyone here run support groups for women planning vbacs? I would loveto hear from you if you do.[EMAIL PROTECTED]ThanksLove Abby--This mailing list is sponsored by ACE Graphics.Visit to subscribe or unsubscribe. Find local movie times and trailers on Yahoo! Movies.
[ozmidwifery] Must watch! Birth Rites documentary
Thursday 8/7 8:30pm SBSSTORYLINE AUSTRALIA - BIRTH RITES Birth Rites is a documentary that draws a powerful comparison between birth issues in outback Australia and the icy regions of arctic Canada. It would be hard to imagine being evacuated for an impending birth by bus or plane to a large hospital far from home, where your first language is not spoken. Birth Rites reveals that while the majority of Aboriginal women comply with the evacuation policy, many feel that the practice is undermining indigenous traditions and culture, a practice at odds with the very system that aspires to help the new mothers and their babies by providing a high level of obstetric care. The women's distress often creates an avoidance of the medical system. Women hide their pregnancy and present at the clinics in an advanced stage of labour, so that they won't be sent away. In contrast, Inuit women in remote Northern Canada have stopped being evacuated for births because they now have a remote birth centre in their small town. I! ndigenous midwives have been trained locally and provide the benefits of both western medicine and their own culture. Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] Thanks for the responses!
Hi Kirsten, I'm a 3rd years BMid... PLEASE don't apologise or feel bad for asking a question (I'm starting to realise that we women spend WAY too much time apologising feeling guilty, but damn it's a hard habit to break!). We've ALL been there (even midwives who trained 30 years ago!) hopefully we all remember what it was like to bea beginner. Best of luck on your journey. Love, Jen P.S. I had the honour of supporting a woman having her first VBAC (2nd pregnancy). Though she had been in out of bed during the labour, she ended up giving birth standing up (supported) stading up... good thing too cause she had a 4.something kilo baby! After the birth she said "I just felt so strong" What a privilege it was to share that moment w/ her. VBAC is something special. Kirsten Wohlt [EMAIL PROTECTED] wrote: Thanks to those of you who responded to my message from yesterday. I must admit, I feel a bit silly for having posted it now though - all part of the learning curve! :) It is good to know that this rupturing is very rare, and reading your responses has made me think about the care we can give in a totally different way. I would never have thought about the induced labour causing unnatural contractions, nor would I have thought that avoiding drugs would help a woman be aware of the different pain she may experience, and being able to use that understanding of the pain to potentially identify something going wrong. Oh so much to learn! I am really grateful that this group exists and is open to 'Learner Drivers' like myself, and allows questions and comments without derision!Re the 'choking' - that may have been a very bad choice of words from the woman who told me the s! tory, and I didn't stop to think about how illogical it was. I wonder if it was just that the blood was stopped from getting to the brain? Or the stress of the pressure? What would be the likely reason?Thanks again for your help. I will definately follow up those links you sent Abby!! Thank you, thank you.Kirsten--This mailing list is sponsored by ACE Graphics.Visit to subscribe or unsubscribe. Find local movie times and trailers on Yahoo! Movies.
[ozmidwifery] who would have guessed? Breast Milk Kills Skin Warts
http://www.cbsnews.com/stories/2004/06/23/health/printable625825.shtml Breast Milk Kills Skin WartsTRENTON, New Jersey June 23, 2004A compound in breast milk has been found to destroy many skin warts, raising hopes it might also prove effective against cervical cancer and other lethal diseases caused by the same virus. The human papilloma virus causes skin warts, which is extremely widespread. Swedish researchers found that when the breast-milk compound - since named HAMLET - is applied to the skin, it kills virally infected cells in warts resistant to conventional treatments. This may have relevance for the treatment of cervical cancer, because virally infected and cancer cells are similar, said lead researcher Dr. Catharina Svanborg, professor of clinical immunology at Lund University in Lund, Sweden. The researchers hope to start small-scale testing of the compound so! on on women with cervical cancer. Any long-term potential for any devastating diseases is very speculative at this stage but should be followed up, said Catherine Laughlin, chief of the virology branch in the Division of Microbiology and Infectious Diseases at the National Institute of Allergy and Infectious Diseases. There are 130 known types of the human papilloma virus. Two sexually transmitted types cause nearly all cases of cervical cancer. Other types cause skin and genital warts, squamous cell skin cancer and lesions in the throat that are deadly in rare cases. Many people carry the virus in skin cells, but it does not always cause disease. Doctors knew breast milk contained a natural antibiotic. But its potential against viruses and tumors was discovered by accident. Svanborg's team was testing ways to fight what is called bacterial superinfection - bacteria infecting cells already infected by a virus. They applied a protein in mo! ther's milk called alpha-lactalbumin to double-infected lung cancer cells. To the researchers' surprise, the cancer cells as well as the bacteria inside them were killed. That was because the milk protein had changed its configuration, bound to another milk component called oleic acid, and created the more powerful HAMLET compound. The research team then tested the compound against warts on patients' hands and painful ones on their feet, called plantar warts. The warts shrank by at least 75 percent over the first three weeks the compound was applied to the skin. And at least three-quarters of the warts disappeared after a second treatment. The researchers dubbed the compound HAMLET, an acronym for human alpha-lactalbumin made lethal to tumor cells, partly because of their proximity to the scene of the Shakespeare play, which took place in Denmark. The research was reported in Thursday's New England Journal of Medicine. Any agent that can be topically applied and absorbs well into cancerous or precancerous cells has great potential, said Dr. Frank Murphy, chief of dermatology at Robert Wood Johnson Medical School in New Brunswick, N.J. Murphy noted that the compound probably would be much more expensive than standard treatments for warts, about half of which go away on their own within two years. The standard treatments for getting rid of warts include burning, freezing, laser removal and various topical solutions. Dr. Karl Beutner, associate clinical professor of dermatology at University of California-San Francisco, said a drug that destroys skin warts also should work against papilloma lesions in the throat, but not necessarily against cervical cancer. Svanborg said if HAMLET proves useful against serious diseases, the compound would probably be synthesized in the lab instead of being extracted from breast milk. Find local movie times and trailers on Yahoo! Movies.
[ozmidwifery] Future directions of Victoria's Maternity Services
If anyone's interested in reading the VicGov'ts plans for "midwife-led" birththe document can be downloaded here: http://www.health.vic.gov.au/maternitycare/pubs.htm be patientit takes a while to upload with all its glossy pics...but the document is interesting reading!! Find local movie times and trailers on Yahoo! Movies.
[ozmidwifery] maternity news in Vic
http://theage.com.au/articles/2004/06/21/1087669915696.html Maternity services to get overhaul By Amanda DunnHealth ReporterJune 22, 2004 Maternity services in Victorian public hospitals are to be overhauled, with the State Government improving team-based midwifery care to run alongside obstetric services. The new model, to be announced today, will encourage more women with low-risk pregnancies to have their babies using midwives rather than obstetricians. If complications arise, the woman would be transferred to the obstetric care stream, although in some cases this may not be located at the same hospital. Health Minister Bronwyn Pike said the main reason for the change was that many women sought the option. But she also acknowledged that the shortage of obstetricians and anaesthetists was part of the equation. "Certainly workforce is an issue, but it's not the driving force for this," she said. Ms Pike was concerned by rising levels of intervention in childbirth, particularly by elective caesarean section. "I'm worried about the plethora of stories in women's magazines that seem to indicate that women are choosing a caesarean section, when it's not medically required, for cosmetic reasons," she said. Elective caesarean rates in Victoria have jumped from 11.5 per cent of births in 1999 to 14.1 per cent in 2002. In public hospitals in 2002, 11.6 per cent of births were by elective caesarean, and 63 per cent of babies were born in public hospitals. For most hospitals that chose to adopt the new model, she said, the obstetric and midwifery services would be at the same location. "There will be, however, the opportunity for some services which have good access to a tertiary service to offer only the midwifery model of care," she said. One of those earmarked for this model would be Williamstown Hospital, where women who developed complications would be transferred to Sunshine Hospital for obstetric care. Jeremy Oats, chairman of the maternity services advisory committee and director of women's services at the Royal Women's Hospital, said details had yet to be finalised. "What we need to make sure is that it can deliver safe, optimal outcomes for women who choose that model of care," Professor Oats said. He believed the benefits of the new system would be in best using the skills available - obstetricians and midwives. But there is also a shortage of midwives, and the profession is ageing, which could be a problem. As part of the changes, the Government has allocated $450,000 for training doctors and midwives for the new system. Professor Oats said rural services, which have been struggling under closures of maternity units, would also benefit from the new system, allowing GPs with obstetric skills and midwives to improve their expertise. Opposition health spokesman David Davis supported midwifery care, but he accused the Government of using the new model as "a cover for further cuts and closure in maternity across Victoria". Since 1993, 27 hospitals have ended their obstetrics services. But Ms Pike said the new model meant maternity services were more likely to stay open, protecting them from closure because of a shortage of specialists. Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] birth documentary on Discovery channel
I seem to remember that the broadcast info that was sent around sounded like it was aimed at US viewrs (timezones, etc- I used to live in Idaho). I hope someone was able to see it- it sounded like a great program! JenDebbie Slater [EMAIL PROTECTED] wrote: Discovery Health is a separate channel from Discovery (there's other Discovery Channels such as Discovery Science etc.). We have it on Foxtel Digital, but didn't have it on the original analogue service. The programme that you refer to isn't on Discovery Health at the moment - just Birth Days showing generally high-tec, emotionally charged episodes full of the 'danger' and drama of birth - a la American TV experience. Debbie Perth - Original Message - From: A Menna To: [EMAIL PROTECTED] Sent: Saturday, June 19, 2004 2:00 PM Subject: Re: [ozmidwifery] birth documentary on Discovery channel Nicole- are you in Australia? The broadcast times I had were for the US on Discovery Health channel, with the last airing on June 13th. Don't know if it was actually shown in Oz...maybe someone else knows?AlexandraOn Jun 18, 2004, at 9:39 PM, Nicole Christensen wrote: Hi all,a little while ago there was a post regarding a documentary on the Discovery channel on pay tv, this month.- I think it was titled 'UnconventionalBirths' I. have asked my Mum to scour her tv programme (she has Fox - I don't!) and the only birth relatedprogramme - is this - (andis on tonight)"Maternity WardLife ChangesFollows the action in maternity wards around the country capturing both the medical and human drama of labour and delivery"which doesn't sound like the one originally talked about.can anyone else enlighten me??thanks all,Nicole Find local movie times and trailers on Yahoo! Movies.
[ozmidwifery] type of birth incontinince (cross-post)
Apologies for the coss-post. Stumbled upon this on the net remembered the horrible 60 Minutes spot... Caesarians don't prevent incontinence - 28/11/2000 http://www.abc.net.au/science/news/stories/s217256.htm Caesarians don't prevent incontinenceTuesday, 28 November 2000 The belief that vaginal childbirth is a major cause of urinary incontinence has received a major blow, with a population study showing a woman's risk of urinary incontinence is not significantly reduced by electing to have a Caesarean birth. "This study supports the probability that it is the hormones of pregnancy, such as relaxin, which cause the damage" said Associate Professor Alastair MacLennan of Adelaide University Department of Obstetrics and Gynaecology. "That hormone relaxes the connective tissues during pregnancy, and never quite puts them back to the virgin state. The damage has already happened, its not just during the hours of labour" he told ABC Science Online. The prevalence of pelvic floor problems, such as stress or urge incontinence, or intra-vaginal prolapse was found to be 42% in women who had one or more vaginal deliveries, as opposed to 35% prevalence in women who'd had Caesarean delivery. "Pelvic floor exercises and surgery can help," said Professor MacLennan, "but unless mothers avoid giving birth, by means such as adoption, future pelvic floor problems after pregnancy are very likely," he said. The cross-sectional population survey was conducted through the South Australian Department of Human Services annual epidemiological survey. It involved more than 3,000 people and found that women in general suffer more than men when it come to incontinence. The study highlights the overall problem of incontinence for women. Even those who have never had children are four times as likely as men to have stress incontinence. Women have a 52% chance of stress incontinence after the age of 50. "The survey highlights the high prevalence and major social impact of pelvic floor prolapse and incontinence in our society," said MacLennan. "It is a silent epidemic, as those with the problem are often embarrassed to talk about it," he said. Urinary incontinence was found in 4% of men, but in 35% of women aged from 15 to 95, increasing to 50% among older women. More than 14% of women were found to suffer from rectal incontinence of flatus or faeces, while fewer than 10% of men suffered from the same conditions. Other health factors associated with pelvic floor disorders were found to be weight, coughing, osteoporosis, arthritis, and reduced quality of life. The results of the study are being published this month in the British Journal of Obstetrics and Gynaecology. It will also feature in the December issue of Climacteric, the journal of the International Menopause Society. McLennan says there are two associations with low incontinence rates, "It's better not to have a baby, and it's better to be a man". Find local movie times and trailers on Yahoo! Movies.
[ozmidwifery] HOOP trial
Could someone please provide me with the reference for the HOOP trial (Hands Off Or hands Poised at birth)? Or even what journal it's out of would be helpful. Cheers, Jen Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] Having a Baby Pamphlet
Here's the website for Having a Baby in Victoria http://www.health.vic.gov.au/maternity/ Not sure if all of the info is exactly the same as the brochure. Cheers, JenTania Smallwood [EMAIL PROTECTED] wrote: Is there anyone out there who has easy access to one copy of the DHS Having a Baby pamphlet from a state other than SA? Wehere at the MC are having a meeting next week, and this is on the agenda, with some concerns about a reprint, and changes to the content. Just wanting to see what other states have in their pamphlet at this point in time. If anyone on the list has one, I'd be happy to pay for the postage to Adelaide. Thanks in advance Tania Find local movie times and trailers on Yahoo! Movies.
[ozmidwifery] new caesarean section resource for consumers
Apologies for the cross post, but I'm just found a new c/s resource aimed at consumers that looks fantastic! It's from the US site www.maternitywise.orgthat also has the online version of the Guide to Effective Care in Pregnancy. Here's the direct link: http://www.maternitywise.org/pdfs/cesareanbooklet.pdf Jen Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] heel prick/Guthrie test
Thanks to everyone who replied. Before I started mid, as an average consumer, I assumed that there is one "right" answer or one "right way to do things for anything that had something to do with science... I had no idea therecould be so much variation between labs, hospitals, countries, doctors, midwives, etc, etc. Fascinating. Jen Marilyn Kleidon [EMAIL PROTECTED] wrote: Hi Jen: it depends what the lab is testing for: it may well be the same throughout australia (ie from state to state but varied considerably from state to state in the usa). Since you are mostly testing for gentetic errors in metabolism you have to wait long enough for the metabolism to occur after the baby has begun receiving milk but quickly enough for the error to be detected before damage is done to the baby. Eg in the state of washington we did 2 heel pricks: day 3 and day 7. In California one on day 3 (72hrs) as here in Qld. marilyn - Original Message ----- From: Jen Semple To: [EMAIL PROTECTED] Sent: Saturday, June 05, 2004 9:09 AM Subject: [ozmidwifery] heel prick/Guthrie test Regarding heel prick/Guthrie test... protocol atthe hospitals I've done placements is 48 hours post-birth. I wonder if it makes any difference whether it's done on day 2, 3, or 5? Jen 3rd year BMid studentKirsten Blacker [EMAIL PROTECTED] wrote: yes, midwives do administer Vit K via intramuscular injection when that isthe plan, or more often, the hospital protocol.The heel prick test is done on day 5 so for where I work it is done by thevisiting midwifery serviceKirsten Find local movie times and trailers on Yahoo! Movies.
[ozmidwifery] heel prick/Guthrie test
Regarding heel prick/Guthrie test... protocol atthe hospitals I've done placements is 48 hours post-birth. I wonder if it makes any difference whether it's done on day 2, 3, or 5? Jen 3rd year BMid studentKirsten Blacker [EMAIL PROTECTED] wrote: yes, midwives do administer Vit K via intramuscular injection when that isthe plan, or more often, the hospital protocol.The heel prick test is done on day 5 so for where I work it is done by thevisiting midwifery serviceKirsten Find local movie times and trailers on Yahoo! Movies.
[ozmidwifery] 60 minutes transcript
Here's the transcript from thewebsite http://sixtyminutes.ninemsn.com.au/sixtyminutes/stories/2004_05_30/story_1129.asp Mother's choice May 30, 2004 Reporter: Liz HayesProducer: Richard Mortlock, Glenda Gaitz INTRO LIZ HAYES: It seems that doing what comes naturally doesn't come all that naturally these days, not in childbirth, anyway. Now, one in every four Australian babies is born by caesarean section. That's via the scalpel, the knife. Major surgery, but arguably, no more risky than nature's way. Why? Well, there's lots of reasons, many of them medical. But there's also fear, fashion and convenience, the ability to slot birth neatly into a busy life. And that's where the battle lines are being drawn, with some traditionalists warning that soon, natural childbirth could be history. STORY LIZ HAYES: For Vanessa Gorman, this operating theatre is a happy end to a tragic journey. It's the birth of her son Rafael and while having a caesarean birth is a decision more and Australian women are making, it was never a simple choice for Vanessa. So you made a decision for a caesar? VANESSA GORMAN: Yes, yes, and I was sorry in a way that I was having a caesarean for him, for my son, but I just thought also that I just couldn't live through losing another child. And I just felt like I have to choose the very safest way and that seemed to be the caesarean. LIZ HAYES: Vanessa Gorman is a documentary maker. Four years ago, she made an extraordinary film about her first pregnancy, called Losing Leila. It told of her long and difficult labour and her desire to experience a natural childbirth. VANESSA GORMAN: I thought that having a caesarean, you know, was just maybe not going through that passage, that initiation into womanhood. LIZ HAYES: After 20 hours of hard labour, Vanessa's daughter was in serious distress. The doctor's only answer was an emergency caesarean. But the operation came too late for tiny Leila. VANESSA GORMAN: I felt like I was so distressed that that might have put her into distress and put her into distress and eventually caused the meconium inhalation, which eventually killed her. LIZ HAYES: Do you wish now that you'd had a caesarean or is that an unfair question? VANESSA GORMAN: Of course I do. You know, of course I do in that sense of, what if I just had a caesarean, I would now have a four-year-old girl here. LIZ HAYES: From Leila's death to Rafael's elective caesarean birth, Vanessa Gorman's experience provides a snapshot of how and why Australia's way of having babies has changed. Do you think we will reach the point where the majority of babies that come into this world will come via a c-section? DR DAVID MOLLOY: I think we're going to go close to that. I think if you look at almost any part of society, people choose technology. They choose mobile phones. They choose high-tech cars. They choose gadgets for their houses. We're a very technology-driven society. We're comfortable with intervention and technology and I think that's extended, I really believe that's extended into the birthing process. LIZ HAYES: Brisbane obstetrician David Molloy says when it comes to caesareans, it's a woman's right to choose. Today, it's a choice that one in four Australian mothers are making. DR DAVID MOLLOY: Caesarean section rights have risen in Australia virtually every year for the last 15 years. First of all, the big driver at the moment is patient request. Secondly, the litigation aspect: we get sued only for not doing caesarean sections or for not doing them quickly enough. The third thing is the ageing obstetric population: now, one in four women or one in five women are having their first baby over the age of 35. LIZ HAYES: No matter which way you cut it, a caesarean is a serious operation. Here, Dr Molloy is delivering twins. Anaesthetised from the waist down, this mother feels no pain as her newborn son is pulled from the incision made through her abdomen and womb. Like more than 14 percent of Australia's caesarean births, this was elective surgery, the mother's choice. The fact of the matter is that vaginal births and caesareans are seen as as safe as each other. JUSTINE CAINES, NATURAL BIRTH ADVOCATE: Absolutely not. There is no way that undergoing surgery, major abdominal surgery, can ever be as safe as normal vaginal birth. What we are seeing is that for the convenience of large organisations, ie. major hospitals and practitioners, that women are slotted in. It's basically production-line birth. LIZ HAYES: For Justine Caines, caesareans are just not natural. This natural birth advocate is a mother of four. Little Tobias was born at home with only a midwife attending. JUSTINE CAINES: Birth is seen as a very painful, scary thing that's to be endured. And we are a society of instant gratification, quick fix, and birth is not about that and I think that what we're seeing as the result of the quick-fix birth is huge rates of postnatal depression, problems with
Re: [ozmidwifery] birth center Melbourne
Does anyone know if birth centres in Melbourne get booked out the way they obviously do in Brissy (waiting lists, etc)? Cheers, Jen Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] RE:
This is a virus! Do not click on the link.Mary Murphy [EMAIL PROTECTED] wrote: Is this link a legitimate one? I would hate to connect find I got a virus site. MM - Original Message - From: mail.bigpond.com To: [EMAIL PROTECTED] Sent: Wednesday, May 12, 2004 10:40 AM Subject: [ozmidwifery] RE: http://drs.yahoo.com/acegraphics.com.au/NEWS-- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe. Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] re- ABC radio
I'm in Melbourne heard it on Radio National, Tuesday night from 6-7pm. Thought it was quite good. JenNicole Christensen [EMAIL PROTECTED] wrote: Did the birth discussion go ahead last night I listened on and off between6 - 7 pm (then had to go out) - and didn't hear anything in that time frame. regards, Nicole Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] re- ABC radio
I've just looked to see if there's a transcript... I can only find a summary a "listen" icon (not sure if that's the whole program or just a snippet. Here's the link: http://www.abc.net.au/rn/talks/austback/index/default.htm http://www.abc.net.au/rn/talks/austback/stories/s1090397.htm Nicole Christensen [EMAIL PROTECTED] wrote: Did the birth discussion go ahead last night I listened on and off between6 - 7 pm (then had to go out) - and didn't hear anything in that time frame. regards, Nicole Find local movie times and trailers on Yahoo! Movies.
[ozmidwifery] sterile water injections
Pauline ( other who's units are using sterile h2o injection), have you found that a majority of midwives in your unit have embraced this method readily offer it to women? The evidence sounds quite conclusive about its effectiveness, but we all know how it can be to embrace change. :o) Just curious! Jenpauline [EMAIL PROTECTED] wrote: Not really certain what difference it has mande on our C/S rate, but I feelit has made a big dent in the no. of epidurals used! Perhaps the researchmay show some sort of trend. Cheers, Pauline Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] ER
I had heard/read this before... identical to what was argued on ER... that a rule of thumb is for HIV positive women with a reliable clean water source (developed countries), formula feeding is the "safest" option for HIV positive women without a reliable clean water source (developing countries), breast feeding is the "safest" option as the risk of contaminated formula (via contaminated water) to the babe is far greater than the risk or contracting HIV via breast milk. But I can't remember where I heard/read it before it's driving me crazy! Does anyone have any references? Cheers, Jen P.S. Still LOVE that Rachel had a vaginal breech on Friends :o)Kirsten Blacker [EMAIL PROTECTED] wrote: in brief... Carter (on of the main characters, a doctor) is working with MSF in the Congo. One of his patients has HIV and is in end stage AIDS. The patient's wife (8mo pregnant) and kids all test positive and Carter is trying to get the mum on HIV meds (which of course he flies in directly from the US, but that's another story) to try and prevent the next baby from being HIV positive. He tells her she can't breastfeed because of the transmission, and that formula is "just fine" and they can supply the powder to her. One of the other MSF workers pulls him aside and says, "you can't ask her to formula feed, where she is going back to there is no clean water, and 50% of these babies die from gastro in the first six months". Admittedly it ignores the recent research on the saftely of exclusive BF for HIV mums in the first six months with abrups weaning (no I don't have the reference on me) but at least it made the point about the danger of formula promotion in third world countries. One in the eye for Nestle I say ;) Kirsten Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] VBAC
How common is the use of misoprostol for induction in Australia? I've read it's used quite a lot in the US that it's used in abortion in Australia, but all I've seen used for induction (in my 2 years as a mid student)in Oz is Prostin. Would love to hear your thoughts/experiences. Jen 3rd year BMid, MelbourneMary Murphy [EMAIL PROTECTED] wrote: 20040414-39Uterine ruptureassociated with misoprostol labor induction in women with previous cesarean delivery-European Journal of Obstetrics and Gynecology and Reproductive Biology,vol 113, no 1, March 2004, pp 45-48Aslan H; Unlu E; Agar M; et al-(2004) OBJECTIVE: To review our experience with uterine rupture in patients undergoing a trial of labor with a history of previous cesarean delivery in which labor was induced with misoprostol. STUDY DESIGN: A retrospective chart review was used to select patients who underwent induction of labor with misoprostol during the period from February 1999 to June 2002. Women with a history of cesarean delivery were retrospectively compared with those without uterine scarring. RESULTS: Uterine rupture occurred in 4 of 41 patients with previous cesarean delivery who had labor induced with misoprostol. The rate of uterine rupture (9.7%) was significantly higher in patients with a previous cesarean delivery (P0.001). No uterine rupture occurred in 50 patients without uterine scarring. Women with a history of cesarean delivery were more likely to have oxytocin augmentation than those without uterine scar! ring (41% versus 20%; P=0.037). CONCLUSION: Misoprostol induction of labor increases the risk of uterine rupture in women with a history of cesarean delivery. (16 references) (Author) Article Type: Original research Standard Search:P107L14L21 Yet VBAC women are still being induced this way.4 out of 41 is pretty definite. M Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] midwife is a midwife...?
Michelle, I hear what you're saying loud clear from a student's point of view! While I have been blessed to have been able to work with some fabulously woman-centred midwives both within the hospital setting outside, it is enormously frustrating to betaught all of the woman-centred stuff @ uni then not have woman-centred environments well established where students can practice those skills be mentored by midwives experienced with those skills in that environment. I've heard this referred to as the theory-practice gap. Must be something that students everywhere are experiencing! Jen 3rd year BMid, Melbourne Shelley [EMAIL PROTECTED] wrote: Your comments Nicole are superb. I am currently finishing my 'obstetric training' at a 'referral hospital' as a student midwife. Unfortunately, Ihave got myself into big trouble trying to empower women and give woman-centred care that I have learnt about in University.And morally, ethically and for safety reasons,I havn't been able to follow the interventionist programme. I have seen the difference in outcomes for both mother and baby,between holistic care that has an emotional and spiritual dimension that obstetric, physiological care cannot give. But I can guarantee, that if I had to work in this environment for a number of years, I would take on the same skin - just to survive. Its like the old saying - 'if you can't beat them join them.' The only answer is to separate woman-centred holistic care from obstetric care - ie.a totally different environment. There is always hope! Regards (from a very non-compliant student 'obstetric'midwife!) Michelle Z. Find local movie times and trailers on Yahoo! Movies.
[ozmidwifery] post- c/s nuitrition
Look what I found on the Cochrane Consumer website http://www.informedhealthonline.org//item.aspx?review=003516 The medical tradition of withholding food and drink after surgery generally came into practice without proof of benefit, and there is a lot of variety in practice. Some practitioners and hospitals let women have food and fluid within a few hours of a caesarean section, while others do not allow anything for 24 hours or more. Yet, nutrition may be important for recovery and wound healing. A Cochrane review found that there is not enough evidence about the effects of different policies on food and drink after caesarean section. However, early food and drink has not been shown to have any disadvantage - and may even speed recovery. Most of the significant differences found in the trials favoured early food and drink. More research is needed to exclude the possibility of rare adverse effects of early access to food and fluids, and to see what impact these policies have on women's satisfaction, fatigue and breastfeeding. Above summary by Informed Health Online Published: Thursday, 5 February 2004 Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] testing
Jan, I'm getting your posts on Ozmid. Jen[EMAIL PROTECTED] wrote: my messages are not getting through Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] bumper stickers
Many thanks to everyone for your input on bumper stickers! Will keep you posted. Jen Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] bumper stickers
Hi Barb, Thanks for sharing where that fabulous one comes from! Must get one for my car! JenBarb Glare Chris Bright [EMAIL PROTECTED] wrote: Hi, You can get fabulous "Human Milk for Human babies" ones from the Australian Breastfeeding Association. I had a fabulous sticker on my old car that said "midwives and Mothers Labour together" I really liked that Barb GlareMum of Zac, 11, Daniel 9, Cassie, 5 Guan 1ABA Counsellor, Warrnambool, VicPoster and Calendar orders [EMAIL PROTECTED]www.abavic.asn.au Find local movie times and trailers on Yahoo! Movies.
[ozmidwifery] bumper stickers
Seeking in-put from MC branches around Oz, consumer organisations, ASIM, etc... ACMI is looking at printing bumper stickers there's interest from Midwives in Private Practice (MIPP in Victoria) possibly MC (Vic) going in together to do a massive print to reduce costs, have heaps of the same stickers floating around on cars all around Oz, etc. Janine Clark (ACMI national student rep) I are looking at organising this... if anyone has any suggestions please let us know!One question to think about/dicuss isif all of these organisations (ACMI, MC, MIPP, ASIM, etc) are keen to get stickers together, each sticker is not going to be able to have each organisation's name on it. So I think each organisation needs to discuss why they want the stickers... to promote the organisation or to promote midwifery/birth reform (or other goal I haven't thought of!). If the goal is to promote midwifery/birth reform, maybe they could all have the MC website on them since that's the umbrella organisation. If the goal is to promote the specific organisation, then I'm not really sure how this could be done.Does anyone have any thoughts/feelings/ideas?I've collated a list of suggested slogans below, but before slogans are debated, it's probably more important to discuss goals priorities.Jen"Push for birth reform""I want 1-to-1 midwifery care""Midwives help people out""Women in the know know a midwife" The NZ College of Midwives sell 3 stickers for around $1 each:- Start life with a midwife- I chose carefully, I chose a midwife- I'm a midwifeMidwives Care! -Naturally!-PROUD TO BE A MIDWIFESAY HELLO TO A MIDWIFE"midwives do it for life""midwives do it .. naturally"'human milk for hu! man babies'"the goddess or the birth machine - your choice"peace on earth begins at birthMidwives: saving the earth, one baby at at time Find local movie times and trailers on Yahoo! Movies.
[ozmidwifery] rural Victoria issues- URGENT
From the Marternity Coalition Victoria list... Hi EveryoneI have a reporter from The Age newspaper coming to my house tomorrow morning at 9:30am to interview me about rural women being induced at 38 weeks because they are not close enough to an appropriate maternityservice. Although we all know that this is happening does anyone out there have any specific documentation on this "phenomenon" ocurring? Also do any of you know of anyone in particular who has undergone an induction at 38 weeks in a rural area?Please help fast.LESLIE MC Victoria Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] hysterectomy -books
Just wanted to share a couple of books that I've read while studying mid have found fascinating... Woman : An Intimate Geography by Natalie Angier (2000) The Whole Woman by Germaine Greer (2000) Both different books I don't agree with everything Greer says, but bothdiscuss a woman's anatomy, physiology, biologydifferently than I'd ever heard or thought about! Jen Find local movie times and trailers on Yahoo! Movies.
Re: Fw: [ozmidwifery] waterbirth article
Many thanks! JenElissa and David [EMAIL PROTECTED] wrote: The BMJ article on lbaouring in water can be found at http://bmj.bmjjournals.com/cgi/content/full/328/7435/314?maxtoshow=HITS=10hits=10RESULTFORMAT=1andorexacttitle=andtitleabstract=water+birthandorexacttitleabs=andandorexactfulltext=andsearchid=1078364451058_4545stored_search=FIRSTINDEX=0sortspec=relevancefdate=1/1/2004resourcetype=1,2,3,4 the reference is Elizabeth R Cluett, Ruth M Pickering, Kathryn Getliffe, and Nigel James St George Saunders Randomised controlled trial of labouring in water compared with standard of augmentation for management of dystocia in first stage of labourBMJ 2004; 328: 314-0 cheers, David Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] re co-sleeping
Hi Pinky, I missed the show, but I found the transcript (love the ABC) http://www.abc.net.au/gnt/future/Transcripts/s1058920.htm It looks like it came off quite well... sounds like everyone (inc. the doc that runs the sleep school) made it clear that they support co-sleeping. Don't know about the quote (by the doc) "Women seem to develop this kind of oestrogenic fog that they move around in." though- what the?! Well done to you thanks for letting us know about the show. Jen Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] Caesareans
Belinda, I'd love to read that article. Do you know the reference? Cheers, JenBelinda Maier [EMAIL PROTECTED] wrote: what is interesting is the RCT in the BMJwhich showed water was effective in decreasing the need for intervention/augmentation in women with 'dystocia'. So in these cases maybe getting the women i to water would have encouraged their labour to progress and avoid CS altogether Belinda Find local movie times and trailers on Yahoo! Movies.
[ozmidwifery] Eating In Labour- evidence!
Wow, it's interesting that women are even restricted from eating solid foods while they're labouring... the Cochrane folks, Enkin et al. (2000) Guide to Effective Care in Pregnancy Childbirth. (3rd ed, Oxford University Press) have a whole section on nutrition in labour (pp. 259- 263). It can be downloaded from http://maternitywise.org/pdfs/gecpc3ch29.pdf The gist is "...except for women at high risk of needing general anaesthesia, the benefits of nourishment in accordance with women's wishes far outweigh the possible benefits of more restrictive policies." (p. 259). In the two hospitals I've done my clinical placements, women have been encouraged to drink to thirst eat to hunger (lightly). Here's to evidence-based practice! Jen 3rd year BMid student, MelbourneJoFromOz [EMAIL PROTECTED] wrote: Women are allowed water, black tea, that kind of thing. Whether epidural or not. Inductions are more strict though, water only. I had to beg a doc to let my labouring woman have a barley sugar... Jo Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] free journal access online
Hi Denise, My original email did say it is only until the end of March. I haven't read anything about a maximum amount of time (x days?) that one can access. You have to fill in a brief form they email you a password to access. I haven't received my password or anymore info yet. Will let you know if I run in to trouble. JenDenise Hynd [EMAIL PROTECTED] wrote: Dear Jen and others Please be aware this only a free TRIAL subscription till March 2004 possibly 3 days and then you will have to pay or be cut of??Denise - Original Message - From: Jen Semple To: [EMAIL PROTECTED] Sent: Thursday, February 26, 2004 6:01 AM Subject: [ozmidwifery] free journal access online FYI from the Birthnews list Sage Publications, publishers of academic journals, including theJournal of Human Lactation, is offering free online access to all of their journals from now until the end of March. Go to Sage Publications (http://www.sagepublications.com/freeaccess.htm)and follow the instructions. Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] UK Midwifery list
Thanks to all for your info. Jen Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] BORN IN CAUL
Fascinating! Thanks for sharing your experience, Sue. Jen 3rd year BMid student, MelbourneSusan Cudlipp [EMAIL PROTECTED] wrote: The first time I birthed a baby in the caul was funny, the woman was on all fours so I was expecting to see the face first. Out slides this featureless head and my immediate thought was "Oh my God, this baby has no face! What will I say to the parents!" Then I laughed at myself and wiped the caul from the lovely little face. And that, Jan, is all you do, it's very stretched by then and often breaks soon after the head is born anyway. There are anecdotal accounts of multiple births at home where each small baby has come out complete in its sack. There are many beliefs surrounding being born in a caul. My mother used to tell me I had been born in the caul (at home naturally) and that it meant I would never drown at sea (a reassuring thought!) She told me that sailors used to prize cauls as powerful tokens of good luck and would buy them from the midwives to guard against drowning. Seems a good enough reason to me to leave things well alone! I'd better re-introduce myself, my name is Sue and I am a midwife at one of the smaller hospitalsin metro. I used to be on this list and have decided to check back and see what y'all have beenup to. Nice to'hear' from familiar 'voices'still around. Hello to Mary and Denise, and others. Regards, Sue Find local movie times and trailers on Yahoo! Movies.
[ozmidwifery] UK Midwifery list
I think I remember people mentioning a UK Midwifery list... could I grab deatils about it, how to join, etc? Cheers, Jen Find local movie times and trailers on Yahoo! Movies.
[ozmidwifery] flash photography during birth
Marilyn, was this true amongst homebirthers in Seattle too? That's really interesting. JenMarilyn Kleidon [EMAIL PROTECTED] wrote: I guess anecdotal evidence will not suffice for this gentleman, umh! If photographic eveidence is required then you could have high speed film, slow shutter speed and while you prolly wont get a great photo, you may have some evidence in the future. I had my camera set up like this for the birth of my third daughter and did get a lot lovely though grainy photos with no flash. This was 23 yrs ago and now nobody(that I have been around)seems concerned about the flash I am interested that this is still a concern. Have we just forgotten about it? marilyn Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] Re: Private Insurance companies covering independent midwives?
A few others that I've heard of... A fabulous member of MC employee of the RAAF (air force) in Vic has just negotiated to have MIPP services included in the RAAF health insurance policy (both for currently employeed former employees). I would assume that would be nationally. Not sure whether the same policy covers all military folks (ie Army, Air force, Navy, etc). My in-laws are members of the NSW teachers health insurance fund on their brochure it said it covered the fee of a midwife for a homebirth. Also, I think I remember someone mentioning that HBA provides a rebate of midwive's fees as well. Apparently it's really easy for the midwife to get a provider number... just ring up ask for it. It's a shame Medibank private (the scheme that has most members) doesn't provide any rebate for midwifery services. Hehehe, I don't really know any of this stuff first hand, so if anyone knows any differently, please fill us in! JenJo Bourne [EMAIL PROTECTED] wrote: I just sent a letter to australian unity asking what cover they would give me for a home birth. They give about $640 for a private midwife in hospital birth situation (some for prenantal, some for post and a small fee for the birth). They give $2000 for a homebirth if you organise it with them in advance (and join before conceiving).SGIC/NRMA give $500 for midwifery similar to the hospital cover above. Many other funds have a similar small ammount of cover. Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] BORN IN CAUL
Hehehe, the obvious question from the midwife student for you wise midwives... What DO you do?! :o) JenDenise Hynd [EMAIL PROTECTED] wrote: What a sad/poor reflection of what happens in hospital birth!! I had not seen or been involved in such until I started attending Homebirths!I remember the first time wsatching inititially wondering what was happening then my first catch of a baby in the Caul being my own "now what is it I do?" Feeling the head and a hand through the bag!!Denise Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] BORN IN CAUL
Interesting. Thanks Denise! JenDenise Hynd [EMAIL PROTECTED] wrote: Jen The midwives I have been with at home from whom I have learnt most therefore what I did was to leave it intact till the babies head was out - as it acts as a cushion for the mother and baby. Also based on Michle Odent's theory about waterbirth's why the baby does not breathe under the water or in the caul/membranes. = that due toPascal's (?) principle = pressure in a fluid filled container (membranes, tub ) is equal in all directions -therefore the pressure receptors on the baby's face do not prompt the baby to take a breath until itisout of water/bag of membranes. When you break it peel it down over the face firstclearing the mouth ready for that first breathe!!Denise Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] rally
Maureen, I assume you work at the Angliss? It must have been hard to juggle franticphone callswhile you're trying to do clinic :o( To fill everyone in, here's a transcript of what was on Stateline: http://www.abc.net.au/stateline/vic/content/2003/s1044707.htm Is the problem what was being protested or what was reported? It doesn't matter what is beingprotested if the press don't report it accurately. Jen Ken WArd [EMAIL PROTECTED] wrote: Okay, I supported the rally on Thursday, but I have not enjoyed theaftermath. Worked pm on Thursday and fielded many phone calls from clientsconcerned that the birth centre was closing. Today I did clinic andEVERYONE asked if the centre was closing. I didn't hear the news story, butdid catch Statewide. Could we please be a little more specific about whatwe are protesting about and prevent women and their families worryingthemselves unnecessarily. Yes I have explained it all, and encouraged themto write to MP's etc, but the calls have been numerous and I haven't reallygot time in clinic to discuss it . MaureenKen Maureen Ward[EMAIL PROTECTED] ATTACHMENT part 2 application/ms-tnef name=winmail.dat Try the new improved Yahoo! Australia & NZ Search
Re: [ozmidwifery] Doulas in the Blue Mountains
Some private insurance companies cover the fee of a midwife in private practice. One to one care with a midwife she's known throughout pregnancy birth is her best bet for successful breast feeding. Best of luck, Jen"Melissah Scott @ Spilt Art" [EMAIL PROTECTED] wrote: I have someone who is about 18 weeks pregnant and fairly recently moved to the blue mountians (Katoomba) She is unsure of where to birth at the moment and is concidering birthing at nepean private to make use of her private health insurance. She is hoping to stay in hospital for about 5 or so days, and at nepean private her husband can stay with her. She wants to stay in for a few days because she is nervous about being able to breastfeed and take care of her bub, as she feels she has not much idea of what she is doing. So I sugested to her that maybe a doula could be of great benifit to her by the way of childbirth info, birthing and post natal care/advice etc. She is quite interested in talking to some doulas in the area. So, I thought Id try to get together a list of Doulas in the area to pass on to her. If anyone is interested, could you please either reply or email me directly with all your details [EMAIL PROTECTED] I know your around Abby, but I cant find your contact details. Thanks! Melissah www.Splitart.com Try the new improved Yahoo! Australia & NZ Search
[ozmidwifery] New Parenting Group for Melbourne!
Hello everyoneJust wanted to let you all know about a new parenting support group that has just been launched in Melbourne!The name of our new non-profit organisation is Natural Parenting Melbourne. We are a city-wide network of families and professionals aiming to support, educate and celebrate the diversity of "natural choices" available to families as they journey their way through pregnancy, birth and ongoing parenthood.We are very proud to be able to offer 3 playgroups this year within the Diamond Valley, Outer East/Hills and South Eastern regions. We with plans to extend our network Melbourne-wide, we hope to be able to offer playgroups in many more local areas in the future. With plans of hosting guest speakers and information nights on a range of natural parenting topics (incl. birth), we are very open to any offers from those keen to come and address our groups during the coming year.All families are welcome to come a! nd join us! Please feel free to pass along our details to anyone who you feel might be interested or in need of parent-to-parent support within their local community.For more information on our groups and events, please see our website www.naturalparenting.com.au/npm/CheersMelinda WhymanNATURAL PARENTING MELBOURNE[EMAIL PROTECTED] Yahoo! Greetings Send your love online with Yahoo! Greetings - FREE!
[ozmidwifery] breech article
Views turn on breech birthsBy Barbara RowlandsDoctors are re-examining whether surgery is best for feet-first deliveries http://www.timesonline.co.uk/printFriendly/0,,1-369-987912-369,00.html Yahoo! Greetings Send your love online with Yahoo! Greetings - FREE!
