Re: [ozmidwifery] Elective c-section article
Janet Fraser wrote: What irresponsible bullshit is this. Someone is telling a lot of lies to women and articles like this are normalising them and spreading them further. Choice schmoice. Is it just My Choice to drink till paralytic when pregnant? To refuse to use a car seat? To lie down in the middle of the road and hope cars don't hit me when I'm pregnant? To have no brakes on my car? The reality is that this woman had unnecessary surgery which had three times the likelihood of killing her or the baby, a massive risk of losing her uterus, PND, being unable to establish a breastfeeding relationship, PTSD, and the myriad of other wellknown risks from all the drugs and crap put into her and her baby. She may have the dubious right to demand unnecessary surgery in obstetrics but does she have the right to also inflict this on her child? So if we want to call it choice, would that be her child's choice? We need to get back our outrage at the innately pathological act that is cutting into perfectly healthy bodies for no reason. Endangering our lives and that of our babies isn't just a choice or a right it's a supremely selfdestructive act within a powerfully misogynist context that has left us with the utterly appalling hospital system we have. Let's all have colostomy bags fitted so we don't have to be so uncivilised as to defecate. Perhaps we could be fed via tubes to avoid eating and swallowing? This stuff is the very acme of disgusting. J Hear hear. Love your work Janet. -- Jennifairy Gillett RM Midwife in Private Practice Women’s Health Teaching Associate ITShare volunteer – Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] frustrating
Sue Cookson wrote: Hi all, My email obviously went out about the direction of the list as I have recieved a couple of personal replies but my own email and other replies to the list have not appeared for me!! So frustrating. Can someone please email me copies of the discussion so I can participate?? Thanks, Sue Heya Sue, firstly congrats on getting the piece of paper :)) On the tame list bizzo, I think too that one of the reasons is exactly what you have outlined here - not all the mails get thru to the list, at best its sporadic. I know that my motivation to post has reduced since I realised that only about a half to 2 thirds of my posts actually get read by someone other than me, when they do the occasional lack of any kind of meaningful reply can just add to the feeling of wasted time. cheers -- Jennifairy Gillett RM Midwife in Private Practice Women’s Health Teaching Associate ITShare volunteer – Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Haemorroids
Michelle Windsor wrote: Hi everyone, Just needing some help for a friend who is 36/40 with very painful haemorroids. Is there anything that can be done apart from symptomatic relief and not becoming constipated? And in your experience how painful do women find them when they are pushing? Thanks in advance Michelle Send instant messages to your online friends http://au.messenger.yahoo.com Witch hazel tincture, applied on a cotton ball to the affected area when going to bed, leave it there all night - the wet cotton ball that is (or as long as it stays there), should see big results in 2-3 days. cheers -- Jennifairy Gillett RM Midwife in Private Practice Women’s Health Teaching Associate ITShare volunteer – Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Bottle feeding hard poos and blood from belly button.
Frances Sheean wrote: Hi Philippa Fruit juice adds little to a newborn's diet except fluid and this will stop the babe from drinking milk. The newborn's gut is not equipped to deal with fruit juice until around 6 months, as per the WHO guidelines Despite apparent logic there is very little/no fibre in fruit juice and it has high sugar levels compared to fresh fruit. Pureed fruit can be given after 6 months of age. Brown (concentrated) sugar is an `old wives/old wise woman's' tale. It works by irritating the gut which is not advisable for all the reasons outlined by WHO So for the formula fed infant under 6 months check the formula is made up correctly, if so it may be worth looking for a formula that is less constipating (eg. one with Bifidus, or HA - partially hydrolysed). fran sheean From: [EMAIL PROTECTED] on behalf of Philippa Scott Sent: Fri 17/11/2006 6:39 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Bottle feeding hard poos and blood from belly button. Two questions. Have a mum who is formula feeding a 2.5week old and has found that bubs poos have turned hard but not terribly dry. Is this just normal or is it possible a different formula would be better. Also what is the research on things like adding Brown sugar and giving fruit juice? It does not sound evidenced based to me. She has also noticed blood weeping from belly button (cord stump came off a week ago) and whilst there is no redness or temp and baby does not seem sore there she is wondering if this is normal? Have you any answers for us? Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville Yes Im bottom-posting again, blame it on the geeks I hang out with... I have no evidence base for this but my LC mentor passed this bit of info to me if the formula is being microwaved to heat it, it can cause or increase risk of constipation... its ok to microwave the water, but not the formula something about the microwaves changing the structure of the protein? Maybe its an urban myth but I have used this in my practice it does make a difference! cheers -- Jennifairy Gillett RM Midwife in Private Practice Women’s Health Teaching Associate ITShare volunteer – Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] JAUNDICE BREASTFEEDING
nunyara wrote: Hi all! A query -- I saw a client today whose little boy is 4 months old. The birth was at 36weeks, very quick labour (3 hours -- first baby). The little fellow had jaundice but was otherwise well. Went under the lights a couple of times and then came home but had appointments to go back and see the hospital paediatrician. When I saw the Mum prenatally, she was very very keen to breastfeed, had even been to ABA meetings whilst pregnant. However, she informed me today that she had to give up feeding. Upon being asked why, the answer was that she was so stressed that her milk dried up. The reason for the stress was that the jaundice kept recurring and her paediatrician told her that her milk was not flushing it out of the baby's system. Bub had to return to hospital twice to go under the lights again and the paediatrician also said that Mum had to supplement with artificial formula because baby was not getting enough to flush out. Hence the stress. She saw a lactation consultant who suggested that she go to a GP to get a tablet to increase her supply but she did not want to go that way. Don't know why she didn't go back to ABA but think she was over it by then. (Also lost confidence in her ability to feed I think because of paediatrician's comments) Anyway, can any of you enlighten me re the milk flushing the jaundice out of the system please? Cheers Ramona Lane Herbalist/Naturopath Hi Ramona, my understanding of this is that the bilirubin is produced when the fetal red blood cells are broken down by the liver (adult red blood cells start being produced at this stage). So the bilirubin is in the bloodstream, where it gets bound to albumin, which is a protein in the blood serum that often binds with and hence transports fatty acids, (like bilirubin). So this bilirubin that has connected with the albumin (its called unconjugated bilirubin) gets back to the liver, where it combines with glucuronic acid to become conjugated bilirubin. Now its water soluble, and can be excreted through the kidneys and intestines as wee poop. So, it follows that the more the baby intakes, the more it excretes, which gets rid of the bilirubin. The unconjugated stuff will just keep on circulating until it goes through the process of conjugation in the liver, or it can also become conjugated in the small blood vessels of the skin when exposed to light (which is what the phototherapy is all about). It still then needs to be excreted through the digestive system. hope this helps, cheers -- Jennifairy Gillett RM Midwife in Private Practice Women's Health Teaching Associate ITShare volunteer -- Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software
Re: [ozmidwifery] getting synto etc
I have a few births at home coming up and was wondering about synto and other drugs in my kit. How do others purchase them? Do I have to have a script from a doctor? The other issue that I do find difficult is the issue of cost for homebirth.Others I have been involved in have been for friends and colleagues. Does anyone have a schedule of payment and cost that they use? I am meeting with a couple on Monday and would love to have a bit more idea. Any feedback will be greatly appreciated, Thanks Cath Had a client recently who I sent to her GP for a script for synt. She got the script, went to the chemist to fill it found it was going to cost her around $80 to get it - they only sold it in the boxes of five vials. I ended up asking around my MIPP friends managed to find some that way (dint need it anyway so its still in my fridge). If you give me your postal address Im happy to post some to you - my understanding is that its ok to keep it out of the fridge for a time. cheers -- Jennifairy Gillett RM Midwife in Private Practice Women’s Health Teaching Associate ITShare volunteer – Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Re: (No subject header)
david tonkin wrote: I have just been welcomed to the list what now ok, I know logically that there must be many Dave Tonkins in the world, but I have to ask if this particular David Tonkin ever taught high school? Welcome to the list anyways, hope you have fun cheers -- Jennifairy Gillett RM Midwife in Private Practice Women’s Health Teaching Associate ITShare volunteer – Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Any ideas??
lisa chalmers wrote: *Hello to all , * *I received this email this morning and have no idea if what this woman wants is at all possible??* *Has anyone got any experience of anything similar. i thinkits grest that she is actively persuing a birth experience that she wants and would love to give her some info.* ** *Many Thanks * *Lisa xxx* Hello there. I would like to find out,is there such waterbirth laws in New Zealand also or only in SA? Is there any midwives services in New Zealand also? I'm actually a Malaysian,but i really want to have my child in Australia or New Zealand and not in Malaysia because my husband and i are very interested and really want to have an aqua baby due to all the benefits that waterbirth has and this service is not available here in Malaysia. I would really like to know how can i deliver our baby over there and how is the government's policy to go there and have a baby? Is it possible because we really want a waterbirth. Please do reply soon. Thank you very much for your cooperation. Regards, Jashpreet Kaur try the NZ college of midwives website - http://www.midwife.org.nz/index.cfm/women I know there are issues with accessing the govt funded maternity care if you are not a citizen, so they'll prolly have to pay for it. cheers -- Jennifairy Gillett RM Midwife in Private Practice Women’s Health Teaching Associate ITShare volunteer – Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] FYI news article
Megan Larry wrote: *Bliss at the 5-star maternity hotel* MICHAEL OWEN September 19, 2006 12:15am Article from: _http://www.theadvertiser.news.com.au/?from=ni_storyhttp_ *THE state's first maternity ward in a luxury hotel will open early next month.* The Hilton Adelaide has finalised a deal with Ashford Private Hospital to provide up to eight deluxe-plus rooms for new mothers recovering from childbirth. Called Baby Bliss, the maternity hotel service program will start from October 3, with final Health Department approval expected within the next week. Ashford Hospital and the Hilton say public interest in the scheme has been amazing since it was first floated in July., The program, already in operation in two private hospitals in Melbourne, aims to cut costs and free up hospital beds. It has won the backing of private health fund Mutual Community and national mother advocacy group Mother Inc. Midwives will stay in a wing of the Hilton dedicated to new mums and provide around-the-clock care and advice, while obstetricians will continue to oversee care during hotel stays. Partners and siblings of new mums will be able to stay at the hotel free. Alan Lane, chief executive of hospital operations for the Adelaide Community Healthcare Alliance, which owns Ashford Hospital, said the option would only be available to women who had a normal vaginal delivery at the hospital. Mother and baby would be transferred to the Hilton two days after giving birth. Mother and baby remain patients of Ashford Hospital and the responsibility of its medical and nursing teams, Mr Lane said. The option to stay at the hotel for two nights is included in the obstetrics cover provided by the patient's private health fund. Insurance broker Jenny Lynch, 33, is due to give birth to her first child in February. I really like the idea of not being in that sterile hospital environment after I've had my baby - a luxury hotel room and a bit of pampering sounds like a pretty good way to relax after childbirth, Ms Lynch said yesterday. Instead of calling it Baby Bliss, it should be called Bread and Circuses. (http://en.wikipedia.org/wiki/Bread_and_circuses if you dont get it) Just another attempt to move attention away from the high-cost/poor care paradigm. A teaspoon of sugar makes the medicine go down. -- Jennifairy Gillett RM Midwife in Private Practice Women’s Health Teaching Associate ITShare volunteer – Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] If this doesnt get to the list I will know theres a conspiracy :))
(top posting in the name of conformity) Thought about ignoring this one, but then thought what the hey, Im a Leo just cant turn my back on a good stoush :) thoughts on this (in order - yes this is how my mind works, welcome to my world...) a) Gak. b) think you've misunderstood the issues that Lisa has raised (or I have, coz thats not what I got out of it) c) but hey, a great example of what can happen when you 'personalise' a debate! (but we were warned, thanx for the heads up) I too have reservations about what this insurance will mean for me/for us/for the profession. I want to have the 'security' of not putting my home on the line every time I go out my door with my kit. I want women to have the option of affordable birth wherever they choose. I want my clients to be financially covered if something does go pear-shaped. I want to be able to trust that any insurance that I secure actually does what it says it will without holding me over a barrel, I mean this in terms of financially, regarding my scope of practice. The problem with this offer is that it is the only offer on the table, which makes it not only very attractive, but also means they have a monopoly on insurance provision, they can spell out the conditions because theres no competition. Im not saying I dont like the offer - I dont yet know enough about it to judge. I too want more info on how it will affect my practice, and the practices of other MIPPs - as Sue said, how will it affect us if we provide care to women who are outside the 'guidelines' of referral etc? How will it affect us if we are only providing postnatal (for eg) care as an independant provider? What happens if we are doing both homebirths and contracting out to agencies etc? I dont want to sign up for something that will then change - we know that here in SA the 'benchmark' charge for homebirths is significantly lower than the eastern states - which means that CA will receive more money per woman from midwives there than here - so how will they deal with that? Will they eventually require a higher premium from those providing 'cheaper' care? And why would they charge us for a service that we could choose not to use - the accounting system? If this insurance is adopted by the majority, where does that leave me if I choose not to join up, for whatever reason? Im with Lisa - just because Im raising questions does not mean I do not value the energy people have put into securing this offer; it does not mean I wont have anything to do with it; it shouldnt mean that my professionalism or quality of practice are called into question. I agree that this offer of insurance could be really wonderful, leading to many new options of practice for midwives. Whatever happens with it, whether its a go-er or not, it will be seen as significant to the profession. I just want to be really clear about the 'rules' before I support it! We encourage women to ask their care providers questions about the quality of service provided, about what they can expect from their health providers - surely we have that right too, without being seen as 'boat-rockers', or any other kind of divisive branding? cheers (sig below where it should be) B G wrote: Lisa, There is a word that describes those who are not members of an organisation/collective that declines to financially contribute to collective funds or provide input or energies yet expect to benefit or be rewarded by the wins such as pay rises negotiated by a collective group such as by a union. I will not say the word in such polite company but others will know a festering sore heals ever so slowly when constantly rubbed. I get rubbed by this all the time! However I would suggest Lisa /*you*/ seriously consider why membership to */your/ *professional college would benefit you and especially to the woman you claim to 'care' for. We cannot take a Robinson Crusoe view and think midwives are on their own island when we have so many financial, political, professional, ethical and various codes of practice we are all expected to be accountable to. At the present time the College does not have the resources or funds to be able to provide legal or financial officers. They leave the industrial framework many midwives work in to the various unions in each state, however unfortunately named, the ANF. However some states with active midwives are working on the name change to be more inclusive of midwives. I can assure you the ANF and Jill Iliffe are taking notice of midwives. Collectively we are strong and we can do */anything /*in a way that respects all views. Can I urge you to get involved. Cheers Barb -- Jennifairy Gillett RM Midwife in Private Practice Women’s Health Teaching Associate ITShare volunteer – Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware
Re: [ozmidwifery] Fw: Notes from meeting with Contracting Advantage
Thanx Andrea, the forward I sent on this to the Ozmid list (only a half hour before you sent this) never got through (or at least it dint end up in my inbox via Ozmid). I figure that about half of my posts to this list actually get through. Maybe I'll just send the stuff I want to get onto this list to someone else to send for me :)) Well done. cheers jennifairy Andrea Bilcliff wrote: To help keep everyone in the loop, here are Joy's notes from the Melbourne meeting yesterday. Andrea Bilcliff - Original Message - *From:* Joy Johnston mailto:[EMAIL PROTECTED] *Sent:* Wednesday, September 06, 2006 9:19 AM *Subject:* [Midwives_Insurance] Notes from meeting with Contracting Advantage Meeting for midwives with Anne O’Connor of Contracting Advantage (CA) Tuesday 5/9/06 3-5pm At Sunshine Hospital Midwives present: Robyn Thompson, Helen Sandner, Andrea Bilcliff, Michelle Popple, Bronwyn Harris, Clare Lane, Kayleen Scuderi, Veronica Zeinstra, Joy Johnston Purpose of meeting: to discuss CA’s offer to provide Professional Indemnity (PI) insurance for self-employed midwives. For information on CA, go to www.contractingadvantage.com/ http://www.contractingadvantage.com/ CA is a private company, and they have already negotiated a plan for $10 Million cover with their broker, Jardine Lloyd Thomas in Perth. A midwife who signs up with CA would be charged an annual fee of $500, plus approx 6% of all invoices we create. The system that they offer provides an accounting system whereby a midwife would give an invoice to a client for her services, and the client would deposit the money into an account belonging to CA. (If cash is paid, the midwife can transfer the money). CA processes the money into Tax 20%, agency management fee 5%, and insurances approx 1%, and anything else that the midwife wants to have taken out such as superannuation, or income protection. The remainder is sent the next day to the midwife’s account, and the midwife receives a statement of earnings. CA’s agency fee provides bookkeeping services for members, including preparation of BAS. CA has no interest in the fee charged, or the number of births, or any details of how the midwife practises. They need to be sure that a person is a midwife, and this can be checked via the public register at the Board. (they do the same for tradesmen c) CA charges a $2,500 excess on every claim. There are some technical questions that Robyn put, and these need to be answered formally. I felt satisfied from my perspective that the plan would provide PI insurance, which is the big need, and the first priority. There are 2 systems operated by CA. The first is what I have described above, which would provide for independent midwives such as those of us who are practising now. The other system is called ODCO, which is a self employed contractor who does most of her/his work for one employer. CA has an arrangement with the employer, and the employer pays the money earned by the independent contractors in the same way that nurse agencies get paid for supplying staff. The possibilities here are very big, in that hospitals could use this system for midwives who want to be self employed but want to provide the acute/ birth care in the hospital. Also this system could replace nurses agencies that are already in operation, if it had an enterprising business person to run it. This idea has a lot of possibilities. The next step is to get 200 midwives. The list that Barb Vernon has generated has 90 names, and we know others who have not yet put their names on the list. There may not be 200 who are currently earning enough to make the $500 seem reasonable. Those who are working primarily in hospital jobs, but are willing to attend homebirths occasionally may fee it’s too much. If you spread it over even 10 births in a year it’s not much, and can be passed on to the client, but if you only have 2 births in the year, that’s a big burden. However I think once the insurance becomes available the pressure will quickly mount on all midwives to get it, so it won’t be an option any longer. This possible shortfall in numbers may be something that needs attention – perhaps pressure on health ministers to provide support to get it started initially. I hope this gives you useful information. I do think it will open the possibilities of hospital visiting access for independent midwives. If you know any midwife who is interested but is not on one of these yahoo groups, please forward this message to her/him and ask them to request an invitation to the list. many thanks Joy Johnston No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.405 / Virus Database: 268.11.7/438 - Release Date: 5/09/2006 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe
Re: [ozmidwifery] Vaginal examinations
Sally @ home wrote: Exactly, Shelley. In practice I do very few VE's as well, relying on all the external signs we, as midwives, use everyday. However, having one's knowledge and experienced completely disregarded is extremely disheartening. We are organising a forum to try and alter the policy/guideline, but have very little time to prepare...hence the plea for help :o) Thanks Sally The thing about being tuned in to the subtle signals and processes that women invariably go through during labour and birth, is that you have to actually *be there*, spend the time ( I include antenatal 'time' in this too) watching, listening, feeling, smelling, hearing - not something you can do by watching the ctg at the mid station, or by walking into a room to observe a woman for 3 minutes to make decisions about what is happening for her her further care. Prolonged observation beats textbook definitions of 'normality' any day. I get really pissed off when I consider that these obstetric definitions ( hence protocols) have been created largely by people who have *never* provided labour and birth care for women who they have a pregnancy-long relationship with, and who attend for the *whole labour* - if that was the case we may have much broader definitions of what is 'normal'. I personally think its a huge violation of women to even have a protocol which legitimises time-based (ie 4 hourly) vaginal examinations, purely because it is 'quicker and easier' to determine progress of labour. Sally I would be asking your obstetricians - if they had a choice between assessing labour progress by observation alone, or assessing labour progress by inserting their fingers into a womans vagina, what would they choose? I would also be inviting them to 'witness' an entire labour where VE's were not routine, were not done at all unless there was some valid evidence-based reason to do so. Its not good enough for the 'medical establishment' (of which we as midwives are a part) to dismiss knowledge that comes from experiences they will not put themselves in the way of. cheers -- Jennifairy Gillett RM Midwife in Private Practice Women’s Health Teaching Associate ITShare volunteer – Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] privacy issues
Sazz Eaton wrote: I was wondering if there was anyway to make these emails private. I googled myself (to see google rating for my webiste and blog) and discovered that all my emails on the oz midwifery list are available to all, and this is distressing given in one I provided so much personal information (my intro I think). I'm very uncomfortable with the idea of anyone anywhere having the power to read my emails. Thanks, Sazz Short answer = No. Its a 'public' mailing list - Im sure Andrea or the current webmistress can answer this in some more detail, but the answer is still no. Dont post anything to this list that you wouldnt mind stating verbally on A Current Affair! Email readers only have 'power' if you give it to them, if they choose to use it, I guess. For eg, posting personal details of clients or even friends without their permission is like posting it on any blog site - freely available to just about anybody on the planet. Just for a heads up, in my experience even emails sent to an individual are not necessarily 'private'. cheers -- Jennifairy Gillett RM Midwife in Private Practice Women’s Health Teaching Associate ITShare volunteer – Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Private Health Funds
Ping Bullock wrote: TEACHERS FEDERATION HEALTH: An SA midwife has just had a client with this company who is expecting to receive $1500 from them to cover her homebirth. The midwife had to give her an invoice with her ABN on it, setting out how much she had been charged for antenatal, birth/labour postnatal, as they were specific about how much they would reimburse for each 'part'. Yeah that was me, last year. They did eventually pay $1500 after we both (me new mum) jumped through some hoops to satisfy criteria they were probably making up on the spot. Im birthing with the same woman again (due any day now), so Im hoping it will be more straight forward this time seeing as they've now dealt with this before (with the same client even!). The problem seems to be that they just dont deal with this situation often enough to really know what to do with it, ie have identified procedures etc. I agree with Justine, the more women ask about it then ask Why the hell not?, the more its in their faces they then have to create policy. I think its worth while to add that 'other' insurance companies *do* offer homebirth/midwifery reimbursement - health insurance is a very competitive business, a few of them make a big deal about offering 'alternative therapies' cover to attract a wider client base - if they want to trot out the 'numbers' argument (ie the number of women wanting homebirths is very small so why should they offer 'specialised' insurance to such a minority), just remind them that it wasnt very long ago that NO insurance companies offered rebates for homeopathy acupuncture etc - these therapies were only accessed by 'hippies', werent they? cheers -- Jennifairy Gillett RM Midwife in Private Practice Women’s Health Teaching Associate ITShare volunteer – Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Married to the Midwife
Andrea Robertson wrote: Hi, This story was sent to me by a midwife friend in Israel, who does home births. Might be worth sharing with your partners Enjoy, Andrea Married to the Midwife by Tom Smith Web Exclusive Wow. Yeah, I want one of those thanks! (Unlike the other sort that I lucked out on, who convinced my children that every time I went out the door I was putting them 'second' - I'm such a bad mother!) Thanx for that Andrea - when I finally get up the courage to go partner-hunting again, I'll just get prospective blokes to read this as a bench test :)) -- Jennifairy Gillett RM Midwife in Private Practice Women’s Health Teaching Associate ITShare volunteer – Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] brisbane homebirth
Ive had an enquiry from a friend in Brissy for a homebirth midwife - anybody know of anyone who can help? cheers -- Jennifairy Gillett RM Midwife in Private Practice Women’s Health Teaching Associate ITShare volunteer – Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: Fw: [ozmidwifery] Blood pressure...
Stephen Felicity wrote: Sending this to the list for the second time as it mysteriously disappeared. :o( - Original Message - From: Stephen Felicity [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, July 05, 2006 1:17 PM Subject: Re: [ozmidwifery] Blood pressure... A little bit of knowledge can be a dangerous thing. I got this one the first time, so maybe its a bit more hit n miss than we think ? cheers -- Jennifairy Gillett RM Midwife in Private Practice Women’s Health Teaching Associate ITShare volunteer – Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] List working properly???
Lisa Barrett wrote: I am aware that not all my mails make it onto the list . I have felt that maybe they are not getting through because of the content and a whole section with mails from Justin Caines Jennifairy and myself didn't make it into my email box. I read them on the yahoo site as I was checking to see if my own mail was there. This puts me off replying because it just seems that maybe all points of view are not wanted. Lisa Barrett Independent Midwife. I know enough about the vagaries of computers (yes Im a closet nerd) to trust that there is no conspiracy by the Ozmid webmistress to censor certain emails. Realistically it would be a full time job to read every post to this list 'cull' the ones that dont fit the mold. Like childbirth midwifery, computer technology is not an exact science, there will always be 'glitches in the system', ghosts in the machine... yes I have had confused moments especially in the last 6 months or so on this list when I come across a reply to a post I never got as an original, etc. It does seem to be happening more than it used to (Ive been on off, but mostly on, the list now for about 5 years), it can be hard to track down where the problem is - users computer /mail settings, ISP settings, server settings, etc. For some reason KellyBelly's emails *always* used to end up in my Trash folder until I created a filter specifically for her posts to the list, to send them to my Ozmid folder (?!) go figure If it works 90% of the time then Im happy with that, we of all people should understand there are no guarantees of perfection, anyway the archive is there for reference if needed. Please dont refrain from posting Lisa, I for one appreciate your posts very much, you have a very valuable perspective to offer. cheers -- Jennifairy Gillett RM Midwife in Private Practice Women’s Health Teaching Associate ITShare volunteer – Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] 24th HBA conf - Tickets nearly sold !
Susan Cudlipp wrote: Should we wear red carnations or something ?- would be great to put faces to names - I am going along with a colleague and a soon-to-be-midwife friend. Looking forward to it - sounds like a great conference Sue Im coming over in a car of 6, comprising 2 midwives 2 proto-midwives (midwives in all but paperwork!), driving from Adelaide, will be a girlie road trip to tell my children about (except they are coming too!). As to the ID issue, at the ICM we had name badges that we were able to attach Ozmid stickers to, that you could pick up from Andrea's stall - will you be there Andrea? cheers -- Jennifairy Gillett RM Midwife in Private Practice Women’s Health Teaching Associate ITShare volunteer – Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] ctg stuff
Susan Cudlipp wrote: Choice is an interesting concept: if we truly support choice then surely even 'bad' choices should be respected? Yeah see this is where a persons rights as a medical consumer gets tricky. How do we define 'bad' choices whilst being culturally/theologically/spiritually/ etc sensitive? Look I think that the woman who wanted to be induced before the 6/6/06 has just seen too many Exorcist movies, but who are we to deny her the right to hold a totally different world view? Yes we could argue that her choices can potentially cause harm to herself her baby, we can attempt to 'inform' her of her rights and responsibilities as we see them, but at the end of the day if she is willing to make that decision then it is hers to make. If we are going to be 'real' about supporting womens rights to choose, then we also have to be real about where the responsibility ultimately lies, until this is sorted in a cultural, political legal sense, its going to keep going around in these same circles. The bottom line is that we are arguing about the choices human beings have in our culture around birthing, when we cant even choose the way we die, that also is a choice that is proscribed (by law even). In the situation of dying, one has to consider that you can do it yourself quietly (or not) at home (ie 'commit' suicide - notice the allusion to a criminal activity in that statement), but you cant expect the help of the medical establishment to do so (ie euthanasia). That is one very obvious 'boundary' to what medical science can 'ethically' provide. Maybe if more women understood that the same boundaries exist in the birthing scene, we may see some changes take place! Because of the fear of litigation (ie, where the ultimate responsibility lies), you cannot expect the medical establishment to sanction or support any behaviour that it defines as 'life-threatening'. The fact that the information the establishments use to create those definitions is not always evidence based just adds to the frustration! With all due respect to those who work in hospitals, please can we all just admit that as soon as you become a 'patient', your choices (and therefore your responsibilities) are potentially (depending on what you want) over-ridden by hospital policy (ie, there are boundaries to the support you can expect)? We can argue that 'it is her body, her baby', but if she cant (is not allowed or supported to) make choices that the institution sees as inherently 'dangerous' (by thier definition) to herself or her baby, then its all just bullshit. Call me naive (go on, I dont mind), but - What we want as consumers is to be able to access medical help *on our terms*. What we want as midwives is to know we are working with people (women mostly but not only women) that are willing able to take responsibility for their choices decisions. -- Jennifairy Gillett RM Midwife in Private Practice Women’s Health Teaching Associate ITShare volunteer – Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] PPH levels soar
Sue Cookson wrote:
Hi,
This article appeared in last week's Sydney Morning Herald.
I think it's amazing and it appears that some of the information is
incorrect in that the article states that NSW Health implemented
active thrid stage and early cord clamping in 2002. Surely
syntometrine and syntocinon have been used for many more years than
just the last four, in which case this study is a real eye-opener if
you believe we are stopping women from bleeding by using drugs in
third stage.
What do you think?
Sue
I wonder how many of these women had inductions (for eg)?
Ive also seen (during my student experiences, so have other current
students) some midwives doctors apply CCT without giving synt,
describing this as 'physiological' 3rd stage. There are lots of 'mixed
managements' of 3rd stage out there with no real evidence base, IMHO
once you do anything like pull on the cord its active management, but on
the 'coal face' there sometimes doesnt seem to be much consensus around
'reasonable' evidence-based 3rd stage management.
What Im pointing out is there is sometimes a gap bewteen what we think
we mean by a term ('active 3rd stage', for eg) what actually happens,
ie, how that is interpreted by the person doing the job, the term may
imply consistency but that doesnt fit reality
cheers.
--
Jennifairy Gillett RM
Midwife in Private Practice
Women’s Health Teaching Associate
ITShare volunteer – Santos Project Co-ordinator
ITShare SA Inc - http://itshare.org.au/
ITShare SA provides computer systems to individuals groups, created
from donated hardware and opensource software
--
This mailing list is sponsored by ACE Graphics.
Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] consent to formula feed?
Steph Arthur wrote: Were this bubs in the SCN?? If so being of a lower birth weight with BSL that are not great, formula comp-ing would not be a bad idea.. With all due respect - but not as good an idea as being offered the breast, surely? Esp considering these bubs are most likely going to drop some weight post birth. That could mean twin 2 could reaslistically drop to below 2kg. Also, I am under the impression that due to the increased risk of these bubs' sugars dropping further (being LBW and premature) then requiring IVT, 4/24 BSL etc one or two comp feeds to allow mum to get her head around breastfeeding two bubs and recovering from the labour etc sounds reasonable. Yes but does it sound reasonable to the mother? Surely whether it 'sounds reasonable' to any of us is a moot point - nothing in the original story tells me that this woman had any reason *not* to make 'reasonable' decisions of her own about her babies - just another sane mother committed to the wellbeing of her offspring. Or was there a reference to psych illness or drug use that I missed? What she needs to 'get her head around' any experience is surely up to her? I do understand both sides- one being the desire of the mother to BF versus the well-being of her babies. Just because these bubs were offered a comp feed does not mean she cannot BF.. Um. At the risk of jumping down a throat here (sorry, nothing personal in this!), this makes it sound like this woman's desire to breastfeed her babies is somehow putting them 'at risk' - like, how is there 2 sides to this, with on 1 side this woman who doesnt sound like she wants anything more than healthy breastfed babies, on the other side the 'well-being' of her babies How has the desire to breastfeed put this woman on the other side of the fence to the health of her babies Maybe there are 2 sides to this debate, but in my book the mother is on the same side as her babies! Which leaves the 'other side'.? -- Jennifairy Gillett RM Midwife in Private Practice Women’s Health Teaching Associate ITShare volunteer – Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] students learning
Kirsten Dobbs wrote: I can back up Kate, (as we attend the same uni!) I have only ever been encouraged and supported to attend births with independent midwives by our uni. Kirsten My apologies to all for casting aspersions on both uni's when it is one that is forbidding students to work with MIPPs. I am very happy to hear that Unisa are encouraging their students to experience midwifery in all its forms. Lets hope the insurance issues can be sorted so that this is no longer a question of which uni one attends. cheers -- Jennifairy Gillett RM Midwife in Private Practice Women’s Health Teaching Associate ITShare volunteer – Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] students learning
Justine Caines wrote: Dear Liz So nice to hear your honesty. But what are you learning? None of this is about what women can do or supporting them to achieve the best outcome, it is about protecting a system and it's regular inhabitants. It is production-line birth. Why not ask an independent midwife if you could get to know a woman and provide some support and see what birth can be? I really despair that newer midwives are forced into such a system (even most Bmidders!). It must be really hard to keep the faith or believe in fact that it can be different. For fyi, student midwives here in SA are *forbidden* to seek experience of any kind with any independently practicing midwife, on threat of a fail grade for the clinical topic /or expulsion from the course. The uni (s) then have the cheek to say things like this on their website advertising the course: Midwifery programs at *** reflect the philosophy of 'women-centred' midwifery practice. Midwives are therefore educated to provide safe, effective care that recognises the needs of individual women in relation to choice, control and continuity of care. *** has a strong commitment to excellence in midwifery education, practice and research. The School of Nursing and Midwifery has the expertise to support this commitment and has been in the forefront of midwifery innovation and development in Australia. The aim is to prepare midwives to practise as competent, confident practitioners _in all settings_ (my underline) according to the full role and sphere of practice described in the international Definition of a Midwife (World Health Organisation, 1992). After lobbying for years to get the BMid off the ground ( then doing it myself), with the intention that 'changing the face of midwifery' needed to start at the education level, I'm feeling thoroughly disillusioned that significant change will happen *in my lifetime*! Midwives here on the list often allude to the glacial (as in very slow) rate of change in institutions ie hospitals, well universities are institutions too the changes the PTBs at that level promised are still a very long way away. Independent midwives are made to feel that we are not 'responsible people', the fact that we are practicing without insurance (as if this is a choice!) completely devalues what we offer to women, and those students who have done 3 years hard slog to become a midwife who can work in *any setting* are denied any chance to actually experience one of a very few work options that allows midwives to work within the full scope of practice. In short, the blurb like the one above to advertise a course of study is an outright lie. They are good at 'talking the talk', but they want someone else to do the walking for them! -- Jennifairy Gillett RM Midwife in Private Practice Women’s Health Teaching Associate ITShare volunteer – Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Save the children report
just another fyi... the save the children fund have just released their report The Stats of the Worlds Mothers for mothers day. you can d/load the report watch a lovely slideshow (I recommend it) here: http://www.savethechildren.org/# A precis of the report is here at the bbc - http://news.bbc.co.uk/2/hi/africa/4752913.stm interesting read... cheers -- Jennifairy Gillett RM Midwife in Private Practice Women’s Health Teaching Associate ITShare volunteer – Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] need some references
, Canberra Oakley, A., Hickey, D. Rajan, L., 1996, ‘Social support in pregnancy: does it have long-term effects?’, /Journal of Reproductive and Infant Psychology/, vol.14, pp. 7-22. Page, L., McCourt, C., Beake, S. Hewison, J., 1999, ‘Clinical interventions and outcomes of one-to-one midwifery practice’, /Journal of Public Health Medicine,/ vol. 21, no. 3, pp. 243-248. Page, L. 2000, /The New Midwifery – Science and Sensitivity in Practice, /Churchill Livingstone, Edinburgh. * * Passant, L., Homer, C. Wills, J., 2003, ‘From student to midwife: the experiences of newly graduated midwives working in an innovative model of midwifery care’, /Australian Midwifery,/ Dec. 2003, Vol. 16, No. 4, pp. 18-21. Rooks, J., 1999, ‘The midwifery model of care’, /Journal of Nurse-Midwifery/, vol. 44, no. 4, July/August, p. 370-374. Rowley, M., Hensley, M., Brinsmead, M. Wlodarczyk, J. 1995, ‘Continuity of care by a midwife team versus routine care during pregnancy and birth: a randomised trial’, /Medical Journal of Australia, /vol. 163, Sept, pp. 289- 293. Sandall, J., 1995, ‘Choice, continuity and control: changing midwifery towards a sociological perspective’, /Midwifery/, vol.11, pp. 201-207. Sandall, J., 1996, ‘Moving towards caseload practice: what evidence do we have?’, / British Journal of Midwifery/, vol.4, no. 12, pp. 620-621. Sandall, J. 1999, ‘Team midwifery and burnout in midwives in the UK: practical lessons from a national study, /MIDIRS Midwifery Digest/, vol. 9, no. 2, pp. 147-151. Senate Community Affairs Reference Committee 1999, /Rocking the Cradle. A Report into Childbirth Practices/, Commonwealth of Australia, Canberra. South Australian Health Commission 1995/, Report of the South Australian Models of/ /Care Working Party/, Adelaide. Spurgeon, P., Hicks, C. Barwell, F., 2001, ‘Antenatal, delivery and postnatal comparisons of maternal satisfaction with two pilot Changing Childbirth schemes compared with a traditional model of care’, /Midwifery/, vol. 17, pp. 123-132. _ _ Teate, A., 2000, ‘Community midwives programme in Adelaide’s Northern suburbs’, /Midwives Muse/, Spring, p. 5 _ _ Tinkler, A. Quinney, D., 1998, ‘Team midwifery: the influence of the midwife-woman relationship on women’s experiences and perceptions of maternity care’, /Journal of/ /Advanced Nursing/, vol.28, no.1, pp. 31-35. _ _ Tracy, S.K. Tracy, M.B., 2003, ‘Costing the cascade: estimating the cost of increased obstetric intervention in childbirth using population data’, /British Journal of Obstetrics/ /and/ /Gynaecology,/ vol. 110, pp. 717-724. Tracy, S., Barclay, L.B. Brodie, P., 2000, ‘Contemporary issues in workforce and education of Australian midwives’, /Australian Health Review,/ Vol. 23, No. 4, pp. 78-88 Turnbull, D., McGinley, M., Fyvie, H., Johnstone, I., Holmes, A., Shields, N., Cheyne, H. MacLennan, B., 1995, ‘Implementation and evaluation of a midwifery development unit’, /British Journal of Midwifery/, vol.3, no. 9, pp. 465-468. Waldenstrom, U., 1998, ‘Continuity of carer and satisfaction’, /Midwifery/, vol.14, pp. 207-213. Walsh, D., 1996, ‘Evaluating new maternity services: some pointers and pitfalls’,/ British/ /Journal of Midwfery,/ vol..4, no. 11, pp. 598-600. * * Walsh D. 1999, ‘An ethnographic study of women’s experience of partnership caseload midwifery practice: the professional as friend’, /Midwifery,/ vol. 15, no. 3, pp. 165-175 Webber, A., 1998, ‘Mothers with Midwives – A South Australian Experience of Caseload Midwifery’, /New Models of Maternity Service Provision: Australian Midwifery Perspectives Conference,/ Adelaide, 5-6 November. -- Jennifairy Gillett RM Midwife in Private Practice Women’s Health Teaching Associate ITShare volunteer – Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Birthing Music
Ceri Katrina wrote: Hi everyone I know this is going to be a very individual preference, but just wondering if any of you wonderful people out there can recommend some music for birthing. I have my Enya CD and a couple of others, but am wanting some more. If anyone has a CD or artist they can recommend from personal or other experience that would be fabulous. thanks in advance Katrina -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. I have found that parents choose thier own music ( whether or not to have any). I remember a long time ago, one of the first births I was 'doula' for (ie birth support for a friend, many years before my own 'official' midwifery journey), I put on a tape that my friend had lying around next to the player. To this day (12 years later) she still remembers labouring to Ravi Shankar ( now cant stand it!). So yes its important. Some of the choices people make for thier birthing music really surprise me too - I wouldnt myself choose Robbie Williams or the Red Hot Chili Peppers but they have been choices I have worked with :) I guess, like environment, the familiar is usually the most comforting cheers -- Jennifairy Gillett RM Midwife in Private Practice Women’s Health Teaching Associate ITShare volunteer – Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] de midwife course in wa
sharon wrote: thats right i have done three year mid and now doing one yar nursing over 2 years while working as a reg midwife so i have a double degree. i belive that it should be 4 years and finish with a double degree. regards sharon Yeah, personal preference again. I did the 3 year BMid in SA, if Id *had* to do the extra year to add nursing I prolly would have looked elsewhere (or written even more letters to have it changed). The problem with a 'double degree' is that it serves to maintain the fallacy that midwifery is not a distinct profession, that nursing has to be in there somewhere. If we are going to have double degrees with midwifery involved then I would prefer the 'other' degree was political science, or business studies, or something that teaches one how to set up sustainable community structures. Something that moves midwifery out of the mindset of a sub-species of nursing, anyway. Just my thorts cheers -- Jennifairy Gillett RM Midwife in Private Practice Women's Health Teaching Associate ITShare volunteer -- Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.385 / Virus Database: 268.4.1/310 - Release Date: 12/04/2006 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] ques on spurious labour vs false labour
Linda Corby wrote: dear wise women, I am having trouble getting information on spurious labour for a Grad Dip midwifery assignment question. Any info and references helpful?? Also, is it the same as false labour, or different? thankyou, Linda Corby Just love that language - not! My guess is that 'spurious labour' is the labour that gets the OB out of bed at 2 or 3am, to find a primip woman 2-3 cm dilated who has not been given any idea antenatally what labour is going to be like, really just needs some good support but gets a frustrated OB instead! No offense meant to any OB's here, or you Linda for quoting a euphemism being used by our teaching establishments - but maybe you could add something in yr assignment about how this kind of language serves to belittle demean *women's* experience of birth, by pointing the focus to someone elses experience - like, 'spurious' for whom? 'False' for whom? Sorry madam, but your physical sensations are not actually real. Yeah, right! -- Jennifairy Gillett RM Midwife in Private Practice Women’s Health Teaching Associate ITShare volunteer – Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] brown sugar
The Fairbairn Family wrote: more than a week without a bowel movement is not unusual = fully breastfed - but if concerned about constipation - a small amount of orange juice (natural) would prove the point.. - Original Message - *From:* Alan mailto:[EMAIL PROTECTED] *To:* Ozmidwifery mailto:ozmidwifery@acegraphics.com.au *Sent:* Friday, March 31, 2006 5:00 PM *Subject:* [ozmidwifery] brown sugar Can anyone point me to some research re brown sugar use for constipation? I have just started work at a small country hospital. A baby, after being born at 28 weeks has been returned to us. (now 36 weeks). This baby has not had a bowel motion for 7 days. After 3 days the doctor ordered ¼ tsp of brown sugar every second feed. This baby is being fed by EBM only. I told the doctor that it is not unusual for babies who are on breast milk often go for a week without passing a stool and was told “that is rubbish. They should go every couple of days”. No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.385 / Virus Database: 268.3.3/296 - Release Date: 29/03/2006 This is interesting as I have seen a woman baby just this week at home - fully formula fed at Day 3 when I first saw them (on paed's advice, for no apparent reason, but then also had a IOL at 38+2 because her obstetrician 'offered it', citing the story of his niece whose baby died in utero at 40+2), not interested in breast feeding (the mum of course), so of course by day 5 the babe had not had a bowel movement since mec at birth mum had decided to chuck in a 1/4 teaspoon of brown sugar with each feed. I too would like some references or at least some advice from an LC re what info to offer these mums! For what its worth, on the fully breast fed bowel timing thread, my oldest daughter went for about 4 months with a weekly poo (yep, Fridays were 'be ready to catch the immense amount of shit' day). Constantly amazed me where it all came from. Fully breast fed, by the end of that time she literally looked like Michelin Girl - more chins than a chinese phone book, as they say. cheers -- Jennifairy Gillett RM Midwife in Private Practice Women’s Health Teaching Associate ITShare volunteer – Santos Project Co-ordinator ITShare SA Inc - http://itshare.org.au/ ITShare SA provides computer systems to individuals groups, created from donated hardware and opensource software -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Babies Sleep Again...
fyi http://www.saveoursleep.com.au/termsofuse.asp interesting read. btw, 'after tertiary psych studies' only *infers* a completed degree - doesnt actually say she holds a degree, or any other qualification. 'Tertiary studies' could mean that she once read a university textbook, or enrolled in a course she never completed, etc. I could say I had gone into a field of unregulated self-employment (as this is) after 'tertiary (x) studies' - even if I had completed only one semester or topic! just my 2c worth jennifairy Janet Fraser wrote: OK I take that back : ) Born and raised in Ireland, Tizzie started her Save Our Sleep (SOS) business in the United Kingdom in 1996 after tertiary psychology studies and a career in private childcare. But even so, she's talking a crock on her site so obviously it was a wasted education ; ) J -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] sonicaid
best prices (from my experience - I put the call out about a year ago ended up ordering about 10 of them, but still cheap if you only want 1) is Cascade in the US. http://www.1cascade.com/ if you also need a currency converter, its here http://www.xe.com/ucc/ they were really helpful, great to deal with, I ended up getting huntleighs for about $600 per, that included the freight costs importer fees (which you wont need to pay if you are only getting 1). If you are bringing in 1 then its a bit of a minefield with customs but I negotiated it happy to help you out the sonicaid brand are cheaper I think than huntleighs but the retailer here in Oz (in Qld I think) still wanted way more than I could get the Huntleighs for from cascade. email me off-list if you need any more info. cheers Jennifairy Mary Murphy wrote: Hi, I am looking for a contact or company who sells sonicaid hand held dopplers in any state of Australia or even the British home base. Thanks, MM No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.371 / Virus Database: 267.14.21/236 - Release Date: 20/01/2006 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Litigation/Insurance issue
Rosetta, to be perfectly honest with you, I would be very interested in hearing more about your offer, if it didnt sound like it was coming from a Danoz Direct marketing formula. As an independant midwife, I dont need to hear further stories about the issues we face litigation-wise - we midwives know the score are doing it tough, taking the risk to practice the way we feel we can offer the most, knowing well what the risks are. Many midwives, whether in private practice or 'in the system', see all the time the 'horror stories' you want us to know about. Most of us know somebody who has been the subject of these kind of litigation situations, again not all in the 'private' sector. Its not us that needs to 'get the picture'! Most independant midwives know how to protect thier family home assets - they put them into their partners name. There are very few of us that I know of that cant do that (for lack of partner eg, as in my case). As a sole parent whose gross income last year was under $20,000 (a *lot* under), I dont need to know that help is out there for me, *if I can afford it*. As far as Im concerned the kind of protection midwives want need should not be a matter of some being able to afford it (you, you, not you) - it should be available to *all* midwives irrespective of income or workplace. I understand that you may have a genuine desire to help out midwives - if so, can I ask that you join us to lobby the Federal Government to provide midwives not only with equitable adequate insurance for practice, but also provider numbers to put us on the same footing as many other health care professionals. Please email Robyn Thompson at [EMAIL PROTECTED] for info on how you can help us. Otherwise, thanx (I think) for your offer - but some *real* information would have been more helpful, instead of something that sounds like it came from a Nigerian widow/bank official/Dutch Sweepstakes/viagra supplier. Jennifairy Rosetta Timpano - Asset Protection Consultant wrote: Hi All, Thanks Andrea and Brenda. Sorry for not replying earlier. Obviuosly there is great concern about the Litigation/Insurance issues that Midwives are currently facing. I do believe that it is an epidemic that has caused a lot of heartache and ill health, preventing people from doing what they love to do. Does anyone know of anyone that has been through the litigation process been sued, whether the action was right or wrong?. I can tell you that it is years of solicitors, courts, money, time, frustration, constant worries, marriage breakups, and finaical ruin. Believe me it is horrible! I'm sure you have heard all the horrifying and ridiculous litigation stories and payouts in the media. Im sure you get the picture. How I can help is to give you information/the steps on how to simply prevent the litigation process in the first place . I am an Asset Protection Consultant for this reason. What I do is show you how you can simply protect your assets BEFORE you are sued for something you may, or may not have even done. I can also show you how to protect your number 1 asset - your family home, and thus allowing you to further your property portfolio. My aim is to make you bulletproof so that when a Litigation Attorney looks into what you own, where it is, who owns it, how much you owe...etc... he/she will decide that you and your assets are just too hard to 'crack' and will advise thier client to drop the case. I'd love to help anyone interested, who has a concern for protecting their assets. Please email me and I can send you a report including news articles of recent real life horror stories. I can post it to you or I can email it (It is only 3-4 pages of text, with a few pictures of the news articles. Warm Wishes Regards Rosetta Timpano No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.362 / Virus Database: 267.13.9/185 - Release Date: 28/11/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] fyi formula
BBC NEWS Baby milk scare widens in Europe *Swiss-based food giant Nestle has ordered the recall of baby milk from France, Spain, Portugal and Italy after tests suggested chemical contamination. * Police in Italy, the largest market of the four, have begun seizing 30m litres of the baby milk from shops and depots. The alarm was raised after traces of a chemical involved in the printing process were found in samples in Italy. Nestle denies the chemical poses a risk to health but has recalled the cartons, with an expiry date of September 2006. The scare began in June when a sample of liquid baby milk produced by Nestle showed traces of isopropyl thioxanthone, a photographic chemical known by the initials ITX. * This decision was taken as an extreme precautionary measure to reassure consumers * Nestle statement The chemical is used in the printing process of the milk cartons, but appears to have made it into the baby milk itself. The Italian authorities have said the chemical may be toxic. A Nestle statement on the recall said: This decision was taken as an extreme precautionary measure to reassure consumers. Nestle believes that the level of ITX measured in the tested produce does not represent a health risk. Nestle spokesman Francois-Xavier Perroud said only 2m litres had been recalled in Italy, less than the 30m ordered to be seized by the authorities. A company spokesman in Switzerland said a new packaging process had been put in place to prevent contamination. * Negative light * The BBC's Imogen Foulkes in Geneva says contaminated baby milk is a food producer's worst nightmare and perhaps most of all for Nestle, which has attracted controversy over its baby milk in the past. For years Nestle has had a serious image problem because of its promotion of powdered baby milk over breast feeding in the developing world, where many new mothers have neither the money to buy the formula nor the clean water to prepare it, our correspondent says. Contaminated milk is a different issue, she says, but it still puts one of Nestle's top products in a negative light once again. Nestle has said it does not expect the recall to affect company-wide results - but with a product as sensitive as baby milk that is perhaps a little optimistic, our correspondent adds. Italy's forestry police - which is responsible for agriculture - initially seized 2m litres of milk for infants on 9 November. The wider seizure was ordered after subsequent tests showed all Nestle baby milk cartons with an expiry date of September 2006 were contaminated, the Italian news agency Ansa reports. Story from BBC NEWS: http://news.bbc.co.uk/go/pr/fr/-/2/hi/europe/4459520.stm Published: 2005/11/22 16:57:35 GMT © BBC MMV -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] insurance question
Hi there, looking for some info re. provision of insurance for midwives *just* doing postnatal community care. Does it exist? Who would I contact insurance co. wise? Ive been offered some work doing postnatal follow-ups for women that have availed themselves of 'early discharge', Im thinking that if Im looking for PI insurance that doesnt include birth, it might be gettable? Any ideas? cheers jennfairy -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] question from Year 10 student
how about the fact that fetal circulatory system very different to mature (ie born already) system? fetal haemoglobin also very different? but yeah, I go with the 'upside down in water' theory! jennifairy wump fish wrote: This made me laugh. It is just the kind of question my son (year 9) would come up with. I haven't even thought about it! I would go with the fluid and equal pressure theory. Being upside down in water at an adult (try it) does not result in the same pressure as being upside down outside water. However, if we go with this theory - what happens when women rupture their membranes. We know it has a variety of effects on labour and the baby. But, does it also make it less comfortable for baby due to being upside down? Just thinking aloud. I would love someone to find some evidence on this. Rachel From: Bowman Family [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] question from Year 10 student Date: Mon, 7 Nov 2005 20:10:21 +1100 I am involved in the CoreOf Life Program for Year 10 students. It is a fun and interactive program run over a double period and is about the journey through pregnancy, labour birth and parenting. Last week when I was demonstrating positioning with doll pelvis one of the boys asked how come the blood doesn't rush to the baby's head like it does for us if we are upside down I didn't know the correct answer and said I would get back to him. It possibly is obvious but I have asked a few peers and no-one is definite they have the correct answer. I thought I would throw it open to OzMidwifery for discussion. Linda _ The new MSN Search Toolbar now includes Desktop search! http://toolbar.msn.co.uk/ -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] todays advertsier
fyi latest from the advertiser... I wonder if the reference to 'anti-natal' classes was a freudian slip goddess forbid that women might seek a midwife when looking into choices of maternity care! jfairy *More help for pain relief births* By KARA PHILLIPS 31 October 2005 PREGNANT women who opt for epidurals are much more likely to need medical intervention during the birth, research shows. Those who have the pain-relieving injections have a 40 per cent higher risk of instruments such as forceps being used, the new international survey says. They also are more likely to have a longer second stage of labour, require drugs to stimulate contractions, experience dangerously low blood pressure and be unable to move for a time after birth. The findings come from the Cochrane Review, an independent database, based on 21 studies into the use of epidurals in labour, involving 6664 women worldwide. The study found epidurals relieve pain better than other types of medication but there is a 40 per cent higher risk of needing instruments to assist birth. There is no difference in Caesarean delivery rates, long-term backache or effects on the baby soon after birth compared with other forms of pain relief. Adelaide experts say pregnant women should be made aware choosing an epidural can put them at greater risk of such complications during labour. Anaesthetist Kym Osborn, at the Women's and Children's Hospital, however, says those risks are very small. He says 41 per cent of women giving birth at the Women's and Children's hospital choose an epidural, compared with 39 per cent a decade ago. It has always been the most popular method, Dr Osborn says. What is important is women know their choices - attending anti-natal classes and speaking with your GP should arm you with the knowledge to make the choice right for you. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] article FYI
I have an older friend who is iodine deficient seeing a naturopath who is prescribing iodine which is absorbed thru the skin - kind of like all those nicotine HRT patches apparently if it is absorbed within a 12 hour timeframe, her body needs it, if its still sitting on the skin after that time, she obviously doesnt! Anybody else heard of this kind of thing? Jennifairy leanne wynne wrote: Iodine: the clever mineral October 25, 2005 When we think of iodine, we think of that fluorescent yellow liquid that was painted viciously on our cuts and grazes as kids. But according to recent studies, this mineral has a far more important role in our health, particularly for pregnant women and their developing babies’ brains. Iodine is essential for a healthy thyroid which produces the thyroid hormone or ‘brain juice’ for developing babies and children. A prolonged lack of iodine in your diet may lead to a condition known as Iodine Deficiency Disorder or IDD. This deficiency is the single most important cause of preventable intellectual deficit in the world. Preventable intellectual deficit refers to conditions such as goitre, cretinism and mental retardation. It is important to ensure adequate iodine intake during pregnancy, as this is the time when the brain does the most developing. Iodine deficiency, particularly in children, may lead to lower intelligence levels and learning disorders. It has also been noted that an iodine deficiency can mean development problems for the baby and may even lead to miscarriage. The recommended daily intake for pregnant women is 120 –150 micrograms with a maximum of 1.1 milligrams per day. Sydney endocrinologist, Professor Creswell Eastman coordinated a study which measured iodine levels in eight-to-ten year old children. The results were expected to trigger the mandatory addition of iodine to salt. This move has already been agreed to, in principle, by state health ministers. “It’s going to be years before mandatory fortification takes place, and in the meantime it would be intolerable, almost criminal, to let [pregnant] women be at risk of iodine deficiency,” Professor Eastman said. Where to find rich sources of iodine: Seafood – fish, mussels. Vegetables – in particular, beets, celery, lettuce, mushrooms. Fruits – grapes, oranges in particular So, if you’re lucky enough to be pregnant, reach for a salad sandwich instead of that second helping of cake and your baby will thank you for it when they’re graduating with their master’s degree. REFERENCES First National Iodine Study Western Sydney Area Health Services Media Release 20.09.03 Hetzel BS. Iodine deficiency disorders and their eradication. Lancet 1983; 2: 1226-1229. First National Iodine Study Western Sydney Area Health Services Media Release 20.09.03 Iodine - http://www.birth.com.au/class.asp?class=6510page=15 Rouse Rada Extra Iodine Recommended in Pregnancy – Medical Observer September 2005 : Rich Sources of Nutrients - http://www.gmhc.org/health/nutrition/factsheets/nutrients.html Leanne Wynne Midwife in charge of Women's Business Mildura Aboriginal Health Service Mob 0418 371862 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] fyi
Cooling blankets may reduce newborn brain damage BY RONI RABIN STAFF WRITER October 12, 2005, 8:22 PM EDT Lowering a newborn's body temperature after birth reduces risk of brain damage and death for babies who are deprived of oxygen before or during delivery, a new study has found. Within hours of being born, newborns in the study were placed on cooling blankets that lowered their body temperature to about 92 degrees. The blankets, which had water circulating through them, were set at 41 degrees. After three days, the babies were gradually warmed to a normal body temperature, which usually ranges from 99.7 degrees to 99.3 degrees. The study of 208 infants at 15 medical centers was reported by researchers in the Neonatal Research Network of the National Institute of Child Health and Human Development, and appears today in the New England Journal of Medicine. This is a very exciting, landmark study, said lead author Dr. Seetha Shankaran, head of the division of neonatal-perinatal medicine at Wayne State University School of Medicine in Detroit. But the sponsors also urged caution, saying further research is necessary and warning that most hospitals should not attempt to the technique without training of personnel. The babies must be closely monitored and strict protocols must be followed because temperature fluctuations could be harmful, the study authors said. One in every 1,000 to 2,000 babies born suffers from hypoxic ischemic encephalopathy, which occurs when the brain doesn't get enough oxygen or blood in the hours before birth or during labor and delivery. These babies are at markedly increased risk of disability, including blindness and cerebral palsy, as well as death. Babies who received the cooling treatment fared better than babies provided with standard treatment. Of the 208 babies in the study, 102 infants were randomly assigned to undergo the experimental cooling while 106 received standard care. When the babies were examined at 18 to 22 months, 62 percent of the babies who received the standard treatment had died or developed a mild or severe disability, compared to 44 percent of those who had the cooling treatment. When all three outcomes -- death, moderate disability and severe disability -- were pooled, findings were statistically significant. Among those who were cooled, 24 died, compared with 38 deaths in the control group. Fifteen infants who had the experimental treatment developed cerebral palsy and five went blind, compared with 19 and nine, respectively, of thosee who had standard care. Infants who received the cooling treatment also scored better on mental and physical development measures, the authors said. The children will be followed until they are 6 or 7 years old. Several other studies investigating the benefits of cooling treatment are under way. Researchers at Schneider Children's Hospital in New Hyde Park have participated in a study that used a cooling cap to mitigate brain damage in newborns similarly afflicted by oxygen deprivation, and other studies are under way in Australia and England. They key thing is that the cooling, whether by blanket or by cap, helps some babies, said Dr. Andrew Steele, a neonatologist at Schneider Children's Hospital involved in the cooling cap study. Shankaran explained that when the brain is deprived of oxygen and blood, a cascade of abnormal events occurs, including formation of toxins and amino acids that damage brain cells. Cooling appears to work by reducing the energy of the brain itself, she said, thereby decreasing the abnormal toxins and actually reducing the swelling of brain cells. It is a very promising, evolving therapy, but there's a lot more work to be done, alot of questions still to be answered, said Dr. Ann Stark, chair of the American Academy of Pediatrics Committee on the Fetus and Newborn Health. Copyright 2005 Newsday Inc. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] age story today
http://theage.com.au/news/national/women-to-face-wait-for-late-abortions/2005/10/12/1128796587848.html cheers jennifairy -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] [Fwd: Caesarean delivery for half hospitals' babies (http://theadvertiser.com.au report)]
fyi jennifairy ---BeginMessage--- romana ([EMAIL PROTECTED]) suggested you might be interested in this http://theadvertiser.com.au report. Caesarean delivery for half hospitals' babies By LAURA ANDERSON 13 October 2005 ABOUT half of babies delivered at two of the state's largest private hospitals are by caesarean section. Documents from the hospitals' owner, the Adelaide Community Healthcare Alliance, obtained by The Advertiser, detail birth rates. At Flinders Private Hospital last year, 452 of 797 births were delivered by caesarean - a rate of 56.7 per cent. Of those, 240 were elective caesarean births. At Ashford Hospital, 595 of 1200 births in 2004 were caesareans - a rate of 49.6 per cent. Of those, 286 were elective. The two rates are significantly higher than the statewide caesarean rate for 2003, which was 30 per cent. SA Democrats Leader Sandra Kanck, a staunch supporter of midwives delivering babies, said the rate was unacceptably high and needed to be reduced. She said World Health Organisation guidelines stated a caesarean rate higher than 15 per cent "indicates over-utilisation". "I think it is very sad that obstetricians are able to convince so many women that a caesarean section is an easy option," she said. "Because it is not an easy option. "The more emphasis we have on midwifery the better it will be in terms of satisfaction and health outcomes." ACHA chief executive Alan Lane, however, said the two hospitals "neither promote nor judge caesarean section birth". "Ultimately, it is the woman's choice, in consultation with her obstetrician. A lot of women today feel a caesarean section birth is safer," he said. "What we do is provide at Ashford and Flinders Private the safest childbirth environment in the state's private health system." Ms Kanck called for greater education for expectant mothers on options. Click here to signup for daily headlines No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.344 / Virus Database: 267.11.14/129 - Release Date: 11/10/2005 ---End Message---
[ozmidwifery] repost without attachment!
sorry, this time Ive cut'n'pasted... cheers jfairy Ethiopian health and community project 2005-06 I am a student of midwifery in my final year at the Flinders University of South Australia. Over the summer period December 2004 – February 2005, I was involved in the initiation and development of a health post and education centre in the northern desert area of Ethiopia known as the Afar Region. Three friends and I initiated the project alongside a local Non-Government Organisation (NGO) called EMRDA (Ethiopian Muslim Relief Development Assn.), and completed it with the help of financial support through private donations and other small-scale fundraising activities. The Afar is a place of extreme need in all aspects of health and education. It was our hope to provide a place from where a women’s extension worker (WEW), and/or community health worker (CHW) could provide basic health care and education to the nomadic communities who live in the region. The health of Afar women is especially fragile. Female genital cutting (FGC) is performed on almost every young girl, causing her to suffer multifaceted implications for the rest of her life. The maternal and infant morbidity and mortality is devastating, with each woman facing an exceptionally high risk of dying in childbirth. These women predominantly birth in their villages accompanied by traditional birth attendants (TBAs) or relatives, and receive no or very little maternity care before and after the birth. An Australian midwife, Valerie Browning, has been working to improve the well-being of Afar women for many years. She has founded an NGO called Afar Pastoralist Development Assn. (APDA), which is instrumental in the development of health and education strategies for the Afar people, particularly through their work with women as a central aspect of functional and healthy communities. One important aspect of APDA’s work is the training of WEWs and TBAs from the community to enable them to take skills and travel with their nomadic families. In order to provide the birth attendants with an understanding of the birth processes, we would like to take 15-20 model foetal dolls and pelvises to Ethiopia to give to APDA for the purpose of enhancing their training programs. At present they have little if any educational tools with which to work. We will personally take this educational equipment with us, and work with APDA in its implementation. Using our skills as midwife, nurse and student nurse, we will work closely with the people and their communities in health and education. Our aim is to raise the money needed to purchase these dolls. Birth International have kindly provided us with a 25% discount for model pelvis foetal doll sets for the purpose of this cause. Each set will now cost AUS$130. If you feel inclined and able to offer any financial assistance to this project it would be appreciated widely. The educators of birth attendants, the attendants themselves, and birthing women of the Afar Region of Ethiopia will subsequently enjoy improved education, care and birthing outcomes as a result of these educational tools and opportunity. Donations on cheque can be made out to The Afar Project, or given by direct transfer to: The Afar Project Account # 5201531 BSB: 805-005 We are a small independent group and are presently unregistered under any governing body. Money donated to us for the purpose of this work will be used solely for the outlined project. Periodic reports, photographs and information about presentations of our work in the Afar will be sent out to email addresses provided. Kind Regards, Zeshi Fisher Project Coordinator 0413 405 051 [EMAIL PROTECTED] Yooren Cutukta Health Post, Afar Ethiopia -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Midwifery-led units - warning, a bit of a rave!
ok, bear with me while I think out loud in your general
direction
well we have the 'baby friendly hospital initiative', so how
about the 'woman friendly birth centre'? I mean, better
still, 'the community' (representatives of) should really be
heavily involved in this kind of primary care health
structure (physical as well as intellectual), then it could
be 'community-led birth centre'. I think (right now this
minute, subject to change without notice) that as long as we
are identifying the structure (ie the physical space, not
the governing body) with the politics of care provision (ie,
who is the 'primary carer') then we are going to have
confusion. I had a bit of a look at what constitutes
'midwifery-led care' 'continuity of carer' etc, for an
assignment at uni, these terms encompass a whole range of
different models of care - its not as clear cut as it seems!
The definitions would seem to be consistent, but how it
works out in practice 'on the coalface' (now theres a term
that seriously needs an overhaul!) varies enormously.
As I said, Im guessing that what we'd mostly like to see is
the idea of a 'woman-led' birthing culture actually
happening that requires a shift in perception not only
for Mr Mrs Joe Average (boy, Im just piling up the dodgy
metaphors arent I?) but for the PTB's within the 'health
culture' . because that means moving away from the whole
'doctor as God' thing that goes with relinquishing
responsibility = litigation etc, to actually believing that
'ordinary people' can take responsibility for thier
health/care... as long as the 'ordinary people' wont or cant
do that, there will be others who do, where there is
responsibility there is power, where there is power there
are invariably individuals who are drawn to it.
Starhawk in her book Truth or Dare identifies 3 kinds of
power in society - power-over ( backed by force or some
other kind of control, deeply embedded in heirarchical
structures, enables one individual to make decisions that
affect others..); power-within ('empowerment', a sense of
personal control 'mindfullness'..); power-with
(influence, the power not to command, but to suggest be
listened to or not, to work with others for a common
goal..)
Im bringing this up because what I see is a clash of
cultures, where midwives are 'traditionally' allied with
women their self-identified needs (power-with) rather than
that of the institution which is all about heirarchy
control (power-over) because it was spawned from a
militaristic culture
So really we are talking different languages - the language
of 'power-over' is very different to that of
'power-with' to come back circuitously to my point
(its there somewhere!), the terms that keep being used
('midwifery-led care', 'medical-based model', even
'free-standing birthing unit') come from the language of
'power-over' because they all identify who is 'in
control', who is in the 'power-over' position...
um, Ive just looked at the time Ive gotta run, thanx for
bearing with me while I ramble incontinently, I will leave
you with one of my favorite definitions - madness is when
you froth at the mouth; insanity is when you froth at the
brain (sorry, has absolutely no bearing on this
conversation, completely irrelevant, but for some reason I
remembered it now - Im just a sharing kinda gal)
jennifairy
As I watched the 7.30 Report last night, that dreadful
term midwifery led unit kept springing up. I have a
real problem with this term, as you can read on My Diary:
http://www.birthinternational.com/diary/index.html
Can't we do better than this?
Thinking caps on please!
Andrea
-
Andrea Robertson
Birth International * ACE Graphics * Associates in
Childbirth Education
e-mail: [EMAIL PROTECTED]
web: www.birthinternational.com
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Re: [ozmidwifery] Contacts for Midwives
this email youve sent actually has the links for both sally T jan r in it just right click on them to add them to yr address book. um, who else do you need? jfairy Denise Hynd wrote: Dear All I recently made a wrong delete and lost all my midwife emails including that of Jan R and Sally T Can some one please help me re-enter their email addresses?? 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 - Original Message - *From:* sally tracy mailto:[EMAIL PROTECTED] *To:* ozmidwifery@acegraphics.com.au mailto:ozmidwifery@acegraphics.com.au *Sent:* Friday, September 16, 2005 8:36 AM *Subject:* Re: [ozmidwifery] perinatal stats Dear all Jan has summed it up in a nutshell - both the discrepancies and the reasons why many home births go unreported.. we did a 'run' with the national data a couple of months ago - and we were suprised to find an even geater difference than this one you report Jan. The most difficult thing is to reconcile the BDM data with the perinatal data - because there is such a long lead time between when the baby is born and when parents have to register the birth (ie five years) Sally T. Jan Robinson wrote: Hi Andrea Yes it is a huge discrepancy but the law only relates to births attended by registered doctors or midwives. Registered health professionals have an obligation to report the details of each birth they attend whether they occur at home or in a hospital. They have to provide the NOTIFICATION OF BIRTH to BDM and submit the perinatal data to the appropriate department of their Dept of Health. It is the parents responsibility to register the birth of their child. I assume that MOST of the unreported home births are that way because lay people would be unaware of their state laws. Individuals who are aware of the laws also understand that if they DO report any births that they attend also run the risk of holding themselves out to be a midwife and that is PUNISHABLE by law. It would be interesting for midwives to approach their own state/territory Dept of BDM as to the number of babies registered as being born at their home address and then get the figures from the perinatal data collections to compare. Anyone want to get cracking in their state? I'd love to get data from around the country. I have some Tasmanian figures and I have some from Victoria but they are not as easy to interpret as the NSW data. At the moment we are using the NSW figures to try and convince the Health Minister to publicly fund the home births and therefore provide a legitimate choice of skilled home birth practitioner for ALL women wanting a home birth. Cheers Jan Jan Robinson Independent Midwife Practitioner National Coordinator Australian Society of Independent Midwives 8 Robin Crescent South Hurstville NSW 2221 Phone/Fax: 02 9546 4350 e-mail address: [EMAIL PROTECTED] website: www.midwiferyeducation.com.au On 15 Sep, 2005, at 08:23, Andrea Quanchi wrote: Jan that is a huge discrepancy, How many of these ones not reported to Data Collection are attended by registered midwives do you think? Surely the data collection could approach these people not reporting, through the births deaths and marriages, through the families that they are attending to cover the privacy issues, informing them of their duty to report and where they can access the data collection material. You wont get all of them but you might get some more. Are they scared of being identified if they are not registered? Maybe it needs to be free from this issue if you want the data Andrea On 15/09/2005, at 7:58 AM, Jan Robinson wrote: Hi Andrea, Denise et al I have just been in touch with our Dept of Births Deaths and Marriages again for an update on babies registered as being born at home. The numbers change each year as there are some people who don't register their child until they need to go to school so I get updates for each year. So far what we have in NSW is actual number of home births registered number of PLANNED HOME BIRTHS reported to perinatal data collection (NSW Midwives Data Collection) 1999 493 139 2000 394 108 2001 388 144 2002 322 99 2003 383 109 2004 359 don't have the 2004 figures from NSWMD collection yet - hope to have them soon - the BDM are much more organised with data collection but I guess that is because they have motivated providers of their data (the parents). Even though there has been a law since the 1990s that states all doctors and midwives who attend home births must submit their data - the NSWMD knows a lot of health professionals fail to report. There is
[ozmidwifery] nepalese women... fyi
apologies for x-posting... http://news.bbc.co.uk/go/em/fr/-/2/hi/south_asia/4250506.stm Women hail menstruation ruling By Sushil Sharma BBC News, Kathmandu Nepalese women The women are kept in the cow sheds for four days *Women's rights activists in Nepal have hailed a Supreme Court order to end discrimination against women during their menstrual cycle.* There is a tradition in parts of Nepal of keeping women in cow-sheds during their period. The practice is common in far western districts of the country. The Supreme Court has ordered the government to declare the practice as evil and given it one month to begin stamping the practice out. The court reached its decision on Wednesday. *'Not enough'* Women's rights activists say the court has upheld their right to equality. Pushpa Bhusal, a leading lawyer, said it was a positive move in removing the traditional discrimination against women. She warned however, that a change in the law alone would not be enough. She said people needed to be educated against such a scourge of society. Women in poor villages in much of western Nepal are forced to stay in dirty cow-sheds outside the home for four days during their monthly period. They are often given unhygienic food and suffer verbal abuse. -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.344 / Virus Database: 267.10.24/101 - Release Date: 13/09/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] another fyi...
http://news.bbc.co.uk/2/hi/health/4248244.stm Delaying babies 'defies nature' *Women who wait until their late 30s to have children are defying nature and risking heartbreak, leading obstetricians have warned. * Over the last 20 years pregnancies in women over 35 have risen markedly and the average age of mothers has gone up. Writing in the British Medical Journal, the London-based fertility specialists say they are saddened by the number of women they see who have problems. They say the best age for pregnancy remains 20 to 35. Over the last 20 years the average age for a woman to have their first baby has risen from 26 to 29. * The message that needs to go out is 'don't leave it too late' * Peter Bowen-Simpkins, Royal College of Obstetricians and Gynaecologists The specialists, led by Dr Susan Bewley, who treats women with high-risk pregnancies at Guy's and St Thomas' Hospital, warned age-related fertility problems increase after 35 and dramatically after 40. Other experts said it was right to remind women not to leave it too late. * 'Having it all' * In the BMJ, the specialists write: Paradoxically, the availability of IVF may lull women into infertility while they wait for a suitable partner and concentrate on their careers and achieving security and a comfortable living standard. But they warn IVF treatment carries no guarantees - with a high failure rate and extra risks of multiple pregnancies where it is successful. For men, there are also risks in waiting until they are older to father children as semen counts deteriorate with age, they say. Once an older woman does become pregnant, she runs a greater risk of miscarriage, foetal and chromosomal abnormalities, and pregnancy-related diseases. They add: Women want to 'have it all' but biology is unchanged. Their delays may reflect disincentives to earlier pregnancy or maybe an underlying resistance to childbearing as, despite the advantages brought about by feminism and equal opportunities legislation, women still bear full domestic burdens as well as work and financial responsibilities. * The best time to have a baby is up to 35. It always was, and always will be * Dr Susan Bewley Dr Bewley told the BBC News website: We are saddened because we are dealing with people who can't get pregnant or are having complications. Most women playing 'Russian Roulette' get away with it, most people are fine. But I see the casualties. The best time to have a baby is up to 35. It always was, and always will be. She added: I don't want to blame women, or make them feel anxious or frightened. The reasons for these difficulties lie not with women but with a distorted an uninformed view from society, employers, and health planners. Doctors and healthcare planners need to grasp this threat to public health and support women to achieve biologically optimal childbirth. Where we can, we should be helping women to have children earlier. HAVE YOUR SAY *The choice is still clear, have a career or have children late. I would advise other women to leave it and take the gamble * Victoria Finney, Brighton Clare Brown, Chief Executive of Infertility Network UK, said Delaying having children until you are in your thirties is a choice many people make but they need to be aware of the added problems when trying to conceive, particularly over the age of 35 when a woman's natural fertility declines. When this is exacerbated by a further complication such as blocked tubes or low sperm count the chances of a successful pregnancy even using IVF are much less. Peter Bowen-Simpkins, of the Royal College of Obstetricians and Gynaecologists, said: The biological clock is one thing we cannot reverse or change. The message that needs to go out is 'don't leave it too late'. Story from BBC NEWS: http://news.bbc.co.uk/go/pr/fr/-/2/hi/health/4248244.stm Published: 2005/09/15 23:08:39 GMT -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.344 / Virus Database: 267.10.24/101 - Release Date: 13/09/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] latest article - the australian
*Elizabeth Meryment: Unnecessary birth pain* Elizabeth Meryment 17 September 2005 ANYONE who has given birth or who has witnessed the birth of a baby knows that it is one of life's most frightening experiences. After a cousin of mine had her baby, a cheery nurse commented: Dear, you had a good birth. A good birth? my cousin replied incredulously. But that was the worst experience of my life! Pregnant women are usually, and understandably, obsessed with how and where they are going to deliver their babies. Indeed, women face overwhelming choices as they approach their due date: to use private or public care, to book a private obstetrician or to seek out a midwife, to stay at home for the birth, use a birthing centre, have a water birth, a pain-free birth, a planned caesarean, an epidural, a birth partner, a birth plan and so on. To confuse matters further, especially for first-time mothers, whose pregnancy is often their first crucial experience in the healthcare system, a row has broken out again between obstetric and midwife groups, with both camps arguing their form of care is best. Midwives believe many obstetricians employ unnecessary medical intervention in a natural process. Some obstetricians have argued that to choose a midwife-led birth is to invite a higher than usual risk of death for mother and baby. National Association of Specialist Obstetricians and Gynaecologists secretary Andrew Pesce produced figures arguing that babies born in home-birth-like settings had an 85 per cent greater chance of dying during childbirth than babies born in large hospitals. Midwives were furious, claiming the study from which Pesce drew his findings was flawed and that otherstudies showed midwife-led care produced better outcomes, meaning less use of pain relief, lessintervention (episiotomies, caesareans, epidurals and the like) and better success for the mother with breastfeeding. Patients observing this debate may be led to believe that obstetricians and midwives work independently of each other, which they do not. First-time expectant mothers should know that in large maternity hospitals most of their labour will be monitored by midwives, with obstetricians called in for the delivery. So women who want to have midwives involved in their deliveries should be assured that this occurs even if they have an obstetrician. No matter what type of care a woman chooses for her pregnancy, unhappily there remains a great deal of pressure asserted about how one should give birth, mainly by other mothers and pregnant women. Politically correct group-think has it that so-called intervention is bad and that pain relief during childbirth is also somehow bad; ergo, midwife-led care must be good. Many birth books seriously advise expectant mothers to try stoically to make it through each contraction during labour without crying out for drugs. Some books go so far as to encourage women to tell their birth partners to prevent nurses responding to their screams for pain relief during each contraction. It is common for birth announcements to be accompanied by a message that a baby was born drug-free or without help. Well, if it was, so what? Mothers are also often made to feel like failures if they have caesareans or forceps deliveries. One woman I know who had an emergency caesarean after a very dangerous attempt at a vaginal birth said glumly later, Oh well, next time I'll do a better job, as though it was something she could have controlled had she been braver and stronger (of course she could not). Another who gave birth by caesarean because her baby was in the breach position was likewise glum and made her husband tell people not only that the baby had been born but the reason for the caesarean. I just feel like something has been taken from me, she said sadly. While these women recognised that the safe arrival of their babies was the most important thing, there was still a lingering sense of their own failure. They felt they had not done as well as other women and this was reinforced by the superiority of those who had given birth vaginally, especially those who crowed about doing it drug-free. (And let's not even begin on the breastfeeding nazis, who make those who struggle with breastfeeding feel like criminals.) Talk about women knocking each other down. Both of these failed mothers, however, were lucky to have been in expert hospital care in the circumstances instead of, for example, trying to deliver their babies at home with perhaps only a midwife to assist. While there's no doubt that midwives are wonderful people who do a tremendous job, they usually do not have the surgical expertise of obstetricians. Indeed, the hospital system is there to help people give birth successfully, whether that involves drugs and scalpels or not. Midwife-led birth centres away from hospital sites, nice and touchy-feely as they may be, can never be as
Re: [ozmidwifery] VBAC's and Midwifery led birth centres
My local hospital is currently 'rewriting' thier MIPP protocol. I know this as my last client birthed there (which I knew in advance), so I went in to speak to the CMC a week or so before she birthed re. their protocols was told that I was not to do *any* documentation apart from my own notes (as I am not an employee there). Half an hour after the baby was born I was called in to the acting DON's office to explain why I hadnt done any documentation! Obviously messy communication going on there between the PTB's, the other PTB's staff ( not my problem), but when I asked to see the protocols covering this (a few days later) they were not to be found I was told they are being redrafted.. I actually think this is a really important issue - because we cannot secure insurance, we cannot get 'practicing' rights (at least thats what Im being told here), so any woman I work with becomes the hospitals client upon admission, even though I have contracted with the woman to midwife her I become 'support person/doula' at the discretion of the midwife on duty at the time so I guess that legally, my responsibility is diminished as soon as that happens. I will of course do what I can do to maximise the experience for the woman family (within often limited parameters), but Im guessing that if things go pear-shaped litigation ensues, then it is the hospital not me that will be bearing it I heard someone say the other day (cannot verify, can you?) that not all doctors choose to pay the insurance premiums (ie work without it) do hospitals have written protocols requiring doctors accessing the hospital to have insurance? I dont know how your hospital works there, but here the GP's the OB that cover 'obstetrics' are private practitioners (not employed by the hospital) whose clients go to the public hospital to birth. They obviously have the praticing rights that we MIPPs wish we had too. Andrea, I think you may find that any hospitals that did have protocols covering MIPPs accreditation have either withdrawn or updated them after the loss of PI insurance for midwives. As has been pointed out, who actually receives the baby is really the least significant part of the process (as far as hospital legals are concerned) - until midwives are seen as an 'as good if not better' option for women by women, ( midwives believe that too!) we'll have to keep dealing with this shite. Im very sorry that you are having to now though, as soon as I can track down these 'redrafted' protocols I'll forward them on to you. cheers jennifairy Andrea Quanchi wrote: Brenda, Do you work at Rosebud if so could you tell me do they have a policy for MIPP who come to the hospital with women in labour. Someone led me to believe that they do. In fact does anybody know of anywhere that does that could get me a copy. I have been summonsed by the CEO to please explain why I acted as an accoucher for a woman when I was not there as a hospital employee. They seem to have decided that only hospital employees are to be 'allowed' to catch babies when in this establishement and I need to be able to demonstrate that there can be an agreement that non hospital employed persons such as MIPP can and should be able to do this. I know it is happening in lots of places but is it all undetected and hidden by false ( or not quite the truth) documentation as is my experience. The trouble with this is that it will eventually come back to bite you in the bum. Any help would be greatly appreciated. Andrea Quanchi -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.338 / Virus Database: 267.10.1/64 - Release Date: 4/08/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] fyi
To see this story with its related links on the Guardian Unlimited site, go to http://www.guardian.co.uk Further pregnancy less likely after caesarean James Meikle, health correspondent Tuesday August 02 2005 The Guardian Women who have their baby by caesarean section are less likely to have another pregnancy, a 17-year study following 25,370 women revealed yesterday. Researchers also found that the average amount of time between births was greater for those who had undergone caesareans than those who gave birth naturally. More than one in five women in England have caesareans and the rate is rising, provoking concern over risks to women and babies. The latest study, based on the Aberdeen maternity hospital between 1980 and 1997 and published in the British Journal of Obstetrics and Gynaecology, was not able to determine whether the women's fertility was being compromised by having a caesarean, by suffering tubal damage for instance, or whether women who had undergone the experience just did not want to do so again. However, lead researcher Jill Mollison, of Aberdeen University's medical school, highlighted the importance of the findings against the background of rising caesarean rates. Future studies should focus on exploring whether failure to conceive is due to voluntary or involuntary factors and compare this across different modes of delivery. Peter Bowen-Simpson, from the Royal College of Obstetricians and Gynaecologists, said: Those involved in the delivery of obstetric care should be aware of the association and consider its implications when making a decision to perform a caesarean section. The study found 66.9% of women who had a caesarean went on to have another pregnancy, against 71.6% who had instrumental vaginal delivery and 73.9% who had a spontaneous vaginal birth. The average length of time between pregnancies in the three groups was 36.3 months, 31.8 months and 30.4 months. Women who had a caesarean were also more likely to have an ectopic pregnancy the next time, a dangerous complication where the fertilised egg becomes implanted outside the womb. Copyright Guardian Newspapers Limited cheers jennifairy -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.338 / Virus Database: 267.9.8/61 - Release Date: 1/08/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] laparoscopy
Can I also suggest Francesca Naish's excellent book The Natural way to Better babies - offers really good info from an alternative practitioners view, includes things on improving reproductive health using acupressure/puncture, herbal naturopathic remedies reflexology. cheers Jennifairy brendamanning wrote: Madelaine, I'm sure you have already discussed that obesity is a primary cause of infertility. It's amazing how successful weight loss is in achieving pregnancy when other more complex treatments diagnoses have failed though. Brenda - Original Message - *From:* Madelaine Akras mailto:[EMAIL PROTECTED] *To:* ozmidwifery@acegraphics.com.au mailto:ozmidwifery@acegraphics.com.au *Sent:* Friday, July 29, 2005 10:19 PM *Subject:* [ozmidwifery] laparoscopy I have a patient that I am treating for infertility. Her gyno has recommended she have a laparoscopy to investigate possible causes. She is feeling uncomfortable with this procedure due to the risks. She has also been told that being overweight may also increase these. Can anyone advise or assist me please. Are there any other safe procedures avaiable to determine the same?? Madelaine Akras Naturopath No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.338 / Virus Database: 267.9.7/60 - Release Date: 28/07/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.338 / Virus Database: 267.9.7/60 - Release Date: 28/07/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Re: accreta
what are the implications re bleeding? Jan, are you talking about the whole placenta being left in, or just a part of it? jennifairy Larissa Inns wrote: Yes - this was the case at the hospital I am doing placement at. The woman's placenta was removed as much as possible but a small bit was left behind (obviously). Around 3 months later the remaining bit came away on it's own - it had calcified and was like a small rock. I don't know if she had any breastfeeding issues - will ask when I go back. The body is just so much cleverer than we are! Hugs, Larissa (3rd year B Mid FUSA) - Original Message - *From:* Andrea Quanchi mailto:[EMAIL PROTECTED] *To:* ozmidwifery@acegraphics.com.au mailto:ozmidwifery@acegraphics.com.au *Sent:* Saturday, July 09, 2005 9:32 PM *Subject:* Re: [ozmidwifery] accreta Jan, True accreta that is adhered to the uterine wall cannot be removed and the only choice is to remove the placenta and uterus or leave the placenta in situ. It will shrivel and be reabsorbed by the body or calcify and stay there without a problem. The problem is when it is only partly accreted and there is bleeding behind the seperated part. I have never heard of it copming away three months later but I guess part of it could. Andrea Q On 09/07/2005, at 1:35 PM, Janet Ireland wrote: Love when i have never heard of this has anyone had experience with accreta where the placenta is left to come away itself ie in this case 3 mths later , jan No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.8.11/45 - Release Date: 9/07/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.8.11/45 - Release Date: 9/07/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Re: bathing babies
um, did I miss something? Janet are you replying about the placenta accreta? or the timing of the 1st bath? Im confused! Can you please include more detail on yr posts so I know what you are talking about? cheers Jennifairy Janet Ireland wrote: the woman had 2 bouts of infection both treated with abs iv she is now pregnant and looking forward to no complications jan - Original Message - From: sally [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, May 26, 2005 3:56 PM Subject: [ozmidwifery] Re: bathing babies Pardon my ignorance, but what would be the risk of infection? I think as long as the babe's temp is ok and it hasn't been compromised in any way it doesn't really matter. As long as the parents are happy. I certainly wouldn't be bathing the baby if the parents were unable to participate, at any stage after the birth. A bath is a bath, I don't think we need guidelines or a rationale, surely? ( I seem to remember posts about this subject earlier in the year, am I right?) Sally - Original Message - From: Nicole Carver [EMAIL PROTECTED] To: ozmid ozmidwifery@acegraphics.com.au Sent: Thursday, May 26, 2005 1:50 PM Dear fellow list members, What is your practice regarding the timing of the first bath, in a hospital setting? One of my colleagues is re-examining our current practice of delaying the first bath until approx 24hrs, and after babe's temp is confirmed to be normal. We are keen to know the rationale for other midwives' practice, including it's impact on the infant's temperature and risk of infection. Your input would be most appreciated. Nicole Carver. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.8.11/45 - Release Date: 9/07/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] gender prediction test over the internet?
Phew, at *only* $275US, wot a bargain for all those who 'just need to know'! I notice that there are no testimonials included along the lines of Its great to know the gender of our baby at 5 weeks, as now we can have an early termination if its not the sex we want (yes Im being super cynical, but I have to wonder if its a big seller in China India). I quote from the site: *I was able to surprise my husband with an early birthday gift this morning when I checked my e-mail and got the results. Surprise!* Finding out the gender of yr baby via email - OMG! I can just hear George Orwell saying smugly I told you so... I have no idea whether the claims are true - Here's how it works: Your baby releases its DNA into your blood plasma. Because DNA between different people is so similar, the only way to distinguish baby DNA from maternal DNA is if the baby is a boy and has a Y chromosome. If the Y chromosome DNA is present in your maternal blood sample, it's a boy; if the Y chromosome DNA is not present, you're having a girl. *200% Money-Back Guarantee!! *go figure! jennifairy Tania Smallwood wrote: Hi all Did anyone else see the article in today’s Adelaide Advertiser with information on this? What do you think about it? http://www.pregnancystore.com/baby_gender_mentor.htm is the link to the test, and it claims to be 99.9% accurate as early as 5 weeks after conception, using a maternal blood sample which you collect yourself, and then send to a lab. They claim that the y chromosome can be found in the maternal blood if you are having a boy, wouldn’t that require some crossing of the maternal and foetal blood? Isn’t that what we don’t want? Hmmm, not convinced on this one, but someone, please explain! Tania No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.8.10/43 - Release Date: 6/07/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.8.10/43 - Release Date: 6/07/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] ICM lift
Hey there all, Im wondering if theres anyone going to ICM on the Sunday before it kicks off from, or passing through, Byron Bay, that I could get a lift with? I will be visiting friends in Bilinudgel (just outside Byron), havent quite figured out how to get from there to Brisbane on a Sunday. Im very happy to share driving petrol expenses... cheers Jennifairy -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.8.5/32 - Release Date: 27/06/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] pregnancy counselling
Emily I sympathise, I have 2 things to offer.. some years ago I was late with my period, was definite that if I was pregnant I would terminate, went to a GP for a pregnancy test. The GP asked me some of those questions your examiner wanted you to ask - at the time I was living in a shed with no electricity, rainwater only, while I was building my house. The GP told me that 'babies dont care where they are', actually refused to do the blood test. So I guess Im saying - what are you asking the questions for? I dont see what this womans fathers religious inclination has to do with her decision-making process. Women in this situation are making what is *always* a very difficult decision, I think our job is to help her (if she requires help) identify what the important (to her) issues are for her to make a decision she can live with. Having said all that, just recently graduating from BMid myself, I also have to say that there are some things you have to do as a student that you inherently believe is a complete crock. Sometimes you just have to 'talk the talk', then go walk it the way you believe it should be walked. One of the most important lessons I learnt at Uni was to distinguish what walls I could butt my head against that would make the most difference, what walls would just leave me a blood-soaked wreck (this was obviously experience-based learning - its such a pity that the 'science' of phrenology has become a thing of the past, as I could probably get a job as a teaching model :) ) (Im sure there was a Monty Python sketch about that..) So, yeah, write the letter if you have the time, but dont let it get in the way of blitzing the exams! cheers Jennifairy Emily wrote: hi everyone im very sorry if this is too off topic, just ignore if it is!! i had an exam today with a pretend patient who came in for pregnancy test results. it was positive and she was very upset cying etc and probably wanted to have an abortion. i let her talk and found out how she felt and enquired about her partner's views, whether she was studying or working and what her main concerns where etc etc. as well as giving her unbiased info about her options the feedback i got from the examiner, i really disagree with. he said that i should have found out about her living conditions, how big her home was, who she lived with, whether her partner had a job... etc etc even what her dad would think about her having a baby and whether he was religious ! i feel that asking these questions of a distressed woman youre seeing for the 1st time is just fulfilling your own cur! iosity. it may help you make a value judgement of what you think she should do but does asking her these things (that she already knows the answers to) help her make the decision or just help you decide your own opinion ?? also wouldnt you asking those sort of questions express to her your opinion? ie if she answered she lived in a one bedroom bedsitter and didnt have a partner or job, then she may feel that youre saying these are reasons why she shouldnt have the bub. love to hear what your thoughts are because i might write a letter to the faculty about it because i definately lost marks thanks everyone - ahh exam stress hey? emily Discover Yahoo! Get on-the-go sports scores, stock quotes, news more. Check it out! http://us.rd.yahoo.com/evt=32661/*http://discover.yahoo.com/mobile.html No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.8.5/32 - Release Date: 27/06/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.8.5/32 - Release Date: 27/06/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] rates of pay
Thanx for that, but I emailed the ANF they replied they would not give me that info unless I was a member. I then called the Industrial Relations people, who were able to help me to a limited degree. I was told that a Level 3 Nurse award wage in the 1st year of practice is $44,645 per annum. By the 4th year it is $47,412. I then looked up the actual document that covers this award to get a formula for hourly rate - so $44,645 comes out to about $22.52 an hour - does that sound about right? I actually have no idea what level nurse you are when working as a midwife - anybody? As usual there is no mention anywhere that I can find about working as a 'midwife', instead of a 'nurse-midwife' - I guess it will take a while yet for the PTB's to catch up with the fact that there is now a growing number of midwives in the workforce who are not nurses. I suggested to the ANF that they think about changing their name to ANMF - I mean, theres no provision on their website even for joining up as a 'midwife' for gods sake! Whoever is in 'member recruitment' there has some work to do :)) cheers Jennifairy B G wrote: You do not have to be a member of the ANF to get the rates of pay. Each state has a wageline or similar where people can access the rates. I will try and get the Qld hyperlink addy for you Cheers Barb -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jennifairy Sent: Wednesday, 22 June 2005 2:01 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] rates of pay I have a question about rates of pay for midwives working in caseload-type models of care. I understand that each state has a different award rate (which I cant access as Im not a member of the ANF), but I also know that many institutions that have set up caseload models have got their own salary agreements, for midwives being on-call for recognition of working in a more 'autonomous' way so, for those working in these models, could you tell me what your hourly rate is? for those working in private practice, how have you decided what your fees for homebirths are? feel free to email me off-list... thanx in anticipation Jennifairy -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.7.10/25 - Release Date: 21/06/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] info care packages for pregnant and birthing women - info from Joyous Birth
Can you put a link to them on yr website, so that we can look at what you have? (Im presuming they are in electronic format?) cheers jennifairy Janet Fraser wrote: Hi all, I've had such a huge response I'm going to list what I currently have and you can just tell me what you'd like. Happy to help in any way with other topics if you need them. I have usually made them up for women asking specific questions. Stuff I've written is about hb, natural birth and birth trauma. Other delights... (and always growing) birth plan ideas breastfeeding myths x2 common labour drugs dealing with labour - pain doulas episiotomy hep b and vit k homeopathic induction Induction - risks Is home birth for you? miscarriage and still birth resources polyhydramnios postdates info preventing PE safe cosleeping pregnancy/birth info for hospital birthing women SPD The midwifery model of care around the world Why vaginal exams? VBAC resources online Best, J Joyous Birth Home Birth Forum - a world first! http://www.joyousbirth.info/forums/ Accessing Artemis Birth Trauma Recovery http://health.groups.yahoo.com/group/accessingartemis No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.7.10/25 - Release Date: 21/06/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.7.10/25 - Release Date: 21/06/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] rates of pay
I have a question about rates of pay for midwives working in caseload-type models of care. I understand that each state has a different award rate (which I cant access as Im not a member of the ANF), but I also know that many institutions that have set up caseload models have got their own salary agreements, for midwives being on-call for recognition of working in a more 'autonomous' way so, for those working in these models, could you tell me what your hourly rate is? for those working in private practice, how have you decided what your fees for homebirths are? feel free to email me off-list... thanx in anticipation Jennifairy -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.7.10/25 - Release Date: 21/06/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] info is on the JB forum now!
You are a legend!! Well done (wow that was fast) cheers Jennifairy Janet Fraser wrote: Dear all, I have put the information on my forum. You don't need to be a member to access them or cut and paste from the site. Bear in mind that we advertise midwives and birth attendants/doulas for free here so if you'd like us to advertise you, we recommend you join us! We love having students join too! http://www.joyousbirth.info/forums/viewtopic.php?t=11 Package 1 http://www.joyousbirth.info/forums/viewtopic.php?t=200 Package 2 http://www.joyousbirth.info/forums/viewtopic.php?t=201 Package 3 - Janet's own documents http://www.joyousbirth.info/forums/viewtopic.php?t=202 Joyous Birth Home Birth Forum - a world first! http://www.joyousbirth.info/forums/ Accessing Artemis Birth Trauma Recovery http://health.groups.yahoo.com/group/accessingartemis No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.7.10/25 - Release Date: 21/06/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.7.10/25 - Release Date: 21/06/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] info is on the JB forum now!
Heya just a thort ( me being *extremely* cheeky now), canya hyperlink the lists at the top of each page to autoscroll down to the topic? (Cor, she dunt want much, duz she?!) Youve got some great articles links there - again, well done!! cheers jennifairy Janet Fraser wrote: Dear all, I have put the information on my forum. You don't need to be a member to access them or cut and paste from the site. Bear in mind that we advertise midwives and birth attendants/doulas for free here so if you'd like us to advertise you, we recommend you join us! We love having students join too! http://www.joyousbirth.info/forums/viewtopic.php?t=11 Package 1 http://www.joyousbirth.info/forums/viewtopic.php?t=200 Package 2 http://www.joyousbirth.info/forums/viewtopic.php?t=201 Package 3 - Janet's own documents http://www.joyousbirth.info/forums/viewtopic.php?t=202 Joyous Birth Home Birth Forum - a world first! http://www.joyousbirth.info/forums/ Accessing Artemis Birth Trauma Recovery http://health.groups.yahoo.com/group/accessingartemis No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.7.10/25 - Release Date: 21/06/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.7.10/25 - Release Date: 21/06/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] International words for midwife
try this site: http://www.websters-dictionary-online.org/definition/midwife#Mtranslation scroll down to 'translations' an interesting site, huh? cheers jennifairy midwives wrote: Hi everyone, I was wondering if you would be able to help me. We are trying to compile a list of translations for the word midwife. If anyone and everyone who is multilingual could email me their translations that would be great. We are especially after indigenous translations. We would like to put the list on a Tshirt for ICM so would like to represent as many countries/groups as possible. Renee Kludas **NSW Midwives Association Inc** PO Box 62 Glebe 2037 **P+** 02 9281 9522 **F+** 02 9281 0335 **E+** [EMAIL PROTECTED] mailto:[EMAIL PROTECTED] **W+** www.nswmidwives.com.au http://www.nswmidwives.com.au No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.7.3/15 - Release Date: 14/06/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.7.3/15 - Release Date: 14/06/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] International words for midwife
ok, I cant stop myself now, but check out the semaphore, braille, morse code, hexadecimal (for all those other geeks out there!), the beautiful sign language animation on the site I just mentioned.. all for 'midwife' !! cool!! cheers jennifairy midwives wrote: Hi everyone, I was wondering if you would be able to help me. We are trying to compile a list of translations for the word midwife. If anyone and everyone who is multilingual could email me their translations that would be great. We are especially after indigenous translations. We would like to put the list on a Tshirt for ICM so would like to represent as many countries/groups as possible. Renee Kludas **NSW Midwives Association Inc** PO Box 62 Glebe 2037 **P+** 02 9281 9522 **F+** 02 9281 0335 **E+** [EMAIL PROTECTED] mailto:[EMAIL PROTECTED] **W+** www.nswmidwives.com.au http://www.nswmidwives.com.au No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.7.3/15 - Release Date: 14/06/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.7.3/15 - Release Date: 14/06/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Problems With new Models
Sorry Sally, I dont know what you mean by this... do you mean that the ANF specify this number as constituting a 'caseload', anything under that is not? cheers jennifairy sally williams wrote: The ANF specifies 40-45 woman only for a 'caseload'. Sally - Original Message - *From:* Jackie Doolan mailto:[EMAIL PROTECTED] *To:* ozmidwifery@acegraphics.com.au mailto:ozmidwifery@acegraphics.com.au *Sent:* Tuesday, June 14, 2005 10:54 AM *Subject:* RE: [ozmidwifery] Problems With new Models Carol, I am wondering how feasible a caseload is 60 women? This seems like a large number and may be one of the reasons why staff are not feeling up to the task. Would 40 primary women and 40 shared women not be a more doable workload? I know this has financial implications but down-sizing the model may increase its longevity. Additionally UK literature states that greater autonomy leads to greater job satisfaction. So I agree with Andrea's posting - which basically translates to midwives having greater control over their practice and time allocation. Warragul model has been a great motivator for many of us watching and planning new model development. I hope this works out for you. Jackie Doolan -Original Message- *From:* [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] *On Behalf Of *Carol Van Lochem *Sent:* Sunday, June 12, 2005 5:39 PM *To:* ozmidwifery@acegraphics.com.au *Subject:* [ozmidwifery] Problems With new Models Hi all, I have posted here from time to time, but mostly I'm a lurker. I work in a team midwifery model at Warragul, where we have lots of midwives who believe in continuity of care, support the women as central to the whole prossess and have a supportive obstetrician to back us up. Our problem is in recruiting midwives to work in our model. Nobody wants to do all that on call.They want to have a life. After all these years of fighting for this type of thing it seems there are not enough of us around to fill this role. Many support the model in principal, but don't see how they can fit it into their own lives. Our team started just 12 months ago. It is a modified case load, with 1 night per week on call, and 1 weekend a month. We are available for our own women during the day. We provide midwife led care for up to 60 low risk women per year, and shared care for up to a further 60 high risk women who benefit most from having a known midwife with them in labour. We are meant to be 5, but have recently lost one, who would have rather worked as a team only, with no case load. To my knowledge there have been no applications for this position from with in existing staff, nor has there been a response to newspaper ads. It saddens me to think that this type of model will not be sustainable in the long term. Here we are in the position of having active finacial support from DHS after many years of lobbying for it, only to risk losing it all through lack of willing staff. This problem must be coming up for others in Victoria as caseload models are put forward in other regions. Any thoughts, suggestions, simmilar experiences? I am truely at my wits end. Sigh :( Thanks for listening Carol -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe. No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.7.1 - Release Date: 13/06/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.7.1 - Release Date: 13/06/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Success!!!
Oh you have done so well, BIG CONGRATS!!! This has totally made my day... I mean of course this was going to happen, you've gotta use that new doppler somewhere! well done to all, hope you can break out the champagne/chocolate/indulgence of choice cheers jennifairy Maternity Ward Mareeba Hospital wrote: It is now official as it is in todays Cairns Post and no doubt it will be on the news sometime. MAREEBA MATERNITY IS NOW TO BE A PILOT SITE IN QLD FOR A LOW RISK FREESTANDING BIRTH CENTRE. Thanks to the brilliant work done by the staff, the women, the community and MC, ACMI etc. Apparantly we can start 1 July. Policies are being madly written and all sort of paperwork produced as we will be under a microscope for a long time. Apart from that we have had 3 babies this week, multis who were in too good a labour to risk transferring, 3 very happy mums to birth in their own community. Cheers Judy *** This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error. Any unauthorised use, alteration, disclosure, distribution or review of this email is prohibited. It may be subject to a statutory duty of confidentiality if it relates to health service matters. If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone or by return email. You should also delete this email and destroy any hard copies produced. *** No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.6.7 - Release Date: 10/06/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.6.7 - Release Date: 10/06/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Re: (No subject header)
Hi Jeannine, that would be Tere GW? Send her my love if so :)) So when are you making the move? Would love to catch up when you land. can ph me 08 83915542 / 0415915110 cheers Jfairy Jeannine Bradow wrote: Hello Jennifairy, I believe i may know the midwife u mentioned. I'm working with her. She mentioned u. Jx -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.6.6 - Release Date: 8/06/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] vulval varices
Hi Lindsay, I worked with a woman throughout her pregnancy birth who had a vulval varicosity (the size of half of one of my fingers). Came up about 30 weeks of pregnancy (after a long car trip interstate), she was concerned that it would 'be a problem' during her birth. At the time (this was about a year ago) I looked everywhere for refs for her. What I found was not very helpful or numerous (sorry!). She had a great birth, but during the process of labour her vulva became so swollen that when the Dr. went to suture a 2nd deg tear, the stitches pulled right thru, she had to be sutured the next day after the swelling had subsided. Antenatally she used witchhazel tincture on it for a while it did subside slightly, but it only went away fairly completely postnatally. I believe that this oedema was directly related to the varicosity, as she didnt have a protracted labour or 2nd stage, or a lot of VE's etc... this hadnt happened in her other birth. Theoretically I can see that the possibility of rupture during labour could exist, but Im not sure how 'dangerous' this could be (ie 'fatal haemorrhage'), or how likely it would be to rupture. Sorry Im not more helpful! Jennifairy Lindsay Kennedy wrote: Hi I am doing some research into varicose veins for an assignment. According to Foote (1960), it is possible that extensive vulval varices could rupture during birth and cause fatal hemorrhage. Does anyone know anything about this subject? It is the only bit of research I found that said this. But there is very little info on vulval varices at all. Cheers Lindsay No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.6.2 - Release Date: 4/06/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.6.2 - Release Date: 4/06/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Hi
Hi jeannine, Im a MW in Adelaide, have a good friend MW in Darwin atm (who has also done her Masters btw, Ive inherited all her study notes guides etc), contact me off-list for a longer chat. Jennifairy Jeannine Bradow wrote: Hello list, I'm Jeannine, wife, mum (2kids and 2 dogs) and midwife. I was on the list some years ago and have had a break away. I was wondering if there is anyone on the list currently working in Adelaide in Mid who can give me some inside info on services available, models of care, best places to work etc. I will be moving there from th NT at the end of the year. I'm also doing my masters in midwifery at the moment so if anyone has information on access to library services, universities in adelaide, or any interesting mid articles or texts they'd like to share would be appreciated also. If anyone out there just wants to chat and compare notes I'd love to. Nean -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.6.2 - Release Date: 4/06/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Bugs in this system - email difficulties
Actually, to go one step further, my advice is to either switch from Window$ to Linux or some other free, 'open source' but eminently better operating system, or if you *must* use Window$, use Netscape or Mozilla as your browser for mail net most viruses are targetted to the programs that come bundled with Window$ - Outlook Internet Explorer have been known for a long time now to be *the* most virus-prone programs on the planet http://www.mozilla.org/ for either the entire kit, or d/load Thunderbird for email Firefox for browsing separately... http://browser.netscape.com/ns8/ for Netscape... cheers Jennifairy (computer geek in a former life - but who hasnt had a virus - *any* virus - in over 3 years) PS - Linux is free, you can d/load it off the net, the kernel is open to all who want to play with software design (so its continually being improved), nobody is making squillions of $$ from it; can do everything Window$ can do, is completely *virus-free* - no spyware, no 'patches', just an unbreakable system. Worth a look http://www.linux.com/article.pl?sid=02/03/09/1727250 B G wrote: There is a huge Trojan virus at the present time. Despite all the protection I have on this machine we were hit. Twice daily viral updates and zone alarm firewall. Our account was hijacked with a sudden huge surge in usage beginning of May which I reported to the Tech people for suggestions what to do, did all they said but last Tuesday their 'abuse' department suspended our account as our account was a conduit for spamming from a third party. Two days later our virus protection company -VET advised of a serious attack affecting those that use Microsoft Outlook for their email browser. We were instructed to download immediately the patch to deal with this problem. My advice is to update your viral and firewall supports. Cheers Barb -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.322 / Virus Database: 267.2.0 - Release Date: 27/05/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Re: Pain relief resources
I had my ears pierced at 12, I remember it was 'cold' - they must have used some kind of spray on local or something. Got a tattoo on my stomach 4 years ago, it kinda stung going on, (took about an hour or so to do), I kept having to 'unclench' my jaw every now then while it was happening... but still find myself thinking about 'my next tattoo'. had 2 wonderful girls pass through my vagina (not both at the same time), the last one just over 4kg, a waterbirth at home ( Im pretty small) can honestly say that the sensations I experienced with birth are on a completely different scale! ( my tattoo is not now asking for new clothes, make-up violin lessons) The big difference I think between all these kind of things childbirth is the lack of those lovely endorphins in 'normal' pain (ie not birth)! in our western cultures I think we tend to avoid pain and/or discomfort at any opportunity, so we never really allow ourselves to learn the coping mechanisms/processes that would come in handy when we are faced with these kind of situations... watch animals in labour - they just seem to cope, even when in pain not labour-based (unless they are pet rabbits - they just tend to keel over in my experience!) We know theres a 'way out', if you tend not to view labour pain/discomfort as 'for a purpose', then you will take the way out. Gloria I like your 'pay now plan' scenario, makes a lot of sense that it would be an effective way of helping women to see the long-term reality of their decisions to anaesthetise them selves or not. I'm really glad you have joined our Forum, your words are touching me deeply, as a 'beginner' in private practice Im thankful to have the many wise women on this list to guide me... Anybody know of a good tattooist in Brisbane? :)) Jennifairy Andrea Quanchi wrote: Did anyone see Oprah getting her ears pierced on her show recently it was hysterical. Just reinforced my lack of desire to have mine done and I gave birth to three big babies without much trouble at all. Andrea Q On 25/05/2005, at 4:10 PM, Lieve Huybrechts wrote: I still have no ear piercings,will you come and hold my hand :-))) Lieve Lieve Huybrechts vroedvrouw 0477/740853 -Oorspronkelijk bericht- Van: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Namens G Lemay Verzonden: dinsdag 24 mei 2005 18:00 Aan: ozmidwifery@acegraphics.com.au Onderwerp: [ozmidwifery] Re: Pain relief resources I think one reason why women fear the pain of childbirth so much is that they know that no one is being straight with them about Just how bad is it? I think that being descriptive about what I felt (like a molten hot basket ball being pressed down into my crotch every 3 minutes with just enough time to barely get myself together before the next big press) AND also letting women know that I'm the world's biggest wimp when it comes to pain (didn't have my ears pierced till I was 34 y.o. and then had to lie in bed whimpering for 24 hrs after) and yet I've had 3 natural births, is empowering. I also find that if a woman is friends with other women who have done it she's more likely to go the distance. I tell the women they can have the pay now plan or the pay later plan with re to pain in birth. The pay now route gets it done in one day (natural birth), the pay later route means a low grade insidious pain that can last beyond six weeks (epidural headache, backache, stitches healing, or worse after c sec). The biggest benefit of the pay now route is that you have a child with all the brain cells Nature intended for him/her. That is a reward that you reap for your whole life for just one day of courage. Gloria Lemay, Vancouver, BC Canada -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.322 / Virus Database: 266.11.15 - Release Date: 22/05/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.322 / Virus Database: 266.11.15 - Release Date: 22/05/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.322 / Virus Database: 266.11.16 - Release Date: 24/05/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] FW: [C-Aware] Snippets from the weekend papers
Found this at http://www.healthspan.co.uk/articles/list.aspx?authorid=7 Dr Thomas Stuttaford OBE Dr Thomas Stuttaford is best known as medical columnist of The Times where hes been writing for twenty one years. He also contributes regularly for many national magazines and is a frequent broadcaster. Trained in medicine at Oxford, he was a GP in Norfolk and served in the NHS as a genitourinary physician as well as in private practice. Has a picture a list of articles he has written: * Is red wine good for you? http://www.healthspan.co.uk/articles/article.aspx?Id=163 /by Dr Thomas Stuttaford,/ May 2005 read article http://www.healthspan.co.uk/articles/article.aspx?Id=163 * Healthy Hearts http://www.healthspan.co.uk/articles/article.aspx?Id=148 /by Dr Thomas Stuttaford,/ Mar 2005 read article http://www.healthspan.co.uk/articles/article.aspx?Id=148 * Look after your circulation http://www.healthspan.co.uk/articles/article.aspx?Id=126 /by Dr Thomas Stuttaford,/ Nov 2004 read article http://www.healthspan.co.uk/articles/article.aspx?Id=126 * Happiness http://www.healthspan.co.uk/articles/article.aspx?Id=111 /by Dr Thomas Stuttaford,/ Jul 2004 read article http://www.healthspan.co.uk/articles/article.aspx?Id=111 * Joints and Mobility http://www.healthspan.co.uk/articles/article.aspx?Id=121 /by Dr Thomas Stuttaford,/ Mar 2004 read article http://www.healthspan.co.uk/articles/article.aspx?Id=121 from here www.bath.ac.uk/health/ rcgp/docs/*stuttaford*-s-profile.doc Dr Thomas Stuttaford is best known as The Times medical columnist. Born in 1931, he was brought up in rural Norfolk where his father and grandfather had been general practitioners. He joined the family practice in 1959 after national service with the Tenth Royal Hussars and medical training at Oxford and in London. From 1970-1974 Dr Stuttaford was Conservative MP for Norwich South, during which time he continued to work as a doctor. Between 1974 and 1995 he worked in the National Health Service as a genito urinary physician, and in private practice as medical advisor to several major companies. Dr Stuttaford has been writing for The Times for twenty one years. He also writes regularly for various magazines, in the past was medical correspondent of Options and Elle, is the medical columnist of Oldie and is a frequent broadcaster. Doesnt seem to be involved in maternity care (unless while a GP in the past?) - surprise surprise curious, huh? cheers jennifairy Denise Hynd wrote: I trust others who saw these articles (below) wrote letters in protest of yet another unbalance uninformed piece of misinformation? Who is this dr Thomas Stuttaford?? Denise Hynd Forwarded fyi *From:* Barbara Spadaro [mailto:[EMAIL PROTECTED] *Sent:* Monday, 23 May 2005 3:48 PM *To:* [EMAIL PROTECTED] mailto:[EMAIL PROTECTED] *Subject:* [C-Aware] Snippets from the weekend papers Hi, There have been a couple of interesting articles in the weekend papers that you might like to read: The Weekend Australian had a story in their health section on It's not all plain sailing for water babies: http://www.theaustralian.news.com.au/common/story_page/0,5744,15345601%255E23289,00.html This article comes from The Times so doesn't have a local angle and is quite one-sided. Though the phrase fashions in obstetrics amused me somewhat - I'll have a furry poncho and hold the superwoman shoulder pads!!! The Courier Mail also had an article on hypnobirth called Painless birth is all in the mind http://www.thecouriermail.news.com.au/common/story_page/0,5936,15339437%255E10369,00.html There was also a letter in today's Australian from Dr Sarah J Buckley which I've cut and pasted below as I don't think you can access them for long. Happy reading Barbara *** Water birth at least as safe as land birth 23 May 2005 YOUR article (It's not all plain sailing for water babies, Health, 21-22/5) referred to a single baby who had difficulty breathing after being born under the water. The writer implies that water birth is unsafe for every baby and that epidurals (and other aspects of medicalised birth) are safer. Firstly, international research involving thousands of babies born under water shows that, for healthy low-risk mothers and babies, water birth is at least as safe as land birth. Further, the article does not mention the risks associated with epidurals, which range from unexplained maternal fever in labour (which is five times more likely after an epidural, and is known to increase the risk of brain damage in animal and human offspring) to breathing difficulties which can be life
Re: [ozmidwifery] Intro
I just wanted to write to say thank you Gloria for these wise words. Your views on the 'inner need for a big story' really resonated with me have made me think about how we ( I include myself in this!) either allow or encourage situations to play out to fulfill this need yes birth is amazing wonderful exciting awesome, in some ways an 'extreme' experience, but also just as much mundane, ordinary, common-place just part of 'daily life' you see this 'ordinary-ness' much more at home than in hospital I think (well that is my experience anyway). its got me to wondering how much the perceptions women hold around birth are culturally defined, how big a role TV other 'entertainment media' has played in this 'drama of birth' thing for women, midwives, other health professionals involved in maternity care. definitely our expectations have changed, both as consumers carers... whether women experience birth in hospital as 'ordinary' to start with... just thinking out loud... jennifairy independant midwife in south australia (so good to finally write that!) Gloria Lemay wrote: I've just joined the list and live in Vancouver, BC Canada. Some of you know me from articles I've written for Midwifery Today Magazine or just from being a generally uppity, brazen woman. Lieve told me you were discussing the drama in birth thread and I have read the posts with interest. It's so elusive, isn't it, trying to describe what birth is. It's very paradoxical a rites of passage, yet an ordinary day profound and spiritual yet down and dirty complex yet so simple intimate yet lonely and solitary painful yet pleasurable a huge accomplishment yet not of our doing Just when I think I know something about birth, something proves I know nothing once again. What a fun profession to be in. I would hope that introducing the lens of drama to examining birth would lead not so much to pointing fingers of blame for what's wrong with birth but, rather, to each player owning their own need for drama and lightening up a bit about it. When I had my last baby, I learned a technique for disappearing pain and used it all through the birth process. I only had about 5 minutes when I thought Gloria, you idiot, you knew it would feel like this, why are you here again?! As soon as the baby was out, I had this huge wave of regret. . . . .I had had a painless birth and had no story to tell, oh dear. I realized what an idiot I was, of course. Who in their right mind would want a dramatic story over a smooth birth?? I share that story with other women so they can take a look at the inner need for a big story in their own lives. When we get these things out of the closet and into the light of day, we become more powerful. The only demons that control us are the ones within. As a birth attendant, too, I can see that I have a need to be a saviour and a 'hero instead of a fly on the wall. Dramatic births are food for the insatiable ego. Learning to love the simple, silent arrivals with only a flickering, fleeting glance of gratitude from the woman transformed into mother. . . that is the quest of our spirits. I look forward to getting to know you on this list. Gloria Lemay, Vancouver, BC Canada No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.11.10 - Release Date: 13/05/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.11.12 - Release Date: 17/05/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Mareeba Maternity
How awful for the women who were intending to birth there, for you the other the staff working there for the PTB's at the Hospital to put out a media release have a 'last minute' meeting as the only communication on this issue. Not 'professional', or caring in any way of the consequences of this decision to you the other people who will suffer from it. Was this a 'snap decision' by this Dr to go into private practice? Was there no dicussion beforehand that things were going to change how to deal with it when it did? So now the only women *allowed* to birth at Mareeba will be this Dr's private clients? I so hope that you all as a community can use this opportunity to set up a fabulous midwifery-led service to provide an alternative to this Dr who seems to have no regard for those women who will not be his/her clients! Hopefully there will be a great turn-out at this rally from all the women who have already had their babies with you the other wonderful midwives there - its amazing what a bunch of angry women can acheive! Please keep us posted on how it goes, if I can offer anything in the way of support please let me know. cheers jennifairy Maternity Ward Mareeba Hospital wrote: We have put in a submission to operate as a freestanding birth centre but only God knows where that has gone. I am on night shift and having a class out of town as soon as I was up I did not even see the news. It was left to a friend to tell me at 2100 that I might not have a job!!!. Those staff that were phoned were given 25 minutes to get into work for a meeting and the announcment that we may not have births here. Now that I am at work I see the print out of the media release. We will be able to do antenatal and postnatal care. Big deal. They keep talking about safety to the baby but seem to have no idea that birthing on the road to another place is not safe. Here is a sentence from the release The priority is to ensure women experience a safe environment in which to give birth supported by appropriately qualified medical and nursing staff. They just don't get it! Cairns Base Hospital is having trouble managing the births from Cairns and the high risk from the whole of Cape York. Atherton Hospital has had its proper maternity unit closed because of lead in the paint. They now have a poky little spot at the end of a surgical ward. I believe they only have 4 or 5 postnatal beds. No bath, no pressure in the water from the shower. Terrible statistics. Apparently that is safer than here. Midwives don't want to stay there. Here we have midwives who have worked hard for the last 12 years to make this place what it is, a good example of midwifery model of care. None of these have been consulted. The women have not been consulted. After all, they are obviously not qualified to make a choice for the safety of themselves and their babies. They reckon it will only be for up to six mohths. I am not sure what will happen then, they have been unable to replace our very able Med Super when he retired early last year. We have the Mayor and council supporting us and it seems the phones were running hot (as I and several other midwives remained blissfully unaware of our fate) to MP's etc. There is a rally in town on thursday. Pardon my rambling, I am tired and very very upset. Judy [EMAIL PROTECTED] 05/09/05 10:48pm Is this not the time for Qld to its first midwife led maternity service in Mareeba?? 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 - Original Message - *From:* Judy Chapman mailto:[EMAIL PROTECTED] *To:* ozmidwifery@acegraphics.com.au mailto:ozmidwifery@acegraphics.com.au *Sent:* Monday, May 09, 2005 7:51 PM *Subject:* [ozmidwifery] Mareeba Maternity Mareeba midwives are in mourning. With our most experienced Dr going into private practice we have been told today that we may not do any more births after friday. We can still do antenatal and postnatal care. I have not yet been to work today so I had to find out from the local news!!! We will keep you posted. Judy Find local movie times and trailers on *Yahoo! Movies.* http://au.rd.yahoo.com/mail/tagline/*http://au.movies.yahoo.com No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.11.6 - Release Date: 6/05/2005 *** This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you
Re: [ozmidwifery] Independent midwife numbers
Hmm, this has brought up some questions for me, the answers to which are probably obvious to many (except me..) - what is an independantly practicing midwife? A midwife who only has private clients as major source of income? A midwife who works within a hospital system and also has some private clients in her 'spare time' (whatever that is!)? And then are numbers involved? How many women does one have to birth with per year to be considered an independantly practicing midwife? Tania mentioned 7 here in SA but I know of at least 10 here who would fit into either category above (but most in 2nd category) Jan, there is probably something in ASIM's charter (or Terms of reference, or whatever it is that you have for ASIM) that would answer this? Jennifairy (being curious) Jan Robinson wrote: I'm down to fifty on the ASIM mailing list for our Communique, Sue I'm sure there are more IPMs around who don't belong though. As a rough estimate I'd say there are at least 70 practising full time and part time around the country. Cheers Jan Jan Robinson Independent Midwife Practitioner National Coordinator Australian Society of Independent Midwives 8 Robin Crescent South Hurstville NSW 2221 Phone/Fax: 02 9546 4350 e-mail address: [EMAIL PROTECTED] website: www.midwiferyeducation.com.au On 21 Apr, 2005, at 16:34, Andrea Quanchi wrote: not enough but it would be hard to tell because some are not admitting it and some not wanting to practice without insurance Count me as 1 but the MIPP list is useful for Victoria Andrea Quanchi On 21/04/2005, at 1:28 PM, Sue Cookson wrote: Hi all, Just completeing my assignment - anyone know approximately how many independently practising midwives there are across Australia? Thanks, Sue -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.10.2 - Release Date: 21/04/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.10.2 - Release Date: 21/04/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] dopplers
Just letting all know, last call for dopplers. I will be ordering sometime in the next week or so (when I get everybodies monies together) Huntleigh 920's - the ones without the digital readout - for $540 each if you are in Adelaide, $550 each for elsewhere in Aust. If you are wanting to order one, please let me know asap! jennifairy -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.9.15 - Release Date: 16/04/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Contemporary midwifery critique
um, thats a really broad reference list! What exactly are you needing - justification for caseload midwifery models (from economic/consumer/midwives points of view?); justification for 'direct entry' midwifery education?; medical dominance of midwifery from an historical/present point of view?; 'primary health care' / 'community' systems of maternity care? All of the above (how many words is this assignment?!)? I can send you literally hundreds of references but I think to save you trawling through them all, it might be useful to be more specific re what you are looking for :) jennifairy Sue Cookson wrote: Hi all, Am in the midst of an assignment which includes a critical analysis of contemporary midwifery. I need some references to validate what I'm saying - fragmented care vs continuity of care, educational methods, medical dominance, socially constructed health care systems, mechanistic view vs humanistic etc etc. I'm hoping there's lots of good references amongst all of you, Many thanks, Sue -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.9.11 - Release Date: 14/04/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Contemporary midwifery critique
Midwifery Science and Sensitivity in Practice, /Churchill Livingstone, Edinburgh. * * Pairman, S. 1999, Women-centred midwifery: partnerships or professional friendships? MIDIRS Midwifery Digest, vol.9, no. 3, p. 386. Passant, L., Homer, C. Wills, J., 2003, From student to midwife: the experiences of newly graduated midwives working in an innovative model of midwifery care, /Australian Midwifery,/ Dec. 2003, Vol. 16, No. 4, pp 18-21. Rooks, J., 1999, The midwifery model of care, /Journal of Nurse-Midwifery/, vol. 44, no. 4, July/August, p.370-374. Rouf, K., 2003, Child sexual abuse and pregnancy: a personal account, in /Midwifery Best/ /Practice/ ed. S Wickham, Books for Midwives, Philadelphia, USA. Rowley, M., Hensley, M., Brinsmead, M. Wlodarczyk, J. 1995, Continuity of care by a midwife team versus routine care during pregnancy and birth: a randomised trial, /Medical Journal of Australia, /vol. 163, Sept, pp. 289- 293. Sandall, J., 1995, Choice, continuity and control: changing midwifery towards a sociological perspective, /Midwifery/, vol.11, pp. 201-207. Sandall, J., 1996, Moving towards caseload practice: what evidence do we have?, / British Journal of Midwifery/, vol.4, no. 12, pp. 620-621. Sandall, J. 1999, Team midwifery and burnout in midwives in the UK: practical lessons from a national study, /MIDIRS Midwifery Digest/, 9, 2:147-151. Senate Community Affairs Reference Committee 1999, /Rocking the Cradle. A Report into Childbirth Practices/, Commonwealth of Australia, Canberra. _ _ Shields, N., Holmes, A., Cheyne, H., McGinley, M., Young, D., Harper Gilmour, W., Turnbull, D. Reid, M., 1999, Knowing your midwife during labour, /British Journal/ /of Midwifery/, vol. 7, no.8, pp 504-510. South Australian Health Commission 1995/, Report of the South Australian Models of/ /Care Working Party/, Adelaide. Spurgeon, P., Hicks, C. Barwell, F., 2001, Antenatal, deliver and postnatal comparisons of maternal satisfaction with two pilot Changing Childbirth schemes compared with a traditional model of care, /Midwifery/, vol.17, pp 123-132. Teate, A., 2000, Community midwives programme in Adelaides Northern suburbs,/Midwives Muse/, Spring, p.5 Tinkler, A. Quinney, D., 1998, Team midwifery: the influence of the midwife-woman relationship on womens experiences and perceptions of maternity care, Journal of /Advanced Nursing/, vol.28, no.1, pp 31-35._ _ Tracy, SK. Tracy, MB., 2003, Costing the cascade: estimating the cost of increased obstetric intervention in childbirth using population data, /British Journal of Obstetrics/ /and/ /Gynaecology,/ vol. 110, pp 717-724. Tracy, S., Barclay, L.B. Brodie, P., 2000, Contemporary issues in workforce and education of Australian midwives, /Australian Health Review,/ Vol. 23, No. 4, pp 78-88 Turnbull, D., McGinley, M., Fyvie, H., Johnstone, I., Holmes, A., Shields, N., Cheyne, H. MacLennan, B., 1995, Implementation and evaluation of a midwifery development unit, /British Journal of Midwifery/, vol.3, no. 9, pp. 465-468. Waldenstrom U. Nilsson CA., 1997, A randomized controlled study of birth centre versus standard maternity care: effects on womens health, /Birth/, vol. 24, no. 1, pp. 17-26. Waldenstrom, U., 1998, Continuity of carer and satisfaction, /Midwifery/, vol.14, pp207-213. Waldenstrom, U. Turnbull, D., 1998, A systematic review comparing continuity of midwifery care with standard maternity services, /British Journal of Obstetrics and Gynaecology/, vol. 105, pp. 1160-70. Walsh, D., 1996, Evaluating new maternity services: some pointers and pitfalls,/ British/ /Journal of Midwfery,/ vol.4, no. 11, pp 598-600. * *Walsh D. 1999, An ethnographic study of womens experience of partnership caseload midwifery practice: the professional as friend, /Midwifery,/ vol. 15, no. 3, Sept 1999 Warwick, C., 1995, Small group practices: the managers perspective, /Modern Midwife/, October, p 22-23. Webber, A., 1998, Mothers with Midwives A South Australian Experience of Caseload Midwifery, /New Models of Maternity Service Provision: Australian Midwifery Perspectives Conference,/ Adelaide, 5-6 November. cheers Jennifairy Jackie Doolan wrote: Would love your braod reference list. If you can send it would be very much appreciated to [EMAIL PROTECTED] Jackie Doolan -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jennifairy Sent: Friday, April 15, 2005 11:48 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Contemporary midwifery critique um, thats a really broad reference list! What exactly are you needing - justification for caseload midwifery models (from economic/consumer/midwives points of view?); justification for 'direct entry' midwifery education?; medical dominance of midwifery from an historical/present point of view?; 'primary health care' / 'community' systems of maternity care? All of the above (how many words is this assignment?!)? I
Re: [ozmidwifery] Re: dopplers
Got me server behaving again (WOOT!) so Im now back on the list... We will be ordering them as soon as we can make a decsion about which ones to get (whether to get the ones with digital readout or the ones without - about an $80Au price difference), when I can get all the $$ in one place so I can order thru my card... Time is flying so if there are any more out there who want to be involved in this, let me know asap Andrea, would you like me to include your email address in the Doppler buyers mail list Ive got going? Jennifairy ID AC Quanchi wrote: I have spoken to the MUM and Echuca Regional Health is in the market for a new one and is interested in getting in on the deal. Can you let me know when you will be ordering them Andrea Quanchi Judy Chapman writes: I would like to be in with this ordering lot please. Cheers Judy --- Larissa Inns [EMAIL PROTECTED] wrote: This is from Jennifairy - her email server is not behaving and she can't post it herself! For anyone wanting to purchase a doppler read on: Pamela I have managed to track down a company in the US that will sell us Huntleigh dopplers (with waterproof probe) for $450 US (around $583 Aust) each if I order 5. Postage on these will be around $113 (not each, altogether, so around an extra $20+). These are 'on special' so we need to get these now if we want them. I dont think we will get a better deal at ICM or anywhere here in Australia. The site is here - http://www.cascadedopplers.com/huntleigh_dopplers/huntleigh_fetal_dopplex_fd1/ I have been quoted a price from the distributor in Adelaide of $1125 for this same doppler ( that was last year, may have gone up in price by now), so $600 sounds like a good plan! Alternatively, if you want to order your own, they are $475 US + postage (so probly an extra close to $100). Please let me know ASAP if you are interested in doing a bulk order. cheers jennifairy 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. -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.9.5 - Release Date: 7/04/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] test - ignore
Just me testing me server (again, *sigh*)... jfairy -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.9.5 - Release Date: 7/04/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] test - ignore
just testing my mail server. Ive had to change some settings... jfairy -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] big baby
hmm, the difficulties of trusting ultrasound for baby weights... I hear many midwives recount stories of the inaccuracies of this practice, the less-than-ideal outcomes that follow. Everyone seems to have a story - mine is about the woman carrying twins, who at 37 weeks was told by her OB that she needed a US to 'check the babies'. US result came back saying that there was over a kilo discrepancy in the weights of the babies, twin-to-twin transfusion was diagnosed, so she was induced (at 37 weeks). Her beautiful babies were 7lb 7lb 4oz, a 4oz difference. Does anybody have evidence that US *is* a 'reliable' tool for diagnosing/estimating baby weights? Why are we using/trusting this tool if all we keep hearing about are stories like these? How many stories are out there regarding US weight diagnosis being accurate? Jennifairy Mary Murphy wrote: I realise that some U/S weights are close, but recently had a tall, well proportioned primip woman who was told her baby was 4.8kg. when she was induced later for PROM this image of the big baby certainly affected her. she later had a c/s of a 3.6kg baby. Now she has a scarred uterus and her reproductive future is influenced by this as she is 41 wants to have another baby quickly. Now she has to worry about the VBAC research which says it would be safer to wait 2 yrs, which she can't. One can never say that she would not otherwise have had a C/S, but one has to wonder. MM -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] waterbirth
um, as a new graduate of the 3 year BMid who has had the opportunity to 'apprentice' with an independant midwife, I guess the answer is 'well, yeah'. I must admit to some anxious feelings when I was considering this option, but I spoke to people like Nicky Leap, Shea Caplice, some others who told me that thats what they had done never regretted it. I feel that I still have enormous gaps in my knowledge experience base, but I want those gaps to be filled by 'normal' birth experiences. I know that the current midwifery scope of practice includes things like setting up epidurals synt infusions etc, I am not going to be 'consolidating my practice' in those areas while I practice independantly, but I can live with that for now. I have just done 3 years of fulltime study as a sole parent, with no family or other reliable support structures, being student rep for over 2 years of that having my 'fingers in a lot of pies', so full-time shift work, even in a grad program, only seemed like a valid option if I didnt mind the thought of being scraped up off the floor at the end of it (by my kids probably!) Unfortunately, there are not very many MIPPs around now to mentor or apprentice new grads who want to work independantly, even of those who are around, there is no identified 'process' for this to happen. In talking to midwives who have worked with more experienced mids before going 'out on their own', there is a lot of diversity in process. The midwife that I am working with is taking a few months long-service leave from her job as Community Midwife doing postnatal home visits, is using this time to take on some private clients (she has worked as a MIPP for years before this), so my 'apprenticeship' will probably be shorter than I would like it to be. There are no other MIPPs here that I know of who are willing to take on an apprentice. Jan, the program you have mentioned from ASIM sounds absolutley wonderful I only wish there were something like it here in SA. Northern Womens have taken on one grad this year, but as far as I know the Group Practice at WCH has not taken any, these are the only midwifery-led practices that offer either continuity of care or carer in the metropolitan region. It seems to me that the pathway for a midwife who wants to work independantly is not easily identified, accessed or facilitated. Happy to be wrong on any of this! Jennifairy jo wrote: Hi all, Once a student has completed the Bmid, is it feasible to go straight into Independant Practice without working in a hospital? Cheers Jo Hunter *From:* [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] *On Behalf Of [EMAIL PROTECTED] *Sent:* Monday, 14 March 2005 4:04 PM *To:* ozmidwifery@acegraphics.com.au *Subject:* Re: [ozmidwifery] waterbirth In a message dated 3/14/2005 3:30:31 PM AUS Eastern Standard Time, [EMAIL PROTECTED] writes: i applaude you for doing what u want to. but however in the current climate bieng a bach of mid grad we are still un accepted by some midwives who have years of expereince or rather indocrination of working in hospitals. one day hopefully we can be accepted more by our collegues as being their equal. shift work can be frustrating but at the hospital where i am they gave us the choice of what we wanted to do ie 3 days to 5 days per week and all the interim. cheers sharon Hi Sharon thanks for your comments...the simple point I am trying to make is that the arguement I get from most midwives re: caseloadand their unwillingness to participate, is that its too hard too demanding harder than shift workhaving worked both ways myself now, caseload while it can be more unpredicible than shift work in terms of when you work and your availablity, I have found it FAR less tiring and a great deal more flexible in how I choose to organise my day (and my family) in partnership with the women in my care! When your rostered to work on shiftwell that's it your rostered on and gone for upto 10 hours a day.at least with caseload other than if I am with a birthing womanmy day is my own, negotiated with the women concerned...and if I only feel like working four hours today and 6 tomorrow.well, that's what I'll do! Much more woman and midwife friendly! Cheers Tina P -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Intro
Hi all, just a short (hopefully!) intro. Ive been away from the list for the last 2 or 3 years whilst doing my BMid here in SA - study tended to take over my life keeping up with the volume of mail from here was just too much! Anyways, Im finished/registered/the 'real deal' now, a RM of the first cohort of 'direct entry' midwives in Australia, now apprenticing with a MIPP on my way to fulfilling 'the dream' and *really* enjoying my life now that Im not under the study thumb! Im madly trying to get my 'kit' together, in the market for a waterproof doppler. What Im asking for from you gals ( maybe guys) is what you use/would recommend brand-wise. Ive only ever used Huntleighs in the hospitals Ive done placements at, but there are some others out there wondering if anybody can 'give me the goss' - the Huntleighs are currently around $900+ so I need to know Im making the right decision! I havent started earning 'real money' yet so this is a big buy for me. Ive managed to find forcep clamps a fabulous digital fishing scale for baby weighing on EBay (yeah, Ive become an EBay groupie now that I have the time), but if anyone has ideas/contacts etc for other stuff Id be really happy to hear from you (for eg, where do I get wooden pinards?). I need everything! cheers thanx in advance Jennifairy RM!! -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] ACA Painless Birth Show Tonight!!!
On Thu, 4 Jul 2002 20:14, you wrote: Hey all A Current Affair ran a segment tonight on why so many more women are choosing the pain-free birth of caesarean section. The Angliss Birth Centre represented the other side, but I think the convienience queens were given a better showing (IMHO). The most disgusting part of the show was the pros and cons presented by Dr Ric, yes RIC Gordon, (was a presenter on Good Medicine!!). The ACA site has a ³fact sheet² which is a joke and a spot for voting on if you would have a c/section or not. If you can handle it please look at it and vote!! There is also a feedback section for what it¹s worth! At http://aca.ninemsn.com.au/stories/975.asp In Birthing solidarity Justine Caines I vote we introduce a procedure that removes semen from men via an incision to the testicles. Lets see how far that would get, eh? -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Re: gripe - ME TOO!!!
On Wednesday, July 3, 2002, at 08:10 PM, Rhonda wrote: - any suggestions for natural remedy for conjunctivitis? ys, the petals from calendula, made into a tea rinse the eyes with it when cool. not sure where you are but here in SA the calendulas are flowering right now.. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: Fw: NMAPSlogan final feedback
denise thank you for working to put these all 2gether in one place. These are my faves, in order of number ( 1 ) Best birthdays need 'best practice' ... support the NMAP - directed at health professionals ( 2 ) 'Push for Birth Reform' - Support National Maternity Action Plan (NMAP) ( 3 ) For Many Happy Birthdays, Support the National Maternity Action Plan ( 4 ) Your National Maternity Action Plan - pushing for birth reform. ( 5 ) Look who's labouring for a better future -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Registering in Ozland
On Sun, 9 Jun 2002 02:02, Marilyn Kleidon wrote: Hi Tina: Just trying to contact you about the B. Mid student collective: haven't seen any postings lately and I am in the process of changing my internet provider. My new email address will be: [EMAIL PROTECTED] I was unsuccessful with my application for authorization to practice midwifery in NSW. Amazing: I will be appealing but the reason's given were that Seattle Midwifery school is not a University and therefore they did not consider the content of my course to be equivalent to the current Uni Midwifery programs in NSW. And, the other reason was that I am not a nurse (duh). I was rather meek when I received the news over the phone but will be a little more forceful after some reflection. I do think the application is probably dead in the water though. I also have an application in to the Queensland Nursing Council, am trying to think positively but am in reality expecting the same. Anyway, it looks like it's back to student life for me. What I need from someone in the collective is email/web site addresses of the unis in SA and Vic running B. Mid programs. I found the Flinders Uni site and sent off an email to Jen Byrne. I found the Australian Catholic Universities site but could not find their B. Mid info, so I sent an email to the Dean. So, I guess I am looking for the Vic U and the SA Uni addresses. Take care Tina, I hope you're lurking on the list. I also have a new laptop, so don't have many addresses in my address book yet. marilyn Marilyn have you found out if you can register as a midwife in NZ? because thye have direct entry mwfery I think it is easier to register there, then you can register in Australia. I seem to remember someone from Canada doing that to be able to practice here - a very roundabout way of accomplishing it (and probably costly, with all those registration fees) but could be an option.. jennifairy -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: changing email provider.
On Mon, 3 Jun 2002 06:56, [EMAIL PROTECTED] wrote: I have forgotten how I get in touch with the webmaster. I am changing providers but want to stay on the list. marilyn marilyn just uns*ub yr old email s*bcribe yr new email addy - worked for me :)) -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: Intuitive Midwifey Workshop
On Thu, 30 May 2002 14:50, Vicki Chan wrote: After the success of the Brisbane Intuitive Midwifery workshop, Nic and I are keen to share it further. We are presently planning workshops in Sydney and Adelaide but would love to bring it elsewhere. We welcome all women...mothers, pregnant women, midwives, childbirth educators, doulas. I imagine we would need to do a minimum of two workshops in an area, each with about 16 participants. Numbers in the workshop are very small to allow deep focus for those commited to their personal growth as a birthworker and/or birth giver. We may need someone to liase with, assist with venue, equipment, catering etc in return for a place in the course.To express interest in either participating in or planning a workshop in your area...or for a copy of the pamplet describing it, send a reply email. Also, with our video In Union now available at CAPERS and shortly at Birth International...we are on our next task...a video montage celebrating the important role of women supporting women during pregnancy, birth, and early mothering. We are presently seeking images (still and moving) of women with their midwife, doula, sister...it is going to be very beautiful. With great hope for better birth! Vicki Chan and Nic Edmondstone Please feel free to pass on this message to anyone you think may be interested. yeah I could prolly do something here Vicki, in terms of helping to organise stuff. Do you have dates in mind etc? -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: BMid placements at ACU
We here at Flinders (SA) are currently not doing any follow throughs of pregnant women. :(( The lack of insurance has, Im sure, been responsible for this but I think we may be doing some next semester. Keep you posted. On Sat, 18 May 2002 20:02, Janine and Steve Clark wrote: Hi Carole, Our follow throughs are quite separate from our placements. follow throughs are supervised by a mentor (an experienced midwife) following various guidelines, and, once the relationship is established with the woman and her family, we hope to be invited to her birth. Our role at the birth is that of a support person, rather than a midwifery student. In this sense it is very different. We are aiming to see the childbearing year from the perspective of the woman. Is this what you were meaning? Do any of the other BMidder's from around VIC and SA want to add to this??? Other students' perspectives of the follow-through journey would be good to hear. Regards, Janine - Original Message - From: Carole Gilmour To: Janine and Steve Clark ; Ozmid Sent: Saturday, May 18, 2002 3:17 PM Subject: Re: BMid placements at ACU Just a query on your follow throughs. As I assume follow throughs are following women through out their pregnancy how can you be doing this without a clinical placement? regards Carole - Original Message - From: Janine and Steve Clark To: Ozmid Sent: Friday, May 17, 2002 8:38 PM Subject: Fw: BMid placements at ACU - Original Message - From: Janine and Steve Clark To: Ozmid Sent: Friday, May 17, 2002 8:00 PM Subject: BMid placements at ACU Hi jennifairy and all, I am studying at ACU in Melbourne. we have no placements this semester, but next semester (I believe) we have 5 weeks of one day per week placement, followed by 4 weeks of full-time placements (any other ACU'ers out there please correct me if I'm wrong!). As far as I am aware, all these placements are at maternity hospitals. At the moment we are beginning follow throughs and studying hard for exams. Next semster, with follow throughs, classes, placements and exams, we will be very busy - the workload is enormous but the stupid grin still has not left my face (well, maybe once or twice!). Still so excited that the course is actually here!! Seeya Janine Clark -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
student placement
I have not heard from one student at Flinders who is happy about their placement - and what is really frustrating is that, insurance or not, we will be doing the same placement next semester. I am curious as to where the students from the other Unis are going for their placements? jennifairy On Thu, 16 May 2002 20:32, you wrote: Read that in today's paper with much glee!! It's about bl*@dy time!! Sorry about your clinicals.All part of the experience I guess - you'll laugh about this one day :) My friend Suzie does the course at Flinders too and she was very unimpressed with the placements. Good luck when you get to go to your real clinicals - can't wait to hear about it! Hugs, Larissa -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: Information
Hi there Tania, I am a BMid student Flinders Uni in Adelaide SA. There is another Uni here in SA (UNISA) 2 Uni's in Victoria offering Bmid this year for the first time. The entry criteria for UNISA was scores based, or what they call TER ranking, which goes on yr school leaving score or yr Mature Entrance Exam score. Flinders did this but also asked for applicants to submit a 1000 word essay outlining the changes/challenges facing midwifery at this time what they saw their role in that would be. I am not sure what the Victorian Unis entry criteria was. At this stage UTS does not offer the BMid, I think they will next year or soonish at any rate. The workload is do-able, the major crisis facing Flinders atm is that the Uni has not been able to renew its Public Indemnity Insurance for any of its students or staff to work or gain placements in maternity or obstetric areas. The placements I will be doing in a few weeks time will be general nursing. UNISA the 2 Unis in Vicland do not yet face this crisis, but it may come when their insurance runs out in June/July. I am 36, a single parent of 2 girls, live 45 mins by car away from Uni, and coping. (sometimes only just:)) The person to contact UTS is prolly Nicki Leap, I dont have her email addy here right now but someone will:) On Tue, 14 May 2002 09:52, Tania Simon wrote: Hi there Ladies, I've been laying low on this list but soaking up all of the wonderful information that you share. I currently work in Singapore as a Doula and am studying to be a Childbirth Educator. I was wanting to hear from anyone out there who can give me some information on the Bachelor of Midwifery degree. I understand that UTS offers this and that they only take a certain amount of entries per year. Is anyone currently doing this degree? What is the criteria to gain entry like? What is the workload like? Any mature aged students out there? I'm 35. As I am currently in Singapore I don't intend to stay here forever but wanted to start researching possible options for me upon my return to Sydney. Any information you can give me would be greatly appreciated Thank you Tania Grose-Hodge Singapore. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: lazy mw
heres a few sites I have in my reference list. dont know if they are helpful (but some punctuation sometime sure would be!:)) http://www.abc.net.au/rn/talks/8.30/helthrpt/stories/s304213.htm http://www.abc.net.au/health/minutes/stories/s303770.htm [EMAIL PROTECTED] wrote: 001001c1daa1$771f14c0$5e2432d2@ibmbna248m"> PARDON ME would some one give me the gift of ref or web sites re urinary incontinence and its relationship to childbirth partic research into correlations thankyou in anticipation jan _ Do You Yahoo!? Get your free @yahoo.com address at http://mail.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
Re: VBAC question
not to mention the woman the uterus belongs to :)) --- Marty Tina [EMAIL PROTECTED] wrote: Please excuse my inexperience on this issue, but I thought that putting a hand inside a uterus that has just given birth was dangerous (unless there was a life threatening situation) increased the chance of rupturing the uterus. I am sure some wise woman told me this during my mid. training (could be wrong though). I have never heard of this being performed either. Tina H. = jennifairy __ Do You Yahoo!? Yahoo! Tax Center - online filing with TurboTax http://taxes.yahoo.com/ -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: Flinders Uni PI Insurance !!!!!!!!
yeah its been talked about here since we started, 2day it was on the front page of the paper so I guess the Uni must be getting quite desperate. I'm hoping that it will provide the impetus needed for the DHS or other Govt body to get involved properly in this big mess (the cynical part of me says otherwise) sort out the whole PII issue. There have been letters in the local paper from Mr Mrs Average calling for insurance reform one this a.m. pointing out that NZ has a perfectly good system that we could copy (yeah well we've known that for a while) so maybe theres a change on the way. Was kinda nice that for once there was a front page story about midwifery that didnt involve some poor git copping the bad end of the health care system. (okok, bad choice of words, well then lots of poor gits in the form of students instead, not some mid being sued or some mothers' bad outcome bcoz of mw 'incompetence' or etc) All I can say is 'get used to it' try find out when your Uni's insurance is due for renewal, this is just the first domino as far as I'm concerned. The other thing Ive thort of is that it puts the Unis in a very bad situation, from both sides - if they do not find an insurer decide not to send students on placement without it, then it seems to me that the students have a case for litigation themselves (yes stupid as it sounds) for all sorts of reasons - loss of income (some students have chucked in jobs so they cld do the course), just the fact that we will perhaps not be able to graduate or fulfill the criteria for registration etcetcetc. Something must be done, I just cannot envisage they will allow it to get to that point. What I know is that Flinders is pinning its hopes on a broker in London who is trying to find an off-shore insurer. In one way I hope that its not that easy, I want the Govt to not be let off the hook on this so easily. [EMAIL PROTECTED] wrote: Hello wise women of the list I have had snippets come through to me today from B Mid students from SA Re the withdrawal of Flinders Uni PI insurance for the B Mid students !!! Is there anyone out there in cyber space who can share any further light on this !! Jennifairy, Allison, Kackie K Thanks folks.. Yours in birth, Tina Pettigrew Birthworks Bachelor of Midwifery Student and Independent CBE Convenor, Aust B. Mid Student Collective. http://groups.yahoo.com/group/BMidStudentCollective [EMAIL PROTECTED] */ As we trust the flowers to open to new life - So we can trust birth/*/ Harriette Hartigan. --- / _ Do You Yahoo!? Get your free @yahoo.com address at http://mail.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: re BMid
Hi there, I've just started BMid at Flinders Uni in SA, where it is not offered either part-time or externally, although some (not many) of the topics can be done externally (I am currently doing an external topic of Indigenous Health, as I have previously completed 2 of the 1st year topics when I started nursing 2 yrs ago, so I am effectivley 'part-time') I dont know what UNISA (the other Uni offering BMid here in Adelaide) are doing in terms of offering part-time or external stuff, but you can prolly find the info on their website: (which I have just tracked down for you) http://www.unisanet.unisa.edu.au/courseinfo/DisplayCourse.asp?Course=UBMYStream=1Division=HSC The Flinders website is here: http://www.flinders.edu.au/calendar/vol2/ug/BMid.htm hope this hepls :)) ivajul wrote: I have been reading with great interest the posts regarding Direct Entry BMid. My name is Julia. I guess I should introduce myself as a lurker consumer. But more importantly I am a mother of 5 beautiful little children, with a big interest in the future of 'good' births for women. I am keen to know if anyone is doing their BMid via 'external/distance' study, and also if anyone is doing it on a part time basis? How much of the course can actually be completed externally, and what the time frame is for Part time study, and which Uni's are offering the course at this stage. I have heard that Southern Cross Uni will begin next year. I apologise for throwing so many questions straight up, but I am bursting with excitement about this course. I had never given Midwifery a thought before having my own children. But since having my kids and realising how very important 'support and knowledge' is to a women in pregnancy and birth. I KNOW more than anything before that I want to be a midwife. I feel that this course is such a positive move forward for the Australian birthing community. Having five children, a husband and a dairy farm business to help run; the route of a full nursing degree then onto Midwifery just isn't a viable option. Like other women I have heard on this list I don't want to be a nurse. I have the utmost respect for nurses and nurse/midwives and the demanding wonderful work they do, but I just want to be a MIDWIFE, nothing more, nothing less. I want to help empower women to believe in themselves again. I wish I'd have had this type of support during my pregnancies and births (which all ended in c/s's). I feel that just maybe I wouldn't have become caught up on the Caesarean Roundabout ~ which isn't a ride you will find at Luna Park that's for damn sure!! Warm Regards Julia -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. _ Do You Yahoo!? Get your free yahoo.com address at http://mail.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: Finally
BMid student here, um can you explain why you dont want the placenta to become 'bulky'? --- Nikki Macfarlane [EMAIL PROTECTED] wrote: Yes, it is dangerous. If an oxytocic is given the drug will result in a stronger than normal contraction and can possibly cause an overtransfusion of blood to the baby. The safest practice is to either have a completely managed third stage with immediate clamping, administration of an oxytocic drug and cord traction or alternatively to have a completely natural third stage with no cord clamping until after the cord has stopped pulsing or delivery of the placenta, no oxytocics and absolutely no cord traction. What I see with both managed and natural third stages is also having the maternal end of the cord then unclamped to allow it to freely drain into a dish to prevent the placenta becoming bulky. = jennifairy __ Do You Yahoo!? Yahoo! Sports - live college hoops coverage http://sports.yahoo.com/ -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
vicki chans email
Hi there, I've lost Vicki's email addy, can somebody help please? _ Do You Yahoo!? Get your free yahoo.com address at http://mail.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: the literature on breech
well Cheryl, in my copy of Maggie Banks' Breech Birth Woman Wise I found a statement - Where the baby is born to the umbiblicus, and therefore the head is in the pelvis, the baby will need to be born within 10 minutes the reference for this is cited as Stevenson, J (1993, Summer) More Thoughts on Breech Midwifery Today No 26 pp24-25 Hope this is some help :)) CHERYL JONES wrote: hello to any body, that can answer the question on breech vaginal deliveries? I read through my e-mails and that eight minutes the time given for the babies to deliver and that no long term effect Question is were is the evidence base on that literature? I have no doubt that is right however to argue a point were is it found? I have the e-mails sent which one is it that has the evidence so I can forward this information to others (midwives) Many thanks Cheryl (from WA) _ Do You Yahoo!? Get your free yahoocom address at http://mailyahoocom -- This mailing list is sponsored by ACE Graphics Visit http://wwwacegraphicscomau to subscribe or unsubscribe
Re: Is there moulding in a breech presentation?
haha Im laughing bcoz Ive just bought this book by Maggie Banks I'm sending off references from it already !:)) (the 2nd today) anyway, Maggie talks about the Mauriceau-Smellie-Veit grip, being what you do to assist the birth of the baby with an extended head What it basically does is apply pressure to the cheek bones the parietal bones, which brings the baby's head over the perineum while protecting it from sudden decompression (Not what you asked about but thought it was worth including) She also follows with a bit about moulding of the head, I quote - It is often cited that the baby's head will not have the time needed to mould or shape as it comes through the pelvic bones, then her own experience which refutes this - I transferred Kitty to hospital following 20 hours of labour with her breech baby She decided to have a c/s as her labour was slow The baby's position had been anterior during labour Anna's head was not the usual round shape of a breech baby born by c/s The baby's head, which had been in the fundus of the uterus, was moulded to be oval in shape with the overriding of the skull bones It had been moulded by the contractions that she had experinced prior to the operation hope this is helpful:)) ps it was Day 1 for us BMidders at Flinders today, all I can say is WOOOH Melinda Whyman wrote: Hi there Just wondering if any one could tell me what happens to the fetal skull bones during a breech birth? Is there moulding - or even any movement of the bones at all? I've dug through Myles and several other texts with no luck Would appreciate some help Thanks Melinda _ Do You Yahoo!? Get your free yahoocom address at http://mailyahoocom -- This mailing list is sponsored by ACE Graphics Visit http://wwwacegraphicscomau to subscribe or unsubscribe
Re: thrush
--- Dean Jo Bainbridge [EMAIL PROTECTED] wrote: I am not sure if it is 'usable' during pregnancy, but my sister who suffers badly by thrush swears by putting natural yoghurt on a tampon. As I said I am unsure if you can do this during pregnancy.just a suggestion. Jo Bainbridge founding member CARES SA email: [EMAIL PROTECTED] phone: 08 8365 7059 birth with trust, faith love... Also try acidopholis (or however you spell it:)) capsules from the chemist or health food shop near you. orally not vaginally :)) = jennifairy __ Do You Yahoo!? Send your FREE holiday greetings online! http://greetings.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
