Re: [ozmidwifery] temp in labour
A temp in labour..I'd consider 37.7 and above a temp, however that would have to be 2 hours running, and if the woman was in the water, I'd get her out and check the temp again. Robyn Dempsey - Original Message - From: Sally @ home To: ozmidwifery@acegraphics.com.au Sent: Tuesday, December 12, 2006 12:51 AM Subject: [ozmidwifery] temp in labour I was just wondering if my last post landed as I have had absolutely no replies. Would like to know what ppl consider a temp in labour, on land or in water. Sally - Original Message - From: Kristin Beckedahl To: ozmidwifery@acegraphics.com.au Sent: Tuesday, December 12, 2006 12:06 AM Subject: Re: [ozmidwifery] Use of sports drinks in labour I used Endura during my 4 and a half labour - and really felt like I needed it due to the pace of things (and an early vomit !?!). I've also supported a couples of births where I have brought this along with me for the woman. Both of these births were *unremarkable* with mums birthing normally with no intervention etc with reasonably fast labours; 6 and 9hours. Kristin CBE Naturopath -- From: Helen and Graham [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Use of sports drinks in labour Date: Sun, 10 Dec 2006 21:31:34 +1100 Thanks for the replies about the sports drinks in labour however I must say I am still a bit confused. I will have to do some more research I think Helen - Original Message - From: Honey Acharya To: ozmidwifery@acegraphics.com.au Sent: Saturday, December 09, 2006 10:51 AM Subject: Re: [ozmidwifery] Use of sports drinks in labour I believe in the value of drinks with electrolytes, not just water. Commonly used things are herb tea and honey, their own labour aide, juice, or sports drinks - one that I have used myself and seen recommended by others is Endura which has electrolytes and magnesium, lemon lime flavour is preferred and obtainable in a powder form in a tub for approx $30 at the health food shop or chemist. I haven't seen any evidence on it but to me it makes sense, we don't perform other physical activities for long periods and expect our bodies to keep functioning well on just water and without sustenance, muscles continue to need energy and electrolytes to contract. If there are not studies done on it can you compare with studies on athletes? - Original Message - From: Helen and Graham To: ozmidwifery Sent: Saturday, December 09, 2006 8:38 AM Subject: [ozmidwifery] Use of sports drinks in labour Is anyone recommending women use sports drinks such as Poweraid etc when in labour? I have read some good evidence to suggest it is better than water in long labours but don't have the source at my fingertipsinterested in your thoughts/findings. I figure anything that can help keep a woman from tiring and being labelled by doctors as a fail to progress has got to be worth a try as long as it is evidence based. Helen __ NOD32 1911 (20061208) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com Advertisement: Fresh jobs daily. Stop waiting for the newspaper. Search Now! www.seek.com.au -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe. No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.15.15/581 - Release Date: 9/12/2006 3:41 PM
Re: [ozmidwifery] temp in labour
I was also thinking, dehydration can cause a temp, so keeping up those fluids helps avoid a temp in the first place! Robyn D - Original Message - From: Andrea Quanchi To: ozmidwifery@acegraphics.com.au Sent: Tuesday, December 12, 2006 11:19 AM Subject: Re: [ozmidwifery] temp in labour A woman in labour's temp should be similar to what it is normally. I would consider a woman's temp to be abnormal if it was accompanied by other signs of an abnormal process occurring such as tacchycardia, feeling flushed or unwell. If the woman is labouring in water the water temp needs to be kept appropriate to keep her temp normal. Ie if the water is too hot it will cause her temp to rise thus increasing the oxygen requirements of the mother and her baby. Of course this is not always a sign of infection but can be caused by extended effort such as running a marathon ( or labour) Hope this helps Andrea On 12/12/2006, at 12:51 AM, Sally @ home wrote: I was just wondering if my last post landed as I have had absolutely no replies. Would like to know what ppl consider a temp in labour, on land or in water. Sally - Original Message - From: Kristin Beckedahl To: ozmidwifery@acegraphics.com.au Sent: Tuesday, December 12, 2006 12:06 AM Subject: Re: [ozmidwifery] Use of sports drinks in labour I used Endura during my 4 and a half labour - and really felt like I needed it due to the pace of things (and an early vomit !?!). I've also supported a couples of births where I have brought this along with me for the woman. Both of these births were *unremarkable* with mums birthing normally with no intervention etc with reasonably fast labours; 6 and 9hours. Kristin CBE Naturopath From: Helen and Graham [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Use of sports drinks in labour Date: Sun, 10 Dec 2006 21:31:34 +1100 Thanks for the replies about the sports drinks in labour however I must say I am still a bit confused. I will have to do some more research I think Helen - Original Message - From: Honey Acharya To: ozmidwifery@acegraphics.com.au Sent: Saturday, December 09, 2006 10:51 AM Subject: Re: [ozmidwifery] Use of sports drinks in labour I believe in the value of drinks with electrolytes, not just water. Commonly used things are herb tea and honey, their own labour aide, juice, or sports drinks - one that I have used myself and seen recommended by others is Endura which has electrolytes and magnesium, lemon lime flavour is preferred and obtainable in a powder form in a tub for approx $30 at the health food shop or chemist. I haven't seen any evidence on it but to me it makes sense, we don't perform other physical activities for long periods and expect our bodies to keep functioning well on just water and without sustenance, muscles continue to need energy and electrolytes to contract. If there are not studies done on it can you compare with studies on athletes? - Original Message - From: Helen and Graham To: ozmidwifery Sent: Saturday, December 09, 2006 8:38 AM Subject: [ozmidwifery] Use of sports drinks in labour Is anyone recommending women use sports drinks such as Poweraid etc when in labour? I have read some good evidence to suggest it is better than water in long labours but don't have the source at my fingertipsinterested in your thoughts/findings. I figure anything that can help keep a woman from tiring and being labelled by doctors as a fail to progress has got to be worth a try as long as it is evidence based. Helen __ NOD32 1911 (20061208) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- Advertisement: Fresh jobs daily. Stop waiting for the newspaper. Search Now! www.seek.com.au -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe. -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.15.15/581 - Release Date: 9/12/2006 3:41 PM
Re: [ozmidwifery] Alternative GBS
I'd consult with a herbalist. Echinacea tinctures/ douches etc can be mixed up. I also have heard that a clove of garlic inserted into the vagina ( peeled clove) for 3 nights in a row also aids in reducing GBS. Robyn D - Original Message - From: Melanie Sommeling [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, November 17, 2006 10:15 PM Subject: [ozmidwifery] Alternative GBS Hi wise women of the list, I am curious if anyone can enlighten me of any alternatives to Antibiotics in labour to decrease GBS transfer from mother to baby. I recollect some info about douching during labour, but the info was sketchy to say the least. I understand the risks of transfer are low and the risk or negative effects are even lower, but alternatively have witnessed a birth of a GBS positive mother where AB's were administered and the baby still developed respiratory distress with several hours of birth and question the validity of using AB'a at all. Any advice on the matter would be greatly appriciated. Melanie -- 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] getting synto etc
My chemist charges $15 for the packet of vitamin K. That gives me 5 doses, so I have extras to 'start' the next woman who chooses to have it. Robyn Dempsey - Original Message - From: Judy Chapman [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, November 16, 2006 12:40 PM Subject: RE: [ozmidwifery] getting synto etc I have had the woman go to her GP and get a script. Only one so far and that was ok, she also got a script for the Vit K. Re charges. As far as I know they vary very widely over the country. I have only just started up and the first couple were cheaper than the next one I have booked. I found that with the distances I am travelling and the cost of fuel anyone who books more that 50 km away from my home will need to add extra to the basic price. For all so far I have had a minumum of an hour's drive each way and that is exy. cheers Judy From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of cath nolan Sent: Tuesday, 14 November 2006 9:13 PM To: ozmidwifery@acegraphics.com.au Subject: [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 Send instant messages to your online friends http://au.messenger.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] getting synto etc
Hi Cath, I give the women a letter for the doctor. We've ( the woman and I) have already discussed which tests she would like/ wouldn't like to have. The doctor is then given the letter with an outline of what the woman needs. This can be basic bloods, a script for vitamin k, a script for synto, a letter for O2 hire, ultrasound forms etc. On costing, it a hard one. I found when I first started out, it was hard to charge, and it was a 'self worth' issue. A few REALLY long births soon changes that!! In Sydney, most independent midwives charge between $3500 -$4500. This will also change for repeat clients, primips vs multips, distance to be travelled etc. Hope this helps. Robyn Dempsey - Original Message - From: cath nolan To: ozmidwifery@acegraphics.com.au Sent: Tuesday, November 14, 2006 9:13 PM Subject: [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
Re: [ozmidwifery] getting synto etc
Yes, the synto is about $100 a box. So what I do, is buy/pay for one box, which lasts for the next women ( does that make sense?), I only use Synto about once a year! ( and then there are the years you need it 3 times in a row!) Robyn D - Original Message - From: Jennifairy [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 15, 2006 8:47 AM Subject: 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. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] doula
Hello Sharon, Peter Jackson and the 'Calm birth" team are also running seminars for this training. If you ( oryour friend)would like details of the seminardates, to be held in March and September next year, please contact the course co-ordinator: email [EMAIL PROTECTED] or www.calmbirth.com.au Regards Robyn Dempsey - Original Message - From: Renee Adair To: ozmidwifery@acegraphics.com.au Sent: Thursday, November 09, 2006 5:43 PM Subject: RE: [ozmidwifery] doula Hi Sharon, I would be more than happy to discuss our course with your friend. I am on 02 9560 8288 Cheers, Renee BIRTH CENTRAL From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of sharonSent: Thursday, 9 November 2006 2:55 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] doula Could anyone enlighten me is there a course for doulas in Australia. Iam a midwife and I have a friend who has had 2 years of mid training but due to circumstances was unable to finish her training. She would like to continue working as a support person with pregnant and labouring women. Also is there a fee involved for the service provided. Thankyou in advance --No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.409 / Virus Database: 268.14.0/524 - Release Date: 8/11/2006 --No virus found in this outgoing message.Checked by AVG Free Edition.Version: 7.1.409 / Virus Database: 268.14.0/524 - Release Date: 8/11/2006
Re: [ozmidwifery] IUGR
I've had 2 women with previous babies diagnosed with IUGR, for some reason, a visit ( or two) to the osteopath seemed to make the difference in all cases. Something spurred the bub to grow, if indeed there was a problem to begin with! Just a thought. Robyn Dempsey - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Tuesday, October 10, 2006 9:53 PM Subject: RE: [ozmidwifery] IUGR Thank-you very much Christine and Mary. Shes been hoping to be able to go into labour spontaneously for the first time, so well find out more soon I guess. Thank-you! Best Regards, Kelly Zantey From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Mary MurphySent: Tuesday, October 10, 2006 9:39 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] IUGR The important measurement here is the abdominal circumference. 4 weeks below gest age indicates IUGR. The next important measurement is U/S Doppler flow. This, + Amniotic fluid levels are the most reliable indication of babys health. Reverse Doppler flow the most ominous. MM From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Christine HollidaySent: Tuesday, 10 October 2006 6:14 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] IUGR The BPD is Bi-Parietal Diameter and is the width of her babys head. She should really ask her midwife what this means as I believe this would indicate IUGR and that close observation is wise including a follow up USS in a few weeks to monitor growth as this may have slowed. On the bright side the baby may have been breathing in when they measured it which gives a false reading, I presume thought that they watched for a while before taking the measurement to try and ensure this was not the case. It is difficult to give advice with just a snapshot of a womans pregnancy and I may have a different opinion if I knew the woman and her whole history. Hope this helps. Christine -Original Message-From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au]On Behalf Of Kelly @ BellyBellySent: 10 October 2006 18:34To: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] IUGR A mum and dear friend I am supporting is due on November 9th and has had two previous IOL for IUGR. At her scan today, she said: Head Circ around 31cm just a couple of days off Gestational Age... aka perfectLeg bone length - Perfect about 4 days off Gest AgeBPD (not sure what that is) - Approx a week under Gest AgeAmnio Levels - Perfect Blood flow through cord - PerfectAC (stomach circ) - 4 weeks below gestational age - she checked it 3 times. So they graphed it and the computer automatically plotted it and gave a weight reading. 4lb 11oz the computer was saying give or take 13% on each side of that. So looks like another tiny baby on my hands. Now we have to sit and wait what they say at my next antenatal appointment, at my last she said if there is an issue she may call me in early.They checked this scan against Kameron and Lachlans too at the same gest age and Ashton is not far off what they were predicted for both the boys. Lachlan at 35wks 1 day they predicted 4lb 9oz. I am 35wks 5 days today. So pretty much the same, so I am expecting a 6lb something to be born. Can anyone offer and insight into this is it an indicator that IUGR may be diagnosed again? Best Regards, Kelly Zantey
Re: [ozmidwifery] midwifery exchange
Hello, I have hosted about 11 students and midwives from all over the world, over the last 10 years or so. It depends on where the girls ( I've only had girls), are from, and what the school requires ( if they are students) as to what happens with the legal issues. I find most schools cover the time the student is with me. Usually I find a stay of about one month useful, however, the longer the better as it allows for more education. I've found that the midwife exchange student is better off staying with me. I have accomodation upstairs. That way, when someone goes into labour, I'm not waiting for anyone, it also means, the student doesn't require a car. I've also found the students usually travel in pairs, however singles have also come, it works well both ways. I only charge for accomodation at this point, however, as it's becoming so popular, perhaps I should start to charge hey! I think it's a wonderful idea, I encourage other midwives to do the same. I find the students a joy to have, and the exchange of knowledge is always welcome! The other advantage, is they get to do LOTS of sightseeing! Regards Robyn Dempsey Independent Midwife Sydney,Australia - Original Message - From: Päivi Laukkanen To: ozmidwifery@acegraphics.com.au Sent: Sunday, September 03, 2006 5:54 AM Subject: [ozmidwifery] midwifery exchange Hi all, I am having preliminary thoughts about startingsome kind ofsponsorship program for midwifery exchange. Earlier this year I met a Finnish obstetrician, who only does gynegology and homebirths at the moment. ( Only 4-6 homebirths / year. We only have some 20 homebirths in our country..) Every year she travels to Holland to spend time with the local midwives. She said she needs this to boost her confidence and get inspiration for what she does.After this I have been wondering if I could start to sponsor (trough my maternity business) one midwife or midwifery studentevery year to travel somewherefor 2 weeks or 2 months to see how women labor and give birth in the non-medicaliced environment and care.This could be spending time with a homemidwife or maybe at a birthing centre or even both. If there happened to be some great homebirth conference around the time, wouldn't that be perfect for her. I think going to Holland the language might be bit of a problem, but US, UK or Australia would be great, since most people do speak good english. Has anyone heard of programs like this? Are there some legal issues, I should worry about? Do you think there would be homebirth midwives or birth centres in Australia, which would take exchangees like this? What would be a good length for the stay? Do you think the exchange midwife could stay at the hosting midwife's home or would she need an apartment? Would it be better if two midwives from same unit would go, so they could share their experience and maybe be stronger to change things once they return home? What kind of a payment you feel the hosting midwife would want for this time? Almost twenty years ago I spent a year in Adelaide as a Rotary Exchange student. I lived with the local families and attended high school. I must say it was one of the best years in my life and it had a huge impact on my later life. It was great to learn so much about a different culture by living with these families. I am still very close to the people I stayed with and consider them my family. Have been back five times since then =). I am just thinking how much this experinece could change one midwife's views and practise... Please share any thoughts you have about this. Regards, Päivi Laukkanen Childbirth Educator Finland
Re: [ozmidwifery] 24th HBA conf - Tickets nearly sold !
My final lady for June just birthed..Yee Haa, Hi ho Hi ho, it's off to the conference I go! Robyn Dempsey - Original Message - From: Susan Cudlipp To: ozmidwifery@acegraphics.com.au Sent: 22 June, 2006 6:24 PM Subject: Re: [ozmidwifery] 24th HBA conf - Tickets nearly sold ! Are many Ozmidders going to the conference? Sue - Original Message - From: Sally-Anne Brown To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 22, 2006 12:46 PM Subject: [ozmidwifery] 24th HBA conf - Tickets nearly sold ! Dear all Just to update you that the 24th Homebirth Australia Conference has just about sold out at the 'larger conference venue'. We only have five tickets left and the program is now complete and available for viewing on the website. Please note we do not do day only tickets. There are only20spacesleft for the conference dinner which will be held on sat july1. Registration forms can be downloaded at www.homebirthaustralia.org We will be convening a national press conference on the issues for remote and rural women who have lost their local birthing services pre-conference on Friday June 30 at Parliament House Victoria, please stay tuned. Women, babies, families, balloonsand banners warmly welcomed to attend for a 'photo shoot' outside Parliament House at 12 noon. We look forward to seeing you all there... Warm Regards Sally-Anne Brown for the 24th Homebirth Australia conference team. 04319 466 47 No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.394 / Virus Database: 268.9.2/372 - Release Date: 21/06/2006
Re: [ozmidwifery] the Baby Catcher
I've also read 'Baby Catcher'. A wonderful, wonderful book for midwives. I emailed the author and told her how much I enjoyed the book. She was delighted, and told me she was doing one more birth ( the woman who lived next door to her), and then she would 'hang up her pinards'. A truly insightful book, I'd highly recommend it to anyone. Robyn Dempsey - Original Message - From: Ceri Katrina [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: 19 May, 2006 6:24 PM Subject: Re: [ozmidwifery] the Baby Catcher I too have read the book, and laughed and cried all the way thorugh. It is an awesome read ;-) Katrina On 19/05/2006, at 5:28 PM, Diane Gardner wrote: I read it a couple of years ago on a plane back from the US and I couldn't put it down. Yes and I too laughed and cried on the plane. It was great to have something really worthwhile to read while waiting, waiting, waiting in airports. By the end of the book I felt I knew her so well and such an insight into what midwives go through. regards Di Gardner - Original Message - From: Andrea Quanchi [EMAIL PROTECTED] To: ozmidwifery ozmidwifery@acegraphics.com.au Sent: Friday, May 19, 2006 1:54 PM Subject: [ozmidwifery] the Baby Catcher I bought myself Peggy Vincent's book the Baby Catcher for IMD and have just finished reading it. I laughed, I cried but most of all thought I was reading a book that could have been about me. I would encouraged everyone to read it. Thanks Andrea for putting it on the list for IMD Andrea Quanchi -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] managed versus physiological 3rd stage, was: after birth pains
Title: Message I have been at hundreds of physiologically managed 3rd stages. We do not touch or pull on the cord at all. No fundus fiddling or pressure. Sometimes the placenta will come away in a few minutes. My criteria for the length of time whilst waiting is: a) does the mother wish to wait, or would she prefer and injection of syntocinon and CCT b) is there excessive bleeding? If not, and mums okay with it, we wait. I have waited up to 8 hours for some placentas, with no ill effects. I did a survey of my clients, and the average time for a physiological 3rd stage seems to be about 1 and a 1/2 hours. But I have more time to wait..I don't think it's the way of a hospital setting. Cheers Robyn D - Original Message - From: Nicola Morley To: ozmidwifery@acegraphics.com.au Sent: 03 April, 2006 7:13 AM Subject: RE: [ozmidwifery] managed versus physiological 3rd stage, was: after birth pains Thanks to those who have replied :) Food for thought. Nikki - no there was no cord traction at all. Nicola 597 -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Nikki MacfarlaneSent: Sunday, April 02, 2006 8:50 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] managed versus physiological 3rd stage, was: after birth pains When you were with the mother who had the physiological third stage Nicole, was there any touching, pulling or tugging on the umbilical cord? If a caregiver is not commonly practicing a physiological third stage they may be putting cord traction on the cord (pulling gently) anf this can cause the pain you spoke of. I have had four physiological third stages and none have been overtly painful. I have seen hundreds and the only time the woman has mentioned pain is when the caregiver is pulling on the cord or putting pressure on the top of the uterus. There is no reason why, if everything else is normal, you cannot decline synt until a time has been reached. A physiological third stage can take a lot longer - anything between a few minutes to 2 hours is still normal - although most hospitals would be uncomfortable waiting more than 30 minutes. There is no increased risk after 30 minutes - sadly, they are smply used to seeing a placenta come a lot quicker than that because managed care is the norm now. You can always choose to have the synt. As with every other intervention, and with the option of expectant care, there are pros and cons and only you can now the acceptable option for you and your baby. Nikki Macfarlane Childbirth International www.childbirthinternational.com
Re: [ozmidwifery] PPH C/S
I feel that if this woman has had such large babies, what a wonderful pelvis she must have! Good on her! Rather than promoting a c-section, perhaps look at her diet...does she just grow big bubs, or does she over indulge in the sugary foods? If PPH is the worry, perhaps a discussion around a managed 3rd stage, or syntocinon if there are any signs of excessive bleeding. I've had many women with large babies, doesn't mean they will have a PPH, simply that they grow bigger bubs, and have a pelvis to fit them thru. Cheers Robyn D - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: 01 April, 2006 4:26 PM Subject: [ozmidwifery] PPH C/S Hello all, A woman on my forums has had two normal births of big babies 11lb3oz and 13lb5oz and had a PPH with both. Her Ob is now recommending a c/s with her third bub and wants a scan at 34 weeks as a deciding factor of this. She wants a normal birth is it okay just for her to say no without too much risk with PPH? Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support
Re: [ozmidwifery] burst vagina's
If they are talking about 'burst vagina's" I would suggest perhaps it's another name for 'splitting, tearing etc". In that case, most women just have a few stitches. I have just been with a woman who was planning a VBAC at home. We transferred in to a hospital on the northern beaches. We were greeted by a lovely midwife. When the shift changed, another lovely midwife attended us. The doctor on call, was sympathetic, he didn't burst the buldging bag of waters, and told my client he would not do a c-section at 7cm, as she was doing just fine. Things didn't progress as the client would have liked, and another c-section was attended. ALL staff treated the woman, her husband, and I with respect. This is the way it should be, not an exception to the rule. Robyn Dempsey - Original Message - From: sharon To: ozmidwifery@acegraphics.com.au Sent: 02 March, 2006 2:53 PM Subject: Re: [ozmidwifery] burst vagina's i also have never heard of this but certainly i would go with the thought of hyperstimulation of the uterus from synt. such a shame. i wish obs would lighten up a little - Original Message - From: Janet Fraser To: ozmidwifery@acegraphics.com.au Sent: Thursday, March 02, 2006 1:57 PM Subject: Re: [ozmidwifery] burst vagina's What the hell is a "burst" vagina anyway??? Sounds like a big crock to me. Lies told to get this woman into surgery. I wonder what her notes say? I'd bet FTP or CPD. I doubt there's research into "burst vaginas" since I don't believe such a phenomenon exists. Is it possible that the woman was in hyperstim. from Synto. and was told uterine rupture was possible? *shaking head in disbelief here* J - Original Message - From: jo To: ozmidwifery@acegraphics.com.au Sent: Thursday, March 02, 2006 2:17 PM Subject: [ozmidwifery] burst vagina's Any thoughts for this woman from HAS committee? lives in Eastern Subs of Sydney. Rant: My friend has recently had a caesarean section at the RHW here, she was told that she could keep going and try for a vaginal birth (she was 10cm dilated) but her vagina would probably "burst". Talk about value laden language. Oddly enough she opted for a caesar rather than wait for the bursting. If anyone could let me know the amount of research that has been done on this phenomenon I would be interested, as I haven't come across it before. This has been a bit trying for me as everything I predicted would happen has come to pass, and I feel totally useless. I said don't go with the ob, but they wanted to make sure everything went well the first time and obviously the more money they spent the better care they would get. The best part of the labour was the time spent at home, but thank god they went to hospital otherwise the doctor couldnt' have saved their baby. Please don't get me wrong, I know these doctors are good sometimes, I just can't believe that they are really so necessary all the time. Currently I don't know anyone round here who has had a vaginal delivery, it is almost becoming unattainable. Yours in frustration at the system.
Re: [ozmidwifery] midwife in Sydney
If you contact me at [EMAIL PROTECTED] I can send a list of Sydney midwives. Regards Robyn Dempsey - Original Message - From: Lieve Huybrechts To: ozmidwifery@acegraphics.com.au Sent: 07 December, 2005 9:30 AM Subject: [ozmidwifery] midwife in Sydney Dear friends, A flemish friend midwife has a couple in her prenatal classes that will move to Sydney in the end of the pregnancy. They are looking for a midwife. Do you have some contacts for us? Greetings Lieve Lieve Huybrechts vroedvrouw 0477740853
[ozmidwifery] CF screening
My niece has cystic fibrosis. She has had over 10 hospitalizations in her 3 years of life. Her mum ( my sister) does the physiotherapy for her every day and night. My niece has to take many preparations as she doesn't absorb fats, which means vitamin deficiencies are common. My niece has a permanent pseudo infection in her lungs, this flares up if she gets a cold, which results in a hospital stay. My sister avoids gatherings ( family), if someone is sick. My sister has had so much time off work because she needed to care for my niece, that she gave up work to look after her. My sister has decided not to have any more children, as she feels 2 with CF would be too hard. ( being able to give to both the attention they need). I'm sure she would opt for the testingdon't judge unless you've been in the situation. Robyn Dempsey
[ozmidwifery] CF screening
Who says that because testing is available, that you have to terminate? The testing allows choice. My sister has made friends who have children with CF, they knew they carried the gene and took the attitude " I know what to do with CF kids, it doesn't bother me". Once again, I read judgment. Testing allows choice.the choice to terminate, or the choice to prepare for a child with extra needs. Robyn D
Re: [ozmidwifery] birth chairs stools
Try the birthright birthing stool.many units use it. I use it and have found it wonderful. Monika Boenigk sells them. The only contact address I have is PO Box 27 Hamilton NSW 2303 R. Dempsey - Original Message - From: Jennifer Price To: ozmidwifery@acegraphics.com.au Sent: 29 November, 2005 3:32 PM Subject: [ozmidwifery] birth chairs stools hi am looking for inspiration from wise and experienced women about birthing stools/chairs as we are looking at getting some for our unit and you cannot trial some of these items so any ideas/prices/australian distributors would be great.. thanks for your help in advance. Jenni*This email, including any attachments sent with it, isconfidential and for the sole use of the intended recipient(s).This confidentiality is not waived or lost, if you receive it andyou are not the intended recipient(s), or if it is transmitted/received in error.Any unauthorised use, alteration, disclosure, distribution orreview of this email is strictly prohibited. The informationcontained in this email, including any attachment sent withit, may be subject to a statutory duty of confidentiality if itrelates to health service matters.If you are not the intended recipient(s), or if you havereceived this email in error, you are asked to immediatelynotify the sender by telephone collect on Australia+61 1800 198 175 or by return email. You should alsodelete this email, and any copies, from your computersystem network and destroy any hard copies produced.If not an intended recipient of this email, you must not copy,distribute or take any action(s) that relies on it; any form ofdisclosure, modification, distribution and/or publication of thisemail is also prohibited.Although Queensland Health takes all reasonable steps toensure this email does not contain malicious software,Queensland Health does not accept responsibility for theconsequences if any person's computer inadvertently suffersany disruption to services, loss of information, harm or isinfected with a virus, other malicious computer programme orcode that may occur as a consequence of receiving thisemail.Unless stated otherwise, this email represents only the viewsof the sender and not the views of the Queensland Government.
Re: [ozmidwifery] ossification?
Hello Janet The babies head does not 'ossify'! Just ask any chiropractor...they are still soft and able to be manipulated for ages. I've never heard such a lot of rubbish. If you think about it, the fontanelles don't close for 6-18months, to allow for brain growth. I think this Ob, is using his position to disadvantage the woman. Robyn D - Original Message - From: Janet Fraser To: ozmidwifery@acegraphics.com.au Sent: 20 November, 2005 6:53 PM Subject: [ozmidwifery] ossification? Hi all, Are there actually any studies into when/if it occurs? I've seen an increasing number of women lately being told they *have* to have an ERC at 41 weeks or the baby will be too rigid to mold. Puh-lease! Any good sources I can share about this?TIA J Joyous Birth Home Birth Forum - a world first!http://www.joyousbirth.info/forums/ Accessing Artemis Birth Trauma Recoveryhttp://health.groups.yahoo.com/group/accessingartemis
[ozmidwifery] Strep B
I have had 2 cases this year where a woman chose not to have the strep B swabs done antenatally. For whatever reason we transferred from home to the hospital for birthing. The staff wanted her to have antibiotics because the step B statis was unknown. Both times the mothers refused. Both times the hospitals then swabbed the babies, said something along the lines of 'we have found 'something' unknown that could be strep b" they then recommended commencing 48hours of IV antibiotics until blood cultures can prove otherwise( that it is not Strep B). Because of the fear involved, the mothers chose to have the IV antibiotics for the bubs. Blood cultures came back on both babies negative for strep B. Scary as it is, I relate this story to my clients and let them decide if they want the strep B swab or notguess what they choose?? Sad huh Robyn Dempsey
[ozmidwifery] wrong gender
Andrea, This year I've had one woman who dearly wanted a girl. The ultrasound was inconclusive, and she spent many hours agonizing over the gender of this baby. Finally shehad some NET work doneby her chiropractor which helped resolve the issue. Rather than saying, 'its a this, deal with it', getting counseling, or looking for tools to help deal with the feelings of guilt, loss, grief, love and anger can often be of great use to the woman. Robyn Dempsey
[ozmidwifery] lotus birth
How on earth is thebaby going to absorb salt from the placenta? The cord is no longer pulsating, do they think osmosis? Have a look at research on not cutting the cord..I had a client send me a heap of information, as she believes her baby was brain damaged by the hospital staff cutting the cord when she requested they didn't. This information is on the net ( somewhere!). Robyn Dempsey
[ozmidwifery] lotus birth
I have attended several women choosing lotus birth. We've had no infections, and no problems. The hardest time seems to be the first 24hours as mum gets use to handling bub with the cord attached. The cord goes tough like a piece of wire, so it's good to bend it to a more manageable angle for breastfeeding. Lotus birth allows for a very special time indeedit makes mummy rest and stops the 'pass the parcel' of the baby ( relatives usually aren't keen to handle bub and placenta). It is every woman's right to give birth where, how and with whom they choose. Now for the caregiver..recently I waited 8 hours for a placenta, as the mother was choosing lotus birth, which means no synto, no cord clamp and NO fiddling with the fundus or cord. I can cope with this , can you? On another note.animals are smart, they eat the cord and placenta not only to ward off predators as Andrea said, but to replace all the goodies/nutrients they may have lost from the birth. It's interesting to note that when my guinea pigs give birth, if one of the babies has something wrong, or has died, the mother doesn't eat that cord and placenta. Aren't they just amazing how they 'know'! Cheers Robyn Dempsey
[ozmidwifery] 4ft 9 and birthing
Wump fish was saying last week an Ob said a primip who was 4ft 9' should have a c-section over natural childbirth. Well, that's my height, my husband is 6ft 2! I'm a midwife,and was doing my training when I fell pregnant with my first baby. I had sooo many Obs telling me that 'you'll be a c-section', that, had I been any other person, it would have totally eroded my confidence to birth. I've had 3 babies, all born at home..does anyone realize that 1/3 of the worlds population is about that height? Robyn Dempsey
[ozmidwifery] two vessel cords
There has also been some loose affiliation between cystic fibrosis and cords with 2 vessels. Cheers Robyn D
