[ozmidwifery] Headline - Risks fail to deter caesarean deliveries
apologies for cross posts Risks fail to deter caesarean deliveries Mark Metherell December 19, 2006 To view the entire article, click on: http://www.smh.com.au/articles/2006/12/18/1166290475617.html Sign up for news updates from The Sydney Morning Herald newsroom emailed each morning and afternoon: http://smh.com.au/newsletters/subscription.html Visit http://smh.com.au for updated local and world news, sports results, entertainment news and reviews and the latest technology information. -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.430 / Virus Database: 268.15.24/592 - Release Date: 18/12/2006 1:45 PM -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] ACMI conference
Di You might want to try the last minute on line groups eg: quickbeds.com or wotif.com etc many more to be found on google or other s/engines hopefully some sydney folk will also offer billeting warm regards sally-anne - Original Message - From: D. Morgan To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 08, 2006 10:26 AM Subject: [ozmidwifery] ACMI conference Hi all I am trying to get to the ACMI conference in Sydney, Dec 1,2. Have any midwives who are goingor who live in Sydney found or could suggestany cheaper accomodation options around Double Bay than the conference venue?? Cheers Di M No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.409 / Virus Database: 268.13.28/518 - Release Date: 4/11/2006 No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.409 / Virus Database: 268.13.28/518 - Release Date: 4/11/2006
Re: [ozmidwifery] Vaginal examinations
Dear Sally Can I suggest you email Sara Wickham who has a chapter written in her book abt not doing VE's in labour written by Lesley Hobbs may be helpful to get some research sent to you asap [EMAIL PROTECTED] also on the gentle birth website (also pasted below) are some links to research on the external signs of assessing dilation http://www.gentlebirth.org/archives/birth.html#Dilation good luck sally-anne Assessing Dilation from External Signs Assessing Dilation from External Signs To VE or not to VE? That is the question from the Association of Radical Midwives I think it's a rare instance where one needs to assess dilation in order to provide appropriate care. Eventually, she'll either feel an urge to push or you'll see the head between her legs. I'll be working as a doula with a client who has an abuse history and wants to avoid all vaginal exams in labor. What can I do if the nurses become insistent about assessing cervical dilation? In general, hospital nurses are clueless about external signs because they're not used to watching the labor progress. They arrive and leave at random points in the labor, and they only know how to assess dilation by checking the cervix. When I'm labor coaching at a hospital birth, where cervical exams are generally off limits to me as the labor coach, I look first at the contraction pattern, then dilation bleeding, then early decels to reflect coming up against the resistance from the pelvic floor, then movement of the location of the heart (having a mechanical fetoscope is best for this) to reflect descent/rotation, and then expect an urge to push. I would be prepared to study up on the alternative techniques and then bluff your way like crazy that you really can assess dilation that way, start your estimate on the low side, make regular progress, and do everything you can to make sure she gets to the urge to push phase before they get too curious. And remind the client that she can always say no. Ideally, she will have discussed this with her care provider and it will be charted that no vaginal exams are to be done for the first twelve hours, or something like that. Get clear guidelines from your client, and remind them that touching her without her consent is criminal assault. At the initial exam, I let them know when and how many standard vag exams women have and then explain that many women, however, choose to have two... one for the PAP and one when the membranes rupture. I let her decide how many she wants, but that two is the minimum. During the 3rd Tri, reminding her again about the vaginal exam when her membranes rupture (or if she chooses, when she arrives, when membranes rupture, urge to push, etc.). Why? We see many clients who for religious reasons refuse vaginal exams; so we don' t do them. We explain the usual of course, and that VEs may help by giving additional info in certain instances -- -- but if a mom wants to refuse a VE, Pap, etc; then why not go along with her wishes?. If we listen to heart rate when membranes rupture --the FHTs will tell us if there is a problem with the cord. (which is unlikely anyway if she is full term and vertex). If she has the urge to push and can't stop pushing then let her push -- you will either see the baby soon, or she will get discouraged and stop pushing. This is an easy call! Vaginal exams in labor are almost never REALLY necessary! Watch mom and baby from the outside -- outward signs/symptoms of progress in labor are pretty reliable. A research study in 1997 hypothesized that the purple line that creeps up the natal cleft can be an indicator of cervical dilatation. The line begins at the anal margin at the start of labour and rises like a mercury thermometer. When it reaches the top, the woman is fully. Lancet 1990 Jan 13;335(8681):122 Clinical method for evaluating progress in first stage of labour. Byrne DL, Edmonds DK A midwife, Lesley Hobbs, has just published an article in the Practicising Midwife(1998) 1:11, and she is finding this a quite reliable indicator of cervical dilation (after much practice) She gives a diagram of the various dilatations but you'll have to access the
Re: [ozmidwifery] community mid program WA
Congratulations to one and all ... beautiful timing :) Sally-Anne (Brown) - Original Message - From: Heartlogic [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Sunday, June 25, 2006 6:44 PM Subject: Re: [ozmidwifery] community mid program WA Actually, NSW Health is really moving now. They have not only supported homebirth through the programme at St George, they have indicated that they support homebirth as an option generally. They are in fact, busy producing a guideline for health services who wish to provide homebirth services. Our service manager, Anne Saxton (an absolutely amazing person and a visionary) has put in a submission to area executive for Belmont Birthing Service to offer homebirth as part of our service. warmly, Carolyn -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.394 / Virus Database: 268.9.3/374 - Release Date: 23/06/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.394 / Virus Database: 268.9.3/374 - Release Date: 23/06/2006 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] The 24th HBA Conference and spaces for children
Dear all We sincerely appreciate the efforts everyone is making to attend the 24th Homebirth Australia Conference - now just one week away. By way of clarification we have become aware that some delegates are bringing their children with them to the conference who have not advised us they are doing so. As you can all appreciate - we have already had to move the conference once three weeks ago as the number of delegates booked to attend had more than doubled the numbers we had expected. The only remaining available venue we could move tois thecentre we have booked at the Mercure Hotel. It is not possible for us to move the venue again to cater for more delegates or children coming with delegates we were not advised of. Please be aware we have clearly cited in our information pack to delegates the following points: a) Breast - fed babies are warmly welcomed to attend the conference b) We offerred childcare for delegates wishing to use this service and the childcare option is now FULLY BOOKED c) There is an unfenced pool in one of the walkways between the function centre and the mercure hotel where all meal breaks and the conference expo will be held. The main foyer to the function centre leads directly onto the pool area and the doors will be closed but not locked. We do not have the staff to supervise children who may be coming and going from the funstion centre. Full responsibility for children attending the conference must be taken by parents please as we absolutely snowed under in organising this eventand it is not reasonable to expect the handful of organisers to do this :) We are now full booked at this venue and cannot offer childcare or a 'separate space' for children attending the conference. Every seat in both venues for the program is taken by delegates, except of course breast -fed babies who are able to sit ona 'lap'. Literally the only remaining space for children to sit is on the floor and it will not be possible to do this in front of the auditauriumas there is no room there - due to the live feed out we are doing for mums with unsettled bubs into the foyer and the audiovisual set up. Please be aware thevenue is a major hotelthat has other guests staying - and is therefore essentially a public space - we do not have the staff or volunteers to either co-ordinate an off site additional childcare facility butfor those delegates planning to attend with children we are not aware were coming to the eventmay want to considerorganising this as another option.Some delegates have advised us they have a support person attending who is helping with childcare, primarily atthe accommodation venue booked. We have made every effort to accommodate breast fed babies and children we have been advised of that are coming to the conference and have co-ordinated several parenting safe spaces to do this. We have aimed tohonour the traditional philosophy of ensuring the venue is woman and baby and child friendly. Please be aware that if you are planning to bring a child to the conference we need to be advised of this asap if you have not already done so. All information for delegates has been either emailed (or abt to be) as well as been available on the website at www.homebirthaustralia.orgfor your reference. If I can be of further assistance please do not hesitate to contact me on 04319 46647 or by email. Please note you do not need to reconfirm a booking for childcare or advise us if you are bringing a breast fed baby if you have already advised us of this with your booking. Warm Regards Sally-Anne Brown for the 24th Homebirth Australia Conference team No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.394 / Virus Database: 268.9.1/369 - Release Date: 19/06/2006
[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 outgoing message. Checked by AVG Free Edition. Version: 7.1.394 / Virus Database: 268.9.1/369 - Release Date: 19/06/2006
[ozmidwifery] Extension of abstracts poster presentation HBA conf
Dear all - due to a cple of requests to extend the call for abstracts we have rescheduled the close of submissions to Friday June 9, 2006. There will be a prize awarded to the most innovative poster presented. Call for Abstracts deadline extended to June 9, 2006: Poster Presentations 24th Homebirth Australia Conference Background: Homebirth Australia is holding the 24th HBA national conferenceJuly 1-2, 2006in Geelong,Victoria. The conference is titled "Bringing birth back Home". Central to the theme is that care from a known midwife is a safe model of care and represents the gold standard for care given to women through pregnancy,birth and postnatally. Many women in regional and rural areas of Australiaare unable to access this model of care. International and Australian speakers will share their ideas and plans to enable birth to be reclaimed by women and "bought home" into their communities to improve the outcomes forAustralian women and their families.Submissions of abstracts are warmly welcomed by conference delegates of current research or midwifery projects to be displayed at the 24th Homebirth Australia conference.Thecriteria for submissions is as follows: 1) Abstracts of no more than 200 words are to be sent to the24th Homebirth Australia Conference poster presentation selection committee by email or hard copy outlining the name of the project, institution, authors and content of poster presentationby COB June 9 2006. Please include your name, address, phone and email details. 2) Priority will be given to current projects relevant to the conference theme of "bringing birth back home" to local communities for Indigenous and non-Indigenous women across remote and ruralAustralia.Relevant research projects that identify or aim to improve access tohomebirth, one-to-one midwifery care or relevant maternity issues will also be considered. 3) Priority will be given to researcherswho are alsoregistered as a delegate at the conference. All submissions will be considered and we aim to include as many as possible.All applicants will be notified of the outcome of theirsubmissionsby June 12, 2006. Please note the criteria for the size of thefinal poster presentation is strictlyno bigger than 50 cms width x 75 cm length (poster size). The poster presentations will provide an opportunity for information exchange, exposurefor theresearcher/project and generates the theme of 'continuation' and 'reclamation'.There will bean opportunity for successful applicants tospeak withother delegates about their poster presentationduring all meal breaks. In additiona prize will be given for the best poster presentation as determined by conference delegates.Submission of abstracts are as follows please: 1) Email: [EMAIL PROTECTED]with 'Submission of poster abstract for 24th HBA Conference' written in the subject heading of the email please. or 2)Mail postmarked on or before June 9 2006 to the following address: 24th Homebirth Australia Conference poster presentation selection committee c/- Penny Lalor, 16 Lawton Avenue Geelong West VIC 3218 For more information please contact Penny Lalor: (03) 52218375 or [EMAIL PROTECTED] Information about conference registration can be found athttp://www.homebirthaustralia.org/conference.html No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.394 / Virus Database: 268.8.0/353 - Release Date: 31/05/2006
Re: [ozmidwifery] homebirth conference
Dear Lyn The conference venue is approximately 20 minutes walk from the Mercure and dble rooms start at a special conference rate of $139 per room per night. The rooms at the Geelong Conference Centre are now limited in numbers but are $97 per room per night including breakfast. Both venues are very comfortable. The accommodation co-ordinator for the conference is Diana Stubbs and Diana can be emailed at [EMAIL PROTECTED] Kind Regards Sally-Anne Brown - Original Message - From: lyn lyn To: ozmidwifery@acegraphics.com.au Sent: Sunday, May 21, 2006 6:01 PM Subject: [ozmidwifery] homebirth conference This is a request to the melbourne members I'm going to the conference and being from Sydney and working with a budget im seeking advice on accommodation. Where are other staying? Are both the conference centre and the Mecure comfortable? The Mecure is slightly cheaper but will I be spending much on taxis getting from there to the conference? I am working from a budget. I am getting so excited to see these great women is real life. Linda. No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.392 / Virus Database: 268.6.1/344 - Release Date: 19/05/2006 No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.392 / Virus Database: 268.6.1/344 - Release Date: 19/05/2006
Re: [ozmidwifery] travel knowlege
Dear Mary The closest railway is Geelong Station and the local women are organising a bus to transport delegates to and from the railway. The trip is about one hour. Kind Regards Sally-Anne - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Saturday, May 20, 2006 9:41 AM Subject: [ozmidwifery] travel knowlege Hi all, this is not about midwifery but I hope someone can help- possibly someone from Geelong. I will be attending the Homebirth conf in July. After that I want to travel by train to Melbourne. I will be staying at the Conference centre and want to know which railway station is closest as I will have to book out about 5.30am to catch the train. Thanks, MM No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.392 / Virus Database: 268.6.1/343 - Release Date: 18/05/2006 No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.392 / Virus Database: 268.6.1/343 - Release Date: 18/05/2006
Fw: [ozmidwifery] travel knowlege
sorry -to clarify (night duty blur) to railway is abt5 mins by bus to melb is the one hr by train Sally-Anne :) xo - Original Message - From: Sally-Anne Brown To: ozmidwifery@acegraphics.com.au Sent: Saturday, May 20, 2006 11:03 AM Subject: Re: [ozmidwifery] travel knowlege Dear Mary The closest railway is Geelong Station and the local women are organising a bus to transport delegates to and from the railway. The trip is about one hour. Kind Regards Sally-Anne - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Saturday, May 20, 2006 9:41 AM Subject: [ozmidwifery] travel knowlege Hi all, this is not about midwifery but I hope someone can help- possibly someone from Geelong. I will be attending the Homebirth conf in July. After that I want to travel by train to Melbourne. I will be staying at the Conference centre and want to know which railway station is closest as I will have to book out about 5.30am to catch the train. Thanks, MM No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.392 / Virus Database: 268.6.1/343 - Release Date: 18/05/2006 No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.392 / Virus Database: 268.6.1/343 - Release Date: 18/05/2006 No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.392 / Virus Database: 268.6.1/343 - Release Date: 18/05/2006
Re: [ozmidwifery] EFM on satellite systems
yes and the company that sells them had a stand at the icm and quoted one hospital where i worked abt 500, 000 bucks to set up three rooms with their machines and the midwives station desk etc (of course the true costs only came out when we dragged it out of them). i wondered what the women would think abt their 500,000 been spent in this way. not to mention the very basics that had not been covered like NOT using dodgy paper soCTG's can also be stored over the 35 odd yearsrequired. Sally-Anne (Brown) - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Friday, April 28, 2006 1:55 PM Subject: [ozmidwifery] EFM on satellite systems I was at a birth the last few days @ RWH and the midwives were telling me hospitals (RWH included) are soon changing to new EFM machines which are linked to a satellite system, so women can be monitored by the midwives from the ward desk. They were joking about it too, how they could have a loudspeaker go off and ask them to adjust the monitor next, should it not be in the right spot. Does anyone know anything more about this and what are your thoughts? One to one midwifery care seems further off sometimes, which is very, very sad Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.385 / Virus Database: 268.5.1/328 - Release Date: 1/05/2006 No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.385 / Virus Database: 268.5.1/328 - Release Date: 1/05/2006
[ozmidwifery] World Health Day
Dear all, Today is World Health Day and the theme for World Health Day 2006 is "Working together for health." It was chosen to highlight the international shortage of health workers, and how best to attract and retain medical personnel. ... the link for world health report is cited below as is the WHO media release http://www.who.int/mediacentre/news/releases/2006/pr19/en/ World Health Day 2006 Health workforce crisis is having a deadly impact on many countries' ability to fight disease and improve health, new WHO report warns World Health Report outlines need for more investment in health workforce to improve working conditions, revitalize training institutions and anticipate future challenges 7 APRIL 2006 | GENEVA/LUSAKA/LONDON -- A serious shortage of health workers in 57 countries is impairing provision of essential, life-saving interventions such as childhood immunization, safe pregnancy and delivery services for mothers, and access to treatment for HIV/AIDS, malaria and tuberculosis. This shortage, combined with a lack of training and knowledge, is also a major obstacle for health systems as they attempt to respond effectively to chronic diseases, avian influenza and other health challenges, according to The World Health Report 2006 - Working together for health, published today by the World Health Organization (WHO). More than four million additional doctors, nurses, midwives, managers and public health workers are urgently needed to fill the gap in these 57 countries, 36 of which are in sub-Saharan Africa, says the Report, which is highlighted by events in many cities around the world to mark World Health Day. Every country needs to improve the way it plans for, educates and employs the doctors, nurses and support staff who make up the health workforce and provide them with better working conditions, it concludes. "The global population is growing, but the number of health workers is stagnating or even falling in many of the places where they are needed most," said WHO Director-General Dr LEE Jong-wook. "Across the developing world, health workers face economic hardship, deteriorating infrastructure and social unrest. In many countries, the HIV/AIDS epidemic has also destroyed the health and lives of health workers." The World Health Report sets out a 10-year plan to address the crisis. It calls for national leadership to urgently formulate and implement country strategies for the health workforce. These need to be backed by international donor assistance. Infectious diseases and complications of pregnancy and delivery cause at least 10 million deaths each year. Better access to health workers could prevent many of those deaths. There is clear evidence that as the ratio of health workers to population increases, so in turn does infant, child and maternal survival. "Not enough health workers are being trained or recruited where they are most needed, and increasing numbers are joining a brain drain of qualified professionals who are migrating to better-paid jobs in richer countries, whether those countries are near neighbours or wealthy industrialized nations. Such countries are likely to attract even more foreign staff because of their ageing populations, who will need more long-term, chronic care," said WHO Assistant Director-General Dr Timothy Evans. To tackle this crisis, more direct investment in the training and support of health workers is needed now. Initial costs will be for the training of more health workers. As they graduate and enter the workforce, funds will be needed to pay their salaries. Health budgets will have to increase by at least US$10 per person per year in the 57 countries with severe shortages to educate and pay the salaries of the four million health workers needed to fill the gap. To meet that target within 20 years is an ambitious but reasonable goal, the Report concludes. Financing this gap will require significant, dedicated and predictable funding from national sources, as well as from international development partners. The Report recommends that of all new donor funds for health, 50% should be dedicated to strengthening health systems, of which 50% should be dedicated specifically to training, retaining and sustaining the health workforce. At least 1.3 billion people worldwide lack access to the most basic healthcare, often because there is no health worker. The shortage is global, but the burden is greatest in countries overwhelmed by poverty and disease where these health workers are needed most. Shortages are most severe in sub-Saharan Africa, which has 11% of the world's population and 24% of the global burden of disease but only 3% of the world's health workers. The Report calls for prompt and innovative initiatives to improve efficiency. For example, HIV/AIDS, TB and other priority disease programmes have implemented ways for health workers with limited formal training to successfully
Re: [ozmidwifery] PPH C/S
Dear Kelly Re PPH: It would be interesting to find out if this woman was induced or had active management in last 2 births. Her body may not repond well to the syntoIf she can get onto a good homeopath 'Ustilago Maidus' is excellent for prevention of pph but must havedosage determinedby qualified homeopath. Have seen this used very effectively in a small number of women for abt 10 yrs wherewoman has hada previous pph and none with remedy. It is not one of the regular homeopathics used. Newtons Pharmacy in Sydney stock it and will do postal orders if her homeopath does not stock it. Re ? G.D Diet sounds good as Gloria has suggested and if she has G.D and is doing her BSL's and they are high . the Australian Bush Flower essence Peach Flowered Tea Tree is excellent. I have seen a number of women over the years who are on insulin (sliding scale used to determine dose) for G.D use the essence and within 2-5 days have reduced BSL's and have not required andmore insulin for the remainder of the pregnancy. It could be this womanis tall and a little longer herself and hasbig bubs one woman I know all her bubs are 11-13 pounds and she has never had GD, always normal vaginal births and peri intact everytime. Kind Regards Sally-Anne - Original Message - From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Saturday, April 01, 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 No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.385 / Virus Database: 268.3.4/299 - Release Date: 31/03/2006 No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.385 / Virus Database: 268.3.4/299 - Release Date: 31/03/2006
Re: [ozmidwifery] H*lp please - Article in the Sun Herald
David I will try and get a copy for you but when a similar thing has happenned to me in rural Vic... if you call the paper they can send copies either directly to you or your local newsagent (if you have one !). As well as copies been kept in most libraries (public, uni etc) is worth keeping in mind. Kind Regards Sally-Anne - Original Message - From: Great Birth Men at Birth To: ozmidwifery@acegraphics.com.au Sent: Thursday, March 30, 2006 4:02 PM Subject: [ozmidwifery] H*lp please - Article in the Sun Herald Dear Folks, Apparently last Sunday (26 March) in the Sun-Herald (Sydney paper) on page 76 there is an article called "Lonely beginnings for fathers of the revolution." Iprovided some material for this article and the journalist was goingto let me see it before it went to print. Unfortunately she neverlet me know it was being published last weekend and therefore I havebeen unable to get a copy of the article (I live outside Canberra andby the time I found out about it no Canberra newsagents had a copy). I have tried contacting the journo but she has gone on maternityleave! And the paper won't give me her contact details. Does anyone have a copy of it that they could send me? I will ofcourse pay postage costs. Any help you can offer would be greatly appreciated. Cheers, David [EMAIL PROTECTED] http://www.acmi.org.au/menatbirth.htm 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 No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.385 / Virus Database: 268.3.3/296 - Release Date: 29/03/2006
Re: [ozmidwifery] Uns*bscribing from the list
Dear all - Just to reiterate what Kim has said and to clarify further as Kim kindly did for me a few yrs ago when I had a break from the list and couldn't get off ! The command should be written in the BODY of the email NOT in the subject heading. Kind Regards Sally-Anne - Original Message - From: Kim Hunter [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Sunday, March 19, 2006 9:25 PM Subject: [ozmidwifery] Uns*bscribing from the list Hi everyone, I've been made aware that a few people are having problems uns*bscribing from the list. Note that I am replacing the u with an asterisk so that the message reaches the list, in the instructions following ignore the *, ie don't cut and paste without replacing it with a u. The basic instructions are as follows: Send an email to: [EMAIL PROTECTED] In text only (not formated text) type the words uns*bscribe ozmidwifery You should receive an email back from the list to authorise the command. Please follow these instructions and if you have any problems, please email me directly with the details and I'll do my best to assist. Regards Kim List Admin --- Kim Hunter List Administration Birth International ACE Graphics and Associates in Childbirth Education http://www.birthinternational.com/ [EMAIL PROTECTED] -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.385 / Virus Database: 268.2.5/284 - Release Date: 17/03/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.385 / Virus Database: 268.2.5/284 - Release Date: 17/03/2006 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] on the subject of induction
Dear all re IOL and c/s. two australian authors have looked at c/s with epidural block. both concluded it is around 60% with edb. bothauthors tracy et al and shorten and shorten (university of wollongong) found it to be at 60% not 50% and the latter researchers found this to be so regardless of whether there was IOL or not. Sally-Anne - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Sunday, March 05, 2006 11:29 PM Subject: RE: [ozmidwifery] on the subject of induction Amy asks "Is the "failed induction-requiring C/s" rate really around 50%?" Monica replies "no, IOLs resulting in CS at something like 32%" Ooo-err! Not a ½ only 1/3. Still a lot of inductions result in C/s. I see Amys dilemma. According to the medical advice she has ¼ chance of stillbirth if she doesnt have an early induction, 1/3 chance of C/S if she does. I can see why women would throw in the towel and choose elective C/S. At least it is a sure thing without the last minute drama. MM -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscrib No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.375 / Virus Database: 268.1.2/274 - Release Date: 3/03/2006 No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.375 / Virus Database: 268.1.2/274 - Release Date: 3/03/2006
Re: [ozmidwifery] on the subject of induction
Yes - that comparison is madein the study by Shorten Shorten - not sure of the demographic - but likely to be in NSW. SA xo - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Monday, March 06, 2006 10:23 AM Subject: RE: [ozmidwifery] on the subject of induction So to clarify, you mean that C/S is 60% in labours with Epidural regardless of whether it was spontaneous labour or Induction? MM Sally-Anne wrote:re IOL and c/s.two australian authors have looked at c/s with epidural block. both concluded it is around 60% with edb. bothauthors tracy et al and shorten and shorten (university of wollongong) found it to be at 60% not 50% and the latter researchers found this to be so regardless of whether there was IOL or not. No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.375 / Virus Database: 268.1.2/274 - Release Date: 3/03/2006 No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.375 / Virus Database: 268.1.2/274 - Release Date: 3/03/2006
Re: [ozmidwifery] on the subject of induction
Yes ...as in contacts ... not sure where published (and if published yet) 1) Sally Tracy et al .. presented at the Midwife Unit Day Newcastle Uni November 2005. (contact Sally for details of publication - possibly cited in smaller units paper published dec 2005 BJOG.[EMAIL PROTECTED] 2) Allison and Brett Shorten (presented at conference Melbourne late 2005). Probably unpublished at this point but you can email Allison also to get an update on this [EMAIL PROTECTED] Kind Regards Sally-Anne - Original Message - From: Janet Fraser To: ozmidwifery@acegraphics.com.au Sent: Monday, March 06, 2006 8:49 AM Subject: Re: [ozmidwifery] on the subject of induction Hi Sally-Anne, do you have refs for those studies? Cheers, J - Original Message - From: Sally-Anne Brown To: ozmidwifery@acegraphics.com.au Sent: Monday, March 06, 2006 6:29 AM Subject: Re: [ozmidwifery] on the subject of induction Dear all re IOL and c/s. two australian authors have looked at c/s with epidural block. both concluded it is around 60% with edb. bothauthors tracy et al and shorten and shorten (university of wollongong) found it to be at 60% not 50% and the latter researchers found this to be so regardless of whether there was IOL or not. Sally-Anne - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Sunday, March 05, 2006 11:29 PM Subject: RE: [ozmidwifery] on the subject of induction Amy asks "Is the "failed induction-requiring C/s" rate really around 50%?" Monica replies "no, IOLs resulting in CS at something like 32%" Ooo-err! Not a ½ only 1/3. Still a lot of inductions result in C/s. I see Amys dilemma. According to the medical advice she has ¼ chance of stillbirth if she doesnt have an early induction, 1/3 chance of C/S if she does. I can see why women would throw in the towel and choose elective C/S. At least it is a sure thing without the last minute drama. MM -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscrib No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.375 / Virus Database: 268.1.2/274 - Release Date: 3/03/2006 No virus found in this outgoing message.Checked by AVG Free Edition.Version: 7.1.375 / Virus Database: 268.1.2/274 - Release Date: 3/03/2006 No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.375 / Virus Database: 268.1.2/274 - Release Date: 3/03/2006 No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.375 / Virus Database: 268.1.2/274 - Release Date: 3/03/2006
Re: [ozmidwifery] repair surgery and bf
Dear Janet and all, Just sharing a friend's experience of surgery and b/feeding - no doubt just adds to the 'common sense' approach being articulated on the list. After baby no 3 (all born at home in the US) midwife notices a goitre and suggests again (as GP had missed it) to seek medical advice. Large tumour size of a golf ball found on thyroid. Had only 2 weeks prep time before having tumour removed and radiation therapy commenced soon after. During radiation she had to beisolated for 2 weeks in hosi followed by a further 1-2 weeks at a friend's holiday farm to recover and not be near her kids (radiation stuff). So at 10 weeks Baby A continued to bebreastfed as normal throughout whole hosi stay (surgery part) till radiation commenced. Her closest friends including sister-in-law who also had a newborn pumped like mad for the 2 .5 weeks prior to radiation starting (and kept going) and dad bottlefed bub the truck load of ebm until mum came home just under 4 weeks later. Baby A took to the breast like a hand to a glove and Baby No 4 also born at home in water 3 odd yrs later. Mum well - healed beutifully- no further probs ... thanks to her loving midwife, family and friends. Makes you wonder though why they do so many caesers if a woman can't heal cos she's breastfeeding...Might be good to write to this OB and thank them for giving us such a valuable piece of info for the 'campaign'..:) Sally-Anne xo - Original Message - From: Janet Fraser To: ozmidwifery@acegraphics.com.au Sent: Tuesday, February 21, 2006 8:52 PM Subject: [ozmidwifery] repair surgery and bf Hi all, a woman with horrific injuries inflicted during a ventouse has been told she can't have repair surgery unless she weans her 4 month old and waits 3 months. Her labia was torn off on one side, right up to her clitoris and she can barely walk, is on strong pain killers and the only thing she *can* do is bf. Her life has been shattered by this so she really needs surgery. Thoughts, please? TIA, J Joyous Birth Home Birth Forum - a world first!http://www.joyousbirth.info/ Attending births is like growing roses. You have to marvel at the ones that just open up and bloom at the first kiss of the sun but you wouldn't dream of pulling open the petals of the tightly closed buds and forcing them to blossom to your time line. ~Gloria Lemay~ No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.375 / Virus Database: 267.15.12/265 - Release Date: 20/02/2006 No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.375 / Virus Database: 267.15.12/265 - Release Date: 20/02/2006
[ozmidwifery] 24th HOMEBIRTH AUSTRALIA CONFERENCE
Dear all Apologies for cross - postings.. On behalf of the Homebirth Australia Conference Committee we are delighted to announce on thisauspicious day(Full moon in Leo) the 24th Homebirth Australia Conference will be held in Geelong Victoria on July 1st and 2nd. Please note the date, venue, speakers and booking details cited below. The committee is working very hard to raise funds to keep costs low and the event accessible for women. In the event you can assist (even by long distance) your efforts would be warmly appreciated - please email [EMAIL PROTECTED] if you can help Also featured at the conference will be a tribute to the late Joan Donley and Jeannine Parvatti Baker as well as a ceremony of our midwife elders and wise ones 'handing down their knowledge' to the younger midwives - to keep those homefires burning. There will be of course a timely session of "what is happenning around oz" as well as the HBA AGM. All in all there will be many more wonderful presenters than those cited on the invited speakers list participating in either the conference, the ceremony, conference expo or the poster display which will feature the work bycurrent research mothers and midwives ... Of course more than anything we would love to see as many of you there as possible. Kind Regards Sally-Anne Brown for the Homebirth Australia Conference committee 24th Homebirth Australia Conference Bringing Birth Back Home The homebirth model can: Return services to rural Australia Improve Indigenous outcomes humanise our broken maternity system Guest Speakers: Ina May Gaskin (USA) Traditional Midwife, Author, Activist Robyn Thompson (AUS) Practicing Independent Midwife Sally Pairman (NZ) Academic, Midwife Henci Goer (USA) Author Rachael Mazza (AUS) ABC TVs Message stick, Indigenous woman, Homebirth Mother Dr Sarah Buckley (AUS) GP, Homebirth Mother, Author Justine Caines (AUS) Consumer Activist, Rural Homebirth Mother Maggie Lecky Thompson (AUS) Founder ASIM Jo Hunter (AUS) Convenor HBA, Doula, Homebirth Mother Date Venue: July 1-2 2006 Geelong Conference Centre Adams Court, East Geelong Registration Includes: Full Conference, all meals expo. Optional: Accommodation (on site) Conference Dinner For information conference registration : Email [EMAIL PROTECTED] Or visit www.homebirthaustralia.org No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.375 / Virus Database: 267.15.6/257 - Release Date: 10/02/2006
Re: [ozmidwifery] Weight gain in pregnancy
Dear Kylie I think it can be individual. I have been caring for a woman who is normally 110 kgs and usually loses weight (14-15 kgs) with each pregnancy and the babies are fine. I guess it is done to how the woman is feeling in herself and how bub palps etc. Kind Regards Sally-Anne - Original Message - From: Kylie Holden [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, January 27, 2006 10:38 AM Subject: [ozmidwifery] Weight gain in pregnancy I have another question for you all! I know a woman who is pregnant, currently about 27 weeks. She has been told by her doctor that as she is very overweight (100+kg) she should put on as little weight as possible during pregnancy. At 27 weeks she has only put on three quarters of a kilo, and doctor is very pleased! I didn't know what to say to her. Is such a small weight gain safe for the baby? According to the textbooks, average weight gain is 3-4kgs in the first 20 weeks and then half a kilo every week after that (of course, wide variances occur and every woman is different), but the books that I have don't say if it's different for obese women. Less than a kilo of weight gain at 27 weeks...any thoughts? Thanks Kylie _ realestate.com.au: the biggest address in property http://ninemsn.realestate.com.au -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.375 / Virus Database: 267.14.23/242 - Release Date: 26/01/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.375 / Virus Database: 267.14.23/242 - Release Date: 26/01/2006 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] caesarian rates soaring
Congrats to Barb Vernon on her take on this issue on ABC TV news tonite (NSW). For those of you who didn't catch the story on c/section risks you might want to catch the last news. Sally-Anne - Original Message - From: Helen and Graham To: ozmidwifery Sent: Friday, January 13, 2006 8:27 PM Subject: [ozmidwifery] caesarian rates soaring http://www.abc.net.au/news/newsitems/200601/s1547238.htm Caesarean rate increase 'alarming' New South Wales Health Minister John Hatzistergos says a special task force will investigate why an increasing number of women are having caesareans. A new report has found the state's caesarean rate is just over 27 per cent, a rise of about 6 per cent on five years ago. Mr Hatzistergos says the increase is alarming. "The decision ultimately as to how a birth should be delivered is one which is to be made the mother in consultation with her medical adviser," he said. "However I am concerned, particularly at the private level, that it appears to some extent the increased number of caesareans is accentuated by reasons that are not clinically based." No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.371 / Virus Database: 267.14.17/228 - Release Date: 12/01/2006 No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.371 / Virus Database: 267.14.17/228 - Release Date: 12/01/2006
[ozmidwifery] SMH - Headline - More mums prefer to induce birth
SYDNEY MORNING HERALD More mums prefer to induce birth Julie Robotham Medical Editor January 14, 2006 URL: http://www.smh.com.au/articles/2006/01/13/1137118970057.html The online edition of The Sydney Morning Herald brings you updated local and world news, sports results, entertainment news and reviews and the latest technology information. Click here to sign up for early morning news alerts from The Sydney Morning Herald newsroom. http://www.smh.com.au/newsletters/subscription.html -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.371 / Virus Database: 267.14.17/229 - Release Date: 13/01/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.371 / Virus Database: 267.14.17/229 - Release Date: 13/01/2006 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Fw: Headline - Medicare to clamp down on big operators
SYDNEY MORNING HERALD: Medicare to clamp down on big operators Mark Metherell Political Correspondent January 12, 2006 URL: http://www.smh.com.au/articles/2006/01/11/1136956242979.html The online edition of The Sydney Morning Herald brings you updated local and world news, sports results, entertainment news and reviews and the latest technology information. Click here to sign up for early morning news alerts from The Sydney Morning Herald newsroom. http://www.smh.com.au/newsletters/subscription.html -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.371 / Virus Database: 267.14.17/227 - Release Date: 11/01/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.371 / Virus Database: 267.14.17/227 - Release Date: 11/01/2006 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Fw: Headline - Watchdog sees signs of overservicing
Another great opportunity for letters to the editor SYDNEY MORNING HERALD Watchdog sees signs of overservicing Mark Metherell January 12, 2006 URL: http://www.smh.com.au/articles/2006/01/11/1136956243014.html The online edition of The Sydney Morning Herald brings you updated local and world news, sports results, entertainment news and reviews and the latest technology information. Click here to sign up for early morning news alerts from The Sydney Morning Herald newsroom. http://www.smh.com.au/newsletters/subscription.html -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.371 / Virus Database: 267.14.17/227 - Release Date: 11/01/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.371 / Virus Database: 267.14.17/227 - Release Date: 11/01/2006 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Fw: Headline - A prescription for disaster
SYDNEY MORNING HERALD A prescription for disaster Mark Metherill January 12, 2006 URL: http://www.smh.com.au/articles/2006/01/11/1136956242780.html The online edition of The Sydney Morning Herald brings you updated local and world news, sports results, entertainment news and reviews and the latest technology information. Click here to sign up for early morning news alerts from The Sydney Morning Herald newsroom. http://www.smh.com.au/newsletters/subscription.html -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.371 / Virus Database: 267.14.17/227 - Release Date: 11/01/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.371 / Virus Database: 267.14.17/227 - Release Date: 11/01/2006 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Breach of List Ethics
Dear all, RE: Dear Kelly, I have just been sent the email you sent from your client regarding EPI-NO. I have also seen the comment from a midwife who answered your query. I am very interested to read these posts. Sent by whom ??? It is clear that irrespective of comments made on this list that any person forwarding list emails without consent of the persons involved is (knowlingly or unknowingly) in breach of basic email ethics. In the extreme of course this may be referred to as a 'mole'. Can those persons who wish to send on emails please take the time to ask first ? and for the person/persons who have sent on these emails, perhaps you will consider acknowledging this to the list. Kind Regards Sally-Anne - Original Message - From: Andrea Robertson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, January 12, 2006 4:17 PM Subject: [ozmidwifery] EPI-NO Hello, Just forwarding a message I received from Tecsana, that was intended for the list You have not provided sufficient information for a response to this woman's query however from what has been provided: a. The second time she has used EPI-NO b. She was pushing out the balloon. the woman was not following instructions in the correct use of EPI-NO. It would not be possible to push out the balloon with the amount of dilatation possible after the second use. The balloon is inflated to the level of personal comfort and the woman will experience a slight burning sensation at which point she would cease dilatation. This is controlled by the woman. Your client should not recommence training with EPI-NO unless instructed to by her obstetrician as her problem may be the result of an underlying condition. Perhaps you could request from the midwife who made that comment, clinical evidence to support it. We work in an evidence based medical environment, and all evidence of which we are aware supports the contrary view. A new EPI-NO Clinical Trial will commence in January through Sydney University to show the effect of EPI-NO on the Pelvic Floor following childbirth. Please make you client aware that EPI-NO is also a pelvic floor training device which can be used 4-6 weeks after delivery to strengthen the Pelvic Floor. I would be happy to answer any questions you may have. Sincerely Campbell Heather Tecsana Limited. - Andrea Robertson Birth International * ACE Graphics * Associates in Childbirth Education e-mail: [EMAIL PROTECTED] web: www.birthinternational.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.371 / Virus Database: 267.14.17/227 - Release Date: 11/01/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.371 / Virus Database: 267.14.17/227 - Release Date: 11/01/2006 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Fw: Abbott and rural
Dear all And it would seem they even have this wrong - claiming proceduralist GP's keep rural services alive. Most rural areas that have a health service do not have proceduralist GP's... Sally-Anne Extra funds to keep GPs in rural areas. 09/01/2006. ABC News Online http://www.abc.net.au/news/newsitems/200601/s1544349.htm The Federal Government will spend an extra $5 million a year trying to keep skilled doctors in rural and remote areas It is one of two rural health initiatives announced on Monday Federal Health *** DISCLAIMER *** This message was sent to you using the Send to a friend facility on ABC Online (http://www.abc.net.au). To make a comment about this email, contact us: http://www.abc.net.au/contact/ Be sure to also include this entire email message. The ABC is not responsible for the content of this email, and anything said in this email does not necessarily reflect the ABC's views. -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.371 / Virus Database: 267.14.16/225 - Release Date: 9/01/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.371 / Virus Database: 267.14.16/225 - Release Date: 9/01/2006 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] article in our local paper today
Congratulations to you Andrea and the women of Echuca . A fabulous article and very timely 2006 the year for reclamation of rural birthing services !! Kind Regards Sally-Anne - Original Message - From: Andrea Quanchi [EMAIL PROTECTED] To: Maternity Coalition [EMAIL PROTECTED]; ozmidwifery ozmidwifery@acegraphics.com.au Cc: Steve Robin Humphress [EMAIL PROTECTED]; Jan Gale Perry [EMAIL PROTECTED]; Helen Gray [EMAIL PROTECTED] Sent: Friday, January 06, 2006 6:45 PM Subject: [ozmidwifery] article in our local paper today This was in our local paper today and I thought you might be interested. I sent them an email over a month ago when I received a copy of the report and it took till now for it to appear. Andrea Quanchi http://rivheraldechuca.net/story.asp?TakeNo=200601066155153 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.371 / Virus Database: 267.14.15/223 - Release Date: 6/01/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.371 / Virus Database: 267.14.15/223 - Release Date: 6/01/2006 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Tribute to Joah Donley from Mothering Magazine, Living Treasures feature
Dear Gloria and Kirsten Thank you for your posts about Joan and Jeanine over the past few days. Two amazing womenwho will be sadly missed and fondly remembered what a powerful transition time this week has been. Kind Regards Sally-Anne - Original Message - From: Gloria Lemay To: Undisclosed-Recipient:;@uniserve.com;;; Sent: Wednesday, December 07, 2005 8:09 AM Subject: [ozmidwifery] Tribute to Joah Donley from Mothering Magazine, Living Treasures feature Living treasure: Joan DonleyMothering, July-August, 2003 ORIGINALLY FROM CANADA, WHERE SHE WAS a maternity nurse, Joan Donley is the matriarch of the modern midwifery and homebirth movement in New Zealand. With global political aspirations, she has become a strong voice for independent midwifery internationally. Donley began her midwifery training in New Zealand in 1971 at the age of 55. A life member of the New Zealand College of Midwives, Donley was instrumental in achieving an amendment to the Nurses Act of 1977, which restored autonomous practice to New Zealand midwives. New Zealand doctors were very resistant to this amendment, concerned about the erosion of a 50-year-old fee-for-service system. Negotiations established a new pay structure for doctors and midwives. Numbers of New Zealand independent midwives grew from less than in 1990 to more than 1,500 in 1995. Together they lobbied the government in 1989 to birth the certificate of midwifery, which grew into a diploma and in 1993 matured into a bachelor of health science degree in midwifery. In New Zealand today, more than 70 percent of births are attended by midwives, the highest rate in the world; nearly 10 percent of births occur at home. At 81, Donley was the first to be awarded an honorary master of health science degree. As well as being a prolific author, Donley has been a speaker at many midwifery conferences throughout the world and has been a consultant to Canada's department of health in the implementation of its direct-entry registration of midwives. In 1990 Donley received an Order of the British Empire medal for services to midwifery and childbirth. She has also been awarded a Women's Suffrage Medal.Her most significant achievements, however, are the 750 babies she has caught, including 4 of her 12 grandchildren. COPYRIGHT 2003 Mothering MagazineCOPYRIGHT 2003 Gale Group No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.362 / Virus Database: 267.13.10/189 - Release Date: 30/11/2005 No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.371 / Virus Database: 267.13.12/193 - Release Date: 6/12/2005
[ozmidwifery] Fw: More babies die in larger hospitals (http://theaustralian.com.au report)
Also today in the Australian Congratulations to Sally Tracy and colleagues on the much awaited publication of the smaller units paper in the BJOG yesterday December 6th - a very auspicious day for 'births' This study is without doubt going to provide the much needed evidence that to force a woman from remote rural Australia to an unknown setting in regional/metro settings to give birth 'in the name of safety' just doesn't hold water. Well done to you all on such a fabulous study and the tremendous efforts made to support safe birth for women of rural oz, in their own commmunities. Kind Regards Sally-Anne - Original Message - From: sally b To: sally-anne Sent: Wednesday, December 07, 2005 1:34 PM Subject: More babies die in larger hospitals (http://theaustralian.com.au report) sally b ([EMAIL PROTECTED]) suggested you might be interested in this http://theaustralian.com.au report. More babies die in larger hospitalsAdam Cresswell, Health editor07 December 2005BABIES born in large city hospitals are more likely to die in their first month than those born in smaller rural centres, a comprehensive analysis of Australian births has revealed. The findings have prompted experts to call for a "complete rethink" of maternity service planning across the country. The researchers for the study, which was reported yesterday in an international journal, say the findings prove smaller centres are safe - and undermine fears about quality that have led state governments to close scores of small maternity units nationwide in the past decade. Study co-author Sally Tracy, a senior research fellow at the National Perinatal Statistics Unit at the University of NSW, said that over the past 10 years "at least half" of the smaller rural maternity units across the country had been closed on safety grounds. "Big does not necessarily mean better ... it is time for a complete rethink about maternity service planning," she said. The study found 98.5per cent of 146,422 "multiparous", or non-firstborn, babies born in large hospitals were alive after 28 days, compared with 99.2per cent in very small units. But Dr Tracy said while this was an expected result - because very high-risk or complicated cases would naturally be referred to the biggest hospitals - the real point was that death rates were no higher in smaller units. "All women do not need the very intense medical care that's available in these large tertiary hospitals," Dr Tracy told The Australian. "At this point, the policy in Australia is just to keep on closing these small units, and leaving rural women stranded to give birth on the side of the road." Rural doctors have also backed the findings. For the study, published online by the British Journal of Obstetrics and Gynaecology, Dr Tracy and colleagues examined data from more than 702,000 women who gave birth from January 1, 1999, to December 31, 2001 - representing more than 90per cent of all births in that time. The researchers grouped hospitals into five bands, based on how many babies they delivered each year. They also looked at the risk status of the mother, what interventions she required - such as epidurals and emergency caesarean sections - and whether the baby was alive after 28 days. Among firstborns, 98.9per cent of the 4483 born in small units with fewer than 100 births annually were alive after 28 days, compared with 98.4per cent of the 115,940 born in the largest hospitals. Looking only at births considered low-risk - a more meaningful comparison - smaller units also saw slightly lower death rates, but because of the low numbers involved in the small units the difference was not statistically significant. As expected, higher levels of interventions were also recorded in bigger hospitals. Queensland GP Ross Maxwell, president of the Rural Doctors Association of Australia, said the findings showed "low-risk delivery in small hospitals is very safe". "In rural Australia, we certainly need a strong rethink and more work to maximise the current workforce," he said. Christine Tippett, vice-president of the Royal Australian and New
[ozmidwifery] Peaceful birth
Dear friends This evening as the moon transcends into an aquarian quarter one of our most dynamic and fabulous women of consumer maternity reform in Australia is preparing for the birth of her twins. Justine Caines (for those of you who do not know of her - yet !!) is a woman of great strength and courage and has without doubt transformed the political climate for birth reform in this country in a way that has never been acheived before. I ask all of you to send Justine and her husband Paul and their 4children - Ruby (6) Clancy (4) Wil (3) and Toby (18mths) lots of the good midwifery and womanly vibes fora wonderful and peaceful birth. For those of you who are able and wish to - could you please light a candle in support andencouragement for Justine and her family. Peace at birth Peace on Earth (adapted from the 2004 MC campaign for rural women's birthing services) Kind Regards Sally-Anne No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.362 / Virus Database: 267.13.10/189 - Release Date: 30/11/2005
Re: [ozmidwifery] looking for a midwife
Jan will email you off line SA - Original Message - From: Jan Ireland To: ozmidwifery@acegraphics.com.au Sent: Sunday, October 23, 2005 11:34 AM Subject: Re: [ozmidwifery] looking for a midwife HI Sally-ann brown or those who know what is your e.mail address jan ireland - Original Message - From: Sally-Anne Brown To: ozmidwifery@acegraphics.com.au Sent: Thursday, October 20, 2005 8:31 AM Subject: Re: [ozmidwifery] looking for a midwife Dear Jan If you would like to email me off the list I have a number of midwives details I am happy to provide you with. Kind Regards Sally-Anne (Brown) - Original Message - From: Jan Ireland To: ozmidwifery@acegraphics.com.au Sent: Thursday, October 20, 2005 8:13 AM Subject: [ozmidwifery] looking for a midwife dearest midwives i have a client who is now living in anglesea 4th baby other 3 born at home are there any mws doing homebirths please repl asap is 15 wks into preg now cheers jan No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.344 / Virus Database: 267.12.1/136 - Release Date: 15/10/2005 No virus found in this outgoing message.Checked by AVG Anti-Virus.Version: 7.0.344 / Virus Database: 267.12.1/136 - Release Date: 15/10/2005 No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.344 / Virus Database: 267.12.4/146 - Release Date: 21/10/2005 No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.344 / Virus Database: 267.12.4/146 - Release Date: 21/10/2005
Re: [ozmidwifery] Re: twins birth story
Congrats Yvette to you and your family kind regards Sally-Anne - Original Message - From: Lindsay Yvette To: ozmidwifery@acegraphics.com.au Sent: Sunday, October 23, 2005 4:59 PM Subject: [ozmidwifery] Re: twins birth story Hi all, Some of you may remember me going on about trying to plan a vaginal twins birth. Babies are 8 weeks old now here's the full birth story. http://bellybelly.com.au/forums/viewtopic.php?t=15647 Kind Regards, Yvette Mum of 5 http://www.babiesonline.com/babies/t/twingirlslb/ No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.344 / Virus Database: 267.12.4/146 - Release Date: 21/10/2005 No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.344 / Virus Database: 267.12.4/146 - Release Date: 21/10/2005
Re: [ozmidwifery] looking for a midwife
Dear Jan If you would like to email me off the list I have a number of midwives details I am happy to provide you with. Kind Regards Sally-Anne (Brown) - Original Message - From: Jan Ireland To: ozmidwifery@acegraphics.com.au Sent: Thursday, October 20, 2005 8:13 AM Subject: [ozmidwifery] looking for a midwife dearest midwives i have a client who is now living in anglesea 4th baby other 3 born at home are there any mws doing homebirths please repl asap is 15 wks into preg now cheers jan No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.344 / Virus Database: 267.12.1/136 - Release Date: 15/10/2005 No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.344 / Virus Database: 267.12.1/136 - Release Date: 15/10/2005
[ozmidwifery] Fw: letter from Kerry Nettle to SMH in response to Devine's take on midwives
Title: FW: Hi everyone, sorry this is a little late to post - just letting you know Kerry Nettle (NSW Greens Senator) also attempted to get a letter to the editor published re Miranda Devine's antics - here tis FYI Kind Regards Sally-Anne - Original Message - From: Nettle, Kerry (Senator) To: [EMAIL PROTECTED] Sent: Wednesday, October 05, 2005 10:58 AM Subject: FW: Hi Sally-Anne Here is the letter I sent the herald Good on Justine for her dialogue with Miranda Hope u r well cheers Kerry -Original Message- From: Nettle, Kerry (Senator) Sent: Thursday, 22 September 2005 2:33 PM To: '[EMAIL PROTECTED]' Subject: Despite inferences in Miranda Divines article (SMH 22/9/2005), it is fantastic news that there is rapidly growing support for midwife-based birthing units as a safe option for expectant mums across Australia. More women are choosing to have midwives as the primary carer at the birth of their child because midwives do a great job. Supporting midwives makes economic sense, with the costs of births assisted by midwives well below those relying on often unnecessary and expensive medical intervention. There is no evidence that hospitals are a safer place for low-risk births and Caesarean section rates are lower with midwife assisted births. This is all good news for the many expectant mums who feel comfortable in the more personalised and less clinical atmosphere of birthing centres. Greens Senator Kerry Nettle 111-117 Devonshire St Surry Hills 02 9690 2038 No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.344 / Virus Database: 267.11.9/116 - Release Date: 30/09/2005 No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.344 / Virus Database: 267.11.14/129 - Release Date: 11/10/2005
[ozmidwifery] smh - ;etters sat sept 24
smh - sat sept 24
Mother knows bestWhat an insult to women to assume that they
are not intelligent and autonomous enough to take in the information about
different options of care that are available during pregnancy, and then make the
right decision for them and their babies ("Mum and baby are caught in the
middle", Herald, September 22) .
Do we, as midwives and obstetricians, actually have the arrogance to think
that we know what is best for all women? Our role is to put balanced and
accurate information out there so women can make the choice by and for
themselves. And we are all interested in the one outcome of a healthy mother and
child.
Jennifer Darby Rozelle
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Re: [ozmidwifery] the 7.30 (to report or not report !) segment
dear all - re the woman in mouriks care - just to clarify - twas a 28 hr labour - now is thatwhat they call fantabulous(?!?) obstetric care ? well done to sally tand leonie on their brilliant work - and especially to the women filmed - for all of them really - the journos wereobviously determined to run the fear mongering sensational line ( just like they did when Justine Caines did 60 minutes in May last year - travelled 800 kms return with 4 children and an 9 week old baby to film in sydney all in the name of the cause and they changed the story from being a homebirth story to a promote caesarean gig and sensationalised to the hilt !!). what is sounforgiveable - is these journos treat women so appaullingly to get a story. i wonder how the woman who went into labour on the take last night felt once she saw the story in it's edited light ?! . sally -you were so quick off the mark and did it brilliantly.3 hrs of intensive interviewing is no mean feat and you were amazing. you are one woman they could not break... re future media - i think we need to keep strong on allsides of the media -forewarned is forearmed and it is really about going in with eyes wide open ie: we now know for sure the journos will only run it this way - but the stories will reach more and more women who can see the wood for the trees. and as we all know - it mayhave been quitedifferent if a woman who respects women had edited the footage ! a fantastic effort - and astrengthening for us all... Warm Regards Sally-Anne - Original Message - From: jo To: ozmidwifery@acegraphics.com.au Sent: Tuesday, September 20, 2005 2:47 PM Subject: RE: [ozmidwifery] "Midwifery led units" The couple who had ob care and had a 38hr labour and ended up with forceps What were the reasons for this? Was she induced? Did she have an epidural? How long did he allow her to push before he thought it necessary to pull the baby out? I though you were wonderful Sally, and I had to giggle a little when he was going on at the conference and I could see Nicky Leap in the background with her head in her hands. It certainly is hair pulling stuff! Cheers Jo From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Anne ClarkeSent: Tuesday, 20 September 2005 10:29 AMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] "Midwifery led units" Dear Sally, You and the Ryde Birth Centre still looked terrific to me. Liked how the one Ob. supported Midwives in the 7.30 report. The couple who had ob care and had a 38hr labour and ended up with forceps - would have transferred her long ago and so no wait onongoing care. The 7.30 report inferred that the mother would have had to wait another 20 minutes for transport before getting her forcep birth, although with Midwifery careshe would have probably been transferred long before she needed the forceps anyway. I am sure the ob was waiting just outside the door 'just in case' he needed her for her forcep birth. So frustrating when they do not report in context. What is wrong with 'Midwifery led units'? RegardsAnne ClarkeBirth Centre, Brisbane - Original Message - From: sally tracy To: ozmidwifery@acegraphics.com.au Sent: Tuesday, September 20, 2005 10:04 AM Subject: Re: [ozmidwifery] "Midwifery led units" Dear Oz mids and AndreaI agree wholeheartedly with you we have to have a better term..and on the day in Newcastle I proposed we stop suggesting any one practitioner is more important than another in this stuff and call the units 'co-operative maternity units'!! Co-ops between women midwives and the odd obstetrician or paed.I'm sorry the 7.30 report was so frightfulI knew it was going to be a mild disaster - because they were s determined to have Mourik in all his glory and they really wanted me to respond. When I refused - it was considered dull television , so I was completely caught out when they suggested to me that Sri Devis transfer was a failure! Crikey - that's the two seconds worth of the at least (three hours filming) they decided to show of my response. Moral of the story is that we are caught in a horrible constant shark attack and we seem to always have to be defending our practice no matter what. The glimmer of light in last night program was the gorgeous women - those who hadn't had a 28 hour labour!!! excuse me - the Ryde women average about 6-8 hours...and didn't their babies look so alert and drug freeHoney Acharya wrote:Here's the transcript if anyone missed
Re: [ozmidwifery] wyong reopens
congrats to you all and the women of wyong .. kind regards Sally-Anne - Original Message - From: diane To: ozmidwifery@acegraphics.com.au Sent: Tuesday, September 20, 2005 10:41 AM Subject: [ozmidwifery] wyong reopens Hi everyone, Hot breaking news today... Wyong birthing unit is opening next Monday as a low risk birthing unit. Anything outside the ACMI guidelines are refered or transfered to Gosford. We're so excited Cheers Diane No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.338 / Virus Database: 267.11.3/106 - Release Date: 19/09/2005 No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.338 / Virus Database: 267.11.3/106 - Release Date: 19/09/2005
[ozmidwifery] 7.30 report on TONITE
GREETINGS ALL 7.30 REPORT IS DEFINITELY ON ABC TV TONITE - PROMO JUST WENT TO AIR... ENJOY SA No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.338 / Virus Database: 267.10.23/99 - Release Date: 12/09/2005
[ozmidwifery] 7.30 report now on again - promos going to air
Hi everyone, At bloody last !! Last night the 7.30 report did a promo for the midwife led unit story featuring Sally Tracy to be screened this week. No day set - but could be any night from monday. well done to all who ensured it didnt get shelved. Sally-Anne No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.338 / Virus Database: 267.10.23/99 - Release Date: 12/09/2005
Re: [ozmidwifery] IOL and C/s...
Tania, Allison Shorten and Brett Shorten (University of Wollongong) are about to publish an Australian study on the c/section rate with epidural block. I do not have any info on demopgraphics etc as you would imagine all the details are kept under wraps until publication (which is what we want - publication !!). They have studied two groups a) IOL and b) spontaneous labour. The results show a slight difference in the two groupsof about 1.5% higher in the IOL group compared with the spont labour group.In both groups the results show (approx) 60% c/section rate- not the 30-50% c/section rate often spoken of. This study is in line with the results Sally Tracy found in her research on EDB and c/section which also sits around 60%. I would suggest IOL should be looked at in it's entirety (the package deal). I am not sure if either study looks at the numbers of women having IOL. BUT we can safely say to women now - two Australian studies have identified that whether you have IOL or not there is a 60% chance of having a c/section with epidural block. SA xo - Original Message - From: Tania Smallwood To: ozmidwifery@acegraphics.com.au Sent: Monday, September 12, 2005 6:11 PM Subject: [ozmidwifery] IOL and C/s... Just wondering if there are any good quality trials about IOL and increase of c/s? Have just re-read Enkin, and it does state that IOL is not associated with an increase in caesarean section rate (but given that most states here are up around the 30% mark, you have to wonder what they are comparing that to?), but I thought something came out of the Uk not long ago disputing this? Anyone? Tania Internal Virus Database is out-of-date.Checked by AVG Anti-Virus.Version: 7.0.338 / Virus Database: 267.10.18/90 - Release Date: 5/09/2005 Internal Virus Database is out-of-date. Checked by AVG Anti-Virus. Version: 7.0.338 / Virus Database: 267.10.18/90 - Release Date: 5/09/2005
Re: [ozmidwifery] 7.30 report
Dear all Pat Brodie mentioned last week will be on monday night as in tonight - but obviously will depend on other stuff like the devastation with Katrina. so check it out - may be on.. SA - Original Message - From: Andrea Robertson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, September 05, 2005 11:57 AM Subject: [ozmidwifery] 7.30 report I have just heard from Denis Walsh that he and some others were filmed by the 7.30 Report (ABC) at the Conference last week. The program may go to air anytime this week, possibly Tuesday. All good stuff! Regards, Andrea - Andrea Robertson Birth International * ACE Graphics * Associates in Childbirth Education e-mail: [EMAIL PROTECTED] web: www.birthinternational.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- Internal Virus Database is out-of-date. Checked by AVG Anti-Virus. Version: 7.0.338 / Virus Database: 267.10.17/84 - Release Date: 29/08/2005 -- Internal Virus Database is out-of-date. Checked by AVG Anti-Virus. Version: 7.0.338 / Virus Database: 267.10.17/84 - Release Date: 29/08/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Fw: Midwife criticism 'misused statistics' (http://theaustralian.com.au report)
- Original Message - From: sally b To: Sally-Anne Brown Sent: Thursday, September 01, 2005 6:12 AM Subject: Midwife criticism 'misused statistics' (http://theaustralian.com.au report) sally b ([EMAIL PROTECTED]) suggested you might be interested in this http://theaustralian.com.au report. Midwife criticism 'misused statistics'Adam Cresswell, Health editor01 September 2005A KEY critic of midwife-led birthing centres who claimed an international study showed they increased baby death rates by 85per cent has been attacked as "irresponsible" by the British expert who helped write it. Denis Walsh, who is on a sabbatical in Australia, yesterday accused NSW obstetrician Andrew Pesce of committing "the worst kind of statistical misuse" in claiming the Cochrane review had found midwife care - now being expanded through new midwife-led birthing centres in NSW - increased a baby's chance of dying. While the review did find an association, Dr Walsh said it was not statistically significant, meaning there was not enough data to prove the extra deaths were not due to chance. Dr Pesce, who is the secretary of industrial lobby group the National Association of Specialist Obstetricians and Gynaecologists, made his claims in The Australian on Tuesday and said the benefits of such stand-alone centres were overblown. Dr Pesce last night stood by his original comments, and rejected Dr Walsh's criticism of him as "political". The row threatens to increase tensions between opponents and advocates of stand-alone midwife-led birthing centres, some of whom now privately admit the two sides are effectively "at war". So far, two stand-alone midwife-led birthing units have been set up in NSW, at Ryde in northwestern Sydney and Belmont, south of Newcastle. A home-birth service linked to St George Hospital in southern Sydney is also planned. Dr Walsh, a senior lecturer in midwifery research at the University of Central Lancashire in northern England, was one of four experts who updated the Cochrane Collaboration review last year. Cochrane papers draw together data from the best-quality trials and are accepted internationally as the most reliable source of medical evidence. He is about to return to Britain after a 10-month sabbatical in Australia. He told The Australian yesterday that the 85 per cent figure did not appear in the review and that Dr Pesce had made a "fundamental error" by using figures that were not statistically significant. "One wonders if Pesce was operating out of a different agenda when he goes on to confuse such an important issue," Dr Walsh said. "I suspect that he probably was, when he goes on to irresponsibly use statistics to scare prospective birth centre users. "This is the worst kind of statistical misuse." Dr Pesce said the findings were "right on the border" of significance and claimed the figures showed there was only a one-in-20 chance that the higher death rate was not a true finding. "It just shows how political the issue is - I think those comments are fairly biased themselves," he said. "The review didn't prove that hospital care was associated with higher rates of caesareans either, but we all know it is. "The study showed there was certainly a tendency to an increased risk ... and you can't assume safety. The onus is on people who advocate birthing centres to show that it's safe." Click here to signup for daily headlines No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.338 / Virus Database: 267.10.17/84 - Release Date: 29/08/2005 No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.338 / Virus Database: 267.10.17/84 - Release Date: 29/08/2005
[ozmidwifery] Fw: 'Higher risk' in midwife deliveries (http://theaustralian.com.au report)
- Original Message - From: Sally To: Sally-Anne Brown Sent: Tuesday, August 30, 2005 8:11 AM Subject: 'Higher risk' in midwife deliveries (http://theaustralian.com.au report) Sally ([EMAIL PROTECTED]) suggested you might be interested in this http://theaustralian.com.au report. 'Higher risk' in midwife deliveriesAdam Cresswell, Health editor30 August 2005THE safety of midwife-led birthing units has been doubted and the most reliable evidence suggests babies born in such centres are 85 per cent more likely to die during or shortly after birth, compared with babies born in major hospitals. Leading obstetrician Andrew Pesce said yesterday that a review by the international Cochrane Collaboration - considered the best source of evidence for medical claims - found that home-like settings for births were associated with "modest benefits". Dr Pesce said these benefits included higher rates of breastfeeding, more satisfied mothers and slightly higher rates of spontaneous vaginal childbirth (as opposed to surgical deliveries). However, the Sydney-based Dr Pesce - who is also secretary of the industrial lobby group the National Association of Specialist Obstetricians and Gynaecologists - said the review, published late last year, also found babies born in home-like settings such as midwife-run centres ran an 85 per cent higher risk of death around the time of childbirth. However, the overall rate is still very low - about eight babies in 1000 live births in 2002, according to the Australian Bureau of Statistics. Dr Pesce also said studies that midwives sometimes used to back up their safety claims were scientifically inferior, usually because their subjects were not randomised - an accepted technique to remove bias. "Everybody says it's been shown to be safe - but it's not. It's been shown to be reasonably safe, but without question there's a worry about increased risk of perinatal mortality," he said. "There's a positive effect (of birthing centres), but it's a lot lower than you would be led to believe by people who advocate this model." Kathleen Fahy, professor of midwifery at the University of Newcastle, said Dr Pesce was using the Cochrane deaths data "to imply that something is significant when it isn't". "What's going on here is a desire to prevent midwives from practising their profession, and using safety to do so," she said. Sally Tracy, associate professor of midwifery practice development at the University of Technology Sydney, said she had recently finalised a study using data from more than 1million Australian births, which would be published shortly in a major medical journal. Although prevented under medical journal requirements from discussing the findings before publication, she said the results were positive for midwife centres. In an article to be published next month in NASOG's newsletter, Dr Pesce - who also represents obstetricians and gynaecologists on the Australian Medical Association's federal council - said the Cochrane review looked at the results of six different trials, together involving 8677 women. The review found birth centre care was associated with "modest" reductions in some medical interventions, such as episiotomies - where a cut is made in the perineum to assist birth and prevent uncontrolled tearing. However, Dr Pesce wrote that the study found higher perineal lacerations in midwife care, so the overall rate of injury in that area was similar. "In summary, there is now good-quality evidence of higher risk of perinatal death in birth centres, with only modest reductions in some medical interventions," he wrote. Click here to signup for daily headlines Internal Virus Database is out-of-date.Checked by AVG Anti-Virus.Version: 7.0.338 / Virus Database: 267.10.14/79 - Release Date: 22/08/2005 Internal Virus Database is out-of-date. Checked by AVG Anti-Virus. Version: 7.0.338 / Virus Database: 267.10.14/79 - Release Date: 22/08/2005
Re: [ozmidwifery] when NOT to cut an episiotomy
Dear Andrea 'Well done to you both - another amazing woman ! thank you for sharing this great story with us all. Kind Regards Sally-Anne - Original Message - From: Andrea Quanchi To: ozmidwifery@acegraphics.com.au Sent: Tuesday, August 23, 2005 3:41 PM Subject: Re: [ozmidwifery] when to cut an episiotomy Threads like this come back to haunt you. Last night I cared for a primip who I took over on night duty as she was about to enter second stage after having laboured all day and having had no sleep the night before. Given lots of time she progressed very slowly to having the head distending the peri and there it sat through several contractions with no further progress despite maternal effort ( and yes I did think oh no hear goes I'm going to have to eat my words and cut an epis. I looked at the scissors and decided to leave them where they were and listen to the FH instead which was strong. Then her body decided that it needed a rest and we sat for about 15 min with no contractions and listening to the FH while she slept. Then she woke up had one contraction where she birthed the head over an intact peri and a second soon after which birthed the body before she lay back and said that all I had to give! What more did she need. I had a student with me who was completely baffled and we spent quite some time afterwards discussing what had just happened because that had never been in anything she had heard or read. One very happy mum and one midwife with her stats intact!!!Andrea QuanchiOn 22/08/2005, at 11:35 PM, Katrina Flora wrote: Not entirely sure I want to know, but Mary what is "buttonholing"?Katrina - Original Message -From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Monday, August 22, 2005 10:03 AMSubject: RE: [ozmidwifery] when to cut an episiotomyBecause you asked: I have cut 3 in 22 yrs as a homebirth midwife. 1 for foetal distress, 1 for “buttonholing’ the other I can’t remember. It was all so long ago. Working with a group of 7 other midwives, I have never heard of them cutting episiotomies either. MMWho else would like to celebrate their lack of desire or interest in cutting a woman's perineum. Internal Virus Database is out-of-date.Checked by AVG Anti-Virus.Version: 7.0.338 / Virus Database: 267.10.10/73 - Release Date: 15/08/2005 No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.338 / Virus Database: 267.10.14/79 - Release Date: 22/08/2005
Re: [ozmidwifery] Liability ruling in Weekend Australian
Thanks for this link Tania, re thecase - two thoughts ONE - this is exactly why all midwives need to be aware that they should have their own PI Insurance - because of the reality that vicarious liability alone does not cover a midwife. Sadly - many midwives still make the assumption that the PI Insurance issue is to beput in the basket for IPM's to deal with, in the belief it is only their issue (how sad our colleagues are not supported anyway! ) - but the truth is PI is an issue thataffects all midwives ! good to see Bisits calling it as it is and not buying into the primary care stuff as RANZCOG recently did (it would be delightful to be a fly on the wall right now). Of course Mourik's claim that Ob's be responsible for the work of midwives is the response we would expect when the issue not been faced is the OB been responisble for their own work..which leads into point two. TWO - We all knowobstetric beds are the highest number of hospitalbeds used currentlyapprox 250,000 per year. And despite theOB'slargely turningbirthing into big 'business' - with overservicing of well womenand less time available for the women who do need hrs of intensiveobstetric care - govts still provide the funds to keep it happenning, Women donot actually receive the care they think they will when they choose an obstetrician for their care in both the private and public health sector.we know the OB'sdo not providethe care for a woman experiencing labour and birth- it isthemidwives who provide this care with theOB glorified for catching the baby (if they actually make it in time -and only if the woman hasprivate health cover).Whilst different OB's do have different practices, in the public health arena a woman does not realise that even in an obstetric emergency -caesarean section or emergency medical care - the Obstetrician does notprovide this.- women do not realise it isprovided by theteamof midwives and drs/ob's in training (residents and registrars) while theobstetricianswho may have seen the women for one or two brief periods in pregnancy and birth (15-30 mins ?) are drumming up big business (scans and genetic tests),often imposed on healthy well young women at whim - who again do not need to be overserviced with costly and unnessary tests. and we all know only a small proportion of women receiving this care actually need it - and the costs to women and the system are exorbitant. Yet how do the govts address this ? -when the insurance crisis hit thefed government bailed the OB's outto the tune of $600 million and libs senator helen coonan secured coverage with Llyods(London)...the govt also providesaccess to thehigh costs claim scheme (where if the Ob's PI insurance fee is more than 7.5% of their income the govt pays the rest 80% ANDwill payout any claim over $300,000 !) - not to mentionthe coveragebymedicareetc. so why do govts continue to pay unnessary medicalised birth costs and the 'patch up the damage funds' for other health costs resulting from women recovering from traumatic birth experiences, postnatal depression etc ? why do they keep plugging up the holesand support a service that is essentiallyunnessary and expensive medical sub standard carefor the majority of women (80% WHO)? Why do govts deny women the right to experience the safest and most cost effective pregnancy and birth care ensuring the health system'dam' wall burstswhilemidwives do not have equity to accessmedicare provider numbers or insurance ? ...yes abbott has stated he is now finally considering medicare for midwives but only if a woman has been serviced by the public health budget of a medicare swiped visit to the GP for a referral first ! despite all the evidence, unnessa'scary costs are continuing to be paid outbig time - for sub-standard care of healthy well women experiencingpregnancy and birth. one does not need to look much further than the individual and organisationaldonations at election time and the politics of the obstetric alliance to work out why. Sally-Anne - Original Message - From: Tania Smallwood To: [EMAIL PROTECTED] Sent: Sunday, August 21, 2005 7:00 PM Subject: [ozmidwifery] Liability ruling in Weekend Australian http://www.theaustralian.news.com.au/common/story_page/0,5744,16318814%255E23289,00.html Liability ruling delivers fuel to midwife debateAdam Cresswell, health editorAugust 20, 2005 DOCTORS and midwives are at loggerheads over their legal liabilities from new-style birthing units after a hospital sued an obstetrician to recover a share of the $7.5million it was ordered to pay for a birth mishap involving a midwife.Obstetricians say the case vindicates their fears they will be held responsible for the work of midwives, who are pushing for expanded roles and recently started a second midwife-led birthing unit in NSW at
[ozmidwifery] congrats to the campaign team
Dear all ABC TV news covered the medicare for midwives story about 5 mins ago. congrats to Ingrid Mckenzie (mc mum) and your gorgeous baby and to Barb Vernon on such great coverage and ensuring the great 'grabs' got heard. and of course ... ranzcog running the safety line again ... surprise surprise ... perhaps its time to do some media on the safety of obsteric care .?! you both did brilliantly and it compliments beautifully with the coverage by another two strong mc women, Rachelle Meredith in the Sunday Tele (?) on the w/end andthefantastic letterjustine penned (and hopefully will be printed)to thesmh earlier today. the wheel is turning... kind regards Sally-Anne No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.338 / Virus Database: 267.10.9/72 - Release Date: 14/08/2005
[ozmidwifery] ABC On Line Forum - hospitals
Hi everyone, The ABC communities forum are running a segment on health called 'an apple a day' in response to beattie's plug for health care reform and what govts can do about it - in particular our overstretchedhospital system The link is cited below and is a great opportunity to discuss the unnecassary overuse of obstetric beds which top the nations 'highest number of beds used " at around 250,000 per year. http://www2b.abc.net.au/news/forum/newsonline3/default.htm Kind Regards Sally-Anne Log In An apple a day Queensland Premier Peter Beattie has reignited the debate about the country's ailing health system by calling for a broader debate on the future of the the health system. He says people should take better care of their health to reduce pressure on public hospitals. After criticism about waiting lists to see specialists, the Premier says the system faces even more pressure from an ageing and increasingly unhealthy population. "Too much smoking, obesity, ageing of the population are all putting huge pressures on our system," he said. The Premier enlisted the help of his wife and nurse, Dr Heather Beattie, to reinforce the message. "We have to accept that the health dollar, in the end, has to be limited," she said. She also says in the end people have to take some responsibility for their health. What measures can people take to relieve pressure on the health system? Are people doing enough to look after themselves? What more can governments do to turn around the country's ailing health system? Are the issues Mr Beattie refers to confined to Queensland or can they be applied to the whole country? Have your say. No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.338 / Virus Database: 267.10.9/72 - Release Date: 14/08/2005
[ozmidwifery] RANZCOG need to hear from us !!
hi everyone - apologies for x-postings re the stand alone unit stuff and ranzcog's statement released on the eve of the icm. it would be wonderful if people would consider phoning the college (which i have also done today - only to be told it is a statement for the FELLOWS only !!! and they could not tell me what evidence they used to base their comments !! I told them I am taking it to my local parliamentarian - they of course want my concernsin writing !! it would be wonderful if as many people as possiblecould express their concerns or comments in relation to the statement asap... women should have input into developing a position statement put out by any service provider about their care please pick up that phone and send emails of concern asap RANZCOG phone (03) 94171699 or email [EMAIL PROTECTED] Sally-Anne (Brown) No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.338 / Virus Database: 267.10.3/66 - Release Date: 8/08/2005
Re: [ozmidwifery] Things/g. Lemay
Maybe angels / spirit / or life belief ??? and lost of love Sally-Anne - Original Message - From: Melissa Singer To: ozmidwifery@acegraphics.com.au Sent: Tuesday, July 19, 2005 6:37 PM Subject: Re: [ozmidwifery] Things/g. Lemay Gloria, No pulsating cord, HR 1, relex 1, colour 1? Active resuscitation commenced at birth. Melissa - Original Message - From: Gloria Lemay To: ozmidwifery@acegraphics.com.au Sent: Tuesday, July 19, 2005 3:11 PM Subject: Re: [ozmidwifery] Things/g. Lemay did you have a pulsing cord, Melissa? what did the baby get 3 for at one min? Gloria - Original Message - From: Melissa Singer To: ozmidwifery@acegraphics.com.au Sent: Monday, July 18, 2005 7:04 PM Subject: Re: [ozmidwifery] Things/g. Lemay Last week I attended a birth with mentum anterior (diagnosed on view). Head was born then 3 minutes later the rest of the baby. Apgars 3, 5, 7, 7. Wt 4.7kgs, peri intact. Why were the apgars at birth so low (no heart rate at all when born) and the fetal heart rate had been fine during her rapid labour and second sage and some baby's sit there for seven minutes without a problem? Melissa - Original Message - From: Tania Smallwood To: ozmidwifery@acegraphics.com.au Sent: Tuesday, July 19, 2005 5:53 AM Subject: RE: [ozmidwifery] Things/g. Lemay Well it must have been the moon then last Friday my colleague and I went to see a woman for an antenatal appt, all well at 39 weeks, and then 30 minutes later SROM while we were on our way to the next appt, 40 minutes of labour, hubby rushing through the door, no equipment, kids scissors boiling in a pot on the stove, cord ties thrown together with embroidery thread, baby born in the spa! Lovely, but what a rush for all! Tania x From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Gloria LemaySent: Tuesday, 19 July 2005 3:25 AMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Things/g. Lemay Congratulations, Mary! Last Thurs night I attended a face presentation where the little mentum anterior face/head just sat there turning purple for way longer than I needed. Same thing, tincture of time and it rotated and squooshed into Dad's hands with only 1/2 inch tear. That must have been some crazy midwife moon! Gloria - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Monday, July 18, 2005 5:24 AM Subject: [ozmidwifery] Things/g. Lemay Hi Gloria, remember I said I would ask the mother about posting her C/S Lotus Placenta on Midwifery Today? She said it is fine with her.// Re the delay with the head before birth of the body? Lieve said it might be the moon? A week ago I was 2nd midwife at a lovely home waterbirth and guess what? Babys head was born and 7 minutes later the body was born with the next available contraction. It did seem like a long time and the primary midwife and I had to hold our mouths shut so we wouldnt do the just give a little push instruction. All well. No need to do anything except talk to the baby. Cheers, MM No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.323 / Virus Database: 267.9.0/50 - Release Date: 16/07/2005 No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.9.0/50 - Release Date: 16/07/2005
Re: [ozmidwifery] Re: Colac the Otways - reigniting the flame of reclamation
Good on you all the strong women of Townsville - good luck with getting the women's plans approved (fantastic !!). Kind Regards Sally-Anne - Original Message - From: Philippa Scott To: ozmidwifery@acegraphics.com.au Sent: Saturday, June 18, 2005 9:26 PM Subject: Re: [ozmidwifery] Re: Colac the Otways - reigniting the flame of reclamation Hi Sally-Anne, How right you are that it is by women consumers midwives (women mostly) working together that change is possible. Here in Townsville we have worked closely with the unit managers midwives from the very beginning. The midwives have the knowledge of the system and the consumers have the voices. How powerful we are when standing together. Townsville Friends of the Birth Centre is also taking their own architecturally drawnplansof the free standing birth centre we want to the hospital ministers, we have very clear ideas we are the ones who will change our lives in the building. We have of course consulted midwives sustainability designers in our preparations to make sure we have the best in mind for everyone. We must stand together for what is at the heart of the matter. Women, babies and families. (Including midwives.) In the strength of birth, Philippa ScottBirth BuddiesSupporting Women ~ Creating LifePresident - Friends of the Birth Centre Townsville - Original Message - From: Sally-Anne Brown To: ozmidwifery@acegraphics.com.au Sent: Friday, June 17, 2005 12:38 PM Subject: [ozmidwifery] Re: Colac the Otways - reigniting the flame of reclamation Dear Pauline, Great to hear from you all in Colac. I am sorry I have not been home (Apollo Bay) since feb to support you all. Have had a wonderful catch up with Cheryl Cahill at the Wollongong hospital last year ! It has been truly frustrating to the extreme what has been happenning in the Otways over the past few years. As you may know the Colac Families Babies group have been fighting hard to keep the issues alive and did a brilliant job of taking it to the local press over the past few years. We (the Otway Greens candidates) have also raised and campaigned vigorously for the implementationof localised maternity services with a known midwife (continuity of carer) to be funded at every state and federal election over the past five years. Our closest step was the ALP candidate for Corangamite in the 2001 federal election who gave a 100% costedcommittment to this publically ; at a state wide midwives rally (in reponse tothe insurance debacle) held in Geelong during the election campaign, and throughout the local and state media that played out during the campaign. It is important to note the ALP commitment was supported andapproved by the prime movers and shakers in the federal ALP (the centre right) before the party been preferenced ahead of the conservatives. But of course the reform of maternity services did not get a look in as Stewart McCarthur was dutifully re-elected by our constituents for his umpteenth term and the federal government agenda is to close more services in rural and remote areas to centralise rseources and pump up thealready obstetrically overserviced well women in regional and metro settings. surpise surprise ! I would suggest that if the midwives were to support the women (Colac FAB) who have been campaigning (and some needing to resume other commitments) to reignite the flame and further the issues - you will be able to get the crucial political and media coverage needed to make a difference.This is particluarly important asVictorians go to the polls again in Nov 2006 and a 15 mth campaign could be highly effective. In addition to the next federal election where Stewart may even consider retirement which will also pave the way for reform. We all know there is no evidence to suggest a woman should be automatically transferred because there is no surgical/obstetric cover. Unfortunately you only need to check out where the decisions are being made at Colac Area Health and Otway Health to know that this is not going to change without some serious input from the state and federal pollies. I would like to share with you an example of this: In Feb this yearthe women of the Apollo Bay Families Babies group (AB-FAB) held a rally outside the hospital (Otway Health Community Services). Around 40 women, menand children(of a total pop 1000) gathered to share their stories and opposition to the CEO's decision to pull the plug on women having lost the choice to be able to come back to their local hospitalpostnatally. So women are now not able to return to their families in the 4
Re: [ozmidwifery] Midwifery in East Timor
Dear Margaret, How timely your amazing work -in the year of "make every mother and child count" (WHO). Could you please email me off the list [EMAIL PROTECTED] Thank you Sally-Anne Brown - Original Message - From: Margaret Aggar To: ozmidwifery@acegraphics.com.au Sent: Sunday, June 19, 2005 2:34 PM Subject: [ozmidwifery] Midwifery in East Timor Dear All, I am a Midwife and Childbirth Educator working on the Central Coast of NSW. I went to East Timor in May, after hearing that their mortality rate is 100 times that of Australia! Only 10% of the women birth with a trained professional present. Many birth alone, or with an untrained relative or friend. There are village women who assist with births in the remote villages. One village I visited was a 9 hourbus trip from Dili (just 180 kms away). I have been asked to provide some training for these women in the remote villages so that they are able to better care for these women and reduce the poor outcomes, and to be able to recognise problems during the pregnancy so that they can be moved into Dili before birth. I am working on a training package at present, which will need to be translated into Tetum. The training will take place at a Clinic in Dili where there are about 60 births / month. I also need to become more fluent in their language - Tetum. I will return to East Timor either later this year, or early next year. This is a voluntary venture, and the training will be provided free of charge for the village women, with accomodation included. I will be looking for sponsorship for this as well as resources for these women to use in their villages at the completion of the training. It is anticipated that this will be on-going, with maybe two trips / year to check and see how they are going and provide more training. There are 5 women interested in the training at present. If there is anyone who may have an interest in assisting with this training, or assisting in some way, or would like to know more, please contact me via email. Regards, Margaret Send instant messages to your online friends http://au.messenger.yahoo.com No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.323 / Virus Database: 267.7.8/22 - Release Date: 17/06/2005 No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.7.8/22 - Release Date: 17/06/2005
[ozmidwifery] Fw: AAP story: Abbotts private health insurance angle
Title: Message Hi everyone, apologies for cross postings this is theaap's take on the summit yesterday. basically the smh also ran with the aap line but good to have the 'original' so to speak. Congrats to everyone in Mareeba and Townsville on the timely move from transition to birth. Kind Regards Sally-Anne - Original Message - From: Willis, Liz (Sen A. Ridgeway) To: Sally-Anne Brown Cc: Robyn Thompson ; Jan Robinson ; [EMAIL PROTECTED] ; [EMAIL PROTECTED] Sent: Thursday, June 16, 2005 10:53 AM Subject: AAP story: Abbotts private health insurance angle Fed: Midwife groups call for govt help in securing insuranceIndemnity MidwivesBy Melissa PolimeniCANBERRA, June 15 AAP - Women are being denied childbirth choices because the government is failing to help midwives secure medical indemnity insurance, midwife groups say. Representatives of the midwives meeting in Canberra today called on the government to step in and protect private practitioners by helping them secure indemnity insurance and cover their services through Medicare. Their call was backed by Labor and the minor parties. Jan Robinson of the Australian Society of Independent Midwives said that while the government had helped doctors and other medical professionals through an earlier insurance crisis, midwives had been largely ignored. "The reality is that since we have lost our ability to access professional indemnity insurance, a lot of our members have been forced to quit their practices," Ms Robinson said. The government spent almost $600 million to resolve the doctors' negligence insurance crisis since the near collapse of the nation's biggest insurer, United Medical Protection (UMP), in 2002. The intervention helped prevent a mass walkout by doctors and included direct subsidies to insurers to cut premium costs. Ms Robinson said the government should now step in to help midwives, to give women greater childbirth choices. "There are many women giving birth at home unattended because they cannot access a midwife who will care for them in a private capacity. "And they do not have the trust or the faith in the hospital system to go there and have their babies." But Health Minister Tony Abbott said the government could not force insurers to provide coverage to midwives. "The government is aware that insurance companies won't indemnify self-employed midwives," Mr Abbott said in a statement. "However, the government cannot compel insurance providers to cover independent midwives and the government is not an insurer. "The governments of Western Australia, the Northern Territory and the ACT have extended indemnity coverage to include self-employed midwives and I would encourage the other states to follow." Mr Abbott said the government was willing to help midwives through private health insurance measures. "If the midwives wanted to put a proposal to the government to have independent midwives' services covered by private health insurance we would consider it," he said. Australian Democrats Leader Lyn Allison urged the government to go further and provide Medicare numbers for midwifery services. "If this government is about choice it needs to fix the Medicare schedules so that midwives can be included," Senator Allison said. AAP mjp/sb/jt/sd No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.323 / Virus Database: 267.7.5/18 - Release Date: 15/06/2005 No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.7.5/18 - Release Date: 15/06/2005
[ozmidwifery] Re: Colac the Otways - reigniting the flame of reclamation
but to approach thebody the hospital board and CEO are accountable to - the office of the State health minister. Not only did the minister's senior advisor agree in principle to the need to reinstate the service - he also advocated thatit would be feasible to set up a midwife managed birth unit for the Otways. Of course in response - the CEO proclaimed to the rally attendees it would NEVER happen -We kindly reminded the CEO she is providing a service that is accountable to the consumers that use the service and must abide by the minister's policy of setting up midwife managed birth units in rural Victoria, which the minister had recently advocated in the Future Directions in Maternity Services policy document. Yes it will be an ongoing battle to reclaim our local birthing services - but the women are strong and some of the managerial players may in fact be out of step with their health department's directives. Back to the Colac issue:If the midwives were able tospeak withsome of the keywomen of the Colac Families Babies group this would be advantageous. I would be happy to link up with you off the list to provide further details for you. For your reference a number of midwives attended the Australian Midwives Insurance Summit on wednesday at Parliament House Canberra. Dr Carmen Lawrence (ALP Jnr Vice President, Immediate past President previously Federal Health Minister).Carmen recalled her attendance to give the opening keynote address at the "Communities Choices and Challenges" inaugural birth conference held in Colacin 2001. I was able to provide Carmen with an update on the benefits of the day including the actions of those strong womenof the Colac Families Babiesgroup (Colac FAB)post conference. The women of Colac did not likethe proposed design of the new maternity unit beingbuilt - so they went and had their own plans drawn up with an architect and took them to the hospital board !And despite various attempts to quash their actions, some of the changes they proposed were implemented. What stood out in the process was the benefit to them having had access to hearing from the women campaigners and educators at the conference as being integral to their campaign. I personally do not know of any other maternity unit in Australia that has been in part designed by the women who use the service (please let me know if there are any more out there !). Good luck with the reclamation and implementation of midwifery managed services for the women of Colac and the Otways Pauline. If I can be of any assistance to you (albeit long distance at present), please do not hesitate to contact me. Kind Regards Sally-Anne (Brown) - Original Message - From: Pauline To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 16, 2005 7:53 PM Subject: Re: [ozmidwifery] A birth centre for Townsville - 2nd post, I dont think it came through the first time I am truly envious of the progress you are all making towrds this soprt of thing. We in Colac are currently facing (from 16/6 to 17/7) having no general surgeon in town, as he is on holidays. This means that we are not allowed to acceptANY primips in this time. It was all we could do to convince the drs here that we should be able to accept multis. So this means that any primips or women who are considered to be in a high risk categoryhave to make the trek down the highway to Geelong. Granted it is only an hour but this is so disruptive to women , their families and their support people, as well as us midwives being put in the position of informing these women, as quite often their drs fail to tell them. Oh well, i gues we have to take baby steps. Sally, i know you know exactly what i am talking about.LOL Pauline No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.323 / Virus Database: 267.7.5/18 - Release Date: 15/06/2005 No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.7.5/18 - Release Date: 15/06/2005
[ozmidwifery] Australian Midwives Summit - parliament house canberra today
Hi everyone Re Australian Midwives Insurance Summit and Campaign Launch of the Australian Midwives Indemnity Campaign: held today at parliament house canberra. twas a great day media conference attended by midwives, acmi, maternity coalition and pollies including Senator Aden Ridgeway, Senator Kerry Nettle, Senator Lyn Allison,and Julia Gilllard (MP Shadow Health). Following campaign launch Dr Carmen Lawrence MP, Tanya Plibersek MP and Robert McLelland MP attended a briefing at the round table session. Another media release below - thanks to Jenni Fairi for putting up the abc news online blurb. Tv crews from 10 and ABC othermedia attending included aap, media monitors, the australian financial review report of days outcomes to follow... Kind Regards Sally-Anne Dear Sally-Anne Brown,S B wants you to know about this story on http://smh.com.au. Personal Message:Midwife groups call for insurance helpJune 15, 2005 - 8:51PMURL: http://smh.com.au/articles/2005/06/15/1118645866799.html 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
[ozmidwifery] Brilliant women on the campaign trail
well done Jenny Gamble and Sally Tracy on Radio National tonite ! you were brilliant Sally-Anne 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
[ozmidwifery] AMA Media - 30th May 2005
Hi everyone - this media release was cited on the Australian Healthcare Association's webpage today: Geez... Molloy must be getting worried if he went to all this trouble ! They can't even say the word MIDWIFE ! just good ol doctors and nurses !.good luck Jenny you will have all of us with you in spirit. Sally-Anne http://www.aushealthcare.com.au/news/news_details.asp?nid=5779 News Item Details Title: AMA Queensland Congratulates RBWH Review Into Birth Centre Spokesperson: Australian Medical Association Queensland Date: 30/05/2005 Category: State Health News Description: AMA Queensland President Dr David Molloy today congratulated the Royal Brisbane and Womens Hospital (RBWH) management for agreeing to implement the 31 recommendations made by the Nicholl/McCann Review to improve care and service delivery at the Birth Centre.Dr Molloy said he is pleased to hear that the report has been recognised publicly and the recommendations that many doctors believed were necessary will be implemented in the future.The recommendations include better risk management, regular meetings between nurses and doctors, clear lines of communication between care providers, and improving transfer of care for patients at risk of a complicated delivery.Other recommendations include standardising data management, evaluation, benchmarking and the monitoring process, coordinating clinical practice improvement projects, and providing staff with support in the event they are involved in a sentinel event.Although there has been criticism from midwifery groups about the AMAs position on the Birthing Centre at the Royal Brisbane Hospital, the medical profession has been concerned with ensuring women get the best possible care at the facility, Dr Molloy said.AMA Queensland wants the highest standard of care to be provided to pregnant women and their babies and ensure that any report investigating the care that is provided in the public hospital system remains transparent and accessible, he said.AMA Queensland President Dr Molloy said he has publicly dismissed the nickname labelling the facility as the killing fields and apologised for the anxiety this may have caused pregnant women.This emotive statement may have undermined the publics confidence in the care that is RBWH staff had about the centre, he said.AMA Queensland President Dr Molloy has consistently acknowledged that the service meets the need for pregnant mothers and has said that the centre should remain open. The new recommendations will ensure that there is greater cooperation between doctors and nurses to make sure that patients receive the highest standards of care at the birthing centre, he said. CONTACT: STACEY COGLAN on 07 3872 2221 or 0400 110 565 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
[ozmidwifery] Nine News 30th may
AMA blasted over 'killing field' comment http://news.ninemsn.com.au/article.aspx?id=51455 08:29 AEST Mon May 30 2005 AAP Queensland AMA president Dr David Molloy has denied labelling the birthing centre at the Royal Brisbane and Women's Hospital a "killing field" but admits that the description is used by others. Dr Molloy said the name was commonly used around the hospital, but he did not coin it. Queensland Health Minister Gordon Nuttall, the Nurses Union and the Queensland Greens have all condemned Dr Molloy over the words he used when he said the centre was in dire straits and called for the public release of a Queensland Health-commissioned report on the centre. Mr Nuttall said it was an appalling thing to say. "We have over 5,000 children born at the Royal Brisbane Hospital every year - 350 of those children each year are born at the birthing service and we've had only two incidents in 10 years." The birthing centre is run by midwives with doctors only called in to assist during emergency labour situations. Nurses Union spokeswoman Gaye Hawksworth said Dr Molloy's criticism was unfounded and possibly an attempt to divert attention from the Morris inquiry into the Dr Death scandal. Queensland Greens health and women's issues spokeswoman Juanita Wheeler said the killing fields comment was an outrageous act of desperation by doctors who feared the loss of their dominant position in obstetrics. But Dr Molloy defended his criticism of the centre, saying problems that occurred with births there did not show up in data because when they did occur patients were often transferred to other sections of the hospital. "Complications appear under another units' figures," Dr Molloy said. He said the Australian Medical Association (AMA) was not calling for the centre to be closed but the risks of women attending the birthing centre needed to be properly assessed. "Supposedly, only the lowest-risk women are supposed to go to the birthing centre." Dr Molloy said because mothers were making choices about where they were going to have their babies it was important the results of the review be made public. He said the term "killing field" was a sarcastic nickname used by hospital staff in referring to the birthing centre. "It's not one that I coined and it's not one that I have previously used. "I did make it clear at the time, it's one that is used more by the staff because of the number of near misses that occur there." He said doctors, in general, and the Royal Australian and New Zealand College of Obstetricians and Gynaecologists supported the existence of the birth centre but only when doctors and nurses worked collaboratively to provide best care. "If you don't have your doctors and nurses working together in a functional way to look after patients there is an increased risk." ©AAP 2005 No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.322 / Virus Database: 267.3.0 - Release Date: 30/05/2005
Re: [ozmidwifery] Baby!
Congratulations Jo - fantastic and gorgeous news ... enjoy it all ! Kind Regards Sally-Anne - Original Message - From: JoFromOz [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, May 27, 2005 12:19 PM Subject: [ozmidwifery] Baby! Hello one and all. Just a quick note to let you know that my darling little William Matthew Watson is here! He arrived at 0529 this morning born in water at home with membranes intact, and he's gorgeous! 3.4kg, 50cm length, 33cm head, attended by the honerable Mary Murphy :) That's all for now. Love Jo (RM) -- 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: 266.11.16 - Release Date: 24/05/2005 -- 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.
[ozmidwifery] Children mothers in detention
Following the interview with Viviene and Naomi (3yrs) Leong this am where their story of Naomi being born in detention and subsequently suffering psychological damage as a result of the detention (includingbeing forcibly separated from her mother at one point for a week) ... The Channel Seven Sunrise program are conducting a poll today (closes later today). POLL: Should children and their mothers be released from detention centres ? phone 1902 555 552 - to vote yes phone 1902 555 553 - to vote no Results of the poll at 7.30am:35 % have voted yes and 65 % have voted no Sally-Anne No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.322 / Virus Database: 266.11.14 - Release Date: 20/05/2005
Re: [ozmidwifery] Epidural top-up Policy
Title: Re: [ozmidwifery] Epidural top-up Policy Exactly - well said Justine congrats on your wonderful baby news. Why the midwifery profession proports and has come to to provide the care usually done by ananaesthetic team(in OT)is beyond my comprehension really. It is a continuum of the doctor-handmaiden stuff.The care of a woman having an epidural in my (limited) experienceis usuallyattended by only one other health professional - andthat is ananaesthetic team or have other professional arms also agreed to do this as well ? In a world where some ob's think we might not even have vaginal births in the next cple of generations ( National media from one of the Ob's attending the RANZCOG conference in Hobart 2005).. one has to wonder what other handmaiden roles the ob's, anaesthetists and obstetricians will come up with next, that will be pushed onto midwives and perhaps even taken up !!! This surely has to ring alarm bells when it comes to the legal, ethical and professional considerations of how and why midwives have adopted the practices of another health professional's scope of practice. If an anesthetic is provided,into the spine - surely the anaesthetist is responsible for the care of that person whilst under the anaesthetic ? One thing is for sure, we all know whothese trained epidural specialists would try to be blame - if something went wrong On another note, as an advocate for one-to-one midwifery care with a known midwife, my observation is with the emergence of someprimary models of midwifery care, there is a common theme of enormouspressure fromthe medicos to have these models also take onthe(ir) medical ways. I have noticed in some position descriptions and accreditation competency standards for midwives,that in the name of 'safety' etc we maybe inadvertentlyswaying to the powerof our medical colleagues as we take on the(ir)medical hedgemony of safety, technology, science etc to justify the existence of primary midwifery models of care. I am not essentially opposed to having these skills however - it is interesting to note that in some primary midwife models (P.D's and accreditation processes), not only are the essential criteria more strongly focussed on the 'medical aspects' of maternity care eg: ALSO etc, in contrast there is generally no essential criteriacited for having attended appropriate midwiferytraining to be able to provide primary care for example : active birth workshops, preceptor training with an IPM or home birth program such as CMWA etc. Surely this is as if not more important as an essential criteria for practice ? I would advocate that we need to provide a balance here - as it is vital we do not go down the road of taking on the speak and practice of the medico's lending to some primary practice's developing into a 'hospital in the home' scenario. If midwives united and said 'no' to being the obstetric or anaesthetic handmaidens in hospitals - we would havemuch more opportunity to learn and practice the art of midwifery- and be truly qualified to provide care as a primarymidwifery. I know that the women I speak with do not want me trained in 'taking on' the role and responsibility of the anaesthetic team, rather theylook for a person who has trust in their ability to birth, to listen, to intuit and to practice with care, competence and safety. As we are borning the new midwife with 'Bachelor of Midwifery' programs - perhaps this is the way forward in becoming clear about removing ourselves from taking on anotherhealth profession's responsibility - ie: do not have midwifery students engage in the provision of epidural care. The midwifery professioncould arguethat the legal, ethical and professionalissues of providing care of a woman 'having or got an epidural'does notqualify or fall withinour midwifery scope of practice. Kind Regards, Sally-Anne Brown - Original Message - From: Justine Caines To: OzMid List Sent: Thursday, May 19, 2005 10:07 PM Subject: Re: [ozmidwifery] Epidural top-up Policy Dear Lisa and AllYou seem to have missed my point. I did not advocate against women choosing an epidural, I said the use of epidurals should not be within a midwifery scope of practice and I stand by that. I find it insane when a fraction of midwives actually work as midwives and yet we yell and scram to keep supporting all the obstetric who ha. Don't worry all that stuff is very safe. I agree every womanneeds a midwife, regardless (but topping up the epidural is not being a midwife)As to who should do it, yes let the Drs go for it, it's their domain! If midwives determined what was and wasn't midwifery then we would have real changein this country NOW.We will never see midwifery practiced fully while there is such support for an obstetric model with all its trappings. The balance is so severely skewed it is time to get realand
[ozmidwifery] Fw: Treasurer must support midwives in Budget: Greens
Title: Message Hi everyone, Apologies for cross-postings Here is the Greens media release to mark IMD. FYI Senator Kerry Nettle (NSW) is the Greens Federal Health and Women's spokesperson of the Australian Greens. Hope you have all had a great day and continue to enjoy the celebrations over the weekend. Kind Regards S.A. - Original Message - From: Lawson, Damien (Sen K. Nettle) To: Sally-Anne Brown Cc: [EMAIL PROTECTED] Sent: Thursday, May 05, 2005 2:29 PM Subject: Treasurer must support midwives in Budget: Greens 5.05.05 Treasurer must support midwives in Budget: Greens Greens Senator Kerry Nettle today on International Midwives Day backed midwives around the country who are calling on the government to ensure midwives have access to indemnity insurance and can practice. Senator Nettle called on the government to ensure next weeks Budget allocates funding to midwives. Mothers in all states will lose access to midwives and be forced into expensive and unnecessary hospital based, and GP based anti-natal care if the government does not act to solve the indemnity crisis for midwives. Senator Nettle said. Its easy for the Treasurer to make jokes about parents having one [child] for the country, but he needs to back that with funding to ensure parents have real choices about who assist them at the childs birth. The Treasurer has let the insurance crisis for midwives drag on for too long. We need to see action in this Budget. "The Greens support the examination of a 'no fault' medical indemnity scheme, such as in New Zealand, that could be accessed by midwives to allow them to practice. In the meantime the government should support midwives access to medical indemnity insurance to give thousands of expectant mums who are relying on midwifery services peace of mind. Supporting midwives makes economic sense, with the costs of births assisted by midwives well below those relying on often unnecessary and expensive medical intervention. Marking international midwives day, midwives and their supporters around the country are collecting signatures to be presented to the government on May 11. Information-Jon Edwards 0428 213 148 No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.308 / Virus Database: 266.11.2 - Release Date: 2/05/2005 No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.11.2 - Release Date: 2/05/2005
[ozmidwifery] International Midwives Day
Apologies for cross postings, SA - Original Message - From: Sally-Anne Brown To: ozmidwifery@acegraphics.com.au Sent: Thursday, May 05, 2005 7:01 AM Subject: Happy International Midwives Day ! Happy International Midwives Day to all midwives May your day be filled with much joy, appreciation andnourishment and above all, a wonderful celebration ofthe unity, sacrednessand spirit of birth. For those midwives and women celebrating with stalls and activities today, please consider printing off some of the 'hands for midwives' to enable people to sign today, thank you PS If you need copies sent to you I am happy to email them off the list No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.11.2 - Release Date: 2/05/2005
Re: [ozmidwifery] Midwife petition
Dear all - with the deepest respect this discussion is valid and definitely worth having however I do not think the wording of the hands should be viewed as a final concluded statement about the midwife. there are many midwives in this country who call themselves IPM's, homebirth midwives, midwives, midwife practitoners, bush midwife or village midwife andtraditional midwife - to name a few . the hands are a petition only to set up an enquiry at govt level. aiden is out after july 1. it is the ipm's who have got the ball rolling on this and set up the petitions and have asked for our support to help get medicare and insurance issues on the national agenda as a matter of urgency - THIS IS WHAT TRULY MATTERS. If it is such a huge problem - then do your own hands and send them please to Jan asap. Mary M - you have said it all really, there is nothing the medicos would love more than to divide and conquer we must be united and work towards ways of working together in a unified way. there will always be aspects of a campaign strategy that people feel they can not align themselves too - and one can conscientiously object be aware though this does not mean the issues are lost in the process... after july 1 things will be much much tougher at a senate level... please consider dropping this line for now and ammending if you need to. but our midwife elders who have supported women tirelessly for years and kept the homebirth fires burning -and paved the way for all of us in the profession of midwifery have asked for our support. i hope as many of you as possible can attend the meeting on the day or offer support to these courageous and energetic women. Sally-Anne - Original Message - From: Dean Jo To: [EMAIL PROTECTED] Cc: [EMAIL PROTECTED] ; ozmidwifery@acegraphics.com.au Sent: Tuesday, April 19, 2005 7:45 PM Subject: [ozmidwifery] Midwife petition I have had an interesting experience regarding the midwife insurance petition today that I was hoping can be passed on to those who are conducting it. There was a great opportunity for me to get quite a number of signatures today but the thing that was focused on was the wording of the document, in particular the reference to midwife Practioner. There is strong opposition to the term as it fragments the role/scope of practice of midwives. Midwives have a scope of practice which does not require the segmentation of the type of midwife. A fully trained midwife does not need to do further study or qualifications to them be a Midwife Practioner. It implies that one midwife is more qualified than another like the nurse and the nurse Practioner. The ACMI are working hard to get recognition for the role of a midwife and the scope of practiceall midwives are/should be able to do ante-natal, intrapartum and post natal including pathology and testing (despite the fact that the current system does not formally allow them to do so due to the issues with Medicare provider numbers) It was unfortunate that the wording was on the petition as no one would sign it on that ground. I know it sounds pedantic but it is a very serious issue for many midwives. Can this be passed on to those conducting the petition so they are aware of it? They can contact me if they wish to discuss it. Cheers Jo --No virus found in this outgoing message.Checked by AVG Anti-Virus.Version: 7.0.308 / Virus Database: 266.9.15 - Release Date: 4/16/2005 No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.308 / Virus Database: 266.9.16 - Release Date: 18/04/2005 No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.9.16 - Release Date: 18/04/2005
[ozmidwifery] Re: mexican sling
What a great story Andrea - and the wonderand joy this birth has been for the whole family - with the reclamation ofthis sacred space. Hopefully for many generations to come for this family ! Re the mexican ? sling - (this was the name given as I recall) Susanne Houd did the demo in sydney. it never ceases to amaze me howfantastica woman's body is - and given the right environment - will do what is neededanyway. perhaps more than we ever know or realise at the time. well done on seeing it and recognising it first hand - another wonderful gift for this women and her family. sally-anne - Original Message - From: Andrea Quanchi To: ozmidwifery@acegraphics.com.au Sent: Thursday, April 14, 2005 10:28 AM Subject: Re: [ozmidwifery] Foetal positioning Had an interesting situation the other day. Came on the PM shift to be with a woman who had been induced with prostin the evening before spontaneous ROM two hours later then nothing and so synt in the AM. Noted on admission by midwives that baby OP and mother resisted co operating in any suggestions to turn it because her GP had told her that the baby was all ready to go. When I came on she was lying down complaining and resisting to move because her back was hurting to much!I sat and watched for a couple of contractions and then said in a confidant manner oh thats easy to fix I'll run the bath. Which I did and in she got with her sister dragging along behind reminding me that she would not be able to get out again. I reassured her that I had never had a woman who had remained in the bath for ever so it would be OK.Once in she proceeded to relax and after a very short time began swaying with the contractions, still on her back but almost flat with her head in the water and feet apart but flat on the bottom.Then she began thrusting her pelvis skyward with each contraction and it reminded me of the mexican shawl thing that we were shown at the Andrea Robertson study day recently. What was it called Andrea Anyway shortly afterwards she opened her eyes and said I'll need to push soon. Which she did and went on to have her baby with a very moulded head. Despite her resistance to all suggestions to rotatet her baby she instinctively did it her self once in the water which was deep enough to enable her to float freely.When we were talking about it afterwards she told me that her GP had told her that there was an 80% chance she would have to have a LUSCS because her mother had had all difficult forcep births and her sister had had two LUSCS. So she had convinced herself that she just had to endure whatever until he decided to do the LUSCS??How sad is that and talk about sabotage.There were four generations of women in that room as the baby arrived and the three elder ones were dumb struck at the beauty of it and the was she had been encouraged to labour. We had a discussion above the little listening ears of the 4 5 year old nieces who came in minutes after the baby arrived but had sat around all day waiting because their Mum was supporting their aunty about how they could empower those girls by the language they use to talk about birth now that they had seen how it could be done. At least those girls might have a chance.All in all a satisfying result. but my message was really how she had used the thrusting motions in the bath to turn the OPAndrea QuanchiOn 13/04/2005, at 8:29 PM, Sally Westbury wrote: Foetal malposition lengthens labour and poses maternal risksSource:Obstetrics Gynaecology 2005; 105: 763-72 Assessing the impact of foetal position at full dilatation on labour duration and indicators of maternal morbidity. Pregnant women with occiput posterior or transverse position at full dilatation are at increased risk of a prolonged second stage of labour and of maternal morbidity, research shows."Since Mauriceau's classical work was published in 1681, the occiput posterior and transverse malpositions have remained an obstetric challenge," write Julie Senecal (Laval University, Canada) and colleagues.For the current study, the team assessed the effect of such foetal positions on the duration of the second stage of labour and on indicators of maternal morbidity, using retrospective data for 210 women whose foetus was in the posterior position, 200 with it in a transverse position, and 1198 with an anteriorly positioned foetus.This revealed that foetal malposition at full dilatation was associated with significant maternal morbidity, including increased risks of instrumental delivery, caesarean delivery, oxytocin administration, episiotomy, and blood loss exceeding 500 ml.In addition, the duration of the second stage of labour with early or delayed pushing was higher for
[ozmidwifery] Support for our campaigners - keeping it strong
FYI A tibetan story from 2003 of rural birth from china's perspective. It is about as valid as their take on the 'peaceful takeover of tibet in 1951' to claim women should birth in hospitals for safety. I guess the payment scheme to promote removal to birth in hospitals- will in part win at the end of the day. And is reminise ofwhat so many govt's do to herd 'women' intoline - furthering their agenda to oppress and conquer. Having just celebrated world health day - one does wonder what govt's are really doing to make every mother and child count... http://www.chinadaily.com.cn/en/doc/2003-07/08/content_243854.htm For me it is crystal clear from the weekend australian (battlefield birth) that in oz we cannot afford to loose the campaign for the right of women to birth with midwives, in the setting of their choice, close to their loved ones and community -fully funded by govts across the nation. It is going to probably get tougher in some ways from now on as the ones who wish to keep us oppressed and conquered ( the majority of govts/medicos etc) will fight tooth and nail to keep the norm. And with the federal coalition taking over the senate from july 1 - things will get tougher. You don't need to look any further thandonations at election time to see the roots of the rot eg: www.democracy4sale.org Across the globe, it is vital that we all stand united and support the hard work of our national and global consumer and midwifery bodies to reclaim our right to birth, parent and live as women, free from oppressive regimes, famine, war and the like. In Australia - the women (and men, yes there are a few) who campaign for all women (in particlular the non-for-profit groups like MC) are struggling to do their unpaid work, be mothers and mother to be, and save our maternity services in areas being eroded and expand on the minimal services we do have. Many of you may or may not know that some of our campaigners have spent thousands of dollars of their own money to do this work over the past few years. In recognition of the work of these women men - I ask that you all support their work in the myriad of ways this can be done. It could be an email saying thank you, it could be an offer to cook a meal for their family, or to assist with child care. It could be a paid invitation to speak at an area health service or conference. These women menneed our support and if possible our funds. In the year of world health day 'make every mother and child count' - it is essential that we support the campaigners who are working tirelessly to acheive this in australia. And who normally rely on memberships and occassionally small grants to survive. If every person on this list considered a reasonable donation to the national consumer groups Maternity Coalitionor Homebirth Australia - between World Health Day (April 7 2005) and International Midwives Day (May 5 2005) - this would provide some of the much needed assistance to maintain the energy of the campaign. By way of clarification - these are my personal thoughts and aspirations. At a time when it is going to be a given that many campaigners will feel the enormous pressure of govt and medico oppression that we minimise the inevitable 'burnout' and at least try to prevent this from occurring too harshly. We must afterall recognise and respond to the need to - care for the carers - and truly make every mother child count. Sally-Anne (Brown) No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.9.6 - Release Date: 11/04/2005
[ozmidwifery] National Rural Health Alliance - WHD Media
Media Release 6 April 2005 Make Every Mother and Child Count in rural and remote Australia World Health Day 2005 (7 April) has the theme Make every mother and child count. This is another opportunity to consider how Australia can best provide safe birthing options to all women in or near their home area. Many women in rural, regional and remote areas currently miss out on their right to the safe birth of their choice, and have poor access to an event that, more than any other, can lay the basis for a lifetime of good health for their child. The Alliances project on Birthing in the Bush has aroused great interest, according to Sue McAlpin, Chairperson of the NRHA Council. Small birthing units are closing. There is a serious shortage of practising midwives, obstetricians and anaesthetists to form the maternity teams we need in country areas, she said today from Wagga Wagga. Multi-disciplinary care after birth is also required and often lacking in non-metropolitan areas. The Alliances project is developing a plan that would deliver maternity services, including ante natal and post natal care, to meet the needs of women in particular regions. Remote areas obviously need different models than regional centres. We are particularly concerned about how women in remote areas, including Aboriginal and Torres Strait Islander women, can have safe options that maximise their chance to give birth in their home area, Ms McAlpin said. We have been given great encouragement by Member Bodies on this issue. The indemnity, workforce and professional boundary challenges can all be overcome. But it will take leadership, additional national resources, and good will from professional bodies and their members. These are things that will be willingly delivered if we heed the passionate and well-founded views of the mothers, families and communities involved, Ms McAlpin said. A safe and happy birth is not only the most important single lifetime health event, Ms McAlpin said. Getting it right is also the best investment we can make in future health and well-being; - a healthy pregnancy, a good birth and high quality post-natal care are key determinants of a healthy life. The Alliance is building on the Forum it held late last year and working through a number of policy options with interested parties. It hopes to be in a position to put an agreed policy proposal to the Minister for Health within three months. Australia will be healthier and better off if every woman and child in rural and remote areas is made to count in the debate about health programs for the future, Ms McAlpin said. Further information: Sue McAlpin, Chairperson 02 6933 2684 Gordon Gregory, Executive Director 02 6285 4660 Visit www.ruralhealth.org.au for recommendations from the 8th National Rural Health Conference No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.9.3 - Release Date: 5/04/2005
Re: [ozmidwifery] SBS TV show - DNA testing
Dear Andrea and all on list, Can't help out on this one but just thought i'd mention the Catalyst program on ABC Thurs's 8pm looked at the issue of paternity testing using dna a few weeks back - and surprise surprise found the testing to be inconclusive. Therefore questioning it as reliable evidence in a court of law - where it has been accepted virtually without question. Kind Regards Sally-Anne - Original Message - From: Andrea Robertson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, April 07, 2005 7:08 PM Subject: [ozmidwifery] SBS TV show - DNA testing Hello everyone, I have received this request from SBS and am forwarding it to the list - perhaps some of you can help... Andrea Date: Thu, 07 Apr 2005 16:10:11 +1000 From: Mark Maccallum [EMAIL PROTECTED] Subject: SBS TV - Insight program To: [EMAIL PROTECTED] X-Mailer: Novell GroupWise Internet Agent 6.5.1 X-TPG-Antivirus: Passed X-TPG-Junk-Status: score=0.0 tests=none X-TPG-Junk-Result: determined as NOT junk email, using custom threshold of 4 Hello Katheryn, The Insight program is broadcast nationally on SBS TV each Tuesday evening at 7.30pm. It is a 50-minute discussion program hosted by Jenny Brockie. The format is: a studio environment where Jenny mediates a discussion between experts and members of the public on a subject relevant to contemporary Australian society. The subject for our May 2nd record date is: DNA Paternity Testing. We are expecting the studio audience to be comprised of: representatives from the DNA testing industry; men who have sought DNA testing to answer their concerns over paternity; representatives from women's groups and men's groups; women who have given birth where the paternity was uncertain or unknown; relationship counsellors; members of the relevant law and family court bodies; plus members of the general public. We are finding it rather difficult to locate women who have had first-hand experience with DNA paternity testing: either, from having personally sought a DNA test for their own reasons, or from having been asked (or required by law) to participate in a paternity test. It must be understood by any women who choose to participate in our program that they would be fully identified visually, though their surname need not be known. I would be most grateful if you circulated this invitation around your database. Any women who have had a DNA paternity testing experience would be welcomed. However, we would be particularly pleased to hear from a currently-pregnant woman with questions about the paternity of her child. Or a new mother who has elected so far not to assign paternity to any particular man. There are two ways to appear on Insight. Either we fly the person to Sydney to appear in our studio audience, or we travel to the person and film an interview. At Insight we are proud of our repuation as a serious-minded program and I hope, therefore, that any potential participants in our debate will feel confident in approaching our program. I can be contacted at any time on (02) 94303688 or on my mobile: 0432 050264. Kind Regards Mark Maccallum Reporter/producer - Andrea Robertson Birth International * ACE Graphics * Associates in Childbirth Education e-mail: [EMAIL PROTECTED] web: www.birthinternational.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.9.3 - Release Date: 5/04/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.9.3 - Release Date: 5/04/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] email address
Hi Sally, Here tis Leslie ArnottE-mail Address(es):[EMAIL PROTECTED] Sally-Anne - Original Message - From: sally To: ozmidwifery@acegraphics.com.au Sent: Tuesday, April 05, 2005 11:50 PM Subject: [ozmidwifery] email address Does somebody have Leslie Arnotts email address thanks Sally No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.308 / Virus Database: 266.9.1 - Release Date: 1/04/2005 Clear Day Bkgrd.JPGNo virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.9.1 - Release Date: 1/04/2005
Re: [ozmidwifery] Brisbane hospitals alleged discriminatory employment
Thanks for the update Joanne and the reminder re my anti virus update. Had been away for a few days and was updated yesterday around the same time I was on line. Apologies I did not realise it wasn't finnished when I sent the email through. Nearly all my ozmid mail appears to have an 'attachment' when it comes in but actually doesn't. It is the email itself that is the 'attachment' if you know what I mean. So the answer to your query is no I did not send an attachment my guess is it was the email itself. All the best for the campaign to have all midwives employed who wish to work at the Brisbane hosi's you mentioned will not employ DEM's. I think they would need to be very careful they are not setting themselves up for a discrimination claim/s as it is the registration board that determines whether the training requirements of all midwives (here and o/s) have been met to register as a midwife, and not the area health services. What does the QLD rego board think about the hospitals taking the Rego board's laws into their own hands ? One would think they might view this as the hospitals stepping over the line, as onewould imagine..!! Kind Regards Sally-Anne - Original Message - From: Mrs Joanne M Fisher To: ozmidwifery@acegraphics.com.au Sent: Wednesday, March 30, 2005 7:18 AM Subject: Re: [ozmidwifery] Re: testing my email again as I am receiving but unable to send - sorry for the humbug Not sure why, but an attachment came with your email, did you send one? Also, note at the bottom of this email the out-of-date internal virus datatbase. Cheers, Joanne. - Original Message - From: Sally-Anne Brown To: ozmidwifery@acegraphics.com.au Sent: Tuesday, March 29, 2005 5:38 PM Subject: Re: [ozmidwifery] Re: testing my email again as I am receiving but unable to send - sorry for the humbug Helen, The same thing has happenned to me over the past 2-3 weeks. I find the odd one gets through and others don't. Kind Regards Sally-Anne - Original Message - From: Helen and Graham To: Ozmidwifery Sent: Sunday, March 27, 2005 5:13 PM Subject: [ozmidwifery] Re: testing my email again as I am receiving but unable to send - sorry for the humbug I seem to be able to receive from but not send to the list.I have contacted the list administrator but haven't heard anything back yet Internal Virus Database is out-of-date.Checked by AVG Anti-Virus.Version: 7.0.308 / Virus Database: 266.8.0 - Release Date: 21/03/2005 Internal Virus Database is out-of-date.Checked by AVG Anti-Virus.Version: 7.0.308 / Virus Database: 266.8.0 - Release Date: 21/03/2005 No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.308 / Virus Database: 266.8.4 - Release Date: 27/03/2005 No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.8.6 - Release Date: 30/03/2005
Re: [ozmidwifery] Re: testing my email again as I am receiving but unable to send - sorry for the humbug
Helen, The same thing has happenned to me over the past 2-3 weeks. I find the odd one gets through and others don't. Kind Regards Sally-Anne - Original Message - From: Helen and Graham To: Ozmidwifery Sent: Sunday, March 27, 2005 5:13 PM Subject: [ozmidwifery] Re: testing my email again as I am receiving but unable to send - sorry for the humbug I seem to be able to receive from but not send to the list.I have contacted the list administrator but haven't heard anything back yet Internal Virus Database is out-of-date.Checked by AVG Anti-Virus.Version: 7.0.308 / Virus Database: 266.8.0 - Release Date: 21/03/2005 Internal Virus Database is out-of-date. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.8.0 - Release Date: 21/03/2005
[ozmidwifery] The child abuse angle - the next assault
Dear all, It would appear that the trend for health professionals to attempt to use child abuse allegations upon women who seek out appropriate midwifery care or wish to complain about their care is spreading far and wide. This link is to a media release cited on the Association for Improvements in the Maternity Services (AIMS- UK) website. http://www.aims.org.uk/pressReleaseSAhmed.htm Kind Regards Sally-Anne Brown No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.7.4 - Release Date: 18/03/2005
[ozmidwifery] Re: suspension
Donna, Have you considered or are you able to get the woman involved to contact the ombudsman and the minister's office of the state or territory you are in ? If you are in NSW this method of discipline towards you and control over a womans rite to choose her primary caregiver is in complete contrast to the NSW govts maternity policy and future directions docs. Perhaps the woman invloved can get support from the Maternity Coalition, as well as yourself. Perhaps consider organising with your local MC branch and the women to have a rally, media support etc.. It is essentially a move to discredit the woman's choice to have you as her caregiver. Not to mention implementing the oppressive angle of 'forced removal' of a midwife who is providing informed choice What evidence has the health service provided that they wont insisit on her abiding by their regimes/protocols etc. Have they advised her what model is actually on offer . and that she can accept or decline what is on offer ? You must be such a threat to the management to be suspended over this !! I thought it would be over a real threat like mot providing appropraite midwifery care .. Keep the faith Donna, Sally-Anne (Brown) - Original Message - From: [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, March 22, 2005 8:13 AM Subject: Re: Re: [ozmidwifery] First birth HI mary I agree, I am currently on suspension because I tried to shortcut the system one by seeing a woman and organising her ante natal required testing outside of the clinic and two by telling her she had a choice, if she wants to have her baby in the hospital it must be done by their protocols, her fears, expectations and wishes don't count. It is just so frustrating donna Mary Murphy [EMAIL PROTECTED] wrote: Lindsay wrote women tell me that going to an Obstetrician means that they don't have to wait up at the hospital clinics for hours, and at least they see the same person each visit. I understand where they are coming from, it just seems that, 'one person' they see, should be a Midwife. Why is it that women have to wait so long at public clinics? All the women I ask to attend a pub clinic for homebirth backup booking tell me the same. sometimes it is a factor in them not going for the visit and refusing to return at a later date. The Obs has his receptionist and ? one other? why do we have so much support staff in hospital clinics and yet it can take all morning waiting for an appointment . It makes women feel as tho they are 2nd class citizens. Is there an efficiency expert out there that could fix this? 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. -- No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.7.4 - Release Date: 18/03/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.8.0 - Release Date: 21/03/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] proposed list n'letter for caseload midwives
Dear Anne, I am fully aware of what you are proposing, I am simply stating the supports you are admirably seeking to implement already exist. The fact you have raised this as a need, in turnalerts me to the fact thatwe needto let more midwives know about these options of support. Perhaps I have misunderstood your'e initial email which was I thought to set upcontact and support for all midwives working in continuity of care models. Or are you only speaking of birth centre midwives ? This is why I have suggested theACMI website has the means for this type of dialogue now too, in addition to the ASIM and the MC Midwives links. For what it is worth and I sincerely hope I have misunderstood your intention here,I would be concerned that a list for midwives practising in continuity of care (and continuity of carer) modelsshould ever state it is not consumer focused. Mothers and midwives will only ever advance maternity service provision and the midwifery profession in Australia, working united together. Kind Regards, Sally-Anne NB:To all ozmidders, my apologies for the typo of putting the abbreviation 'ACMI' in my previous email in the segment on the Australian Society of Independent Midwives which should have read 'ASIM'. - Original Message - From: Anne Clarke To: ozmidwifery@acegraphics.com.au Sent: Wednesday, March 16, 2005 6:55 PM Subject: Re: [ozmidwifery] proposed list n'letter for caseload midwives Dear Sally-Anne, I am proposing a newsletter/communication by phone, email etc to Midwives in particular that work in Birth Centres (but anyone who is interested). It is fairly specific and is not consumer focused but Midwife focused for collegues in a Birth Centre model of care. Regards, Anne No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.308 / Virus Database: 266.7.3 - Release Date: 15/03/2005 No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.7.3 - Release Date: 15/03/2005
Re: [ozmidwifery] proposed list n'letter for caseload midwives
Dear Jo and Anne, It appears what is being proposed is one list is for consumers (MC) and one for midwives. I would agree however that as a midwife and midwifery activist such a dialogue as proposed by Anne is great to have. However the mediums forthis dialogue I beleive already exist and perhaps are not been utilised to their potential yet. For example the Maternity Coalition Midwives list is one list where caseload midwives support each other and have been for a few years. The midwives also work collaboratively with women andco-produce the Maternity Coalition newsletter Birth Matters which manyof the issues experienced by midwives and consumers are explored. If you have not seen the newsletter I urge you to visit the MC website www.maternitycoalition.org.au For anymidwife wanting to join the MC Midwives list please email the moderator Joy Johnston at [EMAIL PROTECTED] Finally another organisation which has supportedwomen who have practiced caseload in Australia for nearlytwenty years, is the Australian Society of Independent Midwives. The ACMI have state and national branches and can be contacted by emailing Jan Robinson at [EMAIL PROTECTED] Ialso agree with previous comments made that anotherexisting medium to consider utilising more is our national midwives organisation, the ACMI. As the journey of every midwife to be able to practice competently in every settingis now finally becoming a reality in Australia, we need to be more supportive of our college to implement the strategies for national progress in midwifery. That is all midwives will have to be or become competent in caseload practice, and to be able to practicein the setting of the woman's choice, whether it be home, birth centre, free standing unit, a cmp etc. I am concerned that the dialogue you propose Anne is reinventing the wheel to some degree, yet is essential to all midwives and therefore needed on a broader scale. And perhaps should be advertised through the ACMI journal as well as the national consumer organisation, Maternity Coalition as a first step. That is do we need another list and newsletter medium etc to have this dialogue and support for caseload midwives ? It is vital ata time when Australian midwives are seeing reforms in midwifery scope of practice, competency standards (slowly but surely catching up with the rest of the globe as per the ICM defn's), consumer led activism where polllies are starting to listen to what women want, that we ensure all midwives have access to this information. This is particularly important for midwives who fear these changes and are therefore resistant to practice caseload models. I believe that we must be thoughtful in the way such a dialoge ismaintained. A positive step forward I believe is for us to have dialogue first about how to progress with the support options that exist, before implementing new ones. Thank you for putting the issues out there... Kind Regards Sally-Anne Brown - Original Message - From: Anne Clarke To: ozmidwifery@acegraphics.com.au Sent: Wednesday, March 16, 2005 7:21 AM Subject: Re: [ozmidwifery] annes list of details Dear Jo, No, we are not as you are gathering a list of contacts for everyone to (colleagues and clients) to be able to know what is available. Whereas I want to keep in touch with colleagues only at this time and write a newsletter and hopefully supply support from each other that work in a continuity of care model e.g. Birth Centre, team Midwifery etc. Regards, Anne - Original Message - From: Dean Jo To: ozmidwifery@acegraphics.com.au Sent: Tuesday, March 15, 2005 8:41 PM Subject: [ozmidwifery] annes list of details The information Anne requires is the same that I do are we doubling up here Anne? There is no point in both of us collecting the same info from everyone. Perhaps we can work together on collating the different information that we are advised exist. Can you email me off list to discuss this? [EMAIL PROTECTED] cheers Jo__ NOD32 1.498 (20030901) Information __This message was checked by NOD32 Antivirus System.http://www.nod32.com --No virus found in this outgoing message.Checked by AVG Anti-Virus.Version: 7.0.308 / Virus Database: 266.7.2 - Release Date: 3/11/2005 No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.308 / Virus Database: 266.7.2 - Release Date: 11/03/2005 No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.7.2 - Release Date: 11/03/2005
Re: [ozmidwifery] Womens options
Thanks Mary for the clarification and well done to you all Kind Regards Sally-Anne - Original Message - From: Mary Murphy To: list Sent: Monday, March 14, 2005 11:31 PM Subject: [ozmidwifery] Womens options Sally Anne Wrote: "Congratulations to one and all on an amazingly successful, politically strategic and inspiring campaign to keep home birth an option for the women of Fremantle where it belongs...in the community". Just clarifying that we (CMP)serve the whole of the metropolitan area and outer metro area. It just happens that the Office is in Fremantle.cheers, MM No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.308 / Virus Database: 266.7.2 - Release Date: 11/03/2005 No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.7.2 - Release Date: 11/03/2005
Re: [ozmidwifery] waterbirth
Dear Sally and all on list check out theHomebirth Australia website for both bill of rights and responsibilities.. http://www.homebirthaustralia.org/homebirth.html also...in New Zealand the Maternity Services Consumer Council - Choices for childbirth have a link for a woman's rights . http://www.maternity.org.nz/choices.shtml#rights also leilah mccracken has a list of rights on the midwifery today link below http://www.midwiferytoday.com/articles/declaration.asp I am not sure how many people are aware that Sally Westbury and the women and midwives of the CMP WA have been successful in retaining their services in the community and no longer have to relocate to the King Edward. Congratulations to one and all on an amazingly successful, politically strategic and inspiring campaign to keep home birth an option for the women of Fremantle where it belongs...in the community. It should also be noted that Carmen Lawrence was once again instrumental in the last minute outcome negotiated as usual a week or so outside of the WA state election. And in doing so, Carmen supported the women and midwives to uphold a woman's right to birth at home. Kind Regards Sally-Anne - Original Message - From: Sally Westbury To: ozmidwifery@acegraphics.com.au Sent: Monday, March 14, 2005 4:02 PM Subject: RE: [ozmidwifery] waterbirth Anyone got rights and responsibility documents they would like to share??? Id love a copy of the one from Barwon Health which I quite liked when I worked there. Sally Westbury Homebirth Midwife "It takes courage to remain a true advocate for women, challenging authority and sacrificing social and professional acceptance. It takes courage for a woman to choose a caregiver who will truly advocate for and empower her." -Judy Slome Cohain No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.308 / Virus Database: 266.7.2 - Release Date: 11/03/2005 No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.7.2 - Release Date: 11/03/2005
Re: [ozmidwifery] the ICM and midwifery goods
Hi Jenni and Jan, Congrats on your launch into independent midwifery Jenni and thanks for this info Jan. I look forward to rejoining the Australian Society of Independent Midwives again soon. Jenni if you havent found the doppler you want before the ICM - I would be happy to be No 2 of an independent midwife group buying lot. Hopefully there will be 50 of us Feel free to email me off the list Kind Regards, Sally-Anne Brown - Original Message - From: Jan Robinson To: ozmidwifery@acegraphics.com.au Sent: Tuesday, March 08, 2005 6:10 PM Subject: Re: [ozmidwifery] Intro Hi JenniWelcome to the world of independent midwifery. You can usually pick up good deals on most of the items you have mentioned if you attend the Trade and Education exhibitors at the State, National and International ACMI Conferences. If you are going to Brisbane to the ICM in July you will get some great prices there, especially if you utilise the buying power of a group of like-minded individuals. Often the prices on Dopplers are reduced for Conference buyers and a further discount is provided if two or three of you buy together.Another tack is to start attending meetings of the local IPMs and ask them who they buy from - someone may even have some second-hand home birth equipment for sale.Yours in independent midwiferyJanJan Robinson Independent Midwife PractitionerNational Coordinator Australian Society of Independent Midwives8 Robin Crescent South Hurstville NSW 2221 Phone/Fax: 02 9546 4350e-mail address: [EMAIL PROTECTED] website: www.midwiferyeducation.com.auOn 7 Mar, 2005, at 19:44, Jennifairy wrote: 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 advanceJennifairyRM!!--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: 266.6.2 - Release Date: 4/03/2005 No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.6.2 - Release Date: 4/03/2005
Re: [ozmidwifery] SA Advertiser IWD....
HAPPY INTERNATIONAL WOMEN'S DAY TO ALL ON THE LIST. Dear Tania, David, Justine and all on list. another perspective to consider TheSA 'spokesperson' title referred to in the article - is a pretty strong indicationthat it was a staffer and not a senator or minister who made the comment. And you can well imagine the turn over of staff for parliamentarians. So the feedbackthe spokeswoman gave may have in factbeen true ! She maynot have had a clue... It simply shows the advertiser did not do their job properly - that is they did not attempt or were not able to geta senator or minister's comment, nor did they cite the spokeswoman's name. Who knows ... it may have been a state pollie who gave the comment and not federal !!! (given it was written by the advertiser) Having said all of that, since the federal there have been a few changes of ministers and senators (the latter if newly elected are not sworn in or become effective as senators until july 2005, at present referred toas senator-elect) -hence the constant demand onour lead activiststo be truly supported in their roles of : informing all parliamentarians (state federal) in thecampaign for obtaining PI for allmidwives and the option of one-to-one midwifery care for all women(where the woman chooses her place of birth and is fully funded for the same). the aspect you have picked up on Tania is in my view great timing. we can never underestimate the importance of keeping the campaign strong - supporting the women who are constantly campaigning on the hill, at macquarie st, spring st (wherever), often also breastfeeding, driving several hundred kms to get there and back again,with a child or two in tow. And having their lives turned upside down to support all of us. The truth is - we all need to take an active role in contacting all parliamentarians and eg: letting Barb (ACMI), Justine (MC)or state ACMI presidents or state MC presidentskeptinformed. That is : it is a constant job that needs a lot of energy and commitment. Thanks to all the women who on a national, state or local community scale .continue toactively seek reclamation of our birth rites and services. Have a wonderful dayfull of nourishment and appreciations, today March 8thInternational Women's Day ... Kind Regards Sally-Anne Brown - Original Message - From: Stringybark To: ozmidwifery@acegraphics.com.au Sent: Monday, March 07, 2005 9:31 PM Subject: Re: [ozmidwifery] Homebirth risk article in today's SA Advertiser Oh goodness, I didn't take your comment as disrespect! Not at all. I've simply had it up to here with the Commonwealth Government claiming it "know's nothing" when Justine Caines and all the other MCers and College people have worn the carpet down at Parliament House telling them of the problem. Good on you for writing a letter. You can probably copy it to Tony Abbott!CheersDavid-David VernonEditorBirthright Having a Great Birth in AustraliaGPO Box 2314CANBERRA CITY ACT 2601AUSTRALIA-On 07/03/2005, at 5:45 PM, Tania Smallwood wrote: I meant no disrespect to Barb, Justine or anyone connected with the hardworking team trying to get this sorted out, amonst other things, I know that this is not true, it's just amazing to me that they can get away with denying any knowledge of it...Have written a letter to the Ed, we'll see..Tania- Original Message -From: Stringybark To: ozmidwifery@acegraphics.com.au Sent:Monday, March 07, 2005 5:59 PMSubject:Re: [ozmidwifery] Homebirth risk article in today's SA AdvertiserWell that is what is known as a 'mistruth'! As a husband of an ex-MC President and an active College of Midwives Lobbyist I can say that Barb has been up on the Hill (Canberra speak for Parliament House) bending the ears of many politicians (including Ministers) about the Australia wide indemnity insurance crisis while I have been minding the kids. And she has done this for years...I think the comment reflects the standard of the Minister's Office Staff more than perhaps the Ministers (but then again perhaps not!).-David VernonEditorBirthright Having a Great Birth in AustraliaGPO Box 2314CANBERRA CITY ACT 2601AUSTRALIA-On 07/03/2005, at 5:18 PM, Tania Smallwood wrote:Check out the last lineJust wondering how this could be...a Federal politician has no idea that midwives are working without insurance in SA??? What the???Taniahttp://www.theadvertiser.news.com.au/common/story_page/0,5936,12465032%255E2682,00.htmlMothers demand end to home birth riskBy Medical Writer LISA ALLISON07mar05WOMEN in South Australia are h
[ozmidwifery] Human Milk Bank
This info is cut and pasted from Jen Semple's email to the MC Midwives list in August 2004: FYI.. Apologies for the cross-post...http://www.theage.com.au/articles/2004/08/12/1092102573402.htmlAustralia's first milk bankAugust 12, 2004 - 1:06PMAustralia's first milk bank is to start offering breast milk to newmothers in Victoria from the beginning of next year.Melbourne-based lactation consultant Margaret Callaghan plans to openthe private service which will pasteurise milk donations and offer themto mothers who cannot produce enough for their own babies.The proposal has raised questions about how the new service would beregulated.Ms Callaghan said the private company setting up the Victorian milk bankplanned to set up in NSW next and then to establish clinics nationwide.She said new mothers who wanted to donate would be screened for diseaseand would then express the milk at home."It wouldn't be like a cow shed," she said.The milk would be pasteurised and given to premature babies whosemothers for some reason could not provide enough milk.Premature babies would be targeted initially as they were the mostlikely to suffer necrotising enterocolitis (NEC), or bowel blockages,after being fed formula, she said.Mothers milk also aided neurological development and reduced the risksof infections, Ms Callaghan said.Hospitals used to provide excess milk from new mothers to babies whoneeded it until the rise of the spectre of AIDS in the 80s.Ms Callaghan said that as the average age of mothers increased, so hadthe demand for breast milk."I have people ringing me saying 'Where can I get some human milkfrom'," she said.The president of paediatrics and child health of the Royal AustralasianCollege of Physicians, Professor Don Roberton today said any move tomake breast milk more available was positive as long as the milk wasproperly screened for disease.Professor Roberton said human milk had advantages over formula,especially for premature babies."But we also have to be very aware of any potential risks that mightoccur with human milk," he said.Breast milk would need to be carefully screened in the same way donatedblood was, he said.Breast milk banks operate in the UK, the USA and parts of Europe but theprospect of them opening in Australia has raised the question of who isresponsible for their regulation.A Therapeutic Goods Administration spokesman said a breast milk bankwould be a state rather than a federal responsibility.A spokesman for the Victorian Department of Human Services said a breastmilk bank would come under the State food act.The operators would have to show their product was "free of infectionand fit for human consumption" and convince the government that they hadstrict screening processes in place, he said.- AAP No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.300 / Virus Database: 266.5.2 - Release Date: 28/02/2005
Re: [ozmidwifery] ACTIVE Vs EXPECT MAGMT
Hi Leanne, I will be back at work next week and will ask the cnc for the research doc. I am very interested in seeing it for myself also. If you would like a copy I would be happy nto send it to you. If so email me your contact details off the list. Kind Regards Sally-Anne - Original Message - From: leanne wynne [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, February 28, 2005 11:01 AM Subject: Re: [ozmidwifery] ACTIVE Vs EXPECT MAGMT Hi Sally-Anne, I would be interested in the reference of the information you mentioned that supports that grand multiparity is no longer considered a risk factor for PPH. Thanks, Leanne. From: Sally-Anne Brown [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] ACTIVE Vs EXPECT MAGMT Date: Mon, 28 Feb 2005 08:05:45 +1100 Hi everyone. Back on the list and great topics abound !! I wrote a critical analysis last yr on active vs expectant management forma global perspective. Interestingly the infamous Hinchinbrook trial did acknowledge the type of labours. However there were significant discrepancies in my observation of the methodology eg: the confidence of midwives to support expectant management and no record of home births. I have personally noted a large no of women having a pph following active management (according to the 500 defn) but also following induction of labour , particularly withg syntocinon. In some areas such as homebirth these drugs are never used for IOL, in addition to countries like Germany where I have heard of acupuncture now being offerred for IOL in the hospital setting. There are 2 main issues with PPH. The global maternal mortality rate is approx 600, 000 women die a year (of reported deaths). Over 90% of these deaths are in developing countries and largely due to PPH. Drugs like synto are viewed by some authors as problematic as many tropical areas cannot refridgerate and therefore cannot use synto. There is move afoot to look at other methods that do not require refridgeration. One begs the question, why so many deaths ? Is it related to the various experiences of managment by TBA's who attend to most of the births ? Is it related to the fact thousands of women spend days in labour and on their own ? Is it dehydration ? Malnutrition ? The list goes on... It certainly is related to a poor level of care and pathetic govt priorities in my view, to not ensure as many women as possible have pregnancy birth and postpartum care. In my view this is where the true crisis of PPH lies. Having said that. There is no global or even national standardised measurement of loss (process), nor is there an agreed global standardised definition of pph as many of you have so aptly pointed out. Certainly I think there is need for further research comparing the active and expectant magmt techniques where there is no confidence bias, that incorporates accurate defns of labour type also. Even a RCT looking at IOL with synto vs No IOL of women 39-42 weeks and comparing their loss could be significant. Thanks Sue for your insights on your practice and the wonderful knowledge of John's wisdom. In my experience I always keep arnica and the australian bush flower essences on hand and discovered through my kinesiology practice about ten yrs ago the need for a woman to have a homeopathic known as Ustilago Maidus twice antentally and three times in the immediate postpartum. I have then seen it used on three more occasions and would not hesitate to have it on hand, particularly for remote rural areas. On another note, I have also noted that pph is common for women who have a precipitous labour. Often these women appear to be in shock after the high of a beautiful, sometimes intense or furious labour. On an emotional and spiritual reflection of practice, I have also noted it is not uncommon for women who have experienced abuse to have a very very fast or very very long labour also. And a pph. It is afterall the essence of the life/death paradigm and I try to remain aware of this particularly if the dissasociation and trauma of unrecognised abuse arises in labour. I think it is important when a pph is not obviously drug induced or actively induced, we are alert to what the 'triggers' of the emotion around a pph could be. Again, another reason highlighting the importance of one-to-one midwifery care. Also a comment re the G10 P9 woman - I would consider assessing the wishes of the woman, the previous history, the current history and emotional wellbeing as to whether the synto would be needed. I have also heard and would be glad to follow up with the cnc who gave me this info that there is current research concluding that the grand multi status is no longer a factor for routine synto. Kind Regards to you all Sally-Anne Brown - Original Message
Re: [ozmidwifery] ACTIVE Vs EXPECT MAGMT
Thanks Judy. The anaemia is a significant factor which I omitted to mention. And as we know, easily remedied. Which makes the loss of life even more questionable, when the govts of the day have not acted.. enough. Kind Regards Sally-Anne - Original Message - From: Maternity Ward Mareeba Hospital To: ozmidwifery@acegraphics.com.au Sent: Tuesday, March 01, 2005 12:03 AM Subject: Re: [ozmidwifery] ACTIVE Vs EXPECT MAGMT Just a comment on why so many PPH deaths in underdeveloped countries. At a symposium I went to in Saudi Arabia many years ago one of the speakers was an African Dr. His subject was anemia in the underprivelaged and he spoke of how severely anaemic many of the women are. As a result PPH is more quickly devastating than in a woman with a normal (or nearly normal) Hb level. Cheers Judy [EMAIL PROTECTED] 02/28/05 07:05am Hi everyone. Back on the list and great topics abound !!I wrote a critical analysis last yr on active vs expectant management formaglobal perspective. Interestingly the infamous Hinchinbrook trial didacknowledge the type of labours. However there were significantdiscrepancies in my observation of the methodology eg: the confidence ofmidwives to support expectant management and no record of home births.I have personally noted a large no of women having a pph following activemanagement (according to the 500 defn) but also following induction oflabour , particularly withg syntocinon. In some areas such as homebirththese drugs are never used for IOL, in addition to countries like Germanywhere I have heard of acupuncture now being offerred for IOL in the hospitalsetting.There are 2 main issues with PPH. The global maternal mortality rate isapprox 600, 000 women die a year (of reported deaths). Over 90% of thesedeaths are in developing countries and largely due to PPH. Drugs like syntoare viewed by some authors as problematic as many tropical areas cannotrefridgerate and therefore cannot use synto. There is move afoot to look atother methods that do not require refridgeration. One begs the question,why so many deaths ? Is it related to the various experiences of managmentby TBA's who attend to most of the births ? Is it related to the factthousands of women spend days in labour and on their own ? Is itdehydration ? Malnutrition ? The list goes on... It certainly isrelated to a poor level of care and pathetic govt priorities in my view, tonot ensure as many women as possible have pregnancy birth and postpartumcare.In my view this is where the true crisis of PPH lies.Having said that. There is no global or even national standardisedmeasurement of loss (process), nor is there an agreed global standardiseddefinition of pph as many of you have so aptly pointed out.Certainly I think there is need for further research comparing the activeand expectant magmt techniques where there is no confidence bias, thatincorporates accurate defns of labour type also. Even a RCT looking at IOLwith synto vs No IOL of women 39-42 weeks and comparing their loss could besignificant.Thanks Sue for your insights on your practice and the wonderful knowledge ofJohn's wisdom. In my experience I always keep arnica and the australian bushflower essences on hand and discovered through my kinesiology practice aboutten yrs ago the need for a woman to have a homeopathic known as UstilagoMaidus twice antentally and three times in the immediate postpartum.I have then seen it used on three more occasions and would not hesitate tohave it on hand, particularly for remote rural areas.On another note, I have also noted that pph is common for women who have aprecipitous labour. Often these women appear to be in shock after the highof a beautiful, sometimes intense or furious labour.On an emotional and spiritual reflection of practice, I have also noted itis not uncommon for women who have experienced abuse to have a very veryfast or very very long labour also. And a pph. It is afterall the essenceof the life/death paradigm and I try to remain aware of this particularly ifthe dissasociation and trauma of unrecognised abuse arises in labour. Ithink it is important when a pph is not obviously drug induced or activelyinduced, we are alert to what the 'triggers' of the emotion around a pphcould be.Again, another reason highlighting the importance of one-to-one midwiferycare.Also a comment re the G10 P9 woman - I would consider assessing the wishesof the woman, the previous history, the current history and emotionalwellbeing as to whether the synto would be needed. I have also heard andwould be glad to follow up with the cnc who gave me this info that there iscurrent research concluding that the grand multi status is no longer afactor for routine synto.Kind Regards to you allSally-Anne
Re: [ozmidwifery] ACTIVE Vs EXPECT MAGMT
Hi everyone. Back on the list and great topics abound !! I wrote a critical analysis last yr on active vs expectant management forma global perspective. Interestingly the infamous Hinchinbrook trial did acknowledge the type of labours. However there were significant discrepancies in my observation of the methodology eg: the confidence of midwives to support expectant management and no record of home births. I have personally noted a large no of women having a pph following active management (according to the 500 defn) but also following induction of labour , particularly withg syntocinon. In some areas such as homebirth these drugs are never used for IOL, in addition to countries like Germany where I have heard of acupuncture now being offerred for IOL in the hospital setting. There are 2 main issues with PPH. The global maternal mortality rate is approx 600, 000 women die a year (of reported deaths). Over 90% of these deaths are in developing countries and largely due to PPH. Drugs like synto are viewed by some authors as problematic as many tropical areas cannot refridgerate and therefore cannot use synto. There is move afoot to look at other methods that do not require refridgeration. One begs the question, why so many deaths ? Is it related to the various experiences of managment by TBA's who attend to most of the births ? Is it related to the fact thousands of women spend days in labour and on their own ? Is it dehydration ? Malnutrition ? The list goes on... It certainly is related to a poor level of care and pathetic govt priorities in my view, to not ensure as many women as possible have pregnancy birth and postpartum care. In my view this is where the true crisis of PPH lies. Having said that. There is no global or even national standardised measurement of loss (process), nor is there an agreed global standardised definition of pph as many of you have so aptly pointed out. Certainly I think there is need for further research comparing the active and expectant magmt techniques where there is no confidence bias, that incorporates accurate defns of labour type also. Even a RCT looking at IOL with synto vs No IOL of women 39-42 weeks and comparing their loss could be significant. Thanks Sue for your insights on your practice and the wonderful knowledge of John's wisdom. In my experience I always keep arnica and the australian bush flower essences on hand and discovered through my kinesiology practice about ten yrs ago the need for a woman to have a homeopathic known as Ustilago Maidus twice antentally and three times in the immediate postpartum. I have then seen it used on three more occasions and would not hesitate to have it on hand, particularly for remote rural areas. On another note, I have also noted that pph is common for women who have a precipitous labour. Often these women appear to be in shock after the high of a beautiful, sometimes intense or furious labour. On an emotional and spiritual reflection of practice, I have also noted it is not uncommon for women who have experienced abuse to have a very very fast or very very long labour also. And a pph. It is afterall the essence of the life/death paradigm and I try to remain aware of this particularly if the dissasociation and trauma of unrecognised abuse arises in labour. I think it is important when a pph is not obviously drug induced or actively induced, we are alert to what the 'triggers' of the emotion around a pph could be. Again, another reason highlighting the importance of one-to-one midwifery care. Also a comment re the G10 P9 woman - I would consider assessing the wishes of the woman, the previous history, the current history and emotional wellbeing as to whether the synto would be needed. I have also heard and would be glad to follow up with the cnc who gave me this info that there is current research concluding that the grand multi status is no longer a factor for routine synto. Kind Regards to you all Sally-Anne Brown - Original Message - From: Marilyn Kleidon [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, February 28, 2005 4:34 PM Subject: Re: [ozmidwifery] MORE ACTIVE MANGAEMENT when to apply gentle but firm CCT. However, for a manual removal at home you do need maternal cooperation and did have one incidence in Seattle where we had to transfer for prolonged moderate/heavy blood loss that just would not settle and uterus that kept getting boggy. Para 3 with several years between each of the births, third birth being precipitous, placenta delivered easily (dirty duncan if you know what I mean) physiologically but bleeding would not subside and mum kept soaking a pad in an hour, could not stand a hand going past the introitus and was happy to go to the hospital. Estimated blood loss was 1600mL including theatre, a pin head size piece of membrane was all they could find. Mum declined transfusion and was home the next day tired but happy. marilyn
Re: [ozmidwifery] False Imprisonment
Maureen, I am not sure what language the family primarily speak, but firstly they would need the offer of an interpreter, preferably from a migrant resource legal centre and legal advise. Above all, if the family agree . there should be an FOI request for all documentation put in with the hospital/s asap - as this usually takes up to 45- 60 days. If there is a patient advocate employed at the hospital/s, they are usually ''on the ball' and can also provide support. I am not sure what state you are in but... there is for legal support eg: Legal Aid but also places like Public First and Liberty Victoria - who have excellent lawyers, barristers (QC's) who would be likely to agree to represent the family. In legal terms however, it appears there are two cases here, with both the mother and the father. Perhaps too, if the family consent to this.Maternity Coalition or another consumer rep organisation could lobby the Health Minister of the state/territory you are from and some clear thinking senators. If in NSW I could recommend that you consider contacting the office of Kerry Nettle (Greens) immediately, and speak with her adviser Jon Edwards. Finally, the family should also be advised that the relevant Health Care Complaints body of the state/territory they live, the medical practitioners board etc etc, are also appropriate avenues to appeal to. Well the hospital should have heard the word assault by now and be shaking in their boots. But be aware this is the classic time when documentation can be destroyed, changed etc. Thank goodness, you were able to educate some one there. I would be happy to provide contacts for any of the above mentioned if that is helpful to the family involved. Please feel free to email me directly. Kind Regards, Sally-Anne Brown Apollo Bay, Victoria. -Original Message- From: Ken Ward [EMAIL PROTECTED] To: [EMAIL PROTECTED] [EMAIL PROTECTED] Date: Saturday, 13 December 2003 8:50 PM Subject: RE: [ozmidwifery] Thanks Recently a woman turned up in labour. Breech presentation. They had been to their local hospital during the pregnancy and told ALL breeches were C/S. They had seen a private OB, who also strongly suggested a C/S. So I guess they turned up in labour, to an unknown hospital presuming they would have a vaginal birth. NO WAY. Treated like criminals, they were forcibly shunted off to the first butcher shop. Here they were promptly forced to OT where a caesar was performed, with the father restrained by a security guard. At 2am he had had enough, and wanted to take his wife and baby home. Found himself scheduled and in the looney bin. If this isn't a case of assult,I don't know what is. What has been done to this family so horrendous. Unfortunately they are immigrants, I donot know how good their English is, or if they are able to utilize their legal rights. Unfortunately I wasn't on when this all happened, but have heard the story from people directly involved, including the graduate midwife sent to OT with them. NO ONE stuck up their rights, acted as advocate, and were not aware this was assault until I told them. This is so scary.. Maureen -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Wayne and Cas Sent: Saturday, 13 December 2003 7:48 AM To: [EMAIL PROTECTED] Subject: RE: [ozmidwifery] Thanks Hi Diane, If they are feeling bullied at all they should seriously consider videoing the birth, taking photos of CTG readouts and maybe even getting the husband to take in a dictophone recorder in his pocket. We took a digital camera that also takes short video footage (as memory allows) and videoed the moments just after Daniel was taken out without anyone knowing. I know this sounds extreme but they will want evidence of bullying if things don't go well. We have just had a woman come to our local homebirth group who wanted a vaginal breech birth in hospital and she fought tooth and nail against the system and eventually got her way, but there was a lot of pressure and bullying along the way. She had a three hour labour and an easy birth but the doc still did an episiotomy without her consent! She is now going to tell her story to the media in the hopes that it will encourage other women to stand up for their basic right to a natural normal birth if things are going smoothely and there is not an evident need for intervention. Sometimes the only way to get a natural birth is to threaten to sue. Are you giving her birth support Diane? Hope this puts some fire in her belly Sending lots of empowerment vibes. Cheers, Cas. Cas, Wayne, Liam and Daniel McCullough [EMAIL PROTECTED] www.casmccullough.com -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Diane Gardner Sent: Friday, 12 December 2003 9:31 PM To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] Thanks Just want to thank you all once again for your help with my twins mum
Re: [ozmidwifery] need a midwife
Leanne, You could try a midwife from the Portland Hospital maternity unit - Leigh Pettingall for contact details. Leigh co-ordinates the Maternity Services Program (MSP) and has worked previously as a homebirth midwife - and MAY consider antenatal/postnatal shared care. Regards, Sally-Anne Brown Apollo Bay, Vic. -Original Message- From: leanne wynne [EMAIL PROTECTED] To: [EMAIL PROTECTED] [EMAIL PROTECTED] Date: Friday, 5 December 2003 7:05 AM Subject: [ozmidwifery] need a midwife Dear All, I have been caring for a woman who will be moving early in the new year to Casterton, which Im told is not far from Hamiltion and Mt Gambier. She would like to be able to continue with a midwife rather than be forced to see an obstetrician. She is due at the end of January. If there is a midwife who can provide antenatal care, please e-mail me and I will forward your info to her. She doesn't mind if she births in hospital, if that is the only option, because she is assertive enough to keep the doctors at bay but would like a midwife to at least continue with her antenatal care. Thanks, Leanne. htmldivPFONT face=Verdana, Geneva, Arial, Sans-serif size=2Leanne Wynne BRMidwife in charge of Women's Business BRMildura Aboriginal Health Servicenbsp; Mob 0418 371862/FONT/P PFONT face=Verdana size=2/FONTnbsp;/P P align=leftnbsp;/P/div/html _ Get less junk mail with ninemsn Premium. Click here http://ninemsn.com.au/premium/landing.asp -- 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] I've had a baby (long)
An amazing birth story ... enjoy it all, and welcome baby Ena. Kind Regards, Sally-Anne Brown -Original Message-From: Jackie Kitschke [EMAIL PROTECTED]To: [EMAIL PROTECTED] [EMAIL PROTECTED]Date: Friday, 5 December 2003 1:06 PMSubject: [ozmidwifery] I've had a baby (long) Dear all, I have been lurking on and off over the last few months with a midwife and consumer view as I have given birth myself to a girl, Ena, on the 19.11.03. Having loosely followed the thread of fetal hearts, Today show etc along with my own experience I have a couple of comments. We had Ena at home and employed the services of the wonderful Roz Donnellan-Fernandez. She came and saw me about 5 times antenatally and would be here for a couple of hours so that even though I didn't see her lots of times (the frequency was my choice) I had plenty of time to convey to her how I felt, what outside factors may influence me etc and my husband Andrew had plenty of time to ask questions etc. We also invited a midwifery student, Jessica,to share our experience and so the four of us welcomed Ena into the world on a stormy evening. I used the lessons taught to me by the many women I have met over the years including telling no-one our due date (handy as we went a week over), restricting visitors till 2 weeks, (handy as we had some postnatal issues), preparing lots of food before hand and taking plenty of time off before hand (well I am an elderly (38) primagravida!!). The birth was the hardest, bestest, most overpowering thing I have ever done and gave us a girl (first one in Andrew's family for 48 years) in our bathroom. We needed to transfer to hospital for Ena which was fortuitous as we discovered her platelets were 20,000 as I have an antibody on my platelets which were destroying hers and my platelets were 50,000 as I have a lupus anti-coagulant on mine (very unusual to have both or even one but it was a week where everything was unusual!!). So it was lucky I had a normal birth as an operative birth would have been dangerous for both of us and as it was a 6 hour ROP labour I am not sure if wouldn't have elected to have pain relief or what heaps of monitoring would have done. I am now at home with a baby who is wondering what all of the fuss was about (there were a few other issues which I won't go into but were all resolved). I used the maternity services as necessity required and my birth experience was great. I am so glad I didn't have to recover from a LUSCS as I was pumping etc as Ena spent some time in the nursery asleep from phenebarb due to some twitching. I wanted there to be lots of milk for her when she woke up, which there was (not bad considering my Hb was 7.4 due to a retained placenta and PPH) all thanks to the LW staff at the WCH keeping all visitors out, keeping me in LW and having Andrew stay with me. (I was treated like the Queen of Sheba by everyone and I don't know how Ican ever thank all of my friends and colleuges for what they did for us). Watching part of the Today show really angered me as that is not childbirth. Mess in the bathroom, exhilarated mother, exhausted and relieved support people and beautiful, 4.230kgs, caput and moulded head daughter is childbirth! Jackie
[ozmidwifery] Email ettiquette NMAP for 2004
Dear all, Have been off the list for a while due to other commitments and been back on line now for a couple of days. Was a bit surprised however to get over 100 emails in that time, and just from this list. Too much for me, but fantastic all the energy re the c/section broadcast. I was also delighted to read the discussions around models of homebirth for NSW - and welcome the input from so many wise women. I am concerned however about two things - that discussion by email can be misinterpreted as 'a personal attack' - and that some emails are forwarded outside of the list without members consent. Perhaps the ozmid list is different - but usually - email ettiquette includes no personal, defamatory or abusive commentary etc and definitely no leakage of emails to other lists or persons without the prior consent of members. I have only identified the latter in the last three days emails. I do apologise unreservedly, if member consent was sought and given prior to my renewing my membership onto the list. Please be aware that emails do have the potential to read differently to how they are intended. Therefore being 'crystal clear' is important, as is, creating a space to also come together and discuss wise women business, face to face. But it is important that also, that many perspectives for new projects are considered. And above all that the women who will utilise any birth service, are fully consulted, including the option to participate in project development. Many thanks to Jackie for sharing her birth story, very timely and inspiring. As is the option of publicly funded homebirths in NSW. Congratulations to all involved - with a federal election looming - tis time to get the major parties on side. It would be fantastic to have NMAP committed to and funded by the major parties before the 2004 federal election, for all women, in all Australian states and territories, and in particular for our indigenous communities, as a priority. Kind Regards Sally-Anne Brown Apollo Bay, Vic.
Pollies back midwives - updates
and discussed issues including midwive's indemnity insurance and a lack of surgeons in rural areas. Photo -Good turnout: A midwive's meeting attracted more than 250 people. That's it for now, Sorry this email is lengthy, but it is intended to give an update for this part of oz. Kind Regards, Sally-Anne Brown -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
State Midwives Rally Victoria - report
Hi everyone, After a hectic week and a wonderful rally last weekend I finally have the time to report back. Around 250 people turned out over the day - with weather changing from showers to fine as we started to set up. I would like to thank the many groups who we have cited on this list who supported our day, to all the women and their families who travelled to share a great day together, and the wonderful guest speakers including: Wilma (Elder of Wathaurong Aboriginal Co-operative), Scott Kinnear (Vic Greens Lead Senate Candidate), Alana Street (ACMI), Sally Westbury (IPM Geelong), Peter Lucas (Wattle Park House), Michael Bjork- Billings and GavinO'Connor (ALP), Tina Pettigrew (Bach Mid Student Collective), Catherine Johnson (Greens). Also to the amazing performances by The Stiff Gins, Amanda (International College of Spiritual Midwifery), Wolfgangs Theatre Company, Eamonn Harraghy, Brooke Pat, and a special mention to the Periwinkle Puppet theatre. Also to the women of the Otways and the Geelong Region who put enormous hours into the day especially, our love and appreciation to Sally Westbury, Creative Birth Options (Aireys Inlet), Apollo Bay Families Babies Group, Colac-Otway Homebirth Group, Colac Families Babies Group, Apollo Bay - Otway Homebirth Group and to the Barwon South West Regional Women's Health Program, (especially Georgia Quill) who funded button badges and childrens entertainment. And a special thankyou to the ACMI, the International College of Spiritual Midwifery, Midwives in Private Practice, the Maternity Coalition (Melbourne) and the midwives from Ballarat, Melbourne, Geelong, Apollo Bay, Colac who made the day so special. If for no other reason, the day was a significant networking and gathering experience for many. 'Together we can make a difference'. Kind Regards, Sally-Anne Brown -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Virus Alert I received to day - for your info
Dear List - I received this via a colleague in Sydney today. Please note in case you are not aware of this one. Kind Regards, Sally-Anne Brown. Dear All, | | BI TROUBLE DO NOT OPEN WTC Survivor It is a | virus that will erase your whole C drive. It will | come to you in the form of an E-Mail from a familiar | person. | | I repeat a friend sent it to me, but called and warned | me before I opened it. He was not so lucky and now he | can't even start his computer! Forward this to | everyone in your address book. I would rather receive | this 25 times than not at all. | | If you receive an email called WTC Survivor do not | open it. Delete it right away! This virus removes all | dynamic link libraries (. dll files) from your computer -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: Another health debate
Or get on too - got to get a balanced presentation as the ABC would have us believe ! Go get em. Sally-Anne -- From: Denise Hynd [EMAIL PROTECTED] To: Justine Caines [EMAIL PROTECTED]; OzMid List [EMAIL PROTECTED] Subject: Another health debate Date: Tuesday, 30 October 2001 22:06 Dear Justine Health Dimensions on ABC is to have next week's program as adebate between Michale W and Jenny M perhaps you can get Norman Swan to ask a question from Matenity Coalition Their email is [EMAIL PROTECTED] Denise Hi there I have just spoken to Adele Horin from the Sydney Morning Herald about birthing issues. In our conversation she mentioned the birth payment and said she would be very interested in getting 50 responses by the end of the week to do a story, she then said she could incorporate the other important issues (lack of support services etc). Can Oz Midders who will be affected or who have recently had a bub e mail me a short response on their reaction to the news. Do you understand who will benefit? etc Do you think it is money well spent or a tinley veiled vote buyer? etc Can you pass on this message through your networks and get anyone affected to post back to me by Thursday. at [EMAIL PROTECTED] Thanks a bunch Let's stick it up them!!! Justine Caines -- 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.
Media Alert - Midwives Support Picnic Rally - tommorrow !
Dear List Well here we go..one more day until the big one !! Our last but warmest invitation to join us for the Victorian STATE MIDWIVES PICNIC AND SUPPORT RALLY SUNDAY OCTOBER 28th - Johnstones Park, Geelong 11am - 3pm. (opposite V-Line - Train departs Spencer St Melbourne at 9.40am ). Directions - Turn left at Gordon Tafe (Gordon Avenue) off the Princess Highway, Geelong (close to city centre) and Johnstones Park is on your right at the first set of lights. Join us for an amazing day with birth stalls (and more), free childrens'entertainment with the Periwinkle Puppet Theatre (organic fruit, puppetryand music), FREE Live bands featuring the Wolfgangs She's, Eammon Harraghy and a special appearance at 2pm with. THE STIFF GINS and Ben from The Whitlams on their national tour. Opening Ceremony: Wathaurong Aboriginal Co-operative (Aunty Betty). Guest Speakers on the day include: Sally Westbury (IPM Geelong) Vanessa Owen (President, ACMI) Dr Peter Lucas (Wattle Park House) Scott Kinnear - Vic Greens Lead Senate Candidate (confirmed). Michael Bjork Billings - ALP Federal Candidate for Corangamite Gavin O'Connor MP - Corio (Responding on behalf of Kim Beazley). BYO Picnic Hamper, kids, friends, family, pollies and all.Join our protest to support our midwives re the recent indemnity insurance crisis and the threat in Victoria from the Nurses Board of Victoria to possibly deregister midwives who practise without insurance. These proposals will affect all midwives, regardless of their workplace. We sincerely appreciate the support from several local, state and national organisations who are supporting the day, including: The Australian College of Midwives (ACMI) The Australian College of Midwives - Barwon Sub-Branch Maternity Coalition Homebirth Australia Apollo Bay Families and Babies Group (AB-FAB) Midwives in Private Practice (MIPP) Colac Otway Homebirth Group Choices for Childbirth Colac Families and Babies (FAB) Midwives from Otway Health Community Services, Barwon Health and Colac Community Health Services. Geelong Birthing Options Group. Community Midwifery Program WA. The Greens - South West Region (Victoria). Apollo Bay -Otway Homebirth Support Group Creative Birth Options - Airey's Inlet The Association for Improvements in the Maternity Services (AIMS) The Australian Bachelor of Midwifery Student Collective The Australian Society of Independent Midwives (ASIM) The International College of Spiritual Midwifery The picnic is being held in recognition of National Homebirth Day October 29th. And the theme of the midwives picnic is that... Every woman has the right to choose a midwife to be her primary caregiver during the childbearing experience and Every woman has the right to give birth in the place of her choice, whether it be the hospital or community setting. We anticipate that mothers, midwives and families will be travelling from all over Victoria to attend this day. It is the first time we have ever organised an event of this kind in this part of Victoria. We recognise that this event is politically very important, well timed, and a golden opportunity to explore the option of community midwifery programs for Victoria that currently exist in other places in Australia, including WA, ACT and SA. If you are able to generate some media in your local community today onwards (papers, radio - especially talkback) this would be really helpful now. Thank you to all who have put in so much to enable the day for our midwives, in celebrating them we will also be strengthening for the thousands of women whom midwives care for and support. For details contact: Sally Westbury (IPM) Geelongor Sally-Anne Brown (03) 5268 3038 (03) 5221 6424 from 6pm sat -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: political action now
Well done Bronni, it is wonderful to have people writing letters and getting it happenning. It makes me wonder how many women out there are doing similar stuff. About two years ago a guy in public health Canberra told me that each verbal or written comment/complaint to any department in health is equated to around 10,000 persons on a national scale. He also stated that because they know this, they take individual actions or comments seriously. So when I am met with the inevitable comments like 'well your the only person who has a problem with this' or ' you are the only person to raise this issue'... I quote what the public health department guy told me and they (whichever service I am dealing with) are totally gobsmacked with this statistic. A handy piece of info at a time when you are 'perceived to be the lone voice' in the wilderness. The organisation/service/practitioner cannot(no matter how easy they had hoped to be able to) ignore you. So every letter, meeting and effort does count. Kind Regards Sally-Anne Brown -- From: Steven McGrath [EMAIL PROTECTED] To: [EMAIL PROTECTED] Subject: political action now Date: Sunday, 14 October 2001 17:09 My name is Bronni McGrath and i am a mother and midwife currently not practicing (except for my wonderful girlfriends). i was introduced to this list by Jan Ireland a wonderful women who has been/is my mentor. i have been trying to keep up with all that happens on this list and have just read the latest emails on what is happening politically. i would like to let you know that as a consumer i have called a public meeting in my area (Healesville, Vic) to help raise public awareness of the issue of PI Ins. being removed from midwives. i have sent about 35 letters/invites out to families and written to my local papers (only 1 has published me). Myself and a girlfriend have also written to both local members and received open interested replies. i have never done this kind of thing before and as i sit down to write an agenda for the meeting the butterflies are fluttering! i would appreciate any ideas anyone has. i will be focusing on the effectiveness of consumers having their say ie writing to local MPs, local papers etc. keep up the great work everyone and know there are lots of us at home mothering trying to work out ways to support you all. Bronni -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: Political Action continued
Thansk Denise for quoting this site. i printed the entire 58 pages and did find it to be aimed at the early childhood years, but a good doc to have. Interestingly, under the ALP policy site I typed in a few words to see what they had, here are some of them and the results. Childbirth - No policies or media releases cited. Birth - One media release (Carmen's) on the declining number of births in oz. Maternity - Media Releases mainly focusing on maternity leave for women. Midwifery - No policies or media releases cited. Homebirth - No policies or media releases cited. And the most surprising of all ... Community Midwifery - No policies or media releases cited. In fact it 'diverted' to some media releases on community issues. I pointed this out to the ALP guy I met with yesterday, he was embarrassed to say the least. Kind Regards Sally-Anne Brown -- From: Denise Hynd [EMAIL PROTECTED] To: [EMAIL PROTECTED] Cc: CMWA [EMAIL PROTECTED] Subject: Political Action continued Date: Friday, 12 October 2001 15:58 Dear all On the Alp web site in their policies on Family support http://www.alp.org.au/policy/pdpfamily150500.html they talk about Us and European early intervention and home visiting programs as examples of the justification/examples for Early Intervetion Programs! Reading this has suggested writing/speaking to them to point out that there is Australain research that midwifery models of care deliver even earlier and just as profund social benefits for example Birth Becomes her Dr Tracey Reibel's studies of the outcomes of the CMWA!! Any other suggestions of similar research?? Denise Ps I am waiting for a birth!! -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: Political Action continued
Dear Denise and all on list, It is such a golden time frame now, enjoy it all, Warm Regards Sally-Anne -- From: Denise Hynd [EMAIL PROTECTED] To: Sally-Anne Brown [EMAIL PROTECTED]; ozmidwifery [EMAIL PROTECTED] Subject: Re: Political Action continued Date: Wednesday, 17 October 2001 10:44 dear Sally-Anne, True there is no mention of birth policies and what they have on Family we know is band-aiding and we have the evidence! that is why I am composing a letter to Big Kim and colleagues Would it not be a great photo opportunity for him to be with the families of a unique positive program Carmen has supported?? Denise - Original Message - From: Sally-Anne Brown [EMAIL PROTECTED] To: ozmidwifery [EMAIL PROTECTED] Sent: Tuesday, October 16, 2001 7:53 PM Subject: Re: Political Action continued Thansk Denise for quoting this site. i printed the entire 58 pages and did find it to be aimed at the early childhood years, but a good doc to have. Interestingly, under the ALP policy site I typed in a few words to see what they had, here are some of them and the results. Childbirth - No policies or media releases cited. Birth - One media release (Carmen's) on the declining number of births in oz. Maternity - Media Releases mainly focusing on maternity leave for women. Midwifery - No policies or media releases cited. Homebirth - No policies or media releases cited. And the most surprising of all ... Community Midwifery - No policies or media releases cited. In fact it 'diverted' to some media releases on community issues. I pointed this out to the ALP guy I met with yesterday, he was embarrassed to say the least. Kind Regards Sally-Anne Brown -- From: Denise Hynd [EMAIL PROTECTED] To: [EMAIL PROTECTED] Cc: CMWA [EMAIL PROTECTED] Subject: Political Action continued Date: Friday, 12 October 2001 15:58 Dear all On the Alp web site in their policies on Family support http://www.alp.org.au/policy/pdpfamily150500.html they talk about Us and European early intervention and home visiting programs as examples of the justification/examples for Early Intervetion Programs! Reading this has suggested writing/speaking to them to point out that there is Australain research that midwifery models of care deliver even earlier and just as profund social benefits for example Birth Becomes her Dr Tracey Reibel's studies of the outcomes of the CMWA!! Any other suggestions of similar research?? Denise Ps I am waiting for a birth!! -- 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.
Fw: Accurate political action is imperative
Hi everyone, I must say I have now read twice on the ausmid list that Dr Carmen Lawrence is a confirmed speaker at the picnic and rally for midwives on October 28th in Geelong. Please be very careful in interpreting information that is being read. The only comment in regard to some of the invited guest speakers was whether they had confirmed or not. At no point was Dr Lawrence cited as a confirmed speaker. This morning I have had an email from Dr Lawrence's office stating that she is unable to attend due to election commitments. This was expected given the closeness to the election. However, it is great to bring to pollies attention that the day is happenning, like the events HAS is organising in Sydney. It is fresh in their minds, as a current and very important issue. What was not expected however was to read that some colleagues are not accepting the written word as is. Can we please do it from now on. It is very important that when you lobby the pollies that they are given accurate and up to date information. Kind Regards Sally-Anne Brown -- From: Sally-Anne Brown [EMAIL PROTECTED] To: ozmidwifery [EMAIL PROTECTED] Subject: Re: Political Action is Imperative NOW!!! Date: Thursday, 11 October 2001 17:48 Hi all, just thought I would update you re speakers for the midwives support picnic and rally in Geelong October 28th Confirmed speakers include: Dr Peter Lucas Vanessa Owen - (ACMI) Scott Kinnear - Vic Greens Lead Senate candidate Michael Bjork Billings - ALP federal candidate for Corangamite Both Senator Bob Brown and Joan Kirner have sent their apologies as both have prior engagements and are therefore unable to attend on the day. Please note that we are yet to receive confirmations from two speakers invited to attend, these include Dr Carmen Lawrence (unlikely to attend due to closeness to the federal election) and Vicki Chan. Hopefully by the end of this week I will be able to put on the list our completed poster for your reference and would really appreciate anyone who is able to, copying it and putting it out there !! We are also having live music and have just had confirmed that The Stiff Gins are going to do a special appearance for the day. Re lobbying pollies, this is what the rally is all about. However, I would urge you all to note that whilst it is good to lobby, the crucial question, particularly when dealing with the minor parties is Are you prepared to discuss a preference negotiation on this issue. That is, 'do you have this on your list'. As major parties are desperate for preferences to get over the line, they typically do preference deals at election time. Basically, if it is not on the preference agenda then it is political bureacratic whitewash. You can have all the support in the world from the minor parties (who do count when it comes to elections - the tighter the better !) but if it is not on their preference list (typically there are three or more issues discussed in these situations) then the support being pledged is in reality and political terms, very superficial. Whilst I cannot put a certain negotiation on the ozmid list at the moment, I will be able to annouce in a couple of weeks whether this has taken place, and I hope to be able to bring you good news on that front. In the meantime, pressure all pollies to get community midwifery programs actually on the political preferencing agenda. Kind Regards Sally-Anne Brown Mother, Doula and Convenor, The Greens - Otways Branch. -- From: Denise Hynd [EMAIL PROTECTED] To: [EMAIL PROTECTED]; ozmidwifery list (E-mail) [EMAIL PROTECTED] Subject: Political Action is Imperative NOW!!! Date: Thursday, 11 October 2001 15:09 Dear All I understand that Carmen Lawrence is attending the Homebirth Week Awareness picnic in Geelong and that as she is the MP for Fremantle and supporter of the Community Midwifery Program WA that she and other Labour (women) MPs support the replication of CMWA acroos the country if Labour wins the election!! Now is the time for all of us to visit our federal MP's and all candidates to secure their committment to universal access to midwifery models of care for all Australains!!! This list can be help in generating ideas, strategies and keeping all energised and infromed as previously!! My local MP recommends that you have a specific strategy to ask polies to implement (rather than a concept)so I am opting for; 1) Replication of the Community Midwifery WA across the country. 2) Access for Community Midwives/MIPP's to every maternity unit across the country (as recommended by NHMRC and every review of maternity services in the past 2 decades). 3) Establishment of birth centres and team midwifery projects in every maternity unit across the country. 4) Introduction of no fault health insurance as in NZ in light of the insurance
Fish consumption and mercury
Dear All, this email was sent to me from a friend in women's health. The words below in their entirity are from that email, sorry if you have already seen this. Kind Regards Sally-Anne BrownManager Primary Health Programs Aged Community and Mental Health Division Department of Human Services Ph 9616 7724 - Forwarded by Jane Canaway/HeadOffice/DHS on 25/09/2001 01:54 PM - Toni Collins To: Jane Canaway/HeadOffice/DHS@DHS, Cathy 25/09/2001 Henenberg/HeadOffice/DHS@DHS, Denise 01:48 PM O'Hara/HeadOffice/DHS@DHS, [EMAIL PROTECTED] cc: John Stanton/HeadOffice/DHS@DHS, Veronica Graham/HeadOffice/DHS@DHS Subject: Pregnant women and fish consumption Last Sunday's newspapers (see below) had an article about the mercury content of some fish and the implications for pregnant women. For your information I attach the statement that ANZFA (Australian and New Zealand Food Authority) released earlier this year concerning this issue. Could you please convey this information to your various networks? Toni Mercury in flake Sunday Herald Sun, P.2 - Dangerous levels of mercury are present in some sharks being sold as flake in Victoria, a State Chemistry Laboratory report has found. It recommends the DHS consider banning the sale of black shark, endeavor dog shark and pearl shark. Victoria's chief health officer Dr John Catford urged pregnant women to eat only one portion of flake a week. Citing a serious health issues, shadow health spokesman Robert Doyle wants report released. --- - Reference: - www.anzfa.gov.au 18 January 2001 ANZFA issues advisory statement on mercury in fish for pregnant women The Australia New Zealand Food Authority (ANZFA) today released an advisory statement on mercury in fish for pregnant women, and women considering pregnancy. ANZFA is recommending that pregnant women limit the consumption of shark (flake), ray, swordfish, barramundi, gemfish, orange roughy, ling, southern bluefin tuna and freshwater fish caught in geothermal waters to four serves (of 150g) per week. ANZFA's Chief Scientist, Dr Marion Healy, said 'Fish is an excellent source of protein for all people, it is low in saturated fats and high in the 'good' unsaturated fat and omega 3 oils and women should continue to eat fish during pregnancy. However, some species of fish, usually those large species that are at the top of the food chain and that live a long time, may accumulate higher levels of mercury that can affect the foetus. The amount of mercury in the environment also affects the level in fish, for example, the freshwater fish living in geothermal waters in New Zealand tend to accumulate higher levels. 'Pregnant women can eat as much other fish, including canned tuna, as they like. Canned tuna contains lower levels of mercury than bluefin tuna because a smaller species is used that is usually harvested when less than a year old. 'ANZFA has consulted widely with the fishing industry and health professionals and will continue to work with these groups to ensure that pregnant women, and women considering having a baby, are made aware of this advice. ANZFA developed the advisory statement for women based on the latest research that indicates that the foetus is sensitive to mercury. The effects in infants are subtle and only found by testing, for example, delays in the start of walking and talking. Very little mercury is found in breast milk and breastfeeding mothers should not limit their fish intake. 'Current food regulations limit the level of mercury in fish and these limits ensure that the general population, including babies and children, are not exposed to any harmful effects. National Nutrition Surveys show that 25% of Australians and 20% of New Zealanders (this can be as high as 36% of Maori and Pacific islander groups) consume fish at least once a week. However, the vast majority of people consume less than 4 portions of fish a week'. 'It is highly desirable that people not interpret this as advice to stop or reduce their consumption of fish. It is in the interests of their health to eat fish on a regular basis, but pregnant women should limit consumption of those species of fish with high mercury levels,' Dr Healy concluded. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Midwives Support Picnic Rally - Geelong VIC, October 28th
Hi all, Sally Westbury (Independent Midwife) Geelong and I (Sally-Anne Brown - The Greens - South West Region and birth activist) are organising a picnic and protest to support the appalling situation with our midwives in not being able to obtain insurance. And to enable community midwifery programs to be federally (and state) funded. Please mark this date in your diaries now - In conjunction with and acknowledging National Homebirth Day (October 29th) we will have our rally on SUNDAY OCTOBER 28th at Johnsons Park in Geelong 11am - 3pm. Picnic, stalls, speakers and support for our midwives. (Very close to V-Line bus and train services) BYO Picnic Hamper, kids, parents, grandparents, friends, midwives, doctors, pollies,banners, birth group stalls and lots and lots of people. We are hoping that at least one picnic protest will happen in every state ! Remember though that the key to the success of the day will definitely be the numbers. So we welcome with many warm arms the families from Melbourne who can come and swell the gathering to support this day. So far, we have families who have committed travelling 1-3hrs from the south west to be there, which is absolutely fantastic. If you can email this to anyone who can come on the day, this would be fantastic. I will post on the list confirmed speakers when we have an update. The key of course is that it will be held 3 weeks prior to the federal election and we are making it an election issue. (The most optimum time to get minor parties to support us when the major parties are desperate for preferences).eg: get support from the Green Senate Candidates. For any suggestions or offers of support please email me asap. The main point being for this day is that ''every woman has the right to choose a midwife to be her primary caregiver during the childbearing experience. Also, Sally Westbury has just phoned to say that in The Geelong News today 18/9/01 - 'Home Birth Midwives Ban' is a story featuring FRONT PAGE and second pages. This is a first, congrats Sally and Merrivale who got it out there and happenning. It's time Warm Regards to you all, Sally-Anne Brown Phone (03) 523 77 413 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
