[ozmidwifery] Short women
Leanne In my experience, women of short stature (of which I am one!) very commonly have babies in the OA position. I have concluded (my own opinion, without research or evidence) that this is because there is simply no room for a baby to be OP. Us women of short stature, do not labour or birth any differently to other women, and due to position could even exceed the expected 'normal labour curves'. Felicity (152cm) - Original Message - From: leanne wynne [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, July 04, 2005 11:49 AM Subject: [ozmidwifery] FYI Hi All, I thought the comment at the end of this article about caregiver bias very relevant. Leanne. Short stature independently predicts cesareans Issue 13: 27 Jun 2005 Source: European Journal of Obstetrics Gynecology and Reproductive Biology 2005; 120: 175-8 Maternal short stature is an independent risk factor for cesarean section, according to new findings. The researchers report a significantly higher rate of cesareans among women less than 155 cm in height compared with taller women, even after controlling for labor dystocia. Specialists from the Soroka University Medical Center in Beer-Sheva, Israel, analyzed the records of all 159,210 deliveries that occurred at the center between 1988 and 2002. In 5,822 of these deliveries (3.65 percent), the mother was of short stature, defined as being less than 155 cm in height. These women were almost twice as likely to have a cesarean section compared with taller women (21.3 percent versus 11.9 percent, respectively). Women of short stature also had significantly higher rates of previous delivery by cesarean, intrauterine growth restriction, premature rupture of membranes, failed induction, labor dystocia, malpresentations, and cephalopelvic disproportion. However, the researchers found no significant differences in perinatal complications such as low birth weight, meconium-stained amniotic fluid, perinatal mortality, and low 5-minute Apgar scores. Significant and independent Importantly, the association between short stature and cesareans persisted even after controlling for other potentially confounding factors, including dystocia. Writing in the European Journal of Obstetrics Gynecology and Reproductive Biology, the researchers report that short stature is an independent risk factor for cesarean section, with an odds ratio of 1.7. They say the higher rate of deliveries by cesarean among short women can be partially attributed to caregiver bias. Whenever the attending obstetrician realizes that the patient's stature is short, even mild deviations from the 'normal' labor curves lead to cesarean section. They suggest that the findings should prompt obstetricians to reconsider their attitudes towards cesarean deliveries in mothers 155 cm, and call for an objective evaluation of the benefits and risks of performing cesareans in such women. The researchers say further prospective studies investigating indications for cesareans need to be conducted in order to help inform decisions. Leanne Wynne Midwife in charge of Women's Business Mildura Aboriginal Health Service Mob 0418 371862 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] NUM - Mildura
Dear List Please consider the pasted advert below, placed on behalf of Admin - Mildura Base Hospital. NURSE UNIT MANAGER MATERNITY SERVICES The Mildura Base Hospital is currently seeking a Division 1 Registered Midwife, who has leadership qualities, experience and/or a qualification in management and sound clinical experience to lead the dynamic team in Maternity Services. The position is full-time although part-time applications may be considered. In this senior role you will be an integral member of the management team working closely with the Associate Director of Nursing. Key responsibilities include: Providing leadership, vision and support to clinical staff, ensuring that a high standard of clinical practice is maintained. Project co-ordination including research , quality and EquIP activities. Leading by example, demonstrating flexibility, professionalism and a genuine desire to create and maintain a positive environment. Active management of human and material resources. The successful candidate will be an experienced midwife registered or eligible for registration in Victoria. They will join a management team that is enthusiastic and clinically focused and have the opportunity to develop this role in consultation with the Associate Director of Nursing to reflect their perception of the current needs and future direction of the unit. Proven highly developed communication, clinical, planning and change management skills and the ability to lead and motivate a dedicated team of nurses in a co-operative and supportive manner are essential. This role will appeal to flexible, motivated and dynamic individuals who desire to work as part of a team that will help guide the Nursing Department towards achieving its goals. Mildura is considered the gateway to Australias magnificent outback. Nestled on the banks of the majestic Murray River, the city boasts a cosmopolitan lifestyle of cafes, restaurants and sporting facilities that many only associate with capital cities. As well as offering rewarding career opportunities, Mildura is a growing regional city, readily accessible by road or air from Melbourne and Adelaide. For further details regarding this position, please contact: Ms Simone Heald Associate Director of Nursing Patient Services on (03)50223219 or email: [EMAIL PROTECTED] or Ms Sue Thornton, Director of Nursing on (03)50223219 or email: [EMAIL PROTECTED] Applications including curriculum vitae and names of 3 professional referees to be forwarded to Mr Don Palazzo, Manger: Human Resources, Mildura Base Hospital, PO Box 620, Mildura, Vic. 3502 (or email to: [EMAIL PROTECTED]) by Thursday 7th July 2005.
[ozmidwifery] Midwife Wanted - Mildura
Dear List We have recently been granted some funding for a Continuity of Care Program in Mildura. This is something that we have wanted for so many years, but now unfortunately, we are lacking someone with time, knowledge and energy to devote themselves to giving the women of Mildurathis wonderful service. There is overwhelming support from the midwives, management the obstetric representative, just no-one to drive it. The program officer has a budget and a group of women crying out for this service - that is about it! It is ready for a creative, enthusiastic, motivated midwife, to pick this up and run with it. If you can see yourselfin this new and exciting role, please consider a move to Mildura. I havepasted the advert below and I am available off list if you have any questions (or contactthe NUM or ADON). Felicity Cummins [EMAIL PROTECTED] MATERNITY SERVICES CONTINUITY OF CARE MODEL Project Officer (Grade 4) Applications are invited from enthusiastic and motivated Registered Midwives for the position of Project Officer for the Continuity of Care Model. The position part-time (32 hours per fortnight) for a period of 8 months from May 2005 until January 2006. This Grade 4 role will develop with the view to this position being incorporated into the Continuity of Care Model as a functional midwife within the program permanently The primary objective of the Maternity Services Continuity of Care Program is to provide maternity care to women across the entire continuum of childbirth in collaboration with the Obstetric team, in order to achieve optimal client outcomes through effective and efficient use of Human and material resources. The successful applicant will set up the service, advertise and interview the midwives required and have the service ready to commence in July 2005. Well developed written and verbal communication, interpersonal skills and problem solving techniques are essential. A knowledge of needs analysis, advertising and promoting and evaluation techniques along with experience in research and promotional activities would be advantageous. Applicants for the above positions will have or be eligible for registration as a midwife with the Nurses Board of Victoria and will need to hold a current Drivers Licence. Mildura is considered the gateway to Australias magnificent outback. Nestled on the banks of the majestic Murray River, the city boasts a cosmopolitan lifestyle of cafes, restaurants and sporting facilities that many only associate with capital cities. As well as offering rewarding career opportunities, Mildura is a growing regional city, readily accessible by road or air from Melbourne and Adelaide. Further information regarding these roles can be obtained by phoning: Alison Hamilton, Nurse Unit Manager on (03)50223480 or email: [EMAIL PROTECTED]. or Simone Heald, Associate Director of Nursing on (03)50223219 or email: [EMAIL PROTECTED] Applications, including Curriculum Vitae, and the names of three professional referees can be forwarded to Mr Don Palazzo, Manager: Human Resources, Mildura Base Hospital, PO Box 620, Mildura, Vic. 3502 (or by email:[EMAIL PROTECTED]) by Friday 22nd April 2005.
Re: [ozmidwifery] Midwife Wanted - Mildura
Yes Please! Denise, feel free to post it on other
lists. Thankyou.
Should have said earlier that this job is only 2
days per week and the other3/week can be made up on ward work if the
applicant wishes. There will be a further advert to follow for the 3
midwives to work in the program.
Thanks for your help.
Felicity
- Original Message -
From:
Denise Hynd
To: ozmidwifery@acegraphics.com.au
Sent: Wednesday, April 13, 2005 8:49
AM
Subject: Re: [ozmidwifery] Midwife Wanted
- Mildura
Dear Felicity
I presume you are happy to have this notice
posted to other lists where it may reap an answer??
Denise Hynd
"Let us support one another, not just in philosophy but in action, for
the sake of freedom for all women to choose exactly how and by whom, if by
anyone, our bodies will be handled."
Linda Hes
- Original Message -
From:
cummins
To: ozmidwifery@acegraphics.com.au
Sent: Wednesday, April 13, 2005 6:05
AM
Subject: [ozmidwifery] Midwife Wanted -
Mildura
Dear List
We have recently been granted some
funding for a Continuity of Care Program in Mildura. This is something
that we have wanted for so many years, but now unfortunately, we are lacking
someone with time, knowledge and energy to devote themselves to giving the
women of Mildurathis wonderful service. There is overwhelming support
from the midwives, management the obstetric representative, just
no-one to drive it.
The program officer has a budget and
a group of women crying out for this service - that is about it! It is
ready for a creative, enthusiastic, motivated midwife, to pick this up and
run with it. If you can see yourselfin this new and exciting
role, please consider a move to Mildura. I havepasted the advert
below and I am available off list if you have any questions (or
contactthe NUM or ADON).
Felicity Cummins
[EMAIL PROTECTED]
MATERNITY SERVICES CONTINUITY OF CARE
MODEL
Project Officer
(Grade
4)
Applications are invited
from enthusiastic and motivated Registered Midwives for the position of
Project Officer for the Continuity of Care Model. The position part-time (32 hours per
fortnight) for a period of 8 months from May 2005 until January 2006. This Grade 4 role will develop with
the view to this position being incorporated into the Continuity of Care
Model as a functional midwife within the program
permanently
The primary objective of
the Maternity Services Continuity of Care Program is to provide maternity
care to women across the entire continuum of childbirth in collaboration
with the Obstetric team, in order to achieve optimal client outcomes through
effective and efficient use of Human and material resources. The successful
applicant will set up the service, advertise and interview the midwives
required and have the service ready to commence in July 2005.
Well developed written and verbal communication,
interpersonal skills and problem solving techniques are essential. A
knowledge of needs analysis, advertising and promoting and evaluation
techniques along with experience in research and promotional activities
would be advantageous.
Applicants for the above
positions will have or be eligible for registration as a midwife with the
Nurses Board of Victoria and will need to hold a current Drivers
Licence.
Mildura is considered the gateway to Australias
magnificent outback. Nestled on the banks of the majestic Murray River, the
city boasts a cosmopolitan lifestyle of cafes, restaurants and sporting
facilities that many only associate with capital cities.
As well as offering rewarding career opportunities,
Mildura is a growing regional city, readily accessible by road or air from
Melbourne and Adelaide.
Further information
regarding these roles can be obtained by
phoning:
Alison Hamilton, Nurse
Unit Manager on (03)50223480 or email: [EMAIL PROTECTED].
or Simone Heald,
Associate Director of Nursing on (03)50223219 or email: [EMAIL PROTECTED]
Applications, including Curriculum Vitae, and the
names of three professional referees can be forwarded to Mr Don Palazzo,
Manager: Human Resources, Mildura Base Hospital, PO Box 620, Mildura, Vic.
3502 (or by email:[EMAIL PROTECTED]) by Friday 22nd
April 2005.
[ozmidwifery] Postnatal observations
Dear List Sorry to go back over old ground (message sent by Mel Dunstan 17/11/04), but I really need your help in a Obs V Midwives battle against doing postnatal observations. About 4 years ago we ceased doing postnatal observations on all 'normal birth' postnatal women. Our postnatal unit hasrun perfectly since this time without incident relating to the postnatal care of wellbeing of the women we care for. We use a pathway for signing off the education and the wellbeing of mother and child. Recently we have had a visiting registrar who required postnatal observations on women. This request has gone to our DON whodemanded that our practice be immediately updated and that we do at least one set of obs per day on every woman. In our unit,we do not gain a numerical value from any machine, however, we ask the woman how she is feeling, we observe behaviour, we listen to the woman, we educate and spend time with mother and baby,we are 'with woman'!! and if there is anything deviating from the normal then we investigate further, often by doing observations, however, if there is no indication to do the observations, then I do not believe that they need to be done. Four years ago, our unit progressed from being task orientated and medicalised, to caring for the individual and empowering the woman to care for herself. A woman with child is not a medical emergency and removing routine observations is normalising this situation. I have no doubt the woman I cared for last night (day3, engorged breasts, tears, etc) would have an elevated temp, high heart rate and probably an elevated BP but I was already dealing with the problems and a set of obs would have proven NOTHING. I am so very angry and frustrated that I am now faced with a situation where I need to find some recent evidence based practice to support the fact that we do not do routine observations. We are having to re-invent a wheel that has been rolling perfectly well for so many years (until it ran over an obstetric nail). If there is anyone out there who can help, please alert me to web sites, publications, anything!! Thanks in advance Felicity
Re: [ozmidwifery] Postnatal observations
Dear Jen No, the Ob has not provided anything, only that this was the practice at the tertiary hospital from where she came from, so it MUST be right! And where I work, in the eyes of management, Obs are right until proven wrong and Midwives wrong until accepted after lots of fighting. Felicity -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Homebirth slogans
What about..."Birth at home by choice" or "Homebirth: My choice" or to fit with the X-mas theme "Jesus wasn't born in a hospital" or "Jesus born in a stable, my baby born at home!" - Original Message - From: Tania Smallwood To: [EMAIL PROTECTED] Sent: Thursday, November 18, 2004 5:00 PM Subject: [ozmidwifery] Homebirth slogans Wondering if you wonderful women can bombard me please with some homebirth slogans, looking for something direct and eye catching to go on a t-shirt, our local Homebirth Network in Adelaide is in a small Hills christmas pageant next week, so as usual, everything at the last minute, but there are some wanting to get t-shirts made up, and I'm at a bit of a loss... Thanks!\ Tania
[no subject]
Dear List This note is for all of the Midwifery course coordinators and Graduate midwives in 2005. My name is Felicity Cummins and I am the Grad Mid coordinator at Mildura Base Hospital. I am in the process of finalising the details about the program but I can tell you that there will be 3-4 positions available for a 12 month course beginning in Feb 2005. There will be6study days containing every topic imaginable, including, care of the sick neonate, midwifery emergencies and home birth. The ward work involves supported practice in Antenatal, Birthing and Postnatal care as well as Special Care Nursery. There is also opportunity for the Grads to become involved in a new Continuity of Care program if they so wish. The program also includesthree community days where the participants are able to experience the links in the community for women and families pre and post birth. Our ward is a fantastic place to work with a great team of happy and dynamic midwives who have a keen focus on education and best practice. My aim is to provide a large amount of basic information and an environment of supported practice for the consolidation of knowledge. I am passionate about nurturing midwives entering the workforce, as these people are the future of midwifery and the future carers of women, children and their families. I know the importance of a great start and I hope that I can provide this tosome of you 2005. Please feel free to contact me off list for your individual questions. I am also very willing to meet any of you for a guided tour of our ward and hospital at any time. [EMAIL PROTECTED] Felicity Cummins
[ozmidwifery] Midwife Care
Thankyou to all those who assisted me with my question. I value you knowledge and experience. Felicity
[ozmidwifery] Oh wise ones - ever heard of MTHFR?
Methylenetetrahyerofolate... it's a 'newly diagnosable' genetic 'thing', that one of my clients has been diagnosed with. It causes blood clots and contributes to IUGR, prem labours, and miscarriage. I am desperate to give my lady some information, dont know where exactly to look, or who to ask any help would be greatly appreciated. Thanks Leanne --- Confidentiality Notice The information contained in this email message is intended for the named addressee only. If you are not the intended recipient you must not copy, distribute, take any action reliant on, or disclose any details of the information in this email to any other person or organisation. If you have received this email in error, please notify the sender immediately. --- Name : Leanne Cummins RNCM IBCLC Position: Program Coordinator Department :CareLink Company : AHMG PH:1300 363 698 FAX:(02) 4227 1678 EMAIL : [EMAIL PROTECTED] -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Jean Sutton
Hello List I am a midwife and interested in Jean Sutton's optimal positioning theory. I would like to e-mail or talk to her, does anyone haveher contact address or phone number? Regards Felicity
