I've been present at (and caught!) some lovely breech births but also been
present at:
one tentorial tear, cactus baby,
one fractured cervical spine, lifted up too early... cactus baby,
one trapped head, dead baby.
They were all living and well at the beginning of the birth.
I don't agree at all
I have known of this kind of elective intubation while still inutero- and
attached to the placenta- only in a case where there was a known throat
abnormality. The paeds wanted to have an airway before the connection to the
placenta was lost... can't remember what the abnormality was, maybe a
I happened across this study today while researching forceps- it indicated
the cutting an episiotomy when using forceps increases the chance of 3rd
4th degree tears. I don't think it specifies midline.
I agree... so often women in early labour present over and over, demanding
intervention. The reasons for non intervention are explained very clearly,
there is no ambiguity of information from midwives or medical staff... the
risks of undesirable outcomes- forceps, c/s, fetal distress etc, being
We have a system whereby women MUST be admitted to the ward after confirmed
SROM. In passing I may say, of women who come in with ?SRM, fewer than half
do have ROM so it isn't reasonable to expect Mum's opinion to be Gospel.
After admission we have an ongoing battle with the medical staff to
It depends on the severity of the PIH. Magnesium therapy has only a minor
effect of BP, it is used to reduce the risk of fitting so is started when
there is hyper-reflexivity (jumpiness) usually with deteriorating renal
and/or liver function. There is a regime where I work, email me offlist if
you
Who is doing the caesars to get such a huge loss? The usual blood loss for
uncomplicated c/s where I work is 3-400mls, I think that is pretty well par
for the course.
Monica
- Original Message -
From: lyn lyn [EMAIL PROTECTED]
To: ozmidwifery@acegraphics.com.au
Sent: Sunday, April 02,
We use Misoprostol for PPH. It comes in the protocol after IM syntometrine
and IDC and either concomitant with 40u Syntocinon infusion or before if no
IV access- thus very useful in postnatal ward in the case of secondary
haemorrhages. We use 4 tabs, PR, and find it very effective.
We don't use
- Original Message -
From: adamnamy [EMAIL PROTECTED]
To: ozmidwifery@acegraphics.com.au
Sent: Saturday, March 04, 2006 11:32 PM
Subject: [ozmidwifery] on the subject of induction
-snip-
Is the failed induction-requiring C/s rate really around 50%?
-snip-
It certainly isn't where I
Actually what I said is that *where I work* the C/s rate from IOL is hardly
distinguishable from the total C/S rate.
That's in a tertiary hospital. I don't know where this mother is planning to
have her baby but I would hope the risk of C/S would be far lower in a
peripheral hospital.
Monica
We used to have the women from Mulawa gaol in Sydney come to us. I never
work in the clinics so I am not sure about their antenatal care but they
always came to us when in labour- or of antenatal problems. Depending on
their offence ( which, naturally, was not divulged to us), they had one or
Hi Nicola,
I don't know who she spoke to at Westmead but I can't believe she couldn't
be seen until March.
At Westmead the following is available: Team midwives, midwifery clinics, GP
shared care, high risk clinics, young mothers clinic, various language
clinics, ordinary drs clinics or
Nicola wrote:
Can I ask a personal question on this one? Last birth (January 2003,
Gosford Hospital Community Midwives) I was given intravenous antibiotics
automatically because I had been StrpB positive in the previous
pregnancy. I wasn't retested. I am pregnant again - will I be
automatically
Hi, I know this has been discussed before but I can't find the refs and when
I searched Medline I couldn't find just what I was looking for. I have a mum
who has had 2 previous lscs (one for primip breech, the other just for
maternal request.) She now wishes to try for a vaginal birth this time
Cervidil- is that the trade name for Misoprostol(sp)? If so, midwives use it
where I work, both for immediate treatment of post partum haemorrhage and in
IOL for intra uterine death.
Monica
- Original Message -
From: Alese Koziol [EMAIL PROTECTED]
To: ozmidwifery
Oh.
(retires, blushing)
- Original Message -
From: Alese Koziol [EMAIL PROTECTED]
To: ozmidwifery@acegraphics.com.au
Sent: Wednesday, November 02, 2005 2:58 PM
Subject: Re: [ozmidwifery] level 2 midwives
Monica, you are thinking of cytotec
- Original Message -
From: Mh
Where I work women are booked in by midwives. There
are about a thousand questions asked, covering physical, medical,
gynaecological, obstetric, social and psychiatric history and a check of weight
and height and BMI. Models of care are discussed at this appointment which is
purely
Kylie,
As others have said, checking for clicky hips is part of a normal neonatal
check whether performed by a midwife or a paediatrician or early childhood
nurse. Where I work it is done by the midwife at birth and by a paed prior
to discharge unless the parents are unwilling to wait (paeds
- Original Message -
From: Sally-Anne Brown
To: ozmidwifery@acegraphics.com.au
Sent: Tuesday, September 13, 2005 7:37 AM
Subject: Re: [ozmidwifery] IOL and C/s...
-snip-
They have studied two groups a) IOL and b) spontaneous labour. The results
show a slight difference in the two
I'm sure you've excluded it Kylie but you don't mention it so I thought I
would just suggest checking for congenital dislocation of her hip- a cousin
had that and it wasn't picked up until she was seen to throw her ;leg out
with each step.(Unless that's what hemihypertrophy is, in which case I
Hi all,
I'm just curious to hear what the proportion of vaginal births to CS is in
other hospitals?
I work in a tertiary, high risk Delivery Suite but vaginal birth is accepted
as the default option for twins as long as the presenting twin is cephalic
unless there is some problem that would
Hi everyone,
We are having huge renovations where I work, just as well, we might even get
more than one shower for our ten birth rooms-
but apart from that, the Powers that be are considering caseload midwifery
in the future. This was very exciting until they spelt ouy what they have in
mind. I
at Mackay we were all
level 2 clinical midwives for a start. Don't know what the
formula for the salary was but the shift work needs to be
recognised as well as the 24 hour call plus some for the
disruption of your home life. How has your union responded?
Cheers
Judy
--- mh [EMAIL PROTECTED] wrote
- Original Message -
From:
sharon
-snip-
if a registered nurse wants to she may hand
in her general registration and only be a midwife.
This is not an option in NSW at least, I and many
other midwives were looking forward to giving up a qualification we
There were some references a while ago about the WHO defininf a PPH as being
over 1000 mls. As we are being required to go the most extreme lengths to
treat PPHs of 500mls or more, even if not causing any symptoms and
bleeding is settling, I would love some evidence to suggest this is
Hi all,
I sent this yesterday but it didn't come through to me at least so apologies
if it's a repeat.
There were some references a while ago about the WHO defininition of a PPH
as being over 1000 mls. As we are now being required to go the most extreme
lengths to treat PPHs of 500mls or more,
Where I work (large teaching hospital, dedicated 24hr Pain Management
Team, painrelief protocols codified by anaesthetic dept and adhered to by
all from VMO down,) if LSCS was performed under epidural the women
frequently have a bolus of Morphine down the EDB catheter prior to it being
removed
Denise and all,
snip
To sum up a.. women have the right to
informed choice b.. Practitioners are well protected if they
follow the legal requirements (bold mine, snipped from Jenny Gamble's reply)
I don't know anything about this case but could not
let this statement pass as it is no
They're not assigned to BF or AF. Just that if they're BF an
d for some reason change their mind at any time during the (I think) 1st
year, or use a comp etc, they use the one supplied which is unidentified (I
think). You can look it up if you google TRiGR. I heard an inservice on it
which
This is the TRiGR trial; it's multi centred, co-ordinated from I think
Norway- a Scandinavian country anyhow. We are participating where I work
though we haven't had any mothers come through yet. It sounds really
fascinating but it's a 10 year follow up so no good looking for immediate
From a different perspective, we have used a PCA
(Fentanyl) in labour when the mother has requested more painrelief than IM
Morphine and an epidural is contraindicated, eg this week- fetal death in utero
at 26 weeks, mother septic with bordeline then deteriorating coags. Labour
induced with
Justine,
For the past two and a half years I have been pursued by a woman who
sincerely believes she has grounds for complaint. I can't go into the
details of the case because of patient confidentiality (not that it has
stopped this woman slandering me in national papers, on network radio, etc)
- Original Message -
From: mh [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Friday, September 17, 2004 4:22 AM
Subject: [ozmidwifery] admission ctg
I work in a high risk 'Delivery Suite' in a tertiary hospital where we
have
frequent antenatal transfers for reasons of our own level 3 nursery
I work in a high risk 'Delivery Suite' in a tertiary hospital where we have
frequent antenatal transfers for reasons of our own level 3 nursery. Also,
because of our proximity to the state's primary Children's hospital we have
antenatal transfers of care so women whose babies have particularly
I was in fact reading the Maternal Deaths report at
work today, the most recent complete one (94-96); over the past 30 years
maternal deaths have decreased but hit a steady patch over the lastfew
triennial periods. As Marilyn says, many were extremely ill, to the point where
one must wonder
Sorry, should have been more clear. I am accustomed
to EDB meaning epidural block and EDC for expected date of confinement- archaic
I guess but there you go.
Monica
- Original Message -
From:
Mary
Murphy
To: [EMAIL PROTECTED]
Sent: Saturday, February 28, 2004
an epidural could not be used
as the woman would not have the pain cues to impending uterine rupture. At
least that is what I was told.
Cheers
Judy
mh [EMAIL PROTECTED] wrote:
Where I work, twins are encouraged but not forced to have epidurals and EDB
is used liberally whether VBAC or not... I remember when
Where I work, twins are encouraged but not forced
to have epidurals and EDB is used liberally whether VBAC or not... I remember
when I was a student (20yrs) they were thingy about EDB in VBAC but not for
at least the past 15 years- no increase in rupture etc. What is the reason for
limiting
I don't know about doulas etc in the area but last
week I worked there and would hesitate to recommend it to a new mother- the
private paed are very keen on comping and in general seemed to undermine
breastfeeding. That is only on the basis of one shift but I was quite shocked
while I was
2003 08:54:06 +1000
Date: Fri, 1 Aug 2003 08:54:06 +1000
Message-Id: [EMAIL PROTECTED]
From: mh [EMAIL PROTECTED]
Subject: [ozmidwifery] Different kind of intervention
MIME-Version: 1.0
Content-Type: multipart/mixed; boundary=--MDBZC37JCIXZHK
- Original Message -
From: Mary
Hello all,
I've sometimes felt a little alienated from many on this list, mainly
because the women I work with have such a different focus from what is often
described here- they want intervention, they want it now!! Our very
competitive VBAC rate and lscs rate (for a tertiary referral hospital)
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