Re: [ozmidwifery] Midwives eat their young, don't they?

2007-01-20 Thread wump fish
Unfortunately I can't get into the articles. I have just resigned and asked for a demotion and feel very much that the system I work in fails to nuture its midwives who are therefore less able to nurture new mothers. Rachel From: Sally @ home [EMAIL PROTECTED] Reply-To:

RE: [ozmidwifery] cord blood gases

2006-10-18 Thread wump fish
Christine Sorry - I don't have research evidence to support my anecdotal observations. Interesting how anecdotal evidence/theoretical complications is enough to prevent hospitals providing waterbirth (and other woman-centred birth options) despite the research to back it up. We are in a system

[ozmidwifery] birth dvd?

2006-08-21 Thread wump fish
I am desperately searching for a good dvd of birth for CBE, and I'm unable to find an appropriate dvd. I wonder if any of you wise women have a recommendation that fits my criteria: Normal birth (preferably without analgesia) Midwifery led care Woman NOT birthing on her back/semi supine Not a

RE: [ozmidwifery] ARM at crowning

2006-06-06 Thread wump fish
Hi Zoe, I personally would not ARM at this point. I am not sure what kind of 'control over the head' you are referring to (as a hands off practitioner I don't actually 'do' anything). I find it very special when the baby is born in the caul (in membranes). The membranes usually break as the

[ozmidwifery] Wellington Point

2006-02-10 Thread wump fish
I've been contacted by a woman who has recently arrived in Wellington Point, Queensland. She is 12 wks pregnant and wants some info about what's available in her area re: maternity care. Do any of you have experience/advice. Are there any midwifery led birth centres? Thanks Rachel

[ozmidwifery] bounty packs

2006-02-04 Thread wump fish
I have a problem with giving out bounty packs as it is but... Opened one yesterday and noticed an addition hidden inside. Castlemaine have produced a 'dad's pack'. It includes: earplugs (so you can ignore your crying baby); a face mask and gloves for nappy changing; stickers saying 'I

Re: [ozmidwifery] Resounding failure of active labour management

2006-02-01 Thread wump fish
Perhaps we need to get away from due dates altogether. Instead of giving women an edd, maybe saying that if your baby has not arrived by x date we can discuss various options. I agree, that when we give women a particular date they fix on it. As do their family and friends = lots of pressure as

Re: [ozmidwifery] Resounding failure of active labour management

2006-01-31 Thread wump fish
Active management is popular with women. Many women hate the 'not knowing' that goes with physiological birth. They want to know how long labour will be... when baby will be born (how many times are you asked that question?). They are in control in of the rest of their lives. Plan and fit

Re: [ozmidwifery] Resounding failure of active labour management

2006-01-31 Thread wump fish
Hi Janet I guess I am baseing my comments on my own experiences. As a community team midwife (UK) I was responsible for the 41wk home visit to women who were 'post dates' and the information giving/discussion on which they based their choices - do nothing (always my first topic), membrane

Re: [ozmidwifery] question

2005-11-17 Thread wump fish
I agree with you Andrea. I think many babies are literally strangled during true shoulder dystocias. As for cord ph - I can clearly remember a baby having a lovely normal cord ph following his death during a shoulder dystocia (). Provided me with yet more ammunition against the hospital's

RE: [ozmidwifery] question

2005-11-17 Thread wump fish
-Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of wump fish Sent: Friday, 18 November 2005 11:49 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] question I agree with you Andrea. I think many babies are literally strangled during true shoulder dystocias

RE: [ozmidwifery] question from Year 10 student

2005-11-07 Thread wump fish
This made me laugh. It is just the kind of question my son (year 9) would come up with. I haven't even thought about it! I would go with the fluid and equal pressure theory. Being upside down in water at an adult (try it) does not result in the same pressure as being upside down outside

[ozmidwifery] burping/winding

2005-11-05 Thread wump fish
Thanks for your replies! I guess it is a case of encouraging the mother to follow her baby. If he falls asleep after a good feed then leave him. If he is fidgeting about and seems uncomfortable try winding him to see if that is the problem. They will soon work out if they have a baby who

Re: [ozmidwifery] Strep B screening

2005-11-05 Thread wump fish
This is an interesting thread for me. In the UK we never routinely swabbed women for GBS at any point in pregnancy. If they had symptoms of a vaginal infection they would have swabs taken. If they had SROM for 18hrs before labour they were offered IV AB regardless of GBS. If they had been found

RE: [ozmidwifery] Strep B

2005-11-04 Thread wump fish
It seems most hospitals offer IV antibiotic cover in labour if membranes have ruptured for over 18hrs whether GBS or not. This is a particular bug-bear of mine. Firstly this is often not 'offered' but women are basically told this is what will be done. Secondly when women have had 2 doses of

[ozmidwifery] burping/winding

2005-11-04 Thread wump fish
What do you wise women think about winding/burping babies. I am very aware that I am totally confusing women and providing them with information which conflicts with my colleagues. I would love to hear what information you give women about this subject. My standpoint at the moment (more than

RE: [ozmidwifery] re: hospital based midwife

2005-11-02 Thread wump fish
It is sad to hear yet another hospital midwife feeling under attack. It can be argued that hospital midwives have an even greater role to play in changing the maternity service and catering for women's needs. I turned down the chance of working as an independent in the UK because I believed

RE: [ozmidwifery] level 2 midwives

2005-11-01 Thread wump fish
You are right. For me being a level 2 means I have my usual client load and have to co-ordinate the ward/beds and deal with any crap that arises. Also have to manage two portfolios (both incredibly boring and tedious). All for a few cents more an hour, and I've never had any time 'off-line'. I

Re: [ozmidwifery] risk management

2005-10-31 Thread wump fish
- From: wump fish [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Sunday, October 30, 2005 11:45 AM Subject: RE: [ozmidwifery] risk management I just think that the there are a number of problems generated by applying the current risk management strategies in health care to midwifery

Re: Re: [ozmidwifery] The Advertiser today...

2005-10-31 Thread wump fish
Just a very subjective observation based on 9 months in Qld... I think that the women and mws here are more politicised. Perhaps it is that there is more to fight for - not sure. But, I have met more highly motivated women and mw in the last 9 months than I did in years in the UK. In the UK

Re: [ozmidwifery] The Advertiser today...

2005-10-29 Thread wump fish
Belinda, you are right. I am the first direct entry midwife at the hospital I work at. There were concerns about my competency - I pointed out that I had done the equivalent of a 4yr degree in midwifery (UK) and had plenty of post grad experience of midwifery-led care. But, the main concern was

RE: [ozmidwifery] The Advertiser today...

2005-10-29 Thread wump fish
I think any midwife who has spent their career in a hospital setting would need 're-wiring' to attend homebirths. Hospital birth is so different to homebirth, and the danger is that midwives bring the hospital and it's guidelines to the home. I don't think it is a case of 'upskilling', just a

RE: [ozmidwifery] The Advertiser today...

2005-10-29 Thread wump fish
PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of wump fish Sent: Sunday, 30 October 2005 9:38 AM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] The Advertiser today... I think any midwife who has spent their career in a hospital setting would need 're-wiring' to attend homebirths

RE: [ozmidwifery] risk management

2005-10-29 Thread wump fish
I just think that the there are a number of problems generated by applying the current risk management strategies in health care to midwifery care. The strategies centred around adverse events analysis claim to be focussed on systems and not individuals. However, this is often not how they are

Re: [ozmidwifery] The Advertiser today...

2005-10-29 Thread wump fish
regards Brenda Manning www.themidwife.com.au - Original Message - From: wump fish [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Sunday, October 30, 2005 12:45 PM Subject: RE: [ozmidwifery] The Advertiser today... Tania - I didn't think you were having a go at all! In the UK I

[ozmidwifery] direct entry legislation

2005-10-29 Thread wump fish
I'm about to start an assignment and need pointing in the right direction. People keep telling that there is some legislation change about to happen in Queensland which will result in unis being able to run direct entry mw courses. Does anyone know what this legislation is, or how I can access

RE: [ozmidwifery] Obs first visits

2005-10-22 Thread wump fish
Not sure if this is relevant to your question. I worked ( both in-house and attached) to a large regional referral unit with 5000 births per year. Women would book in the community with the midwife or team at their local GPs. All care would be led by the midwives. Any problems and the women

Re: [ozmidwifery] Obs first visits

2005-10-22 Thread wump fish
It is very depressing to hear that even when women have midwifery-led care they either have to see a dr or have their notes reviewed by a dr. As midwives we are the experts in normal and competent at identifying when things are high risk or becoming abnormal. Why the hell do the drs waste

RE: [ozmidwifery] Lotus Birth

2005-10-18 Thread wump fish
We should have evidence to back up any intervention we offer ie. active third stage and cutting the cord. It could be argued that a Lotus Birth is not an intervention, because essentially it involves doing nothing. So, I guess the onus is on the counter arguement to demonstrate that

RE: [ozmidwifery] support people in OT

2005-10-17 Thread wump fish
A dad who had been present during a GA c-section tried to sue our hospital for the trauma it caused him. From them on dads were banned for GA. Rachel From: Nicole Carver [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery]

Re: [ozmidwifery] Scottish dads push wives toward C-sections? I don't think so

2005-10-16 Thread wump fish
fell out. I saw his a lot in my mid. An op rotated into a oa with forceps and then the mother birthing with no further assistance. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of wump fish Sent: Sunday, 16 October 2005 9:24 AM To: ozmidwifery@acegraphics.com.au

Re: [ozmidwifery] Scottish dads push wives toward C-sections? I don't think so

2005-10-15 Thread wump fish
Message - From: wump fish [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Saturday, October 15, 2005 6:24 AM Subject: Re: [ozmidwifery] Scottish dads push wives toward C-sections? I don't think so I wouldn't be too impressed by UK c-section rates. What is more important

Re: [ozmidwifery] Scottish dads push wives toward C-sections? I don't think so

2005-10-15 Thread wump fish
a lot in my mid. An op rotated into a oa with forceps and then the mother birthing with no further assistance. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of wump fish Sent: Sunday, 16 October 2005 9:24 AM To: ozmidwifery@acegraphics.com.au Subject: Re

Re: [ozmidwifery] Scottish dads push wives toward C-sections? I don't think so

2005-10-14 Thread wump fish
I wouldn't be too impressed by UK c-section rates. What is more important is the 'normal' birth rate. I worked in a large regional referral unit in the UK (5000 births per year). The Consultant was always bragging to new drs that the c-section rate was around 20%. He used to get rather p**sed

RE: [ozmidwifery] Scottish dads push wives toward C-sections? I don't think so

2005-10-13 Thread wump fish
It is very frustrating when a woman is labouring really well and her birth partners are counter-acting her state of mind. Some get quite annoyed that you are not responding to her noises by giving her drugs to make her quiet and easier to watch. I have actually given a dad the entonox once

Re: [ozmidwifery] Watch Out The Ezzo's Are in Town!!

2005-09-28 Thread wump fish
I wonder would love to ask him why 'God' designed babies to instinctively demand feed and be close to their mother. Perhaps his methods work and produce the behaviour he advocates - regular routines etc. But, at the expense of the childs sense of security and love. Demonstrate to a child that

RE: [ozmidwifery] Re: ACT homebirth...

2005-09-28 Thread wump fish
Will doctors who work in the public sector also be stopped from working in the private sector? I don't think so. Rachel From: Tania Smallwood [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Re: ACT homebirth... Date: Thu, 29

Re: [ozmidwifery] Question

2005-09-22 Thread wump fish
@acegraphics.com.au Subject: Re: [ozmidwifery] Question Date: Wed, 21 Sep 2005 21:09:46 +1000 what do you mean you are not allowed to suture in Australia, or do you mean within the hospital you work? Sonja - Original Message - From: wump fish [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au

RE: [ozmidwifery] Indigestion at breakfast....

2005-09-22 Thread wump fish
Justine What a fantastic response! I was considering composing one, but you said it all. It is not a matter of safety (although we all know that argument inside out). It is about women's choices, and supporting women's choices. Interesting how the system can support a woman choosing an

Re: [ozmidwifery] Question

2005-09-21 Thread wump fish
+1000 Why aren't you allowed to suture Rachel ? BM - Original Message - From: wump fish [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, September 21, 2005 10:09 AM Subject: RE: [ozmidwifery] Question I wouldn't suture a 3rd or 4th degree tear at all - at home

Re: [ozmidwifery] Midwifery-led units - warning, a bit of a rave!

2005-09-21 Thread wump fish
I think the 'baby friendly initiative' doesn't take into consideration the artificial environment women find themselves in whilst trying to adapt to motherhood. In other cultures, and not so long ago here, women would have birthed at home supported by other women (family and friends). They

RE: [ozmidwifery] Question

2005-09-20 Thread wump fish
I wouldn't suture a 3rd or 4th degree tear at all - at home or in hospital for a number of reasons. A 3rd+ degree is not within my expertise and can lead to long term complications if not done properly. I would rather it was done by someone with expertise and experience in a well lit theatre.

RE: [ozmidwifery] latest article - the australian

2005-09-16 Thread wump fish
What a fantastic example of 'totally missing the point'. I am not even going to waste my energy responding to this kind of ignorance. Rachel From: Jennifairy [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: [EMAIL PROTECTED], ozmidwifery@acegraphics.com.au Subject: [ozmidwifery]

Re: [ozmidwifery] Re:

2005-08-31 Thread wump fish
Sue, you are so lucky to have cared for women having a physiological breech. I have only seen one vaginal breech - and it was far from physiological (epidural, stirrups, fiddling about etc). Unfortunately it doesn't matter what we teach women about saying 'no'. When they are faced with an

RE: [ozmidwifery] Fw: 'Higher risk' in midwife deliveries (http://theaustralian.com.au report)

2005-08-30 Thread wump fish
I think there is a difference between the training and skills of Australian mw and UK mw. But, this largely exists due to the different maternity systems and the blocks placed on practice by the obs. Your mw training is reliant on the experiences you are able to access. For example, as a direct

Re: [ozmidwifery] Fw: 'Higher risk' in midwife deliveries (http://theaustralian.com.au report)

2005-08-30 Thread wump fish
- Original Message - From: wump fish [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, August 30, 2005 12:02 PM Subject: RE: [ozmidwifery] Fw: 'Higher risk' in midwife deliveries (http://theaustralian.com.au report) As a newcomer to Australia from the UK - it seems that the obs

Re: [ozmidwifery] Fw: 'Higher risk' in midwife deliveries (http://theaustralian.com.au report)

2005-08-30 Thread wump fish
the way of the future??? Honey - Original Message - From: wump fish [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, August 31, 2005 9:29 AM Subject: Re: [ozmidwifery] Fw: 'Higher risk' in midwife deliveries (http://theaustralian.com.au report) Thanks Denise! What

RE: [ozmidwifery] Men at births

2005-08-30 Thread wump fish
This is a very interesting article and topic. I wonder if the type of birth experience influences how men feel. I think one of points the article misses is that physiological childbirth is a sexual event (and I don't mean sexually stimulating). It involves the same hormones, parts of the

[ozmidwifery] Hello and 3rd degree tears

2005-08-29 Thread wump fish
Hello, I'm a newcomer - so a quick intro: I am a Uk direct entry midwife living and working on the Sunshine Coast Queensland. Struggling to adapt to Australian mainstream midwifery. Also tired from night-shift, so I apologise for mistakes in this mail. Regarding the 3rd degree tear stats. I

RE: [ozmidwifery] Fw: 'Higher risk' in midwife deliveries (http://theaustralian.com.au report)

2005-08-29 Thread wump fish
As a newcomer to Australia from the UK - it seems that the obs are behaving like threatened children. Firstly, their stats can flawed. Other developed countries have also looked at the evidence and concluded that midwife-led, community-based care is effective, efficient and safe. For example,