Re: [ozmidwifery] The Purple Line

2006-09-04 Thread Sonja Barry

It is sometimes called the Hobbs line
Sonja
- Original Message - 
From: Gail McKenzie [EMAIL PROTECTED]

To: ozmidwifery@acegraphics.com.au
Sent: Monday, September 04, 2006 9:52 AM
Subject: RE: [ozmidwifery] The Purple Line


This is really interesting.  As a student I have access to hundreds of 
databases.  I went straight to Lancet to access the article.  (Actually, 
it is 1990, 335(8681), not 1997.  Anyway, guess what?  While the article 
is listed in the contents page at the front, it cannot be accessed.  I 
tried all the databases  none of them will let me have it. 
Hmmm.Mayhaps one will have to dig out an actual copy of the 
magazine to find it.  Tell me again...Who controls access to information? 
Should I expect a knock on the door anytime soon?




From: Tania Smallwood [EMAIL PROTECTED]
Reply-To: ozmidwifery@acegraphics.com.au
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] The Purple Line
Date: Mon, 4 Sep 2006 08:25:08 +0930

Hi Mary,



The reference from the article by Lesley Hobbs is the article that was
initially published in the Lancet.here is the complete reference from the
Hobbs article.



Byrne DL, Edmonds DK.  Clinical method for evaluating progress in the 
first

stage of labour.  Lancet  1997; 335(8681): 122



I haven't actually seen the original study, just came across the Hobbs
article when I was doing my Mid training in 1998.  She was published in 
the

Practising Midwife, in November 1998 Volume 1 Number 11 p 34-35.



I have often thought how great it would be to have some more compelling
evidence, in this age of having to justify everything with the research, 
but

the idea of conducting a study, and comparing length of purple line to
cervical dilatation on women throughout labour seems just unthinkable.  So 
I
think it will have to be one of those things that we see, and perhaps 
report
on in a retrospective manner.  Perhaps a national purple line 
database.just

thoughts!  I think Heather Hancock from Uni SA was considering doing some
research using photos and then looking at the time of the photo showing 
the
elongated purple line, with the time of birth, and using that comparison 
to

propose that it could be used as a complementary tool when assessing a
woman's progress in labour.  Haven't heard anything else about it though.



Tania

xx



   _

From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Mary Murphy
Sent: Monday, 4 September 2006 7:57 AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] The Purple Line



Tania, could I please have a few more details? E.g. author and complete
title of article? I am also puzzled by the (8681). I can't seem to access 
it

with the details you provided.  Thanks, MM



Tania wrote:

For anyone who's interested, the original piece of research was pubished 
in


the Lancet 1997, 335(8681): 122 entitled Clinical Method for Evaluat




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Re: [ozmidwifery] The Purple Line

2006-09-03 Thread Andrea Quanchi
That is such a good point because people who have never seen women  
upright are so surprised when you point it out to them

Andrea
On 03/09/2006, at 3:15 PM, Synnes wrote:

H! Now that would be hard to see if you have the birthing mum  
restricted on her back on the bed, wouldn't it


Amanda
- Original Message - From: Nikki Macfarlane  
[EMAIL PROTECTED]

To: ozmidwifery@acegraphics.com.au
Sent: Friday, September 01, 2006 12:57 PM
Subject: Re: [ozmidwifery] The Purple Line


As the baby's head descends Megan, the sacrum moves out and this  
results in the line appearing. It is something you statr to see,  
in most cases, when the woman is fully dilated, so is a great  
visual clue as to the stage of labour she is at.


Occasionally you also see it earlier in labour if the baby is  
posterior and rotating past the sacrum. In this case though it  
does not tend ot be as long and disappears again as the baby  
rotates towards the mother's left hip.


Nikki Macfarlane
Childbirth International
www.childbirthinternational.com

- Original Message - From: Megan  Larry  
[EMAIL PROTECTED]

To: ozmidwifery@acegraphics.com.au
Sent: Friday, September 01, 2006 11:19 AM
Subject: RE: [ozmidwifery] The Purple Line


For us non-midwives, now that I've seen the photo and understand  
the purple

line, what does this mean regarding the birthing woman?

Megan



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RE: [ozmidwifery] The Purple Line

2006-09-03 Thread Mary Murphy








Tania, could I please have a few more details? E.g. author
and complete title of article? I am also puzzled by the (8681). I cant seem to
access it with the details you provided. Thanks, MM



Tania wrote:

For anyone who's interested, the original piece of research was
pubished in

the Lancet 1997, 335(8681): 122 entitled Clinical Method for Evaluat










Re: [ozmidwifery] The Purple Line

2006-09-03 Thread Rebecca Gaiewski
Mary,the article is called, 'Clinical method for evaluating progress in the first stage of labour' Byrne DL, Edmonds DK. Lancet 1997; Volume 335(Issue 8681): pp-122hope this helps.cheersbec Rebecca Gaiewski[EMAIL PROTECTED] On 04/09/2006, at 8:26 AM, Mary Murphy wrote:Tania, could I please have a few more details? E.g. author and complete title of article? I am also puzzled by the (8681). I can’t seem to access it with the details you provided.  Thanks, MM Tania wrote:For anyone who's interested, the original piece of research was pubished inthe Lancet 1997, 335(8681): 122 entitled Clinical Method for Evaluat 

RE: [ozmidwifery] The Purple Line

2006-09-03 Thread Tania Smallwood








Hi Mary,



The reference from the article by Lesley
Hobbs is the article that was initially published in the Lancethere is the
complete reference from the Hobbs
article



Byrne DL, Edmonds DK. Clinical method for evaluating
progress in the first stage of labour. Lancet
1997; 335(8681): 122



I havent actually seen the original
study, just came across the Hobbs
article when I was doing my Mid training in 1998. She was published in the
Practising Midwife, in November 1998 Volume 1 Number 11 p 34-35.



I have often thought how great it would be
to have some more compelling evidence, in this age of having to justify
everything with the research, but the idea of conducting a study, and comparing
length of purple line to cervical dilatation on women throughout labour seems
just unthinkable. So I think it will have to be one of those things that we
see, and perhaps report on in a retrospective manner. Perhaps a national purple
line databasejust thoughts! I think Heather Hancock
from Uni SA was considering doing some research using photos and then looking
at the time of the photo showing the elongated purple line, with the time of
birth, and using that comparison to propose that it could be used as a
complementary tool when assessing a womans progress in labour. Havent heard
anything else about it though



Tania

xx











From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Mary Murphy
Sent: Monday, 4 September 2006
7:57 AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] The
Purple Line





Tania, could I please have a few more details? E.g. author
and complete title of article? I am also puzzled by the (8681). I cant seem to
access it with the details you provided. Thanks, MM



Tania wrote:

For anyone who's interested, the original piece of research was
pubished in

the Lancet 1997, 335(8681): 122 entitled Clinical Method for Evaluat










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RE: [ozmidwifery] The Purple Line

2006-09-03 Thread Gail McKenzie
This is really interesting.  As a student I have access to hundreds of 
databases.  I went straight to Lancet to access the article.  (Actually, it 
is 1990, 335(8681), not 1997.  Anyway, guess what?  While the article is 
listed in the contents page at the front, it cannot be accessed.  I tried 
all the databases  none of them will let me have it.  Hmmm.Mayhaps 
one will have to dig out an actual copy of the magazine to find it.  Tell me 
again...Who controls access to information?  Should I expect a knock on the 
door anytime soon?




From: Tania Smallwood [EMAIL PROTECTED]
Reply-To: ozmidwifery@acegraphics.com.au
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] The Purple Line
Date: Mon, 4 Sep 2006 08:25:08 +0930

Hi Mary,



The reference from the article by Lesley Hobbs is the article that was
initially published in the Lancet…here is the complete reference from the
Hobbs article…



Byrne DL, Edmonds DK.  Clinical method for evaluating progress in the first
stage of labour.  Lancet  1997; 335(8681): 122



I haven’t actually seen the original study, just came across the Hobbs
article when I was doing my Mid training in 1998.  She was published in the
Practising Midwife, in November 1998 Volume 1 Number 11 p 34-35.



I have often thought how great it would be to have some more compelling
evidence, in this age of having to justify everything with the research, 
but

the idea of conducting a study, and comparing length of purple line to
cervical dilatation on women throughout labour seems just unthinkable.  So 
I
think it will have to be one of those things that we see, and perhaps 
report

on in a retrospective manner.  Perhaps a national purple line database…just
thoughts!  I think Heather Hancock from Uni SA was considering doing some
research using photos and then looking at the time of the photo showing the
elongated purple line, with the time of birth, and using that comparison to
propose that it could be used as a complementary tool when assessing a
woman’s progress in labour.  Haven’t heard anything else about it though…



Tania

xx



   _

From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Mary Murphy
Sent: Monday, 4 September 2006 7:57 AM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] The Purple Line



Tania, could I please have a few more details? E.g. author and complete
title of article? I am also puzzled by the (8681). I can’t seem to access 
it

with the details you provided.  Thanks, MM



Tania wrote:

For anyone who's interested, the original piece of research was pubished in

the Lancet 1997, 335(8681): 122 entitled Clinical Method for Evaluat




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Re: [ozmidwifery] The Purple Line

2006-09-01 Thread Susan Cudlipp

And a very nice butt it is too Jo - not that I looked of course :-)
Sue
The only thing necessary for the triumph of evil is for good men to do 
nothing

Edmund Burke
- Original Message - 
From: Jo Watson [EMAIL PROTECTED]

To: ozmidwifery@acegraphics.com.au
Sent: Friday, September 01, 2006 11:12 AM
Subject: [ozmidwifery] The Purple Line


I have had a request to put my butt on photobucket, so I've worked it  all 
out, and there it is:

http://i72.photobucket.com/albums/i167/Notchalk/100_5129.jpg
:)

Jo

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Re: [ozmidwifery] The Purple Line

2006-09-01 Thread Lynne Staff

Heh Heh BIG smile Mary!

- Original Message - 
From: Mary Murphy [EMAIL PROTECTED]

To: ozmidwifery@acegraphics.com.au
Sent: Friday, September 01, 2006 5:12 PM
Subject: RE: [ozmidwifery] The Purple Line




-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Jo Watson
Sent: Friday, 1 September 2006 11:12 AM
Jo, I had forgotten just how clear the photo was.  No wonder I went 
running

to the car for my birth kit!  Cheers, Mary M
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Re: [ozmidwifery] The Purple Line

2006-09-01 Thread Jo Watson

LOL I didn't even notice you left!

Jo :)

On 01/09/2006, at 3:12 PM, Mary Murphy wrote:




-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Jo Watson
Sent: Friday, 1 September 2006 11:12 AM
Jo, I had forgotten just how clear the photo was.  No wonder I went  
running

to the car for my birth kit!  Cheers, Mary M
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RE: [ozmidwifery] The Purple Line

2006-08-31 Thread Megan Larry
For us non-midwives, now that I've seen the photo and understand the purple
line, what does this mean regarding the birthing woman?

Megan

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Jo Watson
Sent: Friday, 1 September 2006 12:42 PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] The Purple Line

I have had a request to put my butt on photobucket, so I've worked it all
out, and there it is:
http://i72.photobucket.com/albums/i167/Notchalk/100_5129.jpg

:)

Jo

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Re: [ozmidwifery] The Purple Line

2006-08-31 Thread Sadie

Absolutely fabulous Jo!!!
Cheers,

Sadie



- Original Message - 
From: Jo Watson [EMAIL PROTECTED]

To: ozmidwifery@acegraphics.com.au
Sent: Friday, September 01, 2006 11:12 AM
Subject: [ozmidwifery] The Purple Line


I have had a request to put my butt on photobucket, so I've worked it  
all out, and there it is:
http://i72.photobucket.com/albums/i167/Notchalk/100_5129.jpg 


:)

Jo

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Re: [ozmidwifery] The Purple Line

2006-08-31 Thread Nikki Macfarlane
As the baby's head descends Megan, the sacrum moves out and this results in 
the line appearing. It is something you statr to see, in most cases, when 
the woman is fully dilated, so is a great visual clue as to the stage of 
labour she is at.


Occasionally you also see it earlier in labour if the baby is posterior and 
rotating past the sacrum. In this case though it does not tend ot be as long 
and disappears again as the baby rotates towards the mother's left hip.


Nikki Macfarlane
Childbirth International
www.childbirthinternational.com

- Original Message - 
From: Megan  Larry [EMAIL PROTECTED]

To: ozmidwifery@acegraphics.com.au
Sent: Friday, September 01, 2006 11:19 AM
Subject: RE: [ozmidwifery] The Purple Line


For us non-midwives, now that I've seen the photo and understand the 
purple

line, what does this mean regarding the birthing woman?

Megan



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RE: [ozmidwifery] The Purple Line

2006-08-31 Thread Megan Larry
Thanks for that, now I will have to scan my videos for my purple line.

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Nikki Macfarlane
Sent: Friday, 1 September 2006 12:58 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] The Purple Line

As the baby's head descends Megan, the sacrum moves out and this results in
the line appearing. It is something you statr to see, in most cases, when
the woman is fully dilated, so is a great visual clue as to the stage of
labour she is at.

Occasionally you also see it earlier in labour if the baby is posterior and
rotating past the sacrum. In this case though it does not tend ot be as long
and disappears again as the baby rotates towards the mother's left hip.

Nikki Macfarlane
Childbirth International
www.childbirthinternational.com

- Original Message -
From: Megan  Larry [EMAIL PROTECTED]
To: ozmidwifery@acegraphics.com.au
Sent: Friday, September 01, 2006 11:19 AM
Subject: RE: [ozmidwifery] The Purple Line


 For us non-midwives, now that I've seen the photo and understand the 
 purple
 line, what does this mean regarding the birthing woman?

 Megan


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RE: [ozmidwifery] The Purple Line

2006-08-31 Thread Tania Smallwood


Megan,

There was a paper published in the Practising Midwife in 1998 by Lesley
Hobbs called Assessing cervical dilatation without VE's, Watching the Purple
Line, looking at this phenomena and the research study that had put forward
the hypothesis that the purple line that creeps up the 'bum cleavage' can be
used as a measure of cervical dilatation... Can I just say that while I
agree wholeheartedly with what's being said about trusting women, and
looking for other signs of progress, the purple lines that I've seen (and
yours is rather stunning if I may say so myself Jo :)) have been much more
visible and definite with women having their first babies, and not as
reliably visible with women having second and subsequent babies.  So while
it's a valuable tool to keep in mind, please don't think a woman isn't
progressing just because there is no purple line, or if it's faint...

Cheers

Tania


-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Megan  Larry
Sent: Friday, 1 September 2006 12:50 PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] The Purple Line

For us non-midwives, now that I've seen the photo and understand the purple
line, what does this mean regarding the birthing woman?

Megan

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Jo Watson
Sent: Friday, 1 September 2006 12:42 PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] The Purple Line

I have had a request to put my butt on photobucket, so I've worked it all
out, and there it is:
http://i72.photobucket.com/albums/i167/Notchalk/100_5129.jpg

:)

Jo

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RE: [ozmidwifery] The Purple Line

2006-08-31 Thread Tania Smallwood
For anyone who's interested, the original piece of research was pubished in
the Lancet 1997, 335(8681): 122 entitled Clinical Method for Evaluat

Can hardly believe I could put my hands on it that quickly!  I just remember
coming across it when I did my Mid and being fascinated by it all...

Tania


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Re: [ozmidwifery] The Purple Line

2006-08-31 Thread Jo Watson
Good point, Tania.  It's not the only tool.  I'll have to get a pic  
of my butt again next baby to compare the visibility of TPL.


Stunning, eh?  Well, I think I will have to keep this email forever :)

Thanks ;)

Jo

On 01/09/2006, at 11:35 AM, Tania Smallwood wrote:




Megan,

There was a paper published in the Practising Midwife in 1998 by  
Lesley
Hobbs called Assessing cervical dilatation without VE's, Watching  
the Purple
Line, looking at this phenomena and the research study that had put  
forward
the hypothesis that the purple line that creeps up the 'bum  
cleavage' can be
used as a measure of cervical dilatation... Can I just say that  
while I

agree wholeheartedly with what's being said about trusting women, and
looking for other signs of progress, the purple lines that I've  
seen (and
yours is rather stunning if I may say so myself Jo :)) have been  
much more

visible and definite with women having their first babies, and not as
reliably visible with women having second and subsequent babies.   
So while

it's a valuable tool to keep in mind, please don't think a woman isn't
progressing just because there is no purple line, or if it's faint...

Cheers

Tania


-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Megan   
Larry

Sent: Friday, 1 September 2006 12:50 PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] The Purple Line

For us non-midwives, now that I've seen the photo and understand  
the purple

line, what does this mean regarding the birthing woman?

Megan

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Jo Watson
Sent: Friday, 1 September 2006 12:42 PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] The Purple Line

I have had a request to put my butt on photobucket, so I've worked  
it all

out, and there it is:
http://i72.photobucket.com/albums/i167/Notchalk/100_5129.jpg

:)

Jo

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RE: [ozmidwifery] The Purple Line

2006-08-31 Thread Tania Smallwood
LOL you make me laugh...never mind the email...as long as you keep the baby
forever...!

I hope I didn't sound patronising, it's just that I think we can get stuck
on thinking that this is the way to assess labour, just like some
practitioners are stuck believing that the only way is to do repeated
VE's...I really believe that being mindful that every woman, and every
labour is different is the only way to personalise care, and give women what
they deserve - a care provider that trusts that she can do it, with a goodie
bag (both material and metaphorical) full of things to use along the way if
facilitation or assistance is required.

Just my two bob's worth,

Tania
xxx




-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Jo Watson
Sent: Friday, 1 September 2006 1:25 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] The Purple Line

Good point, Tania.  It's not the only tool.  I'll have to get a pic  
of my butt again next baby to compare the visibility of TPL.

Stunning, eh?  Well, I think I will have to keep this email forever :)

Thanks ;)

Jo

On 01/09/2006, at 11:35 AM, Tania Smallwood wrote:



 Megan,

 There was a paper published in the Practising Midwife in 1998 by  
 Lesley
 Hobbs called Assessing cervical dilatation without VE's, Watching  
 the Purple
 Line, looking at this phenomena and the research study that had put  
 forward
 the hypothesis that the purple line that creeps up the 'bum  
 cleavage' can be
 used as a measure of cervical dilatation... Can I just say that  
 while I
 agree wholeheartedly with what's being said about trusting women, and
 looking for other signs of progress, the purple lines that I've  
 seen (and
 yours is rather stunning if I may say so myself Jo :)) have been  
 much more
 visible and definite with women having their first babies, and not as
 reliably visible with women having second and subsequent babies.   
 So while
 it's a valuable tool to keep in mind, please don't think a woman isn't
 progressing just because there is no purple line, or if it's faint...

 Cheers

 Tania


 -Original Message-
 From: [EMAIL PROTECTED]
 [mailto:[EMAIL PROTECTED] On Behalf Of Megan   
 Larry
 Sent: Friday, 1 September 2006 12:50 PM
 To: ozmidwifery@acegraphics.com.au
 Subject: RE: [ozmidwifery] The Purple Line

 For us non-midwives, now that I've seen the photo and understand  
 the purple
 line, what does this mean regarding the birthing woman?

 Megan

 -Original Message-
 From: [EMAIL PROTECTED]
 [mailto:[EMAIL PROTECTED] On Behalf Of Jo Watson
 Sent: Friday, 1 September 2006 12:42 PM
 To: ozmidwifery@acegraphics.com.au
 Subject: [ozmidwifery] The Purple Line

 I have had a request to put my butt on photobucket, so I've worked  
 it all
 out, and there it is:
 http://i72.photobucket.com/albums/i167/Notchalk/100_5129.jpg  

 :)

 Jo

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Re: [ozmidwifery] The Purple Line

2006-08-31 Thread Michelle Windsor
Great picture! But actually I've always looked at the dark pigmentation either side, rather than the purple line and it seems to be pretty accurate in indicating dilatation.Cheers  MichelleJo Watson [EMAIL PROTECTED] wrote:  I have had a request to put my butt on photobucket, so I've worked it all out, and there it is:http://i72.photobucket.com/albums/i167/Notchalk/100_5129.jpg :)Jo--This mailing list is sponsored by ACE Graphics.Visit to subscribe or unsubscribe. 
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