Dear Kelly, While this women does have an increase in her BP of some significants and protein ( the amount is not stated ), these things are symptoms not diagnostic and so yes she should be monitored and if necessary some meds to control her BP ( but not yet at only 130/80 ). But you say her bloods are OK. The 24hr urine will be helpful, but if her bloods stay unchanged with serial monitoring then I don't see the need to panic. Katy. ----- Original Message ----- From: "Stephen & Felicity" <[EMAIL PROTECTED]> To: <ozmidwifery@acegraphics.com.au> Sent: Wednesday, July 05, 2006 1:17 PM Subject: Re: [ozmidwifery] Blood pressure...
> "A little bit of knowledge can be a dangerous thing." > > Heidi, I'm shocked by this statement. I can only assume I misunderstood > your stance; could you expand on this statement? > > Being well-informed is not about being scared or doubtful of the Hospital > (and a Doula doesn't "put fear or doubt" into their clients); it's a basic > human right, particularly for a birthing woman and her baby. Knowledge is > never dangerous (it's NOT being informed that carries the danger); and if > knowledge leads a woman to feel fearful of a course of action that is > proposed for her, that is a GOOD thing - it's her intuition telling her that > she isn't ok with it happening, and pushing her to seek other options. > Co-operation with a Hospital and her careprovider is not the ultimate goal > for a birthing woman. It should be the other way around. > > Women are not infants and they have a right to any and all information, and > to their emotions - even if they include fear. Fear is natural in birth and > it's good support and good practice that gets us through it effectively; not > avoiding the feeling altogether. > > Careproviders might not interfere with women and birth for fun (although > I've seen and heard of Obs that indicate differently - and even, rarely, > Midwives), but the rates of intervention compared to the rates indicated a s > actually necessary show that they're not often intervening based on > evidence, either. > > It's not the information and knowledge that scares women. It's the > practices and the outcomes. To address the fear we don't need to withhold > information so the women can birth in Hospital without fuss; we need to > truly support women, foster open negotiation and respect, and keep pushing > to change the practices that aren't evidence-based or in the best interests > of women and their babies. > > ----- Original Message ----- > From: "Kelly @ BellyBelly" <[EMAIL PROTECTED]> > To: <ozmidwifery@acegraphics.com.au> > Sent: Wednesday, July 05, 2006 12:29 PM > Subject: RE: [ozmidwifery] Blood pressure... > > > > Oh no no no, not at all!!! I have been as level headed with her as > > possible, > > encouraged her to ask questions, and forwarded some information which I > > found on the list in regards to how it all works - I am just more blunt on > > the list as I know I am not going to scare anyone who is informed, and I > > like honest questions and answers without having to worry about upsetting > > anyone! > > Of course I have encouraged her to do the regular check-ups with them, and > > if she wants to and all is well, ask if she can have more time or if they > > think it's important that she does go ahead with it, then that's fine. I > > often say more here than I do to the women, and make sure my role is > > support > > and not advice. > > > > If anything, she is paranoid about having a posterior baby which was > > fostered by a mum they brought into her ante-natal class who had a > > posterior > > bub as well, was induced and had an epidural - all of which she doesn't > > want. I have told her that having an OP bub now doesn't mean she will in > > labour, and if she did, we have tricks up our sleeve to work with that. > > > > Best Regards, > > > > Kelly Zantey > > Creator, BellyBelly.com.au > > Gentle Solutions From Conception to Parenthood > > BellyBelly Birth Support - http://www.bellybelly.com.au/birth-support > > > > > > -----Original Message----- > > From: [EMAIL PROTECTED] > > [mailto:[EMAIL PROTECTED] On Behalf Of heidi crisp > > Sent: Wednesday, 5 July 2006 12:01 PM > > To: ozmidwifery@acegraphics.com.au > > Subject: RE: [ozmidwifery] Blood pressure... > > > > I am a student midwife in a tertiary hospital and this is from Myles > > textbook Generally, hypertension is regarded as 140/90, however if the > > individual has an increase of 30mg systolic or 15mg diastolic with > > presence > > of proteinurea then she should be monitored closely. The risk is of > > developing pre-eclampsia and then eclampsia, harm to baby and mother.... > > Your client has shown these symptoms and therefore the hospital has an > > obligation to care for her as best they know. > > > > > > "My blood pressure throughout my pregnancy has been 100/60, but when it > > was > > tested Thursday/Friday last week it was 130/80... so not really high, just > > high for me." > > > > also she wrote > > "I basically > > just said I would like the drip to start slowly and allow time for active > > labour to establish before increasing the dose, and also said that even if > > induced I would like to avoid an epidural (if humanly possible!)." > > > > When having an induction where I work- we do start very low and increase > > UNTIL established labour, then the dose stays the same. We don't do this > > to > > > > be horrible to women- there is no half way with having a baby, there is no > > point in doing an induction if you can't reach established labour because > > then she really will have doctors hanging about wanting a C/S for failure > > to > > > > progress! > > > > remember, A little bit of knowledge can be a dangerous thing. Support > > this > > woman in all the ways your service offers but do your best not to put fear > > or doubt of the hospital into her, the brain is a crucial part of labour > > and > > > > if she's scared silly of the place labour won't happen either. We don't > > interfere with women for fun that's for sure! > > > > regards from Heidi > > > > > > -- > > 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. > > __________ NOD32 1.1644 (20060704) Information __________ > > This message was checked by NOD32 antivirus system. > http://www.eset.com > > -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.