[ozmidwifery] Trial at the Women's and children's in Adelaide?
Does anyone know about a trial at the WCh Hospital in Adelaide where the pregnant women have many more ultrasounds than usual? Not sure what the trial is about, or the purpose, but a friend of my Mum's is 13 weeks, and spoke the other day about being part of a trial where she gets to see her baby at nearly every appointment via u/s. Sounds intriguing, and I'm interested to know more, given the recent discussions on the list. Tania -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] YOU'VE HEARD THE SERENITY PRAYER (joke)
For those who are feeling their age. Luv Rhonda YOU'VE HEARD THE SERENITY PRAYER...GOD GRANT ME THE SENILITY TO FORGET THE PEOPLE I NEVER LIKED ANYWAY, THEGOOD FORTUNE TO RUN INTO THE ONES I DO, AND THE EYESIGHT TO TELL THE DIFFERENCE.NOW THAT I'M 'OLDER' (BUT REFUSE TO GROW UP), HERE'S WHAT I'VEDISCOVERED:1. STARTED OUT WITH NOTHING, AND I STILL HAVE MOST OF IT.2. MY WILD OATS HAVE TURNED INTO PRUNES AND ALL BRAN.3. I FINALLY GOT MY HEAD TOGETHER, NOW MY BODY IS FALLING APART.4. FUNNY, I DON'T REMEMBER BEING ABSENT MINDED...5. FUNNY, I DON'T REMEMBER BEING ABSENT MINDED...6. IF ALL IS NOT LOST, WHERE IS IT?7. IT IS EASIER TO GET OLDER THAN IT IS TO GET WISER.8. SOME DAYS YOU'RE THE DOG; SOME DAYS YOU'RE THE HYDRANT.9. I WISH THE BUCK STOPPED HERE; I SURE COULD USE A FEW...10. KIDS IN THE BACK SEAT CAUSE ACCIDENTS.11. ACCIDENTS IN THE BACK SEAT CAUSE KIDS.12. IT'S HARD TO MAKE A COMEBACK WHEN YOU HAVEN'T BEEN ANYWHERE.13. THE ONLY TIME THE WORLD BEATS A PATH TO YOUR DOOR IS WHEN YOU'RE IN THE BATHROOM.14. IF GOD WANTED ME TO TOUCH MY TOES, HE WOULD HAVE PUT THEM ON MY KNEES.15. WHEN I'M FINALLY HOLDING ALL THE CARDS, WHY DOES EVERYONE DECIDE TO PLAY CHESS.16. IT'S NOT HARD TO MEET EXPENSES...THEY'RE EVERYWHERE.17. THE ONLY DIFFERENCE BETWEEN A RUT AND A GRAVE IS THE DEPTH.18. THESE DAYS, I SPEND A LOT OF TIME THINKING ABOUT THE HEREAFTER..I GO SOMEWHERE TO GET SOMETHING AND THEN WONDER WHAT I'M HERE AFTER.19. I AM UNABLE TO REMEMBER IF I HAVE MAILED THIS TO YOU OR NOT.20. FUNNY, I DON'T REMEMBER BEINGABSENT MINDEDNOW I THINK YOU'RE SUPPOSED TO SEND THIS TO 5 OR 6, MAYBE 10, OH SEND IT TO A BUNCH OF YOUR FRIENDS IF YOU CAN REMEMBER WHO THEY ARE. THEN SOMETHING IS SUPPOSED TO HAPPEN, I THINK. MAYBE YOU GET YOUR MEMORY BACK. IncrediMail - Email has finally evolved - Click Here
[ozmidwifery] Fw: Woman sues over big baby (news.com.au report)
Title: FW: Woman sues over big baby (news.com.au report) Jo Bainbridgefounding member CARES SAemail: [EMAIL PROTECTED]phone: 08 8388 6918birth with trust, faith love... - Original Message - From: Jackie Mawson To: Birthrites People. Sent: Saturday, November 23, 2002 11:27 AM Subject: FW: Woman sues over big baby (news.com.au report) How about this article in the news.See it at: http://news.com.au There are some quite biting comments at the end, and what about that magnificent pelvis the woman had! Not often we hear pelvises described so glowingly...BB Jackie Mawson.Woman sues over big baby22 November 2002A PERTH woman is suing her doctor for negligence, saying the size of her baby meant she should have had a caesarian section instead of a natural birth.Tammy Sheppard is suing her doctor Pauline Swan over medical complications, including incontinence, she has suffered since her son's natural birth in 1998.Ms Sheppard maintains she would have had a caesarian section had she known her baby, whose shoulders got stuck during the delivery, was going to be so big. The baby was 5.365kg.Associate Professor Jan Dickinson gave expert opinion at the civil hearing today in Perth Magistrates Court on whether the birth records showed Dr Swan should have opted for a caesarian section after witnessing the early stages of Ms Sheppard's first labour.The professor said the data indicated the birth appeared to be progressing well early on."I wish most of my patients had labour like this," Prof Dickinson said."Clearly, Ms Sheppard has a magnificent pelvis."Prof Dickinson said there were no indicators which suggested a caesarian section would have been advisable.However, Prof Dickinson admitted some doctors may have decided to operate."Some of my colleagues would perform a caesarian because a foetus is in the womb," she said."Or it could be that it's five o'clock and time to go home."-- End of Forwarded MessageBirthing Beautifully,Jackie Mawson.Convenor of Birthrites: Healing After Caesarean Inc.Visit our Website at: http://www.birthrites.orgEmail: [EMAIL PROTECTED]Please note I am not a Professional Healthcare Provider, and all opinions given in this email are not to be taken as medical, or legal, advice. Please seek such advice from the relevant professional service.Too many Gods;so many creeds,Too many pathsthat wind andwind,When just the artof being kindIs all the sadworld needs... -Please contact me by reply mail if you do not wish to be on this Birthrites Email List and I will promptly remove you. If this is the case, then I sincerely apologise for any inconvenience our contact has caused you. --
[ozmidwifery] RE woman suing over big baby
are women not being told about the pelvic floor exercises these days? I have had many women say that they want a cs to avoid stress incont. It has been shown that it is pregnancy not mode of birth that impacts the peri muscles (unless being butchered with a pre-emptive episiotomy). At what point are the courts going to say to claims like this to GET REAL! Why is it that people who are butchered and traumatised by rude arrogant and horrible 'care givers' are told, "at least you have a healthy baby...be grateful" but this sort of trash gets to go to court? More money than sense or is it lack of personal accountability Jo Bainbridgefounding member CARES SAemail: [EMAIL PROTECTED]phone: 08 8388 6918birth with trust, faith love...
Re: [ozmidwifery] Trial at the Women's and children's in Adelaide?
Just give the WCH a call and ask for the clinical trials department and ask who ever answers the phone. They should be able to tell you more. Jo Bainbridge founding member CARES SA email: [EMAIL PROTECTED] phone: 08 8388 6918 birth with trust, faith love... - Original Message - From: Tom, Tania and Sam Smallwood [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Saturday, November 23, 2002 4:39 PM Subject: [ozmidwifery] Trial at the Women's and children's in Adelaide? Does anyone know about a trial at the WCh Hospital in Adelaide where the pregnant women have many more ultrasounds than usual? Not sure what the trial is about, or the purpose, but a friend of my Mum's is 13 weeks, and spoke the other day about being part of a trial where she gets to see her baby at nearly every appointment via u/s. Sounds intriguing, and I'm interested to know more, given the recent discussions on the list. Tania -- 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.
Re: [ozmidwifery] big baby fear?
Dear Robyn, Thanks for the reply. I thought it was interesting how your first labour turned out like it did after hearing that you had a straight sacrum. The power of the subconscious hey? It's fantastic that you succeeded in having a water birth at home the next time. I think our bodies are very clever and maybe you were never meant to have big babies? I plan on hopefully having a waterbirth at home with my fourth pregnancy (when it happens!) It'll be my first home birth and although I'm not pregnant yet (not planning to be for a couple of years, my youngest is about to turn 1) I'm really looking forward to it! :) Sarah _ Get YOUR Free Email Much Much More at Mumsweb! http://www.mumsweb.com _ Select your own custom email address for FREE! Get [EMAIL PROTECTED] w/No Ads, 6MB, POP more! http://www.everyone.net/selectmail?campaign=tag -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Trial at the Women's and children's in Adelaide?
And can you let the rest of us know whaT you found? Thanks! Cheers!Tere - Original Message - From: Jo Dean Bainbridge [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Saturday, November 23, 2002 6:53 PM Subject: Re: [ozmidwifery] Trial at the Women's and children's in Adelaide? Just give the WCH a call and ask for the clinical trials department and ask who ever answers the phone. They should be able to tell you more. Jo Bainbridge founding member CARES SA email: [EMAIL PROTECTED] phone: 08 8388 6918 birth with trust, faith love... - Original Message - From: Tom, Tania and Sam Smallwood [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Saturday, November 23, 2002 4:39 PM Subject: [ozmidwifery] Trial at the Women's and children's in Adelaide? Does anyone know about a trial at the WCh Hospital in Adelaide where the pregnant women have many more ultrasounds than usual? Not sure what the trial is about, or the purpose, but a friend of my Mum's is 13 weeks, and spoke the other day about being part of a trial where she gets to see her baby at nearly every appointment via u/s. Sounds intriguing, and I'm interested to know more, given the recent discussions on the list. Tania -- 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.
[ozmidwifery] big baby court case
How about a BRAVO to Dr Dickinson for her comments! I wish most of my patients had labour like this, Prof Dickinson said. Clearly, Ms Sheppard has a magnificent pelvis. Prof Dickinson said there were no indicators which suggested a caesarian section would have been advisable. However, Prof Dickinson admitted some doctors may have decided to operate. Some of my colleagues would perform a caesarian because a foetus is in the womb, she said. Or it could be that it's five o'clock and time to go home. Kirsten Blacker Rochester MN where it is starting to snow...sigh -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] For Lois...
Hi Lois... have tried to reply to your post...but it keeps on bouncing back to me [EMAIL PROTECTED]??? I have this problem with other bigpond subscribers too sometimes...so I will persevere...just wanted to acknowlege your thoughts and to say thanks...hopefully my response will get thru soon. regards Tina P.
Re: [ozmidwifery] big baby fear?
Dear Sarah, You are so totally right about the subconscious.When I asked the reflexoligist how I could prepare myself for my next pregnancy to avoid the same birth otcomes due to the shape of my pelvis, she suggested to get an epidural early. Not the advise I wanted to hear!! With my second pregnancy I was determined to claim control and power to birth my way. When I felt my duaghter on my perineum thats when I told my midwife to grab the camera and wake up my other daughter to come and watch (my midwife stayed by my side, not peering at my perineum). Then the most empowering and fulfilling experience occurred when I lifted my baby to my chest to greet her. Wishing you all the joy and excitement with your future pregnancy. P.S. Where do you live ?? Robyn -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] A follow thru journey.....when Sally met Harry....(Long)
In a message dated 23/11/02 4:29:20 PM AUS Eastern Daylight Time, [EMAIL PROTECTED] writes: oh, Tina- I am bawling here! I can hardly see the screen...that is the MOSt AWESOME story - THANK YOU for sharing it here. Sniff sniff - it truly does the soul good to hear what a woman can do when she is supported and nurtured and caressed and honoured. Thank you for doing what you do : we mothers need what you are doing. Would you mind if I share that story at my "Birthtalk : Sharing, Empowering, Celebrating Birth" meeting next week? MElissa Hi Melissa...thank you to you and other fellow listers who enjoyed Sally's storyI love story telling..its so powerfuland sharing our stories is just one way of sharing woman's strength and wisdoma good story always peps people up and restores our faith in womens power in birthhelps gets us thru the crappy days... Please Melissa, I would be delighted for you to share the storyanother midwife contacted me also and has shared the story with some nursing students she is working with doing their maternity (gender) placement who enjoyed it alsoJust by sharing one storyits already touched so manythis is really great stuff...I love it... At the B Mid Student Collective...we are bantering around the possibility of putting a book together of our follow thru experiences 'with woman'..written by BMidders who have the honour and privilege of sharing in women's experiences :-)) Yours in reforming midwifery Tina Pettigrew. B Mid Student Victoria University
Re: [ozmidwifery] A follow thru journey.....when Sally met Harry....(Long)
Hi Tina, Your story moved me muchly too - you are doingwonderful work and yes a book of these stories would be so powerful. I try to think of things that I would share with a woman who is pregnant-I have left Vicki and nics video with my daughters housemate -an educated young lass who is too "scared" to watch it yet - she is enjoying being pregnant but doesnt want to get frightened about birth (she' 26 weeks)- maybe I should have just invited her over and played it -or perhaps played it for my daughter first so she could encourage (she was there as a ten year old - watching his head emerge - when I had Jamesbut still says to me" but he was your fifth baby so of course it would be easy" - I assure her that ten pound shouldersdont "fall out" whatever number baby, but weare designed to do this beautifully)-this video is so NOT scary butsociety's portrayal of birth as scary (as opposed to exciting andmiraculous)has filtered throughso strongly. At risk of "interfering", I will now forward your story to Katie. Thanks, Tina,for a beautiful story. Pinky - Original Message - From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Saturday, November 23, 2002 11:18 PM Subject: Re: [ozmidwifery] A follow thru journey.when Sally met Harry(Long) In a message dated 23/11/02 4:29:20 PM AUS Eastern Daylight Time, [EMAIL PROTECTED] writes: oh, Tina- I am bawling here! I can hardly see the screen...that is the MOSt AWESOME story - THANK YOU for sharing it here. Sniff sniff - it truly does the soul good to hear what a woman can do when she is supported and nurtured and caressed and honoured.Thank you for doing what you do : we mothers need what you are doing.Would you mind if I share that story at my "Birthtalk : Sharing, Empowering, Celebrating Birth" meeting next week? MElissaHi Melissa...thank you to you and other fellow listers who enjoyed Sally's storyI love story telling..its so powerfuland sharing our stories is just one way of sharing woman's strength and wisdoma good story always peps people up and restores our faith in womens power in birthhelps gets us thru the crappy days...Please Melissa, I would be delighted for you to share the storyanother midwife contacted me also and has shared the story with some nursing students she is working with doing their maternity (gender) placement who enjoyed it alsoJust by sharing one storyits already touched so manythis is really great stuff...I love it...At the B Mid Student Collective...we are bantering around the possibility of putting a book together of our follow thru experiences 'with woman'..written by BMidders who have the honour and privilege of sharing in women's experiences :-))Yours in reforming midwiferyTina Pettigrew.B Mid StudentVictoria University
FW: [ozmidwifery] A follow thru journey.....when Sally met Harry....(Long)
After all story telling was the way that all important information is passed between peoples, between generation. Beautiful story Tina. Love Sally Westbury
Re: FW: [ozmidwifery] A follow thru journey.....when Sally met Harry....(Long)
In a message dated 24/11/02 10:16:24 AM AUS Eastern Daylight Time, [EMAIL PROTECTED] writes: After all story telling was the way that all important information is passed between peoples, between generation. Beautiful story Tina. Love Sally Westbury Love and thanks to you SallyTinaXX
[ozmidwifery] Re: RE: 'overdue' and hyperactive
Thank you, Alice. Why can't everybody be like you?! I agree about the cosmic thing, which is a very long story. Make your hair stand on end. Made mine. You can read about it when the book comes out. Actually, you don't have to wait that long, it's in Soft of Hearing, which goes to air Radio National Saturday December 7th 8:30 pm! (You might guess I'm excited about that!) Love and hugs to you and Jonathan, Aviva - Original Message - From: alice ! To: [EMAIL PROTECTED] Sent: Saturday, November 23, 2002 3:22 PM Subject: Re: RE: 'overdue' and hyperactive Hi Aviva, Yes, i agree although the email seems a little bit up in the sky, it does raise a few good points, like the precise time of birth being relevant from a cosmic point of view, so to fuck with that is messing with the whole astrology of the person. I suppose it depends on how much you feel that the cosmic energy influences people as spiritual beings. I feel that it is important, and this alone has actually helped me relax even more about letting the baby take it's time. Anything i send you, feel free to send it to the list. I have nothing to hide, so go ahead. I mainly want people to be aware of all different things, so spreading information is the best way to do that. See you, Alice xxx From: "Aviva Sheb'a" <[EMAIL PROTECTED]> To: "alice !" <[EMAIL PROTECTED]> Subject: Re: RE: 'overdue' and hyperactive Date: Fri, 22 Nov 2002 23:49:43 +1030 Hi, Alice, Could be some good points there. May I share it with the ozmid list? love, Aviva Protect your PC - Click here for McAfee.com VirusScan Online
[ozmidwifery] Miracle of Midwives Lost For All AustralianFamilies
Dear SMH, I applaud your Saturday's front page stand for 1 caring service seeking to support struggling parents in difficult times. However the media is ignoring the fact that all Australian women, their familiesand community are loosing the right and ability to access the internationally most appropriate carers for normal healthy women; midwives. When women have the continuous care of 1 midwife through-out their pregnancy they become more than their own baby's "Whisperer", they become confident in their ability to birth and mother effectively! But there areinsufficient numbersof Midwives in Private Practice to be financially attractive to insurance companies who provide Professional Indemnity Insurance and they do not have the political clout of the AMA to get the government to act on their behalf. The latter is despite 30 national enquiries which have recommended increasing midwifery options of care in response to our growing level of costly medical interventions in childbirth. Thankfully the true value of midwifery is not lost on the Greens and Democrat parties who have adopted as health policy a consumer driven plan (The National Maternity Action Plan). Perhaps when media such as the SMH, eventuallyequitably examines this world best practice primary healthoption, readers (and politicians) will see that universal access tomidwives for healthy Australian families can ease much of the pain of early family life and the present strains on Medicare in maternity service areas Yours sincerely Denise Hynd.
Re: [ozmidwifery] when Sally met Harry
Indeed! I caught my two babies, though nearly forgot to! I was watching in a mirror and was so in awe of the physical feelings and the sight and the emotions, they (both times) had to remind me to catch the baby. It's just as well I've been through menopause -- I'd be looking to do it all again! love, aviva - Original Message - From: Sally Westbury To: [EMAIL PROTECTED] Sent: Saturday, November 23, 2002 2:45 PM Subject: RE: [ozmidwifery] when Sally met Harry No flak here Aviva!! I love to watch a baby birthed, totally amazed by miracle unfolding. For myself, that is my own self interest, I prefer to watch the baby emerge as it is so so amazing and beautiful. I love to watch women in their power birthing their baby as they desire, or in their desire. To gaze in wonder as a baby is born with the unleashing of inhibitions. We are, when in the medical model, trained to watch the perineum as the caretakers! It does actually take a shift out of the medicalized model of birthing to trust without seeing for ourselves. To stand back and trust the woman to know without me seeing for myself is a huge shift in power dynamics. It is equally wonderful to hear a woman say my baby is coming now and see her lift her baby from within her body. Her control, her power, birthing and catching her own baby. In peace and joy Sally Westbury
[ozmidwifery] Re: is there really a baby in there?
Yes, Alice, that's the way. My son, Leslie is a Sag. I can heartily recommend them, as obviously you can too. As long as s/he doesn't turn out to be a Capricorn...now THAT would be a long wait! Stick with it, Aviva - Original Message - From: alice ! To: undisclosed-recipients:; Sent: Saturday, November 23, 2002 3:49 PM Subject: is there really a baby in there? Hi, I'm starting to feel like someone is going to jump out at me and go "HAHAHAHAHAHAHAHA you are going to have this big lump on your front forever and there's not really a baby in there, it was all a set up!" No, just kidding. Although it does feel like the baby is so comfortable in there it's never going to come out. We got all excited around the due date, 4 days ago now, and each day since then the excitement has been dwindling a bit. Like i go to bed at night and then wake up in the morning and go "Oh great, nothing happened." Then the next night the same thing, then the same thing, then the same thing. Right now it's hard to imagine that the baby wants to come out at all. Well, actually, I will just savour these last few days of having the privelege of having our little baby still growing inside me. I will miss not being pregnant when it's out, so i'll just make the most of it. I'm sure s/he'll come out when s/he's good and ready, like when the stars are right or something. Obviously didn't want to be a Scorpio, it's a Sagittarius now, just like it's daddy! Until then it's just a matter of letting it happen, just gotta relax and know that it will happen when the time's right..eventually Alice xxx MSN 8 with e-mail virus protection service: 2 months FREE*
RE: [ozmidwifery] SalariedVersusContract
I'm not too fussed whether it is salaried or contract but believe the service has to provided by the government and those who want to work privately can continue to do so. I personally don't like dealing with the money side of things though obviously need an income. yours in midwifery pete malavisi -- -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] RE woman suing over big baby
AAARRRGGGHEHEHERREJEEJEFATJA4ETRJ 4WRTJTHTHTHTTHHH! ahem, aviva, spitting chips with you PS What'shaving sex like for women with such little awareness/control of vaginal/perineal muscles? Don't spose anyone on this list could tell me...I hope not! - Original Message - From: Jo Dean Bainbridge To: [EMAIL PROTECTED] Sent: Saturday, November 23, 2002 7:01 PM Subject: [ozmidwifery] RE woman suing over big baby are women not being told about the pelvic floor exercises these days? I have had many women say that they want a cs to avoid stress incont. It has been shown that it is pregnancy not mode of birth that impacts the peri muscles (unless being butchered with a pre-emptive episiotomy). At what point are the courts going to say to claims like this to GET REAL! Why is it that people who are butchered and traumatised by rude arrogant and horrible 'care givers' are told, "at least you have a healthy baby...be grateful" but this sort of trash gets to go to court? More money than sense or is it lack of personal accountability Jo Bainbridgefounding member CARES SAemail: [EMAIL PROTECTED]phone: 08 8388 6918birth with trust, faith love...
Re: [ozmidwifery] SalariedVersusContract
Dear Pete, That is the rub With out PI it is precarious being in private practice with out government support/employment!! So the question of how this is done is important to all midwives and consumers. Because he who pays the piper calls the tune particularly if it is a salary situation. What tune will be played when the piper is the health depts well they already have a host of protocols and a host of workers who adhere to them so why should salaried community midwives be any different. Then all women in NSW or which ever state whop rupture their membranes come in get A/bs and IOL after x hours!!! - Original Message - From: Malavisi, Pete [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Sunday, November 24, 2002 1:15 PM Subject: RE: [ozmidwifery] SalariedVersusContract I'm not too fussed whether it is salaried or contract but believe the service has to provided by the government and those who want to work privately can continue to do so. I personally don't like dealing with the money side of things though obviously need an income. yours in midwifery pete malavisi -- -- 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] How to halve the CS rate ..
Dear Listers I am cross-posting this posting from a National Childbirth Trust (NCT) list that I am on in the UK. This is timely given the bit in the newspaper today the CS rate in WA is nearly 27%. The UK government are committed to reducing the section rate and it is heartening to actually see how it can be achieved. As you will see from the posting, the North Hampshire Hospital in Basingstoke (which is in southern England) have reduced their rate from around 30% to 13% in a matter of months. The message was as follows: The North Hampshire Hospital, Basingstoke, has halved its caesarean section rate! The Head of the Labour Ward (Carol) is behind it, supported by the Lead Obstetrician (Claire). Carol was at the last Rising Caesarean Rate Conference in January and expressed her frustration that it was all very well but what *exactly* had to happen to get the rate down. The Maternity Forum met last week, and since we have just lost our administrative support goodness knows when we'll get any minutes so what follows is from my memory: The graph showed that the csr peaked in Dec/Jan at around 28-30%. There was lots of talk about how they could get the rate down. From May there has been a steady decline in the rate reaching 15% in October, and 13% over the first couple of weeks in November. They are hoping to be able to maintain this. They are really excited by their success, but it was clear they wanted to maintain it for a few more months before they feel confident to start shouting about it. The year end csr won't show the dramatic improvement although they are expecting it to end up at around 20% overall as opposed to 25% last year. So, how have they done it. Well it is multifactorial. 1. Feb/March saw the annual change of registrars. Two female registrars joined who are very pro vaginal birth. 2. VBAC - women with a history of caesarean section are encouraged to labour. 3. Breech - Despite results of the Term Breech Trial, they are still supporting those women who wish to give birth vaginally to breech presenting babies to do so. In 1991 3% of breech babies were born vaginally, currently 15% of breech babies are born vaginally. 4. CTG training package - Last year they had a doctor who was very interested in this and who put together a very good training package for the midwives resulting in better interpretation of EFM traces. 5. Carol was given a small amount of money to spend on improving things for women. She decided the beds in the labour rooms looked very clinical and spent the money on nice duvet covers and pillow cases (no, wait, keep reading). She then moved the beds so they are along the wall, with a chair in front of bed. Male partners are encouraged to sit on bed with the labouring woman using the chair. Women then generally stand up and move for contractions, the more upright position being better for labour. She has had to fight to keep those beds along the walls. Auxillary staff keep moving them back to the middle and it sounded like she has had a bit of a set to with them. Her and Claire have had to be very persistent in moving the beds back! But she has won. 6. Induction - There has been a change of induction procedure. Epidurals are no longer fitted before induction but are available afterwards if and when needed. Women are finding that they can cope with induced labour and midwives are gaining confidence that women can cope. More inductions are being carried out since it is now policy to induce at 10 days (due to NICE guidelines) rather than 12 days as previously, but more are resulting in spontaneous vaginal deliveries. 7. Midwife ventouse practitioners - Basingstoke now have four midwives trained to do ventouse deliveries. In 55% of cases where a midwife is called to carry out a ventouse delivery, a spontaneous vaginal birth is achieved. But more important are the opportunities this gives for experienced midwives to pass on their skills to less experienced midwives. What these measures have succeeded in doing is changing the attitude of the unit as a whole. It is early days yet, but they have high hopes of being able to sustain the change. They have recently taken on a new obs and Carol says she made it very clear to him at their first meeting that this is how things are going to be run and that he will have to fit in. There was another graph too. Just in case anyone thinks they are doing less cs and more forceps/ventouse that is not the case. The forceps/ventouse deliveries have remained unchanged. The number of caesareans has gone down and the number of svd's has gone up. I am so please this has happened anywhere, but for it to happen on my patch is great - although I can claim absolutely no credit whatsoever! How about trying this here? Debbie Slater Perth, WA
[ozmidwifery] 'bits' watching
Interesting point Aviva. Must think on it. I like advocating the use of the birth stool for shy woman as it is a very private position and have had women progress well there when it had been slow or non existant in other positions. I know some of that could be attributed to the upright position and open pelvis but I know that some of it is the privacy of their bits. Judy From: "Aviva Sheb'a" <[EMAIL PROTECTED]> Reply-To: [EMAIL PROTECTED] To: <[EMAIL PROTECTED]> Subject: [ozmidwifery] when Sally met Harry Date: Sat, 23 Nov 2002 13:10:59 +1030 Hi, All, I'm ducking in preparation for the flak, but maybe some women like having someone view their genitals with awe, to see the beauty in them, to praise them. After all, we're not taught to love our own genitals, which is terrible. A time in a woman's life when she's not too inhibited about her body? One of the things I love about birth and babies, it the basic humanness, animalness of it all. All bodies, and all parts of them, are beautiful. Aviva MSN 8 helps ELIMINATE E-MAIL VIRUSES. Get 2 months FREE*. -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
RE: [ozmidwifery] A follow thru journey.....when Sally met Harry....(Long)
this is why I love waterbirth, my bits are out of view. There is no mistaking that feeling of having a babies head crowning, "Ring Of Fire" it is! Megan. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]On Behalf Of Sally WestburySent: Friday, 22 November 2002 6:44To: [EMAIL PROTECTED]Subject: FW: [ozmidwifery] A follow thru journey.when Sally met Harry(Long) But then you dont need to be staring at her bits.. honestly women will tell you when the baby is about to come out. They dont need us to look wait until she tells you that the baby is stinging/burning/stretching then watch to help her guide the baby out! Really makes for powerful birthing when it is the woman who is tell you what is happening down there. I took me a leap of faith to stop staring at the womans private bits and trust she would tell me when she needed my help.. but fantastic. In peace and joy Sally Westbury -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]] On Behalf Of JoFromOzSent: Friday, 22 November 2002 1:06 PMTo: [EMAIL PROTECTED]Subject: Re: [ozmidwifery] A follow thru journey.when Sally met Harry(Long) What a beautiful story, Tina! I have a few nice ones like that, but mostly I'm at the other end. How nice it would have been for you to just focus on the woman through the second stage of labour, instead of staring at her bits, waiting for the baby to come! :) Onto more beautiful births ! Jo -- Babies are Born... Pizzas are Delivered.
RE: [ozmidwifery] SalariedVersusContract
I am basically a socialist at heart, so I see Govt employed public system my future, even with all the controls over the years I have managed to have many excellent birthing experiences with women and their families, inevitably it has meant jumping through some hoops at times but I have accepted that as part of the deal, I still believe that PI should be available to those who wish to practice privately as well but see that as another issue. If we can be employed by Govt to make NMAP happen then in effect we have increased choices for women, the politics and control will continue whatever system is chosen. hope this makes sense, feel like I'm rambling a bit, yours in midwifery pete malavisi -Original Message- From: Denise Hynd [mailto:[EMAIL PROTECTED]] Sent: Saturday, 23 November 2002 10:30 To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] SalariedVersusContract Dear Pete, That is the rub With out PI it is precarious being in private practice with out government support/employment!! So the question of how this is done is important to all midwives and consumers. Because he who pays the piper calls the tune particularly if it is a salary situation. What tune will be played when the piper is the health depts well they already have a host of protocols and a host of workers who adhere to them so why should salaried community midwives be any different. Then all women in NSW or which ever state whop rupture their membranes come in get A/bs and IOL after x hours!!! - Original Message - From: Malavisi, Pete [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Sunday, November 24, 2002 1:15 PM Subject: RE: [ozmidwifery] SalariedVersusContract I'm not too fussed whether it is salaried or contract but believe the service has to provided by the government and those who want to work privately can continue to do so. I personally don't like dealing with the money side of things though obviously need an income. yours in midwifery pete malavisi -- -- 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.
[ozmidwifery] True Knots
Interesting Tere I've just come from a birth. 2nd baby. 1st was long posterior and 3rd 4th degree tear. 8 1/2 lb. Se was very fearful of tearing again this time. I felt like I was the keeper of the perineum. Anyway today I got a call at 5.45am, she's in labour. 41wks good sized baby, theres not much of her. We went into hospital because she had to have IV A/B's for GBS pos, and there was some leaking of clear fluid. Hospital at 6.30, IV abs etc. Settled into labour. 11am came and she was requesting an epidural. VE revealed 8cm pp at station -1. We urged her to use the gas but after 20 mins and no urge to push, we organised an epidural which she had a 1300. She went on to have a slowly birthed baby at 1419 4230gms! with a true knot in the cord. What a lucky baby!someone was looking after him. P.S she sustained a small 1st degree tear not sutured. All the old scarring was really visible. Dad birthed the body with a little help, it was a little tug. They are all pleased. The hospital midwife who was helping me was telling her during her labour, her belly looked OP and it was a Large baby!! I spoke to the midwife afterwards and she said she couldn't lie to her. The position had been LOA for many weeks and throughout labour. Seeya Rosemary Weckert Desert Rose Midwife Alice Springs
[ozmidwifery] going off-list
Just an FYI that I'm going off-list(s) until Christmas or so while my womderful mom is here from the US :o) Will be checking email in the meantime. Peace to you all, Jen -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
