[ozmidwifery] sodium

[cath wright]

posted on behalf of di diddle (choices for childbirth)
dear all,
i am after some info on sodium levels in newborns. a friend recently had a
baby by CS. apparently he got 'stuck' in 2nd stge then possibly showed signs
of distress. when he was born he was resussitated & had very low sodium
levels due to the mothers low levels & the doctors were concerned about
possible brain damage. they didn't know how long he hadn't been breathing
for. he was put in a humidy crib & the mother didn't see him for 24 hours.
i am wanting to know
would they have not detected that he was not recieving oxygen well before
the birth by observing his heart rate?
how common is it for a mother to pass on these low sodium levels to their
babys & can it be detected during pregnancy?
how would they have known that his sodium levels were so dangerously low at
birth?
what affect does low sodium levels have on a newborn?
was it necessary to separate him for so long from his mother, if he needed
sodium could the mother have had him while this was given?
thankyou
di diddle
choices for childbirth

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[ozmidwifery] Counselling the Breastfeeding mother

[barbara glare & chris bright]

Counselling Skills:
  Workshop 
for Health Professionals
 

  
  

  The 
  Australian Breastfeeding Association Presents 
  
   
  Counselling the Breastfeeding 
  Mother
   
  Melbourne November 
  13th 2004 
  
   
  

  A 
  full-day workshop for health care professionals who work with the 
  breastfeeding mother.
  CERPS 
  points have been applied for and certificates of attendance will be 
  provided.
  Presenters:  Sue Littlechild RM,RN, IBCLC, ABA 
  Counsellor, 
  Elizabeth McGuire BSc IBCLC, 
  Kate 
  Mortensen Grad Dip(Counselling), IBCLC, ABA Counsellor, Barb Glare, BA, 
  Dip Ed, IBCLC ABA counsellor
   
  

   
  

      
  
   
    Program
   
  8.45 – 9am  
  Registration
  9am –Introductions
  9.20 am – Counselling the Breastfeeding 
  mother
   9.50 -- Values 
  Clarification 
  10.30  Morning 
  Tea
  11 am – Ethics and Breastfeeding 
  
  11.30 - Watch your 
  language – what are you really saying?
  12.00 - Counselling 
  skills part 1 
  1pm – Lunch
  2pm - Counselling skills part 
  2
  2.45 Afternoon 
  tea
  3.15 - Know your 
  resources and referral points.
   4pm close
   
  

   
  For more information please 
  download a registration brochure - Melbourne or Sydney, or 
  contact [EMAIL PROTECTED]
   
  
   
  The 
  Lactation Resource Centre  
  (LRC) specialises in providing the community and health care 
  industry with comprehensive and readily useable information and resources 
  on all aspects of lactation.
  The LRC was 
  established in 1989 and has grown to become one of the most comprehensive 
  collections of breastfeeding information in the 
  world.
 
<>

[ozmidwifery] Re: Re cold epidurals

[ID & AC Quanchi]

But rpior to prostin, what was he planning to do have the epidural in for a 
'week'.  I'm sure we have all seen cases when prostin has no effect 
especially in women who are not really ready to labour.
Andrea Q 


Alesa Koziol writes: 

We have experienced a few cold epidurals over the past 18 months prior to Prostin. I can hear the collective outrage simmering on that facet of this practice- trust me when I say that every single midwife in my workplace felt exactly the same. However the deed was done so to speak prior to the woman attending the hospital, it was all arranged between the woman and her OB, we never ever got a good explanation form the OB for one of them but for the others there were histories of sexual abuse in the past, and multis who had previous precipitate labours following prostin induction. The sexual abuse case raised ethical issues, 
 that if not resolved enough to cope with labour  from a humane point of view a cold epidural became a
 valid reason for assisting a woman to birth vaginally using no sensation- which is still better than potential damage to both mother and babe via a C/S. I still grapple with the concept but can see justifications when the whole picture is looked at
Cheers
Alesa 

Alesa Koziol
Clinical Midwifery Educator
Melbourne
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Re: [ozmidwifery] Fwd: (Adelaide)Meeting to Defend a Woman's Right to Choose

[Abby and Toby]

>>For pro abortionists, they want to fight for their "choice" while, just as
fiercely want to fight  for womens and childrens choices.

Oopps! This should've read, "...just as fiercely, pro lifers want to fight
for womens and childrens choices"

Love Abby


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Re: [ozmidwifery] Fwd: (Adelaide)Meeting to Defend a Woman's Right to Choose

[Abby and Toby]

> I need to add that the intentions of my initial posting was merely to
inform those who may be interested in attending, I don't see the advantage
in voicing our indidviual opinions on this subject under this forum. cheers
Megan

Hi Megan,

I think this was an emotive post so posting to a list of very passionate
women is of course going to get individuals replies. For pro abortionists,
they want to fight for their "choice" while, just as fiercely want to fight
for womens and childrens choices.
For me personally, the right to kill babies is something I cannot ignore, no
matter where it is posted or brought up.
I am appaulled that this woman is the adviser to the Minister for the Status
of Women. She certainly will not be speaking on my behalf or on behalf of
lots of the women in Australia.
It really made me sick when I read this post. The fact that people assume
that all australian women want that "right" whatever that right may be.
Anyway...I am pretty sure everyone here knows my opinions on terminating
your offspring. So no more personal opinions from me..until the next
time.

Love Abby

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RE: [ozmidwifery] Fwd: (Adelaide)Meeting to Defend a Woman's Right to Choose

[Sally Westbury]

Please can this topic be taken else where. This is not midwifery
discussion.

Sally Westbury
Homebirth Midwife
 
"It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes
courage for a woman to choose a caregiver who will truly advocate for
and empower her."-Judy Slome Cohain

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Abby and Toby
Sent: Friday, 5 November 2004 7:44 PM
To: [EMAIL PROTECTED]
Subject: Re: [ozmidwifery] Fwd: (Adelaide)Meeting to Defend a Woman's
Right to Choose

> Do pro abornists ever stop to think about all the 'WOMEN' that are
aborted?

Very well said.also, what about their RIGHT TO CHOOSE?! There is
always so much focus on the "right to choose" for women to choose
abortion,
but "pro choice" people never talk about the person being killed and
their
choice. If it really is "pro choice" shouldn't it be every body that is
involved, their choice.

Love Abby

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RE: [ozmidwifery] Fwd: (Adelaide)Meeting to Defend a Woman's Right to Choose

[gresch]

I need to add that the intentions of my initial posting was merely to inform those who 
may be interested in attending, I don't see the advantage in voicing our indidviual 
opinions on this subject under this forum.
cheers
Megan

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Re: [ozmidwifery] Epidurals

[Abby and Toby]

>>It would be nice for us if all 
women were pro-active in determining their birth plan in advance in 
collaboration with their primary care-giver, be it GP, Obstetrician , or 
midwife, but sadly as we all know this is not the case with many women arriving 
at hospital for their baby's birth with no knowledge of the birth process, let 
alone knowing the effects of analgesia on bonding or breastfeeding. 

 
I know soo many women that have their birth 
plan fully researched and written out, discussed with care givers and most where 
caregivers have agreed, they come into the "birthing place" wherever it may be, 
give out multiple copies and noone takes any notice of them 
what-so-ever.
If these "professionals" have made it so women 
believe they need them to birth, then these "professionals" need to educate, 
inform and share knowledge
We live in a society of broken families, broken 
birth lines, mothers who were not even awake for the birth and we were taken 
from our mothers for hours..how will women learn and become proactive. Yes 
there are women that take the initiative and become proactive but it takes alot 
of guts, strength and frustration. It is not as easy as, "well I understand the 
birthing process and I have a great birth plan and I want a natural birth etc", 
women come up against fight after fight during pregnancy, labour and 
postnatally. From the whole, "how about you wee on this stick so I can know that 
you are REALLY pregnant" to, "we should talk about induction for your "late" 
baby" to "no really it's routine, you do need this shot of syntocinon" or, " oh! 
you wanted me to leave the cord pulsating...we couldn't do that, it is 
against protocol!"
The uneducated "knowledge" has come from the people 
women are meant to trust. It makes me mad when I read or hear comments as above. 
If a woman has spent 8 months going on her monthly, then fortnightly, then 
weekly, maybe daily visits to her "professional" care giver, then she should 
know and understand the knowledge of the birth process.
It is not the lack of knowledge on the woman's part 
that is the problem, it is the lack of educated knowledge shared that is the 
problem.
 
Love Abby
 

Re: [ozmidwifery] Fwd: (Adelaide)Meeting to Defend a Woman's Right to Choose

[Abby and Toby]

> Do pro abornists ever stop to think about all the 'WOMEN' that are
aborted?

Very well said.also, what about their RIGHT TO CHOOSE?! There is
always so much focus on the "right to choose" for women to choose abortion,
but "pro choice" people never talk about the person being killed and their
choice. If it really is "pro choice" shouldn't it be every body that is
involved, their choice.

Love Abby

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RE: [ozmidwifery] Epidurals

[B & G]

Title: Message



I have 
assisted a woman who had ITP with coags <40. Dr's were very reluctant to use 
an epidural and instead used a fentanyl PCA. This was very effective, she wasn't 
too drugged and as fentanyl has a very short half life seemed to work well with 
her, minmal effect on the infant at birth. Problem I had was with a senior 
midwife who got her pushing way too early when I was at lunch. No urge to push 
'but your fully dilated love hold your breath and push'. All I could imagine was 
those very fragile alveoli/capillary vessels in the lungs rupturing and I would 
have pink frothy sputum or the cerebral blood vessel bursting causing a major 
cerebral event.
I 
needed a good debrief after that one!
Cheers 
Barb

  
  -Original Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED] On Behalf Of 
  mhSent: Friday, 5 November 2004 1:19 PMTo: 
  [EMAIL PROTECTED]Subject: Re: [ozmidwifery] 
  Epidurals
  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 Cervagem over 36 hrs then further 24 hrs of 
  Syntocinon. Mother could not cope with pain and circumstances any longer. This 
  situation is infrequent. I have never seen them used with a viable 
  baby.
  Monica
  
- Original Message - 
From: 
sally 
To: [EMAIL PROTECTED] 

Sent: Thursday, November 04, 2004 9:32 
PM
Subject: Re: [ozmidwifery] 
Epidurals

My Goodness!!! A PCA in labour, that's 
absolutely appalling.
 
Sally

  - Original Message - 
  From: 
  Michelle Windsor 
  To: [EMAIL PROTECTED] 
  
  Sent: Thursday, November 04, 2004 
  9:29 PM
  Subject: [ozmidwifery] 
Epidurals
  
  While on the subject of epidurals I read an article recently 
  about a study involving ewes which had epidurals during their 
  labour.  They wouldn't mother their young.  A new term I learnt 
  this year while doing a short contract in a private hospital was the 
  "cold epidural" - the epidural you have put in prior to the start of your 
  induction!  Not sure how common this is in other places.  Of 
  course if there is any problem getting the epidural in you can always have 
  a PCA of morphine.  You can imagine the results of that - one very 
  "stoned" mother totally uninterested in her narcotised baby.  Sad but 
  true.
   
  Cheers 
  Michelle
   
   
  
  
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10/27/2004

Re: [ozmidwifery] Epidurals

[GayeLeanne]

Hi Everyone,
  Out of interest to you all I work in a large tertiary hospital where 2-4 inductions/day are booked, mainly due to post-dates ( Term + 10 -14/7 ), but also obstetric complications of maternal and fetal origin, and Term PROM. Both Prostins and ARM are used based on the Bishops score. After ARM, assuming no complications, women are given 1 - 4 hours to establish significant contractions  themselves to avoid a Syntocinon drip, or to Iabour within 24 hours in the case of Term PROM. I consequently see a large number of Epidurals used for pain relief, and also to lower blood pressure in pre-eclamptic women.
    Whilst we, as midwives, may not all agree with these protocols, it is our duty of care to ensure our patients are fully informed of their individual options and supported in their choices. I concede it is difficult to do this effectively when I meet them for the first time in Birth Suite, especially with no antenatal education. It would be nice for us if all women were pro-active in determining their birth plan in advance in collaboration with their primary care-giver, be it GP, Obstetrician , or midwife, but sadly as we all know this is not the case with many women arriving at hospital for their baby's birth with no knowledge of the birth process, let alone knowing the effects of analgesia on bonding or breastfeeding. While it isn't my intention to debate here the pitfalls of a pregnant woman's access to information on antenatal education in the public health system, we know lack of education can contribute to the high number of inductions and epidurals we see, eh!
   Having said that as Monica mentioned, not every woman who consequently seeks an Epidural is suitable for one, like her patient with the deteriorating COAGs. Recently I cared for a woman with the opposite problem, i.e. Thrombocythaemia, where the anaesthetist feared haematoma formation in the epidural space, and so a PCA was recommended for pain relief, if required. I've also seen a PCA used on a morbidly obese woman to control her pain and thus lower her blood pressure, when the anaesthetic registrar and consultant both failed in their many attempts to site a working epidural. While not the analgesic of choice in most cases, I hope, I can see where a PCA has a place.
 Cheers, Gaye.

RE: [ozmidwifery] Fwd: (Adelaide)Meeting to Defend a Woman's Right to Choose

[Ken WArd]

Do pro abornists ever stop to think about all the 'WOMEN' that are aborted?

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of
[EMAIL PROTECTED]
Sent: Friday, 5 November 2004 8:21 PM
To: [EMAIL PROTECTED]
Subject: [ozmidwifery] Fwd: (Adelaide)Meeting to Defend a Woman's Right
to Choose


Hi all,

Just passing on this message from Lois Boswell, Adviser to the Minister for
the

Status of Women

>Subject: Meeting to Defend a Woman's Right to Choose
>
>Toni Jupe has agreed that we can have the IWD Luncheon Committee booking
>at WHS (Women's Health Statewide) for this meeting and Anne-Marie has
agreed
there is room.
>I believe that we need to get as many people there as possible to consider
>a strategy to make it clear Abortion is not up for discussion.

>PLEASE - pass the invite below on to all you lists and at least five other
>good women.  I will invite all women state MPs;  but be aware that a lot of
>my SA networks are out of date, so I am depending on all of you to get the
>message out - don't forget the other women in your workplace.

>Please feel free to call me about this on 83032088 or 0400121202
>Lois Boswell
>Adviser to the
>Minister for Employment Training and Further Education
>Minister for Youth
>Minister for the Status of Women
>
>Meeting to Defend a Woman's Right to Choose
>Women's Health Statewide
>64 Pennington Terrace
>Tuesday, November 16, 2004
>5:30 pm
>
>The Federal Minister for Health, Tony Abbott, has said there is an
>"abortion epidemic" in Australia and that everyone should be very
>concerned.
>
>A strong message needs to be conveyed now by women of all political
>views that A WOMAN'S RIGHT TO CHOOSE
>is off limits
>
>Please pass this invitation to all the good women you know and come
>along to defend our rights.
>

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[ozmidwifery] Fwd: (Adelaide)Meeting to Defend a Woman's Right to Choose

[gresch]

Hi all, 

Just passing on this message from Lois Boswell, Adviser to the Minister for the

Status of Women

>Subject: Meeting to Defend a Woman's Right to Choose
>
>Toni Jupe has agreed that we can have the IWD Luncheon Committee booking
>at WHS (Women's Health Statewide) for this meeting and Anne-Marie has agreed 
there is room.
>I believe that we need to get as many people there as possible to consider
>a strategy to make it clear Abortion is not up for discussion.

>PLEASE - pass the invite below on to all you lists and at least five other
>good women.  I will invite all women state MPs;  but be aware that a lot of
>my SA networks are out of date, so I am depending on all of you to get the
>message out - don't forget the other women in your workplace.

>Please feel free to call me about this on 83032088 or 0400121202
>Lois Boswell
>Adviser to the
>Minister for Employment Training and Further Education
>Minister for Youth
>Minister for the Status of Women
>
>Meeting to Defend a Woman's Right to Choose
>Women's Health Statewide
>64 Pennington Terrace
>Tuesday, November 16, 2004
>5:30 pm
>
>The Federal Minister for Health, Tony Abbott, has said there is an
>"abortion epidemic" in Australia and that everyone should be very
>concerned.
>
>A strong message needs to be conveyed now by women of all political
>views that A WOMAN'S RIGHT TO CHOOSE
>is off limits
>
>Please pass this invitation to all the good women you know and come
>along to defend our rights.
>

This message was sent through MyMail http://www.mymail.com.au


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