Re: [ozmidwifery] degrees of high BP in preg
Hi Jo,Where I worked previously the bloods done for high blood pressure were seen to be an indicator of the severity of PIH (or to monitor the progression from PIH to pre-eclampsia) or to distinguish PIH from chronic hypertension from other causes. As such, if the woman had an elevated BP but bloods were normal, shewas kept an eye on while someone with elevated BP and abnormal bloods were treated in some way (depending on the individual scenario). Lyn mentioned seeing someone fit with a not overly high BP. I have also heard of this happening, the woman's BP was between 80-90 diastolic. So the bloods may be a more accurate indicator of the progression of PIHthan just BP. Where this ties in with cerebral edema/irritation I'm not sure (and the textbooks are packed away. moving this week!) Cheers Michelle Jo Watson [EMAIL PROTECTED] wrote: Michelle Windsor wrote: By the way with the first woman the doctor insisted that women can have eclamptic seizures even if their bloods are all normal. Has anyone heard of this? He did hold off on the mag sulphate when we were unhappy to give it (in view of normal bloods and BP settled with pain relief). The woman birthed and had no further problems with BP. Cheers MichelleEclamptic seizures happen, if I remember correctly, due to the oedema on the brain, not necessarily what is in the blood.Please correct me if I"m wrong, anyone!?Jo--This mailing list is sponsored by ACE Graphics.Visit to subscribe or unsubscribe. Send instant messages to your online friends http://au.messenger.yahoo.com
Re: [ozmidwifery] degrees of high BP in preg
Michelle Windsor wrote: By the way with the first woman the doctor insisted that women can have eclamptic seizures even if their bloods are all normal. Has anyone heard of this? He did hold off on the mag sulphate when we were unhappy to give it (in view of normal bloods and BP settled with pain relief). The woman birthed and had no further problems with BP. Cheers Michelle Eclamptic seizures happen, if I remember correctly, due to the oedema on the brain, not necessarily what is in the blood. Please correct me if Im wrong, anyone!? Jo -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: *****SUSPECTED SPAM***** Re: [ozmidwifery] degrees of high BP in preg
Hi Emily, I should have clarified - a woman's non-pregnant normal BP reading. Regards, Llynne - Original Message - From: Emily To: ozmidwifery@acegraphics.com.au Sent: Saturday, June 03, 2006 11:32 AM Subject: *SUSPECTED SPAM* Re: [ozmidwifery] degrees of high BP in preg hi everyoneyou have to be careful using just a rise in BP because of the physiological drop in BP in the middle trimester. if the 'booking' or first BP you take from a woman is in the mid trimester then you will see a big jump in the 3rd trimester - without it necessarily being pathological. ive been taught greater than or equal to 140/90 (either or both numbers) taken on two occasions at least a few hours apart (and of course at a 45 degree angle, taken by the same person and on the right arm) is cause for further investigation. if you have a pre-pregnancy BP then it would be useful to look at the individual rise for that woman but if you only have a mid trimester one it can be really misleading and freak a whole lot of women out for no reasonlove emilyLynne Staff [EMAIL PROTECTED] wrote: I was always taught (and have also found in experience) that it is the amount that the BP increases overa woman'snormal level that is important - not whether it is over 95-100. A woman might normally have a diastolic of 65, but if it increases by 15-20 mmHg, then sheis asked to watch for other signs, and her urine is checked and also bloods if increase continues. The first eclamptic seizure I ever was witness to was a woman who had a diastolic of 75 (normally 50mmHg). She had been complaining of a pain in her stomach and because she had a recent past history of gastric ulcer, it was assumed that this was the cause of her pain. I arrived on ND to BS hear an odd rattling sound. It was one of the old metal beds and she was having a major seizure. Regards, Lynne - Original Message - From: brendamanning To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 01, 2006 10:09 PM Subject: Re: [ozmidwifery] degrees of high BP in preg There issome variation here... but this week ..a diastolic over /90 is watchable anything over100 treatable. Could be different next week With kind regardsBrenda Manning www.themidwife.com.au - Original Message - From: Kristin Beckedahl To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 01, 2006 8:41 PM Subject: [ozmidwifery] degrees of high BP in preg wise women... At what point does high blood pressure become an issue in preg? what is a 'normal' reading for a healthy preg woman? What reading is considered 'high-risk' or requiring action (without proteinuria)...? Big thanks From: Andrea Quanchi [EMAIL PROTECTED]Reply-To: ozmidwifery@acegraphics.com.auTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] students learningDate: Thu, 1 Jun 2006 19:57:06 +1000If the woman invites the student to be there and the MIPP is happy what prevents them from being there. Surely we are letting them know what the real world is like and the reality is that MIPP are working uninsured and having to cope with what that means in reality. This is no different from when I attend a hospital with a woman and the hospital says that they only recognise me as a support person. I could let that stop me from going there but I don't. If students want to be at hom births they will, they will learn heaps and if they cant write it down on paper for the uni then dont but dont let it stop them from attending because the experience is to valuable to waste.Andrea QuanchiOn 01/06/2006, at 7:03 PM, Stephen Felicity wrote:I think perhaps you women are the "lucky" ones; I only recently had an email from a student midwife in SA, lamenting that she is unable to attend homebirths unless the midwife is "publicly employed" (ie: not a MIPP). Since the only homebirth midwives employed by the Government in SA are part of the Northern Women's Community Midwifery Program, anyone not fortunate enough to be in that region has zero opportunity to work "in all situations". This is clearly an insurance issue as well as an educational institution issue...but it's all one and the same at the end of th
Re: [ozmidwifery] degrees of high BP in preg
There issome variation here... but this week ..a diastolic over /90 is watchable anything over100 treatable. Could be different next week With kind regardsBrenda Manning www.themidwife.com.au - Original Message - From: Kristin Beckedahl To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 01, 2006 8:41 PM Subject: [ozmidwifery] degrees of high BP in preg wise women... At what point does high blood pressure become an issue in preg? what is a 'normal' reading for a healthy preg woman? What reading is considered 'high-risk' or requiring action (without proteinuria)...? Big thanks From: Andrea Quanchi [EMAIL PROTECTED]Reply-To: ozmidwifery@acegraphics.com.auTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] students learningDate: Thu, 1 Jun 2006 19:57:06 +1000If the woman invites the student to be there and the MIPP is happy what prevents them from being there. Surely we are letting them know what the real world is like and the reality is that MIPP are working uninsured and having to cope with what that means in reality. This is no different from when I attend a hospital with a woman and the hospital says that they only recognise me as a support person. I could let that stop me from going there but I don't. If students want to be at hom births they will, they will learn heaps and if they cant write it down on paper for the uni then dont but dont let it stop them from attending because the experience is to valuable to waste.Andrea QuanchiOn 01/06/2006, at 7:03 PM, Stephen Felicity wrote:I think perhaps you women are the "lucky" ones; I only recently had an email from a student midwife in SA, lamenting that she is unable to attend homebirths unless the midwife is "publicly employed" (ie: not a MIPP). Since the only homebirth midwives employed by the Government in SA are part of the Northern Women's Community Midwifery Program, anyone not fortunate enough to be in that region has zero opportunity to work "in all situations". This is clearly an insurance issue as well as an educational institution issue...but it's all one and the same at the end of the day, isn't it? It's all just part of the overall climate for midwifery and birthing women in our country.- Original Message - From: "Kirsten Dobbs" [EMAIL PROTECTED]To: ozmidwifery@acegraphics.com.auSent: Thursday, June 01, 2006 5:10 PMSubject: RE: [ozmidwifery] students learningI can back up Kate, (as we attend the same uni!)I have only ever been encouraged and supported to attend births withindependent midwives by our uni.Kirsten-Original Message-From: [EMAIL PROTECTED][mailto:[EMAIL PROTECTED] On Behalf Of Kate and/or NickSent: Thursday, June 01, 2006 9:57 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] students learningFor fyi, student midwives here in SA are *forbidden* to seek experienceof any kind with any independently practicing midwife, on threat of afail grade for the clinical topic /or expulsion from the course.While this is the case at one uni, it does not appear to be at the otheruni. We have a lay midwife doing the Bmid who will be doing her practicumwith an independent midwife. We believe we are able to participate inhomebirths, and I am certainly hoping to do just that.Kate--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.--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 to subscribe or unsubscribe.
Re: [ozmidwifery] degrees of high BP in preg
I know the feeling of things changing from week to week!One week we're were asked to start mag sulphate on a woman with diastolic creeping up (90 - 105) whengoing into good labour. 2 + protein in urine, mild edema, no increased BP antenatally, bloods all normal. The next week a woman with increasing BP antenatally (90-105), 3+ protein in urine, no edema, normal bloods was sent home!! Same doctor.By the way with the first woman the doctor insisted that women can have eclamptic seizures even if their bloods are all normal. Has anyone heard of this? He did hold off on the mag sulphate when we were unhappy to give it (in view of normal bloods and BP settled with pain relief). The woman birthed and had no further problems with BP.Cheers Michellebrendamanning [EMAIL PROTECTED] wrote: There issome variation here... but this week ..a diastolic over /90 is watchable anything over100 treatable.Could be different next week With kind regardsBrenda Manning www.themidwife.com.au- Original Message - From: Kristin Beckedahl To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 01, 2006 8:41 PM Subject: [ozmidwifery] degrees of high BP in preg wise women... At what point does high blood pressure become an issue in preg? what is a 'normal' reading for a healthy preg woman? What reading is considered 'high-risk' or requiring action (without proteinuria)...? Big thanks From: Andrea Quanchi [EMAIL PROTECTED]Reply-To: ozmidwifery@acegraphics.com.auTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] students learningDate: Thu, 1 Jun 2006 19:57:06 +1000If the woman invites the student to be there and the MIPP is happy what prevents them from being there. Surely we are letting them know what the real world is like and the reality is that MIPP are working uninsured and having to cope with what that means in reality. This is no different from when I attend a hospital with a woman and the hospital says that they only recognise me as a support person. I could let that stop me from going there but I don't. If students want to be at hom births they will, they will learn heaps and if they cant write it down on paper for the uni then dont but dont let it stop them from attending because the experience is to valuable to waste.Andrea QuanchiOn 01/06/2006, at 7:03 PM, Stephen Felicity wrote:I think perhaps you women are the "lucky" ones; I only recently had an email from a student midwife in SA, lamenting that she is unable to attend homebirths unless the midwife is "publicly employed" (ie: not a MIPP). Since the only homebirth midwives employed by the Government in SA are part of the Northern Women's Community Midwifery Program, anyone not fortunate enough to be in that region has zero opportunity to work "in all situations". This is clearly an insurance issue as well as an educational institution issue...but it's all one and the same at the end of the day, isn't it? It's all just part of the overall climate for midwifery and birthing women in our country.- Original Message - From: "Kirsten Dobbs" [EMAIL PROTECTED]To: ozmidwifery@acegraphics.com.auSent: Thursday, June 01, 2006 5:10 PMSubject: RE: [ozmidwifery] students learningI can back up Kate, (as we attend the same uni!)I have only ever been encouraged and supported to attend births withindependent midwives by our uni.Kirsten-Original Message-From: [EMAIL PROTECTED][mailto:[EMAIL PROTECTED] On Behalf Of Kate and/or NickSent: Thursday, June 01, 2006 9:57 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] students learningFor fyi, student midwives here in SA are *forbidden* to seek experienceof any kind with any independently practicing midwife, on threat of afail grade for the clinical topic /or expulsion from the course.While this is the case at one uni, it does not appear to be at the otheruni. We have a lay midwife doing the Bmid who will be doing her practicumwith an independent midwife. We believe we are able to participate inhomebirths, and I am certainly hoping to do just that.Kate--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.--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 to subscribe or unsubscribe. Send instant messages to your online friends http://au.messenger.yahoo.com
Re: [ozmidwifery] degrees of high BP in preg
I was always taught (and have also found in experience) that it is the amount that the BP increases overa woman'snormal level that is important - not whether it is over 95-100. A woman might normally have a diastolic of 65, but if it increases by 15-20 mmHg, then sheis asked to watch for other signs, and her urine is checked and also bloods if increase continues. The first eclamptic seizure I ever was witness to was a woman who had a diastolic of 75 (normally 50mmHg). She had been complaining of a pain in her stomach and because she had a recent past history of gastric ulcer, it was assumed that this was the cause of her pain. I arrived on ND to BS hear an odd rattling sound. It was one of the old metal beds and she was having a major seizure. Regards, Lynne - Original Message - From: brendamanning To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 01, 2006 10:09 PM Subject: Re: [ozmidwifery] degrees of high BP in preg There issome variation here... but this week ..a diastolic over /90 is watchable anything over100 treatable. Could be different next week With kind regardsBrenda Manning www.themidwife.com.au - Original Message - From: Kristin Beckedahl To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 01, 2006 8:41 PM Subject: [ozmidwifery] degrees of high BP in preg wise women... At what point does high blood pressure become an issue in preg? what is a 'normal' reading for a healthy preg woman? What reading is considered 'high-risk' or requiring action (without proteinuria)...? Big thanks From: Andrea Quanchi [EMAIL PROTECTED]Reply-To: ozmidwifery@acegraphics.com.auTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] students learningDate: Thu, 1 Jun 2006 19:57:06 +1000If the woman invites the student to be there and the MIPP is happy what prevents them from being there. Surely we are letting them know what the real world is like and the reality is that MIPP are working uninsured and having to cope with what that means in reality. This is no different from when I attend a hospital with a woman and the hospital says that they only recognise me as a support person. I could let that stop me from going there but I don't. If students want to be at hom births they will, they will learn heaps and if they cant write it down on paper for the uni then dont but dont let it stop them from attending because the experience is to valuable to waste.Andrea QuanchiOn 01/06/2006, at 7:03 PM, Stephen Felicity wrote:I think perhaps you women are the "lucky" ones; I only recently had an email from a student midwife in SA, lamenting that she is unable to attend homebirths unless the midwife is "publicly employed" (ie: not a MIPP). Since the only homebirth midwives employed by the Government in SA are part of the Northern Women's Community Midwifery Program, anyone not fortunate enough to be in that region has zero opportunity to work "in all situations". This is clearly an insurance issue as well as an educational institution issue...but it's all one and the same at the end of the day, isn't it? It's all just part of the overall climate for midwifery and birthing women in our country.- Original Message - From: "Kirsten Dobbs" [EMAIL PROTECTED]To: ozmidwifery@acegraphics.com.auSent: Thursday, June 01, 2006 5:10 PMSubject: RE: [ozmidwifery] students learningI can back up Kate, (as we attend the same uni!)I have only ever been encouraged and supported to attend births withindependent midwives by our uni.Kirsten-Original Message-From: [EMAIL PROTECTED][mailto:[EMAIL PROTECTED] On Behalf Of Kate and/or NickSent: Thursday, June 01, 2006 9:57 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] students learningFor fyi, student midwives here in SA are *forbidden* to seek experienceof any kind with any independently practicing midwife, on threat of afail grade for the clinical topic /or expulsion from the course.While this is the case at one uni, it does not appear to be at the otheruni. We have a lay midwife doing the Bmid who will be doing her practicumwith an independent midwife. We believe we are able to participate inhomebirths, and I am certainly hoping to do just that.Kate--This mailing list is sponsored by ACE Graphics.Visit http://www.acegraphics.com.au to subscribe or unsubscribe.--This mailing list is spo
Re: [ozmidwifery] degrees of high BP in preg
hi everyoneyou have to be careful using just a rise in BP because of the physiological drop in BP in the middle trimester. if the 'booking' or first BP you take from a woman is in the mid trimester then you will see a big jump in the 3rd trimester - without it necessarily being pathological. ive been taught greater than or equal to 140/90 (either or both numbers) taken on two occasions at least a few hours apart (and of course at a 45 degree angle, taken by the same person and on the right arm) is cause for further investigation. if you have a pre-pregnancy BP then it would be useful to look at the individual rise for that woman but if you only have a mid trimester one it can be really misleading and freak a whole lot of women out for no reasonlove emilyLynne Staff [EMAIL PROTECTED] wrote: I was always taught (and have also found in experience) that it is the amount that the BP increases overa woman'snormal level that is important - not whether it is over 95-100. A woman might normally have a diastolic of 65, but if it increases by 15-20 mmHg, then sheis asked to watch for other signs, and her urine is checked and also bloods if increase continues. The first eclamptic seizure I ever was witness to was a woman who had a diastolic of 75 (normally 50mmHg). She had been complaining of a pain in her stomach and because she had a recent past history of gastric ulcer, it was assumed that this was the cause of her pain. I arrived on ND to BS hear an odd rattling sound. It was one of the old metal beds and she was having a major seizure. Regards, Lynne- Original Message -From:brendamanningTo: ozmidwifery@acegraphics.com.au Sent: Thursday, June 01, 2006 10:09PM Subject: Re: [ozmidwifery] degrees ofhigh BP in preg There issomevariation here... but this week ..a diastolic over /90 is watchable anything over100 treatable. Could be different nextweek With kind regardsBrenda Manning www.themidwife.com.au- Original Message - From: Kristin Beckedahl To: ozmidwifery@acegraphics.com.au Sent: Thursday, June 01, 2006 8:41 PM Subject: [ozmidwifery] degrees of high BP in preg wise women... At what point does high blood pressure become an issue in preg? what is a 'normal' reading for a healthy preg woman? What reading is considered 'high-risk' or requiring action (without proteinuria)...? Big thanksFrom: Andrea Quanchi [EMAIL PROTECTED]Reply-To:ozmidwifery@acegraphics.com.auTo:ozmidwifery@acegraphics.com.auSubject:Re: [ozmidwifery] students learningDate: Thu, 1 Jun2006 19:57:06 +1000If the woman invites the student to bethere and the MIPP is happy what prevents them from being there.Surely we are letting them know what the real world is like andthe reality is that MIPP are working uninsured and having to copewith what that means in reality. This is no different from when Iattend a hospital with a woman and the hospital says that theyonly recognise me as a support person. I could let that stop mefrom going there but I don't. If students want to be at hom birthsthey will, they will learn heaps and if they cant write it down onpaper for the uni then dont but dont let it stop them fromattending because the experience is to valuable towaste.Andrea QuanchiOn 01/06/2006, at 7:03 PM, Stephen Felicity wrote:I think perhaps you women are the"lucky" ones; I only recently had an email from a studentmidwife in SA, lamenting that she is unable to attendhomebirths unless the midwife is "publicly employed" (ie: nota MIPP). Since the only homebirth midwives employed by theGovernment in SA are part of the Northern Women's CommunityMidwifery Program, anyone not fortunate enough to be in thatregion has zero opportunity to work "in all situations". Thisis clearly an insurance issue as well as an educationalinstitution issue...but it's all one and the same at the endof the day, isn't it? It's all just part of the overallclimate for midwifery and birthing women in ourcountry.- Original Message - From:"Kirsten Dobbs" [EMAIL PROTECTED]To:ozmidwifery@acegraphics.com.auSent: Thursday, June 01,2006 5:10 PMSubject: RE: [ozmidwifery] students learningI can back up Kate, (as weattend the same uni!)I have only ever been encouraged andsupported to attend births withindependentmidwives by ouruni.Kirsten-OriginalMessage-From:[EMAIL PROTECTED][mailto:[EMAIL PROTECTED]On Behalf Of Kate and/or NickSent:Thursday, June 01, 2006 9:57 AMTo:ozmidwifery@ace
[ozmidwifery] degrees of high BP in preg
wise women... At what point does high blood pressure become an issue in preg? what is a 'normal' reading for a healthy preg woman? What reading is considered 'high-risk' or requiring action (without proteinuria)...? Big thanks From: Andrea Quanchi [EMAIL PROTECTED]Reply-To: ozmidwifery@acegraphics.com.auTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] students learningDate: Thu, 1 Jun 2006 19:57:06 +1000If the woman invites the student to be there and the MIPP is happy what prevents them from being there. Surely we are letting them know what the real world is like and the reality is that MIPP are working uninsured and having to cope with what that means in reality. This is no different from when I attend a hospital with a woman and the hospital says that they only recognise me as a support person. I could let that stop me from going there but I don't. If students want to be at hom births they will, they will learn heaps and if they cant write it down on paper for the uni then dont but dont let it stop them from attending because the experience is to valuable to waste.Andrea QuanchiOn 01/06/2006, at 7:03 PM, Stephen Felicity wrote:I think perhaps you women are the "lucky" ones; I only recently had an email from a student midwife in SA, lamenting that she is unable to attend homebirths unless the midwife is "publicly employed" (ie: not a MIPP). Since the only homebirth midwives employed by the Government in SA are part of the Northern Women's Community Midwifery Program, anyone not fortunate enough to be in that region has zero opportunity to work "in all situations". This is clearly an insurance issue as well as an educational institution issue...but it's all one and the same at the end of the day, isn't it? It's all just part of the overall climate for midwifery and birthing women in our country.- Original Message - From: "Kirsten Dobbs" [EMAIL PROTECTED]To: ozmidwifery@acegraphics.com.auSent: Thursday, June 01, 2006 5:10 PMSubject: RE: [ozmidwifery] students learningI can back up Kate, (as we attend the same uni!)I have only ever been encouraged and supported to attend births withindependent midwives by our uni.Kirsten-Original Message-From: [EMAIL PROTECTED][mailto:[EMAIL PROTECTED] On Behalf Of Kate and/or NickSent: Thursday, June 01, 2006 9:57 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] students learningFor fyi, student midwives here in SA are *forbidden* to seek experienceof any kind with any independently practicing midwife, on threat of afail grade for the clinical topic /or expulsion from the course.While this is the case at one uni, it does not appear to be at the otheruni. We have a lay midwife doing the Bmid who will be doing her practicumwith an independent midwife. We believe we are able to participate inhomebirths, and I am certainly hoping to do just that.Kate--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.--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 to subscribe or unsubscribe.
Re: [ozmidwifery] degrees of high BP in preg
Generally speaking High blood pressure that develops before 20 weeks gestation is considered essential hypertension ( not pregnancy related) and if it develops after 20 weeks it is considered to be pregnancy related. What is considered is not the number itself but the rise from the womans normal BP. A rise of 20mm is considered normal but above this needs watching, The trouble is many women suffer from white coat BP rises which means that the minute they walk into the doctors office their BP rises dramatically with the stress and if it is taken by someone they feel relaxed with then it will be normal , This is in fact a normal reaction to stress and is typically demonstrated when women are admitted to hospital with supposed elevation in thier BP but when it is taken by the midwives it is within normal range.Hope this helpsAndrea QuanchiOn 01/06/2006, at 8:41 PM, Kristin Beckedahl wrote:wise women...At what point does high blood pressure become an issue in preg? what is a 'normal' reading for a healthy preg woman? What reading is considered 'high-risk' or requiring action (without proteinuria)...?Big thanksFrom: Andrea Quanchi [EMAIL PROTECTED]Reply-To: ozmidwifery@acegraphics.com.auTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] students learningDate: Thu, 1 Jun 2006 19:57:06 +1000If the woman invites the student to be there and the MIPP is happy what prevents them from being there. Surely we are letting them know what the real world is like and the reality is that MIPP are working uninsured and having to cope with what that means in reality. This is no different from when I attend a hospital with a woman and the hospital says that they only recognise me as a support person. I could let that stop me from going there but I don't. If students want to be at hom births they will, they will learn heaps and if they cant write it down on paper for the uni then dont but dont let it stop them from attending because the experience is to valuable to waste.Andrea QuanchiOn 01/06/2006, at 7:03 PM, Stephen Felicity wrote:I think perhaps you women are the "lucky" ones; I only recently had an email from a student midwife in SA, lamenting that she is unable to attend homebirths unless the midwife is "publicly employed" (ie: not a MIPP). Since the only homebirth midwives employed by the Government in SA are part of the Northern Women's Community Midwifery Program, anyone not fortunate enough to be in that region has zero opportunity to work "in all situations". This is clearly an insurance issue as well as an educational institution issue...but it's all one and the same at the end of the day, isn't it? It's all just part of the overall climate for midwifery and birthing women in our country.- Original Message - From: "Kirsten Dobbs" [EMAIL PROTECTED]To: ozmidwifery@acegraphics.com.auSent: Thursday, June 01, 2006 5:10 PMSubject: RE: [ozmidwifery] students learningI can back up Kate, (as we attend the same uni!)I have only ever been encouraged and supported to attend births withindependent midwives by our uni.Kirsten-Original Message-From: [EMAIL PROTECTED][mailto:[EMAIL PROTECTED]] On Behalf Of Kate and/or NickSent: Thursday, June 01, 2006 9:57 AMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] students learningFor fyi, student midwives here in SA are *forbidden* to seek experienceof any kind with any independently practicing midwife, on threat of afail grade for the clinical topic /or expulsion from the course.While this is the case at one uni, it does not appear to be at the otheruni. We have a lay midwife doing the Bmid who will be doing her practicumwith an independent midwife. We believe we are able to participate inhomebirths, and I am certainly hoping to do just that.Kate--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.--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 to subscribe or unsubscribe.