Re: [ozmidwifery] degrees of high BP in preg

2006-06-04 Thread Michelle Windsor
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
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Re: [ozmidwifery] degrees of high BP in preg

2006-06-03 Thread Jo Watson

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

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Re: *****SUSPECTED SPAM***** Re: [ozmidwifery] degrees of high BP in preg

2006-06-03 Thread Lynne Staff



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

2006-06-02 Thread brendamanning



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

2006-06-02 Thread Michelle Windsor
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

2006-06-02 Thread Lynne Staff



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

2006-06-02 Thread Emily
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

2006-06-01 Thread Kristin Beckedahl
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.

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Visit  to subscribe or unsubscribe.


Re: [ozmidwifery] degrees of high BP in preg

2006-06-01 Thread Andrea Quanchi
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.