Re: PUPPS

[Jo Slamen]

From my limited understanding, it is an 
itching condition of pregnancy.  It stands for something like pruritic 
urticarial papules and plagues.  I knew I had heard of it and I've looked 
it up in one of my many books - found something about it in Deborah Cooper's 
book "Your Baby, Your Way".  
 
In it she recommends:
- applying 100% jojoba oil
- applying chickweed or nettle 
ointment
 dandelion beverages instead of 
coffee
- a glass of beetroot, celery and carrot juice per 
day
 
Jo
 

  - Original Message - 
  From: 
  [EMAIL PROTECTED] 
  To: [EMAIL PROTECTED] ; [EMAIL PROTECTED] ; [EMAIL PROTECTED] 
  
  Sent: Monday, March 04, 2002 5:50 
PM
  Subject: Re: PUPPS
  In a message dated 4/03/02 4:03:35 PM AUS Eastern Daylight 
  Time, [EMAIL PROTECTED] 
  writes:
  PLEASE, what is PUPPS? MMThank you 
  Mary for asking what I think many of us were wondering...Yours in 
  birth,Tina PettigrewBirthworksBachelor of Midwifery Student 
  Convenor, Aust B. Mid Student Collective.http://groups.yahoo.com/group/BMidStudentCollective[EMAIL PROTECTED]" 
  As we trust the flowers to open to new 
  life   
  - So we can trust birth"Harriette Hartigan.--- 
  

Re: PUPPS

[Mary Murphy]

Thanks.  I thought it must be that, but wasn't quite sure.  I 
have found chickweed ointmment etc. helpful for some but not all women. MM

  " As we trust the flowers to 
  open to new 
  life   
  - So we can trust birth"Harriette Hartigan.--- 
  

Re: lifelasting experience

[Lynne Staff]

Dear Wendy - I began an assignment with this in the 
opening paragraph.
 
Fuchs (1983 in Nichols and Humenick, p1, 1988), tells us that 
of all life choices, none are more important to society, none has more far 
reaching consequences, none represents a more complete blending of social, 
biological, and emotional forces, than bringing another life into the world. 
Similarly, Maynard (?) draws our attention to the fact that while giving birth 
can be a moment of pure ecstasy and the beginning of a greatly enhanced sense of 
self-worth, it can also be a shock from which a woman never recovers (in Nichols 
and Humenick, p 52, 1988). 
 
The reference is Nichiols and Humenick 
"Childbirth Education: Practice, Research and Theory" Saunders International 
1988. There is a second edition out now - but hope you find this 
useful.
Regards, Lynne 

  - Original Message - 
  From: 
  PJ_WM_HERMEL 
  To: [EMAIL PROTECTED] 
  
  Sent: Sunday, March 03, 2002 9:33 
PM
  Subject: lifelasting experience
  
  Hello
  Does anyone know where to find a quote that childbirth 
  is a lifelasting/life changing experience?  I am using it to  back 
  up my statement for continuity of care which continues for the 
  postnatal period.  Someone mentioned it may be a WHO recommendation 
  - if so, where will I find it?
   
  I might just introduce myself - I am Wendy Hermel, I am 
  preparing a proposal (with Josie Greaves) for our hospital board 
   to restart our midwifery and obstetric services 
  in Ceduna, SA.  We are both midwives very committed in developing a 
  midwifery model of care with the full support of the management.  We are 
  almost there - thank goodness.  I am  trying to back up a statement 
  so we can follow through our continuum by home visiting in the postnatal 
  period.
   
  Regards Wendy
   
   

Re: the literature on breech

[jennifairy]

well Cheryl, in my copy of Maggie Banks' "Breech Birth Woman Wise" I 
found a statement - " Where the baby is born to the umbiblicus, and 
therefore the head is in the pelvis, the baby will need to be born 
within 10 minutes". the reference for this is cited as Stevenson, J. 
(1993, Summer) More Thoughts on Breech. Midwifery Today. No. 26. pp24-25.
Hope this is some help :))

CHERYL JONES wrote:

> hello to any body, that can answer the question on breech vaginal 
> deliveries?
>
> I read through my e-mails and that eight minutes the time given for 
> the babies to deliver and that no long term effect.
>
> Question is were is the evidence base on that literature?
>
> I have no doubt that is right however to argue a point were is it found?
>
> I have the e-mails sent which one is it that has the evidence so I can 
> forward this information to others (midwives)
>
> Many thanks 
>
> Cheryl (from W.A.)  
>



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Regional Midwives

[Justine Caines]

Title: Regional Midwives



Hello All

Great to meet many wonderful midwives at the Homebirth Conference in Katoomba!  

In our continued lobbying efforts I really need to hear from regional midwives, we are looking at an electorate strategy for federal lobbying.  I have just browsed trough the ASIM directory but would like confirmed from midwives who was or is working where.  Particularly is anyone working in the Central West/ North West of NSW? (Dubbo particularly).

Thanks

Justine Caines
Maternity Coalition 

Re: Is there moulding in a breech presentation?

[jennifairy]

haha Im laughing  bcoz Ive just bought this book by Maggie Banks & I'm 
sending off references from it already !:))
(the 2nd today). anyway, Maggie talks about the 
Mauriceau-Smellie-Veit grip, being what you do to assist the birth of 
the baby with an extended head. What it basically does is apply pressure 
to the cheek bones & the parietal bones, which brings the baby's head 
over the perineum while protecting it from sudden decompression. (Not 
what you asked about but thought it was worth including) She also 
follows with a bit about moulding of the head, & I quote - "It is often 
cited that the baby's head will not have the time needed to mould or 
shape as it comes through the pelvic bones", then her own experience 
which refutes this - "I transferred Kitty to hospital following 20 hours 
of labour with her breech baby. She decided to have a c/s as her labour 
was slow. The baby's position had been anterior during labour. Anna's 
head was not the usual round shape of a breech baby born by c/s. The 
baby's head, which had been in the fundus of the uterus, was moulded to 
be oval in shape with the overriding of the skull bones. It had been 
moulded by the contractions that she had experinced prior to the operation".
hope this is helpful:))
ps it was Day 1 for us BMidders at Flinders today, all I can say is 
WOOOH

Melinda Whyman wrote:

> Hi there
>
> Just wondering if any one could tell me what happens to the fetal 
> skull bones during a breech birth?
>
> Is there moulding - or even any movement of the bones at all?
>
> I've dug through Myles and several other texts with no luck.
>
> Would appreciate some help.
>
> Thanks
>
> Melinda
>



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PUPPS

[Kirsten Blacker]

I can't remember exactly what the initials stand for,but it's essentially
severe itching in pregnancy - the U is for Urticaria it think.
The thing that bugs me here is that they give benadryl for it postpartum
which I don't like becaus it's an antihistamine and can affect early
lactation.
Also, anyone with severe itching in pregnancy should be also assess for
Intrahepatic Cholestasis of pregnancy because of the possible poor fetal
outcomes

Kirsten

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Re: PUPPS

[Kleimar]

Yes, I agree with the previous definitions (but can never remember them all) 
I think the essential thing to remember is that the pruritis/severe itching 
can also be a symptom of choleostasis and so liver involvement should be 
ruled out. Once liver involvement is ruled out it appears that PUPPS is 
essentially a benign condition with extremely irritating symptoms. If 
antihistamines work, then the woman is lucky and she should get what relief 
she can, I personally haven't seen mum's get much releif until the the 
condition itself passes.  marilyn
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Re: Is there moulding in a breech presentation?

[Kleimar]

Interesting quote Jenni. It is also interesting that the baby seems to me to 
have been in an extended position. The "ideal" position for a breech baby is 
fully flexed , which would (it seems to me) prevent the head from receiving 
moulding from the contracting fundus. As I said previously I have only been 
at 3 vaginal breech births and none of the babies had moulded heads, a very 
small number to draw any conclusions from (I have also been at vertex 
presentations with no apparent moulding). Marilyn
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Re: PUPPS

[maxine hardinge]

My apologies to the list - PUPPs stands for Pruritic Urticarial Pustules and 
Papules of pregnancy.  From what I understand it is a skin condition only 
and not something more sinister (my friend has had liver function and 
biochemistry to exclude cholestasis and all results have come back normal).
It is however causing her unbearable itching and stress - lack of sleep 
compounding the discomfort and wearing her down.  She is 32 weeks but 
already asking for induction (the itching usually subsides once the baby is 
born).  I have a feeling that for her, it is related to her worries about 
being at home with two small children - feeling isolated and with no family 
support and few friends.  We have talked about hypnosis as a way of managing 
the itching and to help her get some sleep and she is keen to give it a go 
but neither of us know where to start looking.  She is in Melbourne.
I'm really hoping someone on the list can help.
Regards, Maxine


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PUPPs

[maxine hardinge]

sorry, should be plaques not pustules



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Regional Midwives in NSW

[justine]

Sorry Everyone

I posted a message about getting details of where regional midwives are practicing.

I forgot I think to say only NSW and particularly midwives that held or hold (till May 
30) PI insurance.

Thanks

Justine Caines

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There IS moulding in some breech presentations

[Sue Cookson]

Hi all,
My second baby was born breech and she DEFINITELY has a moulded head -
slightly crooked as well. Will post a picture if I can a little later.
She arrived in a 7 minute pushing stage - 3 contractions - I held the head
in probably a little long as there is no final pushing urge with a breech
once the head is through the pelvis and actually sitting in the vagina. It's
very much up to the mum to 'let' the baby out by opening the pelvic floor
muscles. I have helped a number of women with breeches, and all have found
the right way of letting the baby's head out except one where the doctor was
pulling ...
So my breech baby has just left home and is in her second week of medicine!!

And one doctor told me I was lucky she wasn't brain damaged!!

Lucky? Anyone who doesn't understand the enormous emotional journey it is to
decide to birth a breech baby vaginally shouldn't be involved with birth!!

My choices - breech vaginal at home or c/section - 18 years ago - I'd have
to say the choices have not improved, but rather, fewer homebirth
practitioners are available and fewer again who willingly attend breech
births.

Just my thoughts,
Sue Cookson

> Interesting quote Jenni. It is also interesting that the baby seems to me to
> have been in an extended position. The "ideal" position for a breech baby is
> fully flexed , which would (it seems to me) prevent the head from receiving
> moulding from the contracting fundus. As I said previously I have only been
> at 3 vaginal breech births and none of the babies had moulded heads, a very
> small number to draw any conclusions from (I have also been at vertex
> presentations with no apparent moulding). Marilyn
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Re: re Rosalie Shaw

[Rosalee Shaw]

Yes, I'm here. you can email me at [EMAIL PROTECTED] 


>>> alan trewern <[EMAIL PROTECTED]> 03/02/02 08:25pm >>>
Dear List,
I am trying to get in touch with Rosalie Shaw. Are you still on the 
list Rosalie? Any help appreciated. Thanks

   
 Linda
-
Click here for Free Video!!
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Back at my computer/Port Macquarie

[Andrea Quanchi]

I have been having trouble with my computer and after three weeks without it
have just bought a new one which once I learn to drive it will be OK. Just
when you get really confident with how everything runs they die and you have
to upgrade to a new program that is nothing like the original. Oh the joys
of it.

A reminder to anyone keeping their client files or anything else on computer
to have a good back up system and use it because trying to retrieve them
from a damaged hard disk or losing them is no picnic.

I have been approached by a woman who is moving to Port Macquarie and is
looking for a midwife. She is planning a hospital birth at this stage but
would is interested in having her own midwife with her. Any takers as she is
moving up there in the next week or so

I'm so disappointed to have missed the HBA conference but I have beautiful
birthing to attend on Saturday night. Spontaneous onset of labour at 42
weeks in my first repeat client. My next excitement is my first client who
is planning a home birth is due this friday and I'm not sure who is more
excited, me or her. I'll let you know how we go.

Andrea Quanchi

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umbil cord bld merchandising.

[Mary Murphy]

I recently received a flyer from Cryosite cord blood service with my ACMI 
News/journal.  The company is subtly using midwives to market their 
service, the text reinforcing in our minds that the blood should be stored for 
the child's future use.  Maybe we should be reinforcing that the blood 
belongs to the baby at birth and was put there for a really good 
reason...strengthening the immune system.  Maybe if the baby receives its 
birthrite in the minutes following birth, it will not need it later.  
MM

Re: PUPPS

[trish]

Something like Puerperal Urticaria of Pregnancy...
In other words a symptom of Obstetric Cholestasis, I found a website that
would be useful, next time I'm at work! I'll post it if no-one else has.
trish
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