insurance

[joy]

Title: insurance






Today I have notified the Nurses Board of Victoria that I have 

decided that, until professional indemnity insurance is obtained, or 

other satisfactory resolution has been found, I will no longer be 

offering my professional services for homebirth.

I have taken this decision with regret, and will continue working as 

a member of the Board to seek a solution that protects the right of 

the woman to choose the homebirth option, and the right of the 

midwife to attend birth in the home.

Sincerely

Joy Johnston


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Birth Network

[Jo & Dean Bainbridge]

Hi everyone,
hope you all have your winter coats on!  Well, 
lots has been happening with the NMAP and so on and so it is about time we all 
get together again for a pow wow.  Cheryl has been doing a wonderful job as 
always and has a lot to report.  A meeting has been arranged at my place on 
the 7th of July (Sunday) at lunch time-ish.  Bring a plate if you 
wish.  
26 Elizabeth Street, 
Nairne
(turn off the freeway at Mt Barker exit, turn left 
to Littlehampton, go towards Nairne, turn off (before getting into the township) 
left on to Woodside Road.  Go over the railway line. Immediately next 
to the railwayline on the left is Railway Trc, then it is Packard Street and 
then Stockham Street (all on the left).  Turn onto Stockham then turn left 
on to Elizabeth. Now Cheryl, you cant get lost!)
Jo Bainbridgefounding member CARES SAemail: 
[EMAIL PROTECTED]phone: 
08 8388 6918birth with trust, faith & love...

oximetry in labour

[Jackie Doolan]

Hi all,
Paul Colditz has been doing this research for some time. Seems he now has a
system that is useable with some measure of accuracy. I wonder if this
technology will be embraced along the same lines as CTGs in the 60s with use
driven by safety and medicolegal arguments, especially given Australian
insurance climate. I was thinking that if this becomes an accepted  birth
technology I hoped it's use was restricted to those at 'high risk' of
stillbirth ... I looked to see who may be included in this group - very
short search showed that- 

According to African studies where stillbirth rates are 2.5% the risk
factors include 
Results There were 19 870 singleton births. The stillbirth rate was 25.9 per
1000 total births (95% CI: 23.7-28.1). In the crude analysis, after
adjustment and consideration of prevalence, the principal risk factors for
late stillbirth were: late antenatal or intrapartum vaginal bleeding,
intrapartum hypertension, dystocia, and infection. Other risk factors were:
maternal height (<150 cm), maternal age (>35 years), previous stillbirths,
hypertension at the 8-month antenatal visit and number of antenatal visits
(<2). (International Journal of Epidemiology 2002)
In Sweden... 
Results. 
A presumptive explanation to the stillbirth was established in 91% of the
cases. The most common factors associated with intrauterine fetal death
could be identified as infections (24%), placental
insufficiency/intrauterine growth restriction (22%), placental abruption
(19%), intercurrent maternal conditions (12%), congenital malformations
(10%), and umbilical cord complications (9%).(Acta Obstetricia et
Gynecologica Scandinavica 2002)
In the UK
Journal of Obstet & Gynae 2002
Assessment of stillbirth risk and associated risk factors in a tertiary
hospital
pp. 34-38(5) 

Shankar M.; Navti O.; Amu O.; Konje J.C.

Abstract: 
We aimed to calculate the stillbirth rate at each gestation and also
determine antenatal factors, which may be associated with unexplained
stillbirth in a large UK teaching hospital. This was a retrospective study
of all the stillbirths between January 1995 and October 1998. There were 27
170 births at 24 weeks, gestation during the study period. Of these 161 were
stillbirths giving a stillbirth rate of 5·9/1000; 149 (92·5%) were
antepartum. Eighty-two (50·9%) were unexplained. The 'risk' of unexplained
stillbirth per 1000 ongoing pregnancies was 0·3 at 24-25 weeks, fell
steadily to 0·07 at 30-31 weeks and then rose to a peak of 1·16 at 40-41
weeks. About half (49·2%) of the pregnancies that ended in unexplained
stillbirths had a normal antenatal course with no associated factors.
Associated factors in the unexplained stillbirth group were identified in
50·8% of cases. The most common was intrauterine growth restriction,
identified in 41·5% of cases. The 'risk' of stillbirth increases at term. No
significant antenatal associated factor, detection of which would aid
prevention, could be identified in the majority of cases.

Who to use it on ...anyone's guess really - Given that nearly half of the UK
stillbirths occurred without associated risk factors (incongruent with
Swedish findings) I am fearful that this 'new technology' may be considered
for universal use This would be fine by the way if one of the main aims of
the technology was also to maintain maternal mobility and control (African
findings showed dystocia to be a risk factor!), but in my experience of
modern birth technology this is not usually high on the development teams
agenda.  
Cheers,
Jackie Doolan

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Re: more dying

[Jan Robinson]

Title: Re: more dying



On 25/6/02 10:15 AM, "Lois Wattis" <[EMAIL PROTECTED]> wrote:

Dear List - Thought I'd explain why I've been a bit quiet on the mid scene lately.  We've been working our way through a recent family tragedy.  My husband's son (Sebastian, aged 32yrs) died suddenly on June 12 and we have just returned from his funeral in Melbourne.  We had been seeing a lot of him over the past 2 months because he'd been living in Perth.  He was accidentally drowned 2 days after leaving us and returning to Melbourne.  It's taking some time to get my head together, and our lives back on track. 
 
I'd like to say a special "thank you" to my local midwifery mates who have expressed their condolences to John and I, and have cared for my clients in my absence. Kind regards, Lois

Dear Lois
Please accept my condolences too. 
It’s so sad when a young life gets taken like that.

Just letting you know that my mother also died  - last Sunday.
It was a blessed relief as she had been tormented with Alzheimers and dementia for the last ten years.
All her family was around her while she was dying, taking turns to hold her hand and massage her feet while she breathed her last. She was really peaceful at the end.
Jan Robinson

Re: Thinking ahead - Implementing the NMAP

[S.J.F.ELECTRICAL.]

Dear Barb and Tracy
Once again you are to be congratulated and thanked for your forward
thinking, planning and openess!
What an amazing maternity services community we(Australia) is poised to have
if we continue in this spirit!
Denise


- Original Message -
From: "Vernon at Stringybark" <[EMAIL PROTECTED]>
To: "ozmid" <[EMAIL PROTECTED]>; "ozbirth"
<[EMAIL PROTECTED]>
Cc: "Tracy Reibel" <[EMAIL PROTECTED]>
Sent: Wednesday, June 26, 2002 2:24 PM
Subject: Thinking ahead - Implementing the NMAP


Dear colleagues and friends,

We've been giving some thought to how best to go about ensuring the National
Maternity Action Plan is implemented once endorsements and launch of the
Plan have been completed in the next few months.

Please read the invitation below and respond to Tracy Reibel at
[EMAIL PROTECTED] by 15/7/02 if you're interested in being involved.

***   ***   ***   ***   ***   ***   ***   ***   ***

NATIONAL STRATEGY FOR LAUNCH OF NATIONAL MATERNITY ACTION PLAN AND ONGOING
LOBBYING

EXPRESSIONS OF INTEREST FOR FORMATION OF A REPRESENTATIVE NATIONAL COMMITTEE

To date the development of the NMAP has been undertaken by a small group who
have continued to edit and refine the plan into the document that we now
have. Endorsements are being received from across Australia and also from
the UK, NZ, and US including very high profile childbirth advocates such as
Sheila Kitzinger, Marsden Wagner, and Janet Balaskas.

Additionally, many people in each state have also put in tremendous efforts
in pursuing interest in implementing community midwifery models of care in
their local health area, and the NMAP is already proving useful in this
process despite the fact that it has not been Oofficially¹ released.

The ongoing lobbying that will be required to ensure that the Plan is placed
before those people (in government, health departments, policy makers etc.)
who need to see the plan will be a task that needs coordination at both a
state by state and national level.

To achieve this, it is proposed that a national representative committee be
formed to oversee this process. This committee should have two-three
representatives from each state, who have the time and resources available
to commit to the Plan, who can participate in an email-group and who are in
contact with a range of people interested in this campaign, as this is the
only viable way to undertake this proposal.

To this end, it is also proposed that all those people who want to be
involved in this committee should notify Tracy Reibel (Community Midwifery
WA) of their interest and background, and, depending on the outcome of these
expressions of interest, it can then be determined if we have a
representative group, and whether further interested persons need to be
approached.

This may require that within each state, the various groups and individuals
currently involved in progressing the NMAP need to have a conversation among
each other to determine who is available to represent their state.

It is acknowledged that the diversity of views on pregnancy and childbirth
cannot necessarily be accommodated in entirety in this campaign. What is
required is agreement on a set of core values and work is currently being
undertaken to flesh out these values for further discussion, as well as
details on the role of the committee and, to what extent the committee needs
to be formally adopted as a Ocoalition of groups interested in advancing
maternity reform¹.

It is important that, to achieve the goal of genuine maternity reform, we
need a comprehensive and cohesive approach. To this end, a draft National
Media Strategy has been developed by Summer Goodwin (Community Midwifery WA)
to facilitate a coordinated approach to the release of the plan.

In the first instance then, could expressions of interest be forwarded to
Tracy Reibel at [EMAIL PROTECTED] by 15/7/02. Following this, the
proposed committee of  representatives will be advised to all those who have
shown an interest, and the process will be finalised as quickly as possible
to ensure that the committee can get down to the business of coordinating a
national campaign.

We hope that you will join in the spirit of this proposal, and help us to
achieve maternity reform across the nation. While there are limitations on
our capacity to be truly democratic in this process, it has so far been a
truly collaborative effort, and we hope that this same sense of Osisterhood¹
is retained over the coming months.

Sincerely,

Tracy ReibelBarbara Vernon





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Hospital trials birth monitor:Courier Mail news report (QLD)

[Joyce, Sally \(nee Ferguson\)]

Hi,
 
This is a story to today's courier mail. Thought you might be 
interested in it.. I haven't heard anything else about these trials. If someone 
has more information could you please let us know.
 
Thanks
 
Sally Joyce 
 
 Hospital trials birth 
monitorBy Siobhain 
Ryan27jun02
BABIES will soon have to make room in the womb for oxygen monitors as part of 
a world-first trial of the devices in Queensland.The probes, which 
measure oxygen levels in a fetus's bloodstream, will be tested during labour to 
help reduce the number of emergency caesarean births. 
Chief research investigator Professor Paul Colditz said about 600 women were 
being recruited in Brisbane, Sydney and Melbourne to take part in the study. He 
said that, at present, oxygen monitoring only occurred after birth, in intensive 
care. 
Before or during delivery, the main way of checking for fetal distress was by 
monitoring the heart rate. 
But Professor Colditz, director of the perinatal research centre at Royal 
Women's Hospital, said heart rates were often poor measures of oxygen available 
to the baby – that could lead to unnecessary caesareans. 
He said the study, which follows small-scale tests of similar devices at the 
hospital, was the world's first controlled trial of the probe. 
"The technology is being marketed around the world but because people are 
waiting to see if it's really effective or not, it's waiting on our trial," 
Professor Colditz said. 
With stillborn births now outnumbering deaths from sudden infant death 
syndrome, his centre – with the SIDS and Kids Association – hopes to boost its 
research efforts into peri-natal health. 
The SIDS fundraiser – Red Nose Day – is tomorrow. Courier-Mail

DISCLAIMER
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(which includes any attachments) is confidential and may be legally 
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RE: Thinking ahead - Implementing the NMAP

[Vicki Chan]

Dear Barb and Tracy...

Count me in. I would like to both endorse and support the project
wholeheartedly!

All the best, wonderful women...

Vicki 

Vicki Chan
92 Hardwood Road
Landsborough 4550
07 5494 8554
0402 140 769

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]] On Behalf Of Vernon at
Stringybark
Sent: Tuesday, June 25, 2002 9:24 PM
To: ozmid; ozbirth
Cc: Tracy Reibel
Subject: Thinking ahead - Implementing the NMAP


Dear colleagues and friends,

We've been giving some thought to how best to go about ensuring the
National Maternity Action Plan is implemented once endorsements and
launch of the Plan have been completed in the next few months.

Please read the invitation below and respond to Tracy Reibel at
[EMAIL PROTECTED] by 15/7/02 if you're interested in being involved.

***   ***   ***   ***   ***   ***   ***   ***   ***

NATIONAL STRATEGY FOR LAUNCH OF NATIONAL MATERNITY ACTION PLAN AND
ONGOING LOBBYING

EXPRESSIONS OF INTEREST FOR FORMATION OF A REPRESENTATIVE NATIONAL
COMMITTEE

To date the development of the NMAP has been undertaken by a small group
who have continued to edit and refine the plan into the document that we
now have. Endorsements are being received from across Australia and also
from the UK, NZ, and US including very high profile childbirth advocates
such as Sheila Kitzinger, Marsden Wagner, and Janet Balaskas.

Additionally, many people in each state have also put in tremendous
efforts in pursuing interest in implementing community midwifery models
of care in their local health area, and the NMAP is already proving
useful in this process despite the fact that it has not been
Œofficially¹ released.

The ongoing lobbying that will be required to ensure that the Plan is
placed before those people (in government, health departments, policy
makers etc.) who need to see the plan will be a task that needs
coordination at both a state by state and national level.

To achieve this, it is proposed that a national representative committee
be formed to oversee this process. This committee should have two-three
representatives from each state, who have the time and resources
available to commit to the Plan, who can participate in an email-group
and who are in contact with a range of people interested in this
campaign, as this is the only viable way to undertake this proposal.

To this end, it is also proposed that all those people who want to be
involved in this committee should notify Tracy Reibel (Community
Midwifery
WA) of their interest and background, and, depending on the outcome of
these expressions of interest, it can then be determined if we have a
representative group, and whether further interested persons need to be
approached. 

This may require that within each state, the various groups and
individuals currently involved in progressing the NMAP need to have a
conversation among each other to determine who is available to represent
their state.

It is acknowledged that the diversity of views on pregnancy and
childbirth cannot necessarily be accommodated in entirety in this
campaign. What is required is agreement on a set of core values and work
is currently being undertaken to flesh out these values for further
discussion, as well as details on the role of the committee and, to what
extent the committee needs to be formally adopted as a Œcoalition of
groups interested in advancing maternity reform¹.

It is important that, to achieve the goal of genuine maternity reform,
we need a comprehensive and cohesive approach. To this end, a draft
National Media Strategy has been developed by Summer Goodwin (Community
Midwifery WA) to facilitate a coordinated approach to the release of the
plan.

In the first instance then, could expressions of interest be forwarded
to Tracy Reibel at [EMAIL PROTECTED] by 15/7/02. Following this, the
proposed committee of  representatives will be advised to all those who
have shown an interest, and the process will be finalised as quickly as
possible to ensure that the committee can get down to the business of
coordinating a national campaign.

We hope that you will join in the spirit of this proposal, and help us
to achieve maternity reform across the nation. While there are
limitations on our capacity to be truly democratic in this process, it
has so far been a truly collaborative effort, and we hope that this same
sense of Œsisterhood¹ is retained over the coming months.

Sincerely,

Tracy ReibelBarbara Vernon

  

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Visit  to subscribe or unsubscribe.

nmap slogan

[Larissa & Tim]

How about
 
NMAP - Empowering Women with 
Choice
 
Hugs, Larissa
"How can you have too 
many babies?That's like having too many flowers."~Mother 
Theresa~