[ozmidwifery] Fwd: RNs Midwives - secondment opportunity
---BeginMessage--- Bourke RN Midwifery secondment 2002.doc Hello everyone, Bourke Hospital, as part of the Far West Area Health Service, is offering secondments to Registered Nurses and especially Midwives who are interested in working in a rural area for short or long terms. In the Year of the Outback, this is a wonderful opportunity to see what rural nursing and midwifery is all about, even for those who may be settled in current positions but perhaps looking for a new challenge ...! I would appreciate it if you could circulate this information the attached flyer widely among your nursing and midwifery colleagues. For further information, contact Sally Jenkins Nurse Manager Bourke Health Service as follows: email [EMAIL PROTECTED] phone 02 6870 8807 or mobile 0418 213 899 fax 02 6870 8844 Many thanks for your help, Best wishes, Wendy __ Wendy Fischer [EMAIL PROTECTED] Policy, Planning Research NSW Pregnancy Newborn Services Network QE II Building (DO2) University of Sydney NSW 2006 Tel: 61-2-9351 7744 Fax: 61-2-9351 7742 Bourke RN & Midwifery secondment 2002.doc Description: Word for Windows 97 ---End Message---
Re: [ozmidwifery] Fwd: RNs Midwives - secondment opportunity
we need our midwives here anne !DOCTYPE HTML PUBLIC -//W3C//DTD HTML 4.0 Transitional//EN HTMLHEAD META content=text/html; charset=iso-8859-1 http-equiv=Content-Type META content=MSHTML 5.00.2314.1000 name=GENERATOR/HEAD BODY style=FONT: 10pt Times New Roman; MARGIN-LEFT: 2px; MARGIN-TOP: 2px DIVwe need our midwives here/DIV DIVanne/DIV/BODY/HTML This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health.
[ozmidwifery] for those attending the ACMI SA Branch AGM
To those attending the ACMI SA Branch AGM on Friday the 16th of August. The address of "The Wakefield Hotel" is 76 Wakefield Street Adelaide, between Pultney and King William Streets. The address on the flyer is for "The Astor Hotel" which was last year's venue. See you all then Jackie
Re: [ozmidwifery] OP babies
Do you know if the results of marie Chamebrlains study have been published yet??? Andrea Quanchi On Tuesday, August 13, 2002, at 10:45 PM, Robin Moon wrote: - Original Message - From: Jo Dean Bainbridge To: [EMAIL PROTECTED] Sent: Tuesday, August 13, 2002 9:03 PM Subject: [ozmidwifery] OP babies I have a question that will probably be seen as a silly one to some (but remember I am a consumer so it is my right to ask silly questions!) If one of the main reasons for cs is failure to progress and fetal malpresentation AND a common factor with both these 'reasons' is a baby that is persistently in OP ... why doesn't anyone do anything to correct this before labour? Jo, there was a large research study conducted in Sydney recently on OP positions. It concentrated on ante-natal exercises to see if they could 'move' babies into a more optimal position prior to labour. The results were a dismal failure I know a large portion of bubs are OP then turn during labour; but it seems like we have found that it is easier to deal with it by cs or forceps rotation...why is it we don't try to avoid the situation altogether? Usually we need to wait to see if the force of the contractions and the shape of the woman's pelvis will help the baby to rotate. That's what we're looking for prior to c/s or forceps. To give the woman's body every chance. Very few women I have encountered were even aware of the term OP or what the whole OP presentation involves (longer labours more interventions etc). Why do we pregnant mums not get told during ante-natal check ups what position bubs in? Why doesn't anyone check when labour commences? On your antenatal card there is spot for 'presentation'. Usually it has hieroglyphics for the lay person in it in the form of 'OA'. or ÓT' or 'OP" ( or LOA, LOT,LOP, ROA, ROT,ROP). That is the position of the baby. Most practitioners start documenting it from about 30 weeks. A competent midwife/doctor will always check the position of the baby when labour commences ( unless you come in very late in the labour and it's all too difficult!). We need it to tell us lots of things. Suggested length of labour, readiness of the baby, potential problems. I am aware of the optimal presentation booklet and now try to encourage all women I come across to be aware of their posture and to try swimming and sitting in positions as well as vertical positioning during labour that will encourage bub to be OA but this is AFTER I had a cs for failure to progress (8cm and stalled for 2 hours no fetal distress- due to having a monitor on and being made to be supine...no wonder bub did not turn himself!) Good for you, keep trying, it's better than doing nothing, and many midwives are able to offer other practical ways of turning babies that are sometimes helpful. And I agree wholeheartedly, flat on your back is the worst position to labour effectively in. :-( Remember this, the shape of a woman's pelvis will influence her labour. a VERY rough triangle shape where the pubic bone is at the apex, will allow the baby to rotate to the anterior nicely. If she is shaped more like a man where the pelvis is more oval shaped the baby will not rotate anteriorly too easily. I am curious why this seems to be something that is ignored by mainstream but something that plays a major role in how birth results as cs or ivd?? can anyone shed some light?? I hope I've been able to help you a little. I'm getting a little rusty now and others may have other ideas to contribute I'm sure. Cheers, Robin. Jo Bainbridge founding member CARES SA email: [EMAIL PROTECTED] phone: 08 8388 6918 birth with trust, faith love...
[ozmidwifery] OP babies research
I don't know if it has been published yet, but was on either page 1 or 3 of the Saturday Sydney Morning Herald a while ago, with photo of mother, midwife and Swiss ball. LOUISE [EMAIL PROTECTED] IncrediMail - Email has finally evolved - Click Here
[ozmidwifery] OP babies
--- Lynne Staff [EMAIL PROTECTED] wrote: What does RCT stand for (2nd paragraph below)? Thanks, Jen There are many lifelstyle factors which could contribute to the number of OP positions seen. In my mid education, we were told it was 10% of women. I think it is more common than this, and talk about changing the way we do our daily activites, which can encourage a little one to settle itself into an anterior position. It seems to help, and while I have not done await for itRCT.women tell me it helps and the fact that they are also upright and active in labour with no routine ARM is something they appreciate too Regards, Lynne __ Do You Yahoo!? Everything you'll ever need on one web page from News and Sport to Email and Music Charts http://uk.my.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] OFP
Dear Larissa, Being new to 'the business', I couldn't help but pick up on your email about how you feel about OFP and how you are going to include it in your CBE classes. I would be very interested in a rundown on this interesting topic as we really didn't cover it in our course (Post Grad. Dip Midwifery). Surprise! Surprise! Would you have any info you could perhaps send me/email me?? Eliza
RE: [ozmidwifery] OP labours (long)
Title: Message I'm inclined to agree, Jackie! My own babies love that direct op posi. They've all been quick, the last4.5kgand still manage to come out within the hour! No back pain.Must be my HUGE childbearing hips! (says she putting the belt on the size 8 pants cause they just fell down) Too much fussin can cause more dramas than we started with. I do talk to my clients about optimal fetal positioning...in a relaxed way...going back to the days of old and showing the differences in general posture with digging for yams andwashing clothes in the river, compared to drving in the car and watching TV. If the babies are persistantly OP I just smile and say, ''some babies just like it that way...they work it out along the way'' And they do! Vicki -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]] On Behalf Of Jackie KitschkeSent: Wednesday, August 14, 2002 12:25 PMTo: [EMAIL PROTECTED]Subject: [ozmidwifery] OP labours (long) Dear Jo and all, I find the whole idea about optimal fetal positioning an interseting one. I have attended in the past, a session with Jean Sutton discussing it and found it very interesting and indeed sometimes use the positions she suggests to suggest to women in labour. The interesting and amazing thing about midwifery practice is that it is the women who teach you so much. So many women I have been with in labour will adopt these positions themselves ie put one foot up and rock into the side the baby needs to rotate into, sit on the loo, rock etc as long as they are given the space to do it. They do what their body's tell them to do. I understand Jo the logic of wanting to know or be told about this but I fear that we are turning another part of normal childbirth into an abnormality and if not careful in years to come these women will not be allowed to birth with midwives as they are high risk (I know I sound paranoid but I am sure if midwives or hundreds of years ago were now told that breech and twins were considered high risk they would laugh at us). So many women now come into the antenatal clinic and look worriedly at you as you palpate there tummies and ask if the baby is in the right position. Some of these women are only 28 weeks. I have looked after women in labour with OP babies and thought that this will be a long hard labour and the next minute the woman wants to push. And conversly the baby who is the "perfcet position" what ever that is has a baby that takes forever or comes out face to pubes and you wonder how that happened. In the last MIDIRS there is and article titled "Malpositions and malpresentations of the occiput: current research and practice tips" that discusses the research around this.It states that a "Gardberg and colleagues research into op found that 68% of babies presenting as persistant op at birth had developed from a malrotation during labour from an initial oa position. Only 32% of persistant op cases were op at the start of labour". This confirmed for me some of the things I have experienced. I just fear that we are putting fear into women antenatally and blaming them and/or their babies when perhaps this is not true. It is like when someone says to a woman antenatally that her baby is too big to fit through. It is more difficult to work with that woman when she is having a long labour as she doesn't trust her body. My sister (the one I sent that champagne charged email about in December) started her labour in op. She niggled and contracted at home for 3 days and when she finally came to the BC in established labour she was 3 cms at 3am and gave birth to her boy at 0930am. Now I would have thought with the start she had not to expect a baby at best till the afternoon. So I think this is another example that we just have to trust the process and inspire in women the confidence to birth their babies. We can only learn from women if we give them the space to do their best work. THis can only happen within midwifery models of care. Working with women having an OP labour usually means a slow start and getting them through that is the key but you only see that when you work in a midwifery model. Keeping those women at home until the active part of labout starts is vital and then supporting them with encouragement, privacy and time. The more you care for women the more you learn about the amazing things they do and it is this experience that helps you with the next birth and also gives you the stories to relay to women when they are concerned. Sorry this is so long Jackie
Re: [ozmidwifery] OP babies
One response I heard recently.."if we tell the mothers that their baby is OP, we will cause anxiety". Personally, I think it is important to avoid this position, and tell them, and believe that women should be told. It does indeed cause many problems as you mentioned. I also tell them what to do to try to correct it, prior to labour, from 34 weeksprimip, 37 - 38 multi as Sutton Scott advise. They suggest that the following happens; early SROM, inco-ordinate contractions, post maturity, induction, augmentation, increased pain, longer labour, medical complications etc. Ifits during labour, its off the bed, upright, movement - rocking, climbing, birth ball, hands and knees etc. Liz - Original Message - From: Jo Dean Bainbridge To: [EMAIL PROTECTED] Sent: Tuesday, August 13, 2002 9:03 PM Subject: [ozmidwifery] OP babies I have a question that will probably be seen as a silly one to some (but remember I am a consumer so it is my right to ask silly questions!) If one of the main reasons for cs is failure to progress and fetal malpresentation AND a common factor with both these 'reasons' is a baby that is persistently in OP ... why doesn't anyone do anything to correct this before labour? I know a large portion of bubs are OP then turn during labour; but it seems like we have found that it is easier to deal with it by cs or forceps rotation...why is it we don't try to avoid the situation altogether? Very few women I have encountered were even aware of the term OP or what the whole OP presentation involves (longer labours more interventions etc). Why do we pregnant mums not get told during ante-natal check ups what position bubs in? Why doesn't anyone check when labour commences? I am aware of the optimal presentation booklet and now try to encourage all women I come across to be aware of their posture and to try swimming and sitting in positions as well as vertical positioning during labourthat will encourage bub to be OA but this is AFTER I had a cs for failure to progress (8cm and stalled for 2 hours no fetal distress- due to having a monitor on and being made to be supine...no wonder bub did not turn himself!) I am curious why this seems to be something that is ignored by mainstream but something that plays a major role in how birth results as cs orivd?? can anyone shed somelight?? Jo Bainbridgefounding member CARES SAemail: [EMAIL PROTECTED]phone: 08 8388 6918birth with trust, faith love...
RE: [ozmidwifery] OP labours (long)
Im with Jacki and Vicki. Its not such a big deal given time, space and support. In peace and joy Sally Westbury
[ozmidwifery] OPs , POPs and the need for CS.
Dear Jo, Liz, Andrea, Lynne and list It is non-informed consent to your management not to tell a woman she has an OP position during pregnancy ... Just as it is negligent not to tell her all of the possible ways she can deal with changing it during pregnancy and labour. There is almost always a way a fetal OP position can be changed - dependent on where the challenge to it's turning presents. Jean Sutton has presented these ways very well in her Optimal Fetal Positioning book. If the challenge is ABOVE the brim and external to the uterus eg. strong abdominal muscles holding the baby tight against the mother's spinal column .. Then there is every likelyhood of the occiput turning towards the front once it hits the pelvic floor. (No problems except usually more lower back pain experienced during labour) The majority of posterior positions in primigravidas are due to their wonderful muscle tone. However, if the problem is above the brim and INTERNAL eg. Low lying anterior placenta the baby has a more difficult time gaining access to the pelvis and usually has to rock into it using an asynclitic mechanism. These babies usually present with very bruised scalp tissue and horrendous upward moulding (if they remain in the posterior position and deliver that way) and with backward moulding (similar to a brow if the placenta was low and to one side) and they had to spend a lot of time getting through the brim and then turned once they reached the level of the ischial spines. I had an example of the latter early yesterday morning with a client having her third baby. (The first two had birthed with normal mechanisms.) Kathryn commenced a labour that was sporadic all day Tuesday, and did not establish properly until late Tuesday night with the help of cualiphylum. She progressed slowly throughout the night, wanting to push prematurely and ending with a thick anterior lip that wouldn't budge for some hours despite side lying and trying just about every other position to open up her outlet. Her major complaint throughout was my hips, my hips, Although abdominal examination revealed the occiput had finally disappeared into the brim just before sunrise, a repeat vaginal examination revealed lip still present and caput ++ with head still above the spines. The thought of an epidural was tempting as we were all sleep deprived at this time. There was a large fecal mass now evident in the rectum (not present earlier) so the advice was to try and sit on the toilet and evacuate it with the hope that it would provide a new space for the occiput to descend and rotate ... and after a few sips of warm lemon cordial and water to restore energy, a few pushes with contractions that evacuated the faecal mass,the head quickly followed. Oh, what a feeling!!! and not just for the mother! I also had another experience with a posterior (that remained that way) at home some years ago due to a low-lying anterior placenta. It was the second pregnancy. (First baby no problems, in fact a very easy birth). Linda's labour progressed slowly throughout the day, into the night and the next morning as well. Despite the pain, she persevered with her persistently posterior position, using the bath, the birthing ball, eventually reclining upright on a beanbag with exhaustion .. because of the knowledge of what would happen to her if we transferred to hospital (she was a midwife!). Linda's pain management skills were so powerful, she could literally rise above her contractions. She insisted that when the head finally crowned that she REST to recover the strength she knew she needed to let that huge presenting mass out. My trust in her almost wavered at that stage, but she reminded me that the FHS were still OK and that she knew what she was doing. In hindsight, she was allowing her external genitalia to stretch to adequately accommodate the diameters of that huge POP head. Eventually she got up on all fours and let her baby out slowly (no tearing at all) and I have never been so in awe of anyone as I was that morning Linda let her little baby boy out so gently. The upward moulding on that baby's head was so grotesque that he initially looked like an dwarf to me ... His swollen scalp and upwardly moulded head just looked so large in proportion to the rest of his body! Linda later went on to have a lovely birth in the water with her third baby, delivered her herself with her mother assisting the 'catch'. However, Linda had nightmares about pain for weeks when she viewed the video of her POP birth. I'll make a teaching package about posteriors with her and Kathryn soon and and I'll include their births in it ... before examples of successful posterior outcomes are lost the the students of tomorrow. Midwives will need to be stronger advocates for women as we move into an age where OP gets added to the list of reasons for doing an elective C/S. As midwives they need to be aware that they must be proficient in picking
RE: [ozmidwifery] Colic/osteopathy
Sounds like lactose intolerance., or over-supply. Should be self-limiting. Get mum off the dairy foods for several days and see if that helps. But don't try and foolow everyone's advice. It gets far too complicated and confusing.. Off dairy, reduce lactose to baby, end of green poos and hopefully the colic.. Took no. 2 child to the chiro./ oestoat nine months. Best thing we ever did. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]On Behalf Of Sheena JohnsonSent: Tuesday, August 13, 2002 4:41 PMTo: [EMAIL PROTECTED]Subject: Re: [ozmidwifery] Colic/osteopathy Stephanie The birth was a ventouse after a spinal and a prolonged first stage, head in posterior, turned manually by the obstetrician when doing a VE. We live in Warracknabeal and the closest osteopath is Ballarat, 2 1/2 hours away. We have been to the chiropracter this a'noon who did his masters in childhood conditions, and I got some NATREN powder someone else suggested. The stomach sleeping didn't continue very long, but the explosive green/yellow poo's have. We have sent a sample to path just incase. However she is gaining weight, 8oz last week and 3oz this week. We will get there in the end. they all grow up eventually!!! Sheena Johnson [EMAIL PROTECTED]
RE: [ozmidwifery] Midwifery model of care in hospitals
Thanks Jen, but I work at Box Hill. Believe me, it is not midwifery-led. We do
routine CTG.s, Four hour VE {usually by RMO's, for practice] use of epidurals
is high, very reluctant to have VBACS. Need I go on? The unit is doctor
controlled. Women are almost forced to have repeat c/s. It got so bad I
started doubting my ability as a midwife, my belief that women's bodies can
birth. KYM programme is okay, but they are still 'overseen' by the medical
staff. The midwives involved are not necessarily 'active'. They are basically
very good support. Thanks anyway. Maureen.
-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]On Behalf Of Jen Semple
Sent: Tuesday, August 13, 2002 10:11 AM
To: [EMAIL PROTECTED]
Subject: [ozmidwifery] Midwifery model of care in hospitals
Re: Melbourne
I don't have any experience w/ the hospitals, but from
what I've heard... both Monash the Women's have
birth centres which are mid-led, Birralee @ Box Hill
has a KYM (Know Your Midwife) program which is
caseload mid, Sunshine has just revamped their
program to be more mid-led.
Hope this gives you some ideas.
Jen
--- Ken Ward [EMAIL PROTECTED] wrote: Does
anyone know of a midwifery-led unit in Melbourne?
__
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Hi All Assistance is needed urgently. We have a relatively new DON in Mackay and yesterday we were told by one of the nurse managers that she is not in favour of midwives. Apparently we all think ourselves too good and she wants us to be good little nursies and go back to doing what the doctors tell us to do. She has given our NPC (ex Birth Centre and homebirth midwife) till next Fricay to justify every position in the unit. Wants to get rid of midwife antenatal clinic, 7 day EMS, Antenatal classes etc. The Birth Centre has to justify its existance (thank God they have a strong consumer support group). I need references to easily obtained evidence to assist in our case. As well I need a leaflet to be able to give out to women and the community on the role and responsabilites of a midwfe. We need community support. Also need to find out the midwife:Client ratio in Birthing suites, especially Qld Health Facilities. Thanks in advance Judy _ MSN Photos is the easiest way to share and print your photos: http://photos.msn.com/support/worldwide.aspx -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Achieving Midwifery Models in Hunter
Hi Kathleen, Sorry for my mix-up, and good luck on the day, I hope you get lots of people with many ideas. I presented one of our members with an idea, and she has taken it on board to write up a proposal for us. Community midwifery care where by a group of midwives will take on a case load of women and birth them in the setting of their choice or appropriate to them. Home or hospital. This should be paid for by the health system, we are still working on the proposals to take to the numerous committees to be considered, may be your group can help us, as we may be able to help you. The name of the person writing up our proposal is Sonia Anderson Phone 03 62636706 88 Tongatabu Rd Dromedary 7030 Tasmania Terry Stockdale Independent Midwife - Original Message - From: Kathleen Fahy To: [EMAIL PROTECTED] Cc: [EMAIL PROTECTED] Sent: Tuesday, August 13, 2002 5:07 PM Subject: Re: [ozmidwifery] Achieving Midwifery Models in Hunter Dear Terry, I am sorry if you posting confused you. I am taking responsibility for planning the day. I have invited Justine as our guest to use her well know facilitation and activist skills to help the day move forward in a really dynamic way. I did attach the details to the last e-mail as a flyer. Do you have specifc questions? Kathleen --Kathleen FahyProfessor of MidwiferyHead of School of Nursing and MidwiferyFaculty of HealthThe University of NewcastleUniversity Drive,Callaghan, 2308 Ph 02 49215966 Fax 02 49216981 [EMAIL PROTECTED] 08/13/02 10:44am Hi, Can Justin Caines email me re info that maybe of help. Terry Stockdale [EMAIL PROTECTED] - Original Message - From: Kathleen Fahy To: [EMAIL PROTECTED] Cc: [EMAIL PROTECTED] ; [EMAIL PROTECTED] ; Anne Saxton Sent: Monday, August 12, 2002 5:27 PM Subject: [ozmidwifery] Achieving Midwifery Models in Hunter Dear All, I am attaching a flyer advertising our workshop to find ways to bring about publically funded midwifery models (including homebirths) here in the Hunter Valley. Anne Saxton (Midwife and Service Managerhas a vision to reactivate and revitalise midwifery modelsfor whichtheJohn Hunter Hospital was once famous). We will be coordinating our efforts in line with the National Maternity Action Plan. The daywill be facilitatedby Justine Cain a mother of 3 under 3 and a birth activist with Maternity Coalition. If you would like to join us for the day your energy would be most welcome. There is no cost (except if you want us to provide lunch and morning tea but you are free to bring your own). Please RSVP to Nadyne Smith (my PA) 02 49217873 --Kathleen FahyProfessor of MidwiferyHead of School of Nursing and MidwiferyFaculty of HealthThe University of NewcastleUniversity Drive,Callaghan, 2308 Ph 02 49215966 Fax 02 49216981
[ozmidwifery] Re:
Dear Judy, Your first step for info is the Maternity Coalition National Maternity Action Plan. Contact [EMAIL PROTECTED] Next step, inform consumers now so that they can respond to the media and politicians. Finally, protect yourself. Be aware that people monitor this list, print off your positng and give it to yor boss. Best wishes, Kathleen --Kathleen FahyProfessor of MidwiferyHead of School of Nursing and MidwiferyFaculty of HealthThe University of NewcastleUniversity Drive,Callaghan, 2308 Ph 02 49215966 Fax 02 49216981 [EMAIL PROTECTED] 08/15/02 10:50am Hi AllAssistance is needed urgently.We have a relatively new DON in Mackay and yesterday we were told by one of the nurse managers that she is not in favour of midwives. Apparently we all think ourselves too good and she wants us to be good little nursies and go back to doing what the doctors tell us to do.She has given our NPC (ex Birth Centre and homebirth midwife) till next Fricay to justify every position in the unit.Wants to get rid of midwife antenatal clinic, 7 day EMS, Antenatal classes etc. The Birth Centre has to justify its existance (thank God they have a strong consumer support group).I need references to easily obtained evidence to assist in our case.As well I need a leaflet to be able to give out to women and the community on the role and responsabilites of a midwfe. We need community support.Also need to find out the midwife:Client ratio in Birthing suites, especially Qld Health Facilities.Thanks in advanceJudy_MSN Photos is the easiest way to share and print your photos: http://photos.msn.com/support/worldwide.aspx--This mailing list is sponsored by ACE Graphics.Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Re:
Judy - what a situation. Have to step back and look at some strategies. We are not public, but have 1-2-1 care in birth suite. For references, ask her to look at the government investigations into maternity care since 1990, and the recommendations from those investigations. Plain as the nose on your face to keep the birth centre going, to encourage more, and for more women- friendly services (our best risk management tool). Got to go but will write more fully later - regards, Lynne - Original Message - From: Judy Chapman [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Thursday, August 15, 2002 10:50 AM Hi All Assistance is needed urgently. We have a relatively new DON in Mackay and yesterday we were told by one of the nurse managers that she is not in favour of midwives. Apparently we all think ourselves too good and she wants us to be good little nursies and go back to doing what the doctors tell us to do. She has given our NPC (ex Birth Centre and homebirth midwife) till next Fricay to justify every position in the unit. Wants to get rid of midwife antenatal clinic, 7 day EMS, Antenatal classes etc. The Birth Centre has to justify its existance (thank God they have a strong consumer support group). I need references to easily obtained evidence to assist in our case. As well I need a leaflet to be able to give out to women and the community on the role and responsabilites of a midwfe. We need community support. Also need to find out the midwife:Client ratio in Birthing suites, especially Qld Health Facilities. Thanks in advance Judy _ MSN Photos is the easiest way to share and print your photos: http://photos.msn.com/support/worldwide.aspx -- 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.
Re: [ozmidwifery] OFP
Hi Eliza, not sure if you caught my other post... just wanted to say Hi ... I was in the same mid course as you :)How are you finding your first year out? I am finding things A LOT different to what I expected... where I am working, everybody is very 'scissor happy" :( I am learning who to keep my mouth shut around, and who I can confide in about different little things. Well, hope you are enjoying finally being a midwife :) Jo - Original Message - From: henk / eliza merbis To: [EMAIL PROTECTED] Sent: Thursday, August 15, 2002 4:48 AM Subject: [ozmidwifery] OFP Dear Larissa, Being new to 'the business', I couldn't help but pick up on your email about how you feel about OFP and how you are going to include it in your CBE classes. I would be very interested in a rundown on this interesting topic as we really didn't cover it in our course (Post Grad. Dip Midwifery). Surprise! Surprise! Would you have any info you could perhaps send me/email me?? Eliza
Re: [ozmidwifery] Achieving Midwifery Models in Hunter
Dear Terry, Thank you so much for this very useful piece of information. I'll follow up. Best wishes, Kathleen --Kathleen FahyProfessor of MidwiferyHead of School of Nursing and MidwiferyFaculty of HealthThe University of NewcastleUniversity Drive,Callaghan, 2308 Ph 02 49215966 Fax 02 49216981 [EMAIL PROTECTED] 08/15/02 10:56am Hi Kathleen, Sorry for my mix-up, and good luck on the day, I hope you get lots of people with many ideas. I presented one of our members with an idea, and she has taken it on board to write up a proposal for us. Community midwifery care where by a group of midwives will take on a case load of women and birth them in the setting of their choice or appropriate to them. Home or hospital. This should be paid for by the health system, we are still working on the proposals to take to the numerous committees to be considered, may be your group can help us, as we may be able to help you. The name of the person writing up our proposal is Sonia Anderson Phone 03 62636706 88 Tongatabu Rd Dromedary 7030 Tasmania Terry Stockdale Independent Midwife - Original Message - From: Kathleen Fahy To: [EMAIL PROTECTED] Cc: [EMAIL PROTECTED] Sent: Tuesday, August 13, 2002 5:07 PM Subject: Re: [ozmidwifery] Achieving Midwifery Models in Hunter Dear Terry, I am sorry if you posting confused you. I am taking responsibility for planning the day. I have invited Justine as our guest to use her well know facilitation and activist skills to help the day move forward in a really dynamic way. I did attach the details to the last e-mail as a flyer. Do you have specifc questions? Kathleen --Kathleen FahyProfessor of MidwiferyHead of School of Nursing and MidwiferyFaculty of HealthThe University of NewcastleUniversity Drive,Callaghan, 2308 Ph 02 49215966 Fax 02 49216981 [EMAIL PROTECTED] 08/13/02 10:44am Hi, Can Justin Caines email me re info that maybe of help. Terry Stockdale [EMAIL PROTECTED] - Original Message - From: Kathleen Fahy To: [EMAIL PROTECTED] Cc: [EMAIL PROTECTED] ; [EMAIL PROTECTED] ; Anne Saxton Sent: Monday, August 12, 2002 5:27 PM Subject: [ozmidwifery] Achieving Midwifery Models in Hunter Dear All, I am attaching a flyer advertising our workshop to find ways to bring about publically funded midwifery models (including homebirths) here in the Hunter Valley. Anne Saxton (Midwife and Service Managerhas a vision to reactivate and revitalise midwifery modelsfor whichtheJohn Hunter Hospital was once famous). We will be coordinating our efforts in line with the National Maternity Action Plan. The daywill be facilitatedby Justine Cain a mother of 3 under 3 and a birth activist with Maternity Coalition. If you would like to join us for the day your energy would be most welcome. There is no cost (except if you want us to provide lunch and morning tea but you are free to bring your own). Please RSVP to Nadyne Smith (my PA) 02 49217873 --Kathleen FahyProfessor of MidwiferyHead of School of Nursing and MidwiferyFaculty of HealthThe University of NewcastleUniversity Drive,Callaghan, 2308 Ph 02 49215966 Fax 02 49216981
RE: [ozmidwifery] OP babies
It is suppose to be our life style. Too much sitting around. My last baby was ol to oa and rotated around to op during labour and got stuck.. Awful feeling, as if I had a piece of 4x2 up there. Anyway a gentle keillands rotation, and she just about fell out. Where I did my mid the obests. would often do a rotation and then let the babies birth naturally. I don't think it's my pelvis 'cause the boys were oa,s. But no. 1, another girl, was also an op.--Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]On Behalf Of Jo Dean BainbridgeSent: Tuesday, August 13, 2002 9:04 PMTo: [EMAIL PROTECTED]Subject: [ozmidwifery] OP babies I have a question that will probably be seen as a silly one to some (but remember I am a consumer so it is my right to ask silly questions!) If one of the main reasons for cs is failure to progress and fetal malpresentation AND a common factor with both these 'reasons' is a baby that is persistently in OP ... why doesn't anyone do anything to correct this before labour? I know a large portion of bubs are OP then turn during labour; but it seems like we have found that it is easier to deal with it by cs or forceps rotation...why is it we don't try to avoid the situation altogether? Very few women I have encountered were even aware of the term OP or what the whole OP presentation involves (longer labours more interventions etc). Why do we pregnant mums not get told during ante-natal check ups what position bubs in? Why doesn't anyone check when labour commences? I am aware of the optimal presentation booklet and now try to encourage all women I come across to be aware of their posture and to try swimming and sitting in positions as well as vertical positioning during labourthat will encourage bub to be OA but this is AFTER I had a cs for failure to progress (8cm and stalled for 2 hours no fetal distress- due to having a monitor on and being made to be supine...no wonder bub did not turn himself!) I am curious why this seems to be something that is ignored by mainstream but something that plays a major role in how birth results as cs orivd?? can anyone shed somelight?? Jo Bainbridgefounding member CARES SAemail: [EMAIL PROTECTED]phone: 08 8388 6918birth with trust, faith love...
