Re: [ozmidwifery] Almost c/s - horrid shift (VERY LONG!)
Jo, Did you report(incident report)the doctor and encourage your patient to make a complaint against the doctor(give her the patient feed back form)? This is how these rude unprofessional people need to be delt with. Never let thier lack of respect upset you. Your support of that woman is admirable I hope you can look past the bad and see the good that you can do? keep it up! Yolande. To: [EMAIL PROTECTED] Sent: Thursday, October 03, 2002 10:35 AM Subject: [ozmidwifery] Almost c/s - horrid shift (VERY LONG!) I worked in birth suite last night, and had a not-so-nice shift... This woman was due to be induced on saturday, and came in for routine CTG monitoring (as she was post dates by about 5 or so days), and the CTG was very flat... variability 1-5, but a reactive trace. Eventually the decision was made to induce there and then. She had an ARM around 3pm, and was 2cm dilated. Clear liquor. Since this was her second baby, they decided to leave her for an hour to see if she went into labour 'spontaneously'. She felt some niggles, that's all. So after SEVEN attempts to get an IV into her (and 2 hours after the ARM) syntocinon was commenced. For most of that time after the ARM I was told to leave the CTG on because they (the doctors)were not happy with it. And, of course when the syntocinon went up, the CTG was there to stay. Because the woman was mobilising well, on the ball, on the loo, walking, sitting, etc, the trace wasn't very clear. So, I sat with her the whole time, listening to the baby's heart, often getting the maternal pulse showing up on the monitor (low-lying placenta), but always hearing the baby's heart rate in the backround, assuring me of the baby's well-being. After about an hour of sketchy tracing, I told the woman and her husband that the doctor might want to put a FSE on because they wouldn't be sure of how the baby was from the printout. I showed them the device, and explained to them everything that would happen. They asked whether it would hurt the baby. I can't lie... a wire being screwed into a baby's head would hurt anyone. I said it would probably hurt the baby, but chances are it won't harm the baby. They were not happy with that, really, and the husband said that he has been sitting with me the whole time, listening to the baby's heart with me, and he was happy that the baby was fine if I was. Just then, I heardthe first decelleration. I watched and heard it go down to about 80 at the onset of the contraction, then return to the baseline of about 135 as the contraction was letting up. An early decelleration. I listened in carefully during the next contraction, and the same thing happened. I went out to tell the doctor, and she came in, all stressed out, saying she had to put a FSE on. The father explained their concerns, and the woman was getting all stressed out too. I tried calming her, just whispering, 'just ignore the talking, you've been doing really well concentrating on your breathing, just keep doing that', etc... Eventually they agreed to see how dilated the cervix was before deciding on the FSE. If she was almost fully, they didn't want it. Unfortunately, it was time for doctor's change of shift. The new doctor to come on is one I've had altercations with before: he's rude, unwoman friendly and spiteful. He came in loudly proclaiming her need for and FSE, so they had to explain all over again to him why they didn't want one. The woman was contracting, and wanted silence, and even said, "shut up!" and he just kept talking, explaining why they needed it. So he did a VE. 4cm. After 3 hours of good contractions on a multi, who was feeling bowel pressure... 4cm. I had my doubts, but what can you do? Then she needed to void, before the FSE was applied. So we got her up to the toilet, and while she was sitting, the midwife in charge barged in, saying we need her back in bed, on her left side with oxygen. She's in the toilet... yes, well she needs to get back in bed as quickly as possible, the baby's in distress. The woman, in desperation, in the middle of a contraction, said, "don't tell me that!!" She turned to me, and said, "why are they scaring me like that??" I didn't know what to say :( We got her back to bed, on her left side, and applied oxygen. The FSE was attached, and showed the same early decellerations with most contractions down to about 80 or so. All the woman wanted to do was sit up on the ball... oh no, that wasn't allowed. The baby is distressed, you have to stay there. Just as a theatre was being prepared for a c/s, she had an urge to push, and there was head on view. Baby was born within 10 min, with the heart rate at some points only 50bpm. That was scary. When the baby came out, she had the cord tightly around her neck 4
Re: [ozmidwifery] Birth Issues - Reference please!!
In a message dated 3/10/02 4:03:55 PM AUS Eastern Standard Time, [EMAIL PROTECTED] writes: Hi Tina, I have my copy handy - what reference did you want? Whew...I'm tired just thinking about how you manage to do what you do! Regards, Joy Hi Joy, can you please look up the reference details for my contribution in birth issues'Musings of a B Mid Student - the Midwife is with childbearing woman' I need the Birth Issues detailsVolume No etc...Issue...Page's No's and stuff...thanks for help, with love TinaXX
[ozmidwifery] Ignore previous email
OOOPS Please ignore my previous email, hit the wrong address button. JudySend and receive Hotmail on your mobile device: Click Here Dear Jackie, The more I think about it the more I want that job but I really am committed till 7 Dec (only 8 weeks away). I need my holidays and then have paid for a weekend away in early Nov, have a bellydance do on in late Nov (I am part of a trio who have choreographed our own dance for it) and then I have my big 50 birthday party for which people have already bought and paid for their airtickets to get here. Is there any way it can be done. Also, is their any financial assistance to move as I am fairly broke and it will take a bit to do. Can get some help from brothers and son when they are here for my party. I am off to bed now, 10 hr night shifts are tiring, will be up by 1700. Working again tonight. Look forward to talking to you again. Am attaching my very hastily updated CV. Cheers Judy Chat with friends online, try MSN Messenger: Click Here
[ozmidwifery] Re: Birth Issues - Reference please!!
Hi Tina! It's Birth Issues Volume 1 1 No2/3 2002 pages 60-61 Titled Musings from Bachelor of Midwifery Students "With Childbearing Woman" By Tina Pettigrew, Bachelor of Midwifery Student, Victoria University, Australia - Original Message - From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Thursday, October 03, 2002 4:12 PM Subject: Re: [ozmidwifery] Birth Issues - Reference please!! In a message dated 3/10/02 4:03:55 PM AUS Eastern Standard Time, [EMAIL PROTECTED] writes: Hi Tina,I have my copy handy - what reference did you want? Whew...I'm tired just thinking about how you manage to do what you do!Regards,JoyHi Joy,can you please look up the reference details for my contribution in birth issues'Musings of a B Mid Student - the Midwife is with childbearing woman'I need the Birth Issues detailsVolume No etc...Issue...Page's No's and stuff...thanks for help,with love TinaXX
[ozmidwifery] Birth Matters coffee morning, Adelaide
Title: Message For anyone interested, everyone welcome! Cheers, Tania Birth Matters Coffee or tea Mornings Join us, to discuss bellies, birth, babies, breasts and beyond Thursday October 10th 10am-12 noon. Join us for a shared discussion on Hospital Policies and what it means for you and your baby. Future Dates December 12th. Eastwood Community Centre. 95 Glen Osmond Rd, Eastwood. (just mins East of city) Charge of $2, to cover room hire. We are at the back area. Children welcome and well-catered for. for more information : Megan - 8296 1883
Re: [ozmidwifery] Re: Birth Issues - Reference please!!
In a message dated 3/10/02 6:15:15 PM AUS Eastern Standard Time, [EMAIL PROTECTED] writes: Hi Tina! It's Birth Issues Volume 1 1 No2/3 2002 pages 60-61 Titled Musings from Bachelor of Midwifery Students "With Childbearing Woman" By Tina Pettigrew, Bachelor of Midwifery Student, Victoria University, Australia Cool thanks Larissa!!! Your'e a gem. Cheers TinaXX
[ozmidwifery] hi
Hi Aviva, it was lovely to meet you last weekend. I was the one with the two little boys. Glad to hear you're back in the world of birth and babies. love, Liz.
Re: [ozmidwifery] Mastitis Antibiotics
Are you familiar with homeopathics? It sounds like you need a remedy called Belladonna. It would be best to contact a homoepath in your area there is also a remedy available freely in health food stores and many pharmacies which stock homoeopathic remedies(here in W.A.) called Antinplex or another name for it is Fever Inflammation I never recommend antibiotics for mastitis as I can alsways help with the homoeopathics. Hope you can get something soon. Don't forget the Heat, RES, empty the breast and cover the area with cabbage leaves. best wishes, MM -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] virus alert
There was a virus attached to posting from Denise "RANCOG on NMAP" virus name "WORM_BUGBEAR.A"
Re: [ozmidwifery] NMAP
Liz We felt a little bit out of it up here in North Queensland as well so we had a little stall in the local shopping centre and passed out pamplets (adapted from the FAQs Answers that Denise recently posted on the list) and collected signatures for the petition. I am also going to speak to the local ABA group at their next Coffee Discussion morning. If you are a member of ANF (or any other organisation) you could get it on the agenda for your next branch meeting. The federaloffice of ANF has endorsed the plan but it is worth getting local branch endorsement both for the awareness raising as well as to show that support is widespread. Letter writing and just talking about the issue at every opportunity. Nag, nag, nag as someone else on the list recently suggested! Many of us who had nothing to so with the writing of NMAP have taken it onas our own. Somebody else wrote the song but we can all sing it. I'm sure the country is full of individuals (midwives and mothers) who have been fightingbattles in their own parts of the world in order to achieve better maternity services. The NMAP is an opportunity to gain strength and support from each other and to realize that we are not alone in the fight. Sandra - Original Message - From: ec newnham To: [EMAIL PROTECTED] Sent: Wednesday, October 02, 2002 9:50 PM Subject: [ozmidwifery] NMAP Hi all, just wanted to say (as someone who wasn't involved) thanks to all you wonderful people whoworked so hard onNMAP.Now what do I do to help make sure these recommendations are implemented. Am in SA so can't attend the rally in Sydney unfortunately. I suppose writing to pollies may do something. Can anyone enlighten me a little more? Yours in admiration and solidarity, Liz.
Re: [ozmidwifery] Midwifery advocacy
You are right Leanne we should use every opportunity to talk about this to those people who it does and will affect. They have a right to the real information and we have a responsibility to spread the word. The system will only get changed by this type of grass roots activism. We should be talking about it at every opportunity. It is no use being Quiet Achievers - just quietly struggling (against the system) to do a good job and hoping someone will notice and advocate for us. We need to be able to articulate the value of good midwifery care. We should be discussing it in classes, clinics, coffee mornings of the local ABA groups, outside the school gates where mothers are waiting in groups to pick up their kids, Rotary Clubs and playgroups. All our little voices joined together will make one hell of a noise (or sing a wonderful song!), loud enough for all policy makers to hear the votes in the issue! Sandra - Original Message - From: John, C [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Wednesday, October 02, 2002 9:12 PM Subject: Re: [ozmidwifery] Midwifery advocacy Dear all, Just reading back over ozmidwifery emails i see the NMAP received mixed media.While I have never really been interested in politics it makes me so mad that woman can choose to have an elective caesarian but not to be cared for by a midwife. I think we need to really start a movement at grass roots level to educate and motivate parents to write to their local member .As Bob Carr said its votes their interested in. I'm informing my parents in prenatal classes and at booking in, about midwives and their role or what should be their role, caring for well women throughout pregnancy, birth and beyond ( many dont even know their is a difference between midwives and nurses). They will all be speaking to friends and family about it. At a prenatal class reunion I was speaking to a couple of women about NMAP. They had positive, first birth experiences recently ( with 1 on 1 midwifery support through their labour, no drugs, no complications)They just never had the opportunity to meet their midwife before they arrived in labour. Anyway , they are now fired up and are all writing to the local MP. Maybe we can all start doing this around the country. The time is right. love to all, Leanne Crumpton -- 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] virus alert
I have been getting heaps of virus's stopped by my virus alert thank goodness. I think they are coming both from the Ozmid list and Birthnews list. MM - Original Message - From: Sandra J. Eales To: [EMAIL PROTECTED] Sent: Thursday, October 03, 2002 5:18 PM Subject: [ozmidwifery] virus alert There was a virus attached to posting from Denise "RANCOG on NMAP" virus name "WORM_BUGBEAR.A"
Re: [ozmidwifery] Lactation Consultant on the Sunshine Coast, QLD
Thanks Vicki, Cheers, Joanne. - Original Message - From: Vicki Chan [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Wednesday, October 02, 2002 10:39 AM Subject: RE: [ozmidwifery] Lactation Consultant on the Sunshine Coast, QLD Karen Adcock is on the Sunny Coast.. -- 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] NMAP
Title: Re: [ozmidwifery] NMAP I agree about the power behind NMAP. I have passed its reference and relevance on to a couple of hundred 3rd year general nursing students (doing a family health unit of study), a class of Grad. Dip. Mid. Students, and six Master of Mid. Students (the latter who, with me, attended the launch in NSW at Parliament House a living classroom). I have had wonderful, informed, well-argued, and (in many cases, thanks to NMAP, well-referenced) essays come in and presentations from the general nursing students about continuity of carer, choice in childbirth, etc . I am truly indebted to the people who put in the hard yakka to get this document together and into the public sphere. From my students and myself, thank you. Penny B.
Re: [ozmidwifery] Lactation Consultant on the Sunshine Coast, QLD
Thanks Anne, yes could you give me her details. Cheers, Joanne. - Original Message - From: Ann green [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Wednesday, October 02, 2002 1:12 PM Subject: Re: [ozmidwifery] Lactation Consultant on the Sunshine Coast, QLD Dear Joanne, Her clinic is Bayside Breastfeeding Clinic.Her partner is Anne Bovey,a paed.speechie.Ann p.s. do you need a phone no.? --- Mrs joanne m fisher [EMAIL PROTECTED] wrote: Thanks Ann - Original Message - From: Ann green [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Tuesday, October 01, 2002 11:20 AM Subject: Re: [ozmidwifery] Lactation Consultant on the Sunshine Coast, QLD Dear Joanne, Is a L.C. in Brisbane any use?Robyn Noble is in a suburb there.Ann --- Jan Robinson [EMAIL PROTECTED] wrote: On 30/9/02 6:14 PM, Mrs joanne m fisher [EMAIL PROTECTED] wrote: Dear ozmidders, A friend of mine has 4 week old and is having some breastfeeding problems. Can anyone give me the name of a Lactation Consultant on the Sunshine Coast, QLD, so I can pass it along to her. Thanks so much in anticipation. Cheers, Joanne. Hi Joanne I believe Denise Fisher is the guru of lactation up Brisbane way. She would know who¹s who on the sunshine coast. Contact Denise through www.BreastEd.com.au Cheers Jan Robinson __ 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. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. __ 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. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Mastitis Antibiotics
Dear Jo, It sounds as if it is an inflammatory mastitis rather than infective at this stage, in which case I would suggest holding off the antibiotics. If you can keep the area of the breast well-drained, hopefully it will resolve without any infection. Antibiotics bring their own set of problems, often thrush in the breast, so if you do end up taking them, I would suggest taking acidophillus and bifidus as well. A wait and see attitude seems appropriate to me. All the best, Joy Joy Cocks RN (Div 1) RM CBE IBCLC BRIGHT Vic 3741 email:[EMAIL PROTECTED] - Original Message - From: Jo Slamen [EMAIL PROTECTED] To: Midwifery List [EMAIL PROTECTED] Sent: Thursday, 3 October 2002 18:21 Subject: [ozmidwifery] Mastitis Antibiotics Hi All, Today I have had a hard breastfeeding day with breast lumpiness gone mad. Baby, massage, pumping and heat would not shift a 10cm+ disc of hard terrain on my left breast. So saw a GP this arvo and she sent me for ultrasound at the physio which softened a little. I came home and fed the now famous Alec (!!) and it has come away remarkably well. Hideously painful at the beginning of the feed and all nice and soft and comfy now! Love that ultrasound treatment... and of course, the delightful bub! Despite the large area of blockage, the redness had only just begun to manifest over a small area when physio treated it, at 5pm this evening (I first noticed lumpiness overnight). My question is I have a script for a/biotics, I would rather not take them if not necessary and I thought I would trouble the list for your opinions (unless medically inadvisable) as to whether they're necessary. I didn't have a fever and apart from a very sore boob (which is no longer sore now the little bloke has drained it) I haven't been feeling dreadful - just a little weary. Just wondered whether I ought to take the drugs still? Jo -- 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] virus alert
Viruses - so have I , Thankfully, stopped/ restored. Pinky - Original Message - From: Mary Murphy To: [EMAIL PROTECTED] Sent: Thursday, October 03, 2002 7:48 PM Subject: Re: [ozmidwifery] virus alert I have been getting heaps of virus's stopped by my virus alert thank goodness. I think they are coming both from the Ozmid list and Birthnews list. MM - Original Message - From: Sandra J. Eales To: [EMAIL PROTECTED] Sent: Thursday, October 03, 2002 5:18 PM Subject: [ozmidwifery] virus alert There was a virus attached to posting from Denise "RANCOG on NMAP" virus name "WORM_BUGBEAR.A"
RE: [ozmidwifery] hi there _ question regarding induction
Hello all Thanks Judy, Sally, Jo and Mary for your replies Today I was told my due date is tomorrow (rather than yesterday), and the doctor hopes my baby will come naturally by the weekend. Otherwise he will insist on induction, I am sure. He fears that, being a big one, my baby could possibly harm him/herself on the way out, causing some abnormality. I think this is what he fears... We'll see how we go Thanks for everything Jackie -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] virus alert
Hi Mary Definitely Ozlist I have received I think about 4 dont belong to Birth News Hettie GroveRN.RM.RCN.RNA.RNT.ICCE. South Africa027-083-2260709Fax 027-011-7409715 - Original Message - From: Mary Murphy To: [EMAIL PROTECTED] Sent: Thursday, October 03, 2002 11:48 AM Subject: Re: [ozmidwifery] virus alert I have been getting heaps of virus's stopped by my virus alert thank goodness. I think they are coming both from the Ozmid list and Birthnews list. MM - Original Message - From: Sandra J. Eales To: [EMAIL PROTECTED] Sent: Thursday, October 03, 2002 5:18 PM Subject: [ozmidwifery] virus alert There was a virus attached to posting from Denise "RANCOG on NMAP" virus name "WORM_BUGBEAR.A"
Re: [ozmidwifery] Almost c/s - horrid shift (VERY LONG!)
Thankyou so much everyone for your overwhelming support! As for the making a complaint against the doctor suggestion, I spoke to the woman yesterday, and appologised for how she was treated. She was able to fend for herself though... after I had left that night, she was sutured by the same doctor. She told him to never try to reason with a woman in the middle of contractions ever again. I hope he at least thought about that. Jo (up for whatever this morning's shift throws at me ;)) Babies are Born... Pizzas are Delivered.
Re: [ozmidwifery] Mastitis Antibiotics
Dear Joy and Mary, Thanks for your help and advice regarding homoepathy and acidophilus and bifidus. Crisis averted - all remains happy and no antibiotics - yay. Your info will remain my primary treatment line of attack in future - since I'm a little prone to this kind of thing. Jo -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] virus
I am getting emails that are being caught by my virus check, they are all attachments but all have titles that have been on the ozmid list previously for eg "vbac petition". Just beware of anything with attachments even if the author is known and the subject title familiar. cheers Jo Bainbridgefounding member CARES SAemail: [EMAIL PROTECTED]phone: 08 8388 6918birth with trust, faith love...
Re: [ozmidwifery] Almost c/s - horrid shift (VERY LONG!)
I can't imagine how it would have been for her had you not been there Jo..obviously, you were the one who was meant to be with her at this time. Stay strong, and stay open, so you can soak up these experiences and use them in other ways. - Original Message - From: JoFromOz To: [EMAIL PROTECTED] Sent: Thursday, October 03, 2002 11:55 AM Subject: Re: [ozmidwifery] Almost c/s - horrid shift (VERY LONG!) Thanks Sally. I was glad I was able to maintain her concentration on me during the whole fiasco. She kept looking to me for advice, or opinion when she and her husband were unsure of something. It was great to see such trust in her eyes for me. That is one of the only good things to come out of the evening, (apart from a beautiful baby girl!) Love Jo Babies are Born... Pizzas are Delivered.
Re: [ozmidwifery] Byron Bay
You're welcome - Original Message - From: Mrs joanne m fisher To: [EMAIL PROTECTED] Sent: Thursday, October 03, 2002 8:27 PM Subject: Re: [ozmidwifery] Byron Bay Thanks very much Lynne, Cheers, Joanne. - Original Message - From: Lynne Staff To: [EMAIL PROTECTED] Sent: Tuesday, October 01, 2002 10:30 PM Subject: Re: [ozmidwifery] Byron Bay Hi Joanne email NSW Midwives Assoc on [EMAIL PROTECTED] and they will send youa program - they were very prompt. Regards, Lynne - Original Message - From: Mrs joanne m fisher To: Ozmidwifery Sent: Tuesday, October 01, 2002 8:47 PM Subject: [ozmidwifery] Byron Bay Dear Ozmidders, Can anyone tell me what the programme will bethat is being held at Byron Bay end Oct./early Nov.and how much it is, as so far I've had no luck in finding out. Thanks heaps. Cheers, Joanne.
Re: [ozmidwifery] Almost c/s - horrid shift (VERY LONG!)
Another thing you can do is encourage the woman to go to the Health Rights Commission as an avenueto discuss the way in which she wastreated - disgusting. The outcome was good, but what happened in the meantime is not, and the HRC can help there by getting in touch with the doctor and discuss communication, 'customer service' for want of a better term and things like that. No one would tolerate that sort oftreatment from anyone else at any other time in their life, so why should women have to tolerate it in birth!What a pompous ass! Unfortunately many women feel too intimidated. I remember not so long ago a consultant coming into a birthing room at a hospital I was visiting, rocking backwards and forwards on the balls of his feet and proclaiming "Now, I am an expert on these things and it seems to me you are most likely wrong with your dates.."etc etc etc. The gall of these people!!! Sigh..Lynne - Original Message - From: YOLANDE WILLIAMS To: [EMAIL PROTECTED] Sent: Thursday, October 03, 2002 4:27 PM Subject: Re: [ozmidwifery] Almost c/s - horrid shift (VERY LONG!) Jo, Did you report(incident report)the doctor and encourage your patient to make a complaint against the doctor(give her the patient feed back form)? This is how these rude unprofessional people need to be delt with. Never let thier lack of respect upset you. Your support of that woman is admirable I hope you can look past the bad and see the good that you can do? keep it up! Yolande. To: [EMAIL PROTECTED] Sent: Thursday, October 03, 2002 10:35 AM Subject: [ozmidwifery] Almost c/s - horrid shift (VERY LONG!) I worked in birth suite last night, and had a not-so-nice shift... This woman was due to be induced on saturday, and came in for routine CTG monitoring (as she was post dates by about 5 or so days), and the CTG was very flat... variability 1-5, but a reactive trace. Eventually the decision was made to induce there and then. She had an ARM around 3pm, and was 2cm dilated. Clear liquor. Since this was her second baby, they decided to leave her for an hour to see if she went into labour 'spontaneously'. She felt some niggles, that's all. So after SEVEN attempts to get an IV into her (and 2 hours after the ARM) syntocinon was commenced. For most of that time after the ARM I was told to leave the CTG on because they (the doctors)were not happy with it. And, of course when the syntocinon went up, the CTG was there to stay. Because the woman was mobilising well, on the ball, on the loo, walking, sitting, etc, the trace wasn't very clear. So, I sat with her the whole time, listening to the baby's heart, often getting the maternal pulse showing up on the monitor (low-lying placenta), but always hearing the baby's heart rate in the backround, assuring me of the baby's well-being. After about an hour of sketchy tracing, I told the woman and her husband that the doctor might want to put a FSE on because they wouldn't be sure of how the baby was from the printout. I showed them the device, and explained to them everything that would happen. They asked whether it would hurt the baby. I can't lie... a wire being screwed into a baby's head would hurt anyone. I said it would probably hurt the baby, but chances are it won't harm the baby. They were not happy with that, really, and the husband said that he has been sitting with me the whole time, listening to the baby's heart with me, and he was happy that the baby was fine if I was. Just then, I heardthe first decelleration. I watched and heard it go down to about 80 at the onset of the contraction, then return to the baseline of about 135 as the contraction was letting up. An early decelleration. I listened in carefully during the next contraction, and the same thing happened. I went out to tell the doctor, and she came in, all stressed out, saying she had to put a FSE on. The father explained their concerns, and the woman was getting all stressed out too. I tried calming her, just whispering, 'just ignore the talking, you've been doing really well concentrating on your breathing, just keep doing that', etc... Eventually they agreed to see how dilated the cervix was before deciding on the FSE. If she was almost fully, they didn't want it. Unfortunately, it was time for doctor's change of shift. The new doctor to come on is one I've had altercations with before: he's rude, unwoman friendly and spiteful. He came in loudly proclaiming her need for and FSE, so they had to explain all over again to him why they didn't want one. The woman was contracting, and wanted silence, and even said, "shut up!" and he just kept talking, explaining
Re: [ozmidwifery] virus alert
Thank you I do not understand this stuff my checker missed it But now says there was one!!Denise - Original Message - From: Sandra J. Eales To: [EMAIL PROTECTED] Sent: Thursday, October 03, 2002 7:18 PM Subject: [ozmidwifery] virus alert There was a virus attached to posting from Denise "RANCOG on NMAP" virus name "WORM_BUGBEAR.A"
Re: [ozmidwifery] NMAP
Title: Re: [ozmidwifery] NMAP Dear Penny, thanks for this feedback on the NMAP. I've passed it on to the editorial committee that spent many late nights and weekends putting NMAP together over the past year. It's good to hear that the document can be useful in ways we'd not thought of. Barb Dr Barbara Vernon National President The Maternity Coalition Inc PO Box 269 LYNEHAM ACT 2602 02 6230 2107 From: Dr Penelope A Barrett [EMAIL PROTECTED] Reply-To: [EMAIL PROTECTED] Date: Thu, 03 Oct 2002 20:30:48 +1000 To: Ozmidwifery [EMAIL PROTECTED] Subject: Re: [ozmidwifery] NMAP I agree about the power behind NMAP. I have passed its reference and relevance on to a couple of hundred 3rd year general nursing students (doing a family health unit of study), a class of Grad. Dip. Mid. Students, and six Master of Mid. Students (the latter who, with me, attended the launch in NSW at Parliament House a living classroom). I have had wonderful, informed, well-argued, and (in many cases, thanks to NMAP, well-referenced) essays come in and presentations from the general nursing students about continuity of carer, choice in childbirth, etc . I am truly indebted to the people who put in the hard yakka¹ to get this document together and into the public sphere. From my students and myself, thank you. Penny B.
Re: [ozmidwifery] hi there _ question regarding induction
Jackie, the labour will be more efficient (and less harmful) if the natural hormones work in the right sequence. We only have one synthetic hormone, sytocinon to FORCE the uterus to work in induction. If prostaglandin gel is used to soften the cervix, there are other complications possible (some serious). One never knows how big a baby will be until it is born, not even with U/S. and the woman's body is a wondrous thing when allowed to work in it's own way.You have already birthed a big baby for the first birth and that one is the hardest. It is very interesting that KEMH now have a set of consent forms for women in the case of induction, forceps,etc which clearly talks about the complications of the proposed treatment. All hospitals should have them! (well done KEMH). I am not sure that it would cut the rates of induction, but at least women would know before- hand. MM -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] hi
Hi, Liz, thank you. I enjoyed meeting you and your gorgeous littlies too. Look forward to seeing you again. Aviva - Original Message - From: ec newnham To: [EMAIL PROTECTED] Sent: Thursday, October 03, 2002 6:51 PM Subject: [ozmidwifery] hi Hi Aviva, it was lovely to meet you last weekend.
Re: [ozmidwifery] Birth Matters coffee morning, Adelaide
Title: Message Oh, Goody, Tania! I had the car fixed today -- 4th spark plug clogged up. Good Old Margaret, the 1975 Toyota Corona is purring! (I'm sure Tom will be pleased!) Gearing up for my show on October 18th. Thought about going off the list for a couple of weeks, but I'm enjoying it too much. Don't want to miss any news. Will get more into birthing matters after that; mind you, I have a script due at ABC end of the year, so I'll need to be super organised. That's one of the many things I love about mothering -- it really teaches you to be organised! Love, Aviva
Re: [ozmidwifery] hi there _ question regarding induction
Hi Mary - do you know when the women are given these consent forms? ie antenatally, or just before an intended procedure? Are they discussed in birth education classes? This is interesting and I agree - well done KEMH. In QLD there was such a hoo ha about the use of water during labour and birth and a call for a very detailed consent form for women to be read and signed many months prior to the labour and birth, but not so much detail nor any hoo ha for forms about the pros and cons and IMPLICATIONS for women who have the much more familiar and readily available, accessible and accepted epidural. I wonder will epidurals be included with forceps, etc. Regards, Lynne - Original Message - From: Mary Murphy [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Friday, October 04, 2002 9:30 AM Subject: Re: [ozmidwifery] hi there _ question regarding induction Jackie, the labour will be more efficient (and less harmful) if the natural hormones work in the right sequence. We only have one synthetic hormone, sytocinon to FORCE the uterus to work in induction. If prostaglandin gel is used to soften the cervix, there are other complications possible (some serious). One never knows how big a baby will be until it is born, not even with U/S. and the woman's body is a wondrous thing when allowed to work in it's own way.You have already birthed a big baby for the first birth and that one is the hardest. It is very interesting that KEMH now have a set of consent forms for women in the case of induction, forceps,etc which clearly talks about the complications of the proposed treatment. All hospitals should have them! (well done KEMH). I am not sure that it would cut the rates of induction, but at least women would know before- hand. MM -- 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.
[no subject]
Dear List, For interest www.gentlebirth.org/nwnm.org/nwnm_org.html Liz
Re: [ozmidwifery] Almost c/s - horrid shift (VERY LONG!)
Yes, absolutely. - Original Message - From: Lynne Staff To: [EMAIL PROTECTED] Sent: Friday, October 04, 2002 8:58 AM Subject: Re: [ozmidwifery] Almost c/s - horrid shift (VERY LONG!) I agree, BUT there are ways and ways of discussing.. - Original Message - From: elizabeth mcalpine To: [EMAIL PROTECTED] Sent: Thursday, October 03, 2002 7:29 PM Subject: Re: [ozmidwifery] Almost c/s - horrid shift (VERY LONG!) Jo, you did great - as did the couple!!! early decelerations due to head compression are of less concern than late, as you know, and in a multi who will dilate quickly the stress put on all of you is just about typical of hospital and medicalised birth. I just hate the panic sometimes too - after nearly 30 years - the same story. And sometimes the pressure is just enormous. Frightening women is part of medicalisation but, to understand it from their (the medicos) point of view, the pressure on them is also enormous, and the fear of litigation real. You did well. Sometimes things do get out of control and there's little you can do about it. Liz - Original Message - From: JoFromOz To: [EMAIL PROTECTED] Sent: Thursday, October 03, 2002 10:35 AM Subject: [ozmidwifery] Almost c/s - horrid shift (VERY LONG!) I worked in birth suite last night, and had a not-so-nice shift... This woman was due to be induced on saturday, and came in for routine CTG monitoring (as she was post dates by about 5 or so days), and the CTG was very flat... variability 1-5, but a reactive trace. Eventually the decision was made to induce there and then. She had an ARM around 3pm, and was 2cm dilated. Clear liquor. Since this was her second baby, they decided to leave her for an hour to see if she went into labour 'spontaneously'. She felt some niggles, that's all. So after SEVEN attempts to get an IV into her (and 2 hours after the ARM) syntocinon was commenced. For most of that time after the ARM I was told to leave the CTG on because they (the doctors)were not happy with it. And, of course when the syntocinon went up, the CTG was there to stay. Because the woman was mobilising well, on the ball, on the loo, walking, sitting, etc, the trace wasn't very clear. So, I sat with her the whole time, listening to the baby's heart, often getting the maternal pulse showing up on the monitor (low-lying placenta), but always hearing the baby's heart rate in the backround, assuring me of the baby's well-being. After about an hour of sketchy tracing, I told the woman and her husband that the doctor might want to put a FSE on because they wouldn't be sure of how the baby was from the printout. I showed them the device, and explained to them everything that would happen. They asked whether it would hurt the baby. I can't lie... a wire being screwed into a baby's head would hurt anyone. I said it would probably hurt the baby, but chances are it won't harm the baby. They were not happy with that, really, and the husband said that he has been sitting with me the whole time, listening to the baby's heart with me, and he was happy that the baby was fine if I was. Just then, I heardthe first decelleration. I watched and heard it go down to about 80 at the onset of the contraction, then return to the baseline of about 135 as the contraction was letting up. An early decelleration. I listened in carefully during the next contraction, and the same thing happened. I went out to tell the doctor, and she came in, all stressed out, saying she had to put a FSE on. The father explained their concerns, and the woman was getting all stressed out too. I tried calming her, just whispering, 'just ignore the talking, you've been doing really well concentrating on your breathing, just keep doing that', etc... Eventually they agreed to see how dilated the cervix was before deciding on the FSE. If she was almost fully, they didn't want it. Unfortunately, it was time for doctor's change of shift. The new doctor to come on is one I've had altercations with before: he's rude, unwoman friendly and spiteful. He came in loudly proclaiming her need for and FSE, so they had to explain all over again to him why they didn't want one. The woman was contracting, and wanted silence, and even said, "shut up!" and he just kept talking, explaining why they needed it. So he did a VE. 4cm. After 3 hours of good contractions on a multi, who
[ozmidwifery] Re virus
Norton antivirus just detected a 'Bugbear' virus in a message called 'Sales' - with an attachment. Thankfully it didn't let me open even the email. PennyB. Penelope A. Barrett RN, CM, PhD, BEd(Nurs.), FRCNA, FCN(NSW), MACM Lecturer (Midwifery) Faculty of Nursing (M 02) The University of Sydney NSW Australia 2006 Ph 61 2 9351 0619 Mobile 04 1230 2264 ...let me ask you as I close, to lift your eyes beyond the dangers of today, to the hopes of tomorrow, beyond the freedom merely of this city of Berlin,...to the advance of freedom everywhere, beyond the wall to the day of peace with justice, beyond yourselves and ourselves to all (hu)mankind. Freedom is indivisible, and when one (hu)man is enslaved, all are not free. Remarks in the Rudolph Wilde Platz President John F. Kennedy West Berlin June 26, 1963 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] virus alert - DO NOT OPEN BIRTH STORY?
Yes - do not open "birth story?" - I did not send it. You will notice the attachment symbol- these shouldn't be openedin any case. My virus softwear picked up a few infected files yesterday andI havedisposed of themappropriately. Karen Arthur -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]Sent: Friday, 4 October 2002 1:05 PMTo: [EMAIL PROTECTED]Subject: Re: [ozmidwifery] virus alertDeniseApparently the bugbear worm uses the address book of an infected computer to send itself out, so the attachment will look as if it's come from person A, when it has really sent out from person B. E.g. B has the email address of A in its address book. Bugbear sends out emails, with the worm attached, to all people in B's address book, as if sent from A (rather than B). So Denise, you may not have had the worm in the first place.Clear? Probably as mud :-)Debbie SlaterPerth, WA
