Re: [ozmidwifery] Explaining the pelvis

Thanks Tina, I have a copy of Andrea Robertsons 
book "empowering women" and have managed to find it in that, thanks to the Oz 
mid site.  Thanks for your suggestion all the same.
Regards, Tracy

  - Original Message - 
  From: 
  [EMAIL PROTECTED] 
  To: [EMAIL PROTECTED] 
  
  Sent: Saturday, March 08, 2003 5:33 
  PM
  Subject: Re: [ozmidwifery] Explaining the 
  pelvis
  In a message dated 8/03/03 1:06:30 PM AUS Eastern Daylight 
  Time, [EMAIL PROTECTED] writes:
  Hi all.  Wondering if anybody can help me.  I went to 
an active birth course with Andrea Robertson and really liked the activity 
she does which explores the pelvis in simple language and basically 
demonstrates how the pelvis is designed to give birth.  I will be 
ordering a video shortly from Birth International that explains this but if 
anybody has a written copy of the activity that I can get on line, I would 
most appreciate it.  I am sure I had a copy of one from the course but 
have misplaced it somewhere.  ThanksTracyHi Tracytry Janet 
  Balaskas'    'Active Birth' Book.in this book Janet does 
  the similar pelvic exploration activity that Andrea does in her 
  workshopsshe takes you through it step by step...with the diagrams and 
  other relative commentary ..The copy I have is Balaskas J. (1989)see 
  pages...22-27Hope this helps..regards Tina 
  PettigrewB Mid Student ACU Melb. 

Re: [ozmidwifery] Explaining the pelvis

Thanks Andrea, I have a copy of your book so thanks for that.
Regards, Tracy


- Original Message -
From: "Andrea Robertson" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>; <[EMAIL PROTECTED]>
Sent: Saturday, March 08, 2003 3:42 PM
Subject: Re: [ozmidwifery] Explaining the pelvis


> Hi Tracy,
>
> You'll find the exercise explained in "Empowering Women - teaching active
> birth". The video gives it to you in a visual format (and includes some
> extra bits as well). I don't have it in an "on-line version" or on the web
> site.
>
> Hope this helps...
>
> Andrea
>
>
> At 12:51 PM 8/03/2003, Paul&Tracy wrote:
> >Hi all.  Wondering if anybody can help me.  I went to an active birth
> >course with Andrea Robertson and really liked the activity she does which
> >explores the pelvis in simple language and basically demonstrates how the
> >pelvis is designed to give birth.  I will be ordering a video shortly
from
> >Birth International that explains this but if anybody has a written copy
> >of the activity that I can get on line, I would most appreciate it.  I am
> >sure I had a copy of one from the course but have misplaced it somewhere.
> >Thanks
> >
> >Tracy
>
>
> -
> Andrea Robertson
> Birth International * ACE Graphics * Associates in Childbirth Education
>
> e-mail: [EMAIL PROTECTED]
> web: www.birthinternational.com
>
>
> --
> This mailing list is sponsored by ACE Graphics.
> Visit  to subscribe or unsubscribe.


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Re: [ozmidwifery] Explaining the pelvis

Thanks Nola, I have that book and have found the 
activity.  Thanks for your help.

  - Original Message - 
  From: 
  Nola 
  Aicken 
  To: [EMAIL PROTECTED] 
  
  Sent: Sunday, March 09, 2003 7:55 
PM
  Subject: Re: [ozmidwifery] Explaining the 
  pelvis
  
  Or try ...
   
  Andrea explains it well in her text 
  'Empowering Women'. Refer her 1994 edition 'learning about the 
  pelvis', p143. 
   
  Regards Nola
  
- Original Message - 
From: 
[EMAIL PROTECTED] 
To: [EMAIL PROTECTED] 

Sent: Saturday, March 08, 2003 8:33 
PM
Subject: Re: [ozmidwifery] Explaining 
the pelvis
In a message dated 8/03/03 1:06:30 PM AUS Eastern 
Daylight Time, [EMAIL PROTECTED] 
writes:
Hi all.  Wondering if anybody can help me.  I went 
  to an active birth course with Andrea Robertson and really liked the 
  activity she does which explores the pelvis in simple language and 
  basically demonstrates how the pelvis is designed to give birth.  I 
  will be ordering a video shortly from Birth International that explains 
  this but if anybody has a written copy of the activity that I can get on 
  line, I would most appreciate it.  I am sure I had a copy of one from 
  the course but have misplaced it somewhere.  ThanksTracyHi Tracytry Janet 
Balaskas'    'Active Birth' Book.in this book Janet does 
the similar pelvic exploration activity that Andrea does in her 
workshopsshe takes you through it step by step...with the diagrams and 
other relative commentary ..The copy I have is Balaskas J. (1989)see 
pages...22-27Hope this helps..regards Tina 
PettigrewB Mid Student ACU Melb. 

Re: [ozmidwifery] Explaining the pelvis

Thanks Anne, I have that book and, sure enough, the 
activity is there.  Ta!
 
Regards, Tracy

  - Original Message - 
  From: 
  Anne Clarke 
  
  To: [EMAIL PROTECTED] 
  
  Sent: Sunday, March 09, 2003 5:58 
AM
  Subject: Re: [ozmidwifery] Explaining the 
  pelvis
  
  Dear Tracy,
   
  It is a terrific activity.  I teach this activity in all my 
  classes.  The activity (explanation) that you have requested is in 
  Andrea's book 'Empowering Women' p75.
   
  Have you tried to contact Andrea for a copy of the activity?
   
  If you like I could type the explanation out and email it to you when I 
  get some time to do it?  Are you in a hurry to get this 
information?
   
  Regards,
  Anne Clarke
  
- Original Message - 
From: 
Paul&Tracy 

To: ozmidwifery 
Sent: Saturday, March 08, 2003 11:51 
AM
Subject: [ozmidwifery] Explaining the 
pelvis

Hi all.  Wondering if anybody can help 
me.  I went to an active birth course with Andrea Robertson and really 
liked the activity she does which explores the pelvis in simple language and 
basically demonstrates how the pelvis is designed to give birth.  I 
will be ordering a video shortly from Birth International that explains this 
but if anybody has a written copy of the activity that I can get on line, I 
would most appreciate it.  I am sure I had a copy of one from the 
course but have misplaced it somewhere.  
Thanks
 
Tracy

[ozmidwifery] Irving Buzzard Award

[Cheryl LHK]

Congratulations to Anne Smith on her award.

Being a midwifery student was difficult at times to say the least, but I 
loved going to Mildura Base, and went back several times.  Anne along with 
many other midwives there were wonderful mentors to the students, and didn't 
treat us like complete idiots!!

Cheryl



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Re: [ozmidwifery] Hep B Vaccine at Birth

[Cheryl LHK]

Sandra

Thanks for the info on HB inj.  there was a discussion on it some months 
ago, so when we had this baby in hospital, I definitely did NOT have the HB 
given.  She will have it later.  My second son had the inj at birth, 
although he started well with the breast-feeding, had a lot of probs later 
and ended up suppressing close to 5 months.  Have been determined to BF 
longer with this baby (last one) so chose not to have the injection, so far 
all is going well...  might be the luck of the draw, but ? at least it seems 
to work for me.

HB is covered in our antenatal classes, so the women tend to turn up in 
labour ward with consent signed and expecting the injection.  Whoever are 
the PR people for vaccination, they work well!!  I have personally met 1-2 
women who refused immunisation in my (less than 5 yrs) mid career.

Cheryl

Cheryl







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[ozmidwifery] Birth centre

[Ken Ward]

Am being interviewed for a position in the birth centre at the
angliss Hospital, Ferntree Gully.  Any-one have any info, good or bad?
Maureen
[EMAIL PROTECTED]



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Re: [ozmidwifery] Hep B Vaccine at Birth

[Mary Murphy]

Sandra, thank you for your frank discussion of hep B vacc at birth on this 
list and the "birth talk" list.  I am definitely not supportive of this 
agenda and thankfully as I practice in homebirth, I do not have to give this 
vaccination..actually I would refuse and refer parents to a GP if they did want 
it.  MM

Re: [ozmidwifery] Immunisation before university/employment - Hep.B

[Sandra J. Eales]

Victoria
I had just sent off my own Hep B issue to the list 
when I downloaded yours - must be something in the air.
I am a midwife and was immunized about 15 yrs ago 
when I first graduated with little thought and few questions (I think it might 
even have been produced from human source in those days - it is now reproduced 
in yeast or something like).  I have maintained immunity to the present day 
from that initial 3 dose course and probably the odd encounter with infected 
body fluids to act as booster?  However I have many colleagues who have had 
repeated full courses and boosters who just never sero-convert.  I think 
the conversion rate for adults is around 80% and 90% in childhood after 2 doses 
(but noone is sure how long the immuity will last).  I do still feel that 
it is a protective advantage for me in my profession but am growing more 
frustrated with the big brother tactics  of the immunisation police and 
cynical about the motivating force behind the enormous energy to push and coerce 
whole populations into using more and more of them.  I think the strongest 
motivator is money - there are huge profits to be made in this industry and 
the money makers are well organised and very influential.
You probably would be discriminated against if you 
are not immunised - whether you need it or not.
 
Sandra 
 
 
 

  - Original Message - 
  From: 
  Victoria Couldwell 
  To: [EMAIL PROTECTED] 
  Sent: Monday, March 10, 2003 10:19 
  AM
  Subject: [ozmidwifery] Immunisation 
  before university/employment - Hep.B
  
  
  Dear All,
   
  As a prospective Bach. Midwifery student, I have been invited to attend 
  an interview and health assessment in the UK (I am an Australian, living in 
  Sydney). As part of the health assessment, I am required to advise my 
  immunisation status, which is fine except for Hep.B I am unsure about 
  undertaking this immunisation.
   
  * Do you feel that this immunisation is necessary for a midwife? Why/why 
  not? 
  * Have any midwives, childbirth educators, doulas undertaken the Hep.B 
  immunisation?
  * Is there any alternative? Can I refuse? Is it mandatory for 
  employment?
   
  I would appreciate any comments.
   
  Thanks,
   
  Victoria Couldwell
   
   
  
  MSN Instant Messenger now available on Australian mobile phones. Find our more. -- This mailing list 
  is sponsored by ACE Graphics. Visit to subscribe 
  or unsubscribe.

Re: [ozmidwifery] Always Greener

[jireland]

 
Its oppurtune that u say that, an unmedicated woman 
doesn't need to be told to push.  Last night I was at a very normal birth 
2nd babe undunder water at home and the mother was caught up in speed of 
birth and after the head birth nothing happened in next contractions as the mum 
was so ,"tight" so I felt i had to tell her to push even then it wasn't 
instant  So I guess its not good to have hard and fast rules love jan  


  - Original Message - 
  From: 
  Christina 
  & Damien 
  To: [EMAIL PROTECTED] 
  Sent: Monday, March 10, 2003 10:40 
  AM
  Subject: [ozmidwifery] Always 
  Greener
  
  The episode last night of an unplanned homebirth (due 
  to a car not starting  to get them to hospital) was not too bad 
  considering the crappy way most births are portrayed on T.V. 
  My 2 gripes are: Childbirth is not a great time for 
  cow jokes,  and unmedicated women don't need to be told to 
  push!
  I often think that the main function of antenatal 
  classes is to undo all the bad messages that women get from T.V. and 
  magazines.
  Christina.

[ozmidwifery] Hep B Vaccine at Birth

[Sandra J. Eales]

I have previously expressed concerns related to the 
administration of Hep B Vaccine (HBV) to all babes at birth ie that the midwives 
in my unit had become aware of marked increase in numbers of irritable babes and 
many more with breastfeeding difficulties in the first few days, since May 2000 
when the new schedule was introduced.
Since then we have done some investigation and 
as we became convinced of the connection we have been much more conscientious 
about gaining "informed consent" prior to administration of birth dose of 
Hep B ie "full disclosure of risks/benefits without coercion or fraud".  
As a result, parents are not consenting and 
the rate of uptake of the birth dose in our unit has dropped off 
dramatically.  (It is generally much nicer to come to work these days 
too with fewer screaming babies, distraught mothers and frantic 
fathers!)
We (the midwives) are now copping flak because 
we show up very large on the radar in the 'Early Warning System' of 
the authorities pushing the universal immunisation issue.  The 
pressure to conform has come from Public Health Unit, District Manager, Medical 
Superintendent as well as letters of complaint from a local GP (who may be 
fearful that he will lose his incentive payments if the children who return to 
hispractice have missedthe birth dose!).  We have been told that we must 
"actively encourage" our clients to accept the vaccination..that "it is 
frequently reported that the unit works well because of the high degree of trust 
and respect. Herein lies the opportunity to disseminate the positive effect of 
early Hepatitis vaccination"  We have been told that we must "act in line 
with the Code of Conduct" to actively promote this policy.
 
I do believe this is a terribly important ethical 
issue and will not persuade my clients to act against there best interests and 
instincts. 
We use the materials and information provided by 
Qld Health and "immunise Australia" when we discuss the issue with the 
parents.It is acknowledged in the "Understanding infant hepatitis B 
immunisation" pamphlet put out by the "immunise Australia Program" that among 
the common side effects are mild fever, joint pain, irritability and baby going 
"off its food for a short time". - discuss how this might affect their newborn 
in the first few days of life.
Whilst these common and perhaps transient side effects may be of little 
concern in an older child they are liable to be of much greater significance in 
a newborn child who is already facing many challenges at this deeply important 
point in its life.  Challenges to the newborn (physiological and iatrogenic 
pathology)

  adaptation to extrauterine life – profound physical changes in all systems 
  respiratory, circulatory, neurological, sensory, digestive/alimentary
  organisation of suck to enable feed
  overcome effects of pharmacological substances used in labour, birth an 
  postnatally
  recovery from the traumatic effect of birth eg head moulding and other 
  birth injury
We also give them the Qld Health Hep B Information which has this advice 
"give extra fluids e.g more breast feeds or water"  - we discuss the 
implication of this at initiation of breastfeeding.
We also discuss the risk factors for contracting the disease both in infancy 
and throught the lifespan.  
All women are screened for HBsAg antenatally so that babes of HB 
positive mothers can receive both Immunoglobulin and vaccination at birth. This 
has been shown to be extremely effective in managing the risk of vertical 
(mother to baby) transmission
The risk factors (for contracting the disease) are IV drug use, unsafe sexual 
practices and certain ethnic groups have high endemnicity so may have a slightly 
elevated risk of transmission (e.g aboriginal, TSI, particular asian groups for 
whom we have had an effectective 3 dose targetted program for many years). 
Certain occupational groups, eg health workers, have a higher than average risk 
and are generally vaccinated witha 3 dose progam.
World Health Organisation classifies Australia as a "low" risk for Hep B with 
low endemnicity of <2%, transmission rates in infancy are "rare" and 
"infrequent" in childhood. Qld Health Notifiable Diseases Annual Report 1997 
-2001 did not count any in the age group of < 13 years. The majority of 
notifications in the 15 -39 yr age range.
WHO recommendation is for universal Hep B immunisation in childhood for those 
countries with "high" endemnicity and the recommended program is for 3 
doses.
Immunisation success (90% sero-conversion which is as high as it gets) occurs 
after the 2nd dose, so a child will become immunised at 4.5 rather than 2.5 
months if they choose not to have the birth dose but elect to have the 
2,4 & 6 month doses.
Breastfeeding rates are not monitored after discharge from hospital even 
though there are mountains of scientific evidence on the economic value and 
health benefits to be gained from increasing breastfeeding rates.

RE: [ozmidwifery] Always Greener

[Julie Clarke]

I agree Christina.  A lot of the images people see on TV
they believe to be fact.

Do you remember the old black and white
movie “Johnny Belinda” about a deaf mute woman (Jane Wyman) who was
raped by a sailor and had to bear the shame of single motherhood in the old
days?  Well the birth scene has her laying in bed quietly suffering during her labour, the young
handsome caring doctor attends her and shows great concern.  He said to her mother “I’m
worried about her – I’ll give her something – we have to keep
her heart going”

With that he gave her an injection  -
scene fades to black – next scene elderly parents pacing the floor –
Doctor says “boil up lots of water” and goes and catches the baby.  She doesn’t push.  She is never out from under the sheets
and blankets. Doctor hands her the baby – there is a delay and then the
baby starts crying and everyone looks really relieved.  (At least the baby wasn’t held
upside down and smacked.)

I think it’s important to bring it
up in classes – with humour – about the
way the media depict a number of aspects to do with pregnancy labour birth and
parenthood.

Hug,



Julie
Clarke

Childbirth
and Parenting Educator

Transition
into Parenthood

9 Withybrook
Pl

Sylvania  NSW 
2224

T.
(02) 9544 6441

F (02)
9544 9257

M.
0401 265 530

email [EMAIL PROTECTED]



 

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On
Behalf Of Christina & Damien
Sent: Monday, 10 March 2003 10:40
AM
To: [EMAIL PROTECTED]
Subject: [ozmidwifery] Always
Greener

 



The episode
last night of an unplanned homebirth (due to a car not starting  to get
them to hospital) was not too bad considering the crappy way most births are
portrayed on T.V. 





My 2 gripes
are: Childbirth is not a great time for cow jokes,  and unmedicated women
don't need to be told to push!





I often think
that the main function of antenatal classes is to undo all the bad messages
that women get from T.V. and magazines.





Christina.

Re: [ozmidwifery] Immunisation before university/employment - Hep.B

[DebSlater]

In a message dated 3/10/03 8:22:04 AM W. Australia Standard Time, [EMAIL PROTECTED] writes:


* Do you feel that this immunisation is necessary for a midwife? Why/why not? 
* Have any midwives, childbirth educators, doulas undertaken the Hep.B immunisation?
* Is there any alternative? Can I refuse? Is it mandatory for employment?
 
I would appreciate any comments.

There was a discussion about this on the uk midwifery list some time ago, and so I've searched the archives for what was said.

The need for midwives to be vaccinated for Hep B is a Dept of Health guidelines, but many Trusts apparantly enforce it as a rule.  However, it is not mandatory and you can refuse, but, then of course, you may not be offered the placement I suppose.

I believe that most midwives are immunised against Hep B.

The rationale is that the NHS has a duty to it's patients not to expose them Hep B carriers - hence the reason for the guideline.  This of course works the other way too, and they have a duty not to expose you to it either.

>From the discussion that arose on the ukmidwifery list, many midwives have come to an agreement with the trust that they do not require the vaccination, provided regular blood tests are taken to determine your Hep B status, check titre levels etc.

Hope this helps.

If you are thinking of going to the UK, you may like to join the UK midwifery group at www.yahoogroups.co.uk (the group is ukmidwifery).


Debbie Slater
Perth, WA

Re: [ozmidwifery] Oxytocin & Trust

[Mary Murphy]

Hi Denise, thank you for the Birth Psychology website.  It was really 
great. I am sitting hear in Perth at 9am and it is already 33celsius.  
we are truly cooking!   Cheers, MM

[ozmidwifery] Immunisation before university/employment - Hep.B

[Victoria Couldwell]

Dear All,
 
As a prospective Bach. Midwifery student, I have been invited to attend an interview and health assessment in the UK (I am an Australian, living in Sydney). As part of the health assessment, I am required to advise my immunisation status, which is fine except for Hep.B I am unsure about undertaking this immunisation.
 
* Do you feel that this immunisation is necessary for a midwife? Why/why not? 
* Have any midwives, childbirth educators, doulas undertaken the Hep.B immunisation?
* Is there any alternative? Can I refuse? Is it mandatory for employment?
 
I would appreciate any comments.
 
Thanks,
 
Victoria Couldwell
 
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Re: [ozmidwifery] Always Greener

[Christina & Damien]

On further reflection I suppose I have a few more 
gripes!   It was a pity that it was a birth at home without a skilled 
attendant. Even though dairy farmers can deliver cows, I think midwives are 
preferable with human babies!!  (My father in law loves talking birthing 
with me 'cos he's got a background in farming!!)
Also wouldn't it be lovely for a T.V. birth at 
home to depict a planned birth at home rather than always being unplanned. 

Soaps and dramas need to be exciting and extraordinary to capture the 
audience. I suppose hours of breathing through a contraction and resting in 
between,  wouldn't fit into their one hour timeslot.
Christina

-Original Message-From: 
Lois Wattis <[EMAIL PROTECTED]>To: 
[EMAIL PROTECTED] 
<[EMAIL PROTECTED]>Date: 
Monday, 10 March 2003 10:05Subject: Re: [ozmidwifery] Always 
Greener
Hello Christina and other ozmidders,
I watched that bit of that episode too- by 
accident, actually...
I agree with Christina's assessment and 
comments.
At least it showed that babies can get born safely 
and happily without a doctor in a white coat and doting handmaidens 
surrounded by hi-tech equipment!  It was also nice that they included a 
bit about the placenta... the Dad (who missed the birth) fainted when he was 
shown the placenta by the dairy farmer who 'delivered' the baby.  
Sounds silly, but it fitted in with the context of the story regarding the 
Dad's uncertainty about all the birth plans etc.  Not too bad...  
Cheers, Lois

- Original Message - 
From: 
Christina & Damien 
To: [EMAIL PROTECTED] 

Sent: Monday, March 10, 2003 7:40 
AM
Subject: [ozmidwifery] Always 
Greener

The episode last night of an unplanned 
homebirth (due to a car not starting  to get them to hospital) was 
not too bad considering the crappy way most births are portrayed on T.V. 

My 2 gripes are: Childbirth is not a great time 
for cow jokes,  and unmedicated women don't need to be told to 
push!
I often think that the main function of 
antenatal classes is to undo all the bad messages that women get from 
T.V. and magazines.
Christina.

Re: [ozmidwifery] Always Greener

[Lois Wattis]

Hello Christina and other ozmidders,
I watched that bit of that episode too- by accident, 
actually...
I agree with Christina's assessment and 
comments.
At least it showed that babies can get born safely and 
happily without a doctor in a white coat and doting handmaidens surrounded 
by hi-tech equipment!  It was also nice that they included a bit about the 
placenta... the Dad (who missed the birth) fainted when he was shown the 
placenta by the dairy farmer who 'delivered' the baby.  Sounds silly, but 
it fitted in with the context of the story regarding the Dad's uncertainty about 
all the birth plans etc.  Not too bad...  Cheers, 
Lois

  - Original Message - 
  From: 
  Christina 
  & Damien 
  To: [EMAIL PROTECTED] 
  
  Sent: Monday, March 10, 2003 7:40 
AM
  Subject: [ozmidwifery] Always 
  Greener
  
  The episode last night of an unplanned homebirth (due 
  to a car not starting  to get them to hospital) was not too bad 
  considering the crappy way most births are portrayed on T.V. 
  My 2 gripes are: Childbirth is not a great time for 
  cow jokes,  and unmedicated women don't need to be told to 
  push!
  I often think that the main function of antenatal 
  classes is to undo all the bad messages that women get from T.V. and 
  magazines.
  Christina.

[ozmidwifery] Always Greener

[Christina & Damien]

The episode last night of an unplanned homebirth (due 
to a car not starting  to get them to hospital) was not too bad considering 
the crappy way most births are portrayed on T.V. 
My 2 gripes are: Childbirth is not a great time for cow 
jokes,  and unmedicated women don't need to be told to push!
I often think that the main function of antenatal 
classes is to undo all the bad messages that women get from T.V. and 
magazines.
Christina.

Re: [ozmidwifery] Explaining the pelvis

[Andrea Robertson]

Hi Tracy,

You'll find the exercise explained in "Empowering Women - teaching active 
birth". The video gives it to you in a visual format (and includes some 
extra bits as well). I don't have it in an "on-line version" or on the web 
site.

Hope this helps...

Andrea

At 12:51 PM 8/03/2003, Paul&Tracy wrote:
Hi all.  Wondering if anybody can help me.  I went to an active birth 
course with Andrea Robertson and really liked the activity she does which 
explores the pelvis in simple language and basically demonstrates how the 
pelvis is designed to give birth.  I will be ordering a video shortly from 
Birth International that explains this but if anybody has a written copy 
of the activity that I can get on line, I would most appreciate it.  I am 
sure I had a copy of one from the course but have misplaced it somewhere.
Thanks

Tracy


-
Andrea Robertson
Birth International * ACE Graphics * Associates in Childbirth Education
e-mail: [EMAIL PROTECTED]
web: www.birthinternational.com
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Re: [ozmidwifery] Midwife Care

[Jan Robinson]

Title: Re: [ozmidwifery] Midwife Care



On 4/3/03 8:51 PM, "Leigh Evans" <[EMAIL PROTECTED]> wrote:

Hi Felicity, I charge $80/visit and $800 for the birth. Hope this helps. Leigh

Hi Felicity

Most of the IPMs in NSW charge $3000 for the total package.
There is a comprehensive Statement of Practice given to the woman before any contract is agreed to so that she understands what the “package” consists of.

Broadly speaking it includes 
€ the prenatal visits in the woman’s home.
During these visits some time is devoted to making written birth plans. These are essential to obtain informed consent to your management.
€ time spent with the woman during labour and birth and for two hours afterwards.
€ postnatal visits in the woman’s home. 
Usually two weeks follow through with at least seven visits during this time. Ten visits seem to be an average for primiparas.

Postnatal care includes provision of the Family Allowance Forms, Birth Registration Forms etc. 
Ensuring the Newborn Screen is attended to for the baby.

By law in most states the attending midwife or doctor must furnish a completed Notification of Birth form and supply the Department of Health with perinatal data. (In NSW this is called the NSW Midwives Data Collection)

Some of the rural midwives who have to travel long distances may need to charge additional travelling fees or else negotiate for some of the antenatal visits to be conducted when the woman is in town . 

Let me know if you need more details.

Jan Robinson

__
 Jan Robinson   Phone/fax: 011+ 61+ 2+ 9546 4350
 Independent Midwife Practitioner       e-mail: <[EMAIL PROTECTED]>
 8 Robin Crescent        www:   midwiferyeducation.com.au
 South Hurstville  NSW  2221   National Coordinator, ASIM
__




- Original Message - 
From: Felicity Cummins   
To: [EMAIL PROTECTED] 
Sent: Tuesday, March 04, 2003 6:41 PM
Subject: [ozmidwifery] Midwife Care

I am a midwife and currently work in a large country hospital. I am looking for some advice with what to charge a woman who wishes to have some private 1 on 1 midwife care for labour, birth and a few postnatal visits.
Could anyone tell me what they charge in such a situation.  Do you nominate a set fee (this is her first baby) or do you prefer to work to an hourly rate?
 
Looking forward to your responses.
 
Felicity 

Re: [ozmidwifery] request for help

[Annalise Wesley]

Hi Alphia,
Does it matter if mother is a midwife? If not I can assist.
Linda.
Ph (03)51765171





From: Alphia Possamai <[EMAIL PROTECTED]>
Reply-To: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Subject: Re: [ozmidwifery] request for help
Date: Sun, 09 Mar 2003 13:55:31 +1100
Hi Jo,

Would love this if you could arrange it for me.  I would like to keep the 
babies around 6 months of age- if they are slightly older that is fine- but 
not over 10 months.

thank you for your help
Warmly
Alphia


At 04:14 PM 7/03/2003 +1030, you wrote:
Alphia,
would you like some cs and vbac mums?  If so I can link you up with some
with a range of experiences.  How old are bubs meant to be?
Jo Bainbridge
founding member CARES SA
www.cares-sa.org.au
[EMAIL PROTECTED]
phone: 08 8388 6918
birth with trust, faith & love...
- Original Message -
From: "Alphia Garrety" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Thursday, March 06, 2003 2:45 PM
Subject: [ozmidwifery] request for help
> Hi everyone,
>
> Another request for assistance.  I am still in the middle of my field
> work.  I have almost the full amount of private hospital birthing women
and
> homebirth moms.  However, I need public hospital Moms - my only 
criteria
is
> that the mother is Australian born and the baby born relatively
> recently.  If anyone can help I would greatly appreciate it.  I conduct 
an
> interview that lasts approximately 60 minutes - over the phone or face 
to
> face.  Discussing expectations and experiences of pregnancy, care and
birth.
>
> Thank you
> Alphia
> Alphia Possamai-Inesedy Ba (Hons.)
> PhD. Candidate
> School of Applied and Human Sciences
> Bankstown Campus, University of Western Sydney
> UWS Locked Bag 1797
> South Penrith Distribution Centre
> NSW 1797 Australia
>
> Phone: 02 97726628
> Fax: 02 97726584
>
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Re: [ozmidwifery] Explaining the pelvis

[Nola Aicken]

Or try ...
 
Andrea explains it well in her text 
'Empowering Women'. Refer her 1994 edition 'learning about the 
pelvis', p143. 
 
Regards Nola

  - Original Message - 
  From: 
  [EMAIL PROTECTED] 
  To: [EMAIL PROTECTED] 
  
  Sent: Saturday, March 08, 2003 8:33 
  PM
  Subject: Re: [ozmidwifery] Explaining the 
  pelvis
  In a message dated 8/03/03 1:06:30 PM AUS Eastern 
  Daylight Time, [EMAIL PROTECTED] 
  writes:
  Hi all.  Wondering if anybody can help me.  I went to 
an active birth course with Andrea Robertson and really liked the activity 
she does which explores the pelvis in simple language and basically 
demonstrates how the pelvis is designed to give birth.  I will be 
ordering a video shortly from Birth International that explains this but if 
anybody has a written copy of the activity that I can get on line, I would 
most appreciate it.  I am sure I had a copy of one from the course but 
have misplaced it somewhere.  ThanksTracyHi Tracytry Janet 
  Balaskas'    'Active Birth' Book.in this book Janet does 
  the similar pelvic exploration activity that Andrea does in her 
  workshopsshe takes you through it step by step...with the diagrams and 
  other relative commentary ..The copy I have is Balaskas J. (1989)see 
  pages...22-27Hope this helps..regards Tina 
  PettigrewB Mid Student ACU Melb. 

Re: [ozmidwifery] Push for Informed choices?

[Marilyn Kleidon]

Ditto denise, I would be interested also, and 
please paste as attachments just don't get throughy. if that is not poss, then 
perhaps there is a web addresss for the article.
 
marilyn

  - Original Message - 
  From: 
  Lois 
  Wattis 
  To: [EMAIL PROTECTED] 
  
  Sent: Friday, March 07, 2003 3:27 
PM
  Subject: Re: [ozmidwifery] Push for 
  Informed choices?
  
  Hi Denise - any chance of arranging for a pasted copy 
  onto ozmid. list, or alternately - paste a copy of Hannah's article directly 
  to me please?  Ta,  Lois 
  
- Original Message - 
From: 
Denise Hynd 
To: [EMAIL PROTECTED] 

Cc: [EMAIL PROTECTED] ; [EMAIL PROTECTED] ; 
[EMAIL PROTECTED] 

Sent: Sunday, March 09, 2003 1:55 
AM
Subject: [ozmidwifery] Push for 
Informed choices?

 

Dear All,
I commend the article, Political Matters by 
 Hannah Dahlen;  "Marketing fear and certainty - the oldest trick 
in the book!"  in the NSW Midwives Association's Midwifery Matters 
December 2002 issue. 
 
I have asked the NSW Midwqives Association that 
they lead the profession in calling for 
policies and protocols based on and supportive of informed choice 
for maternity service consumers and practitioners. 
 
I have suggested that they  could begin 
with the formation of a committee to review NSW Health's maternity 
service information documents to ensure that they are not "Marketing 
fear and certainty". Similarly I feel NSW 
Health documents used by service providers such as Antenatal records, 
Clinical Pathways, the Obstets Data Base, should be reviewed in light of 
evidence based practice and infomrmed consent . Thus such documents would 
support ongoing review and reflection of practices rather than perpetuate 
traditions, defensive over-servicing or subjective assesments.
 
Concurrently NSWMA and other maternity service 
educators could produce articles, workshops etc  on the professional 
and legal imperative, and benefits of  protocols and 
activities which are supportive and consistent with the 
concepts of informed choice and reflective practices.
 
 
 If you are in a position to be involved 
in such activities I would encourage you all to reflect and act 
accordingly so NSWMA and others would act positively and 
effectively to counter the defensive obstetric practices and related 
fears currently influencing NSW maternity services as well as 
the media as explored in Hannah's article! 
 
 
 
 
Denise Hynd