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

[Anke Dalman]

Hi Deb,

I worked as a midwife out and in hospital environments for over 30 years. In 
1993-95 I went to Uni to get my degree in nursing. There I was told to get an 
immunisation for Hep.B. I refused (as the only student who was not a sheeple). 
Then in 1996 I got employment at Queensland Health. Again I was advised to get 
the injection. I refused. I still work there now and am permanently employed. 
How, if vaccination works, do they fear an unimmunised person? please explain. 
If I know a woman has been informed properly and wants this immunisation, I'll 
give it, but if she is not sure or refuses I won't. It's her choice. She will 
live with the conscequences of her choice. Hope this info helps.
Love Anke.

3/10/2003 11:22:17 AM, [EMAIL PROTECTED] wrote:

>
>
>  From:   [EMAIL PROTECTED]
>
>  Date:   Sun, 9 Mar 2003 20:22:17 EST
>  Subject:Re: [ozmidwifery] Immunisation before university/employment - Hep.B
>  To: [EMAIL PROTECTED]
>
>
>
>  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



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Re: [ozmidwifery] Hep B Vaccine at Birth

[Sandra J. Eales]

You are right Mary.  I don't think it is 
question of bravery.  I don't believe I am putting myself at 
risk by my actions.  I do think it is a little intimidating if I 
consider that my goal must be to get the immunisation schedule changed. The 
opposing forces are too great for me.  However we need only 
concentrate on "informing parents" as we encounter them and we are obliged to do 
this.  They are entitled to the information "free of 
coercion".
It is frightening to consider that these powerful 
profit-driven organisations have tentacles of their network covering the globe, 
influencing the most reputable and powerful policy makers e.g WHO and government 

They are very good at controlling information in 
the media and the health systems and have immense experience at presenting 
research which they fund and control results of. (not unlike the cigarette 
company operations in years past)
Sandra

  - Original Message - 
  From: 
  Mary 
  Murphy 
  To: [EMAIL PROTECTED] 
  Sent: Tuesday, March 11, 2003 10:37 
  AM
  Subject: Re: [ozmidwifery] Hep B Vaccine 
  at Birth
  
  Marilyn wrote: "Sandra you are so 
  brave." A long time agoe some ancient philosopher wrote something 
  like this:  "In order for evil to flourish, good men do nothing"  I 
  think that covers Sandra's stand.  MM
  

  - Original Message - 
  From: 
  Sandra J. 
  Eales 
  To: [EMAIL PROTECTED] 
  
  Sent: Sunday, March 09, 2003 6:30 
  PM
  Subject: [ozmidwifery] Hep B Vaccine 
  at Birth
  
  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 ex

Re: [ozmidwifery] Bicornuate uterus

[Lynne Staff]

You are correct Sandra -if implantation occurs on or near the septum, the
morphology and size of the septum may influence whether the pregnancy
continues or not, and the growth of the (unborn) babe. The size of the
septum has an influence on the presentation of the babe as well, and
depending on how well developed the myometrium is in the septum, may have an
influence on labour too.
- Original Message -
From: "Sandra J. Eales" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Tuesday, March 11, 2003 2:46 PM
Subject: Re: [ozmidwifery] Bicornuate uterus


> I recently cared for a woman in her second pregnancy with a bicornuate
> uterus.  Her first pregnancy was uncomplicated until the end when she had
an
> elective caesarean for primip breech. (breech presentation is quite common
> apparently)  The bicornuate was not noticed at this delivery!  It was
> diagnosed by ultrasound when she had a miscarraige.  This last pregnancy
was
> fairly terrible as she was in and out of hospital for months with APHs.
She
> had to move down to Cairns (80 km away) for the last several weeks as they
> did not want her to go more than 5 minutes away from the Base Hospital.
> Very hard on all the family. They told her the problem was that the
placenta
> had implanted at the juncture and as one side grew and the other shrunk
the
> placenta was peeling off.  She was delivered by emergency Caesarean at 31
> weeks and the consultants advised her that she should never have any more
> children - too life threatening for her they said.  They ended up scaring
> her so much that she went in for a tubal only a few weeks after the baby
was
> born - whilst it was still not in a particularly healthy condition.
> I'm sure that I have met women before this who had not problems at all -
> Bicornuate seen on routine ultrasound who went on to have spont. vag.
> births.
> I so believe these women have a higher than average risk of spont abort.
> prob to do with site of implantation.
> Sandra
>
> - Original Message -
> From: "Andrea Robertson" <[EMAIL PROTECTED]>
> To: <[EMAIL PROTECTED]>
> Sent: Sunday, March 09, 2003 5:31 AM
> Subject: [ozmidwifery] Bicornate uterus
>
>
> > Hello wise women,
> >
> > I have met a midwife here in Ireland (where I am now presenting
workshops)
> > who would dearly love a home birth. She says she has a bicornate uterus
> and
> > a double cervix. She feels this puts her at high risk, although her
> > obstetrician seems to think she could labour OK and get by without a
> > caesarean (is he stringing her along, I wonder?). Have any of you had
any
> > expereince with this kind of labour and how would you feel about a home
> > birth? She lives close to the hospital and I did suggest that she could
> > always see how labour progresses and if there is a problem transfer
> > quickly.  She has yet to engage a midwife, although there is one here
who
> > will do twins at home and has many years of experience, who may be able
to
> > help.  It seems that after today's workshop she is feeling inspired and
> > would like to reconsider a home birth (having reluctantly given up on
the
> > idea). Any thoughts would be very gratefully received - I will email
them
> > on to her
> >
> > Andrea
> >
> >
> > -
> > 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.
>
> --
> This mailing list is sponsored by ACE Graphics.
> Visit  to subscribe or unsubscribe.

--
This mailing list is sponsored by ACE Graphics.
Visit  to subscribe or unsubscribe.

Re: [ozmidwifery] Bicornuate uterus

[Sandra J. Eales]

I recently cared for a woman in her second pregnancy with a bicornuate
uterus.  Her first pregnancy was uncomplicated until the end when she had an
elective caesarean for primip breech. (breech presentation is quite common
apparently)  The bicornuate was not noticed at this delivery!  It was
diagnosed by ultrasound when she had a miscarraige.  This last pregnancy was
fairly terrible as she was in and out of hospital for months with APHs.  She
had to move down to Cairns (80 km away) for the last several weeks as they
did not want her to go more than 5 minutes away from the Base Hospital.
Very hard on all the family. They told her the problem was that the placenta
had implanted at the juncture and as one side grew and the other shrunk the
placenta was peeling off.  She was delivered by emergency Caesarean at 31
weeks and the consultants advised her that she should never have any more
children - too life threatening for her they said.  They ended up scaring
her so much that she went in for a tubal only a few weeks after the baby was
born - whilst it was still not in a particularly healthy condition.
I'm sure that I have met women before this who had not problems at all -
Bicornuate seen on routine ultrasound who went on to have spont. vag.
births.
I so believe these women have a higher than average risk of spont abort.
prob to do with site of implantation.
Sandra

- Original Message -
From: "Andrea Robertson" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Sunday, March 09, 2003 5:31 AM
Subject: [ozmidwifery] Bicornate uterus


> Hello wise women,
>
> I have met a midwife here in Ireland (where I am now presenting workshops)
> who would dearly love a home birth. She says she has a bicornate uterus
and
> a double cervix. She feels this puts her at high risk, although her
> obstetrician seems to think she could labour OK and get by without a
> caesarean (is he stringing her along, I wonder?). Have any of you had any
> expereince with this kind of labour and how would you feel about a home
> birth? She lives close to the hospital and I did suggest that she could
> always see how labour progresses and if there is a problem transfer
> quickly.  She has yet to engage a midwife, although there is one here who
> will do twins at home and has many years of experience, who may be able to
> help.  It seems that after today's workshop she is feeling inspired and
> would like to reconsider a home birth (having reluctantly given up on the
> idea). Any thoughts would be very gratefully received - I will email them
> on to her
>
> Andrea
>
>
> -
> 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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Visit  to subscribe or unsubscribe.

Re: [ozmidwifery] No More Ear Infections

[Sheena Johnson]

we had a cod liver oil capsule and a chocolate coloured vitamin tablet every
morning  in winter as children in England in 1960's and 70's.  I had 1 ear
infections as a baby but none after I started school .

Sheena Johnson

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Re: [ozmidwifery] Hep B Vaccine at Birth

[Marilyn Kleidon]

I had never administered Hep B to a baby in 
the USA at birth or in the postpartum period. Of course I was dealing with 
babies who were primarily born out of hospital, to parents who had no intention 
of having them immunised in the neonatal period, but even for babies born after 
hospital transfer there was never an issue in the state of Washington.  I 
thought i learnt that the birth/close to birth dose of Hep B was halted in the 
USA about 1999/2000(at least on the west coast). I will follow up on this as it 
may have recommenced. I think it was the mercury based preservative that was the 
problem (as far as the powers that be were concerned). 
 
marilyn 

  - Original Message - 
  From: 
  Sandra J. 
  Eales 
  To: [EMAIL PROTECTED] 
  
  Sent: Monday, March 10, 2003 4:31 
PM
  Subject: Re: [ozmidwifery] Hep B Vaccine 
  at Birth
  
  Tina
  Making us feel like "bad parents" if we refuse 
  this vaccination is the blatant and stated strategy to ensure 
  conformity.  It is written up the the summary of recommendations from the 
  meeting of "chiefs" from the Antwerp conference that I included in my first 
  posting.
  Most women in Australia (and the US where they 
  have had this in place for many more years than us) with Early Discharge 
  Programs or the HB being given on discharge, probably go home and have to cope 
  with stressed babe with no support.  We do not keep rates of "new mothers 
  who fall in a heap" when they go home.  We don't know how when or why 
  they stop breastfeeding.  Adverse reactions are hugely underreported 
  because they go to their GP and are sloughed off with the same sort of tender 
  care and understanding that your sister experienced.
  We need to start a revolution!
  Sandra
  
- Original Message - 
From: 
Marty & Tina 
To: [EMAIL PROTECTED] 

Sent: Monday, March 10, 2003 9:59 
PM
Subject: Re: [ozmidwifery] Hep B 
Vaccine at Birth

Dear Sandra,
 
My sister had her baby at a large public 
hospital in QLD just 4 months ago.  I discussed many things with her 
prior to birth & Hep B vaccine was one of them.  As a result she 
chose not to have her baby vaccinated at birth.  She was made to feel 
like a "bad" mother at every turn & this coupled with poor breastfeeding 
management, poor communication & compassion by staff, & traumatic 
birth experience she ended up with postnatal depression. (sorry off the 
topic there for a minute).  Anyway, when she went for her 6 week 
check-up with her GP she asked when the best time to start Hep B 
immunisation would be (from now on).  Her GP rudely told her that it 
was too late because she hadn't had it at birth... this distressed her even 
more in her depressed state.  Just another way of belittling her as a 
mother.
 
Also, on the point of some of the effects such 
as irritability & going of food etc. I wonder how some parents cope 
when going home after having this injection... I say this with regards to 
one hospital that I can think of that gives the Hep B at same time as NNST 
which is usually day of discharge.    
 
Hope I'm making sence with my tired pregnant 
brain (BABY NO. 4 DUE TOMORROW - BUT HAPPY TO GO OVER A WEEK OR 
THREE).
 
Tina 
H.

Re: [ozmidwifery] Hep B Vaccine at Birth

[Marilyn Kleidon]

I totally agree Mary, which is why I wanted to 
achnowledge her doing something.
 
marilyn
 
 

  - Original Message - 
  From: 
  Mary 
  Murphy 
  To: [EMAIL PROTECTED] 
  
  Sent: Monday, March 10, 2003 4:37 
PM
  Subject: Re: [ozmidwifery] Hep B Vaccine 
  at Birth
  
  Marilyn wrote: "Sandra you are so 
  brave." A long time agoe some ancient philosopher wrote something 
  like this:  "In order for evil to flourish, good men do nothing"  I 
  think that covers Sandra's stand.  MM
  

  - Original Message - 
  From: 
  Sandra J. 
  Eales 
  To: [EMAIL PROTECTED] 
  
  Sent: Sunday, March 09, 2003 6:30 
  PM
  Subject: [ozmidwifery] Hep B Vaccine 
  at Birth
  
  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 dos

[ozmidwifery] Vaccination Incentive Payments

[Sandra J. Eales]

Wonder if anyone can help me with a couple 
of questions or references where I might find out the answers?
 
Do doctors miss out on their $18.50 incentive 
payment if the child doesn't have the Hep B birth Dose but completes 
the rests of the  vaccination schedule? 
 
What about parent's incentive payment - do they 
still have to go through the whole conscientious objection deal - given that the 
child is still fully immunised and there is no "catch up" required?
 
Sandra

[ozmidwifery] Ivanhoe's Medical Breakthroughs - No More Ear Infections

[Judy Giesaitis]

  this is just what mother used to do   Judy
 
 http://www.ivanhoe.com/channels/p_channelstory.cfm?storyid=5576
 <> 


Ivanhoe's Medical Breakthroughs - No More Ear Infections.url
Description: Binary data

[ozmidwifery] Vaccines not to Blame for Chronic Diseases

[Judy Giesaitis]

  Now I wonder about this   Judy Giesaitis
 
 http://www.ivanhoe.com/channels/p_channelstory.cfm?storyid=5594
 <> 


Ivanhoe's Medical Breakthroughs - Vaccines not to Blame for Chronic Diseases.url
Description: Binary data

Re: [ozmidwifery] Hep B Vaccine at Birth

[Sandra J. Eales]

Megan
Go for it. Spread it far and wide.  I want to 
see lots of little blips showing up on the "Early Warning System".
Thanks
Sandra

  - Original Message - 
  From: 
  Larry & 
  Megan 
  To: [EMAIL PROTECTED] 
  Sent: Tuesday, March 11, 2003 10:59 
  AM
  Subject: RE: [ozmidwifery] Hep B Vaccine 
  at Birth
  
  Dear 
  Sandra,
  I 
  remembered when you first raised this, congratulations and a big thankyou for 
  following it through. 
  With 
  your permission I would like to pass on your inspiring e-mail to Adelaides 
  vaccination support group, let me know if you agree, [EMAIL PROTECTED]
   
  best 
  of luck with it
  Megan
  
-Original Message-From: [EMAIL PROTECTED] 
[mailto:[EMAIL PROTECTED]On Behalf Of Sandra J. 
EalesSent: Monday, 10 March 2003 1:01To: 
[EMAIL PROTECTED]Subject: [ozmidwifery] Hep B 
Vaccine at Birth
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 effectec

RE: [ozmidwifery] Hep B Vaccine at Birth

[Larry & Megan]

Dear 
Sandra,
I 
remembered when you first raised this, congratulations and a big thankyou for 
following it through. 
With 
your permission I would like to pass on your inspiring e-mail to Adelaides 
vaccination support group, let me know if you agree, [EMAIL PROTECTED]
 
best 
of luck with it
Megan

  -Original Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED]On Behalf Of Sandra J. 
  EalesSent: Monday, 10 March 2003 1:01To: 
  [EMAIL PROTECTED]Subject: [ozmidwifery] Hep B Vaccine 
  at Birth
  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

Re: [ozmidwifery] Hep B Vaccine at Birth

[Sandra J. Eales]

Thanks for your feedback Mary and Lois.  You 
are somewhat advantaged in that the clientele who are assertive enough to choose 
homebirth are less fearful of "bucking the system" and are often clear, well 
informed and strong enough to risist the subtle and not so subtle pressures that 
might be applied to make them conform.  We have a small assertive element 
amongst our clientele as well ( around 15% of mothers in our unit resisted the 
HB push from the start).  The letters from "above" started arriving with 
the last compilation of rates when there was only 25% who refused the birth 
dose.  There is bound to be some squawking and feathers flying when they 
compile the next lot and discover that it is up to about 75%!!
Sandra

  - Original Message - 
  From: 
  Lois 
  Wattis 
  To: [EMAIL PROTECTED] 
  Sent: Monday, March 10, 2003 9:29 
PM
  Subject: Re: [ozmidwifery] Hep B Vaccine 
  at Birth
  
  Congratulations, Sandra  on a 
  comprehensive and GUTSY account of the Hep.B at 
  birth situation.  This information needs to be disseminated all over 
  Australia.  I work with Mary M. and have a similar approach to the Hep.B 
  question when asked by clients etc.  Keep up the great efforts 
  towards enlightenment.  I look forward to your published 
  work!   Kind regards, Lois
    
  
- Original Message - 
From: 
Sandra J. 
Eales 
To: [EMAIL PROTECTED] 

Sent: Monday, March 10, 2003 10:30 
AM
Subject: [ozmidwifery] Hep B Vaccine at 
Birth

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 t

Re: Re:[ozmidwifery]Hep B Birth dose

[Sandra J. Eales]

Jane
We don't give out any literature other than what is 
supplied by QHealth and Immunise Australia.(We did not want to load the 
guns of the powers-that-be) There is enough in those, when parents 
attention is brought to the relevant and worrying sections to make room for a 
discussion about the risks/benefits for that individual family. Eg "Extra 
Fluids before your milk comes in?  pain and fever from Hep B at the 
same time as your baby is recovering from birth?  Is this necessary?  
What is the risk of you baby getting the disease?  If you plan on 
getting your baby immunised at 2 an 4 months then it will be covered then 
anyway."
We do have an advantage that the women know and 
trust us as they see a particular midwife throughout the pregnancy but midwives 
everywhere should be having the same conversations with parents prior to 
administration of the vaccine. It is a requirement of informed consent that 
there is full disclosure of risks of treatment vs risks of disease.
Sandra

  - Original Message - 
  From: 
  CJ Knight 
  
  To: ozmidwifery 
  Sent: Monday, March 10, 2003 10:40 
  PM
  Subject: Re:[ozmidwifery]Hep B Birth 
  dose
  
  Hi Sandra
  Got to say how much I admire your approach to 
  this vaccination. Like you I have problems sticking a baby with a needle 
  before they have had a chance to adapt to extrauterine life.We give out a 
  consent form but when I give it to women booking in I make it clear that this 
  is their decision and that it is important that they research it further. We 
  have a handout which was adapted from an article written by a WA home birth 
  midwife which we can provide to parents who want further information. The 
  only time I could see it may have to be given at birth is where a child is 
  being placed in day care at an early age or the parents are going to a country 
  where Hep B is endemic.
   
  I have been vaccinated and initially 
  seroconverted. Another antibody level done following a needlestick injury 
  about 7-8 years after the initial immunisation showed low antibody levels and 
  I was advised I would not seroconvert if I received another booster. However 
  when I had levels done following a recent needlestick injury( Drs and their 
  sharps-don't you love them) it showed high levels of antibody again. I can 
  only assume I had been exposed at some stage and my immune system kicked in as 
  a result of the original immunisation.
  Regards
  Jane

Re: [ozmidwifery] Hep B Vaccine at Birth

[Sandra J. Eales]

Tina
Making us feel like "bad parents" if we refuse this 
vaccination is the blatant and stated strategy to ensure conformity.  It is 
written up the the summary of recommendations from the meeting of "chiefs" from 
the Antwerp conference that I included in my first posting.
Most women in Australia (and the US where they have 
had this in place for many more years than us) with Early Discharge Programs or 
the HB being given on discharge, probably go home and have to cope with stressed 
babe with no support.  We do not keep rates of "new mothers who fall in a 
heap" when they go home.  We don't know how when or why they stop 
breastfeeding.  Adverse reactions are hugely underreported because they go 
to their GP and are sloughed off with the same sort of tender care and 
understanding that your sister experienced.
We need to start a revolution!
Sandra

  - Original Message - 
  From: 
  Marty & Tina 
  To: [EMAIL PROTECTED] 
  Sent: Monday, March 10, 2003 9:59 
PM
  Subject: Re: [ozmidwifery] Hep B Vaccine 
  at Birth
  
  Dear Sandra,
   
  My sister had her baby at a large public 
  hospital in QLD just 4 months ago.  I discussed many things with her 
  prior to birth & Hep B vaccine was one of them.  As a result she 
  chose not to have her baby vaccinated at birth.  She was made to feel 
  like a "bad" mother at every turn & this coupled with poor breastfeeding 
  management, poor communication & compassion by staff, & traumatic 
  birth experience she ended up with postnatal depression. (sorry off the topic 
  there for a minute).  Anyway, when she went for her 6 week check-up with 
  her GP she asked when the best time to start Hep B immunisation would be (from 
  now on).  Her GP rudely told her that it was too late because she hadn't 
  had it at birth... this distressed her even more in her depressed state.  
  Just another way of belittling her as a mother.
   
  Also, on the point of some of the effects such as 
  irritability & going of food etc. I wonder how some parents cope when 
  going home after having this injection... I say this with regards to one 
  hospital that I can think of that gives the Hep B at same time as NNST which 
  is usually day of discharge.    
   
  Hope I'm making sence with my tired pregnant 
  brain (BABY NO. 4 DUE TOMORROW - BUT HAPPY TO GO OVER A WEEK OR 
  THREE).
   
  Tina H.

Re: [ozmidwifery] Hep B Vaccine at Birth

[Mary Murphy]

Marilyn wrote: "Sandra you are so 
brave." A long time agoe some ancient philosopher wrote something like 
this:  "In order for evil to flourish, good men do nothing"  I think 
that covers Sandra's stand.  MM

  
- Original Message - 
From: 
Sandra J. 
Eales 
To: [EMAIL PROTECTED] 

Sent: Sunday, March 09, 2003 6:30 
PM
Subject: [ozmidwifery] Hep B Vaccine at 
Birth

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 a

[ozmidwifery] RALLY -Neonatal intensive care closure

[Larry & Megan]

Hi all,
you may be aware that the Flinders Medical Centre's (FMC) neonatal intensive
care centre is to be closed and all bubs are to be cared for at Woman's and
Childrens Hospital.

Women who are concerened about the impact of this have organised a rally for
Wed 12th March (tomorrow)in the front foyer of the FMC, Flinders Drive, at
10 am for a 10.30 start. As many people as possible present will be good to
let them know how important this is to Adelaide's families. The media and
MP's have been invited.

There are two petitions going around, one is to be presented to the House of
Assembly in the near future, tomorrow is a good opurtunity to get your name
down.

Apart from the obvious, there are many good reasons not to support this
closure, separation of mother and baby, long distance to travel for those in
the South, no helicopter pad at W&CH ( longer transfer time), Obstetricians
will have their rooms cetrally located in the city (more travel for South),
the list goes on.

Hoping to see you there,

Megan Resch.
Can you please pass this info on to those who may be interested.

--
This mailing list is sponsored by ACE Graphics.
Visit  to subscribe or unsubscribe.

Re:[ozmidwifery]Hep B Birth dose

[CJ Knight]

Hi Sandra
Got to say how much I admire your approach to this 
vaccination. Like you I have problems sticking a baby with a needle before they 
have had a chance to adapt to extrauterine life.We give out a consent form but 
when I give it to women booking in I make it clear that this is their decision 
and that it is important that they research it further. We have a handout which 
was adapted from an article written by a WA home birth midwife which we can 
provide to parents who want further information. The only time I could see 
it may have to be given at birth is where a child is being placed in day care at 
an early age or the parents are going to a country where Hep B is 
endemic.
 
I have been vaccinated and initially seroconverted. 
Another antibody level done following a needlestick injury about 7-8 years after 
the initial immunisation showed low antibody levels and I was advised I would 
not seroconvert if I received another booster. However when I had levels done 
following a recent needlestick injury( Drs and their sharps-don't you love them) 
it showed high levels of antibody again. I can only assume I had been exposed at 
some stage and my immune system kicked in as a result of the original 
immunisation.
Regards
Jane

Re: [ozmidwifery] Hep B Vaccine at Birth

[Marty & Tina]

Dear Sandra,
 
My sister had her baby at a large public 
hospital in QLD just 4 months ago.  I discussed many things with her prior 
to birth & Hep B vaccine was one of them.  As a result she chose not to 
have her baby vaccinated at birth.  She was made to feel like a "bad" 
mother at every turn & this coupled with poor breastfeeding management, poor 
communication & compassion by staff, & traumatic birth experience she 
ended up with postnatal depression. (sorry off the topic there for a 
minute).  Anyway, when she went for her 6 week check-up with her GP she 
asked when the best time to start Hep B immunisation would be (from now 
on).  Her GP rudely told her that it was too late because she hadn't had it 
at birth... this distressed her even more in her depressed state.  Just 
another way of belittling her as a mother.
 
Also, on the point of some of the effects such as 
irritability & going of food etc. I wonder how some parents cope when 
going home after having this injection... I say this with regards to one 
hospital that I can think of that gives the Hep B at same time as NNST which is 
usually day of discharge.    
 
Hope I'm making sence with my tired pregnant brain 
(BABY NO. 4 DUE TOMORROW - BUT HAPPY TO GO OVER A WEEK OR THREE).
 
Tina H.

Re: [ozmidwifery] Always Greener

[Rhonda]

   
  All i can say is what is what i said after my horrible hospital birth 
  -
   
  "I was nicer to the cows when turning and pulling out a calf in the 
  middle of a paddock at 9pm than the ob. was to me all day in 
  hospital.  I was kinder, more polite and more caring." 
   
  That says it all - I think I would rather a farmer than an 
  Obstetrician.
   
  Rhonda.
   
   
  ---Original Message---
   
  
  From: [EMAIL PROTECTED]
  Date: Monday, March 10, 
  2003 10:35:09
  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.
   





	
	
	
	
	
	
	




  IncrediMail - Email has finally evolved - 
Click 
Here

Re: [ozmidwifery] Hep B Vaccine at Birth

[Lois Wattis]

Congratulations, Sandra  on a 
comprehensive and GUTSY account of the Hep.B at birth 
situation.  This information needs to be disseminated all over 
Australia.  I work with Mary M. and have a similar approach to the Hep.B 
question when asked by clients etc.  Keep up the great efforts towards 
enlightenment.  I look forward to your published work!   Kind 
regards, Lois
  

  - Original Message - 
  From: 
  Sandra J. 
  Eales 
  To: [EMAIL PROTECTED] 
  
  Sent: Monday, March 10, 2003 10:30 
  AM
  Subject: [ozmidwifery] Hep B Vaccine at 
  Birth
  
  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 i

Re: [ozmidwifery] Bicornate uterus

[Lois Wattis]

Andrea - Is she a primip?
My only confirmed experience of a woman with bicornate uterus was as
follows:
Woman had two normal vaginal births with no problems at all.
Third baby confirmed by U/S to be breech.  Delivered by compulsory/elective
C.S.
During the C.S. the OB discovered she had a bicornate uterus.
Fourth baby - Same Ob. states it MUST be a repeat C.S.  No negotiation.
Woman booked in at 38/40 against her wishes, complaining loudly to admitting
midwife (me) that she does NOT want a CS - wants a vaginal birth.  I
dutifully inform her of her rights.  She stays in hospital, with her older
children all complaining that Mum does not want a C.S.
I arrived at work next morning to triumphant news about the C.S. woman
delivering overnight - having laboured quietly and secretly in her room -
Ob. called in the night and advised of labour - insisted on EMERGENCY C.S. -
O.T. staff all called in for emergency woman protesting all the way to
theatre - and triumphantly pushed out her baby on the operating table in
front of astonished O.T. staff... (they don't see many normal births).  Ob
(red faced and angry as hell) forgets in the confusion to give to synto - so
a physiological third stage to boot.  No problems or complications and the
smile could not be wiped off that woman's face for weeks.

This story sticks in my mind as one of the most empowering hospital births I
remember.

Not too sure about the double cervix issue - haven't seen that myself.  Food
for thought  Cheers, Lois

- Original Message -
From: "Andrea Robertson" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Sunday, March 09, 2003 3:31 AM
Subject: [ozmidwifery] Bicornate uterus


Hello wise women,

I have met a midwife here in Ireland (where I am now presenting workshops)
who would dearly love a home birth. She says she has a bicornate uterus and
a double cervix. She feels this puts her at high risk, although her
obstetrician seems to think she could labour OK and get by without a
caesarean (is he stringing her along, I wonder?). Have any of you had any
expereince with this kind of labour and how would you feel about a home
birth? She lives close to the hospital and I did suggest that she could
always see how labour progresses and if there is a problem transfer
quickly.  She has yet to engage a midwife, although there is one here who
will do twins at home and has many years of experience, who may be able to
help.  It seems that after today's workshop she is feeling inspired and
would like to reconsider a home birth (having reluctantly given up on the
idea). Any thoughts would be very gratefully received - I will email them
on to her

Andrea


-
Andrea Robertson
Birth International * ACE Graphics * Associates in Childbirth Education

e-mail: [EMAIL PROTECTED]
web: www.birthinternational.com


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

[Marty & Tina]

Just a small amount of experience on my part.. but 
thought it might be worth mentioning.  As a Midwifery student in 97 -98 I 
can't remember having to have Hep B immunisation (but was already immunised 
anyway).  The hospital I trained at was a tertiary referral hospital 
in North QLD where there were largish populations of people in high risk 
categories for Hep B, Hep A, Hep C & HIV.  A fellow student was working 
in the birth suite one shift & after ? giving injection, taking cord blood 
(something along those lines) the young woman from high risk background/area 
kicked her & she received a needle stick injury.  I can't tell you how 
scary that was for her & eye opening for the rest of us.  At least 
being immunised for Hep B & Hep A gave her some peace of mind (even if only 
a fraction).  The Hospital also offered us free immunisation for Hep A, but 
at the time I was breastfeeding an 8 month old & the safety of such could 
not be guaranteed.  I still haven't had that one.
 
Don't know if this helps at all just makes 
you remember how unpredictable some situations can be.
 
Tina H.

Re: [ozmidwifery] Bicornate uterus

[Lynne Staff]

Hi Andrea - I have accompanied quite a few women over the years who have a
bicornuate uterus (with or without two cervices). My experience is that they
have laboured and given birth as any other woman would, although we were
cautioned (as students) that 'inco-ordinate uterine action' might be a
problem, due to the fact that contractions originate in the uterine cornuae.
Also the presence or absence of a uterine septum may have an influence on
the presentation of the baby.

Two of the most beautiful homebirths I have attended were with a woman with
a bicornutae uterus and a uterine septum. She had a family history of prem
births (mother and sister - both with bircornuae). Her first babe was
cephalic (she was amazing in labour - when the contractions were very strong
she said over and over "Goodness me! My goodness me!", and had her son. Her
second babe decided  he wanted to present by the breech from 34 weeks. He
stayed that way, and although Maria agreed to go to hospital for the birth,
when she went to go to the hospital, her labour stopped. She took this as a
sign and we had THE most perfect breech birth at home (term). No touching of
the babe - just support of his body (hand under his little bum only) until
his arms were born. Maria was on hands and knees until his head was ready to
be born - then she eased up into a squat, and his head was born - magic. I
can only speak from personal expereince - I am sure there are midwives out
there with much more experience than me, but hope this helps!

Warm regards, Lynne
- Original Message -
From: "Andrea Robertson" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Sunday, March 09, 2003 5:31 AM
Subject: [ozmidwifery] Bicornate uterus


> Hello wise women,
>
> I have met a midwife here in Ireland (where I am now presenting workshops)
> who would dearly love a home birth. She says she has a bicornate uterus
and
> a double cervix. She feels this puts her at high risk, although her
> obstetrician seems to think she could labour OK and get by without a
> caesarean (is he stringing her along, I wonder?). Have any of you had any
> expereince with this kind of labour and how would you feel about a home
> birth? She lives close to the hospital and I did suggest that she could
> always see how labour progresses and if there is a problem transfer
> quickly.  She has yet to engage a midwife, although there is one here who
> will do twins at home and has many years of experience, who may be able to
> help.  It seems that after today's workshop she is feeling inspired and
> would like to reconsider a home birth (having reluctantly given up on the
> idea). Any thoughts would be very gratefully received - I will email them
> on to her
>
> Andrea
>
>
> -
> Andrea Robertson
> Birth International * ACE Graphics * Associates in Childbirth Education
>
> e-mail: [EMAIL PROTECTED]
> web: www.birthinternational.com
>
>
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> This mailing list is sponsored by ACE Graphics.
> Visit  to subscribe or unsubscribe.

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Re: [ozmidwifery] Breastfeeding failure and PND

[Denise Hynd]

Dear Hettie
Your expereinces are universal in 
medicalised birth faclities and the rationale behind the BABY fRIENDLY HOSPITAL 
INITIATIVE
So go to their web sites and all 
related research denise

  - Original Message - 
  From: 
  MHS 
  Grové 
  To: [EMAIL PROTECTED] ; [EMAIL PROTECTED] ; [EMAIL PROTECTED] 
  ; [EMAIL PROTECTED] ; [EMAIL PROTECTED] ; [EMAIL PROTECTED] 
  ; [EMAIL PROTECTED] ; [EMAIL PROTECTED] 
  
  Sent: Monday, March 10, 2003 1:07 
AM
  Subject: [ozmidwifery] Breastfeeding 
  failure and PND
  
  
  Hallo all
  Sorry for cross post.
  I am currently doing my masters in midwifery.My special interest is the 
  postpartum period after the discharge from hospital and breastfeeding.I see a 
  lot of new mothers also run a postnatal support group as well as breastfeeding 
  support group.My findings is than a lot of mothers already stopped 
  breastfeeding in the first few weeks and feel depressed about the fact that 
  they were not able to breastfed due to too little info ,support and 
  perserverance Does any of you wise ladies have any websites ,info and 
  experience on this or are your country different with all women 
  breastfeeding
  Thank you
  Hettie GroveRN.RM.RCN.RNA.RNT.ICCE. South 
  Africa027-83-2260709Fax 27-11-7403507[EMAIL PROTECTED]

[ozmidwifery] Bicornate uterus

[Andrea Robertson]

Hello wise women,

I have met a midwife here in Ireland (where I am now presenting workshops) 
who would dearly love a home birth. She says she has a bicornate uterus and 
a double cervix. She feels this puts her at high risk, although her 
obstetrician seems to think she could labour OK and get by without a 
caesarean (is he stringing her along, I wonder?). Have any of you had any 
expereince with this kind of labour and how would you feel about a home 
birth? She lives close to the hospital and I did suggest that she could 
always see how labour progresses and if there is a problem transfer 
quickly.  She has yet to engage a midwife, although there is one here who 
will do twins at home and has many years of experience, who may be able to 
help.  It seems that after today's workshop she is feeling inspired and 
would like to reconsider a home birth (having reluctantly given up on the 
idea). Any thoughts would be very gratefully received - I will email them 
on to her

Andrea

-
Andrea Robertson
Birth International * ACE Graphics * Associates in Childbirth Education
e-mail: [EMAIL PROTECTED]
web: www.birthinternational.com
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Re: [ozmidwifery] Immunisation before university/employment - Hep.B

[Marilyn Kleidon]

Victoria:
 
I was immunised when I worked as an educator 
of developmentally disabled adults: we were really coerced into it, not  
from any fear of us giving to our clients but of them giving it to us as 
apparently many developmentally disabled adults (at least in the USA) are 
sexually abused and hence many do have Hep B or are carriers. I could have 
chosen to accept the risk: there was an informed consent form and it wouldn't 
have affected my employment but would have affected my workers comp. if I became 
infected on the job.  At the time I really didn't think too much about it, 
which is I think how most people are with vaccinations: we just do as we're 
told. As a midwife I am much more aware now. Although I am not anti-vaccination 
perse, like Sandra I am aghast at the the big brother tactics employed in 
the mass immunisation campaigns and the frequent lack of informed consent about 
the issue. 
 
Re seroconversion of hep B: I converted (confirmed 
by a titre) and then a couple of years later had my titre checked and had 
to get a booster, now I am still converted, but was told by the health nurse 
where I had this checked that most people who have been immunised actually have 
enough of a memory in their immune system that should they encounter the virus 
their system will manufacture sufficient antibodies. Now, I have NOT researched 
this but am taking her word for it. If I work more than 2 shifts/week i am 
advised to get Hep A too.  i have never had a bad reaction to a vaccine or 
an allergic reaction to anything so i am not too averse to it but kind of just 
don't want to.
 
marilyn

  - Original Message - 
  From: 
  Sandra J. 
  Eales 
  To: [EMAIL PROTECTED] 
  
  Sent: Sunday, March 09, 2003 6:59 
PM
  Subject: Re: [ozmidwifery] Immunisation 
  before university/employment - Hep.B
  
  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
 
 

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Re: [ozmidwifery] Birth centre

[jireland]

they all read this list. Just be yourself jan
- Original Message - 
From: Ken Ward <[EMAIL PROTECTED]>
To: ozmidwifery <[EMAIL PROTECTED]>
Sent: Monday, March 10, 2003 5:50 PM
Subject: [ozmidwifery] Birth centre


> 
> 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

[jireland]

ditto Mary jan

  - Original Message - 
  From: 
  Mary 
  Murphy 
  To: [EMAIL PROTECTED] 
  Sent: Monday, March 10, 2003 3:29 
PM
  Subject: Re: [ozmidwifery] Hep B Vaccine 
  at Birth
  
  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] Hep B Vaccine at Birth

[Marilyn Kleidon]

Sandra you ar so brave.
 
marilyn

  - Original Message - 
  From: 
  Sandra J. 
  Eales 
  To: [EMAIL PROTECTED] 
  
  Sent: Sunday, March 09, 2003 6:30 
PM
  Subject: [ozmidwifery] Hep B Vaccine at 
  Birth
  
  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 

Re: [ozmidwifery] Oxytocin & Trust

[Denise Hynd]

 
Sydney is finally getting some overcast and 
drizzling rain
Denise

  - Original Message - 
  From: 
  Mary 
  Murphy 
  To: [EMAIL PROTECTED] 
  
  Sent: Sunday, March 09, 2003 5:17 
PM
  Subject: Re: [ozmidwifery] Oxytocin & 
  Trust
  
  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] Fw: References

[Denise Hynd]

Dear aLL
HERE ARE PUBLISHED RESULTS OF THE TERMINATED Liverpool Hospital's Primary
Midwfery Porgram
(Team)
> This article is about the Mason Questionnaire:
> Johnson M, Langdon R, Yong L, Stewart H, Kelly P. 2002. Comprehensive
> measurement of maternal satisfaction: the modified Mason Survey.
> International Journal of Nursing Practice, 8(3): 127-136.
> This article is about women's satisfaction:
> Johnson M, Stewart H, Langdon R, Kelly P, Yong L. 2003. Women-centred care
> and caseload models of midwifery. Collegian, 10(1): 30-34.
> This article is about safety issues (not yet published):
> Johnson M, Stewart H, Langdon R, Kelly P, Yong L. A comparison of the
> outcomes of partnership caseload midwifery and standard hospital care in
low
> risk mothers. Sent for review.
>Denise Hynd


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[ozmidwifery] Breastfeeding failure and PND

[MHS Grové]

Hallo all
Sorry for cross post.
I am currently doing my masters in midwifery.My special interest is the 
postpartum period after the discharge from hospital and breastfeeding.I see a 
lot of new mothers also run a postnatal support group as well as breastfeeding 
support group.My findings is than a lot of mothers already stopped breastfeeding 
in the first few weeks and feel depressed about the fact that they were not able 
to breastfed due to too little info ,support and perserverance Does any of you 
wise ladies have any websites ,info and experience on this or are your country 
different with all women breastfeeding
Thank you
Hettie GroveRN.RM.RCN.RNA.RNT.ICCE. South 
Africa027-83-2260709Fax 27-11-7403507[EMAIL PROTECTED]

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

[Janet Glaser]

Dear Victoria

Are you a B mid student in NSW?

Last year NSW Health released a new
circular in October last year regarding the occupational health screening for
health professionals – if you would like to look on their web site it can
be found in the circulars and bulletins section.  Essentially if you are employed in NSW Health
or are a student undertaking a course of study which requires a clinical placement
in a NSW Health facility then you are responsible for being aware of your immunisation
status.  The guidelines recommends to
have Hep B, a student could be denied clinical placement if they cannot supply
the health facility with a documented screening history. An employer could
restrict which clinical area you would be allowed to work in if you do not have
the recommended immunisation.  The circular
also has information about those who have adverse reaction to immunisations.

The way I interpreted the circular was
that if you are employed in NSW Health your employer is responsible for keeping
records of all employees’ immuno status and covering the cost of having
such vaccines and being able to have titres etc done to have a documented
screening history.

 

This information only partly answers you
questions about Hep B vaccine being mandatory and refusal of such

 

Hope this helps you

 

Regards

Janet

-Original Message-
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On
Behalf Of Victoria Couldwell
Sent: Monday, 10 March 2003 11:20 AM
To: [EMAIL PROTECTED]
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





 





 














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[ozmidwifery] Clicky hip doll

[Janet Glaser]

Can anyone give me any advice
on where to purchase a clicky hip doll for teaching purposes?
 I have one which is just legs bit has
been so well used its hip bones are visible!!

Any idea of costs too?

Thanks 

Janet

Re: [ozmidwifery] Oxytocin & Trust

[Sandra J. Eales]

In 1998 I heard a Swedish Pathologist 
/pharmacologist talk about the"mulitifaceted role of oxytocin during 
lactation".  Her name is Professor Kerstin Uvnas-Moberg from the Karolinska 
Institute. Her work was facinating.  She had been researching the stuff for 
many years - I think she was brought over to australia for the (?)ALCA  
conference in Sydney or Melbourne then she flew up here to Cairns for a one day 
workshop.  
I just did a quick google search (oxytocin kerstin 
uvnas-moberg) and got 38 sites which I'm sure will be worth a visit if you have 
time
 
Sandra
 
 
- Original Message - 

  From: 
  Lynne 
  Staff 
  To: [EMAIL PROTECTED] 
  Sent: Sunday, March 09, 2003 8:04 
AM
  Subject: Re: [ozmidwifery] Oxytocin & 
  Trust
  
  Hi Denise - I got back into it this morning and 
  have cut and pasted the intros and addresses for the articles I found. I went 
  into Radio National and down to the "Keyword" box and typed in oxytocin and 
  this came up.
   
  Hope this helps (I am fascinated by this 
  stuff)
   
  Warm regards,Lynne  
   
   
  All In The Mind - 21/7/2002: The Myths of Monogamy 
  The Buzz Earthbeat Health Report In Conversation 
  Ockhams Razor Science Show The Lab Health Matters Catalyst Quantum Science 
  News The Myths of Monogamy Sunday 21 July2002 repeated ... totally favourite 
  brain chemical that I would synthesise and make into perfume if I could, which 
  is oxytocin. And oxytocin is really like Love Potion No. 9. It’s 
  a brain chemical that’s released in females ... released in both sexes during 
  orgasm, during touch, and in females during communication. If you give 
  oxytocin to male guinea pigs, for example, instead of fighting with 
  each other they sit around and ...http://www.abc.net.au/rn/science/mind/s611249.htm - 40k - Cached - Last Modified: 21 jul 
  2002 
   
  Health Report - 6/09/99: Biology of LoveRadio National with Rae Fry Biology of Love Monday 6 September1999 
  Summary: The effect of love on the chemical state of our brains. Being in love 
  is an all-consuming kind of exper ... sciences have begun to think that that 
  feeling of attachment is associated with vasopressin and oxytocin which 
  are different chemicals in the brain. So we basically have sort of different 
  brain systems ... http://www.abc.net.au/rn/talks/8.30/helthrpt/stories/s49793.htm - 12k - 
  Cached - Last Modified: 6 sep 
  1999 
   
  Life Matters - 3/19/2002: Life Matters News Australia Talks Back Background Briefing Big Ideas Breakfast The 
  Business Report The Europeans Late Night Live The Law Report Life Matters The 
  Media Report National Interest Persp ... Dr Laura Cousino Klein points out 
  that the key to the contrasting female response is the hormone oxytocin 
  – usually released during childbirth and breast-feeding. It helps the uterus 
  contract during labour ... When a woman is stressed, she gets a quick surge of 
  the stress hormones – one of the last being oxytocin. The female 
  hormone estrogen seems to give oxytocin a boost, setting in motion the 
  ...http://www.abc.net.au/rn/talks/lm/stories/s507278.htm - 22k - Cached - Last Modified: No 
  Date 
  
- Original Message - 
From: 
Denise Hynd 
To: [EMAIL PROTECTED] 

Sent: Sunday, March 09, 2003 2:38 
PM
Subject: Re: [ozmidwifery] Oxytocin 
& Trust

So did I and could not find anything so I sent 
an enquiry but no reply as yet 
So well done and did you do a save on the web 
address for the article??Denise

  - Original Message - 
  From: 
  Lynne 
  Staff 
  To: [EMAIL PROTECTED] 
  
  Sent: Friday, March 07, 2003 4:52 
  PM
  Subject: Re: [ozmidwifery] Oxytocin 
  & Trust
  
  I went to the Radio National link and 
  wandered around in there for a bit
  
- Original Message - 
From: 
Mary 
Murphy 
To: [EMAIL PROTECTED] 

Sent: Saturday, March 08, 2003 
10:30 AM
Subject: Re: [ozmidwifery] Oxytocin 
& Trust

Hi Lynn,  On which link did you find those articles?  
MM

  - Original Message - 
  From: 
  Lynne Staff 
  To: [EMAIL PROTECTED] 
  
  Sent: Saturday, March 08, 2003 
  7:30 AM
  Subject: Re: [ozmidwifery] 
  Oxytocin & Trust
  
  I had a look yesterday and the articles I 
  found were on oxytocin and love, also sexual "fidelity" for want of a 
  better word - I guess trust comes into this one!
  
- Original Message - 
From: 
Sandra 
J. Eales 
To: [EMAIL PROTECTED] 

Sent: Thursday, March 06, 2003 
10:33 AM
Subject: Re: [ozmidwifery] 
Oxytocin & Trust

Denise 

Re: [ozmidwifery] Birth centre

[Clare Lane]

Dear Maureen, I work in the birth centre at the Angliss and find it a great
place to work. The 9 midwives that currently work there are a great bunch
and we are a close knit group.We are very much women centered and worked
hard initially in the setting up of the birth centre and used evidence
effectively which see us doing vbacs, our exclusion policy is minimal,
gestational diabetes does not result in transfer out. We do a fair number of
waterbirths and physiological third stages. We currently book 30 women a
month, more often than not a 50;50 split of primips and multis.  We order
our own tests and ultrasounds if women request them. We are working on
getting our own prescribing rights. We run our own clinics ,have our own
bedcard.,run our own classes and enjoy good relations with the 4 GP's who
back us.Our stats are excellent and the powers that be would like to see us
expand the program if we can show need. Hope this is helpful. Good luck with
the interview. Regards clare lane
- Original Message -
From: "Ken Ward" <[EMAIL PROTECTED]>
To: "ozmidwifery" <[EMAIL PROTECTED]>
Sent: Monday, March 10, 2003 5:50 PM
Subject: [ozmidwifery] Birth centre


>
> 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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