RE: [ozmidwifery] Canberra Midwives
Aren't the Canberra Midwives the bestest ! they have helped with the birthing of two of my grandbabies, Judy Giesaitis -Original Message-From: Mary Murphy [mailto:[EMAIL PROTECTED]Sent: Saturday, 31 May 2003 12:13 PMTo: listSubject: [ozmidwifery] Canberra Midwives If there are any midwives on the list who cared for Katherine during the birth of my Grandson Rohan this morning at 6am (EST) Thank you.You took my place. My son David telephoned me just after the birth and it was great to be included in that very important time for them all.MM
[ozmidwifery] Homebirth experiences with Mec. liquor
Dear List As a midwife with only hospital based past experiences, I would be interested to hear from the homebirth midwives on the list whether they recommend anything differently when attending a woman at homebirth with mec. liquor. i.e. any oropharyngeal suction on the peri?and the subsequent outcomes(I think I know the answers I am going to get!) It seems that in a hospital situation everything is so rigid and I for one amnot preparedto deviate from the policiesset by the paediatricians/obs. onsuch issues, (especially asI only workon a casual basis) but my feeling from the discussions on this list of late is that peri suctioningisanunnecessarytrauma inflicted on a lot of babies with no benefit. I have to admit that I haven't researched this topic on line butwould value your previous experiences on the subject. Thanks Helen Cahill
[ozmidwifery] Headline - Mothers at risk: crisis warning on homebirths
Greetings, Alphia wants you to know about a story on www.smh.com.au Personal Message: Jan Robinson and Justine Caines in print! Mothers at risk: crisis warning on homebirths By Natasha Wallace May 31 2003 URL: http://www.smh.com.au/articles/2003/05/30/1054177728394.html -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Headline - Mothers at risk: crisis warning on homebirths
Excellent!...although the writer does make homebirth sound dangerous rather than safe. I hope some on this list will write letters to the editor regarding this article. Another side issue of course is the fact that VBAC women are being put at risk because they are being excluded from some birthcentres and treated horribly in hospitals... Hence a growing number of these women want homebirths to give themselves the best opportunity to birth normally and naturally in a positive environment and some are doing so unassisted because of the problems mentioned in the article. There are also quite a few giving up and going into hospitals which is, IMHO, in some cases, even more dangerous. I know that if I have another it will have to be a homebirth because the hospital system does not generally support VBA2C women even though publications such as Effective Care in Pregnancy and Childbirth state there are no contraindications to VBA2C if the pregnancy is normal and the mother is healthy. Good on you Justine and Jan. Cheers, Cas. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Headline - Mothers at risk: crisis warning onhomebirths
Well done, Jan and Justine, and thanks Alphia for the posting. marilyn - Original Message - From: Alphia [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Sunday, June 01, 2003 7:47 PM Subject: [ozmidwifery] Headline - Mothers at risk: crisis warning on homebirths Greetings, Alphia wants you to know about a story on www.smh.com.au Personal Message: Jan Robinson and Justine Caines in print! Mothers at risk: crisis warning on homebirths By Natasha Wallace May 31 2003 URL: http://www.smh.com.au/articles/2003/05/30/1054177728394.html -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Homebirth experiences with Mec liquor
I'm not a homebirth midwife but this is a subject I'm keenly interested in after seeing many mabies subjected to incredibly invasive suction and 'resuscitation', even when kicking and screaming. The australian neonatalresuscitation guidelines, which were adopted from the WHO infant resuss guidelines and are in common use all over the world, suggest orophanyngeal suctioning on the peri in the presence of mec liquor (not going right down to the stomach or as far down the bronchial tree as can be managed which has been an ongoing problem where I work) and direct inspection of the chords and suction only in the case of thick meconium or an unresponsive infant with any meconium. It has taken a lot of reiteration and bringing this to the attention of our paediatric staff who often seem to think of a mec delivery as the chance to improve their intubation skills. When we are able to enforce this and only suction mouth and nose most babies seem to be born very vigorous and in need of little other intervention. As an aside to another thread, I was also taught that babies entering secondary apnoea gave a gasp whether they were born or still inutero and haveseen numerous babies who most definitely did not breathe after birth before being suctioned, who developed MAS. I don't know how this works with the closed glottis. Maybe the extreme insult causing the secondary apnoea overcomes it? I've also washed and dressed stillborn babies who have drained copious amounts of thick mec from mouth and nose, clearly more than the volume that can be held in a baby's upper resp. tract. More than could be accounted for by the alteredmuscle resistance after fetal death. mariette - Original Message - From: Graham Helen To: [EMAIL PROTECTED] Sent: Monday, June 02, 2003 10:44 AM Subject: [ozmidwifery] Homebirth experiences with Mec. liquor Dear List As a midwife with only hospital based past experiences, I would be interested to hear from the homebirth midwives on the list whether they recommend anything differently when attending a woman at homebirth with mec. liquor. i.e. any oropharyngeal suction on the peri?and the subsequent outcomes(I think I know the answers I am going to get!) It seems that in a hospital situation everything is so rigid and I for one amnot preparedto deviate from the policiesset by the paediatricians/obs. onsuch issues, (especially asI only workon a casual basis) but my feeling from the discussions on this list of late is that peri suctioningisanunnecessarytrauma inflicted on a lot of babies with no benefit. I have to admit that I haven't researched this topic on line butwould value your previous experiences on the subject. Thanks Helen Cahill
Re: [ozmidwifery] Homebirth experiences with Mec liquor
Ok, I'll dabble. When I was practising as a homebirth midwife in the state of Washington, USA, if there was mec liqour then we did suction mouth and nose on the perineum usually with a De Lee trap. Baby wasn't stimulated to cry until we were satisfied with suctioning. All such babies i attended were vigorous at birth (no stim necessary)and so no further action was needed. Indeed it was hospital practice in the hospital where we had privileges that vigorous babies did not receive deep, vigorous suction. Because of this, if we had thick mec in 1st stage it was our policy to transfer to the hospital in case the baby was not vigorous. We were a conservative practice and this was disclosed to women on first interview. Those that were born through mec had membranes rupture just prior to birth. It was deemed thatvigorous suctioningcould lead to a vasovagal response in the babe leading to a cascade of interventions such as intubation which apart from this response were not necessary. This was a change to Neonatal Resuscation Guidelines in Washington (and maybe nationally, not sure there) in 2001, there was a study which indicated that the rate of MAS was 6% in babies born through thick meconium regardless of whether they were intubated or not. It seemed to confirm the idea that mec in the lungs was a result ofa secondary apneic gasp inutero. Sorry, but I can't provide the reference. Shall look though, and get back if I find it. marilyn - Original Message - From: mmhh To: [EMAIL PROTECTED] Sent: Sunday, June 01, 2003 9:14 PM Subject: Re: [ozmidwifery] Homebirth experiences with Mec liquor I'm not a homebirth midwife but this is a subject I'm keenly interested in after seeing many mabies subjected to incredibly invasive suction and 'resuscitation', even when kicking and screaming. The australian neonatalresuscitation guidelines, which were adopted from the WHO infant resuss guidelines and are in common use all over the world, suggest orophanyngeal suctioning on the peri in the presence of mec liquor (not going right down to the stomach or as far down the bronchial tree as can be managed which has been an ongoing problem where I work) and direct inspection of the chords and suction only in the case of thick meconium or an unresponsive infant with any meconium. It has taken a lot of reiteration and bringing this to the attention of our paediatric staff who often seem to think of a mec delivery as the chance to improve their intubation skills. When we are able to enforce this and only suction mouth and nose most babies seem to be born very vigorous and in need of little other intervention. As an aside to another thread, I was also taught that babies entering secondary apnoea gave a gasp whether they were born or still inutero and haveseen numerous babies who most definitely did not breathe after birth before being suctioned, who developed MAS. I don't know how this works with the closed glottis. Maybe the extreme insult causing the secondary apnoea overcomes it? I've also washed and dressed stillborn babies who have drained copious amounts of thick mec from mouth and nose, clearly more than the volume that can be held in a baby's upper resp. tract. More than could be accounted for by the alteredmuscle resistance after fetal death. mariette - Original Message - From: Graham Helen To: [EMAIL PROTECTED] Sent: Monday, June 02, 2003 10:44 AM Subject: [ozmidwifery] Homebirth experiences with Mec. liquor Dear List As a midwife with only hospital based past experiences, I would be interested to hear from the homebirth midwives on the list whether they recommend anything differently when attending a woman at homebirth with mec. liquor. i.e. any oropharyngeal suction on the peri?and the subsequent outcomes(I think I know the answers I am going to get!) It seems that in a hospital situation everything is so rigid and I for one amnot preparedto deviate from the policiesset by the paediatricians/obs. onsuch issues, (especially asI only workon a casual basis) but my feeling from the discussions on this list of late is that peri suctioningisanunnecessarytrauma inflicted on a lot of babies with no benefit. I have to admit that I haven't researched this topic on line butwould value your previous experiences on the subject. Thanks Helen Cahill
Re: [ozmidwifery] Homebirth experiences with Mec liquor
Hi, I had my darling at home 5 years ago. I *freaked* when my waters broke (panic induced by the policies at the birth centre where I had my first 2 sons) and they were dark green with meconium. I asked my midwife what we should do now. She calmly replied *birth your baby* Which I did. No suctioning, perfect. Love, Barb
Re: [ozmidwifery] Midwifery/birthing services Gold Coast
Can't help but do give her a big hug from me and tell her to stay possitive, I wish her much luck. Rhonda. ---Original Message--- From: [EMAIL PROTECTED] Date: Monday, June 02, 2003 21:52:35 To: [EMAIL PROTECTED] Subject: [ozmidwifery] Midwifery/birthing services Gold Coast Can anyone on the list provide me with information about birthing services/choices in the Gold Coast Area for a woman who has had 3 previous C/S and wanting a VBAC. Carolyn IncrediMail - Email has finally evolved - Click Here
