Re: [ozmidwifery] rhesus neg mother

[Kristin Beckedahl]

Thanks for your responses re this matter.  I ended up investigating this myself, and spoke to the doctor directly. He politely and willingly stated his reasons for not administering the Anti-D, as per the Royal College of Obs & Gyn guidelines as of 2002/03 ..(see below - 5.3)
I also went on to research these guidelines (copied below).  The lack of administration of Anti-D was due to the fact that it was a 'compete spontaneous abortion that required no instrumentation, and it occured before 12 weeks' (and fetus didnt develop much after 7-9 weeks) .  The doctor also stated he was from Holland and they never administered the anti-D in these cases. 
Needless to say, the woman felt very relieved it was not a fault on the practitioners part that could have set her and her future babes up for risk.  She is getting the antibodies tested just to be sure, and fingers crossed it all works out OK!
"5. Prophylaxis following abortion 
Some RhD negative women require anti-D Ig following abortion; 250iu before 20 weeks' gestation and 500iu thereafter. A test for the size of FMH should be performed when anti-D Ig is given after 20 weeks. 
5.1 Therapeutic termination of pregnancy: Anti-D Ig should be given to all non-sensitised RhD negative women having a therapeutic termination of pregnancy, whether by surgical or medical methods, regardless of gestational age (Grade B recommendation). 
5.2 Ectopic pregnancy: Anti-D Ig should be given to all non-sensitised RhD negative women who have an ectopic pregnancy (Grade B recommendation). 
5.3 Spontaneous miscarriage: Anti-D Ig should be given to all non-sensitised RhD negative women who have a spontaneous complete or incomplete abortion after 12 weeks of pregnancy (Grade B recommendation). Published data on which to base recommendations in earlier miscarriages are scant. There is evidence that significant FMH only occurs after curettage to remove products of conception but does not occur after complete spontaneous miscarriages.12,13 Anti-D Ig should therefore be given when there has been an intervention to evacuate the uterus. On the other hand, the risk of immunisation by spontaneous miscarriage before 12 weeks' gestation is negligible when there has been no instrumentation to evacuate the products of conception and anti-D Ig is not required in these circumstances (Grade C recommendation). 
5.4 Threatened miscarriage: Anti-D Ig should be given to all non-sensitised RhD negative women with a threatened miscarriage after 12 weeks of pregnancy. Where bleeding continues intermittently after 12 weeks' gestation, anti-D Ig should be given at 6-weekly intervals (Grade C recommendation). Evidence that women are sensitised after uterine bleeding in the first 12 weeks of pregnancy where the fetus is viable and the pregnancy continues is scant14 though there are very rare examples.15 Against this background, routine administration of anti-D Ig cannot be recommended. However it may be prudent to administer anti-D Ig where bleeding is heavy or repeated or where there is associated abdominal pain particularly if these events occur as gestation approaches 12 weeks (Grade C recommendation). The period of gestation should be confirmed by ultrasound. 
 
>From: "Marilyn Kleidon" <[EMAIL PROTECTED]>
>Reply-To: [EMAIL PROTECTED] 
>To: <[EMAIL PROTECTED]>
>Subject: Re: [ozmidwifery] rhesus neg mother 
>Date: Wed, 28 Jan 2004 22:50:43 -0800 
> 
>Exactly what i learned too. The reason for the prophylactic anti-D is to prevent those 10% which is quite a significant number. My mother was also neg, dad pos, I am pos (also much prior to antiD)and mum had had several miscarriages, and since I was not compromised I am part of the lucky 90%. I did have childhood friends whose parents were the same  except that all except the first born had to be transfused at birth as they were born "blue". Prophylactic medicine always runs the risk of being thought unnecessary especially when most of the time it wont be needed. So long as those who choose not to use it fully understand the risks (in both directions) it's fine with me. In this case since the antiD was perhaps overlooked/mistakenly not given then perhaps at least the odds are in the mums favour. 
> 
>marilyn 
>   - Original Message - 
>   From: mh 
>   To: [EMAIL PROTECTED] 
>   Sent: Wednesday, January 28, 2004 3:25 AM 
>   Subject: Re: [ozmidwifery] rhesus neg mother 
> 
> 
>   Hi all, 
>   When I learned about rh isoimmunisation etc many years ago I asked about this because my mother is neg, father is pos and all 6 of us are pos, born prior to anti-D (my mother had it after the last child!) with no difficulty, not even physiological jaundice. 
> 
>IIRC the incidence of isoimmunisation was only 10% of neg mothers with pos infants but the consequences are so horrific as anyone who's seen a hydropic baby will know, when anti-D was available it was welcomed with open arms. 
>   I have no references for this, only mu possibly faulty memory. 
> 
>   M

[ozmidwifery] Problems with email

[Andrea Robertson]

Hello,

This is a test message and doesn't need a repy. I have been having problems 
receiving my ozmid list emails and think they are being blocked by my ISP 
as "spam". With so many nasty viruses around right now, ISPs are putting 
many blocking mechanisms into place and they are affecting some non-spam 
messages as well. Perhaps others are having similar problems

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.

Re: [ozmidwifery] rhesus neg mother

[Judy Chapman]

I have to agree on the horific nature of the hydropic. Prior to my starting my nursing I had my second child in a public hospital. One woman had had a live first child and then got Rh antibodies. When I met her she had just had her seventh child, still born as were the last five. Her first had been killed in an accident at age 7. Needless to say she was a psychological cot case.
Judymh <[EMAIL PROTECTED]> wrote:




Hi all,
When I learned about rh isoimmunisation etc many years ago I asked about this because my mother is neg, father is pos and all 6 of us are pos, born prior to anti-D (my mother had it after the last child!) with no difficulty, not even physiological jaundice.
 
 IIRC the incidence of isoimmunisation was only 10% of neg mothers with pos infants but the consequences are so horrific as anyone who's seen a hydropic baby will know, when anti-D was available it was welcomed with open arms.
I have no references for this, only mu possibly faulty memory.
 
Monica

- Original Message - 
From: Mary Murphy 
To: [EMAIL PROTECTED] 
Sent: Wednesday, January 28, 2004 9:59 PM
Subject: Re: [ozmidwifery] rhesus neg mother

Hi Terry,  That is amazing, but I do know that some Jehova Witness members who have had a similar experience with no harm to their subsequent positive babies.  Puzzling eh?  Cheers, MM

 
Hi Kristen,
Some hope, I have had an Rh neg women have 4 pregnancies her babies were positive, she declined Anti D for her own reasons, and went on to have normal healthy pregnancies and births without problems.
Terry Stockdale

- Original Message - 
From: Kristin Beckedahl 
To: [EMAIL PROTECTED] 
Sent: Tuesday, January 27, 2004 3:09 PM
Subject: [ozmidwifery] rhesus neg mother


Dear List,
 
I have a 33year woman, with a repro history - 4 x TOP, and recently (3-4 weeks) a miscarrige at 12 weeks ( fetus didnt develop much past 7-9 weeks?)  
She is O -ve blood group and all TOP were followed with Anti-D.  However following the recently complete miscarriage, she was not given Anti-D.  It seems the doctor 'forgot', 'didnt realise' or was incompetent..?!? No D & C was performed.
 
She is concerned now her future pregnancy will be affected.  Her partner is + ve grp.
What does she need to do to confirm whether her subsequent preg are at risk? How risky is this for her and babe?
During TOP or miscarriages does much of the fetus blood pass into the mothers circulation?
 
Thanks for your help!,
Kristin

Hot chart ringtones and polyphonics. Click here. -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
Yahoo! Personals
- New people, new possibilities. FREE for a limited time!

Re: [ozmidwifery] QLD Midwives

[Lynne Staff]

Hi Joanne
I think you'll find that homebirth is considered 
along the same lines as the Black Death in QLD by maternity care policy makers 
and providers! Still, there are many mothers, fathers and midwives working to 
change that. See for example the rally today in Bris. We welcome more people to 
help us to make community care a reality.
Cheers, Lynne

  - Original Message - 
  From: 
  Mrs 
  Joanne M Fisher 
  To: Ozmidwifery 
  Sent: Wednesday, January 28, 2004 11:41 
  AM
  Subject: [ozmidwifery] QLD Midwives
  
  Hi there QLD 
  Midwives,
   
  I'm a midwife 
  working in Queensland, and active in Maternity Coalition here. I recently 
  observed/studied at the Community Midwifery Program WA for six weeks 
  (Feb/March 2003), and would love to work in a similar model here. We 
  are trying to develop a network of midwives interested in doing caseload/small 
  team midwifery in Qld, while we work hard at advocating for this sort of 
  reform. If this is of any interest, or you would like to be kept 
  informed, please email me on [EMAIL PROTECTED] 
  
   
  Cheers Joanne 
  
   

Re: [ozmidwifery] Today Show

[JoFromOz]

I just saw the video feed of it from their 
website.
 
I thought it wasn't too bad, for the Today show, 
actually!
 
The same doctor was on last week forcefully advocating 
vaccinations, so I was pleasantly surprised to see him advocating natural, 
minimal intervention birth also.  
 
I guess the topic of discussion was the research, which was 
about using water for pain relief in slow labours, not about water birth... I 
think that's why they made the distinction (albeit about 3 times!)
 
Jo
 
 Original Message From: megan davidsonTo: 
[EMAIL PROTECTED]Sent: Wednesday, January 28, 2004 8:24 
PMSubject: [ozmidwifery] Today Show> Did 
anyone catch the Today show's attempt at covering water immersion> in 
labour ("lets make this clear we are not talking about having> babies 
under water"). It can be seen on> http://sites.ninemsn.com.au/today I am 
not sure whether to be pleased> to have it discussed on national tv or 
dissapointed about the way> normal labour was portrayed as "terrible 
pains" and an epidural as> "just another birth/pain relief 
option".  > Megan-- Babies are Born... Pizzas are 
delivered.

Re: [ozmidwifery] rhesus neg mother

[Marilyn Kleidon]

Exactly what i learned too. The reason for the 
prophylactic anti-D is to prevent those 10% which is quite a significant number. 
My mother was also neg, dad pos, I am pos (also much prior to antiD)and mum had 
had several miscarriages, and since I was not compromised I am part of the lucky 
90%. I did have childhood friends whose parents were the same  except that 
all except the first born had to be transfused at birth as they were born 
"blue". Prophylactic medicine always runs the risk of being thought unnecessary 
especially when most of the time it wont be needed. So long as those who choose 
not to use it fully understand the risks (in both directions) it's fine with me. 
In this case since the antiD was perhaps overlooked/mistakenly not given then 
perhaps at least the odds are in the mums favour.
 
marilyn 

  - Original Message - 
  From: 
  mh 
  To: [EMAIL PROTECTED] 
  
  Sent: Wednesday, January 28, 2004 3:25 
  AM
  Subject: Re: [ozmidwifery] rhesus neg 
  mother
  
  Hi all,
  When I learned about rh isoimmunisation etc many 
  years ago I asked about this because my mother is neg, father is pos and all 6 
  of us are pos, born prior to anti-D (my mother had it after the last child!) 
  with no difficulty, not even physiological jaundice.
   
   IIRC the incidence of isoimmunisation was 
  only 10% of neg mothers with pos infants but the consequences are so horrific 
  as anyone who's seen a hydropic baby will know, when anti-D was available it 
  was welcomed with open arms.
  I have no references for this, only mu possibly 
  faulty memory.
   
  Monica
  
- Original Message - 
From: 
Mary 
Murphy 
To: [EMAIL PROTECTED] 

Sent: Wednesday, January 28, 2004 9:59 
PM
Subject: Re: [ozmidwifery] rhesus neg 
mother

Hi Terry,  That is amazing, but I do know that some Jehova Witness 
members who have had a similar experience with no harm to their subsequent 
positive babies.  Puzzling eh?  Cheers, MM

   
  Hi Kristen,
  Some hope, I have had an Rh neg women 
  have 4 pregnancies her babies were positive, she declined Anti D for her 
  own reasons, and went on to have normal healthy pregnancies and births 
  without problems.
  Terry Stockdale
  
- Original Message - 
From: 
Kristin Beckedahl 
To: [EMAIL PROTECTED] 

Sent: Tuesday, January 27, 2004 
3:09 PM
Subject: [ozmidwifery] rhesus neg 
mother


Dear List,
 
I have a 33year woman, with a repro history - 4 x TOP, 
and recently (3-4 weeks) a miscarrige at 12 weeks ( 
fetus didnt develop much past 7-9 weeks?)  
She is O -ve blood group and all TOP were followed with 
Anti-D.  However following the recently complete miscarriage, she 
was not given Anti-D.  It seems the doctor 'forgot', 'didnt 
realise' or was incompetent..?!? No D & C was performed.
 
She is concerned now her future pregnancy will be 
affected.  Her partner is + ve grp.
What does she need to do to confirm whether her 
subsequent preg are at risk? How risky is this for her and 
babe?
During TOP or miscarriages does much of the fetus blood 
pass into the mothers circulation?
 
Thanks for your help!,
Kristin

Hot chart ringtones and polyphonics. Click here. -- This 
mailing list is sponsored by ACE Graphics. Visit to subscribe or 
  unsubscribe.

[ozmidwifery] Today Show

[megan davidson]

Did anyone catch the Today show's attempt at 
covering water immersion in labour ("lets make this clear we are not talking 
about having babies under water"). It can be seen on http://sites.ninemsn.com.au/today I 
am not sure whether to be pleased to have it discussed on national tv or 
dissapointed about the way normal labour was portrayed as "terrible pains" and 
an epidural as "just another birth/pain relief option".
Megan

[ozmidwifery] Re: address

[Mary Murphy]

Hi Jo Fisher, I have lost your email address.  Thanks for Christmas 
Greetings.  would you email me on [EMAIL PROTECTED] with your  
address?  Love MM

Re: [ozmidwifery] rhesus neg mother

[mh]

Hi all,
When I learned about rh isoimmunisation etc many 
years ago I asked about this because my mother is neg, father is pos and all 6 
of us are pos, born prior to anti-D (my mother had it after the last child!) 
with no difficulty, not even physiological jaundice.
 
 IIRC the incidence of isoimmunisation was 
only 10% of neg mothers with pos infants but the consequences are so horrific as 
anyone who's seen a hydropic baby will know, when anti-D was available it was 
welcomed with open arms.
I have no references for this, only mu possibly 
faulty memory.
 
Monica

  - Original Message - 
  From: 
  Mary 
  Murphy 
  To: [EMAIL PROTECTED] 
  
  Sent: Wednesday, January 28, 2004 9:59 
  PM
  Subject: Re: [ozmidwifery] rhesus neg 
  mother
  
  Hi Terry,  That is amazing, but I do know that some Jehova Witness 
  members who have had a similar experience with no harm to their subsequent 
  positive babies.  Puzzling eh?  Cheers, MM
  
 
Hi Kristen,
Some hope, I have had an Rh neg women have 
4 pregnancies her babies were positive, she declined Anti D for her own 
reasons, and went on to have normal healthy pregnancies and births without 
problems.
Terry Stockdale

  - Original Message - 
  From: 
  Kristin Beckedahl 
  To: [EMAIL PROTECTED] 
  
  Sent: Tuesday, January 27, 2004 3:09 
  PM
  Subject: [ozmidwifery] rhesus neg 
  mother
  
  
  Dear List,
   
  I have a 33year woman, with a repro history - 4 x TOP, and 
  recently (3-4 weeks) a miscarrige at 12 weeks ( fetus didnt 
  develop much past 7-9 weeks?)  
  She is O -ve blood group and all TOP were followed with 
  Anti-D.  However following the recently complete miscarriage, she was 
  not given Anti-D.  It seems the doctor 'forgot', 'didnt realise' or 
  was incompetent..?!? No D & C was performed.
   
  She is concerned now her future pregnancy will be 
  affected.  Her partner is + ve grp.
  What does she need to do to confirm whether her subsequent 
  preg are at risk? How risky is this for her and babe?
  During TOP or miscarriages does much of the fetus blood 
  pass into the mothers circulation?
   
  Thanks for your help!,
  Kristin
  
  Hot chart ringtones and polyphonics. Click here. -- This mailing 
  list is sponsored by ACE Graphics. Visit to 
  subscribe or unsubscribe.

Sue Cox, AM Re: [ozmidwifery] Chris Cornwell PSM

[Barbara Glare & Chris Bright]

Hi,
 
Congratulations Chris,
 
And congratulations Sue Cox IBLCLC on her AM.  
The citation reads
'For service to community health, particularly as a lactation consultant, 
educator and counsellor for the care of breastfeeding mothers and their 
babies.' 
Sue is an IBLC, midwife, mother, author and 
researcher and a fabulous counsellor with the Australian Breastfeeding 
Association
 
Barb Glare
ABA counsellor
Warrnmabool, Vic
Mum of Zac, Dan, Cassie and Guan
www.abavic.asn.au
 

  - Original Message - 
  From: 
  Jackie 
  Kitschke 
  To: [EMAIL PROTECTED] 
  
  Sent: Wednesday, January 28, 2004 3:45 
  AM
  Subject: [ozmidwifery] Chris Cornwell 
  PSM
  
  
  Chris Cornwell, 
  ACMI SA National Delegate was awarded a Public Service Medal this past 
  Australia Day for her contribution to Midwifery Education and Practice. Below 
  is what is on the website explaining why she was bestowed this prestigious 
  award. (She is also my boss!!)
  Mrs 
  Christine CornwellDivisional Chief, Nursing and MidwiferyWomen’s and Children’s 
  HospitalDepartment 
  of Human Services
  For 
  outstanding service to midwifery education and 
practice
  Mrs Christine Cornwell is the 
  Divisional Chief, Nursing and Midwifery, Women’s and Children’s Hospital.  In addition to the responsibilities and duties required of her 
  by this role, Mrs Cornwell has been involved with and is an integral part of 
  some ground breaking initiatives concerned with the ongoing development of 
  midwifery education and practice in South Australia.
  The recruitment and retention of 
  midwives in South Australia is a serious problem.  
  Mrs Cornwell has been forward thinking in dealing with this problem by 
  campaigning for and supporting new models of midwifery education and models of 
  care.  She has achieved this through being involved with various 
  committees in her position at the Women’s and Children’s Hospital, as a member 
  of the South Australian Branch of the Australian College of Midwives (ACMI) 
  management committee and as a member of the ACMI National management 
  committee.
  Within her role, Mrs Cornwell has been 
  a strong advocate for midwives and the education of midwifery.  Her advocacy along with other midwives has resulted in both the 
  University of South Australia and Flinders University establishing 
  Undergraduate Midwifery (Pre-Registration) Degrees.  These programs 
  reflect the philosophy of ‘women centred; midwifery practice that recognises 
  the needs of individual women in relation to choice, control and continuity of 
  care’.
  Mrs Cornwell has also led the 
  development of a Midwifery Caseload Model of Care at the Women’s and 
  Children’s Hospital.  Caseload Midwifery is a model of care 
  where women have their own midwife and a backup midwife, who provides care 
  throughout her pregnancy, labour, birth and postnatal period.  This 
  program is the first for South Australia and is to commence in September 
  2003.  The development of this service has not been an easy task, taking 
  4-5 years to be developed in collaboration with consumers, midwives, the 
  Department of Human Services, the Australian Nursing Federation and her 
  medical colleagues.
  Mrs Cornwell’s support during the 
  inception of the Northern Women’s Community Midwifery Service, a 
  groundbreaking model of midwifery care, contribute significantly to its 
  ongoing success.  This initiative allows midwives to care 
  for birthing women in both the community and hospital 
  settings.
  Mrs Cornwell was recognised by her 
  midwifery colleagues for her excellence in midwifery when she was awarded the 
  highly coveted ‘South Australian Excellence in Midwifery Leadership’ Award 
  during International Midwives Day in May 2003.
   

Re: [ozmidwifery] rhesus neg mother

[Mary Murphy]

Hi Terry,  That is amazing, but I do know that some Jehova Witness 
members who have had a similar experience with no harm to their subsequent 
positive babies.  Puzzling eh?  Cheers, MM

   
  Hi Kristen,
  Some hope, I have had an Rh neg women have 4 
  pregnancies her babies were positive, she declined Anti D for her own reasons, 
  and went on to have normal healthy pregnancies and births without 
  problems.
  Terry Stockdale
  
- Original Message - 
From: 
Kristin 
Beckedahl 
To: [EMAIL PROTECTED] 

Sent: Tuesday, January 27, 2004 3:09 
PM
Subject: [ozmidwifery] rhesus neg 
mother


Dear List,
 
I have a 33year woman, with a repro history - 4 x TOP, and 
recently (3-4 weeks) a miscarrige at 12 weeks ( fetus didnt 
develop much past 7-9 weeks?)  
She is O -ve blood group and all TOP were followed with 
Anti-D.  However following the recently complete miscarriage, she was 
not given Anti-D.  It seems the doctor 'forgot', 'didnt realise' or was 
incompetent..?!? No D & C was performed.
 
She is concerned now her future pregnancy will be 
affected.  Her partner is + ve grp.
What does she need to do to confirm whether her subsequent 
preg are at risk? How risky is this for her and babe?
During TOP or miscarriages does much of the fetus blood pass 
into the mothers circulation?
 
Thanks for your help!,
Kristin

Hot chart ringtones and polyphonics. Click here. -- This mailing 
list is sponsored by ACE Graphics. Visit to 
subscribe or unsubscribe.

[ozmidwifery] Eating the placenta and epidurals

[Abby and Toby]

Hi,
 
Can anyone tell me if it is okay to still dry the placenta to 
ground and take in capsules, if the mother has had an epidural during labour? 
Would the drugs still be in the placental tissue or blood?
 
Any info appreciated thanks
 
Love Abby (a doula in training who had a very stressful day 
watching her sister get ignored while in labour)

VIDEO was Re: [ozmidwifery] waterbirth articles, protocols, etc

[Abby and Toby]

  

  >>I think if you buy them singly they are around US$40 plus 
  postage but I can buy them and sell them for AU$50 incl. 
  postage.
  Let me know and I will let you know when they 
  arrive.
  Diane
   
  HI Diane,
   
  Could you let me know when they arrive, I will definitely buy one if 
  you have a spare.
   
  Thanks
  Love Abby 

Re: [ozmidwifery] Chris Cornwell PSM

[Denise Hynd]

Dear Jackie
Please telll all of us more about 
Midwifery Caseload Model of Care at the Women’s and Children’s 
Hospital.  Caseload Midwifery is a model of care where women 
have their own midwife and a backup midwife, who provides care throughout her 
pregnancy, labour, birth and postnatal period.  This program is the first 
for South Australia and is to commence in September 2003.  The development 
of this service has not been an easy task, taking 4-5 years to be developed in 
collaboration with consumers, midwives, the Department of Human Services, the 
Australian Nursing Federation and her medical colleagues.
 
How extensive is the Caseload uptake by midwives and 
women??Is there documentation about the 
collaborative effort involving  consumers, midwives, the 
Department of Human Services, the Australian Nursing Federation and her medical 
colleagues, such that could help others in other states trying to get Caseload 
going??
 
Thank you 
Denise

  - Original Message - 
  From: 
  Jackie 
  Kitschke 
  To: [EMAIL PROTECTED] 
  
  Sent: Wednesday, January 28, 2004 12:45 
  AM
  Subject: [ozmidwifery] Chris Cornwell 
  PSM
  
  
  Chris Cornwell, 
  ACMI SA National Delegate was awarded a Public Service Medal this past 
  Australia Day for her contribution to Midwifery Education and Practice. Below 
  is what is on the website explaining why she was bestowed this prestigious 
  award. (She is also my boss!!)
  Mrs 
  Christine CornwellDivisional Chief, Nursing and MidwiferyWomen’s and Children’s 
  HospitalDepartment 
  of Human Services
  For 
  outstanding service to midwifery education and 
practice
  Mrs Christine Cornwell is the 
  Divisional Chief, Nursing and Midwifery, Women’s and Children’s Hospital.  In addition to the responsibilities and duties required of her 
  by this role, Mrs Cornwell has been involved with and is an integral part of 
  some ground breaking initiatives concerned with the ongoing development of 
  midwifery education and practice in South Australia.
  The recruitment and retention of 
  midwives in South Australia is a serious problem.  
  Mrs Cornwell has been forward thinking in dealing with this problem by 
  campaigning for and supporting new models of midwifery education and models of 
  care.  She has achieved this through being involved with various 
  committees in her position at the Women’s and Children’s Hospital, as a member 
  of the South Australian Branch of the Australian College of Midwives (ACMI) 
  management committee and as a member of the ACMI National management 
  committee.
  Within her role, Mrs Cornwell has been 
  a strong advocate for midwives and the education of midwifery.  Her advocacy along with other midwives has resulted in both the 
  University of South Australia and Flinders University establishing 
  Undergraduate Midwifery (Pre-Registration) Degrees.  These programs 
  reflect the philosophy of ‘women centred; midwifery practice that recognises 
  the needs of individual women in relation to choice, control and continuity of 
  care’.
  Mrs Cornwell has also led the 
  development of a Midwifery Caseload Model of Care at the Women’s and 
  Children’s Hospital.  Caseload Midwifery is a model of care 
  where women have their own midwife and a backup midwife, who provides care 
  throughout her pregnancy, labour, birth and postnatal period.  This 
  program is the first for South Australia and is to commence in September 
  2003.  The development of this service has not been an easy task, taking 
  4-5 years to be developed in collaboration with consumers, midwives, the 
  Department of Human Services, the Australian Nursing Federation and her 
  medical colleagues.
  Mrs Cornwell’s support during the 
  inception of the Northern Women’s Community Midwifery Service, a 
  groundbreaking model of midwifery care, contribute significantly to its 
  ongoing success.  This initiative allows midwives to care 
  for birthing women in both the community and hospital 
  settings.
  Mrs Cornwell was recognised by her 
  midwifery colleagues for her excellence in midwifery when she was awarded the 
  highly coveted ‘South Australian Excellence in Midwifery Leadership’ Award 
  during International Midwives Day in May 2003.
   

Re: [ozmidwifery] rhesus neg mother

[Child Birth Information Service]

Hi Kristen,
Some hope, I have had an Rh neg women have 4 
pregnancies her babies were positive, she declined Anti D for her own reasons, 
and went on to have normal healthy pregnancies and births without 
problems.
Terry Stockdale

  - Original Message - 
  From: 
  Kristin 
  Beckedahl 
  To: [EMAIL PROTECTED] 
  
  Sent: Tuesday, January 27, 2004 3:09 
  PM
  Subject: [ozmidwifery] rhesus neg 
  mother
  
  
  Dear List,
   
  I have a 33year woman, with a repro history - 4 x TOP, and 
  recently (3-4 weeks) a miscarrige at 12 weeks ( fetus didnt develop 
  much past 7-9 weeks?)  
  She is O -ve blood group and all TOP were followed with 
  Anti-D.  However following the recently complete miscarriage, she was not 
  given Anti-D.  It seems the doctor 'forgot', 'didnt realise' or was 
  incompetent..?!? No D & C was performed.
   
  She is concerned now her future pregnancy will be 
  affected.  Her partner is + ve grp.
  What does she need to do to confirm whether her subsequent preg 
  are at risk? How risky is this for her and babe?
  During TOP or miscarriages does much of the fetus blood pass 
  into the mothers circulation?
   
  Thanks for your help!,
  Kristin
  
  Hot chart ringtones and polyphonics. Click here. -- This mailing 
  list is sponsored by ACE Graphics. Visit to 
  subscribe or unsubscribe.