RE: [ozmidwifery] Midwifery Group Practice at the WCH in SA

[denise boscheinen]

We are setting up a group practice in the Illawarra N.S.W. I don't know how 
Successful it will be as they have changed the goal posts but I believe that 
St george Hospital Kograh Sydney and The Canberra Hospital have had a group 
practice for some time Denise B


From: "Sally Westbury" <[EMAIL PROTECTED]>
Reply-To: [EMAIL PROTECTED]
To: <[EMAIL PROTECTED]>
Subject: RE: [ozmidwifery] Midwifery Group Practice at the WCH in SA
Date: Sat, 31 Jan 2004 16:01:54 +0800
Hi Jackie,

Who could I get in tough with about the Midwifery Group Practice.

I'd love to know how this is being managed.

Sally Westbury

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Jackie
Kitschke
Sent: Saturday, 31 January 2004 2:20 AM
To: [EMAIL PROTECTED]
Subject: [ozmidwifery] Midwifery Group Practice at the WCH in SA
Denise,
The WCH has had a working party set to offer caseload there for about
the last 7-8 years. In the last 4 or so years Chris Cornwell worked with
Rob Bonner from the ANF to get a salaried wage specifically for
caseload. this was so that the midwives didn't have to worry about time
in leiu etc and not use the current nursing award to pay midwives who
want to work in this way. So this salaried wage agreement has been
formulated for the WCH with the ANF and signed off by the DHS (Deparment
of Human Services) and the Industrial Commision. The agreement details
the amount of hours allowed work by the midwives, how many women they
can care for etc. Contact the ANF in SA for details.
The WCH started Midwifery Group Practice (MGP) on the 25/1/03, so it was
a big weekend for Chris and everyone involved. I am home enjoying being
a Mum and will go back to it in September.
Jackie
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RE: [ozmidwifery] URGENT INFO NEEDED

[denise boscheinen]

what was the birth weight and how old is the baby the general rule is if the 
sbr is 10% of the birth weight the baby may require phototherapy  however if 
the baby is active and feeding there should be no problem. Kernicterus 
occurs when high levels of bilirubin ( uncongicated ) build up .this is very 
rare these days and any baby found to have very high levels would be given 
an exchange transfusion befoe this could occur.


From: [EMAIL PROTECTED]
Reply-To: [EMAIL PROTECTED]
To: "ozmidwifery @ acegraphics . com . au" <[EMAIL PROTECTED]>
Subject: [ozmidwifery] URGENT INFO NEEDED
Date: Sat, 31 Jan 2004 14:50:55 +1100
Hi,

Can anyone give me some info on what levels are high bilirubin levels in 
newborns?
My sister's baby was tested and the hospital is saying he could get brain 
damage.
His score was 300?? Not sure what that means.

What are the dangers, are the tests necessary, is it normal in newbies, 
what is
the best treatment, preferably natural and can the light treatment cause 
any
problems?

He is alert, eating well and has only lost 150g in 3 days since birth 
weight.

Any answer asap would be greatly appreciated.

Thanks
Love Abby
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Re: [ozmidwifery] URGENT INFO NEEDED

[Marilyn Kleidon]

EEk! so sorry it happened again the email just went off incomplete. As I was
trying to write, it really depends on how old the baby is  as to when
treatment is implemented. Detectable jaundice within the first 24hours of
birth has a high index of suspicion for needing treatment and is most likely
NOT normal physiological jaundice: most likely due to haemolysis of the
baby's red blood cells in-utero (due to a variety of pathologies the most
common being Rh and/or ABO incompatabilities and antibody formation) and
together with the normal physiological jaundice that ALL newborns will
experience could overwhelm the newborn's ability (via liver and gut) to
metabolise the biliribin. Jaundice that shows up from day 3 on is usually
physiological jaundice resulting from the normal breakdown of the excess
fetal red blood cells needed in-utero to supply oxygen in the relativel low
oxygen environment of the uterus compared to the higher oxygen environment
of the air. So the newborn is usually able to handle this jaundice however
it can be compounded by pre-maturity and also birth trauma and subsequent
bruising. As has been said, so long as baby is feeding frequently, peeing
and pooing appropriately, afebrile, and not lethargic/irritable then all is
well.

marilyn
- Original Message - 
From: "Mary Murphy" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Saturday, January 31, 2004 7:04 PM
Subject: Re: [ozmidwifery] URGENT INFO NEEDED


> Hi, on further thought about recent cases, mostly if the baby is alert and
> feeding, I use lots of strong natural light and observe.  I did have one
> baby that we knew would have jaundice because of family history.  I took
him
> to the teaching hospital for children,PMH on day 4.  His SBR was 310.  We
> were sent home without phototherapy and advice to keep him in the light
and
> regular feeding.  I went back for a followup SBR the next day.. same
result
> and same advice.  I must admit I was surprised, but it was 2 different
paeds
> and a top hospital for children.  The baby was fine.  Cheers, MM
>
>
> > Reading my Maggie Myles, she suggests that SBR levels above 250 on a
full
> > term baby may require phototherapy and levels above 340 are approximate
> > indications for exchange transfusion in infants above 35 weeks
gestation.
>
>
>
> --
> This mailing list is sponsored by ACE Graphics.
> Visit  to subscribe or unsubscribe.
>


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Re: [ozmidwifery] URGENT INFO NEEDED

[Marilyn Kleidon]

Just to support your first response Mary, I think it really does depend on
how old the baby is
- Original Message - 
From: "Mary Murphy" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Saturday, January 31, 2004 7:04 PM
Subject: Re: [ozmidwifery] URGENT INFO NEEDED


> Hi, on further thought about recent cases, mostly if the baby is alert and
> feeding, I use lots of strong natural light and observe.  I did have one
> baby that we knew would have jaundice because of family history.  I took
him
> to the teaching hospital for children,PMH on day 4.  His SBR was 310.  We
> were sent home without phototherapy and advice to keep him in the light
and
> regular feeding.  I went back for a followup SBR the next day.. same
result
> and same advice.  I must admit I was surprised, but it was 2 different
paeds
> and a top hospital for children.  The baby was fine.  Cheers, MM
>
>
> > Reading my Maggie Myles, she suggests that SBR levels above 250 on a
full
> > term baby may require phototherapy and levels above 340 are approximate
> > indications for exchange transfusion in infants above 35 weeks
gestation.
>
>
>
> --
> This mailing list is sponsored by ACE Graphics.
> Visit  to subscribe or unsubscribe.
>


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[ozmidwifery] Midwifery Order of Australia Nominations

[Denise Hynd]

Dear Ozmid
It would be wonderful and appropriate that more 
Aust midwives and other supporters of choice for childbearin women were in the 
nexr honours list So here is where you start by filling out a nomination 
form!!http://www.itsanhonour.gov.au/about/forms/order_aus.html
 
Denise hYND


  Dear All
  We could have heaps of wards to midwives and 
  others if we just wade through the forms to complete etc!!Some one 
  obviously did for those like sue and ChrisDenise
   
   
  
- Original Message - 
From: 
Barbara 
Glare & Chris Bright 
To: [EMAIL PROTECTED] 

Sent: Wednesday, January 28, 2004 7:15 
PM
Subject: Sue Cox, AM Re: [ozmidwifery] 
Chris Cornwell PSM

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] URGENT INFO NEEDED

[Mary Murphy]

Hi, on further thought about recent cases, mostly if the baby is alert and
feeding, I use lots of strong natural light and observe.  I did have one
baby that we knew would have jaundice because of family history.  I took him
to the teaching hospital for children,PMH on day 4.  His SBR was 310.  We
were sent home without phototherapy and advice to keep him in the light and
regular feeding.  I went back for a followup SBR the next day.. same result
and same advice.  I must admit I was surprised, but it was 2 different paeds
and a top hospital for children.  The baby was fine.  Cheers, MM


> Reading my Maggie Myles, she suggests that SBR levels above 250 on a full
> term baby may require phototherapy and levels above 340 are approximate
> indications for exchange transfusion in infants above 35 weeks gestation.



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[ozmidwifery] Article by Perth Woman

[Denise Hynd]

 

Here's an article written by a local Perth woman
Denise ...
 http://www.zmag.org/content/showarticle.cfm?SectionID=12&ItemID=4898 

Re: [ozmidwifery] Interesting

[Denise Hynd]

Does Andrea stock the Book??Denise

  - Original Message - 
  From: 
  Mary 
  Murphy 
  To: [EMAIL PROTECTED] 
  
  Sent: Saturday, January 31, 2004 6:30 
  PM
  Subject: Re: [ozmidwifery] 
  Interesting
  
  NO, MM
  
- Original Message - 
From: 
Denise Hynd 
To: [EMAIL PROTECTED] 

Sent: Saturday, January 31, 2004 11:34 
AM
Subject: Re: [ozmidwifery] 
Interesting

Is there a more thorough article about it in 
MIDRIS or their web site??Denise

  - Original Message - 
  From: 
  Mary 
  Murphy 
  To: list 
  Sent: Friday, January 30, 2004 7:16 
  PM
  Subject: [ozmidwifery] 
  Interesting
  
  From MIDIRS abstract: Has anyone read this?  Is it as useful as 
  they say and where could one obtain it?  
  


  20040126-32*# The labour ward 
handbook - London: Royal Society of Medicine Press , January 
2004. 200 pages Edozien 
L - (2004)

   
  Going beyond the theoretical framework, this 
practical guide provides advice on what the clinician should do, and 
when. All aspects of care and communication and risk management, are 
addressed and are consistent with NICE guidance on induction of 
labour and fetal monitoring; Cochrane reviews; CNST standards for 
Maternity; The RCOG guidelines. This book is recommended to senior 
house officers, registrars, consultants, midwives, labour ward 
managers and professionals working in related fields, including risk 
management. 
  (Publisher)

[ozmidwifery] BMid

[Jen Semple]

Abby, BMid stands for Bachelor of Midwifery.
 
It's a 3 year undergraduate course to train midwives who are not nurses (as opposed to the Graduate Diploma of Midwifery, for nurses).
 
The BMid is common in Europe & NZ & was launched in Australia in 2002.
 
So far it's only been offered in Vic & SA, but I thought UTS in Sydney was to be offering it in 2004.
 
Cheers, Jen
3rd year BMid, Melbourne Abby and Toby <[EMAIL PROTECTED]> wrote:






WOW! Congratulations Victoria. Can I ask one thing? What is BMid? LOL! I am not quite sure what I am congratulating you for! LOL!
Love Abby 
Yahoo! Greetings
Send your love online with Yahoo! Greetings - FREE!

RE: [ozmidwifery] URGENT INFO NEEDED

[Cheryl LHK]

Abby,

Reading my Maggie Myles, she suggests that SBR levels above 250 on a full 
term baby may require phototherapy and levels above 340 are approximate 
indications for exchange transfusion in infants above 35 weeks gestation.

Personally, I have had three baby's all with joundice.  No 1 had a SBR of 
253 at 3 days of age, and had phototherapy for 24 hours and it reduced to 
238.  AFter that it was just demand breast-feeding and lots of time in the 
sunshine.  No 2 and 3 looked much the same at 3-4 days as my first son, but 
as I had left the hospital less than 24 hours after birth, I was quite 
content to observe, feed and put their cot in front of the window.  The last 
two were a lot less active babies, and they looked pretty 'bronzed" for a 
good 2-3 weeks, but they fed well,  passed urine and faeces so we were 
happy.

Good luck to your sister and family

Cheryl


From: [EMAIL PROTECTED]
Reply-To: [EMAIL PROTECTED]
To: "ozmidwifery @ acegraphics . com . au" <[EMAIL PROTECTED]>
Subject: [ozmidwifery] URGENT INFO NEEDED
Date: Sat, 31 Jan 2004 14:50:55 +1100
Hi,

Can anyone give me some info on what levels are high bilirubin levels in 
newborns?
My sister's baby was tested and the hospital is saying he could get brain 
damage.
His score was 300?? Not sure what that means.

What are the dangers, are the tests necessary, is it normal in newbies, 
what is
the best treatment, preferably natural and can the light treatment cause 
any
problems?

He is alert, eating well and has only lost 150g in 3 days since birth 
weight.

Any answer asap would be greatly appreciated.

Thanks
Love Abby
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Re: [ozmidwifery] Some exciting news! :-)

[Jan Robinson]

Well  done Victoria!
You will be studying in an area with a great tradition of midwifery.
Hope you bring back some of that "special" feeling.
Jan Robinson


On Saturday, January 31, 2004, at 12:45  AM, Victoria Couldwell wrote:

Hi all!
 
I have sat back, quietly, for some time, on this list and enjoyed the interesting topics, debates and discussions. I'm sure I introduced myself earlier when I first joined. Just in case, I am in Sydney, 27 years old, mother of 2, doula and hoping to do BMid when it starts in Sydney.

ANYWAY, to cut a long story short, it looks like I won't have to wait for Sydney!

I have just received an offer to study BMid in Scotland at the University of Stirling! I am so excited! I cannot wait! I start this September, 2004.

Wish me luck!

Victoria
 
 

E-mail just got a whole lot better. New ninemsn Premium. Upgrade now!


Jan Robinson
8 Robin Crescent South Hurstville NSW 2221 Australia
Phone/Fax: 02 9546 4350  www: midwiferyeducation.com.au
National Coordinator Australian Society of Independently Practising Midwives (ASIM)

Re: [ozmidwifery] twins at home

[jayne]

Wonderful, strong woman!  Good on 
her!
 
Jayne
 
 

   
  
  Just had to tell you about an amazing woman who 
  birthed her twins at home in QLD yesterday evening. Fantastic! She is 
  incredible. Strong labour for maybe 2 hours, no pushing to speak of for twin 
  1, twin 2 born 40 mins later - a bit harder as she had her hand coming first. 
  Placenta came 20 mins later, blood loss 700 mls. Twin 1 a boy 3400g, twin 2 a 
  girl 3500. She had had her other 2 children at home and saw no reason not to 
  with these 2, so organised 2 midwives. Older children watched twin 1 but not 
  interested in twin 2. Had a friend from across the road helping who was just 
  in her element and had not seen a birth apart from her own - she was stoked. 
  Leigh

RE: [ozmidwifery] Adelaide Resources?

[Julie Garratt]

Hi Rochelle,

I wonder whether she would like to be
followed through by a midwifery student? Either way I
can provide support and continuity as well as contact with Birth matters and
the Home birth network regardless of her choiceJ please feel free to give her my contact information.

0438391033 or home 83897887

 



CHEERS,

Julie Garratt (:



 

-Original
Message-
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On
Behalf Of Tim & Rochelle
Sent: Friday, 30 January 2004 5:47
PM
To: [EMAIL PROTECTED]
Subject: [ozmidwifery] Adelaide
Resources?

 



Hello,





 





I thought I would put a call out to
those on the list in Adelaide. I have friend who is 8 weeks pregnant first baby
and is keen for information. I have sent her my old copies of Birth Matters
Magazine SA and told her of the coffee mornings, and suggested prenatal yoga,
active birth workshops and that she check out the birth centre at womens
and childrens especially now that the team midwifery has just started there. At
8 weeks she already has an Ob (female) and had 1 u/s due to some pain and
spotting. I am sensing she is not thrilled with the level of care from Ob, so
hopefully investigates her options further. 





 





I guess what I want to know is if
there is a resource centre or a centralised place to borrow books on pregnancy
and birth and gather information, available to women in the community?
Does the Womens and Children's Hospital offer a library service? I have
also given her a couple of copies of the Homebirth Network SA Mag, and I
believe they have a collection of books for lending? So she will have contact
details for someone from this group.





 





I will send her a list of good
websites and another friend is buying her Janet Balaskas' "New Active
Birth"  so that will be a good start.





 





Thank You





Rochelle in Perth. Very excitedly
expecting our second baby and first home birth with the Fab Community
Midwifery Program.





 





 










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Re: [ozmidwifery] Midwifery Group Practice at the WCH in SA

[Laraine Hood]

Hi Jackie, this sounds really interesting.  
Where can I find out more about this type of group practice?  Thanks, 
Laraine

  - Original Message - 
  From: 
  Jackie 
  Kitschke 
  To: [EMAIL PROTECTED] 
  
  Sent: Saturday, January 31, 2004 2:19 
  AM
  Subject: [ozmidwifery] Midwifery Group 
  Practice at the WCH in SA
  
  Denise,
  The WCH has had a working party set to offer caseload there 
  for about the last 7-8 years. In the last 4 or so years Chris Cornwell 
  worked with Rob Bonner from the ANF to get a salaried wage specifically 
  for caseload. this was so that the midwives didn't have to 
  worry about time in leiu etc and not use the current nursing award to pay 
  midwives who want to work in this way. So this salaried wage agreement has 
  been formulated for the WCH with the ANF and signed off by the DHS (Deparment 
  of Human Services) and the Industrial Commision. The agreement details the 
  amount of hours allowed work by the midwives, how many women they can care for 
  etc. Contact the ANF in SA for details. 
  The WCH started Midwifery Group Practice (MGP) on the 
  25/1/03, so it was a big weekend for Chris and everyone involved. I am home 
  enjoying being a Mum and will go back to it in September.
  Jackie

Re: [ozmidwifery] URGENT INFO NEEDED

[Mary Murphy]

The level of serum bilirubin is calculated agaoinst a graph that takes into
account maturity, weight, day since birth.  3oo is high but the rest of the
information is missing. I won't attempt to anwer all the other questions.
Why not try a google search for hyperbilirubinaemia or jaundice in newborns.
you will get much fore detailed info.  MM
 - Original Message - >>
> Can anyone give me some info on what levels are high bilirubin levels in
newborns?
> My sister's baby was tested and the hospital is saying he could get brain
damage.
> His score was 300?? Not sure what that means.
>
> What are the dangers, are the tests necessary, is it normal in newbies,
what is
> the best treatment, preferably natural and can the light treatment cause
any
> problems?
>
> He is alert, eating well and has only lost 150g in 3 days since birth
weight.
>
> Any answer asap would be greatly appreciated.
>
> Thanks
> Love Abby
> --
> This mailing list is sponsored by ACE Graphics.
> Visit  to subscribe or unsubscribe.
>
>


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Re: [ozmidwifery] Interesting

[Mary Murphy]

NO, MM

  - Original Message - 
  From: 
  Denise Hynd 
  To: [EMAIL PROTECTED] 
  
  Sent: Saturday, January 31, 2004 11:34 
  AM
  Subject: Re: [ozmidwifery] 
  Interesting
  
  Is there a more thorough article about it in 
  MIDRIS or their web site??Denise
  
- Original Message - 
From: 
Mary 
Murphy 
To: list 
Sent: Friday, January 30, 2004 7:16 
PM
Subject: [ozmidwifery] 
Interesting

From MIDIRS abstract: Has anyone read this?  Is it as useful as 
they say and where could one obtain it?  

  
  
20040126-32*# The labour ward 
  handbook - London: Royal Society of Medicine Press , January 
  2004. 200 pages Edozien L - (2004)
  
 
Going beyond the theoretical framework, this 
  practical guide provides advice on what the clinician should do, and 
  when. All aspects of care and communication and risk management, are 
  addressed and are consistent with NICE guidance on induction of labour 
  and fetal monitoring; Cochrane reviews; CNST standards for Maternity; 
  The RCOG guidelines. This book is recommended to senior house 
  officers, registrars, consultants, midwives, labour ward managers and 
  professionals working in related fields, including risk management. 
  (Publisher)

RE: [ozmidwifery] Midwifery Group Practice at the WCH in SA

[Sally Westbury]

Hi Jackie,

 

Who could I get in tough with about the
Midwifery Group Practice.

 

I’d love to know how this is being
managed.

 

Sally Westbury

 

-Original
Message-
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On
Behalf Of Jackie Kitschke
Sent: Saturday, 31 January 2004
2:20 AM
To: [EMAIL PROTECTED]
Subject: [ozmidwifery] Midwifery
Group Practice at the WCH in SA

 



Denise,





The WCH has had a working
party set to offer caseload there for about the last 7-8 years. In the last 4
or so years Chris Cornwell worked with Rob Bonner from the ANF to get
a salaried wage specifically for caseload. this was so that the
midwives didn't have to worry about time in leiu etc and not use the
current nursing award to pay midwives who want to work in this way. So this
salaried wage agreement has been formulated for the WCH with the ANF and signed
off by the DHS (Deparment of Human Services) and the Industrial Commision. The
agreement details the amount of hours allowed work by the midwives, how many
women they can care for etc. Contact the ANF in SA for details. 





The WCH started Midwifery
Group Practice (MGP) on the 25/1/03, so it was a big weekend for Chris and
everyone involved. I am home enjoying being a Mum and will go back to it in
September.





Jackie