Re: [ozmidwifery] Info on active versus physiological management of third stage.
Dorothy: access the cochrane data base it will list all relevant articles and there are many. marilyn - Original Message - From: Dorothy Thomas [EMAIL PROTECTED] To: Ozmidwifery [EMAIL PROTECTED] Sent: Wednesday, February 25, 2004 1:29 PM Subject: [ozmidwifery] Info on active versus physiological management of third stage. Hi, My name is Dorothy and I am currently doing my postgraduate diploma in Midwifery and I am doing a research paper on the pros and cons of active versus physiological management of third stage of labour. What I was wondering is does anyone know of some good research articles that addresses this subject I have found a couple but need five for my assignment. I have to critique them. Thanks in advance for any assistance you can give me with this. Regards Dorothy Thomas -- 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] UK Midwifery list
Hi Jen, There is another Yahoo list as well, if you are interested Student Midwives UK Go to http://groups.yahoo.com/group/studentmidwivesuk/ Have fun! Victoria From: "Andrea Bilcliff" <[EMAIL PROTECTED]> Reply-To: [EMAIL PROTECTED] To: <[EMAIL PROTECTED]> Subject: Re: [ozmidwifery] UK Midwifery list Date: Wed, 25 Feb 2004 13:58:07 +1100 Hi Jen, You can visit the site at http://health.groups.yahoo.com/group/ukmidwifery/ and join from there. It was created by the Association of Radical Midwives. It's a very busy list! Andrea - Original Message - From: Jen Semple To: [EMAIL PROTECTED] Sent: Wednesday, February 25, 2004 1:47 PM Subject: [ozmidwifery] UK Midwifery list I think I remember people mentioning a UK Midwifery list... could I grab deatils about it, how to join, etc? Cheers, Jen -- Find local movie times and trailers on Yahoo! Movies. Get less junk mail with ninemsn Premium. Upgrade now! -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
Re: [ozmidwifery] UK Midwifery list
Thanks to all for your info. Jen Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] Re: Private Insurance companies covering independent midwives?
Oh I realize the difference - I just found it kind of strange that with the independent midwives unable to access indemnity coverage and unable to get the Federal government to cover them under medicare that insurance companies provide their clientele with any form of reimbursements for homebirths. Though I do find it interesting that some state they will only do this with proof the birth occurred within a hospital setting. Thanks everyone. Warmly Alphia At 01:13 PM 25/02/2004, you wrote: Alphia: I think these are different insurance companies: some people have private health insurance that will reimburse for homebirths. Different beings to public indemnity insurance purchase by the independent midwives. marilyn - Original Message - From: Alphia Possamai-Inesedy To: [EMAIL PROTECTED] Sent: Monday, February 23, 2004 2:52 PM Subject: [ozmidwifery] Re: Private Insurance companies covering independent midwives? Jen, I was not aware that this was the case - do you know which private insurance companies do this? I find it surprising considering that independent midwives are not covered by indemnity insurance. I am currently finishing a subsection of my thesis on the indemnity crisis and found your news interesting. If you could help me out with this I would grealty appreciate it. Take care Alphia At 03:47 AM 17/02/2004, you wrote: Some private insurance companies cover the fee of a midwife in private practice. One to one care with a midwife she's known throughout pregnancy birth is her best bet for successful breast feeding. Best of luck, Jen Melissah Scott @ Spilt Art [EMAIL PROTECTED] wrote: I have someone who is about 18 weeks pregnant and fairly recently moved to the blue mountians (Katoomba) She is unsure of where to birth at the moment and is concidering birthing at nepean private to make use of her private health insurance. She is hoping to stay in hospital for about 5 or so days, and at nepean private her husband can stay with her. She wants to stay in for a few days because she is nervous about being able to breastfeed and take care of her bub, as she feels she has not much idea of what she is doing. So I sugested to her that maybe a doula could be of great benifit to her by the way of childbirth info, birthing and post natal care/advice etc. She is quite interested in talking to some doulas in the area. So, I thought Id try to get together a list of Doulas in the area to pass on to her. If anyone is interested, could you please either reply or email me directly with all your details [EMAIL PROTECTED] I know your around Abby, but I cant find your contact details. Thanks! Melissah www.Splitart.com Try the new improved Yahoo! Australia NZ Search Alphia Possamai-Inesedy Ba (Hons.) PhD. Candidate School of Applied and Human Sciences Bankstown Campus, University of Western Sydney UWS Locked Bag 1797 South Penrith Distribution Centre NSW 1797 Australia Phone: 02 97726628 Fax: 02 97726584 Alphia Possamai-Inesedy Ba (Hons.) PhD. Candidate School of Applied and Human Sciences Bankstown Campus, University of Western Sydney UWS Locked Bag 1797 South Penrith Distribution Centre NSW 1797 Australia Phone: 02 97726628 Fax: 02 97726584
[ozmidwifery] PPH interesting. (long)
An old method still useful in modern times FYI: MM From Medscape Ob/Gyn Women's Health MedGenMed Ob/Gyn Women's Health Uterovaginal Packing With Rolled Gauze in Postpartum Hemorrhage Case Report Posted 02/13/2004 Rashmi Bagga, MD; Vanita Jain MD; Seema Chopra, MD; Jasvinder Kalra, MD; Sarala Gopalan, PhD, FRCOG Abstract: Management options for postpartum hemorrhage (PPH) include oxytocics, prostaglandins, genital tract exploration, ligation or angiographic embolization of uterine/internal iliac arteries, and hysterectomy. After excluding uterine rupture, genital tract lacerations, and retained placental tissue, efforts are directed toward contracting the uterus by bimanual compression and oxytocics. If these are not successful, one must resort to surgical techniques. At this stage, an alternative option to remember is uterovaginal packing. Easy and quick to perform, it may be used to control bleeding by tamponade effect and stabilize the patient until a surgical procedure is arranged. Uterovaginal packing may sometimes obviate the need for surgery altogether. Two cases, a primary and a secondary PPH, managed recently with uterovaginal packing are reported. Despite concerns about concealed hemorrhage or the development of infection with this intervention, none of these problems were encountered, and uterine packing was successful even in the case of secondary PPH with documented infection. Case 1: A 25-year-old primipara attended this hospital with PPH after vaginal delivery of a 2-kg boy at another hospital 2 hours prior to presentation. The placenta had been delivered by controlled cord traction. She was pale (hemoglobin 5.2 g/dL) and had tachycardia and hypotension (blood pressure 80/60; pulse 140/min). The uterus was 16 weeks size, not well retracted, and the patient was bleeding continuously. Examination under anesthesia revealed partial uterine inversion. After manual reposition, the uterus remained atonic, and bleeding continued despite administration of bimanual compression, oxytocin, ergometrine, and prostaglandins. Tight uterovaginal packing was done with packing forceps using 6 units of povidone-iodine-soaked rolled gauze (knotted end to end). The rolled gauze was fashioned from a rolled bandage 10 cm wide and 4 meters long, which was folded lengthwise 4 times. Bleeding stopped and the patient became hemodynamically stable. She received 5 units of blood transfusion and broad-spectrum antibiotics. Oxytocin infusion was continued for 12 hours. The pack was removed uneventfully 36 hours later. Cultures sent from the uterine cavity at the time of packing grew Escherichia coli with sensitivity to cefotaxime and amikacin, which she had been receiving. She remained afebrile and was discharged 7 days later. Case 2: A 27-year-old, para 2, attended this hospital 40 days after elective cesarean with secondary PPH. During cesarean (at another hospital), the placenta was found adherent and was removed only partially. She had been readmitted to that same hospital with PPH and fever 10 days before presentation to us. There she had received blood transfusion (4 units), oxytocics, and antibiotics. Because her condition did not improve, she was referred to our institution. On admission, she was pale (hemoglobin 7.3 g/dL) and febrile (39°C), but hemodynamically stable (blood pressure 110/80; pulse 110/min). Her abdomen was soft, and the incision had healed. The uterus was subinvoluted (16 weeks size), the cervix was 2 cm dilated, and placental tissue was extruding from it. Significant vaginal bleeding was present. Broad-spectrum antibiotics were started. The uterus was evacuated under anesthesia, and about 100 g of placental tissue was removed. Despite administration of oxytocics and prostaglandins, bleeding continued. Tight uterovaginal packing using 3 units of povidone-iodine-soaked rolled gauze successfully controlled the bleeding. Four units of blood were transfused during and after the procedure. The pack was removed uneventfully 44 hours later. Placental culture grew anaerobic bacteria. She became afebrile after 5 days and was discharged after 10 days.
[ozmidwifery] IUGR/stillbirth
Women who have delivered a small-for-gestational-age (SGA) infant are at least twice as likely as other women to experience a stillbirth in subsequent pregnancy. Nonetheless, the absolute risk of stillbirth is relatively low, according to a report published in The New England Journal of Medicine for February 19. Reuters Health Information 2004
[ozmidwifery] Lotus placenta
Does anyone have any information about infection in newborns caused by a Lotus Placenta? A recent client of another midwife has been reported to the Dept of Community Services child protection unit because she is practicing lotus placenta with her newborn. What a load of stress to put on a woman because the paediatritions don't know anything about it. These are the same paeds who didn't know that it was possible for babies to be born in the caul. Any information gratefully received. ASAP. MM
Re: [ozmidwifery] Lotus placenta
That is horrible, Mary... to be ignorant is one thing, but to act on it in this way is just nasty :( I wonder if this paed got together with another one to decide to take this action? This wouldn't surprise me... Jo Original Message From: Mary MurphyTo: listSent: Thursday, February 26, 2004 9:24 AMSubject: [ozmidwifery] Lotus placenta Does anyone have any information about infection in newborns caused by a Lotus Placenta? A recent client of another midwife has been reported to the Dept of Community Services child protection unit because she is practicing lotus placenta with her newborn. What a load of stress to put on a woman because the paediatritions don't know anything about it. These are the same paeds who didn't know that it was possible for babies to be born in the caul. Any information gratefully received. ASAP. MM -- Babies are Born... Pizzas are delivered.
Re: [ozmidwifery] Lotus placenta
OMG! They really think they are God! Hasn't Sarah Buckley has written an article on lotus birth? Seeing as she is a doc might hold a bit of weight if this poor woman needs some support. Jayne - Original Message - From: Mary Murphy To: list Sent: Thursday, February 26, 2004 12:24 PM Subject: [ozmidwifery] Lotus placenta Does anyone have any information about infection in newborns caused by a Lotus Placenta? A recent client of another midwife has been reported to the Dept of Community Services child protection unit because she is practicing lotus placenta with her newborn. What a load of stress to put on a woman because the paediatritions don't know anything about it. These are the same paeds who didn't know that it was possible for babies to be born in the caul. Any information gratefully received. ASAP. MM
Re: [ozmidwifery] Lotus placenta
I have emailed Sarah. what I need is articles written about safety etc.Any research out there? Anyone know of infected babies? MM Hasn't Sarah Buckley has written an article on lotus birth? Seeing as she is a doc might hold a bit of weight if this poor woman needs some support.
Re: [ozmidwifery] BORN IN CAUL
Hi Mary Could you please send me the photos of babies born in a caul from Lieve to [EMAIL PROTECTED] Thanks heaps Helen Cahill - Original Message - From: Mary Murphy To: [EMAIL PROTECTED] Sent: Tuesday, February 24, 2004 8:41 PM Subject: Re: [ozmidwifery] BORN IN CAUL Thank you Julie for the great photos. Lieve, the Dutch midwife,sent me a great series of a baby born underwater in the caul (like my client) I would be happy to pass them on. Lieve said they wouldn't be accepted on the list , probably because they wouldcome through as an attatchment. cheers, M If you visit www.transitionintoparenthood.com.au and click on about Julie and then click on the pdf file Respecting Childbirth as a Rite of Passage, you will see the photos of my babies births. The second one Ryan was born in the caul. http://www.transitionintoparenthood.com.au/Respecting%20Childbirth%20as%20a%20Rite%20of%20Passage.pdf I hope this helps. I am sure the paed would also love to know that Ryan swims like a dolphin and is a wonderfully sensitive gentle giant of a teenager J There is just something about Ryan that everyone warms to. We still have Ryans caul to keep it we had it laminated he even took it to show and tell in kindy. Now thats sharing of knowledge isnt it? You should have seen the teachers face! Warmest regards, Julie Julie Clarke CBE Childbirth and Parenting Educator ACE Grad-Dip Supervisor NACE Advanced Educator and Trainer Transition into Parenthood 9 Withybrook Pl Sylvania NSW 2224. T. (02) 9544 6441 F. (02) 9544 9257 Mobile 0401 2655 30 email: [EMAIL PROTECTED] www.transitionintoparenthood.com.au From: owner-[EMAIL PROTECTED] [mailto:owner-[EMAIL PROTECTED]] On Behalf Of Mary MurphySent: Monday, 23 February 2004 10:08 PMTo: listSubject: [ozmidwifery] BORN IN CAUL Today a paediatric registrar told me that it was impossible for my recent client to have birthed her baby "in the caul". He was wanting photographic proof. I explained that we didn't take photos of such events because 1)it would mean using a "flash"-He couldn't see the problem , 2) we don't know in advance that it is going to happen. Does anyone have photos of this "impossible" event?cheers, MM
