Re: [ozmidwifery] casload practice

[Lynne Staff]

We'll still be here in 2 years! And you are most 
welcome to come for a clinical placement. All you need to do is to have your 
clinical prac co-ordinator liase with me/organise a university hospital 
contract.
Look forward to hearing from you!

  - Original Message - 
  From: 
  Callum & 
  Kirsten 
  To: [EMAIL PROTECTED] 
  
  Sent: Wednesday, September 22, 2004 9:06 
  AM
  Subject: Re: [ozmidwifery] casload 
  practice
  
  Lynne give me 2 years and i'd be there 
  with bells on! But how about i come and do a placement there
  Kirsten
  BMid student
  Darwin
  ~~~start life with a midwife~~~
  
- Original Message - 
From: 
Lynne Staff 
To: [EMAIL PROTECTED] 

Sent: Wednesday, September 22, 2004 
8:02 AM
Subject: Re: [ozmidwifery] casload 
practice

Come on women!

  - Original Message - 
  From: 
  Andrea Quanchi 
  To: [EMAIL PROTECTED] 
  
  Sent: Saturday, September 18, 2004 
  4:12 PM
  Subject: Re: [ozmidwifery] casload 
  practice
  Me too, perhaps On Thursday, September 16, 2004, at 
  02:45 PM, Trish David wrote:
  I wish!Lynne Staff wrote:Hello All,Are there 
any midwives out there interested in working in a caseload practice in a 
private hospital setting? (Sunshine Coast QLD)Looking forward to hearing 
from 
  youLynne

Re: [ozmidwifery] measuring Hb during pregnancy

[Marilyn Kleidon]

Exactly Andrea. There is an article in the Journal 
of Nurse-Midwifery (now the Journal of Midwifery and Women's Health)  
Volume 39, No.2 (Supplement), March/April 1994, pp.133 - 148  " 
Nurse-Midwifery Management of iron-deficiency anaemia during 
pregnancy"  by Janet L.Engstrom, CNM, Ph.D and Claudia P. Sittler, 
CNM, MS which discusses these issues and is excellent reading. It gives you 
an  algorithm for a differential diagnosis and pathophysiology of the 
various anemias and the beneficial and normal haemodilution of the healthy 
second trimester (no pathophysiology here). I have a photocopy of this article 
and could send copies by snail mail to anyone who wants, though I am sure you 
can find this journal in  some Uni library.
 
marilyn

  - Original Message - 
  From: 
  Andrea 
  Quanchi 
  To: ozmidwifery 
  Sent: Tuesday, September 21, 2004 6:30 
  PM
  Subject: [ozmidwifery] measuring Hb 
  during pregnancy
  All this talk about haemaglobin reminded me about something I 
  read recently and thought would make a good discussion.I have just 
  finished reading Michel O'Dent's book 'The Casarean' ( available from Birth 
  International) which was very interesting reading. In it he discusses 
  measuring Hb during pregnancy and I will type the relevent section from pages 
  115-116 He states that'... there is 
  a widespread belief that this test can effectively detect anaemia and iron 
  deficiency. In fact this test cannot diagnose iron deficiency because the 
  blood volume of pregnant women is supposed to increase dramatically, so the 
  haemoglobin concentration indicates first the degree of blood dilution, an 
  effect of placental activity. A large british study, involving more than 
  150,000 pregnancies found the highest average birth weight was in the group of 
  women who had a haemaglobin concentration between 8.5 and 9.5. Furthermore 
  when the haemaglobin concentration fails to fall below 10.5 there is an 
  increased risk of low birth weight, pre term birth and pre-eclampsia. The 
  regrettable consequence of routine evaluation of haemoglobin is that all over 
  the world, millions of pregnant women are wrongly told that they are anaemic 
  and are given iron supplements. there is a tendency both to overlook the side 
  effects of iron (constipation, diarhhoea, heartburn etc) and to forget that 
  iron inhibits the absorption of such an important growth factor as zinc. 
  Furthermore, iron is an oxidative substance that can exacerbate the production 
  of free radicals and might even increase the risk of pre-eclampsia. 'of course he gives referencesWell I knew the first 
  bit about blood dilution but was not aware of the study that showed the higher 
  birth weight amongst the women with lower Hb or the tendancy to pre eclampsia 
  to women with higher Hb. Makes sense though that if there is higher blood 
  pressure then placental function/flow will be decreased and lead to lower 
  foetal growth. Makes the whole thing a bit of a joke though doesnt it as Hb is 
  the one thing I thought was worth knowing of the battery of tests that women 
  are subjected to. Maybe we should be celebrating when there Hb comes back 
  lower that 10.5 and 'worrying' when it doesn't. Cant you see it now new 
  indication for keeping an eye on BP "Hb above 10.5'. Food for thought though. 
  As it will make any though of supplements virtually obsolete.Andrea 
  Quanchi

Re: [ozmidwifery] casload practice

[Andrea Quanchi]

Come on Lynne,  the heart is willing even though the family isn't.  Small problem of husbands and teenagers who have lives here. Why cant we all have establishments that want to do this. 
Andrea
On Wednesday, September 22, 2004, at 08:32 AM, Lynne Staff wrote:

Come on women!

- Original Message -
From: Andrea Quanchi
To: [EMAIL PROTECTED]
Sent: Saturday, September 18, 2004 4:12 PM
Subject: Re: [ozmidwifery] casload practice

Me too, perhaps
On Thursday, September 16, 2004, at 02:45 PM, Trish David wrote:

I wish!

Lynne Staff wrote:

Hello All,Are there any midwives out there interested in working in a caseload practice in a private hospital setting? (Sunshine Coast QLD)Looking forward to hearing from youLynne

[ozmidwifery] measuring Hb during pregnancy

[Andrea Quanchi]

All this talk about haemaglobin reminded me about something I read recently and thought would make a good discussion.

I have just finished reading Michel O'Dent's book 'The Casarean' ( available from Birth International) which was very interesting reading.  In it he discusses measuring Hb during pregnancy and I will type the relevent section from pages 115-116   

He states that
'... there is a widespread belief that this test can effectively detect anaemia and iron deficiency. In fact this test cannot diagnose iron deficiency because the blood volume of pregnant women is supposed to increase dramatically, so the haemoglobin concentration indicates first the degree of blood dilution, an effect of placental activity. A large british study, involving more than 150,000 pregnancies found the highest average birth weight was in the group of women who had a haemaglobin concentration between 8.5 and 9.5. Furthermore when the haemaglobin concentration fails to fall below 10.5 there is an increased risk of low birth weight, pre term birth and pre-eclampsia. The regrettable consequence of routine evaluation of haemoglobin is that all over the world, millions of pregnant women are wrongly told that they are anaemic and are given iron supplements. there is a tendency both to overlook  the side effects of iron (constipation, diarhhoea, heartburn etc) and to forget that iron inhibits the absorption of such an important growth factor as zinc. Furthermore, iron is an oxidative substance that can exacerbate the production of free radicals and might even increase the risk of pre-eclampsia. '

of course he gives references

Well I knew the first bit about blood dilution but was not aware of the study that showed the higher birth weight amongst the women with lower Hb or the tendancy to pre eclampsia to women with higher Hb. Makes sense though that if there is higher blood pressure then placental function/flow will be decreased and lead to lower foetal growth.  Makes the whole thing a bit of a joke though doesnt it as Hb is the one thing I thought was worth knowing of the battery of tests that women are subjected to. Maybe we should be celebrating when there Hb comes back lower that 10.5 and 'worrying' when it doesn't. Cant you see it now new indication for keeping an eye on BP "Hb above 10.5'. Food for thought though. As it will make any though of supplements virtually obsolete.

Andrea Quanchi

Re: [ozmidwifery] casload practice

[Callum & Kirsten]

Lynne give me 2 years and i'd be there with 
bells on! But how about i come and do a placement there
Kirsten
BMid student
Darwin
~~~start life with a midwife~~~

  - Original Message - 
  From: 
  Lynne Staff 
  To: [EMAIL PROTECTED] 
  
  Sent: Wednesday, September 22, 2004 8:02 
  AM
  Subject: Re: [ozmidwifery] casload 
  practice
  
  Come on women!
  
- Original Message - 
From: 
Andrea Quanchi 
To: [EMAIL PROTECTED] 

Sent: Saturday, September 18, 2004 4:12 
PM
Subject: Re: [ozmidwifery] casload 
practice
Me too, perhaps On Thursday, September 16, 2004, at 02:45 
PM, Trish David wrote:
I wish!Lynne Staff wrote:Hello All,Are there any 
  midwives out there interested in working in a caseload practice in a 
  private hospital setting? (Sunshine Coast QLD)Looking forward to hearing 
  from 
youLynne

[ozmidwifery] Post traumatic stress

[Carolyn Hastie]

Hi Barb and Monica, 

I'm so glad to read Barb, that my articles have been helpful to you.
That has made my day.  :-)

PTSD is a real challenge and there is a great tool to assist with
dealing with and defusing the emotional wiring that is associated with
that situation. The tool is called EFT - emotional freedom technique.  
I work with birthing women and many others with this elegant and
effective tool.
see www.emofree.com   I have done all the courses, am an accredited
practitioner and find it stunningly successful with many challenges. 

My work following the tradedy of Jodie's suicide (1996)
http://www.acegraphics.com.au/articles/hastie01.html has led me to
explore all sorts of modalities and treatments/ideas etc to develop ways
to help us manage the often harsh realities of the modern workplace and
how the transformative beauty of birth is trampled on in the name of
efficiency, risk management and litigation avoidance, and also life
situations itself without succumbing to the physical, mental and
emotional distress that can ensue when we contemplate or bump againts
those realities (and want it so very different). 

I'm more than happy to help, please contact me off list on
[EMAIL PROTECTED] and we can discuss if I can assist in any
way. 

warmly, Carolyn Hastie



Carolyn Hastie
Midwifery Educator
John Hunter Hospital
Locked Bag No 1
Newcastle Mail Exchange 2310
Australia
Phone 02 49214462
Mobile 0418 428 430
Paging ring JHH 4921 3000, page # 5528
Email [EMAIL PROTECTED]

" Adopt the pace of nature, her secret is patience".

Emerson (1803-1882)

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Re: [ozmidwifery] casload practice

[Lynne Staff]

Come on women!

  - Original Message - 
  From: 
  Andrea 
  Quanchi 
  To: [EMAIL PROTECTED] 
  
  Sent: Saturday, September 18, 2004 4:12 
  PM
  Subject: Re: [ozmidwifery] casload 
  practice
  Me too, perhaps On Thursday, September 16, 2004, at 02:45 
  PM, Trish David wrote:
  I wish!Lynne Staff wrote:Hello All,Are there any 
midwives out there interested in working in a caseload practice in a private 
hospital setting? (Sunshine Coast QLD)Looking forward to hearing from 
youLynne

Re: [ozmidwifery] breech baby wisdom

[Lynne Staff]

It's wonderful to hear the 'rest of the story' - an important part of the
reason for this list I think
- Original Message -
From: <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Friday, September 17, 2004 10:04 AM
Subject: Re: [ozmidwifery] breech baby wisdom


> Hi Lynne,
> she had the ECV, which bubs took to kindly and remained head down. She
went into spontaneous labour, after 24+ hard working hours at home they
transferred to hospital for a rest and epidural. Another 27 hours later she
birthed vaginally her strong, healthy 4.5 kg daughter. A mammoth effort, for
which she is extremely proud of and rightly so.
>
> thanks for asking,
> Megan.
>
> -Original Message-
> From: [EMAIL PROTECTED]
> [mailto:[EMAIL PROTECTED] Behalf Of Lynne Staff
> Sent: Friday, 17 September 2004 7:06 AM
> To: [EMAIL PROTECTED]
> Subject: Re: [ozmidwifery] breech baby wisdom
>
>
> Hi Megan
> how did this woman fare with her birth?
> Regards, Lynne
> - Original Message -
> From: "Larry & Megan" <[EMAIL PROTECTED]>
> To: "ozmidwifery" <[EMAIL PROTECTED]>
> Sent: Monday, June 07, 2004 1:57 PM
> Subject: [ozmidwifery] breech baby wisdom
>
>
> > Does anyone know if there is compelling evidence why a VBAC should be
> ruled
> > out because baby is in breech position, to add to it the feet are down,
> not
> > bum?
> > Mum is about 35-36 weeks, planned homebirth, excellent supportive OBs,
and
> > has a week ahead of bookings and tricks to help baby turn, Obs is also
> > supportive of ECV if necessary. Bubs just did the flip last week.
> >
> > Any thought on this would be grately appreciated.
> > Its strange to hear comments from the likes of Ann Peacock and Tracy
Curo
> > and to know and be with someone who would move heaven and earth for the
> > chance of a vaginal birth.
> >
> > Thanks
> > Megan
>
>
> This message was sent through MyMail http://www.mymail.com.au
>
>
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Re: [ozmidwifery] "push pal"

[Lynne Staff]

I found the letter to me from my obstetric colleague re the Push Pal...
Dear Lynne
I am writing to you about the Push Pal. It is good to see that the woman is
giving birth recumbently! I suppose they might be another useful adjunct.
You might like to discuss it with the other midwives. Yours sincerely.
- Original Message -
From: "Alesa Koziol" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Thursday, September 02, 2004 9:50 PM
Subject: Re: [ozmidwifery] "push pal"


> While you are at  it (printing off and discussion)  have an indepth look
at
> the 'epi-no' product as well.
> More damaging in the long run but the message for the pregnant woman is
just
> as disempowering
> Cheers
> Alesa
> - Original Message -
> From: "Lynne Staff" <[EMAIL PROTECTED]>
> To: <[EMAIL PROTECTED]>
> Sent: Thursday, September 02, 2004 8:28 PM
> Subject: Re: [ozmidwifery] "push pal"
>
>
> > Peter Cundall is the host for Gardening Australia, and to me, the Push
> Pals
> > thingos look like kneepads for gardeners! Sorry - I just can't get my
head
> > around these things. Now come to think about it it's not my head that
I'm
> > supposed to get around then is it?!
> > The testimonials would make for a very interesting discourse analysis in
> > themselves - I have a mind to print them off and have a big discussion
> with
> > the midwives where I work for an inservice. Sigh.
> > - Original Message -
> > From: "JoFromOz" <[EMAIL PROTECTED]>
> > To: <[EMAIL PROTECTED]>
> > Sent: Monday, August 30, 2004 10:06 PM
> > Subject: Re: [ozmidwifery] "push pal"
> >
> >
> > > Lynne Staff wrote:
> > >
> > > >Hi Jo
> > > >I emailed this to an Ob colleague of mine, and, Bless his little
cotton
> > > >socks, he wrote a (very toungue-in-cheek )letter outlining that he
> > thought
> > > >this was just what the unit needed! I am sure I can find the letter
> > > >somewhere!
> > > >I think this ad should be read in a Peter Cundall voice (no offence
> > Peter,
> > > >but they look like gardening knee pads!!) Oops, sorry pals.
> > > >with mirth
> > > >Lynne
> > > >
> > > >
> > > Hi Lynne.
> > >
> > > I would love to read the letter if you can find it!
> > > ...the stranded beetle position...
> > > I just think it shouts out :  You will birth OUR way, (but we've
> > > designed something to, um, help you)
> > >
> > > The Peter Cundall joke went over my head...am I too young??
> > >
> > >
> > >
> > > Jo
> > >
> > >
> > > --
> > > 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.
> >
>
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Re: [ozmidwifery] Spiritual Midwifery

[Lynne Staff]

My sons call me a hippy (I play a djembe and tabla too! THAT really cracks
them up!!!) and when I said to them there is nothing wrong with being a
hippy and some of the best people I have ever met are, they chorused "Hey
Mum, hippies are hell man!" (Current vernacular for groovy, I believe)
- Original Message -
From: "Sally Westbury" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Tuesday, September 21, 2004 10:18 AM
Subject: RE: [ozmidwifery] Spiritual Midwifery


> I love hippys... all of them.
>
> Sally Westbury
> Homebirth Midwife
>
> "It takes courage to remain a true advocate for women, challenging
> authority and sacrificing social and professional acceptance. It takes
> courage for a woman to choose a caregiver who will truly advocate for
> and empower her."-Judy Slome Cohain
>
> -Original Message-
> From: [EMAIL PROTECTED]
> [mailto:[EMAIL PROTECTED] On Behalf Of Marilyn
> Kleidon
> Sent: Sunday, 19 September 2004 10:11 AM
> To: [EMAIL PROTECTED]
> Subject: Re: [ozmidwifery] Spiritual Midwifery
>
> You know Jen I have a real problemo with that too... but heh I guess I
> hung
> out in Santa Cruz too much. The combo is a great
> combination/recommendation
> to me! And on last peek I didn't notice Ina May hiding the fact. Full
> disclosure is I think the name of the game.
>
> marilyn
> - Original Message -
> From: "Jen Semple" <[EMAIL PROTECTED]>
> To: <[EMAIL PROTECTED]>
> Sent: Friday, September 17, 2004 9:23 PM
> Subject: [ozmidwifery] Spiritual Midwifery
>
>
> > BUT???
> >
> > What's wrong with being a hippy from America?
> >
> > Jen
> >
> >  --- katnap076 <[EMAIL PROTECTED]> wrote:
> > > It is a good book, she is a hippy and is from
> > > America, but she is a real
> > > midwife and a caring one.
> >
> > > - Original Message -
> > > From: "Fiona Rumble" <[EMAIL PROTECTED]>
> > > To: "ozmidwifery" <[EMAIL PROTECTED]>
> > > Sent: Friday, September 10, 2004 5:34 PM
> > >
> > >
> > > > Hi all, I have just come across the book Spiritual
> > > Midwifery at the op
> > > > shop. What do others think of it, if you know the
> > > book by Ina May Gaskin?
> > > > Thanks Fiona
> >
> > Find local movie times and trailers on Yahoo! Movies.
> > http://au.movies.yahoo.com
> > --
> > This mailing list is sponsored by ACE Graphics.
> > Visit  to subscribe or unsubscribe.
> >
>
>
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>
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Re: [ozmidwifery] List problems - from LISTADMIN

[midwife]

> Thanks for looking into this Kim. I'm having trouble too.
Can't open my e-mail software at all and am having to access my mail via provider's 
website. 
Not sure if this happened because of ozmidwifery though. I opened a birth photograph 
someone sent me and that was the end of my email program.
Jan


> From: Kim Hunter <[EMAIL PROTECTED]>
> Date: 21/09/2004 13:12:46
> To: [EMAIL PROTECTED]
> Subject: [ozmidwifery] List problems - from LISTADMIN
> 
> Hi everyone,
> 
> As you are all now doubt aware the list is
> experiencing a few problems with multiple
> emails appearing on the list.
> 
> I have a few theories as to why this is
> happening and I'm looking into them now.
> 
> One of my theories is that someone has a
> virus that is sending back out (backfiring)
> multiple emails that are received by the
> recipient.
> 
> Another theory is that someone has joined
> or hacked into the list in order to cause
> havoc.  I have pinpointed an email address
> and am looking into it further at the moment.
> 
> I hope to have this problem solved by the
> end of the day and would appreciate your
> patience.
> 
> Regards
> Kim
> 
> 
> ---
> Kim Hunter
> List Administration
> Birth International
> ACE Graphics and Associates in Childbirth Education
> 
> http://www.birthinternational.com/
> [EMAIL PROTECTED]
> 
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> Visit  to subscribe or unsubscribe.
> 

This message was sent through MyMail http://www.mymail.com.au


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Re: [ozmidwifery] Info needed urgently

[Lynne Staff]

Dear Louise
Feel free to contact me - 07 5450 
4359
I work at a private hospital where we have midwives 
clinic (full antenatal visits) and also a caseload practice program running. 
Midwives can provide (as much as possible) continuity of care (in various ways), 
and there is 1-2-1 during labour and birth, all the way through for those 
midwives who want to do that. We have (like everywhere else) midwives who 
are unable to or who do not wish to stay for longer than an 8 hour shift. Happy 
to talk with you. 
Regards, Lynne

  - Original Message - 
  From: 
  Anne Clarke 
  
  To: [EMAIL PROTECTED] 
  
  Sent: Tuesday, September 21, 2004 8:53 
  AM
  Subject: Re: [ozmidwifery] Info needed 
  urgently
  
  Dear Louise,
   
  The only one I am aware of is Selangor Private 
  Hospital on the Sunshine Coast.
   
  You can contact Lynn Staff the CNC on [EMAIL PROTECTED]
   
  Regards,
  Anne Clarke
  
- Original Message - 
From: 
Geoff & Louise Wightman 

To: [EMAIL PROTECTED] 

Sent: Tuesday, September 21, 2004 7:42 
AM
Subject: [ozmidwifery] Info needed 
urgently

Has any one got any information on a maternity 
services where a public and private service are co-located to form one 
maternity service?
Or a private facility where midwives are 
utilising their skills fully?
I need the "how to'' as I need the info to 
bring to a meeting to look at service restructure to try an attract midwives 
to work at our hospital. I have a sceptical CEO, manager & Obstetrician 
all watching the $ signs.
Any help would be greatly 
appreciated.
Thanks Louise__ 
NOD32 1.852 (20040828) Information __This message was 
checked by NOD32 antivirus system.http://www.nod32.com

[ozmidwifery] Sad news from the UK

[Justine Caines]

Title: Sad news from the UK



From the UK

JC
   
 
Superbugs kill mum 11 weeks after birth
  

A NEW mum has died after contracting three superbugs weeks after giving birth in a Glasgow hospital. 
Jacqui Munro, 28, suffered from a flesh-eating bug after having her daughter Rachael by Caesarean at the Princess Royal Maternity Hospital. 
She battled the infection for weeks but was then struck down by sepsis and MRSA. 
Mrs Munro, from Hamilton, lost her fight for life on Tuesday, 11 weeks after she gave birth. 
Her husband Alistair, 34, today said she began to suffer flu-like symptoms and started to shake within hours of being allowed home. 
A few days later, a health visitor spotted black marks on her Caesarean wound and she was rushed to Wishaw General Hos-pital for two operations. 
Within 24 hours of the surgery, Mrs Munro contracted severe sepsis and suffered major organ failure. 
She was put on a life support machine but then contracted MRSA and died. 
Mr Munro said he was "numb" with shock but is reluctant to apportion blame for his wife's death. 
He said: "The doctors and nurses did everything in their power to save my wife and they were devastated when she died." 
A spokesman for NHS Greater Glasgow said: "We are sorry to learn of this lady's death. We can confirm that she underwent a routine elective Caesarean section and was well on discharge." 
A spokeswoman for Wishaw General Hos-pital said: "We cannot comment on details of the patient's care but we would like to offer our condolences." 
Around 400 Scots die every year from MRSA-related infections, which mainly develop in surgical wounds. 
NHS staff are to receive training in a bid to halt the spread of deadly infections. 
Last year, a report revealed patients in Glasgow were more at risk of catching MRSA than anywhere else. 

RE: [ozmidwifery] Info needed urgently

[B & G]

Title: Message



Anne 
& Louise,
Until 
our Obstetrician retired a few years ago we had private/public patients in the 
same ward cared for by the same midwives in BS and ward without any trouble what 
so ever. Sometimes the Obs got there late, no problems. The only issue was when 
they went home they couldn't access the home maternity service as the private 
health fund wouldn't pay the hospital. But they could access private services 
such as midwife, lactation consultant and the like.
Cheers 
Barb

  
  -Original Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED] On Behalf Of Anne 
  ClarkeSent: Tuesday, 21 September 2004 8:53 AMTo: 
  [EMAIL PROTECTED]Subject: Re: [ozmidwifery] Info 
  needed urgently
  Dear Louise,
   
  The only one I am aware of is Selangor Private 
  Hospital on the Sunshine Coast.
   
  You can contact Lynn Staff the CNC on [EMAIL PROTECTED]
   
  Regards,
  Anne Clarke
  
- Original Message - 
From: 
Geoff & Louise Wightman 

To: [EMAIL PROTECTED] 

Sent: Tuesday, September 21, 2004 7:42 
AM
Subject: [ozmidwifery] Info needed 
urgently

Has any one got any information on a maternity 
services where a public and private service are co-located to form one 
maternity service?
Or a private facility where midwives are 
utilising their skills fully?
I need the "how to'' as I need the info to 
bring to a meeting to look at service restructure to try an attract midwives 
to work at our hospital. I have a sceptical CEO, manager & Obstetrician 
all watching the $ signs.
Any help would be greatly 
appreciated.
Thanks Louise__ 
NOD32 1.852 (20040828) Information __This message was 
checked by NOD32 antivirus system.http://www.nod32.com

RE: [ozmidwifery] West Today

[Wendy Taberer]

69 times for me, and still getting them
this morning (in UK)
evening over with you.

Wendy

 









From:
owner-[EMAIL PROTECTED]
[mailto:owner-[EMAIL PROTECTED]]
On Behalf Of jayne
Sent: 21 September 2004 11:28
To: [EMAIL PROTECTED]
Subject: Re: [ozmidwifery] West
Today



 



Only 7 times?!  Some of us have received it multiplied
by 7 many times!  It seems the problem has been fixed though - I
haven't received any since earlier today :)  Hope it is the same for
everyone else.





 





Jayne





 







- Original Message - 





From: Geoff
& Louise Wightman 





To: [EMAIL PROTECTED] 





Sent: Tuesday, September
21, 2004 8:16 PM





Subject: Re: [ozmidwifery]
West Today





 





I've been sent this email 7 times!





Louise







- Original Message - 





From: Denise
Hynd 





To: [EMAIL PROTECTED] 





Cc: [EMAIL PROTECTED] 





Sent: Tuesday, September
21, 2004 10:15 AM





Subject: [ozmidwifery] West
Today





 





Dear all 





I trust you all read page 15 in today's West by Geraldine
Mellett





 





Anyone able to transcribe to the list for those who did
not??





Denise Hynd





 





"Never believe that a few caring people can't change
the world.  For, indeed, they are the only ones who ever have." 

Margaret Mead

RE: [ozmidwifery] research question

[B & G]

Title: Message



Andrea,
That's 
basically what I write in the notes now. It would give them a giggle when 
someone does an audit Indication- as per verbal directive admission CTG Director 
O & G.
Thanks 
Barb

  
  -Original Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED] On Behalf Of Andrea 
  QuanchiSent: Saturday, 18 September 2004 4:30 PMTo: 
  [EMAIL PROTECTED]Subject: Re: [ozmidwifery] research 
  questionOne thing that has been effective against this 
  that I have seen. On the initial midwifery assessment form that was devised 
  specifically to meet the needs of the unit the wording says. FHR__ CTG 
  indicated Yes/ No Indication__Time done  Time VMO 
  notified of result___. This means that the person doing it has to 
  justify on paper why they are doing it. Also leaves room to write VMO 
  insistence with no indication which they dont like seeing on paper. Seems to 
  have resolved the issue of routine admission traces and it hasn't been raised 
  again since.Andrea QOn Friday, September 17, 2004, at 06:04 
  PM, B & G wrote:
  I have a dilemma. CTG's- we 
all know research has proven admission CTG's are of no benefit however when 
there has been a verbal workplace directive by the Director of O & G as 
a litigation risk management that all admissions to Birth Suite have 
a routine baseline CTG and you have been diligent to carry out this with and 
made entry in the notes to the effect indication for CTG as per policy. I 
have since found out that a person doing her masters has been auditing 
clients charts to see how many CTG's there have been done and now wants to 
interview the clinicians/midwives to discuss why we did the CTG? "To 
highlight the lack of clinical knowledge of midwives when they put everyone 
on a CTG" in Birth Suite she verbally informed me when questioned. I 
feel now that not only we clinicians are in conflict with the Dr's over 
being told we have to do a CTG on admission, us clinician are now 
being treated as bloody mugs from a midwife researcher. It was only when I 
contacted the researcher for an explanation what her notice on the board 
that appeared today requesting us to write down the clients UR and our name 
on a piece of paper did I find out about this research. I feel abused, 
violated and to be honest so pissed off that a midwife has such little 
regard to midwives professional conduct and clinical care when we often have 
little control over medical directives. Another example is IVC for VBAC do 
we really need it. I have questioned many times why baseline CTG's to the 
point I was being ignored by registrars and they would go to other midwives 
to make sure an admission CTG be done. I capitulated as I was subjected 
to horizontal violence from medical staff and other midwives to the point I 
just do CTG's but always asking what the indication is and noting it in the 
notes. I 
do not believe this research is ethical and of no benefit to anyone other to 
show just how stupid we are in obeying medical directives. If we can have 
case loading with midwifery led care this question would not come up. Am 
I over reacting, any suggestion what I can do?I lock 
forward to your responses. Barb

[ozmidwifery] Fw: Re - Public and private care in same area

[Anne Clarke]

- Original Message - 
From: "carole" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Tuesday, September 21, 2004 8:09 PM
Subject: Re - Public and private ladies


Hello Anne,
My name is Carole Dodd and I work as a Clinical Nurse / Midwife at a 
public hospital 40km north of Brisbane. This is Caboolture Hospital and 
about 12 and a bit months ago we started having ladies as private 
patients. There is a doctors clinic that they go to. They can share care 
if they like. There is always a midwife in clinics if they have queries 
etc. When it comes time for the birth, we care for the ladies just like 
any others. If the doc gets there he does, but they usually don't get 
too concerned. The Dr fees / hospital fees etc are dealt with by the 
finance team BUT - you could call the hospital on 07 5433 and ask to 
speak to Anne Clayton - NUM for birth suite and clinics. She will have 
the low down for you on all the details and direct you to the finance 
team if necessary.
We were all worried about what would happen when it started but, really, 
it's still the same. We still do all the caring, call the doc with 
concerns  / birth, we use drug standing orders - we just let them know 
whats happening, keep them informed and they're happy. Personally, I 
think that having an obstetrician who has a toddler (after a beautiful 
waterbirth) is rubbing off on those in the 'boys club'. We love our 
Lindsay. Anyway, hope this helps. If you call Anne tell her how you got 
her name. She does a lot of clinical therefore if she is busy with 
labouring ladies you may need to call back.
Have fun.
Carole


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Re: [ozmidwifery] West Today

[jayne]

Only 7 times?!  Some of us have received it 
multiplied by 7 many times!  It seems the problem has been fixed 
though - I haven't received any since earlier today :)  Hope it is the same 
for everyone else.
 
Jayne
 

  - Original Message - 
  From: 
  Geoff & Louise Wightman 
  To: [EMAIL PROTECTED] 
  
  Sent: Tuesday, September 21, 2004 8:16 
  PM
  Subject: Re: [ozmidwifery] West 
  Today
  
  I've been sent this email 7 
  times!
  Louise
  
- Original Message - 
From: 
Denise Hynd 
To: [EMAIL PROTECTED] 

Cc: [EMAIL PROTECTED] 

Sent: Tuesday, September 21, 2004 10:15 
AM
Subject: [ozmidwifery] West Today

Dear all 
I trust you all read page 15 in today's West by 
Geraldine Mellett
 
Anyone able to transcribe to the list for those 
who did not??
Denise Hynd
 
"Never believe that a few caring people can't 
change the world.  For, indeed, they are the only ones who ever 
have."  Margaret 
Mead

RE: [ozmidwifery] admission ctg and the furphy of litigation(LONG) (even longer reply)

[B & G]

Monica,
Oh how sad your story is. Off the subject a bit but hyper vigilance is a
safety net only those who have been through a traumatic experience
understand. Crossing the T's dotting the I's watching the time writing
objective notes as if you are on trial with each and every client is
enormously draining. I suffer from Post traumatic stress disorder from
am assault and torture from a unsupervised prisoner in an Intensive Care
Unit. There is no protection from physical assault either in the health
system. I call it the time when I was a nurse, now I am a midwife. It
isn't easy. I wish I could give you a big cuddle and say it will get
better over time but only you can do that. It is sad you are leaving
midwifery you have so much to share with beginning practitioners,
guiding them as they gain skills as midwives. When I struggled to return
to work after 10 months off work - 3 months in hospital a comment was
made to me "what happens if you make a mistake" said by very senior
international midwife head. My response 'I'm more scared of them".
However I became obsessed with documentation and giving spot on care, so
I didn't make a mistake, I forgot to smile and laugh about the little
things.
Workplaces can be toxic. I gained great strength from Carolyn Hastie's
work on workplace bullying. Have you considered taking out am injunction
or a DVO against this woman with her vexatious complaints. Hit her back,
you also deserve a life too!.
Take care, email me off the list if you wish.
Cheers Barb

-

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Re: [ozmidwifery] West Today

[Geoff & Louise Wightman]

I've been sent this email 7 times!
Louise

  - Original Message - 
  From: 
  Denise Hynd 
  To: [EMAIL PROTECTED] 
  
  Cc: [EMAIL PROTECTED] 
  
  Sent: Tuesday, September 21, 2004 10:15 
  AM
  Subject: [ozmidwifery] West Today
  
  Dear all 
  I trust you all read page 15 in today's West by 
  Geraldine Mellett
   
  Anyone able to transcribe to the list for those 
  who did not??
  Denise Hynd
   
  "Never believe that a few caring people can't 
  change the world.  For, indeed, they are the only ones who ever 
  have."  Margaret Mead

[ozmidwifery] Greens Health Launch - Melbourne

[Andrea Bilcliff]

- Original Message - 

From: "Leslie Arnott" <[EMAIL PROTECTED]>

Hi Everyone
I know this is short notice but we need 'bums on seats' for the Green's
National Health Launch this Thursday September 23rd at 11am. The Greens
are the only party so far to embrace the NMAP and to include 1-2-1
midwifery care in their health policy. Kerry Nettle who is their
national health spokesperson will be there to launch the policy, as will
Riichard Di Natale, the state health spokesperson. Bob Brown will be
making an effort to try and be there, although he is yet to be
confirmed. As soon as I know, I will let all of you know.
It is so important that as many of you get there as is possible. This
will indicate a show of support (especially to the Libs and ALP) for
issues that the Greens are embracing and the other parties are ignoring.
It is also important that the Maternity Coalition provide a substantial
crowd so that people like the Federal Health Minister, Tony Abbott and
the opposition health spokesperson, Julie Gillard are made aware of our
presence and interest at a Federal level.
Can we make sure that the banner gets to the launch, whoever has it.
Media is expected so please bring as many bubs, balloons, strollers and
pregnant bellies as possible.
Date: Thursday Sept 23
Time: 11am (convene at 10:45am)
Place: North Richmond Community Health Centre
 23 Lennox Street, Richmond
Can you all please respond to this email promptly. Thanks heaps.
See there
LESLIE

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Re: [ozmidwifery] admission ctg and the furphy of litigation(LONG) (even longer reply)

[Denise Hynd]

Dear Monica
You have not told us much of your story and I do not doubt you.
However having worked in both systems

 I can not but feel that fragmentation of care is part of the cuase and the
solution!

I do not suggest either is Perfect but presently we not only have a system
of chineses whispers but one where many voices are impacting on both the
woman and her care givers with out any chance for things to be resolved or
clarified between each woman and the multitude of people who give her
"care"..

I give you 2 quotes from Implementing NMAP in WA

State wide caseload midwifery options would address objectives of the DoH WA
Office of Safety and Quality in Health (OSQH) such as 'to promote consumer
focused, safe, quality health care across the WA health system'. The
Clinical Governance Unit of this DoH division acknowledges that "as more
individuals from more groups look after a patient within a tighter time
frame, maintaining a consistently high standard of care - even across a
single health care episode becomes more challenging. The potential for error
increases particularly whenever responsibility is handed from one agency to
the next." This document refers to "the Douglas Inquiry's findings of poor
policies and practices and inadequate systems that resulted in poor outcomes
for patients and their families. as emblematic of system wide concerns" .
The OSQH unit's review of legal precedents and system responses supports the
British concept of Clinical Governance, which has resulted in resource
savings, including reductions in clinical negligence premiums in the UK. As
above, continuity of midwifery care for women can address concerns in WA
about litigation risks and the price of PI insurance premiums. Both are
cited as a factors contributing to Australia-wide reported withdrawal from
practice of GP obstetricians and specialist obstetricians.

Caseload options offer midwives development opportunities for all
competencies and clinical applications as per the NHMRC, Australian
Maternity Action Plan (AMAP) and WA Enhanced Role of the Midwife Project, as
well as more efficient utilisation of midwifery workforces by employers or
contractors of midwives. For example a South Australian audit showed that in
the current fragmented system each midwife working shifts provides care for
the equivalent of 25 women, with each woman seeing between 15 - 25 midwives
depending on risk factors in the pregnancy, type of labour and length of
post-natal stay. However each full-time caseload midwife working in a
sub-group of 3 (Adelaide's Midwifery Group Practice) will provide care for
40 women per year throughout each pregnancy episode.


The CMP is a proven example of a "community based solution" which supports
individuals and families taking personal responsibility for health and
effective parenting, as outlined in NMAP. Politicians, media and many other
authoritative figures are currently offering these concepts as a means of
addressing many social problems.

Continuity of care by a known midwife supports and strengthens each women's
networks and development of problem solving skills and resources.
Denise Hynd

"Never believe that a few caring people can't change the world.  For,
indeed, they are the only ones who ever have."
Margaret Mead
- Original Message - 
From: "mh" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Saturday, September 18, 2004 9:30 PM
Subject: Re: [ozmidwifery] admission ctg and the furphy of litigation(LONG)
(even longer reply)


Justine,
For the past two and a half years I have been pursued by a woman who
sincerely believes she has grounds for complaint. I can't go into the
details of the case because of patient confidentiality (not that it has
stopped this woman slandering me in national papers, on network radio, etc)
but it has been investigated four times now, three times coming to the
conclusion that there is no case to answer and the last (HCCC) not yet
completed. It has been dismissed as vexatious by the coroner. This case has
caused me the most profound distress. It has destroyed my peace of mind,
damaged my relationship with my partner and children because I can't think
of anything else and is losing me my career because I cannot continue to put
myself in the path of this kind of event in the future. There is virtually
no protection for health professionals against allegations from unhappy
consumers. I am sorry if that sounds harsh but it is true. In any other
court, one is considered innocent until proven guilty; in these cases, an
unhappy health consumer can make any kind of allegation, it need not be
backed up by any kind of evidence, and the health professional has to prove
that it did not happen. It makes no difference if one has  followed hospital
procedure or protocol. It makes no difference that (in my case) the woman
was fully advised and consulted at the time and agreed with the course of
action taken- she now says she was not consulted and it comes to my word
against hers. I

Re: [ozmidwifery] Wonderful induction birth!

[Kim Stead]

Well done Cheryl.  I wish I heard more stories like that one!! 
 

 
---Original Message---
 

From: [EMAIL PROTECTED]
Date: 21/09/2004 3:47:48 p.m.
To: [EMAIL PROTECTED]
Subject: [ozmidwifery] Wonderful induction birth!
 
Just got to gloat to those who are in the know - because hubby certainly
doesn't get it!  Got to work last night, primep with prostins at term - why
is she being induced -  because the doctor said!   She had no idea what was
happening but very trusting.  Got up at 0030, twinges; showers, hotpacks
etc, waddled down to LW at 0300, not talking between contractions by 0415,
asked me for some analgesia soon after, then had transition, and 7 min
second stage and a beautiful birth, intact peri just before 0500, doctor and
on-call midwife got there too late - one very contented family and happy RM
and RN!!!  Certainly a most satisfying birth.
 
Cheryl
 
_
In the market for a car? Buy, sell or browse at CarPoint:
http://server-au.imrworldwide.com/cgi-bin/b?cg=link&ci=ninemsn&tu=http://carpoint.ninemsn.com.au?refid=hotmail_tagline
 
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Re: [ozmidwifery] going off list for a while

[Abby and Toby]

>>SOrry , but 53 emails is too many to deal 
with. I'm going off list for a while till things are sorted out
Kirsten blacker
 
Wow Kirsten! You only get 53 emails? My husband is 
happy if there are under 200 a day with all my lists! lol! It use to be about 
800 till I unsubbed.
 
It will be good when this gets sorted though. I 
think Kim is working on it.
 
Love Abby
 
 

[ozmidwifery] List problem

[Kim Hunter]

Hi everyone,
The recent problem was caused by an email
loop.  Someone has set up their email account
to send an email when they're not accessing
their email account.  The problem here is
that they didn't do it right.
I believe I have fixed the problem.  If for
some reason you think there is still a problem
or you have any questions, please feel free to
contact me.
Regards
Kim

---
Kim Hunter
List Administration
Birth International
ACE Graphics and Associates in Childbirth Education
http://www.birthinternational.com/
[EMAIL PROTECTED]
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[ozmidwifery] going off list for a while

[Kirsten Blacker]

SOrry , but 53 emails is too many to deal with. I'm 
going off list for a while till things are sorted out
 
Kirsten blacker