Re: [ozmidwifery] gastric washes
Hi all, Need your help finding references/articles on gastric washes for neonates, also any first hand observations or thoughts. I've just returned from a week in Adelaide doing a postpartum placement and was amazed to see so many gastric washes being done. When I queried the practice and asked for protocols and policies to look at, I was told that 'we've been doing them for 30 years and they work'. To hell with best practice and evidence!! Any comments would be welcomed, Sue -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] oxytocinon
Hi all, I have just finished reading Pharmacology for midwives (S Jordan) pp. 143-174. I am sooo glad that I dont work in a unit that requires mandatory use of either syntocinin or syntometrine for 3rd stage. It is quite frightening reading and alerted me to the casual way we use these powerful drugs. I favour physiological third stage unless otherwise strongly indicated and now I know why. Cheers, mm
[ozmidwifery] PS. oxytocinon
I was also very surprised to learn that syntometrine has an adverse effect of the establishment of breast feeding. How did I come to miss that after so many years of practice?? Admittedly I rarely use it, but still, I am usually alert to those kind of issues. Perhaps, as I said, we treat them rather casually. MM
[ozmidwifery] vulval varices
Hi I am doing some research into varicose veins for an assignment. According to Foote (1960), it is possible that extensive vulval varices could rupture during birth and cause fatal hemorrhage. Does anyone know anything about this subject? It is the only bit of research I found that said this. But there is very little info on vulval varices at all. Cheers Lindsay No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.6.2 - Release Date: 4/06/2005
Re: [ozmidwifery] Fw: Friends of the Birth Centre Brisbane 10th Birthday Festival
Hi, Thanks Anne, I've sent an email off to Penny and will let you know if I hear back from her. She was such a great midwife and really influenced the way I hope to practice in the coming years. Thanks for taking the time to reply. Holly :) Anne Clarke [EMAIL PROTECTED] wrote: Dear Holly, Penny (Buntine - yes you spelt it correctly) does not work in the Birth Centre anymore but still works at the RWH in the Phoenix Team Midwifery project. I am sure Penny would love to keep in touch. I think Penny's email for QHealth is: [EMAIL PROTECTED] If you get no joy with this email let me know and the next time I see Penny I will give her your contact. Regards, Anne Clarke - Original Message - From: [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Saturday, June 04, 2005 12:55 PM Subject: Re: [ozmidwifery] Fw: Friends of the Birth Centre Brisbane 10th Birthday Festival Hi Anne, I was wondering does Penny Buntine (I think that's her last name) still work there? She was with me when I birthed my 2nd daughter there 5 years ago now. Would love to touch base, get some midwifery tips!! Holly : ) Anne Clarke [EMAIL PROTECTED] wrote: THE BIRTH CENTRE BRISBANE10TH BIRTHDAY FESTIVAL YOU ARE INVITED! You may be aware the Birth Centre at Royal Women's Hospital Brisbane is approaching a 10 year milestone in June 2005. Friends of The Birth Centre Association do not want to let this achievement pass unrecognised. They are planning to hold a large family orientated festival on the Celebration Lawn at Roma Street Parklands on Saturday, 18th June 2005. They aim to generate public media interest with live entertainment, food, kids activities, interactive demonstrations and stalls to create a festival atmosphere. Please come one and all to offer your support particularly in the light of what has happened recently. Bring your family, friends and significant others to a day of fun and celebration. Hope to see you there, Anne Clarke Midwife Birth Centre -- 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. __ NOD32 1.1127 (20050604) Information __ This message was checked by NOD32 antivirus system. http://www.nod32.com -- 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] gastric washes
Hi Sue Jan and I will be your way before long. Just wondering if you want me to include you on the LIST of Australian Midwives wanting/needing/seeking professional indemnity and provider numbers? Gastric washes/lavage alter the gastric enzymes and flora. No need for these invasive procedures. Colostrom and breastmilk is the answer to cleaning and assisting the function of the alimentary system. In my experience gastric washes are for people who overdose or swallow dangerous substances. No references at present, no evidence needed, common sense prevails. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Sue Cookson Sent: Monday, 6 June 2005 6:17 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] gastric washes Hi all, Need your help finding references/articles on gastric washes for neonates, also any first hand observations or thoughts. I've just returned from a week in Adelaide doing a postpartum placement and was amazed to see so many gastric washes being done. When I queried the practice and asked for protocols and policies to look at, I was told that 'we've been doing them for 30 years and they work'. To hell with best practice and evidence!! Any comments would be welcomed, Sue -- 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] New to list - Hi
Welcome Nicola, Fancy meeting you here! (after meeting you in NSW) Love, Barb -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] vulval varices
Lisa, I searched the MIDIRS data base for you. Not one mention of V,V out of about 165 entries in that area. I also searched some other data bases No luck. I have had a number of women with this condition and there have not been any problems at birth. Sorry, thats the best I can do. cheers, MM From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Lindsay Kennedy Sent: Monday, 6 June 2005 6:15 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] vulval varices Hi I am doing some research into varicose veins for an assignment. According to Foote (1960), it is possible that extensive vulval varices could rupture during birth and cause fatal hemorrhage. Does anyone know anything about this subject? It is the only bit of research I found that said this. But there is very little info on vulval varices at all. Cheers Lindsay
Re: [ozmidwifery] vulval varices
Lindsay: I don't know if there is any evidence on this, I have only anecdotal info: I have seen vulval varices on several homebirth clients in the USA. First thoughts were in alignment with Foote. However at least 2 of the women stated they had them during previous births and all went well which in deed it did. What was also reassuring was the advice of other midwives who were attending homebirths who stated it was not uncommon to see vulval varices and they in fact were not a problem during birth. Midwifery Today archives might have some info. marilyn - Original Message - From: Lindsay Kennedy To: ozmidwifery@acegraphics.com.au Sent: Monday, June 06, 2005 3:14 AM Subject: [ozmidwifery] vulval varices Hi I am doing some research into varicose veins for an assignment. According to Foote (1960), it is possible that extensive vulval varices could rupture during birth and cause fatal hemorrhage. Does anyone know anything about this subject? It is the only bit of research I found that said this. But there is very little info on vulval varices at all. Cheers Lindsay No virus found in this outgoing message.Checked by AVG Anti-Virus.Version: 7.0.323 / Virus Database: 267.6.2 - Release Date: 4/06/2005
Re: [ozmidwifery] gastric washes
I had only known of a gastric lavage being done once when I worked in California and that was to a baby who had swallowed a tummy full of blood birthing through an abruption (apgars of 8 and 9, c/s birth). In his case it seemed quite reasonable though perhaps also unnecessary. It seems to be quite a common practice here though and at one time seems to have been done routinely at birth (there is a check point for it on the care path header). The usual scenario seems to be a mucousy baby who is positing amniotic fluid during the first 24 to 48 hours often after a rapid (5 to 15 min) second stage. My practice to reassure the parents that the fluid will pass through and all will be well, which it is if given half a chance, but often the next shift someone has lavaged the baby. It seems at one time the gastric aspirate was cultured for GBS? (also still on the care path header). The practice had not even registered in my consciousness until working here. marilyn - Original Message - From: Sue Cookson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, June 06, 2005 1:17 AM Subject: Re: [ozmidwifery] gastric washes Hi all, Need your help finding references/articles on gastric washes for neonates, also any first hand observations or thoughts. I've just returned from a week in Adelaide doing a postpartum placement and was amazed to see so many gastric washes being done. When I queried the practice and asked for protocols and policies to look at, I was told that 'we've been doing them for 30 years and they work'. To hell with best practice and evidence!! Any comments would be welcomed, Sue -- 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] gastric washes
Hi Sue: I found this one on pubmed after entering: neonates AND gastric lavage. marilyn Eur J Pediatr. 1999 Apr;158(4):315-7. Related Articles, Links Is gastric lavage needed in neonates with meconium-stained amniotic fluid? Narchi H, Kulaylat N. Saudi Aramco - Al-Hasa Health Center, Saudi Aramco Medical Services Organization, Saudi Aramco, Mubarraz, Saudi Arabia. [EMAIL PROTECTED] We compared the incidence of complications from meconium-containing gastric fluid in a group of neonates born with meconium-stained amniotic fluid (MSAF) who did not routinely have gastric lavage prior to feeds, versus a group who had elective gastric lavage before the first feed. In the first group, 275 neonates born with MSAF were fed without prior gastric lavage. While 13 developed feeding problems, the other 262 infants (95%) who did not undergo routine gastric lavage remained free of later feeding difficulties or secondary meconium aspiration. In the second group, all 227 neonates with MSAF had elective gastric lavage performed after birth. All remained free of later feeding difficulties or secondary meconium aspiration. CONCLUSION: Our data suggest that gastric lavage is not necessary in most neonates born with meconium-stained amniotic fluid, regardless of the thickness of the meconium-stained fluid, as no complications from meconium-containing gastric fluid were observed. Publication Types: a.. Clinical Trial b.. Randomized Controlled Trial - Original Message - From: Sue Cookson [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Monday, June 06, 2005 1:17 AM Subject: Re: [ozmidwifery] gastric washes Hi all, Need your help finding references/articles on gastric washes for neonates, also any first hand observations or thoughts. I've just returned from a week in Adelaide doing a postpartum placement and was amazed to see so many gastric washes being done. When I queried the practice and asked for protocols and policies to look at, I was told that 'we've been doing them for 30 years and they work'. To hell with best practice and evidence!! Any comments would be welcomed, Sue -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. --production.springer.de-OnlineResources-Logos-springerlink.gif
Re: [ozmidwifery] vulval varices
Lindsay: there are some articles and reviews on pubmed. I entered "vulval varicosities" AND birth and got nothing but I did get 3 articles whenI deleted "AND birth". If you then go to the related articles button you will get some interesting papers. I've pasted one below on vulval varicosities in pregnancy. It seems despite the appearance and discomfort of vulval varices they do not pose a threat or risk to the mother and if they bleed can be controlled with pressure. However, little research has been done. marilyn Rev Fr Gynecol Obstet. 1991 Feb 25;86(2 Pt 2):184-6. Related Articles, Links [Vulvar varicosity and pregnancy][Article in French]Marhic C.Poorly recognised, despite being common, in particular during pregnancy and above all in multipara, this familial condition falls within the context of venous disease in general. Slight during a first pregnancy, vulval varicosities develop all the earlier and are larger as the number of pregnancies increases. They cause discomfort, heaviness in the pubic region, sometimes pruritus or even pain, which is most often relieved by lying flat. Complications, which are uncommon, may give rise to exacerbation of the clinical symptoms described above in relation with a notable increase in size and, more rarely, traumatic ruptures which respond to compression. They disappear completely post-partum. Often poorly tolerated during successive pregnancies, the symptoms of vulval varicosities of pregnancy are significantly relieved by phlebotonic agents.PMID: 1767171 [PubMed - indexed for MEDLINE] - Original Message - From: Lindsay Kennedy To: ozmidwifery@acegraphics.com.au Sent: Monday, June 06, 2005 3:14 AM Subject: [ozmidwifery] vulval varices Hi I am doing some research into varicose veins for an assignment. According to Foote (1960), it is possible that extensive vulval varices could rupture during birth and cause fatal hemorrhage. Does anyone know anything about this subject? It is the only bit of research I found that said this. But there is very little info on vulval varices at all. Cheers Lindsay No virus found in this outgoing message.Checked by AVG Anti-Virus.Version: 7.0.323 / Virus Database: 267.6.2 - Release Date: 4/06/2005
Re: [ozmidwifery] gastric washes
Hi again and thanks to Robyn and Marilyn for your replies so far, I fully agree that gastric washes are not warranted, but having been faced with babies who receive no breastmilk at all when the mothers choose to artificially feed, I wonder at their different mechanism of clearing a gut full of mucous/blood/mec. Colostrum kick starts all sorts of mechanisms - from mechanical to hormonal etc etc. Really surprises me that there is no formula substitute for colostrum to start these A/F babies off with. That's not to say that all the babies who received gastric washes were a/f, they weren't. Also Marilyn if you talk of babies who are born rapidly, then I guess every c/section baby would fit this category... The mechanised birthing and protocols and the way most midwives just follows things and don't query them really amazes me. One amazed and frustrated student, Sue -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] vulval varices
Hi Marilyn, I am always amazed that the same words entered into a search engine appear to bring up different results. Then again, searching late at night might just be the reason why I couldnt get any results specific to vulval varicosity. Thanks for including the search tips in your reply to Lindsay. It is helpful to us all. Cheers, MM From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Marilyn Kleidon Sent: Tuesday, 7 June 2005 10:21 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] vulval varices Lindsay: there are some articles and reviews on pubmed. I entered vulval varicosities AND birth and got nothing but I did get 3 articles whenI deleted AND birth. If you then go to the related articles button you will get some interesting papers. I've pasted one below on vulval varicosities in pregnancy. It seems despite the appearance and discomfort of vulval varices they do not pose a threat or risk to the mother and if they bleed can be controlled with pressure. However, little research has been done.
RE: [ozmidwifery] vulval varices
Just remembering a VBA2C. Her second C/S was recommended by her ob because of the VV. She had a beautiful VBA2C with no problems with the VV. She did a lot of grieving about her second C/S. Sally Westbury
Re: [ozmidwifery] vulval varices
Hi Lindsay, I worked with a woman throughout her pregnancy birth who had a vulval varicosity (the size of half of one of my fingers). Came up about 30 weeks of pregnancy (after a long car trip interstate), she was concerned that it would 'be a problem' during her birth. At the time (this was about a year ago) I looked everywhere for refs for her. What I found was not very helpful or numerous (sorry!). She had a great birth, but during the process of labour her vulva became so swollen that when the Dr. went to suture a 2nd deg tear, the stitches pulled right thru, she had to be sutured the next day after the swelling had subsided. Antenatally she used witchhazel tincture on it for a while it did subside slightly, but it only went away fairly completely postnatally. I believe that this oedema was directly related to the varicosity, as she didnt have a protracted labour or 2nd stage, or a lot of VE's etc... this hadnt happened in her other birth. Theoretically I can see that the possibility of rupture during labour could exist, but Im not sure how 'dangerous' this could be (ie 'fatal haemorrhage'), or how likely it would be to rupture. Sorry Im not more helpful! Jennifairy Lindsay Kennedy wrote: Hi I am doing some research into varicose veins for an assignment. According to Foote (1960), it is possible that extensive vulval varices could rupture during birth and cause fatal hemorrhage. Does anyone know anything about this subject? It is the only bit of research I found that said this. But there is very little info on vulval varices at all. Cheers Lindsay No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.6.2 - Release Date: 4/06/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.6.2 - Release Date: 4/06/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Media
Hope this is of help: Lupton, D. and J. McLean (1998). Representing doctors: Discourses and images in the Australian press. Social Science Medicine 46(8): 947. Lupton, D. (1998). Doctors in the News Media: Lay and Medical Audiences' Responses. Journal of Sociology 34(1): 35-48. Lay, M. M., Gurak, L.J., Gravon, C., Myntii, C., Ed. (2000). Body Talk: Rhetoric, Technology, Reproduction. Wisconsin, University of Wisconsin Press. There are some good chapters in this. Take care Alphia Each society has its own consensual understanding of birth its determinants: caregivers, location, participants, loci of decision making, which in the Western world are based on biomedical knowledge. However, two competing cultural models of childbirth, the biomedical/technocratic model natural/holistic model, mediate women's choices preferences for the place caregiver in childbirth. This article explores the way in which these cultural models of birth the existing practical possibilities for choices shape women's men's understanding of home birth. Based on interviews with 21 Finnish women 12 Finnish men, the reasons for experiences of planning building toward a home birth are examined through an analysis of birth narratives. The analysis focuses especially on the women's definitions of what is natural their relationship with health services where biomedical practices knowledge are the norm. The analysis shows that the notion of natural birth holds various meanings in Finnish women's narratives namely self-determination, control, trust in one's intuition. I seek to demonstrate that just as the biomedical management of childbirth exhibits distinct cross-cultural variation, so also does resistance to biomedical hegemony, as such resistance is strongly embedded in the local sociocultural situation. 41 References. Adapted from the source document. Reports of incidents and issues related to members of the medical profession and the practice of medicine often feature in the western news media. Such intense coverage has incited the interest of both medical sociologists and members of the profession themselves. Thus far, however, very few detailed studies addressing the tenor of news reporting on the medical profession have been published, particularly in relation to the Australian media. At 05:49 PM 4/06/2005, you wrote: Hi everyone I am wondering if anyone has any articles or references that could help with how the media influences women's perceptions of childbirth and pregnancy?? I am doing a seminar presentation for uni, and have some articles (10) at this stage, but searching the databases last night did not prove to be very forthcoming with articles. Thanks Katrina -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. 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
RE: [ozmidwifery] Media
Another media one that is quite good: Tsing, A. (1990). Monster stories: women charges with perinatal endangerment. Uncertain Terms: Negotiating Gender in American Culture. F. Ginsburg, Tsing. A. Boston, MA., Beacon Press. Alphia
[ozmidwifery] media
Sorry about the blurb on the bottom of my previous email - When I copy and pasted information from my End Note program that came along with it! Take care Alphia 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] one last one
Sorry for giving this information in dribs and drabs - but there are many articles that deal with the impact of media and health - I am trying to make them relevant specifically to women's health and reproductive issues. Following is an article from an Australian researcher into media and women's health - if you go to the bibliography you will find some good references in there as well. Shugg, J. and P. Liamputtong (2002). Being Female: The Portrayal of Women's Health in Print Media. Health care for Women International 23(6-7): 715-728. 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
Re: [ozmidwifery] gastric washes
Hi Sue, i too searched in medline and there is only one article - that was put up before - on gastric lavage in bubs possible showing that this is not a widespread practice. here is some other info on lavage in drug OD that isnt direclty related but interesting and some of the info could be paralleled in mec-cases. eg that very little of the drug (or mec) is actually retrieved and it needs to be done within 1 hour of ingestion.. as well as the discomfort caused in someones first day of life!which i think is significant Gastric lavage ...lavage can retrieve drugs, either whole or in fragments. However, controlled studies indicate that the amount of the ingested drug retrieved is, on average, very small and varies widely, and that lavage probably does not alter the clinical course of the patient. The procedure is time consuming, labor intensive, very uncomfortable for the patient, and carries a real risk of aspiration. However, in certain situations, any amount of drug retrieved may be clinically beneficial. Conclusion: Most clinical toxicologists agree that lavage should be performed only when a patient has ingested a large amount of a potentially dangerous drug (eg, a calcium channel blocker, a tricyclic antidepressant, or a [beta]-blocker) and comes to the emergency department within an hour of ingestion. i hope that your placement improves some :) Emily Discover Yahoo! Find restaurants, movies, travel & more fun for the weekend. Check it out!
[ozmidwifery] face presentation
hi im really sorry that i think this has been discussed not to long ago but i had a frustrating incident with a collegue today who told me very confidently that 'face presentations cannot mechanically be delivered.' i told her i was quite sure it wasnt impossible as i had seen one but she said something like 'no they cant. you might like to think they can but they cant.' i have sent her a photo diary of one little chubby face presenting and birthing without a problem but would like some references or comments from others especially if someone has seen one. thanks so much emily Do you Yahoo!? Read only the mail you want - Yahoo! Mail SpamGuard.
