[ozmidwifery] birth pool hire?
We have a growing list in JB of available pools for hb. If you're willing to share the info, we'd love to have more listed. I know there are loads we don't have! Best, J Joyous Birth Home Birth Forum - a world first!http://www.joyousbirth.info/forums/ Accessing Artemis Birth Trauma Recoveryhttp://health.groups.yahoo.com/group/accessingartemis
RE: [ozmidwifery] birth pool hire?
Hi Janet, There are 3 for hire with myself and the midwife I work with, one with the homebirth Network here in SA, and 2 with a new independent midwifery practice thats just set up. How do I get the rest of the info to you? Tania SA Independent midwife From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Janet Fraser Sent: Thursday, 1 December 2005 7:55 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] birth pool hire? We have a growing list in JB of available pools for hb. If you're willing to share the info, we'd love to have more listed. I know there are loads we don't have! Best, J Joyous Birth Home Birth Forum - a world first! http://www.joyousbirth.info/forums/ Accessing Artemis Birth Trauma Recovery http://health.groups.yahoo.com/group/accessingartemis
RE: [ozmidwifery] Newborn Examination question
Title: Message We do fundoscopic examination of the eyes which isn't easy, you have to be very patient for the open eyes. Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Andrea QuanchiSent: Thursday, 1 December 2005 6:38 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Newborn Examination questionI had never been aware of fundoscopy until I did my Maternal and child health when we were taught to do it as a part of newborn screening. With the exception of one GP who is from the US I have never seen anyone do it (GP or midwife) but now do it as a part of my routine newborn screening. For those not aware you are looking through the opthalmascope for the presence or absence of the red reflex which indicates that the light is hitting the retina and is therfore not obstructed by congenital cataracts. Easy to do but does require an opthalmascope and a relaxed baby who will let you look in their eyes. Andrea QOn 01/12/2005, at 6:28 PM, Helen and Graham wrote: Something happened to that last email of mine... but I wanted to say thanks to those who responded to my question. Interesting variation in responses with some workplaces requiring further accreditation for midwives to perform the newborn exam, some recommending the GP do it and some with the midwives doing it routinely themselves. For those of you who do the examination yourselves, could you please tell me if you perform fundoscopyi.e using an ophthalmoscope? And for those who require accreditation, could you tell me how this is obtained and what it consists of?Midwives do the newborn examination at my current workplace but we don't currently perform fundoscopy.Thanks again for your responses.Helen - Original Message -From: Helen and Graham To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 01, 2005 3:24 PMSubject: Re: [ozmidwifery] Newborn Examination questionT - Original Message -From: Judy Chapman To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 30, 2005 9:08 AMSubject: Re: [ozmidwifery] Newborn Examination questionWe do the newborn examination after birth but then recommend that they go for the 5 - 10 day well baby check with their GP. This is just since we have been working as a birth centre.CheersJudyHelen and Graham [EMAIL PROTECTED] wrote:Hi everyone I have a question regarding midwives performing the newborn examination postnatally prior to discharge.Having worked in several hospitals, I am used to this exam being performed by a doctor/paediatrician. The midwife does an initial check atbirthbut on about day 3 o! r 4, or at least prior to discharge, a thorough physical examination performed, including fundoscopy etc.by a doctor.Interested in your experiences and for those of you who do perform it, have you had any further education on the subject?CheersHelen CahillDo you Yahoo!?Find a local business fast with Yahoo! Local Search__ NOD32 1.1309 (20051130) Information __This message was checked by NOD32 antivirus system.http://www.eset.com
Re: [ozmidwifery] birth pool hire?
PM me on JB, Tania :D - Original Message - From: Tania Smallwood To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 01, 2005 9:03 PM Subject: RE: [ozmidwifery] birth pool hire? Hi Janet, There are 3 for hire with myself and the midwife I work with, one with the homebirth Network here in SA, and 2 with a new independent midwifery practice thats just set up. How do I get the rest of the info to you? Tania SA Independent midwife From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Janet FraserSent: Thursday, 1 December 2005 7:55 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] birth pool hire? We have a growing list in JB of available pools for hb. If you're willing to share the info, we'd love to have more listed. I know there are loads we don't have! Best, J Joyous Birth Home Birth Forum - a world first!http://www.joyousbirth.info/forums/ Accessing Artemis Birth Trauma Recoveryhttp://health.groups.yahoo.com/group/accessingartemis
[ozmidwifery] Quick water birth question
Where can I access on line a statement about being in water to labour and perhaps birth in the situation where the membranes have already ruptured? I have a doula clients whose OB has said she cant get into water if her waters have broken due to infection risks. I need a mediacl reference that explains this situation. Cheers Jo -- Internal Virus Database is out-of-date. Checked by AVG Free Edition. Version: 7.1.362 / Virus Database: 267.13.4/175 - Release Date: 11/18/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Interesting article sure to cause some ethical debate
How sad. If you asked a person with cystic fibrosis whether their life had been worth living, even if it is shortened, I wonder what they would say? Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Helen and GrahamSent: Thursday, December 01, 2005 6:32 PMTo: ozmidwiferySubject: [ozmidwifery] Interesting article sure to cause some ethical debate http://www.abc.net.au/health/thepulse/s1520191.htm Screening for cystic fibrosis carriers by Peter LavellePublished 01/12/2005 Every year 70 babies are born in Australia with cystic fibrosis. The child suffers serious lung and digestive problems - they don't manufacture a vital protein, which causes secretions to become very sticky and their lungs and pancreas to literally 'gum up'. The lungs become susceptible to infection and digestion doesn't work propery. Treatment is much more effective than it was 20years ago. Most children with cystic fibrosis now can expect to survive into adulthood. But the average life expectancy is still only in the mid thirties. Cystic fibrosis is an inherited condition, but a child has to have an abnormal gene from both parents to get it. When both parents are 'carriers' of the abnormal gene, there is a one in four chance of this happening. About one person in 25 in Australia is a carrier. About one in 2,500 kids will be born with the condition. At the moment, carriers aren't identified by testing. Instead, newborn babies are routinely screened for the condition (that's how most new cases are diagnosed). Only then do most parents become aware they are carriers. Parents are then routinely offered prenatal testing of a foetus in any subsequent pregnancy and they have the option of then terminating that pregnancy. But it's too late to do anything about the first child. There is a test to identify carriers of a cystic fibrosis gene. It's fairly reliable (with an 85 per cent accuracy rate), and it involves a painless cheek swab. But it's generally not offered to Australian couples unless there's a family history of the condition. The trouble is, most carriers don't know they are carriers, and have no history of the condition. The faulty gene has been hidden away in their ancestry, not expressed. A group of doctors from the Royal Children's Hospital, Melbourne, writing in the latest edition of the Medical Journal of Australia, say testing for carriers should be more widely available. The doctors propose that the genetic test be offered as a prenatal test early in pregnancy. The couple would both be tested, and if they were both carriers, the foetus would be tested (via chorionic villus sampling, in which a portion of the placenta is sampled). If the foetus had both mutations (a one in four chance), the parents could then be given the option of terminating the pregnancy. Ideally, the researchers say, carrier screening should be offered to partners before they conceive. Couples could be tested for carrier status, and if both partners were carriers, they could consider whether they want to conceive in the first place. If they did, they would have the option of conceiving and terminating the pregnancy if the foetus had both mutations. Or they could opt for in-vitro fertilisation - with the embryo conceived and tested in the lab, and only implanted in the woman's uterus if it was found not to have both mutations. There is a successful carrier screening program for cystic fibrosis that's been operating along these lines in Edinburgh, Scotland, which has halved the incidence of cystic fibrosis in that community, the researchers say. At the very least, they argue, it should be offered as part of routine prenatal testing, like screening for Down's syndrome. The doctors say it should be funded by Medicare, on the grounds of cost-effectiveness (saving the resources otherwise spent treating a child with the condition) and prevention of future suffering for kids and their families.
Re: [ozmidwifery] Interesting article sure to cause some ethical debate
i would also have to agree with that last statement as my sons girlfriend has this disease. he knows that she may not be alive when she is older and they need to enjoy each other now. - Original Message - From: Nicole Carver To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 01, 2005 11:31 PM Subject: RE: [ozmidwifery] Interesting article sure to cause some ethical debate How sad. If you asked a person with cystic fibrosis whether their life had been worth living, even if it is shortened, I wonder what they would say? Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Helen and GrahamSent: Thursday, December 01, 2005 6:32 PMTo: ozmidwiferySubject: [ozmidwifery] Interesting article sure to cause some ethical debate http://www.abc.net.au/health/thepulse/s1520191.htm Screening for cystic fibrosis carriers by Peter LavellePublished 01/12/2005 Every year 70 babies are born in Australia with cystic fibrosis. The child suffers serious lung and digestive problems - they don't manufacture a vital protein, which causes secretions to become very sticky and their lungs and pancreas to literally 'gum up'. The lungs become susceptible to infection and digestion doesn't work propery. Treatment is much more effective than it was 20years ago. Most children with cystic fibrosis now can expect to survive into adulthood. But the average life expectancy is still only in the mid thirties. Cystic fibrosis is an inherited condition, but a child has to have an abnormal gene from both parents to get it. When both parents are 'carriers' of the abnormal gene, there is a one in four chance of this happening. About one person in 25 in Australia is a carrier. About one in 2,500 kids will be born with the condition. At the moment, carriers aren't identified by testing. Instead, newborn babies are routinely screened for the condition (that's how most new cases are diagnosed). Only then do most parents become aware they are carriers. Parents are then routinely offered prenatal testing of a foetus in any subsequent pregnancy and they have the option of then terminating that pregnancy. But it's too late to do anything about the first child. There is a test to identify carriers of a cystic fibrosis gene. It's fairly reliable (with an 85 per cent accuracy rate), and it involves a painless cheek swab. But it's generally not offered to Australian couples unless there's a family history of the condition. The trouble is, most carriers don't know they are carriers, and have no history of the condition. The faulty gene has been hidden away in their ancestry, not expressed. A group of doctors from the Royal Children's Hospital, Melbourne, writing in the latest edition of the Medical Journal of Australia, say testing for carriers should be more widely available. The doctors propose that the genetic test be offered as a prenatal test early in pregnancy. The couple would both be tested, and if they were both carriers, the foetus would be tested (via chorionic villus sampling, in which a portion of the placenta is sampled). If the foetus had both mutations (a one in four chance), the parents could then be given the option of terminating the pregnancy. Ideally, the researchers say, carrier screening should be offered to partners before they conceive. Couples could be tested for carrier status, and if both partners were carriers, they could consider whether they want to conceive in the first place. If they did, they would have the option of conceiving and terminating the pregnancy if the foetus had both mutations. Or they could opt for in-vitro fertilisation - with the embryo conceived and tested in the lab, and only implanted in the woman's uterus if it was found not to have both mutations. There is a successful carrier screening program for cystic fibrosis that's been operating along these lines in Edinburgh, Scotland, which has halved the incidence of cystic fibrosis in that community, the researchers say. At the very least, they argue, it should be offered as part of routine prenatal testing, like screening for Down's syndrome. The doctors say it should be funded by Medicare, on the grounds of cost-effectiveness (saving the resources otherwise spent treating a child with the condition) and prevention of future suffering for kids and their families.
Re: [ozmidwifery] Newborn Examination question
Our paeds at Gosford do it when they do the discharge check of a baby. But I never knew this was what it was called!! I thought it was something to do with the abdomen Fundus...fundoscopy!!! :-) Katrina On 01/12/2005, at 9:12 PM, B G wrote: x-tad-smallerWe do fundoscopic examination of the eyes which isn't easy, you have to be very patient for the open eyes. Barb/x-tad-smallerx-tad-smaller-Original Message-/x-tad-smallerx-tad-smallerFrom:/x-tad-smallerx-tad-smaller [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] /x-tad-smallerx-tad-smallerOn Behalf Of /x-tad-smallerx-tad-smallerAndrea Quanchi/x-tad-smallerx-tad-smallerSent:/x-tad-smallerx-tad-smaller Thursday, 1 December 2005 6:38 PM/x-tad-smallerx-tad-smallerTo:/x-tad-smallerx-tad-smaller ozmidwifery@acegraphics.com.au/x-tad-smallerx-tad-smallerSubject:/x-tad-smallerx-tad-smaller Re: [ozmidwifery] Newborn Examination question/x-tad-smallerI had never been aware of fundoscopy until I did my Maternal and child health when we were taught to do it as a part of newborn screening. With the exception of one GP who is from the US I have never seen anyone do it (GP or midwife) but now do it as a part of my routine newborn screening. For those not aware you are looking through the opthalmascope for the presence or absence of the red reflex which indicates that the light is hitting the retina and is therfore not obstructed by congenital cataracts. Easy to do but does require an opthalmascope and a relaxed baby who will let you look in their eyes. Andrea Q On 01/12/2005, at 6:28 PM, Helen and Graham wrote: Something happened to that last email of mine... but I wanted to say thanks to those who responded to my question. Interesting variation in responses with some workplaces requiring further accreditation for midwives to perform the newborn exam, some recommending the GP do it and some with the midwives doing it routinely themselves. For those of you who do the examination yourselves, could you please tell me if you perform fundoscopy i.e using an ophthalmoscope? And for those who require accreditation, could you tell me how this is obtained and what it consists of? Midwives do the newborn examination at my current workplace but we don't currently perform fundoscopy. Thanks again for your responses. Helen - Original Message - From: Helen and Graham To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 01, 2005 3:24 PM Subject: Re: [ozmidwifery] Newborn Examination question T - Original Message - From: Judy Chapman To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 30, 2005 9:08 AM Subject: Re: [ozmidwifery] Newborn Examination question We do the newborn examination after birth but then recommend that they go for the 5 - 10 day well baby check with their GP. This is just since we have been working as a birth centre. Cheers Judy Helen and Graham [EMAIL PROTECTED]> wrote:Hi everyone I have a question regarding midwives performing the newborn examination postnatally prior to discharge. Having worked in several hospitals, I am used to this exam being performed by a doctor/paediatrician. The midwife does an initial check at birth but on about day 3 o! r 4, or at least prior to discharge, a thorough physical examination performed, including fundoscopy etc. by a doctor. Interested in your experiences and for those of you who do perform it, have you had any further education on the subject? Cheers Helen Cahill Do you Yahoo!? Find a local business fast with Yahoo! Local Search __ NOD32 1.1309 (20051130) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com
Re: [ozmidwifery] Newborn Examination question
We use the opthalmascope and check the red reflex. We had an inservice with a Paediatrician. Cheers Judy --- Helen and Graham [EMAIL PROTECTED] wrote: Something happened to that last email of mine... but I wanted to say thanks to those who responded to my question. Interesting variation in responses with some workplaces requiring further accreditation for midwives to perform the newborn exam, some recommending the GP do it and some with the midwives doing it routinely themselves. For those of you who do the examination yourselves, could you please tell me if you perform fundoscopy i.e using an ophthalmoscope? And for those who require accreditation, could you tell me how this is obtained and what it consists of? Midwives do the newborn examination at my current workplace but we don't currently perform fundoscopy. Thanks again for your responses. Helen - Original Message - From: Helen and Graham To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 01, 2005 3:24 PM Subject: Re: [ozmidwifery] Newborn Examination question T - Original Message - From: Judy Chapman To: ozmidwifery@acegraphics.com.au Sent: Wednesday, November 30, 2005 9:08 AM Subject: Re: [ozmidwifery] Newborn Examination question We do the newborn examination after birth but then recommend that they go for the 5 - 10 day well baby check with their GP. This is just since we have been working as a birth centre. Cheers Judy Helen and Graham [EMAIL PROTECTED] wrote: Hi everyone I have a question regarding midwives performing the newborn examination postnatally prior to discharge. Having worked in several hospitals, I am used to this exam being performed by a doctor/paediatrician. The midwife does an initial check at birth but on about day 3 o! r 4, or at least prior to discharge, a thorough physical examination performed, including fundoscopy etc. by a doctor. Interested in your experiences and for those of you who do perform it, have you had any further education on the subject? Cheers Helen Cahill Do you Yahoo!? Find a local business fast with Yahoo! Local Search __ NOD32 1.1309 (20051130) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com Do you Yahoo!? Messenger 7.0: Free worldwide PC to PC calls http://au.messenger.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Interesting article sure to cause some ethical debate
I wonder what all those people with Down Syndrome and other problems would say -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of sharonSent: Friday, 2 December 2005 7:59 AMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Interesting article sure to cause some ethical debate i would also have to agree with that last statement as my sons girlfriend has this disease. he knows that she may not be alive when she is older and they need to enjoy each other now. - Original Message - From: Nicole Carver To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 01, 2005 11:31 PM Subject: RE: [ozmidwifery] Interesting article sure to cause some ethical debate How sad. If you asked a person with cystic fibrosis whether their life had been worth living, even if it is shortened, I wonder what they would say? Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Helen and GrahamSent: Thursday, December 01, 2005 6:32 PMTo: ozmidwiferySubject: [ozmidwifery] Interesting article sure to cause some ethical debate http://www.abc.net.au/health/thepulse/s1520191.htm Screening for cystic fibrosis carriers by Peter LavellePublished 01/12/2005 Every year 70 babies are born in Australia with cystic fibrosis. The child suffers serious lung and digestive problems - they don't manufacture a vital protein, which causes secretions to become very sticky and their lungs and pancreas to literally 'gum up'. The lungs become susceptible to infection and digestion doesn't work propery. Treatment is much more effective than it was 20years ago. Most children with cystic fibrosis now can expect to survive into adulthood. But the average life expectancy is still only in the mid thirties. Cystic fibrosis is an inherited condition, but a child has to have an abnormal gene from both parents to get it. When both parents are 'carriers' of the abnormal gene, there is a one in four chance of this happening. About one person in 25 in Australia is a carrier. About one in 2,500 kids will be born with the condition. At the moment, carriers aren't identified by testing. Instead, newborn babies are routinely screened for the condition (that's how most new cases are diagnosed). Only then do most parents become aware they are carriers. Parents are then routinely offered prenatal testing of a foetus in any subsequent pregnancy and they have the option of then terminating that pregnancy. But it's too late to do anything about the first child. There is a test to identify carriers of a cystic fibrosis gene. It's fairly reliable (with an 85 per cent accuracy rate), and it involves a painless cheek swab. But it's generally not offered to Australian couples unless there's a family history of the condition. The trouble is, most carriers don't know they are carriers, and have no history of the condition. The faulty gene has been hidden away in their ancestry, not expressed. A group of doctors from the Royal Children's Hospital, Melbourne, writing in the latest edition of the Medical Journal of Australia, say testing for carriers should be more widely available. The doctors propose that the genetic test be offered as a prenatal test early in pregnancy. The couple would both be tested, and if they were both carriers, the foetus would be tested (via chorionic villus sampling, in which a portion of the placenta is sampled). If the foetus had both mutations (a one in four chance), the parents could then be given the option of terminating the pregnancy. Ideally, the researchers say, carrier screening should be offered to partners before they conceive. Couples could be tested for carrier status, and if both partners were carriers, they could consider whether they want to conceive in the first place. If they did, they would have the option of conceiving and terminating the pregnancy if the foetus had both mutations. Or they could opt for in-vitro fertilisation - with the embryo conceived and tested in the lab, and only implanted in the woman's uterus if it was found not to have both mutations. There is a successful carrier screening program for cystic fibrosis that's been operating along these lines in Edinburgh, Scotland, which has halved the incidence of cystic fibrosis in that community, the researchers say. At the very least, they argue, it should be offered as part of routine prenatal testing, like screening for Down's syndrome. The doctors say it
Re: [ozmidwifery] Quick water birth question
Hi Jo, Geissbuhler and Eberhand (2000) in a comparative study of more than 2000 water births, found “infections of the neonate do not occur more often in water births”. A finding supported by Odent (cited in Balaskas 1989 p 142) who published in the Lancet “We had no infectious complications, even where membranes were already broken…in fact it could be considered that the use of a water pool might reduce the risk of infection, especially in a hospital where infection from ‘foreign’ bacteria in the air is more likely”. These references are not online but useful all the same. Cheers Tina P. Balaskas J. (1989) New Active Birth: A concise guide to natural childbirth. Thorsons, Great Britain. Geissbuhler V. and Eberhard J. (2000) Waterbirths: a comparative study. A prospective study on more than 2000 waterbirths. Foetal Diagnosis Therapy, Vol. 15, pp 291-300. In MIDIRS Midwifery Digest p 71-72. March 2001. Gilbert R. and Tookey P. (1999) Perinatal mortality and morbidity among babies delivered in water: surveillance study and postal survey. British Medical Journal 319 (7208) pp 483-487. - Original Message - From: Dean Jo [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Thursday, December 01, 2005 10:50 PM Subject: [ozmidwifery] Quick water birth question Where can I access on line a statement about being in water to labour and perhaps birth in the situation where the membranes have already ruptured? I have a doula clients whose OB has said she cant get into water if her waters have broken due to infection risks. I need a mediacl reference that explains this situation. Cheers Jo -- Internal Virus Database is out-of-date. Checked by AVG Free Edition. Version: 7.1.362 / Virus Database: 267.13.4/175 - Release Date: 11/18/2005 -- 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.
