[ozmidwifery] Making a Difference workshop in Sydney

[Nikki Macfarlane]

Childbirth International is delighted to announce 
that we will be running our popular Making a Difference workshop in Sydney in 
April 2006. The workshop is suitable for aspiring doulas and childbirth 
educators, those already working in these fields, midwives and 
nurses.
 
You can choose to participate in the workshop to 
enhance your skills, build knowledge and increase your confidence. Once you ahve 
completed the workshop, you can then continue with a Childbirth International 
certification program as a doula or childbirth educator if you wish to - 
discounts are available for those who participate in the workshop.
 
Making a Difference will show you how to truly make 
a difference to the women you work with. We will spend time exploring Childbirth 
International tools such as rotational positioning (how to help women with 
posterior babies and reduce interventions), WIGWAM (how to recognize where your 
clients are and what they want, then how to help them achieve that) as well as 
numerous other CBI tools. These workshop has been exceptionally popular in the 
USA.
 
For more information, visit our website at www.childbirthinternational.com
 
Dates: April 21-23Location: Y-Hotel, 
SydneyTimes:
 
April 21 - 4-9pmApril 22 - 9-5pmApril 23 - 
9-5pm
 
Cost: $210 early bird price$250 standard 
price$180 student discount price
 
All student materials, workbooks and light 
refreshments included.
 
Nikki Macfarlane[EMAIL PROTECTED]

[ozmidwifery] article FYI

[leanne wynne]

Smoking During Pregnancy Raises Risk for Finger, Toe Deformities

WEDNESDAY, Jan. 11 (HealthDay News) -- Smoking during pregnancy greatly 
increases the risk of having a baby with finger or toe deformities, 
according to a study covering more than 6.8 million births in the United 
States during 2001 and 2002.


The study identified 5,171 children with either extra, webbed or missing 
fingers and toes born to mothers who smoked during pregnancy. The mothers 
did not report other health risk factors such as heart disease, diabetes or 
high blood pressure.


Women who smoked one to 10 cigarettes a day during pregnancy had a 29 
percent increased risk of having a baby with finger or toe deformities, the 
study found. Smoking 11 to 20 cigarettes a day raised the risk by 38 
percent, while smoking 21 or more cigarettes a day raised the risk by 78 
percent.


The study appears in the January issue of the journal Plastic and 
Reconstructive Surgery.


"The results of this study were interesting. We suspected that smoking was a 
cause of digital anomalies but didn't expect the results to be so dramatic," 
study author Dr. Benjamin Chang, of the University of Pennsylvania, said in 
a prepared statement.


"Smoking is so addictive that pregnant women often can't stop the habit, no 
matter what the consequences. Our hope is this study will show expectant 
mothers another danger of lighting up," Chang said.


In the United States, webbed fingers or toes occur in one of every 2,000 to 
2,500 live births and excess fingers or toes occur in one in every 600 live 
births, the researchers said.


Chang said these kinds of abnormalities are the most common kinds of 
problems he treats.


"Parents would ask why this happened to their child, but I didn't have an 
answer. This study shows that even minimal smoking during pregnancy can 
significantly increase the risk of having a child with various toe and 
finger defects," he said.


-- Robert Preidt

SOURCE: American Society of Plastic Surgeons, news release, Jan. 5, 2005

Copyright © 2006 ScoutNews LLC. All rights reserved.



Leanne Wynne
Midwife in charge of "Women's Business"
Mildura Aboriginal Health Service  Mob 0418 371862


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[ozmidwifery] New member

[Jane Wines]

Hi there
I am a midwife from BC, Canada (originally from the UK). Hope you don’t
mind me joining the list!

I have been watching the discussion on epino with interest. It has been
promoted by some over here - and I am, like one of the other posters,
woried about the message it can put over. 'buy this $200 device and work
hard, and you may not tear' Even the name implies that you will have an
episiotomy if you don’t use it. However I do think it may have an
important role in incontinence help pp in the feedback for pelvic floor.
Recently we had a talk from a physio who said that you can get a
false'good' reading for pelvic tone by using the buttocks instead of the
pelvic floor muscles - so as ever good training and advice should not be
replaced by gadgets - maybe just used as one tool. Still not sold on
using it prenatal for tearing tho (I know it comes out well in trials,
but I still think good teaching and body awreness and skilled birth
attendent are as good - and allow the woman more trust in herself.)

I have to admitt that I wanted to join the list for some unashamed self
promotion - but note that someone has already posted! I am organising
the breech birth conference in March and wanted to remind you about it.
I know several Canadian midwives made it out to Aus last year, and hope
we can reciprocate some of the good will shown. The site and booking
form are at www.breechbirthconference.com 
That’s the last of the advertising - would like to just absorb the
information shared on the list now!!
Thanks
Jane, RM

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[ozmidwifery] Fw: Headline - A prescription for disaster

[Sally-Anne Brown]

SYDNEY MORNING HERALD


A prescription for disaster
Mark Metherill
January 12, 2006

URL: http://www.smh.com.au/articles/2006/01/11/1136956242780.html

The online edition of The Sydney Morning Herald brings you updated local 
and world news, sports results, entertainment news and reviews and the 
latest technology information.


Click here to sign up for early morning news alerts from The Sydney 
Morning Herald newsroom. 
http://www.smh.com.au/newsletters/subscription.html




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[ozmidwifery] Fw: Headline - Watchdog sees signs of overservicing

[Sally-Anne Brown]

Another great opportunity for letters to the editor


SYDNEY MORNING HERALD

Watchdog sees signs of overservicing
Mark Metherell
January 12, 2006

URL: http://www.smh.com.au/articles/2006/01/11/1136956243014.html

The online edition of The Sydney Morning Herald brings you updated local 
and world news, sports results, entertainment news and reviews and the 
latest technology information.


Click here to sign up for early morning news alerts from The Sydney 
Morning Herald newsroom. 
http://www.smh.com.au/newsletters/subscription.html




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[ozmidwifery] Fw: Headline - Medicare to clamp down on big operators

[Sally-Anne Brown]

SYDNEY MORNING HERALD:

Medicare to clamp down on big operators
Mark Metherell Political Correspondent
January 12, 2006

URL: http://www.smh.com.au/articles/2006/01/11/1136956242979.html

The online edition of The Sydney Morning Herald brings you updated local 
and world news, sports results, entertainment news and reviews and the 
latest technology information.


Click here to sign up for early morning news alerts from The Sydney 
Morning Herald newsroom. 
http://www.smh.com.au/newsletters/subscription.html




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Re: [ozmidwifery] Breach of List Ethics

[Andrea Quanchi]

I can vouch for that
Andrea Q
On 12/01/2006, at 7:49 PM, Jo Bourne wrote:

Sally this is a public list with archives publicly available on the 
internet. Anyone googling for Epi-no may have stumbled across emails 
from this list and sent them on. Quite possibly it is somebody's job 
to google for discussions just like this one on a daily or weekly 
basis so the company can defend themselves if they want to. There is 
no privacy on the internet and it is a mistake to think that there is, 
especially in a public forum or mailing list.


At 5:21 PM +1100 12/1/06, Sally-Anne Brown wrote:

Dear all,

RE:  Dear Kelly,
I have just been sent the email you sent from your client regarding 
EPI-NO.

I have also seen the  comment from a midwife who answered your query.


I am very interested to read these posts.
Sent by whom ???
It is clear that irrespective of comments made on this list that any 
person forwarding list emails without consent of the persons involved 
is (knowlingly or unknowingly) in breach of basic email ethics.

In the extreme of course this may be referred to as a 'mole'.
Can those persons who wish to send on emails please take the time to 
ask first ?
and for the person/persons who have sent on these emails, perhaps you 
will consider acknowledging this to the list.


Kind Regards

Sally-Anne


- Original Message - From: "Andrea Robertson" 
<[EMAIL PROTECTED]>

To: 
Sent: Thursday, January 12, 2006 4:17 PM
Subject: [ozmidwifery] EPI-NO


Hello,

Just forwarding a message I received from Tecsana, that was intended 
for the list




You have not provided sufficient information for a response to this

woman's query however
from what has been provided:

a. The second time she has used EPI-NO
b. She was pushing out the balloon.

the woman was not following instructions in the correct use of 
EPI-NO. It would not be
possible to push out the balloon with the amount of dilatation 
possible after the second
use. The balloon is inflated to the level of personal comfort and 
the woman will experience
a slight burning sensation at which point she would cease 
dilatation. This is controlled by
the woman. Your client should not recommence training with EPI-NO 
unless instructed to
by her obstetrician as her problem may be the result of an 
underlying condition.


Perhaps you could request from the midwife who made that comment, 
clinical evidence
to support it.  We work in an evidence based medical  environment, 
and all evidence of
which we are aware supports the contrary view. A new EPI-NO  
Clinical Trial will commence
in January through Sydney University to show the effect of EPI-NO on 
the Pelvic Floor

following childbirth.

Please make you client aware that EPI-NO is also a pelvic floor 
training device which can

be used 4-6 weeks after delivery to strengthen the Pelvic Floor.

I would be happy to  answer any questions you may have.

Sincerely

Campbell Heather
Tecsana Limited.




-
Andrea Robertson
Birth International * ACE Graphics * Associates in Childbirth 
Education


e-mail: [EMAIL PROTECTED]
web: www.birthinternational.com


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Re: [ozmidwifery] Breach of List Ethics

[Jo Bourne]

Sally this is a public list with archives publicly available on the internet. 
Anyone googling for Epi-no may have stumbled across emails from this list and 
sent them on. Quite possibly it is somebody's job to google for discussions 
just like this one on a daily or weekly basis so the company can defend 
themselves if they want to. There is no privacy on the internet and it is a 
mistake to think that there is, especially in a public forum or mailing list.

At 5:21 PM +1100 12/1/06, Sally-Anne Brown wrote:
>Dear all,
>
>RE:  Dear Kelly,
>>I have just been sent the email you sent from your client regarding EPI-NO.
>>I have also seen the  comment from a midwife who answered your query.
>
>I am very interested to read these posts.
>Sent by whom ???
>It is clear that irrespective of comments made on this list that any person 
>forwarding list emails without consent of the persons involved is (knowlingly 
>or unknowingly) in breach of basic email ethics.
>In the extreme of course this may be referred to as a 'mole'.
>Can those persons who wish to send on emails please take the time to ask first 
>?
>and for the person/persons who have sent on these emails, perhaps you will 
>consider acknowledging this to the list.
>
>Kind Regards
>
>Sally-Anne
>
>
>- Original Message - From: "Andrea Robertson" <[EMAIL PROTECTED]>
>To: 
>Sent: Thursday, January 12, 2006 4:17 PM
>Subject: [ozmidwifery] EPI-NO
>
>>Hello,
>>
>>Just forwarding a message I received from Tecsana, that was intended for the 
>>list
>>
>>
>>>You have not provided sufficient information for a response to this
>>woman's query however
>>from what has been provided:
>>
>>a. The second time she has used EPI-NO
>>b. She was pushing out the balloon.
>>
>>the woman was not following instructions in the correct use of EPI-NO. It 
>>would not be
>>possible to push out the balloon with the amount of dilatation possible after 
>>the second
>>use. The balloon is inflated to the level of personal comfort and the woman 
>>will experience
>>a slight burning sensation at which point she would cease dilatation. This is 
>>controlled by
>>the woman. Your client should not recommence training with EPI-NO unless 
>>instructed to
>>by her obstetrician as her problem may be the result of an underlying 
>>condition.
>>
>>Perhaps you could request from the midwife who made that comment, clinical 
>>evidence
>>to support it.  We work in an evidence based medical  environment, and all 
>>evidence of
>>which we are aware supports the contrary view. A new EPI-NO  Clinical Trial 
>>will commence
>>in January through Sydney University to show the effect of EPI-NO on the 
>>Pelvic Floor
>>following childbirth.
>>
>>Please make you client aware that EPI-NO is also a pelvic floor training 
>>device which can
>>be used 4-6 weeks after delivery to strengthen the Pelvic Floor.
>>
>>I would be happy to  answer any questions you may have.
>>
>>Sincerely
>>
>>Campbell Heather
>>Tecsana Limited.
>>
>>
>>
>>
>>-
>>Andrea Robertson
>>Birth International * ACE Graphics * Associates in Childbirth Education
>>
>>e-mail: [EMAIL PROTECTED]
>>web: www.birthinternational.com
>>
>>
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>>Visit  to subscribe or unsubscribe.
>>
>>
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>>Version: 7.1.371 / Virus Database: 267.14.17/227 - Release Date: 11/01/2006
>>
>
>
>
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Re: [ozmidwifery] Anaemia remedies

[diane]

Hi , I have found that some women who do not 
tolerate iron suppliments well can use Spatone, it is expensive though, about 
$30 for two weeks supply. It is a spring water from the welsh highlands which is 
high in iron and because is in the water it is rapidly and effectively absorbed, 
therefor high quantities of iron are not needed and wont cause tummy and bowel 
upsets. We also give nutritional handouts at booking in.
Cheers Di

  - Original Message - 
  From: 
  Helen and Graham 
  To: ozmidwifery 
  Sent: Thursday, January 12, 2006 10:40 
  AM
  Subject: [ozmidwifery] Anaemia 
  remedies
  
  We are having a discussion about remedies for 
  anaemia in pregnancy at work at the moment.  One of the midwives has been 
  recommending parsley and pineapple juice but one of the doctors is saying it 
  causes a build up of uric acid?!
   
  I recall hearing about floradix being 
  recommended by some midwives and Elevit by others.  
   
  Apart from FGF, I would be interested in what 
  people are recommending in their practices.
   
  Thanks
   
  Helen