RE: [ozmidwifery] Caroline Flint
Follow that link and you will see it is not our beloved Caroline Flint. This one is a much younger, slimmer, slicker version who is a Politician. I have tried the independent midwives link and they couldnt help. I will now try the caroline at birth centreone. Thanks, MM From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Andrea Quanchi Sent: Tuesday, 16 May 2006 8:19 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Caroline Flint Mary try her website www.carolineflint.co.uk Andrea On 16/05/2006, at 10:04 AM, Mary Murphy wrote: Does anyone have a direct email contact for Caroline? My previous contact is incorrect. Thanks, MM
[ozmidwifery] supplements
I am not sure if I have previously passed this on. Anyway, here it is again. MM Use of micronutrient combinations in pregnant women BMC Pregnancy and Childbirth 2006, 6:10 The use of micronutrient combinations with low iron content is associated with less constipation during pregnancy whereas the use of multivitamins with high iron content is more likely to be associated with adverse effects.
Re: [ozmidwifery] supplements
hi i have heard of a clinical trial that was done on a vitamin supplement call elevit that apparently has enough iron ect for mothers both breastfeeding and pre pregnancy and conception. does anyone else know of this study or is it one that the drug rep likes to speil to us when they come to visit. regards - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 16, 2006 5:30 PM Subject: [ozmidwifery] supplements I am not sure if I have previously passed this on. Anyway, here it is again. MM Use of micronutrient combinations in pregnant women BMC Pregnancy and Childbirth 2006, 6:10 The use of micronutrient combinations with low iron content is associated with less constipation during pregnancy whereas the use of multivitamins with high iron content is more likely to be associated with adverse effects.
RE: [ozmidwifery] supplements
I dont know of the Elavit trial, but this may support what many people have believed about Fluradix Fluravital. MM hi i have heard of a clinical trial that was done on a vitamin supplement call elevit that apparently has enough iron ect for mothers both breastfeeding and pre pregnancy and conception. does anyone else know of this study or is it one that the drug rep likes to speil to us when they come to visit. I am not sure if I have previously passed this on. Anyway, here it is again. MM Use of micronutrient combinations in pregnant women BMC Pregnancy and Childbirth 2006, 6:10 The use of micronutrient combinations with low iron content is associated with less constipation during pregnancy whereas the use of multivitamins with high iron content is more likely to be associated with adverse effects.
[ozmidwifery] ELEVIT RESEARCH
It is interesting what one finds when one follows the research trail. The results of my search showed that Czeizels research has been focused mainly Folic acid for preventing neural tube defects. He has written lots of papers on folic acid in preconceptual multivitamins. I read 10 abstracts before I could be reasonably sure, but it appears that all the articles are about the same cohort of women. The only reference to Sifakis etc is (2). in the mumsweb site and Taylor Nelson etc seem to be a research site, but no hint of it being a medical research lab. So it appears that elevit has been formulated from the recommendations of one trial of about 5,000 women in Hungary. MM ELEVIT should be taken three months prior to conception and continued throughout pregnancy and breastfeeding. However, you can start taking ELEVIT at any time during your pregnancy. ELEVIT is Australias No. 1 pregnancy supplement[3], and is only available at your local pharmacy. Mandatories: The Australian formulation of Elevit is the same as that used in the Czeizel study except that it does not contain Vitamin A. Always read the label. Use on as directed. See the label for full list of ingredients. Elevit is a registered trademark of Roche Products Pty. Ltd. 1. Czeizel AE. BMJ 1993;306:1645-1648. 2. Sifakis S. and Pharmakides G. Ann NY Aced Scien. 2000;900:125-136. 3. Taylor Nelson Sofres Research, 2002. . About Taylor Nelson Sofres Taylor Nelson Sofres is an international leader in media research and TV audience measurement. The research group has been ... BMJ. 1993 Jun 19;306(6893):1645-8. Related Articles, Links Prevention of congenital abnormalities by periconceptional multivitamin supplementation. Czeizel AE. Department of Human Genetics and Teratology, National Institute of Hygiene-WHO Collaborating Centre for the Community Control of Hereditary Diseases, Budapest, Hungary. OBJECTIVE--To study the effect of periconceptional multivitamin supplementation on neural tube defects and other congenital abnormality entities. DESIGN--Randomised controlled trial of supplementation with multivitamins and trace elements. SETTING--Hungarian family planning programme. SUBJECTS--4156 pregnancies with known outcome and 3713 infants evaluated in the eighth month of life. INTERVENTIONS--A single tablet of a multivitamin including 0.8 mg of folic acid or trace elements supplement daily for at least one month before conception and at least two months after conception. MAIN OUTCOME MEASURES--Number of major and mild congenital abnormalities. RESULTS--The rate of all major congenital abnormalities was significantly lower in the group given vitamins than in the group given trace elements and this difference cannot be explained totally by the significant reduction of neural tube defects. The rate of major congenital abnormalities other than neural tube defects and genetic syndromes was 9.0/1000 in pregnancies with known outcome in the vitamin group and 16.6/1000 in the trace element group; relative risk 1.85 (95% confidence interval 1.02 to 3.38); difference, 7.6/1000. The rate of all major congenital abnormalities other than neural tube defects and genetic syndromes diagnosed up to the eighth month of life was 14.7/1000 informative pregnancies in the vitamin group and 28.3/1000 in the trace element group; relative risk 1.95 (1.23 to 3.09); difference, 13.6/1000. The rate of some congenital abnormalities was lower in the vitamin group than in the trace element group but the differences for each group of abnormalities were not significant. CONCLUSIONS--Periconceptional multivitamin supplementation can reduce not only the rate of neural tube defects but also the rate of other major non-genetic syndromatic congenital abnormalities. Further studies are needed to differentiate the chance effect and vitamin dependent effect. Publication Types: Clinical Trial Randomized Controlled Trial PMID: 8324432 [PubMed - indexed for MEDLINE]
RE: [ozmidwifery] ELEVIT RESEARCH
I forgot to say that one of his papers stated that there were significantly more multiple births in the women who took multivitamins. It seems to be the same cohort of women. He obviously used them to study lots of different things. Czeizel AE, Metneki J, Dudas I. Related Articles, Links The higher rate of multiple births after periconceptional multivitamin supplementation: an analysis of causes. Acta Genet Med Gemellol (Roma). 1994;43(3-4):175-84. PMID: 8588492 [PubMed - indexed for MEDLINE] From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Mary Murphy Sent: Tuesday, 16 May 2006 6:04 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] ELEVIT RESEARCH It is interesting what one finds when one follows the research trail. The results of my search showed that Czeizels research has been focused mainly Folic acid for preventing neural tube defects. He has written lots of papers on folic acid in preconceptual multivitamins. I read 10 abstracts before I could be reasonably sure, but it appears that all the articles are about the same cohort of women. The only reference to Sifakis etc is (2). in the mumsweb site and Taylor Nelson etc seem to be a research site, but no hint of it being a medical research lab. So it appears that elevit has been formulated from the recommendations of one trial of about 5,000 women in Hungary. MM ELEVIT should be taken three months prior to conception and continued throughout pregnancy and breastfeeding. However, you can start taking ELEVIT at any time during your pregnancy. ELEVIT is Australias No. 1 pregnancy supplement[3], and is only available at your local pharmacy. Mandatories: The Australian formulation of Elevit is the same as that used in the Czeizel study except that it does not contain Vitamin A. Always read the label. Use on as directed. See the label for full list of ingredients. Elevit is a registered trademark of Roche Products Pty. Ltd. 1. Czeizel AE. BMJ 1993;306:1645-1648. 2. Sifakis S. and Pharmakides G. Ann NY Aced Scien. 2000;900:125-136. 3. Taylor Nelson Sofres Research, 2002. . About Taylor Nelson Sofres Taylor Nelson Sofres is an international leader in media research and TV audience measurement. The research group has been ... BMJ. 1993 Jun 19;306(6893):1645-8. Related Articles, Links Prevention of congenital abnormalities by periconceptional multivitamin supplementation. Czeizel AE. Department of Human Genetics and Teratology, National Institute of Hygiene-WHO Collaborating Centre for the Community Control of Hereditary Diseases, Budapest, Hungary. OBJECTIVE--To study the effect of periconceptional multivitamin supplementation on neural tube defects and other congenital abnormality entities. DESIGN--Randomised controlled trial of supplementation with multivitamins and trace elements. SETTING--Hungarian family planning programme. SUBJECTS--4156 pregnancies with known outcome and 3713 infants evaluated in the eighth month of life. INTERVENTIONS--A single tablet of a multivitamin including 0.8 mg of folic acid or trace elements supplement daily for at least one month before conception and at least two months after conception. MAIN OUTCOME MEASURES--Number of major and mild congenital abnormalities. RESULTS--The rate of all major congenital abnormalities was significantly lower in the group given vitamins than in the group given trace elements and this difference cannot be explained totally by the significant reduction of neural tube defects. The rate of major congenital abnormalities other than neural tube defects and genetic syndromes was 9.0/1000 in pregnancies with known outcome in the vitamin group and 16.6/1000 in the trace element group; relative risk 1.85 (95% confidence interval 1.02 to 3.38); difference, 7.6/1000. The rate of all major congenital abnormalities other than neural tube defects and genetic syndromes diagnosed up to the eighth month of life was 14.7/1000 informative pregnancies in the vitamin group and 28.3/1000 in the trace element group; relative risk 1.95 (1.23 to 3.09); difference, 13.6/1000. The rate of some congenital abnormalities was lower in the vitamin group than in the trace element group but the differences for each group of abnormalities were not significant. CONCLUSIONS--Periconceptional multivitamin supplementation can reduce not only the rate of neural tube defects but also the rate of other major non-genetic syndromatic congenital abnormalities. Further studies are needed to differentiate the chance effect and vitamin dependent effect. Publication Types: Clinical Trial Randomized Controlled Trial PMID: 8324432 [PubMed - indexed for MEDLINE]
[ozmidwifery] Stop me!.
Now Im on the thread I cant seem to stop. MM Update of: Cochrane Database Syst Rev. 2000;(2):CD001056. Periconceptional supplementation with folate and/or multivitamins for preventing neural tube defects. Lumley J, Watson L, Watson M, Bower C. Centre for the Study of Mothers' and Children's Health, La Trobe University, 251 Faraday St, Carlton, Vic, Australia, 3053. [EMAIL PROTECTED] BACKGROUND: Neural tube defects arise during the development of the brain and spinal cord. OBJECTIVES: The objective of this review was to assess the effects of increased consumption of folate or multivitamins on the prevalence of neural tube defects periconceptionally (that is before pregnancy and in the first two months of pregnancy). SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group trials register. Date of last search: April 2001. SELECTION CRITERIA: Randomised and quasi-randomised trials comparing periconceptional supplementation by multivitamins with placebo, folate with placebo, or multivitamins with folate; different dosages of multivitamins or folate; prepregnancy dietary advice and counselling in primary care settings to increase the consumption of folate-rich foods, or folate-fortified foods, with standard care; increased intensity of information provision with standard public health dissemination. DATA COLLECTION AND ANALYSIS: Two reviewers assessed trial quality and extracted data. MAIN RESULTS: Four trials of supplementation involving 6425 women were included. The trials all addressed the question of supplementation and they were of variable quality. Periconceptional folate supplementation reduced the incidence of neural tube defects (relative risk 0.28, 95% confidence interval 0.13 to 0.58). Folate supplementation did not significantly increase miscarriage, ectopic pregnancy or stillbirth, although there was a possible increase in multiple gestation. Multivitamins alone were not associated with prevention of neural tube defects and did not produce additional preventive effects when given with folate. One dissemination trial, a community randomised trial, was identified involving six communities, matched in pairs, and where 1206 women of child-bearing age were interviewed following the dissemination intervention. This showed that the provision of printed material increased the awareness of the folate/neural tube defects association by 4%, (odds ratio 1.37, 95% confidence interval 1.33 to 1.42). REVIEWER'S CONCLUSIONS: Periconceptional folate supplementation has a strong protective effect against neural tube defects. Information about folate should be made more widely available throughout the health and education systems. Women whose fetuses or babies have neural tube defects should be advised of the risk of recurrence in a subsequent pregnancy and offered continuing folate supplementation. The benefits and risks of fortifying basic food stuffs, such as flour, with added folate remain unresolved.
[ozmidwifery] VBAC in Qld?
Hi everyone I have some childbirth education clients that are planning a move to Qld - somewhere between Airlie Beach and Cairns. The mum had a previous caesarean as her baby was breech (arghhh!!) and she really wants to land somewhere where she will be supportend to birth vaginally this time. She is 27 weeks pregnant and planning to move next week so we are in a rush to find a destination!! Anyone have any clues as to supportive obstetricians, doctors, midwives up that way? She doesn't want to birth at home so is looking for support in a hospital/ birth centreenvironment. Thanks in anticipation, Penny Burrows - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 16, 2006 8:34 PM Subject: [ozmidwifery] Stop me!. Now Im on the thread I cant seem to stop. MM Update of: Cochrane Database Syst Rev. 2000;(2):CD001056. Periconceptional supplementation with folate and/or multivitamins for preventing neural tube defects.Lumley J, Watson L, Watson M, Bower C.Centre for the Study of Mothers' and Children's Health, La Trobe University, 251 Faraday St, Carlton, Vic, Australia, 3053. [EMAIL PROTECTED]BACKGROUND: Neural tube defects arise during the development of the brain and spinal cord. OBJECTIVES: The objective of this review was to assess the effects of increased consumption of folate or multivitamins on the prevalence of neural tube defects periconceptionally (that is before pregnancy and in the first two months of pregnancy). SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group trials register. Date of last search: April 2001. SELECTION CRITERIA: Randomised and quasi-randomised trials comparing periconceptional supplementation by multivitamins with placebo, folate with placebo, or multivitamins with folate; different dosages of multivitamins or folate; prepregnancy dietary advice and counselling in primary care settings to increase the consumption of folate-rich foods, or folate-fortified foods, with standard care; increased intensity of information provision with standard public health dissemination. DATA COLLECTION AND ANALYSIS: Two reviewers assessed trial quality and extracted data. MAIN RESULTS: Four trials of supplementation involving 6425 women were included. The trials all addressed the question of supplementation and they were of variable quality. Periconceptional folate supplementation reduced the incidence of neural tube defects (relative risk 0.28, 95% confidence interval 0.13 to 0.58). Folate supplementation did not significantly increase miscarriage, ectopic pregnancy or stillbirth, although there was a possible increase in multiple gestation. Multivitamins alone were not associated with prevention of neural tube defects and did not produce additional preventive effects when given with folate. One dissemination trial, a community randomised trial, was identified involving six communities, matched in pairs, and where 1206 women of child-bearing age were interviewed following the dissemination intervention. This showed that the provision of printed material increased the awareness of the folate/neural tube defects association by 4%, (odds ratio 1.37, 95% confidence interval 1.33 to 1.42). REVIEWER'S CONCLUSIONS: Periconceptional folate supplementation has a strong protective effect against neural tube defects. Information about folate should be made more widely available throughout the health and education systems. Women whose fetuses or babies have neural tube defects should be advised of the risk of recurrence in a subsequent pregnancy and offered continuing folate supplementation. The benefits and risks of fortifying basic food stuffs, such as flour, with added folate remain unresolved.
Re: [ozmidwifery] high GTT result?
Where I work, the endocrinologist regards anything 7.7 ( at 2hrs) as Gestational Diabetes and the women are then transferred into a diabetic antenatal clinic where they regularly see the diabetic educator midwife who assesses their records of home monitoring of blood glucose levels. A small number go on to require insulin Regards Linda - Original Message - From: McAlpine, Joan (AHS) [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 16, 2006 9:54 AM Subject: RE: [ozmidwifery] high GTT result? Hi Janet, The 1 hour result is irrelevant. It is the 2 hour that counts as they aren't able to utilise and excrete the excess sugar. So, she needs a consult with a GDM midwife or endocrinologist (whatever you have)if her fasting BSL is 5.5 or her 2 hour is 8. I hope that is clearer. Joan -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Judy Chapman Sent: Monday, 15 May 2006 20:12 To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] high GTT result? Need more info. Is that the one hour result or the two hour result. If it is the two hour result she needs a consultation with a diabetic nurse or Dr and it is high. Cheers Judy --- Janet Fraser [EMAIL PROTECTED] wrote: Hi all, can someone clue me in on what's considered a high result to get from the GTT? I have a woman wanting to swap to hb from a BC where her GTT result is considered dangerously high and she's been told she's highrisk. It was 9.8. Thanks! : ) J For home birth information go to: Joyous Birth Australian home birth network and forums. http://www.joyousbirth.info/ Or email: [EMAIL PROTECTED] On Yahoo!7 360°: Your own space to share what you want with who you want! http://www.yahoo7.com.au/360 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. THIS E-MAIL IS CONFIDENTIAL. If you have received this e-mail in error, please notify us by return e-mail and delete the document. If you are not the intended recipient you are hereby notified that any disclosure, copying, distribution or taking any action in reliance on the contents of this information is strictly prohibited and may be unlawful. Eastern Health is not liable for the proper and complete transmission of the information contained in this communication or for any delay in its receipt. -- 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] VBAC in Qld?
The place everyone will suggest is Selangor which is private. QLD leads Australia's c-sec rate so VBAC is really hard to get up there without travelling. I wish her luck and home birth vibes since that's her safest bet. She may find a doula near where she is but an entirehospital which actively and trulysupports and promotes VBAC is not in existence. At most she may find occasionalsupportive practitioners and those can be located through contacting the many consumer birth groups in Brisbane. There's a prog at RBWH (Pegasus? Phoenix? Some mythical beast...) which takes VBACs and women are largely seen by MWs but at 27 weeks she will probably have trouble getting in. There's a waiting list. MC would be able to help too especially Cas McCullough who had a VBA2C at Selangor. She may have more details of evidence based CPs who support women to birth after surgery. It's a really hard path to try in any hospital let alone in QLD. J - Original Message - From: penny burrows To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 16, 2006 8:54 PM Subject: [ozmidwifery] VBAC in Qld? Hi everyone I have some childbirth education clients that are planning a move to Qld - somewhere between Airlie Beach and Cairns. The mum had a previous caesarean as her baby was breech (arghhh!!) and she really wants to land somewhere where she will be supportend to birth vaginally this time. She is 27 weeks pregnant and planning to move next week so we are in a rush to find a destination!! Anyone have any clues as to supportive obstetricians, doctors, midwives up that way? She doesn't want to birth at home so is looking for support in a hospital/ birth centreenvironment. Thanks in anticipation, Penny Burrows - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 16, 2006 8:34 PM Subject: [ozmidwifery] Stop me!. Now Im on the thread I cant seem to stop. MM Update of: Cochrane Database Syst Rev. 2000;(2):CD001056. Periconceptional supplementation with folate and/or multivitamins for preventing neural tube defects.Lumley J, Watson L, Watson M, Bower C.Centre for the Study of Mothers' and Children's Health, La Trobe University, 251 Faraday St, Carlton, Vic, Australia, 3053. [EMAIL PROTECTED]BACKGROUND: Neural tube defects arise during the development of the brain and spinal cord. OBJECTIVES: The objective of this review was to assess the effects of increased consumption of folate or multivitamins on the prevalence of neural tube defects periconceptionally (that is before pregnancy and in the first two months of pregnancy). SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group trials register. Date of last search: April 2001. SELECTION CRITERIA: Randomised and quasi-randomised trials comparing periconceptional supplementation by multivitamins with placebo, folate with placebo, or multivitamins with folate; different dosages of multivitamins or folate; prepregnancy dietary advice and counselling in primary care settings to increase the consumption of folate-rich foods, or folate-fortified foods, with standard care; increased intensity of information provision with standard public health dissemination. DATA COLLECTION AND ANALYSIS: Two reviewers assessed trial quality and extracted data. MAIN RESULTS: Four trials of supplementation involving 6425 women were included. The trials all addressed the question of supplementation and they were of variable quality. Periconceptional folate supplementation reduced the incidence of neural tube defects (relative risk 0.28, 95% confidence interval 0.13 to 0.58). Folate supplementation did not significantly increase miscarriage, ectopic pregnancy or stillbirth, although there was a possible increase in multiple gestation. Multivitamins alone were not associated with prevention of neural tube defects and did not produce additional preventive effects when given with folate. One dissemination trial, a community randomised trial, was identified involving six communities, matched in pairs, and where 1206 women of child-bearing age were interviewed following the dissemination intervention. This showed that the provision of printed material increased the awareness of the folate/neural tube defects association by 4%, (odds ratio 1.37, 95% confidence interval 1.33 to 1.42). REVIEWER'S CONCLUSIONS: Periconceptional folate supplementation has a strong protective effect against neural tube defects. Information about folate should be made more widely available throughout the health and education systems. Women whose fetuses or babies have neural tube defects should be advised of the risk
Re: [ozmidwifery] Caroline Flint
Mary if you are still having trouble getting hold of Caroline Flint. Try on the UK mid site. someone there will know. Lisa - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 16, 2006 5:27 PM Subject: RE: [ozmidwifery] Caroline Flint Follow that link and you will see it is not our beloved Caroline Flint. This one is a much younger, slimmer, slicker version who is a Politician. I have tried the independent midwives link and they couldnt help. I will now try the caroline at birth centreone. Thanks, MM
Re: [ozmidwifery] Caroline Flint
The birth centre of which Caroline Flint is the Director has the following email-address: [EMAIL PROTECTED] The website of the borth centre is: http://www.birthcentre.com/meet_the_midwives.htm Kind regards, Lisette Geerdens (Belgium) - Original Message - From: Lisa Barrett To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 16, 2006 4:49 PM Subject: Re: [ozmidwifery] Caroline Flint Mary if you are still having trouble getting hold of Caroline Flint. Try on the UK mid site. someone there will know. Lisa - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 16, 2006 5:27 PM Subject: RE: [ozmidwifery] Caroline Flint Follow that link and you will see it is not our beloved Caroline Flint. This one is a much younger, slimmer, slicker version who is a Politician. I have tried the independent midwives link and they couldnt help. I will now try the caroline at birth centreone. Thanks, MM
[ozmidwifery] perineal massage
Hi everyone, In my store we sell an organic oil by Weleda for perineal massage. ( almond oil, wheat germ oil, natural essential oils.) Many women seem to think, that if they simply apply this oil, it will prevent tears. I am planning to add some info on perineal massage on our website and also prepare a handout to give with the oil. I would appreciate any good links on this subject and answers to these questions: What do you consider the main factors, when preventing tears and episiotomies? (other than perineal massage) Where can I find research on this subject or effectiveness of perineal massage? Päivi
Re: [ozmidwifery] VBAC in Qld?
Hi Penny - she would be very welcome at Selangor, but Nambour is a little far from Cairns! Regards, Lynne - Original Message - From: penny burrows To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 16, 2006 8:54 PM Subject: [ozmidwifery] VBAC in Qld? Hi everyone I have some childbirth education clients that are planning a move to Qld - somewhere between Airlie Beach and Cairns. The mum had a previous caesarean as her baby was breech (arghhh!!) and she really wants to land somewhere where she will be supportend to birth vaginally this time. She is 27 weeks pregnant and planning to move next week so we are in a rush to find a destination!! Anyone have any clues as to supportive obstetricians, doctors, midwives up that way? She doesn't want to birth at home so is looking for support in a hospital/ birth centreenvironment. Thanks in anticipation, Penny Burrows - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 16, 2006 8:34 PM Subject: [ozmidwifery] Stop me!. Now Im on the thread I cant seem to stop. MM Update of: Cochrane Database Syst Rev. 2000;(2):CD001056. Periconceptional supplementation with folate and/or multivitamins for preventing neural tube defects.Lumley J, Watson L, Watson M, Bower C.Centre for the Study of Mothers' and Children's Health, La Trobe University, 251 Faraday St, Carlton, Vic, Australia, 3053. [EMAIL PROTECTED]BACKGROUND: Neural tube defects arise during the development of the brain and spinal cord. OBJECTIVES: The objective of this review was to assess the effects of increased consumption of folate or multivitamins on the prevalence of neural tube defects periconceptionally (that is before pregnancy and in the first two months of pregnancy). SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group trials register. Date of last search: April 2001. SELECTION CRITERIA: Randomised and quasi-randomised trials comparing periconceptional supplementation by multivitamins with placebo, folate with placebo, or multivitamins with folate; different dosages of multivitamins or folate; prepregnancy dietary advice and counselling in primary care settings to increase the consumption of folate-rich foods, or folate-fortified foods, with standard care; increased intensity of information provision with standard public health dissemination. DATA COLLECTION AND ANALYSIS: Two reviewers assessed trial quality and extracted data. MAIN RESULTS: Four trials of supplementation involving 6425 women were included. The trials all addressed the question of supplementation and they were of variable quality. Periconceptional folate supplementation reduced the incidence of neural tube defects (relative risk 0.28, 95% confidence interval 0.13 to 0.58). Folate supplementation did not significantly increase miscarriage, ectopic pregnancy or stillbirth, although there was a possible increase in multiple gestation. Multivitamins alone were not associated with prevention of neural tube defects and did not produce additional preventive effects when given with folate. One dissemination trial, a community randomised trial, was identified involving six communities, matched in pairs, and where 1206 women of child-bearing age were interviewed following the dissemination intervention. This showed that the provision of printed material increased the awareness of the folate/neural tube defects association by 4%, (odds ratio 1.37, 95% confidence interval 1.33 to 1.42). REVIEWER'S CONCLUSIONS: Periconceptional folate supplementation has a strong protective effect against neural tube defects. Information about folate should be made more widely available throughout the health and education systems. Women whose fetuses or babies have neural tube defects should be advised of the risk of recurrence in a subsequent pregnancy and offered continuing folate supplementation. The benefits and risks of fortifying basic food stuffs, such as flour, with added folate remain unresolved.
RE: [ozmidwifery] VBAC in Qld?
Hi, I am in Townsville where we (Birth Buddies) have had a few clients have VBACS and EBACs. The Townsville Hospital (public) is the best bet up here. I have had a VBAC there to and am always pleased to help those planning VBACs. I can be contacted if you like on 47734075 or 0407648349. Cheers Philippa Scott Birth Buddies - Doula Assisting women and their families in the preparation towards childbirth and labour. President of Friends of the Birth Centre Townsville From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Lynne Staff Sent: Wednesday, 17 May 2006 8:57 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] VBAC in Qld? Hi Penny - she would be very welcome at Selangor, but Nambour is a little far from Cairns! Regards, Lynne - Original Message - From: penny burrows To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 16, 2006 8:54 PM Subject: [ozmidwifery] VBAC in Qld? Hi everyone I have some childbirth education clients that are planning a move to Qld - somewhere between Airlie Beach and Cairns. The mum had a previous caesarean as her baby was breech (arghhh!!) and she really wants to land somewhere where she will be supportend to birth vaginally this time. She is 27 weeks pregnant and planning to move next week so we are in a rush to find a destination!! Anyone have any clues as to supportive obstetricians, doctors, midwives up that way? She doesn't want to birth at home so is looking for support in a hospital/ birth centreenvironment. Thanks in anticipation, Penny Burrows - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 16, 2006 8:34 PM Subject: [ozmidwifery] Stop me!. Now Im on the thread I cant seem to stop. MM Update of: Cochrane Database Syst Rev. 2000;(2):CD001056. Periconceptional supplementation with folate and/or multivitamins for preventing neural tube defects. Lumley J, Watson L, Watson M, Bower C. Centre for the Study of Mothers' and Children's Health, La Trobe University, 251 Faraday St, Carlton, Vic, Australia, 3053. [EMAIL PROTECTED] BACKGROUND: Neural tube defects arise during the development of the brain and spinal cord. OBJECTIVES: The objective of this review was to assess the effects of increased consumption of folate or multivitamins on the prevalence of neural tube defects periconceptionally (that is before pregnancy and in the first two months of pregnancy). SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group trials register. Date of last search: April 2001. SELECTION CRITERIA: Randomised and quasi-randomised trials comparing periconceptional supplementation by multivitamins with placebo, folate with placebo, or multivitamins with folate; different dosages of multivitamins or folate; prepregnancy dietary advice and counselling in primary care settings to increase the consumption of folate-rich foods, or folate-fortified foods, with standard care; increased intensity of information provision with standard public health dissemination. DATA COLLECTION AND ANALYSIS: Two reviewers assessed trial quality and extracted data. MAIN RESULTS: Four trials of supplementation involving 6425 women were included. The trials all addressed the question of supplementation and they were of variable quality. Periconceptional folate supplementation reduced the incidence of neural tube defects (relative risk 0.28, 95% confidence interval 0.13 to 0.58). Folate supplementation did not significantly increase miscarriage, ectopic pregnancy or stillbirth, although there was a possible increase in multiple gestation. Multivitamins alone were not associated with prevention of neural tube defects and did not produce additional preventive effects when given with folate. One dissemination trial, a community randomised trial, was identified involving six communities, matched in pairs, and where 1206 women of child-bearing age were interviewed following the dissemination intervention. This showed that the provision of printed material increased the awareness of the folate/neural tube defects association by 4%, (odds ratio 1.37, 95% confidence interval 1.33 to 1.42). REVIEWER'S CONCLUSIONS: Periconceptional folate supplementation has a strong protective effect against neural tube defects. Information about folate should be made more widely available throughout the health and education systems. Women whose fetuses or babies have neural tube defects should be advised of the risk of recurrence in a subsequent pregnancy and offered continuing folate supplementation. The benefits and risks of fortifying basic food stuffs, such as flour, with added folate remain unresolved.
RE: [ozmidwifery] VBAC in Qld?
Forgive my ignorance, but what is an EBAC? Thanks,Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Philippa ScottSent: Wednesday, May 17, 2006 12:57 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] VBAC in Qld? Hi, I am in Townsville where we (Birth Buddies) have had a few clients have VBACS and EBACs. The Townsville Hospital (public) is the best bet up here. I have had a VBAC there to and am always pleased to help those planning VBACs. I can be contacted if you like on 47734075 or 0407648349. Cheers Philippa ScottBirth Buddies - DoulaAssisting women and their families in the preparation towards childbirth and labour.President of Friends of the Birth Centre Townsville From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Lynne StaffSent: Wednesday, 17 May 2006 8:57 AMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] VBAC in Qld? Hi Penny - she would be very welcome at Selangor, but Nambour is a little far from Cairns! Regards, Lynne - Original Message - From: penny burrows To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 16, 2006 8:54 PM Subject: [ozmidwifery] VBAC in Qld? Hi everyone I have some childbirth education clients that are planning a move to Qld - somewhere between Airlie Beach and Cairns. The mum had a previous caesarean as her baby was breech (arghhh!!) and she really wants to land somewhere where she will be supportend to birth vaginally this time. She is 27 weeks pregnant and planning to move next week so we are in a rush to find a destination!! Anyone have any clues as to supportive obstetricians, doctors, midwives up that way? She doesn't want to birth at home so is looking for support in a hospital/ birth centreenvironment. Thanks in anticipation, Penny Burrows - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 16, 2006 8:34 PM Subject: [ozmidwifery] Stop me!. Now Im on the thread I cant seem to stop. MM Update of: Cochrane Database Syst Rev. 2000;(2):CD001056. Periconceptional supplementation with folate and/or multivitamins for preventing neural tube defects.Lumley J, Watson L, Watson M, Bower C.Centre for the Study of Mothers' and Children's Health, La Trobe University, 251 Faraday St, Carlton, Vic, Australia, 3053. [EMAIL PROTECTED]BACKGROUND: Neural tube defects arise during the development of the brain and spinal cord. OBJECTIVES: The objective of this review was to assess the effects of increased consumption of folate or multivitamins on the prevalence of neural tube defects periconceptionally (that is before pregnancy and in the first two months of pregnancy). SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group trials register. Date of last search: April 2001. SELECTION CRITERIA: Randomised and quasi-randomised trials comparing periconceptional supplementation by multivitamins with placebo, folate with placebo, or multivitamins with folate; different dosages of multivitamins or folate; prepregnancy dietary advice and counselling in primary care settings to increase the consumption of folate-rich foods, or folate-fortified foods, with standard care; increased intensity of information provision with standard public health dissemination. DATA COLLECTION AND ANALYSIS: Two reviewers assessed trial quality and extracted data. MAIN RESULTS: Four trials of supplementation involving 6425 women were included. The trials all addressed the question of supplementation and they were of variable quality. Periconceptional folate supplementation reduced the incidence of neural tube defects (relative risk 0.28, 95% confidence interval 0.13 to 0.58). Folate supplementation did not significantly increase miscarriage, ectopic pregnancy or stillbirth, although there was a possible increase in multiple gestation. Multivitamins alone were not associated with prevention of neural tube defects and did not produce additional preventive effects when given with folate. One dissemination trial, a community randomised trial, was identified involving six communities, matched in pairs, and where 1206 women of child-bearing age were interviewed following the dissemination
Re: [ozmidwifery] VBAC in Qld?
Im glad you asked Nicole, thay way more of us will know!! : ) Di - Original Message - From: Nicole Carver To: ozmidwifery@acegraphics.com.au Sent: Wednesday, May 17, 2006 1:55 PM Subject: RE: [ozmidwifery] VBAC in Qld? Forgive my ignorance, but what is an EBAC? Thanks,Nicole. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Philippa ScottSent: Wednesday, May 17, 2006 12:57 PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] VBAC in Qld? Hi, I am in Townsville where we (Birth Buddies) have had a few clients have VBACS and EBACs. The Townsville Hospital (public) is the best bet up here. I have had a VBAC there to and am always pleased to help those planning VBACs. I can be contacted if you like on 47734075 or 0407648349. Cheers Philippa ScottBirth Buddies - DoulaAssisting women and their families in the preparation towards childbirth and labour.President of Friends of the Birth Centre Townsville From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Lynne StaffSent: Wednesday, 17 May 2006 8:57 AMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] VBAC in Qld? Hi Penny - she would be very welcome at Selangor, but Nambour is a little far from Cairns! Regards, Lynne - Original Message - From: penny burrows To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 16, 2006 8:54 PM Subject: [ozmidwifery] VBAC in Qld? Hi everyone I have some childbirth education clients that are planning a move to Qld - somewhere between Airlie Beach and Cairns. The mum had a previous caesarean as her baby was breech (arghhh!!) and she really wants to land somewhere where she will be supportend to birth vaginally this time. She is 27 weeks pregnant and planning to move next week so we are in a rush to find a destination!! Anyone have any clues as to supportive obstetricians, doctors, midwives up that way? She doesn't want to birth at home so is looking for support in a hospital/ birth centreenvironment. Thanks in anticipation, Penny Burrows - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Tuesday, May 16, 2006 8:34 PM Subject: [ozmidwifery] Stop me!. Now Im on the thread I cant seem to stop. MM Update of: Cochrane Database Syst Rev. 2000;(2):CD001056. Periconceptional supplementation with folate and/or multivitamins for preventing neural tube defects.Lumley J, Watson L, Watson M, Bower C.Centre for the Study of Mothers' and Children's Health, La Trobe University, 251 Faraday St, Carlton, Vic, Australia, 3053. [EMAIL PROTECTED]BACKGROUND: Neural tube defects arise during the development of the brain and spinal cord. OBJECTIVES: The objective of this review was to assess the effects of increased consumption of folate or multivitamins on the prevalence of neural tube defects periconceptionally (that is before pregnancy and in the first two months of pregnancy). SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group trials register. Date of last search: April 2001. SELECTION CRITERIA: Randomised and quasi-randomised trials comparing periconceptional supplementation by multivitamins with placebo, folate with placebo, or multivitamins with folate; different dosages of multivitamins or folate; prepregnancy dietary advice and counselling in primary care settings to increase the consumption of folate-rich foods, or folate-fortified foods, with standard care; increased intensity of information provision with standard public health dissemination. DATA COLLECTION AND ANALYSIS: Two reviewers assessed trial quality and extracted data. MAIN RESULTS: Four trials of supplementation involving 6425 women were included. The trials all addressed the question of supplementation and they were of variable quality. Periconceptional folate supplementation reduced the incidence of neural tube defects (relative risk 0.28, 95% confidence interval 0.13 to 0.58). Folate supplementation did not
Re: [ozmidwifery] VBAC in Qld?
Our Mareeba women who require a VBAC have to go to Cairns Base Hospital and a reasonable number of them achieve the vaginal birth. Would not be tempted to go private though. Cheers Judy [EMAIL PROTECTED] 16/05/2006 8:54:41 pm Hi everyone I have some childbirth education clients that are planning a move to Qld - somewhere between Airlie Beach and Cairns. The mum had a previous caesarean as her baby was breech (arghhh!!) and she really wants to land somewhere where she will be supportend to birth vaginally this time. She is 27 weeks pregnant and planning to move next week so we are in a rush to find a destination!! Anyone have any clues as to supportive obstetricians, doctors, midwives up that way? She doesn't want to birth at home so is looking for support in a hospital/ birth centreenvironment. Thanks in anticipation, Penny Burrows * This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/ received in error. Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters. If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced. If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited. Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person's computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email. Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
