Re: [ozmidwifery] Episiotomy
I happened across this study today while researching forceps- it indicated the cutting an episiotomy when using forceps increases the chance of 3rd 4th degree tears. I don't think it specifies midline. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrievedb=PubMedlist_uids=15957996dopt=Abstract Monica - Original Message - From: Susan Cudlipp [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Tuesday, June 20, 2006 12:55 AM Subject: Re: [ozmidwifery] Episiotomy Hi Alice This came to me but it was not me that posted the question, so don't know if you just maybe hit the wrong button? Sue. - Original Message - From: Alice Morgan [EMAIL PROTECTED] To: [EMAIL PROTECTED] Cc: ozmidwifery@acegraphics.com.au Sent: Monday, June 19, 2006 1:38 PM Subject: RE: [ozmidwifery] Episiotomy Hi Suzi, I have several studies that show thiscan't think of them all off the top of my head, but will find them for you and send you the info. I'll have to dig out my thesis (I've been somewhat pretending it doesn't exist at the moment). As a start, I think the recent (2005) JAMA published study talks about it, as do Thacker and Banta (1983) and Woolley (1995). There's also one that compares mediolateral and midline episiotomies (Thacker, 2000 from the British Medical Journal). Hope this helps as a start...I'll try to see what else I can find and send to you. Alice From: suzi and brett [EMAIL PROTECTED] Reply-To: ozmidwifery@acegraphics.com.au To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Episiotomy Date: Mon, 19 Jun 2006 09:28:24 +1000 Can anyone point me in the right direction for good evidence that episiotomys have an increased risk of extending to 3 or 4 th degree? or am i remembering - interpreting incorrectly and the best evidence that we have only conclude generally that restrictive epis. has lowered morbidity because the women mostly doesnt end up with as much truama as anticipated. Little discussion i am having with one of our doctors - who says mediolateral cut is not at an increased risk of extending, only midline. My arguement was that only fetal distress with no time to wait for streaching ( or well informed maternal request?) is the only reasons for episiotomy. Im sure if it was a slice down the eye of a penis and the posibility of the man having painful sex and other morbidity for the next year - some doctors may think twice. Love Suz x _ New year, new job - there's more than 100,00 jobs at SEEK http://a.ninemsn.com.au/b.aspx?URL=http%3A%2F%2Fninemsn%2Eseek%2Ecom%2Eau_t=752315885_r=Jan05_tagline_m=EXT -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.394 / Virus Database: 268.9.0/368 - Release Date: 16/06/2006 -- 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] Starting solids too early
Okay, a solid-crazy mother has reared her head, as she always does, hi-jacking these sorts of discussions - there is one person who always pushes the solids!!! Anyway, can any of you tell me at what point you really need to think about solids then, should you want to soley breastfeed? I know many happily breastfed-only babies at 12 months. Are there any studies or facts I can quote on this? The Best Regards, Kelly Zantey Creator, BellyBelly.com.au Gentle Solutions From Conception to Parenthood BellyBelly Birth Support - http://www.bellybelly.com.au/birth-support From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Jo Watson Sent: Monday, 19 June 2006 1:53 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Starting solids too early I'm sure that is right for normally birthed babies, but those born via c/s or who have their cords clamped early don't get their 'owed' blood volume, so their iron stores might not be as good as they should be. Jo On 19/06/2006, at 7:58 AM, Mary Murphy wrote: Does anyone have information about the research that says babies are anaemic at 4-6 months and therefore need iron rich foods? Surely the body has the correct amount of iron for the correct age group in healthy breast fed babies? MM The iron issue is often used to encourage mothers to wean early - breast milk is low is iron yes but this iron is easily and readily absorbed by the baby - the store built up at birth is usually running low between six and twelve months
[ozmidwifery] Balancing work and family New Idea article and website for feedback
Title: Balancing work and family New Idea article and website for feedback Dear All New Idea is asking women to let our abour women pollies know what we want. How about giving them a blast with 1-2-1 midwifery care. http://www.newidea.com.au/display.cfm?objectid=5D0C151E-82F9-4F30-B7EA286E2F0D01B4 http://www.newidea.com.au/display.cfm?objectid=5D0C151E-82F9-4F30-B7EA286E2F0D01B4 JC Justine Caines National Policy Co-ordinator Maternity Coalition Inc PO Box 625 SCONE NSW 2329 Ph: (02) 65453612 Fax: (02)65482902 Mob: 0408 210273 E-Mail: [EMAIL PROTECTED] www.maternitycoalition.org.au
[ozmidwifery] Manual rotation
Hi eveyone, I am a first year Bmid student who has recently joined the list, and have been getting a lot out of reading the posts on various subjects. Now I'm wanting to ask advice on an issue that I have been trying to resolve since early on in my clinical experience. Without going into the whole story, I witnessed a digital rotation, or manual rotation of the baby of a woman in late first stage of labour, and a cascade of issues followed. In debriefing with my lecturers at uni, I was told this is not good or safe practice at any time. I then witnessed the same midwife perform this procedure again a few weeks later. Debriefing with a clinical educater, I was told it is an 'old skill', and certain very experienced midwives still practice it. Then my clinical supervisor refuted this and said it is dangerous and has no place in midwifery practice.This is a very brief summary of these conversations, but I hope you get the gist. Anyway, I was happy with this, until I read in Mayes Midwifery the other day that this procedure can be used to help turn a posterior baby!! I am completely confused! Safe, or not? Evidence based, or not? I would really appreciate any light cast on this subject... and just in case no one knows what I mean by digital rotation (if this is not the common term for it) It is the midwife using her fingers internally to sort of hook the baby's head (cervix fully dilated I guess, or close to it) and turn it into a more optimal position, using her own strength and accompanied by the woman actively pushing. I just want to also say that I know this is not something that should be occuring in any normal straightforward birth, but what other information or experience to you have, warm regards, Astra
RE: [ozmidwifery] Manual rotation
Title: Message Hi Astra, If you read Pauline Scott's book Optimal Foetal Positioning you will see the technique described, at least that's where I think it is in. I have used this technique but you rely on an intact firm pelvic floor. Does not work as well when an epidural is insitu which is often the reason they are posterior.A firm pelvic floor allows the baby's headto rotate itself during a contractions as it has some resistance to turn on. Basically with consent I do a VE usually the woman is at 7-8 cm, place my fingers firmly on baby's head and maintain that firmness and with at least 3 contractions my fingers act as a foundation or resistance that the baby's head can swivel on to a more favourable position. I do no more than that but I have heard midwives say they move their fingers as well with the contraction. You must be very careful you do not trap or apply pressure to the cervix. Usually it works especially if you are unable to physically move the woman to a different position because of an epidural. I am sure you will hear some wonderful ways midwives 'work with' the uniqueness of the woman's body and using the power within. Barb -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Astra JoyntSent: Tuesday, 20 June 2006 8:32 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Manual rotation Hi eveyone, I am a first year Bmid student who has recently joined the list, and have been getting a lot out of reading the posts on various subjects. Now I'm wanting to ask advice on an issue that I have been trying to resolve since early on in my clinical experience. Without going into the whole story, I witnessed a digital rotation, or manual rotation of the baby of a woman in late first stage of labour, and a cascade of issues followed. In debriefing with my lecturers at uni, I was told this is not good or safe practice at any time. I then witnessed the same midwife perform this procedure again a few weeks later. Debriefing with a clinical educater, I was told it is an 'old skill', and certain very experienced midwives still practice it. Then my clinical supervisor refuted this and said it is dangerous and has no place in midwifery practice.This is a very brief summary of these conversations, but I hope you get the gist. Anyway, I was happy with this, until I read in Mayes Midwifery the other day that this procedure can be used to help turn a posterior baby!! I am completely confused! Safe, or not? Evidence based, or not? I would really appreciate any light cast on this subject... and just in case no one knows what I mean by digital rotation (if this is not the common term for it) It is the midwife using her fingers internally to sort of hook the baby's head (cervix fully dilated I guess, or close to it) and turn it into a more optimal position, using her own strength and accompanied by the woman actively pushing. I just want to also say that I know this is not something that should be occuring in any normal straightforward birth, but what other information or experience to you have, warm regards, Astra
Re: [ozmidwifery] Balancing work and family New Idea article andwebsite for feedback
Title: Balancing work and family New Idea article and website for feedback ...and let's not forgetrebates for homebirth, and support for MIPPs. :o) - Original Message - From: Justine Caines To: OzMid List Sent: Tuesday, June 20, 2006 10:12 PM Subject: [ozmidwifery] Balancing work and family New Idea article andwebsite for feedback Dear AllNew Idea is asking women to let our abour women pollies know what we want. How about giving them a blast with 1-2-1 midwifery care.http://www.newidea.com.au/display.cfm?objectid=5D0C151E-82F9-4F30-B7EA286E2F0D01B4 http://www.newidea.com.au/display.cfm?objectid=5D0C151E-82F9-4F30-B7EA286E2F0D01B4 JCJustine CainesNational Policy Co-ordinatorMaternity Coalition IncPO Box 625SCONE NSW 2329Ph: (02) 65453612Fax: (02)65482902Mob: 0408 210273E-Mail: [EMAIL PROTECTED]www.maternitycoalition.org.au
Re: [ozmidwifery] Manual rotation
I have seen midwives more using their fingers to support a high posterior head to create like a false pelvic floor for the baby to rotate on - to positive effect. not rotating the head but providing a platform. Suzi - Original Message - From: Astra Joynt To: ozmidwifery@acegraphics.com.au Sent: Tuesday, June 20, 2006 8:31 PM Subject: [ozmidwifery] Manual rotation Hi eveyone, I am a first year Bmid student who has recently joined the list, and have been getting a lot out of reading the posts on various subjects. Now I'm wanting to ask advice on an issue that I have been trying to resolve since early on in my clinical experience. Without going into the whole story, I witnessed a digital rotation, or manual rotation of the baby of a woman in late first stage of labour, and a cascade of issues followed. In debriefing with my lecturers at uni, I was told this is not good or safe practice at any time. I then witnessed the same midwife perform this procedure again a few weeks later. Debriefing with a clinical educater, I was told it is an 'old skill', and certain very experienced midwives still practice it. Then my clinical supervisor refuted this and said it is dangerous and has no place in midwifery practice.This is a very brief summary of these conversations, but I hope you get the gist. Anyway, I was happy with this, until I read in Mayes Midwifery the other day that this procedure can be used to help turn a posterior baby!! I am completely confused! Safe, or not? Evidence based, or not? I would really appreciate any light cast on this subject... and just in case no one knows what I mean by digital rotation (if this is not the common term for it) It is the midwife using her fingers internally to sort of hook the baby's head (cervix fully dilated I guess, or close to it) and turn it into a more optimal position, using her own strength and accompanied by the woman actively pushing. I just want to also say that I know this is not something that should be occuring in any normal straightforward birth, but what other information or experience to you have, warm regards, Astra
[ozmidwifery] music and labour pain
Hi everyone, I am doing a story on how music is good for us have mentioned several studies that show it reduces pain. I was wondering if there is any information or anyone has a nice story about how musichas helped with during labour. Thank you all best wishes Kylie Carberry Freelance Journalist p: +61 2 42970115 m: +61 2 418220638 f: +61 2 42970747 -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
