[ozmidwifery] Pinky on TV tomorrow x 2!!!

[Kelly @ BellyBelly]

Hello all!

 

Please tune into the Today Show (8.10am AEST) and Kerri-Anne
(bet. 10.30-11am AEST) tomorrow,
the 11th July. Pinky will be on and she needs our support!!! Don’t
forget to write in, AFTER the show hehehe to let them know we loved her being
on and would like to see more. Go Pinky! (who sounds like she is having a
gorgeous time in Sydney!!!)

Best
Regards,

Kelly Zantey
Creator, BellyBelly.com.au 
Gentle Solutions From Conception to Parenthood
BellyBelly Birth Support
- http://www.bellybelly.com.au/birth-support

 

RE: [ozmidwifery] Low liquor was Trial of scar

[Mary Murphy]

Title: Message








“have done my own lit r/v and
answered my own questions!!  Regards
Lisa”  

 

Lisa,
would you share this with us?  I am very interested in the subject.  Thanks.
MM

 

 













Janet could you
please provide us with some references on the low liquor
thing? My understanding and experience is that in some cases of severe
growth restriction, low liquor is concerning, obviously this would be
assessed along with other measures of fetal wellbeing. But if one has a IUGR
fetus who has placental insufficieny, poor growth and low liqour volumes;
you have a baby that is at risk of adverse perinatal outcomes such as IUFD
etc.A decsion needs to be made between IOL and further inutero monitoring.
We need to be careful we are not normalising the pathological!
Lisa

Re: [ozmidwifery] NICE Intrapartum care guidelines -draft

[Lyle Burgoyne]

Hi,
Had a quick read through the 55 page summary and it seemed a lot more
balanced than a lot of units seem to practice in Australia .
Lyle

>>> [EMAIL PROTECTED] 07/11/06 12:28 pm >>>
 Has anyone read these?
Lisa


The message is ready to be sent with the following file or link
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Shortcut to: http://www.nice.org.uk/page.aspx?o=333766 


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Re: [ozmidwifery] NICE Intrapartum care guidelines -draft

[Lyle Burgoyne]

Hi,
Had a quick read through the 55 page summary and it seemed a lot more
balanced than a lot of units seem to practice in Australia .
Lyle

>>> [EMAIL PROTECTED] 07/11/06 12:28 pm >>>
 Has anyone read these?
Lisa


The message is ready to be sent with the following file or link
attachments:

Shortcut to: http://www.nice.org.uk/page.aspx?o=333766 


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RE: [ozmidwifery] Low liquor was Trial of scar

[Lisa Gierke]

Title: Message



Will 
do so Mary.
Lisa

  
  -Original Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED] On Behalf Of Mary 
  MurphySent: Tuesday, 11 July 2006 6:24 PMTo: 
  ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] Low liquor 
  was Trial of scar
  
  “have done my own lit 
  r/v and answered my own questions!!  Regards Lisa”  
  
   
  Lisa, 
  would you share this with us?  I am very interested in the subject.  
  Thanks. MM
   
   
  
  
  
  
  
Janet 
could you please provide us with some references on the low liquorthing? 
My understanding and experience is that in some cases of severegrowth 
restriction, low liquor is concerning, obviously this would beassessed 
along with other measures of fetal wellbeing. But if one has a IUGRfetus 
who has placental insufficieny, poor growth and low liqour volumes;you 
have a baby that is at risk of adverse perinatal outcomes such as 
IUFDetc.A decsion needs to be made between IOL and further inutero 
monitoring.We need to be careful we are not normalising the 
pathological!Lisa

[ozmidwifery] Breastfeeding in OT

[meg]

Dear all,
I would just like to boast because today I achieve 
a goal. With the help of an obliging mum, this morning I managed to receive a 
baby in OT, and except for the brief moment when I rearranged bub and checked 
first apgar, mother and baby remained together, skin to skin, for the 
duration of the operation. Even having a good twenty minute breastfeed whilst OP 
progressed. Mother was very impressed that a baby would fed so soon after birth. 
Both mum and bub had a good sleep (still skin to skin) on return to ward. 

 
Megan

RE: [ozmidwifery] Pinky on TV tomorrow x 2!!!

[Kelly @ BellyBelly]

Tomorrow
on TODAY: Sleeping like a baby? 
Does your baby or toddler have trouble sleeping? Be watching tomorrow at 8.10am
when we speak with parenting expert Pinky McKay about this common problem. If
you'd like to ask Pinky a question - email us at [EMAIL PROTECTED]

 



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 Kelly @ BellyBelly
Sent: Tuesday, 11 July 2006 5:53
PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] Pinky on TV
tomorrow x 2!!!



 

Hello all!

 

Please tune into the Today Show (8.10am AEST) and Kerri-Anne
(bet. 10.30-11am AEST) tomorrow,
the 11th July. Pinky will be on and she needs our support!!!
Don’t forget to write in, AFTER the show hehehe to let them know we loved
her being on and would like to see more. Go Pinky! (who sounds like she is
having a gorgeous time in Sydney!!!)

Best
Regards,

Kelly Zantey
Creator, BellyBelly.com.au 
Gentle Solutions From Conception to Parenthood
BellyBelly Birth Support
- http://www.bellybelly.com.au/birth-support

 

Re: [ozmidwifery] NICE Intrapartum care guidelines -draft

[Lisa Barrett]

Hi Lyle,

There are lots of good things in the NICE guidelines but are you aware of 
the storm at the moment surrounding the homebirth guideline?   (There was a 
small piece inaccurately written up in the advertiser I noticed.) The 
updates are not in fact guidelines yet they have been submitted to the 
stakeholders for reading.  I'm sure not all of them will make it judging by 
the things I've read.  I belong to the Association of Radical Midwives in 
the Uk who are stakeholders and they are most definitely not going to let 
things go to print without a fight.  You can down load and make comments on 
them.  If you submit them to somewhere like UKmid (forum for the ARM) then 
your comments will be taken into consideration.
Lisa Barrett 



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[ozmidwifery] Neonatal screening

[Helen and Graham]

 

It Does Matter Where A Baby Is 
Born
WASHINGTON, July 11, 2006 

(AP) States have nearly doubled the number of newborns being tested 
for a host of rare but devastating genetic diseases - yet where you live still 
determines just how protected your baby will be, the March of Dimes reports. 
For almost two years, specialists have urged that every U.S. newborn be 
checked for 29 disorders, to detect the few thousand who will need early 
treatment to avoid serious, even life-threatening, problems. The 
geographic disparity is gradually easing: As of June 1, a total of 31 states 
required testing for more than 20 of those disorders, says the new analysis. 
Five states - Iowa, Maryland, Mississippi, New Jersey and Virginia - as well as 
Washington, D.C., required testing every newborn for the entire list of 29 
conditions. That's up from 23 states the previous year, and covered 64 
percent of the nation's babies, nearly double the number tested in 2005. 
Eight states - Arkansas, Kansas, Montana, New Mexico, Oklahoma, 
Pennsylvania, Texas and West Virginia - still were testing for fewer than 10 of 
those 29 conditions, the analysis found. The remaining states fell in the 
middle, although at least one, Wyoming, was scheduled to begin more 
comprehensive testing this month. Deborah Busemeyer, spokeswoman for the 
New Mexico Department of Health said the state plans to expand its testing of 
metabolic disorders in October under a bill passed by the Legislature. 
Busemeyer said the state will test for 27 disorders. "That puts 
us in line with the recommendation by the American College of Medical Genetics," 
she said. The March of Dimes report may confuse some consumers because 
it counts only the 29 conditions deemed most important for screening, and many 
states tout that they test for more - meaning they include "secondary" disorders 
not on the core list adopted by the March of Dimes and the American College of 
Medical Genetics. Well over 1 million babies born this year will 
fall short of good protection, concluded the child advocacy group, which has 
urged the federal government to intervene and set a nationwide standard for 
newborn screening. "There is a sense of urgency to this," said March of 
Dimes president Dr. Jennifer Howse. "Delay equals death or a medical 
catastrophe." Federal health officials are reviewing the status of 
newborn screening and are expected to report recommendations to Health and Human 
Services Secretary Mike Leavitt within a few months, said spokesman Bill Hall. 
Today, every U.S. newborn is tested for a few rare diseases: 
hypothyroidism and the metabolic disease phenylketonuria, or PKU, that can cause 
retardation if not treated quickly; the blood disease sickle cell anemia; and 
galactosemia, a life-threatening dietary disorder. Most also are checked 
for hearing loss, because early intervention is key to preventing serious 
problems with speech and language development. But new technology can 
analyze a single drop of blood for dozens of other serious and occasionally 
life-threatening genetic diseases. Just because a test exists doesn't mean 
everyone needs it. So at the federal government's request, the geneticists' 
group in 2004 studied testing accuracy and the benefit of early diagnosis - and 
recommended that routine newborn screening check for hearing loss plus 28 rare 
but serious diseases that could be successfully treated if parents knew about it 
in time. The report seems to have spurred some state action even before 
the government whether to adopt it as a national standard, suggests the new 
March of Dimes analysis, released Tuesday. "It's very frustrating that 
still ... where you're born literally can mean whether your child will live or 
die," said Pamela Sweeney of Brookfield, Conn., whose son, Jonathan, almost died 
of one of the illnesses, the metabolic disorder known as LCHAD, when he was 1½. 
These otherwise healthy babies lack enzymes that change stored fat into 
energy. That means going more than a few hours without food, like when Jonathan 
caught a common stomach virus, can be fatal unless they're given a quick glucose 
injection. Jonathan's uncle, a state senator, introduced legislation to 
mandate more screening after the boy's close call in 2000; Connecticut now tests 
for 28 of the core disorders. Howse advised expectant parents to check 
her group's Web site, http://www.modimes.org, to see if their state tests for at 
least the 29 core conditions. If not, she urged parents to talk with their 
doctors about getting test kits from private screening laboratories to bring to 
the hospital on delivery day. That supplemental testing costs $25 to $100, 
depending on the lab, and often is covered by insurance.©MMVI The Associated Press. All Rights 
Reserved. This material may not be published, broadcast, rewritten, or 
redistributed.

 

 
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of Service   Privacy 
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Re: [ozmidwifery] Breastfeeding in OT

[Andrea Quanchi]

Well done, keep telling everyone where you work because it can become the normAndrea QOn 11/07/2006, at 7:41 PM, meg wrote:Dear all,I would just like to boast because today I achieve a goal. With the help of an obliging mum, this morning I managed to receive a baby in OT, and except for the brief moment when I rearranged bub and checked first apgar, mother and baby remained together, skin to skin, for the duration of the operation. Even having a good twenty minute breastfeed whilst OP progressed. Mother was very impressed that a baby would fed so soon after birth. Both mum and bub had a good sleep (still skin to skin) on return to ward. Megan

[ozmidwifery] midwives supporting homebirth being attacked

[Andrea Quanchi]

The last two days I have been trying to support one of our colleagues  
who is under attack.
Anne Smith, whom many of you will know, had moved from Mildura where  
she had worked for many years at the hospital and attending home  
births,  to Wangaratta to work in their community midwifery program   
which offers continuity of care to women so long as the give birth at  
the hospital. She has continued to attend home births since she moved.


Last week one of the women who was attending the program decided she  
wanted to birth at home and so Anne documented this in her notes and  
informed the woman that she would no longer be eligible to attend the  
program for ante natal care as this is the accepted practice there.


Subsequently Anne has been called to task by management because they  
felt that as she had agreed to attend the home birth for a woman who  
she had previously seen in the community midwife program there was a  
conflict of interest/.


Yesterday she was presented with an ultimatum
1. resign, 2. be dismissed immediately or 3. promise not attend the  
home birth


Anne felt she had no option but to resign and honour her commitment  
to the woman to be with her where she chooses to birth. Anne has now  
sacrificed he major source of income and the women of wangaratta  
wanting to attend the community midwife program a very experienced  
and passionate midwife.


I know this email will be read by people who already get it so its a  
little like preaching to the converted but this will have an imapct,  
Most midwives in private practice dont have enough clients to do this  
as their sole source of income. Most country towns only have one  
hospital and if I could not supplement my income by working at the  
local hospital then I would probably have to move and this would deny  
homebirth with a midwife to women in the large geographical area that  
I cover. Wangaratta si no different and if midwives cant who offer  
home birthing as an option to women cant work at the hospital it is  
unlikely they will remain there fro long.  The other thing they were  
suggesting is that once a woman attends the community midwifery  
program and meets the midwives she is bo longer able to choose to  
birth at home.


When asked to sign a code of conduct at the hospital where you work  
make sure you read it.  I did and refused to sign mine until they  
changed it as it said I had to ask permission from the DON before  
undertaking other employment. They tried to tell me that this didnt  
mean that I was reading too much into it and making a fuss over  
nothing but they eventually removed the clause from my document  
before I signed it but I know many of my colleagues weren't even  
aware that that clause was in there when they signed it.  This was  
one thing that was put to Anne that the document she signed said she  
had to notify(might not be the right word) the hospital board were  
she undertaking other employment so read your appropriate document  
carefully as they are all derivatives of the same thing. IWe all  
think we are allowed to work where we want but it seems hospitals  
dont have the same opinion on this that we do. Of course it you want  
to work at another hosital that seems to be OK its only if you are  
doing something they dont want you to do that they will bring this up  
against you.


Is this what the next round is about?  Will other hospitals that  
employ midwives who also work outside the hospital try this one  
next.  I suspect so.  Be prepared.


Andrea Quanchi
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Re: [ozmidwifery] midwives supporting homebirth being attacked

[Melissa Singer]

At the hospital I work at you have to write to and  receive permission from 
the DON before undertaking employment outside the hospital!!  Good grief, 
are we two and need permission to go outside and play? The notion that our 
lives outside of the hospital need to be sanctioned by a DON is appalling! 
Needless to say I have never written to the DON but many off the staff 
do


Melissa
- Original Message - 
From: "Andrea Quanchi" <[EMAIL PROTECTED]>
To: "ozmidwifery" ; "Maternity Coalition" 
<[EMAIL PROTECTED]>

Sent: Wednesday, July 12, 2006 6:33 AM
Subject: [ozmidwifery] midwives supporting homebirth being attacked


The last two days I have been trying to support one of our colleagues  who 
is under attack.
Anne Smith, whom many of you will know, had moved from Mildura where  she 
had worked for many years at the hospital and attending home  births,  to 
Wangaratta to work in their community midwifery program   which offers 
continuity of care to women so long as the give birth at  the hospital. 
She has continued to attend home births since she moved.


Last week one of the women who was attending the program decided she 
wanted to birth at home and so Anne documented this in her notes and 
informed the woman that she would no longer be eligible to attend the 
program for ante natal care as this is the accepted practice there.


Subsequently Anne has been called to task by management because they  felt 
that as she had agreed to attend the home birth for a woman who  she had 
previously seen in the community midwife program there was a  conflict of 
interest/.


Yesterday she was presented with an ultimatum
1. resign, 2. be dismissed immediately or 3. promise not attend the  home 
birth


Anne felt she had no option but to resign and honour her commitment  to 
the woman to be with her where she chooses to birth. Anne has now 
sacrificed he major source of income and the women of wangaratta  wanting 
to attend the community midwife program a very experienced  and passionate 
midwife.


I know this email will be read by people who already get it so its a 
little like preaching to the converted but this will have an imapct,  Most 
midwives in private practice dont have enough clients to do this  as their 
sole source of income. Most country towns only have one  hospital and if I 
could not supplement my income by working at the  local hospital then I 
would probably have to move and this would deny  homebirth with a midwife 
to women in the large geographical area that  I cover. Wangaratta si no 
different and if midwives cant who offer  home birthing as an option to 
women cant work at the hospital it is  unlikely they will remain there fro 
long.  The other thing they were  suggesting is that once a woman attends 
the community midwifery  program and meets the midwives she is bo longer 
able to choose to  birth at home.


When asked to sign a code of conduct at the hospital where you work  make 
sure you read it.  I did and refused to sign mine until they  changed it 
as it said I had to ask permission from the DON before  undertaking other 
employment. They tried to tell me that this didnt  mean that I was reading 
too much into it and making a fuss over  nothing but they eventually 
removed the clause from my document  before I signed it but I know many of 
my colleagues weren't even  aware that that clause was in there when they 
signed it.  This was  one thing that was put to Anne that the document she 
signed said she  had to notify(might not be the right word) the hospital 
board were  she undertaking other employment so read your appropriate 
document  carefully as they are all derivatives of the same thing. IWe all 
think we are allowed to work where we want but it seems hospitals  dont 
have the same opinion on this that we do. Of course it you want  to work 
at another hosital that seems to be OK its only if you are  doing 
something they dont want you to do that they will bring this up  against 
you.


Is this what the next round is about?  Will other hospitals that  employ 
midwives who also work outside the hospital try this one  next.  I suspect 
so.  Be prepared.


Andrea Quanchi
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RE: [ozmidwifery] Low liquor was Trial of scar

[Lisa Gierke]

Title: Message



Thanks...

  
  -Original Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED] On Behalf Of Melissa 
  SingerSent: Tuesday, 11 July 2006 1:11 PMTo: 
  ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] Low liquor 
  was Trial of scar
  I didn't think Lisa was dismissive of Gloria, and 
  I thought she made a valid and well stated point, which has encouraged debate, 
  discussion and further thought.  Thanks Lisa
  
- Original Message - 
From: 
Stephen & 
Felicity 
To: ozmidwifery@acegraphics.com.au 

Sent: Tuesday, July 11, 2006 10:12 
AM
Subject: Re: [ozmidwifery] Low liquor 
was Trial of scar

Lisa,
 
"such a broad  unsupported statement could lead a woman to 
believe that the current management of her pregnancy is incorrect because 
she read on this list of very experienced midwives and doulas that decreased 
liqour was only due to imminent labour."
 
Well, since women 
aren't morons, and pregnancy is not really an issue of "management" but 
rather CARE and SUPPORT, I don't think we need to fear that a woman reading 
research, evidence and opinion and making her own decisions will 
truly be endangered by "a little bit of knowledge" - if she is able to 
enjoy true control of her own pregnancy and birth and receive true care and 
support.  Besides which I personally find no flaw in Janet's reasoning 
and statement; it's accurate.  And this is a consumer list as much as 
it is a Midwife and Doula list.
 
"Mary I was 
not 'dismissing" the opinions of Gloria Lemay, and I am aware of her 
background."
 
Gloria Lemay's wisdom, 
experience and evidence based knowledge is not "the opinion of an American 
Doula" (I don't know of many women with more claim to the title of MIDWIFE 
than Gloria!) - besides which, I'm intrigued as to why an American Doula's 
contributions would hold little weight anyway?  If you ARE in fact 
aware of her background (as well as the fact that she can see and post on 
this list), I would have thought you would have at least phrased your 
dismissal more respectfully.  I also feel sad that wisdom, intuition, 
instinct and common sense are rejected and that Midwives will disregard 
the hard won wisdom of their own (Gloria made some colossal personal 
sacrifices in honour of TRULY being with woman and providing REAL support 
and care).
 
Where is our respect 
for our real crones and our birthing women's innate wisdom?
 
And I wouldn't "shoot 
an opinion from an Obstetrician down in flames" if that opinion was 
accurate, fair, woman-centered, evidence-based, and 
reasonable.