Re: [ozmidwifery] The weekend australian
I have known of this kind of elective intubation while still inutero- and attached to the placenta- only in a case where there was a known throat abnormality. The paeds wanted to have an airway before the connection to the placenta was lost... can't remember what the abnormality was, maybe a tumour? Anyhow, they did it, huge circus in theatre, baby t/f to NNICetc. Certainly not routine. Monica - Original Message - From: cath nolan [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Wednesday, July 12, 2006 9:12 PM Subject: [ozmidwifery] The weekend australian There was an article in the careers section of last weekends Australian, that was an interesting read on c/section. The photo that went with it has me perplexed though.It appears to show a bub being born by caesarean, still in the abdomen but with an ET tube and sats monitor. It is lovely and pink and has a cord that doesn't appear to have been clamped. anyone have any ideas? Cath -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Induction due to pulmonary embolism?
One of the women on my forum had a crisis and was going to have a caesar, but with a bit of encouragement from the others on the site and with the Obs back-up she decided against it and was ecstatic, but then said WOW you girls totally rock when a girls in need! I actually have to be induced cause of the pulmonary embolism I got and have to be monitored in labour because Im on a blood thinning agent Could someone please explain? Sorry to be asking such basic questions all the time, I just want to learn! J 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] Induction due to pulmonary embolism?
Hi Kelly, Not knowing all the details, it is a bit dangerous to comment. If the woman has had a pulmonary embolism, which is a clot which has probably travelled from a large vein in her leg, the blood thinning agent would be to prevent further clots from forming. She may have a clotting disorder, which can be genetic. I am not sure why the ob would want to induce the woman. I would think the least intervention the better, although her carers would have to be very watchful, particularly regarding the third stage of labour. Please keep us posted. Regards, Nicole Carver. -Original Message-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Kelly @ BellyBellySent: Friday, July 14, 2006 6:00 PMTo: ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] Induction due to pulmonary embolism? One of the women on my forum had a crisis and was going to have a caesar, but with a bit of encouragement from the others on the site and with the Obs back-up she decided against it and was ecstatic, but then said WOW you girls totally rock when a girls in need! I actually have to be induced cause of the pulmonary embolism I got and have to be monitored in labour because Im on a blood thinning agent Could someone please explain? Sorry to be asking such basic questions all the time, I just want to learn! J Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support
Re: [ozmidwifery] 'Lactation failure caused by lack of glandular development in the breast'
Hi Jo, I'm pretty sure she got the photo's from a cosmetic surgery site!! They were examples only, to give us a kind of idea of something to be aware of. I had never heard of this previously, and would also be interested to learn more. I could see what I can come up with, and post it on the list later, if you would like. I'll see if she can point me in the right direction. We go back to class in a couple of weeks, regards. Astra Quoting Jo Bourne [EMAIL PROTECTED]: I would be fascinated to see these pictures as it sounds a lot like what my breasts looked like before breastfeeding for the first time - which started EXTREMELY badly and took a very long time to get sorted out (8 weeks to turn a corner and know it would eventually get better, 3 months to start really settling down). Evidently I had enough glandular tissue for adequate supply but our issues were in large part to do with the physiological shape/structure of my breasts. At 8:44 AM +1000 14/7/06, [EMAIL PROTECTED] wrote: Hi Kelly, I've only just read your post, and I really dont know much about this subject, but I can tell you there is definitely information out there about it, and it is a real condition. I'm a first year Bmid student, and last semester in a lecture with a lactation consultant from the RHW Randwick (if you wanted to contact someone who really knows about it), this issue was discussed in some detail. It was only a short lecture and I dont have notes for it, but what I can recall is this: information and understanding about how the breasts work and produce milk is still being understood, in fact our understanding of the anatomy of the breast has recently been challanged! Lactation consultants would have the best and most up to date knowledge of this stuff, as it's their area of expertise if you like. Anyway, it was discussed that breasts of a particular shape are possibly anatomically different to others, in that the tissue inside the breasts which actually produces the milk concentrates in the area around the nipple, and does not extend very far back into the breast. In normal breast development, regardless of the size of the breast, the tissue extends right up to the armpit. We were shown photo's of breasts which possibly have this type of tissue development, and the features of them were: tubular in shape (whether small or large in size) and with a clear sort of seperation across the sternum, if that makes sense. There is a marked space between each breast. In many of the pictures it was possible to see that most of the fullness of the breast was around the nipple area. This is not to alarm anyone who has breasts of this shape who may be reading this, or to offend anyone by my dispassionate desription of breasts! This is all I can remember really, and this infrormation was given to us as future midwives as something to look out for, but obviously we would refer to a lactation consultent if there was a problem. Maybe this is new information , and the midwives involved with this woman were unaware?? Anyway, I hope this helps, Regards, Astra Quoting Kelly @ BellyBelly [EMAIL PROTECTED]: Does anyone have any experiences to share with this? A woman has posted on my site about her experience and I was wondering what everyone thought on the topic. http://bellybelly.com.au/forums/showthread.php?p=352746 Best Regards, Kelly Zantey Creator, http://www.bellybelly.com.au/ BellyBelly.com.au Gentle Solutions From Conception to Parenthood http://www.bellybelly.com.au/birth-support http://www.bellybelly.com.au/birth-support BellyBelly Birth Support - http://www.bellybelly.com.au/birth-support -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- Jo Bourne Virtual Artists Pty Ltd -- 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] Induction due to pulmonary embolism?
Hi Kelly,In my (limited!) experience with this sort of thing, women are usually on Clexane which is an anticoagulant ie 'thins the blood'. If the woman went into labour naturally while still on Clexane, obviously her risk of haemorrage would be increased. But to stop the clexane days before she might go into labour could be risky too if she has a pulmonary embolis or DVT.So what seems to happen is that the clexane will be ceased for 24 hours and then the woman will be induced, and anticoagulants restarted after the birth. Hope this makes sense!Cheers Michelle"Kelly @ BellyBelly" [EMAIL PROTECTED] wrote:One of the women on my forum had a crisis and was going to have a caesar, but with a bit of encouragement from the others on the site and with the Obs back-up she decided against it and was ecstatic, but then said WOW you girls totally rock when a girls in need! I actually have to be induced cause of the pulmonary embolism I got and have to be monitored in labour because Im on a blood thinning agentCould someone please explain? Sorry to be asking such basic questions all the time, I just want to learn! J Best Regards,Kelly ZanteyCreator, BellyBelly.com.au Gentle Solutions From Conception to ParenthoodBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support The LOST Ninja blog: Exclusive clues, clips and gossip.
Re: [ozmidwifery] Induction due to pulmonary embolism?
I was on clexane this pregnancy (for a different condition) I interviewed two OBs and one wanted to follow exactly this protocol, the other recommended my case was mild enough to cease clexane at 34w and wait for natural labour. My understanding from speaking to other women who have to take Clexane or other blood thinners during pregnancy for current clots or history of severe clots is that they would definitely follow this sort of protocol though. At 9:58 AM +1000 15/7/06, Michelle Windsor wrote: Hi Kelly, In my (limited!) experience with this sort of thing, women are usually on Clexane which is an anticoagulant ie 'thins the blood'. If the woman went into labour naturally while still on Clexane, obviously her risk of haemorrage would be increased. But to stop the clexane days before she might go into labour could be risky too if she has a pulmonary embolis or DVT. So what seems to happen is that the clexane will be ceased for 24 hours and then the woman will be induced, and anticoagulants restarted after the birth. Hope this makes sense! Cheers Michelle Kelly @ BellyBelly [EMAIL PROTECTED] wrote: One of the women on my forum had a crisis and was going to have a caesar, but with a bit of encouragement from the others on the site and with the Obs back-up she decided against it and was ecstatic, but then said WOW you girls totally rock when a girls in need! I actually have to be induced cause of the pulmonary embolism I got and have to be monitored in labour because Im on a blood thinning agent Could someone please explain? Sorry to be asking such basic questions all the time, I just want to learn! J Best Regards, Kelly Zantey Creator, http://www.bellybelly.com.au/BellyBelly.com.au Gentle Solutions From Conception to Parenthood http://www.bellybelly.com.au/birth-supportBellyBelly Birth Support - http://www.bellybelly.com.au/birth-support http://us.rd.yahoo.com/mail/tag/au/**http%3A%2F%2Fau.blogs.yahoo.com%2FlostninjaThe LOST Ninja blog: Exclusive clues, clips and gossip. -- Jo Bourne Virtual Artists Pty Ltd -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Induction due to pulmonary embolism?
Hi guys, What Michelle said is what generally happens at our hospital aswell! Cheers Ganesha From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Michelle Windsor Sent: Saturday, 15 July 2006 9:58 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Induction due to pulmonary embolism? Hi Kelly, In my (limited!) experience with this sort of thing, women are usually on Clexane which is an anticoagulant ie 'thins the blood'. If the woman went into labour naturally while still on Clexane, obviously her risk of haemorrage would be increased. But to stop the clexane days before she might go into labour could be risky too if she has a pulmonary embolis or DVT.So what seems to happen is that the clexane will be ceased for 24 hours and then the woman will be induced, and anticoagulants restarted after the birth. Hope this makes sense! Cheers Michelle Kelly @ BellyBelly [EMAIL PROTECTED] wrote: One of the women on my forum had a crisis and was going to have a caesar, but with a bit of encouragement from the others on the site and with the Obs back-up she decided against it and was ecstatic, but then said WOW you girls totally rock when a girls in need! I actually have to be induced cause of the pulmonary embolism I got and have to be monitored in labour because Im on a blood thinning agent Could someone please explain? Sorry to be asking such basic questions all the time, I just want to learn! J Best Regards, Kelly Zantey Creator, BellyBelly.com.au Gentle Solutions From Conception to Parenthood BellyBelly Birth Support - http://www.bellybelly.com.au/birth-support The LOST Ninja blog: Exclusive clues, clips and gossip.
Re: [ozmidwifery] 'Lactation failure caused by lack of glandular development in the breast'
Hi Astra, What others have said is correct. Marked asymmetry of breasts; lack of breast tissue, together with a wide space between the breasts; as well as the tubular breasts with swollen-looking areolars are all red flags when it comes to being able to produce enough milk. However, as each woman is different, none of these are definitive, but they indicate that we need to closely monitor the baby for adequate intake. Whilst these women may not produce enough milk to satisfy their babies, they may be able to partially breastfeed. Are you able to get a copy of Breastfeeding and Human Lacation (Jan Riordan) for a look? Regards, Joy Joy Cocks RN (Div 1) RM IBCLC BRIGHT Vic 3741 email:[EMAIL PROTECTED] - Original Message - From: [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Saturday, July 15, 2006 9:39 AM Subject: Re: [ozmidwifery] 'Lactation failure caused by lack of glandular development in the breast' Hi Jo, I'm pretty sure she got the photo's from a cosmetic surgery site!! They were examples only, to give us a kind of idea of something to be aware of. I had never heard of this previously, and would also be interested to learn more. I could see what I can come up with, and post it on the list later, if you would like. I'll see if she can point me in the right direction. We go back to class in a couple of weeks, regards. Astra Quoting Jo Bourne [EMAIL PROTECTED]: I would be fascinated to see these pictures as it sounds a lot like what my breasts looked like before breastfeeding for the first time - which started EXTREMELY badly and took a very long time to get sorted out (8 weeks to turn a corner and know it would eventually get better, 3 months to start really settling down). Evidently I had enough glandular tissue for adequate supply but our issues were in large part to do with the physiological shape/structure of my breasts. At 8:44 AM +1000 14/7/06, [EMAIL PROTECTED] wrote: Hi Kelly, I've only just read your post, and I really dont know much about this subject, but I can tell you there is definitely information out there about it, and it is a real condition. I'm a first year Bmid student, and last semester in a lecture with a lactation consultant from the RHW Randwick (if you wanted to contact someone who really knows about it), this issue was discussed in some detail. It was only a short lecture and I dont have notes for it, but what I can recall is this: information and understanding about how the breasts work and produce milk is still being understood, in fact our understanding of the anatomy of the breast has recently been challanged! Lactation consultants would have the best and most up to date knowledge of this stuff, as it's their area of expertise if you like. Anyway, it was discussed that breasts of a particular shape are possibly anatomically different to others, in that the tissue inside the breasts which actually produces the milk concentrates in the area around the nipple, and does not extend very far back into the breast. In normal breast development, regardless of the size of the breast, the tissue extends right up to the armpit. We were shown photo's of breasts which possibly have this type of tissue development, and the features of them were: tubular in shape (whether small or large in size) and with a clear sort of seperation across the sternum, if that makes sense. There is a marked space between each breast. In many of the pictures it was possible to see that most of the fullness of the breast was around the nipple area. This is not to alarm anyone who has breasts of this shape who may be reading this, or to offend anyone by my dispassionate desription of breasts! This is all I can remember really, and this infrormation was given to us as future midwives as something to look out for, but obviously we would refer to a lactation consultent if there was a problem. Maybe this is new information , and the midwives involved with this woman were unaware?? Anyway, I hope this helps, Regards, Astra Quoting Kelly @ BellyBelly [EMAIL PROTECTED]: Does anyone have any experiences to share with this? A woman has posted on my site about her experience and I was wondering what everyone thought on the topic. http://bellybelly.com.au/forums/showthread.php?p=352746 Best Regards, Kelly Zantey Creator, http://www.bellybelly.com.au/ BellyBelly.com.au Gentle Solutions From Conception to Parenthood http://www.bellybelly.com.au/birth-support http://www.bellybelly.com.au/birth-support BellyBelly Birth Support - http://www.bellybelly.com.au/birth-support -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- Jo Bourne Virtual Artists Pty Ltd -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing
