[ozmidwifery] routine vag exams
I did google this and cut and paste a heap of quotes. Then I lost it!. You could google it yourself and see what comes up. You could also follow up on Mary Stewarts research. MM hsc.uwe.ac.uk/net/research/Default.aspx?pageindex=7&pageid=259 Vaginal examination in labour: power, control and decision making Funding body: Faculty of Health & Social Care Contact: Mary Stewart [EMAIL PROTECTED] Vaginal examination is a common procedure, undertaken by midwives and obstetricians in order to assess progress in labour. Despite its routine nature, little attention has been paid to the experiences of those undergoing or performing the vaginal examination. In particular, no research has been carried out to explore who has power and control over decision-making about the procedure. There are three research questions that will be addressed. These are: 1. Who has power and control over decision-making about vaginal examination in labour? 2. In what ways does current practice reflect issues of power, control and decision-making? 3. What influences midwives’ and obstetricians’ decision-making regarding vaginal examination An ethnographic approach is being used, integrating narrative enquiry. The research design will be underpinned by feminist principles in that the research attempts to map and explore women’s experiences and address issues of power, autonomy and control. Data are being collected through the use of observation in the field, and interviews with midwives, obstetricians and women whose labours have been observed. In addition, field diary and reflexive diaries are being used. Analysis of data will include thematic content, analytical memos and the use of computer software. A narrative approach is being used for data analysis, identifying narrative sequences within the text and using the method of analysis put forward by Catherine Riessman. Data collection began in June 2003 and will continue for several more months. However, several themes are already emerging. One of these involves the decisions midwives make about whether a vaginal examination will be overt, in which case it is documented in the clinical records, or whether it is ‘hidden’ and never formally acknowledged. Further themes are being developed using concept of mapping and this will continue throughout the research process.
RE: [ozmidwifery] VBAC after more than one c-sec in the perinatal data?
Same as the WA form. Contact the state Health statistics dept. they have all the data. MM From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of brendamanning Sent: Saturday, 16 September 2006 1:12 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] VBAC after more than one c-sec in the perinatal data? Hi Janet, On the Victorian perinatal data collection unit form which should be filled out & returned by all midwives to the above unit for every birth (home or otherwise) there is a section which asks: No 41:"was the last birth a CS ? No 42: Total no of previous CS? Is this what you mean ? I have recently been midwife at VBAC after 3CS and a VBAC following 2 CS. So they are happening. Just need more of them. AS 1 OB colleague states: "if we could just prevent the first CS happening she wouldn't be faced with this awful dilemma now ie to VBAC or not. With kind regards Brenda Manning www.themidwife.com.au - Original Message - From: Janet Fraser To: ozmidwifery@acegraphics.com.au Sent: Saturday, September 16, 2006 1:30 PM Subject: [ozmidwifery] VBAC after more than one c-sec in the perinatal data? Hi all, is there some way in which the perinatal data for each state records vb after multiple c-secs in the hospy system? I wonder if it's too statistically insignificant or is there a part of the data I haven't noticed. I know they're different in each state as well. How about hospy's own data? Are people recording how many c-secs women have before a vb? We really need MIPPs to be recording HBACs so we can contrast that with the truly appalling national average. I've only seen blanket VBAC figures, not how many surgeries prior. Anyone know? J For home birth information go to: Joyous Birth Australian home birth network and forums. http://www.joyousbirth.info/ Or email: [EMAIL PROTECTED]
Re: [ozmidwifery] VBAC after more than one c-sec in the perinatal data?
Pretty simple for QLD as a women is not offered a Vbac if she has had more than 1 C/S even if she has had a successful vaginal birth between the c/s's. Don't know about the private system but they appear do more c/s and less vbac than the public system so probably less than no chance with them. On 9/16/06, Janet Fraser <[EMAIL PROTECTED]> wrote: Hi all, is there some way in which the perinatal data for each state records vb after multiple c-secs in the hospy system? I wonder if it's too statistically insignificant or is there a part of the data I haven't noticed. I know they're different in each state as well. How about hospy's own data? Are people recording how many c-secs women have before a vb? We really need MIPPs to be recording HBACs so we can contrast that with the truly appalling national average. I've only seen blanket VBAC figures, not how many surgeries prior. Anyone know? J For home birth information go to:Joyous Birth Australian home birth network and forums.http://www.joyousbirth.info/Or email: [EMAIL PROTECTED] -- My photos online @ http://community.webshots.com/user/mike1962nzMy Group online @ http://groups.yahoo.com/group/PSP_for_PhotographersNew Photo site@Mike - http://mikelinz.dotphoto.comLindsay - Http://likeminz.dotphoto.com "Life is a sexually transmitted condition with 100% mortality and birth is as safe as it gets." Unknown
[ozmidwifery] Hear Pinky podcast
Hi, Hear Pinky McKay podcast at http://www.lrc.asn.au/podcast/podcast.html ABA's first venture into the world of podcast! Barb Barb GlareMum of Zac, 12, Daniel, 10, Cassie 7 & Guan 3Counsellor, Warrnambool Vic[EMAIL PROTECTED] ** Ph (03) 5565 8602Director, Australian Breastfeeding AssociationMothers Directwww.mothersdirect.com.au
[ozmidwifery] MSNBC.com Article: More infant deaths with elective C-sections
More infant deaths with elective C-sectionsA new study has found a higher risk of infant deaths among infants born by Caesarean section to mothers who have no medical need for the procedure.http://www.msnbc.msn.com/id/14838765/from/ET/
RE: [ozmidwifery] mec staining
I’ve been at two births at home where it has become clear close to the time of birth that there is thick mec. Both babies born with no problems at all, neither had a dicky heartrate at any time. The two emerg transfers to hospital I’ve done in 4 ½ years, have been with a baby with severe and sudden onset of deep decels, neither had any mec at all. I think the stats say that up to 40% (correct me if I’m wrong) of all post term babies have mec stained liquor, that’s not the case in my experience, both the babies with mec were either a bit early or on time…and of all the post-dates pregnancies, including my own, it hasn’t been a feature. I agree with Sally, that the timing and type of mec is important to note, and also I think it pays to see it is one of many cues that may mean something, and to be on the alert for any other signs of distress, or it may mean nothing sinister at all…just that the baby has a patent anus! Tania From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Sally @ home Sent: Friday, 15 September 2006 5:24 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] mec staining The research now states that suctioning of babies with mec stained liquor actually makes no difference to outcome. Mec stained liquor really is quite common...the most important aspect I think is whether it is fresh/thick/particulate. Or old/thin. This can happen with/without fetal distress. Sally - Original Message - From: Kristin Beckedahl To: ozmidwifery@acegraphics.com.au Sent: Friday, September 15, 2006 4:21 PM Subject: [ozmidwifery] mec staining Hi all, Are all cases of mec liquor staining considered serious or treated as an emergency? Can you have staining and fetal heart rate be OK? Thanks, Kristin -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe. No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.0.405 / Virus Database: 268.12.4/448 - Release Date: 14/09/2006 -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.405 / Virus Database: 268.12.4/448 - Release Date: 14/09/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.405 / Virus Database: 268.12.4/448 - Release Date: 14/09/2006
Re: [ozmidwifery] mec staining
Meconium staining of the liquor in itself is not an emergency. It is an indication that at some time the baby may not have been happy. Spontaneous emptying of the bowel contents happens in babies for two reasons, one when they are stressed or upset (hence where the saying sh*tt*ng themselves comes from) and the other because the bowel is simply too full and overflows so to speak. The latter is quite common in babies who have stayed in utero past the estimated day of birth.Meconium is a concern if there are fresh lumps of it floating around and they get into the airway prior to birth and the baby inhales them when it tries to breathe. The presence of fresh meconium is an indication for suctining of the airways ASAP. Meconium staining on the other hand indicates that the baby has passed meconium some time ago and we often have no way of knowing what the incident was that caused it to do so. If the liquor is uniformly stained then it happened long enough ago that the meconium has 'disolved' in the liquor. Meconium liquor is just one part of a bigger picture that needs to be considered and is no longer considered to be a reason for routine suctioning at birth.I fully realise that this is not the impression that parents get by the reaction of many of those looking after them that make out as if it is a dire emergency. AndreaOn 15/09/2006, at 4:21 PM, Kristin Beckedahl wrote:Hi all,Are all cases of mec liquor staining considered serious or treated as an emergency? Can you have staining and fetal heart rate be OK?Thanks,Kristin -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
Re: [ozmidwifery] mec staining
The research now states that suctioning of babies with mec stained liquor actually makes no difference to outcome. Mec stained liquor really is quite common...the most important aspect I think is whether it is fresh/thick/particulate. Or old/thin. This can happen with/without fetal distress. Sally - Original Message - From: Kristin Beckedahl To: ozmidwifery@acegraphics.com.au Sent: Friday, September 15, 2006 4:21 PM Subject: [ozmidwifery] mec staining Hi all, Are all cases of mec liquor staining considered serious or treated as an emergency? Can you have staining and fetal heart rate be OK? Thanks, Kristin-- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe. No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.0.405 / Virus Database: 268.12.4/448 - Release Date: 14/09/2006
