Re: [ozmidwifery] Woman wanting a homebirth in Hamilton
Thanks Cath! Will give her your contact details. Andrea - Original Message - From: cath nolan To: ozmidwifery@acegraphics.com.au Sent: Wednesday, October 25, 2006 2:56 PM Subject: Re: [ozmidwifery] Woman wanting a homebirth in Hamilton Hi Andrea, I am near Warrnambool and would be happy to meet and talk about this. my phone no is 55676276 or mobile 0419542654. Cath - Original Message - From: Andrea Bilcliff To: Ozmidwifery Sent: Wednesday, October 25, 2006 1:10 PM Subject: [ozmidwifery] Woman wanting a homebirth in Hamilton Hi Everyone, Does anyone know of a midwife who is near or would be willing to travel to Hamilton (SW Vic) for a woman wanting a homebirth for her second baby? Thanks, Andrea Bilcliff
[ozmidwifery] Homebirth Awareness week...
Right back at ya Jo! I’ve just received a call from the producer of Radio Adelaide’s brekkie show, and I’m getting a whole 7 minutes on air tomorrow morning to promote HBAW and homebirth in general! It’s a community radio station, and I know they don’t have the listeners that some of the more commercial stations do, but I’m still getting really nervous! Tania x -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.408 / Virus Database: 268.13.11/496 - Release Date: 24/10/2006
Re: [ozmidwifery] Woman wanting a homebirth in Hamilton
Hi Andrea, I am near Warrnambool and would be happy to meet and talk about this. my phone no is 55676276 or mobile 0419542654. Cath - Original Message - From: Andrea Bilcliff To: Ozmidwifery Sent: Wednesday, October 25, 2006 1:10 PM Subject: [ozmidwifery] Woman wanting a homebirth in Hamilton Hi Everyone, Does anyone know of a midwife who is near or would be willing to travel to Hamilton (SW Vic) for a woman wanting a homebirth for her second baby? Thanks, Andrea Bilcliff
[ozmidwifery] Homebirth Awareness Week
Hi all, Happy Homebirth Awareness Week! I hope there’s lots of awareness going on around the country! Love Jo x
[ozmidwifery] Woman wanting a homebirth in Hamilton
Hi Everyone, Does anyone know of a midwife who is near or would be willing to travel to Hamilton (SW Vic) for a woman wanting a homebirth for her second baby? Thanks, Andrea Bilcliff
Re: [ozmidwifery] Breastfeeding
Thank you to everyone who replied on & off list. Your comments were very helpful and I will pass them on to the birth attendant AND file them away for my own future reference! Cheers, Andrea Bilcliff - Original Message - From: Andrea Bilcliff To: Ozmidwifery Sent: Thursday, October 12, 2006 11:05 AM Subject: [ozmidwifery] Breastfeeding I'm posting this on behalf of a birth attendant who has contacted me. She will be supporting a woman soon who has for want of a better term, 'breast issues'. The woman really wants to breastfeed but the thought of it makes her feel ill. She hates it when her partner touches her breasts. The birth attendant is not sure whether this is related to previous sexual abuse or not. I've never come across this situation before and wondered if others had experience of this and what helped the women? Thanks, Andrea Bilcliff
[ozmidwifery] Immunisation
Some of the mothers I work with would like more information on "natural" immunisation. They would like to know what options are available. I have referred these mothers to be(couples) to Isaac Golden. Isaac uses Homeopathy for natural immunisation.He teachers and is the author of several books.One of the books he has written is titled "Vaccination and Homeopathy?" a review of risk and alternative. He is avaible to gives talks by arrangement. His contact details : Dr. Isaac Golden PhD Phone 03) 5427 0880 email: [EMAIL PROTECTED] www.homstudy.net staying positive Marietje Stuckey HypnoBirthing prac/birth support Childbirth Educator N.A.C.E. Diploma of Hypnotherapy/counselling
Re: [ozmidwifery] Blood gasses( Long)
Thanks Mary for all your effort in finding these refs. Very useful. Melissa - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Tuesday, October 24, 2006 8:06 PM Subject: [ozmidwifery] Blood gasses( Long) This Technical report covers fetal monitoring in a really comprehensive way. www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat6.section.700 Re blood gases, I promise not to bother you again, but still having difficulties finding recent studies. This first one appears to explain the process and meanings better than any other I have read. I excerpted some interesting points from the articles I read. MM 1. BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 101:1054-1063, 1994 Umbilical Cord Blood Gas Analysis at Delivery: A Time for Quality Data. Jennifer A. Westgate, Jonathan M. Garibaldi, Keith R. Greene 2, Postpartum Determination of Umbilical Artery Blood Gases: Effect of Time and Temperature Moshe Manor, Isaac Blicksteina, Ynon Hazan, Orna Flidel-Rimon1, and Zion J. Hagay 1 Depts. of Obstet. and Gynecol. and Neonatol., Kaplan Hosp., 76100 Rehovot, Israel (affiliated with Hadassah-Hebrew Univ. School of Med., Jerusalem);a author for correspondence: fax 972-8-9411944, e-mail [EMAIL PROTECTED] Determination of cord blood gases and pH is recommended in all neonates with low Apgar scores to distinguish metabolic acidosis from hypoxemia or from other causes that might result in low Apgar scores (1). Although the metabolic acidosis found in cord blood is a poor predictor of long-term neurological injury (2), assessment of umbilical cord blood gas is helpful to exclude intrapartum or birth events that cause acidosis and serves as legal evidence against any alleged association with poor outcome (3). 3. Obstet Gynecol Clin North Am. 1999 Dec;26(4):695-709. Related Articles, Links Umbilical cord blood gas analysis. Thorp JA, Rushing RS. St. Luke's Hospital of Kansas City, Missouri, USA.Umbilical cord blood gas and pH values should always be obtained in the high-risk delivery and whenever newborn depression occurs. This practice is important because umbilical cord blood gas analysis may assist with clinical management and excludes the diagnosis of birth asphyxia in approximately 80% of depressed newborns at term. The most useful umbilical cord blood parameter is arterial pH. Sampling umbilical venous blood alone is not recommended because arterial blood is more representative of the fetal metabolic condition and because arterial acidemia may occur with a normal venous pH. A complete blood gas analysis may provide important information regarding the type and cause of acidemia and sampling the artery and vein may provide a more clear assessment. The sampling technique is simple and easily mastered by any treatment person in the delivery room. Preheparinized syringes ensure a consistent dose and amount of heparin. Depending on how normality is defined and on the population studied, normal ranges for umbilical cord blood gas values vary (see Table 1). In general, the lower range for normal arterial pH extends to at least 7.10 and that for venous pH to at least 7.20. Many different factors during pregnancy, labor, and delivery can affect cord blood gases. Umbilical blood sampling for acid-base status at all deliveries cannot be universally recommended because many facilities do not have the capabilities to support such a practice and in doing so may impose an excessive financial burden. Considering the costs, the accumulated published data, and the nonspecificity of electronic fetal monitoring in the evaluation of fetal oxygenation, it may be more rational to implement universal cord blood gas analysis. Care providers and institutions with the logistical capabilities in place should consider the cost efficacy of routine cord blood gas analysis because it is the gold standard assessment of uteroplacental function and fetal oxygenation/acid-base status at birth. 4. Umbilical Cord Blood Gas Analysis at DeliveryS F Loh, A Woodworth, G S H Yeo (research carried out in 1994. MM) Umbilical cord blood gas values reflect the last moment of fetal oxygenation and acid base balance prior to delivery. Severe fetal acidemia is associated with increased perinatal mortality and increased risk of subsequent impaired neurological develop In acute hypoxic insult of short duration, fetal and placental blood may not have sufficient time to equilibrate and this may be reflected in a large arterial-venous difference in BDecf. However, in long-standing hypoxic insult, lactic acid produced by the baby was given time to be removed across the
[ozmidwifery] Blood gasses( Long)
This Technical report covers fetal monitoring in a really comprehensive way. www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat6.section.700 Re blood gases, I promise not to bother you again, but still having difficulties finding recent studies. This first one appears to explain the process and meanings better than any other I have read. I excerpted some interesting points from the articles I read. MM 1. BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 101:1054-1063, 1994 “Umbilical Cord Blood Gas Analysis at Delivery: A Time for Quality Data.” Jennifer A. Westgate, Jonathan M. Garibaldi, Keith R. Greene 2, “Postpartum Determination of Umbilical Artery Blood Gases: Effect of Time and Temperature” Moshe Manor, Isaac Blicksteina, Ynon Hazan, Orna Flidel-Rimon1, and Zion J. Hagay 1 Depts. of Obstet. and Gynecol. and Neonatol., Kaplan Hosp., 76100 Rehovot, Israel (affiliated with Hadassah-Hebrew Univ. School of Med., Jerusalem); a author for correspondence: fax 972-8-9411944, e-mail [EMAIL PROTECTED] Determination of cord blood gases and pH is recommended in all neonates with low Apgar scores to distinguish metabolic acidosis from hypoxemia or from other causes that might result in low Apgar scores (1). Although the metabolic acidosis found in cord blood is a poor predictor of long-term neurological injury (2), assessment of umbilical cord blood gas is helpful to exclude intrapartum or birth events that cause acidosis and serves as legal evidence against any alleged association with poor outcome (3). 3. Obstet Gynecol Clin North Am. 1999 Dec;26(4):695-709. Related Articles, Links Umbilical cord blood gas analysis. Thorp JA, Rushing RS. St. Luke's Hospital of Kansas City, Missouri, USA. Umbilical cord blood gas and pH values should always be obtained in the high-risk delivery and whenever newborn depression occurs. This practice is important because umbilical cord blood gas analysis may assist with clinical management and excludes the diagnosis of birth asphyxia in approximately 80% of depressed newborns at term. The most useful umbilical cord blood parameter is arterial pH. Sampling umbilical venous blood alone is not recommended because arterial blood is more representative of the fetal metabolic condition and because arterial acidemia may occur with a normal venous pH. A complete blood gas analysis may provide important information regarding the type and cause of acidemia and sampling the artery and vein may provide a more clear assessment. The sampling technique is simple and easily mastered by any treatment person in the delivery room. Preheparinized syringes ensure a consistent dose and amount of heparin. Depending on how normality is defined and on the population studied, normal ranges for umbilical cord blood gas values vary (see Table 1). In general, the lower range for normal arterial pH extends to at least 7.10 and that for venous pH to at least 7.20. Many different factors during pregnancy, labor, and delivery can affect cord blood gases. Umbilical blood sampling for acid-base status at all deliveries cannot be universally recommended because many facilities do not have the capabilities to support such a practice and in doing so may impose an excessive financial burden. Considering the costs, the accumulated published data, and the nonspecificity of electronic fetal monitoring in the evaluation of fetal oxygenation, it may be more rational to implement universal cord blood gas analysis. Care providers and institutions with the logistical capabilities in place should consider the cost efficacy of routine cord blood gas analysis because it is the gold standard assessment of uteroplacental function and fetal oxygenation/acid-base status at birth. 4. Umbilical Cord Blood Gas Analysis at Delivery S F Loh, A Woodworth, G S H Yeo (research carried out in 1994. MM) Umbilical cord blood gas values reflect the last moment of fetal oxygenation and acid base balance prior to delivery. Severe fetal acidemia is associated with increased perinatal mortality and increased risk of subsequent impaired neurological develop In acute hypoxic insult of short duration, fetal and placental blood may not have sufficient time to equilibrate and this may be reflected in a large arterial-venous difference in BDecf. However, in long-standing hypoxic insult, lactic acid produced by the baby was given time to be removed across the placenta to saturate the placental extracellular fluid compartment. In conclusion, we are sure that umbilical cord blood gas analysis is useful to ascertain whether a particular case of fetal compromise is due to "perinatal asphyxia". Selectively paired umbilical cord blood gas analysis, when properly done and correctly interpreted offers insight into metabolic events occurring in the perinatal period and enables the obstetricians to learn from individual patient. It also provides the neonatologists with a baseline of the neonate’s metabolic co
Re: [ozmidwifery] Breastfeeding help in Mackay
Thanks Barb, Have already passed on Sherri's email and will now pass on the phone no. Cheers, Di - Original Message - From: Barbara Glare & Chris Bright To: ozmidwifery@acegraphics.com.au Sent: Monday, October 23, 2006 6:08 PM Subject: Re: [ozmidwifery] Breastfeeding help in Mackay Hi, there is a very active Australian Breastfeeding Association Group in Mackay. Two counsellors are Loretta 49429640 or Sherri 49593359. Australian breastfeeding Association counsellors are extremely well trained in breastfeeding and lactation management. As an added bonus they can link mothers in to a supportive network, which is vital in those early weeks and months (years) of breastfeeding. Although I'm employed now as an LC in an infant feeding support service I learned every skill I have through the Australian Breastfeeding Association. Support is free of charge to any mother/family, but a subscription to the Australian Breastfeeding asssociation is the best investment any mother or health professional could make Barb - Original Message - From: Jo Watson To: ozmidwifery@acegraphics.com.au Sent: Monday, October 23, 2006 3:15 PM Subject: Re: [ozmidwifery] Breastfeeding help in Mackay Kenacomb ointment on the nipples tiny amount and dab off before expressing (perhaps by hand?) and yes you can give baby EBM with blood in it - as long as she is hep c and hiv neg. Good luck to her! It can be done! Jo On 23/10/2006, at 7:43 AM, diane wrote: Hi I have a friend who birthed last week at the Mater and is having probs with flat/inverted nipples. Very damaged and is AF as of yesterday. She is quite motivated to breastfeed. Any one have any suggestions as to who she can see up there? (had already been back in to the hosp and was told under no circumstances to give the baby EBM with blood in it!!). Im still 3 weeks away from moving up there so cant help for now, except on phone! Sounds like maybe a bacterial infection beginning on nipples but no sign of mastitis yet. But nipples are too painful to even express right now, I have discussed pain relief and importance of expressing Just spoke with her and she is going to call the LC at the Mater (Toni?) but I would love to be able to offer her some options in case she cant get help there. Cheers, Di
