[ozmidwifery] terminating pregnancy
Hi, Looking for advise again... A friend of mine is pregnant, but unfortunately there is no fetus. (Can't think of the term in english now). Her options are to wait until week 12, when the pregnancy will terminate or to have an abortion now. Sorry, this is not something I am familiar with, and just wanted to ask for any advise. Is it better to wait and let nature take it's corse, or go the medical way... I guess they would give her cytotec. What kind of risks should she be aware of? Any good links for websites? Thank again, Päivi
[ozmidwifery] testing
Haven't had an email for a while.. am I on? MM
Re: [ozmidwifery] terminating pregnancy
Paivi, These pregnancies generally terminate themselves anytime up to 12 weeks, as hormone levels aren't conduicive to the pregnancy continuing. It depends on the Drs as to whether they do a DC afterwards. Most times there is no need. Cheers Di M
Re: [ozmidwifery] terminating pregnancy
Hi Di, And thanks for your response. I guess it would be quite unpleasant to remain pregnant and wait for the spontanious abortion, but do you suggest, that it would be better that way? Are the risks of induced abortion to do with cytotec mainly or are there other things to consider also? Päivi - Original Message - From: D. Morgan To: ozmidwifery@acegraphics.com.au Sent: Monday, December 04, 2006 10:50 PM Subject: Re: [ozmidwifery] terminating pregnancy Paivi, These pregnancies generally terminate themselves anytime up to 12 weeks, as hormone levels aren't conduicive to the pregnancy continuing. It depends on the Drs as to whether they do a DC afterwards. Most times there is no need. Cheers Di M
Re: [ozmidwifery] testing
Hi Mary Your email came through, there have been a few emails on the list over the past few days. I've emailed this to your email privately as well as to the list to see if it comes through for you. Honey - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Tuesday, December 05, 2006 1:18 AM Subject: [ozmidwifery] testing Haven't had an email for a while.. am I on? MM
Re: Re: [ozmidwifery] terminating pregnancy
Hi, Many women I know who have experienced a dc and naturally miscarried have said that the overall experience ie. physical, emotional and spiritual, was much better when it was natural. They felt like it was easier on their body and gave their body and mind time to adjust. Love Abby Päivi [EMAIL PROTECTED] wrote: Hi Di, And thanks for your response. I guess it would be quite unpleasant to remain pregnant and wait for the spontanious abortion, but do you suggest, that it would be better that way? Are the risks of induced abortion to do with cytotec mainly or are there other things to consider also? -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] testing
Hi Mary, I can tell that you are hooked on the ozmid list - as soon as it is quiet for a day or two, you worry we have forgotten you! You are still with us.. Andrea At 02:18 AM 5/12/2006, you wrote: Haven't had an email for a while.. am I on? MM -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] independent midwifery/national standards
I was just wondering if there had been any responses to the discussion of national standards etc?? I haven't received anything at all, Sue An interesting discussion. Brings me to the assignment I've just completed on the variation in education, regulation and registration of midwives and competency assessments that occur across our wide brown land. And these will be the things that bring us to be either supportive or not of hospital birthing. South Australia maternity system is definitely much better organised and funded than the New South Wales one. Can't speak for any other. I've done clinical placements in both states and working in environments with new equipment, standard spa baths, and midwives who collectively practice evidence-based midwifery with supportive services is delightful compared with the other - outdated equipment, tired midwives and outdated policies and protocols. I've also attended many years of homebirth and as Tania says, there is simply no comparison in experience or outcome when working with families you know and trust. I am still and alwys will be in awe of what midwives can do when working with women they don't know. I always believe however that even when entering an institution that may be outdated and tired with the odds of normal birth against us, that my presence can always make a difference to a woman who has invited me to assist her. So I also offer hospital 'supports' because I believe and do make a difference. The NSW area where I live and work has limited midwife antenatal clinics even, and midwifery group practices just don't exist. Birth practices are disjointed and outdated but they are changing and the last five births I attended in the capacity of a final year student were simply great within the limited scope of practice that exists in this neck of the woods. I guess we can all try and see the good that each area/service/midwife can bring to the women we all serve and help to create change where needed. Perhaps standardisation of education, registration and competency assessments through nationalising maternity service (like in NZ and other OECD countries) would be for the best for women and midwives - may create a more predictable, evidence based active group of committed midwives. ??? Sue Absolutely agree Jo that it is the women who are perhaps at higher risk that would most benefit from the continuity of care from a known midwife, the outcomes at the Women's and Children's in Adelaide have clearly shown that the women who are in high risk groups going through the MGP are having better outcomes, less intervention and more normal births, than the low risk women going through the medical model of care. Definitely food for thought...goes to show that the research is indeed right. I feel that it's the right place here to put in my 2c worth too, about IPM's and homebirth. Please remember that IPM's, while at times appearing to be superhuman - and I say that from my experience as a consumer of IPM care, they are also human. Building up a rapport with a woman over the space of a shift is indeed an art, and something I am amazed that my colleagues can do, day in day out. Really knowing a woman, having a relationship with her and her whole family that spans months, and sometimes years, having an emotional investment in helping her to achieve the best birth possible, is something that simply can't be compared with working on a shift by shift basis. If you have never stood by, and watched a woman be lied to, or coerced with untruths, or half truths, if you have never been treated appallingly by those who are your equals, but feel you are beneath them, if you have never seen the look of defeat in a woman's face as all the positive energy leaves the room and someone calls her stupid and naïve for trying to have her baby without intervention, then you have no idea about the pain that is felt, and the helplessness, and even the feeling of betrayal you feel because you can no longer protect or hold the space, for that woman. I have been in these situations, and I can really understand why some midwives prefer not to provide care to women choosing to birth in the hospital system. There is an element of self preservation about it too, let's not forget that. Sometimes, it's just too painful to go willingly and knowingly into a situation that you know is not going to go the way the woman wants. Transferring in for an obstetric need is of course, something completely different... And that's not to say that the care you provide Sharon, in the hospital in which you work, is not the best you can do, with the circumstances you have. What we all know is that it is not the best thing for all women, and according to the research, it's actually not the best thing for most women...just because it's all that's on offer doesn't mean we shouldn’t be looking to improve it, and one midwife one woman care is just the
[ozmidwifery] How childbirth went industrial
Two fascinating articles I saw on a blog today - I've exerpted at my blog (http://midwiferyiscatching.blogsome.com/) but the articles are at http://www.mothering.com/articles/pregnancy_birth/birth_preparation/childbirth-went-industrial.html and http://www.newyorker.com/printables/fact/061009fa_fact. Emma -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] retained placenta PPH
Hi all, Was chatting to a woman y'day re her first birth. She has very fast labour "woke up and was 6cm!", laboured for another 2.5hrs, reached 10cm "then they gave me the epidural"(which I am still wonderingabout?!?) Bub was posterior so "this allowed him to turn otherwise he wouldnt have come out or it would have been very messy!!". (again wondering about the messages this woman received or perceived..) Anyway, she went on to have a retained placenta (I'm presuming she had synto for 3rd stage) and began bleeding quite badly. How is a retained placenta and PPH related, or is it? I thought a retained placenta had come off the uterine and was caught behind closed/closing cervix? Please correct me if I am wrong... Anyway, her Ob has suggested an elective CS for her next baby (due May) to avoid this happening again - what the?! ggrrr Kristin CBE NaturopathAdvertisement: Meet Sexy Singles Today @ Lavalife - Click here -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
[ozmidwifery] Inductions brought forward to attend medical conferences
Births induced early Adam Cresswell, Health editor 05dec06 OBSTETRICIANS are inducing women to give birth early so they can attend medical conferences held when birthrates are at their highest. An analysis has found the typical Australian obstetrics conference, lasting several days, causes 4 per cent of the expected births to be shifted, in most cases bringing it forward by a few days. In Australia, say the study's authors - from the Australian National University and Melbourne Business School - this means 116 babies are born on a different date than nature intended, while in the US 755 births a year are affected. They say it is plausible this may increase the risk of birth complications. Royal Australian and New Zealand College of Obstetricians and Gynaecologists president Christine Tippett said: They've done a lot of work looking at it, but I'm a bit sceptical. If there was some need to change, of course we'd look at it very seriously - but I would need to have some better data. privacy terms © The Australian
Re: [ozmidwifery] terminating pregnancy
I'm not sure about cytotec but it is always better to wait for nature to take it's course etc. I had one years ago and it all happened within a few days of my finding out that it was a blighted ovum, no different to any other miscarriage really. Cheers Di M
[ozmidwifery] Perinatal Loss Co-ordinator vacancy Brisbane
Perinatal Loss Coordinator, Education and Support Services - 18 month position commencing January 2007, Mater Mothers' Hospital Job Code07NM21 Job CategoryNursing Position Status Full-time DurationTemporary Hours of Work 76 hours per fortnight (Monday to Friday) Salary $2,246 - $2,406.30 per fortnight Classification Nursing Officer Level 2 The Mater Mothers Hospital has received funding from the Mater Foundation to implement and evaluate an evidence based multi disciplinary perinatal loss service. The main focus of the service will be to implement the PSANZ Perinatal Mortality Audit Guidelines into clinical practice and evaluate the success of this intervention. The Perinatal Loss coordinators role will include a significant amount of staff education and support as well as contact with bereaved families. The Perinatal Loss Coordinator will be supported by and report to the Midwifery Unit Manager of Parent Education and Support Services. This department provides a variety of support services for parents accessing the Mater Mothers Hospitals. This includes a perinatal loss service, lactation services, antenatal workshops, natural fertility support, private preadmission service, and access to evidence based written information and an education network channel. The successful applicants should possess: An active interest in perinatal loss support Excellent communication and interpersonal skills Demonstrated ability to promote evidenced based maternity care Project management skills An ability to work with minimal supervision and function as a member of a diverse health service delivery team. Qualifications: Current registration with the Queensland Nursing Council and midwifery endorsement. Application Packages: Application Packages are available at www.mater.org.au Applications should be submitted on-line at www.mater.org.au and include a cover letter and resume (please include a facsimile number or email address for two referees). If you have difficulty downloading an application package or uploading your application on-line, please contact Marian Glynn on 3840 8934. For further information please visit www.mater.org.au or contact Katie Waters on 07 3840 8009 or [EMAIL PROTECTED] -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] retained placenta PPH
The relationship between retained placenta and PPH is that the uterus that is not empty can not clamp down sufficiently to prevent bleeding from the placental site. Imagine that the placental site is about the size of a bread and butter plate and that this is characterised by masses of bleeding vessels that have sheared off as the placenta seperates. (Much like a huge graze that has had the skin sheared off bleeds) The wall of the uterus is full of fibres which surround these vessels and as the uterus becomes smaller they clamp off the bleeding vessels thus preventing haemorrhaging. While the seperated placenta remains in the uterus the vessels are free to bleed and the uterus can not clamp down sufficiently to prevent it. An elective casearean is not the answer as it may not happen again if the person attending her stops fiddling and leaves things alone. She needs to read up on 3rd stage choices Andrea Quanchi On 05/12/2006, at 3:28 PM, Kristin Beckedahl wrote: Hi all, Was chatting to a woman y'day re her first birth. She has very fast labour woke up and was 6cm!, laboured for another 2.5hrs, reached 10cm then they gave me the epidural(which I am still wondering about?!?) Bub was posterior so this allowed him to turn otherwise he wouldnt have come out or it would have been very messy!!. (again wondering about the messages this woman received or perceived..) Anyway, she went on to have a retained placenta (I'm presuming she had synto for 3rd stage) and began bleeding quite badly. How is a retained placenta and PPH related, or is it? I thought a retained placenta had come off the uterine and was caught behind closed/closing cervix? Please correct me if I am wrong... Anyway, her Ob has suggested an elective CS for her next baby (due May) to avoid this happening again - what the?! ggrrr Kristin CBE Naturopath Advertisement: Meet Sexy Singles Today @ Lavalife - Click here -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.
