Re: [ozmidwifery] Re: Maternity coalition

[[EMAIL PROTECTED]]

Thanks for that Megan.
It was great to read what is going on in SA.
WOMAD sounds like lots of fun, what great exposure!
Wendy
( in Victoria)

- Original Message -
From: "Megan & Larry" <[EMAIL PROTECTED]>
To: 
Sent: Saturday, March 03, 2007 12:25 PM
Subject: RE: [ozmidwifery] Re: Maternity coalition


> Here here Tania.
>
> I don't know what is going on in other states regarding birth support
> groups, in whatever role or title, but maybe an explanation of what we
have
> in SA might be helpful, in return I would love to hear about everyone
else.
>
> SA has a lovely history of birth groups. Those on the list who know more
> than me about it, please add.
>
> We have the Homebirth Network which has been going for many many years,
> anyone in SA know how long?
>
> Many moons ago, we had MAMA (?), Mums and Midwives working together, I
> believe they successfully lobbied for a birth centre at one of our large
> teaching hospitals. This group is now part of our history.
>
> Name escapes me, but we have a group for our Ind Midwives too. Help on
that
> one?
>
> CARES, a caesarean support group, established over 8 years ago by Jo,
> Caroline and Emma. Going strong and doing amazing work.
>
> Birth Matters, also established over 8 years ago. BM sees itself as a
> generic support group, they provide the information so as choice is
> available.
>
> Maternity Coalition, established a few years, more low key here.
>
> Our groups are well established and continue to function together as
needed.
> When we join forces so to speak, we go under the title of "The Birth
> Networks of SA" or similar.
>
> A number of the women in these groups wear many hats, and work very hard
for
> the cause. Always as a vounteer and nearly always with no previous
> experience.
> I too started off with 1 child, now with 4, as many of our families have
> grown and along the way dealt with all the wonders life offers, sad and
> happy.
>
> SA has become less present in the lobby arena, lack of time and burn-out.
We
> seem to be focusing on support for now and getting out there to educate
our
> birthing Mums and Dads.
>
> Next weekend Adelaide is hosting WOMAD, a world music festival, Birth
> Matters with Homebirth Network have been fortunate to secure a stall. We
> will have a wonderful oppurtunity to talk with thousands of people,
delight
> them with our beautiful births and handout good information.
>
> We have been at Mothers and Baby expo a number of times, a tuff gig, to
say
> the least. Sharing the most intimate moment of your life, only to have
women
> loudly show there disgust at the video of a birth. Not the Grandmas or the
> men, but women due to birth. It's a very tiring 3 days of your life.
>
> Adelaides birth groups work independantly to and alongside each other.
They
> say it takes a village to raise a child, well it takes many forms to
educate
> our birthing community,
> AND WE ALL MATTER!
>
> SO, I look forward to reading about any birth groups out there, whatever
you
> are called and in what ever capaticty your contribution is.
>
> A pat on the back to us all,
>
> Cheers
> Megan Resch
>
>
>
>
> Of -Original Message-
> From: [EMAIL PROTECTED]
> [mailto:[EMAIL PROTECTED] On Behalf Of Tania Smallwood
> Sent: Saturday, 3 March 2007 8:40 AM
> To: ozmidwifery@acegraphics.com.au
> Subject: RE: [ozmidwifery] Re: Maternity coalition
>
>
> Can I just say that it would be terrible if this thread deteriorated yet
> again into a personal slinging match.  Please can we all keep in our minds
> and our hearts that we are all doing what we can, with the time we have,
to
> further the cause and help women...making comments on people's tone is not
> in my honest opinion called for, or constructive.
>
> A lovely friend of mine, one of the wisest women I know, has talked with
me
> about the email thing and the problems that we as women in particular,
> encounter with it.  Her take on it, and I agree wholeheartedly is that we
> must keep in mind that it was invented by blokes, and that it has no
ability
> to convey the subtlety of emotion that we often use to soften or round off
> our comments.  Its purpose initially was probably for the sharing of
meeting
> minutes, and the like.  We don't talk like that, we don't communicate like
> that, and when we attempt to use a medium that doesn't have the features
we
> need to put across the whole of the message, not just the words, then
> something within that message can be lost.
>
> Please, please, can we keep our own agendas out of this.  I have been a
> member of birth support and information groups for nearly 10 years and for
> the most part, i

Re: [ozmidwifery] hb MW Gisborne, Vic

[[EMAIL PROTECTED]]

Hi Janet, I was going through tidying up my emails and ran acros this one.
Do you know if she has found a M/W?
I am 3 hrs away but have a car!! I know there are some good HB M/W in Bendigo 
too.
Cheers Wen
  - Original Message - 
  From: Janet Fraser 
  To: ozmidwifery@acegraphics.com.au 
  Sent: Friday, January 26, 2007 11:23 AM
  Subject: [ozmidwifery] hb MW Gisborne, Vic


  Hi all,
  anyone able or willing to support a woman birth at home in Gisborne?
  : )
  J
  For home birth information go to:
  Joyous Birth 
  Australian home birth network and forums.
  http://www.joyousbirth.info/
  Or email: [EMAIL PROTECTED]


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Re: [ozmidwifery] co-sleeping

[[EMAIL PROTECTED]]

Co-slept with both my girls, but when I was pregnant with
no2 I thought it would be a good idea to try my then 4 year
old in her own bed, as I couldnt imagine where we would all
fit if there were '4 in the bed'. 3 nights of total trauma
but the thing that really convinced me was the 4 year old
saying "But you & dad sleep together & Im only a kid & how
come Im the only one who has to sleep alone?" Really couldnt
argue with the social justice aspects of that logic! Ended
up with a queen bed flanked by 2 singles - a true 4 person
bed - I was so thankful I had built the room big enough to
accomodate, but sadly many houses just dont have the bedroom
space to allow this kind of thing.
They are now nearly 10 & 14 years old, there is no dad in
the bed anymore, & now they take it in turns to sleep with
me (& still argue about who's turn it is).
As in birth, there seems to be a lot of fear around
co-sleeping, from smothering the baby to losing sleep &/or
privacy. The whole thinking around 'spoiling the baby' is
not logic-based, it seems to me to be based on the fact that
we as a culture want our children to 'grow up' as quickly as
possible, so lets start teaching them independence from day
1. Load of bollocks I reckon!
Lets hope those wonderful Vietnamese women dont start
adopting the habits of western culture thinking that it will
all be better if they do.
cheers
Jennifairy

> Having worked in Vietnam for 8 months - I asked some of
> the women how long  before the baby sleeps in his own bed
> in Vietnam?  They said, usually by 5  years when they go
> to school but often not until about 8!!
> 
> Western culture is warped on this subject.  Hey I realise
> co-sleeping has  its downsides too but it's a matter of
> meeting everyone's needs the best way  you can.
> 
> Helen
> Mother of a 9 year old who still sleeps in our room in a
> bed next to ours.
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Re: [ozmidwifery] Pregnancy and Crohns

[[EMAIL PROTECTED]]

Good on you, That subtle and not so subtle pressure put on women is so 
influencial isn't it? 
  - Original Message - 
  From: Amy Rigano 
  To: ozmidwifery@acegraphics.com.au 
  Sent: Tuesday, January 16, 2007 8:43 PM
  Subject: Re: [ozmidwifery] Pregnancy and Crohns


  Hi Wendy

  thanks for that. I did tell her that I don't believe her to be high risk, but 
her health insurance fund has stepped in and said that the only place she would 
be safe to birth is at a large tertiary hospital (lucky her). It is sad to see 
that a woman who should be excited and cherishing every moment of her pregnancy 
has been fed doubt and despair from ill informed professionals.

  Sadly I beleive that she will take up the 'high risk' option as it has been 
planted in her head and now it is very difficult for her to discount the 
'information' she has been told.

  Never the less, I will keep trying to 'normalise' her pregnancy.

  Cheers

  Amy
- Original Message - 
From: [EMAIL PROTECTED] 
To: ozmidwifery@acegraphics.com.au 
Sent: Tuesday, January 16, 2007 8:41 AM
Subject: Re: [ozmidwifery] Pregnancy and Crohns


At the community Midwife Program at Wangaratta we have no exclusion 
criteria. All women see a Dr at the clinic once during the preganancy and more 
on an "as needs" basis in consultation with the Drs. For example women with a 
previous LUSCS go once at about 14-18 weeks then again at 36 weeks after we 
have done the care in between to inform the doctor of whether or not they are 
going to VBAC. Note this is the womans decision not the midwives or drs.

Women with a more complex medical history may see a doctor at every visit 
or just once or twice if everyhting is OK. It is completely flexible and often 
changes during the course of the pregnancy. 

I personally think it is wrong to confine midwife only care to only 
"low-risk" women. All women need midwife care and arguably those labelled 
higher risk by the medical profession need it even more. 

How exactly do you percieve, or does the woman percieve her crones to 
complicate her pregnancy? In answer to your question..We have had from 
memory a women in our program with Crones and I dont recall it actually making 
her pregnancy and birth more complicated. My answer would be YES! have her in 
midwife care and consult with Drs on an "as needs" basis. 
If Drs insist she not eligable for "Low Risk Midwife Care" Ask them exactly 
what it is they are going to do differently that you cant do. What care, 
monitoring, testing, scedule of visits... exactly what is it Drs can offer her 
that you can't. And what about the women? What does she want.??

Hope this is useful.
Wendy

  - Original Message - 
  From: Amy Rigano 
  To: ozmidwifery@acegraphics.com.au 
  Sent: Monday, January 15, 2007 8:29 PM
  Subject: [ozmidwifery] Pregnancy and Crohns


  Hi all you smart people

  Just wondering if anyone has provided Midwifery Led Care for a women who 
has crohns. I have a friend who has been told that she is 'HIGH RISK' due to 
her 'condition'. It is her first pregnancy and I understand that she takes very 
good care of herself and is careful with her diet.

  I will try the website for crohns and ulcerative collitis, but if anyone 
has any first hand experiences that would be great.

  Cheer

  Amy


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Re: [ozmidwifery] Pregnancy and Crohns

[[EMAIL PROTECTED]]

At the community Midwife Program at Wangaratta we have no exclusion criteria. 
All women see a Dr at the clinic once during the preganancy and more on an "as 
needs" basis in consultation with the Drs. For example women with a previous 
LUSCS go once at about 14-18 weeks then again at 36 weeks after we have done 
the care in between to inform the doctor of whether or not they are going to 
VBAC. Note this is the womans decision not the midwives or drs.

Women with a more complex medical history may see a doctor at every visit or 
just once or twice if everyhting is OK. It is completely flexible and often 
changes during the course of the pregnancy. 

I personally think it is wrong to confine midwife only care to only "low-risk" 
women. All women need midwife care and arguably those labelled higher risk by 
the medical profession need it even more. 

How exactly do you percieve, or does the woman percieve her crones to 
complicate her pregnancy? In answer to your question..We have had from 
memory a women in our program with Crones and I dont recall it actually making 
her pregnancy and birth more complicated. My answer would be YES! have her in 
midwife care and consult with Drs on an "as needs" basis. 
If Drs insist she not eligable for "Low Risk Midwife Care" Ask them exactly 
what it is they are going to do differently that you cant do. What care, 
monitoring, testing, scedule of visits... exactly what is it Drs can offer her 
that you can't. And what about the women? What does she want.??

Hope this is useful.
Wendy

  - Original Message - 
  From: Amy Rigano 
  To: ozmidwifery@acegraphics.com.au 
  Sent: Monday, January 15, 2007 8:29 PM
  Subject: [ozmidwifery] Pregnancy and Crohns


  Hi all you smart people

  Just wondering if anyone has provided Midwifery Led Care for a women who has 
crohns. I have a friend who has been told that she is 'HIGH RISK' due to her 
'condition'. It is her first pregnancy and I understand that she takes very 
good care of herself and is careful with her diet.

  I will try the website for crohns and ulcerative collitis, but if anyone has 
any first hand experiences that would be great.

  Cheer

  Amy


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Re: [ozmidwifery] waterbirth

[[EMAIL PROTECTED]]

Me too please

[EMAIL PROTECTED]

TIA
Wendy


- Original Message - 
From: "nicole and gareth" <[EMAIL PROTECTED]>
To: 
Sent: Friday, January 12, 2007 12:37 PM
Subject: Re: [ozmidwifery] waterbirth


> hi lynne
> 
> i would love a copy of the reference list please
> 
> [EMAIL PROTECTED]
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Re: [ozmidwifery] job

[[EMAIL PROTECTED]]

Yes that was Portland Hospital, Caseload midwifery. 
  - Original Message - 
  From: diane 
  To: ozmidwifery@acegraphics.com.au 
  Sent: Thursday, January 11, 2007 9:58 PM
  Subject: Re: [ozmidwifery] job


  Wasnt someone desparate for a caseload midwife down south around xmas time? 
Is there still anything there?
  Di
- Original Message - 
From: Anke Dalman 
To: ozmidwifery@acegraphics.com.au 
Sent: Thursday, January 11, 2007 1:04 PM
Subject: [ozmidwifery] job


Hi list members,

I wanted to send this email under "how do you deal with your frustrations?' 
but the text is not really an answer to that discussion. Therefore I started a 
new one. I just quit my job at the local hospital, because I could no longer 
accept the way women and staff (lower in rank and peers) were treated there by 
the other staff (higher in rank).  However, I would like to work where staff 
can be civil towards each other and their clients, preferably in education or 
midwifery (or both). I have a Graduate Diploma in Childbirth Education and a 
Master of Midwifery.

If there is no job like this in Australia for me, I might have to go to 
Holland. Because I have my children here and grandchildren as well I prefer to 
stay in Australia.

If anyone can help, please let me know here or on my email at home: [EMAIL 
PROTECTED]

Thank you.   Anke Dalman



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Re: [ozmidwifery] job

[[EMAIL PROTECTED]]

Hi Anke
Where are you geographically?
You say you want to be around birthing women. How about setting up in private 
practice as Jan says??
You dont have to "steal income" from other childbirth educators. What about a 
complete midwifery practice, antenatal care, birth support in hospital, 
homebirth, postnatal care...Steal it back from the medical profession!!.I have 
to warn you though! Its terribly addictive. 

I heard a rumor from a midwife in Katherine there is an interesting job going 
up there soon. (Hi Anne...!!). 

Something perfect will come up for you and by the way a huge congratulations 
for refusing to compromise your principles.

Wendy
  - Original Message - 
  From: Anke Dalman 
  To: ozmidwifery@acegraphics.com.au 
  Sent: Thursday, January 11, 2007 2:04 PM
  Subject: [ozmidwifery] job


  Hi list members,

  I wanted to send this email under "how do you deal with your frustrations?' 
but the text is not really an answer to that discussion. Therefore I started a 
new one. I just quit my job at the local hospital, because I could no longer 
accept the way women and staff (lower in rank and peers) were treated there by 
the other staff (higher in rank).  However, I would like to work where staff 
can be civil towards each other and their clients, preferably in education or 
midwifery (or both). I have a Graduate Diploma in Childbirth Education and a 
Master of Midwifery.

  If there is no job like this in Australia for me, I might have to go to 
Holland. Because I have my children here and grandchildren as well I prefer to 
stay in Australia.

  If anyone can help, please let me know here or on my email at home: [EMAIL 
PROTECTED]

  Thank you.   Anke Dalman



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Re: [ozmidwifery] Strep B

[[EMAIL PROTECTED]]

Here at our local hospital of approx 530 births per annum we do not routinely 
screen all pregnant women.
We "offer" (with a fair degree of pressure, I might add) IV antibiotics in 
labour of a woman has had Pre-labour ruptured membres for 18 hours or if she is 
in preterm labour <37 weeks or if she has a history of previous baby with GBS 
infection or previous GBS positive herself ( say for example on a past history 
from birth elsewhere with a previous baby)
If a baby is born before antibiotics are able to be administered or a woman 
declines antibiotics we observe the baby for any signs of infection. 
That is what happens here 
Personally I am not in favour of routine GBS testing.
Good luck.

  - Original Message - 
  From: nunyara 
  To: ozmidwifery@acegraphics.com.au 
  Sent: Tuesday, January 09, 2007 12:49 PM
  Subject: [ozmidwifery] Strep B


  Hi all,

   

  I know info on this topic has been posted before but I deleted it all - silly 
me as I now wish to ask some questions which have probably already been covered.

   

  I am 34 weeks pregnant and was not going to have the STREP B test but I have 
done some further research and it suggests that all women SHOULD be tested but 
antibiotics used during labour for a positive result may not be the way to go. 

   

  To all the midwife's on this forum: is it necessary for me to have this test? 
Is it in my and my babies best interest to do this?

   

  If I tested positive (which I didn't with my first child, in fact I don't 
even remember having the test) is the intravenous antibiotic really necessary? 
I do not want this as I plan to have a water birth and I am also highly 
allergic to penicillan and other forms of backup antibiotics. 

   

  I will raise this at my midwife appointment I am due for this week I would 
just like some opinions.

   

  Kind Regards

  Jassy



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Re: [ozmidwifery] How do you deal with your fustrations?

[[EMAIL PROTECTED]]

To me the way women (society) veiws pregnancy reflects the current trend to
rush for medical assistance in any situation. Common colds, neck pain,
constipation, insomnia, depression, obesity, you name it. Instead of looking
within at underlying emotional issues, considering diet, toxins such as
refined foodstuffs, stress, chemicals.whatever, you get my drift, the
list is long. Any way instead of resolving the underlying causes or problems
there is an increasing tendance to run for a fix-up, a suppression of
symptoms.

I see too often pregnancy considered by women as a medical problem to be
managed. What do some do the minute they think they are pregnantmake an
appointment with a doctor for confirmation...and so it begins. Do the
doctors tell them that evidence concludes midwives to be the specialists in
nornmal maternity care? Yeah right! In society the common assumption is the
highest scientifically "qualifed" person must be the best one for the job.

Interesting what you say about having already paid up front and not wanting
to loose out financially having already paid an Obs...THAT IS OUTRAGEOUS! I
am personally in favour of women changing streams of care whatever their
gestation.
Just my ramblings
Wendy


- Original Message -
From: "Julie Clarke" <[EMAIL PROTECTED]>
To: 
Sent: Monday, January 08, 2007 1:11 PM
Subject: RE: [ozmidwifery] How do you deal with your fustrations?


> Hi Rachael,
> I sometimes share your frustrations in wondering why on earth women choose
> OB's to care for them - particularly when they whinge about them so much!
> However what women are after is continuity of care because they want some
> feeling of certainty over who is going to be with them when they birth in
> short it gives them a feeling of security and the other main reason is the
> perceived "quality" of the care because an OB is regarded in Australia as
> the highest qualified of anyone to deal with pregnancy and birth.
> The other astonishing fact is that OB's don't even need to lift a finger
to
> "market" themselves... it's all done for them by our medically supportive
> system.
>
> Yesterday I had a reunion with a group who had received mixed care; some
by
> midwives some by private OB's and when they shared their stories and
> discovered such big differences in the way they had been cared for; the
> proof is in the pudding after all isn't it? A couple of them were saying
> "I'm definitely going to a birth centre or have midwifery care next time!"
>
> You might ask well why didn't they learn about this in the preparation
> classes, well they did, but they often say they are not able to change
late
> in the pregnancy because they have already paid completely up front well
in
> advance to the OB and they worry about getting their money back, they
assume
> they can't, or they cannot get into a midwifery program or a birth centre
at
> a very late stage of pregnancy.
>
> The reunion confirms a lot for them as they share their stories, one of
the
> lovely couples yesterday had had a wonderful homebirth with the terrific
> midwives at St George hospital and the rest of the group were thrilled for
> them and listened to all the details "It was a wonderful 6 hour labour,
> relaxing in a pool in the lounge room and the midwife just stayed quietly
> next to me and it was very peaceful..."
>
> Warm hug
> Julie
>
>
> Julie Clarke
> Childbirth and Parenting Educator
> ACE Grad-Dip Supervisor
> NACE Advanced Educator and Trainer
>
> Transition into Parenthood
> 9 Withybrook Pl
> Sylvania NSW 2224.
> T. (02) 9544 6441
> F. (02) 9544 9257
> Mobile 0401 2655 30
> email:  [EMAIL PROTECTED]
> www.julieclarke.com.au
>
>
>
>
> -Original Message-
> From: [EMAIL PROTECTED]
> [mailto:[EMAIL PROTECTED] On Behalf Of Dan & Rachael
> Austin
> Sent: Monday, 8 January 2007 10:19 AM
> To: ozmidwifery@acegraphics.com.au
> Subject: [ozmidwifery] How do you deal with your fustrations?
>
> I get so fustrated when I know people who choose subordinate (in my
opinion)
>
> levels of care.  What I mean is, healthy women who choose care under an
> obstetrician.  They get roped into the high tech repeated u/s, monitoring,
> for the "just in case" ignorant way of thinking.  They end up having
highly
> intervened vaginal births (but they see as 'natural birth' because it is
> vaginal) or worse a necessary unnecessary cs. Does this make sense?
>
> I have been up most of the night stewing over this, because a 4 of my
> rellies have recently choosen this type of care to end up with the same
> results... and they think I'm weird because I choose to birth at home!  OK
> so I&#x

Re: [ozmidwifery] Pregnancy testing

[[EMAIL PROTECTED]]

Hi Anne
Nothing further to add to Andreas comments except I am so glad to hear there is 
a debriefing opportunity for this case. Congrats on your great work up North. 
Wendy
  - Original Message - 
  From: Anne Smith 
  To: ozmidwifery@acegraphics.com.au 
  Cc: Anne Smith 
  Sent: Monday, January 08, 2007 2:16 PM
  Subject: [ozmidwifery] Pregnancy testing


  I have a question for you wise women - will give you some background first.

   

  Young woman with a concealed or unacknowledged pregnancy at 26 weeks 
presented with acute abdominal pain to a remote area health clinic.  No midwife 
was present and doctor had not practiced obstetrics for "years".

   

  The woman did not appear pregnant at all.  They did a pregnancy test and it 
was negative. They thought that renal colic may have been the cause.  No one 
could palpate contractions but eventually the doctor did a VE and discovered 
"something there".

   

  A very experienced nurse then "delivered" (and I use the word advisedly), the 
baby which was in a breech position.  Traumatic for everyone especially the 
woman, who was then transferred by plane to the nearest hospital.  I will be 
attending a debriefing session on Friday and would like to be able to at least 
explain the negative pregnancy test.

   

   Was this due to the demise of the baby (perhaps up to a week previously) or 
have the hormones altered so much that the test will not react -   

 a. because of FDIU or

 b. advanced pregnancy or

 c. was there a technical problem with the test itself

   

  Your input would be much appreciated.

   

  Keep up the discussions on why women don't choose or don't know to choose 
more wisely when contemplating pregnancy because we do have a responsibility as 
midwives for disseminating this knowledge.

   

  Many thanks

   

  Anne (in the NT) 



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Re: [ozmidwifery] waterbirth

[[EMAIL PROTECTED]]

Lynn
Could I be bold and ask for a copy of your learning package too? It is still 
early days yet but starting to write policy "allowing" women to labour and 
birth in water at Wangaratta.
TIA
Wendy
  - Original Message - 
  From: Lynne Staff 
  To: ozmidwifery@acegraphics.com.au 
  Sent: Monday, January 01, 2007 11:57 AM
  Subject: Re: [ozmidwifery] waterbirth


  Hi Helen
  When I get to work tomorrow, I will send you the reference list from my 
recently updated (Oct 2006) warm water immersion in labour and birth learning 
package for midwives. This may be helpful - re publishing our figures - this is 
a goal for 2007!
  Warm regards, and a happy and fruitful 2007!
- Original Message - 
From: Helen and Graham 
To: ozmidwifery@acegraphics.com.au 
Sent: Friday, December 22, 2006 9:54 AM
Subject: Re: [ozmidwifery] waterbirth


Hi Lynne

Can you point me to some research that I can use to support the safety of 
waterbirth.  I have just read the following reference in the SA Women's and 
Children's Waterbirth Policy as sent in by Fiona to Ozmid as follows:

"There is no evidence that perinatal mortality and morbidity, including 
admissions to
special care nurseries for babies born into a warm water environment, is 
significantly

different to babies born out of water (Geissbuehler et al 2004; Gilbert & 
Tookey

1999)."

but wondered whether you had any other references to call on.  



Also wondering if you had thought about publishing Selangor's own findings? 
 It would be a great contribution to hospitals trying to weigh up the risk 
benefits of waterbirth.  There still seems to be such fear surrounding the 
whole issue in the majority of the hospital system that it would be great to 
have some positive local experiences/research to quote.  

Thanks in advance.

Helen





  - Original Message - 
  From: Lynne Staff 
  To: ozmidwifery@acegraphics.com.au 
  Sent: Thursday, December 21, 2006 10:04 PM
  Subject: Re: [ozmidwifery] waterbirth


  Hi Mary
  At Selangor we - midwives, obstetricians and paediatricians - have 
'officially' supported women for waterbirth since Feb 1998. Our rate is 35% of 
vaginal births and over 1600 babies have been waterborn since we opened. We 
will continue to do so as it has benefits for women, their babies and is safe. 
  Regards, Lynne


  - Original Message - 
From: Mary Murphy 
To: ozmidwifery@acegraphics.com.au 
Sent: Thursday, December 21, 2006 12:50 PM
Subject: [ozmidwifery] waterbirth


Hi everyone, I know this question has been asked before, but I can't 
remember the answer.  Do we have any maternity units, birth centres etc who 
officially do waterbirth?  I know homebirthers do, but I want to know about 
institutions.  Thanks, MM



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Re: [ozmidwifery] What happened with this birth?

[[EMAIL PROTECTED]]

Can I come too? :)
- Original Message -
From: "Kristin Beckedahl" <[EMAIL PROTECTED]>
To: 
Sent: Friday, December 29, 2006 2:42 PM
Subject: Re: [ozmidwifery] What happened with this birth?


>
> Gee Carolyn...I'd like to have coffee with you one day or two! :-)
>
> Kristin
>
>
>
> >From: "Heartlogic" <[EMAIL PROTECTED]>
> >Reply-To: ozmidwifery@acegraphics.com.au
> >To: 
> >Subject: Re: [ozmidwifery] What happened with this birth?
> >Date: Fri, 29 Dec 2006 13:24:40 +1100
> >
> >Dear Gail,
> >
> >Firstly, your instincts are spot on.
> >
> >This is a very distressing story.  It is not a coincidence that these
> >women's labours stalled following his VE's, that is absolutely to be
> >expected and is the result of a mindless disruption of the women's
optimal
> >state of neurophyiological functioning. Taylorism, that is an industrial,
> >efficiency management model, has no place in the dynamic fluid process of
> >birth, sadly it has become merged into the 'health' care system with this
> >sort of unconscious abuse becoming more common.
> >
> >'Discussions' with the doctors at that stage will do nothing except breed
> >resistence and further intervention; in mindless individuals it can even
> >result in payback situations where intervention will be done just because
> >you are the midwife. The right to rule is still endemic in the maternity
> >services.
> >
> >the first thing to understand is that these people really believe they
are
> >doing the right thing.
> >the second thing to understand is that they are taught all about the
> >abnormalities of birth, they have absolutely no idea about normal
> >physiology as applied to birth (gross generalisation, I know)
> >the third thing is that they are terrified of birth
> >the fourth thing is that they are taught throughout medical school that
> >they are the boss of everything and the government and health departments
> >agree and structure everything (I know, there are exceptions) to
reinforce
> >that idea
> >the fifth and probably MOST important thing is that they do get taught
> >about 'patient' autonomy and the need for consent.
> >
> >So, here is where it gets interesting and where our opportunity lies.
> >
> >It is vitally important that you use every moment with birthing women to
> >help them understand the situation, without making it combatative and
> >engendering a siege mentality and ask them what they want to have happen,
> >how they would like things to go, so they can say what they want - be
left
> >alone, checked in another hour a few more hours, more time, a bath, move
> >freely, have the baby listened to by doppler in the shower/bath etc if
> >women have the information that can help them with the deeply damaging
> >throw away lines that get trotted out like 'stillbirth' 'brain damage'
etc,
> >then women can say what they want and we as midwives can support them in
> >that and remember to DOCUMENT what women want.  To do things against
> >rational people's will is abuse. To argue about medical intervention with
> >midwives is a nuisance and an affront to power beliefs.
> >
> >Getting strategic is important. Learning tactical support of birthing
women
> >is a midwifery art form and a very challenging one.  It is crucial that
you
> >avoid blame, judgement and criticism as these emotional states are
damaging
> >for everyone and lead to despair.  It is useful to come from the point of
> >view that they mean well but are ignorant about birth physiology and are
> >taught to look for problems. Neuroscience and quantum physics teaches us
we
> >find what we are looking for. That also means we make it up if it is not
> >there.
> >
> >Our job is to work with women and their processes, to give women
> >information to make their own decisions and to help them actualise their
> >decisions and to help doctors know what women want. :-)   makes it so
> >simple really. Simple does not, however, mean easy.
> >
> >Every time you find yourself with a pregnant and/or birthing woman ask
> >questions of yourself like 'how can I best inform her of her options?'  '
> >how can I best explain the process of birth so she knows what to expect?'
> >'how can I support her with what she wants?' ' how can I best let her
know
> >how well she is doing so that she can feel secure in asking for more time
> >if she needs it?'  " how can I best let her know her rights so she feels
&

Re: [ozmidwifery] Urgently required midwife for 4 - 6 week locum in caseload mid model Victoria

[[EMAIL PROTECTED]]

Crikeys!!!
That is urgent!.
N/A until 1st March and even then would need to negitiate LWOP from my 
employer...which is not out of the question.
  - Original Message - 
  From: Helen and Graham 
  To: ozmidwifery@acegraphics.com.au 
  Sent: Sunday, December 24, 2006 2:25 PM
  Subject: Re: [ozmidwifery] Urgently required midwife for 4 - 6 week locum in 
caseload mid model Victoria


  We would need someone from about New Year's Day onwards but it is negotiable. 
 Even if you couldn't get here that soon - it would be OK.

  Thanks
  Helen
- Original Message - 
    From: [EMAIL PROTECTED] 
To: ozmidwifery@acegraphics.com.au 
Sent: Sunday, December 24, 2006 2:10 PM
Subject: Re: [ozmidwifery] Urgently required midwife for 4 - 6 week locum 
in caseload mid model Victoria


What dates are you looking at filling?
  - Original Message - 
  From: Helen and Graham 
  To: ozmidwifery ; [EMAIL PROTECTED] 
  Sent: Sunday, December 24, 2006 7:58 AM
  Subject: [ozmidwifery] Urgently required midwife for 4 - 6 week locum in 
caseload mid model Victoria


  Hi Listers

  Any experienced midwives out there like a 4 - 6 week opportunity to be 
involved in a caseload midwife program in ASAP in Portland Victoria?  We have 
had an unexpected rise in late booking ins and desperately need a midwife.  The 
locum would definitely be with a view to staying on permanently if they enjoyed 
the trial period.

  Please email or contact me on 03 55232313 or 0429600428 for more 
information.

  Thanks in advance

  Helen


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Re: [ozmidwifery] synto AFTER 3rd stage?

[[EMAIL PROTECTED]]

Nice answer :)
  - Original Message - 
  From: Heartlogic 
  To: ozmidwifery@acegraphics.com.au 
  Sent: Sunday, December 24, 2006 1:18 PM
  Subject: Re: [ozmidwifery] synto AFTER 3rd stage?


  Great question Kristin. 

  If a woman who has given birth to her baby is in her 'tend and befriend' 
neural network regulatory process aka parasympathetic aspect of her autonomic 
nervous system, then her endogenous oxytocin will be high, therefore doing what 
endogenous oxytocin does - contract her uterus, stimulate lactogenesis, 
generate sensations of loving her baby, stimulate all sorts of yummy, healthy 
physiological effects, which in turn creates more of the same. BTW, that is the 
state we are all meant to be in - our physiology works for health and harmony 
in that 'state'.  

  If however, she is frightened, cold, disrupted, interfered with or her baby 
is taken away from her for whatever reason, including weighing, measuring etc, 
therefore her autonomic nervous system switches into the 'flight, fight or 
freeze' state, then she may be much more likely to bleed and therefore 'need' 
exogenous oxytocin. 

  Fascinating how we create what we are always trying to prevent/control :-)

  Something that is not well enough known is that when we give exogenous 
oxytocics aka syntocinon, then that synthetic hormone does not cross the blood 
brain barrier and therefore does not act like a behavioural hormone, meaning it 
does not help mothers fall in love with their babies and it does switch off the 
woman's own oxytocin supply, which complicates the falling in love issue.  So 
giving exogenous oxytocin interrrupts bonding and even distorts it. That's a 
big responsibility and we are seeing the effects of our (medically dominated 
and controlled/interrupted birthing process) meddlesome ways in our society's 
ills right now. 

  I for one, would not advocate giving syntocinon after the placenta was born 
for 'insurance' reasons.  

  It is really time that we all started looking at what makes our physiology 
work best, instead of the Newtonian way of always trying to control 'risk'.  
That is shutting the door after the horse has bolted way of doing things.  We 
have to reduced risk by optimising conditions before we get to the risky state. 
We are busy creating risk by frightening women. We have to start asking 'what 
helps women feel confident?'  'what helps women feel safe in their own skins?'  
' what can we do to make the birth environment one which enhances women's sense 
of self and internal security?'   "what helps women feel relaxed and calm?'  
"What do we need to do to help women stay in their parasympathetic aspect of 
their autonomic nervous system?"

  At Belmont, we are seeing the effects of facilitating, supporting and 
respecting the normal parasympathetic way of being - healthy happy babies and 
mothers, well bonded.  Labour goes better and faster, perineums are stretchier, 
love is more likely and deep, connection between mother/baby/family is 
facilitated, breastfeeding goes better, babies are healthy and happy and 
smiling from birth - we know they smile in the womb, but we can't see that til 
they're born. 

  love, Carolyn 


- Original Message - 
From: Kristin Beckedahl 
To: ozmidwifery@acegraphics.com.au 
Sent: Sunday, December 24, 2006 12:47 PM
Subject: [ozmidwifery] synto AFTER 3rd stage?


Hi all,

A woman I will be supporting for her first birth had a checkup y'day where 
she discussed her birth plan with the midwife.  MW was very impressed and 
supportive overall, yet was concerned about her decision for a natural 3rd 
stage. She has stated on her birth plan that she would prefer to take the "wait 
and see approach" and only have it if there was 'excessive' bleeding.  The MW 
was happy to negiotiate this with her and suggested she have it not at birth, 
but after the placenta has come away.

Would she really need it at this stageif her loss was minimal...?

Any insights would be appreciated thanks!

Kristin





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Re: [ozmidwifery] Urgently required midwife for 4 - 6 week locum in caseload mid model Victoria

[[EMAIL PROTECTED]]

What dates are you looking at filling?
  - Original Message - 
  From: Helen and Graham 
  To: ozmidwifery ; [EMAIL PROTECTED] 
  Sent: Sunday, December 24, 2006 7:58 AM
  Subject: [ozmidwifery] Urgently required midwife for 4 - 6 week locum in 
caseload mid model Victoria


  Hi Listers

  Any experienced midwives out there like a 4 - 6 week opportunity to be 
involved in a caseload midwife program in ASAP in Portland Victoria?  We have 
had an unexpected rise in late booking ins and desperately need a midwife.  The 
locum would definitely be with a view to staying on permanently if they enjoyed 
the trial period.

  Please email or contact me on 03 55232313 or 0429600428 for more information.

  Thanks in advance

  Helen


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Re: [ozmidwifery] Vaginal Breech Birth - Names Please...

[[EMAIL PROTECTED]]

Why do "they" need to uncross, let alone touch the feet Kelly?
Best practice for assisting a woman to birth her breech is HANDS OFF as much as 
possible. I was taught to leave baby alone as much as possible until feet, 
bottom, body have been born. Any assistance if needed is once baby's neck is at 
the perineum. To me those little feet pose no problem at all.
Wendy
  - Original Message - 
  From: Kelly Zantey 
  To: ozmidwifery@acegraphics.com.au 
  Sent: Friday, December 22, 2006 9:18 PM
  Subject: RE: [ozmidwifery] Vaginal Breech Birth - Names Please...


  Thanks for your replies, I am not doing very well at explaining hehe!

   

  What the woman has been told is with the baby's feet being crossed and with 
talipes, they are saying they doubt the baby will be unable to uncross the feet 
for a favourable breech birth (I actually think they mean the baby moving head 
down also, as I doubt they would do a vaginal birth from what she's said) . so 
my question is, what is anyone's experience or advice with that - is it likely 
the baby will have difficulties with a breech vaginal birth given she also has 
talipes?

   

  Best Regards,

   

  Kelly Zantey


------

  From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of D. Morgan
  Sent: Friday, December 22, 2006 7:55 PM
  To: ozmidwifery@acegraphics.com.au
  Subject: Re: [ozmidwifery] Vaginal Breech Birth - Names Please...

   

  Hi Kelly

  One of my babies had a 'turned' foot at birth, physio involved massaging the 
foot at each breastfeed and it was fine after a few weeks.

  Di M



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Re: [ozmidwifery] waterbirth

[[EMAIL PROTECTED]]

Hi Mary.

Goulburn Valley Health (Shepparton in central Victoria)
Angliss Health Service , Family Birth Centre (Eastern suburbs Melb)
I think there are a couple more in Victoria. I have the list at work because we 
are trying hard to write a policy here for Wangaratta...taking a break from it 
until the new year. Will try and dig it up for you if I go in before then.

I believe Barwon Health (Geelong ) has a policy supporting birth or they are in 
the process of writing one.

Wendy

  - Original Message - 
  From: Mary Murphy 
  To: ozmidwifery@acegraphics.com.au 
  Sent: Thursday, December 21, 2006 1:50 PM
  Subject: [ozmidwifery] waterbirth


  Hi everyone, I know this question has been asked before, but I can't remember 
the answer.  Do we have any maternity units, birth centres etc who officially 
do waterbirth?  I know homebirthers do, but I want to know about institutions.  
Thanks, MM



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Re: [ozmidwifery] deep vein thrombosis in pregnancy and birth

[[EMAIL PROTECTED]]

In my experience woemn just stop taking the anticoagulants at around 36 weeks. 
  - Original Message - 
  From: Jenny Turnbull 
  To: ozmidwifery@acegraphics.com.au 
  Sent: Wednesday, December 06, 2006 4:36 PM
  Subject: [ozmidwifery] deep vein thrombosis in pregnancy and birth


  A lady has approached me with the following question.  Her baby is due at the 
end of January.

 Hello, hoping I could get some opinions on the following matter.

I had a deep vein thrombosis, in my calf at 12 weeks of pregnancy and have 
been taking Clexane since then.  I am due late Jan 2007
My obsterician has flagged the idea of an induction (somewhere around 38 
week mark) so that I can time stopping the medication with the birth.  Her 
concern is I will bleed too much otherwise.

I would like some help on the following:
what would be some good questions to ask the specialist to help weigh up my 
options for birth eg to induce or not and other related matters eg relative
risks
Are you aware of mothers that have given birth whilst taking Clexane and 
what the outcomes have been.
 
Thanks for your responses, I will forward them on
Jenny 


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Re: [ozmidwifery] deep vein thrombosis in pregnancy and birth

[[EMAIL PROTECTED]]

In my experience woemn just stop taking the anticoagulants at around 36 weeks. 
  - Original Message - 
  From: Jenny Turnbull 
  To: ozmidwifery@acegraphics.com.au 
  Sent: Wednesday, December 06, 2006 4:36 PM
  Subject: [ozmidwifery] deep vein thrombosis in pregnancy and birth


  A lady has approached me with the following question.  Her baby is due at the 
end of January.

 Hello, hoping I could get some opinions on the following matter.

I had a deep vein thrombosis, in my calf at 12 weeks of pregnancy and have 
been taking Clexane since then.  I am due late Jan 2007
My obsterician has flagged the idea of an induction (somewhere around 38 
week mark) so that I can time stopping the medication with the birth.  Her 
concern is I will bleed too much otherwise.

I would like some help on the following:
what would be some good questions to ask the specialist to help weigh up my 
options for birth eg to induce or not and other related matters eg relative
risks
Are you aware of mothers that have given birth whilst taking Clexane and 
what the outcomes have been.
 
Thanks for your responses, I will forward them on
Jenny 


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Re: [ozmidwifery] independent midwifery

[[EMAIL PROTECTED]]

No , have never been asked to do this.
Any woman I have booked have wanted me for the whole deal, preganancy, birth
and postnatal care.

With the new state wide handheld notes documentation would be easyI have
to ask...why would one chose this model of care?




- Original Message -
From: "wump fish" <[EMAIL PROTECTED]>
To: 
Sent: Thursday, November 30, 2006 6:42 PM
Subject: [ozmidwifery] independent midwifery


> Do any of you provide private antenatal / postnatal care for women booked
to
> birth in a public hospital? How does this work with the hospital
> systems/paperwork etc. I would be really interested to know if and how
this
> model of care works.
> Thanks
> Rachel
>
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[ozmidwifery] Donation of birthing kits

[[EMAIL PROTECTED]]

Hi All.
Can anyone provide me contact details of either an organisation or individual 
through which donation of a birthing kit can be made to 
Midwives/communities/coutries in need. 

This is  a Christmas gift/donation instead of Kris Kringle at a workplace. 

Kindest Regards
Wendy Buckland

Re: [ozmidwifery] lotus placenta

[[EMAIL PROTECTED]]

Yes it is interesting.
I was pleasantly suprised how easy it was to 
collect the blood an hour after birth.
I had been worried about it before hand and asking 
everyone i could about it. 
Thanks by the way to all the wonderful 
midwives I questioned oer this issue in Geelong at the HB conference. 

The surrounding blood collected in the dish around 
the placenta, which drained from the maternal side congealed nicely as you 
would expect but the veins of the placenta were lovely and plump having not been 
prematurely detached.
Wendy

  - Original Message - 
  From: 
  Susan 
  Cudlipp 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Monday, November 13, 2006 4:37 
  PM
  Subject: Re: [ozmidwifery] lotus 
  placenta
  
  I'm finding this really interesting because 
  in actively managed 3rd stages (in my experience) it is hard to get blood from 
  a placenta this long afterwards, I find it clots in the vessels if I leave it 
  too long, I wouldn't fancy the chances of collecting it an hour or more 
  later.
  Is there some reason why this doesn't happen with 
  physiological 3rd stages, which are of course the best way to go for Rh-ve 
  women, or is this specific to Lotus births, I mean, does the fact that the 
  placenta remains attached cause it to take longer to congeal?
  Sue
  
- Original Message - 
From: 
Andrea Bilcliff 
To: ozmidwifery@acegraphics.com.au 

Sent: Monday, November 13, 2006 6:46 
AM
Subject: Re: [ozmidwifery] lotus 
placenta

Hi Mary,
 
In the lotus births I have been at with Rh 
negative women so far, I haven't had any problems collecting 
enough blood with a needle & syringe. The pathology services have 
always been able to perform the tests with the amount I've been able to 
put in a 4 ml tube.
 
Hope that helps,
Andrea Bilcliff

  - Original Message - 
  From: 
  Mary 
  Murphy 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Sunday, November 12, 2006 9:55 
  PM
  Subject: [ozmidwifery] lotus 
  placenta
  
  
  Hello wise women, I need 
  advice about a lotus birth, (not new to me) who is also Rh neg.  I 
  need to get enough blood for group and coombes.  In your experience, 
  is there sufficient blood in the placental vessels after a physiological 
  3rd stge ?  What is the best way to hndle this?  I 
  have had lots of Lotus Placentae but not with RH neg. women.  Thanks, 
  MM



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Re: [ozmidwifery] lotus placenta

[[EMAIL PROTECTED]]

Hi Mary
I had this very situation a few months 
ago.
There was ample blood in the placental vessels to 
collect via needle and syringe. I collected it about 45-60 mins after the 
birth.
Regards Wendy

  - Original Message - 
  From: 
  Mary 
  Murphy 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Sunday, November 12, 2006 9:55 
  PM
  Subject: [ozmidwifery] lotus 
  placenta
  
  
  Hello wise women, I need advice 
  about a lotus birth, (not new to me) who is also Rh neg.  I need to get 
  enough blood for group and coombes.  In your experience, is there 
  sufficient blood in the placental vessels after a physiological 3rd 
  stge ?  What is the best way to hndle this?  I have had lots of 
  Lotus Placentae but not with RH neg. women.  Thanks, 
  MM
  
  

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Re: [ozmidwifery] UniSA Students no longer able to attend births with Independant Midwives

[[EMAIL PROTECTED]]

Good grief this gets worse and worse. It so reminds 
me of the insurers attitude about the recent home birth here in 
Wangaratta.
 
Where has this directive come from? University 
unsurers making decisions they know nothing about...namely normal 
birth.
 
Frustrated and angry I don't have any answers to 
this one. What can be done?
Wendy
 

  - Original Message - 
  From: 
  Honey 
  Acharya 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Tuesday, October 17, 2006 1:33 
  PM
  Subject: [ozmidwifery] UniSA Students no 
  longer able to attend births with Independant Midwives
  
  
  Just got this email :(
  Any suggestions on what we can do about it? Dear BMid 
  StudentsPlease be advised that due to insurance and professional 
  indemity issues you are unable to follow through a woman if she is having her 
  care provided by an independent practicing midwife.This would include the 
  continuum of pregnancy care, labour and birth and during the postpartum 
  period.Models of care such as midwifery group practice and the Northern 
  Women's Community Midwifery Service will continue to be a valuable and 
  encouraged pattern of midwfery care for follow through experiences and are not 
  included in this advice.RegardsJanProfessor Jan 
  PincombeProgram Director; MidwiferySchool of Nursing and 
  MidwiferyUniversity of South AustraliaAdelaide SA AustraliaPhone 
  o8 8302 2027
  
  

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Re: [ozmidwifery] re: goodbyes

[[EMAIL PROTECTED]]

well said Tania, I have been trying to think about all of this and what 
to say but am a bit fragile due to a difficult birth this week...talk 
about the politics and consequences of blood gases int hospital system 
for a baby transferred in!
I would have Lisa's straight talking and advocacy in my corner any 
time...I do think it is a skill that we have to acknowledge some people 
are better at than others...I am not great on the in your face stuff, I 
wish I was, I am not good at confrontation and I really wish i was...
I do what I believe I need to do and refuse to do what I don't think is 
needed but i take the stress with me and I find the fights eat up my 
energy which is definitely flagging
Lisa reminds me that we need to support and embrace and argue and 
challenge - not to be afraid of our individuality or difference, I wish 
I had her energy and ability to speak out regardless of how we would see 
things
I am a glass half full kinda person, I try to be anyway, if unsure 
assume the positive aspect rather than negative so that what is a debate 
does not get seen as personal, I often see people getting upset and am 
surprised because I didn't read it that way
maybe we are so used to being out on a limb alone and always defending 
ourselves we struggle to see that difference in debate or practice or 
context is not a personal attack?

Belinda



Tania Smallwood wrote:


I’d like to add to the current conversation about cord blood gases…

 

I’ve been lurking just lately, as many of you know, I’ve had to make a 
difficult decision to stop practicing independently due to family 
commitments…and so, when the bloke I’m married to is actually here, I 
don’t spend as much time as I used to reading and contributing to 
Ozmid.  Just yesterday I had a few moments to catch up, and when I 
read the thread on blood gases, I was sure that I’d missed some mails 
(perhaps I have, there seems to be a few problems with mails doubling 
up, or getting temporarily lost in cyberspace!).  Halfway through the 
mails, it seemed to go from a lively and informative debate, 
(something that’s been missing from this list for a while IMHO) to a 
slinging match, with people getting upset that others are honest and 
up front about their views. 

 

Can I just say that I know Lisa B, and if there is a midwife who has 
walked in the shoes of every midwife torn between hospital policy, 
threat of losing her job, and what’s best for the women, it’s Lisa.  
She’s worked in a position of authority for over 2 years at one of 
Adelaide’s esteemed private hospitals, and I’m sure the conversations 
we’ve had about what she had to fight for there are only a small 
portion of what actually goes on.  She’s well aware as we all are, of 
what a battle it can be in the system, and along with me, and all the 
IPM’s I know, has utter respect and admiration for those attempting to 
change things one birth at a time.  I also see Lisa as a straight 
talker, and sometimes even I find it confronting to hear what she has 
to say, and I know her better than most on this list!  But that 
doesn’t mean that I pack my bags and go away, I may not agree, or I 
might think hey, that’s a bit blunt, but I also think that she’s made 
me think about things that I’d otherwise just go along merrily with, 
and not look at in a truly critical light.  I actually think that 
along with */everyone/* on this list, she has oodles of knowledge and 
skill, and heaps to contribute. 

 

I know I will never be a strong enough midwife to do what most of you 
do, go in every day and beat my head against that wall and hope to 
Goddess that a woman gets away with a good birth.  But please, don’t 
stop contributing because it’s hard.  Being a midwife is a hard road, 
no matter where you decide to direct your skill and passion.  We’re a 
downtrodden minority group, with ideals about women that are not 
shared by most of the people in power.  Refusing to keep the dialogue 
going is never going to be productive, all it will do is stagnate us 
where we are, and I think we all want midwifery and provision of 
evidence based maternity services to improve and become stronger in 
this country.


 


That’s all from me for now,

 


Tania

x


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Re: [ozmidwifery] No Contractions

[[EMAIL PROTECTED]]

Andrea
This is a beautiful story and yes you are so right 
about women asking to go home/hospital/

  - Original Message - 
  From: 
  Andrea 
  Quanchi 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Saturday, October 07, 2006 10:41 
  AM
  Subject: Re: [ozmidwifery] No 
  Contractions
  Sometimes at home the women get just as despondent but the 
  difference is that no one is going to walk through the door and under mine me 
  and 'save' her.
  Last week I was with a women who was birthing at home after three very 
  different and for a variety of reasons not so great labours.. She had done a 
  hypno birthing course and used the tools beautifully  and was so relaxed 
  that I was not convinced that she was labouring despite her telling me that 
  the contractions were getting stronger they were irregular and short.. She 
  asked me to do a VE which showed her Cx to be 75% effaced but 2 cm and quite 
  tight. This really annoyed her and when I suggested she rest she was opposed 
  to this and so I suggested the alternative was to  get up and get active 
  and send her uterus the message that she wanted it to get into gear rather 
  than the message that it was obviously getting from all her relaxation tapes, 
  breathing etc.
  Almost immediately she started rocking and rotating her hips quite 
  dramatically during contractions, she was in the kitchen with the lights on as 
  opposed to being in the bedroom in the dark where she had been before.  
  The response was dramatic and the contractions became co ordinated and strong 
  and within 10 min she asked her partner to run the bath.  She got in 
  there and then became passive again lying on her back and struggling with 
  quite strong contractions.  It was quite funny actually as after about 
  half an hour she opened one eye and told me I needed to call an ambulance as 
  she couldn't do this any more and needed to go to the hospital. ( For those of 
  you who haven;t been at a home birth women at home often ask to go to the 
  hospital in exactly the same way as women in hospital often ask to go 
  home).  She made no move to get out of the bath and so at first I just 
  ignored her but she became more insistent with each contraction so eventually 
  I pointed out to her that she couldn't go anywhere while she remained lying in 
  the bath and that if she wanted to go to the hospital she needed to get out of 
  the bath and into the car as ambulances were for emergencies and this was not 
  an emergency. She did stand up then and get out of the bath, leaned against me 
  for two contractions as I helped her dry herself and then I asked her did she 
  want to have the baby in the bedroom or in front of the fire in the lounge. 
  She just looked at me and said the lounge. So we moved there, she leaned over 
  the ball and had the baby. All this on 90 min since the VE.
  
  Andrea Quanchi
  
  
  On 07/10/2006, at 12:02 AM, Lisa Barrett wrote:
  
Hi Sue,
 
Thanks for sharing the 
information.  Your right it is almost impossible to avoid active 
intervention when birthing in the system even with great midwives like 
yourself supporting.  Part of the problem appears to be the lack of 
belief that waiting and doing nothing is going to work.  Some multips 
don't have full on labour until transition.  It is possible that when 
the head sits firmly on the cervix the contractions will pick up. I have not 
ever had to wait 12/15 mins from birth of a head to birth of a 
body.
Physiology tells us that the 
uterus clamps down immediately after birth.  I don't think you'd wait 
another 12/15 mins for the uterus to contract after the birth and that's if 
you don't do an active third stage.
 
It is not so hard to do other 
things when sytno drip isn't an option and you have no-one but yourself and 
the woman to trust in ( no idiot specialist in complications when your the 
specialist in the normal I mean).
I think I have the easy job when 
it comes to midwifery because I know I'm the specialist in normal and I 
don't answer to anyone on that score.  Politics with birthing as far 
out of the system as I do is another thing altogether but in the birth space 
with women it isn't an issue.  I chose to work like this because it's 
less  waring than having to say F**k off to drs all the 
time.
 
Lisa Barrett
 
 

   
  
  

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Re: [ozmidwifery] GBS and Staph

[[EMAIL PROTECTED]]

Staph is a normal flora usually of the 
skin, upper respiratory tract but also of the genital tract.
Wen

  - Original Message - 
  From: 
  Kelly @ 
  BellyBelly 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Saturday, October 07, 2006 7:24 
  AM
  Subject: RE: [ozmidwifery] GBS and 
  Staph
  
  
  Thanks everyone for 
  your replies, she is also wondering how she could have gotten 
  it?
   
  
  Best 
  Regards,
   
  Kelly 
  Zantey
  
  
  
  
  From: owner-ozmidwifery@acegraphics.com.au 
  [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Susan CudlippSent: Friday, October 06, 2006 11:22 
  PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] GBS and 
  Staph
   
  
  Yes Melissa - GBS is a different 
  organism from Staph.
  
  Not so long ago we used to 
  'anti-staph' the babies post first bath and day 3 using chlorhexidine cream, 
  it apparently no longer is required as the 'staph contamination' is not 
  harmful.
  
  Group B Strep is treated by AB's 
  in labour and screening/monitoring babies X48 hours, very few are colonised, 
  and few of these become sick but those that do can be very sick 
  indeed
  
  Sue
  
   
  
  -- Original Message - 
  
  

From: Melissa Singer 


To: ozmidwifery@acegraphics.com.au 


Sent: Friday, October 06, 2006 6:53 
PM

Subject: Re: [ozmidwifery] GBS and 
Staph

 

I thought group b strep and 
staph aureaus are different organisms?  Staph infections on vaginal 
swab require no treatment or preventative abs in labour.  Staph seems 
to have no effects on baby (that they haven't found out yet!) and it is a 
normal colonisation of the skin only becoming a issue in the sick, and 
immunocompromised.  I not 100% sure and am getting ready for work so no 
time to look it up yet.  

 

(p.s sharon, where i work 
we use benzpennicillin 1.2grams then 600mg every four 
hours.)

 

Regards 
Melissa

  
  - Original Message - 
  
  
  From: sharon 
  
  
  To: ozmidwifery@acegraphics.com.au 
  
  
  Sent: Friday, October 06, 2006 6:35 
  PM
  
  Subject: RE: [ozmidwifery] GBS and 
  Staph
  
   
  That’s right gbs 
  is group b streph which is found on vaginal swab at 36 weeks treated with 
  benzpennicillin during labour every 4 hours commencing with a loading dose 
  of 3 gms then 1.2 gm every four hours while in active 
  labour.
  Regards 
   sharon
   
  
  
      
  
  From: [EMAIL PROTECTED] 
  [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Ceri & 
  KatrinaSent: Friday, 6 
  October 2006 7:32 PMTo: 
  ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] GBS and 
  Staph
   
  Isn't GBS a staph infection??? Been awhile since I 
  was at work, relishing in the time off work with little munchkin who is 
  now 3 and bit months old.katrinaOn 06/10/2006, at 7:06 PM, 
  Kelly @ BellyBelly wrote:
  One of the women on my site has 
  just found out she has both of these things. She said she has googled for 
  hours and can’t find anything on Staph specifically. Can someone pass on 
  some knowledge on what this is going to mean? I have never heard of 
  someone having both before…. She’s almost 38wks… Best 
  Regards, Kelly ZanteyCreator, BellyBelly.com.auConception, 
  Pregnancy, Birth and BabyBellyBelly Birth Support 
size=2 width="100%" align=center> 

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[ozmidwifery] Belinda birth story

[[EMAIL PROTECTED]]

getting back to birth - I had a great day today!
I had a woman who lives out of town and has had two previous cesareans 
sections have a beautiful birth at home of a chubby baby girl.
After I had experienced a traumatic birth three months ago of a woman 
who ruptured her uterus suddenly in second stage (in hospital) and a 
traumatized but recovering mother and baby (long story) I had felt 
anxious about birth and found myself second guessing myself all of the 
time.
Taking on this woman challenged me to either be the midwife I wanted to 
be - that is trusting in women and supporting their decisions when they 
have received all of the information, or allow myself to be engulfed 
with fear and worry.
This birth today was special for many reasons and healing for the mum 
who was still emotional about her first two sections and desperate for a 
vaginal birth, but it is I found also healing for me. I supported her 
and cared for her and didn't let myself get caught up in the potential 
fear that was hanging around me from my earlier trauma.


Thankyou so much to the SAIMA midwives especially Lisa, Tania, Larissa, 
Julie, Milly and Rosie  - all of you really, who have supported me as I 
worked through my fears and trauma, the offers of support we so 
appreciated, thankyou Lisa and Rosie for offering to sit outside the 
house just to support me, it was great knowing you would do that for me 
XXX

midwives are good to each other
Love Belinda
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Re: [ozmidwifery] Midwife Directory Cancelled...

[[EMAIL PROTECTED]]

Kelly,

I hope you will reconsider a Midwife Directory.  From a consumer's point of 
view, it is extremely useful.

Four years ago I was pregnant with my third baby when the idea of home birth 
came across my radar for the first time.  With awareness of only very 
mainstream sources I had a VERY VERY difficult time finding an independent 
midwife.  One of the places I looked was in mainstream forums but I had no luck 
there.  At that time I knew no one who knew anyone who had had a home birth and 
did not know where to begin looking for a care provider.

A Midwife Directory on a site like Belly Belly could help someone in that 
situation.  The existence of a Midwife Directory would also help to inform 
people that there IS such a thing as an independent midwife.  Four years ago I 
thought a midwife was a nurse who helped doctors deliver babies (cringe).

Rachele
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[ozmidwifery] test - delete from inbox

[[EMAIL PROTECTED]]

Just testing, Ive sent 2 posts to the list today & neither
has appeared. So Im trying a post direct from my server to
track down the *WTF?* moment Im having. 
jennifairy
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[ozmidwifery] Another OMG moment...

[[EMAIL PROTECTED]]

http://www.scarytoyclown.com/?p=44
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Re: [ozmidwifery] Fw: info required

[[EMAIL PROTECTED]]

Good Grief
Most of what I would like to say is probaobly not 
safe to write anywhere.
Dr Mourik I have worked with in Wodonga as a 
student. He come here to Wang occassioanlly as a Locum much to the distress of 
all the midwives. Arrogant is an understatement. He "saves" women and tells them 
so. 
He is a skilled obstetrician, no doubt, but I 
wouldn't want him any where near me if I was birthing.
An example that comes to mind when I was a student 
was when he was performing a perineal repair and smugly asked the husband  
"Want me to throw in a few extra stitches, to tighten her up?"
This man is very self assured, articulate, hmmm 
perhaps you should just ring me at home on this one Cath. (03) 
57221605.
Wendy
 

  - Original Message - 
  From: 
  cath nolan 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Thursday, August 17, 2006 10:28 
  AM
  Subject: [ozmidwifery] Fw: info 
  required
  
   
  - Original Message - 
  From: cath 
  nolan 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Wednesday, August 16, 2006 8:37 PM
  Subject: info required
  
  I will be meeting with Peter 
  Miourik(obstetrician) amongst others in an informal dinner setting on Friday 
  night as the hospital that I work at is having a review of obstetric services 
  . I believe this is a man who is quite against midwifery led services and I'm 
  a bit puzzled as to why I have been asked to be one of the 2 midwifery reps at 
  this dinner. But very pleased at the same time, and more than happy to be a 
  part of this. Can anyone fill me in on what they know of this man? 
  Cath.
  
  

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Re: [ozmidwifery] Private Health Funds

[[EMAIL PROTECTED]]

Further to Justines fantastic comments
HBA do offer a refund to Private midwives somewhere 
in the vacinity of $1500 I am told. The person to speak to is Jenny Doherty 
99374074
Wen

  - Original Message - 
  From: 
  [EMAIL PROTECTED] 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Sunday, August 13, 2006 7:06 
  PM
  Subject: [ozmidwifery] Private Health 
  Funds
  
  
  Can anyone assist with their 
  knowledge of private health funds ?
  Which health fund covers the best 
  for midwifery care – I have a lady looking at care for her next pregnancy 
  having a history of 3 lscs after 2 vaginal births – and we have sought the 
  support of
  an obstetrician – thus the attempt 
  to look at joining a health fund prior to conception 
  ?
  Any help 
  appreciated
  Marie 
  Heath
  Midwyf 
  Services
   
  
  

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[ozmidwifery] Private Health Funds

[[EMAIL PROTECTED]]

Can anyone assist with their knowledge of private health
funds ?

Which health fund covers the best for midwifery care –
I have a lady looking at care for her next pregnancy having a history of 3 lscs
after 2 vaginal births – and we have sought the support of

an obstetrician – thus the attempt to look at joining
a health fund prior to conception ?

Any help appreciated

Marie Heath

Midwyf Services

 

Re: [ozmidwifery] Breastfeeding

[[EMAIL PROTECTED]]

Gail,

I am the mother of four children; the first two were born in a hospital birth 
centre and the last two were born at home.

I experienced lots of problems breastfeeding the first two - including cracked 
and bleeding nipples, extreme pain, difficulty latching, etc - but no problems 
whatsoever feeding #3 and #4.

All four babies had skin on skin and the first breastfeed shortly after birth.  
During my hospital labours I received pethidine and nitrous oxide and 
experienced a "managed third stage".  I did receive an oxytocin injection 
during one of my homebirths due to very heavy bleeding after the placenta was 
born.

I received lots and lots of conflicting bfing advice during my hospital stays 
with #1 and #2.  I didn't really need or ask for any advice after my hbs as 
both babes fed without problems.

I grew up seeing my mother bfing my younger siblings and it never occured to me 
that I would not bf.  I remember seeing my mum experiencing pain during an 
early bf and her telling me that it can be uncomfortable the first few days but 
that is ok and it gets better.  The best bfing advice I ever got was to 
persevere for the first two weeks; after that it is a breeze.

So, perhaps it was the drugs in labour that caused my problems with #1 and #2.  
The conflicting advice in hospital didn't help.  Those early issues did not 
dissuade me, however, and both babies were fully breastfed for some time.  My 
homeborn babes fed like champs without any problems, although I have 
experienced several bouts of mastitis with all but my firstborn.

Rachele


---- Gail McKenzie <[EMAIL PROTECTED]> wrote: 
> To all you magnificent home birth warrior women out there, could you please 
> tell me if any of your birthing women have problems with breastfeeding. I'm 
> a middy student working on a ward at the present & I'm astounded by how many 
> women have problems with breastfeeding.
> 
> If your women do not, please enlighten me as to why you think this is.  If 
> they do, again, what do you put this down to?
> 
> 
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Re: [ozmidwifery] Anne Smith

[[EMAIL PROTECTED]]

Joy
Anne is currently offline due to computor hassles. She is working hard to
rectify this so she can communicate with one and all. She should be back
online soon. She says anyone with questions, support etc can ring her
(03)57213143
Wendy
- Original Message -
From: "Joy Cocks" <[EMAIL PROTECTED]>
To: "Ozmidwifery" 
Sent: Sunday, July 16, 2006 4:44 PM
Subject: [ozmidwifery] Anne Smith


> Dear Anne,
> If you are still on ozmid, can you please contact me (off-list if you
> prefer)?  I want to know how I/we can best support you.  It sounds as if
you
> have made a very difficult and courageous decision.
> Regards,
> Joy
>
> Joy Cocks RN (Div 1) RM IBCLC
> BRIGHT Vic 3741
> email:[EMAIL PROTECTED]
>
>
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>
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>

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Re: [ozmidwifery] umbilical cord

[[EMAIL PROTECTED]]

 as the hospital where i work practices active management of third stage of 
labour which is controlled cord traction and syntocion with the birth of the 
anterior shoulder.
 Lindsay & Yvette <[EMAIL PROTECTED]> wrote: 
> I wonder if it started off as a twin pregnancy.
> 

> 
Was there some reason the placenta could not be left to come out on it's 
> 
own?
> 

> 
Yvette
> 
(not a midwife, just pg with twins & mother of 3)
> 

> 

> 
- Original Message - 
> 
From: <[EMAIL PROTECTED]>
> 
To: 
> 
Sent: Friday, July 01, 2005 9:50 AM
> 
Subject: [ozmidwifery] umbilical cord
> 

> 

> 
>
> 
>
> 
> hello,
> 
> i was with a birthing woman yesterday and wanted to share this with the 
> 
> list and to get everyones feelings on the matter.after waiting for signs 
> 
> of seperation of the placenta after the birth and following syntocinon iv 
> 
> i commenced controlled cord traction. After a feeling a little resistance 
> 
> i then stopped and waited a further few mins. When i re commenced 
> 
> controlled cord traction the cord came off in my hand ( much to my horror) 
> 
> this they did not teach in uni. as new graduate in a large hospital i 
> 
> asked a senior midwife for help so she tried to manually removed the 
> 
> placenta. The Registrar was then called and she managed to remove  the 
> 
> placenta from the uterus.  im told this is quite common what baffles me is 
> 
> when i examined the placenta there were two holes in it not one. the 
> 
> senior midwife could not explain this to me at all and was baffled also.
> 
> regards  sharon
> 
> --
> 
> This mailing list is sponsored by ACE Graphics.
> 
> Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. 
> 

> 
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> 


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RE: [ozmidwifery] umbilical cord

[[EMAIL PROTECTED]]

 thanks for that,
at the institution where i work you give synt at the birth of the anterior 
shoulder, as per protocol. and no i had never been entertained with the stories 
of cord snapping while being delivered. i now have first hand knowledge though.
ps lady is ok  and there were no mishaps.
 Ken WArd <[EMAIL PROTECTED]> wrote: 
> Second hole could have been caused by someone poking their finger in while 
> trying to deliver it.. There is no need to rush the placenta out if the cord 
> snaps. Provided there are no signs of haemorrhage i.e. bleeding, fundus 
> rising, bp falling, pulse quickening.  The placenta will separate and the 
> action of the uterus will move it down. The synto will delay this action as 
> the uterus contracts and traps it. I never like to give synto before the 
> birth of the placenta, if at all, usually only at the mother's request.  
> 
I am surprised you didn't learn about cords snapping, or at least been 
entertained with stories of this happening.   Maureen
> 
-Original Message-----
> 
From: [EMAIL PROTECTED]
> 
[mailto:[EMAIL PROTECTED] Behalf Of
> 
[EMAIL PROTECTED]
> 
Sent: Friday, 1 July 2005 9:51 AM
> 
To: ozmidwifery@acegraphics.com.au
> 
Subject: [ozmidwifery] umbilical cord
> 

> 

> 

> 

> 
hello,
> 
i was with a birthing woman yesterday and wanted to share this with the list 
and to get everyones feelings on the matter.after waiting for signs of 
seperation of the placenta after the birth and following syntocinon iv i 
commenced controlled cord traction. After a feeling a little resistance i then 
stopped and waited a further few mins. When i re commenced controlled cord 
traction the cord came off in my hand ( much to my horror) this they did not 
teach in uni. as new graduate in a large hospital i asked a senior midwife for 
help so she tried to manually removed the placenta. The Registrar was then 
called and she managed to remove  the placenta from the uterus.  im told this 
is quite common what baffles me is when i examined the placenta there were two 
holes in it not one. the senior midwife could not explain this to me at all and 
was baffled also.
> 
regards  sharon
> 
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> 

> 

> 
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> 


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[ozmidwifery] umbilical cord

[[EMAIL PROTECTED]]

hello,
i was with a birthing woman yesterday and wanted to share this with the list 
and to get everyones feelings on the matter.after waiting for signs of 
seperation of the placenta after the birth and following syntocinon iv i 
commenced controlled cord traction. After a feeling a little resistance i then 
stopped and waited a further few mins. When i re commenced controlled cord 
traction the cord came off in my hand ( much to my horror) this they did not 
teach in uni. as new graduate in a large hospital i asked a senior midwife for 
help so she tried to manually removed the placenta. The Registrar was then 
called and she managed to remove  the placenta from the uterus.  im told this 
is quite common what baffles me is when i examined the placenta there were two 
holes in it not one. the senior midwife could not explain this to me at all and 
was baffled also.
regards  sharon
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Re: [ozmidwifery] pregnancy counselling

[[EMAIL PROTECTED]]

  i too like carina went to the PAC during my student days (for me the 
experience was one of closure ) i felt that this is one placement that as 
students we should all be able to go to as the staff of this particular 
instituiton are confidnet and non judgemental with women's feelings and what 
they want from the staff on any one particular day. The univeristy of S.A. were 
on this placement very supportive of my choice to go there and they were also 
very supportive when i asked to go to the clinic.  women have to make choices 
which effect them their whole lives and i applaude anyone who goes through with 
this procedure as they then have to live witht he what ifs for the rest of 
their lives. as midwives we can onlyh support women in their choices and not be 
judgemental.  
regards sharon
 
 Carina <[EMAIL PROTECTED]> wrote: 
> Hi Emily
> 

> 
I am a BMID student from SA and earlier this year I had my very first
> 
Midwifery Placement in a termination clinic in Adelaide, where I got to
> 
follow a woman through from the counselling to termination, and then
> 
recovery and debriefing.  I can tell you that your response to this scenario
> 
is far closer to the mark than your examiners. The counselling that I
> 
witnessed was completely devoid of value based judgements. I would consider
> 
your examiners comments to be leading,  his questions are obviously loaded.
> 
We are taught (at Uni SA) that our role is to provide information, not to
> 
advise. I think your response was right on the mark and if one of the expert
> 
midwives from the Pregnancy Advisory Centre (termination clinic),   was
> 
marking your paper, you would receive great marks for demonstrating woman
> 
centeredness etc, etc. This is how I too would have answered this question,
> 
professionally, without value based judgement. Hang in there.
> 

> 
Carina Brown
> 

> 

> 
On 29/6/05 6:44 AM, "Emily" <[EMAIL PROTECTED]> wrote:
> 

> 
> thanks everyone for the thoughtful replies. i guess my main problem was to do
> 
> with the particular woman. since she was actually adamant and sure she and her
> 
> partner didnt want a baby, i felt it was inappropriate to go into the
> 
> logistics of having a baby (since she didnt think there was any chance she
> 
> would!) 
> 
> anyway im going to let it slide. its just heart sinking when something you are
> 
> very interested in and feel you are good at, someone in authority goes and
> 
> tells you that youre bad at it
> 
> btw im doing bmed
> 
> love emily
> 
> 
> 
> Jennifairy <[EMAIL PROTECTED]> wrote:
> 
>> Emily I sympathise, & I have 2 things to offer..
> 
>> some years ago I was late with my period, was definite that if I was
> 
>> pregnant I would terminate, & went to a GP for a pregnancy test. The GP
> 
>> asked me some of those questions your examiner wanted you to ask - at
> 
>> the time I was living in a shed with no electricity, rainwater only,
> 
>> while I was building my house. The GP told me that 'babies dont care
> 
>> where they are', & actually refused to do the blood test. So I guess Im
> 
>> saying - what are you asking the questions for?
> 
>> I dont see what this womans fathers religious inclination has to do with
> 
>> her decision-making process. Women in this situation are making what is
> 
>> *always* a very difficult decision, & I think our job is to help her (if
> 
>> she requires help) identify what the important (to her) issues are for
> 
>> her to make a decis! ion she can live with.
> 
>> Having said all that, & just recently graduating from BMid myself, I
> 
>> also have to say that there are some things you have to do as a student
> 
>> that you inherently believe is a complete crock. Sometimes you just have
> 
>> to 'talk the talk', & then go & walk it the way you believe it should be
> 
>> walked. One of the most important lessons I learnt at Uni was to
> 
>> distinguish what walls I could butt my head against that would make the
> 
>> most difference, & what walls would just leave me a blood-soaked wreck
> 
>> (this was obviously experience-based learning - & its such a pity that
> 
>> the 'science' of phrenology has become a thing of the past, as I could
> 
>> probably get a job as a teaching model :) ) (Im sure there was a Monty
> 
>> Python sketch about that..)
> 
>> So, yeah, write the letter if you have the time, but dont let it get in
> 
>> the way of blitzing the exams!
> 
>> cheers
> 
>> Jennifairy
> 
>> 
> 
>> Emily wrote:
> 
>> 
> 
>&g

Re: [ozmidwifery] broken collar bone & subsequent birth

[[EMAIL PROTECTED]]

thanks for the information regarding the gaskin manouvere i agree that is what 
we do i didnt realize it had a name. 
regards sharon.

 Ceri & Katrina <[EMAIL PROTECTED]> wrote: 
> The Gaskin is a 'midwifery' manoevure, and was pioneered by Ina May 
> Gaskin,  so not talked about (at least where I work) in conjunction 
> with the McRoberts and Rubins etc. It is where you get the woman to go 
> over on all fours. We have one midwife that actually believes it is the 
> movement, rather than the all fours, she finds if the woman is 
> semi-recumbent, then all fours is good. And if the woman is already on 
> all fours then she gets her to flip back to semi recumbent which in 
> most cases is all that is needed.
> 
> Hope that helps. I think (?) a lot of midwives  probably do this 
> manoevure, but just did not know it had a name.
> 
> Katrina
> 
> 
> On 25/06/2005, at 10:11 AM, [EMAIL PROTECTED] wrote:
> 
> >  hi can some one enlighten me about the gaskin manoeuvre  i have been 
> > taught the rubiks and the woods screw but havnt heard of the gaskin 
> > manovure.
> > thanks  sharon
> >
> >
> >
> >  Janet Fraser <[EMAIL PROTECTED]> wrote:
> >> Can I ask, is the bone breaking manoeuvre being employed AFTER the 
> >> Gaskin Manoeuvre has been unsuccessful?
> >> Thanks.
> >> J
> >>   - Original Message -
> >>   From: Mary Murphy
> >>   To: ozmidwifery@acegraphics.com.au
> >>   Sent: Saturday, June 25, 2005 3:52 AM
> >>   Subject: RE: [ozmidwifery] broken collar bone & subsequent birth
> >>
> >>
> >>   Jennifer wrote: A # clavicle is not a big issue in a
> >>
> >>   neonate and doesn't necessarily mean excessive force was used. The 
> >> neonates
> >>
> >>   bones are pliable and the # is usually a 'greenstick' or partial 
> >> break or
> >>
> >>
> >>
> >>   Well, I have NEVER seen a #clavicle in 26 yrs of both hospital & 
> >> home midwifery, even in big babies where some force has been used.  
> >> MM
> >
> > --
> > This mailing list is sponsored by ACE Graphics.
> > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
> >
> 
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Re: [ozmidwifery] broken collar bone & subsequent birth

[[EMAIL PROTECTED]]

 hi can some one enlighten me about the gaskin manovure  i have been taught the 
rubiks and the woods screw but havnt heard of the gaskin manovure.
thanks  sharon



 Janet Fraser <[EMAIL PROTECTED]> wrote: 
> Can I ask, is the bone breaking manoeuvre being employed AFTER the Gaskin 
> Manoeuvre has been unsuccessful? 
> Thanks.
> J
>   - Original Message - 
>   From: Mary Murphy 
>   To: ozmidwifery@acegraphics.com.au 
>   Sent: Saturday, June 25, 2005 3:52 AM
>   Subject: RE: [ozmidwifery] broken collar bone & subsequent birth
> 
> 
>   Jennifer wrote: A # clavicle is not a big issue in a 
> 
>   neonate and doesn't necessarily mean excessive force was used. The neonates 
> 
>   bones are pliable and the # is usually a 'greenstick' or partial break or
> 
>
> 
>   Well, I have NEVER seen a #clavicle in 26 yrs of both hospital & home 
> midwifery, even in big babies where some force has been used.  MM 

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Re: [ozmidwifery] physiological 3rd stage

[[EMAIL PROTECTED]]

 hi iam interested in your care packages also  thanks  as iam a bach of mid 
graduate working in alarge hospital thanks a lot
 Tania & Laurie <[EMAIL PROTECTED]> wrote: 
> I would also love the see your care packages.
> 
Tania
> 
  - Original Message - 
> 
  From: Janet Fraser 
> 
  To: ozmidwifery@acegraphics.com.au 
> 
  Sent: Wednesday, June 22, 2005 8:54 AM
> 
  Subject: Re: [ozmidwifery] physiological 3rd stage
> 

> 

> 
   This dad then told them that he believed in the benefit of allowing the cord 
to stop pulsating before cutting it and that he would sue them if they cut the 
cord unnecessarily. 
> 

> 
  This is pretty much what I teach women about birth although I don't recommend 
suing all that often ;-). I certainly give the benefits of proceeding as nature 
has intended with all the built in safeguards but I also provide large 
documents with the dangers of each intervention. Women are always shocked by 
how little their hospital has told them.
> 
  I'm happy to share my "care packages" with anyone who could use them.
> 
  Best,
> 
  J
> 


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Re: [ozmidwifery] Success!!!

[[EMAIL PROTECTED]]

 congratulations to you all at the birth centre. good luck you all must be 
feeling so good for all the work that u have done to get this up and running.
regards  sharon
 Jennifairy <[EMAIL PROTECTED]> wrote: 
> Oh you have done so well, BIG CONGRATS!!!
> 
This has totally made my day...
> 
I mean of course this was going to happen, you've gotta use that new 
> 
doppler somewhere!
> 
well done to all, hope you can break out the 
> 
champagne/chocolate/indulgence of choice
> 
cheers
> 
jennifairy
> 

> 
Maternity Ward Mareeba Hospital wrote:
> 

> 
> It is now official as it is in todays Cairns Post and no doubt it will 
> 
> be on the news sometime.
> 
>  
> 
> MAREEBA MATERNITY IS NOW TO BE A PILOT SITE IN QLD FOR A LOW RISK 
> 
> FREESTANDING BIRTH CENTRE.
> 
>  
> 
> Thanks to the brilliant work done by the staff, the women, the 
> 
> community and MC, ACMI etc.
> 
>  
> 
> Apparantly we can start 1 July. Policies are being madly written and 
> 
> all sort of paperwork produced as we will be under a microscope for a 
> 
> long time.
> 
>  
> 
> Apart from that we have had 3 babies this week, multis who were in too 
> 
> good a labour to risk transferring, 3 very happy mums to birth in 
> 
> their own community.
> 
>  
> 
> Cheers
> 
> Judy
> 
>
> 
>
> 
> ***
> 
> This email, including any attachments sent with it, is confidential 
> 
> and for the sole use of the intended recipient(s). This 
> 
> confidentiality is not waived or lost, if you receive it and you are 
> 
> not the intended recipient(s), or if it is transmitted/received in error.
> 
>
> 
> Any unauthorised use, alteration, disclosure, distribution or review 
> 
> of this email is prohibited. It may be subject to a statutory duty of 
> 
> confidentiality if it relates to health service matters.
> 
>
> 
> If you are not the intended recipient(s), or if you have received this 
> 
> email in error, you are asked to immediately notify the sender by 
> 
> telephone or by return email. You should also delete this email and 
> 
> destroy any hard copies produced.
> 
> ***
> 
>
> 
>
> 
>
> 
>No virus found in this incoming message.
> 
>Checked by AVG Anti-Virus.
> 
>Version: 7.0.323 / Virus Database: 267.6.7 - Release Date: 10/06/2005
> 
>  
> 
>
> 

> 

> 
-- 
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Re: [ozmidwifery] Evening primrose oil

[[EMAIL PROTECTED]]

 hi i know this is off the track but i would like to know if it is common 
practice in all SCBU that you do a rectal temp on neonates when they are 
admitted. i know that there is evidence to state this practice is not good and 
that we should be doing tympanic temps as they are far more accurate also can 
anyone point me in the right direction to find this as ive tried looking but 
can find the trial to print out 
thanks sharon
 Anne Clarke <[EMAIL PROTECTED]> wrote: 
> Dear Joanne,
> 

> 
The dose for evening primrose oil for overdue women as per Birth Centre 
Induction of Labour booklet! 
> 
Take Evening Primrose oil (gel-caps 500mg) orally 3 times per day and insert 2 
in the vagina at   bedtime--you must stay laying down on your side or else the 
caps may fall out (only try this as long as the bag of waters is intact). 
> 

> 

> 
It doesn't START labour, only prepares the cervix. You can buy Evening Primrose 
oil at just about any health food/vitamin/herbal type store or supermarket. You 
can start taking about2 - 3 capsules orally daily at almost 38 weeks.
> 

> 
 
> 


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Re: [ozmidwifery] Dangers of nitrous oxide

[[EMAIL PROTECTED]]

 hi this is off the track of this email but i was wondering is there any 
studies which compare the use of rectal and axilla temps on neonates. i have 
been looking for the evidence to present to the unit where i am currently 
working as a Graduate midwife and even though we had been told numerous times 
at uni that axilla temp does not differ from rectal i cant seem to find the 
evidence to back this up. the only piece of evidence which i found i couldnt 
down load from the site recommended neonates had their temps taken tympanically 
as the ambient temp of the room also assisted with the inaccurate temperature 
recording of the neonate.

any help finding out this information would be  greatly appreciated not only 
for my own use but hopefully i can get protocol changed where i work.

regards sharon
 Andrea Robertson <[EMAIL PROTECTED]> wrote: 
> Hello everyone,
> 

> 
The following piece is the transcript of a news item that was on the main 
> 
ABC news last night. It has implications for women and midwives in labour 
> 
wards - operating theatres are ventilated and well scavenged for gases, but 
> 
labour wards may not be, unless there is active air conditioning system 
> 
that cleans the air, and the apparatus used by the women are fitted with 
> 
scavenger systems.
> 

> 
I have completed a long review article, with the help of an English 
> 
midwife, that looks at the hazards of nitrous oxide for midwives and this 
> 
will be published in The Practising Midwife in the June/July issue. Once it 
> 
appears in print I will post it onto our website - it is very important 
> 
that midwives read this, especially if nitrous oxide is used in their hospital.
> 

> 
Meanwhile, this is new evidence that will be useful...
> 

> 

> 

> 

> 
Study highlights anaesthetic's risks
> 

> 
A new study raises serious concerns about the side-effects of nitrous 
> 
oxide, the gas commonly known as laughing gas and used in general anaesthetics.
> 

> 
An Australian-led study of more than 2,000 patients in 20 hospitals around 
> 
the world has found the gas slows the recovery process and increases the 
> 
rate of serious vomiting, pneumonia and wound infections after surgery.
> 

> 
The results have prompted calls from doctors for the gas to be phased out 
> 
in anaesthetics and only be used for fast pain relief in cases such as 
> 
injuries and labour pains.
> 

> 
One of the study's chief investigators, Associate Professor Kate Lesley 
> 
from the Royal Australian and New Zealand College of Anaesthetists, says 
> 
the results will make doctors more cautious about using the gas.
> 

> 
"Some people will choose to discontinue using it, some anaesthetists, on 
> 
the basis of our study," she said.
> 

> 
"Certainly in my practice I've stopped using nitrous oxide in higher-risk 
> 
patients.
> 

> 
"The problem is that you have to replace it with something and some of the 
> 
other drugs that we have to use have also got significant side-effects, so 
> 
it's not cut and dried."
> 

> 

> 
Birth complications
> 

> 
Through the study, nitrous oxide has been linked to serious side-effects 
> 
including immune system defects and birth complications.
> 

> 
Despite the head of the college saying that if it was banned there would be 
> 
fewer sick people, Professor Lesley says such complications are very rare.
> 

> 
"It's probable that nitrous oxide use is still acceptable and perfectly 
> 
safe in people having short-term procedures," she said.
> 

> 
"It is important to note that it's still safe for women in labour, so women 
> 
can feel confident that getting on nitrous oxide for a short period during 
> 
their labour pain is not dangerous."
> 

> 
The gas has been used in medicine for more than 150 years but such 
> 
side-effects have only now been researched.
> 

> 
The study is the first to find faults in such a widely used anaesthetic.
> 

> 
"The college of anaesthetists in Australia has been successful in putting 
> 
together these very large trials and carrying them out successfully," 
> 
Associate Professor Lesley said.
> 

> 
"In the past anaesthesia and surgery were very dangerous anyway and 
> 
anaesthesia has become so safe now, we're refining it more and more, and 
> 
more subtle problems that we have are becoming obvious."
> 

> 
-
> 

> 
Regards
> 

> 
Andrea
> 

> 
-
> 
Andrea Robertson
> 
Birth International * ACE Graphics * Associates in Childbirth Education
> 

> 
e-mail: [EMAIL PROTECTED]
> 
web: www.birthinternational.com
> 

> 

> 
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> 
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> 
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> 


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Re: [ozmidwifery] Dangers of nitrous oxide

[[EMAIL PROTECTED]]

 this is interesting reading thanks for sharing this with us,this gives us food 
for thought definately. sharon
 Andrea Robertson <[EMAIL PROTECTED]> wrote: 
> Hello everyone,
> 

> 
The following piece is the transcript of a news item that was on the main 
> 
ABC news last night. It has implications for women and midwives in labour 
> 
wards - operating theatres are ventilated and well scavenged for gases, but 
> 
labour wards may not be, unless there is active air conditioning system 
> 
that cleans the air, and the apparatus used by the women are fitted with 
> 
scavenger systems.
> 

> 
I have completed a long review article, with the help of an English 
> 
midwife, that looks at the hazards of nitrous oxide for midwives and this 
> 
will be published in The Practising Midwife in the June/July issue. Once it 
> 
appears in print I will post it onto our website - it is very important 
> 
that midwives read this, especially if nitrous oxide is used in their hospital.
> 

> 
Meanwhile, this is new evidence that will be useful...
> 

> 

> 

> 

> 
Study highlights anaesthetic's risks
> 

> 
A new study raises serious concerns about the side-effects of nitrous 
> 
oxide, the gas commonly known as laughing gas and used in general anaesthetics.
> 

> 
An Australian-led study of more than 2,000 patients in 20 hospitals around 
> 
the world has found the gas slows the recovery process and increases the 
> 
rate of serious vomiting, pneumonia and wound infections after surgery.
> 

> 
The results have prompted calls from doctors for the gas to be phased out 
> 
in anaesthetics and only be used for fast pain relief in cases such as 
> 
injuries and labour pains.
> 

> 
One of the study's chief investigators, Associate Professor Kate Lesley 
> 
from the Royal Australian and New Zealand College of Anaesthetists, says 
> 
the results will make doctors more cautious about using the gas.
> 

> 
"Some people will choose to discontinue using it, some anaesthetists, on 
> 
the basis of our study," she said.
> 

> 
"Certainly in my practice I've stopped using nitrous oxide in higher-risk 
> 
patients.
> 

> 
"The problem is that you have to replace it with something and some of the 
> 
other drugs that we have to use have also got significant side-effects, so 
> 
it's not cut and dried."
> 

> 

> 
Birth complications
> 

> 
Through the study, nitrous oxide has been linked to serious side-effects 
> 
including immune system defects and birth complications.
> 

> 
Despite the head of the college saying that if it was banned there would be 
> 
fewer sick people, Professor Lesley says such complications are very rare.
> 

> 
"It's probable that nitrous oxide use is still acceptable and perfectly 
> 
safe in people having short-term procedures," she said.
> 

> 
"It is important to note that it's still safe for women in labour, so women 
> 
can feel confident that getting on nitrous oxide for a short period during 
> 
their labour pain is not dangerous."
> 

> 
The gas has been used in medicine for more than 150 years but such 
> 
side-effects have only now been researched.
> 

> 
The study is the first to find faults in such a widely used anaesthetic.
> 

> 
"The college of anaesthetists in Australia has been successful in putting 
> 
together these very large trials and carrying them out successfully," 
> 
Associate Professor Lesley said.
> 

> 
"In the past anaesthesia and surgery were very dangerous anyway and 
> 
anaesthesia has become so safe now, we're refining it more and more, and 
> 
more subtle problems that we have are becoming obvious."
> 

> 
-
> 

> 
Regards
> 

> 
Andrea
> 

> 
-
> 
Andrea Robertson
> 
Birth International * ACE Graphics * Associates in Childbirth Education
> 

> 
e-mail: [EMAIL PROTECTED]
> 
web: www.birthinternational.com
> 

> 

> 
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> 
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> 
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> 


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Re: [ozmidwifery] Pregnancy Rash

[[EMAIL PROTECTED]]

 hi jo,
im a grad midwife, what i can remember from my student days women in the last 
trimester of their pregnancy tend to get the pregnancy rash due to all the nice 
hormones. im told that this clears up once the baby is born within a few days. 
women which i have come into contact with  have used bethnovate to alleviate 
the rash. good luck as it is not too much longer now that you have to put up 
with the rash and the itchiness.
sharon
 JoFromOz <[EMAIL PROTECTED]> wrote: 
> Hi everyone.
> 

> 
I have had an exczema type rash down the side of my thighs and butt for 
> 
a few weeks now, exacerbated by hot showers, relieved by a tiny amount 
> 
of my husband's "novasone" exczema cream and NOT scratching it!  (sorry 
> 
Mary, I keep forgetting to mention it at our appointments).
> 

> 
Just a few days  ago I have started to get tiny red itchy spots on my 
> 
tummy, too.  I am coming up for 39 weeks soon.   It doesn't look the 
> 
same as the exczema, and faint memory tells me it has something to do 
> 
with my liver not working so well... does that sound right?  I have been 
> 
eating more eggs than usual lately; could the increased protein be 
> 
making my liver work harder?  Just a thought.  Anyone?
> 

> 
Thanks,
> 

> 
Jo (RM)
> 

> 

> 
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> 
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> 
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[ozmidwifery] re sth australian midwife of the year

[[EMAIL PROTECTED]]

 congratulations to wendy thornton on being the midwife of the year for south 
australia. saw this in the paper and was so pleased to see that tania is also 
looking after her present pregnancy.
regards sharon 
 Emily <[EMAIL PROTECTED]> wrote: 
> hi vicky
> 
thanks. my email is [EMAIL PROTECTED] or phone 0400372053. i can give you more 
info about the elective off list if you like 
> 
thanks heaps
> 
emily
> 

> 
Vicki Muscio <[EMAIL PROTECTED]> wrote:
> 
Hi Emily,
> 
I'm currently doing my middy at Nepean. I can give you the name and phone 
number of our course coordinator if you give me your details.
> 
Vicki
> 
- Original Message - 
> 
From: Emily 
> 
To: ozmidwifery@acegraphics.com.au 
> 
Sent: Tuesday, May 03, 2005 11:41 AM
> 
Subject: [ozmidwifery] nepean hospital
> 

> 

> 
hi does anyone work at Nepean hospital?? im trying to organise an elective 
there and dont have a contact as yet..
> 
thanks so much
> 
emily
> 

> 

> 

> 

> 
-
> 
Do you Yahoo!?
> 
Yahoo! Sports - Sign up for Fantasy Baseball.
> 
__
> 
Do You Yahoo!?
> 
Tired of spam?  Yahoo! Mail has the best spam protection around 
> 
http://mail.yahoo.com 

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[ozmidwifery] re sth australian midwife of the year

[[EMAIL PROTECTED]]

 congratulations to wendy thornton on being the midwife of the year for south 
australia. saw this in the paper and was so pleased to see that tania is also 
looking after her present pregnancy.
regards sharon 
 Emily <[EMAIL PROTECTED]> wrote: 
> hi vicky
> 
thanks. my email is [EMAIL PROTECTED] or phone 0400372053. i can give you more 
info about the elective off list if you like 
> 
thanks heaps
> 
emily
> 

> 
Vicki Muscio <[EMAIL PROTECTED]> wrote:
> 
Hi Emily,
> 
I'm currently doing my middy at Nepean. I can give you the name and phone 
number of our course coordinator if you give me your details.
> 
Vicki
> 
- Original Message - 
> 
From: Emily 
> 
To: ozmidwifery@acegraphics.com.au 
> 
Sent: Tuesday, May 03, 2005 11:41 AM
> 
Subject: [ozmidwifery] nepean hospital
> 

> 

> 
hi does anyone work at Nepean hospital?? im trying to organise an elective 
there and dont have a contact as yet..
> 
thanks so much
> 
emily
> 

> 

> 

> 

> 
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> 
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RE: ARm was Re: [ozmidwifery] VE

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Abby, 
AROM is a 'tool' of active management and like many other obstetric
interventions it has been used as a normal practice by o mnay.  I am not
sure why it would be used as a Midwife tool but as I am not one (a midwife)
I ont want to make a blanket statement.
I agree that your list o things an AROM can cause as I did a great deal of
reading about it when trying to work out why I had my cs for my first.  You
might like to add increase chance of fetal distress to your list next to
baby's head being in the wrong position.  All in all it seems like once
again there are MANY reasons why not to do this to women but as far as I
can tell, ambivulent reasons why to use it.
But like you, I stand ready for correction as I said, I am not a midwife
and I am always open for further learning! lol
love Jo
PS LOVE being in Bendigo for  my week stayhave been able to have brunch
with some great people and I have read TWO yes TWO books!  This no
children, husband or house work thing has some rewards!  Unfortunatley the
little one whom I am actually here for is snuggled up inside mum really
with no intentions of coming out to suit my schedule!  I am sure she will
birthher baby when i am flying home! lol




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Re: [ozmidwifery] Fw: InviteTo NSW NMAP Launch

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See you tomorro
Denise
Original Message:
-
From: Barry MacGregor [EMAIL PROTECTED]
Date: Mon, 23 Sep 2002 08:30:23 +1000
To: [EMAIL PROTECTED]
Subject: Re: [ozmidwifery] Fw: InviteTo NSW NMAP Launch


Dear Denise,
Is it at all possible to just turn up on the day!
Due to organising a wedding I was unsure if I could make it, but would love
to come now that all preparations are complete.
If it is not, I will be with you all in spirit.
Love the NMAP! and all the hard work that everyone has put into it.
Sonja



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Choice magazine article

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Hi, I am a long term Choice subscriber - the article you refer to was in the May 1988 
issue and was titled "Maternity Hospital Practices". It is quite a long article, about 
10 pages. They surveyed 1250 women about their experiences, also listed the WHO 
recommendations at the time, and actually listed the hospitals these women delivered 
at and what their rates for each hospital were for induction, episiotomy, foetal 
monitoring, non-consented comp feeds etc. Probably about time Choice had another look 
at it again! If anyone is desperate to have a look at the article please email me 
privately and I could probably scan it and send it to you.
Regards,
Madeline Hall
[EMAIL PROTECTED]

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