[ozmidwifery] Job Vacancy at Katherine NT
There's a vacancy with the Katherine West Health Board for a Maternal Women's Health Coordinator. It's for a midwife with a strong interest in working with Aboriginal people and experience in coordinating and developing population health programs utilizing a primary health care model. The reason I'm sending this is that I'm just finishing a very short-term contract to complete a project in this area. It would be a great job for someone who is comfortable with lots of traveling and an enthusiasm for working with the female members of the communities. Katherine is also ideally situated as a base for all the wonderful attractions of this area including the Nitmiluk, Gregory and Kakadu National Parks. If you're interested contact the Human Resource Coordinator on (08) 8971 9300 or email [EMAIL PROTECTED] Anne
[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)
RE: [ozmidwifery] Misoprostol
Joy, While working in Mildura we used it often for PPH. 2-4 tablets pr. It seemed to be effective. It was never used for IOL. Anne I work in a very small hospital, covering acute, aged care, emergency, as well as midwifery. One of our GP obstetricians has requested that we have Misoprostol in stock (which we already have for acute patients) as all the hospitals now use it for post-partum bleeding. I would be interested to know how common this is as it is another off label use. I'm also concerned that it will then be a small step to use if for cervical ripening/IOL. I notice in Hale that it is a category L3 (moderately safe) whereas Ergometrine is L4 (possibly hazardous) in breastfeeding mothers. I'm remembering the olden days when Ergometrine tablets were used fairly routinely for women with incomplete 3rd stage or were passing clots - I don't remember the exact dose - but it was used over several days in reducing doses (I even had it myself 30 yrs ago!). Interested to hear any comments or research that anyone has regarding Misoprostol and post-partum bleeding (I'm assuming he means haemorrhage, not normal bleeding). Thanks, Joy Joy Cocks RN (Div 1) RM CBE IBCLC BRIGHT Vic 3741 email:[EMAIL PROTECTED] -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. # This e-mail message has been scanned for Viruses and cleared by MailMarshal For more information please contact Information Technology on 57220245 or your local IT representative # ## Attention: This e-mail message is privileged and confidential. If you are not the intended recipient please delete the message and notify the sender. Any views or opinions presented are solely those of the author. ## -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Cord Blood Storage
I have a client living in North-west Victoria who is keen to keep and store her baby's cord blood for use at a later date if required. Has anyone had any experience of this and can you give me a contact? Thanks Anne IncrediMail - Email has finally evolved - Click Here
