[ozmidwifery] Re: theatre "greens"

[Barbara Stokes]

As our base numbers of caesareans are getting larger, there
will be more in the future.

If only we could reduce significantly the number of
inductions, then maybe we could reduce

the number of caesareans??

Where is the evidence for inductions at 40 weeks please?

Thanks from Barbara, Parkes where we had 5 babies in 4
hours, two lscs (both booked but one had 

jumped the gun.)
One was shoulder dystocia but good outcome thanks to previous training with 

Jan Robinson..

RE: [ozmidwifery] My Placenta

[Barbara Stokes]

Dear Jo,
Our local council donates 2 Australian native trees that we hand out to
each new mum and our "Birth to Kindergarten" literacy programme donates
a book with advice to mums/dads/family to read to the new baby every day
of his/her life.  Perhaps you could plant a tree and give your Will a
book, and get him a new one each birthday!
Hope you have a happy memory of his birth.
Regards, Barbara in Parkes

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Jo Watson
Sent: Thursday, 20 April 2006 12:09 AM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] My Placenta

... is gone from my freezer :(

It must have been thrown out, but I don't remember doing it, and my  
husband swears he didn't - so it's a mystery!

I was going to bury it on Will's first birthday next month, and then  
get a 'Mother's Love" rose from the ABA website to plant in late  
July, but I can't now.  I wanted to do something special on his  
birthday but I'm stumped for ideas!  Perhaps I will just go out and  
buy the nice pot on the day, and wait for the rose to be delivered in  
late July.

Any ideas for something to remember his birth by - apart from cake!?

(sorry it's a bit OT)

Jo

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RE: [ozmidwifery] Re: International Midwives Day Dinner

[Barbara Stokes]

Title: Message









Dear Jo,

Eugowra is a small village and the former
golf club has been transformed into a restaurant/wedding venue etc so the name
came from the golfing greens.

It is a lovely place, lots of old gum
trees and green grass/lawn which impresses those of us on water restrictions!

Eugowra is certainly worth a visit.

Barbara from Parkes

 

-Original
Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On
Behalf Of Dean & Jo
Sent: Wednesday,
 19 April 2006
10:07
 PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] Re:
International Midwives Day Dinner

 



Just for
clarification Barbara...what 'greens' were you referring too?? ;o) 





I love
it!!!





-Original
Message-
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On
Behalf Of Barbara Stokes
Sent: Wednesday,
 April 19, 2006
4:36
 PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] Re:
International Midwives Day Dinner

Dear Midwives,

We are organising a dinner to
celebrate International Midwives Day, 5th May 06 at “Eat Your
Greens” Eugowra, 6.30pm for 7pm.  Cost is $30.00 each.  Guest Speaker is NUM Forbes, Deb Wilden.

If you are interested in coming,
please phone the Parkes Maternity Unit: 
68611 228 or fax:  68621193.

We are hoping for a large area
attendance, anyone interested may attend.

RSVP this week please.

Thankyou,

Barbara Stokes Parkes

 

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[ozmidwifery] Re: International Midwives Day Dinner

[Barbara Stokes]

Dear Midwives,

We are organising a dinner to celebrate International
Midwives Day, 5th May 06 at “Eat Your Greens” Eugowra, 6.30pm for 7pm.  Cost is $30.00 each.  Guest Speaker is NUM Forbes, Deb Wilden.

If you are interested in coming, please phone the Parkes
Maternity Unit:  68611 228 or
fax:  68621193.

We are hoping for a large area attendance, anyone interested
may attend.

RSVP this week please.

Thankyou,

Barbara Stokes Parkes

[ozmidwifery] Re: Hospital situations

[Barbara Stokes]

 Dear Midwives,

I work in a small rural hospital as a
midwife/RN for 34 years and we certainly offer many of the suggestions that
have been mentioned.  Please
remember that midwives in hospitals are midwives just as you are with the mothers best interests

In their hearts.

 

“in most
hospital situations all that would be thought of would be 

an epidural to lessen sensation!

:-)

Sue”

Good births do happen in hospitals.

Regards, Barbara

[ozmidwifery] Re: Diabetes insipidus and breastfeeding

[Barbara Stokes]

Dear All,

Thanks for the continuing information re diabetes insipidus
and breastfeeding.  I returned to
work to note this mother was bottle feeding, no reporting by midwives postnatally about breastfeeding.  I did note in her records LMO wrote “ to trial breastfeeding” and on rounds this am
asked how the feeding was going. 

Unfortunately, with no encouragement in the first 24 hours,
mother is well settled into bottle feeding.  I have suggested never too late to start
but got no where.

Actually a disappointing breastfeeding shift today as a day
11, post LSCS mum of 34/35 gestation prem in our unit to learn breastfeeding, on
3/24 tube feeds with a couple of breast feeding attempts.  Tired baby, has not got the sucking
organised, is gaining weight.  Has
had its more wakeful times at night but given bottle feeds.

Mother very fragile today as now a
wound infection, tired, nipples sore adamant about baby having bottle.  Tried a few seconds of supply line, but
mother too negative 
and of course baby “woofed “ bottle down!

Got that all off my chest!

In the middle of all that, had a
great but vocal birth, baby breast feeds great!

Bye, Barbara, Parkes

[ozmidwifery] Re: Diabetes Insipidus

[Barbara Stokes]

Many thanks to all for information
and links for diabetes insipidus.  Yesterday’s prostin
had not worked!!  Dates
?? Previous baby 10lb, so guess why they are inducing
this mother.  Our unit has a
midwives/doctors breakfast meeting 3 or 4 times a year, at yesterday’s
meeting information given that April is a well booked month, my suggestion that
we have an induction free month was met with silence and no comment!

Thanks again for the information.

Barbara, Parkes

RE: [ozmidwifery] Re: diabetes incipidus and breastfeeding

[Barbara Stokes]

Thankyou Nicole.  Apologies for my spelling mistakes. I have membership
to the lactation resource so will continue a search through them.  I am
off duty now, so if the induction works should see her on Thursday.
Barbara (also IBCLC)

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Nicole Carver
Sent: Monday, 20 February 2006 11:34 PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] Re: diabetes incipidus and breastfeeding

Hi Barbara,
This is a very interesting question. I have not come across diabetes
insipidus in a breast feeding woman before. I have looked up my books
and
surfed the internet.  It will be a very delicate balancing act, as
diabetes
insipidus is a lack of anti-diuretic hormone (nothing to do with
diabetes
mellitus, except you pee a lot), resulting in problems with fluid
balance.
Fluid balance obviously is important for milk production (and many other
things).It appears safe to take vasopressin and breast feed. Vasopressin
(antidiurectic hormone) is apparently similar in some ways to oxytocin,
with
each sometimes producing effects on the other. I think it may be helpful
to
contact the Lactation Resource Centre to get some quality information to
guide the mother and her care givers. There may be a small fee. I will
paste
their link  into this email. Good luck. I would be very interested to
hear
what information you find. http://www.breastfeeding.asn.au/default.htm
Regards,
Nicole IBCLC.

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Barbara H
Stokes
Sent: Monday, February 20, 2006 8:26 PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] Re: diabetes incipidus and breastfeeding


Dear Lactational Consultants,
Can anyone help with  lactation establishment for Gravida 2 Para 1
coming in
for induction tomorrow. Has diabetes incipidus, did not lactate last
time,
takes demopressin nasal sprays?
Thankyou,
Barbara Stokes, Parkes
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[ozmidwifery] Re: Australia Day Awards

[Barbara Stokes]

Excitement in Parkes, NSW where midwife
Lee Ramsay was awarded OAM for midwifery and ante-natal services to community.  Lee, now 70 has been continuously employed by the
local hospital, many years as NUM and still .8 shifts per fortnight.

About time some of our midwives are recognised!

Barbara

[ozmidwifery] Re: Parents use of baby monitors

[Barbara Stokes]

Dear Midwives and friends,

We are being made aware of safe sleeping / co-bedding with
babies.  Is there any data or information
about the safety of baby in another room with baby monitor?

Am I just getting past it? 
I feel very sad that babies sleep down the hall and parents think all is
wonderful because the monitor is on, especially as the monitors are only one
way!

Barbara, Parkes

RE: [ozmidwifery] CARES VBAC Info

[Barbara Stokes]

Could I please have the cost of CD and postage in order to post a cheque
Monday for the CARES VBAC cd?
Thankyou,
Barbara, 

-Original Message-


To those people who sent cheques for the CARES SA Birth After Caesarean
information booklet; 
Thanks and the CD's are in the post today so check you post boxes next
week!
Sorry for the delay.

Those who still want a copy of the CD with HEAPS of information on VBAC,
please send a cheque to 
CARES SA 
POBox 1013
Nairne SA 5252

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RE: [ozmidwifery] Strep B screening

[Barbara Stokes]

Dear Mary,

If there are no “high risk”
indications at time, we would monitor baby carefully ie
regular temperatures and observation rather than straight into IM antibiotics.

Barbara, Parkes

 

-Original
Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On
Behalf Of Mary Murphy
Sent: Friday, 4 November 2005 8:18
PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] Strep B
screening

 

I
have been told by a pregnant woman that she was reluctant to have a strep B
test at 35-37 weeks. She was informed by a doctor in the A/N clinic of our
public tertiary hospital, that if she went into labour with an “unknown
status” and attended the delivery suite , her baby would have to be given
IMI antibiotics until the baby’s screening swabs came back 48hrs
later.  She felt that to protect the baby, she had to consent to A/N
screening.  Those who recognize the description of this hospital, is that
true?  Or has this lady been unintentionally misled?  Does this
happen in any other hospitals?  Feel free to email me off line if you
don’t want to “speak” publicly. Thanks, MM 

[ozmidwifery] Re: Midwifery Educators

[Barbara Stokes]

Dear Midwives,

I have just returned from our small hospital “midwives
and doctors breakfast meeting”.  This is to encourage communication.  We have 4 GP/Obs
and 9 midwivies.

On discussion was a new policy for epidural-top ups: both
pethidine only and marcain/fenytal .

Policy is now insistent on bp obs 5minutely for 30 minutes for both top-ups.

Other hospitals have had the pethidine only top-ups:  prior giving top-up bp,
in 5 minutes and then in 15 minutes.

 

Does anyone have an email address for me to contact?

 

Also does anyone have policy or guidelines re allowing dads
to cut cord?  This meeting has
decided that no cord clamps (plastic) will be put on set up so the forceps are
used, Dad can do a token cutting later (?how later) when cord clamp (plastic)
is to be put on.

I was hailed down when I suggested that a well baby could be
put onto mum and continue with the cord clamp/ dad cutting cord when ready.  If the baby needed
active resuscitation then quick transfer to resus.
trolley would be normal procedure.

 

As you will have noticed our GP’s only do active 3rd
stage, mothers have never heard of physiological 3rd stage even
though same discussed at ante-natal classes.

 

Thanks from a disappointed midwife,

Barbara

RE: [ozmidwifery] The 'wrong' gender

[Barbara Stokes]

Dear Andrea,

Over my 30+ years of a midwife, I remember
2 births that were influenced by the “ultrasound” reports.

The first was mother to be of her 5th
boy, turned out to be a girl so result was happiness all round!

The second event was a mother having 2nd
baby, first was a boy and ultrasound said this one would be a girl.  Over the labour, mother and support
people talked about the “nursery being newly painted pink, girls names chosen, grandma had jewellery engraved with this
name etc.  Baby was a boy!

The atmosphere in the birth room was one
of shock, mum took a couple of hours to just hold her
new baby!  I felt incredibly sad for
this baby and family but the next day all (at least on the surface!) seemed ok.  I think the baby was being bottle fed, though
this was decided before the birth.

Barbara Stokes

 

-Original
Message-
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On
Behalf Of Andrea Bilcliff
Sent: Monday, 24 October 2005
11:09 AM
To: Ozmidwifery
Cc: Maternity Coalition Midwives
Subject: [ozmidwifery] The 'wrong'
gender

 



Sorry for cross posting...





I have a client who is due to
give birth soon and she really wants a baby of a particular
gender but the ultrasound has shown the baby to be the opposite. This
is much more than being a little disappointed and it does not
appear to have eased over the course of the pregnancy. 





 





She has expressed concerns about how
this may potentially affect her labour. She also expresses enormous guilt
over having these feelings when she already has healthy children, including one
of this gender. She is also concerned about the effects her feelings/thoughts
are having and will have on her baby's development.





 





Assuming the ultrasound is correct,
has anyone had experience of this either as a mother or care provider? Any
words of wisdom?





 





Thanks,





Andrea Bilcliff

[ozmidwifery] Re: jaundice and synto

[Barbara Stokes]

I thought a reason for jaundice with Syntocinon inductions
was the result of inducing baby before really due.

Regards,

Barbara

RE: [ozmidwifery] Re: VBAC and support groups

[Barbara Stokes]

Dear Janet,

Thanks for your reply.  Is the CARES Birth After Caesarean book
the one being discussed ? put
onto CD format?

I have been away so have not background
information on this.  I did respond
to Jo at [EMAIL PROTECTED]  on one email 

Discussing this.

Thankyou for your
information.

Barbara

 

-Original
Message-
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On
Behalf Of Janet Fraser
Sent: Thursday,
 6 October 2005
9:17
 AM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] Re:
VBAC and support groups

 



Hi Barbara,





there are a few small consumer groups in rural places but maybe
what your clients really need is the CARES Birth After Caesarean book?





I'm sure Jo would share it with you! In the meantime I'll send
you some group info.





Best,





J







- Original Message - 





From: Barbara Stokes 





To: ozmidwifery@acegraphics.com.au 





Sent: Thursday, October 06, 2005 9:00 AM





Subject:
[ozmidwifery] Re: VBAC and support groups





 



Dear Midwives,

Could anyone help me with contact
information for VBAC Support Groups in NSW?

I did hear of a Central Coast group at a
mid-conference a couple of years ago.

Our unit, small rural hospital is
organising a leaflet to give to mothers when booking in.

Thankyou,

Barbara Stokes, Parkes NSW

[ozmidwifery] Re: VBAC and support groups

[Barbara Stokes]

Dear Midwives,

Could anyone help me with contact information for VBAC
Support Groups in NSW?

I did hear of a Central Coast group at a
mid-conference a couple of years ago.

Our unit, small rural hospital is organising a leaflet to
give to mothers when booking in.

Thankyou,

Barbara Stokes, Parkes NSW

[ozmidwifery] Midwifery in Fremantle or Perth

[Barbara Stokes]

Dear Midwives,

Are there any midwifery/lactation conferences, seminars
between 11th September and 27th September2005?

I am visiting from NSW for the Annual Lace Week of Workshops
at that time.

Barbara Stokes, Parkes NSW

RE: [ozmidwifery] triplet birth

[Barbara Stokes]

Dear Wendy and all,

Naturally conceived and vaginal birth of
triplets happened at Parkes (home of “The Dish”) 23 years ago,
before ultrasound was available locally.

We were confident of twins, all babies did
well.  These days we are not allowed to
birth twins!

Barbara

 

-Original
Message-
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On
Behalf Of wendy hoey
Sent: Thursday, 28 July 2005 11:42
AM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] triplet
birth

 



Hi all, have been lurking for a
while, love the interesting discussions, thankyou. I'm a  married mum
of two and hospital midwife by convenience. Anyway, at work last week a woman
came in at 32 weeks , triplets, in good labour at 7 cm, all head down,
 off to her c/s as planned with a huge amount of fuss, mum stressed
out to the max. I understand all the risk factors and the reasons for a
c/s ( prem as well) just wondered if anyone out there has been at a
triplet vaginal birth in Australia? Despite the risks I just had
this big gut feeling  that everything would have been all right. The
babies were all fine except the third who needed a bit of CPAP once they got
into the nursery. My Auntie had a vaginal birth of triplets in a community
hospital in Perth in 1979, she's vague on the details but all was OK with the
boys.





thanks Wendy.





 

[ozmidwifery] Re: safe hospital births

[Barbara Stokes]

Dear Jan and all,

Seems to me since our GP’s have attended ALSO in the
last couple of years, they jump in, take over birthing and treat all births as
shoulder dystocia!  Ending up with horrible dragging out of babies.  I probably have over reacted, but 2
recent births I attended ended up this way.  Small rural hospital,
and I have been a midwife for 33 years.

Barbara

RE: [ozmidwifery] Privacy, comfort and dignity during birth

[Barbara Stokes]

Dear Alison,

I am a midwife in small public hospital.  It is important to maintain privacy to
mothers in labour, quietness and I like to have soft lights.  Reduce the support teams
chatter to minimal.  This is sometimes
difficult when you get both mother/mother-in – law present, plus sisters and
partner:  they all want to chat about
everything else in their lives.  The
use of a sheet as a birthing cape can help mother form her own world.

With the birth of my own babies, I felt the
“all fours” position disempowering. However I let mothers chose their
own positioning.

Barbara

 

-Original
Message-
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On
Behalf Of AlisonThrum
Sent: Wednesday, 20 July 2005 6:53
PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] Privacy,
comfort and dignity during birth

 



Hi





I am a midwifery student in Perth
WA. I am keen on finding information/personal stories about issues surrounding
privacy, dignity and comfort during labour and birth, which may be more an
issue in hospital births.





If anyone would like to share
information, it would be much appreciated.





Thanks, Alison

[ozmidwifery] RE:

[Barbara Stokes]

Re:  Cohuna Hospital/Kerang shift work.
Would love to come to work with you but am full time at Parkes Hospital,
currently working night duty, Emergency/High dependency, in-charge of
hospital.  I also facilitate a student midwife, have been a midwife
since '72, lactation consultant.
My late Uncle Harold and Aunt Beth Richards were from your area.
Regards,
Barbara Stokes

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Nicole Carver
Sent: Friday, 3 June 2005 11:11 AM
To: ozmidwifery@acegraphics.com.au
Subject: 

>Hi,
>I am forwarding this info for anyone who might like to do some casual
work
>at Cohuna Hospital (on the Murray River in Victoria). They are
experiencing
>some difficulties covering all of their shifts.
>Nicole Carver
>
>Hi Nicole,
>
>Sue from On Times Nurses has asked me to send you the following re the
>Midwife position at Cohuna Hospital
>
>Dates 6th June - 31st July.
>
>Pay - Cohuna Hospital will pay G2 Yr 9 rates, up to G5 when in charge.
On
>Time will pay a 'top up' on an hourly rate, which is not taxable.
>
>Travelling is tax deductible, a log book is required for this.
>
>Kerang hospital has 2 weekend shifts available during the period, these
>weekends could be picked up as well.
>
>Please contact Sue Bourchier at On Time Nurses 1300 730 562 for further
>information
>
>Cheers
>David



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[ozmidwifery] Re: cannulation

[Barbara Stokes]

It would be great not to need cannulation skills, but in a
small rural hospital we deal with general patients, doctor not on site.  Trauma, acute chest pains etc all need
cannulas to commence life saving treatment.

Is no-one doing IV antibiotics for group B strep positive
mothers in labour?  By doing these
ourselves, we keep the doctors away.

Barbara

[ozmidwifery] Re: Epidural top-ups

[Barbara Stokes]

It is rare that at Parkes we use epidurals during labour,
but I am supportive of mothers having epidural for elective caesareans.  This is where we use epidural top-ups,
in the first 24 hours or less.  Therefore
we need policies to cover as our midwifery care includes adequate pain relief
post Caesar.  We do not have the
doctor at the hospital, or if he is he may be in emergency, I don’t need
our mother in pain to have to wait til he comes to the unit.

Thankyou to those who have helped
with information.

Barbara, Parkes NSW

RE: [ozmidwifery] Epidural top-up Policy

[Barbara Stokes]

Title: Re: [ozmidwifery] Epidural top-up Policy








Justine, just a note to say I was looking
for policies about epidural top-ups.  This does not mean I as a midwife use
them unless of extreme need.  We do
use deep water though mothers at home don’t have access due to water
shortage.

My last 2 births have been fantastic
outcomes for mums due to my support and belief in creative movement to achieve
normal childbirth.

We certainly don’t leave policies to
the doctors, they need to be evidence based best
practice!  This helps us as well!

Barbara, Parkes

 

-Original
Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On
Behalf Of Justine Caines
Sent: Wednesday, 18 May 2005 12:42
PM
To: OzMid List
Subject: Re: [ozmidwifery]
Epidural top-up Policy

 

Gee, why should midwives have ANYTHING to do with
epidurals??

I thought midwifery was about well women and normal childbirth.

Shouldn’t this be left to the Drs! Perhaps if midwives said this we would
see a change in practice!

Can women in Parkes access deep warm water for pain relief?

I am astounded that the majority of women can access Pethidine and an epidural
and yet a tiny majority have access to deep water
(sorry showers don’t count!)

Natural pain relief, that’s the domian of midwifery

JC

Justine Caines
National President  Maternity Coalition Inc
PO Box 105
MERRIWA  NSW  2329
Ph: (02) 65482248
Fax: (02)65482902
Mob: 0408 210273
E-Mail: [EMAIL PROTECTED]
www.maternitycoalition.org.au

[ozmidwifery] Epidural top-up Policy

[Barbara Stokes]

Does anyone have a policy covering epidural top-ups using
Pethidine/Saline please?

I would also be interested in hearing from any midwife,
regarding yearly accreditation requirements for epidural top-ups.

Our hospital policy requires yearly accreditation based on
top-ups using marcain/fentanyl ie
BP readings every 5 minutes for 30mins.

I have had copy of ?where that pethidine/saline top-ups have
pre top-up bp/pulse, check site etc, then in 5
minutes and infurther 15minutes.

This copy has been taken from our unit.

Looking forward to your reply.

Barbara Stokes, Parkes NSW

[ozmidwifery] Re: where are babies from.

[Barbara Stokes]

“had a
babe come from theatre last week”  

I have just joined this list, rural
midwife, and I thought and see babes coming from mothersJ

Barbara Stokes

 

[ozmidwifery] Re: "Hey Dad" film

[Barbara Stokes]

Dear Andrea,
Is Jeannie wanting participants west of the Blue Mountains?
Barbara Stokes, Parkes NSW

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Andrea
Robertson
Sent: Friday, 6 May 2005 4:19 PM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] New fatherhood film being made - help needed!



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[ozmidwifery] Aromatherapy in labour

[Barbara Stokes]

Dear Midwives,

Thankyou Dubbo for hosting a great
workshop day with Jan Robinson.

I am looking for hospital policies for use of Aroma therapy
esp. in birthing.

Thankyou,

Barbara Stokes, Parkes