RE: [ozmidwifery] prostins

[Christine & Tony Holliday]

The story regarding PGs being made from pig semen does the rounds every
few years, last time it was discussed on Ozmidwifery a hospital pharmacy was contacted
who checked the composition of the PGs (including contacting the manufacturers)
who said it was definitely all synthetic and did not include any pig semen.

Christine

 

-Original
Message-
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]On
Behalf Of ltully
Sent: Thursday, 7 November 2002
6:23 PM
To: [EMAIL PROTECTED]
Subject: [ozmidwifery] prostins

 

Is prostins really made
from pig semen or is it synthetic? A muslim woman asked me this question
recently. from Lynda 

RE: [ozmidwifery] VIRUS WARNING

[Christine & Tony Holliday]

This message has been around for some months now.  When I checked with my internet provider
they said it was not a virus and not to do anything which I didn’t and nothing
untoward happened.  It may be best to
check with your internet provider or the provider of your anti-virus systems
before you delete anything from your computer.

 

Christine

 

-Original
Message-
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]On
Behalf Of Sheena Johnson
Sent: Saturday, 12 October 2002
10:04 PM
To:
[EMAIL PROTECTED]; Nola Aicken; kirrily lee; Eileen Hulston;
Claire Bell; Cheryl Gray; allison; ACMI
Cc:
[EMAIL PROTECTED]; Nola Aicken; kirrily lee; Eileen Hulston;
Claire Bell; Cheryl Gray; allison
Subject: [ozmidwifery] VIRUS
WARNING

 

Hi everyone

 

Got this message and found the file they were talking about, not
sure what it would have done but deleted it anyway and nothing happened so if
you find it delete it.

Sheena

 

A virus has been passed onto our computers. As your contact is in
my 
>address book, you may have received this virus from me as well. Please 
>see the instructions below to delete and pass on to your contacts 
> 
>The virus (called jdbgmgr.exe) is not detected by Norton or McAfee or 
>VET anti virus systems. The virus sits quietly for 14 days before 
>damaging the system. It's sent automatically by messenger and by the 
>address book 
>whether or not you send e-mails to your contacts. Here's how to check 
>for the virus and how to get rid of it. 
> > 
> > YOU MUST DO THIS - 
> > 
> > 1. Go to start (bottom left corner), find the search option (or 
>"find"). 
> > 
> > 2. In the files / folders option, write the name jdbgmgr.exe 
> > 
> > 3. Be sure to search your C: drive and any other drives you may have.

> > 
> > 4. Click "find now" 
> > 
> > 5. The virus has a teddy bear icon with the name jdbgmgr.exe 
> > 
> > DO NOT OPEN IT. 
> > 
> > 6. Go to edit : choose "select all" to highlight the file
without 
>opening it. 
> > 
> > 7. Now go to file and select "delete". It will go to your
recycle bin. 
> > 
> > 8. Go to your recycle bin and delete it there as well. 
> > 
> > IF YOU FIND THE VIRUS YOU MUST CONTACT ALL THE PEOPLE IN YOUR ADDRESS

>BOOK SO THEY CAN ERADICATE IT IN THEIR OWN ADDRESS BOOKS. SORRY ABOUT 
>THIS. 
>I'm SURE EVERYONE IN THE ADDRESS BOOK WILL HAVE IT. 
> > 
> > To do this open new email message, click the photo of the address
book 
>next to TO. 
> > Click every name and add to BCC. 
> > Copy this message, enter subject, paste to email, send. 

RE: [ozmidwifery] Waterbirth

[Christine & Tony Holliday]

Hello Rose,

I cannot send copies of this standard directly to you, however if you email
[EMAIL PROTECTED] , our admin. Dept will be only to happy to forward this
to you.  For those of you who requested copies in the first week I tried to
forward your requests to them and they have sent out all requested copies.
I may have missed some as there were so many so I apologise if that is the
case, and could anyone I have missed please contact the dept. directly.

Christine

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]On Behalf Of roseandpeter
Sent: Tuesday, 8 October 2002 9:37 PM
To: '[EMAIL PROTECTED]'
Subject: RE: [ozmidwifery] Waterbirth

Christine,
I too would be interested in having a copy of your standard of care for
waterbirth. Could you email it to me?
Rose

-Original Message-
From:   henk / eliza merbis [SMTP:[EMAIL PROTECTED]]
Sent:   Thursday, 26 September 2002 5:54
To: [EMAIL PROTECTED]
Subject:Re: [ozmidwifery] Waterbirth

Hi Christine,
I would also be interested in your standard of care for waterbirth that you
have developed. Is it possible to get a copy of it??
Eliza
  - Original Message -
  From: Christine & Tony Holliday
  To: Midwifery Research ; Birthnews@Capersbookstore. Com. Au ; Ozmidwifery
  Sent: Friday, September 20, 2002 10:41 AM
  Subject: [ozmidwifery] Waterbirth


  Thanks to all who helped me with information on Waterbirth some months
ago, we have developed a midwifery standard of care for waterbirth, which
has been accepted.



  Christine

 << File: ATT00030.htm >>

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RE: [ozmidwifery] computer databases

[Christine & Tony Holliday]

I feel we need to write in the women's notes, databases and pathways do not
reflect the woman's individuality or the finer points of what happened.  We
do not want the midwives voice to be removed from the notes, we will be even
less visible as providers of maternity care.  If we are not careful we will
become collectors of data for others to interpret.  I must acknowledge my
good friend Jackie for first bringing these thoughts to my attention when I
read her thesis.

Christine

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]On Behalf Of Robin Moon
Sent: Monday, 30 September 2002 7:46 PM
To: [EMAIL PROTECTED]
Subject: Re: [ozmidwifery] computer databases

NO, the OBSTET data base does not take the place of notes and paper
unfortunately.
Whilst it is great for generating data in an orderly and easy fashion, it is
VERY time consuming. Particularly in  a labour ward.It is great however for
pulling stats when needed to back up one's arguments with medical staff
etc. But I say, Roll on OBSTET Mark 2 cos this one is wearing thin

Whilst the intentions were great for it's development and use, I have found
units that now require of the LW midwife to enter pregnancy and labour info
on the database, progress notes on the labour AND the partogram. PHew!  No
wonder we're all stressed!

Jen, I think the State of the Art hospital in Australia is one that would
have the woman as their focus. Not documentation, not legalese, not doctors.
Where is that cos I want a job there! lol.

Robin



- Original Message -
From: "Jennifer Semple" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Monday, September 30, 2002 1:12 PM
Subject: Re: [ozmidwifery] computer databases


> Please forgive my ignorance on the issue... but does a computer
> database take place of the midwife making notes & obs on paper?
>
> I was w/ a woman @ her birth in a hospital in the US where they had a
> PC in every labour & birth room (every room was private)... all of the
> notes & obs were entered directly on to it & the CTG was hooked up to
> the PC as well.  Hehehe, it was hard to tell whether the computer or
> the bed (with the woman tethered to it) was more of a focal point in
> the room!
>
> I'm a first year BMid student & haven't been on clinicals yet, so I
> don't know what the "state of the state" in hospital in Oz is.  I'm not
> passing judgement on the computers... I have no idea what the pros &
> cons are for the midwife... just my observation from the birth w/ the
> woman.
>
> Jen
>
> --
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[ozmidwifery] Waterbirth

[Christine & Tony Holliday]

Thanks
to all who helped me with information on Waterbirth some months ago, we have developed
a midwifery standard of care for waterbirth, which has been accepted.

 

Christine

[ozmidwifery] UK Article

[Christine & Tony Holliday]

Here
is an interesting article from the British press that you may want to read.  http://www.observer.co.uk/review/story/0,6903,758963,00.html.

 

Christine

RE: [ozmidwifery] email address

[Christine & Tony Holliday]

Lynne,

 

Emma’s address is [EMAIL PROTECTED].

 

Christine

 

-Original
Message-
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]On
Behalf Of Lynne Staff
Sent: Wednesday, 24 July 2002 8:36
AM
To: ozmidwifery
Subject: [ozmidwifery] email
address

 

Hi All

Does
anyone out there have an email/contact address for Emma Baldock? Many thanks,
Lynne

[ozmidwifery] Dimensions Web site

[Christine & Tony Holliday]

Try this for the transcripts of last nights segment on Midwives

 

http://www.abc.net.au/dimensions/dimensions_health/Transcripts/s609217.htm

 

Christine

FW: Harvard Health Policy Review - Call for Submissions

[Christine & Tony Holliday]

 

 

-Original Message-
From: A forum for discussion on
midwifery and reproductive health research.
[mailto:[EMAIL PROTECTED]]On
Behalf Of Jane sandall
Sent: Saturday, 8 June 2002 7:57
PM
To:
[EMAIL PROTECTED]
Subject: Fw: Harvard Health Policy
Review - Call for Submissions

 

 

-
Original Message - 



From: Ackerly,DC




To: [EMAIL PROTECTED]


Sent: Friday, June 07, 2002 4:51 PM

Subject: Harvard Health Policy Review - Call for
Submissions

 

The below email is a call for articles
related to inequalities in health. 
The journal, while student-run, has a wide readership in the US
health policy community.  I highly
recommend taking a look into this opportunity to get your voice heard.

 

Please feel free to email me if you have any
questions concerning the publication or appropriate submissions.

 

Thanks so much,

Clay Ackerly 

 

 

 

To Whom It May Concern:

 

I am writing to inform you that the Harvard
Health Policy Review (HHPR) is calling for submissions for the Fall 2002 issue,
and I hope that you will consider submitting an article to the Review. The HHPR
is a semi-annual publication that seeks articles from a wide range of sources
and topics related to health.  Past
issues of the journal have included articles by health policy experts such as
Donald Berwick, Robert Blendon, Paul Farmer and Uwe Reinhardt, as well as by
graduate and undergraduate students.

 

The theme of our Fall 2002 issue will be
“Inequalities in Health.”  We are
especially interested in articles on this topic or subtopics within this broad
area.  The submissions deadline is
Monday July 10th.  We request that
articles be between 750-3000 words. 
Please send submissions via email to [EMAIL PROTECTED]  If you are interested in submitting an
article, please also send a brief email with an abstract or general topic
description at your earliest convenience. 

 

Please feel free to email me with any
questions.  In the meantime, I
direct you to our website at www.hhpr.org. I
look forward to hearing from you and receiving your submissions.

 

 

Best regards,

Selin
Tuysuzoglu

Senior Features Editor

[EMAIL PROTECTED]

Waterbirth and labour in water.

[Christine & Tony Holliday]

Dear All,

 

I am looking for any information you have on using water in labour
and/or waterbirth.  Any policies or
statistics, published or unpublished would be useful to me.  In fact any information you think may
be useful.

 

Christine

RE: professional indemnity

[Christine & Tony Holliday]

Mary,

Contact the ANF in Adelaide where we nearly have reached an agreement
regarding caseload salary.

Christine

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]On Behalf Of Mary Murphy
Sent: Monday, 13 May 2002 7:02 PM
To: Shandell Elmer; [EMAIL PROTECTED]
Subject: Re: professional indemnity

the Community Midwifery Program in W.A was under threat for the same reason.
It was temporarily (still) solved by the State Health Dept employing the
midwives.  Not a satisfactory arrangement for anyone, especially the
midwives who are used to a case loading payment.  Cash flow & underpayment
has been a big problem. There is no award for caseloading midwives.  More
info can be had from the community Midwifey Program at :
[EMAIL PROTECTED]  cheers, MM

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ACMI (SA) IMD awards

[Christine & Tony Holliday]

Hello all,

 

The SA
branch of the ACMI celebrated IMD with a lunch yesterday and there we presented
our annual awards.  

 

Our
Recognition of Midwifery Excellence Award was won by two community midwives
from Whyalla, Verity Timms and Julia McMahon.  Included in the nomination were the following reasons, they
have a strong commitment to the birthing community of Whyalla including
offering up to three antenatal visits a week to enable the women to remain in
their own homes and reduce hospital admissions.  They have also been instrumental in developing protocols for
the care of women in the Woomera Detention Centre and  have extended the hand of friendship to
these women and help them to have a positive birth experience.

 

The
Midwifery Advocate Award was given to CARES SA, who support women in many
regards including all aspects of LSCS. 
They appreciate the importance of continuity of carer and raise the
profile of midwives by recognising them as the expert professional to give care
to a woman and her baby.

 

Congratulations
also go to Janine Evans who won the SA Johnson’s Baby Midwife of the Year.

 

It was a
very enjoyable day and so nice to get the opportunity to catch up with so many
midwives.

 

Christine 

ACMI (SA)

RE: viruses

[Christine & Tony Holliday]

I hate to tempt fate but I have never had a problem with a virus, I have VET
virus screening.

Christine

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]On Behalf Of Meaghan Moon
Sent: Thursday, 2 May 2002 11:30 PM
To: [EMAIL PROTECTED]
Subject: viruses

Hello,
Is any one else having problems with frequent viruses coming from this
list?  We have Norton antivirus but have still had problems with the
occasional one getting through and causing serious (and costly) damage.   I
am feeling like I will have to uns*bscribe soon if this doesn't change.  I
will be sorry to lose my connection to Australian midwives.  This is a plea
to be careful about spreading things around ...

Thank You,
Meaghan Moon


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RE: sorry -ignore previous email here

[Christine & Tony Holliday]

I don't think we should presume the breastfeeding advice will be poor.  I
think without some education about breastfeeding that the advice may have
been poor.  I believe that it is verbal support for the women and not
"hands-on" care.  I have to say my initial reaction was that breastfeeding
advice was not a good idea, but many community supports for breastfeeding
has actually increased the rates in many countries.

Christine


-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]On Behalf Of Jayne
Sent: Friday, 19 April 2002 6:45 AM
To: [EMAIL PROTECTED]
Subject: Re: sorry -ignore previous email here

I think it is a great program too, EXCEPT, the breastfeeding advice part of
it concerns me.

Poor advice can lead to lower breastfeeding rates, not higher.

Jayne



- Original Message -
From: <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>; <[EMAIL PROTECTED]>
Sent: Friday, April 19, 2002 2:14 AM
Subject: Re: sorry -ignore previous email here


> I support all of you who are defending this program against the "attack"
by
> was it Dr. Mudge. However, I would like to offer a note of caution.
Australia
> is not the Netherlands in many ways though many of its health care
programs
> are excellent. Howeverthere seems to be simultaneously an attempt by US
based
> healthcare corporations to get get involved in healthcare in Australia.
These
> corporations are entirely profit based (not that I think profit in itself
is
> a big evil, but I do think social responsibility is critical in health
care)
> and will erode  great programs by cost cutting and diminishing services.
This
> happened to early discharge programs in the US and continues to this day.
> Women can be discharged from 6 hours after a spontaneous vaginal birth or
as
> soon as they are stable. The federal government had to pass a law making
it
> illegal for hospitals to discharge women and babies before 48 hours after
the
> birth. The women get another 24 hours if they had a c/s. Of course they
get
> no follow up care other than phone numbers to call if they are concerned.
> They can initiate care, but it is not offerred to them. I guess my note of
> caution to early discharge programs is that support services are GLUED to
> them as I believe (without any RCT's at my finger tips) that they are
> critical to mother and baby's well being. Oh! all of the above is not true
> about midwifery led programs in the USA. I am talking about normal
mainstream
> OB led care.  marilyn
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RE: vbac scar check

[Christine & Tony Holliday]

Yes it is
in there, page 367 of the third edition of A Guide to Effective Care in
Pregnancy and Childbirth.  Also
refer to page 486 in the same book, first paragraph.

 

Christine

 

-Original
Message-
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]On
Behalf Of Jo & Dean Bainbridge
Sent: Thursday, 28 March 2002
12:37 PM
To: [EMAIL PROTECTED]
Subject: vbac scar check

 

I am
shocked  and appalled that any doctor would be doing manual scars!  I
am very sure that there is some documentation in the 200 edition of Effective
Care on vbac management and I positive that it dismisses the need for scar
check.  If my office wasn't as messy as it is I could find it for you, but
I am positive it is in there.

WHAT A
ROTTEN THING TO DO!   I would be writing to RANZCOG about
this type of appalling practice and putting pressure on them to get active in
smartening up their membersbut I am a consumer so I could get away with
doing that!

cheers

Jo
Bainbridge
founding member CARES SA
email: [EMAIL PROTECTED]
phone: 08 8365 7059
birth with trust, faith & love...

RE: [BMidStudentCollective] Re: Flinders Uni PI Insurance !!!!!!!!

[Christine & Tony Holliday]

The newspaper article led me to believe that the employees of FUSA do not
have insurance for mid either.
Christine

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]On Behalf Of [EMAIL PROTECTED]
Sent: Wednesday, 27 March 2002 4:05 AM
To: [EMAIL PROTECTED]; [EMAIL PROTECTED];
[EMAIL PROTECTED]
Subject: Re: [BMidStudentCollective] Re: Flinders Uni PI Insurance 

Dear list:
Firstly PI for midwives:
I recently heard from a Canadian midwife what is happenning there re PI:
they
were faced not with withdrawal of insurance but with savagely escalating
costs of premiums (from $2,000 per yr to $40,000 per yr). Apparently in
British Columbia the College of Midwives in conjunction with the government
developed a self insurance scheme where by the midwives pooled their
premiums
and were underwritten by the government. So far there haven't been any big
law suits, and if there is one then they may be belly up, so  to speak, but
for the moment they are insured for a  reasonable premium. I am presuming
the
students are also covered.

Now student insurance: when I came over as a student midwife to ST. George,
there was concern that my insurance wasn't sufficient. In the US we didn't
have to be insured as a student unless we worked in a hospital, then because
we weren't a hospital employee, we needed insurance. It is provided by Dean
Insurance Agency, Inc. (for those of you who have access to copies of
Midwifery Today they advertise there). The contact person is Ann Geisler,
her
email is:
[EMAIL PROTECTED]  she would be able to advise you re what is currently
available.
It appears that a lot has changed since September 11 (the date and reason
publically given for either withdrawing insurance or raising the premiums
astronomically). If Dean is still offering insurance to midwives and student
midwives, one possible drawback is that any court cases would have to be in
the USA.? That is how my policy is worded.

The other concern raised in Sydney was my lack of workers compensation,
which
wasn't really covered by my policy, and since I wasn't a hospital employee I
didn't have. My school drew up an official looking agreement stating that
St.
George would not be held liable by the school or myself if I was injured or
became ill due to working there.

But, it seems the hospitals and clinics that students will work in while at
Flinders Uni could solve this by making you employees. I think that is how
the med students will get by: they will probably restrict the actual medical
students to observation roles, but the residents  will have a salary (albiet
a pittance) but it will cover them insurance and workers comp. wise. So,
maybe you all have to become resident midwives/midwifery residents/student
midwife residents or whatever and be temporary employees of the hospitals
and
clinics. How are the Victorian Uni's handling it?? I thought that was how it
was done anyway?

PI in general: even though it appears sometimes that midwives are being
targeted specifically it appears to be (to me) that it is any small business
person, midwife, doctor, house painter, landscape architect. Here is Seattle
many GP's are going out of business as their PI insurance goes through the
roof (around $40,000/year without obstetrics). Something has to be done
unless we are happy to all go to the one place for everything. (that is a
very  flaky sentence, but oh well).
lots of love to you all. I am still waiting for my exam results. marilyn
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RE: Re 10 min Apgar scores

[Christine & Tony Holliday]

Dear Jane,

 

I have
only ever seen an apgar score recorded at 10 minutes if the apgar score at 5
minutes was low, as far as I am aware apgar scores reflect the condition of the
baby at the time they are done only and in the case of active resuscitation
they reflect the effectiveness of the resuscitation.

 

Christine

 

-Original
Message-
From:
[EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]On Behalf Of cjknight
Sent: Wednesday, 6 March 2002 2:14
PM
To: [EMAIL PROTECTED]
Subject: Re 10 min Apgar scores

 

Dear
listers

Does
anyone else out there do a routine 10 min Apgar score on babes? I am having a
long running argument with our Quality Improvement Coordinator that this score
is not routine and most cases meaningless. It just means more paperwork with
little impact on the way we practice. She insists that it is an Aust wide
clinical indicator. Anyone else got any ideas ?

Regards


Jane

RE: umbil cord bld merchandising.

[Christine & Tony Holliday]

There is
an article on the aims website www.aims.org.uk
on this subject, it is called Blood Money.  If you go to the website and then click on articles you will find
it.

Christine

 

-Original
Message-
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]On
Behalf Of Mary Murphy
Sent: Tuesday, 5 March 2002 2:59
PM
To: midwifery mailing list
Subject: umbil cord bld
merchandising.

 

I recently
received a flyer from Cryosite cord blood service with my ACMI
News/journal.  The company is subtly using midwives to market their
service, the text reinforcing in our minds that the blood should be stored for
the child's future use.  Maybe we should be reinforcing that the blood
belongs to the baby at birth and was put there for a really good
reason...strengthening the immune system.  Maybe if the baby receives its
birthrite in the minutes following birth, it will not need it later.  MM

[no subject]

[Christine & Tony Holliday]

Hello all, 

I thought this may interest a few people. The weekly ABC
Health Update is an interesting source of information, if you are interested
just go to the www.abc.net and link in to health.

 

BATTLE CONTINUES OVER TRADITIONAL AND ALTERNATIVE MEDICINE
(7.30 Report:

15/1/2002)

The battle lines are being drawn between Australia's medical
profession and

one of the fastest growing alternative therapies. On January
1, Victoria

introduced statutory registration of acupuncturists and
Chinese herbal

medical practitioners. Other states may follow. The
Australian Medical

Association warns that registration is a dangerous step,
which could give

consumers the impression that these alternative treatments
are as safe and

effective as orthodox western medicine - an impression it
claims is false.

But reputable practitioners of Chinese medicine argue the
real danger is

the lack of regulation, which leaves the public vulnerable
to poorly

trained pretenders.

www.abc.net.au/7.30/s459195.htm. 

 

Christine

 

RE: 12 hour shifts

[Christine & Tony Holliday]

Chris,

The Birthing Centre at the Women's and Children's Hospital in Adelaide has
been working twelve hour shifts now for some time, I can't remember how long
exactly but that information will be available if you contact them directly.

Christine.



-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]On Behalf Of Chris Belshaw
Sent: Wednesday, 9 January 2002 12:57 AM
To: [EMAIL PROTECTED]
Subject: 12 hour shifts



Dear All,

are there any Midwifery Units in Australia currently operating 12 hour
shifts, If possible we need contacts to discuss implementation and its
effects on models of midwifery care.
Many Thanks, Chris




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RE: Ultrasound dangers

[Christine & Tony Holliday]

Once again I suggest that the onus is on the intervener to provide evidence
that the intervention is safe and beneficial.
Christine

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]On Behalf Of Lauren Duncan
Sent: Monday, 10 December 2001 5:09 PM
To: [EMAIL PROTECTED]
Subject: Re: Ultrasound dangers

To all,

Please, please, please give me more information regarding the dangers of
ultrasound.

I am currently working in a remote hospital whereby the GP provides the
antenatal care.  His brilliant idea to check fetal heart rates is to do an
informal ultrasound at almost every visit.

When I questioned their practice, they stated that there is no evidence to
the dangers of ultrasound and that unless I could provide around 20
articles, he would not discuss the issue any further.

As you can see, I am getting very frustrated.  At least I can help to
educate the women so they can decide their need for ultrasounds in low risk
pregnancies.

It is also quite scary when women present during their pregnancy or in
labour and they have never heard their babies heart, they have only seen it.

Yours

Lauren



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RE: measuring urine

[Christine & Tony Holliday]

Sadie,

When writing a policy it may be easier to look at it from the point of view
that if there is no evidence to support an intervention then it shouldn't be
done, put the ball back in the court of those who think this is necessary
and ask them to provide evidence to support this.
If this doesn't work then you could try having half the women having there
urine measured and half not and comparing outcomes for a period of time.
Just make sure the midwives don't think this means they don't check at all
on the women who are not having measurements done.  I know that sounds silly
but I speak from experience.

Christine

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]On Behalf Of Sadie Geraghty
Sent: Thursday, 6 December 2001 9:46 AM
To: [EMAIL PROTECTED]
Cc: [EMAIL PROTECTED]
Subject: measuring urine


Dear Denise,
unfortunately I haven't had any help with my mission to try to stop women
having to measure their urine for 24 hours post delivery. I have managed to
pull some research from MIDIRS, but I'm at a loss as how to proceed with
writing a policy. Will battle on though,
luv Sadie



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RE: Night Cramps

[Christine & Tony Holliday]

Just a
word of warning regarding quinine, last time I contacted our pharmacy
department quinine is now contraindicated in pregnancy.

 

Christine.

 

-Original
Message-
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]On
Behalf Of Anne Clarke
Sent: Tuesday, 27 November 2001
12:39 PM
To: OZMIDWIFERY
Subject: Night Cramps

 

Dear
Andrea,

 

Increase
her salt intake, I know this sounds silly but I bet if you did some ELFT's you
would find her sodium low.  Also increase zinc and potassium.

 

Another
sure fire remedy is to get her to buy some tonic water - the one with quinine
in it - Schwepps has tonic water with quinine, it is also called 'Indian Tonic
Water' usually in brackets on the bottle.

 

It has
to be this type of tonic water as it is the quinine that helps the cramps, it
is a muscle relaxant.  Reassure her that the amount of quinine in the
tonic water is miniscule and she would have to drink lots and lots for the
quinine to become a problem, as you probably know quinine is a drug used in
Malaria.

 

The
dose is one average glass at night.  It may take a couple of nights for
its full effect.  Some women find they do not have to take a glass every
night but alternatively.  She may however, find that she needs to take a
glass a night initially then cut back to get the right effect.

 

Regards,

Anne
Clarke

Brisbane

-
Original Message - 

From:
"Ian & Andrea Quanchi" <[EMAIL PROTECTED]>

To:
"Oz Midwifery" <[EMAIL PROTECTED]>

Sent:
Monday, November 26, 2001 10:17 AM

Subject:
Leg cramps

 

> I
have a question for the valued members of this list
> 
> I have a client who is G4P3 at 25 weeks who is experiencing severe leg
> cramps during the night. They are totally relieved by hands and knees
> (she finds it difficult to sleep in this position) and they are
> constantly waking her up. Any suggestions.
> 
> Andrea Quanchi
> 
> --
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to subscribe or unsubscribe.
> 

RE: ANF & MIDWIVES

[Christine & Tony Holliday]

To achieve collective industrial bargaining you need to be organised.
You're right that we don't need a union to change to caseload but you do
need a union to help with the practical employment issues such as payment.
To do it properly takes a lot of time and you need to then pay someone for
their time, I found the union very helpful when trying to arrange a salary
for caseload, and we would not have achieved this on our own, there are many
traps to fall into including how this agreement may affect future claims and
developments.  Please do not think that the government/employers will be
nice and recognise what a wonderful thing caseload is and agree to our
requests for payment, annual leave, sickness leave and cover for sickness
leave etc.  Believe me it doesn't work; I've worked where the unions are
weak.  If the women got what they demanded we would have had caseload and
government funded home births a long time ago?  If the Victorian ratio of
Midwives to labouring women is 1.5 to 1 what would this have been without
the union negotiating?  I don't think it would have been the union that
suggested reducing the staffing level; I would suggest that it would have
been an even lower level of staffing.  In addition, who has the time to do
this?

In instances where the workforce has been union free many have found the
need to collective bargaining and have found this unsuccessful until they
form or join a legally recognised union, the Dockers a few years ago that
trained in Dubai spring to mind as the last I heard they had still not been
paid all they had been promised.

Sorry if I sound as though I am raving, but it is not a perfect world and I
know unions are not all angels but neither are employers and we need the two
to reach a balance.  You only need look as far as the UK to see what happens
when the unions have their rights taken away.  It's a frightening thought to
be negotiating on your own.

Also remember that a union is it's members and if we push hard enough we can
achieve some change, use them for our benefit.  I agree with your thoughts
on getting the women's voices heard and getting on as many committees as
possible is always a good thing and we need to encourage more midwives to be
involved to share the workload.  This includes any ANF committees.  We need
as many midwives in the ACMI as possible too, but this needs to be a
professional organization not an industrial organization as in the UK as
this weakens its industrial and professional credibility.

Sorry for the rave but it is a great concern to me that we look after
ourselves.
Christine.



-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]On Behalf Of Jan Robinson
Sent: Tuesday, 4 September 2001 7:09 PM
To: Ian & Andrea Quanchi
Cc: [EMAIL PROTECTED]
Subject: Re: ANF & MIDWIVES

Dear Andrea

It is time all professionals that call themselves midwives joined
their College and quit their association with nursing unions. A trade
union image is not condusive to having midwives publically recognised
as professionals in their own right. Unless the ANF is prepared to
change their name and become the industrial arm for Nurses and
Midwives (i.e. the ANMF )then quit while you are ahead.

Disputes occuring within workplaces can surely be solved by
collective industrial bargaining. When I read all the letters on this
list there are obviously enough midwives in each maternity hospital
to form a collective and work towards more midwifery choices for
their patients with an appropriate on-call and flexi-time structure
to guarantee being able to follow the women through. You don't need a
union to do that for you, you just need your patients to DEMAND their
own midwife to follow them through and then guarantee to work with
them! Take them along to your meetings with the Area Health Authority
Maternity Advisory Committees, or get representation on the committee
yourselves.

The College was set up to raise the profile of midwifery in this
country and it will not be able to achieve this unless all those
midwives that work in hospitals join up and join the fight for
professional recognition through legislative change.

The College does have lawyers who can provide legal advice when
warrented. It's up to us to increase the College membership and
fast-track the pathway to professional recognition for midwives
through effective discussion within your local sub-branch and taking
your concerns to the National Executive via your Branch
representative. That is the way forward for midwives.

The College has already produced a set of competency standards, has a
code of ethics, has membership of the ICM ... all the attributes
necessary for professional advancement and public recognition of
midwives.
If you don't see yourself as practising as a professionals with your
own case-load in the future then you will forever be stuck in the
fragmented care, shift-work and a well paid job within NURSING.

Encourage your Colleagues to join ACMI today. The

RE: ANF

[Christine & Tony Holliday]

Katrina,

I have to support what you say about needing industrial representation and I
too do not see this as the job of the ACMI.  We also need numbers for
industrial representation to be effective and joining with (not being part
of) the nurses is a way of gaining numbers.  In SA we have a Midwifery
Reference Group within the ANF, which is helping to make some changes
(admittedly small so far) within the ANF.  The only way to change
organizations is to continually lobby from within as well as outside.

Christine.

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]On Behalf Of Katrina Vincent
Sent: Sunday, 2 September 2001 8:43 PM
To: [EMAIL PROTECTED]
Cc: [EMAIL PROTECTED]
Subject: Re: ANF

Dear Anne,
I am a midwife who at this stage of my life/career, choose to work within
the hospital system.  I am a member of ACMI, but also of ANF, because ANF
provides industrial representation  and insurance cover, while ACMI does
not.
The way I see it, ACMI is a professional association and ANF is basically a
trade union. I, too, am horrified at the midwife/client ratio recently
agreed to by ANF, and deplore ANF's refusal to recognise midwifery as
separate from nursing. However, I have ANF to thank for my current rates of
pay.
On the insurance issue, I have had reason to be very grateful for the legal
service provided by my ANF membership, at no additional cost to me, in the
preparation of statements requested by my employer for submission to the
Coroners Court.  I don't have the confidence that my employer will back me
in a court of law if they can use me as a scapegoat to save their own skin.
I am a midwife, and I shouldn't have to belong to a nursing union, but until
there is a viable alternative, I'll continue to be a member.
In the meantime, I'll continue to write letters to anyone and everyone about
the insurance issue for private practice midwives - (I have been a consumer
of IP midwifery), I'll continue to talk to my hospital colleagues about the
importance of belonging to and therefore strengthening ACMI, I'll continue
to circulate the Maternity Coalition petition, I'll keep talking to my
clients, the mums at my local school and kindergarten, my local MP's and
anyone else who'll stand still for long enough about the benefits and safety
of midwives as the lead carers in the provision of maternity care to healthy
mothers and babies.
So, thats why I choose to be a member of ANF.
Best wishes,
Katrina

>From: "Anne Clarke" <[EMAIL PROTECTED]>
>To: "OZMIDWIFERY" <[EMAIL PROTECTED]>
>Subject: ANF
>Date: Sun, 2 Sep 2001 12:55:19 +1000
>
>Dear Andrea and all,
>
>That might be well and good that most Midwives are members of the ANF in
>Victoria, but do they realise that the ANF is taking a Nursing perspective
>not a Midwives perspective while so called 'representing' them to the Gov.?
>
>I would hope that ANF member Midwives are clued into this and get involved
>because it sounds that their membership to the ANF is not worth the money
>if the ANF is flushing their practice down the toilet!
>
>As far as the insurance cover, do they know that NO union covers their
>members for indemnity only legal?
>
>If the Nurses Union here in Queensland covered me for the indemnity part of
>insurance I too would be happy, but they don't, only limited legal cover.
>The hospital, if a staff member, covers for indemnity, that's if they don't
>drop you like a hot potato in court, beleive me if it means you or them,
>who do you think they would leave 'holding the proverbial bag'. The legal
>cover you may gain from the union may help to a point in court (hearing),
>but the person(s) taking the action can still take you to civil court.
>
>If the ANF have asked you to participate, I would hope that you would make
>them realise that they have members who are Midwives not Nurses and to have
>an arm of Midwives (that practice Midwifery mind you) that deal with
>members issues that pertain to Midwives.
>
>Midwives who are members of the ANF in Victoria should be up in arms about
>the ANF discussing Midwifery issues that they (ANF) OBVIOUSLY do not
>understand or they wouldn't have negotiated or suggested such ludicrous
>mother/midwife ratio's.
>
>Put them right Andrea and our Victorian Colleagues NOW NOW NOW.
>
>Anne Clarke
>Brisbane


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RE: Nambour etc

[Christine & Tony Holliday]

One way to "deal" with unreasonable complaints is to ask for the person's
name and note it down, then offer them a pen and paper together with the
name of the person to whom their complaint about you should be addressed and
show them to a seat where they can write.  I've rarely had to do this but it
is very effective in making the person actually think about what they are
complaining about, and if they actually do have a complaint to make.  It is
also less time consuming for you than trying to reason with them.  If they
ask why you are writing down their name it is so you can link up the written
report you will be making with their complaint when it arrives.

Christine.

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]On Behalf Of Greg & Barb Cook
Sent: Wednesday, 22 August 2001 8:05 AM
To: Colin Larkin; Ozmidwifery@Acegraphics. Com. Au (E-mail)
Subject: Nambour etc

Isn't it strange or ...is it co-incidental that this has grabbed the media
interest as midwives are gaining a higher profile for the same PI as Dr's.
I have read that the Nambour Hospital District Manager has supported the
staff, stating that the media is highlighting 8 cases since 1992 yet there
have been more than 12000 births in that time. It is still well under the
state average.
A registrar who was there for one of those birth has said "it's all about
money and looking for someone to blame" and the parents were difficult
signing themselves out against medical advise etc. I think there needs to be
more revealed rather than selective data presently being released.

Had one client last night who wanted to make a complaint against me because
I dared to ask a grandmother for toiletries for her daughter to have a
shower. 15 yo daughter had given birth >1 hour before, babe in Special care
and the mother was asking to see her child there. Not unreasonable to get
mother to SCN as requested but grandmother thought it was too soon when she
re-entered the room. When do people get off and just let us do our work? Why
are we subjected  to threats of complaints to be made. I suggested she make
her complaints in writing and send to the manager!
It'll get to the stage there won't be midwives or nurses out there soon.
Barb


- Original Message -
From: Colin Larkin <[EMAIL PROTECTED]>
To: Ozmidwifery@Acegraphics. Com. Au (E-mail)
<[EMAIL PROTECTED]>
Sent: Tuesday, August 21, 2001 11:16 AM
Subject: BUMPER STICKERS


> The news is old now, but apparently the maternity ward at Nambour is in a
> terrible state.
> There have been a higher than average number of deaths and brain damage
> cases due to I don't know what.
> It depends on who you listen to.
> A lot of blame was being placed on the midwives in the radio interview
that
> I heard.
> Do we have any listers from up that way who may be able to shed more light
> on the subject?
> I only heard a part of the interview, and was going on the talk at morning
> tea around the office about the ACA report.
> I am in Nthn NSW so I think Qlders would have a better idea of the story -
> ie from the Curious Snail and other local media outlets.
> I also would like to hear something else on the subject.
> I thought the list was very quiet on this story, but then again I guess
> there are more pressing concerns at the moment.
> Regards,
> Colin.
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RE: Understanding?

[Christine & Tony Holliday]

I believe it would be due to legalities in that the hospital is insured to
cover it's employees only and a hospital employed midwife has to be provided
by the hospital to women admitted for care.  The hospital-employed midwife
is then responsible for the care.  I know this may sound unreasonable but it
seems insurance problems affect our practice again.
I would also like to comment that I have never had such a problem with as
women who are transferred to hospital during a planned homebirth although
disapointed they are usually pleased to find that you are not as bad as they
imagined you may be. Many hospital based midwives do fear this kind of
attitude from women who transfer in to hospital which in turn affects their
care so please remember that this couple are in the very small minority.  In
addition, they need much reassurance that transfer to hospital if necessary
is part of good planning, unnecessary transfer is a problem but necessary
transfer is not and they have done well in their planning.

Christine.

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]On Behalf Of Elizabeth McAlpine
Sent: Wednesday, 22 August 2001 8:55 AM
To: ozmidwifery
Subject: Fw: Understanding?

Dear Allison,

No offence, but why were you there if the couple's midwife was present and
the GP??
That would no doubt be hospital policy.  Right??  but why??  and why is it
like that?? Why can't the midwife/GP just bring women in and continue..
I'm disappointed for you that the couple appeared ungrateful, but it seems
that they had tried very hard to achieve what they set out to do and failed.
You were a stranger in their midst and most likely unwelcome.   Let it go.

Liz
- Original Message -
From: "allison buck" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Tuesday, August 21, 2001 8:52 PM
Subject: Understanding?


I write to explore the events that have occured in my practice as a Hospital
Based Midwife in the past week. I am on night shift at present, and we all
know the challenges that sunset seem to bring.  Never do these things seem
to occur during day light
hours, or if they do, seem quite trivial, with a Hospital full of Medical
resources.
After receiving handover on this cold, wintery night, I freely volunteered
to care for 'the homebirth' woman.
The instances that had seen this lady admitted to our Birth Unit, included a
prolonging of her second stage (over 5 hours prior to admission),
prolonged rupture of membranes (45 hours) and incoordinate and dwindling
uterine contractions.
My background is of course as a Hospital Based midwife for the past 5 years.
I am strongly involved in supporting women, and their families in the
choices that they make, whilst at the same time, being governed by the
Hospital in which I work, and which, in turn provides the safety and support
that I need.  I have at some times thought of the possibility of entering
private practice, but for me I feel that the right time for that may be many
years away.
Following handover I was introduced to the couple I was then going to care
for and support during their birth experience.  I was not greeted by a
smile or hello, and yes I can fully understand that Hospital was not where
they wanted to be.  How great it was to be with a couple who were making
choices and deciding for themselves.  Alternatively, I work within policies.
You can plainly see the dilemma beginning to arise for myself.  I needed to
be supportive, but also the devil's advocate for all the 'what ifs'.  Is
this my role? Yes, absolutely, but is it also the role of the
IndependentMidwife to do this before leaving the comforts of home?  That's
Ok, I understand.
The lady's GP was a wonderful support to both the couple and myself.
Agreeing to be 'baby nurse' as the couple refused to have another Midwife
present for the Birth.  That's OK, I understand.
A healthy baby boy was born at 10.30 that evening with the help of a
Syntocinin Infusion, and a lot of 2nd stage coaching by Her Independent
Midwife and Myself.  A wonderful outcome achieved.  A few smiles and nodsof
thankyou were circulated throughout the room, but none unfortunately in my
direction, as I waited for pulsations to cease of the cord.  That's OK, I
understand.
A long 8 1/2 hour second stage, and after 45 minutes no signs of a
placents,was I worried about a PPH or a manual removal? Absolutely, and is
that sowrong?  My concerns were unfounded when after an hour, She had Her
placenta, complete with a scant amount of vaginal blood loss. "Can I pop
this arm band on your baby?" I asked, and was met with a firm "no, we will
not beseparated".  That's OK, I understand.
After a beautiful 2 hour breastfeed, and well deserved shower, the couple
went home four hours after the Birth.  Armed full of contact numbers,
answers to possible scenarios that could happen before their Midwife sees
them in the morning, and my best wishes and congratulations, the couple
entered the coldness of the night.  There was no 

RE: insurance

[Christine & Tony Holliday]

Sorry,
what/who is PIAC?

Thanks, 

Christine

 

-Original
Message-
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]On
Behalf Of Elizabeth McAlpine
Sent: Tuesday, 31 July 2001 12:14
PM
To: ozmidwifery
Subject: Fw: insurance

 

thought
you might be interested in this.    there is a need for some
grievance committee or other to arrange acknowledgement/apology.liz

-
Original Message - 



From: Jim
Wellsmore 



To: [EMAIL PROTECTED]


Sent: Tuesday, July 31, 2001
5:52 AM

Subject: Re:
[Fwd: ] childbirth

 

Dear
Elizabeth, 

I am a Policy Officer here at PIAC and was
involved with our recent work on the medical indemnity insurance issues
although my senior colleague Amanda Cornwall is our 'health expert'. 

The issues you have raised are indeed
valid. Its interesting to note, however, that when the possibility of a 'no
fault' scheme was raised with some individuals and groups representing the
'victims of medical negligence' or error many of them were quite vehemently
opposed to the idea - they appear to have a large stake in 'fault' or
'negligence' and even 'maliciousness' being found on the doctor's part. This
approach also complicates the other political approach to insurance issues
seelig to move away form insurance to simpler recognition of errors and the
outcomes. Research we have seen reported indicates that many people who have
endured these errors mostly seek an acknowledgement and an apology. This would
seem a much cheaper and easier way to proceed. 

On the other hand, it appears that the
insurance providers (medical defence funds mostly) have contributed to rising
costs and higher premiums not only through apparent mismanagement of their
members' funds but by choosing to fight almost to the death every single
complaint of legal action. Yet the recent changes in NSW, while holding some
positives for consumers, in part will reward the providers for this behaviour. 

Thanks for your interest in our work and
for your own efforts in this important area of policy. 

Yours, 

Jim Wellsmore 

Sarah Mitchell wrote: 









Subject: 
Date: Wed, 25 Jul 2001
17:30:17 +0400 
From: Elizabeth McAlpine
<[EMAIL PROTECTED]> 
To: [EMAIL PROTECTED]


Dear
Sara, On refection, why can't Australia do what the Dutch and the New
Zealand governments did. 'no-fault'.  
Social support for disability throughout life, by, for example, national
insurance/other community facility.That would be much better!! The courts would have much less work too - reduction of costs
etc. regards,Elizabeth McAlpine

-- 
Jim Wellsmore 
PUBLIC INTEREST ADVOCACY CENTRE 
Level 1, 46-48 York Street 
Sydney   2000   New South Wales 
Australia 

Ph: 61 2 9299 7833 
Fx: 61 2 9299 7855 
  

RE: INSURANCE FOR MIDWIVES

[Christine & Tony Holliday]

I feel our
ultimate goal is to change to a no fault system such as New Zealand has, this
would be a benefit to many people (including obstetricians), the bigger the
group the more we can change.  I
know this will take a long time but we need to look at long-term solutions too.

 

Christine

 

-Original
Message-
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]On
Behalf Of Australian College of Midwives Incorporated
Sent: Monday, 9 July 2001 9:53 AM
To: ozmidwifery
Subject: INSURANCE FOR MIDWIVES

 

Hello
Midwives, I know you are all very concerned about the insurance matter. 
The College is taking action to provide members with an option.  We have
been endeavouring to seek alternative insurance through our legal people, who
have been searching the country.  It is not a simple task.  We will
notifiy members as soon as information is available.  Should be tomorrow.

We too,
are seriously concerned about this urgent matter.

 

Alana
Street, RM FACM,
 Executive Officer,
Australian College of Midwives Incorporated,
1st. Floor, 3 Bowen Crescent,
Melbourne, 3000.
Tel:  03 98045071 or 1300 360480
Fax:  03 98 661370
Email: [EMAIL PROTECTED]